CHANGE ORDER

REFERENCE

• Master Agreement: [Title, Date]
• Statement of Work: [SOW ID/Title, Date]

PURPOSE

• Describe the change to scope, deliverables, schedule, or fees for the referenced SOW.

SCOPE CHANGE

• Added scope: [Describe tasks/deliverables being added]
• Removed scope (if any): [Describe tasks removed]
• Methods/approach updates: [Describe]

DELIVERABLES AND ACCEPTANCE CRITERIA (UPDATED)

Acceptance Process and Cure: Same as SOW unless modified here: [Insert modifications if any].

SCHEDULE IMPACT

• New milestones/dates: [List]
• Critical path impact: [Describe]

FEES AND EXPENSES

• Fee basis (T&M/fixed/milestone): [Describe]
• Fee impact: [+$ / -$]
• Rate changes (if any): [List]
• Expenses: [Allowed/capped at % or $]

ASSUMPTIONS AND DEPENDENCIES

• [List assumptions that drive effort/timeline]
• Customer responsibilities: [Access, data, decisions, SMEs]

IMPACT ON OTHER TERMS

• No change to MSA/SOW terms except as stated.
• IP, confidentiality, and liability remain as in SOW/Agreement unless expressly modified.

EFFECTIVE DATE

• This Change Order is effective [Date] upon last signature.

SIGNATURES

Provider:
By: _________________________
Name: _______________________
Title: ________________________
Date: ________________________

Customer:
By: _________________________
Name: _______________________
Title: ________________________
Date: ________________________