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<br />Lenovo (United States) Inc. <br />Statement of Work for Orange County, NC <br /> <br />Attachment A: <br />Project Change Request (PCR) Form <br /> <br />GENERAL INFORMATION <br />PCR Number: Financial Approval <br />Create Date: Approval Date: <br />PCR Title: <br />Agreement/SOW Title: <br />Customer or <br />Vendor Name: <br />Name: Email: Phone: <br /> <br />Change Initiator: <br />(prepared by) <br />Name: Email: Phone: <br /> <br />SCOPE OF CHANGE <br />Reason for <br />Change: <br />(Include description of existing state) <br />Description of <br />Desired Change: <br /> <br />Effect of <br />Change: <br />(Include description of impact if implemented and if NOT implemented) <br />In the fields below, identify impact to Budget, Schedule, Quality, Quantity, <br />Resources, and Cost; insert n/a if not applicable <br />Budget: Schedule: Quality: <br /> <br />Quantity: Resources: Cost: <br /> <br />Cost to be paid by: <br />SIGNATURE <br />Upon signatures by both parties the SOW identified above shall be amended as <br />described herein. <br />For Lenovo Customer <br />Signature Signature: <br />Printed Name: Printed Name: <br />Title: Title: <br />Date: Date: <br />Docusign Envelope ID: D0E10425-A463-4BAC-BB4D-70F638182503