CHANGE+ORDER+Request+Form.docx
DOCX document 105 KB Posted
- Attached to
- IT - Training Vendor Pool (NDUS Only)
- Contract number
- 310
- Issued by
- North Dakota
About this file
This document is a Vendor Change Order Request Form (SFN 54385) utilized by the State of North Dakota for modifying existing state contracts. The form provides a standardized template for vendors and state agencies to formally document and propose changes to an existing state contract, with designated sections for describing the request, reasons, recommendations, potential impacts, and required approvals from both the vendor and the state agency.
While the specific details of the contract are not fully populated in this template, the form is designed to capture critical information about proposed modifications, including potential impacts on cost, scope, schedule, and quality. The change order process appears to require detailed documentation and mutual agreement between the vendor and the state agency, with provisions for multiple recommendations and a defined approval process that includes signatures from key stakeholders representing both the vendor and the state of North Dakota.
View the file
Other files
Show all 13
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 |
image1.png
File details come from the government source that posted it. Updated .