NCPED 01

NCP PROVINCIAL ENGINEER'S DEPARTMENT

Divisional Engineer’s Office – Minneriya
JOINT MEASUREMENT SHEET

Joint Measurement Date :- Sheet No : ….……...of ……..……

Name of the Contract :-
Contract No :-
Bill Item No :-
Description of the Item :-

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 office
 NCPED 02

NCP PROVINCIAL ENGINEERING DEPARTMENT

INTERIM PAYMENT STATEMENT SUMMARY

Name of the Contract : ............................................................................... Number of the Contract : ....................................

Name of the Contractor : ............................................................................... VAT Registration No : ........................................
Billing Period : From…….......……... To...........…………...

Value of Work Done (LKR)

Original Contract
Item Description Previously Statement for Total Statement
Sum (LKR)
Certified this Period to Date

1. Calculation of Value of Works

A Value of Original Contract Work Item (UPBD 02)
1
2
3
Sub - Total - (Without VAT)
Adjustments (Over/ Less Payment -
DDT B
(Item No……….)
C Total after Adjustments (A +/- B)

DDT D Discount - If any

E Value of Work Done as per the Contract

Other Entitlement - Value of Additional - Work /Variation / Claims
Assessment using similar Unit Price/Rates as in the
1
Contract (UPBD 05)

ADD F Discount- if any

2 Assessment using New Unit Price Rates (UPBD 06)
Special Variation Works - According to Current Price
3
(UPBD 07)
G Gross Value - ( E+ F)

Retention - 10% (10% of Interim Payment Certification)

DDT H
(Maximum 5% of Initial Contract Value) Rs.

I Net Value of Work Done after Retention - ( G - H)

Material at Add / Deduct to the Payment (need
ADD / 1
J Site attachment) ( UPBD 08)
DDT
2 Price Fluctuation ( UPBD 10A or UPBD 10B)
K Gross Amount Payable without VAT ( I+J1+J2)
ADD L 1 Advance Payment
DDT M 2 Advance Recovery (without VAT)
O Total Amount Payable after Advance Recovery (K-M)
Liquidated Damages
Form …………… to …………………
DDT P
(LD per day Rs………………….. X …………… days)

DDT Q Management Cost per day

R Payable Net Amount Value - (O - P - Q)
DDT S With Holding Tax (WHT)- if applicable
T Total after deduction of WHT(R - S)
ADD U VAT 12% ( O x 12% )
V Total Payable Amount Including VAT (T + U )
Earning for this Period (Cumulative Total - Previous
W
Amount)

Net Payment Amount in Words -

 NCPED 02
VAT -12%
No Details Net(LKR) Total(LKR)
(LKR)
1 Total Retention to be deducted
2 Retention deducted by this IPC
3 Retention to be recovered

Advance Calculation

VAT -12%
No Details Net(LKR) Total(LKR)
(LKR)
1 Total Advance to be deducted
2 Advance deducted by this IPC
3 Advance to be recovered

Checked rates with the agreement and arithmetical accuracy - …………………………………………

Draughtsman (Signature)
Name - ………………………………………………..
Date - ………………………………

IPS Summary prepared by …………………………………………

Management Assistant (Signature)
Name - ………………………………………………..
Date - ………………………………

IPS Summary Checked by …………………………………………

Chief Management Assistant / Financial Assistant (Signature)
Name - ………………………………………………..
Date - ………………………………

Recommended by …………………………………………
Accountant (Signature)
Name - ………………………………………………..
Date - ………………………………

The quantities of the work executed and measured , recorded in the measurement sheets and the corresponding rates and amounts incorporated in this
Interim Payment Statement are provisional and subject to correction in subsequent payment certificates.

The payment of the Sum of LKRs. …………...…………………………………………………….. .

