IO LETTERHEAD

SITE INSTRUCTION NO. ___

(Notice to Undertake Works Included in the Contract)

Contract ID : _____________________________________________
Contract Name : _____________________________________________
Location : _____________________________________________
Date : _____________________________________________

TO:

(Name and Address of Contractor)

_____________________________
_____________________________
_____________________________

Please be informed that during site inspection conducted last <Date of Inspection>
the following were observed:
1._____________________________________________________________
2._____________________________________________________________
3._____________________________________________________________
4. _____________________________________________________________

The above-mentioned works included in the contract should be undertaken

immediately since (state the reason) _______________________________________
__________________________________________.

In this regard, you are hereby instructed to _________________________________

__________________________________________.
(state desired actions to be performed by the contractor)

NAME & SIGNATURE

Project Engineer
DPWH & Consultant, if any

Noted:

NAME & SIGNATURE

Implementing Section/Division
Project Manager
DPWH & Consultant, if any

Cc: Head of Implementing Office

I hereby acknowledge the receipt of this Site Instruction.

NAME & SIGNATURE

Project Engineer
Contractor
Date: __________________

PIF-05-SI-01 Rev 00