Temporary Acceptance

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OROMIA WORKS AND URBAN DEVELOPMENT

BUREAU
TEMPORARY (PROVISIONAL) ACCEPTANCE
Project :_______________________________________________________
Location :__________________________________________
_______________
Employer:_________________________________________
______________
Contractor :________________________________________
_______________
Contracts No
Date Amount (Birr) Basis
A. Main Contract ______ _______
___________ _______
B. Supp. Agreement ________ ________
____________ _______
C. Variation Order No ________ ________
____________ _______
D. “ “ “ 2 ________ ________
____________ _______
E.“ “ “ 3 _________ ________
____________ _______
F. “ “ “ 4 _________ ________
____________ _______
This_____________________/2023 day of project committee by the order of the contract
administration and after due to notification to all concerned parties, we the under singed
Signature
1.
2.
3.
4.
5.

Have examined:
A. Contract, Specifications ,and drawing
B. Their agreement and specification quality of their work execution.
C. And have Proceeded With the ascertainment of the
Completion and Temporary Acceptance of the Above
Project on the basis of the following information:
Date When the Contractor took Possession of
site_________________________________________

A. Agreed length of Completion time __________________


calendar days (Working days)
B. Commencing date
______________________________________________________
_
C. Completion date according to contract
_______________________________________
D.Actual Completion date
__________________________________________________
E. Total Number of delay
___________________________________________________
F. Number of justified days delay
_____________________________________________
G.Number of unjustified days of delay
_________________________________________
H.Penalty of _______ day Eth.Biir _______________ Per day
Eth Biir _______________
ACCOUNT
Total Value of Work executed and /or
Material Supplied
______________________________________________________
DEDUCTIONS
1.Previous Payments
___________________________________________________
2.Advance repayments
_________________________________________________
3. Retention
___________________________________________________
_______
4.___________________________________________________
_______________
Total deductions
________________________________________________
Total amount due to the contractor
_________________________________
Retention money ____% of the total Value
of Work
Expected payable on the final acceptance

___________________________________________________
__________
Net Sum due to the Contractor
____________________________________
Performance Bond
_________________________________________________________
Remarks
__________________________________________________________
_______

__________________________________________________________
_______

__________________________________________________________
_______

Conclusion
We witness thereof, we have Written and signed this
temporary acceptance of which one copy is to be issue to
the contractor for all practical purpose after due
approval.

____________________
_______________________ ____________________
_________________
Owner
Construction Supervisor
Contractor

ATTENDIG PARTIES
Signature
1.
2.
3.
4.
5.
6.

Date _____________________

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