Reference No.

:
VRC-03-004-5-

DATE:
PROJECT: PROPOSED VISAYA COMPOUND
NOTICE OF COMPLETION NO.
OWNER: 7 J&A REALTY CORP.
SCOPE OF WORKS:
WORK AUTHORIZATION NO. _____ POURING REQUEST NO. ______
CONTRACTORS AUTHORIZED
LEVEL LOCATION/GRIDLINE REMARKS JOINT SIGNATURE/DATE
SIGNATURE

Remarks : (specify if completed, otherwise indicate uncompleted works)

Note : Attach the necessary conducted test results to signify completion

Disclaimer: Signature of the Contractor Signifies that the works has been inspected and is in accordance with Drawings and/or Specifications. Construction
Manager signatures do not relieve the Contractor from its responsibility to ensure that all works are done in accordance with the Drawings and Specifications
and to rectify the back jobs. A formal Certificate of Completion might be required upon the discretion of the Project Manager

Works Completed by: Noted by:

________________________ ________________________
General Contractor/Date ELS Project-in-Charge/Date
Note: This form must be submitted in (2) copies to the Project Manager's Onsite Representative duly accomplished & signed by the
corresponding contractor's Personnel-in-charge atleast 48 hours after the works has been completed
ELS-FM-OP-003-04-5-02
Notice of Completion
Effectivity date: January 25, 2022

Reference No.:
VRC-03-004-5-

DATE:
PROJECT: PROPOSED VISAYA COMPOUND
NOTICE OF COMPLETION NO.
OWNER: 7 J&A REALTY CORP.
SCOPE OF WORKS:
WORK AUTHORIZATION NO. _____ POURING REQUEST NO. ______
LEVEL LOCATION/GRIDLINE CONTRACTORS AUTHORIZED REMARKS JOINT SIGNATURE/DATE

Remarks : (specify if completed, otherwise indicate uncompleted works)

Note : Attach the necessary conducted test results to signify completion

Disclaimer: Signature of the Contractor Signifies that the works has been inspected and is in accordance with Drawings and/or Specifications. Construction
Manager signatures do not relieve the Contractor from its responsibility to ensure that all works are done in accordance with the Drawings and Specifications
and to rectify the back jobs. A formal Certificate of Completion might be required upon the discretion of the Project Manager

Works Completed by: Noted by:

________________________ ________________________
General Contractor/Date ELS Project-in-Charge/Date

Note: This form must be submitted in (2) copies to the Project Manager's Onsite Representative duly accomplished & signed by the
ELS-FM-OP-003-04-5-02
Notice of Completion
Effectivity date: January 25, 2022