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 .