CONTRACT N

CONTRACTOR J

REFERENCE DOC

DATED
TITLE OF CHANGE :

PART I : SPECIFICATION OF VARIATION

1EVENT/ CAUSE OF CHANGE AND JUSTIFICATION

2DESCRIPTION OF CHANGE

3REFERENCE ITB /DOCUMENTS /SPCIFICATIONS/ MOM/ CORRESPONDENCE/T

PART II : IMPACT ASSESMENT

1 PROJECT SCHEDULE IMPACT

ACTIVITY/ MILESTONE

NONE
PRESENT PLAN

COST IMPACT TO THE CONTRACT PRICE

LUMP SUM COST IMPACT

REIMBURSABLE COST IMPACT

3
4

PROPOSED SCHEDULE OF PAYMENT

Not applicable
IMPACT ON CONTRACTUAL WARRANTY OR GUARANTEE

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Th

PART III : CONSORTIUM APPROVAL

Name:

Date :

OWNERS/CONTRACTORSS VARIATION APPROVAL,

THE ABOVE OWNERS /CONTRACTORS VALUATION OF VARIATION IS
HEREBY AGREED AND APPROVED
THE APPROVED TOTAL ADDITION/ DELETION TO THE
CONTRACT PRICE IS:
(CURRENCY)
OWNER'S REPRESENTATIVE

ACKNOWLEDGEMENT OF RECEIPT
CONTRACTOR HEREBY ACKNOWLEDGES OWNERs APPROVAL OF THE OWNERS/CONTRATORS VAR
CONSORTIUM MANAGER

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CONTRACTOR JOB N

VALUATION OF VARIATION
NO:001

REV.

DATE 25-Nov-16

RRESPONDENCE/TQ.

YES
PRESENT PLAN

REVISED DATE

if this VARIATION is approved

There is no impact in the Contract Price

X NONE

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YES

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VARIATION NO

N APPROVAL, by Owner

001

THE ABOVE OWNERS /CONTRACTORS VALUATION OF VARIATION IS

NOT ACCEPTABLE TO THE OWNER

DO NOT
PROCEED WITH

THE VARIATION

Date
Name:

RS/CONTRATORS VARIATION

Date:

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00

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VARIATION NO
001

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