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Change Request Form
Project:City of Renton,Wa RFP/Ticket Number(if applicable):Ticket1731
Request ID:PM-REN-CR-0001 Order No:00000247_ Date of Request:March 14,2018
Change Request Initiator(role,location):
Trevor Pocklington,Perfectmind(Project Manager)
Description of Change:
Removal of acceptance criteria"E-Signature Custom Work"from Acceptance Form C—Software
Configuration and Reports(page 34 of Please_DocuSign_City_of Renton..Professional—(FINAL).PDF)
Removal of deliverable E-signature Custom work and associated$5000 for dev work from Milestone
Payment 3($10,275)from Fee Payment Schedule(page 39 of
Please_DocuSign_City_of Renton_Professional_(FINAL).PDF),as well as from Invoice"Inv-1687".
New total amount to equal$5,275
Reason for Change:
Following discussions and agreement to remove requirement for E-Signature Custom Work and associated
costs.
Please see attached email showing associated costs for custom work(Page 2).
. Risk Assessment:
There is no risk with this change request
IRisk Mitigation: _-
N/A
Resulting Changes(to Project Plan dates,Cost,Milestone requirements,Contractual terms,etc.):
The removal of this requirement to milestone 3 and the associated cost for the development work is the
only change as a result of this Change Request.
_
Delivery Date:March 14, 2018 Cost Associated: Yes 0 No 0 Cost Estimate:N/A
Cost Type:Reduction Estimated Effort:N/A 4
Name Signature Date(DD-MMM-YY)
Initiating Department Approval Trevor Pocklington 1 14-March-2018
Project Manager Approval Nima Jazbi 14-March-2018
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Client Approval
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