CLAIM
COVER LETTER
Date
Mr. Contracting Officer
(Address)
Re: Claim for Equitable Adjustment
(Subject)
Contract number
Dear Sir:
Regarding my Request for Equitable
Adjustment dated , I consider this matter to be in dispute. I am claiming an
increase in the contract amount of $ , a contract time extension of
calendar days, and return of liquidated damages withheld in the additional
amount of $ .
(Note: If you have any additional data to
submit, include this sentence: Attached please find two copies of additional
supporting data for my claim.)
I believe that the claim is self-explanatory
regarding the damaging events and extra costs and time of performance which we
have incurred under this contract. However, should you require additional
information regarding this claim, please contact me at telephone number (000)
000-0000.
I request a final written decision of the
Contracting Officer within sixty (60) days, as provided for by the
"Disputes" clause of the contract.
I hereby certify that the claim is made in
good faith; that the supporting data are accurate and complete to the best of
my knowledge and belief; that the amount requested accurately reflects the
contract adjustment for which the Contractor believes the Government is liable;
and that I am duly authorized to certify the claim on behalf of the Contractor.
(Note: Last paragraph not required for a
claim of less than $50,000.00)