Attachment_5_-_WORK_AUTHORIZATION2.pdf

PDF 51 KB Posted

Attached to
WATER TENDER (OTA/DGS) FIRE EQUIPMENT
Solicitation number
0000036617
Issued by
Napa County, California

About this file

This document is a Work Authorization form from the Department of General Services Procurement Division for a Water Tender (Fire Equipment) procurement, designated with Business Unit (BU) 4440 and purchase order number 0000036617. The form is specifically Attachment 5, marked "ONLY TO BE USED AFTER AWARD", and is a template for authorizing a specific work task with a designated supplier. The form includes sections for Work Authorization Number, Description of Work, Schedule (start and completion dates), itemized one-time and ongoing costs, and total work authorization cost.

The document appears to be a standard administrative form used to formally initiate and document a specific work task within a larger procurement contract. It requires signatures from both the supplier and the Department of General Services (DSH), and is designed to track the specific details, costs, and authorization for a particular equipment or service procurement. The form allows for itemization of one-time and ongoing costs, with provisions for potential equipment deletions or cost reductions, and links the work authorization to a specific purchase order.

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Other files

File Type Posted
APP_Cover_Page.pdf PDF
Attachment_1_-_4440-TS-0272236-1.pdf PDF
Attachment_2_-_ADMIN_REQUIREMENTS.docx DOCX document
Attachment_4-_NARRATIVE_RESPONSE2.docx DOCX document
WATER_TENDER_IFB_.docx DOCX document
Attachment_3_-_COST_WORKSHEET.xlsx XLSX spreadsheet

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Text version

Department of General Services Water Tender (Fire Equipment) Procurement Division BU 4440 0000036617 Attachment 5

ONLY TO BE USE AFTER AWARD

ATTACHMENT 5 - WORK AUTHORIZATION

Work Authorization Number: 1

Description of Work

Schedule Start Date: Completion Date:

Itemized and Total One-time Costs (includes cost reductions for Equipment deletion)

Itemized and Total On-going Costs (includes cost reductions for Equipment deletion)

TOTAL WORK AUTHORIZATION COST: $ _________________

This task will be performed in accordance with this Work Authorization and the provisions of Purchase Order # ____.

Supplier:

DSH:

Name and Title Name and Title

Signature Signature

Date Date

ONLY TO BE USE AFTER AWARD
Attachment 5 - WORK AUTHORIZATION

File details come from the government source that posted it. Updated .