SampleWorkerOrderForm (1).pdf
PDF 54 KB Posted
- Attached to
- Statewide Cybersecurity Resources
- Solicitation number
- BPM057598
- Issued by
- Anne Arundel County, Maryland
About this file
This is a Work Order Form template issued under the State of Maryland's Statewide Cybersecurity Resources contract. The form serves as the authorization mechanism for services to be delivered within the scope defined by the primary contract. The document establishes the framework for issuing individual work orders by identifying the work order number, associated contract number, purpose statement, scope of work requirements, and specific deliverables with corresponding acceptance criteria and due dates. The form requires identification of start and end dates for the work, with all deliverables subject to review and approval prior to payment authorization.
The pricing structure within the work order allows for itemized cost descriptions by task or deliverable, including quantity, labor hours, labor rates, and estimated totals, with a specified maximum amount not to exceed a stated figure. The form requires signatures and approval from the contractor's authorized representative, the work order manager, a point of contact, the DoIT (Department of Information Technology) contract manager, and the DoIT approval authority, with associated contact information and dates required from each signatory. This template establishes the administrative and financial controls necessary for managing individual task orders under the broader cybersecurity resources contract for the State of Maryland.
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Text version
WORK ORDER FORM
WORK ORDER Work Order # Contract #
This Work Order is issued under the provisions of the Contract. The services authorized are within the scope of services set forth in the Purpose of the Work Order.
Purpose
Statement of Work
Requirements:
Deliverable(s), Acceptance Criteria and Due Date(s):
Deliverables are subject to review and approval by <<Requesting Agency>> prior to payment.
(Attach additional sheets if necessary)
Start Date End Date
Cost
Description for Task / Deliverables Quantity
(if applicable)
Labor Hours
(Hrs.)
Labor Rate Estimate
Total
1. $ $
2. $ $
*Include WBS, schedule and response to requirements. <<Requesting Agency>>shall pay an amount not to exceed
Contractor <<Requesting Agency>> Concurrence
(Signature) Contractor Authorized Representative (Date) (Signature) Work Order Manager (Date)
POC (Print Name)
Contract
Manager (Print Name)
Telephone No. Telephone No.
E-mail: E-mail:
DoIT Approval
(Signature) Contract Manager (Date)
Contract
Manager David Mangrum
Telephone No.
E-mail:
File details come from the government source that posted it. Updated .