cqca 22

Implementing Agency :

DATE DESCRIPTION OR NO.AMOUNT 2% 5%

COLLECTED W/holding VAT

- -

Required : CERTIFICATE OF WITHHOLDING TAX

Annex 7.8 Letter-Request for Payment of Progress Billing of the Contractor

MAVERICK BUILDERS INC.22A Park Ave., Bajada, Davao City

March 10, 2012Date

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYSDavao del Sur 1st Engineering District OfficeLapu-Lapu Street, Digos City

Attention : ZENAIDA T. TANEngineer V

Officer-In-Charge

Subject :FOR PERIOD COVERED : February 03, 2012 to March 10, 2012CONTRACT PACKAGES : WIDENING OF DIGOS-MAKAR ROAD

(KM. 1568+(-)447-KM.1568+553; KM.1577+(-)010 - KM. 1578+350

Madam :

We hope that the above is in order and request you preferential attention thereof.

Very truly yours,

DENNIS JORDAN U. CHINGChief Executive Officer

REQUEST FOR PAYMENT OF PROGRESS BILLING NO. 1

We are submitting herewith our Progress Billing No. 1 covering the period of February 03, 2012 to March 10, 2012 in the amount of Ten Million Seven Hundred Sixty Seven Thousand Four Hundred Ninety Three Pesos and 53/100 only (Php 10,767,493.53). We have accomplished the work satisfactorily in accordance to the terms and conditions of the Contract. We also certify that the Performance Security of Contractor's Comprehensive All Risk Insurance (CARI) is valid and premiums have been paid on time. Detailed Quantity Calculation, supporting papers and pertaining documents are hereto attached for your review and approval.

Republicof the Philippines

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYSDigos City

DISBURSEMENT VOUCHERNo.

Mode of

Payment MDS Check Commercial Check ADA Others

PayeeTIN/Employee No. OR/BUR No.

MAVERICK BUILDERS INC.

Address

Responsibility Center

Davao City Office/Unit/Project Code

EXPLANATION AMOUNT

Php 7,812,874.41

Project ID No. : 11LD-0034

Contract Amount : Php 45,306,805.92

Total Value Work to date : 7,812,874.41

Previous : 10,767,493.53

This Billing : Php (2,954,619.12)

Less:

retention = 781,287.44

recoupment = 1,562,574.88

2% w/tax = 97,660.93

5% VAT = 244,152.33 Php 2,685,675.58 Php 5,127,198.83

Certified Approved for Payment

Cash Available

Subject to Authority to Debit Account (whwn applicable)

Supporting documents complete

Signature Signature

HECTOR B. WONG ZENAIDA T. TAN

PositionAccountant 111

PositionEngineer V , Officer-In-Charge

Head,Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

Received Payment JEV No.

Date : Bank Name :

Signature Printed Name : Date

Official Receipt/Other Documents

To first partial billing of work accomplished (25.42%) for the project ; WIDENING OF DIGOS-

MAKAR (KM.1568+(-)447 -KM. 1577+(-)010 - KM. 1578+350, Davao del Sur as per supporting

papers hereto attached and made part hereof in the amount of ----------------------

Seven Million Sixty Six Thousand One Hundred Sixty

Seven Pesos & 63/100

Printed Name

Printed Name

Check / ADA No.

A B

C

STATEMENT OF WORK ACCOMPLISHEDFor the Period : March 11, 2012 to April 10, 2012

PROJECT ID NO. : 11LD-0034

NAME OF PROJECT : WIDENING OF DIGOS-MAKAR ROAD (KM.1568+ (-)447 - KM. 1568+553 ; KM. 1577+(-)010 - KM. 1578+350

CONTRACTOR : MAVERICK BUILDERS, INC.

