EXHIBIT C- WORK ORDER AUTHORIZATION.pdf

This is a Work Order Authorization (WOA) template document for Cal ICH (California Integrated Care Hub), establishing the framework for authorizing and managing individual work orders under an existing agreement. The document is structured to capture essential project information including the contractor name, agreement number, and work authorization category, along with a detailed description of the purpose, objectives, schedule of activities, state responsibilities, and acceptance criteria for each work order. The template includes provisions for documenting personnel assignments with estimated hours and unit costs, deliverable descriptions, and software requirements that may necessitate contract amendments.

The WOA template establishes a flexible payment model allowing for actual hours with a not-to-exceed cap or no-cost arrangements, with specific payment provisions to be detailed on individual work orders. The document requires approval signatures from the contractor, Cal ICH HDIS Manager, and Cal ICH HDIS Business Owner before authorization. As a template form, it does not specify pricing amounts, set-asides, funding sources, or contract term details, which are instead intended to be populated on individual work orders issued under the master agreement. This structure allows Cal ICH to authorize specific projects and tasks on an as-needed basis while maintaining consistent documentation and approval processes across all work orders.