Contract Administration System

Revised: 19/03/2010

FORM - Variation Order

CAF027M

Department of Transport & Main Roads

{Enter Address Here}
{Enter Address Here}
Telephone:

{Enter No. Here}

Facsimile:

{Enter No. Here}

VARIATION ORDER
Contract and Project No. :

{Enter Text Here}

Variation Number:

{Enter Text Here}

Contractor's Representative:

{Enter Text Here}

Date:

{Enter Text Here}

Description of Variation (in brief, include references to previous relevant correspondence)

{Enter Text Here}
Sch.

Item

Description of Work

Unit

Qty

Rate

Amount
Extra

Deduction

Subtotal
Nett Value this Variation
Quality system costs, overheads and preparation costs associated with this variation are included in amounts
shown.
This variation is issued in accordance with the General Conditions of Contract. All cost and time effects on the
Contract are hereby agreed.

_______________________________
Superintendent

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