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39 <br /> Change Order Review Checklist <br /> Date <br /> Contract Number <br /> Contractor <br /> Contract Title <br /> Reviewer <br /> New Contract Total <br /> Change Order Number <br /> Dollar Value Increase <br /> Length of Time Extension Granted <br /> New Performance Period End Date <br /> Change Order Checklist INCLUDED NSA Comment <br /> 1. In-House Estimate Prepared <br /> 2. Project Manager Approval <br /> 3.AWO Scope Meeting Held <br /> 3a. Scope of Change Adequate for Bidding <br /> 4. Contractor Proposal Includes Impact <br /> Costs, Price <br /> 5. Cost Analysis Conducted <br /> 5a. If Price>10%of ICE, Evidence of MTA <br /> President Approval <br /> 6. Negotiation Memorandum <br /> 7. Written Record of Change <br /> 7a. Signed Change Order in File <br /> 8. Evidence of Board Approval Prior <br /> Initiation of Changed Work <br /> 9. Notice to Proceed in file <br /> 10. Work Authorized within Contract Scope <br /> 11. No Evidence of Arbitrary Action <br /> Other Comment <br />