Recommended Approved

………………………………………………………….. …………………………………………………………
Chief Engineer (Buildings) Director (Buildings)
Date - ………………………… Date - …………………………
 NCPED 03

NCP PROVINCIAL ENGINEERING DEPARTMENT

SUMMARY OF INTERIM PAYMENT STATEMENT (FOR BOQ ITEMS)
WORK DONE AS PER ORIGINAL CONTRACT ITEMS

D.E.Division :- Minneriya Statement No :- Contract No :-

Name of the Job :-
Name of the Contractor :-
Period :- From ………...….. To ……..……….. : Date of Submission :-

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)
and passed for the payment of
(b) I certify that items on this bill is accordance with the b)I certify that above amounts are correct according to the agreement. Rs.......................................................................................................
BOQ of the agreement. ............................................................................................................
(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

D.E.Division :- Minneriya Statement No:- Contract No :-

Name of the Job :-
Name of the Contractor :-
Period :- From ………...….. To ……..……….. Date of Submission :- Sheet No :-

Certified up to Previous Cumulative up to this

As Per BOQ Statement for this Period
Item Statement Statement
Description Remarks
NO. Item
Unit Qty. Rate (Rs) Amount (Rs) Qty. Amount (Rs) Qty. Amount (Rs) Qty. Amount (Rs)
no.
-

- - - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

................................................. ................................................. .................................................

Signature of Contractor ................................................. .................................................
Signature of Draughtsman Signature of Technical Officer Signature of Divisional Assistant Signature of Divisional Engineer

....................................... ....................................... .......................................

Date Date ....................................... ....................................... Date
Date Date
Signature of Contractor ................................................. .................................................
Signature of Draughtsman Signature of Technical Officer Signature of Divisional Assistant Signature of Divisional Engineer

....................................... ....................................... NCPED 04

.......................................
Date Date ....................................... ....................................... Date
Date Date
 NCPED 05
NCP PROVINCIAL ENGINEER'S DEPARTMENT
INTERIM PAYMENT STATEMENT - VARIATIONS (EXCEEDING BOQ QUANTITY AND BOQ RATES)
D.E.Division : Minneriya Statement No : Contract No :
Name of the Job : ………………………………………………………………………………………
Name of the Contractor :………………………………………………………………………………
Period : From …………………………….. Date of Submission :………………… Sheet No : ………………………… %
Certified up to Previous Statement for this Cumulative up to this Deviation
As per the Approved Variation Order %
Statement Period Statement of value
V.O. Deviation
Item No Description from Remarks
NO. Amount Amount Amount Amount from BOQ
Unit Qty. Rate (Rs) Qty. Qty. Qty. Initial
(Rs) (Rs) (Rs) (Rs) QTY.
Contract
Price

Sub total carried forward to next page

 NCPED 05

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 Rs.
………………………………....................................(before
(b) I certify that items on this bill is accordance with the b)I certify That the above amounts are correct according to VAT) and passed for the payment of
BOQ 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
..................................................................................................
confirms with the specifications and quantities are correct. specifications of buildings construction and maintenance handed over to respective officer
................................................. (in words) (before VAT) to
work adopted by the Provincial Buildings Department.
the contractor.
…………………………………………….... (Rs...........................................................)

Name and signature of the technical officer

…………….............................. Name and Date.......................... ……………………………………………....
signature of the contractor / contractor's representative
Draughtsman Name and Signature of the Divisional Assistant

(a) Checked rates and arithmetic accuracy of the billing

items.
...........................................
(b) I certify that they are correct according to the BOQ of Signature of divisional Engineer
…………………………………..…
the respective variation order Date..........................

Date..........................
Name and signature of draughtsman

Date.......................... Date..........................
 NCPED 06
NCP PROVINCIAL ENGINEER'S DEPARTMENT
INTERIM PAYMENT STATEMENT - VARIATIONS (EXCEEDING BOQ QUANTITY AND NEW RATES)

D.E.Division : Minneriya Statement No : Contract No :

Name of the Job :
Name of the Contractor :
Period: From To Date of Submission : Sheet No: ……………………………………….…...

