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(VERSION-IV) - DVC :: Consumer Login

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Annexure – I.9<br />

(Page 1 of 2)<br />

PAYMENT RECONCILIATICN CERTIFICATE<br />

(TO BE ISSUED BY SITE FINANCE IN CASE OF INDIAN CONTRACTORS)<br />

CERTIFICATE NO. CC - 09<br />

NAME OF PACKAGE :<br />

LETTER OF AWARD/ CONTRACT NO.:<br />

DATED :<br />

NAME OF CONTRACTOR:<br />

PROJECT :<br />

This is to certify that all the payments released to the Contractor in respect of the abovementioned<br />

LOA/Contract have been reconciled with the provisions of the Contract Documents and statement<br />

of Accounts and or other Certificates of Contractor. It is observed that there are no recoveries<br />

pending under any of the items noticed and listed below:<br />

List of Items:<br />

1. ……………<br />

2. …………….<br />

3. …………….<br />

4. …………….<br />

Date :<br />

Place:<br />

Signature……………….<br />

Name…………………..<br />

Designation…………….<br />

W& P Manual – 2012 Page 279

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