Amendment/Change Order/Renewal Request

 

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

 

Example: Amendment #1/#2, Change Order #1/#2, Renewal Year 1/Year 2 etc.

 

Who is the current vendor?

 

What is the name of the current contract project?

 

What department are you from?

 

Who is the project manager?

 

Who is entering this amendment/change order/renewal request?

 

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..)

Drop your files here