Republic of the Philippines

Quezon City
CITY ENGINEERING DEPARTMENT
Civic Center Building B, Quezon City Hall Compound, Elliptical Road
Diliman, Central 1100 Quezon City
Trunkline: +63 2 8988 4242

CONTRACT TIME EXTENSION NO. __

Contract Time Extension No. __ is hereby granted for the project, Contract ID
No.:__________- (Contract Name and Location), under contract with (Contractor),
equivalent to ___ (in words and figure) calendar days, covering the period from (MM/DD/YY) to
(MM/DD/YY), in view of the approved “Work Suspension Order No. __ and Work Resume Order
No. __” or “Monthly Time Suspension Report for the Month of _____” or “Slowdown of Work”
(choose one and delete the other two) due to (state reason/s e.g. RROW Problem/peace and
order condition/unfavorable weather condition) .

Effectivity of Contract :

Original Contract Duration :

Original Expiry Date :

Contract Time Extension No. / Duration Revised Contract Revised Expiry

Variation Order No. Duration Date

Submitted by:

___________________
Project Engineer, Planning and Design Division

Recommending Approval:

Engr. Leo S. Del Rosario

Head, Planning and Design Division

Approved by:

Atty. Mark Dale Diamond P. Perral

City Engineer

I hereby acknowledge receipt of this Contract Time Extension.

Date: _______ CONTRACTOR’S AUTHORIZED REPRESENTATIVE

Position