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CCP 10 SK Mishra

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PROFORMA OF CERTIFICATE REGARDING LABOUR PAYMENTS AND

STATUTORY REQUIREMENTS TO BEFURNISHED BY CONTRACTOR

(TO BE ISSUED BY THE CONTRACTOR)

CERTIFICATE NO. CCP - 10

NAME OF PACKAGE: Upliftment of B-17/10, B-17/11 , B-17/12, 03 Nos DU of R&R colony


at PBCMP.

LETTER OF AWARD/ NOA/ CONTRACT NO. & DATED: 4600068374-070-1040 Date :


10.12.2021 .

NAME OF CONTRACTOR: S.K MISHRA & SONS (Vendor Code: 1134805)

PROJECT: PBCMP

This is to certify that we have made all labour payments including PF Liabilities in respect of
the above mentioned LOA/ Contract and no other payments in this regard is pending from us.

Further we confirm that all Statutory requirements have been complied with by us and in case
any default is reported against us, we shall be solely responsible for the same.

Signature: £<<; 21 /(""I <..frcr

Date: 3 ( I z/U?2. 'L Name: £-< ~ 2,f lt:f <-r,;:;;-

Place: / ( i ? ( ~ , Designation: ~'kd re•


M/S S.K, Mishra & Sons

Authorised

PROFORMA OF "NO DEMAND CERTIFICATE" BY CONTRACTOR

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