/

Municipal Infrastructure Grant

Physical Completion Report

/ MIG 9
Municipality / Project Ref No: / 16/03/2004
Project / Physical Completion Report
Provincial Ref No: / 1
dd/mm/yyyy
Registration
(FOR OFFICE USE ONLY) / Date Received

IMPORTANT NOTICE ON THE COMPLETION OF THIS REPORT:

a) Ensure that this report is updated and submitted when physical completion has been achieved (the start of the Defects Liability Period)

b) Provide the details in each category as a cumulative value (the total that was achieved on the project) unless otherwise stated.

c) Ensure that the person completing this report is accountable and competent in conveying the correct and complete information.

d) Submit the report to the Project Management Unit (PMU) by the stipulated date and time.

e) Contact the PMU for assistance in completing this report.

1. FINAL FINANCIAL REPORT

Final Expenditure Reconciliation (All Sources of Funds)
Source of Funds / Total
(Incl. VAT) / VAT / Direct Costs / Indirect Costs /

Training

Accredited / Non- Accredited
Approved Amount
Payments to date
Balance Remaining (Saving)
Please give a complete financial report of the project on the date of the Progress report. Include ALL SPENDING on the project, regardless of the Source of Funds.
For example, also include payments made using funds generated by the project from your own funds in your financial report - added to the funds that you received from the MIG.
- The balance remaining at this completion Certificate should be indicated as a saving.


2. FINAL EMPLOYMENT GENERATION ACHIEVED

2.1. Final number of persons employed on the project
Occupational Category /
Total
/ Adult / Youth / Disabled
Women / Men / Female / Male / Female / Male
Persons / Person Days /

Persons

/

Person Days

/

Persons

/ Person Days /

Persons

/ Person Days /

Persons

/ Person Days /

Persons

/ Person Days /

Persons

/ Person Days
Clerical / 111111 / 111111
Labourer
Managerial
Semi skilled
Skilled
Supervisor

Totals

Please note: - The definition of youth is any person under the age of 35 years. (18-35 Years)
- Each person may only be counted once. If a person falls into more than one category, disabled persons take preference, then youth, then adults.
- Must include all occupational categories (Clerical, Labourer, Managerial, Semi skilled, Skilled and Supervisor).
2.2. Average daily wage per category paid.
Please note that the totals are calculated averages for the number of records submitted per category.
Occupational Category / Category Average / Adult / Youth / Disabled
Women / Men / Female / Male / Female / Male
Daily wage / Daily wage / Daily wage / Daily wage / Daily wage / Daily wage
Clerical
Labourer
Managerial
Semi skilled
Skilled
Supervisor
Average of the Daily Wage
4.3 Employment at completion of project
Total number of employees appointed at the completion of this project

3. FINAL TRAINING ACTIVITIES ACHIEVED

3.1 Non-Accredited Training

Training Type / Totals / Adult / Youth / Disabled
Women / Men / Female / Male / Female / Male
Persons Trained / Training days / Persons / Days / Persons / Days / Persons / Days / Persons / Days / Persons / Days / Persons / Days
Administration
Technical
Lifeskills/ ISD
Literacy & Numeracy
Vocational Skills
Business Skills
Total Training

3.2 Accredited Training

Training Type / Totals / Adult / Youth / Disabled
Women / Men / Female / Male / Female / Male
Persons Trained / Training days / Persons / Days / Persons / Days / Persons / Days / Persons / Days / Persons / Days / Persons / Days
Administration
Technical
Lifeskills/ ISD
Literacy & Numeracy
Vocational Skills
Business Skills
Total Training

3.3 Number of Accreditation Achieved.

Training Type / If Accredited
NSB Number / NQF Level / ETQA/ CETA
Administration
Technical
Lifeskills / ISD
Literacy & Numberacy
Vocational Skills
Business Skills
Total Training
Note:
NQF Level of Training
Level 1 – General Education and Training
Level 2,3,4 - Further Education and Training
Level 5 - Higher Education and Training
NSB Number:
NSB 01: Agriculture and Nature Conservation
NSB 02: Culture and Arts
NSB 03: Business, Commerce and Management Studies
NSB 04: Communication Studies and Language
NSB 05: Education, Training and Development
NSB 06: Manufacturing, Engineering and Technology
NSB 07: Human and Social Studies
NSB 08: Law, Military Science and Security
NSB 09: Health Science and Social Services
NSB 10: Physical, Mathematical, Computer and Life Sciences
NSB 11: Services
NSB 12: Physical Planning and Construction

