Form of Taking Over

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Text of Form of Taking Over

Employer

TAKE OVER CERTIFICATE

Contract NumberProject Title

Project ManagerLocationHolcim Tuban Plant

EmployerPT. Holcim Indonesia, Tbk Tuban Project

Contractor

Take Over Certificate / Setifikat PengambilalihanTOC No.

This Certificate applies to the whole of the works/part(s) of the works (stated below) (delete as necessary) / Sertifikat ini berlaku untuk seluruh pekerjaan/bagian pekerjaan (dinyatakan di bawah) (hapus yang diperlukan)

Part(s) of the works (to be stated)

Bagian-bagian pekerjaan (harus dinyatakan)

EventsDayMonthYear

Planned Completion was

Penyelesaian direncanakan adalah

The take over date is

Tanggal pengambilalihan adalah

Completion was achieved on

Penyelesaian dicapai pada

The Completion Date is

Tanggal penyelesaian adalah

The Defects Date is

Tanggal cacat-cacat adalah

The defects on the attached schedule (ref. No. ???) are to be corrected within the defect correction period which ends on

Cacat pada jadwal terlampir (ref. No?) Harus dikoreksi dalam periode koreksi cacat yang berakhir pada

As detailed below :/Seperti diuraikan di bawah ini

Note: This is not a notification of a compensation event / Ini bukan pemberitahuan acara kompensasi

Signed (Contractor and Employer)Date:

Issued to

ContractorProject ManagerSupervisorFileOther