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Proactive Disclosure
Extension of Time on Contracts
Disclaimer: The HTML version of these forms is a representation of the content only. Please download the PDF version to use with your procurement. If you encounter problems or have questions regarding the PDF please contact Acquisitions.
Instructions:
Contractor to complete Part 1 and submit to departmental Representative along with consent of bonding company whose bond forms part of the contract security.
Part 1 - Application
Contractor (Name and Address):
Description and Location of Work:
Contract No.:
Project No.:
Current Completion Date:
Date Applied For:
Reasons for Requesting Extension:
There will be additional cost as a result of this extension.
[ ] Yes
[ ] No
Signature:
Date:
Part 2 - Recommendation
1. [ ] Grant an extension of time to the Contractor
2. [ ] Do not grant an extension of time to the Contractor.
Reason for recommendation:
Departmental Representative:
Date:
Part 3 - Authorization
Approved:
Date:
