Attachment+2+-+Change+Order+Form.docx
DOCX document 14 KB Posted
- Attached to
- Environmental Services Consultant Contract Pool
- Contract number
- 013-TERR
- Issued by
- North Dakota
About this file
The document is a standard Change Order Form template designed for use in government or enterprise project management. The form appears to be a generic document without specific details about a particular state, agency, consortium, jurisdiction, or company filled in at this time. It provides a structured framework for requesting and documenting changes to a project, including sections for describing the request, reasons, recommendations, impacts, and proposed solutions.
While the template does not contain specific contract details, it outlines a comprehensive process for managing project modifications. The form requires detailed documentation of potential changes, including their impact on cost, scope, schedule, and quality (CSSQ). It includes spaces for multiple signatures and approvals, indicating a multi-stakeholder review process. The change order form is intended to provide a systematic approach to evaluating and implementing project modifications, ensuring thorough analysis and appropriate authorization before any changes are enacted.
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Other files
| File | Type | Posted |
|---|---|---|
| Terracon+-+signed.pdf | ||
| Amendment+1_Signed.pdf | ||
| 013_State+Contract+Summary+Terracon-Updated.docx | DOCX document | |
| Attachment+1+-+Task+Order+Form.docx | DOCX document | |
| Terracon+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 .