Change Order
Document ID: WBL-CO-[PROJECT-ID]-[CO-NUMBER]-v1.0 Change Order Number: [CO-NUMBER] (e.g., CO-001, CO-002) Date Issued: [DATE] Project Name: [PROJECT NAME] Original SOW Reference: WBL-SOW-[PROJECT-ID]-v1.0 MSA Reference: WBL-MSA-v1.0
Parties
| Agency | Webility |
| Client | [CLIENT LEGAL NAME] |
| Agency Project Lead | [Name, Email] |
| Client Authorized Representative | [Name, Title, Email] |
Important: This Change Order must be signed by authorized representatives of both Parties before any out-of-scope work begins. No verbal approvals, email approvals, or informal agreements create a binding obligation to perform changed or additional work. This Change Order, once signed, becomes an amendment to the original Statement of Work referenced above and is governed by the MSA.
1. Change Request Summary
| Field | Details |
|---|---|
| Change Requested By | ☐ Client ☐ Agency |
| Date Change First Discussed | [DATE] |
| Priority / Urgency | ☐ Critical — impacts project launch ☐ High — needed for next phase ☐ Standard ☐ Future Enhancement |
| Change Category | ☐ Scope Addition ☐ Scope Reduction ☐ Design Change ☐ Technical Change ☐ Timeline Change ☐ Feature Swap ☐ Platform/Technology Change ☐ Other |
2. Description of Change
2.1 What Is Changing
(Describe the change clearly and specifically. What will be done differently, added, or removed compared to what was agreed in the original SOW?)
2.2 Why This Change Is Needed
(Explain the business or technical reason for this change.)
2.3 Original Agreed Scope (as stated in SOW)
(Quote or reference the specific section(s) of the original SOW that this change affects.)
Original SOW Section [X.X] stated: "[Copy the original scope language here]"
3. Impact Analysis
3.1 Impact on Deliverables
| Original Deliverable | Change Impact | Revised Deliverable Description |
|---|---|---|
| [D-XX: Deliverable Name] | ☐ No change ☐ Modified ☐ Removed ☐ New | [If changed, describe the revised version] |
| [D-XX: Deliverable Name] | ☐ No change ☐ Modified ☐ Removed ☐ New | |
| [NEW-D: New Deliverable] | ☐ Added | [Describe new deliverable] |
3.2 Impact on Timeline
| Phase | Original Date | Revised Date | Reason for Change |
|---|---|---|---|
| [Phase Name] | [DATE] | [DATE] | [Reason] |
| [Phase Name] | [DATE] | [DATE] | |
| Revised Project Completion | [ORIGINAL DATE] | [NEW DATE] |
Timeline Note: (If no timeline impact, state "This change order has no impact on the current project timeline.")
3.3 Impact on Resources
(Describe any change in team, tools, or third-party services required to implement this change.)
3.4 Dependencies & Risks
(List any dependencies this change creates, or risks introduced by implementing or not implementing this change.)
| Dependency / Risk | Description | Mitigation |
|---|---|---|
4. Fee Adjustment
4.1 Additional Fee for This Change Order
| Item | Description | Hours | Rate | Amount |
|---|---|---|---|---|
| [e.g., Additional development] | [Description] | [X hrs] | [RATE/hr] | [AMOUNT] |
| [e.g., Design revision] | [Description] | [X hrs] | [RATE/hr] | [AMOUNT] |
| [e.g., Third-party license] | [Description] | — | — | [AMOUNT] |
| Subtotal | [AMOUNT] | |||
| Applicable Taxes | [AMOUNT] | |||
| Total Change Order Fee | [AMOUNT] |
(If this Change Order results in a fee reduction — e.g., scope removed — enter the amount as a negative or credit, and describe how it will be applied: credit to next invoice, or refund.)
4.2 Cumulative Change Order Impact
| Metric | Value |
|---|---|
| Original SOW Total Fee | [ORIGINAL AMOUNT] |
| Previous Change Orders (CO-001 to CO-[N-1]) | [CUMULATIVE AMOUNT] |
| This Change Order (CO-[N]) | [THIS AMOUNT] |
| Revised Project Total | [TOTAL AMOUNT] |
4.3 Payment Terms for This Change Order
(Check one)
☐ Billed immediately — Invoice issued upon signing of this Change Order; due Net 15 ☐ Billed with next milestone — Added to the next project milestone invoice ☐ Billed at project completion — Added to final invoice ☐ Custom: _______________________________________________
4.4 No Additional Fee
(If this change has zero cost, check here and explain why.) ☐ This Change Order has no fee impact because: _______________________________________________
5. Revised Scope Summary
After this Change Order is signed, the revised project scope is:
(Provide a brief 2–5 point summary of what the project now includes that is different from the original SOW.)
Full revised scope is documented in the original SOW (WBL-SOW-[ID]) as modified by this Change Order. In case of conflict, this Change Order takes precedence.
6. Items Not Included in This Change Order
The following items were discussed but are not included in this Change Order:
(List any items raised in conversation that are explicitly excluded, to prevent future confusion.)
- [Item 1] — Not included because: [reason / to be addressed in a future CO]
- [Item 2] — Not included because: [reason]
- [Item 3] — Not included because: [reason]
7. Effect on Other Terms
(Check all that apply)
☐ MSA terms unchanged — All terms of the Master Service Agreement (WBL-MSA-v1.0) remain in full force.
☐ SOW terms modified — The following SOW sections are modified by this Change Order:
- Section [X.X]: [describe modification]
- Section [X.X]: [describe modification]
☐ No other terms are affected by this Change Order.
8. Client Acknowledgements
By signing this Change Order, the Client acknowledges and agrees that:
(a) The change described in Section 2 is out of scope of the original Statement of Work; (b) The fee adjustment in Section 4 is fair and reasonable for the described work; (c) The revised timeline in Section 3.2 supersedes the original timeline for affected phases; (d) The Agency is authorized to begin work on this Change Order only upon signing; (e) This Change Order is incorporated into and governed by the MSA and original SOW.
9. Approval & Signatures
By signing below, both Parties authorize the changes, fees, and timeline modifications described in this Change Order.
Webility LLC (Agency)
Signature: ___________________________
Name: ___________________________
Title: ___________________________
Date: ___________________________
[CLIENT LEGAL NAME] (Client)
Signature: ___________________________
Name: ___________________________
Title: ___________________________
Date: ___________________________
Appendix — Change Order Log (Agency Internal Reference)
Maintain this log in the master project file. Update after each signed CO.
| CO # | Date Signed | Description | Fee Impact | Timeline Impact | Running Total |
|---|---|---|---|---|---|
| CO-001 | |||||
| CO-002 | |||||
| CO-003 |
Webility — WBL-CO-[PROJECT-ID]-[CO-NUMBER]-v1.0 This Change Order is legally binding once signed by both Parties.