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["【様式１】工事請負契約"]
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[null,"　発生材","〃",null,"第２８号",null,null,"　発生材報告書（第　　回）"]
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[null,"　主要資材","〃",null,"第５１号",null,null,"　主要資材発注予定報告書"]
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[null,null,"〃",null,"第３１号",null,null,"　〔　　〕確認内訳書"]
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[null,null,"〃",null,"第３５号",null,null,"　既済部分出来高工種別内訳書"]
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[null,null,"〃",null,"第３７号",null,null,"　既済部分出来高工種別内訳書(２回目以降に使用)"]
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[null,null,"〃",null,"第５８号",null,null,"　工事履行報告書"]
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[null,null,"〃",null,"第４５号",null,null,"　公共事業遵守証明書"]
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[]
["【様式２】委 託 契 約"]
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[null,null,"〃",null,"第１０号",null,null,"　既済部分出来高工種別内訳書"]
[null,null,"〃",null,"第１０号の２",null,null,"　既済部分出来高工種別内訳書（様式２・第１０号の続き）"]
["　一括変更、工事中止・中止解除",null,"〃",null,"第１１号",null,null,"　承諾書"]
["　完了",null,"〃",null,"第１２号",null,null,"　委託完了届"]
[null,null,"〃",null,"第１４号",null,null,"　納品書"]
[null,null,"〃",null,"第１５号",null,null,"　納品内訳書"]
["　請求",null,"〃",null,"第１３号",null,null,"　請求内訳書"]
[null,null,"〃",null,"第１７号",null,null,"　請求内訳書"]
[null,null,"〃",null,"第１６号",null,null,"　前払金請求内訳書"]
[]
["【様式３】単 価 契 約"]
[]
["区　　　分",null,"様 式 番 号",null,null,null,null,"様　　　式　　　名"]
["　着手",null,"様式３",null,"第１号",null,null,"　着手届"]
[null,null,"〃",null,"第２号",null,null,"　代理人及び主任技術者等通知書"]
[null,null,"〃",null,"第３号",null,null,"　経歴書（　　）"]
["　材料","　支給材","〃",null,"第４号",null,null,"　支給材[請求･受領･返納]書(第　　回)"]
[null,null,"〃",null,"第５号",null,null,"　支給材[請求･受領･返納]内訳書"]
["　完了",null,"〃",null,"第６号",null,null,"　完了届"]
[null,null,"〃",null,"第７号",null,null,"　完了報告書"]
[]
["その他"]
[]
["区　　　分",null,"様 式 番 号",null,null,null,null,"様　　　式　　　名"]
["　その他","　環境配慮",null,null,null,null,null,"　（参考）環境配慮確認書"]
[]
["【様式４】発注者が作成する書類"]
[]
["区　　　分",null,"様 式 番 号",null,null,null,null,"様　　　式　　　名"]
["　発注者作成\n　　 書類","　監督員通知","様式４",null,"第１号",null,null,"　監督員の通知について（工事）"]
[null,null,"〃",null,"第２号",null,null,"　監督員の通知について（委託）"]
[null,"　承諾","〃",null,"第３号",null,null,"　承諾書"]
[null,"　指示書等","〃",null,"第４号",null,null,"　指示書"]
[null,null,"〃",null,"第４号の２",null,null,"　指示書（単価契約・基本契約）"]
[null,null,"〃",null,"第５号",null,null,"　改善指示書"]
[null,null,"〃",null,"第６号",null,null,"　改善命令書"]
[null,"　調査結果通知","〃",null,"第７号",null,null,"　調査結果通知書"]
[null,"　承認","〃",null,"第８号",null,null,"　承認書"]
[null,"　警察協議","参考様式",null,null,null,null,"　（参考）道路工事等協議書"]
[null,"　環境配慮依頼","参考様式",null,null,null,null,"　（参考）環境配慮依頼書"]
[null,"　再資源化通知","参考様式",null,null,null,null,"　（参考）再資源化通知書"]
[null,"　企業者調整","参考様式",null,null,null,null,"　（参考）埋設管調査依頼"]
[null,"　身分証明書発行","参考様式",null,null,null,null,"　（参考）身分証明書（測量）"]
[null,null,"参考様式",null,null,null,null,"　（参考）身分証明書（その他委託）"]

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[null,"様式１・第１号"]
[]
[null,"〔工事件名〕"]
[null,"工　事　総　括　書"]
[]
[null,"種別内訳",null,null,null,null,null,null,null,null,null,null,null,"内容（数 量）",null,null,null,"金　　額",null,null,null,null,null,"摘           要"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[]
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[]
[]
[]
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[]
[]
[]
[]
[]
[]
[]
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[]
[]
[]
[]
[]
[]
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[]
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[]
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[]
[null,"様式１・第２号"]
[]
[null,"〔工事件名〕"]
[null,"種　別　内　訳　書"]
[]
[null,"種別・細別・内訳",null,null,null,null,null,"形状・寸法",null,null,null,null,null,"数量",null,null,null,"単位",null,"単価",null,null,null,"金額",null,null,null,"摘         要"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]

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[null,"様式１・第３号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担当者"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"工　事　着　手　届"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名※）"]
[]
[]
[]
[]
[null,null,"　下記のとおり着手したので届け出ます。 "]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"着 手 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[]
[]
[null,"※　受注者氏名欄に記名の上、押印又は押印を省略する場合には以下を記載する。"]
[null,"〔本書類を発行することができる権限を有する者〕"]
[null,null,"役職:",null,null,null,null,null,null,null,null,null,null,null,"氏名:",null,null,null,null,null,null,null,"電話番号:"]
[]
[null,"〔事務担当者〕"]
[null,null," 所属:",null,null,null,null,null,null,null,null,null,"役職:",null,null,null,null,"氏名:",null,null,null,null,null,null,"電話番号:"]
[]
[]
[null,"（区職員使用欄）押印省略時の\n本人確認日、確認方法及び確認者",null,null,null,null,null,null,null,null,null,"　　年　　月　　日",null,null,null,null,null,null," □対面 □電話 □テレビ会議",null,null,null,null,null,null,null,null,"（確認者氏名）"]

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[null,"様式１・第５号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"現場代理人及び主任技術者等通知書"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"連絡用メールアドレス"]
[]
[null,"工  事  番  号"]
[]
[null,"契  約  番  号"]
[]
[null,"工  事  件  名"]
[]
[null,"工  事  場  所"]
[]
[null,"契  約  金  額",null,null,null,null,null,"　￥"]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,"技 術 者 分 類",null,null,null,null,null,"技 術 者 氏 名",null,null,null,null,null,null,null,null,null,"建設業法上の該当資格に○を付ける",null,null,null,null,null,null,null,"備　　　　考"]
[]
[null,"現場代理人氏名",null,null,null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人と主任技術者、\n監理技術者又は監理技術者補佐は兼任できる。"]
[]
[]
[null,"（連絡用メールアドレス）"]
[null,"主任技術者氏名",null,null,null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,"建設業法第７条第２号"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"イ  ・  ロ  ・  ハ"]
[null,"監理技術者氏名",null,null,null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,"建設業法第１５条第２号",null,null,null,null,null,null,null,"※資格者証（監理技術者講習修了履歴）を監督員に提示すること。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"イ  ・  ロ  ・  ハ"]
[null,null,"監理技術者補佐氏名",null,null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,"建設業法第１５条第２号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"イ  ・  ロ  ・  ハ"]
[null,"専門技術者氏名",null,null,null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,"建設業法第７条第２号",null,null,null,null,null,null,null,"(　)内には専門技術者を置いて施行する工事の建設業法上の区分を記入する｡"]
[]
[null,"(      　　    )",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"イ  ・  ロ  ・  ハ"]
[null,"電気保安技術者氏名",null,null,null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,"　",null,null,null,null,null,null,null,"資格は別紙経歴書に記入する。"]
[]
[]
[null,null,null,null,null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,"　"]
[]
[]
[null,"  受注者(ＪＶの場\n  合は幹事会社)の\n  許可区分等"]
[null,null,null,null,null,null,null,"土木一式・建築一式・電気・管・鋼構造物・舗装・機械器具設置・造園"]
[null,null,null,null,null,null,null,"水道施設・その他（　　　　　　　　　　　　　　　　　　　　）"]
[null,null,null,null,null,null,null,"〔　大臣　・　知事　〕〔　特定　・　一般　〕　　　第　　　　　　　　号"]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[null,"注１　受注者（JVの場合幹事会社）の許可区分等の欄は、監理技術者を設置した場合のみ記入すること。"]
[null,"注２　監理技術者が監理技術者資格者証を提示した場合には、経歴書の添付は不要。"]
[null,"様式１・第６号"]
[]
[null,"経　歴　書（　　　　）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ふ り が な",null,null,null," "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　　名",null,null,null," "]
[]
[]
[]
[null,"学　　　　歴"]
[null,"年　　月"]
[]
[]
[]
[]
[]
[]
[null,"職　　　　歴"]
[null,"年　　月"]
[]
[null,"年　　月～　　年　　月"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"資　　　　格"]
[null,"年　　月"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"注　１　この様式は、建設業法第７条第２号イ、ロ若しくはハによる学歴、実務経験若しくは資格又は　　　\n　　　仕様書等で指定されている資格若しくは実務経験等を提示する際に使用する。\n    ２　表題の（　　）内には、主任技術者等該当する技術者分類の名称を記入すること。\n    ３　学歴欄には、建設業法による主任技術者等でその資格が建設業法第７条第２号のイによる場合\n　　  等、求められる資格を有することを証するのに学歴を必要とする場合のみ記載すること。\n　　４　職歴欄には、職歴を記載するとともに建設業法による主任技術者等はその資格に必要な実務経\n　 　 験について、仕様書等で必要な実務経験等が指定されている場合はその実務経験について、それ\n　　  ぞれ記載すること。\n　　５  主任技術者等（監理技術者を除く）は、資格欄にその資格に必要な資格者証、合格証明書、免\n　　　許証等について、仕様書等で特に定められた資格がある場合にはその資格について、それぞれ記\n　　　載すること。\n　　　　また、当該資格の証明書等の写しを添付すること。\n　　　　ただし、監理技術者資格者証による場合、実物を提示し監督員の確認を受けた場合には、資格\n　　　者証の写しの添付は不要とする。\n    ６  監理技術者は、原則として監理技術者資格者証（監理技術者講習修了履歴）の実物を監督員に\n　　　提示することとし、この経歴書の提出は不要とする。"]

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2,27,143,28],[142,29,143,29],[96,31,96,32],[95,31,95,32]]}
[null,"様式１・第８号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"下  請  負  届"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名※）"]
[]
[]
[]
[]
[null," ","　下記のとおり下請負により施工しますので届け出ます。\n　なお、下請負者に対する工事の調整、指導及び監督については、当社において一切の責任をもって行います。"]
[]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"下 請 負 金 額"]
[]
[]
[null,"下 請 負 者 名",null,null,null,null,null,"　別記記載のとおり"]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"※　受注者氏名欄に記名の上、押印又は押印を省略する場合には以下を記載する。"]
[null,"〔本書類を発行することができる権限を有する者〕"]
[null,null,"役職:",null,null,null,null,null,null,null,null,null,null,null,"氏名:",null,null,null,null,null,null,null,"電話番号:"]
[]
[null,"〔事務担当者〕"]
[null,null," 所属:",null,null,null,null,null,null,null,null,null,"役職:",null,null,null,null,"氏名:",null,null,null,null,null,null,"電話番号:"]
[]
[]
[null,"（区職員使用欄）押印省略時の\n本人確認日、確認方法及び確認者",null,null,null,null,null,null,null,null,null,"　　年　　月　　日",null,null,null,null,null,null," □対面 □電話 □テレビ会議",null,null,null,null,null,null,null,null,"（確認者氏名）"]
[]
[]
[null,"様式１・第９号"]
[]
[null,"下 請 負 者 一 覧 表"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"元請負者が自ら\n施工する工種"]
[]
[]
[]
[null,"下請負に対する工種及び数量",null,null,null,null,"材料",null,"下 請 負 者 名",null,null,null,null,"代表者名",null,null,null,"所在地",null,null,"電話番号",null,null,"契約年月日",null,null,null,"現場責任者",null,null,null,"摘要"]
[]
[]
[null,null,null,null,null,null,"込別",null,"建設業許可番号"]
[]
[]
[]
[]
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[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[]
[]
[]
[]
[]
[]
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[]
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[]
[]
[]
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[]
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[]
[]
[]
[]
[null,"様式１・第１０号"]
[]
[]
[null,"下 請 負 契 約 実 績 調 書"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記入年月日 :",null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,"下請負に対する\n工種及び数量",null,null,null,null,null,null,null,"材　料",null,null,"下 請 負 者 名",null,null,null,null,null,null,"契約金額（千円）",null,null,null,null,null,null,null,"契　約\n年月日"]
[]
[null,null,null,null,null,null,null,null,null,"込　別",null,null,null,null,null,null,null,null,null,"予　定",null,null,null,"実　績"]
[]
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[]
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[]
[]
[null,"合　　　計"]
[]
[]
[]
[]
[null,"注１．この様式は、下請負者一覧表に添付して使用する。\n注２．下請負者等が未定の場合は、予定内容を記載のうえ提出する。なお、下請負契約締結時に\n　　実績を記入したものを作成し、下請負契約締結日から１０日以内に提出すること。\n注３．この様式に、下請けの建設業許可を証する書面の写し、下請負契約書の写しを添付すること。\n　　　ただし、様式１・第４６号により、施工体制台帳及び施工体系図を提出する場合は省略すること\n　　が出来る。\n　　　\n　　"]

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[null,"様式１・第１１号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,"請求",null,null,"・","通知"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"書"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"報告",null,null,"・","協議"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[]
[null,null,"下記工事について工事請負契約書の第",null,null,null,null,null,null,null,null,null,null,null,null,null,"条",null,null,"項","により",null,null,"請求・通知",null,null,null,null,"します。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"報告・協議"]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契  約  金  額",null,null,null,null,null,"　￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥　　　　　　　　　　　　）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","から",null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"　〔請求・通知・報告・協議〕の内容"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"様式１・第１２号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"〔 協 議・報 告 〕書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"  監　督　員　宛",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人氏名"]
[]
[]
[]
[null,null,"　下記工事について、　　　　　仕様書　　　　　に基づき〔協議・報告〕します。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"　〔 報告・協議 〕の内容"]
[]
[null," "]
[]
[null," "]
[]
[null," "]
[]
[null," "]
[]
[null," "]
[]
[null," "]
[]
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[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]

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[null,"様式１・第１３号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"施　工　計　画　書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
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[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人氏名"]
[]
[]
[]
[]
[null,"　","　下記工事について別添施工計画書を提出します。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"注： この様式は、施工計画書のほか変更施工計画書、溶接工の名簿、警戒宣言に伴なう緊急時対策　計画書等の書類の提出にも使用する。"]

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[null,"様式１・第１４号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"〔",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〕承諾申請書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
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[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
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[null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人氏名"]
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[]
[]
[null,null,"　下記工事について、別添（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）の承諾を申請します。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"　上記の件について承諾します。"]
[]
[]
[null,"現場代理人　様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（工事主管係長）  "]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名"]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"　注１： この様式は、仕様書等で承諾を義務付けられているものについて使用する。"]
[null,"　注２： （　　）内には、工事記録写真撮影計画、製作方法、基礎杭頭部切断、材料等と記載する。"]

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[null,"様式１・第１５号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
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[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"休日等の工事施工承諾申請書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人氏名"]
[]
[]
[null,null,"　下記工事の工期に含まれていない休日等の工事施工について、下記のとおり申請します。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"届出事項",null,"施工年月日",null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,null,"施工箇所"]
[]
[]
[null,null,null,"理由及び\n工事内容"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]

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[null,"様式１・第１６号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"建設業退職金共済制度加入届"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名※）"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・","掛金収納書"]
[null,"　建設業退職金共済制度の加入について、",null,null,null,null,null,null,null,null,null,null,null,null,null,"・","建設業退職金共済証紙",null,null,null,null,null,null,null,null,"を添えて届け出ます。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"購入状況報告書"]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"・上記添付書類のうち、掛金収納書、建設業退職金共済証紙購入状況報告書のいずれかを提出できない場合は、提出できない書類名称及び提出できない理由を下記に記載すること。　　\n・建設業退職金共済制度に非加入の場合は、他の共済制度（中小企業退職金共済制度等）に加入している状況を下記に記載し、証明する書類を添付し提出すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　"]
[]
[]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"※　受注者氏名欄に記名の上、押印又は押印を省略する場合には以下を記載する。"]
[null,"〔本書類を発行することができる権限を有する者〕"]
[null,null,"役職:",null,null,null,null,null,null,null,null,null,null,null,"氏名:",null,null,null,null,null,null,null,"電話番号:"]
[]
[null,"〔事務担当者〕"]
[null,null," 所属:",null,null,null,null,null,null,null,null,null,"役職:",null,null,null,null,"氏名:",null,null,null,null,null,null,"電話番号:"]
[]
[]
[null,"（区職員使用欄）押印省略時の\n本人確認日、確認方法及び確認者",null,null,null,null,null,null,null,null,null,"　　年　　月　　日",null,null,null,null,null,null," □対面 □電話 □テレビ会議",null,null,null,null,null,null,null,null,"（確認者氏名）"]
[]
[]
[]
[null,"様式１・第１６の２号"]
[]
[null,null,"掛　金　収　納　書"]
[]
[null,"　掛金収納書（下請業者が自ら証紙を購入した場合の掛金収納書を含む）を下記に添付すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"注１　元請業者は下請業者の要する共済証紙分を含めて購入し、その掛金収納書を添付する。\n注２　下請業者が自ら証紙を購入する場合については、下請業者に建設業退職金共済証紙購入状況\n　　報告書により計算した額の共済証紙を購入するよう指導し、その掛金収納書を添付する。\n"]
[]
[]
[]
[null,"様式１・第１６の３号"]
[]
[null,null,"建設業退職金共済証紙購入状況報告書"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,1,null,"工事種別及び総工事費"]
[null,null,null,"工事種別",null,null,null,null,null,null,"総工事費",null,null,null,null,null,null,"契約金額",null,null,null,null,null,null,"無償支給材料費評価額"]
[]
[null,null,null,null,null,null,null,null,null,null,"￥　　　　　　　　　　　　　　　",null,null,null,null,null,null,"￥　　　　　　　　　　　　　　　",null,null,null,null,null,null,"￥　　　　　　　　　　　　　　　"]
[]
[]
[null,null,null,"注",1,null,"工事種別は、独立行政法人勤労者退職金共済機構建設業退職金共済事業本部ホーム \nページ（以下「建退共ＨＰ」という。）を参照する。\n　https://www.kentaikyo.taisyokukin.go.jp/tetsuzuki/tetsuzuki02.html"]
[]
[]
[null,null,null,null,2,null,"総工事費＝契約金額＋無償材料費評価額"]
[null,null,null,null,3,null,"契約金額には消費税及び地方消費税額を含む。"]
[]
[]
[null,2,null,"共済証紙・退職金ポイント購入額算出方法"]
[null,null,null,"購入額算出方法\n（該当項目を○で囲む）"]
[null,null,null,null,null,null,null,null,null,null,"Ａ",null,"建設業退職金共済制度加入労働者（加入労働者）及びその就労予定日数が分かっている場合"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"Ｂ",null,"加入労働者及び就労予定日数の把握が困難な場合"]
[]
[]
[]
[]
[null,3,null,"共済証紙・退職金ポイント購入額の算出"]
[null,null,null,"２の該当項目（Ａ Ｂ）について、以下により共済証紙・退職金ポイント購入額を算出する。"]
[]
[]
[null,null,"Ａ",null,"加入労働者及びその就労予定日数が分かっている場合"]
[]
[null,null,null,null,null,"①","加入労働者の就労予定日数の総和",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"人"]
[]
[null,null,null,null,null,"②","掛金日額",null,null,null,null,null,null,null,null,null,"円／人"]
[]
[null,null,null,null,null,"③","共済証紙購入額（①×②）",null,null,null,null,null,null,null,null,null,"￥"]
[]
[]
[null,null,"Ｂ",null,"加入労働者及び就労予定日数の把握が困難な場合"]
[]
[null,null,null,null,null,"①","工事種別"]
[]
[null,null,null,null,null,"②","総工事費",null,null,null,"￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[null,null,null,null,null,"③","「掛金納付の考え方」の表の率",null,null,null,null,null,null,null,null,null,null,null,"　　　　　  ",null,null,null,null,"/1000)"]
[]
[null,null,null,null,null,"④","対象工事における労働者の加入率",null,null,null,null,null,null,null,null,null,null,null,null,50,null,"％"]
[]
[]
[null,null,null,null,null,"⑤","購入額（②×③×④/70％）",null,null,null,null,null,null,null,null,null,"￥"]
[null,null,null,null,null,null,"（千円未満を増額調整し、掛金日数で割り切れる額とする）"]
[]
[]
[]
[null,"注１　工事種別及び「掛金納付の考え方」の表の率については、建退共ＨＰを参照する。\n注２　対象工事における労働者の加入率は、受注者が適切に設定する任意の率とする。（記載の50%は\n　　参考例。建退共ＨＰ参照）\n"]

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[null,"様式１・第１７号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"〔",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〕記録の報告書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"  監　督　員　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人氏名"]
[]
[]
[null,"　","下記工事の（",null,null,null,null,null,null,null,null,null,null,null,null,"）記録を報告します。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"備　　　　　考"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"注１： ",null,null,"この様式は、工事施工管理基準に基づく材料の試験成績表、出来形の測定結果表等の提出及び絶縁・水圧試験等の報告に使用する。"]
[]
[null,"　注２：",null,null,"（　　）内には、路盤材料の試験、アスファルト混合物の試験、擁壁工の出来形管理、絶縁試験等と記入する。"]

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[null,"様式１・第１８号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[null,"材料検査請求書（第　 回）"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人氏名"]
[]
[]
[null,null,"　下記のとおり材料検査を請求します。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"検  査  場  所"]
[]
[]
[null,"検査対象材料",null,null,null,null,null,"　別紙内訳書のとおり"]
[]
[]
[]
[null,"検　　査　　員\n職　　氏　　名",null,null,null,null,null,"　",null,null,null,null,null,null,null,null,"検　査　年 月 日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,"立  会  職  員\n職　　氏　　名",null,null,null,null,null,"　"]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[]
[]
[]
[null,"様式１・第１９号"]
[]
[null,"材 料 検 査 内 訳 書"]
[]
[]
[null,"品　名",null,null,null,"形状寸法",null,null,null,"数　量",null,null,"単位",null,"検　　査　　対　　象",null,null,null,null,null,null,null,null,"前回ま\nでの合\n格数量",null,null,"合　格\n数　量\n累　計",null,null,"残数",null,"摘要"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"総数量",null,null,"合　格\n数　量",null,null,"不合格\n数　量",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]

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[null,"様式１・第２１号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"材 料 搬 入 予 定 調 書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人氏名"]
[]
[]
[]
[]
[null,"　下記工事に使用する材料の搬入予定は別紙のとおりです。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"監督員職氏名",null,null,null,null,null,"主事",null,null,null,null,null,null,null,null,"受付年月日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[]
[]
[]
[]
[]
[null,"様式１・第２２号"]
[]
[null," 材料搬入予定内訳書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[null,"品　　　名",null,null,null,null,null,"形 状 寸 法",null,null,null,null,null,"数　量",null,null,"単位",null,"品質検査の方法(予定)",null,null,null,null,null,null,null,"搬入予定時期"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"試験",null,"確認",null,"照合",null,"書類"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"※　搬入予定時期欄には、搬入を開始するおおよその時期を記入する。　例：○年○月上旬"]
[null,"※　監督員が検査を行う品目について記載する。"]
[null,"※　品質検査の方法欄は、東京都建設局材料検査実施基準による。"]

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18],[130,19,131,20],[130,21,131,22],[130,23,131,24],[130,13,131,14],[130,1,131,6],[130,7,131,12],[128,23,129,24],[130,15,131,16],[106,21,107,22],[106,23,107,24],[110,25,111,26],[114,25,115,26],[112,21,113,22],[112,23,113,24],[106,25,107,26],[124,21,125,22],[124,23,125,24],[122,23,123,24],[122,13,123,14],[114,17,115,18],[116,13,117,14],[116,15,117,16],[116,17,117,18],[108,27,109,32],[112,25,113,26],[108,25,109,26],[114,21,115,22],[114,23,115,24],[106,27,107,32],[126,15,127,16],[118,19,119,20],[118,21,119,22],[118,23,119,24],[110,27,111,32],[112,27,113,32],[126,27,127,32],[110,19,111,20],[110,21,111,22],[110,23,111,24],[112,19,113,20],[118,25,119,26],[116,25,117,26],[116,19,117,20],[114,19,115,20],[116,21,117,22],[116,23,117,24]]}
[null,"様式１・第２３号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"材 料 搬 入 実 績 調 書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人氏名"]
[]
[]
[null,null,"　下記工事に使用した材料の搬入実績は別紙のとおりです。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"監督員職氏名",null,null,null,null,null,"主事",null,null,null,null,null,null,null,null,"受付年月日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null," 注： この様式は、監督員が検査を行う品目について使用する。"]
[]
[]
[]
[]
[]
[]
[null,"様式１・第２４号"]
[]
[null," 材料搬入実績内訳書"]
[]
[]
[null,"品　　　名",null,null,null,null,null,"形 状 寸 法",null,null,null,null,null,"数　量",null,null,null,"単位",null,"品質検査の方法(予定)",null,null,null,null,null,null,null,"摘　　　　要"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"予定",null,"実績",null,null,null,"試験",null,"確認",null,"照合",null,"書類"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"注　品質検査の方法欄は、東京都建設局材料検査実施基準による。"]

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[null,"様式１・第２５号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"試 験 委 嘱 指 定 申 請 書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（検査員又は監督員）",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人氏名"]
[]
[]
[null,null,"　下記の試料の試験について委嘱機関の指定を申請します。"]
[]
[]
[null,"工  事  番  号"]
[]
[null,"件 名 又 は 用 途"]
[]
[null,"試    料    名"]
[]
[null,"呼 び 名 (種 類)"]
[]
[null,"産地 又は 製造者"]
[]
[null,"備　　　　　考",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（セメント・コンクリ－ト材令　  日）"]
[]
[]
[null,"試 験 委 嘱 指 定 書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（検査員又は監督員） 職氏名",null,null,null,null,null,null,null,null,null," 　　　　"]
[]
[]
[null,null,"　上記申請書により申請のあった件について、下記のとおり指定します。"]
[]
[]
[null,"試 験 委 嘱 機 関"]
[]
[null,"試   験   項   目"]
[]
[null,"成　績　通　知　先"]
[]
[null,"試　　　料　　　数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"試料採取対象数量"]
[]
[null,"採　取　年　月　日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,"採   取   場   所"]
[]
[null,"封 印 者 の 氏 名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電　　　話"]

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[null,"様式１・第２６号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"支給材料〔請求・受領・返納〕書（第　回）"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名※）"]
[]
[]
[]
[]
[null,null,"　下記のとおり支給材料を",null,null,null,null,null,null,null,null,null,"請求します。"]
[null,null,null,null,null,null,null,null,null,null,null,null,"受領しました。"]
[null,null,null,null,null,null,null,null,null,null,null,null,"返納します。"]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"支　給　材　料",null,null,null,null,null,"　別紙記載のとおり"]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"※　受注者氏名欄に記名の上、押印又は押印を省略する場合には以下を記載する。"]
[null,"〔本書類を発行することができる権限を有する者〕"]
[null,null,"役職:",null,null,null,null,null,null,null,null,null,null,null,"氏名:",null,null,null,null,null,null,null,"電話番号:"]
[]
[null,"〔事務担当者〕"]
[null,null," 所属:",null,null,null,null,null,null,null,null,null,"役職:",null,null,null,null,"氏名:",null,null,null,null,null,null,"電話番号:"]
[]
[]
[null,"（区職員使用欄）押印省略時の\n本人確認日、確認方法及び確認者",null,null,null,null,null,null,null,null,null,"　　年　　月　　日",null,null,null,null,null,null," □対面 □電話 □テレビ会議",null,null,null,null,null,null,null,null,"（確認者氏名）"]
[]
[]
[]
[null,"様式１・第２７号"]
[]
[null,"支給材料〔請求・受領・返納〕内訳書"]
[]
[]
[null,"支給材料品名",null,null,null,null,"形 状 寸 法",null,null,null,null,"単位",null,"総 数 量",null,null,null,"前回までの\n受領数量",null,null,null,"今回（請求・受領・返納）数量",null,null,null,"累　　計",null,null,null,"残 数 量"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]

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[null,"様式１・第２８号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"発 生 材 報 告 書（第 　回）"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名※）"]
[]
[]
[]
[]
[null,null,"　下記工事に際し、別紙のとおり発生品が生じたので報告します。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"※　受注者氏名欄に記名の上、押印又は押印を省略する場合には以下を記載する。"]
[null,"〔本書類を発行することができる権限を有する者〕"]
[null,null,"役職:",null,null,null,null,null,null,null,null,null,null,null,"氏名:",null,null,null,null,null,null,null,"電話番号:"]
[]
[null,"〔事務担当者〕"]
[null,null," 所属:",null,null,null,null,null,null,null,null,null,"役職:",null,null,null,null,"氏名:",null,null,null,null,null,null,"電話番号:"]
[]
[]
[null,"（区職員使用欄）押印省略時の\n本人確認日、確認方法及び確認者",null,null,null,null,null,null,null,null,null,"　　年　　月　　日",null,null,null,null,null,null," □対面 □電話 □テレビ会議",null,null,null,null,null,null,null,null,"（確認者氏名）"]
[]
[]
[]
[null,"様式１・第２９号"]
[]
[null," 発 生 材 報 告 内 訳 書"]
[]
[]
[null,"発 生 材 品 名",null,null,null,null,null,null,"形 状 寸 法",null,null,null,null,null,null,"数　量",null,null,null,"単位",null,"摘　　　     　要"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
[]
[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
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[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
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[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
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[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
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[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]
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[]
[null," ",null,null,null,null,null,null,null,null,null,null,null,null,null," "]

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[null,"様式１・第３０号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"材料使用量確認申請書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人氏名"]
[]
[]
[null,"　下記工事に際し、材料使用量の確認を申請します。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"確　認　対　象",null,null,null,null,null,"　別紙記載のとおり。"]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"注１：この様式は、空袋、あきかん等により監督員が使用量を確認する場合に使用する。"]
[]
[null,"注２：別紙は、「様式１・第３１号」を使用する。"]
[]
[]
[null,"様式１・第３１号"]
[]
[null,"〔",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〕確 認 内 訳 書"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"回数",null,"確 認 年 月 日",null,null,null,null,null,null,null,"単位",null,"数　量",null,null,null,"累　計",null,null,null,"監督員氏名",null,null,null,null,null,"摘　　　　要"]
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[null,"　注１： 必要に応じて使用箇所の図面その他参考資料を添付すること。 "]
[]
[null,"　注２： 〔　　〕内には、確認対象品目を記入すること。"]

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[null,"様式１・第３２号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"中 間 検 査 請 求 書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人氏名"]
[]
[]
[null,null,"　下記のとおり中間検査を請求します。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"検  査  場  所"]
[]
[]
[null,"検　査　対　象",null,null,null,null,null,"　別紙内訳書のとおり"]
[]
[]
[]
[null,"検　　査　　員\n職　　氏　　名",null,null,null,null,null,"　",null,null,null,null,null,null,null,null,"検　査　年 月 日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,"立  会  職  員\n職　　氏　　名",null,null,null,null,null,"　"]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[]
[]
[]
[]
[null,null,"（　　　　　）確認検査内訳書",null,"摘　　　　　要",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　注１： この様式は、中間検査請求書の内訳書として使用する。","　注２： 必要に応じて使用箇所の図面その他の参考資料を添付すること。","　注３： (　　)内には、仮組立て、路盤、杭頭等の検査対象品目を記入すること。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,"立会職員職氏名\n監督員職氏名"]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,"検査員職氏名　"]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,"確 認 箇 所"]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,"確 認 年 月 日"]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,"単位"]
[]
[]
[]
[null,null,null,null,"数 量"]
[]
[]
[]
[]
[null,null,null,null,"工　　　種"]
[]
[]
[]
[]
[]
["様式１・第３３号"]
[]
[]
[]
[null,null,null,null,"回 数"]
[]
[]
[]
[]
[null,"様式１・第３４号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"既済部分検査請求書（第　回）"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[]
[]
[]
[null,null,"　下記工事の既済部分検査（第　 回）を請求します。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契  約  金  額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"既　受　領　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"既済部分の支払いを受ける根拠",null,null,null,null,null,"　契約条項第　　号"]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"様式１・第３５号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"既済部分出来高工種別内訳書"]
[]
[]
[null,null,"今回既済部分\n出来高金額",null,null,null,null,null,null,null,null,null,null,null,"出来高歩合",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"％"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"出来高年月日",null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","現在"]
[]
[]
[null,"種　  別",null,null,null,null,null,"形 状 寸 法",null,null,null,null,null,"数　量",null,null,"単位",null,"金　　額",null,null,null,"出来高",null,null,"出来高金額",null,null,null,"摘　　要"]
[null,null,"工　　種"]
[null,null,null,"内　　訳",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円 ",null,null,null,"％ ",null,null,"円 "]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"　注１： 受注者は、出来高金額欄を空欄のまま作成すること。"]
[]
[null,"　注２： 出来高（％）欄は、1.0％未満を切捨てとする。"]
[]
[]
[null,"様式１・第３６号"]
[]
[null,"種　  別",null,null,null,null,null,"形 状 寸 法",null,null,null,null,null,"数　量",null,null,"単位",null,"金　　額",null,null,null,"出来高",null,null,"出来高金額",null,null,null,"摘　　要"]
[null,null,"工　　種"]
[null,null,null,"内　　訳",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円 ",null,null,null,"％ ",null,null,"円 "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"　注１： 受注者は、出来高金額欄を空欄のまま作成すること。"]
[]
[null,"　注２： 出来高（％）欄は、1.0％未満を切捨てとする。"]
[]
[null,"　注３： 様式１・第３５号の続きに使用する。"]
[]
[]
[null,"様式１・第３７号"]
[]
[null,"既済部分出来高工種別内訳書"]
[]
[]
[null,null,"回数",null,"今回既済部分出来高",null,null,null,null,null,null,"前回までの出来高",null,null,null,null,null,null,"今回までの出来高",null,null,null,null,null,null,"今回までの出来高"]
[null,null,null,null,"年　　　月　　　日",null,null,null,null,null,null,"　　　　　　　　％",null,null,null,null,null,null,"　　　　　　　　％",null,null,null,null,null,null,"金　　額"]
[null,null,null,null,null,null,"　 年　 月　 日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[null,"種　  別",null,null,null,null,null,"形 状 寸 法",null,null,null,null,"数　量",null,null,"単位",null,"金　額",null,null,"前回まで",null,null,"今回まで",null,null,"今回までの",null,null,"摘　要"]
[null,null,"工　　種",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"の出来高",null,null,"の出来高",null,null,"出来高金額"]
[null,null,null,"内　　訳",null,null,null,null,null,null,null,null,null,null,null,null,null,"円 ",null,null,"　　　　％",null,null,"　　　　％",null,null,"　　　 円"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"　注１： 受注者は、出来高金額欄を空欄のまま作成すること。"]
[]
[null,"　注２： 出来高（％）欄は、1.0％未満を切捨てとする。"]
[]
[null,"　注３： ２回目以降の既済部分検査の場合に使用する。"]

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[null,"様式１・第３８号"]
[]
[null,"請求内訳書"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"　請　求　金　額　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[]
[]
[null,"契   約   番   号",null,null,null,null,null,null,null,"　契第　　　　　　　号"]
[]
[]
[null,"工　 事　 番　 号",null,null,null,null,null,null,null,"　第　　　　　　　　号"]
[]
[]
[null,"工   事   件   名"]
[]
[]
[null,"契   約   金   額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,"変 更 契 約 金 額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,1,"契約金額（Ａ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null," 税抜本体価格"]
[]
[]
[null,2,"変更契約金額（Ｂ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null," 税抜本体価格"]
[]
[]
[null,3,"今回までの出来高金額(Ｃ)",null,null,null,null,null,null,null,null,null,null,null,null,null,null," 税抜本体価格"]
[]
[]
[null,4,"同上の90％以内の金額(Ｄ)",null,null,null,null,null,null," ",null,null,null,null,null,null,null," 税抜本体価格（下３桁を切捨て）"]
[]
[]
[null,5,"既受領額（Ｅ）",null,null,null,null,null,null," ",null,null,null,null,null,null,null," 税抜本体価格"]
[]
[]
[null,"内訳",null,null,"前払金(E1)",null,null,null,null,null,null,null,null,null,null,null,null," 税抜本体価格"]
[]
[null,null,null,null,"部分払金(E2)",null,null,null,null," ",null,null,null,null,null,null,null," 税抜本体価格"]
[]
[null,6,"既前払金の控除額(Ｆ)",null,null,null,null,null,null," ",null,null,null,null,null,null,null," 税抜本体価格 (下３桁を切上げ)"]
[null,"(Ｅ1)",null,"×","(Ｃ)"]
[null,null,null,null,"(Ａ) 又は (Ｂ)"]
[null,7," 今回請求金額（Ｇ）",null,null,null,null,null,null," ",null,null,null,null,null,null,null," 税抜本体価格"]
[null,"(Ｄ)",null,"－","（Ｆ）",null,"－","(Ｅ2)"]
[]
[null,"消費税 "]
[]
[]
[null,"合　計 "]
[]
[]
[null,8,"未請求金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"(A)又は(B)",null,null,null,"－","(E)","－","(G)"]
[]
[]
[null,"　注：必要のない項目は数字のゼロを記入すること。"]
[]
[]
[null,"様式１・第３９号"]
[]
[null,"請求内訳書"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"　請　求　金　額　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,"契   約   番   号",null,null,null,null,null,null,null,"　契第　　　　　　　号"]
[]
[]
[null,"工　 事　 番　 号",null,null,null,null,null,null,null,"　第　　　　　　　　号"]
[]
[]
[null,"工   事   件   名"]
[]
[]
[null,1,"契約金額（Ａ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,2,"変更契約金額（Ｂ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,3,"既受領額（Ｃ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[null,"（前払金・部分払金）"]
[null,4,"今回請求金額（Ｄ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"(A)又は(B)",null,null,null,"－","(C)"]
[]
[null,5,"未請求金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"(A)又は(B)",null,null,null,"－","(C)","－","(D)"]
[]
[]
[null,"　注１：必要のない項目は数字のゼロを記入すること。"]
[]
[null,"　注２：この請求書は、中間の支払いがない場合に使用する。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"様式１・第４０号"]
[]
[null,"前払金請求内訳書 "]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[]
[]
[]
[]
[]
[null,"　請　求　金　額　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,"契   約   番   号",null,null,null,null,null,null,null,"　契第　　　　　　　号"]
[]
[]
[null,"工　 事　 番　 号",null,null,null,null,null,null,null,"　第　　　　　　　　号"]
[]
[]
[null,"工   事   件   名"]
[]
[]
[null,1,"契約金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,2,"未請求金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,3,"請  求  根  拠",null,null,null,null,null,null,"　契約条項　第３５条"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"様式１・第５９号"]
[]
[null,"中間前払金請求内訳書 "]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"　請　求　金　額　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,"契   約   番   号",null,null,null,null,null,null,null,"　契第　　　　　　　号"]
[]
[]
[null,"工　 事　 番　 号",null,null,null,null,null,null,null,"　第　　　　　　　　号"]
[]
[]
[null,"工   事   件   名"]
[]
[]
[null,1,"契約金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,2,"既前払金の受領額 ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,3,"未請求金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,4,"請  求  根  拠",null,null,null,null,null,null,"　契約条項　第　　条"]

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[null,"様式１・第４２号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[null,"承　　諾　　書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"　令和　年　　月　日付 　　中　　第　　号 による　　　　　については"]
[]
[null,null,"異議がないので承諾します。"]

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[null,"様式１・第４３号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"事 故 報 告 書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名※）"]
[]
[]
[]
[]
[null,"工  事  件  名"]
[null,"工  事  場  所",null,null,null,null,null,"　"]
[null,"受　　注　　者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所 在 地"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","契約金額",null,null,null,null,"￥"]
[null,"工　　　　　期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,"工 　 　　　種"]
[]
[null,"受注者",null,"事故の直接責任者",null,null,null,"氏名",null,null,null,null,null,null,null,null,null,"職名",null," ",null,null,null,null,null,null,null,null,"年令",null,null,null,"才"]
[]
[null,null,null,"工事現場主任技術者",null,null,null,"氏名",null,null,null,null,null,null,null,null,null,"職名",null," ",null,null,null,null,null,null,null,null,"年令",null,null,null,"才"]
[]
[null,"事故発生の\n原因及び経過",null,"事故発生\n日時"]
[null,null,null,"事故の\n内容・原因"]
[]
[null,null,null,"事故の経過"]
[]
[null,"事故による\n被害の内容",null,"被害者","人数",null,null,"氏名"]
[null,null,null,null,null,null,"名","性別・年齢"]
[null,null,null,null,null,null,null,"職業"]
[null,null,null,null,null,null,null,"被害の程度"]
[null,null,null,"加害者","人数",null,null,"氏名"]
[null,null,null,null,null,null,"名","性別・年齢"]
[null,null,null,null,null,null,null,"職業"]
[null,null,null,"その他被害の状況\n（物損の場合等）"]
[]
[null,"現場の管理\n組織及び方法"]
[]
[]
[]
[null,"その他",null,"（事故発生場所及び発生時刻等）　"]
[]
[]
[null,"※　受注者氏名欄に記名の上、押印又は押印を省略する場合には以下を記載する。"]
[null,"〔本書類を発行することができる権限を有する者〕"]
[null,null,"役職:",null,null,null,null,null,null,null,null,null,null,null,"氏名:",null,null,null,null,null,null,null,"電話番号:"]
[]
[null,"〔事務担当者〕"]
[null,null," 所属:",null,null,null,null,null,null,null,null,null,"役職:",null,null,null,null,"氏名:",null,null,null,null,null,null,"電話番号:"]
[]
[]
[null,"（区職員使用欄）押印省略時の\n本人確認日、確認方法及び確認者",null,null,null,null,null,null,null,null,null,"　　年　　月　　日",null,null,null,null,null,null," □対面 □電話 □テレビ会議",null,null,null,null,null,null,null,null,"（確認者氏名）"]

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[null,"様式１・第４４号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[null,"工 事 完 了 届"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[]
[null,null,"　下記の工事を本日完了したので届け出ます。 "]
[]
[]
[null,"工　事　番　号",null,null,null,null,null," "]
[]
[]
[null,"契　約　番　号",null,null,null,null,null," "]
[]
[]
[null,"工　事　件　名",null,null,null,null,null," "]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"受 付 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","監　　督　　員\n職　　氏　　名"]
[]
[]
[null,"検 査 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","検　　査　　員\n職　　氏　　名"]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]

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[null,"様式１・第４５号"]
[]
[null,"公共事業遵守証明書"]
[]
[]
[]
[null,"　１. 施行通知書整理番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"　１. 工事件名"]
[]
[null,"　１. 施行場所"]
[]
[null,"　１. 施行期間",null,null,null,null,null,"自",null,null,null,null,"年",null,null,"月",null,null,"日",null,"至",null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,"　１. 竣工年月日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,"　１. 発注者名"]
[]
[null,"　１. 吸収設定数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"名"]
[]
[null,"　１. 設定数に対する求人数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"名"]
[]
[null,"　１. 求人数に対する就労数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"名"]
[]
[null,"　１. 備考"]
[]
[]
[]
[null,null,null,"　　上記工事を竣工したことを届出いたしますので、公共事業への日雇労働者吸収"]
[]
[null,null,null,"  要綱及び細則（昭和５１年７月２３日東京都決定）による所定の事項を遵守した"]
[]
[null,null,null,"  ことを証明願います。"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受　注　者　名"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（会　　社　　名）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所　　在　　地"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代　表　者　名"]
[]
[]
[]
[null,"　上記のとおり証明いたします。"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[]
[null,"　　公共職業安定所長　　　　　　　　　　　　　　"]

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[null,"様式１・第４６号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"施工体制台帳及び施工体系図"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人氏名"]
[]
[]
[null,null,"　下記工事について別添施工体制台帳及び施工体系図を提出します。"]
[]
[]
[null,"契　約　番　号",null,null,null,null,null," "]
[]
[]
[null,"工　事　番　号",null,null,null,null,null," "]
[]
[]
[null,"工　事　件　名",null,null,null,null,null," "]
[]
[]
[null,"工　事　場　所",null,null,null,null,null," "]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額　￥",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,null,"　"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"注１：この様式は、別記様式１・第４７号、第４８号等により作成した施工体制台帳及び施工体系図\n　　を提出する場合に使用する。\n　　　また、変更時の提出にも使用する。\n注２：下請負契約締結日より１０日以内に提出すること。変更時も同様とする。\n"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"様式１・第４７号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,"施 工 体 制 台 帳"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"〔会社名・事業者ＩＤ〕"]
[null,"〔事業所名・現場ＩＤ〕"]
[]
[null,"建設業の\n許　　可",null,null,null,"許  可  業  種",null,null,null,null,null,null,null,"許　　可　　番　　号",null,null,null,null,null,null,null,null,null,null,null,"許可（更新）年月日"]
[null,null,null,null,null,null,null,null,null,null,"工事業",null,null,"大　臣　　特　定",null,null,null,null,null,"第",null,null,null,null,"号",null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"都知事　　一　般"]
[null,null,null,null,null,null,null,null,null,null,"工事業",null,null,"大　臣　　特　定",null,null,null,null,null,"第",null,null,null,null,"号",null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"都知事　　一　般"]
[]
[null,"工事件名\n及び\n工事内容",null,null,null," "]
[]
[]
[null,"発注者名\n及び\n所 在 地",null,null,null," "]
[]
[null,null,null,null,null," 〒"]
[null,"工　　期",null,null,null,"自",null,null,null,null,null,"年",null,null,"月",null,null,"日",null,"契　約　日",null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,"至",null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,"契　約\n営業所",null,null,null,"区　　分",null,null,null,"名　　　　　　称",null,null,null,null,null,null,null,null,null,null,null,"住　　　　　　所"]
[null,null,null,null,null,"元請契約",null,null,null," ",null,null,null,null,null,null,null,null,null,null,null," "]
[null,null,null,null,null,"下請契約",null,null,null," ",null,null,null,null,null,null,null,null,null,null,null," "]
[]
[null,"健康保険等の\n加入状況",null,null,null,"保険加入の有無",null,null,null,"健康保険",null,null,null,null,null,null,null,"厚生年金保険",null,null,null,null,null,null,null,"雇用保険"]
[null,null,null,null,null,null,null,null,null,"加入　　未加入\n適用除外",null,null,null,null,null,null,null,"加入　　未加入\n適用除外",null,null,null,null,null,null,null,"加入　　未加入\n適用除外"]
[]
[null,null,null,null,null,"事業所整理記号等",null,null,null,"区分",null,null,"営業所の名称",null,null,null,null,"健康保険",null,null,null,null,"厚生年金保険",null,null,null,null,"雇用保険"]
[null,null,null,null,null,null,null,null,null,"元請契約"]
[null,null,null,null,null,null,null,null,null,"下請契約"]
[]
[null,"発注者の　　監督員名",null,null,null,"（統括）",null,null,null,null,null,null,null,null,null,null,"権限及び意見\n申 出 方 法",null,null,null,null,"　工事請負契約書記載のとおり\n　書面による"]
[null,null,null,null,null,"（主任）"]
[null,null,null,null,null,"（担当）"]
[]
[null,"監督員名",null,null,null," ",null,null,null,null,null,null,null,null,null,null,"権限及び\n意見申出方法",null,null,null,null," "]
[]
[null,"現　　場\n代理人名",null,null,null," ",null,null,null,null,null,null,null,null,null,null,"権限及び\n意見申出方法",null,null,null,null,"　工事請負契約書記載のとおり\n　書面による"]
[]
[null,"監理技術者名\n主任技術者名",null,null,null,"専　任\n非専任 ",null,null,null,null,null,null,null,null,null,null,"資 格 内 容",null,null,null,null," "]
[]
[null,"監理技術者名\n補　 佐 　名",null,null,null," ",null,null,null,null,null,null,null,null,null,null,"資 格 内 容",null,null,null,null," "]
[]
[null,"専　　門\n技術者名",null,null,null," ",null,null,null,null,null,null,null,null,null,null,null,"専　　門\n技術者名",null,null,null," "]
[]
[null,null,"資格内容",null,null," ",null,null,null,null,null,null,null,null,null,null,null,null,"資格内容",null,null," "]
[]
[null,null,"担当工事\n内　　容",null,null," ",null,null,null,null,null,null,null,null,null,null,null,null,"担当工事\n内　　容",null,null," "]
[]
[]
[null,"一号特定技能外国人の\n従事の状況（有無）",null,null,null,null,null,null,"有　　無",null,null,null,"外国人建設就労者の\n従事の状況(有無)",null,null,null,null,null,"有　　無",null,null,null,"外国人技能実習生の\n従事の状況(有無)",null,null,null,null,null,null,"有　　無"]
[]
[null,"（記入要領）"]
[null,"１．この様式は、施工体制台帳作成特定業者（元請）が作成し、一次下請負業者を通じて提出される再下請負通知書\n  （様式１･４８)を添付することにより、一次下請別の施工体制台帳として利用する。"]
[]
[null,"２．専門技術者欄には、土木・建築一式工事を請け負い、その工事に含まれる専門工事を施工する場合等に必要\n  な主任技術者を記入する。(監理技術者が専門技術者の資格を有する場合は、専門技術者を兼ねることができる）"]
[]
[null,"３．この様式に、以下の書類を添付すること。"]
[null,null,"① 元請の建設業許可を証する書面の写し"]
[null,null,"② 元請が区と契約した工事請負契約書の写し"]
[null,null,"③ 元請の監理技術者及び専門技術者に関する以下の書類"]
[null,null,"　１）","監理技術者資格者証の写し（監理技術者のみ）"]
[null,null,"　２）","資格を有するものの写し"]
[null,null,"３）","自社の従業員であることを証明する書類等の写し（健康保険証、住民税特別徴収義務者指定及び税額通知書・変更通知書等）"]
[null,null,"④ 作業員名簿（様式１･第６１号)"]
[null,null,"⑤ 施工体制台帳作成建設工事である旨の通知書の写し"]
[null,null,"⑥ 一次下請負の建設業許可を証する書面の写し"]
[null,null,"⑦ 一次下請負業者と締結した請負契約に係わる契約書の写し（ただし、契約書には、建設業法第19条第１項各号\n　に掲げる事項が網羅されていなければならないので、これらを網羅していない注文伝票等は、ここでいう契約書に\n　該当しない。"]
[]
[]
[]
[null,"様式１・第４７号の２",null,null,null,null,null,null,null,"※「様式１・第４７号」続き"]
[]
[null,"〔下請負者に関する事項〕",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"会 社 名・\n事業者ＩＤ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者名"]
[]
[]
[null,"住　　所",null,null,null,"〒"]
[null,null,null,null,null," "]
[]
[null,"工事件名\n及び\n工事内容",null,null,null," "]
[]
[]
[null,"工　　期",null,null,null,"自",null,null,null,null,null,"年",null,null,"月",null,null,"日",null,"契　約　日",null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,"至",null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,"建設業の\n許　　可",null,null,null,"施工に必要な許可業種",null,null,null,null,null,null,null,"許　　可　　番　　号",null,null,null,null,null,null,null,null,null,null,null,"許可（更新）年月日"]
[null,null,null,null,null,null,null,null,null,null,"工事業",null,null,"大　臣　　特　定",null,null,null,null,null,"第",null,null,null,null,"号",null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"都知事　　一　般"]
[null,null,null,null,null,null,null,null,null,null,"工事業",null,null,"大　臣　　特　定",null,null,null,null,null,"第",null,null,null,null,"号",null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"都知事　　一　般"]
[]
[null,"健康保険等の\n加入状況",null,null,null,"保険加入の有無",null,null,null,"健康保険",null,null,null,null,null,null,null,"厚生年金保険",null,null,null,null,null,null,null,"雇用保険"]
[null,null,null,null,null,null,null,null,null,"加入　　未加入\n適用除外",null,null,null,null,null,null,null,"加入　　未加入\n適用除外",null,null,null,null,null,null,null,"加入　　未加入\n適用除外"]
[]
[null,null,null,null,null,"事業所整理記号等",null,null,null,"営業所の名称",null,null,null,null,null,null,null,"健康保険",null,null,null,null,"厚生年金保険",null,null,null,null,"雇用保険"]
[]
[]
[null,"現場代理人名",null,null,null,null,null," ",null,null,null,null,null,null,null,null,null,null,"安全衛生責任者名",null,null,null,null,null,null," "]
[]
[null,null,"権限及び\n意見申出方法",null,null,null,null," ",null,null,null,null,null,null,null,null,null,null,"安全衛生推進者名",null,null,null,null,null,null," "]
[]
[null,"主任技術者名  ※",null,null,null,null,null,"専　任\n非専任 ",null,null,null,null,null,null,null,null,null,null,"雇用管理責任者名",null,null,null,null,null,null," "]
[]
[null,null,"資 格 内 容",null,null,null,null,"　",null,null,null,null,null,null,null,null,null,null,"専門技術者名  ※",null,null,null,null,null,null," "]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資　格　内　容",null,null,null,null,null," "]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担　当　工　事\n内　　　　　容",null,null,null,null,null," "]
[]
[]
[null,"一号特定技能外国人の\n従事の状況（有無）",null,null,null,null,null,null,"有　　無",null,null,null,"外国人建設就労者の\n従事の状況(有無)",null,null,null,null,null,"有　　無",null,null,null,"外国人技能実習生の\n従事の状況(有無)",null,null,null,null,null,null,"有　　無"]
[]
[null,"※（主任技術者、専門技術者の記載要領）"]
[null,null,"１．主任技術者の配置内容について〔専任・非専任〕のいずれかをあきらかにすること。"]
[null,null,"２．専門技術者欄は、土木、建築一式工事を請け負い、その工事に含まれる専門工事を施工する場合等に必要な\n主任技術者を記入する。（一式工事の主任技術者が専門工事の主任技術者としての資格を有する場合は、\n専門技術者を兼ねることができる）"]
[]
[]
[null,null,"３．主任技術者の資格内容は、下記を参考に記入すること。"]
[null,null,"   ① 経験年数による場合"]
[null,null,"　　　1)　大学卒〔指定学科〕　３年以上の実務経験"]
[null,null,"　　　2)　高校卒〔指定学科〕　５年以上の実務経験"]
[null,null,"　　　3)　その他　　　　　　　10年以上の実務経験"]
[null,null,"   ② 資格等による場合"]
[null,null,"　　　1)　建設業法　　　　　　「技術検定」　　　　　　　　　　　　　〇級〇〇施工管理技士"]
[null,null,"　　　2)　建築士法　　　　　　「建築士試験」　　　　　　　　　　　　〇〇建築士"]
[null,null,"　　　3)　建築士法　　　　　　「建築設備士試験」　　　　　　　　　　建築設備士"]
[null,null,"　　　4)　技術士法　　　　　　「技術士試験」　　　　　　　　　　　　〇〇部門"]
[null,null,"　　　5)　電気工事士法　　　　「電気工事士試験」　　　　　　　　　　第〇種電気工事士"]
[null,null,"　　　6)　電気事業法　　　　　「電気主任技術者試験」　　　　　　　　第〇種電気主任技術者"]
[null,null,"　　　7)　水道法　　　　　　　「給水装置工事主任技術者試験」　　　　給水装置工事主任技術者"]
[null,null,"　　　8)　消防法　　　　　　　「消防設備士試験」　　　　　　　　　　〇種消防設備士"]
[null,null,"　　　9)　職業能力開発促進法　「技術検定」　　　　　　　　　　　　　〇級〇〇技能士"]
[null,null,"　　 10)　その他　　　　　　　「〇〇試験」　　　　　　　　　　　　　〇〇士"]
[]
[null,"様式１・第４８号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,"再 下 請 負 通 知 書"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"直近上位の\n注文者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【報告下請負業者】"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住　　所"]
[]
[null,"元請名称・\n事業者ＩＤ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会社名・\n事業者ＩＤ"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者名"]
[]
[]
[null,"〔 自社に関する事項 〕"]
[]
[null,"工事件名\n及び\n工事内容",null,null,null," "]
[]
[]
[null,"工　　期",null,null,null,"自",null,null,null,null,null,"年",null,null,"月",null,null,"日",null,"契　約　日",null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,"至",null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,"建設業の\n許　　可",null,null,null,"施工に必要な許可業種",null,null,null,null,null,null,null,"許　　可　　番　　号",null,null,null,null,null,null,null,null,null,null,null,"許可（更新）年月日"]
[null,null,null,null,null,null,null,null,null,null,"工事業",null,null,"大　臣　　特　定",null,null,null,null,null,"第",null,null,null,null,"号",null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"都知事　　一　般"]
[null,null,null,null,null,null,null,null,null,null,"工事業",null,null,"大　臣　　特　定",null,null,null,null,null,"第",null,null,null,null,"号",null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"都知事　　一　般"]
[]
[null,"健康保険等の\n加入状況",null,null,null,"保険加入の有無",null,null,null,"健康保険",null,null,null,null,null,null,null,"厚生年金保険",null,null,null,null,null,null,null,"雇用保険"]
[null,null,null,null,null,null,null,null,null,"加入　　未加入\n適用除外",null,null,null,null,null,null,null,"加入　　未加入\n適用除外",null,null,null,null,null,null,null,"加入　　未加入\n適用除外"]
[]
[null,null,null,null,null,"事業所整理記号等",null,null,null,"営業所の名称",null,null,null,null,null,null,null,"健康保険",null,null,null,null,"厚生年金保険",null,null,null,null,"雇用保険"]
[]
[]
[null,"監 督 員 名",null,null,null,null,null," ",null,null,null,null,null,null,null,null,null,null,"安全衛生責任者名",null,null,null,null,null,null," "]
[]
[null,null,"権限及び\n意見申出方法",null,null,null,null," ",null,null,null,null,null,null,null,null,null,null,"安全衛生推進者名",null,null,null,null,null,null," "]
[]
[null,"現場代理人名",null,null,null,null,null," ",null,null,null,null,null,null,null,null,null,null,"雇用管理責任者名",null,null,null,null,null,null," "]
[]
[null,null,"権限及び\n意見申出方法",null,null,null,null," ",null,null,null,null,null,null,null,null,null,null,"専門技術者名  ※",null,null,null,null,null,null," "]
[]
[null,"主任技術者名  ※",null,null,null,null,null,"専　任\n非専任 ",null,null,null,null,null,null,null,null,null,null,null,"資　格　内　容",null,null,null,null,null," "]
[]
[null,null,"資 格 内 容",null,null,null,null,"　",null,null,null,null,null,null,null,null,null,null,null,"担　当　工　事\n内　　　　　容",null,null,null,null,null," "]
[]
[]
[null,"一号特定技能外国人の\n従事の状況（有無）",null,null,null,null,null,null,"有　　無",null,null,null,"外国人建設就労者の\n従事の状況(有無)",null,null,null,null,null,"有　　無",null,null,null,"外国人技能実習生の\n従事の状況(有無)",null,null,null,null,null,null,"有　　無"]
[]
[null,"（記入要領）"]
[]
[null,null,"１．この様式は、再下請負契約がある場合使用する。"]
[null,null,"２．この様式は、一次以下の下請負業者が作成し、一次下請負業者別の施工体制台帳（様式１・４７）\n　の添付書類として利用する。"]
[]
[null,null,"３．この様式に、再下請負業者と締結した請負契約に係わる契約書の写しを添付すること。"]
[null,null,"  （ただし、契約書には、建設業法第19条第１項各号に掲げる事項が網羅されていなければ\n　　ならないので、これらを網羅していない注文伝票等は、ここでいう書類には該当しない。）"]
[]
[null,null,"４．この様式には、必要に応じ自社及び再下請負者の主任技術者、専門技術者の資格・所属に\n　関する書類を添付すること。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"様式１・第４８号の２",null,null,null,null,null,null,null,"※「様式１・第４８号」続き"]
[]
[null,"〔再下請負関係〕",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"再下請負業者及び再下請負契約関係について次のとおり報告いたします。"]
[null,"会 社 名・\n事業者ＩＤ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者名"]
[]
[]
[null,"住　　所\n及び\n電話番号",null,null,null,"〒"]
[null,null,null,null,null," "]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（","TEL",null,null,null,null,"－",null,null,null,"－",null,null,null,"）"]
[null,"工事件名\n及び\n工事内容",null,null,null," "]
[]
[]
[null,"工　　期",null,null,null,"自",null,null,null,null,null,"年",null,null,"月",null,null,"日",null,"契　約　日",null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,"至",null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,"建設業の\n許　　可",null,null,null,"施工に必要な許可業種",null,null,null,null,null,null,null,"許　　可　　番　　号",null,null,null,null,null,null,null,null,null,null,null,"許可（更新）年月日"]
[null,null,null,null,null,null,null,null,null,null,"工事業",null,null,"大　臣　　特　定",null,null,null,null,null,"第",null,null,null,null,"号",null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"都知事　　一　般"]
[null,null,null,null,null,null,null,null,null,null,"工事業",null,null,"大　臣　　特　定",null,null,null,null,null,"第",null,null,null,null,"号",null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"都知事　　一　般"]
[]
[null,"健康保険等の\n加入状況",null,null,null,"保険加入の有無",null,null,null,"健康保険",null,null,null,null,null,null,null,"厚生年金保険",null,null,null,null,null,null,null,"雇用保険"]
[null,null,null,null,null,null,null,null,null,"加入　　未加入\n適用除外",null,null,null,null,null,null,null,"加入　　未加入\n適用除外",null,null,null,null,null,null,null,"加入　　未加入\n適用除外"]
[]
[null,null,null,null,null,"事業所整理記号等",null,null,null,"営業所の名称",null,null,null,null,null,null,null,"健康保険",null,null,null,null,"厚生年金保険",null,null,null,null,"雇用保険"]
[]
[]
[null,"現場代理人名",null,null,null,null,null," ",null,null,null,null,null,null,null,null,null,null,"安全衛生責任者名",null,null,null,null,null,null," "]
[]
[null,null,"権限及び\n意見申出方法",null,null,null,null," ",null,null,null,null,null,null,null,null,null,null,"安全衛生推進者名",null,null,null,null,null,null," "]
[]
[null,"主任技術者名  ※",null,null,null,null,null,"専　任\n非専任 ",null,null,null,null,null,null,null,null,null,null,"雇用管理責任者名",null,null,null,null,null,null," "]
[]
[null,null,"資 格 内 容",null,null,null,null,"　",null,null,null,null,null,null,null,null,null,null,"専門技術者名  ※",null,null,null,null,null,null," "]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資　格　内　容",null,null,null,null,null," "]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担　当　工　事\n内　　　　　容",null,null,null,null,null," "]
[]
[]
[null,"一号特定技能外国人の\n従事の状況（有無）",null,null,null,null,null,null,"有　　無",null,null,null,"外国人建設就労者の\n従事の状況(有無)",null,null,null,null,null,"有　　無",null,null,null,"外国人技能実習生の\n従事の状況(有無)",null,null,null,null,null,null,"有　　無"]
[]
[null," ※ （主任技術者、専門技術者の記載要領）"]
[null,null,"１．主任技術者の配置内容について〔専任・非専任〕のいずれかをあきらかにすること。"]
[null,null,"２．専門技術者欄は、土木、建築一式工事を施工する場合等で、その工事に含まれる専門工事を施工する場合"]
[null,null," 等に必要な主任技術者を記入する。（一式工事の主任技術者が専門工事の主任技術者としての資格を有する"]
[null,null," 場合は、専門技術者を兼ねることができる）"]
[null,null,"３．主任技術者の資格内容は、下記を参考に記入する。"]
[null,null,"   ① 経験年数による場合"]
[null,null,"　　　1)　大学卒〔指定学科〕　３年以上の実務経験"]
[null,null,"　　　2)　高校卒〔指定学科〕　５年以上の実務経験"]
[null,null,"　　　3)　その他　　　　　　　10年以上の実務経験"]
[null,null,"   ② 資格等による場合"]
[null,null,"　　　1)　建設業法　　　　　　「技術検定」　　　　　　　　　　　　　〇級〇〇施工管理技士"]
[null,null,"　　　2)　建築士法　　　　　　「建築士試験」　　　　　　　　　　　　〇〇建築士"]
[null,null,"　　　3)　建築士法　　　　　　「建築設備士試験」　　　　　　　　　　建築設備士"]
[null,null,"　　　4)　技術士法　　　　　　「技術士試験」　　　　　　　　　　　　〇〇部門"]
[null,null,"　　　5)　電気工事士法　　　　「電気工事士試験」　　　　　　　　　　第〇種電気工事士"]
[null,null,"　　　6)　電気事業法　　　　　「電気主任技術者試験」　　　　　　　　第〇種電気主任技術者"]
[null,null,"　　　7)　水道法　　　　　　　「給水装置工事主任技術者試験」　　　　給水装置工事主任技術者"]
[null,null,"　　　8)　消防法　　　　　　　「消防設備士試験」　　　　　　　　　　〇種消防設備士"]
[null,null,"　　　9)　職業能力開発促進法　「技術検定」　　　　　　　　　　　　　〇級〇〇技能士"]
[null,null,"　　 10)　その他　　　　　　　「〇〇試験」　　　　　　　　　　　　　〇〇士"]
[]
[]
[null,"施工体制台帳、再下請負通知書等における\n健康保険等加入状況欄記載にあたっての注意事項",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[]
[]
[]
[null,"a　各保険の適用を受ける事業所について届出を行っている場合には「加入」、行っていない場合（適用\n　を受ける営業所が複数あり、そのうちの一部について行っていない場合を含む）は「未加入」、従業員\n　規模等により各保険の適用が除外される場合は「適用除外」を○で囲む。\n\nb　請負契約に係る営業所の名称を記載。\n\nc　事業所整理番号及び事業所番号（健康保険組合にあっては組合名）を記載。一括適用の承認に係る\n　営業所の場合は、本店の整理番号及び事業所番号を記載。\n\nd　事業所整理番号及び事業所番号を記載。一括適用の承認に係る営業所の場合は、本店の整理番号\n　及び事業所番号を記載。\n\ne　労働保険番号を記載。継続事業の一括の認可に係る営業所の場合は、本店の労働保険番号を記\n　載。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"※上記記号は、施工体制台帳等における健康保険等加入状況欄の各項目右肩の番号である。"]
[]
[]
[]
[null,"（参考）社会保険の加入に関する下請指導ガイドライン\n\nhttps://www.mlit.go.jp/totikensangyo/const/content/001365251.pdf"]

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["様式１・第６１号"]
["※本様式（表題部も含む）は参考であり下請け業者数により下記様式は変わります。"]
[null,"JV等の場合、適宜様式を変更して使用すること。"]
[null,null,null,null,null,null,"施工体系図"]
[]
["発注者名",null,null,null,null,null,null,"工期",null,"　自　　　　　　　年　    　　 　　月　　  　  　 　日\n\n　至　　　　　　　年　     　　　　月　　　　 　    日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
["工事名称"]
[]
["元請名・事業者ID",null,null,null,null,null,"工事",null,"会社名・事業者ID",null,null,null,null,"工事",null,"会社名・事業者ID",null,null,null,null,"工事",null,"会社名・事業者ID",null,null,null,null,"工事",null,"会社名・事業者ID"]
["現場代理人名",null,null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,"代表者名"]
["監理技術者名\n主任技術者名",null,null,null,null,null,null,null,"許可番号",null,null,null,null,null,null,"許可番号",null,null,null,null,null,null,"許可番号",null,null,null,null,null,null,"許可番号"]
["監理技術者補佐名",null,null,null,null,null,null,null,"一般 / 特定の別",null,null,"一般 / 特定",null,null,null,"一般 / 特定の別",null,null,"一般 / 特定",null,null,null,"一般 / 特定の別",null,null,"一般 / 特定",null,null,null,"一般 / 特定の別",null,null,"一般 / 特定"]
["専門技術者名",null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,"安全衛生責任者"]
[null,"担当工事内容",null,null,null,null,null,null,"主任技術者",null,null,null,null,null,null,"主任技術者",null,null,null,null,null,null,"主任技術者",null,null,null,null,null,null,"主任技術者"]
["専門技術者名",null,null,null,"元方安全衛生管理者",null,null,null,null,"特定専門工事の該当",null,"有　　　・　　　無",null,null,null,null,"特定専門工事の該当",null,"有　　　・　　　無",null,null,null,null,"特定専門工事の該当",null,"有　　　・　　　無",null,null,null,null,"特定専門工事の該当",null,"有　　　・　　　無"]
[null,"担当工事内容",null,null,null,null,null,null,"専門技術者",null,null,null,null,null,null,"専門技術者",null,null,null,null,null,null,"専門技術者",null,null,null,null,null,null,"専門技術者"]
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["会          長",null,"統括安全衛生責任者",null,null,null,"　工期",null,null,"　　年 月 日 ～ 年 月 日",null,null,null,"　工期",null,null,"　　年 月 日 ～ 年 月 日",null,null,null,"　工期",null,null,"　　年 月 日 ～ 年 月 日",null,null,null,"　工期",null,null,"　　年 月 日 ～ 年 月 日"]
[]
[null,null,null,null,null,null,"工事",null,"会社名・事業者ID",null,null,null,null,"工事",null,"会社名・事業者ID",null,null,null,null,"工事",null,"会社名・事業者ID",null,null,null,null,"工事",null,"会社名・事業者ID"]
["副    会    長",null,null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,"代表者名"]
[null,null,null,null,null,null,null,null,"許可番号",null,null,null,null,null,null,"許可番号",null,null,null,null,null,null,"許可番号",null,null,null,null,null,null,"許可番号"]
[null,null,null,null,null,null,null,null,"一般 / 特定の別",null,null,"一般 / 特定",null,null,null,"一般 / 特定の別",null,null,"一般 / 特定",null,null,null,"一般 / 特定の別",null,null,"一般 / 特定",null,null,null,"一般 / 特定の別",null,null,"一般 / 特定"]
[null,null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,"安全衛生責任者"]
[null,null,null,null,null,null,null,null,"主任技術者",null,null,null,null,null,null,"主任技術者",null,null,null,null,null,null,"主任技術者",null,null,null,null,null,null,"主任技術者"]
[null,null,null,null,null,null,null,null,null,"特定専門工事の該当",null,"有　　　・　　　無",null,null,null,null,"特定専門工事の該当",null,"有　　　・　　　無",null,null,null,null,"特定専門工事の該当",null,"有　　　・　　　無",null,null,null,null,"特定専門工事の該当",null,"有　　　・　　　無"]
[null,null,null,null,null,null,null,null,"専門技術者",null,null,null,null,null,null,"専門技術者",null,null,null,null,null,null,"専門技術者",null,null,null,null,null,null,"専門技術者"]
[null,null,null,null,null,null,null,null,null,"担当工事　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　内　　　容",null,null,null,null,null,null,"担当工事　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　内　　　容",null,null,null,null,null,null,"担当工事　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　内　　　容",null,null,null,null,null,null,"担当工事　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　内　　　容"]
[null,null,null,null,null,null,"　工期",null,null,"　　年 月 日 ～ 年 月 日",null,null,null,"　工期",null,null,"　　年 月 日 ～ 年 月 日",null,null,null,"　工期",null,null,"　　年 月 日 ～ 年 月 日",null,null,null,"　工期",null,null,"　　年 月 日 ～ 年 月 日"]
[]
[null,null,null,null,null,null,"工事",null,"会社名・事業者ID",null,null,null,null,"工事",null,"会社名・事業者ID",null,null,null,null,"工事",null,"会社名・事業者ID",null,null,null,null,"工事",null,"会社名・事業者ID"]
[null,null,null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,"代表者名"]
[null,null,null,null,null,null,null,null,"許可番号",null,null,null,null,null,null,"許可番号",null,null,null,null,null,null,"許可番号",null,null,null,null,null,null,"許可番号"]
[null,null,null,null,null,null,null,null,"一般 / 特定の別",null,null,"一般 / 特定",null,null,null,"一般 / 特定の別",null,null,"一般 / 特定",null,null,null,"一般 / 特定の別",null,null,"一般 / 特定",null,null,null,"一般 / 特定の別",null,null,"一般 / 特定"]
[null,null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,"安全衛生責任者"]
[null,null,null,null,null,null,null,null,"主任技術者",null,null,null,null,null,null,"主任技術者",null,null,null,null,null,null,"主任技術者",null,null,null,null,null,null,"主任技術者"]
[null,null,null,null,null,null,null,null,null,"特定専門工事の該当",null,"有　　　・　　　無",null,null,null,null,"特定専門工事の該当",null,"有　　　・　　　無",null,null,null,null,"特定専門工事の該当",null,"有　　　・　　　無",null,null,null,null,"特定専門工事の該当",null,"有　　　・　　　無"]
[null,null,null,null,null,null,null,null,"専門技術者",null,null,null,null,null,null,"専門技術者",null,null,null,null,null,null,"専門技術者",null,null,null,null,null,null,"専門技術者"]
[null,null,null,null,null,null,null,null,null,"担当工事　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　内　　　容",null,null,null,null,null,null,"担当工事　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　内　　　容",null,null,null,null,null,null,"担当工事　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　内　　　容",null,null,null,null,null,null,"担当工事　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　内　　　容"]
[null,null,null,null,null,null,"　工期",null,null,"　　年 月 日 ～ 年 月 日",null,null,null,"　工期",null,null,"　　年 月 日 ～ 年 月 日",null,null,null,"　工期",null,null,"　　年 月 日 ～ 年 月 日",null,null,null,"　工期",null,null,"　　年 月 日 ～ 年 月 日"]
[]
[null,null,null,null,null,null,"工事",null,"会社名・事業者ID",null,null,null,null,"工事",null,"会社名・事業者ID",null,null,null,null,"工事",null,"会社名・事業者ID",null,null,null,null,"工事",null,"会社名・事業者ID"]
[null,null,null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,"代表者名"]
[null,null,null,null,null,null,null,null,"許可番号",null,null,null,null,null,null,"許可番号",null,null,null,null,null,null,"許可番号",null,null,null,null,null,null,"許可番号"]
[null,null,null,null,null,null,null,null,"一般 / 特定の別",null,null,"一般 / 特定",null,null,null,"一般 / 特定の別",null,null,"一般 / 特定",null,null,null,"一般 / 特定の別",null,null,"一般 / 特定",null,null,null,"一般 / 特定の別",null,null,"一般 / 特定"]
[null,null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,"安全衛生責任者"]
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[null,null,null,null,null,null,null,null,null,"特定専門工事の該当",null,"有　　　・　　　無",null,null,null,null,"特定専門工事の該当",null,"有　　　・　　　無",null,null,null,null,"特定専門工事の該当",null,"有　　　・　　　無",null,null,null,null,"特定専門工事の該当",null,"有　　　・　　　無"]
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[null,"事業所の名称\n・現場ID",null,null,null,null,null,null,null,null,null,null,null,null,null,"　本書面に記載した内容は、作業員名簿として安全衛生管理や労働災害発生時の緊急連絡・対応のために元請負業者に提示することについて、記載者本人は同意しています。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"提出日",null,null,null,null,"　　年　　月　　日",null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,"年　　月　　日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年　　月　　日"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歳",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年　　月　　日"]
[]
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[null,"（注)１.※印欄には次の記号を入れる。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）３．各社別に作成するのが原則だが、リース機械等の運転者は一緒でもよい。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）４．資格・免許等の写しを添付することが望ましい。"]
[null,null,"…現場代理人",null,null,null,null,"…作業主任者（（注）2.)",null,null,null,null,null,null,null,"…女性作業員",null,null,null,null,null,"…18歳未満の作業員",null,null,null,null,null,null,null,null,null,"（注）５．健康保険欄には、左欄に健康保険の名称（健康保険組合、協会けんぽ、建\n　設国保、国民健康保険）を記載。上記の保険に加入しておらず、後期高齢者である\n　等により、国民健康保険の適用除外である場合には、左欄に「適用除外」と記載。"]
[]
[null,null,"…主任技術者",null,null,null,null,"…職　長",null,null,null,"…安全衛生責任者",null,null,null,null,null,"…能力向上教育",null,null,null,null,null,"…危険有害業務・再発防止教育"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）６．年金保険欄には、左欄に年金保険の名称（厚生年金、国民年金）を記載。\n　各年金の受給者である場合は、左欄に「受給者」と記載。"]
[null,null,"…外国人技能実習生",null,null,null,null,null,"…外国人建設就労者",null,null,null,null,null,null," …１号特定技能外国人"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）７．雇用保険欄には右欄に被保険者番号の下４けたを記載。（日雇労働被保険\n　者の場合には左欄に「日雇保険」と記載）事業主である等により雇用保険の適用除\n　外である場合には左欄に「適用除外」と記載。"]
[null,"（注）２.作業主任者は作業を直接指揮する義務を負うので、同時に施工されている他の現場や、同一現場においても\n  他の作業個所との作業主任者を兼務することは、法的に認められていないので、複数の選任としなければならない。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）８．建設業退職金共済制度及び中小企業退職金共済制度への加入の有無につい\n　ては、それぞれの欄に「有」又は「無」と記載。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）９．安全衛生に関する教育の内容（例：雇入時教育、職長教育、建設用リフ\n　トの運転の業務に係る特別教育）については「雇入・職長特別教育」欄に記載。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）１０．建設工事に係る知識及び技術又は技能に関する資格（例：登録○○基幹\n　技能者、○級○○施工管理技士）を有する場合は、「免許」欄に記載。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）１１．記載事項の一部について、別紙を用いて記載しても差し支えない。"]

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[null,"様式１・第５１号"]
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[null,"主要資材発注予定報告書"]
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[]
[]
[null,null,"　下記工事に使用する主要資材を別紙のとおり発注する予定なので報告します。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]

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[null,"様式１・第５２号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[null,"監 督 員 資 料 提 出 届"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"  監　督　員",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人氏名"]
[]
[]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"材 料 名 称 等"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"※この様式は、材料検査における「監督員資料」の提出に使用する。"]

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[null,"様式１・第５３号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"労働者災害補償保険加入確認書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名※）"]
[]
[]
[]
[]
[]
[]
[null,null,"下記のとおり労災保険加入確認書を提出します。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"※　受注者氏名欄に記名の上、押印又は押印を省略する場合には以下を記載する。"]
[null,"〔本書類を発行することができる権限を有する者〕"]
[null,null,"役職:",null,null,null,null,null,null,null,null,null,null,null,"氏名:",null,null,null,null,null,null,null,"電話番号:"]
[]
[null,"〔事務担当者〕"]
[null,null," 所属:",null,null,null,null,null,null,null,null,null,"役職:",null,null,null,null,"氏名:",null,null,null,null,null,null,"電話番号:"]
[]
[]
[null,"（区職員使用欄）押印省略時の\n本人確認日、確認方法及び確認者",null,null,null,null,null,null,null,null,null,"　　年　　月　　日",null,null,null,null,null,null," □対面 □電話 □テレビ会議",null,null,null,null,null,null,null,null,"（確認者氏名）"]

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[null,"様式１・第５４号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[null,"リサイクル関係報告書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人氏名"]
[]
[]
[null,null,"　下記の工事について、別紙のとおりリサイクル関係の報告書を提出します。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"添付書類　　　　　　　　　　　　　　　　　　　　　　　　　\n　　　　　１.「建設リサイクル法に関する工事実施要領」に定める「再資源化等報告書」\n　　　　　\n　　　　　２.再生資源利用実施書\n　　　　　\n　　　　　３.再生資源利用促進実施書\n　　　　　\n　　　　　４.リサイクル阻害要因説明書"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"注１)",null,"添付した書類番号に○を記載する。"]
[null,"注２)",null,"「建設リサイクル法に関する工事実施要領」に定める「再資源化等報告書」は建設リサイクル法対象工事のみ作成し添付する。"]
[]
[null,"注３)",null,"再生資源利用実施書・再生資源利用促進実施書は、「建設副産物情報交換システム(COBRIS)」に搭載されている「建設リサイクル総合データシステム(CREDAS)」に必要データを入力し作成した後、印刷したものを添付する。"]
[]
[]
[null,"注４)",null,"リサイクル阻害要因説明書は、特記仕様書に定める作成対象要因に該当した場合、作成し添付する。"]

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[null,"様式１・第５５号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"〔",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〕の報告書"]
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[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名※）"]
[]
[]
[]
[]
[null,null,"下記工事について（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）を報告します。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"〔報告内容〕"]
[]
[]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"注　１　この様式は、提出様式が定められていない事項の報告に使用する。　　　\n　　２　（　　）内は、報告内容にあわせて適切に記載する。　　　"]
[]
[]
[null,"※　受注者氏名欄に記名の上、押印又は押印を省略する場合には以下を記載する。"]
[null,"〔本書類を発行することができる権限を有する者〕"]
[null,null,"役職:",null,null,null,null,null,null,null,null,null,null,null,"氏名:",null,null,null,null,null,null,null,"電話番号:"]
[]
[null,"〔事務担当者〕"]
[null,null," 所属:",null,null,null,null,null,null,null,null,null,"役職:",null,null,null,null,"氏名:",null,null,null,null,null,null,"電話番号:"]
[]
[]
[null,"（区職員使用欄）押印省略時の\n本人確認日、確認方法及び確認者",null,null,null,null,null,null,null,null,null,"　　年　　月　　日",null,null,null,null,null,null," □対面 □電話 □テレビ会議",null,null,null,null,null,null,null,null,"（確認者氏名）"]
[]
[]
[]
[null,"様式１・第５５号の２"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"〔",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〕の報告書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人氏名"]
[]
[]
[null,null,"下記工事について（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）を報告します。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"〔報告内容〕"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"注　１　この様式は、提出様式が定められていない事項の報告に使用する。　　　\n　　２　（　　）内は、報告内容にあわせて適切に記載する。　　　"]

{"sheet":"1.56改善報告書","index":33,"n_rows":61,"n_cols":36,"rows_kept":61,"cut":false,"hidden":false,"merged":[[2,25,4,28],[2,29,4,32],[60,20,61,23],[60,24,61,30],[60,31,61,32],[15,14,16,21],[15,22,16,29],[15,30,16,30],[41,1,58,32],[29,1,31,6],[29,7,31,32],[32,1,34,6],[32,7,33,8],[32,9,33,32],[34,7,34,21],[34,22,34,23],[34,24,34,31],[35,1,37,6],[35,17,37,17],[35,15,37,16],[38,18,40,32],[35,7,37,8],[35,9,37,10],[35,11,37,11],[35,14,37,14],[0,1,0,6],[6,1,8,32],[20,1,22,6],[20,7,22,32],[9,21,10,22],[9,23,10,24],[9,25,10,25],[9,26,10,27],[9,32,10,32],[9,28,10,28],[9,29,10,30],[9,31,10,31],[12,2,13,11],[12,12,13,13],[1,25,1,28],[1,29,1,32],[23,1,25,6],[23,7,25,32],[26,1,28,6],[26,7,28,32],[60,1,61,6],[38,15,40,16],[38,17,40,17],[38,7,40,8],[38,9,40,10],[38,11,40,11],[38,12,40,13],[60,7,61,19],[38,1,40,6],[35,12,37,13],[38,14,40,14],[35,18,37,32]]}
[null,"様式１・第５６号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"改　善　報　告　書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（総括監督員又は監督員）",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（現場代理人）"]
[]
[]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"　令和○○年○○月○○日に交付された　　指示書・改善指示書・改善命令書　　について、下記のとおり改善したので報告します。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]

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[null,"様式１・第５７号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"認定請求書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[]
[null,null,"　下記の工事について、中間前払金の請求をしたいので、要件を満たしていることの認定を請求します。"]
[]
[]
[null,"工  事  番  号"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"工  事  件  名"]
[]
[]
[null,"工  事  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"前　払　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"摘　　　　　要"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]

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[null,"様式１・第５８号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"工 事 履 行 報 告 書"]
[]
[]
[]
[null,"工事件名"]
[]
[null,"工事番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"契約番号"]
[]
[null,"工　　期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","～",null,null,null,null,null,null,"年",null,null,"月",null,null,"日",null,"（",null,null,null,null,null,"日間）"]
[]
[null,"工　　種",null,null,null,null,null,null,null,"　　月",null,null,"　　月",null,null,"　　月",null,null,"　　月",null,null,"　　月",null,null,"　　月",null,null,"　　月",null,null,"　　月",null,null,"　　月",null,null,"　　月",null,null,"　　月",null,null,"　　月"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"進捗率（％）",null,null,"予定進捗（･･･）"]
[]
[null,null,null,null,"実施進捗率（ー）"]
[]
[null,"記事欄"]
[]
[null,null,null,null,null,null,null,"・",null,null,null,null,"年",null,null,"月",null,null,"日",null,"現在出来高",null,null,null,null,null,null,null,"％"]
[]
[null,null,null,null,null,null,null,"・","経過日数",null,null,null,null,null,null,null,"日"]
[]
[]
[null,"現場代理人",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"報告日",null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"（注）１．前払金等請求確認書において、中間前払金を請求するとした場合、受注者は工事着手時\n　　　　に、予定進捗率を記入して提出する。\n　　　２．中間前払金請求時に、実施進捗率を記入して提出する。\n　　　３．工種及び工程表の欄は適宜増減すること。\n　　　　"]

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[null,"様式２・第１号"]
[]
[null,"〔委託件名〕"]
[null,"委　託　総　括　書"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"委託項目・工種・種別",null,null,null,null,null,null,null,null,null,null,null,"内容（数 量）",null,null,null,"金　　額",null,null,null,null,null,"摘           要"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[]
[]
[]
[]
[]
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[]
[]
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[]
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[]
[]
[]
[]
[]
[]
[]
[]
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[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"様式２・第２号"]
[]
[null,"〔委託件名〕"]
[null,"種　別　内　訳　書"]
[]
[null,"種別・細別・内訳",null,null,null,null,null,"形状・寸法",null,null,null,null,null,"数量",null,null,null,"単位",null,"単価",null,null,null,"金　額",null,null,null,"摘         要"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[]
[]
[]
[]
[]
[]
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[]
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[]
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[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[]
[]
[null,"注 ： 本様式は、設計委託、測量委託、地質調査委託、工事監理業務委託等の場合、完了内訳書及び請求内訳書への添付が不要である。"]
[]
[]
[]
[]
[null," 　　"]

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[null,"様式２・第３号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"委　託　着　手　届"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名※）"]
[]
[]
[]
[]
[null,"　","　下記のとおり着手したので届け出ます。 "]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"委　託  件  名"]
[]
[]
[null,"委　託  場　所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"着 手 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[]
[]
[]
[null,"※　受注者氏名欄に記名の上、押印又は押印を省略する場合には以下を記載する。"]
[null,"〔本書類を発行することができる権限を有する者〕"]
[null,null,"役職:",null,null,null,null,null,null,null,null,null,null,null,"氏名:",null,null,null,null,null,null,null,"電話番号:"]
[]
[null,"〔事務担当者〕"]
[null,null," 所属:",null,null,null,null,null,null,null,null,null,"役職:",null,null,null,null,"氏名:",null,null,null,null,null,null,"電話番号:"]
[]
[]
[null,"（区職員使用欄）押印省略時の\n本人確認日、確認方法及び確認者",null,null,null,null,null,null,null,null,null,"年　　月　　日",null,null,null,null,null,null," □対面 □電話 □テレビ会議",null,null,null,null,null,null,null,null,"（確認者氏名）"]

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[null,"様式２・第５号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"代理人、主任技術者等及び照査技術者通知書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"連絡用メールアドレス"]
[]
[]
[]
[null,null,"　代理人、主任技術者等及び照査技術者を下記のとおり定めたので別紙経歴書を添えて通知します。"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"委　託  件  名"]
[]
[]
[null,"委　託  場　所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null," 代 理 人 氏 名",null,null,null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,"連絡用\nメールアドレス"]
[]
[]
[null,"主任技術者氏名",null,null,null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,"連絡用\nメールアドレス"]
[]
[]
[null,"照査技術者氏名",null,null,null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,"連絡用\nメールアドレス"]
[]
[]
[null," 注 ： 照査技術者を指名する委託の場合に、使用する。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"様式２・第６号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"管理技術者及び監督補助業務技術者等通知書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"連絡用メールアドレス"]
[]
[null,null,"　管理技術者及び監督補助業務技術者等通知書を下記のとおり定めたので別紙経歴書を添えて通知します。"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"委　託  件  名"]
[]
[]
[null,"委　託  場　所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null," 管理技術者氏名",null,null,null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,"連絡用\nメールアドレス"]
[]
[]
[null,"監督補助業務技術者氏名",null,null,null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,"連絡用\nメールアドレス"]
[]
[]
[null,"監督補助業務技術者氏名",null,null,null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,"連絡用\nメールアドレス"]
[]
[]
[null,"監督補助業務技術者氏名",null,null,null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,"連絡用\nメールアドレス"]
[]
[]
[null," 注 ： 工事監理業務の場合に、使用する。"]
[]
[]
[null,"様式２・第７号"]
[]
[]
[null,"経　歴　書（　　　　）"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ふ り が な",null,null,null," "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　　名",null,null,null," "]
[]
[]
[]
[]
[null,"学　　　　歴"]
[null,"年　　月"]
[]
[]
[]
[]
[]
[]
[null,"職　　　　歴"]
[null,"年　　月"]
[]
[null,"年　　月～　　年　　月"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"資　　　　格"]
[null,"年　　月"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"　注：１　表題の（ ）内には、代理人、主任技術者、照査技術者の別を記入すること。"]
[null,"　注：２　職暦欄は、職歴とともに主任技術者等の資格に関連する期間の経歴を記入すること。"]
[null,"　注：３　資格欄は、技術士、ＲＣＣＭ（シビルコンサルティングマネ－ジャ）等を記載すること。"]
[null,"　注：４　資格保有者の場合は、資格を確認できる資格証等の写しを添付すること。"]

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[null,"様式２・第８号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"身分証明書発行申請書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名※）"]
[]
[]
[]
[]
[]
[]
[null,null,"　委託業務施行にあたり、下記の者が土地立入の際携帯する身分証明書の発行を申請します。"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"委　託  件  名"]
[]
[]
[null,"委　託  場　所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"※　受注者氏名欄に記名の上、押印又は押印を省略する場合には以下を記載する。"]
[null,"〔本書類を発行することができる権限を有する者〕"]
[null,null,"役職:",null,null,null,null,null,null,null,null,null,null,null,"氏名:",null,null,null,null,null,null,null,"電話番号:"]
[]
[null,"〔事務担当者〕"]
[null,null," 所属:",null,null,null,null,null,null,null,null,null,"役職:",null,null,null,null,"氏名:",null,null,null,null,null,null,"電話番号:"]
[]
[]
[null,"（区職員使用欄）押印省略時の\n本人確認日、確認方法及び確認者",null,null,null,null,null,null,null,null,null,"年　　月　　日",null,null,null,null,null,null," □対面 □電話 □テレビ会議",null,null,null,null,null,null,null,null,"（確認者氏名）"]

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[null,"様式２・第９号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"既済部分検査請求書（第　回）"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[]
[]
[]
[null,null,"　下記委託の既済部分検査（第　 回）を請求します。"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"委　託  件  名"]
[]
[]
[null,"委　託  場　所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"既　受　領　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"既済部分の支払いを受ける根拠",null,null,null,null,null,"　契約条項第　　号"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"様式２・第１０号"]
[]
[null,"既済部分出来高種別内訳書"]
[]
[]
[null,null,"今回既済部分\n出来高金額",null,null,null,null,null,null,null,null,null,null,null,"出来高歩合",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"％",null,null,null,null,null,"目次へ"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"出来高年月日",null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","現在"]
[]
[]
[null,"種　　　　別",null,null,null,null,null,null,null,"契 約 金 額",null,null,null,null,null,"前回までの\n出来高金額",null,null,null,null,null,"今　回　の\n出来高金額",null,null,null,null,null,"摘　　　要"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"　注 ： この様式は、同一作業がくりかえし完了するような委託契約の出来高請求に使用するもので\n　　　委託完了届に添付する。"]
[]
[]
[null,"様式２・第１０の２号"]
[]
[null,"既済部分出来高種別内訳書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"上段：前回までの出来高"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"下段：今回の出来高",null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"種　別",null,null,null,"形　状\n寸　法",null,null,null,"単位",null,"契　　　約",null,null,null,null,null,null,null,null,"出　来　高",null,null,null,null,null,null,null,null,"摘　要"]
[null,null,null,null,null,null,null,null,null,null,null,"数量",null,null,"単価",null,null,"金額",null,null,"数量",null,null,"単価",null,null,"金額"]

{"sheet":"2.11承諾書","index":41,"n_rows":57,"n_cols":36,"rows_kept":57,"cut":false,"hidden":false,"merged":[[56,2,57,31],[9,29,10,30],[9,31,10,31],[9,28,10,28],[15,12,20,14],[15,15,16,17],[27,2,30,31],[17,15,20,17],[15,18,16,30],[17,18,20,29],[17,30,20,30],[12,2,13,11],[12,12,13,13],[1,29,1,32],[2,25,4,28],[2,29,4,32],[9,32,10,32],[6,1,8,32],[0,1,0,7],[9,21,10,22],[9,23,10,24],[9,25,10,25],[9,26,10,27],[1,25,1,28]]}
[null,"様式２・第１１号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[]
[null,"承　　諾　　書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"　令和　　年　　月　　日付 　　中    第　　号 による　○　　○　　○　　については、異議がないので承諾いたします。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null," 注 ： 本文中の「○○○」については、一括変更、委託中止、又は委託中止解除等のうち\n　　　該当するものを記入すること。　"]

{"sheet":"2.12委託完了届","index":42,"n_rows":50,"n_cols":36,"rows_kept":50,"cut":false,"hidden":false,"merged":[[30,1,32,6],[30,7,32,32],[33,1,35,6],[33,7,35,32],[1,25,1,28],[1,29,1,32],[2,25,4,28],[2,29,4,32],[15,18,16,30],[17,18,20,29],[17,30,20,30],[36,9,37,32],[42,14,44,14],[42,15,44,16],[42,17,44,17],[42,18,44,32],[36,1,38,6],[36,7,37,8],[6,1,8,32],[9,29,10,30],[9,31,10,31],[9,32,10,32],[9,21,10,22],[9,23,10,24],[24,2,25,31],[27,1,29,6],[27,7,29,32],[12,2,13,11],[12,12,13,13],[15,12,20,14],[15,15,16,17],[17,15,20,17],[0,1,0,6],[38,7,38,21],[38,22,38,23],[38,24,38,31],[39,1,41,6],[39,7,41,8],[39,9,41,10],[39,11,41,11],[39,12,41,13],[39,14,41,14],[39,15,41,16],[39,17,41,17],[39,18,41,32],[9,25,10,25],[9,26,10,27],[9,28,10,28],[42,1,44,6],[42,7,44,8],[42,9,44,10],[42,11,44,11],[42,12,44,13],[46,24,48,31],[53,1,54,32],[46,1,48,6],[46,32,48,32],[49,1,51,6],[49,32,51,32],[46,11,48,11],[46,12,48,13],[46,14,48,14],[46,15,48,16],[46,17,48,17],[49,7,51,8],[49,9,51,10],[49,17,51,17],[49,18,51,23],[49,24,51,31],[49,14,51,14],[49,15,51,16],[46,7,48,8],[46,9,48,10],[46,18,48,23],[49,11,51,11],[49,12,51,13]]}
[null,"様式２・第１２号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"委　託　完　了　届"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[]
[]
[]
[null,null,"　下記の委託を本日完了したので届け出ます。 "]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"委　託  件  名"]
[]
[]
[null,"委　託  場　所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"受 付 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","監　 督 　員\n職　 氏 　名"]
[]
[]
[null,"検 査 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","検　 査 　員\n職　 氏 　名"]

{"sheet":"2.13・16・17請求内訳書","index":43,"n_rows":163,"n_cols":36,"rows_kept":163,"cut":false,"hidden":false,"merged":[[162,1,164,1],[162,2,164,8],[105,1,106,32],[107,1,108,32],[136,1,138,32],[147,1,149,8],[147,9,149,16],[147,17,149,26],[147,27,149,31],[147,32,149,32],[150,1,152,8],[150,9,152,32],[153,1,155,8],[153,9,155,32],[162,9,164,32],[159,1,161,1],[159,2,161,8],[159,9,161,16],[159,17,161,26],[159,27,161,31],[159,32,161,32],[134,1,134,6],[156,1,158,1],[156,2,158,8],[34,1,36,1],[34,2,36,8],[34,9,36,16],[34,17,36,32],[48,4,48,8],[49,4,49,8],[60,8,61,8],[62,1,63,32],[60,5,61,5],[60,6,61,6],[60,7,61,7],[56,1,58,8],[56,9,58,16],[56,17,58,32],[59,2,59,8],[59,9,61,16],[59,17,61,26],[59,27,61,31],[59,32,61,32],[50,2,50,8],[50,9,52,16],[50,17,52,32],[51,1,52,2],[53,17,55,32],[25,27,27,31],[25,32,27,32],[28,1,30,1],[28,2,30,8],[28,9,30,16],[28,17,30,32],[31,1,33,1],[31,2,33,8],[31,9,33,16],[31,17,33,32],[47,2,47,8],[47,9,49,16],[47,17,49,32],[48,1,49,2],[48,3,49,3],[0,1,0,6],[2,1,4,32],[13,1,15,8],[13,9,15,16],[13,17,15,26],[13,27,15,31],[13,32,15,32],[16,1,18,8],[16,9,18,32],[19,1,21,8],[19,9,21,32],[22,1,24,8],[22,9,24,16],[22,17,24,26],[22,27,24,31],[22,32,24,32],[25,1,27,8],[25,9,27,16],[25,17,27,26],[37,1,39,1],[37,2,39,8],[37,9,39,16],[37,17,39,32],[40,1,42,1],[40,2,42,8],[40,9,42,16],[40,17,42,32],[43,4,44,8],[43,9,44,16],[43,17,44,32],[43,1,46,2],[43,3,46,3],[45,4,46,8],[45,9,46,16],[45,17,46,32],[51,3,52,3],[51,4,52,5],[51,6,52,6],[51,7,52,8],[53,1,55,8],[53,9,55,16],[92,1,94,1],[92,2,94,8],[92,9,94,16],[69,1,71,32],[80,1,82,8],[80,9,82,16],[80,17,82,26],[80,27,82,31],[80,32,82,32],[83,1,85,8],[83,9,85,32],[67,1,67,6],[60,1,61,4],[92,17,94,26],[92,27,94,31],[92,32,94,32],[86,1,88,8],[86,9,88,32],[101,17,103,26],[101,27,103,31],[101,32,103,32],[102,1,103,4],[102,5,103,5],[102,6,103,6],[102,7,103,7],[156,9,158,16],[156,17,158,26],[156,27,158,31],[156,32,158,32],[102,8,103,8],[101,2,101,8],[101,9,103,16],[89,1,91,1],[89,2,91,8],[89,9,91,16],[89,17,91,26],[89,27,91,31],[89,32,91,32],[98,17,100,26],[98,27,100,31],[98,32,100,32],[99,1,100,4],[98,2,98,8],[98,9,100,16],[99,5,100,5],[99,6,100,6],[95,1,96,1],[95,2,96,8],[95,9,97,16],[95,17,97,26],[95,27,97,31],[95,32,97,32],[97,1,97,8]]}
[null,"様式２・第１３号"]
[]
[null,"請求内訳書"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[]
[]
[]
[]
[null,"　請　求　金　額　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[]
[]
[null,"契   約   番   号",null,null,null,null,null,null,null,"　契第　　　　　　　号"]
[]
[]
[null,"委 　託   件   名"]
[]
[]
[null,"契   約   金   額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,"変 更 契 約 金 額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,1,"契約金額（Ａ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null," 税抜本体価格"]
[]
[]
[null,2,"変更契約金額（Ｂ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null," 税抜本体価格"]
[]
[]
[null,3,"今回までの出来高金額(Ｃ)",null,null,null,null,null,null,null,null,null,null,null,null,null,null," 税抜本体価格"]
[]
[]
[null,4,"同上の90％以内の金額(Ｄ)",null,null,null,null,null,null," ",null,null,null,null,null,null,null," 税抜本体価格（下３桁を切捨て）"]
[]
[]
[null,5,"既受領額（Ｅ）",null,null,null,null,null,null," ",null,null,null,null,null,null,null," 税抜本体価格"]
[]
[]
[null,"内訳",null,null,"前払金(E1)",null,null,null,null,null,null,null,null,null,null,null,null," 税抜本体価格"]
[]
[null,null,null,null,"部分払金(E2)",null,null,null,null," ",null,null,null,null,null,null,null," 税抜本体価格"]
[]
[null,6,"既前払金の控除額(Ｆ)",null,null,null,null,null,null," ",null,null,null,null,null,null,null," 税抜本体価格 (下３桁を切上げ)"]
[null,"(Ｅ1)",null,"×","(Ｃ)"]
[null,null,null,null,"(Ａ) 又は (Ｂ)"]
[null,7," 今回請求金額（Ｇ）",null,null,null,null,null,null," ",null,null,null,null,null,null,null," 税抜本体価格"]
[null,"(Ｄ)",null,"－","（Ｆ）",null,"－","(Ｅ2)"]
[]
[null,"消費税 "]
[]
[]
[null,"合　計 "]
[]
[]
[null,8,"未請求金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"(A)又は(B)",null,null,null,"－","(E)","－","(G)"]
[]
[null,"　注　：　必要のない項目は数字のゼロを記入すること。"]
[]
[]
[]
[]
[null,"様式２・第１７号"]
[]
[null,"請求内訳書"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[]
[]
[]
[]
[null,"　請　求　金　額　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,"契   約   番   号",null,null,null,null,null,null,null,"　契第　　　　　　　号"]
[]
[]
[null,"委　 託  件  名"]
[]
[]
[null,1,"契約金額（Ａ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,2,"変更契約金額（Ｂ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,3,"既受領額（Ｃ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[null,"（前払金・部分払金）"]
[null,4,"今回請求金額（Ｄ）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"(A)又は(B)",null,null,null,"－","(C)"]
[]
[null,5,"未請求金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"(A)又は(B)",null,null,null,"－","(C)","－","(D)"]
[]
[]
[null,"　注１：必要のない項目は数字のゼロを記入すること。"]
[]
[null,"　注２： この請求書は、中間の支払いがない場合に使用する。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"様式２・第１６号"]
[]
[null,"前払金請求内訳書 "]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"　請　求　金　額　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,"契   約   番   号",null,null,null,null,null,null,null,"　契第　　　　　　　号"]
[]
[]
[null,"委　 託  件  名"]
[]
[]
[null,1,"契約金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,2,"未請求金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[]
[null,3,"請  求  根  拠",null,null,null,null,null,null,"　契約条項　第３４条"]

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[null,"様式２・第１４号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"納　　品　　書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[]
[]
[]
[null,null,"　別紙納品内訳書のとおり納入します。"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"委　託  件  名"]
[]
[]
[null,"納　入  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null," 注 ： この様式は、測量、調査、設計による成果品の提出の際に使用する。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"様式２・第１５号"]
[]
[null,"納  品  内  訳  書"]
[]
[]
[null,"品　　　　　　　名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"数　　　　　量",null,null,null,null,null,null,null,null,"備　　　　　考"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"　"]
[]
[]
[null,"　"]
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[null,"　"]
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[null,"　"]
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[null,"　"]
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[null,"　"]
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[null,"　"]
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[null,"　"]
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[null,"　"]
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[null,"　"]
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[null,"　"]
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[null,"　"]
[]
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[null,"　"]
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[null,"　"]
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[null,"　"]
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[null,"　"]
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[null,"　"]
[]
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[null,"　"]
[]
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[null,"　"]

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[null,"様式２・第１８号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"〔",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〕承諾申請書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"代理人氏名"]
[]
[]
[null,null,"　下記の受託について、別添（　　　　　　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）の承諾を申請します。"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"委　託  件  名"]
[]
[]
[null,"委　託  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,null,"上記の件について承諾します。"]
[null,null,"代理人",null,null,null,null,null,"様"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（委託主管係長）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名"]
[]
[]
[]
[null,"注１　この様式は、特記仕様書等で材料の承諾を義務付けられているものについて使用する。\n　２　（　）内には、材料名称、使用する図書類、調査、計画、設計業務の条件等を記載する。\n　　"]

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[null,"様式２・第１９号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"保守点検結果報告書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"代理人氏名"]
[]
[]
[null,null,"　下記委託の保守点検の結果を別添資料のとおり報告します。"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"委　託  件  名"]
[]
[]
[null,"委　託  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]

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[null,"様式２・第２４号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"検査請求予定協議書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　　　名称及び代表者名※）"]
[]
[]
[]
[]
[null,null,"　下記の委託について、特記仕様書により協議します。"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"委　託  件  名"]
[]
[]
[null,"委　託  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,null,"下記のとおり請求予定です。"]
[]
[null,null,null,null,null,null,null,"検査対象期間",null,null,null,null,null,null,null,null,null,"検査予定月"]
[null,null,null,null,null,null,null,null,null,null,null,null,"月末まで",null,null,null,null,null,null,null,null,null,null,"月"]
[null,null,null,null,null,null,null,null,null,null,null,null,"月末まで",null,null,null,null,null,null,null,null,null,null,"月"]
[null,null,null,null,null,null,null,null,null,null,null,null,"月末まで",null,null,null,null,null,null,null,null,null,null,"月"]
[null,null,null,null,null,null,null,null,null,null,null,null,"月末まで",null,null,null,null,null,null,null,null,null,null,"月"]
[]
[null,"注．この様式は、作業委託等において部分払請求を行う場合、あらかじめその時期を協議する際に使用する。　　"]
[]
[]
[null,"※　受注者氏名欄に記名の上、押印又は押印を省略する場合には以下を記載する。"]
[null,"〔本書類を発行することができる権限を有する者〕"]
[null,null,"役職:",null,null,null,null,null,null,null,null,null,null,null,"氏名:",null,null,null,null,null,null,null,"電話番号:"]
[]
[null,"〔事務担当者〕"]
[null,null," 所属:",null,null,null,null,null,null,null,null,null,"役職:",null,null,null,null,"氏名:",null,null,null,null,null,null,"電話番号:"]
[]
[]
[null,"（区職員使用欄）押印省略時の\n本人確認日、確認方法及び確認者",null,null,null,null,null,null,null,null,null,"年　　月　　日",null,null,null,null,null,null," □対面 □電話 □テレビ会議",null,null,null,null,null,null,null,null,"（確認者氏名）"]

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[null,"様式２・第２０号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"設　計　業　務　計　画　書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"代理人氏名"]
[]
[]
[]
[]
[null,null,"下記委託について別添",null,null,null,null,null,null,null,"業務計画書",null,null,null,null,"を提出します。"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"委　託  件  名"]
[]
[]
[null,"委　託  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"注　この様式は、設計業務計画書のほか変更設計業務計画書、作業計画書、調査業務計画書等の\n　書類の提出にも名称を変更のうえ、使用する。"]

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[null,"様式２・第２１号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,"〔 協 議・報 告 〕書"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"代理人氏名"]
[]
[]
[]
[]
[null,null,"　下記委託について設計業務委託仕様書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"に基づき",null,null,null,"協議　　　　報告",null,null,"します。"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"委　託  件  名"]
[]
[]
[null,"委　託　場　所"]
[]
[]
[null,"協議　　　　報告",null,null,null,"内容"]

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[null,"様式２・第２２号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"再　委　託　届"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名※）"]
[]
[]
[]
[]
[]
[]
[null,null,"　下記のとおり協力会社に再委託しますので届け出ます。　　　　　　　　　　　　　　　　　　　　　　"]
[null,null,"　なお、協力会社に対する委託の調整、指導及び監督については、当社において一切の責任をもって行います。"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"委　託  件  名"]
[]
[]
[null,"委　託  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"再 委 託 金 額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"協 力 会 社 名",null,null,null,null,null,"　別記記載のとおり"]
[]
[]
[]
[null,"※　受注者氏名欄に記名の上、押印又は押印を省略する場合には以下を記載する。"]
[null,"〔本書類を発行することができる権限を有する者〕"]
[null,null,"役職:",null,null,null,null,null,null,null,null,null,null,null,"氏名:",null,null,null,null,null,null,null,"電話番号:"]
[]
[null,"〔事務担当者〕"]
[null,null," 所属:",null,null,null,null,null,null,null,null,null,"役職:",null,null,null,null,"氏名:",null,null,null,null,null,null,"電話番号:"]
[]
[]
[null,"（区職員使用欄）押印省略時の\n本人確認日、確認方法及び確認者",null,null,null,null,null,null,null,null,null,"　　年　　月　　日",null,null,null,null,null,null," □対面 □電話 □テレビ会議",null,null,null,null,null,null,null,null,"（確認者氏名）"]
[]
[]
[]
[null,"様式２・第２２号の２"]
[]
[null,"再委託先一覧表"]
[]
[null,"(再委託先1)"]
[null,"再委託先の"]
[null,"住所、称号・名称、",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"代表者氏名"]
[null,"再委託業務内容"]
[]
[]
[null,"担当者氏名"]
[null,"再委託の必要性"]
[]
[]
[]
[]
[]
[]
[]
[null,"再委託する業務"]
[null,"の契約金額（予定）"]
[]
[null,"(再委託先2)"]
[null,"再委託先の"]
[null,"住所、称号・名称、"]
[null,"代表者氏名"]
[null,"再委託業務内容"]
[]
[]
[null,"担当者氏名"]
[null,"再委託の必要性"]
[]
[]
[]
[]
[]
[]
[]
[null,"再委託する業務"]
[null,"の契約金額（予定）"]
[]
[null,"（再々委託先１－１）"]
[null,"再々委託先の"]
[null,"住所、称号・名称、"]
[null,"代表者氏名"]
[null,"再々委託業務内容"]
[]
[]
[null,"担当者氏名"]
[null,"再々委託の必要性"]
[]
[]
[]
[]
[]
[]
[]
[null,"再々委託する業務"]
[null,"の契約金額（予定）"]
[null,"注）・設計図書で指定した軽微な部分の再委託の相手方の記載は対象外とする。　"]
[]
[]
[]
[]
[]
[]
[null,"様式２・第２２号の３"]
[]
[null,"履行体系図"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,"（再委託先１）",null,null,null,null,null,null,null,null,null,null,null,null,"（再々委託先１－１）",null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"受託者\n×××株式会社",null,null,null,null,null,null,null,"○○○有限会社",null,null,null,null,null,null,null,null,null,null,null,null,"○○○有限会社"]
[null,null,null,null,null,null,null,null,null,"住所、TEL",null,null,null,null,null,null,null,null,null,null,null,null,"住所、TEL"]
[null,null,null,null,null,null,null,null,null,"代表者氏名",null,null,null,null,null,null,null,null,null,null,null,null,"代表者氏名"]
[null,null,null,null,null,null,null,null,null,"担当業務の範囲若しくは内容",null,null,null,null,null,"△△に関する□□地区基礎調査",null,null,null,null,null,null,"担当業務の範囲若しくは内容",null,null,null,null,null,"△△に関する□□地区基礎調査"]
[]
[null,null,null,null,null,null,null,null,null,"金額（予定）",null,null,null,null,null,null,null,null,null,null,null,null,"金額（予定）"]
[]
[]
[null,null,null,null,null,null,null,null,null,"（再委託先２）"]
[null,null,null,null,null,null,null,null,null,"○○○有限会社"]
[null,null,null,null,null,null,null,null,null,"住所、TEL"]
[null,null,null,null,null,null,null,null,null,"代表者氏名"]
[null,null,null,null,null,null,null,null,null,"担当業務の範囲若しくは内容",null,null,null,null,null,"△△に関する□□地区基礎調査"]
[]
[null,null,null,null,null,null,null,null,null,"金額（予定or見込み）"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"注）・設計図書で指定した軽微な部分の再委託の相手方の記載は対象外とする。"]
[null,"　　・金額については、「再委託先一覧表」に記入した金額（予定）を記載する。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"様式２・第２２号の４"]
[]
[null,"技術者及び協力会社等一覧表"]
[]
[null,"担当技術者名簿（　設計委託　・　監理業務　）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受託者："]
[]
[null,"業務分類",null,null,null,null,null,null,null,"担当者名",null,null,null,null,null,null,null,"常駐",null,"所　属　会　社　名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※常駐の場合○を付ける。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"注）　１　「再委託届」の添付資料として提出を行う。"]
[]
[null,"　　　２　設計図書で指定した軽微な部分の再委託の相手方の記載は対象外とする。"]

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[null,"様式２・第２３号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"再　委　託　承　認　願"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名※）"]
[]
[]
[]
[]
[]
[]
[null,null,"　下記のとおり協力会社に再委託しますので承認願います。　　　　　　　　　　　　　　　　　　　　　　"]
[null,null,"　なお、協力会社に対する委託の調整、指導及び監督については、当社において一切の責任をもって行います。"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"委　託  件  名"]
[]
[]
[null,"委　託  場  所"]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"再 委 託 金 額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"協 力 会 社 名",null,null,null,null,null,"　別記記載のとおり"]
[]
[]
[]
[null,"※　受注者氏名欄に記名の上、押印又は押印を省略する場合には以下を記載する。"]
[null,"〔本書類を発行することができる権限を有する者〕"]
[null,null,"役職:",null,null,null,null,null,null,null,null,null,null,null,"氏名:",null,null,null,null,null,null,null,"電話番号:"]
[]
[null,"〔事務担当者〕"]
[null,null," 所属:",null,null,null,null,null,null,null,null,null,"役職:",null,null,null,null,"氏名:",null,null,null,null,null,null,"電話番号:"]
[]
[]
[null,"（区職員使用欄）押印省略時の\n本人確認日、確認方法及び確認者",null,null,null,null,null,null,null,null,null,"　　年　　月　　日",null,null,null,null,null,null," □対面 □電話 □テレビ会議",null,null,null,null,null,null,null,null,"（確認者氏名）"]
[]
[]
[]
[null,"様式２・第２３号の２"]
[]
[null,"再委託先一覧表"]
[]
[null,"(再委託先1)"]
[null,"再委託先の"]
[null,"住所、称号・名称、",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"代表者氏名"]
[null,"再委託業務内容"]
[]
[]
[null,"担当者氏名"]
[null,"再委託の必要性"]
[]
[]
[]
[]
[]
[]
[]
[null,"再委託する業務"]
[null,"の契約金額（予定）"]
[]
[null,"(再委託先2)"]
[null,"再委託先の"]
[null,"住所、称号・名称、"]
[null,"代表者氏名"]
[null,"再委託業務内容"]
[]
[]
[null,"担当者氏名"]
[null,"再委託の必要性"]
[]
[]
[]
[]
[]
[]
[]
[null,"再委託する業務"]
[null,"の契約金額（予定）"]
[]
[null,"（再々委託先１－１）"]
[null,"再々委託先の"]
[null,"住所、称号・名称、"]
[null,"代表者氏名"]
[null,"再々委託業務内容"]
[]
[]
[null,"担当者氏名"]
[null,"再々委託の必要性"]
[]
[]
[]
[]
[]
[]
[]
[null,"再々委託する業務"]
[null,"の契約金額（予定）"]
[null,"注）・設計図書で指定した軽微な部分の再委託の相手方の記載は対象外とする。　"]
[]
[]
[]
[]
[]
[]
[null,"様式２・第２３号の３"]
[]
[null,"履行体系図"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,"（再委託先１）",null,null,null,null,null,null,null,null,null,null,null,null,"（再々委託先１－１）",null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"受託者\n×××株式会社",null,null,null,null,null,null,null,"○○○有限会社",null,null,null,null,null,null,null,null,null,null,null,null,"○○○有限会社"]
[null,null,null,null,null,null,null,null,null,"住所、TEL",null,null,null,null,null,null,null,null,null,null,null,null,"住所、TEL"]
[null,null,null,null,null,null,null,null,null,"代表者氏名",null,null,null,null,null,null,null,null,null,null,null,null,"代表者氏名"]
[null,null,null,null,null,null,null,null,null,"担当業務の範囲若しくは内容",null,null,null,null,null,"△△に関する□□地区基礎調査",null,null,null,null,null,null,"担当業務の範囲若しくは内容",null,null,null,null,null,"△△に関する□□地区基礎調査"]
[]
[null,null,null,null,null,null,null,null,null,"金額（予定）",null,null,null,null,null,null,null,null,null,null,null,null,"金額（予定）"]
[]
[]
[null,null,null,null,null,null,null,null,null,"（再委託先２）"]
[null,null,null,null,null,null,null,null,null,"○○○有限会社"]
[null,null,null,null,null,null,null,null,null,"住所、TEL"]
[null,null,null,null,null,null,null,null,null,"代表者氏名"]
[null,null,null,null,null,null,null,null,null,"担当業務の範囲若しくは内容",null,null,null,null,null,"△△に関する□□地区基礎調査"]
[]
[null,null,null,null,null,null,null,null,null,"金額（予定or見込み）"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"注）・設計図書で指定した軽微な部分の再委託の相手方の記載は対象外とする。"]
[null,"　　・金額については、「再委託先一覧表」に記入した金額（予定）を記載する。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"様式２・第２３号の４"]
[]
[null,"技術者及び協力会社等一覧表"]
[]
[null,"担当技術者名簿（　設計委託　・　監理業務　）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受託者："]
[]
[null,"業務分類",null,null,null,null,null,null,null,"担当者名",null,null,null,null,null,null,null,"常駐",null,"所　属　会　社　名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※常駐の場合○を付ける。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"注）　１　「再委託承認願」の添付資料として提出を行う。"]
[]
[null,"　　　２　設計図書で指定した軽微な部分の再委託の相手方の記載は対象外とする。"]

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[null,"様式３・第１号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"着　　手　　届"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名※）"]
[]
[]
[]
[]
[]
[]
[null,null,"　下記のとおり着手したので届け出ます。 "]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"件　　　　  名"]
[]
[]
[null,"履　行　場　所"]
[]
[]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"着 手 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"※　受注者氏名欄に記名の上、押印又は押印を省略する場合には以下を記載する。"]
[null,"〔本書類を発行することができる権限を有する者〕"]
[null,null,"役職:",null,null,null,null,null,null,null,null,null,null,null,"氏名:",null,null,null,null,null,null,null,"電話番号:"]
[]
[null,"〔事務担当者〕"]
[null,null," 所属:",null,null,null,null,null,null,null,null,null,"役職:",null,null,null,null,"氏名:",null,null,null,null,null,null,"電話番号:"]
[]
[]
[null,"（区職員使用欄）押印省略時の\n本人確認日、確認方法及び確認者",null,null,null,null,null,null,null,null,null,"　　年　　月　　日",null,null,null,null,null,null," □対面 □電話 □テレビ会議",null,null,null,null,null,null,null,null,"（確認者氏名）"]

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[null,"様式３・第２号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"代理人及び主任技術者等通知書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"連絡用メールアドレス"]
[]
[]
[null,null,"　下記のとおり定めたので別紙経歴書を添えて通知します。"]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"件 　　　　 名"]
[]
[]
[null,"履　行  場  所"]
[]
[]
[null,"発 注 限 度 額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"技　術　者　等",null,null,null,null,null,"氏　　　　名",null,null,null,null,null,null,null,null,null,"建設業法上の該当資格に○をつける"]
[]
[null,"代　　理　　人",null,null,null,null,null,"ふりがな"]
[]
[]
[null,"（連絡用メールアドレス）"]
[null,"主 任 技 術 者",null,null,null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,"建設業法第１５条第２号"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"イ  ・  ロ  ・  ハ"]
[null,"専 門 技 術 者",null,null,null,null,null,"ふりがな",null,null,null,null,null,null,null,null,null,"建設業法第１５条第２号"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"イ  ・  ロ  ・  ハ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　　　　　　　　　　　）"]
[]
[null," 注１： 代理人及び主任技術者とは、単価契約書の約款第９条に該当するものをいう。"]
[]
[null," 注２： 専門技術者については、管理の対象となる工事名を（　　）書きすること。"]
[]
[]
[null,"様式３・第３号"]
[]
[null,"経　歴　書（　　　　）"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ふ り が な",null,null,null," "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　　名",null,null,null," "]
[]
[]
[]
[]
[null,"学　　　　歴"]
[null,"年　　月"]
[]
[]
[]
[]
[]
[]
[null,"職　　　　歴"]
[null,"年　　月"]
[]
[null,"年　　月～　　年　　月"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"資　　　　格"]
[null,"年　　月"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"注：１",null,null,"　表題の（ ）内には、代理人等該当する者の名称を記入すること。"]
[]
[null,"注：２",null,null,"　職暦欄は、職歴とともに主任技術者又は管理技術者及び専門技術者の資格に関連する期間\nの工事経歴を記入すること。"]
[]
[null,"注：３",null,null,"　資格欄には、特に仕様書等で定められたものを記入すること。"]
[]
[null,"注：４",null,null,"　資格保有者の場合は、資格を確認できる資格証等の写しを添付すること。"]

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[null,"様式３・第４号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"支給材",null,null,null,null,null,null,null,null,null,null,null,null,"請求\n受領\n返納",null,null,null,null,"書（第　回）"]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名※）"]
[]
[]
[]
[]
[]
[]
[null,null,"下記に使用する支給材料を別紙のとおり",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"請求します。\n受領しました。\n返納します。"]
[]
[]
[]
[null,"契  約  番  号"]
[]
[]
[null,"件 　　　　 名"]
[]
[]
[null,"履　行  場  所"]
[]
[]
[null,"発 注 限 度 額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"支　給　材　料",null,null,null,null,null,"　別紙記載のとおり"]
[]
[]
[]
[null,"※　受注者氏名欄に記名の上、押印又は押印を省略する場合には以下を記載する。"]
[null,"〔本書類を発行することができる権限を有する者〕"]
[null,null,"役職:",null,null,null,null,null,null,null,null,null,null,null,"氏名:",null,null,null,null,null,null,null,"電話番号:"]
[]
[null,"〔事務担当者〕"]
[null,null," 所属:",null,null,null,null,null,null,null,null,null,"役職:",null,null,null,null,"氏名:",null,null,null,null,null,null,"電話番号:"]
[]
[]
[null,"（区職員使用欄）押印省略時の\n本人確認日、確認方法及び確認者",null,null,null,null,null,null,null,null,null,"　　年　　月　　日",null,null,null,null,null,null," □対面 □電話 □テレビ会議",null,null,null,null,null,null,null,null,"（確認者氏名）"]
[]
[]
[]
[]
[]
[null,"様式３・第５号"]
[]
[null,"支給材料（請求・受領・返納）内訳書"]
[]
[]
[null,"支給材料品名",null,null,null,null,"形状寸法",null,null,null,null,"単位",null,"総数量",null,null,null,"前回までの\n 数　　  量",null,null,null,"今回の\n数　量",null,null,null,"累　計",null,null,null,"残数量"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]

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[null,"様式３・第６号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"完　　了　　届"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（発注者宛）　",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[]
[]
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[null,null,"　下記指示の件を本日完了したので届け出ます。 "]
[]
[]
[null,"契　約　番　号",null,null,null,null,null," "]
[]
[]
[null,"指　示　番　号",null,null,null,null,null," "]
[]
[]
[null,"件　　　　　名",null,null,null,null,null," "]
[]
[]
[null,"履　行　場　所",null,null,null,null,null," "]
[]
[]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"指 示 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"指　示　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"受 付 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","監　 督 　員\n職　 氏 　名"]
[]
[]
[null,"検 査 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","検　 査 　員\n職　 氏 　名"]

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[null,"様式３・第７号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"完  了  報  告  書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"工事主管係長",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"受託者",null,null,"住　所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,null,"（法人の場合は\n　　名称及び代表者名）"]
[]
[]
[]
[]
[]
[]
[null,null,"　下記指示の件を本日完了したので届け出ます。 "]
[]
[]
[null,"契　約　番　号",null,null,null,null,null," "]
[]
[]
[null,"指　示　番　号",null,null,null,null,null," "]
[]
[]
[null,"件　　　　　名",null,null,null,null,null," "]
[]
[]
[null,"履　行　場　所",null,null,null,null,null," "]
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[]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"指 示 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"指　示　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,"受 付 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","監　 督 　員\n職　 氏 　名"]

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[null,"様式４・第１号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,null,"中○○第□□□□",null,null,null,null,null,null,"号"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"（受注者宛）",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"中野区長",null,null,null,null,null,"○　○　　○　○"]
[]
[]
[]
[null,"監 督 員 の 通 知 に つ い て"]
[]
[]
[]
[]
[null,"　下記の工事について、契約約款第８条第１項に基づく監督員の職氏名を通知します。"]
[]
[]
[null,null,1,"．","所        属"]
[]
[]
[null,null,2,"．","職   氏   名"]
[]
[null,null,null,null,"総　　括　　監　　督　　員   ：",null,null,null,null,null,null,null,null,null,null,"副参事",null,null,null,null,null,"〇〇　〇〇"]
[]
[null,null,null,null,"主　　任　　監　　督　　員　 ：",null,null,null,null,null,null,null,null,null,null,"主事",null,null,null,null,null,"〇〇　〇〇"]
[]
[null,null,null,null,"担　　当　　監　　督　　員   ：",null,null,null,null,null,null,null,null,null,null,"主事",null,null,null,null,null,"〇〇　〇〇"]
[]
[]
[null,null,3,"．","備　　　　考",null,null,null,null,"本工事では、下記により工事監督業務を委託しております。"]
[]
[null,null,null,null,null,null,null,null,null,"（１）工事監督業務受託者　（公財）東京都道路整備保全公社"]
[null,null,null,null,null,null,null,null,null,"（２）管理技術者　○○○○"]
[null,null,null,null,null,null,null,null,null,"（３）工事監督業務技術者　○○○○"]
[null,null,null,null,null,null,null,null,null,"（４）業務委託内容"]
[null,null,null,null,null,null,null,null,null,null,"①本工事の契約の履行に必要な資料の作成"]
[null,null,null,null,null,null,null,null,null,null,"②本工事の施工状況の照合等"]
[null,null,null,null,null,null,null,null,null,null,"③その他必要な資料の作成、立会い、受注者への指導、助言等"]
[null,null,null,null,null,null,null,null,null,null,"　指導にあたり、「通知書」を発行"]
[]
[null,"記"]
[]
[null,null,null,1,"．","契　約　番　号"]
[]
[null,null,null,2,"．","工　事　件　名"]
[]
[null,null,null,3,"．","工　事　場　所"]
[]
[null,null,null,4,"．","契　約　金　額"]
[]
[null,null,null,5,"．","契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,null,null,6,"．","履 行 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]

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[null,"様式４・第２号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,null,"中○○第□□□□",null,null,null,null,null,null,"号"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"（受託者宛）",null,null,null,null,null,null,null,null,null,"様"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"中野区長",null,null,null,null,null,"○　○　　○　○"]
[]
[]
[]
[null,"監 督 員 の 通 知 に つ い て"]
[]
[]
[]
[]
[null,"　下記の委託について、監督員の職氏名を通知します。"]
[]
[]
[null,null,1,"．","所        属"]
[]
[]
[null,null,2,"．","職   氏   名"]
[]
[null,null,null,null,"総　　括　　監　　督　　員   ：",null,null,null,null,null,null,null,null,null,null,"副参事",null,null,null,null,null,"〇〇　〇〇"]
[]
[null,null,null,null,"主　　任　　監　　督　　員　 ：",null,null,null,null,null,null,null,null,null,null,"主事",null,null,null,null,null,"〇〇　〇〇"]
[]
[null,null,null,null,"担　　当　　監　　督　　員   ：",null,null,null,null,null,null,null,null,null,null,"主事",null,null,null,null,null,"〇〇　〇〇"]
[]
[]
[null,"記"]
[]
[null,null,null,1,"．","契　約　番　号"]
[]
[null,null,null,2,"．","委　託　件　名"]
[]
[null,null,null,3,"．","委　託　場　所"]
[]
[null,null,null,4,"．","契　約　金　額"]
[]
[null,null,null,5,"．","契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,null,null,6,"．","履 行 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]

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[null,"様式４・第３号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"承　 諾　 書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（現場代理人）",null,null,null,null,null,null,null,null,null,"様"]
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[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(所属）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(監督員)",null,null,null,null,null,"（職氏名）\n　　主事　〇〇　〇〇"]
[]
[]
[null,"契　約　番　号",null,null,null,null,null," "]
[]
[]
[null,"工　事　件　名",null,null,null,null,null," "]
[]
[]
[null,"工　事　場　所",null,null,null,null,null," "]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"受 領 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","現場代理人氏名"]
[]
[null,"受 領 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","受 領 者 氏 名"]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"注 １．この様式は、主として現場の施工に関する承諾等に使用する。"]

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[null,"様式４・第４号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"指　示　書"]
[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和",null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（現場代理人）",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(所属）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(監督員)",null,null,null,null,null,"（職氏名）\n　　主事　〇〇　〇〇"]
[]
[]
[null,"契　約　番　号",null,null,null,null,null," "]
[]
[]
[null,"工　事　件　名",null,null,null,null,null," "]
[]
[]
[null,"工　事　場　所",null,null,null,null,null," "]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"　上記事項について○○月○○日までに改善されなかった場合は、改善指示書を交付し、工事成績表提示に、当該項目について「不備」評価とします。○○年○○月○○日までに改善内容を「改善報告書」にて報告してください。"]
[]
[]
[]
[null,"受 領 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","現場代理人氏名"]
[]
[null,"受 領 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","受 領 者 氏 名"]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"注１.この様式は、現場の施工に関して不良箇所等の改善指示、または条件等の伝達に使用する。\n  ２.条件等の伝達では、「改善報告書」による報告の記載は不要。"]

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[null,"様式４・第４号の２"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,null,"中○○第□□□□",null,null,null,null,null,null,"号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,null,null,null,null,null,null,null,null,null,null,null,"工事\n委託",null,null,null,null,"指　示　書"]
[]
[]
[]
[null,"（単価契約/基本契約）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（受注者・受託者）",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（発注者）"]
[]
[]
[]
[]
[]
[null,"契　約　番　号",null,null,null,null,null," "]
[]
[]
[null,"指　示　番　号",null,null,null,null,null," "]
[]
[]
[null,"件　　　　　名",null,null,null,null,null," "]
[]
[]
[null,"履　行　場　所",null,null,null,null,null," "]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"指 示 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"指　示　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"指　示　工　種"]
[]
[]
[]
[]
[]
[null,"備　　　　　考"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"注.この様式は、単価契約及び基本契約の工事及び委託の場合に使用する。"]

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[null,"様式４・第５号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"改　善　指　示　書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（現場代理人）",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(所属）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(監督員)",null,null,null,null,null,"（職氏名）\n　　主事　〇〇　〇〇"]
[]
[]
[null,"契　約　番　号",null,null,null,null,null," "]
[]
[]
[null,"工　事　件　名",null,null,null,null,null," "]
[]
[]
[null,"工　事　場　所",null,null,null,null,null," "]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,null,"　下記事項について、○○月○○日に指示書を交付しましたが、□□月□□日現在改善されていないため、△△月△△日までに改善するよう指示します。期日までに改善措置が行われなかった場合は、改善命令書を交付し、工事成績評定時に減点します。\n　なお、今回の改善指示書交付に基づき、工事成績評定時に当該項目について「不備」評価とします。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"　△△年△△月△△日までに改善内容を「改善報告書」にて報告してください。"]
[]
[null,"受 領 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","現場代理人氏名"]
[]
[null,"受 領 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","受 領 者 氏 名"]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"注１.この様式は、現場の施工に関して不良箇所等の改善指示、または条件等の伝達に使用する。\n  ２.条件等の伝達では、「改善報告書」による報告の記載は不要。"]

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[null,"様式４・第６号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,"改　善　命　令　書"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（現場代理人）",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(所属）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(総括監督員)",null,null,null,null,null,"（職氏名）\n　　副参事　〇〇　〇〇"]
[]
[]
[null,"契　約　番　号",null,null,null,null,null," "]
[]
[]
[null,"工　事　件　名",null,null,null,null,null," "]
[]
[]
[null,"工　事　場　所",null,null,null,null,null," "]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"工          期",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[null,null,"　下記事項について、○○月○○日に改善指示書を交付しましたが、□□月□□日現在改善されていないため、△△月△△日までに改善するよう命令します。\n　なお、今回の改善命令書交付に基づき、工事成績評定時に当該項目について減点します。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"　△△年△△月△△日までに改善内容を「改善報告書」にて報告してください。"]
[]
[null,"受 領 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","現場代理人氏名"]
[]
[null,"受 領 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","受 領 者 氏 名"]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"注１.この様式は、現場の施工に関して不良箇所等の改善指示、または条件等の伝達に使用する。\n  ２.条件等の伝達では、「改善報告書」による報告の記載は不要。"]

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[null,"様式４・第７号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"係　長",null,null,null,"担 当 者"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,null,"中○○第□□□□",null,null,null,null,null,null,"号"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"（受注者）",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（発注者）"]
[]
[]
[null,"調査結果通知書"]
[]
[]
[]
[null,null,"　令和　　年　　月　　日付で請求のあった件について、下記のとおり調査・検討の結果を通知いたします。\n　なお、工事請負契約書第　　条の協議については別途行うので、念のため申し添えます。"]
[]
[]
[]
[]
[null,"工　事　番　号",null,null,null,null,null," "]
[]
[]
[null,"契　約　番　号",null,null,null,null,null," "]
[]
[]
[null,"工　事　件　名",null,null,null,null,null," "]
[]
[]
[null,"工　事　場　所",null,null,null,null,null," "]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履　行　期　限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"［調査・検討結果］"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"注.工事請負契約書第１８条第１項に基づき、確認請求がなされた場合、その調査結果を通知する際に使用する。なお、工事請負契約書第２２条及び２３条の協議は、別途行うものであり、本通知をもって、決定される者ではない。"]

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[null,"様式４・第８号"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,null,"中○○第□□□□",null,null,null,null,null,null,"号"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[null,null,"（受託者）",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(発注者)"]
[]
[]
[]
[null,"承　 認　 書"]
[]
[]
[]
[]
[]
[null,null,null,"〇〇年〇〇月〇〇日に受領した再委託承認願について、契約約款に基づき承認する。"]
[]
[]
[]
[]
[null,"契　約　番　号",null,null,null,null,null," "]
[]
[]
[null,"委　託　件　名",null,null,null,null,null," "]
[]
[]
[null,"委　託　場　所",null,null,null,null,null," "]
[]
[]
[null,"契　約　金　額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"契 約 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"履  行  期  限",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"再 委 託 金 額",null,null,null,null,null,"￥"]
[]
[null,null,null,null,null,null,null,"（うち取引に係る消費税及び地方消費税の額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"￥",null,null,null,null,null,null,null,null,null,"）"]
[null,"協 力 会 社 名"]
[]
[]
[]
[]
[null,"受 領 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","代 理 人 氏 名"]
[]
[null,"受 領 年 月 日",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","受 領 者 氏 名"]
[]
[]
[null,"監理業務受託者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者名"]
[]
[]
[null,"注 １．この様式は、再委託の承認に使用する。"]

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[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"【警察署提出年月日】",null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
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[null,null,"道路工事等協議書"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,null,"中○○第□□□□",null,null,null,null,null,null,"号"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"警視庁",null,null,"中野\n野方",null,null,"警察署長",null,null,null,"様"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"中野区長",null,null,null,null,null,"○　○　　○　○"]
[]
[]
[]
[null,"工事の種別",null,null,null,null,null,"道路改良",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"道路の種別",null,null,null,null,"区道"]
[]
[null,"場所又は区間",null,null,null,null,null,"　中野区〇〇□丁目□番先から□番先　外△路線"]
[]
[null,"協　議　事　項",null,"期　間",null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","～",null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,null,null,"工　事\n又は\n概　要",null,null,null,"施工時間",null,null,null,null,null,"　A.M　８：３０～P.M６：００"]
[]
[]
[]
[]
[]
[]
[]
[]
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[null,null,null,"道路交通に\n対する措置",null,null,null,"　通行止・車両通行止・片側通行止・昼間施工\n\n　協議条項により措置する。"]
[]
[]
[]
[null,"添付書類",null,null,null,null,null,"　位置図・平面図・施工計画書"]
[]
[null,"監　督　員",null,null,null,null,null,"所　　　属",null,null,null,null,null,"　中野区〇〇〇〇部□□課△△△△係"]
[]
[null,null,null,null,null,null,null,"職　氏　名",null,null,null,null,null,"　主事　○○　○○"]
[]
[null,null,null,null,null,null,null,"連　絡　先",null,null,null,null,null,"　03-3228-〇〇〇〇（直通）"]
[]
[null,"受　注　者",null,null,null,null,null,"住　　　所",null,null,null,null,null,"　中野区〇〇□丁目-□-□"]
[]
[null,null,null,null,null,null,null,"責　任　者",null,null,null,null,null,"　○○建設株式会社　　現場代理人　□□　□□"]
[]
[null,null,null,null,null,null,null,"連　絡　先",null,null,null,null,null,"　090-0000-0000"]
[]
[null,"　第　　　　　　　　　号"]
[]
[null,"上記の協議について別紙のとおり回答する｡"]
[]
[null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"警視庁",null,null,"中野\n野方",null,"警察署長"]

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[]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
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[null,"○○建設株式会社",null,null,null,null,null,null,null,null,null,"御中",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"中野区長",null,null,null,null,null,"○　○　　○　○"]
[]
[]
[]
[null,"公共工事（委託）環境配慮依頼書"]
[]
[]
[]
[]
[null,"　中野区は環境負荷の低減や環境の質の向上に資するための総合的な取り組みを推進するために、環境を管理する仕組みを構築し、見直し・改善を図りながら継続的に運用（中野区環境マネジメントシステム）することとしました。\n　このシステムでは本区職員のみならず、本区との契約により工事（委託）を実施していただく貴社及び関連業者にも、下記環境配慮項目を推進し環境に配慮した活動を実施するようお願いします。\n　つきましては、環境配慮項目をご確認の上で同封の確認書を返送くださいますようお願いします。\n"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当：",null,null,"　〇〇〇〇部　〇〇課"]
[]
[]
[null,"契約件名：",null,null,null,"　○○○○○○○○○○工事"]
[]
[]
[null,"公共工事環境配慮項目\n\n１.燃料の消費抑制等\n（１） 関連する法規制を順守すること。\n（２） タイヤ空気圧調整や黒煙排出状況の点検など、車両整備を励行すること。\n（３） 車両の急発進・急加速・急減速の抑制に努めること。\n（４） 走行距離が短くなるルートを選択すること。\n（５） 使用する車両、機械等の作業中以外のエンジン停止を徹底すること。（アイドリングス\n　　　トップの徹底）\n（６） 作業時間の厳守を徹底すること。\n（７） 使用する機械等については、排ガス対策型機械とすること。\n\n２.騒音・振動発生の抑制\n（１） 騒音規制法、振動規制法、その他条例など関連する法規制を順守すること。\n（２） 使用する機械等については、低騒音・低振動型機械とすること。\n\n３.資源消費の抑制\n（１） 資源の有効な利用の促進に関する法律など関連する法規制を順守すること。\n（２） 効率・効果的な原材料の使用に配慮し、資源消費の抑制に努めること。\n（３） 現場内発生材のうち、利用可能なものは再利用するなど、資源消費の抑制に努めること。\n\n４.建設副産物対策\n（１） 廃棄物の処理及び清掃に関する法律、建設工事に係る資材の再資源化等に関する法律等関\n　　　連する法規制を順守すること。\n（２） 発生する建設副産物の分別を徹底し、可能な限り再資源化に努めること。\n\n５.その他の環境配慮\n（１） その他設計図書及び本項目の定め以外の環境に配慮した施工方法などがある場合は、監督員と協議の上、積極的に環境に配慮した施工の推進に努めること。\n（２） 必要に応じ周辺住民への事前説明を行うなどの建設公害対策に配慮すること。\n（３） 粉塵などが飛散する恐れがある場合、飛散防止措置を講じるなどの配慮をすること。\n（４） その他環境に配慮した施工を作業従事者に指示徹底すること\n"]

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[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,"中野区長",null,null,null,null,null,null,null,null,null,"様"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住　所"]
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[null,"公共工事（委託）環境配慮確認書"]
[]
[]
[]
[]
[null,"　　　年　月　日付けの環境配慮依頼書で依頼のあった事項について確認しましたので、依頼事項を踏まえて環境保全に配慮し、工事（委託）を履行します。"]
[]
[]
[]
[]
[]
[null,"契約件名：",null,null,null,"　○○○○○○○○○○工事"]

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[null,"通　知　書"]
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[null,"　中野区長　",null,null,null,null,null,"様"]
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[null,null,null,null,null,null,null,null,null,null,null,null,"（工事発注者）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"発注者職氏名：",null,null,null,null,null,"中野区長",null,null,null,null,"〇〇　〇〇"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,"住　　　　所：",null,null,null,null,null,"　中野区中野四丁目８番１号"]
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[null,"　建設工事に係る資材の再資源化等に関する法律第１１条の規定により、下記のとおり通知します。"]
[]
[]
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[null,"記"]
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[null,"発注者",null,"所属名",null,null,null,null,"　中野区都市基盤部道路管理課○○係"]
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[null,null,null,"担当者職氏名",null,null,null,null,"主事",null,null,null,null,"　○○○○"]
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[null,null,null,"電話番号",null,null,null,null,"　03-3389-1111（内線〇〇〇〇）"]
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[null,"工事の内容",null,"工事の名称",null,null,null,null,"　○○○○○○○○○○工事"]
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[null,null,null,"工事の場所",null,null,null,null,"　"]
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[null,null,null,"工事の概要",null,null,null,null,"工事の種類"]
[null,null,null,null,null,null,null,null,null,"□建築物に係る解体工事　□建築物に係る新築又は増築の工事"]
[null,null,null,null,null,null,null,null,null,"□建築物に係る新築工事等であって新築又は増築の工事に該当しないもの"]
[null,null,null,null,null,null,null,null,null,"■建築物以外のものに係る解体工事又は新築工事等（　　　　　舗装　　　　　）注１"]
[null,null,null,null,null,null,null,null,"工事の規模"]
[null,null,null,null,null,null,null,null,null,"建築物に係る解体工事　　　　　　用途　　　、階数　　　、工事対象床面積　　　　㎡"]
[null,null,null,null,null,null,null,null,null,"建築物に係る新築又は増築の工事　用途　　　、階数　　　、工事対象床面積　　　　㎡"]
[null,null,null,null,null,null,null,null,null,"建築物に係る新築工事等であって新築又は増築の工事に該当しないもの"]
[null,null,null,null,null,null,null,null,null,"　　　　　　　　　　　　　　　　用途　　　、階数　　　、工事対象床面積　　　　㎡"]
[null,null,null,null,null,null,null,null,null,"建築物以外のものに係る解体工事又は新築工事等　　　　　請負代金12,600万円（税込）"]
[null,null,null,"工期",null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","～",null,null,null,null,null,"年",null,null,"月",null,null,"日"]
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[null,null,null,null,null,null,null,null,"　　工事着手予定日：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,"受注者",null,"会社名",null,null,null,null,"　○○建設株式会社",null,null,null,null,null,null,null,null,null,"現場代理人氏名"]
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[null,null,null,"所在地",null,null,null,null,"　〒164-0001　中野区中野四丁目８番１号"]
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[null,null,null,"電話番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＦＡＸ"]
[]
[]
[null,"※受付番号："]
[]
[]
[null,"注１）建築物以外のものに係る解体工事又は新築工事等の場合は工事の具体的な種類を\n　　記入する。\n　　（例：舗装、築堤、土地改良等）"]

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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,null,"中○○第□□□□",null,null,null,null,null,null,"号"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目次へ"]
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[null,"東京都水道局　西部支所長　様",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"東京都水道局　西部支所長　様"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"東京都下水道局　西部第一下水道事務所長　様"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"東京電力パワーグリッド株式会社株式会社　東京支店長　様"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"中野区長",null,null,null,null,null,"○　○　　○　○",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"東日本電信電話株式会社　東京支店　設備部長　様"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"東京ガス株式会社　中央導管ﾈｯﾄﾜｰｸｾﾝﾀｰ所長　様"]
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[]
[]
[null,"現場立ち会い並びに埋設管位置調査"]
[]
[]
[]
[]
[]
[null,"　このことについて、下記工事の施工にあたり、貴所属の埋設管等が工事施工範囲に含まれておりますので、事故防止のため立ち会い並びに位置の調査をされるようお願いします。"]
[]
[]
[]
[]
[null,"記"]
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[null,null,1,null,"工　事　件　名"]
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[]
[null,null,2,null,"工　事　場　所"]
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[null,null,3,null,"工　事　期　間",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","～",null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,4,null,"受　　注　　者",null,null,null,null,null,"会　社　名",null,null,null,null,"　○○建設株式会社"]
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[]
[null,null,null,null,null,null,null,null,null,null,"現場代理人",null,null,null,null,"　〇〇　〇〇"]
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[]
[null,null,null,null,null,null,null,null,null,null,"電 話 番 号",null,null,null,null,"　"]
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[]
[null,null,5,null,"連　　絡　　先",null,null,null,null,null,"所　　　属 ",null,null,null,null,"　中野区都市基盤部　道路管理課　○○○○係"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"担　当　者 ",null,null,null,null,"　〇〇　〇〇"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"電 話 番 号"]

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[null,"６中都管第　　　号",null,null,null,null,null,{"$f":"B1","v":"６中都管第　　　号"}]
[null,null,"身分証明書",null,null,null,null,null,{"$f":"C2","v":"身分証明書"}]
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[null,"氏名","中野　太郎","昭和　年　月　日生",null,null,null,"氏名",null,"昭和　年　月　日生"]
[null,"勤務先","○○測量株式会社",null,null,null,null,"勤務先","○○測量株式会社"]
[null,"住所","中野区中野４－８－１",null,null,null,null,"住所","中野区中野４－８－１",null,null,null,"目次へ"]
[]
[null,"上記の者は道路法第66条第1項の規定により道路に関する調査等のため他人の土地に立ち入ることができる者であることを証する。",null,null,null,null,null,"上記の者は道路法第66条第1項の規定により道路に関する調査等のため他人の土地に立ち入ることができる者であることを証する。"]
[null,"　　　交付　 　令和　年　月　日　　有効期限　令和　年　月　日",null,null,null,null,null,"　　　交付　 　令和　年　月　日　　有効期限　令和　年　月　日"]
[null,"道路管理者　","中野区長","酒井　直人",null,null,null,"道路管理者　","中野区長","酒井　直人"]
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[null,{"$f":"$B$1","v":"６中都管第　　　号"},null,null,null,null,null,{"$f":"B1","v":"６中都管第　　　号"}]
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[null,"住所","中野区中野４－８－１",null,null,null,null,"住所","中野区中野４－８－１"]
[]
[null,"上記の者は道路法第66条第1項の規定により道路に関する調査等のため他人の土地に立ち入ることができる者であることを証する。",null,null,null,null,null,"上記の者は道路法第66条第1項の規定により道路に関する調査等のため他人の土地に立ち入ることができる者であることを証する。"]
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[null,"道路管理者　","中野区長",{"$f":"D10","v":"酒井　直人"},null,null,null,"道路管理者　","中野区長",{"$f":"D10","v":"酒井　直人"}]
[]
[null,{"$f":"B1","v":"６中都管第　　　号"},null,null,null,null,null,{"$f":"B1","v":"６中都管第　　　号"}]
[null,null,"身分証明書",null,null,null,null,null,"身分証明書"]
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[null,"氏名",null,"昭和　年　月　日生",null,null,null,"氏名",null,"昭和　年　月　日生"]
[null,"勤務先",{"$f":"C5","v":"○○測量株式会社"},null,null,null,null,"勤務先",{"$f":"C5","v":"○○測量株式会社"}]
[null,"住所","中野区中野４－８－１",null,null,null,null,"住所","中野区中野４－８－１"]
[]
[null,"上記の者は道路法第66条第1項の規定により道路に関する調査等のため他人の土地に立ち入ることができる者であることを証する。",null,null,null,null,null,"上記の者は道路法第66条第1項の規定により道路に関する調査等のため他人の土地に立ち入ることができる者であることを証する。"]
[null,{"$f":"$B$9","v":"　　　交付　 　令和　年　月　日　　有効期限　令和　年　月　日"},null,null,null,null,null,{"$f":"$B$9","v":"　　　交付　 　令和　年　月　日　　有効期限　令和　年　月　日"}]
[null,"道路管理者　","中野区長",{"$f":"D10","v":"酒井　直人"},null,null,null,"道路管理者　","中野区長",{"$f":"D10","v":"酒井　直人"}]
[]
[null,{"$f":"B1","v":"６中都管第　　　号"},null,null,null,null,null,{"$f":"B1","v":"６中都管第　　　号"}]
[null,null,"身分証明書",null,null,null,null,null,"身分証明書"]
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[null,"氏名",null,"昭和　年　月　日生",null,null,null,"氏名",null,"昭和　年　月　日生"]
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[null,"住所","中野区中野４－８－１",null,null,null,null,"住所","中野区中野４－８－１"]
[]
[null,"上記の者は道路法第66条第1項の規定により道路に関する調査等のため他人の土地に立ち入ることができる者であることを証する。",null,null,null,null,null,"上記の者は道路法第66条第1項の規定により道路に関する調査等のため他人の土地に立ち入ることができる者であることを証する。"]
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[]
[null,{"$f":"B1","v":"６中都管第　　　号"},null,null,null,null,null,{"$f":"B1","v":"６中都管第　　　号"}]
[null,null,"身分証明書",null,null,null,null,null,"身分証明書"]
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[null,"氏名",null,"昭和　年　月　日生",null,null,null,"氏名",null,"昭和　年　月　日生"]
[null,"勤務先",{"$f":"C5","v":"○○測量株式会社"},null,null,null,null,"勤務先",{"$f":"C5","v":"○○測量株式会社"}]
[null,"住所","中野区中野４－８－１",null,null,null,null,"住所","中野区中野４－８－１"]
[]
[null,"上記の者は道路法第66条第1項の規定により道路に関する調査等のため他人の土地に立ち入ることができる者であることを証する。",null,null,null,null,null,"上記の者は道路法第66条第1項の規定により道路に関する調査等のため他人の土地に立ち入ることができる者であることを証する。"]
[null,{"$f":"$B$9","v":"　　　交付　 　令和　年　月　日　　有効期限　令和　年　月　日"},null,null,null,null,null,{"$f":"$B$9","v":"　　　交付　 　令和　年　月　日　　有効期限　令和　年　月　日"}]
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[null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。",null,null,null,null,null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。"]
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[null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。",null,null,null,null,null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。"]
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[null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。",null,null,null,null,null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。"]
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[null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。",null,null,null,null,null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。"]
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[null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。",null,null,null,null,null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。"]

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[null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。",null,null,null,null,null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。"]
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[null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。",null,null,null,null,null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。"]
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[null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。",null,null,null,null,null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。"]
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[null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。",null,null,null,null,null,"1. この証明書は、委託業務に従事する場合には、必ず携帯し、関係人に請求があったときは、いつでも提示しなければならない。\n2.この証明書の記載事項は訂正しない訂正したものは無効とする。\n3. この証明書は、他人に貸与し、又は譲渡してはならない。\n4. この証明書を紛失したときは、すみやかに中野区長へ届け出なければならない。\n5. この証明書の有効期間は、委託期間とし、有効期間を経過したときは、すみやかに中野区長へ返還しなければならない。"]