Padamla Godhara Pipe Line Project GSPL/TS/110/001

Gujarat State Petronet Ltd SECTION – VII (COP) Rev 1

Annex 8
Waiver/Deviation Permit

Project: PADAMLA GPDHARA GAS PIPELINE PROJECT

Client:- GUJARAT STATE PETRONET LIMITED
Consultant:- Mecon Limited
Third Party Insp.:-
Order/Contract No.:-
Originator: Originator Ref.:
Report no.: Date :
Requirement as per Specification Description of Waiver/Deviation sought

Why the Waiver/Deviation is required?

Contractual implications if Waiver/Deviation is granted:

Time taken shall be More/Less/No change

Cost of item shall be More/Less/No change

Performance requirement shall be Satisfied/Not satisfied

Under present constraints requested waiver/deviation is most optimum for the Project
and does not involve any security and safety hazard.

Date: Signature of Originator

Page 218 of 272

 Padamla Godhara Pipe Line Project GSPL/TS/110/001
Gujarat State Petronet Ltd SECTION – VII (COP) Rev 1

Decision on waiver/deviation with remarks, if any, on time/cost implications

[To be fill by the department/division by Owner’s Representative (S.O) for conveying to

the Originator]

Date: Signature:
Name:
Decision on waiver/deviation with remarks
[To be filled by the department/division by Owner’s Representative (H.O) (if required)
for conveying to the Originator]

Date: Signature:
Name:
Decision on waiver/deviation with remarks
[To be fill by the department/division by Owner (S.O) for conveying to the Originator]

Date: Signature:
Name:
Decision on waiver/deviation with remarks

[To be filled by the department/division by Owner (H.O) (if required) for conveying to the
Originator]

Date: Signature:
Name:

Page 219 of 272