Amendment ProvisionsCHANGE AGREEMENT FROM:



Amendment # _____________BRCC Contract # _____________ OCR Contract # _____________CFMS Contract # _____________ Amendment to Agreement between State of LouisianaBaton Rouge Community CollegeANDContractor's Name (Contractor's complete address & telephone number)Amendment ProvisionsCHANGE AGREEMENT FROM: Specify terms in original contract that are changing due to this amendment. Copy and paste from original contract to ensure exact wording is documented.CHANGE AGREEMENT TO: Specify new terms.(List separate “change from” and “change to” sections for each section of original contract that is being modified.)AMENDMENT EFFECTIVE DATE: This amendment becomes effective mm/dd/yy.Document whether original contract dates will or will not change.AMENDMENT JUSITFICATION:Document purpose and justification for amendment.No amendment shall be valid until it has been executed by all parties and approved by the Director of the Office of Contractual Review, Division of Administration.This amendment contains or has attached hereto all revised terms and conditions agreed upon by contracting parties. IN WITNESS THEREOF, this amendment is signed and entered into on the date indicated below: WITNESSESBATON ROUGE COMMUNITY COLLEGESignature: _______________________________Requested by:Name:Title:Signature: __________________________________Signature: _______________________________Date: _____________Approved by (Department Head / Director):Name:Title:Signature: __________________________________Date: _____________Approved by (Department Vice Chancellor):Name:Title: Vice Chancellor forSignature: __________________________________Date: _____________Approved by (Vice Chancellor for Finance):Name: Helen HarrisTitle: Vice Chancellor for FinanceSignature: __________________________________Date: _____________CONTRACTORName: ____________________________________Title: ______________________________________Signature: __________________________________Date: _____________ ................
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