checklist goods & infra new

Republic of the PhilippinesProvince of Quezon

Municipality of Polillo

(1st Envelope)***Please accomplish and submit in two(2) copies properly indexed and certified true copy by the company.***

DATE: ABC:PROJECT:BIDDER:

IMP.

OFF

ICE

MEM

BER

MEM

BER

MEM

BER

V.-

CH

AIR

MA

N

CH

AIR

MA

N

Initials of BAC Members if document is included.

I. ELIGIBILITY REQUIREMENTS - INFRASTRUCTURE PROJECTSClass "A" Documents

1

2

3 Valid and Current Mayor's Permit/Municipal License.

4 Certificate of BIR Registration (including copy of TIN card)

5 G-EPS Registration Certificate

6 Tax Clearance (BIR)

7

8

9

10 Latest Income Tax Return (ITR including confirmation receipt)

11

Class "B" Documents

12 Valid Joint Venture Agreement, if applicable.

13

14 Company profile

Registration Certificate from SEC, DTI for sole proprietorship, or CDA for cooperatives

Valid PCAB license and registration for the type and and cost of the contract to be bid

Statement of the prospective bidder of all its ongoing government and private contract , including contract awarded but not yet started.

Duly signed statement of all Government & Private Contracts completed which are similar in nature.

Bidder's audited financial statements, stamped "received" by the BIR or its duly accredited authorized institutions, for the immediately preceding calendar year, showing among others the total and current assets and liabilities.

Duly signed computation of NFCC or a commitment from a licensed bank to extend to him a credit line if awarded the contract, or a cash deposit certificate equivalent to 10% of the ABC.

Recent photo of office (showing business signboard) and working area. Attach in long bond paper

II. BID SECURITYForm

Bank Draft or Irrevocable Letter of Credit, 2% of ABC

b. Bank Guarantee, 2% of ABC

c. Surety Bond 5% of ABC

Validity Period: 120 calendar days from openingForm of Bid SecurityCompanyNumberOfficial Receipt No.Validity PeriodCallable on DemandBid Security Amount

1 Bid Security ( ) Sufficient ( ) Insufficient

III. PROJECT REQUIREMENTS

1 Duly signed Organizational Chart for the contract to be bid.

2

3

4 Duly Signed Construction Schedule and S-curve.

5 Duly Signed Manpower Schedule.

6 Duly Signed Construction Method in narrative form.

7 Duly Signed Equipment Utilization Schedule.

8 Duly Signed Construction Safety and Health Program

IV. SWORN STATEMENT BY THE PROSPECTIVE BIDDER OR ITS DULY AUTHORIZED REPRESENTATIVE

1

2

3

4

5

a. Cash, Certified Check, Cashier’s Check, Manager's Check

List of Contractor's Personnel to be assigned to the contract to be bid, with their complete qualification and experience data.

List of contractor's equipment units, which are owned, leased and/or under purchase agreements, supported by certification of availability of equipment lessor/vendor for the duration of the project.

Sworn statement of the prospective bidder that it is not “blacklisted” or barred from bidding by the Government or any of its agencies, offices, corporations or LGUs, including non-inclusion in the Consolidated Blacklisting Report issued by the GPPB or CIAP .

Sworn statement that each of the documents submitted in satisfaction of the eligibility requirements is an authentic and original copy, or a true and faithful reproduction of the original, complete, and that all statements and information provided therein are true and correct.

Sworn statement authorizing the Head of the Procuring Entity or his duly authorized representative/s to verify any or all of the documents submitted.

Sworn statement that the signatory is the duly authorized representative of the prospective bidder, and granted full power and authority to do, execute and perform any and all acts necessary and/or to represent the prospective bidder in the bidding, with the duly notarized Secretary's Certificate attesting to such fact, if the prospective bidder is a corporation, partnership, cooperative or joint venture.

Sworn statement that the bidder is not related to the head of procuring entity, members of the BAC, TWG and Secretariat and members of the PMO or End-User Unit and the designers of the project, by consanguinity or affinity up to the third civil degree and other provision under Section 47 of RA 9184 in relation to other provisions of RA 3019

6 Sworn statement attesting to have complied with bidder's responsibilities

7 Sworn statement in compliance with existing labor laws and standards.

8 Sworn statement of site inspection

Note: Any missing document in the above checklist is a ground for outright rejection of the bid.Remarks: ( ) Passed ( ) Failed




(2nd Envelope)

***Please accomplish and submit in two(2) copies properly indexed ***


IMP.

