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!`' SMARTWORKS <br />APPENDIX A — Change Order Template <br />Harris Utilities SmartWorks Change Order <br />This document defines the work to be performed by the Harris Utilities, SmartWorks division of N. Harris <br />Computer Corporation (herein referred to as "SmartWorks") for Santa Ana Municipal Utility Services <br />(herein referred to as "Customer"), upon authorization to proceed from Customer. <br />Date: <Date> <br />Change Order#: <xx> <br />Customer: <Customer> <br />Customer Contact: <Name of Requester/Technical Contact> <br />Description of Change: <Title of Change Order> <br />Related Documents <br />1. This Change Order is subject to the terms and conditions of the Software License Agreement, <br />Support and Maintenance Agreement, Software Implementation Services Agreement and <br />Hosting Services Agreement between Santa Ana Municipal Utility Services and N. Harris <br />Computer Corp. signed <date signed> <br />2. This Change Order describes a change from the scope or schedule defined in<Statement of <br />Work (SOW) details> <br />3. (other related documents such as Technical Specification Documents) <br />Scope of Change <br /><Describe changes to be made> <br />Assumptions and Constraints <br />1. <List any applicable assumptions/constraints> <br />Schedule Impact <br /><Identify schedule impact, if any> <br />City of Santa Ana—SmartWorks Statement of Work <br />25H -89 Page 82 <br />