ITEM NO. DESCRIPTION UNIT

PROJECT A - 1568+(-)447 TO 1568+553

101(2) Removal of Structures and Obstructions each 6.00 660.80 3,964.80 3.000 3.000 6.00 102(2) Surplus Common Excavation cu.m. 1,402.00 262.12 367,492.24 531.90 568.100 1,100.00 104(1) Embankment (from Excavation) cu.m. 2,400.00 249.21 598,104.00 1,623.99 356.010 1,980.00 105(1) Subgrade Preparation sq.m. 10,283.22 11.97 123,090.14 5,105.93 1,578.070 6,684.00

200 Aggregate Subbase Course cu.m. 4,403.00 671.72 2,957,583.16 1,710.51 1,151.490 2,862.00 302 Bituminous Tack Coat, (Emulsified) m.t. 0.41 73,075.90 29,961.12 - - 310 Bituminous Concrete Surface Course, Hot Laid sq.m. 294.60 701.64 206,703.14 - -

311(1) PCC Pavement (Plain), thk = 0.28 m sq.m. 6,579.40 1,421.85 9,354,919.89 3,108.80 2,009.200 5,118.00 101(2)a Removal of Existing Headwall each 18.00 4,370.69 78,672.42 12.000 12.00 101(2)b Removal of Existing Wingwall each 6.00 4,752.38 28,514.28 4.000 4.00 103(1) Structure Excavation cu.m. 91.80 358.69 32,927.74 - - 103(3) Foundation Fill cu.m. 20.29 1,090.17 22,119.55 - - 103(6) Pipe and Drain Excavation cu.m. 43.32 440.83 19,096.76 - - 404(a) Reinforcing Steel, Grade 40 kgs. 15,692.73 70.92 1,112,928.41 - -

405(1) Structural Concrete Class "A" cu.m. 183.96 6,995.43 1,286,879.30 - -

405(2) Structural Concrete Calss "B" cu.m. 5.14 5,752.53 29,568.00 - - 500(1)b Pipe Culvert, 910mm Ø ln.m. 34.00 8,026.88 272,913.92 - - 500(1)c Pipe Culvert, 1220mm Ø ln.m. 5.00 13,116.36 65,581.80 - -

504(1) Removing, Cleaning and Stockpiling of

ln.m. 11.00 1,099.76 12,097.36 - - Salvage Culvert Pipe

504(2) Removing, Cleaning and Relaying of

ln.m. 19.00

1,413.11 26,849.09 - - Salvage Culvert Pipe 506 Stone Masonry cu.m 96.93 4,104.24 397,823.98 - -

518(1) Coco Net sq.m 2,911.00 127.78 371,967.58 - - 518(2) Coco Log/Fascine ln.m 726.00 548.97 398,552.22 - - 518(3) Vegetation sq.m 2,911.00 110.34 321,199.74 - - 603(3)a Metal Guardrails (Metal Beam) Inlcluding Post ln.m 1,011.33 192.28 194,458.53

505.000 505.00 (Removal and Reinstallation)

612(1) Reflactorized Thermoplastic Pavement sq.m 444.00 1,669.16 741,107.04 - - Markings (white)

PROJECT B - 1577+(-)010 to 1578+350 100(4) Individual Removal of Trees, small each 11.00 1,197.50 13,172.50 5.00 6.000 11.00 101(2) Removal of Structures and Obstruction each 25.00 4,747.06 118,676.50 12.00 8.000 20.00 101(3) Removal of Existing PCCPavement sq.m 222.22 132.18 29,373.04 110.000 110.00 102(2) Surplus Common Excavation cu.m 798.00 235.10 187,609.80 598.26 39.740 638.00 104(1) Embankment (from excavation) cu.m 3,275.00 229.38 751,219.50 1,021.24 1,271.260 2,292.50 105(1) Subgrade Preparation sq.m 13,261.96 10.79 143,096.55 6,637.31 - 6,637.31

