หนา 63

กรมชลประทาน

กระทรวงเกษตรและสหกรณ

พด.42

ใบรับรองผลการปฏิบัตงิานท้ังสัญญา

ดวย บริษัท/หาง………………………….…………………………………………………..ผูรับจางตามสัญญา

เ ลข ท่ี…………………………..…………ลงวั น ท่ี…………………………..ได ส ง มอบงาน ท้ั ง สัญญา ว ง เ งิ นค า จ า ง

จํานวน………………………บาท (...............................................................) เม่ือวันท่ี…………..……..………………....

และผูควบคุมงานไดตรวจสอบงานท่ีไดรับมอบตั้งแตงวดแรกถึงงวดสุดทายแลว ปรากฏวาเรียบรอย ครบถวน

ถูกตองตามรายการละเอียดและแบบท่ีกําหนดตามสัญญา

คณะกรรมการตรวจการจาง ไดทําการตรวจผลงานท้ังหมดตั้งแตงวดแรกถึงงวดสุดทายเปนท่ี

เรียบรอยแลวเม่ือวันท่ี……………..………….... ปรากฏวาผูรับจางสงมอบงานเกินกําหนดอายุสัญญา………..…..วัน

กรมชลประทานสงวนสิทธิ์ทําการปรับตามเง่ือนไขสัญญา ตามจํานวนวันท่ีสงมอบงานเกินอายุสัญญา

จึงทําใบรับรองผลการปฏิบัติงานไวเปนหลักฐาน

(ลงชื่อ)……………………………………..….……ประธานกรรมการตรวจการจาง

(.....................................................)

(ลงชื่อ)……………………………………..….……กรรมการตรวจการจาง

(.....................................................)

(ลงชื่อ)……………………………………..….……กรรมการตรวจการจาง

(.....................................................)

;: ("'"

! ill-r--:--t--t--t--~~--~~--~~--~--~-L-J (;: ("'"

""'

;: r ;: r.,..

.

i

\0 If" . rlf) C ~G: If" If"~

If" r C ~ If" If" C ~~ a w::: "7 (Q:)

r ;:!

1!;:;:: ;i r ("""

w:::

C ;:! r IF> ~~ If"

-;;::l ~

: :

:

: '-'

If" r C ~ If" If" c

:

,...,

'-'

If" r C ~ If" If"

~ "'":'

liI

VI'Ll1 mlm

'W~.57

~ 0 b

ifa Gl. mlJ'llJ;'l'\.J';j~'VI1'U~~·!.mJ'VIa~~J;'l1~ .......................................................................1'Url';jl1b~tn 'W~m.J n'U'VJm1tJfl1';j ~ llJtrty~';jltJJ;'l~ bB tJ~ bb'UtJ'vhtJ'\.J';j~fl1~.Q

ifa 1£l. ~~'\.J';j~?I,:jrl~~bifl61';jlrll~~~a·:1'I11~~fHil'Ufl1';j~~'VI~ biJ EJ'U'\.J';j~fla'Ufl1';jfll (fI';jrubtJ'U-u~ III (ij o:ilI I

'UrlrlJ;'l) ~~atr~';j'\.J';j~'ll1'll'U (mru'U rlrlJ;'lB';j';jlJ~l) lJllJe:l'U1ml'n'Urlru~m';jlJ fll';j'lllEJ'VIe:l~~J;'ll ~n e:l'Ub~lJ'Vll fl1';j, , 'lllEJ'VIa~~fll~

ifa Ql. 1'Ufl1';j61';jlrll 111rlru~m';jlJfl1';j'llltJ'VIa~~fl1~b-H'Ul1 ';jlrl1~~61';jlrll?1,:j?l~ L?I'Ue:l1~~'U~.;J I '1J I cu \!.. v 'lI q

hib tJ 'UVi'We:l1~ rl ru~m'jlJ fl1';j'lllEJ'VIe:l~ ~ fl1 ~?I.;J1'U~'VI~Vi~ ~t1 e:l'U fl1'j'll1 EJ'VIa ~~ fl1 ~rl.:r.;JiJb~ EJl~ .ue:l «. 111rlW~m'jlJfl1'j'llltJ'VIe:l~~fll~b-H'U'.h ';jlrll?1.;J?I~~~~'jlrllb?l'Ue:l1~~'U btJ'U';jlrll~'ij:' '\J '\J I

