Change+Order+Form.docx
DOCX document 46 KB Posted
- Attached to
- Trail Repair & Maintenance Services
- Contract number
- 187-PHOE
- Issued by
- North Dakota
About this file
This document is a Change Order Form template for State Contract #187 covering Trail Repair & Maintenance Services. The form appears to be a standardized document designed to facilitate modifications to an existing state-level contract, with designated sections for documenting change requests, recommendations, impacts, and approvals.
While the specific details of the contract are not fully populated in this template, the document indicates it is structured to track changes related to trail repair and maintenance services across multiple dimensions including cost, scope, schedule, and quality. The form requires detailed documentation of change requests, including reasons, goals, potential recommendations, and impacts, with a formal approval process involving signatures from relevant project authorities.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| State+Contract+187+Summary.docx | DOCX document | |
| Contract+Amendment+1+Signed+5-23-2023.pdf | ||
| Amendment+2+-+Phoenix+-+signed.pdf | ||
| Phoenix+Contract+Signed+5-18-2023.pdf | ||
| Task+Order+Request.docx | DOCX document |
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Text version
Attachment 4
Working Document - Add-To or Expand Fields As-Needed
CHANGE ORDER FORM
STATE CONTRACT #187 TRAIL REPAIR & MAINTENANCE SERVICES POOL
| Project 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 project 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 .