105(2) Subgrade Preparation (Existing Pavement) sq.m 94.42 187.32 17,686.75 - -

TOTAL CONTRACT QUANTITY

UNIT PRICE IN PESOS

TOTAL CONTRACT COST

TOTAL QTY. APPROVED

IN PREVIOUS

BILLING

QTY. APPROVED IN THIS BILLING

TOTAL QTY. TO THIS DATE

200 Aggregate Subbase Course cu.m 6,421.000 672.23 4,316,388.83 2,343.82 - 2,343.82

302 Bituminous Tack Coat(Emulsified) m.t 0.57 76,223.67 43,447.49 - -

310 Bituminous Concrete Surface Course,Hot Laid sq.m 408.00 691.92 282,303.36 - -

311(1)a PCCPavement Plain (0.28m thck.) sq.m 9,621.76 1,420.36 13,666,363.03 1,675.00 1,671.650 3,346.65

311(1)b PCCPavement Plain (0.23m thck.) sq.m 667.56 1,250.62 834,863.89 - -

101(2)a Removal of Existing Headwall each 4.00 5,099.14 20,396.56 - -

103(1) Structure Excavation cu.m 5.99 1,298.68 7,779.09 - -

103(3) Foundation Fill cu.m 4.00 1,290.91 5,163.64 - -

500(1)a Pipe Culvert, 460mm dia. ln.m 24.00 4,168.30 100,039.20 - -

500(1)b Pipe Culvert, 910mm dia. ln.m 8.00 8,089.03 64,712.24 - -

500(1)c-1 Pipe Culvert, 1050 mm dia. ln.m 4.00 11,410.90 45,643.60 - -

500(1)d Pipe Culvert, 1220 mm dia. ln.m 8.00 13,066.87 104,534.96 - -

502(2) Inlet, for 18" dia. each 6.00 12,249.44 73,496.64 - -

506 Stone Masonry cu.m 37.67 4,162.23 156,791.20 - -

518(1) Coco net sq.m 6,242.00 127.67 796,916.14 - -

518(2) Coco Logs/Fascine ln.m 1,648.50 547.19 902,042.72 - -

518(3) Vegetation sq.m 6,242.00 110.66 690,739.72 - -

600(3) Curb and Gutter (Cast in Plane) ln.m 182.08 879.05 160,057.42 - - 601 Sidewalk sq.m 364.16 569.58 207,418.25 - -

603(3)a Metal Guardrails (Metal Beam ) Including Post

ln.m 1,096.07 191.70 210,116.62 548.00 548.00 (Removal and Reinstallation)

605(2) Regulatory Signs each 4.00 4,830.00 19,320.00 - -

612(1) Reflectorized Thermoplastic Pavement

sq.m 641.13 1,615.87 1,035,982.73 -

- Markings (white)

A. Facilities for Engineer -

A.1.1 Office for the Engineer and Other Related sq.m 36.00 19,568.27 704,457.72 36.000 36.00

Equipment/Facilities

B. Other General Requirements

605(3)a Informatory Signs each 4.00 6,510.00 26,040.00 4.00 - 4.00

605(3)b Informatory Signs (DPWH Project Billboard) each 2.00 4,178.50 8,357.00 2.00 - 2.00

SPL-I Removal and Re-installation of

each 1.00 107,520.00 107,520.00 - Prov'l Sign (Steel Arc)

SPL-II Standard Steel Bollards (for Proj. A and B) each 204.00 785.88 160,319.52 - 150.000 150.00 SPL-III Mobilization and Demobilization l.s 1.00 134,400.00 134,400.00 0.50 0.500 1.00 SPL-IV Construction Safety and Health days 150.00 701.89 105,283.50 36.00 37.000 73.00

Contract Amount- - - 45,306,805.92 Total We hereby CERTIFY that the Statement of Work Accomplished on this page is true and correct.