?llJrl1'j .:r'U1~ ~61';jlrll~~~e:l.;J11,:jb~'UiJ~"ii'lV1'UVi cto% 'lle:l.;J'jlrll';j1lJViL?I'Ue:ll~EJ'l111'\.J"1Il';j~Vifle:l,:jfl1'jb~'Ubbfl~ ~~ .

trty~ bb~1'l111'U b?l~~.:r'U b~'UlJ1 bb:ij',:j bbnrlW~m';jlJfl1'j'lll EJ'VIe:l~~J;'ll~ bbfl~ b~e:le:lfj'U~ fl';jlJ'llJ;'l'l..h~'VI1'U~~e:len~.:r'U ~ ~

lJe:l'U eJl'Ul ~W~l';jWle:l'UiJ~ .:r'U';jlrll?1.;J?I ~ir'Ubb~1 ~61';jlrll~ ~~e:l,:j"1l1'j~ b~'U~ fI cto% 1~rl'j'Ut.l1'U,fll EJ1'U q '\J q 'U co

tll~'U~ g)i 1'U'Vllfl1';j ir'U5~~1f11'Ul~.:r'U~ir,:jae:l?l'U e:l.;J.:r'U';jlrll~1f1mlJ'llJ;'l'\.J';j~'VI1'UbtJ'U~'U1'\.J t.ll'\.J 'jl fllll1e:lfj'U~mlJ'llJ;'l '\.J'j ~'VI1'U~~e:l m~.:r'UlJ e:l'U eJl'U1~hje:l'UiJ~ .:r'U';jl rll?1,:j?l~~~e:l i.;J

9.I~V

fl'i":!J'/IgJ'lI'S:;1'l1'U 'W~.58

fl 'S:;1'l'i1.:jLfl'l!l~ 'iLLgJ:t: i,'lVifl 'iru

, ..... "" dO1'lJ'VL......... bl11e:J'lJ ...................... 't'l. i"I. . ......... .

II) ,

-tJl't'lb~l'U~,;-'V1/'\h.:l/¥l'lJ ........................................................................... lJi'~eJ~b~1IVi ............... .

'VI~Vi ............ t1'lJ'lJ..................................... ~l'U~/bb111~ ............................... ell b.fle:J/b11(91 .................................... .

OJ '" OJ cj "1. I 1 .....""il~'VI1Vl ....................................... ':i'VIG'l u':i~rutJ.......................... 'V1':ii"l't'l'V1 ............................................. ..

1IeJ bG'l'lJ e:J':ilf'll~e:J~G'I \9l (911lJ':il tJ fll':i-tJl-:J~1-:J.Q 1Vl tJ-tJl't'l b~1~'lJtJeJlJ'lJll'lJ~ (911lJ-tJeJnl'V1'lJVl b~tJ1 tl'U fl1':i"l11':i~ b~'lJ bb~~fl1':i1l'lJcJ1tJ ~-:J1IeJ-:JeJeJfl1'lJ "illfl~ bn'U(911lJ~mlJ1J~'lJ':i~'V11'lJtll'V1'lJ111 ~~.Q

1. -tJl't'lb~1"il~1I'lJcJltJ~-:J1ImeJeJfl1'lJ"illfl~bn'UilltJ1'lJnl'V1'lJVlL1~lhj bfl'lJ 5 l'lJ'Vllfl1':i fl1-tJl't'lb~l

1I'lJcJltJ ~.:J1JeJ-:J'lJl'lJbn'lJ fl11tl1'V1'lJVl b1~1 5 1'lJ'Vl1fl1':i -tJ1't'l b~l~'lJCJeJlJtlll'lJ~ (911lJ b~ eJ'lJ11111eJ-:JmlJ1J~'lJ':i~'V11'lJ

