Appendix E. Over and Above Work Request Form PDF w signature blocks.pdf

This is an Over and Above Work Request Form template for solicitation FA480127Q0006, used to request authorization for unscheduled maintenance, repairs, or other work beyond the base contract scope.

The form requires the contractor to submit detailed documentation for any Over and Above (O&A) work, including a work order number, description of work to be performed, and comprehensive cost estimates. Critically, the contractor must provide at least three competing vendor quotes for total repairs, attached as supporting documentation. The total O&A cost must include all labor, parts, applicable taxes, and delivery costs. The form requires the contractor to complete a summary table of the three vendor quotes with vendor names, contact information, and total costs. Additional required information includes the estimated period of performance in calendar or work days and hours, a suggested schedule with start and completion dates, warranty periods for parts (listed according to manufacturer specifications) and labor (defaulting to one year unless otherwise specified), and any additional conditions relevant to the work. The form requires signatures from the contractor, Government Contracting Officer's Representative (COR), and Contracting Officer, with a final approval or disapproval determination and approved dollar amount noted at the bottom.