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云南省昆明市清水海引水工程施工单位用表(经典表格值得参考)

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'施工单位用表目录序号表格名称表格类型表格编号1施工技术方案申报表CB01承包[]技案号2施工进度计划申报表CB02承包[]进度号3施工图用图计划报告CB03承包[]图计号4施工分包申报表CB05承包[]分包号5现场组织机构及主要人员报审表CB06承包[]机人号6材料/构配件进场报验单CB07承包[]材验号7施工设备进场报验单CB08承包[]设备号8施工放样报验单CB11承包[]放样号9联合测量通知单CB12承包[]联测号10施工测量成果报验单CB13承包[]测量号11合同项目开工申请表CB14承包[]合开工号12分部工程开工申请表CB15承包[]分开工号13混凝土浇筑开仓报审表CB17承包[]开仓号14单元工程施工质量报验单CB18承包[]质报号15施工质量缺陷处理措施报审表CB19承包[]缺陷号16地质与施工缺陷处理联合检验认定表B6-25承包[]地质缺陷号17地质原因超挖(超填)工程量支付计量申报表B6-25附表承包[]地质缺陷付号18事故报告单CB20承包[]事故号19暂停施工申请报告CB21承包[]暂停号20复工申请表CB22承包[]复工号21变更申请报告CB23承包[]变申号22变更项目价格申报表CB26承包[]变价号23索赔意向通知CB27承包[]赔通号24索赔申请报告CB28承包[]赔报号25工程计量报验单CB29承包[]计报号26计日工工程量签证单CB30承包[]计签号27工程价款月支付申请书CB31承包[]月付号28工程价款月支付汇总表CB31附表1承包[]月总号29已完单元工程量汇总表CB31附表2承包[]量总号30合同单价项目月支付明细表CB31附表3承包[]单价号 序号表格名称表格类型表格编号31合同合价项目月支付明细表CB31附表4承包[]合价号32合同新增项目月支付明细表CB31附表5承包[]新增号33计日工项目月支付明细表CB31附表6承包[]计日付号34计日工工程量月汇总表CB31附表6-1承包[]计日总号35索赔项目价款月支付汇总表CB31附表7承包[]赔总号36施工月报表CB32承包[]月报号37材料使用情况月报表CB32附表1承包[]材料月号38主要施工机械设备情况月报表CB32附表2承包[]设备月号39现场施工人员情况月报表CB32附表3承包[]人员月号40施工质量检验月汇总表CB32附表4承包[]质检月号41工程事故月报表CB32附表5承包[]事故月号42完成工程量月汇总表CB32附表6承包[]量总月号43施工实际进度月报表CB32附表7承包[]进度月号44验收申请报告CB33承包[]验报号45完工/最终付款申请表CB36承包[]付申号 CB01施工技术方案申报表(承包[]技案号)合同名称:合同编号:承包人:致:(监理机构)我方已根据施工合同的约定完成了工程的编制,并经我方技术负责人审查批准,现上报贵方,请审批。附:□施工组织设计□施工措施计划□安全措施计划□分部工程施工工法□工程放样计划□承包人:(全称及盖章)项目经理:(签名)日期:年月日监理机构将另行签发审批意见。监理机构:(全称及盖章)签收人:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构审核后,随同审批意见承包人、监理机构、发包人、设计代表各1份。 CB02施工进度计划申报表(承包[]进度号)合同名称:合同编号:承包人:致:(监理机构)我方今提交工程(名称及编码)的:□工程总进度计划□工程年进度计划□工程月进度计划□请贵方审查。附件:1施工进度计划。2图表、说明书共页。3承包人:(全称及盖章)项目经理:(签名)日期:年月日监理机构将另行签发审批意见。