M u sa: OllQTDA (Ban hanh kern theo Thong tu-s6 09/2016/TT-BTC ngay 18/01/2016 cua B9 Tili chinh) BAo cao TONG HQP QUYET ToAN DV AN HOA.N THANH Ten di

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1 M u sa: OllQTDA (Ban hanh kern theo Thong tu-s6 09/2016/TT-BTC ngay 18/01/2016 cua B9 Tili chinh) BAo cao TONG HQP QUYET ToAN DV AN HOA.N THANH Ten dir an: Ten cong trinh, hang muc cong trinh: Chu d~u ttr: C~p quyet dinh d~u ttr: Dia di~m xay dung: Quy mo c6ng trinh: Duoc duyet: Thirc hien. T6ng mire d~u nr diroc duyet:. Thai gian khoi cong - hoan thanh: Diroc duyet: Tlnrc hien. II Ngu6n van d~u ttr: Ten nguon v6n Theo Quyet dinh d~u nr D on VI:. a~ on9, Th\I'C hien K~ hoach Dll thanh toan T6ng cong III T6ng hq"pchiphi diu nr d~ ngh] quy~ttoan: D on VI:. a~ on?, SIT NQi dung chi phi D\I' toan duoc duyet De nghi quy~t toan Tang, giam so voi du toan [r6ng s6 1 Xay dung 2 Thi~t bi 3 Quan ly du an 4 Tu van 5 Chi khac IIII Chi phidiu nr khong tinhvao giatr] tai san hinh thanh qua d~u tir: 1. Chi phi thiet hai do cac nguyen nhan b~t kha khang:. 2. Chi phi khong tao nen Uti san:. IV/ Gia tr] taisan hlnh thanh qua d~u ttr: GITl Nh6m Gi. tri ill sin (dang). c===jt-6n-g--so ~----~--~------~_ 7

2 H~i S~ did, b(ul (c6 djnh) Uat san ngan han VI Thuyet minh bao cao quy~t toan 1- Tinh hinh thuc hien dir an: - Nhfrng thay d6i nqi dung cua du an so voi quyet dinh d~u ill duoc duyet: + Quy mo, k t d.u cong trinh, hinh thirc quan ly dir an, thay d6i CM d~u ill, hinh thirc hra chon nha thau, A ~ da ~,:. da nguon van au ill,tong mire van au ill. + Nhtrng thay d6i v6 thiet k Icy thuat, t6ng du toan duoc duyet,. 2- Nhan xet, danh gia qua trinh thuc hien dir an: - Chap hanh trinh tv thu tuc quan Iy d~u ill va xay dung cua Nha mrcc. ~ t"., t inh d A ill -, l' CA ong tac quan y van, at san trong qua r au. 3- Ki n nghi:. NGU<'n L~P BIEU ICE ToAN TRUONG..., ngay thang ruim. CHUDAuTU (Ky, dong ddu, ghi ro ho ten) 8

3 Mftu sa: 02/QTDA (Ban hanh kern theo Thong tu s6 09/2016/IT-BTC ngay 18/01/2016 cua B(J Tai chinh) DANH MVC cac VAN BAN pllap LY, HQ'PDONG xa.y DlfNG SIT Ten van ban Ky hieu, 56; ngay Co quan ban T6ng gia tri duoc thang nam ban hanh duyet (neu co) hanh Ghi chu I Cac van ban phap ly 1 2 II 1 2 HQ'P d6ng xay dung 3 NGv'Ol L~ BlEU..., ngay thdng. nam. CHiT DAu Tv' (Ky, clang ddu, ghi ro ho ten) 9

4 M u sa: 03/QTDA (Ban hanh kem theo Thong tu s6 09/2016/TT-BTC ngay 18/ cua B9 Tai chinh) BANG DOl CHIEU SO LI~U THANH ToAN VON DAu TU Ngudn yon:. Ten dir an: Ten cong trinh, hang muc cong trinh: Chu d~u nr: Ten co quan cho yay, thanh toan: II Tinh hlnh thanh toan: D ern VI:. D~ onf? SIT Chi tieu T6ng s6 S6 lieu cua chu d~u ill Thanh toan KLHT Tarn Ung Ghi chu !Luy k~ s6 v6n dll thanb oan ttr khi khoi cong 2 Chi ti~t s6 v6n dll thanb mid hang nam. Nam... Nam... III Nh~n xet, giai thich nguyen nhan chenh I~ch, ki~n ngh] cua co' quan ki~m soat thanh toan: 1- Nhan xet vs viec chap hanh trinh tv quan ly d~u nr, ch~p hanh ch~ d9 quan Iy tai chinh d~u tir: 2- Giai thich nguyen nhan chenh lech (neu co): 3- Ki~n nghi: Ngay thdng nam. CHUDAuTU ICE ToAN TRUONG THU TRUONG DON VI (Ky, dong ddu, ghi ro ho t~n) 10

