Attachment_A_Sample_Work_Authorization.pdf
PDF 663 KB Posted
- Attached to
- RFQ 25-134 Continuing Services Contract (CCNA) for Solid Waste Division State and local contract opportunity
- Solicitation number
- RFQ 25-134
- Issued by
- Citrus County, Florida
About this file
This is a Work Authorization Form for Professional Services from Citrus County, Florida, related to a Continuing Services Contract for Solid Waste Management (RFQ 25-134). The form is designed to authorize professional services under specific cost restrictions, where the engineering study must be under $500,000 and the construction project design must be for a project under $7.5 million. The form provides a template for documenting project details, including sections for project name, department, technical contact, funding source, account information, and project description.
The form requires multiple levels of approval based on project cost, with signatures required from the requestor, division director, department director (for projects over $5,000), Management & Budget Director (for projects over $10,000), and Administrator (for projects over $35,000). The document is set up to track professional services within a standardized authorization process, ensuring proper documentation, budgetary compliance, and organizational oversight for professional service engagements related to solid waste management.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| RFQ_25-134_Continuing_Services_Contract_(CCNA)_for_Solid_Waste_Division.pdf | ||
| RFQ_25-134_Sample_Master_Agreement_FINAL.pdf | ||
| Attachment_B_Disciplines_Matrix.docx | DOCX document | |
| Attachment_D_ar9_09-4.pdf | ||
| Attachment_C_Truth_in_Negotiations_Cert_(1).pdf |
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Text version
WORK AUTHORIZATION FORM
PROFESSIONAL SERVICES
CONTINUING SERVICES CONTRACT-SOLID WASTE
MANAGEMENT RFQ 25-134
Citrus County, Florida Revised 12/16/24
Once completed, print the form, have it signed by all those indicated below and mail to OMB/Purchasing.
Please be advised, the use of professional services under the continuing services contract is restricted as follows: The cost of the engineering study is <$500,000 or the cost of the construction project for which an engineering design is being performed is < $7.5 million.
NAME OF PROJECT:
(Two lines maximum)
DEPARTMENT / DIVISION / OFFICE:
TECHNICAL CONTACT:
GRANT FUNDED: YES NO FINANCING REQUIRED: YES NO
ACCOUNT NUMBER: BUDGET AMOUNT:
(Four lines maximum) (Four lines maximum)
PLANNING/STUDY YES NO DESIGN / CONSTRUCTION: YES NO
DESCRIBE THE PROJECT; GIVE THE NAME OF CONSULTANT; AND PROVIDE QUOTED PRICE
(Attach additional sheets if necessary):
DATE
DATE
DATE
DATE
DATE
DATE
REQUESTOR (Signature)
REQUESTOR (Print Name)
DIVISION DIRECTOR
Required regardless of the cost
DEPARTMENT DIRECTOR
Required if cost is > $5,000
MANAGEMENT & BUDGET DIRECTOR
Required if cost is > $10,000
ADMINISTRATOR
Required if cost is > $35,000
| DATE: |
| DATE_2: |
| DATE_3: |
| DATE_4: |
| DATE_5: |
| CHAIRMAN: |
| DATE_6: |
| NAME_OF_PROJECT: |
| Dept_Division_Office: |
| Technical_Contact: |
| YES_GF: Off |
| NO_GF: Off |
| YES_FR: Off |
| NO_FR: Off |
| ACCOUNT_NUMBER: |
| BUDGET_AMT: |
| YES_PS: Off |
| NO_PS: Off |
| YES_DC: Off |
| NO_DC: Off |
| DESCRIBE_PROJECT: |
| REQUESTOR_Print_Name: |
File details come from the government source that posted it. Updated .