ATTACHMENT_5_WORK_AUTH.pdf
PDF 122 KB Posted
- Attached to
- HOSPITAL BEDS AND MATTRESS (DGS/OTA)
- Solicitation number
- 0000033707
- Issued by
- Napa County, California
About this file
This is a Work Authorization Form template (Attachment 5, Exhibit 5) associated with a Hospital Beds/Mattress procurement (IFB 0000033707) for the California Department of Veterans Affairs (CalVet). The form serves as a framework for documenting specific tasks or deliverables to be performed under a contract, requiring details such as the work authorization number, task title, brief description, start date, completion date, total labor hours, and total cost.
The document is a standard form that requires signatures from both the CalVet Division coordinator (or designee) and the contractor, along with their printed names, titles, and dates of signature. No specific pricing, quantities, or contract terms are included as this appears to be a blank template form for future use.
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT_3_CW.xlsx | XLSX spreadsheet | |
| APP_Cover_Page.pdf | ||
| ADDENDUM_1_IFB_8955_0000033707.docx | DOCX document | |
| ATTACHMENT_2_ADMIN.pdf | ||
| ATTACHMENT_4_NARRATIVE.pdf | ||
| IFB_8955_0000033707.docx | DOCX document | |
| ATTACHMENT_1_SPECS_.pdf |
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Text version
HOSPITAL BEDS / MATTRESS
BU 8955 IFB 0000033707
Attachment 5
EXHIBIT 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 Veterans Affairs (CalVet)
Division coordinator or Designee Contractor
Printed Name Printed Name
Authorized Signature Date Authorized Signature Date
Title Title
EXHIBIT 5, Work Authorization Form
File details come from the government source that posted it. Updated .