2. fl1tl1'V1'lJVl b1~111'lJcJ1 CJ~.:J1IeJ.:Jbbti'lJeJ'lJbb~1 'VI1fl-tJ1't'l b~111'lJcJ1tJ ~.:J1JeJ.:JeJe:Jfl1'lJ "il1fl~ bn'U11l bG'l~"il

illtJ1'lJtl1'V1'lJVl b 1 ~1,1'lJ -tJ1't'l I. ~l~'lJCJeJlJ1VlmlJ1J~'lJ':i~'V11'lJfll11rh1iG'lm'lJ~ bn'U~-:J1IeJ-:J b~'lJ':i1 CJ1'lJ¥e:J tJ~~ 0.20 U'Ut1111"il1fl1'lJfi1':i'Utll'V1'lJI11"il'lJ (i.:Jl'lJ1I'lJcJ1CJ~-:J1IeJ-:JeJe:J fl1t1"illfl~ bn'U bG'l~'1 b~tJ'U~eJCJ (911lJB(91':i1~-:Jt!.-

0.20 o ~C:J () QJcJ.a, 0 "il1'lJ1'lJb-:J'W'V1111tJ X "il1'lJ1'lJ1'lJ'V1bfl'lJfl1'V1'lJ111 X

100

3. 'VI1fl'lJ':ilflfl11-tJl't'lb~1 b ~'lJ~bG'l'lJeJ':i1fi11G'1-:JG'I 111 brieJmlJ1J~'lJ':i~'V11'lJ1~eJ'lJ:w~1Vl1I1 tJ ~-:J1Ie:J-:J':i1CJd;..I

- 2

1 , ,

';i1f"l1';i11J •..l 0 , ';i1f"l1~€lVi'W1 CJ ';i1 tJfl1';i'Vl "il1'U1'U I Vi'W1tJ ';i1tJfl1';i

I I Vi1J1 tJbVi~

I

'U1'Vl 6'\~ 'U1'Vl \;'1\91, '

I !

I !

i ~

~ JI dftl cv 6J Q..Id v '" 6'\\l'lJ€l\l\911m1CJfl1';i'W "1J€l bVl6'\'W€l\l';i'U';i1f"llfl1CJ b'U1'U'Vl ......................................IJ,G'l~'lJ1'V'lb"il1"iil~"1J'W

tJ1CJ~\l'lJ€l\l';ilCJd€l€lflhJ "iil1fl~bn'U1Vlb6'\~"ilI,~tJ'U~mJfllCJ1'U 5 1'W'It11fl1';i tr'U~~"il1fl1'U~.n1'V'lb~1hl-r'Ubl,~\l1VI b~1J'lJ'UtJ1CJlt9i'

(G'l\l'U11J)..•........................•........................

C..................................................)

iJQJ ~ IV iJ iI

~"il~fl1';i'U"J't:t'Vl, Vll\l, ';i1'U.•...............................................

tJ"J~",'U\91';i1t9i',.W (lhi1)

\

I

• u ~

~~ru~Ufl~~1~~gU

~~.59

q

ri1'\.,

1 ':i1

'Mfl1

':i.•

...•.

..•.•

...•.

•..•

••••

••••

•... (

1) .

...•.

•..•

.•...

.••.

...••

.•••

•

'11 11

11:.1

~

s:~

::s: ~;:; -r ... ;;::6 '-"

::s:

~ q~

~

~ 0 ("'" ... ~ '-" r-

OG;>

~ C/'les

"'I>Q:)

;)~:;::

~ ~

d~ ;;iII ::s: ;)~ ~ ""r /f"01J'

i ! !

•

~.

