5-JOC-WO-Template.pdf
PDF 248 KB Posted
- Attached to
- RFP Phase 1: Job Order Contract (JOC) - Western
- Solicitation number
- J26-04 & J26-06
- Issued by
- Washington
About this file
This is a DES Work Order Form template issued by the Washington State Department of Enterprise Services for use under the Job Order Contract (JOC) program in the Western region. The form serves as the official document for requesting and authorizing individual work orders under an existing JOC agreement. The template includes sections for identifying the work title, location with zip code, desired start date, substantial completion date, and contract time modifications. Contractors must provide a brief description of work including overall statement of work and objectives, with attachments for sketches, plans, photos, exclusions, and detailed scope of work. The form requires identification of the funding agency, architect/engineer involved, project manager contact information, and notation of any apprenticeship requirements applicable when work orders exceed $350,000 and 600 single trade man hours. Additional sections address modification reasons, hazardous material abatement work, and notice to proceed dates.
The pricing structure utilizes a unit price book approach with line items for materials, labor hours, labor costs, overhead and profit (OH&P), and total costs organized by CSI division. Work items not listed in the unit price book are permitted but cannot exceed 20% of the total work order value. The form requires approval signatures from the FPS Management, Project Manager, Cost Engineer, and Client Authorized Funding representative. Liquidated damages provisions may be included as part of the schedule of work when applicable. Washington State Sales Tax is collected at the applicable rate. Work orders exceeding $10,000 or modifications of that amount require additional approval authority. The document was last revised October 17, 2025, and includes provisions for documenting the contractor coefficient and identifying the specific JOC firm performing the work.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 6-J26 JOC Manual Final.pdf | ||
| 1-F-PointofContact.docx | DOCX document | |
| 8-J26-04 J26-06-RFP.pdf | ||
| 4-B-InstructionsToJOCBidders.pdf | ||
| 7-C-BidProposalForm.pdf | ||
| 3-A-DiverseBusinessInclusionPlanCriteria.pdf | ||
| 2-E-SampleForms.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 .