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PT. HUAWEI TECH INVESTMENT

PRELIMINARY PAYMENT CERTIFICATE


Project Name Acceptance Date.
Project Code Subcontract Name.
Scope of Work Site Acquisition Subcontract No.

Start Date Complete Actual Complete


PO No. Type Of PO Site ID Site Name Category
on PO Date on PO Date

NEW SITE GREEN FIELD WITH


1091088061_14 Standard 140419 Batu Layang 28-Feb-12 12-Mar-12 15-Mar-12
IMB

Attachment:

Note

Deduction Information No Deduction Information

( If there is a deduction information, please fill in the form <Payment Deduction Statement>)

Remark :
1. This shows the final value of all work done is accordance with the PO. The whole of works have now been substantially completed, and have satisfactorily
passed all the tests on completion specified in the contract.
2. Initials should be applied on every page of certificate
3. Signatures on last page are required according to the clauses that is clearly stated in the contract

Subcontractor:
I guarantee all certificate that I claimed are actual works. No fake information inside. No private benefit with Huawei engineers.
Should I disobey this rule, I will accept the consequences as stated on the contract with Huawei.
Huawei PM:
I guarantee all certificate that I signed are the actual works. No fake information inside. No private benefit with subcontractors
Should I disobey this rule, I will accept the punishment as written BCG which I declared to the company.

Authorized Signature Authorized Signature Authorized Signature Authorized Signature

Approval Date : Approval Date : Approval Date : Approval Date :

Subcontractor PT. Huawei Tech Investment PT. Huawei Tech Investment PT. Huawei Tech Investment
Name : Name : Name : Name :

Title : Regional Project Manager Title : Project Manager Title : Regional Project Manager Title : Project Director
Created Date 19-Apr-18

PT. HUAWEI TECH INVESTMENT


ENGINEERING SERVICE ACCEPTANCE REPORT (2nd)
Project Name Acceptance Date.

Subcontract Name.
Project Code
Subcontract No.
Scope of Work TE Subsidiary (SOW)

PO No. Site ID Site Name Description PO Qty Actual Qty Start Date on PO End Date on PO

Attachment:

Note

Deduction Information No Deduction Information

( If there is a deduction information, please fill in the form <Payment Deduction Statement>)

Remark :
1. This shows the final value of all work done is accordance with the PO. The whole of works have now been substantially completed, and have satisfactorily
passed all the tests on completion specified in the contract.
2. Initials should be applied on every page of certificate
3. Signatures on last page are required according to the clauses that is clearly stated in the contract

Subcontractor:
I guarantee all certificate that I claimed are actual works. No fake information inside. No private benefit with Huawei engineers.
Should I disobey this rule, I will accept the consequences as stated on the contract with Huawei.
Huawei PM:
I guarantee all certificate that I signed are the actual works. No fake information inside. No private benefit with subcontractors
Should I disobey this rule, I will accept the punishment as written BCG which I declared to the company.

Authorized Signature Authorized Signature

Approval Date : Approval Date :

Subcontractor PT. Huawei Tech Investment


Name : Name :

Title : Regional Project Manager Title : Regional Project Manager


SN:

PT. HUAWEI TECH INVESTMENT


PRELIMINARY PAYMENT CERTIFICATE
Project Name Acceptance Date.
Project Code Subcontract Name.
Scope of Work Civil Mechanical Electrical Subcontract No.

Start Date Complete Actual Complete


PO No. Type Of PO Site ID Site Name Category
on PO Date on PO Date

1091088061_14 Standard 140419 Batu Layang Medium (MD) 32M 28-Feb-12 12-Mar-12 15-Mar-12

Attachment:

Note

Deduction Information No Deduction Information

( If there is a deduction information, please fill in the form <Payment Deduction Statement>)

Remark :
1. This shows the final value of all work done is accordance with the PO. The whole of works have now been substantially completed, and have satisfactorily
passed all the tests on completion specified in the contract.
2. Initials should be applied on every page of certificate
3. Signatures on last page are required according to the clauses that is clearly stated in the contract

Subcontractor:
I guarantee all certificate that I claimed are actual works. No fake information inside. No private benefit with Huawei engineers.
Should I disobey this rule, I will accept the consequences as stated on the contract with Huawei.
Huawei PM:
I guarantee all certificate that I signed are the actual works. No fake information inside. No private benefit with subcontractors
Should I disobey this rule, I will accept the punishment as written BCG which I declared to the company.

Authorized Signature Authorized Signature

Approval Date : Approval Date :

Subcontractor PT. Huawei Tech Investment


Name : Name : Xuhengliang

Title : Regional Project Manager Title :


Created Date 19-Apr-18

PT. HUAWEI TECH INVESTMENT

FINAL PAYMENT CERTIFICATE


Project Name Acceptance Date.
Subcontract Name.
Project Code
Subcontract No.

Scope of Work TK Subsidiary (SOW) Civil Mechanical Electrical

Start Date End Date on Actual Complete


PO No. Type Of PO Site ID Site Name Category
on PO PO Date

1091088061_14 Standard 140419 Batu Layang Medium (MD) 32M 28-Feb-12 12-Mar-12 15-Mar-12

Attachment:

Note

Deduction Information No Deduction Information

( If there is a deduction information, please fill in the form <Payment Deduction Statement>)

Remark :
1. This shows the final value of all work done is accordance with the PO. The whole of works have now been substantially completed, and have satisfactorily
passed all the tests on completion specified in the contract.
2. Initials should be applied on every page of certificate
3. Signatures on last page are required according to the clauses that is clearly stated in the contract

Subcontractor:
I guarantee all certificate that I claimed are actual works. No fake information inside. No private benefit with Huawei engineers.
Should I disobey this rule, I will accept the consequences as stated on the contract with Huawei.
Huawei PM:
I guarantee all certificate that I signed are the actual works. No fake information inside. No private benefit with subcontractors
Should I disobey this rule, I will accept the punishment as written BCG which I declared to the company.

Authorized Signature Authorized Signature Authorized Signature

Approval Date : Approval Date : Approval Date :

Subcontractor PT. Huawei Tech Investment PT. Huawei Tech Investment


Name : Name : Name :

Title : Regional Project Manager Title : Project Manager Title : Regional Project Manager
SOW CATEGORY REMARK
POLE 3M

POLE 6M

POLE 9M

POLE 12M

MONO POLE 36M

MINI TOWER 15M

MINI TOWER 20M

MINI TOWER 25M

MINI TOWER 30M

LIGHT (LD) 32M

LIGHT (LD) 42M

LIGHT (LD) 52M

MEDIUM (MD) 32M

CME MEDIUM (MD) 42M

MEDIUM (MD) 52M

MEDIUM (MD) 62M

MEDIUM (MD) 72M

HEAVY DUTY (HD) 52M

HEAVY DUTY (HD) 62M

HEAVY DUTY (HD) 72M

SUPER HEAVY DUTY 52M

SUPER HEAVY DUTY 62M

SUPER HEAVY DUTY 72M

OPERATOR SHARING

OPERATOR SHARING FOR GENSET

TOWER LEASE COMPANY

ADDITIONAL COST FOR CME

NEW SITE GREEN FIELD WITH IMB

NEW SITE GREEN FIELD WITHOUT IMB

NEW SITE ROOF TOP WITH IMB

NEW SITE ROOF TOP WITHOUT IMB

IMB & PERMITTING

SITAC
SITAC ADD COST FOR IMB

OPERATOR SHARING

OPERATOR SHARING FOR GENSET

TOWER SHARING

SIS

ADDITIONAL COST FOR SA

POWER CONNECTION X KVA

POWER CONNECTION X KVA WITH TRAFO


PLN Depend of capacity
UPGRADE POWER CONNECTION X KVA

ADDITIONAL COST FOR PLN

OSP/FTTX IMPLEMENTATION In case that you have only one PO


for OSP/FTTX, but it’s contain
Survey and Design, please choose
OSP/FTTX Implementation, because
OSP OSP/FTTX SURVEY AND DESIGN the most works are OSP/FTTX
Implementation

ADDITIONAL COST FOR OSP/FTTX

ISP ISP

MINI CME FOR SERVICE

MINI CME FOR MATERIAL

Mini CME If PO consist for material & service


MINI CME FOR MATERIAL & SERVICE i.e: foundation, cable tray, ACPDB
etc

MINI CME FOR PLN

i.e :site expansion , tower


UPGRADE CME UPGRADE
strengthening

DISMANTLE SITE DISMANTLE i.e tower dismantle , demolish

SHELTER OUTSOURCING_SHELTER

GENSET OUTSOURCING_GENERATOR

For SDP category still refer to PO it


because one PO consist for some
SDP site and some item.
ADDITIONAL COST FOR SDP
Scope of Work Subsidiary (SOW)
Civil Mechanical Electrica
Mini CME
OSP
ISP
FTTH
Site Acquisition
IMB
TE
Community Permit
Power Connection
Data Center
Enterprise
MSC
TOC
Survey and Design
TE
RF
Guidance How to Fill the ESAR Template :

No. Item
1 PO TE and RF using template TE&RF
2 PO TE, MINI CME, IBS using template TK
3 Created date will fill automatically as subcon prepare the ESAR

4 Please choose the Acceptance Ceritificate header accordingly

5 Acceptance Date

Project Name, Project Code, Subcontract Name, Subcontract No.,


6 PO no., SITE ID, Site Name, Description, PO Qty, Actual Qty, Start
Date on PO, End Date on PO

7 Scope of Work

8 Subsidiary (SOW)
9 Actual Complete Date
10 Type of PO

11 Deduction Information ; Deduction Information


Remark

this new template apply for ESAR Created Date starting 15-Aug-17

ESAR TE&RF, ESAR TK IBS 100% payment - choose ENGINEERING SERVICE ACCEPTANCE REPORT
ESAR TE&RF, ESAR TK IBS 1st Milestone - choose ENGINEERING SERVICE ACCEPTANCE REPORT (1st)
ESAR TE&RF, ESAR TK IBS 2nd Milestone - choose ENGINEERING SERVICE ACCEPTANCE REPORT (2nd)
ESAR TE&RF, ESAR TK IBS 3rd Milestone - choose ENGINEERING SERVICE ACCEPTANCE REPORT (3rd)
ESAR TK and Mini CME - choose the certificate according to the contract, such as PRELIMINARY PAYMENT
CERTIFICATE or FINAL PAYMENT CERTIFICATE, etc

ESAR TE&RF, ESAR TK IBS fill with ESAR created date


ESAR TK and Mini CME fill based on PD sign date, fill by DC Jkt

Refer to PO
*) 1 ESAR applied for 1 PO

Choose TE or TK or RF
*) PO MINI CME and IBS Choose TK
Must be fill for TK (including IBS and MINI CME) and RF. For TE, just leave it blank
Must be fill for TK (including IBS and MINI CME)
Choose Standard or Additional PO or Opname
Please put checklist on either has Deduction Information OR Deduction Information?
If has, please attach the PDS (Payment Deduction Statement)

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