Exhibit A - Attachment B - General Services Facility Service Addition Request.pdf

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Attached to
2025 Citywide Snow Removal Services Excluding DEN
Solicitation number
1003A
Issued by
Colorado

About this file

This document is a Facility/Service Addition or Change Request form from the Contracts Office of Denver General Services. The form is designed to facilitate the addition, reduction, or suspension of services for a specific facility, with checkboxes to indicate the type of change (facility or service addition/reduction, temporary or permanent suspension). The form requires detailed information about the vendor, facility, requesting agency, and type of service requested, with a note to refer to the scope of work to determine available services.

The form includes sections for justifying the service request, specifying billing frequency (monthly, bi-weekly, weekly, or annually), and providing the quoted price for the service. It requires multiple signatures from the requester, Contract Compliance Technician, GS Admin Division Director, GS Executive Director, and potentially an Agency Approver. The document instructs the requestor to attach a Workday Budget Actuals Report and other supporting documentation as necessary. This form appears to be part of a standardized process for managing contract services within the Denver General Services department, allowing for flexible adjustments to existing service agreements.

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Text version

FACILITY/SERVICE ADDITION OR CHANGE REQUEST

Vendor Name:

Workday Contract #:

Monthly Bi-Weekly Weekly Annually Per Job

*Attach Workday Budget Actuals Report & Other Supporting Documentation as Necessary*

Date of Request:

CCD Contract #:

Service Addition Temporary

Name and Address of Facility:

(One request per facility)

Requesting Agency:

Facility Manager:

Type of Service Requested:

(refer to scope of work to determine available services)

Justification for request of services:

Billing Frequency:

Quoted Price for Service:

Fund-Cost Center- Spend Category:

Required Signatures

Requester:

Contract Compliance Technician:

GS Admin Division Director:

GS Executive Director:

Agency Approver (if not General Services)

This form may also be used for service decreases or to end service at a facility.

If so, please indicate under Type of Service Requested.

Facility Addition Facility Reduction

Service Reduction PermanentSuspension

EXHIBIT A - ATTACHMENT B

Text1:
2:
6:
5:
8:
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Check Box4: Off
Check Box6: Off
Check Box7: Off
Check Box8: Off
Check Box9: Off
9:
11:
10:
Check Box5: Off
Check Box10: Off
4:
3:
Check Box2: Off
Check Box1: Off
Check Box3: Off
Check Box1111: Off
Check Box31111: Off

File details come from the government source that posted it. Updated .