STATEMENT OF FINAL ACCOUNT

Project Name Project Code :

Client Commencement Date
Scope Planned Completion Date
Contract/ PO Ref: EOT Granted (Days)
Contract Date Revised Completion Date
TOC Date Actual Completion Date
DLP (Days) DLP Completion Date

Description Value (AED)

Contract Value :
Initial Contract Value
Sub Total A (1) -
Variations in Original Contract
Additions to Date
Deletions to Date
Sub Total B (2) -
Provisional Sum/ Prime Cost adjustments

Sub Total C (3) -

Contractual Claims

Sub Total D (4) -

Total Amount = (1) + (2) + (3) + (4) (I) -

VAT @ 5% (II) -
Final Contract Value (Grand Total) = (I) + (II) AED 0.00

Comments : We agree to accept the sum of AED ….......( UAE Dirhams….. Only) as full and final settlement for all work executed
and material supplied and confirm that we have no further claims against M/s ….........under this contract.

Prepared by: Verified By: Cerified By: Approved By:

Date: Date: Date: Date: