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Pif 12 Vo
Pif 12 Vo
Pif 12 Vo
You are hereby directed to make herein described changes from the plans and specifications of the following described work not included in the plans
and specifications:
DESCRIPTION OF WORK TO BE DONE : _________________________________________________________________________________________________________
REASON FOR CHANGE : _____________________________________________________________________________________________________
CHANGE REQUESTED BY : ______________________________________
ITEMIZED QUANTITIES AND COST OF REVISION IS SHOWN IN THE ATTACHED BILL OF QUANTITIES AND COST ESTIMATE
NAME & SIGNATURE NAME & SIGNATURE NAME & SIGNATURE NAME & SIGNATURE
Project Engineer Chief of Implementing Sec/Div. Asst. District Engr./Asst. Regional Dir. District Engineer/Regional Director
Date : __________________________
Note: This Variation Order is not effective until approved.
PIF-12-VO-01A Rev 00
Republic of the Philippines
Department of Public Works and Highways
Implementing Office
PROPOSED VARIATION ORDER NO.: __________
Contract ID :
Contract Name & Location :
Name of Contractor:
You are hereby directed to make herein described changes from the plans and specifications of the following described work not included in the plans
and specifications:
DESCRIPTION OF WORK TO BE DONE :____________________________________________________________________________________________
REASON FOR CHANGE : ___________________________________________________________________________________________________________
CHANGE REQUESTED BY : ______________________________________
ITEMIZED QUANTITIES AND COST OF REVISION IS SHOWN IN THE ATTACHED BILL OF QUANTITIES AND COST ESTIMATE
NAME & SIGNATURE NAME & SIGNATURE NAME & SIGNATURE NAME & SIGNATURE
Project Engineer Project Manager Project/Bureau Director Undersecretary
DPWH & Consultant, if any DPWH & Consultant, if any Date : _________________________
PIF-12-VO-01B Rev 00
Contract ID :
Contract Name :
Location :
Contractor :
Conformed:
PIF-12-VO-02A Rev 00
Contract ID :
Contract Name :
Location :
Contractor :
Prepared by: Checked by: Submitted by : Verified as to Unit Cost: Verified as to Quantities
NAME & SIGNATURE NAME & SIGNATURE NAME & SIGNATURE NAME & SIGNATURE NAME & SIGNATURE
BOC
Project Engineer Project Manager Project Director BOD Director
Director
DPWH & Consultant, if any DPWH & Consultant, if any (if BOC is not the IO)
Conformed:
PIF-12-VO-02B Rev 00
Republic of the Philippines
Department of Public Works and Highways
(IMPLEMENTING OFFICE)
(Adress)
PROJECT/LOCATION :
TO:
You are hereby directed to make herein described changes from the plans and specifications of the following described work not included in the plans and specifications:
CHANGE REQUESTED BY :
ITEMIZED QUANTITIES AND COST OF REVISION IS SHOWN ON THE ATTACHED BILL OF QUANTITIES
We the undersigned Contractor/s have given careful consirderation to the change proposed and hereby agree, if Original Contract Amount : :
this proposal is approved that we will provide all equipment, furnish all materials except as maybe otherwise be Revised Contract Amount :
noted and perform all service necessary for work above specified and will accept as full payment thereto the (+) Additive :
prices shown on the attached sheet. (-) Deductive :
Difference of Cost to this Change: :
Net Cost of Previous Change :
Total Cost of Change :
Estimated Revised Contract Amount :
ACCEPTED BY: Percentage of Change in Original Contract :
Original Contract Time :
NAME & SIGNATURE Approved additional Contract Time due to V.O. :
Contractor Revised Contract Time :
DATE: Effectivity of Contract :
Original Expiry Date :
Revised Expiry Date :
PROJECT/LOCATION :
TO:
You are hereby directed to make herein described changes from the plans and specifications of the following described work not included in the plans and specifications:
CHANGE REQUESTED BY :
ITEMIZED QUANTITIES AND COST OF REVISION IS SHOWN ON THE ATTACHED BILL OF QUANTITIES
We the undersigned Contractor/s have given careful consirderation to the change proposed and hereby agree, if this proposal is approved Original Contract Amount : :
that we will provide all equipment, furnish all materials except as maybe otherwise be noted and perform all service necessary for work Revised Contract Amount :
above specified and will accept as full payment thereto the prices shown on the attached sheet. (+) Additive :
(-) Deductive :
Difference of Cost to this Change: :
Net Cost of Previous Change :
Total Cost of Change :
Estimated Revised Contract Amount :
ACCEPTED BY: Percentage of Change in Original Contract :
Original Contract Time :
NAME & SIGNATURE Approved additional Contract Time due to V.O. :
Contractor Revised Contract Time :
Effectivity of Contract :
Original Expiry Date :
Revised Expiry Date :
RECOMMENDING APPROVAL:
PREPARED BY:
SUBMITTED BY APPROVED:
Concurred:
PIF-12-VO-03A Rev 00
Contract ID :
Contract Nam:
Location :
Contractor :
Prepared by: Checked and Submitted by : Submitted by : Verified as to Unit Cost: Verified as to Quantities
NAME & SIGNATURE NAME & SIGNATURE NAME & SIGNATURE NAME & SIGNATURE NAME & SIGNATURE
Project Engineer Project Manager Project Director BOC Director BOD Director
DPWH & Consultant, if any DPWH & Consultant, if any (if BOC is not the IO)
Concurred:
PIF-12-VO-03B Rev 00
Contract ID :
Name of Projec
:
Location :
Contractor :
Concurred:
Contract ID:
Contract Name:
Location:
Contractor :
ADDITIVE QUANTITIES
Items Reason
DEDUCTIVE QUANTITIES
Items Reason
NEW ITEMS
DELETED ITEMS
Items Reason
PIF-12-VO-04 Rev 00