SNNPRS CONSTRUCTION BUREAU
Temporary Acceptance
Project: - ______________________________________________________
Location: - ______________________________________________________
Client: - ______________________________________________________
Contractor: - ______________________________________________________
Section I.01 Contracts No Date Amount Basis
A. Main Contract: ___________ ____________ _____________
B. Suppl. Agreement_________ ____________
C. Variation O.No 1__________ _____________
D. Variation O.No 2 _________ _____________
E. Variation O.No.3 _________ _____________ _____________ ____________
F. Variation O.No 4__________ _____________ _____________ _____________
G. Variation O.No 5__________ _____________ _____________ _____________
This ____________ day of ___________ 2 ዐ ___________ by the verbal/written/ order
no. _________________ of the counteract administration after due to Notification to all
concerned parties, we the undersigned;
1. Representing the
2. Representing the
3. Representing the
4. Representing the
5. ______________________Representing the ___________________________
6. _______________________Representing the ___________________________
7. _______________________Representing the ___________________________
8. _______________________Representing the ___________________________
Have examined
a. Contracts, Drawings, and specification;
b. __________________________________________________________________
c. __________________________________________________________________
and have proceed 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 possession of site -----------------------------
B. Commencing date ____________________________________________________
C. Agreed length of completion time
________ ________Calendar days (Working days)
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 payment ………………………………………..
2. Penalty ………………………………………………….
3. Rebate …………………………………………………….
4. …………………………………………………………….
Total Deduction …………………………………………
Total amount due to the contractor
Retention many ………………….. % of the total
Value of work executed payable on the final
Acceptance ……………………………………………………….
Net sum payable to the contractor……………… ………………
Performance bond ……10……………………………………………
Remarks;
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________
Conclusion
The date for final acceptance will be __________________________________________
After through investigation, of the works in all the pores excepting after invisible defects. We
declare that it was executes in accordance with the drawing Specification in an Acceptable
manner. we witness there of , we have written and signed that temporary acceptance of which on
copy is to be issued to the contractor for all practical purposes after due approval.
______________________ _____________________ ______________________
Construction Supervisor Owner Contractor
ATTENDING PARTIES
Name Sign.
1. _____________________________ _______________
2. _____________________________ _______________
3. _____________________________ _______________
4. _____________________________ _______________
5. _____________________________ _______________
6. _____________________________ _______________
7. _____________________________ _______________
8. _____________________________ _______________
