Vendor+Change+Order.docx

DOCX document 105 KB Posted

Attached to
IT - Professional Services Vendor Contract Pool
Contract number
095-VTEC
Issued by
North Dakota

About this file

This document is a Vendor Change Order template from the State of North Dakota, designed to facilitate modifications to an existing state contract. The form provides a structured framework for documenting changes to a contract, with spaces for identifying the specific state contract number, project name, work order number, change order number, agency name, and vendor name involved in the proposed modification.

While the specific details of the contract are not filled in, the template indicates a comprehensive process for proposing and approving contract changes. The form requires detailed documentation including the request description, reasons and goals for the change, potential recommendations, impacts on cost, scope, schedule, and quality, and a defined solution. The document concludes with signature lines for both the state representative and the vendor to formally approve the proposed change order, ensuring a formal and transparent process for contract modifications.

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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

image1.png

File details come from the government source that posted it. Updated .