10 Appendix H - Change Notice Form for Addition or Removal of Equipment.docx
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- Solicitation number
- 6100060440
About this file
The document is a Change Notice Form to add or remove elevator/escalator equipment from an existing contract between the Pennsylvania Department of General Services Bureau of Facilities Management ("Commonwealth") and a selected contractor. The form lists the building name, address, equipment description, manufacturer, model number, quantity, and associated monthly cost increase or decrease to be added to or removed from the scope of services under Contract 44000XXXXX. The parties must approve the changes, and the Commonwealth will issue a revised Purchase Order to the contractor to accommodate this change. All other terms and conditions of the original contract remain in effect.
The related state and local contract opportunity is for preventative and corrective maintenance services for elevators and escalators in various buildings managed by the Pennsylvania Department of General Services Bureau of Facilities Management located in Harrisburg, Reading, and Scranton. Mandatory on-site visits are scheduled for the week of July 8-12, 2024 at the specified locations. Proposals will only be accepted electronically through the JAGGAER portal, and questions related to the RFP must be submitted via JAGGAER by August 5, 2024.
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Text version
APPENDIX H
Change Notice Form Add/Remove Buildings or Equipment
A. Introduction
This Change Notice Number Insert Change Number to add or remove the Elevator/Escalator equipment listed below to the scope of services provided through Contract 44000XXXXX effective Insert Date (“Effective Date”), is made by and between the Department of General Services Bureau of Facilities Management (“Commonwealth”) and Selected Offerors Name (“Contractor”).
B. Location & Security Equipment
Building: Insert Building Name Building Address: Insert Building Address
C. Elevator/Escalator Equipment & Cost
| Equipment Description |
| Manufacturer |
| Model Number |
| Quantity |
| Add or Remove? |
| Monthly Cost (+/-) |
Attach separate list of equipment if number of rows above is not sufficient.
Total Change to Monthly Cost: Insert Total Cost
F. Acceptance of Contract Change The parties hereby accept the addition/removal of the equipment listed above at the location indicated to the scope of services provided under Contract 44000XXXXX. If applicable, the Commonwealth will issue a revised Purchase Order to the Contractor to accommodate this change. All other Terms and Conditions of the Contract remain as originally written.
Approved:
Contractor Commonwealth of PA
Authorized Contractor Signature Authorized Agency Signature
Printed Name Printed Name
Title Date Title Date
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