Exhibit_1_-_Time_&_Materials_(T&M)_Work_Authorization_Form.pdf

PDF 173 KB Posted

Attached to
Smart Irrigation Controllers and Master Valve/Flow Sensor with Professional Services
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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Exhibit_1_-_Time_&_Materials_(T&M)_Work_Authorization_Form.pdf PDF
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ATTACHMENT_F_-_GUARANTEE_FOR_IRRIGATION_SYSTEM.pdf PDF
Attachment_E_–_Valve_Boxes_Replacement_List.pdf PDF
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Attachment_C_-_Irrigation_Specification.pdf PDF
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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 .