监理机构:(全称及盖章)签收人:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构审核后,随同审批意见承包人、监理机构、发包人、设计代表各1份。 CB03施工用图计划报告(承包[]图计号)合同名称:合同编号:承包人:致:(监理机构)我方今提交工程(名称及编码)的:□(总)供图计划□时段供图计划□请审查。附件:1施工进度计划。2图表说明。3承包人:(全称及盖章)项目经理:(签名)日期:年月日监理机构将另行签发审核意见。监理机构:(全称及盖章)签收人:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构审核后,随同审核意见承包人、监理机构、发包人、设计代表各1份。 CB05施工分包申报表(承包[]分包号)合同名称:合同编号:承包人:致:(监理机构)根据施工合同约定和工程需要,我方拟将本申请表中所列项目分包给所选分包人,经考察所选分包人具备按照合同要求完成所分包工程的资质、经验、技术与管理水平、资源和财务能力,并具有良好的业绩和信誉,请审核。分包人名称分包工程编码分包工程名称单位数量单价分包金额(万元)占合同总金额的%合计附件:分包人简况(包括分包人资质、经验、能力、信誉、财务,主要人员经历等资料)承包人:(全称及盖章)负责人:(签名)日期:年月日监理机构将另行签发审核意见。监理机构:(全称及盖章)签收人:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构审核、发包人批准后,随同审批意见承包人、监理机构、发包人各1份。 CB06现场组织机构及主要人员报审表(承包[]机人号)合同名称:合同编号:承包人:序号机构设置职责范围负责人/联系方式主要技术、管理人员各工种技术工人备注现提交第次现场机构及主要人员报审表,请审查。附件:相关人员资质、资格或岗位证书承包人:(全称及盖章)项目经理:(签名)日期:年月日监理机构将另行签发审核意见。监理机构:(全称及盖章)签收人:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构审核后,随同审核意见承包人、监理机构、发包人各1份。 CB07材料/构配件进场报验单(承包[]材验号)合同名称:合同编号:承包人:致:(监理机构)我方于年月日进场的工程材料/构配件数量如下表。拟用于下述部位:1、;2、;3、经自检,符合技术规范和合同要求,请审核,并准予进场使用。附件:1、出厂合格证;2、检验报告;3、质量保证书;4、序号材料/构配件名称材料/构配件来源、产地材料/构配件规格用途本批材料/构配件数量承包人试验材料/构配件进场日期试样来源取样地点、日期试验日期、操作人试验结果承包人:(全称及盖章)负责人:(签名)日期:年月日致:(承包人)上述工程材料□符合/□不符合合同要求,□准许/□不准许进场,□同意/□不同意使用在所述工程部位。监理机构:(全称及盖章)专业监理工程师:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构检验、审核后,返回承包人2份,监理机构、发包人各1份。 CB08施工设备进场报验单(承包[]设备号)合同名称:合同编号:承包人:致:(监理机构)我方于年月日进场的施工设备如下表。拟用于下述部位:1、2、3、经自检,符合技术规范和合同要求,请审核,并准予进场使用。附件:序号设备名称规格型号数量进场日期计划完好状况拟用工程项目设备权属生产能力备注123456述设备已按合同约定进场并已自检合格,特此报验审核。承包人:(全称及盖章)项目经理:(全称及盖章)日期:年月日经查验:□准予进场使用(设备性能、数量能满足施工需要);□由承包人更换后再报(设备性能不符合施工要求):□由承包人补充(设备数量或能力不足的设备)。请你方尽快按施工进度要求配足所需设备。