NCPED Formats
NCPED Formats
NCPED Formats
BOQ
Item Times Length Width Depth /
Item Description / Sketch Unit Quantity Quantity
No. / No (m) (m) Height (m)
No.
Above measurements were jointly taken and agreed as correct & accurate
Name and signature of the Contractor Name and signature of the Technical Officer of the Divisional Engineer's (Buildings)
office
NCPED 03
Cumulative up to this
Item As Per BOQ Certified up to Previous Statement Statement for this Period
Description Statement Remarks
No.
Amount (Rs) Amount(Rs) Amount (Rs) Amount (Rs)
1 -
2 -
3 -
4 -
5 -
Grand Total 0.00 - - 0.00
NCPED Staff
Contractor
Technical officer Divisional Assistant Divisional Engineer
(a) All the measurements are jointly taken according to the method of (a) All the measurements are jointly taken according to the (a) Billing items are satisfied to the specifications of NCPED and the measurements are (a) I satisfied with quality and quantities of billing items and certify
measurement and measurements are correct. method of measurement and measurements are correct. correct. that the value of work done, according to the agreement is
Rs.………………………………....................................(before VAT)
(b) I certify that items on this bill is accordance with the b)I certify that above amounts are correct according to the agreement. and passed for the payment of
BOQ of the agreement. Rs............................................................................................................
(b) I certify that the all billing items are according to the agreement and (c) I certify that the quality of work is according to the (c)All the serviceable salvage materials were properly handed over to respective officer ................................................................................................................
confirms with the specifications and quantities are correct. specifications of buildings construction and maintenance ................................................................................................................
work adopted by the Provincial Buildings Department. ......................................................................................................... (in
words) (before VAT) to the contractor.
(Rs...........................................................)
Date …………………………………………………….….
Draughtsman
Name and signature of the contractor / contractor's representative (a) Checked rates and arithmetic accuracy of the billing
items.
(b) I certify that they are correct according to the BOQ of Date .......................................................................... Date .............................................................................
the agreement
Date ...............................................................................
Date …………………………………………………….….
NCPED 04
NORTH CENTAL PROVINCE
SUMMARY OF INTERIM PAYMENT STATEMENT (FOR BOQ ITEMS) WORK DONE AS PER ORIGINAL CONTRACT ITEMS
- - - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
NCPED Staff
Contractor
Technical officer Divisional Assistant Divisional Engineer
(a) All the measurements are jointly taken according to the method of measurement and (a) All the measurements are jointly taken according to the (a) Billing items are satisfied to the specifications of NCPED
(a) I satisfied with quality and quantities of billing items and
measurements are correct. method of measurement and measurements are correct. and the measurements are correct. certify that the value of work done, according to the Variation
Order is
(b) I certify that items on this bill is accordance with the BOQ Rs.………………………………....................................(before
b)I certify That the above amounts are correct according to VAT) and passed for the payment of
of the respective variation order.
the respective variation order. Rs.................................................................................................
(b) I certify that the all billing items are according to the respective variation order and (c) I certify that the quality of work is according to the (c)All the serviceable salvage materials were properly handed ......................................................................................................
confirms with the specifications and quantities are correct. specifications of buildings construction and maintenance work over to respective officer ......................................................................................................
adopted by the Provincial Buildings Department. ......................................................................................................
.................................. (in words) (before VAT) to the
…………………………………………….... contractor. (Rs...........................................................)
Name and signature of the technical officer
Date..........................
…………….............................. Name and ……………………………………………....
signature of the contractor / contractor's representative Draughtsman Name and Signature of the Divisional Assistant
(b) I certify that they are correct according to the BOQ of the ........................................... Signature
respective variation order Date.......................... of divisional Engineer
…………………………………..…
Date..........................
Name and signature of draughtsman
Date.......................... Date..........................
