Vendor+Change+Order.docx
DOCX document 105 KB Posted
- Attached to
- IT - Professional Services Vendor Contract Pool
- Contract number
- 095-ADAV
- Issued by
- North Dakota
About this file
This document is a Vendor Change Order template from the State of North Dakota, specifically form SFN 54385 (revised 11-2017), designed to facilitate modifications to existing state contracts. The form provides a structured framework for state agencies and vendors to document and process contract changes, with designated sections for identifying the specific contract, project details, requesting party, and change rationale.
The template is intentionally generic, allowing flexibility for various contract scenarios, and includes sections for describing change requests, analyzing potential recommendations, evaluating impacts on cost, scope, schedule, and quality, and ultimately defining a recommended solution. The document concludes with signature lines for both the state agency representative and the vendor, ensuring formal acknowledgment and approval of the proposed contract modification. While no specific contract details are populated in this example, the form is clearly designed to standardize and formalize the change order process for state procurement activities.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Competitve+Work+Order+Award+Notice.doc | DOC document | |
| Expanded+SOW+and+Compensation.docx | DOCX document | |
| Frequently+Asked+Questions.doc | DOC document | |
| AE2S+Contract.pdf | ||
| Competitive+Work+Order+Evaluation+Worksheet.doc | DOC document | |
| AE2S+Amendment+1.pdf | ||
| Customer+Satisfaction+Survey.doc | DOC document | |
| Instructions+Issuing+Vendor+Pool+Work+Order.docx | DOCX document | |
| 095+All+Vendor+ContractSummary.docx | DOCX document | |
| AE2S+Contract+Summary+V2.docx | DOCX document | |
| Vendor+Work+Order+Request.docx | DOCX document |
Show all 11
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 .