Attachment_5_Work_Authorization_Form.pdf
PDF 350 KB Posted
- Attached to
- Military Cots
- Solicitation number
- 0000031551
- Issued by
- California
About this file
The document is an Attachment 5, Work Authorization Form related to Contract Number BU 5180 IFB 0000031551 between the Department of Social Services, Disaster Services Branch and an unnamed contractor. The task/deliverable to be performed under this work authorization is summarized in the form, which includes the start and completion dates, total labor hours, and total cost.
The related state and local contract opportunity is for Military Cots. The business unit number is BU #2665, the event/solicitation number is IFB #0000001611, and the due date and event/solicitation procurement official contact information are provided. The event/solicitation main contact is Traci Fortier and the backup contact is MaryElizabeth Asselin.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment_2_Admin_Requirements.pdf | ||
| APP_Cover_Page.pdf | ||
| Attachment_4__Narrative_Response.docx | DOCX document | |
| IFB_5180-0000031551_Military_Style_Cots.pdf | ||
| ADDENDUM_1_OTA_Non-IT_Goods_5.29.2024.pdf | ||
| Attachment_1_Specs_-5180-0000003548.pdf | ||
| Attachment_6_Bidder_Reference_Form.pdf | ||
| Attachment_3_OTA_Non-IT_Goods_Cost_Worksheet.xlsx | XLSX spreadsheet |
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Text version
BU 5180 IFB 0000031551
Attachment 5
EXHIBIT A, 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
Department of Social Services, Disaster Services Branch Contractor
Printed Name Printed Name
Authorized Signature Date Authorized Signature Date
Title Title
EXHIBIT A, Work Authorization Form
File details come from the government source that posted it. Updated .