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Proactive Disclosure
Design Change/Deviation
Disclaimer: The HTML version of these forms is a representation of the content only. Please download the PDF version to use with your procurement. If you encounter problems or have questions regarding the PDF please contact Acquisitions.
- Project No.:
- File No.:
- Contract No.:
- Customer Department:
- Design Change Serial No.:
- Contractor:
- ___ Permanent Change
- ___ Deviation
1. Description of change and Reasons:
- Total Estimated Cost:
- Contractor's Signature:
- Date:
2. Customer Department:
- Approved:
- Date:
3. Total Firm Price of Change:
- Procurement Officer:
- Date:
