Att._5_Work_Authorization_Form.docx
DOCX document 19 KB Posted
- Attached to
- Fish Hauling Tanks (DGS-OTA)
- Solicitation number
- 0000033763
- Issued by
- Shasta County, California
About this file
This is a Work Authorization Form template from the California Department of General Services Procurement Division (BU 3600, Event ID 0000033763) for use with the California Department of Fish and Wildlife. The form is designed to document and authorize specific tasks or deliverables under an existing 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 signatures from both the California Department of Fish and Wildlife Division coordinator (or designee) and the contractor, including their printed names, titles, and dates of authorization. No specific pricing terms or funding requirements are included as this is a template form meant to be completed on a per-task basis.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Att._2_Admin_Requirements.docx | DOCX document | |
| RFQ_3600-0000033763_CDFW_Fish_Hauling_Tanks.pdf | ||
| Att._1_Appendix_A_-_Bid_Specification.pdf | ||
| Att._2_Exhibit_A-Customer_Reference_Form_.docx | DOCX document | |
| Att._4_Narrative_Response.docx | DOCX document | |
| APP_Cover_Page.doc | DOC document | |
| Att._1_Bid_Specification.pdf | ||
| Att._3_Cost_Worksheet.xlsx | XLSX spreadsheet | |
| Att._6_Shipping_List.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Department of General Services BU 3600 Event ID 0000033763 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 Department of Fish and Wildlife 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 .