NCPED 06
As per the Approved Variation Order Certified up to Previous Statement Statement for this Period Cumulative up to this Statement
V.O. Pay Item No /
Item No Description Remarks
NO. Spec No
Unit Qty. Rate (Rs) Amount (Rs) Qty. Amount (Rs) Qty. Amount (Rs) Qty. Amount (Rs)
As per the Approved Variation Order Certified up to Previous Statement Statement for this Period Cumulative up to this Statement
V.O. Pay Item No /
Item No Description Remarks
NO. Spec No
Unit Qty. Rate (Rs) Amount (Rs) Qty. Amount (Rs) Qty. Amount (Rs) Qty. Amount (Rs)
NCPED 07
INTERIM PAYMENT STATEMENT - VARIATIONS (NEW BOQ QUANTITY AND NEW RATES)
D.E.Division :- Minneriya Contract No :.......................
Name of the Job :- Statement No:...................................
Name of the Contractor :-
Period :- : From…………............... To…...................………... Date of Submission:........................... Sheet No : …….. Of …….
Certified up to Previous Cumulative up to this
As per the Approved Variation Order Statement for this Period
Statement Statement
V.O. Item Pay/
Description Remarks
NO. No spec Amount Amount Amount
Unit Qty. Rate (Rs) Qty. Qty. Amount (Rs) Qty.
item (Rs) (Rs) (Rs)
no
Extra work
(b) I certify that they are correct according to the ........................................... Signature of
BOQ of the respective variation order Date.......................... divisional Engineer
…………………………………..…
Date..........................
Name and signature of draughtsman
Date.......................... Date..........................
NCPED 08
-
- -
Sub - Total - - - -
Deduction - Less Discount if any-
Sub - Total after Deduction
- - -
Sub - Total - - - -
C Price Fluctuation
Sub - Total
D Gross Valuation of the Works D=A+B+C - - 0.00 0.00
11. Calculation of Advance Repayment / Retention
E Addition - -
Advance Payment ( ……...of Contract Price without Provisional Sum)
Releasing Retention Money
F Deductions
Retention (10% of Interim Payment Certificate)
(Limit of Retention Money 5% of Contract Price)
Sub - Total
G Total Payment Before VAT G = D + E -F
H 15% VAT Payment
I Total Payment Including VAT
Certified by …………………………………………
Divisional Engineer
Name - ………………………………………………..
Date - ………………………………
NCPED 09
NCP PROVINCIAL ENGINEER'S DEPARTMENT
VALUATION OF MATERIAL AT SITE
Clause No. of the Conditions of Contract : 10.1b of Section 3 ( Conditions of Contract of minor contracts) / 42.5 of Section 3 ( Conditions
of Contract-procurement of works)
IPC No.
Name of Contract
D.E.Division Minneriya
Contract No.
Name of the Contractor
Statement No.
Name and Signature of the Name and Signature of the Name and Signature of the
Contractor Technical Officer (NCPED) Divisional Assistant (NCPED)
NCPED 10A
NCP PROVINCIAL ENGINEER'S DEPARTMENT
PRICE ADJUSTMENT (For Contract up to Rs.10 Million)
As per clause 47.1(a) of section 3 (Conditions of contract)
3 Cumulative value of work done + 80% of Material at site in previous IPC (Rs) - A
4 Value of work done + 80% of Material at site in current IPC (Rs) - B (Rs)
5 Value of Non Adjustable Item in Previous IPC (Rs) - C
6 Value of Non Adjustable Item in Current IPC (Rs) -D
7 The month relevant to current composite Index I TC
8 Base composite Index IBT
9 Current composite Index ITC
10 V=(B-A) (Rs)
11 Vna=(D-C) (Rs)
12 Price Adjustment F=0869*(V-Vna)*(ITC-ITB) / ITB (Rs)
13 Vat (12%) for Price Adjustment F (Rs)
14 Price Adjustment With VAT for the IPC No. (Rs)
Declaration by the contractor :- I certify that the calculations are done according to the conditions given under
SIMPLEFIED ICTAD FORMULA method, also the used data are correct.
ICTAD FORMULA
F= 0.966 (V-Vna) Px (Ixc - Ixb)
X ∑
100 Ixb
all inputs
Vna 2=
0.966 (V-Vna)
=
100
NCPED 10B
Price Adjustment sheet for the IPC No………………
(Ixc- Px (Ixc-
SI No. Description Px Ixb Ixc
Ixb)/Ixb Ixb)/Ixb
Px (Ixc - Ixb)
Sum of
Ixb
0.966 (V-Vna) x Sum of Px (Ixc - Ixb)
= -
100 Ixb
Price adjustment for IPC No……………………………………………..is Rs………………………
Declaration by the contractor :- I certify that the calculations are done according to the conditions given under
SIMPLEFIED ICTAD FORMULA method, also the used data are correct.
