JUNIN

Approved by INHAMBANE, 18/06/2021

ADVANCE STATEMENT & TRANSFER REQUEST

Statement No.: JUNST2106036
Request No.: JUNMT2106036

Respectful to: - Board of Directors

- Chief of Finance Officer
Purpose Explanation: Base on in fact business situation, Finance Department would like to suggest for an amount of money
to pay for mission as below:

Reason: Instalar Torre y Pozo tierra - BTS HUC0102 mes 06/2021 - Investment cost - C002_BTS

For additional information

No. Item Description Q'ty Unit price Amount Payment Method Remark

HUC0102 - Installer poste plastic 13m (con

1 1.00 3,560.77 3,560.77 Bank Transfer
retenidas )
2 HUC0102 - Instalar Pozo tierra 1.00 1,433.35 1,433.35 Bank Transfer

3 HUC0102 - Traslado de materiales 1.00 505.12 505.12 Bank Transfer

Total amount 5,499.24

Bank Transfer 5,499.24

Amount in word:Five Thousand Four Hundred Ninety-Nine Nuevos Soles and Twenty-Four Cash 0.00
Cents

Beneficiary's detail informations:

- Name of Beneficiary: BCP 1 - RUC No:

- Beneficiary's Bank account number: 3551998836018 - Beneficiary's Bank name:
- Code of Beneficiary Bank (CCI) 235500199883601000 - Swift Code:

PREPARED BY DIRECTOR OF BRANCH REVIEWED BY PAYABLE CFO

ACCOUNTANT

Date: Date: Date: Date: Date:

18/06/2021 Page 1 / 1
 VIETTEL PERU Year of the Bicentennial of Peru: 200 years
of Independence
BRANCH JUNIN
No: ………………/STA-VTP-JUN

APPROVED BY
Day month year 2021
GENERAL MANAGER Huancayo, 16/06/ 2021

REQUEST
BUDGET FOR INSTALL POLE PLASTIC 13M ,
GROUND SYSTEM FOR NEW SITE HUC0102
En: Quilla, Huancavelica
- Based on of VTP plan Infrastructure Implementation year 2020;
- Based on directive: 138/QD-VTP-PHT approved on 01.03.2021 about price
construction and installation;
I. Partner Information:
1. Name of Partner: CANTURIN EMPRESA CONSTRUCTORA Y DE SERVICIOS
MULTIPLES S.A.C
2. Tax cod (RUC): 20606752661
3. Representative: FLORENCIO DAMASO CANTURIN ALIAGA
4. Document of Representative (DNI): 20020761
5. Partner address: CAR.CARRETERA CENTRAL NRO. 300 OTR – SAN
JERONIMO DE TUNAN – HUANCAYO - JUNIN
6. Telephone number: 933332788
III. Expenses Report:
1. Information of BTS:
Codigo BTS: HUC0102
1.Type BTS TX – Mini site 3.Type of Tower: Pole 5.No Anclaje 3

2.Local of BTS Terreno 4.Hight of Tower (m) 13 6.Tipo Caseta: Mini Site

7. Direction - Detail District Province Departament

Anexo de Qimina Acoria Huancavelica Huancavelica

1
 2. Detail of Cost (one group of BTS per request)
Tax
Price (18% Cost
Nro Site Tipo Quantity
decisión IGV) installation
Nota

INSTALLER
POSTE PLASTIC Con 3
1 3,017.60 543.17 3,560.77
13M (CON retenidas
RETENIDAS)

1 HUC0102 INSTALLATION
OF GROUND 2 1,214.70 218.65 1,433.35
SYSTEM

ACARREO 200<L<400m 428.07 77.05 505.12 301 m

4,660.37 838.87 5499.24

✓ Deployment time: from 16.06.2021 to 30.06.2021

✓ Payment time: 15/07/2021
✓ Funding sources: Investment funding sources
✓ C002_Instalar Torre y Pozo Tierra -Lap dat cot tip dia

IV. Method of payment:

1. Condition of Payment:
- Choose one of two method bellow (delete if not selected):
x Único pago: 95% (después completa el 95% del proyecto) -5 % (Garantía 6 meses )
2. Format of payment:
- Photo report according to the projet process
- Inform of acceptance of project
- The final photographic of construction (Color photos taken with notecam
with coordinates. dates. station codes).

SUCURSAL JUNIN TEC

INFRA. DEPT FINANCE. DEPT DIRECTOR

VIETTEL PERU SAC

INFRA. DEPT FINANCE. DEPT V.DIRECTOR

2
Anexo 01 - Detalle de Gasto Precio segun Directiva: 34/QT-VTP-PHT de fecha: 01/02/2019

Detalle de Gasto para Construccion BTS nueva - Adjunto con Statement

BTS: HUC0102 Adjunto con Statement/Contrato numero:

1.Tipo de BTS Mini Site 3.Tipo de Torre: Plastico 5.No Anclaje 3
2.Ubicaion de BTS Terreno 4.Alto de Torre (mts): 13 6.Tipo Caseta: MiniShelter
7. Direccion: Quimina - Acoria - Huancavelica
Đơn giá Thành tiền
Grupo de IGV/Thuế Ghi chú /
Nro Items Hạng mục công trình Precio (Sin Total (con
Activos Notas
IGV) IGV)
18%
1 Licencia Cấp phép 0.00 0.00
Construcción Base de
2 Xây dựng Móng cột anten 0.00 0.00
Torre
Construcción Base Caseta
Xây dựng Móng nhà
3 (para Equipo y para 0.00 0.00
container
Baterias)
01-Construccion

Construcción Cerco
Xây dựng Hàng rào / lắp
4 Perimetrico/ Techo para 0.00 0.00
thêm mái sắt cho hàng rào
cerco
Construcción Jaula de Xây dựng Khung thép bảo
5 0.00 0.00
caseta vệ nhà container
Construcción Cuarto
6 Xây dựng Nhà để máy nổ 0.00 0.00
proteger generador
Construcción y Instalar
7 Xây dựng Ngụy trang 0.00 0.00
Camuflaje
Instalar Torre antena / Lắp đặt Cột anten / cột bê
Poste Concreto o poste tông hoặc cột nhựa cho 3,017.60 543.17 3,560.77
02-Torre y Plastico trạm RRU
Tierra
9 Instalar Pozo tierra Lắp đặt Tiếp địa 1,214.70 218.65 1,433.35

Instalar Caseta (para

11 03-Caseta Lắp đặt Nhà container 0.00 0.00
Equipo y para Baterias)
04+05-
Instalar Equipo BTS (Full Lắp đặt Thiết bị BTS (Full
12 Instalar 0.00 0.00
3G, 4G, Twinbeam,….) 3G, 4G, Twinbeam,….)
equipo BTS

06-Instalar Instalar Equipo

13 Lắp đặt Viba 0.00 0.00
Viba Microonda/Viba
Electricidad AC -
07 A- Lắp đặt Điện AC - Lắp
14 Construcción Electricidad 0.00 0.00
Electricidad công tơ
Baja Tensión
Electricidad AC - Lắp đặt Điện AC - Xây
07 B-
Desarrollo de sistema de dựng bình biến áp 0.00 0.00
Electricidad
Media Tensión
Construcción y Instalación Xây trụ đỡ và Lắp đặt Pin
15 08-Solar 0.00 0.00
Panel solar mặt trời
Transporte de materiales Vận chuyển vật tư bằng xe
16 0.00 0.00
(de almacen a obra) (từ kho ra trạm)
Acarreo de Material
17 Vận chuyển vật tư bộ 428.07 77.05 505.12
Manual
Otro trabajo (escribir Hạng mục khác (nêu chi
18 detalle) tiết) 0.00 0.00

Total ( 3 ) items Tổng ( 3 ) hạng mục 4,660.37 838.87 5,499.24

En letra: Cinco Mil Cuatrocientos Noventa Y Nueve Y 24/100 Soles (Incluido IGV)

Ngày/fecha 18 tháng/mes 06 năm/año 2021

SUCURSAL - JUNIN VIETTEL PERU SAC
Dept. de Tecnico Dept. de Finanza Director DEPT. DE INFRAESTRUCTURA

Versión V2 - 10/04/2019
 POSTE DE FIBRA h=13m CON RETENIDAS
ESQUEMA GENERAL

ANTENA ANTENA

NOTA: ZONA MUY FRAGIL,

DEJAR ESPACIO LIBRE DE
0.50M

MW RRU

RRU

RANGO DE COLOCACION
1.50m DESDE LA PARTE
SUPERIOR DEL POSTE

BARRA DE COBRE

BAJA CABLE SISTEMA A

TIERRA

GABINETE MINISITE

RACK DE BATERIAS RACK DE BATERIAS

CORONA
BARRA DE COBRE
METALICA DE
SEGURIDAD
POSTE DIRECTIVA

BAJA CABLE DE SISTEMA A

TIERRA EN TUBO DE ACERO
GALVANIZADO
POSTE FIBRA
VIDRIO h=13.00m Ver DETALLE
"A"

ANCLAJE ANCLAJE
RETENIDA BLOQUE DE CONCRETO RETENIDA
f 'c=210kg/cm2

RELLENO DE MATERIAL
LEYENDA PROPIO Y PIEDRA
CONDUCTOR COBRE
DESNUDO 50mm2
CABLE AMARILLO Y VERDE
DETALLE REVISAR
PARA ATERRAMIENTO DE EQUIPOS
LAMINAS IE-01,02
CABLE ELECTRICO

CABLE FIBRA OPTICA

CABLE COBRE DESNUDO 50mm2
ELEVACION PROPUESTA
ESC: 1/50
 NOTA: ZONA MUY FRAGIL,
DEJAR ESPACIO LIBRE DE
0.50M

RANGO DE COLOCACION
1.50m DESDE LA PARTE
SUPERIOR DEL POSTE

ANCLAJE
RETENIDA
Ver. Detalle "A"

DETALLE DE RETENIDA
ESC: 1/50
 PROFORMA PARA HUC0102, INSTALACION DE POSTE DE 13 M, POZO A TIERRA Y 03
RETENIDAS

COT 2021 – MA-02-021

16 de Junio de 2021

CLIENTE: VIETTEL PERU S.A.C.

UBICACIÓN DEL PROYECTO: QUIMINA - ACORIA - HUANCAVELICA
TIEMPO DE EJECUCIÓN: 6 días hábiles

CONDICIONES COMERCIALES
PLAZO DE ENTREGA : DE ACUERDO A CONTRATO
VALIDEZ DE LA OFERTA : 7 DÍAS

Gustosamente ponemos a su consideración nuestra oferta para el plantado de 10 postes y su

cableado respectivo para una distancia de 960m.

SITE Trabajo Cantidad Costo Igv. Sub Total

18%
IZADO DE POSTE 13M – FIBRA + 3 RETENIDAS 1 3,017.60 543.17 3,560.77
INSTALACION DE POZO A TIERRA 2 1,214.70 218.65 1,433.35
HUC0102 ACARREO DE MATERIALES AL PUNTO CERO 1 428.07 77.05 505.12
TOTAL 5,499.24
Imagen 17: vista superior del acarreo