PROJECT PROVISIONAL ACCEPTANCE CERTIFICATE

Hamusit Rural Town Water Supply Project

Project: Hamusit Rural Kebele Town Water Supply Project

Location: Hamusit Rural Kebele Town, Mecha Woreda, West Gojjam Zone of Amhara Region

Client: Amhara Water Resources Development Bureau

Contractor: Yonas Girma Machinery Rent and General Water Construction PLC

Consultant: Amhara Design and Supervision Works Enterprise

Contract Signed Date: 20th February, 2005 E.C

Contract Duration: 9 months

Project Site possession/handing over/ Date: ------------

Extension Time: 165 Days

Actual project completion Date: 24th May, 2006

This project provisional acceptance certificate after due notification to all concerned parties, we under
signed perceive through all the project components.

1. The project component consists of:

1.1 . Civil Works

1.1.1. Construction of 60m3 Elevated Tanker
 60m3 8m concrete Service Reservoir with all accessories
1.1.2. Construction of Pressure line
 Pressure main pipe line from collection chamber to 60m3 Elevated Tank (80mm Dia.
Medium Class GI pipe)
1.1.3. Construction of Distribution Line
 Distribution pipeline from 60m3 Elevated Tank to all water points (Pipe Sizes: From 80mm
Dia. To 25mm Dia. GI pipes.)
1.1.4. Construction of Generator House

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  Construction Generator and pump house with CI G-32 its wall and roof and
Electromechanical plants
1.1.5. Construction of Faucet
 Construction 10 in Number Faucets
1.1.6. Construction of 20m3 Collection Chamber
 Construction of 20m3 underground collection chamber
 Gravity pipe line from spring capping to 20m3 collection chambers (two parallel 100mm
Dia. Medium class GI pipes )
1.1.7. Construction of Spring (Mushirit Spring)
 Spring development at mushirit spring which is found North East of Rural Town u/s of Koga
Reservoir
2.1 Electromechanical Work
No Type of work Unit Qty Remark
1 ….. kva stand by generator No 1
2 ….. kw surface pump No 1
3 2.5” Water meter No 1
4 2.5” gate vale No 1
5 2.5” check valve No 1
6 Pressure gauge No 1

2.2. Preliminary Operation and Testing For Provisional Acceptance Data For Standby
Generator-set at collection chamber
2.2.1. General

Generator set Model/Serial No. : drawing: ----------

Engine Model/Serial ……………… Frequency:--------
Voltage: … ……
Rated power:…………. Date of Commissioning: --------
Alternator Model/Serial No:------- Speed: ------ RPM
Phase: ………. Generator set drawing:
Radiator Model/Serial No.: ……………. Make/Date of production: ….. ………….
Load Transfer panel Type Serial No. :NA
Control Panel Type Serial No. :……..
Rated Current: …………. Electrical Country of origin: ------------------

Date of Testing: ------------ Fuel system --------

Test results ---------------- Power Fuse & Rating: --------

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Water level and additives Control Fuse & Fuse
Rating………..

2.3. Provisional Acceptance Operation and Testing

(Pumps and motor starter panel)

Pump station----------------- n= RPM

Testing date: ……………E.C
Motor Power: KW
Pump type: ………………..
Rated Current: …… A
Pump Model/Ser. ……..
Motor Model/Serial No: ………
3
Pump Rating: Q = ------ m /hr

H = ….. m

2.3.1. Check Before Starting Up

Main Fuse Setting: … A Water meter Reading: …. m3

Timer Relay Setting: … sec Pressure Gauge Reading: ….. Bar

Overload Setting: … A Power Factor Correction Capacitor: NA

Hour meter Reading: NA

2.3.2. Running Condition (Pump Started And Running )

Design delivery flow to MR:……..l/sec Current Reading: ---- A

Design delivery Head up to MR: …. m Flow Rate: --------

Pump Duty point (Characteristics Curve): Pressure Gauge Reading: ….Bar

Volt meter Reading: ……..V

2.4. PANEL BOARD

At collection chamber

ELECTRICAL PANEL BOARD TEST CERTIFICATE

Name Plate Data Rated Power Supply

Panel ID Voltage

Function Current

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Manufacturer Power

Model. Frequency

Drawing No. Year of manufacture

Designation Check Yes No Remark

Enclosure

External Body /

Internal Body /

Protection Indices /

Door And door Handles /

Bonding of Doors /

Cable Gland/Brushes X

Drawing holders X

Company Label X

Paint Quality /

Panel Heating/Cooling/Lighting

Air Fan and Louvers Installation & Operation X

Panel lighting Installation & Operation X

Panel heating Installation & Operation X

Component Assembling

Device Position Conformity to Drawing /

Device Fixing Rigidity to Strength /

Internal Ducting Dimension & Size /

Wiring Color Code Conformity to Standard /

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Wiring Terminals Size, Position& Marking /

