Vendor+Change+Order.docx

This document is a Vendor Change Order form from the State of North Dakota (SFN 54385, dated 11-2017), designed to document modifications to an existing state contract. The form provides a template for capturing change requests across state vendor agreements, with spaces for identifying the specific state contract number, project name, work order number, change order number, agency name, and vendor name.

The form is structured to comprehensively outline change requests by requiring detailed documentation of request descriptions, reasons/goals, recommendations, impacts on cost/scope/schedule/quality, and proposed solutions. It includes designated signature lines for both the state of North Dakota and the vendor, enabling formal approval of proposed contract modifications. While the specific contract details are not populated in this template, the document serves as a standardized mechanism for managing and documenting contractual amendments within North Dakota's procurement framework.