监理机构:(全称及盖章)总监理工程师/监理工程师:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构审签后,承包商人、监理机构、发包人各1份。 CB11施工放样报验单(承包[]放样号)合同名称:合同编号:承包人:致:(监理机构)根据合同要求,我们已完成的施工放样工作,请查验。附件:测量放样资料序号或位置工程或部位名称放样内容备注自检结果:承包人:(全称及盖章)技术负责人:(签名)项目经理:(签字):日期:年月日审核意见:监理机构:(全称及盖章)监理工程师:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构审核后,承包人2份,监理机构、发包人各1份。 CB12联合测量通知单(承包[]联测号)合同名称:合同编号:承包人:致:(监理机构)根据工程进度情况和合同约定,拟进行工程测量工作,请贵方派员参加。施测工程部位:项目工作内容:任务要点:施测时间:年月日至年月日承包人:(全称及盖章)项目经理:(签名)日期:年月日□拟于年月日派监理人员参加测量□不派人参加联合测量,你方测量后将测量结果报我方审核。监理机构:(全称及盖章)监理工程师:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构审核后,承包人、监理机构、发包人各1份。 CB13施工测量成果报验单(承包[]测量号)合同名称:合同编号:承包人:单位工程名称及编码分部工程名称及编码单元工程名称及编码施测部位施测内容施测单位施测说明承包人复查记录复检人:(签名)日期:年月月附件:1.2.3.上述成果经审核合格,特此申报。承包人:(全称及盖章)项目经理:(签名)日期:年月日审核意见:监理机构:(全称及盖章)监理工程师:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构审核后,承包人、监理机构、发包人各1份。 CB14合同项目开工申请表(承包[]合开工号)合同名称:合同编号:承包人:致:(监理机构)我方承担的合同项目工程,已完成了各项准备工作,具备了开工条件,现申请开工,请审核。附件:1.开工申请报告2.已具备的开工条件证明文件承包人:(全称及盖章)项目经理:(签名)日期:年月日开工申请通过审核后另行签发开工令。监理机构:(全称及盖章)签收人:(签名)日期:年月日注:本表一式份,由承包人填写,监理机构审查后,随同“合同项目开工令”承包人、监理机构、发包人、设计代表各1份。 CB15分部工程开工申请表(承包[]分开工号)合同名称:合同编号:承包人:申请开工分部工程名称、编码申请开工日期计划工期年月日至年月日承包人施工准备工作自检记录序号检查内容检查结果1施工图纸、技术标准、施工技术交底情况2主要施工设备到位情况3施工安全、和质量保证措施落实情况4建筑材料、成品、构配件质量及检验情况5现场管理、劳动组织及人员组合安排情况6风、水、电等必须的辅助生产设施准备情况7场地平整、交通、临时设施准备情况8测量及试验情况附件:□分部工程施工工法□分部工程进度计划□本分部工程已具备开工条件,施工准备已就绪,请审批。承包人:(全称及盖章)项目经理:(签名)日期:年月日开工申请通过审核后另行签发开工通知。监理机构(全称及盖章):签收人:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构审签后,随同“分部工程开工通知”送承包人、监理机构、发包人、设计代表各1份。 CB17混凝土浇筑开仓报审表(承包[]开仓号)合同名称:合同编号:承包人:单位工程名称分部工程名称单元工程名称单元工程编码起至桩号高程申报意见主要工序具备情况备料情况基面清理钢筋绑扎模板支立细部结构砼系统准备其它附:自检资料混凝土浇筑准备就绪,请审批。承包人:(全称及盖章)负责人:(签名)日期:年月日监理机构意见□同意开仓□不同意开仓,应整改附:存在问题:监理机构:(全称及盖章)监理工程师:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构审签后,承包人、监理机构、发包人各1份。 