CHANGE ORDER or CONTRACT AMENDMENT REQUEST - Red Rocks Community College
Red Rocks Community College CHANGE ORDER or CONTRACT AMENDMENT REQUEST
Vendor _________________________________________________
PO (Change order)
PO Number ___________________
OR
Contract Amendment* Contract Number _______________
*Please allow 2-3 weeks for processing due to the review, approval and the need for multiple signatures.
MODIFICATIONS: List all modifications being requested.
Dollar Amount: Increase
Decrease
Current Amount ____________ New Amount ____________
Justification
Change(s): Details of what change(s) are being requested in the Statement of Work (SOW), change of Line Item, etc. If making changes to the SOW (for contracts), email the Word file to Lynn Beltran.
Requested By ______________________________
Printed
Signature _________________________________
Ext ________________ Date _______________
If the dollar amount of the Purchase Order/Contract is being increased, a second level authorization signature is required.
Second Level ______________________________
Printed
Signature _________________________________
Ext ________________ Date _______________
Purchasing Only
Approved: Y N
By: _______
Date: ___________
Change Order # ________
Amendment # _________
Exhibit # _________ Option Letter # _________
Insurance Required: Y N PERA: Y N Contractor Questionnaire: Y N Revised Quote: Y N
Department Review _________ Controller/VP Review _________ Mailed _________
COMPLETED: PO ___________ Amendment ___________ Indexed ___________
Revised November 2017
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- request for change order date owner s name phone number contractor s
- cem 4900 change order california department of transportation
- cem 4903 change order memorandum california department of transportation
- office of the new york state comptroller thomas p dinapoli
- indot change order request sample cover letter
- no cost change order request template government of new york
- project change order request form smartsheet
- document g701 2017 aia
- shift change request letter sample pdf edenspace
- sample change of status request letter university of washington tacoma
Related searches
- why community college is bad
- community college or university first
- jamestown community college order transcripts
- red rocks in utah
- sas change order of columns
- contract amendment wording
- contract amendment sample
- contract amendment language sample
- contract amendment language
- contract amendment template word
- contract amendment clause
- python change order of columns