ESBD_466583_1762197787867_SOL_EXH_F.5_Change Order Acceptance Form.pdf

This is a Change Order Completion Acceptance Document issued by the Texas Department of Public Safety used to formally document the completion and acceptance of change order deliverables on state contracts. The document serves as a two-part acknowledgment process where the contractor first certifies completion of project deliverables as specified in Section C Scope of Work and the Change Order Plan, with each deliverable identified by a reference number and description. The Texas Department of Public Safety then formally accepts the completed services through their designated approver, confirming that the deliverables have been tested and accepted.

The document is a standardized form that captures essential contract administration information including the contract number, change order name and number, and requires signatures and dates from both the contractor approver and the TXDPS approver to establish a clear record of completion and acceptance. No pricing, funding amounts, or specific contract terms are detailed in this document, as it functions solely as a completion and acceptance verification tool rather than a procurement or contractual terms document.