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CAR Claim Statement Format
CAR Claim Statement Format
Insurance Claim for Damages Due to Heavy Rain on 18th July 2021
Laid/Finished pipeline is lifted up, Pipe laid with Removal of non-aligned Pipe out of trench,
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required to be removed & relaid bedding and BAT-PL/244, 246, 253, cleaning and stacking of Pipe 2,475 m (48m/per
surround 260, & 266 day )- 3 Gangs working simultaneously
Flushing cannot be done next to trench, crane
to carry away, remove sleeve flush and bring
pipe next to trench
3 Gangs for 17 days= 51 gangdays
36+400 - 36+500 Chargehand (1 Head in each gang) Days 3 17.00 51.00 2.500 127.500
36+800 - 37+050 4 Labour (4 Heads in each gang) Days 12 17.00 204.00 13.850 2,825.400
37+050 - 37+175 2 Pipe Fitter (2 Heads in each gang) Days 6 17.00 102.00 16.000 1,632.000
38+500 - 38+700 Mobile Crane Days 1 17.00 17.00 150.000 2,550.000
38+700 - 39+775 Excavator Days 2 17.00 34.00 160.000 5,440.000
39+775 - 39+950 De watering pump Days 3 17.00 51.00 52.000 2,652.000
39+950 - 40+375 2 Operator (2 Heads in each gang) Days 6 17.00 102.00 23.000 2,346.000
40+375 - 40+700 Water tankers 5000 gallons Days 2 17.00 34.00 185.000 6,290.000
Drivers of trucks over 3T (Water tanker) Days 2 17.00 34.00 45.000 1,530.000
Water for cleaning of pipe @ 100 G per pipe length G 1 41,250.00 5.000 206,250.000
Sand bags to keep Pipe (3 Nos/6m pipe) No 1237.5 1.00 1,237.50 8.000 9,900.000
Cleaning of trench 2,475 m (50m/per day) - 3
Gangs working simultaneously
Removal of debris and contaminated sand
bedding, disposal and cleaning of Right of Way
3 Gangs for 17 days= 51 gangdays day 3 17.00 51.00 2.500 127.500
Chargehand (1 Head in each gang) day 6 17.00 102.00 13.850 1,412.700
2 Labour (2 Heads in each gang) day 3 17.00 51.00 16.000 816.000
Excavator day 3 17.00 51.00 150.000 7,650.000
JCB (for cleaning Right of Way and other side) day 3 17.00 51.00 160.000 8,160.000
Wheeled loader day 3 17.00 51.00 52.000 2,652.000
De watering pump day 12 17.00 204.00 23.000 4,692.000
4 Operator (4 Heads in each gang) Shift 2 17.00 34.00 25.000 850.000
Watchmen 18.000
Re-laying of Pipe, sand bedding for 2,475 m 5.000
Leveling on excavation m2 1 4,455.00 4,455.00 8.000 35,640.000
Pipe laying m 1 2,475.00 2,475.00 15.294 37,852.650
Sand Bedding m3 1 6,776.00 6,776.00 3.733 25,294.808
Trench are clear BAT-PL/147, 227, 231, Cleaning trench 13,000 m (150m/per day )
2 Cleaning of trench up to OBC duct level
and ready to 226, 235, 269, 270 FOC- Dewatering & Removal of debris and soil on top
received OBC duct 085, 090
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water Transmission Pipe Line, T
Insurance Claim for Damages Due to Heavy Rain on 18th July 2021
Chambers base
Cleaning, flushing, dewatering of cast in situ
slab casted,
Cleaning, flushing, dewatering of cast chambers, Removal of debris and soil inside
3 reinforcement & WO-22 5.000
in situ chambers chambers, re-excavation, removal of damage
shutter of wall
shutter, flushing and cleaning.
already installed
25+875 for 5 days 8.000
Chargehand day 1 5.00 5.00 25.000 125.000
5 Labours day 5 5.00 25.00 13.000 325.000
2 Carpenter day 2 5.00 10.00 16.000 160.000
Water tankers 5000 gallons day 1 5.00 5.00 100.000 500.000
Driver (1 Head in each gang) day 1 5.00 5.00 20.000 100.000
Water for cleaning of chamber @ 5000G for each chamber
G 1 25,000.00 25,000.00 5.000 125,000.000
De watering pump day 1 5.00 5.00 50.000 250.000
Operator day 1 5.00 5.00 20.000 100.000
Water Jetting Equipment with Operator 50% day 1 2.50 2.50 35.000 87.500
2 Excavator day 2 5.00 10.00 140.000 1,400.000
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Supporting document to justify the cost
(Rate Ref./BOQ rate/Subcontractor RFI
rate/material purchase invoice/ time or Ref/progress Photo after
work sheet to justify equipment utilisation report (post Photo of re-
cost ) repair) damaged item instement
BAT-PL/303,
308, 314, &
323
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Supporting document to justify the cost
(Rate Ref./BOQ rate/Subcontractor RFI
rate/material purchase invoice/ time or Ref/progress Photo after
work sheet to justify equipment utilisation report (post Photo of re-
cost ) repair) damaged item instement
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