5-JOC-WO-Template.pdf
PDF 248 KB Posted
- Solicitation number
- J26-01 & J26-02
- Issued by
- Washington
About this file
This is a Work Order Form template used by the Washington State Department of Enterprise Services (DES) for administering Job Order Contract (JOC) work requests within the statewide JOC program. The form serves as the primary document for requesting and authorizing individual work orders under an existing JOC agreement. The template captures essential project information including work title, location, desired start date, substantial completion date, and schedule requirements with provisions for liquidated damages. The form requires identification of the funding agency, JOC project manager, cost engineer contact information, and detailed scope of work descriptions with supporting sketches, plans, and photographs. Special requirements sections address design specifications, dimensions, quantities, materials, finishes, and component types or brands. The form includes fields for modification requests with specific change reasons including design errors, design omissions, latent conditions, code requirement changes, and value engineering proposals.
The pricing structure is organized by CSI divisions with line-item entries capturing bare costs, material prices, labor hours, unit labor prices, overhead and profit (OH&P), and total item prices. The form accommodates both items listed in the unit price book and items not listed in the price book, with the latter limited to no more than twenty percent of the total work order value. Additional provisions address apprenticeship requirements per RCW 39.10.450(8) for work orders exceeding $350,000 and 600 single trade man-hours, hazardous material abatement insurance requirements, and Washington State sales tax calculations. Authorization occurs upon signature by the Agency Project Manager (APM) and includes fields for notice to proceed dates and contractor coefficient documentation.
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Other files
| File | Type | Posted |
|---|---|---|
| 8-C-BidProposalAndForm.pdf | ||
| 2-E-SampleForms.pdf | ||
| 1-F-PointofContact.docx | DOCX document | |
| 6-J26 JOC Manual Final.pdf | ||
| 7-J26-01 J26-02-RFP.pdf | ||
| 3-A-DiverseBusinessInclusionPlanCriteria.pdf | ||
| 4-B-InstructionsToJOCBidders.pdf |
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Text version
DES Work Order Form
Work Title:
Location*:
Section 1: Work Order Request
Date of Request:
Schedule of Work: Desired start date, substantial completion date, other dates that are required by Agency/Requester*
* Include Liquidated Damages as part of Schedule of Work if they are to be applied to this Work Request
CONTRACT TIME:
FPS Management
Approval of change in contract time Initials Date
Special Requirements: Design requirements, dimensions, quantities, materials, finishes, component types or brands
Contacts Phone Agency
JOC Project Manager
Owner/DES PM
Cost Engineer 360 280 2781 page 1 revised Oct 17, 2025
Brief Description of Work: Agency/Requester requirements consisting of an overall statement of work and objectives. Attach any sketches, plans, and/or photos, exclusions, and a detailed Scope of Work
□ Increase □ Decrease Calendar Days
JOC Contractor Ref.:
Other Agency Ref.:
Work Order No.:*include zip code of work location
Funding Agency:
A/E for this Work Order:
Apprenticeship RCW 39.10.450 (8) Conditions apply for Apprenticeship (WO >$350k & >600 Single Trade Man Hours)
Apprenticeship n/a
Brian Thomas
Organization Email Name
DES brian.thomas@des.wa.gov
Modification No.:
Job Order Contract No.:
DES Project No.:
MODIFICATION REASON FOR CHANGE: □Design Errors □Design Omissions □Agency □Latent Conditions □Code Req. □Value Engineering
A/E not utilized
Scope includes hazardous material abatement and associated Insurance Requirements (JOC Manual Section 2.02.B.5)
Hazardous Waste
Work Title:
Location*:
*include zip code of work location
Funding Agency:
Date of Proposal:
Completion (Days from NTP): JOC Firm:
Liquidated Damages:
CSI or item #
Bare Cost Total
City Cost Index
Division Total Price
-$ $0.00 -$ $0.00 -$ $0.00 -$ $0.00 -$ $0.00 -$ $0.00 -$ $0.00 -$ $0.00 -$ $0.00 -$ $0.00 -$ $0.00
$0.00
Item No
Units Qty Unit Material
Price Labor Hours
Unit Labor Price
OH&P Item Price
1 -$ -$ -$ 2 -$ -$ -$ 3 -$ -$ -$ 4 -$ -$ -$ 5 -$ -$ -$
$0.00
$0.00
$0.00
Date:
revised Oct 17, 2025
DES Project No.:
DES Work Order Form
JOC Contractor Ref.:
Other Agency Ref.:
Work Order No.:
Job Order Contract No.:
Total of all base items listed is Price Book:
Labor Materials
Work Order Items Not Listed in Unit Price Book (This cannot exceed 20% of the total work order.)
FPS Management All originals and Mods > $10k)
Project Manager
Client Authorized Funding
JOC Contractor
Cost Engineer
Total Funding Amount
Total Work Order/Modification Amount
Tax Rate
Previous Work Order Total
Brief Description of Work: additional information can be found on the attached Scope of Work or on page 1
Modification No.:
CSI / Summary of Work Order Items Listed in Unit Price Book
Notice to Proceed (NTP) DATE ____________
Washington State Sales Tax
Work Item Description: Include type of material, manufacture name, part number, type of work…
Total of all items not listed in Price Book
Description of Base Bid Items
Approved signatures
Note: 1: This Work Order Proposal becomes an authorized Work Order when signed by APM.
Contractor Coefficient
File details come from the government source that posted it. Updated .