Submitted by: Checked and Verified by: Reviewed and Recommended:

DENNIS JORDAN U. CHING DOMINICO O. CABAHUG AMPARO M. CLARChief Executive Officer Project Engineer (DPWH) Engineer III

MAVERICK BUILDERS INC. Acting Chief, Construction Divi

CONTRACTOR CLAIMS

11.3 Certificate of Payment

Republic of the PhilippinesDepartment of Public Works and HighwaysOFFICE OF THE DISTRICT ENGINEERDavao del Sur District Engineering Office

City of Digos

CERTIFICATE OF PAYMENTFor the Period from March 11, 2012 to April 10, 2012

PROJECT NAME: Payment Certificate No. : 1Sheet No. : 1

Date : March 10, 2012

CONTRACTOR: MAVERICK BUILDERS, INC.

ORIGINAL CONTRACT AMOUNT: P 45,306,805.92 . I hereby certify that the attached statement of work isREVISED CONTRACT AMOUNT P - correct and just and does not include items and/or

portions thereof for which payment has already been1. Total value of work to date: P 18,580,367.94 received. In regard to item covering advance payment CHECKED, VERIFIED AND RECOMMENDED 2. Total value of work previously: P 10,767,493.53 for materials, the said materials are on site and are FOR PAYMENT :3. Total value of work this billing P 7,812,874.41 properly protected.4. Deductions:

A. 10% Retention P 781,287.44 Recoupment from Advance P 1,562,574.88 AMPARO M. CLAR Sub-Total P 2,343,862.32 DENNIS JORDAN U. CHING Engineer IIIB. 2% Withholding Tax P 97,660.93 Contractor's Authorized Representative Acting Chief, Construction Division 5% VAT P 244,152.33 Others (Specify) P . We hereby certify that the materials incorporated in this Sub-total P 341,813.26 certificate for payment have been verified and testedTOTAL DEDUCTIONS P 2,685,675.58 in accordance with specifications.

5. Amount recieved for payment: P 5,127,198.83 6. Add: Request No.___ for materials currently on hand7. Less: Request No.___for previous payment HERA A. TORMIS materials on hand P - Materials Quality Control Engineer

P 5,127,198.83 . I hereby certify that the quantity of work approved for APPROVED FOR PAYMENT:

payment in the attached statement have beenaccomplished; that the quantities including materials

Schedule Physical Progress: 65.244% brought to site but not incorporated in the work are Actual Physical Progress: 41.01% correct and consistent with all previous recommendations

Slippage (+)(-): (0.24) for payment and the work quantities and amounts are ZENAIDA T. TAN Contract Expiry Date: July 02, 2012 consistent with the requirements of the contract. Engineer V

Officer-In-Charge

DOMINICO O. CABAHUG

WIDENING OF DIGOS-MAKAR ROAD (KM.1568+ (-)447 - KM. 1568+553 ; KM. 1577+(-)010 - KM. 1578+350

8. Net amount Due to Contractor

Project Engineer(DPWH)

Republic of the PhilippinesDepartment of Public Works and Highways

OFFICE OF THE DISTRICT ENGINEERDavao del Sur District Engineering Office

City of Digos

STATEMENT OF TIME ELAPSED AND WORK ACCOMPLISHED

PROJECT ID : 11LD-0034PROJECT NAME :

CONTRACTOR : MAVERICK BUILDERS, INC.

Period Covered : March 11, 2012 to April 10, 2012

Original Contract Time : 150 Calendar days

Date of Effectivity of Contract : February 03, 2012

Original Contract Amount : 45,306,805.92

Revised Contract Amount due to :

Approved Change Order/Extra :

Work Order :

Original Expiry : July 02, 2012

Approved Time Extension :

Shutdown days due to suspension of Work :

Total Time Extension :

Total Calendar Days Elapsed to date : 36 days

Total Time Elapsed(After Extension) :

Revised Expiry Date due to Extension :

Percentage of Time Elapsed : 24.00%

Schedule of Work Accomplished : 65.244%

Percentage of Work Accomplished-Actual : 41.01%

Slippage : -24.23%

Certified By:

DOMINICO O. CABAHUGProject Engineer(DPWH)