Incoming Section

Incoming Section Size And Connection /

Main Isolation Device Rating & Adjustment /

Earthling terminal Size, Fixing and Position /

Power distribution

CB’s & fuses Rating & Adjustment /

Earthling Fault Relay Rating & Adjustment /

Motor Thermal Relay Rating & Adjustment X

Outgoing Cables Sizes & Connection /

Front Mounted Equipment

Analog Indicators Scales & Dimensions / 0-…..V,0-….A

Lighting Indicators Color & Label /

Switching & Push Label & Position /

Buttons Numbers

Wiring

Power Circuit Wire Size & Tightening /

Control Wiring Wire Size And Marking /

Instrument Loop Wire Size And Marking /

Operation I

Motor Thermal Relay Overload Test /

Indicator Lights Switching On /

Instruments Loops & Indications /

Safety Relays Correct Operation /

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 Operation II

Manual Operation In acco. With the Spec. /

Automatic Operation In acco. With the Spec. /

Insulation And Dielectric

Insulation Test Phase To Phase X

Phase To Earth X

Dielectric Test Phase To Phase X

Phase To Earth X

3. Having considered the above main remark preliminary operation & testing of the pumping station is
found to be satisfactory & provisionally accepted. All the above remarks to be rectified as soon as
possible before the final acceptance of the project works.
4. Provisional acceptance testing and operation
 The Spring Development (Mushirit): Constructed according the design drawing & contract
agreement and properly working
 Pipe laying works: Both pressure and distribution lines done according the design drawing
& contract agreement and properly working
 60m3, 8m high concrete Service Reservoir: Constructed according to the design drawing
and contract agreement and properly working
 20m3 Masonry Wall Collection Chamber : Constructed according to the design drawing and
contract agreement and properly working
 Construction of generator and faucets : Constructed according to the design drawing and
contract agreement and properly working
 Electromechanical work : installed according to the design drawing and contract agreement
and properly working

5. Remark

5.1 Civil work

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

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 ______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
__________________________________________________________________________

5.2 Electromechanical Work

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
_______________________________________________________________

6. Conclusions
The date of the final acceptance will be one year after thorough investigations of works in all its parts
expecting invisible latent defects. We declare that all maintenance will be executed in accordance with
specifications and agreements in acceptable manner. We witness that,

 The project is accomplished according to the design and the agreement as confirmed by the
relevant experts.
 All the remarks have been provided to the contractor with full specifications for practical
purposes after due.
 The provisional acceptance will be effective from the date of signing and sealed by all parties.
 The Rural Kebele Town Water Board / New Committee / Town Administrator/ taking over
the responsibility to run the water supply service on wards today.

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7. Signing Parties and Witness
7.2. Client
Name Title Signature Date
1. ------------------------------ --------------------------- --------------- --------------
2. ------------------------------ --------------------------- --------------- --------------

7.3. Consultant
Name Title Signature Date
1. ------------------------------ --------------------------- --------------- --------------
2. ------------------------------ --------------------------- --------------- --------------
3. ------------------------------ --------------------------- --------------- --------------

7.4. Contractor
Name Title Signature Date
1. ------------------------------ --------------------------- --------------- ----------------
2. ------------------------------ --------------------------- --------------- ----------------

7.5. New Water Committee /Water Board/ Mecha Woreda Administrator/

Name Title Signature Date
1. ------------------------------ --------------------------- --------------- ----------------
2. ------------------------------ --------------------------- --------------- ----------------
3. ------------------------------ --------------------------- --------------- ----------------
4. ------------------------------ --------------------------- --------------- ----------------

7.6. Witness
Name Title Signature Date
1. ------------------------------ --------------------------- --------------- --------------
2. ------------------------------ --------------------------- --------------- --------------
3. ------------------------------ --------------------------- --------------- --------------
4. ------------------------------ --------------------------- --------------- --------------

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