26-25-728 Attachment 13 FieldAuthorizationForm.pdf
PDF 425 KB Posted
- Solicitation number
- 2025-728
- Issued by
- King County, Washington
About this file
This document is a Construction Field Authorization (FA) form used by the Department of Enterprise Services (DES) Facilities Division within Washington State to authorize changes to construction contracts. The form is designed for public works construction projects, including the Bellevue College Parking Garage Update project. The FA process enables contractors to request modifications to contract scope, cost, and schedule through a structured authorization procedure that requires documentation of the reason for change, such as design omissions, design errors, code requirements, latent conditions, value engineering, or agency requests. The form accommodates three cost determination methods: fixed price, unit price, and time and material approaches. Authorization for changes requires sequential approval from the contractor, the Owner's Representative, the FPS Project Manager, the Architect/Engineer, FPS Management (for changes exceeding $50,000 or affecting contract time), and funding verification by the agency before a Notice to Proceed can be issued.
All work authorized through an FA cannot be paid until the authorization is formally incorporated into a Change Order by DES in accordance with the General Conditions. For time and material authorizations, contractors must submit daily timesheets within two working days identifying workers by name, trade, firm, date, and hours worked, with all materials, equipment, and job-related costs supported by detailed invoices. Subcontractors performing onsite work, regardless of tier, must follow the same documentation and itemization requirements as the primary contractor. The form requires the contractor to notify the Owner and Owner's Representative promptly if proposed costs or time may be exceeded. The proposed not-to-exceed maximum cost excludes Washington State Sales Tax (WSST), and any changes in contract time must be supported by an updated Critical Path Method (CPM) schedule. Final cost and time verification involves multiple approval layers to ensure compliance with project funding and contractual obligations.
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Text version
Contract No.
TO: (CONTRACTOR)
REASON FOR CHANGE: DESIGN OMISSIONS AGENCY VALUE ENGINEERINGDESIGN ERRORS
CODE REQUIRMENTS LATENT CONDITIONS ALTERNATIVE PUBLIC WORKS - CONSTRUCTION
NAME ORGANIZATION
Cost data required by one of the following methods in accordance with the General and Supplemental Conditions.
FIXED PRICE §7.02B
UNIT PRICE §7.02C (WHEN APPROVED)
TIME & MATERIAL §7.02D
(Owner's Rep)
Cost Data Required by: (Date)
NO CHANGE $
INCREASE Proposed Not-To-Exceed Maximum Cost (excluding WSST) DECREASE Proposed Time (Days)
PROPOSED BY CONTRACTOR DATE
AUTHORIZED BY FPS PROJECT MANAGER DATEAPPROVED BY A/E
DATE AUTHORIZED BY FPS MANAGEMENT
(> $50k / Change of Contract Time)
DATE
CHANGE IN CONTRACT SUM:
NO CHANGE
INCREASE
DECREASE
CHANGE IN CONTRACT TIME: (Attach CPM Schedule)
NO CHANGE
INCREASE OF:
DECREASE CALENDAR DAYS
CONTRACTOR SIGNATURE DATE
DATE
A/E DATE FPS COST VERIFICATION DATE
FUNDING VERIFICATION BY AGENCY DATE FPS MANAGEMENT (> $50k / Change of Contract Time) DATE FORM DES-EA-001 (Revision 9-19-2025) CG
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Payment for work authorized by this FA will not be made prior to incorporation of this FA into an authorized Change Order to the Contract by the Department of Enterprise Services, in conformance with GC 7.02A.N
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FA Substantiation shall conform to GC 7.02.B, C, & D. Time & Material FA’s shall include submittal of daily time-sheets within 2 working days for Owner’s review. Time-sheets shall identify workers assigned to the work by name, trade, firm, date and hours worked. Materials, equipment, and other job-related costs shall be supported by detailed invoices. Subcontractors performing Work onsite; regardless of tier, shall be calculated and itemized in the same manner as prescribed for Contractor.
METHOD OF MEASUREMENT
REQUEST DATE:
EXPLANATION:
CHANGE ORIGINATED BY
FPS PROJECT MANAGER
Proposal reviewed and accepted, Notice To Proceed given herein:
Final cost and time have been reviewed, verified and accepted by:
FA No.
AGENCY
Contractor agrees to perform the work described above within the Proposed Not-To-Exceed Maximum Cost, and Time. Contractor shall promptly Notify the Owner and Owner’s Representative in accordance with GC 7.02 or 7.03 if Cost or Time may be exceeded.
FACILITIES DIVISION
FACILITY PROFESSIONAL SERVICES (FPS)
CONSTRUCTION FIELD AUTHORIZATION (FA) PROJECT TITLE
FPS MANAGEMENT APPROVAL OF CHANGE IN CONTRACT TIME
(INITIALS & DATE)
When authorized by E&AS, you are directed to proceed with work as described below and/or detailed on the attachments referred hereto:
FUNDING VERIFICATION BY AGENCY
NO CHANGE
INCREASE
DECREASE
TIME COST
FA BLANK
| AGENCY: |
| Contract No: |
| PROJECT TITLE: |
| FA No: |
| REQUEST DATE: |
| METHOD OF MEASUREMENT: |
| Proposed Time Days: |
| PROPOSED BY CONTRACTOR: |
| DATE_2: |
| DATE_3: |
| DATE_4: |
| CALENDAR DAYS: |
| SCOPE OF WORK: |
| EXPLANATION: |
| CHANGE ORIGINATED BY: |
| CONTRACTOR: |
| OWNERS REP: |
| DATE: |
| Proposed Not To Exceed Maximum Cost excluding WSST: |
| FINAL COST: |
| AGENCY FINAL: |
| DATE_PM: |
| DATE_CM: |
| DATE_MGMT: |
| DATE_A/E: |
| DATE_AGENCY: |
| Check Box LATENT CONDITIONS: Off |
| Check Box DECREASE TIME: Off |
| DATE APM: |
| INITIALS APM: |
| DATE APM (NTP): |
| Check Box1: Off |
| AE FINAL: |
| FPS PROJECT MANAGER FINAL: |
| FPS COST VERIFICATION FINAL: |
| FPS MANAGEMENT FINAL: |
| FUNDING VERIFIED BY AGENCY (NTP): |
| APPROVED BY AE (NTP): |
| AUTHORIZED BY FPS PROJECT MANANGER (NTP): |
| APM NTP (NTP >$50K): |
| ORGANIZATION (CHANGE ORIGIN): |
| Proposed Cost = No Change: Off |
| Proposed Cost = Increase: Off |
| Proposed Cost = Decrease: Off |
| PROPOSED TIME - NO CHANGE: Off |
| PROPOSED TIME - INCREASE: Off |
| PROPOSED TIME - DECREASE: Off |
| DESIGN ERROR: Off |
| CODE REQUIRMENTS: Off |
| OMMISSIONS: Off |
| ALTERNATIVE PUBLIC WORKS: Off |
| VALUE ENGINEERING: Off |
| AGENCY REQUEST: Off |
| UNIT PRICE: Off |
| TIME & MATERIAL: Off |
| FINAL COST - NO CHANGE: Off |
| FINAL COST - INCREASE: Off |
| FINAL COST - DECREASE COST: Off |
| FINAL - NO CHANGE TIME: Off |
| FINAL - INCREASE TIME: Off |
| DATE_CONTRACTOR: |
| CONTRACTOR TIME & COST FINAL: |
| DATE-CONT_PROPOSAL: |
| FINAL TIME: |
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