Change+Order+Form.docx
DOCX document 46 KB Posted
- Attached to
- Trail Repair & Maintenance Services
- Contract number
- 187
- Issued by
- North Dakota
About this file
This document is a Change Order Form template for State Contract #187 covering Trail Repair & Maintenance Services. The form appears to be a standardized working document designed to facilitate modifications to an existing state-level contract, with designated sections for project details, change request descriptions, recommendations, impact assessments, and approvals.
While specific details about the contract's full scope are limited in this document, the template suggests the contract relates to trail repair and maintenance services, likely for a state or local government entity. The form provides a structured approach for proposing changes to the contract, including sections for documenting the reasons behind proposed modifications, potential recommendations, impacts on cost, scope, schedule, and quality, and a mechanism for obtaining appropriate approvals from project managers and authorized personnel.
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| File | Type | Posted |
|---|---|---|
| Amendment+2+-+Maxx+Excavating+-+signed.pdf | ||
| Amendment+2+-+Phoenix+-+signed.pdf | ||
| Bitco+Contract+Signed+5-5-2023.pdf | ||
| State+Contract+187+Summary.docx | DOCX document | |
| Phoenix+Contract+Signed+5-18-2023.pdf | ||
| Task+Order+Request.docx | DOCX document | |
| Trailsource+Contract+Signed+5-22-2023.pdf | ||
| Amendment+2+-+Bitco+-+signed.pdf | ||
| Contract+Amendment+1+Signed+5-23-2023.pdf |
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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 .