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Claim for Exchange Rate Adjustements - PWGSC-TPSGC 9411

As of November 2013, form "PWGSC-TPSGC 450" Claim for Exchange Rate Adjustments, must be used for requirements involving exchange rate fluctuation provisions.

of the above-referenced contract.

Foreign Currency Component (FCC) and Exchange Rates used at time of Bid Solicitation and/or Contract Negotiation

Item Unit FCC
in Foreign
Funds
(1)


Quantity
(2)
Conversion
Factor
(initial)
(3)

FCC
in Canadian Funds
(1 2 3) = (4)
Item no.1
Item no.2
Item no.3
Item no.4

Calculation for Exchange Rate Adjustments

Item
Unit FCC in
Foreign
Funds
(5)



Quantity
(6)

Conversion
Factor
(claimed)
(7)
Total Amount
Claimed -
in Canadian
Funds
(5 6 7) = (8)
Item no.5
Item no.6
Item no.7
Item no.8