Certified up to Previous
As per the Approved Variation Order 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)

Sub total carried forward to next page

NCPED Staff
Contractor
Technical officer Divisional Assistant Divisional Engineer

(a) All the measurements are jointly taken according to the (a) All the measurements are jointly taken according to the method of (a) Billing items are satisfied to the specifications of NCPED (a) I satisfied with quality and quantities of billing
method of measurement and measurements are correct. measurement and measurements are correct. and the measurements are correct. items and certify that the value of work done,
according to the Variation Order is Rs.
………………………………................................
(b) I certify that items on this bill is accordance with the BOQ of the b)I certify That the above amounts are correct according to ....(before VAT) and passed for the payment of
the respective variation order. Rs............................................................................
respective variation order.
................................................................................
................................................................................
(b) I certify that the all billing items are according to the (c) I certify that the quality of work is according to the specifications of (c)All the serviceable salvage materials were properly handed ................................................................................
respective variation order and confirms with the specifications buildings construction and maintenance work adopted by the Provincial over to respective officer ................................................................................
and quantities are correct. Buildings Department. ......................................... (in words) (before
VAT) to the contractor.
(Rs...........................................................)
Name and signature of the technical officer
……………………………………………....
Date..........................
Draughtsman Name and Signature of the Divisional Assistant
Name and signature of the contractor / contractor's (a) Checked rates and arithmetic accuracy of the billing items.
representative
(b) I certify that they are correct according to the BOQ of the
respective variation order Date..........................
Signature of divisional Engineer
 NCPED 06

D.E.Division : Minneriya Statement No : Contract No :

Name of the Job :
Name of the Contractor :
Period: From To Date of Submission : Sheet No: ……………………………………….…...

Certified up to Previous
As per the Approved Variation Order 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)

Signature of divisional Engineer

Date.......................... Name and signature of draughtsman
Date.......................... Date..........................
 NCPED 06

D.E.Division : Minneriya Statement No : Contract No :

Name of the Job :
Name of the Contractor :
Period: From To Date of Submission : Sheet No: ……………………………………….…...

Certified up to Previous
As per the Approved Variation Order 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 06

D.E.Division : Minneriya Statement No : Contract No :

Name of the Job :
Name of the Contractor :
Period: From To Date of Submission : Sheet No: ……………………………………….…...

Certified up to Previous
As per the Approved Variation Order 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

Sub total carried forward to next page

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 (a) Billing items are satisfied to the specifications of NCPED and (a) I satisfied with quality and quantities of billing items and certify
measurement and measurements are correct. to the method of measurement and measurements are the measurements are correct. that the value of work done, according to the Variation Order is Rs.
correct. ………………………………....................................(before VAT)
and passed for the payment of
(b) I certify that items on this bill is accordance with b)I certify That the above amounts are correct according to the Rs..........................................................................................................
the BOQ of the respective variation order. respective variation order. ...............................................................................................................
...............................................................................................................
.............................................................................................................
(b) I certify that the all billing items are according to the respective variation (c) I certify that the quality of work is according to the (c)All the serviceable salvage materials were properly handed over
(in words) (before VAT) to the contractor.
order and confirms with the specifications and quantities are correct. specifications of buildings construction and to respective officer
(Rs...........................................................)
maintenance work adopted by the Provincial
……………………………………………....
Buildings Department.
Name and signature of the technical
officer
…………….............................. Date.......................... ……………………………………………....
Name and signature of the contractor / contractor's representative Name and
Draughtsman Signature of the Divisional Assistant
(a) Checked rates and arithmetic accuracy of the
billing items.

........................................... Signature of
…………………………………..…
(b) I certify that they are correct according to the divisional Engineer
BOQ of the respective variation order Date..........................

