The level of detail included in a contract management plan will vary, depending on the nature of the goods or services being purchased. The majority of the information needed to complete the contract management plan will be located in the contract (including the specifications and the contractor's tender documentation).he level of detail included in a contract management plan will vary, depending on the nature of the goods or services being purchased. The majority of the information needed to complete the contract management plan will be located in the contract (including the specifications and the contractor's tender documentation).
Some people may be born with mitral valve abnormalities (congenital). A faulty or failing mitral valve may cause symptoms such as cough, shortness of breath, swollen feet or legs, chest pain, fatigue, and lightheadedness. Symptoms typically appear or worsen when your heart rate increases (such as during exercise) and may be triggered by an infection or pregnancy.
People with an abnormal mitral valve may need mitral valve repair or replacement if: 1  Symptoms are getting worse. 2  The left ventricle of the heart is enlarged. 3  The heart function gets worse.