ATTACHMENT_5_WORK_AUTH1.pdf
PDF 147 KB Posted
- Attached to
- OVER BED TABLES (FURNITURE) (DGS/OTA)
- Solicitation number
- 0000033008
- Issued by
- Napa County, California
About this file
This is a Work Authorization Form (Exhibit 5) for the California Department of Veterans Affairs (CalVet) related to Over Bed Tables (BU 8955 IFB 0000033008). The form serves as a template for authorizing specific tasks or deliverables to be performed under a contract. The form includes fields for 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 signature. The document appears to be a standard template that would be completed when specific work needs to be authorized under the main contract for over bed tables.
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT_3_COST_WORK.xlsx | XLSX spreadsheet | |
| ADDENDUM_1_OVERBED_TABLES_IFB.docx | DOCX document | |
| ATTACHMENT_4_NARRATIVE1.pdf | ||
| App_Cover_Page1.pdf | ||
| OVERBED_TABLES_IFB.docx | DOCX document | |
| 6530-BS-0214670RevA.pdf | ||
| ATTACHMENT_1_6530-BS-0214670.pdf | ||
| ATTACHMENT_2_ADMIN1.pdf | ||
| ATTACHMENT_1_A_OVER_BED1.pdf |
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Text version
Over Bed Tables
BU 8955 IFB 0000033008
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 .