ATTACHMENT_5_-_WORK_AUTH_(CHILLERS).pdf

This is a Work Authorization Form template from the California Department of General Services (DGS), Procurement Division, designed for use under Contract Number (to be specified) related to centrifugal water-cooled chillers. The form serves as a standardized document for authorizing specific tasks or deliverables to be performed by contractors under the overarching contract agreement. The form requires identification of the task or deliverable title, a brief summary of work to be performed, designated start and completion dates, total labor hours, and total cost. Authorization requires signatures from both the DGS Division Coordinator (or designee) and the contractor, along with printed names, titles, and dates.

The form is a blank template with no specific values populated. It is intended to be completed on a case-by-case basis for individual work authorizations issued under the centrifugal water-cooled chillers contract (Business Unit 7760, Event ID 0000038082). The contract opportunity involves the California Department of General Services and accepts electronic bid submissions. All inquiries regarding the solicitation should be directed in writing to Carlos Angulos, the Procurement Official, at carlos.angulos@dgs.ca.gov or 1(279) 946-7938, with bidders instructed to clearly state the Business Unit number, Event/Solicitation number, due date, and Procurement Official name on all bid submissions.