111.1 Background Information


OFFICE OF THE DISTRICT ENGINEER

Davao del Sur 1st District Engineering Office

March 10, 2012Date

FOR : The District EngineerDPWH- District Office, Digos City, Region XI

FROM : The Project Engineer

SUBJECT :

BACKGROUND

Project ID : 11LD-0034Project Name :

Loan :Contractor : MAVERICK BUILDERS INC.Original Contract Amount : 45,306,805.92 Revised Contract Amount : - Original Contract Time : 150 Calendar daysRevised Contract Time :Effectivity of Contract Time : February 03, 2012Original Expiry Date : July 02, 2012Revised Expiry Date :Percent Time Elapsed : 24.00%Percent Work Accomplished : 41.01%Percent Work Schedule : 65.24%Percent Slippage :Date Project Completed :Date Project Accepted :Kind of Bank Guarantee or Letter of Credit : Bank Guarantee from EASTWESTBANK of Davao CityExpiry Date of Bank Guarantee orLetter of Credit : co-terminus

REMARKS : Recommended for Payment

DOMINICO O. CABAHUGProject Engineer(DPWH)

1st Progress Billing




Davao del Sur 1st District Engineering Office

March 10, 2012Date

Bank Guarantee from EASTWESTBANK of Davao City


III.2 Executive Summary

Reference No. :

Date : March 10, 2012

EXECUTIVE SUMMARY

For : The Regional Director

1. Subject :

2. Period Covered : March 11, 2012 to April 10, 2012

3. Action recommended : Recommended for First Progress Billing

4. Implementing Office : DPWH, Davao del Sur District Engineering Office, Digos City

5. Reviewing Office : Construction Section, District Office

6. Contractor : MAVERICK BUILDERS INC.

7. Contract Data : Original Revised

8. Amount : 45,306,805.92 -

9. Duration : 150 Cal. Days

10.Starting Date : February 03, 2012

11. Expiration : July 02, 2012

12. Percent of Time Elapsed 24.00%

13. Physical Accomplishment

14. Scheduled : 65.24%

15. Actual : 41.01%

16. Slippage : (0.24)

17. Contractor's Performance Bank Guarantee/Letter of Credit in lieu of retention of Money, if needed

18. Kind : Bank Guarantee

19. Amount : 4,530,680.60

20. Issued By : EASTWESTBANK

21. Expiration : completion of the project

22. Validation By :

23. Is Performance Bank Guarantee or Letter of Credit still valid____ Yes No_____24. Remarks : Recommended for Payment

DOMINICO O. CABAHUG


First Progress billing in the amount of TEN MILLION SEVEN

HUNDRED SIXTY SEVEN THOUSAND FOUR HUNDRED

NINETY THREE PESOS & 53/100 (Php 10,767,493.53) for the

WIDENING OF DIGOS-MAKAR ROAD (KM.1568+(-)447 - KM.

1568+553; KM.1577+(-)010 - KM. 1578+350, DAVAO DEL

SUR

CONTRACTOR CLAIMS Progress Billing

Certification of Materials Quality Test


OFFICE OF THE DISTRICT ENGINEERDavao del Sur 1st District Engineering Office

City of Digos

CERTIFICATE OF MATERIALS QUALITY TEST

March 10, 2012Date

PROJECT ID : 11LD-0034PROJECT NAME :

CONTRACTOR : Maverick Builders Inc.

We hereby certify that we have conducted an inspection, verification and testing of materials delivered on

on site on the above-mentioned project.

We further certify that we have found that the quality of materials in the following items of work

corresponding to the quantity accomplished conforms with the Standard Specifications and Special Provisions

of the contract, viz:

ITEM DESCRIPTIONQUANTITY

ACCOMPLISHED

PROJECT A - 1568+(-)447 TO 1568+553 101(2) Removal of Structures and Obstructions 6.00 each

102(2) Surplus Common Excavation 1,100.00 cu.m.

104(1) Embankment (from Excavation) 1,980.00 cu.m.

