Attachment+2+-+Change+Order+Form.docx
DOCX document 14 KB Posted
- Attached to
- Environmental Services Consultant Contract Pool
- Contract number
- 013-EART
- Issued by
- North Dakota
About this file
The document is a Change Order Form template designed for documenting modifications to a project or contract. While the specific details are not filled in, the form provides a structured approach for requesting and approving changes, including sections for request description, reasons/goals, recommendations, impacts on cost, scope, schedule, and quality, as well as a solution and approval signatures.
The template does not contain specific details about goods, services, pricing, or contract terms. Instead, it serves as a generic framework for managing project changes, with placeholders for key information such as project name, task order number, change order number, and requestor details. The form is intended to facilitate a systematic process for proposing, analyzing, and approving modifications to an existing project or contract, with emphasis on documenting the rationale, potential impacts, and recommended solutions.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment+1+-+Task+Order+Form.docx | DOCX document | |
| Amendment+1_Signed.pdf | ||
| 013_State+Contr+Summ-Earth+Systems-Updated.docx | DOCX document | |
| Earth+Systems+-+signed.pdf | ||
| Earth+Systems+Pricing.pdf |
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Text version
CHANGE ORDER FORM
| 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 .