Quotation for Design Change or Additional Work

File No.:

Design Change No.:

Contractor:

Vessel:

PWGSC Contract Serial No.:

You are requested to inspect the work specified and to furnish without delay a firm price quotation for carrying out this work.

Description of Design Change or Additional Work:

Detailed specification of work attached as Appendix " "

Drawings Affected	Titles	Drawing no.	Dated YYYY-MM-DD

A Description of Work	Increased/Decreased Person hours	Contract Chargeout Rate per Hour	Total
Sub-Total A			$

B Material Requirements	Net Cost Addition/Deletion	Profit per Contract	Total
Sub-Total B			$

Delivery

___ If approved not later than ___ this work can be carried out during the scheduled period of construction.

___ This work will delay completion of the vessel by ___ days.

___ Prices quoted are valid for ___ days.

Date:

Position:

Signature:

Inspector's Certification (PWGSC)

Date:

Position:

Signature:

Design Authority Certification

Certified as being technically acceptable and in accordance with the above specified requirements.

Date:

Position:

Signature:

Summary of Cost

Labour, Overhead, and Profit (person hours X chargeout rate) A:

Material and Profit Matériaux et profit B:

Sub-total $:

Total Firm Price: Increase or Credit $:

Date:

Position:

Signature:

PWGSC Authority to Take Work in Hand

You are hereby authorized to undertake the work as specified in accordance with the contractual terms for the sum of $

Date:

Position:

Signature:

Date:

Position:

Signature:

Note: Attach additional sheets if necessary.