Client (AG
)
Company
:
Street/Postbox:
:
Postcode Town:
Telephone
:
E-Mail:
Person spoken to
/
Function:
Contractor (AN)
BRUGG Rohrsysteme Gmb
H
Adolf-Oesterheld-Straße 3
1
31515 Wunstor
f
Person spoken to/Function
:
Projec
t
Address of construction site
:
The following was agreed upo
n
1. The following documents/agreements shall apply
and Conditions/Basis for discussions
:
Offer(s), No./Date
Product
s
Technical remarks in advance/approval
s
Existing “con
firmed” drawings
Supplementary agreements:
2. Scope of work:
Offer No./Date
Contract speci
fications pages, items
Delivery, layin
g
Insulation after installatio
n
3. Additional work to be done:
Addendum, if known
Services to be performed
(details of pricing/remuneration)
Client
Date/Initial
s
Contracto
r
Date/Initials
04.05.2022 Subject to technical changes. Page 5