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 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 .