ESBD_File_329661_SOLICIEXH_F5_Change Order Acceptance.pdf
PDF 216 KB Posted
- Attached to
- DLD Microfilm Digital Conversion
- Solicitation number
- 405-22R0015493
- Issued by
- Williamson County, Round Rock City, Texas
About this file
This document is a Change Order Completion Acceptance Document from the Texas Department of Public Safety (TXDPS). It certifies that the contractor has completed the deliverables required by the Change Order Plan for the referenced contract. The document outlines the change order details, including the contract number, change order name and number, and the completed deliverables. It includes acknowledgment and acceptance signatures from the contractor and TXDPS.
The related state and local contract opportunity is for the DLD Microfilm Digital Conversion project, where TXDPS is seeking a qualified contractor to convert microfilm/microfiche files into a digital format and index these records, including those currently in digital format. The contract involves the jurisdictions of Williamson County and the City of Round Rock, Texas.
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Text version
CHANGE ORDER COMPLETION ACCEPTANCE DOCUMENT
TEXAS DEPARTMENT OF PUBLIC SAFETY
Section 1. General Information
Contract # ______________________________________
Change Order Name____________________________________ Change Order # _______
Section 2. Contractor Acknowledgement of Change Order Completion
The following project deliverables, as required by Section C Scope of Work and as assigned by Subsection Change Order Plan, have been completed.
CO Ref. # Completed Deliverable Description
This is to acknowledge that _____________________has completed this Change Order project for the Texas Department of Public Safety.
Contractor Approver Name Title Signature Date
Section 3. TXDPS Acceptance of Change Order Completion
This document certifies that the above-referenced services from Change Order Plan #__________ have hereby been tested and accepted by the Texas Department of Public Safety.
TXDPS Approver Name Title Signature Date
405-22R0015493
| Section 1. General Information |
| Section 2. Vendor Acknowledgement of Work Order Completion |
| This is to acknowledge that _____________________has completed this Work Order project for the Texas Department of Public Safety. |
| Section 3. TXDPS Acceptance of Work Order Completion |
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