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 鶹ý [鶹ý]. 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 鶹ý unless otherwise agreed by both parties. This retainage shall be paid with the final payment upon inspection and acceptance by 鶹ý Department Director or Project Manager for all work under this work order. Work Order Number: Work Order Title: Requested Start Date: Finish Date: 鶹ý Project Manager: _________________ PH:_____________ Email: _______________ Contractor Project Mgr: ________________ PH:_____________ Email:________________  Scope of Work [SOW]: Task to be done: Deliverables: 鶹ý 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 鶹ý Project (contractor name here) Manager, and Purchasing Office, accept the Work order in accordance with the plans and specifications. ContractorSignature___________________________Date _____ Project Mgr. 鶹ý 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|  鶹ý   Title  !"#$%&'()*+,-/012345789:;<=@Root Entry F@ pBData 1Table WordDocumentD(SummaryInformation(.DocumentSummaryInformation86CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q