Vendor+Change+Order.docx
DOCX document 105 KB Posted
- Attached to
- IT - Professional Services Vendor Contract Pool
- Contract number
- 095-INTE
- 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 existing state contracts. The form provides a structured framework for documenting and processing change requests, involving state agencies, vendors, and project managers in a standardized change management process.
While the specific details of an actual contract are not present in this template, the document outlines a systematic approach for proposing and approving changes, including sections for request description, reasons/goals, recommendations, impact analysis on cost/scope/schedule/quality, and a defined solution. The template requires signatures from both the state agency and vendor representatives, ensuring formal documentation and mutual agreement on any proposed 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 |
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