CHANGE ORDER REQUEST (COR)COR No: Date :Contract No: Contractor:Project No:Description of Chane:1)2)Reason of Chane:Dra!in an" specification Reference:Dra!in No# Section No#O$NER % REPRESENTAT&'E CONTRACTOR(): () :Date : Date :The COR represents an) an" a** a+o,nt Contractor c*ai+s for the chane referre" to herein (inc*,"in an) c*ai+ fro "e*a) or i+pact ,pon the Project Sch",*e- .i*estone of other Contractti+e)CHANGE ORDER (CO)CO No: Date:Contract No :Project No: Contractor : A""ress: Attention : Except as otherwise expressly provided herein, Contractor agrees to perform the work described herein in accordance with the Contract DocumentsContractor shall notify surety of this Change !rderDescription of CO :Pricin :Da)s (a""e") ("e*ete") as a res,*t of this CO:Re/ise" S,0stantia* Co+p*etion Date is:Re/ise" 1ina* Co+p*etion Date is :OR&G&NA2 CONTRACT PR&CEPRE'&OUS CO NU.(ERS (33333 thro,h333333)A.OUNT O1 TH&S COCURRENT CONTRACT PR&CE"his C! represents final ad#ustment for, any and all amount due or to become due Contractor for changes referred to hereinContractor further releases all other claims, if any $except those claims previously submittedin accordance with the Contract), for additional compensation under this Contract %greement, including without limitation any rights Contractor may have for additional compensation arising out of delays or disruption of impact upon Contractor&s schedule, any 'ilestone or other Contract time as may have arisen prior to the date of this C!(nless otherwise provided herein, the time of completion and other terms and conditions of the Contract remain unchangedO$NER % REPRESENTAT&'E CONTRACTOR(): () :Tit*e : Tit*e :Date : Date :PLB-KH BINA SDN BHDProject:Proposa* Of R#C# (ea+ Crac4s Epo5) &njection $or4Date :3/14/2011Item Descriptions SOR UnitQty Rate (RM) Amt (RM) 10 !o s"pp#y s$i##e% #a&o"r' too#s' e("ipments am%)oncresi*e 1333 #o+ *iscosity ,po-y resin to%o In.ection +or$ to appro- 2m crac$ #ine /e+ #ine 20001'20000 21'20000 (Any additional point based on RM84.00 / point @100mm c/c)20 !o s"pp#y s$i##e% #a&o"r' too#s' e("ipments am%)oncresi*e 2121 so#*ent 3ree epo-y resin &in%erto 3i## "p 4o#es 3or:a)32mm %iameter - 200mm %ept4 /e+ nos 5200 1000 4'20000 &)12mm %iameter - 120mm %ept4 /e+ nos 11000 3200 1'20000 Note : 1)The above works shall be carrie o!t b" S#ecialist $a%el" Alvatis Tech$olo&ies '() S$ Bh)*) +!a$tities shall be #rovisio$al a$ s!bjecte to ,i$al %eas!re%e$t) Total Aitio$ -ost : ./0111)22 -ADAN3ANPINDAANDANTA(BAHANS45TA(4(P45BAIKIK4PADAKILAN3S4DIAADA*TIN3KATDIATAS L6T *11/0 H)S) 'D) 727890 (:KI( 10 ;ALAN ;4LA0 A5-TD-17 ? A5-2.(6or )OR 7 )O /o 13)Ite% S65 Descri#tio$ :$it+t") 5ate A%o!$t 5e,(RM) OmissionChange of Staircase detail S1 & S21 11 111mm t4$ 4a#3 &ric$ +a## m2 51452 2528 (28'14251)2 11 )ement san% p#asterin9 m21'02553 2184 (35'80210)3 31 :aintin9 interna##y m21'02553 1212 (22'18080)4 44 300-300mm ;omo9eneo"s ti#es m2 0340 8282 (2'02425)1 44 /osin9 ti#es m 12120 1515 (2'32103)!o omit partition at /e+ 9ra%e to re("ire% cam&ersm2 (21000)001(20050)an% 9ra%ient as %escri&e%> 43 811 10mm t4ic$ ()onso#i%ate%) o3 san% an$et to t4em2 (21000)242(22432)re("ire% cam&ers an% 9ra%ients > 44 812 230mm t4ic$ (conso#i%ate%) o3 10mm cr"s4er r"n asm2 (21000)535 (2'42222)&ase co"rse ro##e% to t+o #ayers to t4e re("ire% cam&ers an% 9ra%ients' +atere% an% in%e% as %escri&e% an% t4oro"94#y conso#i%ate% &y 21 tonne ro##er41 813 21mm t4ic$ (conso#i%ate%) o3 40mm asp4a#t concretem2 (21000)2152 (1'21132)as &in%er co"rse ro##e% to t4e re("ire% cam&ers an%9ra%ients42 814 40mm t4ic$ (conso#i%ate%) o3 20mm asp4a#t concretem2 (21000)1253 (3'33154)as +earin9 co"rse ro##e% to t4e re("ire% cam&ersan% 9ra%ients48 811 810mm - 810mm)/os200 3030020200 22 /e+ 200mm - 200mm (ori9ina# > 810mm - 810mm)/os300 45000 1'48000 23 /e+ 500mm - 410mm (ori9ina# > 410mm - 410mm)/os100 2300023000 24 /e+ 1500mm - 810mm (A%%itiona#)/o1002'80000 2'80000 21 /e+ 1500mm - 500mm (A%%itiona#)/o1003'24000 3'24000 22 /e+ 1mm t4ic$ corrosion resistant stee# p#ate /os2001'10000 3'00000 30 !RAS; S)R,,/31 /e+ S"pp#y an% insta## s"mp c/+ tras4 screenSiAe: 150m - 081m/os2003'30000 2'20000 (ori9ina# > 810mm -810mm (1 no)' 500mm - 500mm (1no)40 :recast Rein3orcement )oncrete Sc"pper :ipe41 /e+ 810 mm %iameter Disc4ar9e +it4 ori3ice to e-terna# %rain (%i%nBt m400 44000 1'82000 10 56AD 02) ,-ten% 3rom 21m to 212ma#on9 ,-ist (Ut"san) 6actory as per %ra+in9s11 85 ,-ca*ate o*ersite to s"&>9ra%e 3ormation #e*e#@ 9et o"tm213100 10122111 an% 9et o"t e-ca*ate% materia# 3rom site12 810 !rim' 9ra%e an% ro## s"&>9ra%e to re("ire% cam&ersm213100 00110211 an% 9ra%ient as %escri&e%13 811 10mm t4ic$ ()onso#i%ate%) o3 san% an$et to t4em213100 24231802 re("ire% cam&ers an% 9ra%ients14 812 230mm t4ic$ (conso#i%ate%) o3 10mm cr"s4er r"n asm213100 535 1'23005 &ase co"rse ro##e% to t+o #ayers to t4e re("ire% cam&ers an% 9ra%ients' +atere% an% in%e% as %escri&e% an% t4oro"94#y conso#i%ate% &y 21 tonne ro##er11 813 21mm t4ic$ (conso#i%ate%) o3 40mm asp4a#t concretem213100 2152 2'08112 as &in%er co"rse ro##e% to t4e re("ire% cam&ers an%9ra%ients12 814 40mm t4ic$ (conso#i%ate%) o3 20mm asp4a#t concretem213100 1253 1'25303 as +earin9 co"rse ro##e% to t4e re("ire% cam&ersan% 9ra%ients18 811 )/9)-ADAN3AN PINDAAN DAN TA(BAHAN S45TA (4(P45BAIKI K4PADA KILAN3 S4DIA ADA * TIN3KAT DI ATAS L6T *11/0 H)S) 'D) 727890 (:KI( 10 ;ALAN ;4LA ate *.r (arch *211(6or )OR 7 )O /o 14)No) S65 Desci#tio$ :$it+t" 5ate A%o!$t '5() 5e,-ADAN3AN PINDAAN DAN TA(BAHAN S45TA (4(P45BAIKI K4PADA KILAN3 S4DIA ADA * TIN3KAT DI ATAS L6T *11/0 H)S) 'D) 727890 (:KI( 10 ;ALAN ;4LA 410mm - 410mm)/os100 2300023000 24 /e+ 1500mm - 810mm (A%%itiona#)/o1002'80000 2'80000 21 /e+ 1500mm - 500mm (A%%itiona#)/o1003'24000 3'24000 22 /e+ 1mm t4ic$ corrosion resistant stee# p#ate /os2001'10000 3'00000 30 !RAS; S)R,,/31 /e+ S"pp#y an% insta## s"mp c/+ tras4 screenSiAe: 150m - 081m/os2003'30000 2'20000 (ori9ina# > 810mm -810mm (1 no)' 500mm - 500mm (1no)40 :recast Rein3orcement )oncrete Sc"pper :ipe41 /e+ 810 mm %iameter Disc4ar9e +it4 ori3ice to e-terna# %rain (%i%nBt pm400 44000 1'82000 10 56AD 02) ,-ten% 3rom 21m to 212ma#on9 ,-ist (Ut"san) 6actory as per %ra+in9s11 85 ,-ca*ate o*ersite to s"&>9ra%e 3ormation #e*e#@ 9et o"tm213100 10122111 an% 9et o"t e-ca*ate% materia# 3rom site12 810 !rim' 9ra%e an% ro## s"&>9ra%e to re("ire% cam&ersm213100 00110211 an% 9ra%ient as %escri&e%13 811 10mm t4ic$ ()onso#i%ate%) o3 san% an$et to t4em213100 24231802 re("ire% cam&ers an% 9ra%ients14 812 230mm t4ic$ (conso#i%ate%) o3 10mm cr"s4er r"n asm213100 535 1'23005 &ase co"rse ro##e% to t+o #ayers to t4e re("ire% cam&ers an% 9ra%ients' +atere% an% in%e% as %escri&e% an% t4oro"94#y conso#i%ate% &y 21 tonne ro##er11 813 21mm t4ic$ (conso#i%ate%) o3 40mm asp4a#t concretem213100 2152 2'08112 as &in%er co"rse ro##e% to t4e re("ire% cam&ers an%9ra%ients12 814 40mm t4ic$ (conso#i%ate%) o3 20mm asp4a#t concretem213100 1253 1'25303 as +earin9 co"rse ro##e% to t4e re("ire% cam&ersan% 9ra%ients18 811 D an% ,-10/A>D 3rom pac$a9e )SA 100Omission21 45 !o omit M,: ser*ice p#at3orm at