DISPUTE,
PASS-THROUGH TO GOVERNMENT
(SUB-CONTRACTOR)
Date
Mr. Prime Contractor
(Address)
Re: Notice of Dispute
(Subject)
Contract number
Dear Sir:
Regarding my Request for Change Order dated
, it appears that efforts to settle have failed. If I do not receive a contract
modification for the amount of $ and a time extension of days within
seven (7) days, I will consider this matter to be in dispute.
Although I believe the Government to be
responsible for this change, my contract is with you and I must reserve my
rights to pursue this matter against you, should efforts to obtain fair
compensation from the Government fail.