Exhibit_1_-_Time_&_Materials_(T&M)_Work_Authorization_Form.pdf
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- Solicitation number
- 012-3044004-EB-2
- Issued by
- Orange County, San Francisco City, California
About this file
This is a Time & Materials Work Authorization Form for the Mile Square Northeast Area Smart Irrigation Controller Upgrade project, issued by the County of Orange, California. The form documents field work performed on smart irrigation system installations, specifically authorizing re-wiring and trenching tasks as compensation-eligible activities. The project requires installation of dedicated low-voltage wire runs to individual irrigation valves, with each valve mandated to have its own dedicated wire lead to the controller rather than sharing or splitting wires between stations. The form captures specific data on valve and station numbers, trenching footage, wiring footage, and materials used, with columns provided to track total material costs associated with each station.
The work authorization incorporates strict compliance requirements, including contractor certification that no wiring was split or shared between valves and that each valve serviced has been updated on the WeatherTRAK site map. The form requires dual verification signatures: contractor representative sign-off certifying work compliance and county project manager approval confirming that performed work and listed materials and measurements meet project specifications. Time and materials tracking is essential to the form's function, with designated fields for summing total trenching and wiring linear feet and calculating aggregate material costs, enabling transparent documentation of field expenditures under the Time & Materials compensation structure.
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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 .