Attachment__4_-_Work_Authorization_Form.docx

This is a Work Authorization Form template used by the Department of General Services (DGS) Procurement Division for the state. The form serves as a standardized document to authorize and track specific tasks or deliverables to be performed under an existing contract. The form requires identification of the contract number, work authorization number, and a brief description of the task or deliverable to be completed. Key project parameters must be documented, including the start date, completion date, total labor hours required, and total cost for the authorized work. The form designates roles for both the DGS Division coordinator (or designee) and the contractor, with signature lines and dates for authorization from both parties.

The Work Authorization Form functions as a control mechanism to manage individual task assignments within a broader contract framework, allowing for incremental work releases and cost tracking. The form does not establish pricing terms, set-asides, or funding sources directly; rather, it references an existing Contract Number under which the work will be performed in accordance with all contract provisions. This template appears designed for flexibility across multiple procurements, as it leaves fields blank for contract-specific information to be inserted as needed for each work authorization issued.