OFF

ICE

MEM

BER

MEM

BER

MEM

BER

CH

AIR

MA

N


1 Duly Signed Bid Prices in the Bill of Quantities

2 Duly Signed Detailed Estimates

3 Duly Signed Cash Flow by Quarter and Payments Schedule

4 Recurring and maintenance Cost, if applicable

Remarks: ( ) Complying ( ) Non-Complying

Shall contain the following information/documents and shall be opened only if the bidder has complied with the requirements of the First Envelope.

VIC

E-

CH

AIR

MA

N




I. ELIGIBILITY REQUIREMENTS - INFRASTRUCTURE PROJECTSClass "A" Documents

Valid and Current Mayor's Permit/Municipal License.

Certificate of BIR Registration (including copy of TIN card)

G-EPS Registration Certificate

Tax Clearance (BIR)

Latest Income Tax Return (ITR including confirmation receipt)

Class "B" Documents

Valid Joint Venture Agreement, if applicable.

Company profile


Valid PCAB license and registration for the type and and cost of the contract to be

government and private including contract awarded but not yet started.

Duly signed statement of all Government & Private Contracts completed which are


Duly signed computation of NFCC or a commitment from a licensed bank to extend to him a credit line if awarded the contract, or a cash deposit certificate equivalent

Recent photo of office (showing business signboard) and working area. Attach in long

120 calendar days from opening

Bid Security ( ) Sufficient ( ) Insufficient

Duly signed Organizational Chart for the contract to be bid.

Duly Signed Construction Schedule and S-curve.

Duly Signed Manpower Schedule.

Duly Signed Construction Method in narrative form.

Duly Signed Equipment Utilization Schedule.

Duly Signed Construction Safety and Health Program


List of Contractor's Personnel to be assigned to the contract to be bid, with their

List of contractor's equipment units, which are owned, leased and/or under purchase agreements, supported by certification of availability of equipment lessor/vendor for

Sworn statement of the prospective bidder that it is not “blacklisted” or barred from bidding by the Government or any of its agencies, offices, corporations or LGUs, including non-inclusion in the Consolidated Blacklisting Report issued by the GPPB or

Sworn statement that each of the documents submitted in satisfaction of the eligibility requirements is an authentic and original copy, or a true and faithful reproduction of the original, complete, and that all statements and information



Sworn statement that the bidder is not related to the head of procuring entity, members of the BAC, TWG and Secretariat and members of the PMO or End-User Unit and the designers of the project, by consanguinity or affinity up to the third civil degree and other provision under Section 47 of RA 9184 in relation to other

Sworn statement attesting to have complied with bidder's responsibilities

Sworn statement in compliance with existing labor laws and standards.

Sworn statement of site inspection

Note: Any missing document in the above checklist is a ground for outright rejection of the bid.




(2nd Envelope)


Duly Signed Bid Prices in the Bill of Quantities

Duly Signed Detailed Estimates

Duly Signed Cash Flow by Quarter and Payments Schedule

Recurring and maintenance Cost, if applicable

Shall contain the following information/documents and shall be opened only if the bidder has complied with





IMP.

OFF

ICE

MEM

BER

MEM

BER

MEM

BER

V.-

CH

AIR

MA

N

CH

AIR

MA

N


I. ELIGIBILITY REQUIREMENTS - GOODSClass "A" Documents

1

2


4 Certificate of BIR Registration (including copy of TIN card)

5 G-EPS Registration Certificate

6 Tax Clearance (BIR)

7

8

9

10 Latest Income Tax Return (ITR including confirmation receipt)

11

Class "B" Documents

12 Valid Joint Venture Agreement, if applicable.

13


Valid Certification of Compliance from Bureau of Food and Drugs and Product Registration from Food and Drugs Authority (for firm selling drugs and medicines)

Statement of the prospective bidder of all its ongoing government and private contract , including contract awarded but not yet started.

Duly signed statement of all Government & Private Contracts completed which are similar in nature.


