Vendor+Change+Order.docx

DOCX document 105 KB Posted

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

About this file

This document is a Vendor Change Order template from the State of North Dakota, designed to facilitate modifications to existing state contracts. The form provides a structured approach for documenting changes to work orders, with designated sections for agencies, vendors, request descriptions, recommendations, and approvals. While the specific document appears to be a blank template, it is clearly intended to be used by state agencies and vendors to formally process contract amendments.

The change order template includes critical sections for analyzing potential contract modifications, specifically addressing impacts on cost, scope, schedule, and quality. It requires detailed documentation of change reasons, goals, and recommended solutions, with space for signatures from both the state representative and the vendor. The form (SFN 54385) is dated November 2017 and provides a standardized mechanism for state agencies to negotiate and formalize contract adjustments with vendors, ensuring transparency and proper documentation of contractual changes.

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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 .