Change+Order+Form.docx

DOCX document 14 KB Posted

Attached to
Grant Writer Services Pool
Contract number
344
Issued by
North Dakota

About this file

This document is a Change Order Form template for Contract #344, specifically designed for Grant Writing Services Pool. The form appears to be a standardized template for documenting and processing contract modifications, with designated sections for capturing change request details, recommendations, impact analysis, and approval signatures. While no specific state, agency, or consortium is explicitly named in the provided document, the template suggests it is intended for use in a professional government or grant management context.

The template is structured to facilitate comprehensive change order documentation, including spaces to describe the requested change, underlying reasons and goals, potential recommendations, and impacts on cost, scope, schedule, and quality (CSSQ). The form requires multiple approval signatures and includes provisions for the grant manager to forward the change request to an appropriate approval body. Although specific pricing terms, service details, or contract amounts are not present in this template, it provides a systematic approach for managing modifications to a grant writing services contract.

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Text version

CONTRACT #344 - GRANT WRITING SERVICES POOL

Grant Name:
Date of Request:
Task Order Number:
Change Order Number:

Requested By:

Request Description:

Reasons/Goals for Change:

Recommendations: (Include recommendations by the party that is bringing the change request forward. There is a potential for multiple recommendations for solutions based on analysis.)

Impacts on Cost, Scope, Schedule, Quality: (For each recommendation, a narrative of the impacts to CSSQ should be included.)

Solution: (Define the most appropriate solution to attain the desired objective. This is determined by the approving authority.)

Approval Signature(s) and Date(s). The grant manager will identify the appropriate approval body and forward for final approval.

Signature:

Date:

Signature:

Date:

Signature:

Date:

File details come from the government source that posted it. Updated .