Change+Order+Form.docx
DOCX document 46 KB Posted
- Attached to
- Trail Repair & Maintenance Services
- Contract number
- 187-BITC
- Issued by
- North Dakota
About this file
This document is a Change Order Form template for State Contract #187 related to Trail Repair & Maintenance Services. The form appears to be a standardized document designed to facilitate modifications to an existing state contract, with designated sections for project details, change request description, recommendations, impact analysis, and approval signatures.
While specific details about the contract's full scope are limited in this document, the form suggests this is a state-level contract for trail maintenance and repair services. The template provides a structured approach for proposing and documenting changes to the contract, including sections for analyzing potential impacts on cost, scope, schedule, and quality. The form requires comprehensive documentation of change requests, including rationale, potential solutions, and formal approval from designated authorities.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Contract+Amendment+1+Signed+5-23-2023.pdf | ||
| Task+Order+Request.docx | DOCX document | |
| Amendment+2+-+Bitco+-+signed.pdf | ||
| Bitco+Contract+Signed+5-5-2023.pdf | ||
| State+Contract+187+Summary.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 .