CHANGE ORDER REQUEST

NAME OF THE PROJECT : XYZ W.O,No: WO/BSC/

TO: XYZ Date: 04-Sep-17
FROM: ABC Change Order No:
Project Team If Others
Yes/No : Yes Specify:
Change Requested by:ABC
Dept: Company

TITILE OF CHANGE:
BOQ No Description of changes Excess Qty Reason for changes
Main Building
As per site conditions due to rock blasting levelling
2.01 PCC 1:3:6-Cum 1064.45
coarse (JMR Signed)
Column Concrete 8 No of columns newly added, sizes of the columns got
3.04(3) 888.00
revised
3.08(3) Beam Concrete 44.00 Peripheral beam depth changed

3.11 Retaining Wall Concrete 203.00 As per site conditions beacause of level difference

3.12(3) BF - GF Shear Wall Concrete 381.00 As per site conditions.

3.23 M 25,M30, M45 Concrete Grade Difference 2571.00

Item says f/w for foundations, rafts all together. Agreed
6.01 Raft Formwork
qty is 5553 Sqm for all types
6.05.3 BF - GF Column Formwork No of columns, sizes of the columns got revised
Because of Foundation to Basement level difference. For
6.06.3 BF - GF Shear Wall Formwork peer review we have considred tentative qty because of
no drawing from Foundation to Basement
6.06.4 GF - 1F Shear Wall Formwork Sizes , Height got changed.

6.07.2 GF Beam Formwork Beams faced towards cutout, outer side got changed

6.07.3 1F Beam Formwork Beams faced towards cutout, Outer side got changed

STP Wall Formwork Final agreed qty in peer review for walls is 3752 Sqm
6.19.3
where as as per WO it is 208 Sqm
11.02 Earth Dressing As per site conditions

11.03 Polythene Sheet Laying Grade slab area got changed, as per site

11.04 Boulders Laying As per site conditions

11.05 250 Dia DWC Pipe As per site conditions

NT ITEMS
NT 1 10MM Lockset Fixing

NT 2 12MM Lockset Fixing

NT 3 Shalitex Board

NT 4 160 Dia Pipe

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 DESCRIPTION OF CHANGE
Describe the change & resulting project modifications in order to accommodate the change:

Details Enclosed

REASON FOR CHANGE

Describe the reason for this change

As per changes in Design and site Requirement of XYZ

PROJECT SCHEDULE & COST IMPACT

Describe & quantity any anticipated change in the project schedule & cost resulting from this
change in Project scope:
BOQ ITEMS

Item No: 2.01 PCC 1:3:6-Cum

Boq Quantity: 900.00 Cum BOQ Rate 4249.81 Boq Amount: 3824829.00
New Quantity: 1964.45 Cum New Rate 4249.81 New Amount: 8348555.50
Non-Tender Qty: 1064.45 Cum NT Rate 4249.81 Non-Tender Amount: 4523726.50
DIFF AMOUNT 4523726.50

Item No: 3.04(3) Column Concrete

Boq Quantity: 6452.00 Cum BOQ Rate 5523.74 Boq Amount: 35639170.48
New Quantity: 7340.00 Cum New Rate 5523.74 New Amount: 40544251.60
Non-Tender Qty: 888.00 Cum NT Rate 5523.74 Non-Tender Amount: 4905081.12
DIFF AMOUNT 4905081.12

Effective change in the amount #REF!

in words
Project Schedule

Please submit this documents complete with cost break up if the activity is a non-tender item. NA
Bagmane approval or disapproval to incorporate this change into the project is authorized by signature below & returning this

APPROVALS
Approved Approved Approved

PMC Architect Bagmane Group

Authorized Signatory's & Signatory's Name Authorized Signatory's & Signatory's Name Authorized Signatory's & Signatory's Name

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