Attachment_V_Work_Authorization_Form.docx

This Work Authorization Form is a template document used by the California Department of Cannabis Control to authorize and track specific tasks or deliverables performed by contractors. The form serves as a mechanism to document work performed under an existing contract number, with the Department of Cannabis Control Division coordinator or designee authorizing work on behalf of the state. The form captures essential project information including the work authorization number, task or deliverable title, a brief summary of the work to be performed, designated start and completion dates, total labor hours allocated, and the total cost associated with the authorization. Both the Department representative and the contractor must sign and date the form, with their printed names and titles documented for official record-keeping purposes.

This template document does not contain specific pricing terms, set-aside information, or funding details, as it functions as a blank authorization form to be completed on a task-by-task basis for work performed under the Department of Cannabis Control's cannabis consumer awareness survey contract (RFP 25-001). The form is designed to ensure proper documentation and authorization of work assignments, allowing the Department to maintain control over project scope, timeline, and budget allocation for individual tasks or deliverables throughout the contract term.