Change Order Template

You might also like

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 16

CHANGE ORDER

CONTRACTOR :

PROJECT :

FIELD CHANGE REQUEST NO:

FROM:

TO: DATE:________________________

CONTRACT NO.: SPECIFICATION NO. _________

PROPOSED CHANGE
REQUESTED:______________________________________________
______________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
____________

SCOPE OF WORK CHANGED: _________________________________


___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
_______________
______________________________________________________________________________
____________________________________________________

JUSTIFICATION:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
_________________________

SIGNED: ____________________
for: REFin Homes Limited
SITE INSTRUCTION

CONTRACTOR :

PROJECT :

CLIENT :

PROJECT NO. : .

SPECIFICATION : ..............................................................................

SUBJECT : ..............................................................................

CONDITIONS OF
CONTRACT : ..............................................................................

SITE INSTRUCTION NO.__________

This confirms our instructions to you as follows:-

______________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________

The Reason is: ___________________________________________________________


___________________________________________________________________________
_____________________________________________________________________

The Price Change:


__________________________________________________________________

Date: ............................... Signed: .........................................


Architect
for: REFin Homes Ltd.,
EXHIBIT "BB'

SITE INSTRUCTION APPROVAL NO. _______ DATE ______________

SUBJECT _______________________________________________________

CONTRACTOR’S cc: PROJECT COORDINATOR


SITE OFFICE

FROM: SITE TECHNICAL OFFICE


TO : CONTRACTOR’S PROJECT MANAGER REF. DRAWING NO. ______

SKETCH ________________________

FOR: THE CONTRACTOR FOR: THE CONSULTANT

_________________________ _________________________
VARIATION ORDER

CONTRACTOR :

PROJECT :

CLIENT :

PROJECT NO. :

SUBJECT : ...............................................................................

SPECIFICATIONS : ...........................................................................

VARIATION ORDER NO. _______

PLEASE VARY THE WORK AS FOLLOWS:-


______________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________

__________________________________________________________________

AGREED SAVING/LOSS : ______________________________

ESTIMATED DELAY : ______________________________

REASON FOR VARIATION: ______________________________

DATE ..................................

Signed:....................................................
Quantity Surveyor
for: REFin Homes Ltd
EXHIBIT 'D'

CONTRACTOR :

PROJECT :

CLIENT :

PROJECT NO. :

SPECIFICATIONS : ............................................................................

EXTRA WORK ORDER NO:………………………………………………

PLEASE FURNISH ALL MATERIALS, LABOUR AND PLANT NECESSARY TO


COMPLETE THE FOLLOWING WORK AND CHARGE AS NOTED BELOW:
______________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
________________________________________________________________________
THE WORK BY THIS ORDER SHALL BE PERFORMED UNDER THE SAME TERMS
AND CONDITIONS AS THAT INCLUDED IN THE ORIGINAL CONTRACT.

1. THE ABOVE WORK TO BE PAID AT ACTUAL COST OF LABOUR, MATERIALS


AND PLANT, PLUS PERCENT (.......%)

2. ALL OF THE ABOVE WORK TO BE COMPLETED FOR THE SUM OF:

_____________________________________________________________

DATE...........................................

Signed: _____________________________
Architect
for: REFin Homes Ltd.

Signed: _____________________________
Quantity Surveyor
for: REFin Homes Ltd.
INTERIM PAYMENT CERTIFICATE

REFin Homes LTD


PROJECT NAME:……………………………

INTERIM PAYMENT CERTIFICATE NO._______

GROSS AMOUNT CLAIMED ________________________

FOR PERIOD : from to

COMMENCEMENT DATE :

MOBILIZATION PERIOD :

COMPLETION PERIOD :

REVISED COMPLETION DATE :

CONTRACT VALUE :

AMOUNT PERCENTAGE OF
CONTRACT VALUE

It is understood that the total amount paid to date plus the amount requested in this application
shall not exceed work completed to date.

I agree to furnish waivers IN lieu of all materials under my Contract when demanded.

Signed:
for:

_______________________________ Date:__________________
Contractor’s Project manager
EXHIBIT 'E2'

GENERAL SUMMARY/GROSS AMOUNT

PROJECT NO. INTERIM CERTIFICATE NO. _________________

PROJECT :

CONTRACTOR : SHEET ______OF ________


___________________________________________________________________________

B.O.Q. VOLUME:

COLLECTED FROM PAGE DESCRIPTION AMOUNT

Conditions of Contract,
General & Preliminaries

Specifications

Bill of Quantities

Main Building

External Works

Total
EXHIBIT 'E3'

SUMMARY OF PRELIMINARIES

JOB NO. : INTERIM PAYMENT CERTIFICATE NO. __________

PROJECT :

CONTRACTOR: SHEET ________ OF _______

VOLUME NO.

