Attachment_5_Work_Authorization_Form.docx

DOCX document 22 KB Posted

Attached to
Bariatric Bed (DGS-OTA) Addendum 2
Solicitation number
0000033100
Issued by
Napa County, California

About this file

This document is a Work Authorization Form for the Bariatric Beds BU 8955 IFB 0000033100 contract between the California Department of Veterans Affairs (CalVet) and a contractor. The form outlines the task/deliverable(s) to be performed, including a brief description, start and completion dates, total labor hours, and total cost. The Work Authorization is to be signed by the CalVet Division coordinator or designee, as well as the contractor's authorized representative.

The pricing terms, set-asides, incumbent information, funding requirements and sources, and other salient details are not included in this specific document. This Work Authorization Form appears to be a supporting exhibit to the larger contract opportunity.

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Other files

File Type Posted
Attachment_2_Admin_Requirement.docx DOCX document
Addendum_1_Q_A_BU_8955_0000033100.pdf PDF
IFB_8955_0000033100.docx DOCX document
Attachment_1_Specification.pdf PDF
Attachment_4_Narrative_Response.docx DOCX document
Addendum_2_8955_0000033100.pdf PDF
Alternative_Protest_Process_(APP)_.doc DOC document
Addendum_1_8955_0000033100.pdf PDF
Attachment_3_Cost_Worksheet.xlsx XLSX spreadsheet

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Text version

Bariatric Beds

BU 8955 IFB 0000033100

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

File details come from the government source that posted it. Updated .