105(1) Subgrade Preparation 6,684.00 sq.m.

200 Aggregate Subbase Course 2,862.00 cu.m.

302 Bituminous Tack Coat, (Emulsified) - m.t.

310 Bituminous Concrete Surface Course, Hot Laid - sq.m.

311(1) PCC Pavement (Plain), thk = 0.28 m 5,118.00 sq.m.

101(2)a Removal of Existing Headwall 12.00 each

101(2)b Removal of Existing Wingwall 4.00 each

103(1) Structure Excavation - cu.m.

103(3) Foundation Fill - cu.m.

103(6) Pipe and Drain Excavation - cu.m.

404(a) Reinforcing Steel, Grade 40 - kgs.

405(1) Structural Concrete Class "A" - cu.m.

405(2) Structural Concrete Calss "B" - cu.m.

500(1)b Pipe Culvert, 910mm Ø - ln.m.

500(1)c Pipe Culvert, 1220mm Ø - ln.m.

504(1) Removing, Cleaning and Stockpiling of

- ln.m. Salvage Culvert Pipe

504(2) Removing, Cleaning and Relaying of

- ln.m. Salvage Culvert Pipe

506 Stone Masonry - sq.m

518(1) Coco Net - sq.m

518(2) Coco Log/Fascine - ln.m

518(3) Vegetation - sq.m

603(3)a Metal Guardrails (Metal Beam) Inlcluding Post 505.00 ln.m

(Removal and Reinstallation)

612(1) Reflactorized Thermoplastic Pavement -

sq.m

Markings (white)


PROJECT B - 1577+(-)010 to 1578+350

100(4) Individual Removal of Trees, small 11.00 each

101(2) Removal of Structures and Obstruction 20.00 each

101(3) Removal of Existing PCCPavement 110.00 sq.m

102(2) Surplus Common Excavation 638.00 cu.m

104(1) Embankment (from excavation) 2,292.50 cu.m

105(1) Subgrade Preparation 6,637.31 sq.m

105(2) Subgrade Preparation (Existing Pavement) - sq.m

200 Aggregate Subbase Course 2,343.82 cu.m

302 Bituminous Tack Coat(Emulsified) - m.t

310 Bituminous Concrete Surface Course,Hot Laid - sq.m

311(1)a PCCPavement Plain (0.28m thck.) 3,346.65 sq.m

311(1)b PCCPavement Plain (0.23m thck.) - sq.m

101(2)a Removal of Existing Headwall - each

103(1) Structure Excavation - cu.m

103(3) Foundation Fill - cu.m

500(1)a Pipe Culvert, 460mm dia. - ln.m

500(1)b Pipe Culvert, 910mm dia. - ln.m

500(1)c-1 Pipe Culvert, 1050 mm dia. - ln.m

500(1)d Pipe Culvert, 1220 mm dia. - ln.m

502(2) Inlet, for 18" dia. - each

506 Stone Masonry - cu.m

518(1) Coco net - sq.m

518(2) Coco Logs/Fascine - ln.m

518(3) Vegetation - sq.m

600(3) Curb and Gutter (Cast in Plane) - ln.m

601 Sidewalk - sq.m

603(3)a Metal Guardrails (Metal Beam ) Including Post

505.00 ln.m (Removal and Reinstallation)

605(2) Regulatory Signs - each

612(1) Reflectorized Thermoplastic Pavement

- sq.m Markings (white)

A. Facilities for Engineer

A.1.1 Office for the Engineer and Other Related 36.00

sq.m

Equipment/Facilities

B. Other General Requirements

605(3)a Informatory Signs 4.00 each

605(3)b Informatory Signs (DPWH Project Billboard) 2.00 each

SPL-I Removal and Re-installation of

- each Prov'l Sign (Steel Arc)

