Change+Order+Form.docx

DOCX document 45 KB Posted

Attached to
Marketing Communications Services Pool
Contract number
268
Issued by
North Dakota

About this file

This document is a Change Order Form associated with State Contract #268 for Marketing Communications Services Pool. The form provides a template for documenting change requests within a state contract, outlining a structured process for proposing modifications to an existing contract or project. While the specific state is not explicitly named, the document appears to be a standardized change management instrument for government procurement.

The Change Order Form is designed to capture details about proposed changes, including the rationale, potential recommendations, impacts on cost, scope, schedule, and quality, and ultimately a recommended solution. The form requires signatures from appropriate approving authorities to validate and implement the proposed changes. Although the specific goods or services are not detailed in this template document, it relates to a Marketing Communications Services Pool, suggesting the contract covers professional marketing and communication service offerings for a state government entity.

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Text version

CHANGE ORDER FORM

STATE CONTRACT #268 MARKETING COMMUNICATIONS 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 .