Synertech Example CHANGE REQUEST (CR)

Pursuant to the Statement of Work (“SOW”) referenced between Synertech Inc (“Synertech”) and <client> (“Customer”), both parties hereby agree that this Change Request will amend and be fully incorporated into, and made part of, the SOW

Change Request Number:   CR <#>
Reason for Change Request: _______________________________________________________________________________________________
Changes to SOW:_________________________________________________________________________________________________________
Schedule Impact::_________________________________________________________________________________________________________
Cost Impact:

 

SOW/Change Request

Services

T&E

Total

a.

Original Value of SOW

$0.00

$0.00

$0.00

b.

Value of CR-1

$0.00

$0.00

$0.00

c.

New Value of SOW:

$0.00

$0.00

$0.00

 

 

 

 

 

Purchase Order Issuance (if applicable): Customer shall issue a written Purchase Order to Synertech for this Change Request for the total amount of $0.00.
Except as changed herein, all terms and conditions of the SOW remain in full force and effect.
Each party, as evidenced by the signature below or electronic signature, as applicable, by its authorized representative, acknowledges that it has read and agrees to this Change Request in its entirety.


Synertech Inc

 

<client>

By:_____________________________

 

 

By:_________________________

 

Name:_________________________

 

 

Name:______________________

 

Title:___________________________

 

 

Title:________________________

 

Date:___________________________

 

 

Date:________________________

 

 

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