SPL-II Standard Steel Bollards (for Proj. A and B) 150.00 each

SPL-III Mobilization and Demobilization 1.00 l.s

SPL-IV Construction Safety and Health 73.00 days

HERA A. TORMISMaterials Engineer

B I L L I N G S U M M A R Y

PAYEE : MAVERICK BUILDERS INC.PROJECT ID : 11LO-0004PROJECT NAME :

IMPLEMENTING OFFICE : DPWH -Davao del Sur 1st Engineering Office

NATURE OF CONTRACT

CONTRACT AMOUNT : Php 45,306,805.92 REVISED CONTRACT AMOUNT :

PREVIOUS BILLING : 10,767,493.53 THIS BILLING : 7,812,874.41

BALANCE : 26,726,437.98

PAYMENT BREAKDOWN :

: Php 7,812,874.41

:

:

:

:

:

SIGNATORIES :

DOMINICO O. CABAHUG


REMARKS : Recommended for payment

III.3 Billing Summary


1st Billing

2nd Billing

3rd Billing

4thBilling

5th Billing

6th Billing


Region XlOFFICE OF THE DISTRICT ENGINEER

Davao del Sur 1st District Engineering OfficeDigos City

March 10, 2012Date

C E R T I F I C A T I O N

AMPARO M. CLARActing Chief , Construction Section

Head Implementing Office

This is to certify that MAVERICK BUILDERS INC. has submitted all the documentary requirements necessary for the processing of its first partial billing in the amount of TEN MILLION SEVEN HUNDRED SIXTY SEVEN THOUSAND FOUR HUNDRED NINETY THREE PESOS ( Php 10,767,493.53) in connection with WIDENING OF DIGOS-MAKAR ROAD (KM.1567+(-)447 -KM.1568+553; KM.1577+(-)010-KM. 1578+350, Davao del Sur.

This is to certify further that all requirements and supporting papers pursuant to Department Order

No. 55 series of 1988 have been complied with, reviewed and found to be in order.

Republic of the Philippines

Department of Public Works and Highways


` Davao Oriental 2nd District Engineering Office

Region XI, Mati , Davao Oriental

For the period from

CONC./DRAINAGE OF DAVAO ORIENTAL-SURIGAO ROAD, MATI POB. SECTION, MATI, DAVAO ORIENTAL

Contractor : MAVERICK BUILDERSTOTAL UNIT TOTAL TOTAL QTY

ITEM DESCRIPTION UNIT CONTRACT PRICE IN CONTRACT APPROVED IN

NO. QUANTITY PESO COST PREVIOUS

BILLING

We hereby CERTIFY that the Statement of Work Accomplished on this page is true and correct.

SUBMITTED:

RODOLFO C. MATIRAProject EngineerMaverick Builders


OFFICE OF THE REGIONAL DIRECTORRegion XI, Davao City

STATEMENT OF TIME ELAPSED AND WORK ACCOMPLISHED

PROJECT ID : 04LO-0008PROJECT NAME : Rehab./Impv't of Panabo Coastal Road

(Tongson Section), Panabo City

CONTRACTOR : MAVERICK BUILDERS

Period Covered : December 02, 2004 to January 17, 2005Original Contract Time : 220 Calendar DaysDate of Effectivity of Contract : March 22, 2004Original Contract Amount : P 25,018,449.70Revised Contract Amount due to : P 24,888,858.70Approved Change Order/ExtraWork OrderOriginal Expiry : October 27, 2004Approved Time Extension : 55 Calendar DaysShutdown days due to suspension :of WorkTotal Time Extension :Total Calendar Days Elapsed to date : 195 Calendar DaysTotal Time Elapsed(After Extension) : 195 Calendar DaysRevised Expiry Date due to Extension : April 07, 2005Percentage of Time Elapsed : 70.91 %

Schedule of Work Accomplished : 78.42 %Percentage of Work Accomplished-Actual : 100.00 %Slippage :+ 21.58 %

Certified By:

VIVINA C. CHAVESEngineer III


111.1 Background Information



January 17, 2005Date

FOR : The Regional DirectorRegion XI, Davao City

FROM : The Project Engineer

SUBJECT : Final Billing

BACKGROUND :

