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DocuSign Envelope ID:62A3314D-2E66-4A5A-9E7A-5FD781CF7066 <br /> Services Statement of Work <br /> Exhibit A <br /> Project Change Request (PCR) Form <br /> PCR Number: Revision Number: <br /> Create Date: Revision Date: <br /> PCR Title: <br /> SOW/Contract Title <br /> Customer or Name: Email: Phone: <br /> Vendor Name: <br /> Change Initiator: Name: Email: Phone: <br /> (prepared by) <br /> Reason for Change: (Include description of existing state) <br /> Description of Desired <br /> Change: <br /> Effect of Change: (Include description of impact if implemented and if NOT implemented) <br /> In the fields below, identify impact to Budget, Schedule, Quality, Quantity, Resources, and <br /> Cost;insert n/a if not applicable <br /> Budget: Schedule: Quality: <br /> Quantity: Resources: Cost: <br /> Cost to be paid by: <br /> Signatures below imply acceptance of the change detailed above. <br /> For: Lenovo For: Orange County NC Government <br /> Signature Signature: <br /> Printed Name: Printed <br /> Name <br /> Title: Title: <br /> Date: Date: <br /> Orange County NC Gov't-Lenovo Services Statement of Work(11 MAY 2015) Page 8 of 8 <br />