Att_5_-_Work_Authorization_Form.docx
DOCX document 103 KB Posted
- Attached to
- Trane Centrifugal Water Chillers (DGS-OTA)
- Solicitation number
- 0000033681
- Issued by
- Riverside County, California
About this file
This is a Work Authorization Form template issued by the State of California Department of General Services Chillers Department (BU 7760) related to IFB 0000033681. The form serves as a mechanism to document and authorize specific tasks or deliverables under a master contract, requiring details such as the work authorization number, task title, brief description of work to be performed, start and completion dates, total labor hours, and total cost.
The form requires authorization signatures from both the California Department of Education Division coordinator (or designee) and the contractor, including their printed names, titles, and signature dates. No specific pricing terms, funding sources, or other financial details are provided in this template document.
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Other files
| File | Type | Posted |
|---|---|---|
| Att_4_-_Narrative_Response.docx | DOCX document | |
| Att_1_-_Technical_Specifications.pdf | ||
| Att_2_-_Admin_Requirements.docx | DOCX document | |
| Att_3_-_Cost_Worksheet.xlsx | XLSX spreadsheet | |
| IFB_-_7760-0000033681_DGS_Chillers_(LTB).pdf | ||
| APP_Cover_Page.doc | DOC document | |
| Addendum_1__Questions___Answers__Chillers_DGS.pdf | ||
| Addendum_1_BU_7760_EVENT_0000033681.pdf | ||
| Att_2A_-_ExhibitA_-_Additional_Admin_Requirements.docx | DOCX document | |
| Addendum_1__Att_2_-_Admin_Requirements.pdf |
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Text version
State of California Chillers Department of General Services
BU 7760 IFB 0000033681
Attachment 5
Work Authorization Form The task/deliverable(s) will be performed in accordance with this Work Authorization and the provision of Contract Number:
| 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 |
| Total Labor Hours |
| Total Cost |
California Department of Education Division coordinator or Designee Contractor
| Printed Name |
| Printed Name |
| Authorized Signature Date |
| Authorized Signature Date |
| Title |
| Title |
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