Attachment_4_Work_Authorization_Form1.docx

DOCX document 124 KB Posted

Attached to
CAL FIRE Structural Fire Fighting Turnout (DGS-OTA)
Solicitation number
0000030775
Issued by
California

About this file

This document is a Work Authorization Form for the State of California's Structural Fire Fighting Protective Ensemble contract, Contract Number BU 3540 Event ID 0000030775. The task/deliverable under this work authorization involves the provision of services in accordance with the contract's terms. The form outlines the task/deliverable summary, start and completion dates, total labor hours, and total cost. It requires signatures from the California Department of Forestry and Fire Protection (CAL FIRE) Division coordinator or designee, as well as the contractor's authorized representative.

The related state and local contract opportunity is for CAL FIRE Structural Fire Fighting Turnout (DGS-OTA). This solicitation does not allow for electronic bid submissions through CaleProcure; instead, bidders must follow the attached bid submission instructions. Questions regarding this event must be submitted in writing to the specified Procurement Official. The Procurement Official and Backup Contact information is provided.

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Other files

File Type Posted
Attachment_1_Specification.pdf PDF
Alternative_Protest_Process.doc DOC document
Attachment_2_Cost_Worksheet_FINAL2.xlsx XLSX spreadsheet
IFB_3540_0000030775_FINAL2.docx DOCX document
Attachment_3_Narrative_Response.docx DOCX document

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Text version

State of California Structural Fire Fighting Protective Ensemble Work Authorization Form BU 3540 Event ID 0000030775 Attachment 4

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 Forestry and Fire Protection (CAL FIRE) Division coordinator or Designee Contractor

Printed Name
Printed Name
Authorized Signature Date
Authorized Signature Date
Title
Title

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