Att._5_-_Work_Authorization.pdf

PDF 127 KB Posted

Attached to
Class C Uniforms (DGS-OTA)
Solicitation number
0000038311
Issued by
California

About this file

This is a Work Authorization Form template used by the California Department of General Services (DGS) in conjunction with the Class C Uniforms contract opportunity. The form serves as a standardized document for authorizing specific tasks or deliverables to be performed under the referenced contract. The Work Authorization Form requires completion of essential project information including the contract number, work authorization number, title of the task or deliverable, a brief summary of work to be performed, start and completion dates, total labor hours, and total cost. The form is designed to be executed by authorized representatives from both the California Military Department (CMD) and the contractor, with designated spaces for printed names, titles, authorized signatures, and dates from both parties. This form establishes the framework for task-level management and tracking within the broader contract structure.

The Work Authorization Form functions as an internal project management and accountability document rather than a pricing or terms document. It does not contain specific pricing information, set-asides, funding sources, or renewal options. Instead, it serves as an administrative tool to authorize and document individual work tasks within an existing contract relationship. The form's design allows for multiple work authorizations to be issued under a single contract number, enabling flexibility in task assignment and labor hour allocation as project needs evolve.

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Text version

Department of General Services BU 8940 Event ID 0000038311 Procurement Division 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 Military Department (CMD)

Division coordinator or Designee Contractor

Printed Name Printed Name

Authorized Signature Date Authorized Signature Date

Title Title

WORK AUTHORIZATION FORM

Work Authorization Number:
Title of TaskDeliverable:
TaskDeliverable Summary Brief description of taskdeliverable to be performed under work authorization:
Start Date:
Completion Date:
Total Labor Hours:
Total Cost:
Printed Name:
Printed Name_2:
Title:
Title_2:
Pages of:
Authorized Signature Date:

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