CONTRACT CHANGE AUTHORIZATION

OP-362(REV 02/98)
CONTRACTOR AUTHORIZATION NO. DATE PREPARED
CCA #
PROJECT TITLE CONTRACT NO. LETTER MEMO DATE

The following change is hereby authorized in accordance with the aforementioned letter memorandum. with company guidelines
DESCRIPTION OF CHANGES (use separate sheet if necessary)

Expenses

REASONS (use separate sheet if necessary)

Oand Plane Fare Expenses of Fuji Technical Advisors can not be exactly determine awarding due to timing on
of the project.

Schedule A-3 of the contract provides that International Round Trip fare fee, accommodation, hotel fee shall be
shouldered by GCG and will be billed at actual cost.
the amount can not included from the contract price due to timing on project execution.
Provision to claim with round trip plane fare was stated but the amount of plane fare expenses can not be fixed due to
timing of project execution.

TYPE OF CCACA

Type of CCA:
C
o
s
t

R
e
l
a
t
e
d

Non-Cost Related

Compliance to National Legislations (Wage

Order, PADPAO,etc )

Cost Related
Non-cost Related
(Wage orders, PADPAO
adjustments, etc.)
Compliance to National Legislations
(Wage orders, PADPAO
adjustments, etc.)
Note:
When the cumulative cost of Contract Change Authorization or Change Order (CCA/CO) is up to 15% of
original contract amount, the approver is consistent with the approval limits on procurement
award.
When the cumulative cost of CCA/CO is beyond 15% but up to 30% cap of original contract amount, the
approver is the next higher authority from original contract approver.

Contract variations due to compliance to national legislations (wage

orders, PADPAO adjustment,etc.) shall require the approval of SCM.
 AMOUNT OF THIS
ADJUSTMENTS
TOTAL REVISED
TOTAL PREVIOUS VARIATION
PARTICULARS ORIGINAL CONTRACT AMOUNT
CONTRACT PRICE Amount / % Compared
( orig + CCA-1 + CCA-2)
to Original Contract
Amount

CONTRACT PRICE

COMPLETION DATE

OTHERS

PERFORMANCE SECURITY EXPIRY DATE

From_____ ________________ To______________________ Please attach endorsement for
Extension and or additional P.S.
EXTENSION NOT NEEDED
NOTED REVIEWED
PREPARED BY (PROPONENT):
BY SCM:

Buyer / Specialist / Manager

StafSupervisorf /Manger Supervisor / Manager
ENDORSED BYEndorsed by:
Note:
SCM Senior Manager All CCAs, whether cost-related or not,
VP SCM should pass thru SCM for review
and endorsement prior to approval
Chief Finance Officer Chief Finance
Officer (CFO) of signatory. The VP-SCM and
CFO shall endorse CCAs with
Contracts Review Committee (CRC)
Contracts Review Committee
original contract amounting to more
(CRC) than PHP2.0M, while the VP-SCM
shall endorse CCA with original
contract up to PHP2.0M
REMARKS:
VP-SCM

CFO

CRC

APPROVED BY (Approving Authority)

NAME (Print and sign) DESIGNATION DATE SIGNED

CONTRACTORS CONFORME
NAME (Print and sign) DESIGNATION DATE SIGNED