INVESTITOR: ___________________________________________________________

PROCES - VERBAL DE RECEPTIE

LA TERMINAREA LUCRARILOR

Nr. ______ din _______________

privind lucrarea _____________________________________________________

____________ executata in cadrul contractului nr. ___________ din ______________
incheiat intre executant
______________________________________________ si investitor
______________________________________________________ pentru
lucrarile de _________________________________________________
_____________________________________________________________
_

1. Lucrarile au fost executate in baza autorizatiei nr. ______________ eliberata de

________________________________________________ la data ______________
cu valabilitate pana la _________________.

2. Comisia de receptie si-a desfasurat activitatea in intervalul _________________

fiind formata din:
Denumirea unitatii
Numele si prenumele Calitatea de care apartine

_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________

3. Au mai participat la receptie:

Numele si prenumele Calitatea

_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

4. Constatarile comisiei de receptie:

4.1 Din documentatia scrisa si desenata necesara a fi prezentata, au lipsit sau sunt
incomplete urmatoarele piese:

_____________________________________________________________
_____________________________________________________________

_____________________________________________________________

4.2 Urmatoarele lucrari nu au fost executate:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

4.3 Urmatoarele lucrari nu respecta prevederile proiectului:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

5. In urma constatarilor facute, comisia de receptie propune:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

6. Comisia de receptie motiveaza propunerea facuta prin:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

7. Comisia de receptie recomanda urmatoarele:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

8. Prezentul proces-verbal, continand ___ file a fost incheiat astazi ____________

la _____________________________________________________________________
in _____ exemplare.
 COMISIA DE RECEPTIE:

PRESEDINTE:
Numele si prenumele Specialist Semnatura

_____________________________________________________________

MEMBRI:
Numele si prenumele Specialist Semnatura

_____________________________________________________________
_

_____________________________________________________________
_

_____________________________________________________________
_

_____________________________________________________________
_