CBIM Form 8-4
Office of the Community Sub-Project Management Committee
Barangay ILUSTRE
Municipality of President Roxas
Province of North Cotabato
VARIATION/EXTRA WORK ORDER NO.
Name of Sub-Project: CONSTRUCTION OF POTABLE WATER SYSTEM LEVEL I
(SPRING DEVELOPMENT) (Additional Work: ADDITIONAL 1- UNIT INTAKE BOX
AND PIPELINE OF POTABLE WATER SYSTEM LEVEL II (SPRING DEVELOPMENT)
Location: Barangay lustre, President Roxas, Cotabato Province
To: JOHN RAY CONSTRUCTION AND SUPPLY
You are hereby directed to make the herein described changes from the PLANS and
SPECIFICATIONS, or do the following described works included in the PLANS and
SPECIFICATION,
DESCRIPTION OF WORK TO BE DONE:
4 ADDITIONAL 1- UNIT INTAKE BOX AND PIPELINE OF POTABLE WATER
‘SYSTEM LEVEL I (SPRING DEVELOPMENT)
REASON FOR CHANGEIS: These additional works for additional 1 unit intake th
300 (nm transmission line is necessary to augment the shortage of supply as observed
uring actual testing of system especially af the areas exceeding 50 household
jally at the areas exceeding §0 households,
CHANGES REQUESTED BY: Project Implementation Team_CSPMC and Bray. Counc
‘Works to be performed at original appr
roved total cost
Difference in cost this changes: Pho: 86,195.00
Original ContractiApproved Amount PhP._776,182.7
Estimated Revised ContracvApproved Amount PhP._862.377.78
By reason ofthis Proposed Additional works, 15 _ days Extension of working time will
be allowed.ITEMIZED QUANTITIES AND COST REVISION ON REVERSE SIDE OF THIS SHEET
‘We, the undersigned implementers have given careful consideration to the proposed
changes and hereby agree thereto, following this proposal is approved we will provide
adequate materials, labor and equipment to perform any or all services necessary for the
process shown on the reverse side of this sheet.
Noted:
a
neceh M.GASITA ALAY BAGUIO
Barangay ChairpersonHOPE CSPMC Chairman
Date: _ywe cy 2426 Date:__ Wor. G, 2626ororgey
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