ATTACHMENT_5__WORK_AUTH.pdf
PDF 51 KB Posted
- Attached to
- ENVELOPES (ASSORTMENT) (DGS/OTA)
- Solicitation number
- 0000037164
- Issued by
- California
About this file
This is a Work Authorization form template from the California Department of General Services, Recycled Paper Procurement Division, for use following contract award on a solicitation for envelopes (assortment) under Business Unit 7600, Event/Solicitation number 0000037164. The form serves as an internal authorization document to be completed only after a supplier has been selected and a Purchase Order has been issued. The template includes fields for work authorization number, description of work, schedule start and completion dates, itemized and total one-time costs including equipment deletions, itemized and total on-going costs, and the total work authorization cost. The document requires signatures from both the supplier and the Office Support Procurement (OSP) representative with corresponding dates.
The Work Authorization form is designed to formalize task performance under the executed Purchase Order and establishes the framework for cost tracking and project management post-award. Pricing and cost structures are determined through the itemized breakdown of one-time and ongoing costs, which may include equipment-related cost reductions. The document does not contain substantive contract terms, specific pricing, or delivery schedules, as these elements are referenced through the associated Purchase Order and the original contract provisions. Procurement inquiries should be directed to Evonne Rogers, the primary contact for this envelopes procurement opportunity.
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Text version
Department of General Services Envelopes, Recycled Paper Procurement Division BU 7600 0000037164 Attachment 5
ONLY TO BE USE AFTER AWARD
ATTACHMENT 5 - WORK AUTHORIZATION
Work Authorization Number: 1
Description of Work
Schedule Start Date: Completion Date:
Itemized and Total One-time Costs (includes cost reductions for Equipment deletion)
Itemized and Total On-going Costs (includes cost reductions for Equipment deletion)
TOTAL WORK AUTHORIZATION COST: $ _________________
This task will be performed in accordance with this Work Authorization and the provisions of Purchase Order # ____.
Supplier:
OSP:
Name and Title Name and Title
Signature Signature
Date Date
| ONLY TO BE USE AFTER AWARD |
| Attachment 5 - WORK AUTHORIZATION |
File details come from the government source that posted it. Updated .