3515R08 - Appendix L - Sample Work Order Authorization Page.pdf
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- Attached to
- Instrumentation and Monitoring of PA Bridges
- Solicitation number
- 3515R08
- Issued by
- Allegheny County, Brodheadsville CDP, Pennsylvania
About this file
This document is a Sample Work Order Authorization Page for a state or local government contract. The contract number, purchase order number, and work order number are provided, along with the purchase order start and end dates. The purpose of the work order is stated, and it authorizes the contractor to conduct work as detailed in the attached scope of work. Changes to the scope of work, cost, or time extension requests require a formal change order request, and all terms and conditions of the original contract shall remain in full force and effect.
The document outlines the process for the work order, including the required signatures from the contractor and the government project manager. It specifies that the work is to be performed in accordance with the Work Order Requirements, Paragraph 5, Work Order Modifications.
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Text version
APPENDIX L
SAMPLE WORK ORDER
AUTHORIZATION PAGE
APPENDIX K Page 1 of 1
WORK ORDER AUTHORIZATION PAGE
Contract No.: _______________ Purchase Order No.: _______________
Work Order No.: _____________ Purchase Order Start Date: _______________
Work Order Name: ___________ Purchase Order End Date: _______________
Effective on the date of the Notice to Proceed accompanied by a fully executed Purchase Order, the CONTRACTOR is authorized to conduct work as detailed in the attached scope of work.
The purpose of Work Order No. ____________ is to __________________________________________
(state how much funding/time is provided and the general objective)
Changes in scope of work, cost, and/or time extension requests require a formal change order request.
Refer to the Work Order Requirements, Paragraph 5, Work Order Modifications for instructions.
All terms and conditions of Contract No. __________ shall remain in full force and effect and shall take precedence over any attachments in the attached scope of work.
ATTEST:
CONTRACTOR:
Name Date
Title
COMMONWEALTH:
Project Manager Date
File details come from the government source that posted it. Updated .