ࡱ> ?A>{ bjbj D(ff....JL.qqq$g ^*qqqqq*?qqHp"U0,{ { H{ Hqqqqqqq**qqqqqqq{ qqqqqqqqqX : Work Order Request Form Contractor services shall be performed against Work Orders agreed to between the contractor and ¼ϲʿ [¼ϲʿ]. Work Orders will be deliverables-based and at the fixed prices offered by the contractor. Payment for all work will be deliverable-based and partial payments may be made no more than on a monthly basis and may include a 10% retainage to be held back by ¼ϲʿ unless otherwise agreed by both parties. This retainage shall be paid with the final payment upon inspection and acceptance by ¼ϲʿ Department Director or Project Manager for all work under this work order. Work Order Number: Work Order Title: Requested Start Date: Finish Date: ¼ϲʿ Project Manager: _________________ PH:_____________ Email: _______________ Contractor Project Mgr: ________________ PH:_____________ Email:________________  Scope of Work [SOW]: Task to be done: Deliverables: ¼ϲʿ Assets required: Technical Environment: Special Requirements: Project Exempt Certificate: ___ Requested by Contractor ___ Not Requested by Contractor I, ____________________________ offer the above stipulated work and we, the ¼ϲʿ Project (contractor name here) Manager, and Purchasing Office, accept the Work order in accordance with the plans and specifications. ContractorSignature___________________________Date _____ Project Mgr. ¼ϲʿ Purchasing. Signature___________________________ Signature___________________________ Date _____ Date _____ Purchase Order No Assigned: _____________ -089 # h k j k l    ( + Y h i j ׵Ȩ||hxr\5CJOJQJaJhohpCJOJQJaJhohp5CJOJQJaJhp5CJOJQJaJ%hxr\hxr\B*CJOJQJaJphhS hpCJOJQJaJhpCJOJQJaJhz CJOJQJaJhS hp5CJOJQJaJ,j k l  ,X` hp x $Ifgdc> ,X` hp x $d%d&d'dNOPQgdp$ ,X` hp x a$gdp |||| ,X` hp x $Ifgdcbkd$$Ifl0j$ t644 lapytc   j k ||||| ,X` hp x $Ifgdcbkdl$$Ifl0j$ t644 lapytcj k l m H I J K L % ' ( ) 4 Y b c d e f r s t гt১hwS CJOJQJaJhxr\hxr\CJOJQJaJhxr\CJOJQJaJhz CJOJQJaJhpCJOJQJaJh 1hp5CJOJQJaJhp5CJOJQJaJhohp5CJOJQJaJhohpCJOJQJaJhL)hp5CJOJQJaJ-k l m mmmmm ,X` hp x $Ifgdcqkd$$Ifl$h% t0644 lap ytc vZZZZZZZZZ ,X` hp x gdpkd{$$Ifl0H$ t0644 lapytc H I J K L ' ( ) 4 Y d ,X` hp x $Ifgdc$ ,X` hp x $dNgdp ,X` hp x gdpd e f s t dddddddddd ,X` hp x $Ifgdczkd($$IflF $ X t6    44 lapytc t hSEhB-CJOJQJaJhpCJOJQJaJhohpCJOJQJaJhpCJOJQJaJ dzkd$$IflF $ X t6    44 lapytc ,X` hp x $Ifgdc iiiiJ$ ,X` hp x a$gdSE ,X` hp x gdpzkd0$$IflF $ X t6    44 lapytcB 00P:p."BP/ =!"#$% Dpj$$If!vh#v#v:V l t655pytcj$$If!vh#v#v:V l t655pytc$$If!vh#vh%:V l t065h%/ /  p ytc$$If!vh#v:V l t065/ / pytc$$If!vh#v #v#vX:V l t65 55Xpytc$$If!vh#v #v#vX:V l t65 55Xpytc$$If!vh#v #v#vX:V l t65 55Xpytcx2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666_HmH nH sH tH H`H Normal1$7$8$H$_HaJmH sH tH <<  Heading 1$@&>*CJDA D Default Paragraph FontVi@V  Table Normal :V 44 la (k (No List <& < Footnote Reference6U 6 Hyperlink >*B*phHH E Balloon TextCJOJQJ^JaJN/!N EBalloon Text CharCJOJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vj\{cp/IDg6wZ0s=Dĵw %;r,qlEآyDQ"Q,=c8B,!gxMD&铁M./SAe^QשF½|SˌDإbj|E7C<bʼNpr8fnߧFrI.{1fVԅ$21(t}kJV1/ ÚQL×07#]fVIhcMZ6/Hߏ bW`Gv Ts'BCt!LQ#JxݴyJ] C:= ċ(tRQ;^e1/-/A_Y)^6(p[_&N}njzb\->;nVb*.7p]M|MMM# ud9c47=iV7̪~㦓ødfÕ 5j z'^9J{rJЃ3Ax| FU9…i3Q/B)LʾRPx)04N O'> agYeHj*kblC=hPW!alfpX OAXl:XVZbr Zy4Sw3?WӊhPxzSq]y (j t   k d  8@0(  B S  ?,/BF33\=y]U8^8`o() ^`hH.  L^ `LhH.  ^ `hH. x^x`hH. HL^H`LhH. ^`hH. ^`hH. L^`LhH.\=ytx        $#wS "p} ."Q+G.(1SE=KnVW:Wxr\n_sw%^Q$*5E ~^#ez &1bB-cYyTPDGd@@UnknownG.[x Times New Roman5Symbol3. .[x Arial7. [ @Verdana5. .[`)TahomaC.,.{$ Calibri Light7..{$ CalibriA$BCambria Math"A hTby"[GU3 2 2 ! xx23q HP? ~2!xx6  Steve WhiteNettleton, Lisa Oh+'0t  $ 0 < HT\dl Steve WhiteNormalNettleton, Lisa3Microsoft Office Word@F#@N]\@))ui@tp2 ՜.+,0 hp|  ¼ϲʿ   Title  !"#$%&'()*+,-/012345789:;<=@Root Entry F@ pBData 1Table WordDocumentD(SummaryInformation(.DocumentSummaryInformation86CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q