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Variation Order Sample From DPWH
Variation Order Sample From DPWH
To furnish materials, labor and equipments necessaryin the prosecution of work for the
following item, to wit:
Paymentsof this work will be based on the Government estimates. It is estimated that the
work to be performed under this order will cost P 67,607.60 as shown by the attached estimates.
Pleaseindicate your agreement to this Extra Work Order by dating, signing and returning the
four (4) enclosed copies.
Recommendl~
August 2,2017
Date
NAME OF PROJECT
Off<arriageway Improvement: Raring of Intersections/Improvement of
Intersections along BCIR, K1459+814.905-K1460+359.905,K1467+(-598)-
Kl467+(-718)(Primary Road)
The change of quantities of Items and Extra work order to be done, to wit;
From To
Item 102(2) Roadway Excavation (Surplus Common) - SO.80 - 1,270.66 cu.m,
Item 103(1) = Structure Excavation 197.54 - 47.18 cu.m,
Item 103(3) = Foundation RII 6.89 - 2.97 cu.m.
Item 104(1)a = Embankment (from Borrow) 1,994.10 830.47 cum.
Item 105(1) Subgrade Preparation (Common Soil) sq.m.
2,268.55 2,147.60
Item 200 Aggregate Subbase Course 562.10 541.29 cu.m,
Item 300 Aggregate Surface Course 104.16 89.62 cu.rn,
PCC Pavement (Plain) - Conventional
Item 311(1)a.3 sq.m.
Method, 230mm thk 165.42 82.42
PCC Pavement (Plain) - Conventional
Item 311(1)a.2 sq.m.
Method, 300mm thk 1,339.05 1,241.12
Item 404 Reinforcing Steel Bars (Grade 40) 4,962.00 3,285.97 kgs
Item 405 Structural Concrete, Class "A" 48.31 33.51 cu.m,
Item 505(5) Grouted Riprap, Class "A" 82.80 51.60 cu.rn,
Item 506 Stone Masonry 1,364.77 842.95 cu.m,
Item 605(3)a Chevron Directional Signs (18" x 24") 40.00 9.00 ea
Reflectorized Thermoplastic Pavement
Item 612(1) sq.m.
Markings (White) 1,559.34 1,554.46
Ref1ectorized Thermoplastic Pavement
Item 612(2) 72.29 67.40 sq.m.
MarkinQs (Yellow)
Item 500(1)e Pipe Culverts, 1220 mm dia. (48" dia.) 8.00 I.m.
These change of quantities and extra work are necessary to suit actual field condition and as per
approved as-staked plan.
CAR~
Asst. District Engineer District Engineer
Republic of the Philippines
DEPA,• ENT OF PUBLIC WORKS AND HI.AYS
OFFICE OF THE DISTRICT ENGINEER
MisamisOriental 2nd District Engineering Office
BalaseStreet, EI Salvador City
EXECUTIVESUMMARY
(Variation Order - Change. Extra Work Order No.1)
10.)Remarks
The Contractor submitted their request for Variation Order - Changeand Extra Work Order No. 1 for the inclusion
of 910mm dia. RCPCand contruction of Headwall and as per quantities approved for as-staked plan
Checkedby:
ENTEL
Chief, Construction Section
Approved by:
Recommendi~g~A~~r~~~I:_
•
CARO~;N~LES
Asst. District Engineer
• Republicof the Philippines
DEPARTMENT OF PUBLIC WORKS & HIGHWAYS
•
OFFICE OF THE DISTRICT ENGINEER
•
Misamis Oriental 2nd District Engineering Office
BalaseStreet, EI Salvador City
1. CONTRACTUALDATA
a. Original Contract Amount 17/979/005.3~
b. RevisedContract Amount
c. Original Contract Duration - 208 CD
d. Effectivity of Contract - 03/01/17
e. Original Completion Date - 9/24/2017
f. RevisedCompletion Date due to VO #01 (if approved)
g. RevisedContract Time due to VO #01 (if approved)
h. Contractor - ALEBONGENUINE
MERCHANDISING
2. Relative to contract for the above captioned project, I hereby request approval of the said
Variation Order - Change & Extra Work Order # 01.
3. This proposed Variation Order #01 is submitted by the undersigned for the reason - To suit actual fielc
condition and as per approved as-staked plan
4 Finally, Pursuant to the provision of Department Order No. 57 series of 2012, this proposed Variation
Order #01 is subject to the approval of the District Engineer.
ENTEL
Noted by:
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ITEMIZED QUANTITIES AND COST OF REVISION IS SHOWN IN THE ATTACHED BILL OF QUANTITIES AND COST ESTIMATE
We, the undersignedcontractorhave given carefulconsiderationto the changeproposed and Hereby Original Contract Amount 17,979,005.37
agree, if this proposal is approved that we will provide all equipment,furnish all materialsexcept as maybe Difference in Cost due to this Change
otherwise be noted and perform all servicesnecessaryfor work above specifiedand will accept as full Net Cost of Previous Change
payment thereto the prices shownon the secondpage of the attached sheet. Total Cost of Change
Estimated Revised Contract Amount
Percentage Change in Original Contract Value (+) or (-)
Original Contract Time 208 CD
Proposed Time Extension (T.E.) due to this Variation Order
Revised Contract Time (if T .E. is approved)
Effectivityof Contract 03/01/2017
Original Completion Date 912412017
Revised Completion Date (ifT.E. is approved)
DATE CHECKED:
CONTRACTOR:
,-
Project Engineer . ~t) Distric Engi~eer
DPWH
BY APPROVED:
Name of Contractor
TECHNICAL JUmFICAnON
Contract ID 17KL0050
Project Name : Off-carriageway Improvement: Flaring of Intersections/Improvement of Intersections along BCIR, K1459+814.905-K1460+359.905,K1467+(-598)-K1467+(-718)(Primary Road)
Contractor ALEBON GENUINE MERCHANDISING
-:
Prepared by: Checked by: ..I
~
<,
~~TEl biJha.RAMOS
Projec{~r Chie Co,",struction Section