5 Mh s6: 04/QTDA (Ban hanh kern theo Thong tu s ITF-BTC ngay cua B9 Tai chinh) CHI PHi DAu TUDE NGIIJ QUYET ToAN on VI: on};! IT NQi dung ehi phi DlJ toan diroc duyet Quyet toan A-B K t qua tham tra rr6dg s6 I txay dung 1 IPh n kien true 2 IPh n l~p d~t... II m IV Thi~t bi QUaD Iv dtr an TllVh 1 Chi phi thiet k ky thuat cong trinh 2 Chi phi tham tra thiet k ky thuat 3 Chi phi tham tra dir toan cong trinh 4 Chi phi ziam sat conz trinh VI Chi phi khac 1 Th~m tra phe duyet quv t toan 2 Ki~m toan... NGUm L~P BIEU KETOANTRUONG., ngay thang nam. CHVDAuTU (Ky, dong ddu, ghi ro ho ten) 11

6 M u sa: 05/QTDA (Ban hanh kern theo Thong tu s6 09/2016/TT-BTC ngay 18/ cua B(J Tai chinh) SIT TAl san DAI ~ (CO DJNH) MOl TANG on VI: Ngay dira Ten va Icy hieu s6 Gia don T6ng Nguon v6n Dan vi tinh TSDH vao sir tai san hrong V! nguyen gia d~u nr dl,ll1g an Dan vi ti@p nhan Slr dl,ll1g rr6ng sa NGUOl L~P BlEU ICE ToAN TRUONG..., ngay thong ndm. chijdautu (Ky, dong ddu, ghi ro ho ten) 12

7 M u s6: 06/QTDA (Ban hanh kern theo Thong tu s6 09/2016/IT-BTC ngay 18/ cua B9 Tai chinh) TAl SAN NGAN H~N BAN GIAO D ern VI.". a~ onfi, Don vi Don vi ti~p nhan SIT Danh muc se hrong Gia don vi Gia tri tinh sir dung T60g s6 s ngay thang nam. NGU01 L~P BIEU (Ky, ghi r8 ho ten) KE ToAN TRUONG (Ky, ghi r8 ho ten) CHUDA.UTU (Ky, dong ddu, ghi r8 ho ten) 13

8 M u sa: 07/QTDA (Ban hanh kern theo Thong tus6 09/2016/TT-BTC ngay 18/01/2016 cua B(j Tai chinh) TINH HINH THANH ToAN va CONG NQ CUA mr AN (Tinh d@nngay kh6a s6 l~p bao cao quyet toan) on VI: anf[ SIT Ten ca nhan, don vi thuc hien C0l}g no d@nngay kl:6a N9i dung cong Gia tri duoc A- Da thanh so l~p bao cao quyet viec, hq'p d6ng B chap nhan toan, tarn toan Ghi chu thirc hien thanh toan (mg Phai tra Phai thu Tang sa NGUOl L~P BIEU (Ky, ghi r8 ho ten) Ngay thdng nam. KETOANTRUONG CHUDAuTU (Ky, ghi r8 ho ten) (Ky, dong ddu, ghi r8 ho ten) 14

