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SECTION -:+ STATEMENT OF WORK <br />2.5 CHANGE REQUEST FORM <br />Requester: <br />Title, Phone # of Requester: <br />Date: <br />Description of Request: (attach additional sheet if required) <br />Equipment Required: <br />Time Line Modification: <br />Services Required: <br />Justification: <br />CHANGE REQUEST AUTHORIZATION <br />SIGNATURES BELOW AUTHORIZE A NOTICE TO PROCEED WITH REQUESTED CHANGES. <br />DETAILS OF IMPACT ON EQUIPMENT, SERVICES, SCHEDULE, ETC. WILL BE <br />DETERMINED AND DOCUMENTED ON A CHANGE ORDER TO THE CONTRACT. <br />Motorola Project Mgr. <br />SAPD Project Mgr. <br />Date: <br />Date <br />OM nxa7roRo�► <br />Confidential and Proprietary 2 7 <br />