Vendor+Change+Order.docx
DOCX document 105 KB Posted
- Attached to
- IT - Professional Services Vendor Contract Pool
- Contract number
- 095-WORK
- Issued by
- North Dakota
About this file
This document is a Vendor Change Order template for the State of North Dakota, designed to facilitate modifications to existing state contracts. The form provides a structured approach for vendors, agencies, and state representatives to document and propose changes to ongoing contractual arrangements, with spaces designated for capturing essential details such as the original contract number, project name, work order number, and change order specifics.
While the specific details of a particular contract are not filled in on this template, the document outlines a comprehensive process for requesting and approving contract changes. The template requires detailed documentation including the reasons for the change, potential recommendations, impacts on cost, scope, schedule, and quality, and a proposed solution. The form includes signature lines for both the vendor and the state agency representatives, indicating a formal approval mechanism for contract modifications that ensures transparency and mutual agreement between contracting parties.
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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 .