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["使用する様式一覧",null,"【凡例】\n◎　特別重点調査時、様式及び添付資料を提出\n○　低入札時、様式のみ提出\n●　予定価格以下であり調査基準価格を満たす時、様式のみ提出"]
["様式番号","名称","施工体制\n確認型\n総合評価","低入札\n価格調査\n(特別重点調査)"]
[]
["様式１","当該価格で入札した理由",null,"◎"]
["様式２－１","積算内訳書（兼）コスト縮減額算定調書①","○","◎"]
["様式２－１（営繕）","積算内訳書（兼）コスト縮減額算定調書①","○","◎"]
["様式２－２","内訳書に対する明細書（兼）コスト縮減額算定調書②","○","◎"]
["様式２－２（営繕）","内訳書に対する明細書（兼）コスト縮減額算定調書②","○","◎"]
["様式２－３","一般管理費等の内訳書",null,"◎"]
["様式２－４","ＶＥ提案等によるコスト縮減額調書","○"]
["様式３","下請予定業者等一覧表","○","◎"]
["様式４","配置予定技術者名簿","○","◎"]
["様式５－１","手持ち工事の状況（対象工事現場付近）",null,"◎"]
["様式５－２","手持ち工事の状況（対象工事関連）",null,"◎"]
["様式６","契約対象工事箇所と入札者の事務所、倉庫等との関係",null,"◎"]
["様式７－１","手持ち資材の状況",null,"◎"]
["様式７－２","資材購入予定先一覧","○","◎"]
["様式８－１","手持ち機械の状況",null,"◎"]
["様式８－２","機械リース元一覧","○","◎"]
["様式９－１","労務者の確保計画","○","◎"]
["様式９－２","工種別労務者配置計画","○","◎"]
["様式10","建設副産物の搬出地","○","◎"]
["様式11","建設副産物の搬出及び資材等の搬入に関する運搬計画書","○","◎"]
["様式12－１","品質確保体制（品質管理のための人員体制）","○","◎"]
["様式12－２","品質確保体制（品質管理計画書）","○","◎"]
["様式12－３","品質確保体制（出来形管理計画書）","○","◎"]
["様式13－１","安全衛生管理体制（安全衛生教育等）","○","◎"]
["様式13－２","安全衛生管理体制（点検計画）","○","◎"]
["様式13－３","安全衛生管理体制（仮設設置計画）",null,"◎"]
["様式13－４","安全衛生管理体制（交通誘導員配置計画）",null,"◎"]
["様式14","誓約書",null,"◎"]
["様式15","施工体制台帳","○","◎"]
["様式16","過去に施工した同種の公共工事名及び発注者",null,"◎"]
["様式17","施工体制確認のための調査資料","●"]

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["様式17"]
["施工体制確認のための調査資料"]
[]
[null,"○工　　事　　件　　名："]
[null,"○会　　　 社 　　　名："]
[null,"○ﾋｱﾘﾝｸﾞ対象者(役職、氏名)："]
[null,"○連絡先："]
["評価\n項目","設　　　　　問　　　　　内　　　　　容","回答内容"]
["総　　　括\n","　工事の品質確保のために必要な人員及び材料を確保することなどにより、適切な施工体制が確保され、入札説明書・仕様書等に記載している要求要件について、内容を十分に理解の上、確実な実施が可能か。"]
[]
[]
[]
[null,"  提出された工事内訳書の内容で、工事の品質確保及び確実な施工体制の確保が可能か。"]
[]
[null,"　「技術提案書等」として提案している内容について、確実な実施が可能か。"]
[]
["品質確保の実効性","　建設副産物の受け入れ、過積載防止等の法令遵守の対応について確実に行うことが可能か。"]
[]
[null,"  安全確保の体制の構築が可能か。\n"]
[]
[null,"　品質管理・出来形管理計画の策定や品質管理のための人員体制の確保は可能か。"]
[]
["施工体制確保の確実性","  配置予定技術者について必要な資格を有し、その配置が確実に可能か。"]
[]
[null,"  資機材の調達、労務者の確保計画等を適切に行い、施工体制を確実に構築することは可能か。"]
[]
[null,"  施工体系図等を速やかに提出することは可能か。\n"]
[]
[null,"  下請け業者との健全な契約は可能か。\n"]