Attachment_5_-_Work_Authorization_Form.docx
DOCX document 20 KB Posted
- Attached to
- Refrigerated Semi Trailer Vans
- Solicitation number
- 0000037540
- Issued by
- Los Angeles County, Sacramento County, San Francisco City, California
About this file
This Work Authorization Form is a template document issued by the California Department of General Services (DGS), Procurement Division, on behalf of the California Department of Education (CDE) for use in the Refrigerated Trailers procurement (Event ID 0000035585, BU 6100). The form serves as the primary mechanism for documenting task assignments and deliverables under the resulting contract. The document requires completion of essential project information including task or deliverable title, a brief summary of work to be performed, start and completion dates, total labor hours, and total cost. The form accommodates signature authorization from both the CDE Division Coordinator (or designee) and the Contractor, with designated spaces for printed names, titles, dates, and authorized signatures on both pages.
The Work Authorization Form is designed to standardize task management and cost tracking under the refrigerated trailers contract, which carries an estimated value of $1,600,000 to $1,800,000. Deliverables will be performed in accordance with the provisions of the underlying contract number, with trailers meeting the technical specifications outlined in Attachment 2 of the solicitation. Delivery locations are designated as 401 North 3rd Street, Sacramento, CA 95811 and 2550 Fulton Road, Pomona, CA 91767. The form itself does not specify pricing terms, contract duration, or renewal options, as it functions as an operational document to be executed during contract performance rather than as a binding agreement establishing those terms.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment_4_-_Narrative_Response.docx | DOCX document | |
| Attachment_3_-_Cost_Worksheet.xlsx | XLSX spreadsheet | |
| Attachment_2_-_Technical_Bid_Specification.pdf | ||
| Attachment_1_-_Administrative_Requirements.docx | DOCX document | |
| IFB_6100-0000037540_CDE_Refrigerated_Trailers.docx | DOCX document |
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Text version
Department of General Services Refrigerated Trailers Procurement Division BU 6100 Event ID 0000035585
ATTACHMENT 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 Education (CDE) 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 .