Change+Order+Form.docx

DOCX document 45 KB Posted

Attached to
Marketing Communications Services Pool
Contract number
268-LEVE
Issued by
North Dakota

About this file

This document is a Change Order Form for State Contract #268 related to Marketing Communications Services Pool. The form provides a template for requesting and documenting changes to an existing state contract, with designated sections for describing the request, reasons, recommendations, impacts, and proposed solutions. While the specific state is not explicitly named, the document appears to be a standardized change order template for state-level contract modifications.

The contract appears to cover marketing communications services, though specific details about the goods or services are not fully elaborated in this template document. The form is designed to capture critical information about potential contract changes, including impacts on cost, scope, schedule, and quality. Key sections include space for detailing change request rationales, recommendations, potential solutions, and required approvals, suggesting a structured approach to managing contract modifications within a state procurement framework.

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Other files

File Type Posted
268_State+Contract+Summary.docx DOCX document
Amendment+2+-+LEVEL+Mpls+-+signed.pdf PDF
Level+Mpls+Signed+01-12-2021.pdf PDF
Pricing+-+Eff+10-1-24+updated.xlsx XLSX spreadsheet
Task+Order+Request.docx DOCX document
Amendment+1+Signed+9-29-2022.pdf PDF
Notice+of+Task+Order+Award+-+Template.docx DOCX document

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Text version

CHANGE ORDER FORM

STATE CONTRACT #268 MARKETING COMMUNICATIONS 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 .