~ o;J

I ir

ri i;S;

;;:t iIlJ I i

I r r vao~ "IT

~~ Ito> i

r :;: c : i

, 1:/"

I i I :

r i °IT Ig:

I~ i :

r 4(f:l"f!!: «Ii :/" ri;~

.~

I I , i

tI §

qiJ:l(J::lqC"

ri; i I ri; • I Gil ~~ I

WJ5 • i.... r Ir f!!:"(I;

&;: I ii :

.;;:t

"1l

;;:t I , iIlJ~ r

Ir ~"? iGil )! I ; I

-ri; I I , r :;:"f!!: ~ «Ii

ri;~ f!!: Ir Ito> !

r ri;-(I;

«Ii C'" ri;~ Ito>

I,

-;" ~ C

-IE Er 1:"f!!: &;: ill C'"

"~ i ;;:t ill

I C'" C'";;:t ";;:tr :;:°IT i i ; ;

: i I •

Ito> r C ill r Ito>

• ~

I

I• !

C I ~ I

1:/"

f;;::l;;:t •

Gil,Iii:.... d~ I i

;;:! ftI'O ";:I

~~ :;;;: ;;; C§:" ;;:! iiil

'1;:1..... Old :;;;:

Ito> r c 'f'

". &;: ;;:t C'"

;;:t r "? iIlJ C'"-;;:t ::s:

;;:t iIlJ

~!.! ~~ :/" ~~

~ Ii" «Ii.... iIlJ r ri; :;:

d~ Ito>

;;::l

-;; ;;:t "Ito>~

~~ 1i1lJ

f!!: r IT

41to>

~~; "? -

~~

;;::l

~~; iii r ~~; ~

"Vi'

,,:/"

~ Ito> :/"

'"""

...---_.......................... 'Vi'\.!1 ~o

mlJ!fmJ1~m!l 'nfl.62 n~~flrl.jn'&il'UI!::lflImrJ

(i~ ...................................................................................... .

f1':i:u'!l"t!':i::'I'11'Ul~~1.mt'nb\,61::¥lf1,,~L,(hwil~':i1811bLa"J ""....................,..,,""",...,,""""" ___"""''''''''''''''''.....''.6'''''''''''''''''""~

1'1.1 /1'Ul'11f11':i -uui)i'l~1n1'Uw1u~~L,(h ~~':i18fl1':i~!l11.l11

\)1'11 fJ9\. '. . ..

----,.......,..........,...._...._............._-_...., ................................"'--- ....................................-.............."'.......,---,....--........----"'.."''''...·.........."............·,--'f-"'''',..'''...... ,·,··· ..,......If........'''·............,·..........·..·+-,.."',...."'..,"'......·...._"'·····....·1

---..,......-I...... ,..,..........,......,..-~..----........---+..---_............'" ......"'.."''''......,........'''._......................"'.................................................."'_._....,_..........................,.."'...."......'..........._.--....,...."'................................................,.......,,--+-_..._-+,....."'...."'.....,,"'+ ....

............_-"'.......................'" ..,..,....,.............-........-..,"'" .."..".."..................................,....."'_..............,'''',......'''''''',.............,....---,-,................................................................ ----1----+-"'..................·............f .,...._"'-_.... t---..·..........,..........-.. ,,,........,·,,........"'t-"'----..·............·....·..............,.,....................................--..,-------..........,..... ........... ................·_...."'....·.."'i..........--....I"''''"......'''.."..........,............I ---_................. r--" ....................."'...................... ,--............--..........,................................................-------...........,---"'_..,.._ .....................................·.."'.."'-....... ·1.. ,·...."'''',..'''.._-..,....1............".............._-+,.._-_....·..........·........"'·1·--"1

---_....... ,_............,---_..__.............................................."'.._"''''_............................... ,., .........._-,...................................................._""--4--....,-....1,........'",.............................t ...... ............·......·"''''..,............, "-"" ................._ ..._ .................................., ......,.. .........................................."'..............,................-."'.."'''',..,................·.............................._"'..--......,1........·· .. ·........·_·_...;......._.."..........,..........~f..........·......"' ..,........·..,...."'...............;

I.........."'.._ ............·..........·.._--t..-_..-_........·_-"'''',''''''......'''..,''''''..............................----,.--,--...................--........................................

..............._ ........................"''''..'''................'''..'''-.'''...'''.... I--..--....·I......·,......·....·..,"'''',....,-'t...."......·....·....·---......

