Project Name 000 509 F00501

CONTRACT NUMBER 18 Feb 04

Project Location Page 1 of 1

REQUEST FOR INFORMATION (RFI)

PROJECT NAME PROJECT # DATE RFI #

WBS (Work Breakdown Structure) WORK PACKAGE TURNOVER/STARTUP SYSTEM DISCIPLINE

REQUEST TO (RESPONDENT): RESPONDENT’S COMPANY/LOCATION PHONE/EMAIL

SUBJECT:

SPECIFICATIONS/DOCUMENTS/DWGS REFERENCED OR IMPACTED:

QUESTIONS/DESCRIPTION OF CONFLICT:

ORIGINATOR’S RECOMMENDED SOLUTION:

ORIGINATOR (Sign) TITLE DATE APPROVED (Sign) TITLE DATE

ORIGINATOR’S (SUB) CONTRACTOR COMPANY NAME: ORIGINATOR’S (SUB) CONTRACT #:

REPLY REQUIRED BY:

RESPONSE:

RESPONDENT (Sign) TITLE DATE APPROVED (Sign) TITLE DATE

ARE THE QUESTION AND RESPONSE ADEQUATE FOR CLOSURE IS THERE A COST IMPACT DUE TO THIS RFI? YES NO
OF THIS RFI? YES NO IF YES, SITE INSTRUCTION TO BE ISSUED
IS THERE A SCHEDULE IMPACT DUE TO THIS RFI? YES NO THE WORK WAS COMPLETED AS NOTED ON THIS CLOSED
IF YES, SITE INSTRUCTION TO BE ISSUED RFI AND VERIFIED BY DATE:

DISTRIBUTION:

The response to this RFI is NOT an authorization to perform a change to the contract. Work may proceed in accord with the response only if such
work involves NO change in cost or schedule. If the response involves change in cost or schedule, a Site Instruction or similar document must be
received before the response can be executed. Where no Site Instruction is indicated, action must be taken in accordance with Article 15.0 of Part III,
Section 15.2 and subject work must not proceed in accordance with Section 15.3 or 15.4 of Part III, General Terms of the Fluor Standard Contract.

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