Submission act

Municipality of ...............

Province of ……………

Works of ...............

Company: ...............

Contract date ............ rep. No. ............ registered at ............ on ............

Submission act

Granted

• that with the repertory Contract No. …………… of ……………, registered on …………… at No. …………… mod. ............... vol. ..............., Registry Office of ............... the works in question have been contracted out to the Company ..............., for an amount of EUR ........................... net of the discount auction of ……………%, over € ………………………… for VAT;

• that during the work it was found the need to carry out more works than foreseen in the main project, due to the following reasons ……………………………………………………… ………………………………………………

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and the following works have been prepared ..................................................

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……………………………………………………………………………………………………………;

• that for the aforementioned works a specific variation and supplementary report was drawn up by the Works Manager on ................................ for the amount of EUR ........................... net of the reduction of auction of ……………% as per Main Contract;

• that the appraisal work does not alter the conditions of the main Contract, nor the substance of the project;

• that this variation and supplementary report was approved by …………… with resolution no. …………… of ……………;

• that the prices applied are those present in the main contract for the work already envisaged and those indicated in the new price agreement report n ° …………… of ……………;

All this being said

The year two thousand .................. on the day .................. of the month of ............... with this deed, the following is agreed:

Art 1 - Mr. ..............., legal representative of the Company .................., after having read the aforementioned appraisal, undertakes to accept the execution of the variations found in the individual categories of work and to carry out without exception the supplementary and variant works, all as reported in the supplementary appraisal dated ……… and in the related attached drawings (table n ° ……………) which are part of this deed. All work will be carried out in compliance with the same agreements and conditions set out in the special tender specifications attached to the main contract.

The execution conditions are the same as those contained in the Contract on ……………, repertoire no. ……………, registered on …………… at no. …………… mod. ............... vol. ……………, Registry of ……….

Art 2 - For major works, the amounts obtained will be paid to the company by applying the unit prices of the price list attached to the main contract. Furthermore, the aforementioned Company ............... in the person of Mr. .........., owner / lawyer declares and undertakes to accept the following new prices not provided for in the main Contract, agreed with the Works Manager with the Agreement Report n ° …………… on …… pursuant to art. 163 of Legislative Decree 207/2010, with the application of the same auction discount of ……% of the aforementioned contract.

List of new prices

A) Materials

NP ………… ………… EUR …………… …………

NP ………… ………… EUR …………… …………

NP ………… ………… EUR …………… …………

B) Finished works

NP ………… ………… EUR …………… …………

NP ………… ………… EUR …………… …………

NP ………… ………… EUR …………… …………

Art 3 - The overall total amount of the works in question amounts to euro ............... net of the auction discount of ...............%, of which euro ............... over euro ............... for VAT for more works than the aforementioned Main Contract.

Art 4 - As a result of the execution of the supplementary works in question, the deadline for the completion of the works set by article ............... of the Special Tender Specifications in .................. days is extended by ......... … Days.

The expenses relating to this deed are paid by the undersigned company.

This deed is immediately binding for the contractor, while it will become binding for the contracting administration only after it has been approved.

The construction manager

The contractor

The person in charge of the procedure