Date.......................... Name and signature of

draughtsman
 NCPED 07

Date.......................... Date..........................
 NCPED 08

NCP PROVINCIAL ENGINEER'S DEPARTMENT

INTERIM PAYMENT STATEMENT SUMMARY TO BE PREPAIRED BY DIVISIONAL ENGINEER'S OFFICE

Name of the Contract- Statement No;-

Name of the Contractor Contract No :-

Billing Period VAT Registration No -

Value of Work Done (SLRS)

Original Contract
Item Description Previously Statement for Total Statement
Sum (SL Rs.)
Certified this Period to Date

1. Calculation of Value of Works

A Value of Original Contract Work Item (UPBD 03)

-
- -

Sub - Total - - - -
Deduction - Less Discount if any-
Sub - Total after Deduction
Other Entitlement - Value of Additional - Work /Variation /
B
Claims

- - -

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)

Recovery of Advance Payment

Sub - Total
G Total Payment Before VAT G = D + E -F
H 15% VAT Payment
I Total Payment Including VAT

Prepaired and Submitted by - ………………………………………… …………………………………………

Contractor / 's Representative (Signature) Technical Officer (Signature)
Name - ……………………………………………….. Name - ………………………………………………..
Date - ……………………………… Date - ………………………………

Checked rates with the agreement and arithmetical accuracy - …………………………………………

Draughtsmen (Signature)
Name - ………………………………………………..
Date - ………………………………

IPC Summary Checked by …………………………………………

Divisional Assistant
Name - ………………………………………………..
Date - ………………………………

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.

Billing Period From …………………………. To …………………..

SUMMARY OF MATERIALS AT SITE ON - …………………

ITEM NO DESCRIPTION UNIT QTY. RATE (Rs.) AMOUNT (Rs.)

TOTAL VALUE OF MATERIALS AT SITE -

80% of value of material at site -

DEDUCT PREVIOUS PAYMENTS -

PAYMENT FOR THIS PERIOD - CARRIED FORWARD TO SUMMARY (NCPED 08 & NCPED 03) -

Prepaired and submitted by Checked by Certifyed by

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)

1 Name of the Job

2 Contractor
3 Agreement Date
4 Date of Bid Closing
5 Date of work to be commenced according to the letter of Acceptance
6 Date of Completion of Work (According to agreement)
7 Extension of agreed time for computation of Price Adjustment
8 Type of Construction According to ICTAD Publication No. - ICTAD/ID/07
9 The month relevant for base composite Index 1BT
10 Base composite Index 1BT
For the IPC No. :-…………
1 Date of Submission of Previous IPC
2 Date of Submission of Current IPC

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 ITC
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.

SIGNATURE OF CONTRACTOR DATE

We certify that the calculations are done according to the conditions given under SIMPLEFIED ICTAD FORMULA
method, also the used data are correct. The amount is within the allocation. Recommended for paying the amount ,
calculated as above.

NAME & SIG. OF THE TECHNICAL OFFICER DATE

NAME & SIG. OF THE DIVISIONAL ASSISTANT DATE

Checked By

NAME & SIG. OF THE DRAUGHTSMAN DATE

CERTIFIED & PASSED FOR PAYMENTS BY
 NCPED 10A

SIGNATURE OF THE DIVISIONAL ENGINEER DATE

 NCPED 10B

NCP PROVINCIAL ENGINEER'S DEPARTMENT

PRICE ADJUSTMENT AS PER CLAUSE 47.1(A) OF SECTION 3

(CONDITIONS OF CONTRACT)

Name of Contract : …………………………………………………………………

D.E.Division : Minneriya
Contract No : …………………………………………………………………
Bid closing date : …………………………………………………………………
Name of the Contractor : …………………………………………………………………
Statement No : …………………………………………………………………
Billing Period
: …………………………………………………………………
Date of Submission : …………………………………………………………………

