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7FCI-L3030084-B – Refresh 12               ATTACHMENT 08Page 08-2

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Contractors:  This form is only used to submit modifications for the following schedules, which are located in the Greater Southwest Acquisition Center.  If you have other schedules, please submit those modifications to the appropriate center.

 Number

Title 

 56

Buildings and Building Materials/Industrial Services and Supplies

 73

Food Service, Hospitality, Cleaning Equipment and Supplies, Chemicals, and Services

 84

Total Solutions for Law Enforcement, Security, Facilities Management, Fire Rescue, Clothing, Marine Craft and Emergency/Disaster Response 

 541

Advertising and Integrated Marketing Solutions (AIMS)

 736

Temporary Administrative and Professional Staffing

GSA/FAS Multiple Award Schedule Modification Checklist (Revised 3/10/09)

Note:  Please submit this checklist in addition to a summary cover letter and all Schedule Specific required modification documents.

Date of Request:__________________________

Company Name (include a Doing Business As (DBA) if applicable):                                       

Address:  

Email:

Fax:

GSA Contract  Number(s):

Company Point Of Contact

Phone:

GSA Contract Specialist/Contracting Officer Name Number(s):

Original submission

Resubmitted - previously rejected

Type of Modification Action(s) requested: Add product(s)/service(s)  (Specify brand(s)_________________________

Add new locations/update wage determination pricing   _______________Delete product(s)/service(s) (Specify brand(s)________________________

Add SIN(s) (Specify)_____________________________________________

Delete SIN(s) (Specify)___________________________________________

Price Decrease

Economic Price Adjustment (EPA)

Novation/Change or Transfer of Ownership

Company Name Change or Add/Remove DBA

Re-representation of Small Business Size

Administrative (Specify)__________________________________________

Other (Specify)__________________________________________________

***************************************************************************************************

Modification Request should be sent to:

Email: ____gsacmodrequest@gsa.gov_________ (Preferred Method)OR

Fax:______817-574-2513_________OR

GSA, Greater Southwest Acquisition Center (7QSA)

Attn: Central Intake Desk (CID) - 7QSA

819 Taylor Street, Room 7A37

Fort Worth, TX  76102-6114

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