IE

Dlsc(ajmer;
Thefollowingitemsat®horebysubmittedforroview.Woalsocertifythattheltemg8ubmlttedaroinfullconipliancowiththeContractdocumont8.
(NB, Any deviatlon§ are to be 6ubmittod 8epanatoly under a Request for Doviguon).

Attachment:

::c::i:i:::u:5rs utorature :!!#:Etes :T:ras#ir:;sedsupr::fy,

Company Responsible Person I DateF{eceived11Irol31 Date Relca8od
PMG (CM/ PM)
.- i,-,. ei. =2:I '1 '19 /&1
ClienvDesigner/Consuhant: U _- ._ __J /_' I''

Approver'€ Corrm.nt® on Submlttal:

Remarks q]l.. Chrd|
Approved
Approved with Comment, Resubm!t by:
Approved with Comment, Resubmlssion not required
Re§ubmitRejectedN!±:!±9£!±!±±±!:hp±±±!ndershEIllnctbeconsrfuBdtor®IIev)Bthoconlralctorofhisrospo±=i=ieb

ilfty urlder the Ctwtrocl. .

(Cll®nt/D®Ilon®r) Project Management Contmctor

Name and Signature Name and Signature Name and Signatilre
FIM I Cwhor I Contractor I
CM I developer I Others H

F-OPS-008-1 EFF: 01/22/21 Page 1 of 1