Northwest Innovation Works, Llc Kalama Methanol Project Feed Phase Change Order

Technip India Ltd Project no

070362C001

TPI Proj no.

070362C002

NORTHWEST INNOVATION WORKS, LLC KALAMA METHANOL PROJECT FEED PHASE CHANGE ORDER

Client

TPUSA

Contract no

Change order no. 070362C002-200-CO-1150-001

Dated:

IDENTIFICATION Title :

CAUSE OF CHANGE x JUSTIFICATION OF CHANGE

LIST OF ATTACHEMENTS Annexure 1 - Break up for cost impact.

ESTIMATED IMPACTS YES

NO

Amount ( in USD )

Duration ( In weeks )

CONTRACT PRICE

X

-

WORK TIME SCHEDULE

-

X

-

-

OTHER

-

X

-

-

PREPARED BY:

APPROVED BY:

Name & Designation

Name & Designation

Sign (with date)

Sign (with date)

CLIENT'S APPROVAL YES

NO

AUTHORIZED REPRESENTATIVE

AGREED

Name

Remarks :

SIGNATURE (with date):

Sheet 1 of2

PCO - 001 Annexure 1 - Break up for cost impact KALAMA METHANOL PROJECT FEED PHASE

TECHNIP INDIA LTD.

A) Details of Manhour Impact S.no

Documents / Activities

Process

Combustion

Instrumentation

Electrical

Procurement

Project Mgmt

1 2 3 4 Sub Total

0

Total

0

0

0

0

-

0

B) Overall Cost S.no

Description

1

TPI Manhour cost

2

Misc cost GRAND TOTAL

Amount (USD)

-