Section Execution

Status Controlled Document

MATERIAL APPROVAL REQUEST Reference PMC-RAC-CM-FM-0720
Revision 1 Date Nov-2021
Sheet No 1 of 3

Document No: Revision No:

Project Title: Project No:

Contractor: Date:

Consultant: Area:

We request the approval of the Engineer to supply the following materials for incorporation into the works

Part 1 - Material Particulars (one item per form)

Type of Material: Polypropylene (protection poly board )

Area of Application: tacking corners, protrusions, rounded surfaces and also uneven surfaces
BoQ Ref: Drawing Ref: Civil drawing

Specification: As per approval design drawing

Applicable Standards: ASTM E-154

Country of Origin: KSA

Availability: Available

List and attach all relevant technical literature marked to identify relevant description, current test
certificates, samples as appropriate

(a) Technical Data Sheet

(b) Test Report
(c) ISO Certificate
(d) previous Approvals
(e)

(f)

(g)

(h)

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Revision 1 Date Nov-2021
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Part 2 - Particulars of Manufacturer / Supplier

Company Name: UNITECH Isam Kabbani Group of Companies

Address 1: Kingdom of Saudi Arabia . 3rd Industrial City / Jeddah
Address 2:

Address 3:

Address 4:

e-mail: sfsp.jeddah@ikkgroup.com

Telephone No: +966 12 627 8222 Fax No: +966 12 627 8722

Part 3 - Particulars of Local Agent (if applicable)

Company Name:

Address 1:

Address 2:

Address 3:

Address 4:

e-mail:

Telephone No: Fax No:

Part 4 - Delivery Details

Ex-Works Total Latest Date for
Duration: Order:
Date Material Estimated Date of
Required on Site: Arrival on Site:

We certify that the above submitted items have been reviewed in detail and are correct and in strict accordance
with the contract drawings and specifications except as otherwise stated, and also that the material sources
indicated above have been reviewed in detail and that we will supply the submitted items in full compliance with the
schedule delivery plans

Contractor Authorised Signature

Name: Signature: Date:

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Revision 1 Date Nov-2021
Sheet No 3 of 3

Part 5 - Consultant Recommendation Comments

To Contractor:

☐ (A) Notice of No Objection ☐ (B) Subject to Comments ☐ (C) Notice of Objection

Name: Date: Signature:

Part 6 - RAC Approval

☐ (A) Approved ☐ (D) Rejected

Name: Date: Signature:

Footnote:

Approval shall not relieve the Contractor of its obligations and liabilities under the contract or constitute authorization of any change
to Contract Documents, and therefore, shall not imply any recognition whatsoever of additional time or cost to the contract.

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