ICTAD FORMULA
F= 0.966 (V-Vna) X ∑ Px (Ixc - Ixb)
100 Ixb
all inputs

F = Price adjustment for the period

V = Valuation of work done during the period concerned
Vna = Valuation of non adjustable element
Px = Percentage cost contribution of input X
Ixc = Current index for input X, as published by ICTAD
Ixb = Base index for input X,as published by ICTAD

V= V2-V1 = (Vc+Mc) - (Vp + Mp)

V1 - Cum.value of work done up to the previous IPC IPC NO :
(Work done + Materials at site ) -
V2 - Cum.value of work done in the current IPC IPC NO :
(Work done + Materials at site ) -
Vna1=

Vna 2=

V - Vna = (V2 - Vna 2) - (V1 - Vna1) =

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.

………………………………………………………………..

SIGNATURE OF CONTRACTOR & DATE

We certify that the calculations are done according to the conditions given under ICTAD FORMULA method,
also the used data are correct. The amount is within the allocation. Recommended for paying the amount ,
calculated as above.

NAME & SIG. OF THE TECHNICAL OFFICER DATE

NAME & SIG. OF THE DIVISIONAL ASSISTANT DATE

Checked By

NAME & SIG. OF THE DRAUGHTMEN DATE

CERTIFIED & PASSED FOR PAYMENTS BY

SIGNATURE OF THE DIVISIONAL ENGINEER DATE

 NCPED 11
NCP PROVINCIAL ENGINEER'S DEPARTMENT

CHECK LIST OF CONTRACT PAYMENT

(To be Prepaired by Chief Management Assistant)

Divisional Engineer's Office Minneriya :

Name of the Contract :
Name and Address of the Contractor :
Programme :
Agreement No and Date :
Agreement amount (Before Taxes) :
EOT Number and Period 1 :
2 :
3 :
IPC No. (Monthly Statement No.) :

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 Contractor
: Yes
and T.O. of the NCPED
3 T.O. and D.A. 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 certified :
Yes
the voucher

……………………………………………… …………………
Name & Signature of Chief Management Assistant Date
 NCPED 12
NCP PROVINCIAL ENGINEERING DEPARTMENT

APPLICATION FOR THE EXTENSION OF TIME (EOT)

01. Date of Application :…………………………………………………………………………………………………

02. Name of the Contract :…………………………………………………………………………………………………

:…………………………………………………………………………………………………

03. Contractor's Name & Address :…………………………………………………………………………………………………

..…………………………………………………………………………………………………

04. Contract No. :…………………………………………………………………………………………………

4.1 Agreement Amount :…………………………………………………………………………………………………
4.2 Date of Agreement :…………………………………………………………………………………………………
4.3 Original Date of Completion :…………………………………………………………………………………………………
4.4 Date of Completion According to the
:…………………………………………………………………………………………………
Previous EOT

05. Previous EOT Agreement Funding

:…………………………………………………………………………………………………
Source

06. Reasons for Extension of Time: (Attach Supporting Documents)

I
…………………………………………………………………………………………………………………………………………….
II.
…………………………………………………………………………………………………………………………………………….
III.
…………………………………………………………………………………………………………………………………………….

07. Number of Days According to each Reason :

I.
…………………………………………………………………………………………………………………………………………….
II.
…………………………………………………………………………………………………………………………………………….
III.
…………………………………………………………………………………………………………………………………………….

08. Total No. of Days requested as EOT :………………………………………………………………

(Attach the Revised Work Programme According to the Request)

……………………………… ………………….
Name & Signature of the Contractor Date

09. Recommendation of Technical Officer and Divisional Assistant ( Comments for each reasons) :
…………………………………………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………………………………….

Recommend to EOT From …………………… To …………………………….

Total Number of Days: …………………………….

………………………………………………………………………………………………….. ………………………………………………………………
Signature & Name of the Divisional Signature & Name of the Technical Officer
Assistant
Date :……………………. Date :…………………….

Page 22 of 36
 NCPED 12
10 Divisional Engineer's Recommendation / Approval :
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………

………………………………………………………………….
Signature & Name of the Divisional Date :……………………………….
Engineer

11 Director's (Buildings) Recommendation :

…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………
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 23 of 36
 NCPED 12

Page 24 of 36
 NCPED 13

NCP PROVINCIAL ENGINEERING DEPARTMENT

VARIATION ORDER (Excess/Extra)

Name of the Project:- .............................................................................................

Contract No.:-….....................................................................................................
Variation Order Number :-.....................................................................................

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.

1 Amount of the Original TEC (Rs.)

2 Original Contract Price (Rs.) 0.00

Amount (Rs.)
3 Percentage of Contingencies Provided in the TEC
%

Amount (Rs.)
Aggregate Variations (Including Changes in
4 % from the original
Quantities) to-date
Contract Price

5 What is/are the Reason/s for the current variation/s? (Tick below as one or both as appropriate)

Amount (Rs.)

5.1 EXCESS

5.2

Sub Total -

Variations issued to-date (from 4 above) (Rs.)

Aggregate variations with the current (Rs.) -

Percentage of the aggregate from the original TEC

Percentage of the aggregate from the original contract price 0.000%

Note:- This variation is based on the rates in the agreement B.O.Q. Accordingly contractor is entitled for
price escalation.

Page 25 of 36
 NCPED 13

Item Description of Work (Variation) Amount (Rs.)

Note:- Refer the attached estimate for details

(Amount in
word) ...................................................................................................................................................................
.....................................................................................................................................................................

Prepared by :- Checked by :- Passed by :-

......................................................... ......................................................... .........................................................

Technical officer Draftman Divisional Assistant
........................................... ........................................... ...........................................
Date Date Date

Checked by :-

..........................................
Divisional Engineer
...........................................
Date
Approved by :-

....................................................................................

..............................................
Date
Copy to:-
1
2
3

Page 26 of 36
 NCPED 14

NCP PROVINCIAL ENGINEERNG DEPARTMENT

WEATHER REPORT

Date of Submission : Location :

D.E.Division : Minneriya District :
Name of the Job : Month :
Contract No :

1 2 1 2 1 2 1 2 1 2
3 3 3 3 3

23 23 23 23 23
6 6 6 6 6

20 8 20 8 20 8 20 8 20 8

18 10 18 10 18 10 18 10 18 10
17 12 17 17
17 12 12 12 17 12

1 2 1 2 1 2 1 2 1 2
3 3 3 3 3

23 23 23 23 23
6 6 6 6 6

20 8 20 8 20 8 20 8 20 8

18 10 18 10 18 10 18 10 18 10
17 12 17 17 17 17
12 12 12 12

1 2 1 2 1 2 1 2 1 2
3 3 3 3 3

23 23 23 23 23
6 6 6 6 6

20 8 20 8 20 8 20 8 20 8

18 10 18 10 18 10 18 10 18 10
17 12 17 17
17 12 12 12 17 12

1 2 1 2 1 2 1 2 1 2
3 3 3 3 3

23 23 23 23 23
6 6 6 6 6

20 8 20 8 20 8 20 8 20 8

18 10 18 10 18 10 18 10 18 10
17 12 17 17
17 12 12 12 17 12
22
1 2
3

23
6

20 8

18 10
17 12

1 2 1 2 1 2 1 2
3 3 3 3

23 23 23 23
6 6 6 6

20 8 20 8 20 8 20 8

18 10 18 10 18 10 18 10
17 12 17 17
12 12 17 12

1 2 1 2 1 2 1 2 1 2
3 3 3 3 3
23 23 23 23 23
6 6 6 6 6

20 8 20 8 20 8 20 8 20 8

18 10 18 10 18 10 18 10 18 10
17 12 17 17
17 12 12 12 17 12

1 2
3 Heavy Rain
23
6

Normal Rain
20 8

Bright Sun Shine

18 10
17 12

Name and Signature of Contractors Representative Name and Signature of Technical officer
 NCPED 15A
NCP PROVINCIAL ENGINEER'S DEPARTMENT

RECOMMENDATION FOR COMPLETION /

SUBSTANTIALY COMPLETION CERTIFICATE

1 Divisional Engineer's Division : Minneriya

2 Name of the Contract : ……………………………………….
3 Contract Number : ……………………………………….
4 Name and Address of the Contractor : ……………………………………….
5 Contract Period : From………….. To…………..
6 Attachments (6.2 & 6.3 - if Necessary) :6.1 Request Letter of the Contractor
:6.2 List of Works to be Attended in the Case of
Substantially Completion
: As Build Drawings
7 Last date of granted EOT 6.3
: ………………………………………..
8 Date of completion according to the Agreement : ………………………………………..
9 Actual Date of completion ………………………………………..
10 Site inspection comments of Technical Officer
I inspected the site with contractor / contractor's representative & Senior Technical Officer and the
contract is substantially completed / completed by the contractor on……………………..

……………………………………
Name and Signature of the Technical Officer Date - ………………

Senior Technical Officer

I inspected the site and the date of substantially completion/ completion is ………………….

………………………………….
Name and Signature of the Divisional Assistant Date - ………………

11 Divisional Engineer's Recommendation and Declaration

I recommend to issue the substantially Completion / Completion Certificate for the Construction
works of……………………………………........................Contract and confirm the date of substantially
completion / Completion is ............................... and the necessary attachments are attached herewith.
……………………………..
Signature of the Divisional Engineer Date - ………………
 NCPED 15B

…………………………..…………
………………………..……………
……………………………..……...
…………………………..…………

Contact No. ………………………….

Contact Name: ……………………………………………

SUBSTANTIALY COMPLETION / COMPLETION CERTIFICATE

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 completions justify 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.

Provincial Director (Buildings)

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

NCP PROVINCIAL ENGINEERING DEPARTMENT

Format for Releasing the Retention
First Half / Second Half / Full Amount of the Retention
(As per Clause 10.5 / 10.6 of Condition of Contract)

The Divisional Engineer,

………………………………………………
……………………………………………..
……………………………………………..

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.

Date: - …………………………………. ……………………………………

Signature of Contractor

1.  Name of Contract ……………………………………………………………………….

2.       Contract Number …………………………………………………………………..

3.       Contract Period …………………………………………………………….

4.       Name of the Contractor ……………………………………………………………………….

5.       Address of the Contractor ………………………………………………………………………..

6.       Original Contract Price -Rs ……………………..…………………………………………(Without VAT)

7.       Deducted Retention Amount - Rs…………………………………………………………………………….

8.       Date of Substantially Completion / Completion Certificate Issued -

9.       Defect Liability Period – From …………………………………..to……………………………………….

10.   Technical Officer’s Recommendation –

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 Technical Officer
 NCPED 16

11. Divisional Assistant’s Recommendation –

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 Clouse 10.5/10.6 of
Condition of Contract.

………………………………………………..
Date :- ……………………………….. Name & Signature of Divisional Assistant

12. Divisional Engineer’s Recommendation –

I recommend paying of First Half / Second Half / Full Amount of the Retention in order to the Clause
10.5/10.6 of Condition of Contract). And all defects were rectified by the contractor according to the BOQs.
Amount of this payment is Rs ………………………………………………..

