Att._5_-_Work_Authorization.docx

DOCX document 27 KB Posted

Attached to
Snow Blower Tractor (DGS-OTA)
Solicitation number
0000039870
Issued by
El Dorado County, Santa Monica City, California

About this file

This is a Work Authorization Form issued by the Department of General Services (DGS) Snow Blower Tractor Procurement Division for the State of California. The form serves as a template for documenting task assignments and deliverables that will be performed under a specific contract. The work authorization requires identification of the contract number, authorization number, and page references, along with a clear title and summary of the task or deliverable to be completed. Key project details including start date, completion date, total labor hours, and total cost must be documented on the form. The form requires authorization signatures from both a DGS Division Coordinator (or designee) and the Contractor, with printed names, titles, and dates required from both parties to validate the work authorization.

The form does not contain specific pricing information, set-asides, or funding details, as it functions as an administrative control document for tracking authorized work under an existing contract rather than as a procurement solicitation or pricing agreement. This template would be utilized during contract execution to authorize and document specific work tasks as they are assigned to the contractor throughout the contract term. Questions regarding this procurement event should be directed to Carlos Angulo, the Procurement Official, at (279) 946-7938 or carlos.angulo@dgs.ca.gov.

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Other files

File Type Posted
IFB_3340-0000039870_CCC_Snow_Blower_Tractor.docx DOCX document
Agreement_Cover_Letter.pdf PDF
Att._1_-_Technical_Specification_2420-TS-0327870.pdf PDF
Att._2_-_Admin_Requirements.docx DOCX document
Att._4_-_Narrative_Response.docx DOCX document
Att._1A_-_Technical_Questionnaire_2420-TQ-0327870.xlsx XLSX spreadsheet
Att._3_-_Cost_Worksheet.xlsx XLSX spreadsheet

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Text version

Department of General Services Snow Blower Tractor Procurement Division Event ID 39870, Page 1 of 5

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

Department of California Conservation Corps Division coordinator or Designee Contractor

Printed Name
Printed Name
Authorized Signature Date
Authorized Signature Date
Title
Title

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