"''''-..........,........,""""""',..,",..,.......... "'...,"'----...................................-..----...................."'............"','"..............,---...................................---"'-...................+........... ..'"-,-+--.."·......·.."·........,,,.."'t...."",.. ,,....·......................,- I- ..,-..,,· .....·....·..·..·....···....·........................t'-----......,-..........,......................"'....."'.."''''''.'''''"..,.."......,.......,----'''---.......--...--...........'" "..............................,..",1..,-....","',......,"' ......1.. ·......"'.................."'........,i"'......,--"'''''''''--......·"

1.................... , ........,----......•..1--"'--........--"'-..,"'...................."''''.."',..,...... _--......................................"'--_.........................................................."',"'...

--_................. _......................"'.... _-...................................,......................"'-_...,.............................."'"","'" ......,,"'..."'.."'-..........."''''..............................................·.......... ··_-1--.._ ......1................................,..... +....,_........"'_..........__.... ....................."'..............................,"''''.._,-,....''''" ..,,',..,......,.............,...,_....,..................,..,',.."..,",...................................... ----1--......_.. ·.._ ........................,........·....,"',...."..,..,,·....~"' ..............

--_.............................."'......"'....................._-,.."'''''''_.............................. ..

~~'1Jil~¥l1:u11~f111

-----

rmrlfilll11f'Yl711 'WfI.62-1 M~rm~m~m.lillfl;mn7W

i:l~,.....................................................................................,

i'lllJvi'l'h'IJ1W;bi.'l'IJtl~1'"ltl1L'!h~i.'llijt'llmlJ'Il.,'lh:;'\'11'IJuim'IJvi mlJ'Ilm.h:;'Vll'IJ1W;~ml'"lLL~~i'lf1iMb'll1~i.'lIij51t'J,1(1,m ",......."--""".,,..........,,""'"

Q:;,!'IJ h,;:i~lJtl1J~11~vit'llb';l fIJ 1'IJ 11'IJ';lfm 'l!1Jtl{;1\llfl1'IJi'1JbiWHl >imum,llitlltl,1

'l'1fNl'IJI'l'lll.1

!\'iJ~n1-m&lfj\t

...""..~~---·""-"l-----~-"·~,,·"""·""....,,·""""·"""·,,.. """"·"""""""""""""""""""""""" .."""".....""""....."""_.._ .."...""""".,"""""..,""""""'""""""..""""",...."".....,,""""".,,"""+"""""" .." ........ " ""I""""""""""""""""""""·t""""........,,",,·,,"""""""""",,·,"",,"""1"""..·........,

""""".."""......"""..".".."."".."""."".." .."..,, ,,-----""""""""""""""""""""""""""""..""""""""""""""""""""""""""""----

.................................""""""""""""""."."""""""""""""."""""""._--_. ....·....·......·....,,"""""""""···l"......"·...." ............ ·+·"""""""·,"""""""""""+~"""."."."""".,,--

,-.------~+---.".........,,""......._-"-........_""""""""""""."",,,,,,,,,,,,""". -".."""" +---t-...- ........".."""""" _.......""

,,,"""""""~----+., ..................,,.""-,,--..,--,..-----,......""""""""""""""."""""".""".-~,-,-..--..""...""...".."".-----.--+---"+---..............'"""".""""""""....~--......""""""""""..........................................- .." ..-----.........................................................."""...."."-"."-...."."" -----..-·--,..-,-,...,......"""..-.........;-"".....··.."......,..",,,,·-1---+-·,,"""""""""'''''--'-i-'''''''''''I

""""""""",""""",..,'"....,,''''''''''''',.. ,....., " .."""""""._----"""""...." ....""".." .." ...." ......"...........,,,,..,,""""""""..""""""""....".._----"""""""",,..,,"-"."."',.." .."

