7360023269Attachment19.docx

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Project Based Information Technology Consulting Services - PBITS (Statewide)
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Not on record
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New York

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This document is a No Cost Time Extension Request Template for Group 73600, Award 23269, a Project Based Information Technology Consulting Services contract for the State of New York, managed by the Office of General Services (OGS). The template is designed for Authorized Users and Contractors to request and mutually agree upon time extensions for existing agreements.

The contract allows for up to three no-cost time extensions: an initial extension of one calendar year, followed by two additional six-month extensions. The total extension period cannot exceed two years, and extensions are limited to tasks already included in the original Authorized User Agreement Scope of Work. Extensions can be used for completing deliverables, performance testing, maintenance/support services, or implementing change requests. The document specifies that staff augmentation cannot be extended, and all extension requests must be submitted before the current agreement expires, with a copy provided to the OGS Contract Manager.

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7360023269AppendixB.pdf PDF
7360023269AppendixD.pdf PDF
7360023269Attachment4.pdf PDF
7360023269Attachment15.docx DOCX document
7360023269Attachment21.docx DOCX document
7360023269a.pdf PDF
7360023269p.pdf PDF
7360023269AppendixA.pdf PDF
7360023269Attachment20.xlsx XLSX spreadsheet
7360023269Attachment22.xlsx XLSX spreadsheet
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7360023269mailinglist.xlsx XLSX spreadsheet
7360023269AppendixC.docx DOCX document
7360023269Attachment14.docx DOCX document
7360023269Attachment17.docx DOCX document
7360023269Attachment18.docx DOCX document
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7360023269BaseContract.pdf PDF
7360023269ra.pdf PDF
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Group 73600 - Award 23269 Project Based Information Technology Consulting Services (Statewide) June 2025 Attachment 19 – No Cost Time Extension Request Template Page 1 of 1

No Cost Time Extension Request Template (Revised 6/16/25) An Authorized User Agreement may be extended by mutual agreement between the Authorized User and Contractor. Either the Authorized User or Contractor may request the extension by using the No Cost Time Extension Request Template. A no cost time extension may be utilized to extend the length of an Authorized User Agreement for any tasks already included in the Authorized User Agreement Scope of Work. This may include, but is not limited to, completion of deliverable(s), performance testing after completion of deliverable(s), continuing maintenance/support services, or implementing changes from no cost change requests and enhancement budget requests. The Authorized User Agreement may be extended up to three (3) times: the first extension may be up to one (1) calendar year, and the remaining two extensions up to six (6) months each. There will be no additional cost for these extensions. A maximum of three (3) no cost time extensions beyond the initial term of up to three (3) years is permitted. Under no circumstances may more than three (3) extensions be used. An Authorized User Agreement may not be extended by more than a total of two (2) years. This may not be used to extend the time of staff augmentation. Authorized Users may utilize no cost time extensions to extend the length of maintenance/support services. A no cost time extension must be submitted before the expiration of the Authorized User Agreement. Upon completion of this form, the Authorized User must provide a copy to the OGS Contract Manager at the Authorized User inbox - ogs.sm.pbits.authorizedusers@ogs.ny.gov.

INITIATOR OF PROPOSED EXTENSION

Name Project Role Phone Number Email

Project Title Request Date

DESCRIPTION OF PROPOSED EXTENSION

Mini-Bid Number

Length of Requested Extension (number of days)
Extension #

Reason for Extension and Impact of not Extending

AUTHORIZED USER EXTENSION REVIEW

Name
Title
Signature
Date

Proposed Extension is |_| Approved |_| Rejected by the Authorized User

CONTRACTOR EXTENSION REVIEW

Name
Title
Signature
Date

Proposed Extension is |_| Approved |_| Rejected by the Contractor

23269 Attachment 19 – No Cost Time Extension Request Template (Revised 6/16/25)

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