252720FB_Sample_Work_Assignment_Form.pdf

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Attached to
Unit Price Contract (UPC) for Stormwater Pipeline Infrastructure Rehabilitation
Solicitation number
252720FB
Issued by
Sarasota County, Florida

About this file

This document is a Sample Work Assignment Form for a Unit Price Contract (UPC) issued by Sarasota County, Florida for construction-related work. The form serves as a template for authorizing specific work assignments under a broader contract, with spaces to detail project specifics such as project name, contractor, contract number, and work assignment title. The document outlines the process by which the county will issue a written Notice to Proceed, authorizing the contractor to complete specified work in accordance with contract documents.

The form includes sections for describing the work, listing supporting attachments (Scope of Work, Price Schedule, and Map of Area), and establishing contract pricing and work assignment terms. Notably, the form has placeholders for the total work assignment amount and specifies liquidated damages provisions, with current examples showing $0.00 per day for non-completion of substantial and final project milestones. The document requires signatures from the contractor and multiple Sarasota County representatives, including the Project Manager, Construction Manager, and a County Director, indicating a multi-level approval process for work assignments.

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Text version

SAMPLE WORK

ASSIGNMENT

FORM

SARASOTA COUNTY CONSTRUCTION CONTRACT

WORK ASSIGNMENT AUTHORIZATION

UNIT PRICE CONTRACT

WORK ASSIGNMENT NO:

PROJECT NAME:

CONTRACTOR: CIP/ORG/ACCT. NO:

CONTRACT NO: BID NO:

CONTRACT DATE: DATE OF REQUEST:

WORK ASSIGNMENT TITLE:

Upon the completion and execution of this Work Assignment by both parties to the Contract, and upon the County issuing the Contractor a written Notice to Proceed, the Contractor will be authorized and shall proceed and complete the following work in accordance with the Contract documents:

Description of Work:

Attachments (List Attachments supporting/detailing this Work Assignment):

• Scope of Work

• Price Schedule with additional services

• Map of Area

CONTRACT PRICING

This Work Assignment Amount……………………………………………………………………………$XXXXXXXX

WORK ASSIGNMENT TERMS

Time for this Work Assignment (NTP to Final Acceptance) .............................. calendar days

Liquidated Damages for work not completed by Substantial Completion (00 Days)….$0.00/Day

Liquidated Damages for work not completed by Final Acceptance (00 Days)…………….$0.00 Day

SIGNATURES:

By: Date:

Contractor

Project Manager, Sarasota County

Construction Manager, Sarasota County

Director, Sarasota County

SARASOTA COUNTY CONSTRUCTION CONTRACT WORK ASSIGNMENT AUTHORIZATION
UNIT PRICE CONTRACT
CONTRACT PRICING
WORK ASSIGNMENT TERMS
SIGNATURES:

File details come from the government source that posted it. Updated .