"""""""""""""""""""""""""""""""""" """"...""""""""""""""""""""""""""""."".",,""""""""""""" ""."""""""""""""""""""""""""""."",,.._-----, ''''''''''''',..-,--.."''''''''''''""""",1""""",,'''''''',,............+-----r-' 1..,,,...,,,"..,,.. "" ..................""'""" .. "·""""""1""" .. ·""·_"·,,-'""-.""-,,------""""""""".""""""""""""""""""""". '''''''''''"''""""""..--,---,---

1.. "" ...."------+--·_·...........·.....",,...,,""_·,,-----""""""""""""""""""""""""""""""...,....""""."",,.",,.."",..,"""".,"""""....,,"""",.."""""'''''""."..""""",..""..."....,,''''"......,,...+,-""""""..."....,,'' ..."""""""",,.

""..""""""""...."........_----_..." ......._.."._._-_....._..""""""""""""""""""""""..............,, ~~'(JmmlJ,lt'Jf11'i'lh~1J'lJmiiril.,,;\m'IJ

___..ee·.........._ ......... •••• .. ••••··· .. _···· ___""..............".""_".."""" ..•..:"· .... :'"0""·""·""·""·"""·"""""·""""""·""""·"""""...".----,,,,,,,,,,,.'..,,......".--

1!l'IJ~Ji''IJ''l'IJ

I.m~'(Jfl~I.'1'IJ

,li',N1J'IJ;:;lJlfIJ

'li'11utl!iil.1um.b~Ul'\'1

fUl.!~O'j'nJn1'UITI'iliuimtl

n'ilfl"lJ",i:ifl

n'ilm,lJ8!ltl

I.tlfl111,ril,mL~'IJ

2

3

~ 1UU1~.~~~lVi\'h~\.muw~*al1l1Jliin 7 ilUU lU~liiill.m"m".h"1J,,UW~"~ll\nlln 2 ilUU

l~stVi~Vil~lU~.~11en11 ~'1J1\J ,.,tbe U~"1iftl'j1U"~~If'jlefl1'j~lH~~'l'l1n'jl~n1'j~~t1JtU'tll~."~~

,,~"tUl;hlrill'Vl'l.,.,mVi~nv1iN~'j.I1Utu"'.\·,huuuli' 'j11JIi"lb~.'eB.'j'.''j1~tl,lbe b~~\l1~if~~r~tJ n''jb~1~a.n>~~''\h~1'11tJl~~,~\j111.\Jt\J~,~1il'bbii1

iilVib1i'1.;rf'U,;r\l~Uul'U!~,'!huii1

(, "" ...""""",,.,,"""" .... , ......... " ",,)

b'.jeylit'Uj~b'ih ih~Vi,'!i,ci,lUti1''\JVl.l!J1L.t.''lil~\Jii4'i\l~~,,,'lhl~1l11l'~~:>, 1ci,tViutin'ju~a"'~~\'l1\J

2.1 c~ruli1iinn'Ui"mi\n.l'llliliilljw~lllllimili~i!.1~l"b~1~ll!11"n·j!J~atl

'\J\J~1\l1\JiiJ~~~ 5 (5%) ~ll4'l1"""h'li"Il'~~tiLiln.i\n

2.2 n1N~~n1>\Jilnbi\nu::ml1Jrlll1lJ.ciJ!JID!!lJlJhl4l'4L'!1 .. \lu'n~1n.JI,yl~hm!);1,;;n~!J'!!I,1J~",.,

1Ji'umuifil 2.1 ibii, !I~ea!Jtinw!l~1J'"1'111Jl~~mile1Jfub~Bn .'Il«iil11l'uui!\1'1J1'I1Urh,.,\l••,lJ lui.,'l/l q\J~'1'\lu~m~nt1J~4''li1linLi'f.,.,;j4'''~

3, ,'i~n~1~\l1,.,~'t1. 'b't11Jm1!Jb~~""~il\lb~~"l1nm'rii~Vib'llll~1J~llii.'I!Jlu.\'4b'lilli' • jja~4~iJJlViuIJUv1\l"U1;lU.\'J!J1WfiJlJn1JWn~1'jn1'jci~~8Jlh~'I1nAf~

\

I

1

img-Z20142416img-Z20142449img-Z20142516พด.09กรมชลประทาน

1042-pd42.pdfพด.42กรมชลประทาน