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MWIll <br />radox-io <br />BUSINESS SOLUTIONS <br />CHANGE REQUEST FORM <br />This Change Request is made pursuant to the South Bend Professional Services Agreement - <br />Adoxio - MS Dynamics DRM Implementation dated December 22, 2015 between the City of <br />South Bend and Adoxio Business Solutions. <br />rrePdMU1 rurc uan u-uonnor rroiect Name: Citizen 311 CRM System <br />Prepared by: Fabian Asin Contributors: <br />Date Initiated: Sep 07, 2016 Name of Fabian Asin <br />Requestor• <br />Change Request # 01 — Additional hours required to complete the project <br />aription of raoxio required me Toiiowmg additional hours to Go Live on Sep 27, 2016 <br />ige Request: _ <br />Over Budget <br />Hours <br />59.00 <br />.$ _ <br />Amount <br />10,325.00 <br />Required to Go Live Sep 27 <br />175.00 <br />$ <br />_ <br />30,625.00 <br />Contingency <br />40.00 <br />$ <br />7,000.00 <br />TOTAL <br />274.00 <br />$ <br />47,950.00 <br />a_ion for Due to many changes in the scope, large amount of rework, and changing the Go Livf <br />Request: Date a few times; the original 1,129 hours were not sufficient to complete all the tasks <br />to Go Live on Sep 27-2106. <br />Project Impacts <br />Adoxio is committed to not exceed these 274 additional hours to complete the tasks <br />and Go Live on Sep 27 2016. It's assumed that the scope is already defined as the <br />meeting on Aug 31, 2016 and no more changes to the scope will be accepted. <br />scope was required by South Bend <br />Budget: 274 Hours - Amount CR 01 $47.950.00 - Adoxio won't exceed this amount unless there are <br />new requirements added into the scope. <br />Schedule: Go Live Sep 27, 2016 <br />a d o x i o. c o m Adoxio Business Solutions <br />Page 1 <br />