Vendor+Change+Order.docx
DOCX document 105 KB Posted
- Attached to
- IT - Professional Services Vendor Contract Pool
- Contract number
- 095-COGE
- Issued by
- North Dakota
About this file
This document is a Vendor Change Order form from the State of North Dakota (SFN 54385), designed to facilitate modifications to an existing state contract. The form provides a structured template for vendors and state agencies to document and propose changes to an ongoing contract, with designated sections for describing the request, reasons, recommendations, and potential impacts.
While specific contract details are not fully populated in this template, the form is structured to capture critical information such as the original contract number, project name, work order number, and change order number. The document includes spaces for both vendor and agency representatives to review proposed changes, assess impacts on cost, scope, schedule, and quality, and provide formal approvals through signature lines. The form appears intended to standardize and formalize contract modification processes for state procurement and vendor management.
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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 .