Vendor+Change+Order.docx
DOCX document 105 KB Posted
- Attached to
- IT - Professional Services Vendor Contract Pool
- Contract number
- 095-OTIS
- Issued by
- North Dakota
About this file
This document is a Vendor Change Order form template specifically designed for the State of North Dakota, identified by form number SFN 54385 and dated November 2017. The template is structured to facilitate modifications to an existing state contract, providing a standardized framework for documenting and approving changes to vendor agreements across state agencies.
The form is designed to capture critical details about proposed contract modifications, including the specific work order, change order number, involved agency and vendor, and comprehensive change request information. Key sections include request description, reasons/goals for the change, recommended solutions, and potential impacts on cost, scope, schedule, and quality. The document requires signatures from both the state representative and vendor representative to validate and approve any proposed changes, ensuring a formal and transparent process for contract amendments.
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Other files
| File | Type | Posted |
|---|---|---|
| Competitive+Work+Order+Evaluation+Worksheet.doc | DOC document | |
| Otis+Educational+SystemContract+Summary+.docx | DOCX document | |
| Vendor+Work+Order+Request.docx | DOCX document | |
| Expanded+SOW+and+Compensation.docx | DOCX document | |
| Frequently+Asked+Questions.doc | DOC document | |
| 095+All+Vendor+ContractSummary.docx | DOCX document | |
| Customer+Satisfaction+Survey.doc | DOC document | |
| Otis+Educational+System+Contract.pdf | ||
| OtisEd+Amendment+1.pdf | ||
| Competitve+Work+Order+Award+Notice.doc | DOC document | |
| Instructions+Issuing+Vendor+Pool+Work+Order.docx | DOCX document |
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Text version
VENDOR CHANGE ORDER
STATE OF NORTH DAKOTA
SFN 54385 (11-2017)
Work Order Requested Under State Contract (Insert Number)
Project Name
Work Order Number
Change Order Number
Agency Name
Vendor Name
Requested By
Request Description
Reasons/Goals for Change
Recommendations (Include recommendations by the party that is bringing the change request forward. There is a potential for multiple recommendations for solutions based on analysis.)
Impacts on Cost, Scope, Schedule, Quality (For each recommendation, a narrative of the impacts to cost, scope, schedule and quality should be included.)
Solution (Define the most appropriate solution to attain the desired objective. This is determined by the approving authority.)
Approval Signature(s) and Date(s). The project manager will identify the appropriate approval body and forward for final approval.
| State of North Dakota |
| Vendor |
| Agency Name |
| Vendor Name |
| Signature |
| Signature |
| Printed Name |
| Printed Name |
| Title |
| Title |
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