Exhibit_1_-_Time_&_Materials_(T&M)_Work_Authorization_Form.pdf
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- Solicitation number
- 012-3044004-EB
- Issued by
- Orange County, San Francisco City, California
About this file
This is a Time & Materials Work Authorization Form associated with the County of Orange, California's Smart Irrigation Controllers and Master Valve/Flow Sensor procurement. The form serves as a documentation tool for tracking authorized work on the Mile Square Northeast Area Smart Irrigation Controller Upgrade project. Work authorization covers two primary tasks: re-wiring through installation of dedicated low-voltage wire runs (with splitting or doubling of wires explicitly prohibited) and trenching for excavation required for new wire paths. The form includes a detailed tracking table for recording work by valve or station number, with columns for trenching linear footage, wiring linear footage, materials used (valves and controllers), and total material costs. Each valve must maintain a dedicated wire run to its controller, and all work must be updated on the WeatherTRAK site map upon completion.
The form requires dual certification and verification protocols to ensure compliance with project specifications. The contractor must certify that no wiring was split or shared between valves and that each valve serviced has a dedicated lead to the controller with corresponding WeatherTRAK site map updates. The County Project Manager must independently verify that all work performed and materials/measurements align with project specifications before authorization. The form structure accommodates multiple work orders and provides designated signature lines for both the contractor representative and County Project Manager, along with corresponding date fields for documentation and record-keeping purposes.
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Text version
Exhibit 1: Time & Materials (T&M) Work Authorization Form
Project: Mile Square Northeast Area Smart Irrigation Controller Upgrade
Work Order #: [Internal Number] | Date: [Date of Work]
1. Work Description
In accordance with the Project Scope, the following tasks are authorized for T&M compensation:
• Re-wiring: Installation of dedicated low-voltage wire runs (no splitting/doubling).
• Trenching: Excavation required for new wire paths.
2. Time & Material Tracking
Note: Each valve must have a dedicated wire run. Splitting wires is prohibited.
Valve / Station #
Trenching
(LF)
Wiring
(LF)
Materials Used (Valves, etc.)
Total Material Cost
Ex: Station 2
Controller C 45 $
Ex: Station 5
Controller H 55 $
Ex: Station 4 1 Valve $
Valve / Station #
Trenching
(LF)
Wiring
(LF)
Materials Used (Valves, etc.)
Total Material Cost
TOTALS [Sum] LF [Sum]
LF
$0.00
4. Contractor Certification & Field Verification
The Contractor certifies that no wiring was split or shared between valves. Each valve serviced above has a dedicated lead to the controller and has been updated on the WeatherTRAK site map.
Contractor Representative: _______________________ Date: __________
5. County Project Manager Approval
I have verified the work performed and the materials/measurements listed above meet the project specifications.
County Project Manager: _____________________________ Date: __________
Exhibit 1: Time & Materials (T&M) Work Authorization Form
File details come from the government source that posted it. Updated .