IWO Request CMPM version dated 2012 06 28 by x7lpXA6w

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									                                  IWO REQUEST FORM
                                          for
                  PASSHE-CM&PM-2007 Centrally-Held Open-End Contracts
                                          for
                  Construction Management & Project Management Services

This form shall be completed and submitted electronically to CSO for approval for the use of a
firm and to receive an IWO Number. Contact CSO at 717-720-4131/4113 if there are any
questions.

Blocks below to be completed by the requesting University:
1. Firm
2. Category and Scope of Service
   a) Specify Category of Service 1 (CM Services)
      or Category of Service 2 (PM Services)
   b) Briefly describe the scope of the Services for
      this IWO
3. University
4. Project(s) (if applicable)
   a) Name of Project(s)                                      a)
   b) Estimated Construction Cost                             b)
5. University Approval of Estimated Fee
   a) Amount of Fee                                           a)
   b) Date Approved by University                             b)
   c) Approved by (Name and Title)                            c)
6. Anticipated Start Date of IWO
7. Anticipated Completion Date of IWO


Entries below to be completed by CSO:
APPROVAL BY CSO:
Approved By: ............................................... Bob Unger, Director of Construction Management
Date: ............................................................ [--date--]
Assigned IWO Number ................................ [--IWO #--]
NOT APPROVED BY CSO:
Not Approved By: ......................................... Bob Unger, Director of Construction Management
Date: ............................................................ [--date--]
Reason for Non-Approval ............................. [ - - - - - - - - - ]

								
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