Duly signed computation of NFCC or a commitment from a licensed bank to extend to him a credit line if awarded the contract, or a cash deposit certificate equivalent to 10% of the ABC.


14 Company profile

II. BID SECURITYForm

Bank Draft or Irrevocable Letter of Credit, 2% of ABC

b. Bank Guarantee, 2% of ABC

c. Surety Bond 5% of ABC

Validity Period: 120 calendar days from openingForm of Bid SecurityCompanyNumberOfficial Receipt No.Validity PeriodCallable on DemandBid Security Amount

1 Bid Security ( ) Sufficient ( ) Insufficient

III. TECHNICAL SPECIFICATIONS

1 Production/ delivery schedule

2 Manpower requirements

3 After sales service parts, if applicable

4 Duly signed Organizational Chart


1

2

3

4

5

6 Sworn statement attesting to have complied with bidder's responsibilities

a. Cash, Certified Check, Cashier’s Check, Manager's Check

Sworn statement of the prospective bidder that it is not “blacklisted” or barred from bidding by the Government or any of its agencies, offices, corporations or LGUs, including non-inclusion in the Consolidated Blacklisting Report issued by the GPPB or CIAP .

Sworn statement that each of the documents submitted in satisfaction of the eligibility requirements is an authentic and original copy, or a true and faithful reproduction of the original, complete, and that all statements and information provided therein are true and correct.





7 Sworn statement in compliance with existing labor laws and standards.


Remarks: ( ) Passed ( ) Failed



(2nd Envelope)



IMP.

OFF

ICE

MEM

BER

MEM

BER

MEM

BER

CH

AIR

MA

N


1 Duly Signed Bid Prices in the Bill of Quantities

2 Recurring and maintenance Cost, if applicable

Remarks: ( ) Complying ( ) Non-Complying

Shall contain the following information/documents and shall be opened only if the bidder has complied with the requirements of the First Envelope.

VIC

E-

CH

AIR

MA

N




I. ELIGIBILITY REQUIREMENTS - GOODSClass "A" Documents

Valid and Current Mayor's Permit/Municipal License.

Certificate of BIR Registration (including copy of TIN card)

G-EPS Registration Certificate

Tax Clearance (BIR)

Latest Income Tax Return (ITR including confirmation receipt)

Class "B" Documents

Valid Joint Venture Agreement, if applicable.


Valid Certification of Compliance from Bureau of Food and Drugs and Product Registration from Food and Drugs Authority (for firm selling drugs and medicines)

government and private including contract awarded but not yet started.

Duly signed statement of all Government & Private Contracts completed which are


Duly signed computation of NFCC or a commitment from a licensed bank to extend to him a credit line if awarded the contract, or a cash deposit certificate equivalent

Recent photo of office (showing business signboard) and working area. Attach in long

Company profile

120 calendar days from opening

Bid Security ( ) Sufficient ( ) Insufficient

Production/ delivery schedule

Manpower requirements

After sales service parts, if applicable

Duly signed Organizational Chart



Sworn statement of the prospective bidder that it is not “blacklisted” or barred from bidding by the Government or any of its agencies, offices, corporations or LGUs, including non-inclusion in the Consolidated Blacklisting Report issued by the GPPB or

Sworn statement that each of the documents submitted in satisfaction of the eligibility requirements is an authentic and original copy, or a true and faithful reproduction of the original, complete, and that all statements and information





Sworn statement in compliance with existing labor laws and standards.




(2nd Envelope)


Duly Signed Bid Prices in the Bill of Quantities

Recurring and maintenance Cost, if applicable

Shall contain the following information/documents and shall be opened only if the bidder has complied with



BIDS AND AWARDS COMMITTEE

Requirements for Accreditation

1 Registration/Certificate of Accreditation from SEC, DTI or CDA for cooperatives

2


4 Certificate of BIR Registration (copy of TIN ID)

5 G-EPS Registration Certificate (Certified copy by the company)

6 Tax Clearance (BIR) Certified True Copy by the Company

7

8

Valid Certification of Compliance form Bureau of Food and Drugs (for firm selling drugs and medicines)

Statement of the prospective bidder that it is not “blacklisted” or barred from bidding by the Government or any of its agencies, offices, corporations or LGUs, including non-inclusion in the Consolidated Blacklisting Report issued by the GPPB or CIAP
