201-26-045 Exhibit D Change Order Template.docx

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Attached to
Virginia Statewide K-12 Student Assessment Program (SOL)
Solicitation number
RFP-124939
Issued by
Virginia

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Change Order Template Summary

This is a change order template document for Contract No. 201-26-045 between the Virginia Department of Education (VDOE) and a supplier providing a statewide K-12 student assessment program solution. The template is designed to modify Statements of Work (SOW) under the master contract by documenting changes to project scope, deliverables, timeline, or other terms. The template demonstrates modification of the period of performance, showing an example change from twelve (12) months to sixteen (16) months of execution, representing a four-month extension. The change order becomes effective upon execution by authorized representatives from both VDOE and the supplier, and all changes must be documented in writing with signatures from duly authorized representatives of each party.

The change order template establishes a clear order of precedence for document hierarchy, with the master contract taking priority, followed by the applicable Statement of Work as amended by current and previous change orders, with more recent change orders superseding older ones. All terms and conditions of the referenced SOW remain unchanged unless explicitly modified within the change order document. This template provides a standardized format for managing contract modifications throughout the performance period, ensuring documentation and authorization of any adjustments to the supplier's obligations, timelines, or other contractual elements related to the assessment program solution delivery.

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Other files

File Type Posted
201-26-045 Administrative Appendix J Virginia Standard Student Data Privacy Agreement.docx DOCX document
201-26-045 Administrative Appendix D-1 COV Ramp Security Questionnaire.xlsx XLSX spreadsheet
201-26-045 Exhibit C Implementation Statement of Work (SOW).docx DOCX document
201-26-045 Administrative Appendix G Test Counts.pdf PDF
201-26-045 Administrative Appendix D-2 COV Ramp Nondisclosure Agreement.docx DOCX document
201-26-045 Administrative Appendix E VDOE Virginia Statewide K-12 Student Assessment Program (SOL) Contract.docx DOCX document
201-26-045 Administrative Appendix H Item and Form Counts.pdf PDF
201-26-045 Administrative Appendix F CoVA W9.pdf PDF
201-26-045 Administrative Appendix B Supplier Trade Secret or Proprietary Information Form.docx DOCX document
201-26-045 Administrative Appendix A State Corporation Commission Form.docx DOCX document
201-26-045 Exhibit G Certification Regarding Lobbying.pdf PDF
201-26-045 Exhibit A Requirements.xlsx XLSX spreadsheet
201-26-045 Administrative Appendix C Supplier Profile.docx DOCX document
201-26-045 Exhibit E Cloud Terms and Conditions.docx DOCX document
201-26-045 Administrative Appendix I VAAP Form Counts.pdf PDF
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Contract No. 201-26-045, Exhibit D

EXHIBIT D: CHANGE ORDER TEMPLATE

Change Order No. XXX for Statement of Work C-X Between Virginia Department of Education (VDOE) and (SUPPLIER NAME)

This Change Order No. XXX hereby modifies and is made an integral part of Statement of Work C-X (the “SOW”), between Virginia Department of Education (“Authorized User”) and NAME OF SUPPLIER (“Supplier”), which was issued under Contract Number 201-26-045 (“Contract).

CHANGE ORDER

This is Change Order No. XXX to SOW C-X issued by Authorized User to Supplier under which Supplier is to provide the Authorized User with a Authorized User Project Name Solution (“Solution”).

The following item(s) is/are hereby modified as follows:

Period of Performance

The following change is made to the Period of Performance:

[The duration of the Period of Performance is increased by four (4) months.] The following is changed with respect to the Period of Performance:

From: twelve (12) months of execution of this Statement of Work To: sixteen (16) months of execution of this Statement of Work

This Change Order No. XXX is issued pursuant to and, upon execution, shall become incorporated in the SOW C-X, which is incorporated in the Contract. In the event of conflict, the following order of precedence shall apply:

1. The Contract, including Exhibit A

1. Statement of Work C-X, as amended by this and previous Change Orders, with the more current Change Orders superseding older Change Orders.

The foregoing is the complete and final expression of the agreement between the parties to modify the SOW and cannot be modified, except by a writing signed by duly authorized representatives of both parties hereto.

ALL OTHER TERMS AND CONDITIONS OF THE REFERENCED SOW REMAIN UNCHANGED.

By signing below, the authorized parties agree to the terms of this Change Order No.XXX to SOW C-X, effective (INSERT EFFECTIVE DATE).

SupplierVirginia Department of Education
By: ________________________________By: __________________________________
(Signature)(Signature)
Name: _____________________________Name: _______________________________
(Print)(Print)
Title: ______________________________Title: _________________________________
Agency Head or Designee
Date: ______________________________Date: _________________________________
Change Order TemplatePage 2 of 2

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