<p>STATE OF CALIFORNIA DEPARTMENT OF GENERAL SERVICES OFFICE OF FLEET AND ASSET MANAGEMENT EQUIPMENT MODIFICATION REQUEST OFA 155 (Rev 10/03) OFFICE OF FLEET AND ASSET MANAGEMENT EQUIPMENT MODIFICATION REQUEST</p><p>Date: ______</p><p>OWNING AGENCY ______Address ______City ______State______Zip______Telephone ______Contact Person ______</p><p>LICENSE NUMBER ______VIN or SERIAL NUMBER ______PROPERTY NUMBER ______</p><p>YEAR ______MAKE and MODEL ______TYPE of EQUIPMENT ______MILEAGE ______TRANS. STD or AUTO ______ENGINE # of CYLINDERS ______TIRE SIZE ______EQUIPMENT G.V.M. ______TOWED EQUIP G.V.M. ______</p><p>TYPE of MODIFICATION REQUESTED Include drawings, specs, etc. when appropriate ______</p><p>JUSTIFICATION ______</p><p>ATTACH THREE (3) WRITTEN BIDS FOR ABOVE DESCRIBED MODIFICATIONS Supervisor’s name and title (print) ______</p><p>SUPERVISOR’S SIGNATURE ______</p>