REQUEST FOR EQUITABLE ADJUSTMENT

Date

Mr. Contracting Officer

(Address)

Re: Request for Equitable Adjustment

(Subject)

Contract number

Dear Sir:

Attached please find the price breakdown and supporting data for my Request for Equitable Adjustment under this contract, for an increase in the contract amount of $ and a contract time extension of calendar days.

I am submitting this request because of

(Describe the problem, differing conditions, direction to proceed with a change, delays, etc.)

If you have any questions, I would be glad to meet and discuss this matter with you.

Being a small business, I cannot afford to finance this extra cost. Please issue a contract modification for this change as soon as possible.