CB18单元工程施工质量报验单(承包[]质报号)合同名称:合同编号:承包人:致:(监理机构)单元工程已按合同要求完成施工,经自检合格,报请核验。附:单元工程质量评定表承包人:(全称及盖章)项目经理:(签名)日期:年月日经核验,单元工程的质量:□合格;□按附言提供补充材料、证明文件或重做、补做检验;□不合格,提交《施工质量缺陷处理措施报审表》。附言:监理机构:(全称及盖章)监理工程师:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构审签后,承包人2份,监理机构、发包人各1份。 CB19施工质量缺陷处理措施报审表(承包[]缺陷号)合同名称:合同编号:承包人:单位工程名称分部工程名称单元工程名称单元工程编码质量缺陷工程部位质量缺陷情况简要说明拟采用的处理措施简述附件目录□处理措施报告□修复图纸□计划施工时段年月日至年月日现提交工程质量的缺陷处理措施,请审批。承包人:(全称及盖章)项目经理:(签名)日期:年月日□按报送措施计划执行□修改后重新报送□监理机构:(全称及盖章)总监理工程师/监理工程师:(签名)日期:年月日说明:本表一式份,由承包方填写,监理机构审签后,承包人、监理机构、发包人各1份。 B6-25地质与施工缺陷处理联合检验认定表(承包[]地质缺陷号)承建单位:合同编号:NO:单位工程名称或编码分部工程名称或编码分项工程名称或编码单元工程名称或编码施工桩号及部位施工时段施工依据承建单位描述承建单位代表:年月日施工缺陷描述现场监理工程师:年月日地质缺陷签定设计(地质)代表:年月日认证意见□同意按地质缺陷超挖(超填)列入计量支付□不适当的施工方法原因,不予计量支付□施工需要进行,不予计量支付□地质缺陷、施工方法原因共同存在,只计量支付%备注:认证的地质原因超挖(超填)工程量,按合同文件规定另行通过量测计量和签认。监理机构:认证人:年月日说明:本表仅适用于一般地质与施工缺陷处理联合认定,当产生较大地质与施工缺陷时,应邀请业主代表参加。 B26-25附表地质原因超挖(超填)工程量支付计量申报(审签)单(承包[]地质缺陷付号)承建单位:合同编号:NO:单位工程名称或编码 分部工程名称或编码 施工时段 超挖部位及高程 围岩地质特性 施工依据 超挖简要情况 典型断面示意图 超挖原因申报 设计代表审查意见审查人:日期:年月日监理审查意见监理工程师:日期:年月日备注⑴超挖工程量仅按清渣、清运合同单价列入支付计量。⑵认证的地质原因超挖(超填)工程量,按合同文件规定另行通过量测计量和签认。承建单位申报记录申报单位:申报人:日期:年月日□同意按地质原因超挖(超填)列入支付计量□不适当的施工方法原因,不予计量支付□施工需要进行,不予计量支付□监理机构:认证人:日期:年月日说明:①以单位为基础分段申报。②一式四份报监理机构,经批准后返回承建单位两份作为工程计量支付依据和相应单元工程质量检查备查。 CB20事故报告单(承包[]事故号)合同名称:合同编号:承包人:致:(监理机构)年月日时,在发生事故,现将事故发生情况报告如下,待调查结果出来后,再另行作详情报告。事故简述初步处理意见已采取的应急措施承承包人:(全称及盖章)项目经理:(签名)日期:年月日监理机构:(全称及盖章)签收人:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构签收后,承包人、监理机构、发包人各1份。。 CB21暂停施工申请报告(承包[]暂停号)合同名称:合同编号:承包人:致:(监理机构)由于发生本申请所列原因造成工程无法正常施工,依据有关合同约定,我方申请对所列工程项目暂停施工。暂停施工工程项目暂停施工原因引用合同条款附注承包人:(全称及盖章)项目经理:(签名)日期:年月日监理机构将另行签发审批意见。