Organization: Template ID:

Project: Template Version:

Team: Form Created:

Deliverables and Scope of Work

Milestone Dates

Milestone Start Date Completion Date

Site Commencement
Submission of Execution Plan
Owner Review of Project
Execution Plan
Substantial Completion of the
Work
Final Completion of the Work

External Milestones Affecting the

Project

Major Plan Activities

Out of Scope Activities (which are

critical to the success of the
project)

Impact of Late Delivery

Cost Estimates

Cost Type Quantity (Where Applicable) Amount

Contract costs
Materials
Subcontractor

Total cost: $__________________

Objectives and Assumptions

Objectives

Assumptions

Impact of Late Delivery

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 Organization: Template ID:
Project: Template Version:
Team: Form Created:

Stakeholder Analysis
Stakeholders

Name and Role Contact Info (where applicable) Major Responsibility or

Contributions

Signature of Completion

Revision History
Name and Role Revised by Description of Change Approved by

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