Vendor+Change+Order.docx
DOCX document 105 KB Posted
- Attached to
- IT - Professional Services Vendor Contract Pool
- Contract number
- 095-SERI
- Issued by
- North Dakota
About this file
This document is a Vendor Change Order template utilized by the State of North Dakota, identified by form SFN 54385 (revised 11-2017). The form is designed to facilitate modifications to existing state contracts, providing a standardized framework for documenting and approving changes to work orders across state agency and vendor relationships.
The template provides a structured approach for capturing critical change request details, including request descriptions, reasons/goals, recommendations, and potential impacts on cost, scope, schedule, and quality. While the specific contract details are not populated in this template, it is intended to support a comprehensive change management process that requires collaborative input from both state agency representatives and vendor personnel, with a formal approval mechanism that includes signature validation from both parties.
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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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File details come from the government source that posted it. Updated .