Vendor+Change+Order.docx

DOCX document 105 KB Posted

Attached to
IT - Professional Services Vendor Contract Pool
Contract number
095-AVIN
Issued by
North Dakota

About this file

This document is a Vendor Change Order template from the State of North Dakota, designated with form number SFN 54385 and dated November 2017. The template is designed for documenting work order modifications under a state contract, providing a structured format for agencies and vendors to collaborate on contract changes, with designated sections for request descriptions, recommendations, impacts, and approvals.

The template does not specify a specific contract, goods, or services, but instead provides a standardized framework for documenting and approving contract modifications. It includes sections for detailing the reasons and goals for a change, potential recommendations, impacts on cost, scope, schedule, and quality, and a recommended solution. The document requires signatures from both the state agency and vendor representatives, ensuring mutual agreement and documentation of any contract alterations. While no specific contract details are present, the form is clearly intended to facilitate transparent and structured contract modifications across North Dakota state government procurement processes.

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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 .