MAZAYA Engineering Consultants
VARIATION REQUEST – Management Division
Ref. #: DAR
Ref. # : VO______
PROJECT NAME: PROJECT No.:
DATE:
TITLE:
BOQ Ref Original Item Description Original Total
Dhs
DESCRIPTION OF CHANGE: Status
Relevant Contract Clauses:
REASON FOR CHANGE Change Requested by: Date:
Contractor Authorized Signature: ………………………
CONTRACT START DATE Date
CONTRACT FINISH DATE BEFORE THIS CHANGE Date
CONTRACT AFTER THIS CHANGE Date
EXTENSION OF TIME GRANTED FOR THIS CHANGE Days
TOTAL OF THIS CHANGE (VARIATION) Dhs
AMOUNT OF ADJUSTED CONTRACT Dhs.
APPROVED BY APPROVED BY CLIENT APPROVED BY CONTRACTOR
CONSULTANT
___________________________ ____________________ _________________________
Authorized Signature Authorized Signature Authorized Signature
Date _______________________ Date _______________ Date _____________________