4. FINAL SMME'S USED SINCE THE START OF THE PROJECT:

Please remember to include all the SMME's that worked on the project since it started. Then add all the person days and all the funds paid to each SMME since the start of the project, and only record the latest total in the table.
For example, if a SMME completed all their work during the first reporting period, the name and details of that SMME must be added to every subsequent report.
SMME / Information about the SMME.
(If it is a subsidiary: provide
information for whole group
and not for the SMME only) / Information about the work on the
PROJECT
Name of SMME / No. of permanent employees / Turnover previous 12 months / Total no. of person employed to date / Amount paid to SMME to date. (Total) / Person days locally sourced: 0-25% 26-50% 51-75% 75-100% / Total value of work: SMME Involvement

5.FINAL BEE ORGANISATIONS USED SINCE THE START OF THE PROJECT:

Note that Black Economic Empowerment (BEE) Organisations are referred to in the table below as Affirmable Business Enterprises (ABE’s).
The definition of an ABE is as per the Department of Public Works definition: A sole trader, partnership or legal entity which adheres to statutory labour practises, is registered with South African revenue Services and is a continuing and independent enterprise for profit, providing a commercially useful function and for which at least two thirds (67%) is owned by one or more PDI’s and whose management and daily business operations are in control of one or more PDI’s who effectively own it, and provided that the annual average turnover excluding VAT, does not exceed the maximum values given for each respective ABE category.
Please remember to include all the ABE's that worked on the project since it started. Then add all the person days and all the funds paid to each ABE since the start of the project, and only record the latest
ABE / Information about the abe.
(If it is a subsidiary: provide
information for whole group
and not for the ABE only) / Information about the work on the
PROJECT
Name of ABE / No. of permanent employees / Turnover previous 12 months / Total no. of person employed to date / Amount paid to ABE to date. (Total) / Person days locally sourced: 0-25% 26-50% 51-75% 75-100% / Total value of work: BEE Involvement

6. CONTRACTOR ASSESSMENT

Yes / No
Did the contractor meet construction targets this month?
Did the contractor meet all financial obligations pertaining to the project?
Were the targeted labour components (as per the Registration form) achieved?
Please rate the standard of work done (1 = Very Poor, 2 = Poor, 3 = Average, 4 = Good, 5 = Excellent)

7. OUTPUTS AND OTHER TARGETS ACHIEVED

7.1 Basic Residential Infrastructure (B)

Water (NB: Technical Report to be submitted to DWAF)

Water: Bulk Services: Geohydrological Investigation / Water: Bulk Services: Boreholes
Number of boreholes constructed / Number of boreholes constructed
Capacity of all boreholes constructed (l/s / Capacity of borehole constructed (l/s)
Comments
Water: Bulk Services: Reservoirs / Water: Bulk Services: Water treatment plants
Number of new reservoirs / 154,500 / capacity of WTW (m3 per Day) / 0
Number of reservoirs rehabilitated
Existing capacity for community / 3 / Number of water treatment plants / 3
Number of ground level reservoirs / 0 / Number of water treatment plants rehabilitated / 1
Number of towers / Capacity of water treatment plants (m3 per day
Capacity of all reservoirs (m3)
Comments
Reservoir will consist of 3 x 10 m3 tanks erected on 6m steel stands.
Water: Bulk Services: Pump stations / Water: Bulk Services: Raw water storage dam
Number of pump stations constructed / 124,767 / Number of raw water storage dams built / 1
Number of pump stations rehabilitated / Capacity of raw water storage (m3
Capacity of pump stations (l/s) / Number of raw water storage dams rehabilitated
1 / Capacity of raw water storage / Basic
Comments
Supply and installation of electric submersible pump with a duty point of 5.4 m3/hr @ 74.9m and a power rating of 2kW.
Water: Connector Services: Supply lines / Water: Connector Services: Pump stations
Length of main supply line (Km) / ddfdd23,420 / Number of pump stations / fffffffgg1
Length of main supply line rehabilitated(Km) / Number of pump stations rehabilitated
Capacity of all supply lines (l/s) / ggggggggddddf272 / Capacity of pump station (l/s) / G ggggggasic
Diameter of supply line (mm) / ddfddfdffdfdfddfdffrererrdffdf0
Comments
mPVC Class 6 pipe.
Water: Connector Services: Reservoirs / Water: Reticulation: Stand pipes
Capacity of reservoirs / Number of stand pipes reticulated
Number of reservoirs
Number of reservoirs rehabilitated
Capacity of all reservoirs (m3)
Comments
Water: Reticulation: Metered stand pipes / Water: Reticulation: Water meters
Number of metered stand pipes reticulated / Number of water meters reticulated
Comments
Water: Reticulation: Pipe lines
Length of pipe line reticulated (km) / Diameter of pipe line reticulated (mm
Capacity of all pipe lines reticulated (l/s)
Comments

Sanitation (NB: Technical Report to be submitted to DWAF)

