Attachment_5_-_Work_Authorization_Form.docx

This is a Work Authorization Form template utilized by the Department of General Services Refrigerated Semi-Trailer Vans Procurement Division in coordination with the California Department of Education. The form serves as a standardized document for authorizing specific tasks or deliverables under an existing contract framework. The template includes fields for documenting the contract number, work authorization number, task or deliverable title, and a brief description of the work to be performed. The form requires designation of start and completion dates, total labor hours allocated for the task, and the total cost associated with the work authorization. Authorization signatures are required from both a California Department of Education Division Coordinator or designee and the contractor, along with printed names and titles.

The form does not specify pricing terms, set-asides, incumbent information, or funding sources within its structure, as it functions as a blank authorization template rather than a completed procurement document. This document represents an administrative tool for tracking and authorizing individual work tasks within the broader refrigerated semi-trailer vans procurement contract. The form enables project-level management and cost allocation by establishing clear parameters for scope, timeline, resource allocation, and authorized personnel responsible for oversight and execution of contracted work.