Vendor+Change+Order.docx
DOCX document 105 KB Posted
- Attached to
- IT - Professional Services Vendor Contract Pool
- Contract number
- 095-KNOW
- Issued by
- North Dakota
About this file
The document is a Vendor Change Order form from the State of North Dakota (SFN 54385, revised 11-2017), designed to facilitate modifications to an existing state contract. The form provides a structured template for vendors, agencies, and project managers to document and propose changes to an ongoing contract, with spaces for identifying the specific state contract number, project name, work order number, and change order number.
While the specific details of the contract are not fully populated in this template, the form is structured to capture critical change management information including request descriptions, reasons/goals for the change, potential recommendations, impacts on cost, scope, schedule, and quality, and a defined solution. The document requires signatures from both the state agency and vendor representatives to formalize any proposed modifications, ensuring a formal, collaborative approach to contract adjustments.
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| Frequently+Asked+Questions.doc | DOC document | |
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| Vendor+Work+Order+Request.docx | DOCX document | |
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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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