ATTACHMENT_5_-_WORK_AUTHORIZATION_FORM.docx

DOCX document 40 KB Posted

Attached to
CLASS C UNIFORMS (DGS/OTA)
Solicitation number
0000035108
Issued by
California

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Text version

Class C Uniforms

BU 8940 IFB 0000035108
ATTACHMENT X

Attachment X - 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 Military Department Division coordinator or Designee Contractor

Printed Name
Printed Name
Authorized Signature Date
Authorized Signature Date
Title
Title

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