CNG TY TNHH XY DNG XXX

NHT K THI CNG

XY DNG CNG TRNH
QUYN S:................

CNG TRNH:
...............................................................................................................
A IM XY
DNG: ...............................................................................................
CH U
T: ...............................................................................................................
T VN GIM
ST: ....................................................................................................
N V THI
CNG: ....................................................................................................
NM ....

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 NHT K THI CNG XY DNG CNG TRNH
QUYN S: ..................

PHN 1: NHNG THNG TIN CHUNG

1. Tn cng trnh (hng mc cng trnh):
.......................................................................................................................................
2. a im xy dng:
.......................................................................................................................................
3. Ch u t:
.......................................................................................................................................
4. Nh thu thi cng xy dng cng trnh:
Cng ty TNHH Xy dng Chnh Thnh
5. Nh thu t vn gim st thi cng xy dng cng trnh:
Cng ty ....................................................................................................................
6. Tn nh thu thit k bn v thi cng:
Cng ty ....................................................................................................................
7. Tn c quan duyt thit k:
..................................................................................................................................
Quyt nh ph duyt Bo co kinh t k thut s ...................... ngy ....../....../2016
8. Hp ng xy dng:
Hp ng s: ......./16/HTC. Ngy: ....../....../2016
Gi tr hp ng: .............................. ng
Khi cng theo hp ng ngy................................. Thc t .............................
Bn giao theo hp ng ngy.................................... Thc t .............................
Thi gian thi cng theo hp ng: ................ ngy. Thc t: ................. ngy.
S ny gm: ............. trang, nh s th t t 01 n .............. c ng du gip lai
ca nh thu thi cng.

NH THU THI CNG

(K, ng du v ghi r h tn)

..................................

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 Bng 1

BNG DANH SCH CN B CH HUY V CN B K THUT

CA CNG TRNG

Nhim v, thi gian tham

H v tn Chc danh Ghi ch
gia XDCT

................................... Ch huy trng Ch huy trng cng trnh

................................... Cn b k thut Trc tip thi cng cng trnh

................................... Cn b k thut Trc tip thi cng cng trnh

................................... Cn b k thut Trc tip thi cng cng trnh

................................... ........................... ...................................

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PHN 2: NI DUNG NHT K THI CNG
Ngy, thng: //2016

Bnh thng: Ma: Nng:

THIT B My o: ............ ci My trn b tng: ............ ci

My lu: .............. ci Xe ra: ................ ci
Xe tai: ............ ci My khc: ..................................ci

NHN CNG Cn b k thut: ngi

Cng nhn: ngi

CNG VIC THC HIN

CNG TC V SINH MI TRNG TT BNH THNG KM

CNG TC AN TON LAO NG TT BNH THNG KM

KIN CA T VN GIM ST:

KIN TIP THU CA NH THU THI CNG:

D NH THU THI CNG D NH THU TVGS

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 ................................. .................................
Ngy, thng: //2016

Bnh thng: Ma: Nng:

THIT B My o: ............ ci My trn b tng: ............ ci

My lu: .............. ci Xe ra: ................ ci
Xe tai: ............ ci My khc: ..................................ci

NHN CNG Cn b k thut: ngi

Cng nhn: ngi

CNG VIC THC HIN

CNG TC V SINH MI TRNG TT BNH THNG KM

CNG TC AN TON LAO NG TT BNH THNG KM

KIN CA T VN GIM ST:

KIN TIP THU CA NH THU THI CNG:

D NH THU THI CNG D NH THU TVGS

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................................. .................................

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