6.2 Close-Out Report Template Mar 10
6.2 Close-Out Report Template Mar 10
6.2 Close-Out Report Template Mar 10
NPG Ref No
Name of Municipality
Project Name
Name of Award
Provide initial and final project outputs and confirm any variations and reasons:
NO Project Sub-Component
Unit
No of
Final No
Detailed
Measure
Units as
of Units
Planning
per Project
Costs as
Plan
per Project
Plan
1
2
3
4
5
TOTAL
Final
Detailed
Planning
Costs
Implementation
Costs as per
Project Plan
Final
Implementation
Costs
Total NDPG
Costs as per
Project Plan
Final NDPG
Costs
Total Cost as
per Project
Plan
Final Total
Cost
Add Contingencies
Add Escalation
Total (Excluding VAT), thus Total NDPG Ceiling for this project is
Add VAT (NOT borne by NDPG) (at 14%)
Total (Including VAT)
Notes:
1 List each discrete sub-components of each project. (List subcomponents here, or use spreadsheet option). Add as many rows as necessary.
Project Sub-Component
No of Mths as per
Project Plan
1
2
3
4
5
Overall Project Time Frames
Page 1 of 4
Final No of Mths
Comment on Variances
Variation
Comment
Notes:
1 Period stated to include design AND implementation. Should align to Schedule 3A &/or Schedule 3B of Funding Agreement.
2 Use Spreadsheet option if preferred.
3 Add rows as required.
Has the project sub-component been placed on the Municipal Asset Register? (Yes/No)
Project Accountabilities in Municipality
Confirm the Asset Owner for each project:
No
Project Sub-Component
Initial Asset Owner Agreed by Receiving Officer (Name &
Designation)
1
2
3
4
5
Project Sub-Component
Project Sub-Component
Hand-Over
Documentation* is
on File (Yes/No)
1
2
3
4
5
No
Records are Up
To Date*
(Yes/No)
1
2
3
4
5
Note:
1 Hand-Over Documents include all valid certificates, maintenance manuals and as-built drawings.
2 All Records as per the Guidance Note on Minimum Filing Requirements for Municipalities.
Page 2 of 4
Quality of Work is
Acceptable? (Yes/No)
If no Provide Reasons.
Initial No of
People
Final No of
People
Initial No of
Days Worked
During Construction
Final No of
Initial No
Days Worked
of person
days of
jobs to be
created1
Final No
of person
days of
jobs
created1
Initial %
Youth
Initial %
Women
Initial %
Disabled
Final %
Youth
Final %
Women
Final %
Disabled
Note:
1 Person- days of jobs created: Number of people who worked on the project multiplied by the number of days each person worked. E.g. if
5 people worked for 2 days then the person-days of work equals 10 days.
After Project Completion
Category
Initial No of SMMEs
Proof of Completion
It is hereby certified that the project described in this document has been successfully completed.
All accounts have been settled for all facets of the project.
All allocated funds have been utilised and expended as required.
Confirmed by the Municipality:
Signed:
Date:
Name:
Designation:
Page 3 of 4
Final No of SMMEs
Page 4 of 4