Employer Engineer Consultant Contractor

TECHNICAL SUBMITTAL FORM

PROJECT YAS South: Integrated Destination Resort (IDR)

Submittal Ref: YSD-P02-0208-HS-HIL-SF-00002 Date 7-Oct-17 Rev. 0

Submittal Title Site Safety Walk- 2

Submitted By HILALCO Signature

Discipline Architecture Structural Mechanical Electrical Landscape Interior Design ✘ Others

Drawing Ref: Specification Ref

Type of Submittal
Pre Qualification of Sub-Contractor HSE Plan Calculations Project Quality Plan Test Results

Operation & maintenance manual Guarantees Certificates Method Statement Survey Report ✘ Others

The Contractor certifies that the Technical data submitted herewith is in compliance with the Contract drawings and specifications unless
specifically noted / highlighted here or on the attached documents.

Authorised Signatory Vasil Mingovski Date 10/7/2017

Received Signature Date

Engineer's Representative Comments

Code A -Approved

Code B - Approved with Comments

Code C - Not Approved - Resubmit

Code D - For Information Only

Reviewed By Date

Engineer's Comments

Reviewed By Date

Corrections or comments made relative to submittals during this review do not relieve the contractor from compliance with the Contract
requirements and specifications. Any changes from previous revisions of the submittal or contract documents, unless specifically highlighted are
not necessarily reveiwed and hence not necessarily approved.

Received Date