9 M~u s8: lo/qtda (Ban hanh kern theo Thong tus6 09/2016/IT-BTC ngay 18/01/2016 cua B(J Tai chinh) CONG TY CO phan cap THOAT NUOC NINH BiNH CQNG HoA xa HQI cmr NGHiA ~T DQc l~p - Tl! do - H~nh phuc NAM S6: /Q >-CTN Ninh Binh, ngay thang nam. QUYET fljnh CUA CHU TICH HDQT V~ vi~c phe duyet quy~t toan dl! an hoan thanh Can cir: Bao cao tham dinh cua. QUYETBlNH Di~u 1. Phe duy~t quyet toan dl! an hoan thanh - Ten dir an: - Ten cong trinh, hang muc cong trinh: - Chu dftu nr: - Dia di~m xc1y dung: - Thai gian khoi cong, hoan thanh (thijc t ):. Di~u 2. K~t qua d u nr 1. Nguon v6n dftu nr: Dan vi: ong Nguon Dircc duyet D1l thanh toan Tlnrc hien Con duoc thanh toan rrbng s Chi phi dftu tu Dan V!: ong N9i dung Dir toan Gia tri quy t toan ~6ng s6 1. xsv dung tl. Thi t bi 3. Quan ly dir an 4. Tu van 5. Chi phi khac 3. Chi phi dftu nr duoc phep khong tinh vao gia tri tai san: Chi phi thiet hai do cac nguyen nhan bm kha khang:. 15

10 3.2. Chi phi khong tao nen tai san:. 4. Gia tri tai san hinh thanh qua dftu ill: N9i dung Thuoc chu dftu ill quan ly Don V! tinh d~ ong Giao don vi khac quan ly Gia tri tlnrc t~ Gia tri quy d6i Gia tri thuc t~ Gia tri quy d6i [r6ng s Tai san dai han (tai san c6 ktinh) 12- Tai san ngan han J)i~u 3. Trach nhiem cua chu dh tir va cac don v] lien quan: 1. Trach nhiem cua chu dftu ill: - Diroc pih' ep tat toan nguon va, ch' 1 PJhi1 d~ au ill cong trinh Iea: Nguon S6 ti~n Ghi chu Tong s Tong cac khoan cong ng tinh d~n ngay thang nam la: T6ng no phai thu:. Tong " no phai tra:. Chi ti~t cac khoan cong no theo phu luc s6: kern theo. 2. Trach nhiem cua don vi tiep nhan tai san: Diroc phep ghi tang tai san: Don vi tfnh: d6ng Ten don vi ti~p nhan tai san Hi sari dai han/co dinh Tai san ngfu1 han Trach nhiem cua cac don vi, co quan co lien quan:. 4. Cac nghiep vu thanh toan khac (neu co). J)i~u 4: ThVe hi~n: HQi d6ng quan tri, Ban Ki~m scat, Ban Giam d6c Cong ty, Truong cac Phong, Ban, Chi nhanh va Don vi tl1jcthuoc Cong ty. NO'i nhiin: - Nhtr Dieu 4; - Liru: VT. TM. HQI BONG QuAN TRJ CHUTJCH (ky, ghi ro ho ten) 16

11 Miu s8: 13/QTDA (Ban himh kern theo Thong tus6 09/2016/TT-BTC ngay 18/01/2016 cua B9 Tai chinh) BAN KIEM SOAT CONG HOA xa HOI CHiT NGHiA ~T NAM Dl)c I~p - TV do - Hanh phuc PHIEU GIAO N~N H6 sa quyet toan dir an hoan thanh Chu ddu tlribqlda: Ten du an: Ma du an: Cong trlnh (HMHT): T6ng v6n diu nr: Thai gian khoi cong: Thai gian hoan thanh Cap quyet dinh diu tir: Ngay l~p bao cao quyet toan: N' Igay nqp ~ h~ 0 sa:... thaang... n... TT Danh muc Don vi tinh S81trong ~ - Hi) so'da nop: 1 ITa trinh d@ nghi phe duyet quyet toan cua chu diu tu ngay... ithang... nam... 2 ~ao cao quyet toan dir an hoan thanh g6m... bieu bao cao theo ~uy dinh, 3 C~c van ban phli~ ly co lien, qu~ th~o M~u s6 O,2lQTDA (ghi ro ~o/ ky hieu neu de rai, ghi tong so neu dong quyen) 4 Tap cac hop d6ng: (ghi ro s6/kj; hieu niu dd roi, ghi t6ng SG ~iu dong quyen) Bien ban thanh ly hop d6ng (niu co, ghi ro cua h9p d6n$! nao), 5 lt~p cac bien ban nghiem thu hoan thanh b9 phan cong trinh, giai doan thi cong xay dung cong trinh, nghiem thu l~p d~t thiet bi; ~ien ban nghi~il! thu hoan thanh dir an, cong trinh hoac hang ~1,lC cong trinh de dira vao sir dung, 6 Quyet toan kh6i hrong A-B, gem co:... 7 Bao cao k~t qua kiem toan quyet toan du an Van ban cua chu diu nr v@ket qua kiem toano 8 K~t luan thanh tra, Bien ban kiem tra, Bao cao kiem toan (Truong hop khong xay ra dj nghi ghi ro trong ta trinh) Bao cao tinh hinh chap hanh k~t luan. ~I - Hi) so' con thi~u: ~II - Hi) so dn b8 sung: 17

