THE CONSTRUCTION MANAGER: King Abdulaziz International Airport THE CONTRACTOR:

Development Project
(Phase I)
Jeddah, KSA

MATERIALS INSPECTION REPORT (MIR)

Reference No.: 422-MIR-I-3329 Submission Date: 8 May 2019

Material
INTERIOR SIGNAGE W70
Description:

Delivery No.: 003 Rev. 00 Inspection Date/Time:

Material Submittal (MTS) No.: 422-MTS-I-02889 Material Submittal Revision No: 02

Contractor's Name: Saudi Binladin Group Contract No.: J-10-422-PF-0

Contract Name: Terminal Complex, Control Tower and Supporting Facilities
Sub-Contractor's Name: Roots Group
MANUFACTURER'S DETAIL
Manufacturer: VARIOUS (SUPPLIER: CARAVAN INDUSTRIES)
Model No.: NA Serial No. : NA
Country of Origin: SA - SAUDI ARABIA Propose Location of Use: f400
Date of Arrival on Site: 24/04/19 Quantity: 02 PC (P1)
Storage Location: ON SITE Specification /Clause: 101420
Submitted by: Mohd. Faiq Aqil Signature:

CM's INSPECTION REPORT

Yes / No Remarks Initials
Physical Damage? Yes No

Details given above correct? Yes No

Conformed with material specification? Yes No

Accessories/ Spare Parts included? Yes No

Details:

Remarks:

CM's Inspector: Signature: Date:

CM'S REPRESENTATIVE COMMENT:

The above material
Material Statushad been inspected upon delivery on site and found at the time of inspection to be:

Satisfactory Unsatisfactory

for incorporation in the permanent works.

CM's Representative: Signature: Date:

Note: The above inspection shall not relieve the Contractor of his responsibilities to incorporate in the Works only such materials that are in
conformity with the Contract.

421/DAR/SBG/FRM/005-00; 13-Jan-11