OVERALL PROJECT REPORT

PROJECT No: (Job Number) REPORT No. (Report Number)

PROJECT TITLE: (Project Title-Name) PRINTED DATE: (Printed Date)
CLIENT: (Contractor Name)
LOCATION: (Project Location) RESPONSABLE: (Login User Name)
CUT-OFF DATE: (Cut-off Date) CURRENCY: (Currency)

1. CHANGE ORDER LOG

A. POTENTIAL CHANGES
P
Potential
Changes
Total (Qty)

D This Week

Rough Value

D This Week

B. CHANGE NOTICE APPLICATIONS (CNA´s)

A=B+C B C=D+E+F+G D E F=cw+nr+pr G
Total Changes CNA Under CNA Issued CNA Under CNA Accepted CNA Cancelled CNA Under
Identified Preparation Discussion by Client Claim
Total (Qty)

D This Week

C. CHANGE ORDER REQUEST (COR´s)

E=H+I H I=J+K J K
COR Accepted COR Under COR Issued COR Under COR Agreed in COR Issued by
by Client Estimation (Bid Box) Negotiation Price & Sch Client
Total (Qty)

D This Week

Estimated Value

D This Week

Estimated Sch
(days)
D This Week
(days)

D. CHANGE ORDERS (CO)

L M
CO Issued by CO Invoiced
Client to Client
Total (qty)

D This Week (qty)

Negotiated Value
(curr)
D This Week
(curr)
Negotiated Sch
(days)
D This Week
(days)

E. AMENDMENTS

Amendment No. Description Status Total Value Total Sch Total Invoiced
(curr) (days) (curr)

F. CLAIMS

Claim No. Description Status Prop Value Neg Value Prop Time Ext Neg Time Ext
(curr) (curr) (days) (days)
 CHANGES LOG EXECUTIVE SUMMARY
PROJECT No: (Job Number) REPORT No. (Report Number)
PROJECT TITLE: (Project Title-Name) PRINTED DATE: (Printed Date)
CLIENT: (Contractor Name)
LOCATION: (Project Location) RESPONSABLE: (Login User Name)
CUT-OFF DATE: (Cut-off Date) CURRENCY: (Currency)
Quantities Rough Order of Magnitude Price Estimated Price Negotiated Price Notes, Remarks:
Item Code STATUS OF CHANGES Initiated by (+) (-) Neutral TOTAL TOTAL Var Schedule Impact Total Impact Schedule Impact Total Impact Schedule Impact Total Impact
Client TR Impact Impact Impact This Week Last Week (%) (days) (E+P+C) (days) (E+P+C) (days) (E+P+C)
1 PC A. Potential Changes - Identified
2 PC-P Potential
3 PC-W Withdrawn
4 PC-AU Agreed Upon
5 CNA B. Change Notices Applications (CNA´s)
6 CNA-UP Under Preparation
7 CNA-I Issued
8 CNA-UD Under Discussion
9 CNA-R Rejected
10 CNA-W Withdrawn
11 CNA-AU Accepted by Client
12 CNA-C Claim
13 COR C. Change Order Request (COR´s)
14 COR-UE Under Estimation
15 COR-I Issued (Bid Box)
16 COR-UN Under Neg
17 COR-R Rejected
18 COR-W Withdrawn
19 COR-AU Agreed in Price & Sch
20 COR-C Claim
21 CO D. Change Order (CO´s)
22 CO-I Issued
23 CO-S Signed
24 CO-IV Invoiced
25 CO-P Paid
26 CO-S Settled
27 CO-A Append to Amendment
28 CL E. Claims
29 CL-UP Under Preparation
30 CL-I Issued
31 CL-UD Under Discussion
32 CL-AU Agreed Upon
33 CL-W Withdrawn
34 CL-AB Arbitration
35 AM F. Amendments
36 AM-UP Under Preparation
37 AM-I Issued
38 AM-S Signed
39 AM-IV Invoiced
40 AM-P Paid
41 AM-S Settled

F-ITG-421-004-IV Rev0
 PROJECT TITLE: (Project Title-Name) PRINTED DATE: (Printed Date)
CLIENT: (Contractor Name)
LOCATION: (Project Location) RESPONSABLE: (Login User Name)
CUT-OFF DATE: (Cut-off Date) CURRENCY: (Currency)
Phase of the Change: Change Notice Application (CNA) Change Order Request (COR) Change Order (CO) Estimated Impact Negociated Impact
Item No. Log Date Initiated by Rev. Description CNA Letter ID TR Letter Letter ID Client Letter CNA Status COR Letter ID TR Letter Letter ID Client Letter COR Status CO Client CO Letter ID Client Letter Current Notes / Action by / Date Schedule Eng Serv Proc Const Total Est. Schedule Eng Serv Proc Const Total Neg.
(Client/TR) Seq No. TR/Client Date Client/TR Date Resolution Seq No. TR/Client Date Client/TR Date Resolution Seq No. Seq No. Client/TR Date Status (days) (curr) (curr) (curr) (curr) (days) (curr) (curr) (curr) (curr)
01 40543
02
03
04
05
06
07
08

Legend:
CNA-UP Chg Notice Application Under Preparation COR-I Chg Order Request Issued (Bid Box) CO-IV Change Order Invoiced CL-W Claim Withdrawn
CNA-I Chg Notice Application Issued COR-UN Chg Order Request Under Neg CO-P Change Order Paid CL-AB Claim in Arbitration
CNA-UD Chg Notice Application Under Discussion COR-R Chg Order Request Rejected CO-S Change Order Settled AM-UP Amendment Under Preparation
CNA-R Chg Notice Application Rejected COR-W Chg Order Request Withdrawn CO-A Change Order Append to Amendment AM-I Amendment Issued
CNA-W Chg Notice Application Withdrawn COR-AU Chg Order Request Agreed in Price & Sch CL-UP Claim Under Preparation AM-S Amendment Signed
CNA-AU Chg Notice Application Accepted by Client COR-C Chg Order Request Under Claim CL-I Claim Issued AM-IV Amendment Invoiced
CNA-C Chg Notice Application Under Claim CO-I Change Order Issued CL-UD Claim Under Discussion AM-P Amendment Paid
COR-UE Chg Order Request Under Estimation CO-S Change Order Signed CL-AU Claim Agreed Upon AM-S Amendment Settled

POTENCIAL CHANGE Log Potential Changes in this section while evaluating their validity as a Change
NC Potential Seq Log Date Rev. Potential Change Description Rough Order of Magnitude (ROM)
Seq No. No. Current Notes / Action by / Date Schedule Eng Serv Proc Const Total Est.
Status (days) (curr) (curr) (curr) (curr)
xxx-yy 01 yyyy/mm/dd
xxx-yy 02 yyyy/mm/dd
xxx-yy 03 yyyy/mm/dd
xxx-yy 04 yyyy/mm/dd
xxx-yy 05 yyyy/mm/dd

F-ITG-421-004-IV Rev0 MPR APPENDIX D

Page 3 of 3