BẢNG XÁC ĐỊNH GIÁ TRỊ KHỐI LƯỢNG CÔNG VIỆC HOÀN THÀNH THEO HỢP ĐỒNG ĐỀ NGHỊ QUYẾT TOÁN

Web: www.pvcmekong@pvcmekong.vnPVC-Mekong THEO HQP DONG DE NGHJ QUYET TOA.N Cong trinh: DU'O'ngTheri Thuan- Thanh Lqc Hang myc: Xfiy dung dU'O'ngva c8ng thoat nmrc tir KmO+OOd~n Km2+900

Web: www.pvcmekong@pvcmekong.vn

PVC-Mekong

THEO HQP DONG DE NGHJ QUYET TOA.N

Cong trinh: DU'O'ngTheri Thuan- Thanh Lqc

Hang myc: Xfiy dung dU'O'ngva c8ng thoat nmrc tir KmO+OOd~n Km2+900

DO'n vi Tir v~n giam sat: Chi nhanh cong ty Ttr v~n TKCN & XDGT

BANG TONG HQP GIA TRJ QUYET ToAN

Ten dir an:Duong Thai Thuan - Thanh Loc, hop phfut C thuoc diranphat trien cc saha tfutg giao thong d6ng bang song Ciru Long (diran

WBS) Mli du an:7088304

Ten g6i thau: CT1.3IPPMUCT dirong va cong thoat mroc til kmO+000 - Km2 +900 thuoc cong trinh Duong Thai Thuan - Thanh Li)c

Ten Hop d6ng: Hop d6ng S6 CT1.3IPPMUCT ngay 28/9/2012, Phu luc hop d6ng s6 CT1.3NPLHD ngay 31110/2013, Phu luc hop d6ng s6 CT1.3BIPLHD ngay 13/01/2014, Phu luc hop d6ng s6 CT1.3C/PLHD ngay 26/312014.

Ben giao thllu: Ti~u Ban quan lydiranduong Thai Thuan - Thanh Lee (Ti~u ban Quan ly du anWBS)

Ben nhan thllu: Cong ty C6 phan Phat tri~n do thi Dllu khi (PVC-Mekong).

Lfut Thanh toan/dot thanh toan: Quyet toan

Hang muc: Toan bi) cac hang muc

4 Gili tri d~ nghi quy@ttoan (4)=(1+2+3) 11.865.192.256

(Bang chu: MuOi mpt tj, tam tram sou muui lam trifu, mpt tram chin muui hai ngan, hai tram nam mU"uisou dang)

''1vnh Thanh Hili

Phu luc 03.a

CONG VI:tC HoAN THANH THEO H<}PDONG DE NGHJ QUYET ToAN

Mil dl! an: 7088304

Ben giao thAu: Ti8u Ban quan Iy dtr an duong Thai Thuan - Thanh L,Qc(Ti8u ban Quan Iy du an WBS)

Ben nhan thAu: Cong ty c6 phAn Phat tri8n do th] Dftu khi (PVC-Mekong).

Thanh toan Iftn thir: Quy8t toan

Donvitin : ong

HD

I Huy dqng h!c hi<;1ngthi cong va giai the h!c Khoan

hi<;1ngthi cong (hin tr~i, nhan sU, thiSt bi) gQn

2 Chi phi ph\lc V\I cong trU'ong(thi nghic$mcong Khoan

trinh, van pi>ongIcY sU, ) gQn

3 Di€u tiSt gillo thong trong qua trinh thi cong Khoan

1,00 (thuy bQ)

7 Dip dilt may taly n€n dtiong (tan d\lIlg) 100m3 162,406 160,244 3.108.246 504.798.688 498.077.043

-Page 1

lIuQIII oupl U~OIuv

lIUQIIIoupl 01:0

&~t,.LvL"Z06'1 IZ9'V91D6'l L~O'19~'tl [LtOtT £L£'ItT vnOOT ullnlj:l n\?!llll:l!)'£ A11PdPI £ ll,ilqujlunZlllfi!:l{S't T'TT

£vHsn £vHSn storzt 000'11 000'11 !Y:> 00010 ns ono IU!O[ ZOU

wWOOOl011u811u lIu,lI;)

