Change+Order.docx

DOCX document 45 KB Posted

Attached to
Environmental Services Consultant - Navigable Waters
Contract number
008-BAY
Issued by
North Dakota

About this file

The document appears to be a standard Change Order Form for State Contract #008, specifically for an Environmental Services Consultant project related to Navigable Waters. The form provides a template for documenting proposed changes to an existing contract, with designated sections for request description, reasons/goals, recommendations, impacts, and approvals.

While the specific details of the contract are not fully populated in this template, the form suggests a structured process for modifying a state-level environmental services contract. The change order framework allows for comprehensive review of potential modifications, including analysis of impacts on cost, scope, schedule, and quality, with provisions for appropriate signatures and approvals from project management and relevant authorities.

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Text version

CHANGE ORDER FORM - STATE CONTRACT #008

Environmental Services Consultant - Navigable Waters

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 .