监理机构:(全称及盖章)签收人:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构审批后,随同审批意见承包人、监理机构、发包人各1份。 CB22复工申请表(承包[]复工号)合同名称:合同编号:承包人:致:(监理机构)工程项目,接到监理[]停工号暂停施工通知后,已于年月日时暂停施工。鉴于工程的停工因素已经消除,复工准备工作业已就绪,特报请批准于年月日时复工。附件:具备复工条件的情况说明。承包人:(全称及盖章)项目经理:(签名)日期:年月日监理机构将另行签发审批意见。监理机构:(全称及盖章)签收人:(签名)日期:年月日说明:本表一式份,由承包人填写,报送监理机构审批后,随同审批意见承包人、监理机构、发包人各1份。 CB23变更申请报告(承包[]变申号)合同名称:合同编号:承包人:致:(监理机构)由于原因,今提出工程变更。变更内容详见附件,请审批。附件:工程变更建议书承包人:(全称及盖章)项目经理:(签名)日期:年月日监理机构初步意见监理机构:(全称及盖章)总监理工程师:(签名)日期:年月日设计单位意见设计单位:(全称及盖章)负责人:(签名)日期:年月日发包人意见发包人:(全称及盖章)负责人:(签名)日期:年月日批复意见□不同意□同意,按变更指示执行。监理机构:(全称及盖章)总监理工程师:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构、设计单位、发包人3方审签后,发包人、承包人、设计单位及监理机构各1份。 CB26变更项目价格报审表(承包[]变价号)合同名称:合同编号:承包人:致:(监理机构)根据工程变更指示(监理[]变指号)的工程变更内容,对下列项目单价申报如下,请审核。附件:变更单价报告(原由、工程量、编制说明、单价分析表)承包人:(全称及盖章)项目经理:(签名)日期:年月日序号项目名称单位申报单价监理审核单价发包人核准单价备注12345审核意见:监理机构:(全称及盖章)总监理工程师:(签名)日期:年月日核准意见:发包人:(全称及盖章)负责人:(签名)日期:年月日说明:本表一式份,由承包人填写报监理机构,经核准后发包人、监理机构各1分,承包人2份,作为结算依据。 CB27索赔意向通知(承包[]赔通号)合同名称:合同编号:承包人:致:(监理机构)由于原因,根据施工合同的约定,我方拟提出索赔申请,请审核。附件:索赔意向书(包括索赔事件、索赔依据、索赔要求等)承包人:(全称及盖章)项目经理:(签名)日期:年月日监理机构将另行签发批复意见。监理机构:(全称及盖章)签收人:(签字)日期:年月日说明:本表一式份,由承包人填写,监理机构审核后,随同批复意见承包人、监理机构、发包人各1份。 CB28索赔申请报告(承包[]赔报号)合同名称:合同编号:承包人:致:(监理机构)根据有关规定和施工合同约定,我方对事件申请赔偿金额为(大写)万元(小写万元),请审核。附件:索赔报告。主要内容包括:1、事因简述2、引用合同条款及其他依据3、索赔计算4、索赔事实发生的当时记录5、索赔支持文件承包人:(全称及盖章)项目经理:(签名)日期:年月日监理机构将另行签发审核意见。监理机构:(全称及盖章)签收人:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构审核后,随同审核意见承包人、监理机构、发包人各1份。 CB29工程计量报验单(承包[]计报号)合同名称:合同编号:承包人:致:(监理机构)我方按施工合同约定,完成了个工序/单元工程的施工,其工程质量已经检验合格,并对工程量进行了计量测量。现提交测量结果,请核准。承包人:(全称及盖章)项目经理:(签名)日期:年月日序号单元工程名称单元工程编码单价名称合同价号单位申报工程量核准工程量备注附件:计量测量资料核准意见:监理机构:(全称及盖章)监理工程师:(签名)日期:年月日说明:1、本表一式份,由承包人填写,监理机构核准后,监理机构、发包人各1份,承包人2份,作为当月已完单元工程量汇总表的附件使用。