Vendor+Change+Order.docx

DOCX document 105 KB Posted

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

About this file

This document is a Vendor Change Order template from the State of North Dakota, designed to facilitate formal modifications to existing state contracts. The form provides a structured framework for documenting changes, involving vendors, state agencies, and project managers in a standardized change request process. While the specific example is a blank template, it is specifically tailored for North Dakota government procurement and contract management procedures.

The template is structured to capture critical change order details including project name, work order number, change order number, agency details, and vendor information. It requires comprehensive documentation of change requests, including reasons, goals, recommendations, and potential impacts on cost, scope, schedule, and quality. The form culminates in a solution definition and requires formal signatures from both the state representative and the vendor, ensuring a comprehensive and legally traceable modification process for state contracts.

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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 .