CONFIRMATION OF VERBAL INSTRUCTION

PROJECT:
REF. No.:

WE CONFIRM HAVING RECEIVED THE FOLLOWING VERBAL INSTRUCTION:

Verbal Instruction Received From (Name): Date:

Company: Time:

Subject:

Details:

Actions Taken to Date:

Should these instructions constitute a change to the original scope of Structural/ Architectural/ Civil Work/Electrical/
Mechanical/ Sanitary and Plumbing Works. ESCA shall monitor and advise (Client) of the direct and/ or indirect implications
arising therefrom, which shall be monitored using the Change Order Advise (COA) system.

Received on behalf of (Contractor) Confirmation on behalf of the (Client)

Name: Name:

Recepient of Verbal Instruction Verbal Instruction from

Signed: Signed:
Date: Date:

Distribution: Copy 1 - Com. Dept. Copy 2 - Operations Dept. Copy 3 - Originator Copy 4 -Client

F-PMD-002
Rev.2;12/20/19