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 .