Annex B. Periodic Accomplishment Report

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SM SUPERMALLS

Mall of Asia Arena Annex Building, Coral Way cor. J.W.


Diokno Blvd, Mall of Asia Complex, Pasay City, 1300

PERIODIC ACCOMPLISHMENT REPORT

Vendor's Name :

PROJECT DETAILS
Project Type : PREVENTIVE MAINTENANCE TENANT SERVICE OTHERS Date :
Service Agreement
:
Name
Mall Branch :
Contract Duration :
Gross Billing Amount :
Service Start Date : Service Completion Date :

CERTIFICATION

This is to certify the successful completion of the mentioned service in the Project Details in accordance with the approved SM
Standards - Scope of Works.

Nothing contained herein shall be construed to waive completely all rights of the Owner/Developer to reject the whole or any portion of
the aforementioned work should it be found later or after the guarantee period to have been constructed or implemented in violation of
the agreed terms and conditions of the Contract / Service Agreement.

Contractor's Authorized Representative


(Signature above Printed Name / Position / Date)

ACCEPTANCE
This is to signify that the Project Details have been reviewed and accepted, and payment can be released to the abovementioned
Contractor based on the agreed contract amount per prevailing/effective Service Agreement, provided the invoicing requirements are
properly complied by the Contractor.
ENDORSED BY: APPROVED BY:

Project-in-Charge (Engineering Works)


(Signature above Printed Name / Date)

Project-in-Charge (Mall Services) SCMC Authorized Endorser for Disbursement SCMC Authorized Signatory for Disbursement
(Signature above Printed Name / Date) (Signature above Printed Name / Date) (Signature above Printed Name / Date)

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