________________________________________________________________________________________

DESCRIPTION CONTRACT PREVIOUS CURRENT % OVER


AMOUNT PAYMENT PERIOD LAST PERIOD
________________________________________________________________________________________

CONDITIONS OF CONTRACT,
GENERAL & PRELIMINARIES

SPECIFICATION & PRELIMINARIES

BILL OF QUANTITIES ___________________________________________________________

SUMMARY OF TOTAL PRELIMINARIES


_____________________________________________________________________________________________
__

 EXTERNAL WORKS
 GENERATOR
_____________________________________________________________________________________________
__

LESS

DISCOUNT (If any)

ADD

PROV. SUMS AS IN
ADDENDUM (if any)

CONTINGENCY

TOTAL CONTRACT SUM

EXHIBIT 'E4'

CHELSEA COURT
SUMMARY OF TRADES (PER BILL) : PREPARED
FOR OVERALL PROJECT REVIEW
VOLUME NO. :
BILL NO. :
DESCRIPTION : SALVATION GROPUNDS ESTATE (Example)

Contract Amount Amount Per-centage Per-centage Remarks


Div. Description sum Appr Claime Over Complet
oved d in last ed to
in this Period date of
last Valuati Bill No.
Perio on
d
2A PILING

2B EXCAVATION AND
EARTHWORK

3 CONCRETE WORKS

4. BRICKWORK & LOCKWORK

5. WATERPROOFING & JOINTING


6. ROOFING

7. PLASTERING & RENDERING

8. TILING, PAVING & CARPET

9. FALSE CEILING

10. CARPENTRY, JOINERY &


IRONMONGERY

11. STRUCTURAL STEEL AND


METAL WORK

12. FIXED-IN FURNITURE &


FITTINGS

13. GLAZING

14. PAINTING AND DECORATION

15. A/C & VENTILATION


INSTALLATIONS

16. PLUMBING INSTALLATION

17. FIRE FIGHTING

18. ELECTRICAL INSTAL.

19. LOW CURRENT SYSTEMS


20. CONVEYING SYSTEM
21. ICT
21. MAKING GOOD
EXHIBIT 'E5'

CHELSEA COURT
SUMMARY OF TRADES (PER BILL) :
PREPARED FOR OVERALL PROJECT REVIEW

VOLUME NO. :
BILL NO. :
DESCRIPTION :

Description Contract Amount Amount % Over % Remarks


sum Appr Claim last Comple
oved ed in Perio ted to
in last this d date of
Perio Valuat Bill No.
d ion

INTERIM PAYMENT APPLICATION NO.


EXHIBIT 'E7'
(Applicable only when remeasurement is necessary)

Previous This Period Interim Total


Original Unit
Bill/Item Description Qty R Qty Amount Qty Amount Qty Amount
a
t
e
EXHIBIT 'E8'

SUMMARY OF MEASURED WORK

(Applicable only when remeasurment is necessary)

JOB NO. : INTERIM PAYMENT CERTIFICATE NO. ______

PROJECT :

CONTRACTOR: SHEET____OF_____
_____________________________________________________________________________
Bill No. Item No. Description Unit Supply & Del. Instl. & Total Qty Amount
on site Fixi
ng
_____________________________________________________________________________
EXHIBIT 'E9'

CHELSEA COURT
INTERIM PAYMENT APPLICATION NO.
SUMMARY OF MATERIALS ON SITE INCLUDED IN STATEMENT

_____________________________________________________________________________
ITEM/ MATERIAL SUPPLY & 90% OF QTY. ON AMOUNT
BILL DEL. RATE SITE
ON
SITE
_____________________________________________________________________________

TOTAL VALUE
EXHIBIT 'F'

CHELSEA COURT
CERTIFICATION FORM

FOR

A/C, Plumbing and electrical Installations


Test/Building Material Tests

Certificate No.:..............................................................................................

Date : ............................................................................................

Location :.............................................................................................

Drwg. Reference : ...........................................................................................

Specs.
Reference :...................................................................................................................................
......................................................................................................................................................
......................................................................................................................................................
...
Presents : Consultant Representatives : .............................................................
...........................................................................................................
Contractor
Representatives: .............................................................. ...........................................................
......................................................................................................................................................
.........
Comments :........................................................................................................... .......................
......................................................................................................................................................
............................................

for:.

_____________________________ __________________________

You might also like