Exhibit C - Work Order Form.pdf

PDF 1020 KB Posted

Attached to
Citywide Emergency On-Call Plumbing Repair Services Excluding DIA - Defined Pool
Solicitation number
1018A-2025
Issued by
Denver County, Denver City, Colorado

About this file

This document is a General Services On-Call Contract Work Order Form administered by the Department of General Services Contracts Office in Denver, Colorado. The form is a standard template for executing a work order under an existing contract, outlining the mutual agreement between the contracting parties to complete a specific scope of work. While the specific details of the work order are not filled in on this template, the document provides a structured framework for defining project parameters, contractor responsibilities, and financial considerations.

The work order form includes provisions for specifying the total lump sum compensation, work order completion date, and potential liquidated damages. It requires signatures and approvals from the contractor, using agency, requestor, and division director. The document also mandates a completion date and provides space for contract-related information such as contract number, emergency authorization code, and distribution details to various stakeholders including the auditor, contract administration, and compliance offices. The form ensures financial accountability by requiring certification of available funds and allows for comprehensive tracking and documentation of the contracted work.

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Text version

Administered by:

Department of General Services Contracts Office

201 W. Colfax Ave., Dept. 1110 Denver, CO 80202

GScontracts@denvergov.org

It is hereby mutually agreed that when this WORK ORDER has been signed by the contracting parties, the following described scope of work shall be executed by the CONTRACTOR in accordance with all contract documents and as herein stipulated and agreed.

The sum, as indicated in the attached scope of work, constitutes full and complete consideration, payment and satisfaction to the Contractor for this Work Order and the Contractor hereby agrees to make no further claims, demands, or requests of any kind whatsoever for further monies, extensions of time, or other consideration for the described scope of work to the Contract.

THE CONTRACTOR AGREES to furnish all services, material, labor and perform all work/tasks required to complete the scope of work described and any changes in accordance with requirements for similar work covered by the Work Order, except as otherwise stipulated herein, for the following considerations:

The Lump Sum of ($XX.XX):

Work Order Completion Date*:

Liquidated Damage:

Accepted for Contractor By:

Contractor Signature:

Contractor Email:

Title: Date:

USING AGENCY

I hereby certify that funds are available that will be reserved to pay the Contractor in full for the work to be performed under this WORK ORDER.

By Using Agency – Administrative or Budget Office Date

APPROVALS

Approved by Requestor, Date

Approved by Division Director

DISTRIBUTION: Auditor, Contract Administration, General Services Contract Compliance Technician, DSBO, and Contractor.

Emergency Auth. Code:

Contractor Name:

Contract No.:

Workday Contract No.:

*As applicable

Date

*Form will not be accepted without a completion date.

Work Order Title & Description:

Agency Requester:

Agency:

Requester Phone # and Email:

Fund/Cost Center/Spend Category/PRJ/Program:

Send Invoices To (email):

GENERAL SERVICES ON-CALL CONTRACT WORK ORDER FORM

mailto:GScontracts@denvergov.org 105004 Highlight

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