Vendor+Change+Order.docx

DOCX document 105 KB Posted

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

About this file

This document is a Vendor Change Order template for the State of North Dakota, designated with form number SFN 54385 and dated November 2017. The form is designed to facilitate modifications to existing state contracts, providing a structured approach for vendors, state agencies, and project managers to document and approve changes to ongoing work orders or projects.

The template includes sections for capturing critical change management details such as the specific state contract number, project name, work order number, and change order number. It requires comprehensive documentation including the requesting party, change description, reasons and goals, recommendations, potential impacts on cost, scope, schedule, and quality, and a proposed solution. The document also provides spaces for formal approvals from both the state agency and vendor representatives, ensuring a standardized and transparent process for contract modifications.

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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 .