2、不同的分部工程应填写不同表格。 CB30计日工工程量签证单(承包[]计签号)合同名称:合同编号:承包人:序号工程项目名称计日工内容单位申报工程量核准工程量说明123456现申报计日工工程量,请审核。承包人:(全称及盖章)项目经理:(签名)日期:年月日审核意见:监理机构:(全称及盖章)监理工程师:(签名)日期:年月日说明:本表一式份,由承包人每个工作日完成后填写,经监理机构验证后,监理机构、发包人各1份,退返承包人2份,作结算时使用。 CB31工程价款月支付申请书(年月)(承包[]月付号)合同名称:合同编号:承包人:致:(监理机构)现申请支付年月工程价款金额共计(大写)万元(小写)万元,请审核。附表:1、工程价款月支付汇总表。2、已完单元工程量汇总表。3、合同单价项目月支付明细表。4、合同合价项目月支付明细表。5、合同新增项目月支付明细表。6、计日工项目月支付明细表。7、计日工工程量月汇总表。8、索赔项目价款月支付汇总表。9、其他。承包人:(全称及盖章)项目经理:(签名)日期:年月日通过审核后,监理机构将另行签发月付款证书。监理机构:(全称及盖章)签收人:(签名)日期:年月日说明:本申请书及附表一式四份,由承包人填写呈报监理机构审核后,作为支付证书的附件报送发包人批准。 CB31表1工程价款月支付汇总表(承包[]月总号)合同名称:合同编号:致:(监理机构)我方今申报年月支付工程价款,月总支付金额为(大写)万元(小写)万元,请贵方审核。工程或费用名称本期前累计完成额(元)本期申请金额(元)本期末累计完成额(元)备注应支付金额合同单价项目合同合价项目合同新增项目计日工项目索赔项目材料预付款价格调整发包人迟付款利息其他应支付金额合计扣除金额工程预付款材料预付款保留金违约赔偿其他扣除金额合计月总支付金额:佰拾万千佰拾元承包人:(全称及盖章)项目经理:(签名)日期:年月日监理机构将另行签发审核意见。监理机构:(全称及盖章)签收人:(签名)日期:年月日说明:本表一式份,由承包人填写,作为CB33的附表,一同流转、审批结算时用。 CB31表2已完工程量汇总表(承包[]量总号)合同名称:合同编号:致:(监理机构)我方将本月已完成工程量汇总如下表,请贵方审核。附件:工程计量报验单。承包人:(全称及盖章)项目经理:(签名)日期:年月日序号单元工程名称单元工程编码单位核准工程量备注审核意见:监理机构:(全称及盖章)总监理工程师:(签名)日期:年月日说明:1、本表一式份,由承包人依据已签认的工程计量报验单填写,监理机构核准后,作为本月支付申请的附件。 CB31表3合同单价项目月支付明细表(承包[]单价号)合同名称:合同编号:致:(监理机构)本月合同单价项目月支付明细表如上表,工程价款总金额为(大写)万元(小写)万元,请贵方审核。承包人:(全称及盖章)项目经理:(签字)日期:年月日序号合同价号价号名称单位合同工程量合同单价(元)本月完成累计完成备注工程量金额(元)工程量金额(元)月合同单价项目总支付金额:佰拾万千佰拾元经审核,本月合同单价项目工程价款总金额为(大写)万元(小写万元)。监理机构:(全称及盖章)总监理工程师:(签名)日期:年月日说明:本表一式份,由承包人填写,作为CB33的附表,一同流转、审批结算时用。 CB31附表4合同合价项目月支付明细表(承包[]合价号)合同名称:合同编号:承包人:序号合同价号价号名称合同合价金额本月申报支付金额累计支付金额支付比例备注月合同合价项目总支付金额:佰拾万千佰拾元致:(监理机构)本月合同合价项目月支付明细表如上表,工程价款总金额为(大写)万元(小写万元),请审核。承包人:(全称及盖章)项目经理:(签字)日期:年月日经审核,本月合同合价项目工程价款总金额为(大写)万元(小写万元)。监理机构:(全称及盖章)总监理工程师:(签名)日期:年月日说明:本表一式份,由承包人填写,作为CB33的附表,一同流转、审批结算时用。 