Change+Order+Form.docx

DOCX document 45 KB Posted

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

About this file

This document is a Change Order Form for State Contract #268, specifically for a Marketing Communications Services Pool. The form provides a structured template for initiating and documenting changes to an existing contract, with designated sections for request details, reasons, recommendations, impact analysis, and approvals.

While the specific details of the goods or services are not fully elaborated in this document, the template suggests this is a state-level contract for marketing communications services. The change order form is designed to capture potential modifications to the existing contract, including impacts on cost, scope, schedule, and quality. The form requires detailed documentation of change requests, including recommendations, potential solutions, and final approval signatures from relevant project authorities.

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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 .