Attachment_4_-_Work_Authorization_Form.docx

This is a Work Authorization Form used by the California Department of General Services (DGS), Procurement Division, on behalf of the Office of State Publishing (OSP) for the Envelopes procurement contract (Event ID 39245). The form serves as a template for documenting task assignments and deliverables under the contract, requiring specification of the contract number, work authorization number, task title, and a brief summary of the deliverable to be performed. The form includes designated fields for start and completion dates, total labor hours, and total cost associated with each work authorization. Signature blocks are provided for authorized representatives from both the OSP Division and the contractor, along with printed name and title fields for accountability and documentation purposes.

The Work Authorization Form is a standardized administrative document designed to formalize task assignments and track project execution within the envelope procurement contract, which carries an estimated value of $500,000 to $700,000 and is slated for delivery to West Sacramento. This form is an integral part of the contract administration process, ensuring clear communication of scope, timeline, and cost expectations between the Department of General Services and contracted vendors. The form does not contain information regarding pricing terms, set-asides, or specific funding sources, as its primary function is operational task management rather than financial or contractual terms definition.