Amendment/Change Order/Renewal Request

What is the contract number that you would like to amend or renew?

Who is the current vendor?

What is the name of the current contract project?

What department are you from?

Who is the project manager?

Please provide a brief (1-2 sentence) description if this is for a change order/amdnt

Please select a change order/amdnt type.

If this change order/amdnt will extend the contract, what is the new expiration date?

If this change order/amdnt increases the contract value, what is the revised contract value?

If the change order/amdnt increases the contract value, do you have sufficient budget to cover the increase?

Please attach any applicable documents (revised scope; additional price detail; etc..)

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