3._Exhibit_C_-_Work_Authorization_Form.docx
DOCX document 19 KB Posted
- Solicitation number
- 0000030546
- Issued by
- Los Angeles County, Los Angeles City, California
About this file
This document is a Work Authorization Form for the CSSSA Computer and Printer Rentals Services contract (Contract Number: CSSSA23110) between the California State Summer School for the Arts (CSSSA) and a contractor. The task/deliverable summary, start and completion dates, unit cost and quantity, and total cost are outlined on this form. The related state and local contract opportunity is for CSSSA Computer and Printer Rentals Services, which is being procured by the California Department of General Services - Office of Technology Assurance (DGS-OTA). The contract will serve the jurisdictions of Los Angeles County and Los Angeles City. The bid submission must be made via email, not through CaleProcure. The event contact information and due date instructions are provided.
The pricing terms, set asides, incumbent, current environment, funding requirements and sources, and other salient information are not detailed in this document. The Work Authorization Form focuses solely on the specifics of the task/deliverable to be performed under the contract.
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| File | Type | Posted |
|---|---|---|
| IFB_6255-0000030546.pdf |
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Text version
CSSSA Computer and Printer Rentals Services BU 6255 Event ID 0000030546 EXHIBIT C, Work Authorization Form The task/deliverable(s) will be performed in accordance with this Work Authorization and the provision of Contract Number: CSSSA23110
| Work Authorization Number# |
| Page(s) |
| of |
Title of Task/Deliverable
Task/Deliverable Summary (Brief description of task/deliverable to be performed under work authorization)
| Start Date |
| Completion Date |
| Unit Cost and Quantity |
| Total Cost |
California State Summer School for the Arts (CSSSA) Division coordinator or Designee Contractor
| Printed Name |
| Printed Name |
| Authorized Signature Date |
| Authorized Signature Date |
| Title |
| Title |
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