CB31附表5合同新增项目月支付明细表(承包[]新增号)合同名称:合同编号:承包人:致:(监理机构)根据□变更指示(监理[]变指号)/□监理通知(监理[]通知号),现申请年月已完成新增项目的工程价款总金额为(大写)万元(小写万元),请审核。附件:1、施工质量合格证明;2、工程测量、计算数据和必要说明。承包人:(全称及盖章)项目经理:(签名)日期:年月日序号工程名称单位核准单价申报工程量申报合价审定工程量审定合价合计经审核,本月合同新增项目工程价款总金额为(大写)万元(小写万元)。监理机构:(全称及盖章)总监理工程师:(签名)日期:年月日说明:本表一式份,由承包人填写,作为CB33表的附表,一同流转、审批结算时用。 CB31附表6计日工项目月支付明细表(承包[]计日付号)合同名称:合同编号:承包人:序号计日工内容核准工程量单位单价(元)本月完成金额(元)累计完成金额(元)备注计日工项目月总支付金额:佰拾万千佰拾元致:(监理机构)现申报本月完成计日工项目工程价款总金额为(大写)万元(小写万元),请审核。附件:1、计日工工作量月汇总表CB33附表6-1;2、计日工单价报审表承包人:(全称及盖章)项目经理:(签名)日期:年月日经审核,本月计日工项目工程价款总金额为(大写)万元(小写万元)。监理机构:(全称及盖章)总监理工程师:(签名)日期:年月日说明:1、本表一式份,由承包人填写,作为CB33的附表,一同流转、审批结算时用。2、本表的单价依据合同或计日工单价报审表,工程量依据计日工工程量月汇总表CB33附表6-1填写。 CB31附表6-1计日工程量月汇总表(承包[]计日量号)合同名称:合同编号:承包人:序号计日工内容单位申报工作量核准工程量说明12345678910致:(监理机构)依据经监理机构签认的计日工工程量签证单,汇总为本表,请审核。附件:计日工工程量签证单承包人:(全称及盖章)项目经理:(签名)日期:年月日审核意见:监理机构:(全称及盖章)监理工程师:(签名)日期:年月日说明:本表一式份,由承包人在每个结算月完成后汇总计日工工程量签证单填写,经监理机构审核后,作结算用附件。 CB31附表7索赔项目价款月支付汇总表(承包[]赔总号)合同名称:合同编号:承包人:序号费用索赔签证单号核准索赔金额备注12345678合计致:(监理机构)根据费用索赔签证单,现申报本月索赔项目价款总金额为(大写)万元(小写万元),请审核。附件:费用索赔签证单承包人:(全称及盖章)项目经理:(签名)日期:年月日经审核,本月应支付索赔项目价款总金额为(大写)万元(小写万元)。监理机构:(全称及盖章)总监理工程师:(签名)日期:年月日说明:本表一式份,由承包人依据费用索赔签证单填写,作为CB33的附表,一同流转,审批结算时使用。 CB32施工月报表(年月)(承包[]月报号)合同名称:合同编号:承包人:致:(监理机构)现呈报我方编写的年月施工月报,请阅审。随本月报一同上报以下附表:①材料使用情况月报表。②主要施工机械设备情况月报表。③现场施工人员情况月报表。④施工质量检验月汇总表。⑤工程事故月报表。⑥完成单元工程量月汇总表。⑦施工实际进度月报表。⑧其他。承包人:(全称及盖章)项目经理:(签名)日期:年月日今已收到(承包人全称)所报年月的施工月报及附件共份。监理机构:(名称及盖章)签收人:(签名)日期:年月日注:1、施工月报表一式份,由承包人填写,每月20前报监理机构,监理机构收签后返回承包人1份,监理机构、发包人各1份。2、施工月报内容应包括:本合同段工程总体形象,在建各分部工程进展情况和主要施工内容、施工进度、施工质量、完成施工工作量、合同履约情况、施工大事记、本月存在问题及建议等内容。 CB32附表1材料使用情况月报表(承包[]材料月号)合同名称:合同编号:承包人:材料名称规格/型号单位上月库存本月进货本月消耗本月库存下月计划用量水泥粉煤灰钢材型材钢筋木材柴油汽油炸药承包人:(全称及盖章)承办人:(签名)日期:年月日说明:本表一式份,由承包人填写,作为《施工月报》的附件一同上报。 