Vendor+Change+Order.docx
DOCX document 105 KB Posted
- Attached to
- IT - Professional Services Vendor Contract Pool
- Contract number
- 095
- Issued by
- North Dakota
About this file
This document is a Vendor Change Order template for the State of North Dakota, specifically form SFN 54385 (dated 11-2017). The template is designed to facilitate work order modifications under state contracts, providing a structured format for agencies and vendors to document and process contract changes. The form includes sections for identifying the original state contract, project name, work order number, change order number, agency details, and vendor information.
The template outlines a comprehensive change management process that requires detailed documentation of change requests, including the reasons, goals, potential recommendations, and specific impacts on cost, scope, schedule, and quality. The form mandates a thorough analysis of proposed changes and requires signatures from both the state agency and vendor representatives to validate and approve the modifications. While no specific contract details are provided in this template, it serves as a standardized mechanism for managing contract adjustments within the State of North Dakota's procurement framework.
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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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