6OL09vZo, 6OC9vZo, £vzos£n SV9'£ SV9'£ £ill (gu9w 191+ gU9w) ,I;) ZXI YPgU9w gU1/1~s: 9°,1

39Jlu J,oqJ u,Qd

l)H:J

STT NỘI DUNG CÔNG VIỆC ĐƠN

17.5 Thép tròn Þ<=10 tấn 0,373 0,373 26.222.069 9.785.552 9.785.552

17.11 Đăp cát lót mống cống K=0,95 m3 6,380 6,380 212.786 1.357.576 1.357.576

17.12 Đào đất hố móng cống, đất cấp I 100m3 0,815 0,815 2.966.602 2.418.670 2.418.670

17.13 Đắp cát 100m3 0,924 0,924 8.325.124 7.689.085 7.689.085

18.1 Bê tông đá 1x2 C20 m3 15,620 15,620 1.826.991 28.537.596 28.537.596

18.2 Cốt thép Þ<=18 tấn 0,661 0,661 25.226.358 16.684.713 16.684.713

18.3 Ván khuôn thép 100m2 0,414 0,414 16.582.917 6.862.011 6.862.011

18.4 Bê tông đá 1x2 C15 m3 1,480 1,480 1.438.243 2.128.599 2.128.599

18.5 Đắp cát phủ đầu cừ m3 1,480 1,480 178.217 263.761 263.761

2 Giá trị tạm ứng theo hợp đồng cịn lại chưa thu hồi đến cuối kỳ trước: - đồng

3 Số tiền đã thanh tốn khối lượng hồn thành đến cuối kỳ trước: 10.066.189.729 đồng

4 Lũy kế giá trị khối lượng thực hiện đến cuối kỳ này: (100%) 11.184.655.256 đồng

6 Giá trị đề nghị thanh tốn kỳ này: 1.118.465.527 đồng

+ Thanh tốn khối lượng hồn thành: 1.118.465.527 đồng

TỔNG CỘNG LÀM TRÒN [V = III+IV]

(Bằng chữ: Một tỷ, một trăm mười tám triệu, bốn trăm sáu mươi lăm ngàn, năm trăm hai mươi bảy đồng)

CỘNG LÀM TRÒN [III = I+II]

CHI PHÍ DỰ PHÒNG

Page 4

DaN KH6ILUQNG THANHTIEN GHI

VI

Phy lye 04.1

BANG xAc DINH GIA TRI KHOI LUONG

Ma du an: 7088304

Ben giao thAu: Ti~u Ban quan Iy du an duong Thai Thuan - Thanh LQc (Ti~u ban Quan Iy du an WBS)

Ben nh~n thAu: Cong ty c6 phan Phat tri~n do thi DAu khi (PVC-Mekong)

Thanh toan IAnthir: Quy~t toan

Dan vi tinh' d6ng

I T6ng Gia Iri kh6i hrgng phat sinh:

2 Gia tri tl;lm(rng theo hqp d6ng con I(lichua thu h6i den cu6i ky tmac:

3 S6 ti~n da:thanh toan kh6i lugng hOlmthanh den cu6i ky tmac:

4 Lily ke gia tri kh6i lugng th\lc hi~n den cu6i ky nay: (100%)

5 Chiet kh~u ti~n t(lm (rng:

6 Gia Iri d~ nghi thanh toan ky nay:

+ Thanh toan t(lm (rng:

+ Thanh toan kh6i hrgng hoan thanh:

(Bling chii: Ba mrro'ihai tri¢u, chin tram nam mum chin ngim, bay tram d6ng)

Lily ke gia tri thanh toan:

329.597.000 d6ng

d6ng 296.637.300 d6ng 329.597.000 d6ng

32.959.700 d6ng

o d6ng 32.959.700 d6ng

329.597.000 ~;V

~

can Tha, ngay_lC;-thong C; niim 2014

D(lidi~n Chu diu til' ~

BANG xAc DINH GIA TRJ KHOI LU<}NG

Ten du an: Duong Thai Thuan - Thanh LQc,hop phan C thuoc du an phat tricn cosaha t~ng giao thong d6ng bang song Ciru Long (dir an WBS)

Mil du an: 7088304

Ten goi thau: CTl.3IPPMUCT dirongva c6ng thoat ruroc til kmO+ 000 - Km2 + 900 thuoc cong trinh Duong Thai Thuan - Thanh LQc

Ten Hop d6ng: Hop d6ng S6 CT1.3IPPMUCT ngay 28/9/2012, Phu luc hop d6ng s6 CT1.3A1PLHDngay 31110/2013,Phu luc hop d6ng s6

CT1.3BIPLHD ngay 13/0112014,Phu luc hop d6ng s6 CTl.3CIPLHD ngay 26/3/2014.

Ben giao thau: Ti~u Ban quan ly du an duong Thai Thuan - Thanh LQc(Ti~u ban QuanIy du an WBS)

Ben nhan th~u: Cong ty c6 phan Phat tri~n do thi D~u khi (PVC-Mekong)

Thanh toan l~n thir: Quyet toan

Can cir xac dinh: Quyet dinh s6 23/QD-SGTVT ngay 13/0112014cua Giam d6c Sa giao thong v~n tai TP C~n Tho V/v phe duyet h6 sa du toan

phat sinh hang mucxu Iyhi~n truOng va b6 sung kh6i luqng trong thi~t k~ ban vi!thi cong - d,! toan ctia goi th~u CTl.3IPPMUCT: DuOngva thoat

nuac (KmO+00-Km2+900)thuQccong trinh DuOngThai Thu~n - Th~nh LQc,hqp ph~n C thuQcd,! an phat tri~n ca sah~ t~g giao thong d6ng

b5ng song Ciru Long (d,!anWBS) Q Th6t N6t, TP C~nTha.

Bien ban xac nh~n kh6i luqng quy~t toan, ngay tMng nam 2014 va bien ban nghi~m thu cong vi~c xay d\fflg.

PMt sinh theo QuyEt d!nh sa

23/QD-SGTVT ngay 13/0112014 ci"taSa giao

thOng v~n tai TP CAn ThO".

Phiit sinh kh&i hrC}l1gtrong thi~t kE ban

vi! thi cling

1.1 DilO n~n (dilt cilp I)

N~n dlfirng

1.2 Dilp cat n~n duong

1.3 Dilp dilt rnai taly n~n duong (dilt t<!.ndl,lllg)

1.4 Viii diakythu<!.tR>=12KN/rn

rn3 rn3 rn3 rn2

481,860 441,580 14,180 626,800

481,860 441,580 14,180 626,800

20.258 73.856 31.082 24.836

273.395.153

9.761.520 32.613.332 440.743 15.567.205

273.395.153

9.761.520 32.613.332 440.743 15.567.205

j \:l!J./',/' c

SIT NQI DUNG CONG VItC DON

2.2 Diip cat n~n du"ong

Diip dilt mai taluy n~n du"ong (dilt t~n

2.3

dung)

2.4 Viti dja ky thu~t R>=12KN/m

2.5 Dilt diip bao tai

2.6 Cit tram du"ongkinh ngon > 4,5cm, L=5m

2.7 M~t du"ong

TONGCQNG

427,020 73.856 31.537.989 31.537.989 107,870 31.082 3.352.815 3.352.815

8,500 279.947 2.379.550 2.379.550 1.734,000 6.798 11.787.732 11.787.732 89,470 311.779 27.894.867 27.894.867

350.940.602 350.940.602 350.940.000 350.940.000

1 T6ng Gia tri kh6i hrong phat sinh:

4 Liiy k~ gia tri kh6i hrong thirc hi~n d~n cu6i ky nay: (100%)

5 Chi~t kh.1uti€n tarn img:

6 Gia tr] d€ ngh] thanh toan ky nay:

+ Thanh toan kh6i iUQ'lIghoan thanh:

(Bling chir: Ba mWYi [am tri¢u kh6ng tram chin muai b6n ngim d6ng chan)

Liiy k~ gia tri thanh toan:

350.940.000 d6ng

d6ng 315.846.000 d6ng 350.940.000 d6ng

o d6ng 35.094.000 d6ng

o d6ng 35.094.000 d6ng

350.940.000Y

~

can Tha, ngay_lC;-thong C; niim 2014

D(lidi~n Chu diu til' ~

CQng Uoa Xi UQi Chil Nghia Vi~t Nam

BANG KHOI LUQNG QUYET ToAN A-B

Cong trinh: Duong Thai Thuan - Thanh LQc

Hang mue: Xay dung dirong va cong thoat mroc KmO+OO-Km2+900

Vi tri: Quan Th6t N6t - thanh ph6 cAn Tho

1 Thanh phin tham gia nghi~m thu:

• DD COO DAu TV":soGIAO THONG V!N TAl - TIEU BAN QuAN LY rxr ANWB5

Ong: Pham Minh Cirong - Chirc vu: Ph6 tnrong Ti~u ban;

Ong: Nguyen Tir Binh - Clurc vu: Chuyen vien;

• DD WVAN GIAM SAT: CHI NHANH CONG TY TRIEN KHAI CN vA XDGT

Ong: Nguyen Htru Chi - Chirc vu:Ph6 Gillin d6c;

Ong: Vo Qu6c Huy - Chirc vu: Truong TVGS.

• DD NHA THAU THI CONG: CTY CO pHAN pIlAT TRIEN DO THJ DAu KHi(PVC-Mekong)

Ong: TrAn.Qu6c Huy

Ong: Doan Ngoc Son

2 NQi dung:

Ciin err cacbien ban nghiem thu cong viecthi cong xay dung.

3 Kh'<:· I h h· A

- Chirc vu: Giam d6c;

- Chirc vu: Chi huy tnrong,

. 01 lfC}'llg t lfC ten:

Kh6'i luling

TheoHD

(thiiy bQ)

N~n dui'tng

Kh6i ht41ng

Dao giao tMng

An toan giao tMng

Kh6i Ilic1ng

TheoHD

Phan thoat nlide

C6ng ngang 0800mm

C6ng ngang 01000mm

- Ong eong 01000mm

cnng

N~ndui'lng

.,

Kh6i luQ'ng

N@ndu(Jng

/l.I')rTifl'"iKt-/ f' "",,, • • \ C~J~? l~IN~.~ET*If.,;

C9ng Hoa xs H9i Chu Nghia Vi~t Nam

D<)c l~p - TV do - H~nh phuc

Cdn Tho, ngay

Cdng trinh: Duong Thai Thuan - Thanh L9C

Vitri: Quan Th6t N6t - thanh ph6 cAn Tho

1.Thanh phin tham gia nghi~m thu:

• DD NHA THAu THI CONG: CTY CO pHAN pHAT TRIEN DO TH! DAu KHI (PVC-Mekong)

Ong: Doan Ngoc San

hrong thi cong (Ian trai, nhan sir, thie't bi)

(thuv bo)

N~n dt1(1ng

Kh6i luling

7 Dlip da't mai taluy n~n dU(lng(t,n dung) 100m3 162,406 161,465 -0,942

1 jju"[?q OZ8'0- 000'0 OZ8'0 £w S;[J ZXI YP jjugl ~H ZOZI

l1!A 9H - ZI

~u9ql 01!!~0!'(J

0/19+ IUl)/ IPJ I!?UI!0.L

0/19+ IUl)/ IPJ 1!?Ut!0.L

H 1670 WU npJ? 8U1JlfI07)!81,}N

816 70 WU npJ? 8U1Jlfi07)!8 I,}N

OP9+ IUl)/ IPJ I!?UI!0.L

816 70 WU np/J 8U1JlfI07)!81'}N

8u9P d/Jlf osu: ujl.m uPlfcl

Kh6i luling

An toan giao thllng

C6ng ngang 0800mm

1 lIu1!q VZ6'0 VZ6'0 £wOOl lP d)!G £loLl

1 lIu1!q 6£O'L8 6£O'L8 woot w~='l 'WJ~'v< u611uqUPIllU<?npw'I1.1l~:)orz.t

I lIu1!q 08v'0 08v'0 WOOl wwoooi 011U9J lIU91~P dYI 'I1Adp lIun:) l"Ll

wWOOOI0 8u1I8u 8u,Q:)

1 llu1!q OO~'Ov OO~'OV WOOl w~='l 'WJ~'p< u6~u qupf¥U<?np w'I1.1l.r:t:)C91

09t'~£ 09p'~£ £w !:'X1I);_tJ d~qll,Qa 8uQl ea 91

1jju~q OOS'L- SZ9'8£ SZI'9V WOOl W~-l 'WJ~'v< u6~u qupf~llQnp W1].Il~:) 6°~1

Kh6'i hiQ'ng

TheoHD

Tang (+) Giam (-)

ITI KL Phat sinh 03 c6'ng thoat nu8c 0800 ngang du<tng theo QD sa 1160/QD-SGTVT ngay 30/12/2013.

VOQuocHuy

Can Tho, ngay

Hang muc: Xay dung duong va c6ng thoat mroc KmO+OO-Km2+900

1 Thanh phin tham gia nghi~m thu:

Ong: Doan Ngoc San

Theo HD Quye't toan

Tang (+) Giam (-)

I Cong vi~c chung

1 Huy dQnglire luong thi cong va giai the life

hrong thi cong (hi n trai, nhan su, thie't bi)

2 Chi phi phuc vu cong tnrong (thi nghiem cong

II Cong tlic xiy lip

N~n du"ong

Kh6'i 1u'Q'ng

Theo HD Quy~t toan

Tang (+) Giam (-)

Kh6i luc1ng

14.2 Be tong chan cQtda lx2 C20 db tai chb m3 0,700 0,700 bang Tang KL ph~n tuyen

14.14 u.p d~t C9C tieu, TL<50kg cai 270,000 270,000 bang T6ng KL phh tuye'n

Phdn thoat nuae

C6ng ngang 0800mm

IS Cung ca'p va Ii{pd~t 6ng c6ng 0 800rnm 100m 0,360 0,360 bang KLc6ng 0800

Kh6i htl!ng

Theo HB

15.6 Be ton mona da lx2 C15 (monz + 16tmons) m3 3,648 3,648 bdnz KL cang 0800

15.9 Cir tram duimg kinh ngon >4,5cm, L=5m 100m 46,125 38,625 -7,500 bang KLcang 0800

16.7 Cir tram duimg kinh ngon >4,5cm, L=5m 100m 40,500 40,500 bang KL cang 0800

C6ng ngang 01000mm

17.1 Cung ca'p va lll"pd~t 6ng c6ng 0 l000mm 100m 0,480 0,480 bang KL cang 01000

17.6 Up d(j.tg6i c6ng 01000, TL>250kg cai 94,000 94,000 bang KL cang 01000

NHA THAU TID CONG

Kh6i htf/ng

TheoHD Quye't toan

Tang (+) Giam (-) 17.10 Cir tram duong kinh ngon ~4,5cm, L=5m 100m 87,039 87,039 bang KL e6ng 01000

V'OQuocHuy

Cdn Tha, ngay

BANG KHOI LUQNG QUYET ToAN A-B (BANG 2)

Cong trinh: Duong Thai Thuan - Thanh LQc

Hang mue: Xay dung dirong va c6ng thoat mroc KmO+OO-Km2+900

Ong: Doan Ngoc San

Ong: Nguysn Minh Dire

Quye't toan Chenh l~eh Ghi chti

TheoPLHD

Tang (+) Gilim (-)

I KL Phat sinh 03 e6ng thoat nude 0800 ngang duO'ngtheo QD s6 1160/QD-SGTVT ngay 30/12/2013.

II KL Phat sinh theo QD s623/QD-SGTVT ngay 13/0112014.

1 Phat sinh kh6i hrQ1lgtrong thi~t k~ bin vi!thi

Kh6'i lul/ng

Theo PLHD Quytt toan

Tang (+) Giim (-)

1.3 DAp da't mai taly n~n dui'lng (da't t~n dung) m3 14,180 14,180

1.4 Vii dia ky thuat R>=12KN/m m2 626,800 696,900 70,100

2 Phat sinh xU'Iyhi~n trdi'lfil:(

N~n dui'lng

2.3 DAp da't mal taluy n~n dUCtng(da't t~n dung) m3 107,870 107,870

2.4 Vii dia ky thu~t R>=12KN/m m2 20,300 20,300

tinh thiiu

Khlli hi'Q'ng

TheoPLHD

Tang (+) Giam (-)

.~.

Va QuocHuy

fU/llNG THOI THU~N- TH~NHLOC

BANG TONG HOP KHOI LUONG PHAN TUYEN (KMO+OO-KM2+900)

I NEN DUONG

1 - Daa n~n (da't ca'p 1) m 3 10.535,72 = Xem bang KLPHANTUYEN(10436,42435m3)+Di~ntlch nut giaa(331m2)*Hdaa tb(0.3m)

2 - D~p n~n bAng cat m 3 42.051,13 = KL d~p cat K95 + KL d~p cat K98 - Trt'r phan d~p cat cO'ngva cO'ngchiem chO(01000+0800)

-+ trY pMn dap cat cong va cong chiem

m3 -125,46 Trit phan dap cat cong va cIJ'ngchiem ch6 (01000+0800) (Xem bang C6ng 0100 va C6ng

_._ 3 - D~p da't baa d~p taluy m 3 16.024,43 _ Xem bang 1 (16067,53105m3)+Chi~udai taluy doan

vuOtnO'i(37m)*2*OTtb(0.9m2)(=66,6m3) Trtr phdn d~p cat tra clla xa va clla xa chiem chO(01000+0800)

-+ try pMn dap catfro cila xa va cila xa

-~ 4 - Vai DKT m 2 51.236,90 _ Xem bang 1 (VD 16tn~n + VD Ngan cach)(50757,9046m2)+OTvuO'tnO'i(331m2)+Chi6udai

- taluy doan vuO'tnO'i(37m)*2*2=148m2)

-STT H~NG MUC DUN VI KHOI LU(JNG CACH TINH

4 - C~p phoi da dam I~i 2 day 15cm m 3 2.104,09 Di~n Uch m~t dllilng (Xem bang 1)'0.15

3 -Vach son, bi~n baa

- Tru bi~n bao L=2.9m cai 7,00 Xem ban vi! M~t bang t6 chac giaa thOng

B~ tOng chan cetC20 d5 t~i ch5 m3 0,70 = So cOt (7 cOt)*0.1 - Xem ban vi! M~t bang t6 chac giaa thOng

- Bu lOng 010, L=10cm_-_-. cai 16,00 = Xem ban vi! M~t bang t6 chac giaa thOng

- Son keduong m2 63,34 = Xem ban vi! vach sen bi~n baa (58.97+4.87)

1 - coc Mu cat 270,00 = Xem ban vi! Binh 1.16 trac doc tuyen

_. -_._ -2 - flap cat biJ lun ,day tb 10cm m 3 1.241,09 = S m~t dlli!ng (12410,88m2)'0.1

DUONG THai THU~N - TH~NH LOC BANG TONG HOP KHOI LUONG PHAN TUYEN (KMO+OO-KM2+900)

~

'/0 Quae p.U.1

OO·'O~·~···O·~;·8B~·-···OO·'O·~·~··· ·OS;·S~·~···o·9;·i·s~···0·~·;"8·9··· ···OO;·O~···

oo·'o~·i··· ·06;·8S~···oo·'o·~·i···06·'9~·~···o·i·;·is~··· 0·6·;0·9··· ···oo;·o~···

oo·'o~·~···os;·Zs~···oo·'o·i·~···oZ; i·s·i··· 6f?SS~··· o·~;·i·s··· ···oo;·o~··· _

oo·'o~·~···68;·9B~···oo·'o·~·~···O~;·8S·~···-··op;·~s~··· o"i;s·p····_··· _ ···-oo;·o~···

oo·'o~·~···o~'·gg~···oo·'o·~·i···OB;·S~·~···o6;·is~··· o·i·;!j"s··· _ ···oo;·o~···

_ ···~i·;t·i··· ···os;·s···S·8;'-"···i·s·;i·i··· ···L6'·i··· _ ····00709·~···+Ow)j··· ···osi·+o··· ~.~

oo·'o~·~··· ·o·~;·gS~ ···oo·'o·~·i···o?s~·~··· ·o·a;·is~··· Og·;"is··· ···oo;·o~···

oo·'o~·i···0~;·99~···oo·'o·~·i···o~;·os·~···6s'·is~··· os·;s·s··· ···oo;·o~··· • • • • • • •.- • _ •.• ···_···1···

OO·'O~·~··· ·0?9S~··· ·OO·'O·~·~··· ·OO;·"i·S·~···os;·is~··· O-;;"8·S··· ···OO'·O~··· - _ ···~"8·'t·i··· ···OS'·S···S·S'"i···"-'s9'ii"'-" ···as;·i - ····oo7o~·i···+o·w)j··· ···oii·:;i:;-···9···

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