12 1... trhai han hoan chinh h6 sa n9p tnroc ngay... thang... nam... Trang qua trinh thdm tra quyet todn, neu thiiu h6 SCl, CCI quan thdm tra se co van ban yeu cdu b6 sung. Chit adu tu co trach nhiem b6 sung h6 SCI theo yeu cdu. Thai gian quyet toan se tinh lai tir khi nhdn airy ail 1h6 SCI. Hai ben thong nhat l~p phieu giao nhan h6 sa quyet toan du an hoan thanh voi cac noi dung tren day.!. BEN GIAO HO sa Phong ki toan- thong ke (Ky, ghi ady au ho ten) BENN~Hosa Ban kiem soat (Ky, ghi ady au ho ten) 18

13 M u s6: 14/QTDA (Ban hanh. kern theo Thong tu s6 09/2016/TT-BTC ngay 18/01/2016 cua BO Tai chinh) CONG TY CO PHA.N CQNG HOA.xA HQI CHU NGHIA VIET NAM cap THOAT Nuac NINH BINH D(ic I~p - Tg do - H~nh pht'ic. S6: I. VIv b6 sung, hoan thien h6 sa, tai lieu quyet toan dir an (hang muc, goi thiu)... (lin... ) Ninh Binh, ngay thdng nam. Kinh gill: (nha thau) Can ell' Thong tu s6 ngay cua BQ Hi chinh quy dinh v~ quyet toan du an hoan thanh thuoc nguon v6n nha mroc; Can ctr Quyet dinh s6 ngay cua v~ viec phe duyet du an va di~u chinh, b6 sung (neu co); Can ell' Quyet dinh s6 ngay cua v~ viec trung thiu (chi dinh thau) dir an (hang muc, goi thau) va di~u chinh, b6 sung (neu co); Can Cll'HQ"Pd6ng s6 ngay gitra (ten chu diu tu) voi (ten nha thau) va HQ"Pd6ng di~u chinh, b6 sung (neu co); Can cir (neu cac can cu khac nhu van ban cho phep keo dai thai gian thirc hien HQ"Pd6ng,... (neu coj); Can cir Bien ban nghiem thu kh6i 1uQ11ghoan thanh, Bien ban thanh 1y HQ"Pd6ng (neu co). D dam bao cong tac 1~p" tham tra, {'he duyet quyet ~oan dir an (hang muc, goi thau) dung thai gian quy dinh; (chu dau tu) yeu cau (nha thau) thirc hien cac nqi dung sau: 1. V~ b6 sung, hoan thien h6 sa, tai 1i~u con thieu hoac chua dam bao quy dinh: (ghi cac h6 sa, Uti lieu con thi~u va chua dam bao theo quy dinh tai Di~u... Thong tu s6 ngay cua BQ Hi chinh); 2. V~ thai gian n(>p h6 sa, tai lieu: D~ nghi (nha thau) b6 sung, hoan thien cac h6 sa, tai lieu con thieu hoac ehua dam bao quy dinh (neu tren), giri d~n (chu diu tu) tnroc ngay (sau 10 ngay k ill ngay nha thiu nhan diroc van ban theo dau buu dien). Qua thai gian tren, (chu diu tu) ehua nhen duoc cac h6 sa, tai li~u con thieu hoac ehua dam bao quy dinh (neu tren); (chu diu tu) se thuc hien t6ng hq"pquyet toan du an hoan thanh (hang muc, g6i thiu) d bao cao dp tham quyen tham tra, phe duyet theo quy dinh; moi t6n th~t, thiet hai (neu co). (nha thau) hoan toan chiu trach nhiem.. (chu diu tu) co y kien d (nha thau) biet va t6 chirc thirc hien.', NO'i nh(in: - Nhir tren; - Ngiroi quyet dinh diu tu (d bao cao); - Co quan tham tra quyet toan; - Co quan thanh toan v6n diu tu; -Luu... TM. HQI DONG QUAN TRJ CHUnCH Dinh NgQC Van 19