Att._5_-_Work_Authorization_Form.docx

DOCX document 20 KB Posted

Attached to
Refrigerated Semi Trailer Vans (DGS-OTA)
Solicitation number
0000035585
Issued by
Los Angeles County, California

About this file

This document is a Work Authorization Form from the California Department of General Services (DGS) Procurement Division, specifically for Bureau 6100 and Event ID 0000035585. The form appears to be a template for authorizing specific tasks or deliverables under a contract, with designated spaces for capturing key project details such as task/deliverable summary, start date, completion date, total labor hours, and total cost. The form requires signatures from both the California Department of Education (CDE) division coordinator and the contractor to formally authorize work.

While the specific details of the task are not completed in this document, the form provides a standardized mechanism for documenting and approving work assignments within a state procurement context. The form includes two signature lines for authorized representatives from both the state agency and the contractor, suggesting a formal process for work authorization that includes mutual agreement on the scope, timeline, and financial parameters of the proposed task or deliverable.

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Other files

File Type Posted
Att._2A_-_Technical_Questionnaire.pdf PDF
Att._1A_-_Additional_Terms___Conditions.docx DOCX document
IFB_6100-0000035585_CDE_Refrigerated_Trailers.docx DOCX document
Att._2_-_Technical_Bid_Specifications.pdf PDF
Att._4_-_Narrative_Response.docx DOCX document
Att._1_-_Administrative_Requirements.docx DOCX document
Att._3_-_Cost_Worksheet.xlsx XLSX spreadsheet

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Text version

Department of General Services BU 6100 Event ID 0000035585 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 Education (CDE) 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 .