………………………………………………………………..
Checked By
I certify that the following documents of above contract were checked and accordingly for the payment.
To be Initialed by
C.M.A.
1 The bill was certified by the Divisional Engineer : Yes
2 The measurement sheets were signed and dated by both Contracto
: Yes
and T.O. of the UPBD
3 T.O. and S.T.O. have recommended the bill : Yes
4 All the documents were signed and dated by the Contractor : Yes
5 The bill was checked and signed by the relevant officers : Yes
6 Whether the date stamp on the bill : Yes
7 Yes / Not
Variation Orders were approved by the relevant Authority :
applicable
8 Quality assurance report is attached : Yes
9 Yes /Not
Completion Certificate / Maintenance Certificate is attached :
applicable
10 Yes /Not
Extension of time approved :
applicable
11 Yes /Not
Liquidated damages were deducted :
applicable
12 Payment Voucher : Yes
12.1 The payment receiver is correct according to the agreement : Yes
12.2 Expenditure head is according to the allocation letter : Yes
12.3 Discription of the payment is according to the agreement and :
Yes
payment number is correct
12.4 Relevant File number was indicated : Yes
12.5 Initialed the officers, who prepaired and checked the voucher : Yes
12.6 Payment summery was attached with the voucher : Yes
12.7 Signed the officers who have recommended , approved and certifie :
Yes
the voucher
……………………………………………… …………………
Name & Signature of Chief Management Assistant Date
NCPED 12
NCP PROVINCIAL ENGINEER'S DEPARTMENT
……………………………… ………………….
Name & Signature of the Contractor Date
09. Recommendation of Technical Officer and Divisional Assistant ( Comments for each reasons) :
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
………………………………………………………… ………………………………………………………………
Signature & Name of the Divisional Signature & Name of the Technical Officer
Assistant
Date :……………………. Date :…………………….
Page 1 of 2
NCPED 12
10 Divisional Engineer's Recommendation / Approval :
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
………………………………………………………
Signature & Name of the Divisional Date :……………………………….
Engineer
………………………………………………………
Director (Buildings) Date :……………………………….
12 Approved
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
………………………………………………………
Deputy Chief Secretary (Engineering Services) Date :……………………………….
***When recommending EOT ,relevant officer's shall personally satisfy with the justification given, &
extension of time should be strictly in accordance with the conditions of contract.
Page 2 of 2
NCPED 13
If the aggregate amount of the variation (due to quantity changes and extra works orders issued), is
exceeding the contingency provision (which should be 10% maximum) the Head of the Department the shall
obtain the approval from the Client before issuing such variation orders. Head of the Department may use
the following format.
Note:- This variation is based on the rates in the agreement B.O.Q. Accordingly contractor is entitled for
price escalation.
Page 1 of 2
NCPED 13
Checked by :-
..........................................
Divisional Engineer
...........................................
Date
Approved by :-
....................................................................................
Deputy Chief Secretary (Eng. Services)
..............................................
Date
Copy to:-
1
2
3
Page 2 of 2
NCPED 14
NCP PROVINCIAL ENGINEER'S DEPARTMENT
WEATHER REPORT
00 00 00 00 00
10Pm 10Pm 10Pm 10Pm 10Pm
2Am 2Am 2Am 2Am 2Am
8Pm 4Am 8Pm 4Am 8Pm 4Am 8Pm 4Am 8Pm 4Am
6Pm 6Am 6Pm 6Am 6Pm 6Am 6Pm 6Am 6Pm 6Am
00 00 00 00 00
10Pm 10Pm 10Pm 10Pm 10Pm
2Am 2Am 2Am 2Am 2Am
8Pm 4Am 8Pm 4Am 8Pm 4Am 8Pm 4Am 8Pm 4Am
6Pm 6Am 6Pm 6Am 6Pm 6Am 6Pm 6Am 6Pm 6Am
00 00 00 00 00
10Pm 10Pm 10Pm 10Pm 10Pm
2Am 2Am 2Am 2Am 2Am
8Pm 4Am 8Pm 4Am 8Pm 4Am 8Pm 4Am 8Pm 4Am
6Pm 6Am 6Pm 6Am 6Pm 6Am 6Pm 6Am 6Pm 6Am
00 00 00 00 00
10Pm 10Pm 10Pm 10Pm 10Pm
2Am 2Am 2Am 2Am 2Am
8Pm 4Am 8Pm 4Am 8Pm 4Am 8Pm 4Am 8Pm 4Am
6Pm 6Am 6Pm 6Am 6Pm 6Am 6Pm 6Am 6Pm 6Am
00 22 00 00 00 00
10Pm 10Pm 10Pm 10Pm 10Pm
2Am 2Am 2Am 2Am 2Am
8Pm 4Am 8Pm 4Am 8Pm 4Am 8Pm 4Am 8Pm 4Am
6Pm 6Am 6Pm 6Am 6Pm 6Am 6Pm 6Am 6Pm 6Am
00 00 00 00 00
10Pm 10Pm 10Pm 10Pm 10Pm
2Am 2Am 2Am 2Am 2Am
8Pm 4Am 8Pm 4Am 8Pm 4Am 8Pm 4Am 8Pm 4Am
6Pm 6Am 6Pm 6Am 6Pm 6Am 6Pm 6Am 6Pm 6Am
00
10Pm
2Am
8Pm 4Am
Heavy Rain
6Pm 6Am
Normal Rain
8Am
4Pm
10Am
2Pm
12Pm Bright Sun Shine
Name and Signature of Contractors Representative Name and Signature of Technical officer
NCPED 15A
NCP PROVINCIAL ENGINEER'S DEPARTMENT
……………………………………
Name and Signature of the Technical Officer Date - ………………
………………………………….
Name and Signature of the Divisional Assistant Date - ………………
……………………………..
Signature of the Divisional Engineer Date - ………………
NCPED 15B
…………………………..…………
………………………..……………
……………………………..……...
…………………………..…………
In reference to the Contractor’s letter no. ………………….. and dated on …………….. as per the Clause
No.7.1 in Condition of Contract for minor contracts / Clause no.55.1 of procurement of works, this is to
certify that the Contractor has completed the work under this Contract on……………
(In a case of substantially completionsjustify that decision and provide list of outstanding work to be attended
by the Contractor and when these work are to be completed)
The date of completion as per the original Contract was …………………………. and as per the approved
extensions amended date of completion is…………………………….
Accordingly, the Contractor is not liable for delay damages for a period of ………….. days as per the Clause
No. 49/6.4 in Condition of Contract.
The Defect Liability Period is from …………………. to …………………… as per Clause No.35.1/8.1 in
Condition of Contract.
Attachments:
1. A copy of letter/letters of request by the Contractor.
2. A list of outstanding work in the case of substantial completion
3. A summary of completed work with a set of as-build drawings
NCPED 16
Dear Sir,
I personally state that the below detailed contract was well-completed according to the BOQ and Specifications
of the agreement and you are kindly requested to make arrangements to pay the first half / second half / full
amount of the retention (As per Clause 10.5/10.6 of Condition of Contract)
Further, I oblige to rectify any defects which arise due to construction failure or failures of this contract within
the defect liability period.
I personally inspected the site and all the defects have been rectified by the contractor. Therefore I recommend
paying of First Half / Second Half / Full Amount of the Retention as per the Clause 10.5/10.6 of Condition of
Contract
………………………………………………..
Date :- ……………………………….. Name & Signature of Divisional Assistant
…………………………………………….
Date :- ……………………………………….. Name & Signature of Divisional Engineer
Approved.
…………………………………………….
Date :- …………………………………… Name & Signature of Director
NCPED 17
CONTRACT REGISTER
3
Sub total 1 -
4 Allow for Physical Contingencies 10% -
5 Price Excalation 5% -
Sub total 2 -
6 Allow for VAT (Sub total 2) 15% -
7 Allow for Administrative Charges (Sub total 2) 5% -
8 Quality Control Process (Sub total 1) 1% -
Sub total 3 -
Grand Total (Rs.)(Sub total 2+Sub total 3) -
Date
Checked by
Recommended by
Approved by