Vendor+Change+Order.docx

DOCX document 105 KB Posted

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

About this file

This document is a Vendor Change Order template from the State of North Dakota (SFN 54385, dated 11-2017), designed to facilitate modifications to existing state contracts. The template provides a structured format for vendors, state agencies, and project managers to document and propose changes to ongoing contractual work, with designated sections for request description, recommendations, impact analysis, and formal approvals.

The template does not contain specific contract details but offers a standardized mechanism for documenting changes to state contracts, including provisions for analyzing potential impacts on cost, scope, schedule, and quality. The form requires signatures from both the vendor and the state agency representative, ensuring a formal process for contract modifications. While no specific contract terms, pricing, or service details are present in this document, it serves as an administrative tool for managing contractual adjustments within North Dakota's procurement framework.

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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 .