6-012.1.1 UEP 07 WO - Blank.pdf

PDF 105 KB Posted

Attached to
26005663 U26-01 Utility Extension Program 07
Solicitation number
26005663
Issued by
Mason County, Texas

About this file

This is a Work Order template document for the Utility Extension Program 07 (UEP 07) project in Texas, a water main extension initiative under contract opportunity 26005663. The work order form is designed to document specific project details including work location, start and completion dates, and a description of work to be performed. The template includes sections for sketch measurements and calculations with provisions for attaching supporting documentation such as concrete and asphalt tickets. The contract term spans 2026-2029, and the document requires verification of quantities by both the City and the Contractor, with signature lines and dates for both parties' authorization.

The work order template contains a pay quantities section with columns for quantity, unit price, total, and comments/descriptions, though specific pricing information is not populated in this blank form. The document requires identification of the contractor name and GIS sketch completion status. This template serves as the standard documentation format for work orders issued under the Utility Extension Program 07, which provides for furnishing materials and labor for utility extension work and miscellaneous appurtenant activities. The form references supporting documentation filed under project path U26-01 within the Engineering Services department.

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Text version

Sketch/Measurements (Attach additional sheet if necessary)

See Attached Sketch

Calculations (Attach additional sheet if necessary)

See Attached Calculations

(Attach concrete/asphalt tickets)

Quantities verified (City): __________________ Quantities Agreed (Contractor): __________________ initial date initial date

2026-2029 Term - Water Main Extension - UEP 07 Work Order

Address: __________________ Start Date: ________________ Completion Date: ________________

GIS Sketch Complete: ________________ Description of work: ____________________________________________________________________

Pay Quantities Quantity Unit Price Total Comment/Description

TOTAL = ------ ------

Contractor Name (Print):

P:\Engineering Services\Engineering Projects\2026\U26-01 UEP 07\02 LEGAL\2.3 Bid Packet\012.1 UEP 07 WO

Sketch/Measurements

Calculations

P:\Engineering Services\Engineering Projects\2026\U26-01 UEP 07\02 LEGAL\2.3 Bid Packet\012.1 UEP 07 WO

Blank

File details come from the government source that posted it. Updated .