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(VERSION-IV) - DVC :: Consumer Login

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Annexure-I.10<br />

CERTIFICATE REGARDING LABOUR PAYMENTS AND STATUTORY<br />

REQUIREMENTS TO BE FURNISHED BY CONTRACTOR.<br />

(TO BE ISSUED BY THE CONTRACTOR)<br />

CERTIFICATE NO. CC - 10<br />

NAME OF PACKAGE :<br />

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

DATED :<br />

NAME OF CONTRACTOR:<br />

PROJECT :<br />

This is to certify that we have made all labour payments including PF Liabilities in respect of the<br />

above mentioned LOA/ Contract and no other payments in this regard is pending from us.<br />

Further, we confirm that all Statutory requirements have been complied with by us and in case<br />

any default is reported against us, we shall be solely responsible for the same.<br />

Date :<br />

Signature……………….<br />

Place:<br />

Name…………………..<br />

Designation…………….<br />

Note: Where required, the proof of payment by Contractor may be obtained.<br />

W& P Manual – 2012 Page 281

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