Vendor+Change+Order.docx

DOCX document 105 KB Posted

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

About this file

This document is a Vendor Change Order template for the State of North Dakota, specifically designed to facilitate modifications to existing state contracts. The form provides a standardized framework for documenting change requests, involving state agencies, vendors, and project managers in a structured change management process.

The template is structured to capture critical details of proposed contract changes, including request descriptions, reasons/goals, potential recommendations, and impacts on cost, scope, schedule, and quality. While the specific document is a blank template without completed details, it is designed to support comprehensive documentation of contract modifications, enabling clear communication and formal approval of changes between state agencies and contracted vendors. The form requires signatures from both the state agency representative and the vendor to formalize any agreed-upon 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 .