Vendor+Change+Order.docx

This document is a Vendor Change Order template from the State of North Dakota (SFN 54385, revised 11-2017), designed to facilitate modifications to existing state contracts. The form is structured to capture comprehensive change request details, including the specific state contract number, project name, work order number, change order number, agency name, and vendor name involved in the proposed modification.

The template provides a standardized framework for documenting change requests, requiring detailed sections on request description, reasons/goals, recommendations, impacts on cost/scope/schedule/quality, and proposed solutions. The document includes designated signature lines for both the state agency representative and the vendor to formally approve and execute the change order. While the provided document is a blank template, it is clearly intended to support systematic contract amendments and modifications within North Dakota's procurement processes.