GSA Schedule Modification Request
GSA SCHEDULE MODIFICATION REQUEST
TABLE OF CONTENTS
- Contractor Information
- Modification Type
- Administrative Modifications
- Pricing Modifications
- SIN Additions and Deletions
- Product/Service Additions
- Terms and Conditions Changes
- Supporting Documentation Checklist
- Certification and Signature
I. CONTRACTOR INFORMATION
GSA Contract Number: [________________________________]
Contractor Name: [________________________________]
UEI Number: [________________________________]
DUNS Number (if applicable): [________________________________]
CAGE Code: [________________________________]
Contract Period: [__/__/____] through [__/__/____]
Current Option Period: [________________________________]
Contracting Officer Name: [________________________________]
Industrial Operations Analyst (IOA): [________________________________]
Contractor POC for Modification:
Name: [________________________________]
Title: [________________________________]
Email: [________________________________]
Phone: [________________________________]
II. MODIFICATION TYPE
☐ Administrative Change
☐ Economic Price Adjustment (EPA) — Price Increase
☐ Economic Price Adjustment (EPA) — Price Decrease (Temporary or Permanent)
☐ Addition of SIN(s)
☐ Deletion of SIN(s)
☐ Addition of Products/Services (within existing SINs)
☐ Deletion of Products/Services
☐ Terms and Conditions Change
☐ Subcontracting Plan Update
☐ Technical/Quality Change
☐ Cooperative Purchasing / Disaster Recovery Addition
☐ Other: [________________________________]
Requested Effective Date: [__/__/____]
III. ADMINISTRATIVE MODIFICATIONS
A. Company Name Change
Previous Name: [________________________________]
New Name: [________________________________]
☐ Legal documentation attached (e.g., articles of amendment, certificate of name change)
☐ Updated SAM.gov registration reflecting new name
B. Address Change
Previous Address: [________________________________]
New Address: [________________________________]
C. Point of Contact Change
Previous POC: [________________________________]
New POC: [________________________________]
New POC Email: [________________________________]
New POC Phone: [________________________________]
D. Other Administrative Change
Description: [________________________________]
IV. PRICING MODIFICATIONS
A. Economic Price Adjustment — Increase
Basis for Price Increase:
☐ Escalation per EPA clause in contract
☐ Market-based adjustment
☐ Increased cost of materials/labor
☐ Other: [________________________________]
Percentage of Increase Requested: [____]%
Effective Date Requested: [__/__/____]
Current and Proposed Pricing:
| SIN | Product/Service Description | Current Price | Proposed Price | % Change |
|---|---|---|---|---|
| [________] | [________________________________] | $[________] | $[________] | [____]% |
| [________] | [________________________________] | $[________] | $[________] | [____]% |
☐ Commercial price list (CPL) attached showing corresponding commercial price increase
☐ Price analysis documentation attached
☐ Commercial Sales Practices (CSP-1) update attached (if applicable)
B. Economic Price Adjustment — Decrease
Permanent or Temporary: ☐ Permanent ☐ Temporary (through [__/__/____])
| SIN | Product/Service Description | Current Price | New Price | % Decrease |
|---|---|---|---|---|
| [________] | [________________________________] | $[________] | $[________] | [____]% |
V. SIN ADDITIONS AND DELETIONS
A. SIN Addition
| New SIN | SIN Description | Justification |
|---|---|---|
| [________] | [________________________________] | [________________________________] |
☐ Technical proposal for new SIN attached
☐ Relevant past performance references provided
☐ Pricing proposal with commercial price support attached
B. SIN Deletion
| SIN to Delete | Reason for Deletion |
|---|---|
| [________] | [________________________________] |
VI. PRODUCT/SERVICE ADDITIONS
| SIN | New Product/Service | Description | Proposed Price | Commercial Price |
|---|---|---|---|---|
| [________] | [________________________________] | [________________________________] | $[________] | $[________] |
☐ Updated product catalog attached
☐ Commercial price support documentation attached
☐ Trade Agreements Act (TAA) compliance confirmed for all new items
VII. TERMS AND CONDITIONS CHANGES
Description of Proposed Change: [________________________________]
Contractual Basis for Change: [________________________________]
Impact on Ordering Agencies: [________________________________]
VIII. SUPPORTING DOCUMENTATION CHECKLIST
☐ Current commercial catalog or price list
☐ Commercial Sales Practices format (CSP-1) update (if pricing modification)
☐ Price analysis narrative
☐ Trade Agreements Act (TAA) compliance documentation
☐ SAM.gov registration printout (current)
☐ Small business size recertification (if applicable)
☐ Subcontracting plan update (if applicable)
☐ Past performance references (if adding SINs)
☐ Technical proposal (if adding SINs or products)
☐ Legal documentation (if name change or novation)
☐ Digital certificate for eMod submission
IX. CERTIFICATION AND SIGNATURE
The undersigned certifies that:
☐ All information provided is accurate and complete
☐ The requested modification complies with the terms and conditions of the GSA MAS contract
☐ The Price Reduction Clause (GSAR 552.238-81) obligations have been reviewed and met
☐ All products/services comply with the Trade Agreements Act (TAA)
☐ The contractor's SAM.gov registration is current and active
Authorized Representative:
Name: [________________________________]
Title: [________________________________]
Signature: [________________________________]
Date: [__/__/____]
SOURCES AND REFERENCES
About This Template
Government contracting is its own body of law, with federal acquisition regulations and state procurement rules that override standard commercial contract practices. Bid protests, proposals, and compliance submissions have tight deadlines measured in days, not months. The paperwork has to be exact, because a misfiled bid or a missed page limit can disqualify a contractor from a multi-million dollar opportunity.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Last updated: May 2026