Vendor+Change+Order.docx
DOCX document 105 KB Posted
- Attached to
- IT - Professional Services Vendor Contract Pool
- Contract number
- 095-PROM
- Issued by
- North Dakota
About this file
This document is a Vendor Change Order form from the State of North Dakota, specifically form SFN 54385 (dated 11-2017), designed to facilitate modifications to an existing state contract. The form provides a structured template for documenting change requests, with designated sections for agency and vendor information, request description, recommendations, impact analysis, and approval signatures.
While the specific details of the current contract are not fully populated in this document, the form is structured to capture critical elements of a contract change, including potential impacts on cost, scope, schedule, and quality. The form requires detailed input from both the state agency and vendor, with provisions for multiple recommendations, solution identification, and formal approval signatures from both the state of North Dakota and the vendor representative.
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| Instructions+Issuing+Vendor+Pool+Work+Order.docx | DOCX document | |
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| Competitve+Work+Order+Award+Notice.doc | DOC document | |
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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 .