615x 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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