NO CLAIM DECLARATION
I / We do hereby confirm and declare that all the measurement including the item rates
entered into final bill against the work done by me/us on the following work orders are
acceptable to me in total and hence request you to process the final bill for release of
retention and effecting balance payments.
Sl. WO Amd. Amd. RAB-Final Retention
WO No
No Date No. Date Bill # (Rs.)
E8419W
31-Mar-
1 OD6000 0 - 02 Rs. 8,003/-
2016
003
I / We hereby would also like to confirm that we do not have any dispute/claim whatsoever
of any nature on M/s Larsen & Toubro Limited, ECC Division against any work carried out
by me/us covered in the said work orders as per measurement recorded and accepted by
me/us including any debits/recovery made in the bills paid so far and in the final bill.
I / We also declare and confirm that we have paid to all the workmen engaged by me/us the
wages and other benefits including the terminal benefits, if any, to the workmen engaged by
me/us in terms of the applicable laws including the provident fund, to the extent applicable
to the workmen engaged in the work.
I / We hereby indemnify M/s Larsen & Toubro Limited- ECC Division of any liability and
dispute that may arise of any kind whatsoever in future if workmen engaged by me/us for
carrying out the above work approach to M/s Larsen & Toubro Limited or any statutory
authorities claiming non payment /under payment of wages/ benefits due to him/them. Such
cases, if arise, may be referred to me/us and I/We shall be completely liable for payment of
damages, if any arising out of this dispute.
Signature of Sub- Contractor:
Vendor Code: S0059478
JOB Number and Description: LE110693 & TWAD CWSS Melur Package 1