Office Of Space And Building Management (Osbm) Work Request Page 3

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Form CD-410 Part 2
U.S. DEPARTMENT OF COMMERCE
(REV 11-08)
OFFICE OF SPACE AND BUILDING MANAGEMENT (OSBM)
WORK REQUEST CHANGE FORM
HERBERT C. HOOVER BUILDING
To be completed by OSBM
: _____
CHANGE NO
SECTION I: REQUEST FOR REVISED SCOPE OF WORK (To be completed by Ordering Agency)
1. CD-410 OSBM Control Number:
Agency Control No:______________
2. Change to Scope of Work:
3. Ordering Agency Official:
(Signature)
(Date)
(Name)
(Phone)
(Position/Title)
(Room)
SECTION II: ESTIMATE FOR REVISED SCOPE OF WORK (To be completed by OSBM)
4. Revised Estimate:
Item/Activity
New Estimated Cost
Original Estimated Cost
Construction
Carpet
Draperies
Furniture
Electric
HVAC
Paint
Plumber
Carpenter
TOTAL:
5. Project Coordinator:
(Signature)
(Date)
(Name)
(Phone)
(Position/Title)
(
)
Room
SECTION III: CHANGE AUTHORIZATION/FUNDS AVAILABLE (To be completed by Ordering Agency)
6. Ordering Agency Official:
(Signature)
(Date)
(Name)
(Phone)
(Position/Title)
(Room)
Page 2

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