Established in terms of Section 92(1) of the National Water Act, 1998 (Act No

36. of 1998)

Government Gazzette No 89/23053

PO BOX 2075, POLOKWANE, 0700

+27  082  462 7379 (012) 348 4654
LEBALELO WATER USER (012) 348 2253

ASSOCIATION E-mail: bierman@lebalelo.co.za

Call off Order

i. Master Contract Reference and Date of Signature:
___________________________________________________
ii. Call-Off Order Number: ____________________
iii. Call-off Order Date: ____________________
iv. Call-off Order Description:
_______________________________________________________________________
v. Previous Call-off Orders:
Number Description Value Active /Completed

vi. Description of Call-off Services:

vii. Time for Completion (Key Date(s) for Call-off Services:

viii. Costs and Planned Hours for Call-off Services:

Item Description of Rate Per Hour Estimate Total
Services (If not provided Hours Cost
in Master
Contract)

ix. Special Conditions for this Call-Off Order:

Executed by the authorised representatives of the Parties to this Agreement:

Consultant Sign: Employer Sign:

Name: Name:
Date: Date: