Company Profile and Project Status

Reporting Form
For
Consultant: Supervision

April 2020
Contents
1 Profile of the Consultant.............................................................................................................................1
1.1 Legal Information ...............................................................................................................................1
1.2 Technical capability ...........................................................................................................................1
1.2.1 Experience of the Consultant......................................................................................................1
1.2.2 Professional Capacity of the Consultant.....................................................................................2
1.2.3 Resource Capacity of the Consultant .........................................................................................3
1.2.4 Financial Performance ................................................................................................................4
1.2.5 Ongoing Projects ........................................................................................................................5
2 Project Status Report ..................................................................................................................................6
2.1 Executive Summary ...........................................................................................................................6
2.2 Project Information.............................................................................................................................6
2.2.1 Manpower assigned for this project by the consultant and the contractor .................................9
2.2.2 List of equipment assigned for this project ..............................................................................10
2.2.3 Financial Management .............................................................................................................10
2.2.4 Key Issues.................................................................................................................................15
1 Oromia Construction Authority

1 Profile of the Consultant

Consultant’s Legal Name: _____________________________________________________
Nationality: _______________________________________________________________
Address
City:
Street:
Website:
Email:
Fax:
P.O. Box:
Tel No.:

1.1 Legal Information

TIN No:
VAT Reg. No:
Tread License Reg. No:
Consultancy License Reg. No:

1.2 Technical capability

1.2.1 Experience of the Consultant
State all projects you have been performing for the past 5 years starting from latest to oldest and
fill all required information in the Table: 1-1 below.
Table: 1-1

Name of Percentage Prime Consultant Final acceptance issued?

Value of Period of Client and
project/kind of Works (P) or
Works Contract Place
of works Completed SubConsultant (S)

A. In Home Country

Yes: Not Yet No:

Yes: Not Yet No:

Yes: Not Yet No:

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2 Oromia Construction Authority

Name of Percentage Prime Consultant Final acceptance issued?

Value of Period of Client and
project/kind of Works (P) or
Works Contract Place
of works Completed SubConsultant (S)

Yes: Not Yet No:

B. Abroad

Yes: Not Yet No:

Yes: Not Yet No:

Yes: Not Yet No:

Yes: Not Yet No:

Yes: Not Yet No:

Yes: Not Yet No:

1.2.2 Professional Capacity of the Consultant

State all permanent technical staff of your company in the Table 1-2 below.
Table 1-2: Manpower list in the company

No. Position Name profession / General Experience Similar Experience PLN or Gross Employment
filed of DLN for monthly Agreement
specialization operators Salary

NB

1) All technical staff in the company have to be recorded

2) If the above table not sufficient; provide copies or inserting row and provided the information you have
3) PLN (professional license number)
4) DLN (Driver License number)

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1.2.3 Resource Capacity of the Consultant

Table 1-3 List of Office Equipment

No Equipment type Identification. No Production date Capacity

(Name)

1
2
3
4
5
6
7
8
9

Table 1-4 List of Field Equipment and Vehicles

No Equipment type Identification. No Production date Capacity

1
2
3
4
5
No Vehicle type Plate No. Production date Capacity

1
2
3
4
5

NB

1) If the above table not sufficient; provide copies or inserting row and provided the information you do not
want to left

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1.2.4 Financial Performance

Table 1-5: Consultant’s financial information

Year Start 1st 2nd 3rd 4th Year 5thYear (last Total
Year Year Year year)

Money in (1)
Money out (2)
Cost of goods
(3)
Overhead cost
(4)
Total money out (5)
3&4
Cash flow
positive/negative
(6= (1)-(5))
Beginning checking
Account Balance (7)
Ending Checking
Account Balance
(8= (7) +(6))

Table 1-6 Consultant compliance

(Birr)
Financial Information
Year 1 Year 2 Year 3 Total Average
Statement of financial position (information from balance sheet)
Total assets (TA)
Total financial liabilities
Total equity/Net worth (NW)
Current assets
Current liabilities
Working capital (WC)
Current Asses/Current
Liabilities
Information from income statement
Total revenue
Earnings before interest,
taxes, depreciation, and
amortization (EBITDA)
Earnings before taxes (EBT)
Cash flow information
Cash flow from operating
activities

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1.2.5 Ongoing Projects

List out all ongoing projects being carried out by your company
No Name of the project Client Supervisor

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2 Project Status Report

2.1 Executive Summary
Summarise the progress of each project under your supervision separately in not more than 2 pages. Include
a summary of the Design Review, Mobilisation, Site Facilities and Administration, Health and Safety, Public
Coordination, and Physical and Financial Progress against the plan. Highlight major issues and their
resolution.
2.2 Project Information
Table 2-1: Project Information

Reporting Period
Project Type: From:
To:

Project Name:
Project Description:
Name of person completing this report: (incl.
title and e-mail address)

Consultant’s Contract Data

Table 2-2: Contract Data

Contract Data

Funding

Client

Consultant
Notification of Award
Contract Signing Date
Commencement Date
Original Completion Date
Original Contract Period

Revised Completion Date

Financial Data Local Currency (ETB)

Contract Amount

Advance Payments

Payments to date (incl. advance)

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7 Oromia Construction Authority

Guarantees (Supervision)

Advance Guarantee

Date Received

Expiry Date

Amount (Foreign Currency)

Amount (Local Currency)

Contractor’s Contract Data

Table 2-3: Contract Data

Construction Contract Data

Funding

Client

Type of Contract

Contractor
Notification of Award
Contract Signing Date
Commencement Date
Original Completion Date
Original Contract Period

Extension of Time Approved (days)

Revised Completion Date

Actual Completion Date

Delay period (days)

Financial Data Local Currency (ETB)

Contract Amount

Liquidated Damages

Advance Payments

Price Adjustment to date

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Value of Variations Approved

Payments to date (incl. advance)

Guarantees

Performance Guarantee

Date Received

Expiry Date

Amount (Foreign Currency)

Amount (Local Currency)

Advance Guarantee

Date Received

Expiry Date

Amount (Foreign Currency)

Amount (Local Currency)

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2.2.1 Manpower assigned for this project by the consultant and the contractor

Table 2-4 List of manpower

No Position Name Profession / field General Experience Similar Experience PLN or DLN Gross Employment
of specialization for operators monthly Agreement
Salary
Consultant
2
3
5
6

Contractor

NB

1) If the above table not sufficient; provide copies or inserting row and provided the information you have
2) PLN (professional license number)
3) DLN (Driver License number)

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10 Oromia Construction Authority

2.2.2 List of equipment assigned for this project

Table 2-5 List of equipment

No Equipment type Identification. Production Capacity Average Recorded Productivity

No date while performing

1
2
3
4
5
6

List out also facilities provided for the Consultant and for the Contractor
2.2.3 Financial Management

Provide a summary of the financial progress of the project.

Provide a table showing details of Variation Orders (VOs) granted, or pending, and a table showing details
of claims and potential changes that have cost or time implications.

Table 2-6: Variation Orders issued

Amount of Varied Work

VO
Description Addition as Reduction as Date of Issue Status
No.
result of VO result of VO
(ETB) (ETB)

VO-1

Table 2-7: Variation Orders Pending / Claims

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Remarks /
Potential Potential
Date of Status
No. Description Addition Reduction
Notification
(ETB) (ETB)

11
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1) Consultant cash flow for project stated above

Table 2-8 monthly cash flow table

Month Start 1st 2nd 3rd 4th 5th 6th 7th Total
month month month month month month month
Money in (1)
Money out (2)
Cost of goods (3)
Overhead cost (4)
Total money out (5) 3&4
Cash flow
positive/negative
(6= (1)-(5))
Beginning checking
Account Balance (7)
Ending Checking Account
Balance
(8= (7) +(6))

Table 2-9 Quarterly cash flow table

Quarter Start 1st 2nd 3rd 4th 5th 6th 7th Total
quarter quarter quarter quarter quarter quarter quarter
Money in (1)
Money out (2)
Cost of goods (3)
Overhead cost (4)
Total money out (5) 3&4

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Cash flow
positive/negative
(6= (1)-(5))
Beginning checking
Account Balance (7)
Ending Checking Account
Balance
(8= (7) +(6))

Table 2-10 yearly cash flow table

Year Start 1st Year 2nd Year 3rd Year 4th Year 5thYear Total
Money in (1)
Money out (2)
Cost of goods (3)
Overhead cost (4)
Total money out (5) 3&4
Cash flow positive/negative
(6= (1)-(5))
Beginning checking Account
Balance (7)
Ending Checking Account
Balance
(8= (7) +(6))

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NB
1) If the above tables not sufficient; provide copies or inserting column and provided the information
you have
2) It is better to use all the above tables, and also it is advisable to use one table for each project
3) Contract value (project cost): _____________________________________________________
4) Cost after completion:___________________________________________________________
5) If the project is on progress the above 6-8 are replaced by the followings
6) Physical status (%):_________________________________________________________
7) Financial status (%): _________________________________________________________
8) Total payment collected:______________________________________________________
9) If the project is complex project state the followings
a) State special equipment / machineries you are using for
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
____________________
b) State technologies you are using for
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
________________
c) Construction materials you are using for
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________
d) Laboratory and filed tests
_____________________________________________________________________________
_____________________________________________________________________________
________________________
e) Specialized professionals and filed of specialization
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_________________

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2.2.4 Key Issues

Identify and summarise key issues that may effect the period of performance or cost of the works contract.
Propose solutions where appropriate. Indicate revised schedule in the following table considering the issues
discussed.

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Table 2-11: Project Schedule

Project Start Planned End

Date: Date:

Plan Actual %
Major Milestones Status Revised
Date Date Complete

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