…………………………………………….
Date :- ……………………………………….. Name & Signature of Divisional Engineer

13. Approval of Provincial Director (Buildings) –

Approved.
…………………………………………….
Date :- …………………………………… Name & Signature of Director
 NCPED 17

NCP PROVINCIAL ENGINEERING DEPARTMENT

CONTRACT REGISTER

DIVISIONAL ENGINEERS OFFICE: FILE NO:

1 Name of the Contract :
2 Estimated Amount Rs. 11 VAT registration No.
3 Contract No 12 EOT Number and Period
4 Funding Source 01
5 Name of the Contractor 02
6 Address of the Contractor 03
7 Agreement Amount 04
8 Agreement Date 13 Liquidated Damage Per day
9 Completion Date 14 Actual Completion Date

ICTAD Registration Number & Grade of

10 15 Defect Liability Period
the Contract Firm

Details of Bonds
Performance Bond Advance Bond Other
Bond No.
Date
Name of the Issuing Agency
Amount(Rs.)
Expire Date
Bond Extended Date
 NCPED 18A
PROVINCIAL ENGINEER'S DEPARTMENT
Divisional Engineer’s Office – Minneriya

PACKAGE No :-

NAME OF THE PROJECT

SUMMARY SHEET
No Description Amount (Rs)
1 Preliminary and General Item
2 Amounts of Civil works

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) -

The Grand Total is …………………………………………………………………………………………………………………………………………………………………….

Items & measurements Proposal was checked

Prepared by Rates & Arithmetic Cheked were checked Recommended by

Technical Officer Draughtsman Divisional Assistant Div. Engineer - Minneriya

M.P.R.N.Pranandu Eng.D.B.I.W.Udayasingha Bandara

(For Head Office Use Only)

…………………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………….
Estimate No

Date

Checked by

Recommended by

Approved by
 NCPED 18B
PROVINCIAL ENGINEER'S DEPARTMENT
Divisional Engineer’s Office – Minneriya
PACKAGE No :-

NAME OF THE PROJECT

SUMMARY SHEET
No Description Amount (Rs)
1 Preliminary and General Item
2 Amounts of Civil works

3
Sub Total -
6 Allow for VAT (Sub total) 15% Err:520
Grand Total Err:520

Amount in Word :…………………………………………………………………………………………………………………...…….

………………………………………………….
Signature / Rubber Stamp

Witness :

1 …………………………………………………………………………………..

2 …………………………………………………………………………………..
 PRDD 19

PROVINCIAL ROAD DEVELOPMENT DEPARTMENT

UVA PROVINCIAL COUNCIL
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

Contract No.

Name of the Contractor

Statement No.

Billing Period From To

SUMMARY OF MATERIALS AT SITE ON - …………………

RATE
ITEM NO DESCRIPTION UNIT QTY. AMOUNT (Rs.)
(Rs.)

TOTAL VALUE OF MATERIALS AT SITE -

80% of value of material at site -

DEDUCT PREVIOUS PAYMENTS -

PAYMENT FOR THIS PERIOD - CARRIED FORWARD TO SUMMARY (PRDD21 & PRDD13) -

Prepaired and submitted by Checked by Certifyed by

Name and Signature of the Contractor Name and Signature Name and
of the Technical Signature of the
Officer (PRDD) Senior Technical
Officer (PRDD)
ජේෂ්ඨ කාර්මික නිලධාරිගේ නිර්දේශය
රුපි: ............................... ක් වටිනා චෙක්රෝලක් නිකුත් කිරීම නිර්දේශ කරමි.

..................................
දිනය :- ................................. ජේෂ්ඨ කාර්මික නිලධාරි

ප්‍රාදේශීය ඉංජිනේරුගේ අනුමැතිය

රුපි: ............................... ක් වටිනා චෙක්රෝලක් නිකුත් කිරීම අනුමත කරමි.

.................................
දිනය :- ................................. ප්‍රාදේශීය ඉංජිනේරු

නිකුත් කිරීම

චෙක්රෝලක් අංකය :-

මුද්‍රිත අංකය :-

චෙක්රෝලක් වටිනාකම :-

චෙක්රෝල රෙජිස්ටරයේ පිටු අංකය හා අනු අංකය :-

නිකුත් කල නිලධාරියාගේ නම හා අත්සන :-