IWO REQUEST FORM
for
PASSHE-QAR-2005 Centrally-Held Open-End Contract
for
Quality Assurance Review 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
GTS Technologies, Inc.
2. Category of Service
Category 1 Interdisciplinary Review
Category 2 Constructability Review
Category 3 Forensic Review
Category 4 As-Built Review
Category 5 Other
Category 6 Training Workshops
3. Scope of Services (brief description)
4. University
5. Project(s) (if applicable)
a) Name of Project(s)
b) Estimated Construction Cost
6. University Approval of Estimated Fee
a) Amount of Fee
b) Date Approved by University
c) Approved by (Name and Title)
7. Anticipated Start Date of IWO
8. Anticipated Completion Date of IWO
a)
b)
a)
b)
c)
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 ............................. [ - - - - - - - - - ]