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Form NJSDA 302
Revised: March 2012
NJSDA 302
DESIGN PHASE SCOPE MODIFICATION REQUEST
Project Schedule
Project Budget
Request No.:
Package Name:Project:
Contract No.:
Date:
Scope
Modification
The revision hereinafter is applicable to and is hereby made a part of the design for the above referenced project:
Description Of Scope Modifications (attach additional backup if needed):
Approved and agreed to by New Jersey Schools Development Authority:
/c-10
File:
By:
Title:
Date:
Date:
Title:
By:
Budget and Schedule Impacts Recommended for Acceptance:
Date:
Title:
By:
Design Consultant: PMF/CM:
Exhibits Dated
Impact:
Impact:
The above referenced Exhibits shall be and are hereby made a part of this scope modification. This modification
will affect the
Design Consultant Contract
Increase
Decrease
No Affect
Increase
Decrease
No Affect
Will Impact Fee Will Not Impact Fee
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