Att I-Chg Order Request.pdf
PDF 135 KB Posted
- Attached to
- Financial Case Management System (COTS) (SaaS)
- Solicitation number
- S-40400-00012672
- Issued by
- Marion County, Oregon
About this file
This is a Change Order Request template for use between the State of Oregon Public Defense Commission and an unnamed vendor for a Financial/Case Management System (COTS)(SaaS) implementation. The template provides a structured format for requesting modifications to the existing contract, including sections for describing changes, estimating costs, and documenting schedule impacts. The form requires details about the requestor, project name, priority level, target date, and impact areas.
The template includes provisions for cost estimation and requires an itemized pricing document to be attached. Schedule impacts must be documented, specifically noting how many additional days may be required for implementation of changes, particularly regarding installation, data conversion, and training services. The document must be authorized by a representative's signature and includes space for the date and title of the signing authority.
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| Att E-Responsibility Inquiry.pdf | ||
| RFP S-40400-00012672 FCMS.pdf | ||
| RFP S-40400-00012672 FCMS Add 1.pdf | ||
| RFP S-40400-00012672 Q-A FCMS RFP.pdf | ||
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Text version
40400-00012672 / Public Defense Financial / Case Management System (COTS)(Saas) / Att I 1
ATTACHMENT I: CHANGE ORDER REQUEST
Change Order Request Related to the Agreement Between
STATE OF OREGON, acting by and through its PUBLIC DEFENSE COMMISSION and
Financial/ Case management System (COTS)(SaaS)
Contract Number: Change Order Request Number: _
Section A. Change Order Description
Date: Requestor:
Project Name: Priority:
Target Date: Impact Area:
Description of Change:
Detailed Description of Change: (Sample language)
1. Modify existing Contract to include licensing and services supporting the delivery of [specific task] for the [module, system, etc.]. Revised on Schedule X attached.
2. Modify existing Contract to include additional installation and training services associated with the amended software.
Revised on Schedule X attached.
3. Modify existing Contract to include the additional data conversion services associated with [module, system, etc.] conversion activities. Revised on Schedule X attached.
Cost of Work Estimation for Change: The Cost associated with this Change Order is $_____ as itemized in the attached pricing document.
Section B. Schedule Impact The addition of the [module, system, etc.] software will necessitate additional installation, data conversion, and training services to be provided by Contractor. It is anticipated that the additional delivery activities associated with this change order will add approximately_ days to projected schedule associated with on-site services. As such it is anticipated that the revised Project Schedule will require an adjustment to the Project Management Plan and Schedule as requested herein, to be allocated on behalf of Agency and Contractor.
AUTHORIZED SIGNATURE:
Authorized Representative Signature: ________________________________________________________________ Date
Title: __________________________________
| ATTACHMENT I: CHANGE ORDER REQUEST |
| Change Order Request Related to the Agreement Between |
File details come from the government source that posted it. Updated .