ATTACHMENT_5_WORK_AUTH.pdf
PDF 122 KB Posted
- Attached to
- Crane Rental in Imperial and San Diego Counties
- Solicitation number
- 11A4055
- Issued by
- Napa County, California
About this file
This is a Work Authorization Form template (Exhibit 5) related to a Hospital Beds/Mattress procurement (IFB #0000033707) for the California Department of Veterans Affairs (CalVet). The form is designed to document and authorize 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 form requires signatures from both the CalVet Division coordinator or designee and the contractor, including their printed names, titles, and dates of authorization. The document appears to be an attachment (#5) to a larger procurement package for hospital beds and mattresses, though specific pricing, quantities, and contract terms are not included in this particular form.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 11A4055_Solicitation.pdf | ||
| 11A4055_Addendum_One.pdf | ||
| ATTACHMENT_1_SPECS_.pdf | ||
| ATTACHMENT_2_ADMIN.pdf | ||
| ATTACHMENT_3_CW.xlsx | XLSX spreadsheet | |
| APP_Cover_Page.pdf | ||
| ATTACHMENT_4_NARRATIVE.pdf | ||
| IFB_8955_0000033707.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .