A sample template of an affidavit of vehicular accident.
Full description
Activities
PROJECT TITLE AT
STATE LOCATION
STATEMENT OF FINAL ACCOUNT
Job No Date
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STATEMENT OF FINAL ACCOUNT
PROJECT TITLE AT
STATE LOCATION
EMPLOYER
:
EMPLOYER ADDRESS
ARCHITECT
:
ARCHITECT ADDRESS
STRUCTURAL ENGINEER :
STRUCTURAL ENGINEER ADDRESS
SERVICES ENGINEER
:
SERVICES ENGINEER ADDRESS
QUANTITY SURVEYOR
:
QUANTITY SURVEYOR ADDRESS
CONTRACTOR
:
CONTRACTOR ADDRESS
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STATEMENT OF FINAL ACCOUNT
PROJECT TITLE AT STATE LOCATION STATEMENT OF FINAL ACCOUNT
CONTENTS
Page 1
Summary of Final Account
2
Supporting Details to Statement of Final Account -
3
Summary of Final Account : Electrical Installation -
4
Variations to Main Contract Variations to Sub-Contracts : Electrical Installation Variations to Sub-Contracts : Aluminium Works Work s and Glazing Etc Etc
Supporting Details to Statement of Final Account : Electrical Installation
Summary of Final Account: Aluminium Works Work s and Glazing -
Supporting Details to Statement of Final Account : Aluminium Works Work s and Glazing
1
2-4 5 6 Etc Etc 1 2 1 2
5
Etc
Etc
6
Etc
Etc
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Page 1
STATEMENT OF FINAL ACCOUNT
PROJECT TITLE STATEMENT OF FINAL ACCOUNT SUMMARY OF FINAL ACCOUNT $ ?
................................................................................. For and On Behalf of DAVIS LANGDON & SEAH SINGAPORE PTE LTD Date: ....................................................................... I/We agree to this Statement of Final Account. ................................................................................. For and On Behalf of [EMPLOYER'S NAME] Date: ....................................................................... I/We agree to this Statement of Final Account and confirm that I/we have no further claims on this Contract. ................................................................................. For and On Behalf of [CONTRACTOR'S NAME] Date: ....................................................................... NOTE: Negative figures in Net Value Value column indicate a saving saving
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Page 2
STATEMENT OF FINAL ACCOUNT
PROJECT TITLE STATEMENT OF FINAL ACCOUNT SUPPORTING DETAILS TO STATEMENT OF FINAL ACCOUNT
MAIN CONTRACT MAIN BUILDING WORKS Ref
Description
Omissions
Additions
Net Value
$
$
$
AI-04-04
Half brick instead of one brick wall to MDF Room
( ? )
?
( ? )
AI-04-11
Fibrous gypsum plaster board ceiling to lobbies and corridors
( ? )
?
( ? )
AI-04-13
Etc
( ? )
?
( ? )
AI-04-20
Etc
( ? )
?
( ? )
AI-04-22
Etc
( ? )
?
( ? )
AI-17
Etc
( ? )
?
( ? )
( ? )
?
( ? )
TOTAL FOR MAIN BUILDING WORKS $
NOTE: Negative figures in Net Value Value column indicate a saving saving
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Page 3
STATEMENT OF FINAL ACCOUNT
PROJECT TITLE STATEMENT OF FINAL ACCOUNT SUPPORTING DETAILS TO STATEMENT OF FINAL ACCOUNT
MAIN CONTRACT EXTERNAL WORKS
Ref
Description
Omissions
Additions
Net Value
$
$
$
AI-02
Amend TAS pipeline system
( ? )
?
( ? )
VO-14
Conduct survey of existing drains/manholes
( ? )
?
( ? )
Etc
( ? )
?
( ? )
Etc
( ? )
?
( ? )
( ? )
?
( ? )
TOTAL FOR EXTERNAL WORKS
$
NOTE: Negative figures in Net Value Value column indicate a saving saving
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Page 4
STATEMENT OF FINAL ACCOUNT
PROJECT TITLE STATEMENT OF FINAL ACCOUNT SUPPORTING DETAILS TO STATEMENT OF FINAL ACCOUNT
MAIN CONTRACT BUILDER'S PROFIT AND ATTENDANCE ON PRIME COST SUMS
Ref
Description
Omissions
Additions
Net Value
$
$
$
AI-ALUM-01
Adjustment of builder's profit and attendance on aluminium works and glazing
( ? )
?
( ? )
AI-ELEC-01
Adjustment of builder's profit and attendance on electrical installation
( ? )
?
( ? )
Etc
( ? )
?
( ? )
Etc
( ? )
?
( ? )
TOTAL FOR BUILDER'S PROFIT AND ATTENDANCE ATTENDANCE ON PRIME COST SUMS $
( ? )
?
( ? )
TOTAL FOR MAIN CONTRACT
( ? )
?
( ? )
$
NOTE: Negative figures in Net Value Value column indicate a saving saving
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Page 5
STATEMENT OF FINAL ACCOUNT
PROJECT TITLE STATEMENT OF FINAL ACCOUNT SUPPORTING DETAILS TO STATEMENT OF FINAL ACCOUNT
MAIN CONTRACT EXTRA PRELIMINARIES
Ref
AN-12-a
Description
Extra preliminaries
Omissions
Additions
Net Value
$
$
$
0.00
32,400.00
32,400.00
0.00
32,400.00
32,400.00
72 days @ $450 per day = $32,400.00 TOTAL FOR EXTRA PRELIMINARIES $
TOTAL FOR MAIN CONTRACT
$
( ? )
?
NOTE: Negative figures in Net Value Value column indicate a saving saving
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( ? )
Page 6
STATEMENT OF FINAL ACCOUNT
PROJECT TITLE STATEMENT OF FINAL ACCOUNT SUPPORTING DETAILS TO STATEMENT OF FINAL ACCOUNT
Adjustment of awarded sum against prime cost sum allowed for Electrical Installation in Contract
AI-ELEC-O1 Variations Variations - refer to Statement of Final Account for Electrical Installation TOTAL FOR ELECTRICAL INSTALLATION
$
Omissions
Additions
Net Value
$
$
$
( ? )
?
( ? )
( ? )
?
( ? )
( ? )
?
( ? )
NOTE: Negative figures in Net Value Value column indicate a saving saving
C:\Users\sobiramthapa\AppData\Local\Microsoft\Windows\Temporary Internet C:\Users\sobiramthapa\AppData\Local\Microsoft\Windows\Temporary Files\Content.Outlook\04UVIMAH\PML017.DOC
Page 7
STATEMENT OF FINAL ACCOUNT
PROJECT TITLE STATEMENT OF FINAL ACCOUNT SUPPORTING DETAILS TO STATEMENT OF FINAL ACCOUNT
SUB-CONTRACTS ALUMINIUM WORKS AND GLAZING
Ref
Description
Omissions
Additions
Net Value
$
$
$
AIC30701
Adjustment of awarded sum against prime cost sum allowed for Aluminium Works and Glazing in Contract
( ? )
?
( ? )
AI-ALUM
Variations - refer to Statement of Final Account for Aluminium Works and Glazing
( ? )
?
( ? )
TOTAL FOR ALUMINIUM WORKS AND GLAZING $
( ? )
?
( ? )
TOTAL FOR SUB-CONTRACTS
( ? )
?
( ? )
$
NOTE: Negative figures in Net Value Value column indicate a saving saving
C:\Users\sobiramthapa\AppData\Local\Microsoft\Windows\Temporary Internet C:\Users\sobiramthapa\AppData\Local\Microsoft\Windows\Temporary Files\Content.Outlook\04UVIMAH\PML017.DOC
Page 8
STATEMENT OF FINAL ACCOUNT
PROJECT TITLE STATEMENT OF FINAL ACCOUNT SUMMARY OF FINAL ACCOUNT
ELECTRICAL INSTALLATION INSTALLATION
ORIGINAL CONTRACT SUM
SUB-CONTRACT
? Omissions $
Additions $
( ? ) __________ __________
? _________ _________
( ? ) __________ __________
? _________ _________
( ? ) _________ _________ ? _________ _________
FINAL TOTAL SUB-CONTRACT SUM
We have examined and agreed to the Final Sub-Contract Sum and confirm that we have no further claims on this Sub-Contract.
.......................................... For and On Behalf of [CONTRACTOR'S NAME]
................................................. For and On Behalf of [SUB-CONTRACTOR'S NAME]
NOTE: Negative figures in Net Value Value column indicate a saving saving
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Page 9
STATEMENT OF FINAL ACCOUNT
PROJECT TITLE STATEMENT OF FINAL ACCOUNT SUPPORTING DETAILS TO STATEMENT OF FINAL ACCOUNT
ELECTRICAL INSTALLATION INSTALLATION
Ref
Description
Omissions
Additions
Net Value
$
$
$
AI-05
Refinement to lightning protection system
( ? )
?
( ? )
AI-09
Etc
( ? )
?
( ? )
AI-12
Etc
( ? )
?
( ? )
( ? )
?
( ? )
TOTAL FOR ELECTRICAL INSTALLATION
$
NOTE: Negative figures in Net Value Value column indicate a saving saving
C:\Users\sobiramthapa\AppData\Local\Microsoft\Windows\Temporary Internet C:\Users\sobiramthapa\AppData\Local\Microsoft\Windows\Temporary Files\Content.Outlook\04UVIMAH\PML017.DOC
Page 10
STATEMENT OF FINAL ACCOUNT
PROJECT TITLE STATEMENT OF FINAL ACCOUNT SUMMARY OF FINAL ACCOUNT
ALUMINIUM WORKS AND GLAZING
ORIGINAL CONTRACT SUM
SUB-CONTRACT
? Omissions $ ( ? ) __________ __________
Additions $ ? _________ _________
( ? ) __________ __________
? _________ _________
? _________ _________ ? _________ _________
FINAL TOTAL SUB-CONTRACT SUM
We have examined and agreed to the Final Sub-Contract Sum and confirm that we have no further claims on this Sub-Contract.
.......................................... For and On Behalf of [CONTRACTOR'S NAME]
................................................. For and On Behalf of [SUB-CONTRACTOR'S NAME]
NOTE: Negative figures in Net Value Value column indicate a saving saving
C:\Users\sobiramthapa\AppData\Local\Microsoft\Windows\Temporary Internet C:\Users\sobiramthapa\AppData\Local\Microsoft\Windows\Temporary Files\Content.Outlook\04UVIMAH\PML017.DOC
Page 11
STATEMENT OF FINAL ACCOUNT
PROJECT TITLE STATEMENT OF FINAL ACCOUNT SUPPORTING DETAILS TO STATEMENT OF FINAL ACCOUNT
ALUMINIUM WORKS AND GLAZING
Ref
Description
Omissions
Additions
Net Value
$
$
$
AI-002
Substitute 6mm for 8mm thick glass to Type W4 windows
( ? )
?
?
AI-09
Etc
( ? )
?
?
AI-12
Etc
( ? )
?
?
( ? )
?
?
TOTAL FOR ALUMINIUM WORKS AND GLAZING
$
NOTE: Negative figures in Net Value Value column indicate a saving saving
C:\Users\sobiramthapa\AppData\Local\Microsoft\Windows\Temporary Internet C:\Users\sobiramthapa\AppData\Local\Microsoft\Windows\Temporary Files\Content.Outlook\04UVIMAH\PML017.DOC
