Energy Fiji Limited
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Electrical Contractor Change Form

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Job Ref:
Closing Date: 11/07/2026 at 12:08 PM

This form is used to advise the Energy Fiji Limited that the original contractor listed on the permit referenced below has been replaced, and to reflect that the permit be cancelled to reflect this change.

This is also used to advise the Energy Fiji Limited that the new contractor, who has signed below, agrees to assume all responsibility for any portion of the project that may have been installed by the original contractor.