386x Filetype XLSX File size 0.50 MB Source: www.knysna.gov.za
Sheet 1: Record of Submission
Contract Number | Month of | ||||||||
Description | Company Name | ||||||||
EPWP Record of Submission | |||||||||
Submitted | |||||||||
Yes | No | Comments | |||||||
Contract Initiation Documents: | |||||||||
1. Contract registration/details form: | |||||||||
2. Copies of employment contracts: | |||||||||
3. Copies of certified ID copies: | |||||||||
Monthly Documents: | |||||||||
4. Signed labour schedule | |||||||||
5. Signed payment template of beneficiaries | |||||||||
6. Proof of payment (payslips/bank-statements) | |||||||||
7. Weekly attendance registers | |||||||||
8. Additional / New employee contracts | |||||||||
9. Additional / New employee certified ID copies | |||||||||
10. Expenditure value (payment certificate value for the reporting month) | R | ||||||||
Acknowledgement of delivery and receipt by: | |||||||||
Contractors representative: | Name: | __________________ | Signature: __________________ | Date: __________________ | |||||
Knysna Municipality Project Manager: |
Name: | __________________ | Signature: __________________ | Date: __________________ | |||||
EPWP Data Capturer: | Name: | __________________ | Signature: __________________ | Date: __________________ | |||||
Reporting Month | ||
Contract Details Reporting Template | ||
Contract name | ||
Contract Number | ||
Start date | ||
End date | ||
Status | ||
Project Physical Address | ||
Contract Description | ||
Contract budget | ||
Monthly expenditure (payment certificate value for the reporting month) | R | |
Funding department | Infrastructure and Engineering: Water and Sanitation | |
Ward number | ||
Number of people employed | ||
Knysna Municipality Project Manager | ||
Consultant | ||
Contact person details | ||
Contractor/Service provider | ||
Contact person details | ||
Note: | Contractors must report on all labour benefiting from the project, i.e. local labour, labour employed by the company up to but not including the level of foreman | |
Payment Template | |||||||||||||||
Contract Description: | |||||||||||||||
Contract number | |||||||||||||||
Reporting Month: | |||||||||||||||
Contractor: | |||||||||||||||
Yes/No | a | b | No. of training days this month | a x b | |||||||||||
No. | First Name | Initials | Surname | Id number | Birth Date | Male / Female (M/F) | Disability Status (Provide affidavit) | Wage Rate (R) | No. of days worked this month | Total Amount Paid to Beneficiary (R) | Course Name | Course Code | Signature For Payment Received | ||
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Totals | |||||||||||||||
Name and Surname of Site Agent | Signature of Site Agent |
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