PROGRAM NAME

PEF: NAME

STATE OF NORTH CAROLINA

T.I.P. PROJECT NO.:	X-XXXX

WBS ELEMENT NO.:	XXXXX.X.X

DOT CONTRACT NO.:	LSC 70000XXXXX

TASK ORDER NO. XX– Unique Task Order Name

Description of the Program (if applicable)

(relationship between North Carolina Department of Transportation (NCDOT) and PEF)

(High level goals or mission of program)

TASK ORDER NO. XX – Unique Task Order Name - Summary of Deliverables

TO Ref.	Description	Estimated Due Date
XX.A.1	(task name)	(task due date or days after NTP)
XX.A.2	(task name)	(task due date or days after NTP)
XX.A.3	(task name)	(task due date or days after NTP)
(add extra rows as needed)

Introduction

(Project overview, including background, regulatory references, etc.)

Primary responsible party:	NCDOT – Name

PEF – Name

XX.A. – Scopes and Deliverables

In this section, we provide a description of specific tasks to be completed as part of this task.

XX.A.1 – Task Name

(Task Description)

(List of Deliverables)

XX.A.2 – Task Name

(Task Description)

(List of Deliverables)

XX.A.3 - Task Name

(Task Description)

(List of Deliverables)

XX.B – Schedule

The scope of work for this task order is intended to be performed over the period outlined the Schedule, Attachment A.

XX.C – Level II Budget

See Attachment B. This budget defines the classification mandays assigned to task areas.

XX.D – Team Members and Responsibilities

XX.D.1 – Summary of Team Members from NCDOT

Team Member	Skill Set	Responsibilities
Name Title Phone Number e-mail	(List skills applicable to project)	(List role/responsibility under project, in paragraph or bulleted form)
(add additional rows as needed)

XX.D.2 – Summary of Team Members from PEF

Team Member	Skill Set	Responsibilities
Name as reported in CRS Title as reported in CRS Phone Number e-mail	(List skills applicable to project)	(List role/responsibility under project, in paragraph or bulleted form)
(add additional rows as needed)

XX.E – Special Considerations / Areas of Concern

Special considerations and concerns for this project include:

(List).

XX.F. – Quality Plan

(General description of quality assurance process [1-2 paragraphs])

Attachment A, Schedule (include pdf the consolidated proposal package and a native MS Project file separately)

Attachment B, Budget (PEF Estimating spreadsheet from Hydraulics Unit; include pdf the consolidated proposal package and a native Excel file separately)