CB32附表2主要施工机械设备情况月报表(承包[]设备月号)合同名称:合同编号:承包人:序号机械设备本月工作台时完好率(%)利用率(%)名称型号/规格数量(台)12345678910承包人:(全称及盖章)承办人:(签名)日期:年月日说明:本表一式三份,由承包人填写,作为《施工月报》的附件一同上报。 CB32附表3现场施工人员情况月报表(承包[]人员月号)合同名称:合同编号:承包人:序号分部工程名称分部工程编码人员数量(人)合计建筑安装检验运输管理辅助其他123456789合计承包人:(全称及盖章):承办人:(签名)日期:年月日说明:本表一式份,由承包人填写,作为《施工月报》的附件一同上报。 CB32附表4施工质量检验月汇总表(承包[]质检月号)合同名称:合同编号:承包人:序号检验部位检验项目检验人检验日期检测结果检验负责人承包人:(全称及盖章)承办人:(签名)日期:年月日说明:本表一式份,由承包人填写,作为《施工月报》的附件一同上报。 CB32附表5工程事故月报表(承包[]事故月号)合同名称:合同编号:承包人:序号发生事故时间事故地点工程名称事故等级直接损失金额(元)人员伤亡(人)处理结论死亡重伤事故综述:承包人:(全称及盖章)承办人:(签名)日期:年月日说明:本表一式份,由承包人填写,作为《施工月报》的附件一同上报。 CB32附表6完成工程量月汇总表(承包[]量总月号)合同名称:合同编号:承包人:序号分部工程名称分部工程编码单位工程量本月完成工程量至本月已累计完成工程量承包人:(全称及盖章)承办人:(签名)日期:年月日说明:本表一式份,由承包人填写,作为《施工月报》的附件一同上报。 CB32附表7施工实际进度月报表(年月)(承包[]进度月号)合同名称:合同编号:承包人:分部工程单位合同工程量计划完成量实际完成量完成比例(%)本月下月26272829303112345678910111213141516171819202122232425承包人:(全称及盖章)承办人:(签名)日期:年月日说明:本表一式份,由承包人填写,作为《施工月报》的附件一同上报。 CB33验收申请报告(承包[]验报号)合同名称:合同编号:承包人:致:(监理机构)工程项目已经按计划于年月日基本完工,零星未完工程及缺陷修复拟按申报计划实施,验收文件也已准备就绪,现申请验收。□合同项目完工验收□阶段验收□单位工程验收□分部工程验收验收工程名称、编码申请验收时间附件:1、零星未完工程施工计划;1、缺陷修复计划;2、验收报告、资料。3、承包人:(全称及盖章)项目经理:(签名)日期:年月日监理机构将另行签发审核意见。监理机构:(全称及盖章)签收人:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构审核后,随同审核意见承包人、监理机构、发包人、设计代表各1份。 CB36完工/最终付款申请表(承包[]付申号)合同名称:合同编号:承包人:单位:万元致:(监理机构)依据施工合同约定,我方已完成合同项目工程的施工,并□已通过工程验收/□工程移交证书已签发。现申请该工程的□完工付款/□最终付款。经核计,我方共应获得总价为(大写)万元(小写万元)的□完工付款/□最终付款。请审核。工程名称合同价已完成工程总价工程预付款获得支付总额已扣回总额材料预付款获得支付总额已扣回总额保留金扣留总额应返还总额索赔索赔申请总额已获得索赔支付额尚应获得索赔额其他应获得额已获得额应扣除额已扣除额合计应获得总额已获得总额应扣除总额已扣除总额完工付款/最终付款总额:佰拾万千佰拾元附件:计算资料、证明文件承包人:(全称及盖章)项目经理:(签名)日期:年月日监理机构将另行签发审核意见。监理机构:(全称及盖章)签收人:(签名)日期:年月日说明:本表一式份,由承包人填写,监理机构审批后,随同审批意见返承包人2份,监理机构、发包人各1份。 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