CERTIFICATE OF COMPLETION AND ACCEPTANCE

PROJECT NAME: Inspection, Reconditioning, Bearings Replacement & Complete

Mechanical Repair of Rotor Journal and Bearing Housing, Including
Dynamic Balancing and Alignment of 250HP, 440V, 3PH, 3575RPM,
MARATHON PUMP MOTOR
REFERENCE: _______________________

LOCATION: ______________________

This is to certify that the contractor, _________________________, with business address

at ________________, has fully completed all the work items contained in the Purchase
Order for the above-named project.
This further certifies our acceptance of the above said work in compliance with the materials
specifications and workmanship standard set provided for in the Proposal and Purchase
Order
This Certification, however, does not relieve the Contractor of the responsibility to undertake
all corrective works that may be necessary due to defects which may be discovered within
the guarantee period. The period of guarantee shall commence upon the signing of this
Certificate by the authorized representative of the Company.

CERTIFIED AS COMPLETED AND ACCEPTED BY:

_________________________________
Company Representative

_________________________________
Date

Receipt Confirmed and Acknowledged:

_________________________________
Contractor

_________________________________
Date