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EPC for Accommodation Camp, Eridu Oilfield, Block 10, Iraq

ATTACHMENT VII.B - VARIATION PROPOSAL FORM

VARIATION PROPOSAL CONTRACTOR LOGO

PROJECT NAME:
CONTRACT NO:
CONTRACT TITLE:
DISCIPLINE:
VR REF. NO
VARIATION PROPOSAL:
SHEET 1 OF ____
COMPANY:
CONTRACTOR:
VARIATION PROPOSAL TITLE:

1. COMPANY INSTRUCTION NUMBER (IF ANY):


2. Description of requested VARIATION with reasons for request (attach additional sheets if
necessary):

Contract Clause reference:

Current Contract document reference:

WBS impacted:

(In case of CONTRACTOR’s initiation of Variation, the effect of the following criteria shall be
indicated as yes or no.)

Criteria affected:
Safety/Security Yes/No
Operability Yes/No
Constructability Yes/No
Legality Yes/No
Profitability Yes/No

3. Estimate Summary:

Cost Basis: lump sum / unit rate / day rate / other: _____________

Total Price of VARIATION: ______________ (lump sum / estimate)

Schedule Impact (if any, full details including man-hours adjustment, critical path analysis to be
attached):_____________

Basis of Estimate: (full supporting documentation, technical assessments and / or justification to

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ATTACHMENT VII.B VARIATION PROPOSAL FORM
EPC for Accommodation Camp, Eridu Oilfield, Block 10, Iraq

be attached)

SUBMITTED AND SIGNED FOR AND ON a) APPROVED IN PRINCIPLE or b)


BEHALF OF CONTRACTOR REJECTED BY COMPANY

____________________________________ ____________________________________
______ _____
CONTRACTOR REPRESENTATIVE COMPANY REPRESENTATIVE DATE
DATE DELETE a) or b) ABOVE

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ATTACHMENT VII.B VARIATION PROPOSAL FORM

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