Exhibit A - Attachment B_General Services Facility Service Addition Request.pdf
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- Solicitation number
- 1001A
- 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 requests for adding, reducing, suspending, or changing services at a specific facility, with options to indicate temporary or permanent status. The form requires detailed information including vendor details, facility information, type of service requested, justification for services, billing frequency, and pricing.
The form includes sections for billing frequency options (monthly, bi-weekly, weekly, or annually), a space to indicate the quoted price for service, and a fund-cost center-spend category. The document mandates required signatures from multiple stakeholders, including the requester, Contract Compliance Technician, GS Admin Division Director, GS Executive Director, and potentially an Agency Approver. The form also instructs users to attach a Workday Budget Actuals Report and any necessary supporting documentation when submitting the request.
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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 A
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