Vendor+Change+Order.docx

DOCX document 105 KB Posted

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

About this file

This document is a Vendor Change Order template for the State of North Dakota, specifically designed for documenting modifications to existing state contracts. The template provides a structured format for agencies and vendors to propose, analyze, and approve changes to ongoing work orders or contracts, with designated sections for capturing request details, recommendations, impact assessments, and final approvals.

While the specific contract details are not populated in this template, the document is structured to capture critical contract modification information, including project name, work order number, change order number, agency details, and vendor information. The template requires comprehensive documentation of change request rationales, potential recommendations, impacts on cost, scope, schedule, and quality, and ultimately seeks formal approvals from both the state agency and vendor representatives. The form includes signature lines for authorized personnel from both the State of North Dakota and the vendor to formalize any agreed-upon contract changes.

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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 .