The Application for demobilization and leaving Godda Site

Gantry crane assembly and erection;

Construction of Water Pipeline Installation; Contracto
Contract Vishvakarma
Construction of Whole Plant Grounding r
Name: Engineering
Construction of permanet warehouse Name:
cladding works
GD/C/01/2018-001; HTG-GD-C-01-2019-
007; Complete
Contract No: 06/10/2020
HTG-GD-C-07-2018-002 d time:
HTG-GD-C-10-2019-031

Work Scope: As per the above contract and actual work completed.

TO WHOM IT MAY CONCERN,

We are a Contractor of HTG. Now, we are confirming the following items:

(1) We had already completed all the works in the scope of the contract;
(2) All the HTG materials and machines had been returned;
(3) All the chargeable materials, diesel, water, rentable house, machines supplied by
HTG has been deducted the cost from the R.A.Bills submitted by us;
(4) All the quantity completed by us already be confirmed and billed.
(5) All invoicing has been completed;
(6) All the payment which we should get had been received (Except quality guarantee
amount);
(7) All the safety, quality penalty has been deducted from our R.A.Bills ;
(8) All the payment of dues to our workmen and supplier already be paid;
(9) All the tax which we should pay had already paid to government department.
(10) All the others obligation under the contract which we should perform had been
completely performed and fulfilled;

We are planning to leave this site. Therefore, we are hereby requesting HTG the in
charge departments to confirm the above issues. We also confirm that all the issue (claim
and dispute) of this project had already been closed. In the further, we will not make
more requirements include balance quantity and any compensation issue, and sincerely
hope to cooperate again in next project.

Regards,

SIGNED by: ___________________

Name: _____________________
Designation: __________________
 The Application for closing the contract and leaving Godda Site
Gantry crane assembly and erection;
Construction of Water Pipeline Installation;
Contract Name:
Construction of Whole Plant Grounding
Construction of permanet warehouse cladding works
Contractor Name: Vishvakarma Engineering

GD/C/01/2018-001; HTG-GD-C-01-
2019-007;
Contract No: Date: 06/10/2020
HTG-GD-C-07-2018-002
HTG-GD-C-10-2019-031
Work Scope: As per the above contract and actual work completed.
In-charge engineer Departments:

Signature：_________________ Date:__/__/____

Procurement Department:

Signature：_________________ Date:__/__/____

Administrative Department:

Signature：_________________ Date:__/__/____
QC Department:

Signature：_________________ Date:__/__/____

HSE Department:

Signature：_________________ Date:__/__/____
Asset Department:

Signature：_________________ Date:__/__/____

Commercial Department:

Signature：_________________ Date:__/__/____

Financial Department:

Signature：_________________ Date:__/__/____

Project Manager:

Signature：_________________ Date:__/__/____
Remark: All the department should only make signature ， after carefully checking
according to he above requirements (on first form).