APPLICATION FOR EXTENSION OF TIME PART – 1

  1. Name of Contractor
  1. Name of the work as given in the agreement
  1. Agreement No.for
  1. Estimated amount put to tender
  1. Date of commenced of work as per Agreement
  1. Period allowed for completion of work as per Agreement
  1. State of completion stipulated in agreement
  1. Period for which extension of time has been given previously

1st extension vide EE;s NO.Months Days

2nd extension vide EE’s No.

3rd extension vide EE NO.

4th extension previously EE No.

  1. Reasons for which extension have been previously (copies of the previous application should be attached)
  1. Period for which extension is applied for
  1. Hindrance on account of which extension is applied for with dates on which hinderance occurred and the period for which these are likely to last.

Serial
No. / Nature of Hindrance / Date of occurance of hinderance / Period for which is likely to last / Period for which extension required for this particular hinderance / Overlapping period if any with reference to them / Net extension applied for / Remarks (if any)
1
2
3
4
5
6
8
9

Total period for which extension is now applied for hinderances mentioned above

  1. Extension of time required for extra work
  1. Detail of extra work an amount involved

a . Total value of extra work

Proportionate period of extension of time based estimated amount put to tender on account of extra work.

Total extension of time required for 11 & 12

Submitted to the Sub Divisional Officer

Signature of Contractor

Dated

APPLICATION FOR EXTENSION OF TIME-PART 2

To be filled in by the sub-Divisional Officer

1. Date of receipt of application formContractor for the work of in the Sub-Division Office

2. Acknowledgement issued by S.D.O. vide his No.Dated

3. Recommendations of S.D.O. as to whether reasons given by the contractor are correct and what extension,

if any, is recommended by him. If he does not recommended the extension reasons for rejection should be given.

Dated Signature of Divisional Officer

To be filled in by the Executive Engineer

  1. Date of receipt in the Divisional Officer.
  2. Executive Engineer’s remarks regarding hinderances mentioned by the contractor.

Serial No. / Nature of Hinderance / Date of occurrence of hinderance / Period for which is hinderance likely to last / Extension of time applied for by the contractor / Overlapping period if any giving reference to item which overlaps / Net Period for which ext6ension is recommended / Remarks as to why the hinderance occurred and justification for extension recommended
(i)
(ii)
(iii)
(iv)
(v)
(vi)
(vii)
(ix)
(x)
  1. Executive Engineer’s recommendations the present progress of the work should whether the work is likely to be completed by the date up to which extension has been applied for . If extension time is not recommended what compensation is proposed to be levied under clause 2 of the agreement.

Dated Signature of Executive Engineer

S.E’s recommendations

Additional Chief Engineer’s recommendationsSignature of Superintending Engineer