Sample Change Order Agreement

Always upload your project agreement and statement of work document to the Elance Private Message Board
("PMB").
This Change Order Agreement is a sample provided for your information only and may not be relied upon as legal
advice. This agreement might not be appropriate for your requirements. Elance makes no warranty about the
suitability of this sample agreement and accepts no liability arising out of the use of this agreement. Please consult
your legal or business advisor for further information or advice.

SECTION A. CHANGE ORDER DESCRIPTION

CR #: Date:

Client Name: Requestor:

Project Name: Priority:

Impact Area: Target Date

Implementation:
Short Description of Change:

Detailed Description of Change:

Cost of Work Estimation for Change:

SECTION B. WORK EFFORT ESTIMATION

Effort Estimation Assigned To :

Implementation Impact Areas

Area Description
Analysis and Design

Application Customization

Conversion/Data Migration
 Integration Testing

Infrastructure

Communication

Training

Total Impact:
Cost/Effort Impact:

Schedule Impact:

THE PARTIES ACKNOWLEDGE THAT THEY HAVE READ THIS CHANGE ORDER, UNDERSTAND IT, AND AGREE TO BE
BOUND BY ITS TERMS AND CONDITIONS. FURTHER, THE PARTIES AGREE THAT THE COMPLETE AND EXCLUSIVE
STATEMENT OF THE AGREEMENT BETWEEN THE PARTIES RELATING TO THE SERVICES DESCRIBED HEREIN
CONSISTS OF THIS CHANGE ORDER. THIS STATEMENT OF THE CHANGE ORDER SUPERSEDES ALL PROPOSALS
OR OTHER PRIOR ACKNOWLEDGEMENTS, ORAL OR WRITTEN, AND ALL OTHER COMMUNICATIONS BETWEEN THE
PARTIES RELATING TO THIS SUBJECT.

Estimation Effort Agreed to: Estimation Effort Agreed to:

Provider Buyer

By: ____________________________________ By: ____________________________________

Authorized Signature Authorized Signature

Name: Name:
Title: Title:
Date: Date:

Change Order Agreed to: Change Order Agreed to:

Change
Provider Request Agreed to: Buyer

By: ____________________________________ By: ____________________________________

Authorized Signature Authorized Signature

Name: Name:
Title: Title:
Date: Date: