EXHIBIT G: WORK ORDER AUTHORIZATION FORM

This document is a Work Order Authorization Form template designed for use under an existing master agreement between a contractor and a state agency. The form serves as a mechanism for authorizing and documenting specific work tasks that fall outside the original scope or represent additional deliverables beyond the initial contract. Work orders can be categorized as either Unanticipated Tasks or Additional Reports, and each work authorization must clearly define its purpose, objectives, goals, and associated schedule of activities. The form requires documentation of state responsibilities, acceptance criteria, and deliverable descriptions cross-referenced to the original Statement of Work.

The form establishes a structured payment framework with provisions for personnel classification, hourly rates, and total costs per deliverable, subject to a 20 percent withhold and a maximum total amount not to exceed a specified threshold. Payment models may be structured as fixed fees, actual hours with a not-to-exceed cap, or no-cost arrangements. All work authorizations require approval signatures from both contractor and state representatives, with designated title and date fields for authorization. The form includes sections for detailed personnel information with identification numbers, hourly rates, and cost calculations, as well as deliverable descriptions with corresponding reference numbers and identifiers linking back to the primary contract documentation.