Vendor+Change+Order.docx
DOCX document 105 KB Posted
- Attached to
- IT - Professional Services Vendor Contract Pool
- Contract number
- 095-SANB
- Issued by
- North Dakota
About this file
This document is a Vendor Change Order form specific to the State of North Dakota, designated by form number SFN 54385 and dated November 2017. The form is designed to document and process changes to an existing state contract, providing a structured template for agencies and vendors to formally request and approve modifications to an existing contract or work order.
While the specific details of the contract are not fully populated in this template, the form is structured to capture critical information including the original state contract number, project name, work order number, change order number, agency name, vendor name, and detailed change request information. The document includes sections for describing the reasons and goals for the change, potential recommendations, impacts on cost, scope, schedule, and quality, and a recommended solution. The form requires signature approvals from both the state agency representative and the vendor representative to formalize any proposed changes.
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| 095+All+Vendor+ContractSummary.docx | DOCX document | |
| AppGeo+Amendment+2.pdf | ||
| Frequently+Asked+Questions.doc | DOC document | |
| Instructions+Issuing+Vendor+Pool+Work+Order.docx | DOCX document | |
| Amendment+1+-+Assignment_signed.pdf | ||
| Competitive+Work+Order+Evaluation+Worksheet.doc | DOC document | |
| Competitve+Work+Order+Award+Notice.doc | DOC document | |
| Expanded+SOW+and+Compensation.docx | DOCX document | |
| AppGeo+Contract.pdf | ||
| AppGeo+Contract+Summary+.docx | DOCX document | |
| Customer+Satisfaction+Survey.doc | DOC document | |
| Vendor+Work+Order+Request.docx | DOCX 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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