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CONSTRUCTION DELAY NOTICE
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NOTICE CONTROL & PARTIES
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Notice numberRevision number
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Notice statusNotice type
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Project nameProject number
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Contract / subcontract
Notice date
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Sender companySender name
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Recipient companyRecipient name
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Date sent
Required response date
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Delivery methodDelivery reference
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DELAY EVENT DETAILS
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SubjectDelay event title
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Delay event numberDelay category
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Delay causeResponsible party
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Responsibility statusDate identified
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Delay start dateDelay end date
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Continuing delayDate delay ended
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Event description
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AFFECTED WORK & LOCATION
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Exact locationBuilding
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FloorZone
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AreaRoom
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Grid lineSystem
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Equipment tagTrade
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Work activityCost code
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Schedule activity IDActivity description
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SCHEDULE IMPACT
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Original planned startOriginal planned finish
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Forecast startForecast finish
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Original completionForecast completion
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Critical pathFloat before
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Float afterEstimated delay days
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Actual delay daysConcurrent delay
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Affected milestonePredecessor
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SuccessorSchedule narrative
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LABOR, EQUIPMENT, MATERIAL & PROCUREMENT IMPACT
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Crew affectedCrew size
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Regular labor hoursOvertime labor hours
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Standby labor hoursEquipment affected
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Equipment hours lost
Equipment standby hours
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Material affectedProcurement item
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Purchase orderSupplier
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Fabrication affectedDelivery affected
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Access affectedInspection affected
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COST IMPACT
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Estimated labor cost
Estimated material cost
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Estimated equipment cost
Estimated subcontract cost
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Estimated other costEstimated total cost
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Actual labor costActual material cost
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Actual equipment cost
Actual subcontract cost
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Actual other costActual total cost
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Cost narrative
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CONTRACT REFERENCES & SUPPORTING RECORDS
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Contract clauseSpecification
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DrawingRFI
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SubmittalChange event
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Change orderField directive
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Meeting minutesDaily report
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Time recordEquipment log
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Delivery logPhoto
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InspectionAttachment
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MITIGATION & RECOVERY
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Mitigation attemptedMitigation start date
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Responsible partyMitigation status
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Resequencing proposed
Alternate work available
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Crew reassignmentOvertime proposed
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Additional equipmentExpedited material
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Temporary work
Recovery schedule required
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Mitigation / recovery narrative
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REQUESTED ACTION & RESPONSE
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Requested action
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Requested action due date
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Response dateResponse provided by
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Response description
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EXTENSION, COST RECOVERY & RESOLUTION
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Extension requestedDays requested
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Extension statusExtension approved
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Approved days
Cost recovery requested
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Requested amountCost recovery status
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Cost recovery approved
Approved amount
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Reservation of rights
Supplemental notice required
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Supplemental notice number
Final impact submitted
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Delay resolvedResolution description
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Resolution dateClosed by
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Closure dateClosure notes
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APPROVAL
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Prepared byReviewed by
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Approved byApproval date
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