MINUTES
Subject : Inspection for Temporary (Provisional) Acceptance
Project and Location: - cobblestone beroda Addministration office
Beroda Town
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Client: - Goro Gutu Woreda Finance Office
Consultant __________________________ Contractor:-kedir,mohammed & MSE
Mooting hold at ______________________ Time:- __________________________
Date of Inspection ____________________
Present were Represented from
1. ______________________________ _______________________________
2. ______________________________ _______________________________
3. ______________________________ _______________________________
4. ______________________________ _______________________________
5. ______________________________ _______________________________
6. ______________________________ _______________________________
7. ______________________________ _______________________________
8. ______________________________ _______________________________
In order to determine the satisfactory completion of the ______________________,
the above representatives proceeded with the Inspection and made the following
observations.
I ______________________________________
Outline of remarks and/or changes noticed.
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We the above representatives hereby our respective signatures witness that:
1. The Construction of this ___________________________________________
in accordance with plans & specifications.
2. Outlines of remarks given above is based on our observations and is to be
notified as per plan and specification.
3. Promotion of the provisional acceptance is affected as of
______________________________________________________________.
C.C.
__________________________
__________________________
__________________________
__________________________
MINISTRY OF WORKS AND URBAN DEVELOPMENT
TEMPORARY(PROVISIONAL) ACCEPTANCE
Project : _______________________________________________
Location : _______________________________________________
Employer : _______________________________________________
Contractor : _______________________________________________
Contract : No. Date Amount Eth. B Basis
A. Main Contract ________ ________ _________ _________
B. Suppl. Agreement ________ ________ _________ _________
C. Variation Order No. 1 ________ ________ _________ _________
D. " " " 2________ ________ _________ _________
E. " " " 3 ________ ________ _________ _________
F. " " " 4 ________ ________ _________ _________
This _____________ day of __________ 19 ____ by the order of our respect
Department and after due notification to all concerned parties, we the undersigned:
1. __________________________ Representing the _________________________
2. __________________________ " " _________________________
3. __________________________ " " _________________________
4. __________________________ " " _________________________
5. __________________________ " " _________________________
6. __________________________ " " _________________________
7. __________________________ " " _________________________
Have examined:
a) Contracts, Drawings and Specifications:
b) _________________________________________________________________
c) _________________________________________________________________
and have proceeded with the ascertainment of the completion and Temporary
Acceptance of the above project on the bases of the following information:
A. Date when the contractor took possession of site ___________________________
B. Agreed length of completion time ______________ Calendar days (working days)
C. Commencing date ___________________________________________________
D. Completion date according to contract : _________________________________
E. Actual completion Date : ______________________________________________
F. Total Number of delay ________________________________________________
G. Number of justified days of delay _______________________________________
H. Number of Unjustified days of delay _____________________________________
I. Penalty of ________day Eth. Birr ______________ per day Eth. Birr ___________
ACCOUNT
Total value of work executed and/or
Material supplied _______________________________
DEDUCTIONS
1. Previous payments _____________________________
2. Penalty ______________________________________
3. Rebate _______________________________________
4. _____________________________________________
Total deductions ____________________________
Total amount due to the contractor ______________
Retention money __________% of the total value of
work expected payable on the final acceptance
__________________________________________
Net Sum Payable to the Contractor ______________
Performance Bond: ________________________________
REMARKS: _________________________________________________________
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Conclusion:
The date for final acceptance will be _______________________________________ after
thorough investigation of the works in all its parts excepting invisible latent defects, we
declare that it was executed in accordance with the Drawings and the Specifications in an
acceptable manner.
We witness thereof, we have written and signed this temporary acceptance of which one
copy is to be issued to the contractor for all practical purposes after due approval.
__________________________ _____________________
Construction Supervisor Contractor
ATTENDING PARTIES
1. ____________________ 2. ________________ 3. _________________
4. ____________________ 5. ________________ 6. _________________
Date ______________________
