SIMB CHANGE ORDER REQUEST
Department / Vendor:
(AUTO-FILLS FROM YOUR HERD ADVANCE)
Submitter Email:
*
example@example.com
Description of Services & Reason for Change Order
Change Order Proposal Upload (New or Revised Scope Only):
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Is there a cost impact?
Please Select
Yes; Increase
Yes; Decrease
No
If yes, what is the amount?
If yes, please provided the total updated compensation (original contract + change order amount):
If yes, is an additional deposit needed on the change order?
Cost Impact Notes:
Is there a staffing impact?
Please Select
Yes
No
N/A
If yes, what is the staffing impact?
If yes, are additional credentials needed?
Please Select
Yes
No
N/A
If yes, are additional parking passes needed?
Please Select
Yes
No
N/A
If yes, is additional catering needed?
Please Select
Yes
No
N/A
If yes, is additional lodging needed?
Please Select
Yes
No
N/A
Notes:
Send it!
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