Certificate Serial No :

Date of Certificate :

Contractor

Contract No :
The following outstanding works have now been completed and taken over by Ministry of
.Electricity and Water under conditions of the contract
Outstanding Works Certificate No. : Dated:
Related to EOHC No. : Dated:
Area/Location:
Item No. and Description: (As per attached documents)
PL No.

Description

Closed by
I.R no.

Signed for the Contractor:

............. Date

Signed for MEW (Site):

. Date

Signed for MEW (SPS):

.... ......... Date

Signed for MEW Project Manager: (Site) .. Date

.Signed for MEW Department Director: . Date
Signed for Station Director:

.. Date