Sanitation: Bulk Services: Treatment works / Sanitation: Bulk Services: Oxidation ponds
Existing capacity / Existing capacity
Number of treatment works rehabilitated / Number of oxidation ponds rehabilitated
Capacity of treatment works (m3/day) / Capacity of oxidation pond (m3)
Comments
Sanitation: Bulk Services: Pump stations / Sanitation: Connector Services: Main outflow lines
Number of pump stations / Length of new main outflow lines
Capacity of pump station (l/s) / Capacity of main outflow lines (l/s))
Diameter of main outflow lines (mm)
Comments
Sanitation: Connector Services: Pump stations / Sanitation: Reticulation: Toilets
Number of pump stations / Number of toilets built
Capacity of pump station (l/s) / Number of toilets rehabilitated)
Number of bucket eradicated
Comments

Roads and Related Stormwater

Roads and Stormwater: Local Distributors: Gravel / Roads and Stormwater: Local Distributors: Paved
Kilometers of gravel roads / Kilometers of paved roads
Kilometers of gravel roads rehabilitated / Kilometers of paved roads rehabilitated
Comments
Roads and Stormwater: Local Distributors: Tarred / Roads and Stormwater: Access Collectors: Gravel
Kilometers of tarred roads / Kilometers of gravel access collectors
Kilometers of tarred roads rehabilitated / Kilometers of gravel access collectors rehabilitated
Comments
Roads and Stormwater: Access Collectors: Paved / Roads and Stormwater: Access Collectors: Tarred
Kilometers of paved access collectors / Kilometers of tarred access collectors
Kilometers of paved access collectors rehabilitated / Kilometers of tarred access collectors rehabilitated
Comments
Roads and Stormwater: Low-Water Bridges:
Total Component Cost
Number of low-water bridges
Low-water bridges rehabilitated
Comments

Solid Waste

Solid Waste: Bulk Services: Skips \Bins
Number of skips\bins
Comments

Community Lighting

Community Lighting: Lighting: High mast / Community Lighting: Lighting: Street lights
Number of new high masts / Number of new street lights
Number of high masts rehabilitated / Number of street lights rehabilitated
Comments

Stormwater

Stormwater: Channels / Stormwater: Pipelines
Kilometers of channels / Kilometers of new pipelines
Kilometers of channels rehabilitated / Kilometers of pipelines rehabilitated
Number of cross sections / Pipe diameter
Comments
Stormwater: Retention Ponds
Number of ponds / Total volume of ponds involved
Number of ponds rehabilitated
Comments

7.2 Public Municipal Service Infrastructure (P)

Bus Shelters (Public)

Bus Stop Shelters
Area paved (m2) / Number of shelters accommodated
Size of administration offices built (m2) / Number of lights installed
Facilities for informal traders (m2) / Number of toilet facilities
Area under cover (m2) / Drainage
Comments

Taxi Ranks (Public)

Taxi Ranks
Area paved (m2) / Number of taxis accommodated
Size of administration offices built (m2) / Number of lights installed
Facilities for informal traders (m2) / Number of toilet facilities
Area under cover (m2) / Drainage
Comments

Sidewalks (Public)

Sidewalks: Gravel / Sidewalks: Paved
Kilometers of gravel sidewalks / Kilometers of paved sidewalks
Kilometers of gravel sidewalks rehabilitated / Kilometers of paved sidewalks rehabilitated
Comments
Sidewalks: Tarred / Sidewalks: Pedestrian Bridges
Kilometers of tarred sidewalks / Number of pedestrian bridges
Kilometers of tarred sidewalks rehabilitated / Number of pedestrian bridges rehabilitated
Comments

Fire Fighting Facilities (Emergency Services)

Fire Fighting Facilities
Number of facilities built / Floor area of facilities built
Comments

Disaster Management Facilities (Emergency Services)

Disaster Management Facilities
Number of facilities built / Floor area of facilities built
Comments

Health Services – Clinics (Community Services)

Health Services - Clinics
Number of clinics built / Floor area of clinics
Number of beds catered for
Comments

Multi Purpose Centre/ Facility - Community Facilities (Community Services)

Community Facilities: Community Halls / Community Facilities: Recreational Facilities\ Sport Facilities
Number of community halls built / Number of multi-purpose fields built
Floor area of community halls built / Number of sports types accommodated
Comments
Community Facilities: Admin. Facilities / Community Facilities: Multi Purpose Centre
Surface area of building / Number of Offices\ Rooms accommodated
Size of admin. offices built / Floor area of MPC built
Value of admin. offices built / Number of admin. offices built
Size of council chamber / Number of officials
Number of councilors
Comments

Parks and Open Spaces (Community Services)

Parks and Open Spaces
Number of parks developed? / Number of park types accommodated
Comments
Child Care Facilities /Nurseries
Facilities/ Nurseries
Surface area of building / Value of facility built
Size of facility built
Comments

Beaches and Amusement Facilities