FAC110 Extend Beyond SOW Template (2024.10.03).docx

STATEMENT OF WORK BETWEEN

[NAME ELIGIBLE ENTITY]

AND

[NAME VENDOR]

FOR THE

[NAME SYSTEM/PROJECT]

OSD Statewide Contract: FAC110 Hazardous/Universal, Medical, and Electronic Waste Disposal and Emergency Response

I. INTRODUCTION

This document will serve as a Statement of Work (“SOW”) between the [Eligible Entity Name] (“Eligible Entity”) [of the [Name Parent Organization]] and [Vendor Name] (“Vendor”) to apply to work on the [Name of System or Project to be Completed] ([“Abbreviated Project Name”]).

II. ENTIRE AGREEMENT

The entire agreement between the parties (the “Agreement”) consists of the following documents in the following order of precedence:

(1) the Commonwealth Terms and Conditions;

(2) the Commonwealth’s Standard Contract Form, including the Standard Contract Form Instructions and Contractor Certifications;

(3) Request for Response for Statewide Contract FAC110 Hazardous/Universal, Medical, and Electronic Waste Disposal and Emergency Response, including any attachments (“RFR”);

(4) Vendor’s response to the RFR, excluding any language stricken by the Commonwealth as unacceptable and including any negotiated terms and conditions allowable pursuant to law or regulation;

(5) the Request for Quotes [name and date of Eligible Entity’s RFQ] (“RFQ”);

(6) this SOW, and

(7) Vendor’s response to the RFQ.

The parties agree that any conflict in the terms and conditions of the Agreement shall be resolved in the order of precedence set forth above.

III. OVERVIEW

[Provide a high-level description of the project.]

IV. EFFECTIVE DATE AND TERM

The term of the SOW (the “Term”) begins on ____________ (the “Effective Date”) and shall terminate at ___________ [a.m./p.m.] on _________________ (“Termination Date”). [Note: The Termination Date cannot be a date after June 30, 2026.] Unless terminated sooner pursuant to the terms of the Agreement, this SOW shall remain in effect for the Term, provided that under no circumstance will the Term of this SOW extend beyond June 30, 2026, pursuant to Section 1.3.2 of the RFR.

V. VENDOR SERVICES

[Provide a description of the services/tasks to be performed for the Eligible Entity, including any applicable time frames and pricing.]

VI. SINGLE POINT OF CONTACT

Vendor and Eligible Entity will each assign a single point of contact with respect to this SOW. It is anticipated that the contact person will not change during the Term of this SOW. If a change is necessary, the party requesting the change will provide written notice to the other in accordance with the terms hereof. In the event a change occurs because of a non-emergency, two weeks’ advance written notice is required. For a change resulting from an emergency, prompt notice is required.

Vendor’s contact person is [Vendor Contact Name], [Vendor Contact Title], who can be reached at [Vendor Contact Address], [Vendor phone number(s)], [Vendor Email].

Eligible Entity’s contact person is [Eligible Entity Contact Name], [Eligible Entity Contact Title] who can be reached at [Eligible Entity Contact Address], [Eligible Entity phone number(s)], [Eligible Entity Email].

VII. AUTHORITY AND COUNTERPARTS

The signer on behalf of Vendor represents that he/she is listed as an Authorized Signatory under the applicable Statewide Contract or RFR and is duly authorized to execute this SOW on behalf of Vendor. This SOW may be signed in two or more counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument.

[signatures on following page]

Agreed and Accepted:

[VENDOR NAME] [ELIGIBLE ENTITY NAME]

[signature page to SOW re OSD Statewide Contract FAC110]