Project ID : 04LO-0008Project Name : Rehab./Impv't of Panabo Coastal Road(Tongson Section)

Loan : Contractor : MAVERICK BUILDERSOriginal Contract Amount : P 25,018,449.70Revised Contract Amount : P 24,888,858.70Original Contract Time : 220 Cal. DaysRevised Contract Time : 275 Cal. DaysEffectivity of Contract Time : March 22, 2004Original Expiry Date : October 27, 2004Revised Expiry Date : February 25, 2004Percent Time Elapsed : 70.91 %Percent Work Accomplished : 100.00 %Percent Work Schedule : 78.42 %Percent Slippage : + 21.58 %Date Project Completed :Date Project Accepted :Kind of Bank Guarantee or Letter ofCredit :Expiry Date of Bank Guarantee orLetter of Credit :

REMARKS Recommended Final payment

VIVINA C. CHAVESEngineer III


Executive Summary

Reference No.Date : January 2005

EXECUTIVE SUMMARY

For : The Regional Director1. Subject

HUNDRED FORTY FOUR THOUSAND FOUR HUNDRED

Rehab./Impv't. of Panabo Coastal Road(Tongson Section),Panabo City.

2. Period Covered : Dec. 02, 2004 to January 20053. Action recommended : Recommended for final partial billing4. Implementing Office : DPWH, REGION XI, DAVAO CITY5. Reviewing Office :6. Contractor : MAVERICK BUILDERS7. Contract Data Original Revised

: Final billing in the amount of ONE MILLION TWO

THIRTY NINE PESOS & 13/100(P 1,244,439.13), for

8. Amount 25,018,449.70 24,888,858.70 9. Duration 220 Cal. Days 275 Cal. Days 10.Starting Date March 22, 2004 11. Expiration October 27, 2004 Feb. 25, 2005

12. Percent of Time Elapsed13. Physical Accomplishment

14. Scheduled : 78.42% 15. Actual : 100.00% 16. Slippage : + 21.58%


18. Kind 19. Amount 20. Issued By 21. Expiration 22. Validation By:23. Is Performance Bank Guarantee or Letter of Credit still valid____ Yes No_____24. Remarks : Recommended for 6th partial payment

VIVINA C. CHAVESProject Engineer

PAYEE : Maverick Builders

PROJECT ID : 04LO-0008PROJECT NAME : Rehab./Impv't. of Panabo Coastal Road(Tongson Section)

Panabo City, Davao del Norte

IMPLEMENTING OFFICE : DPWH, REGION XI, DAVAO CITY

NATURE OF CONTRACT :

CONTRACT AMOUNT : 24,888,858.70 PREVIOUS BILLING : #REF!THIS BILLING : - BALANCE : #REF!

PAYMENT BREAKDOWN

1st partial payment 8,756,457.09 2nd partial payment 4,503,320.77 3rd partial payment 2,364,240.08 4th partial payment 1,033,493.55 5th partial payment 3,451,725.02 6th partial payment 3,535,183.06 Final payment -

TOTAL 23,644,419.57

SIGNATORIES

VIVINA C. CHAVESProject Engineer

REMARKS Recommended for Final payment


11.7. Certification of Clearance for Labor and Materials Payments




CERTIFICATION OF CLEARANCE FOR LABOR AND MATERIALS PAYMENT

PROJECT ID : 04LO-0008NAME OF PROJECT : Rehab./Impv't. of Panabo Coastal Road(Tongson Section)

LIMITS :

LOCATION : Panabo City

This is to certify that as of January 17, 2005, no written complains have been filed in thisoffice on unpaid labor or unpaid materials against the contractor Maverick Builders.

This certification is issued to the Contractor as requirement in connection with their requestfor 6th partial payment for the Rehab./Impv't. of Panabo Coastal Road(Tongson Section), PanaboCity.

VIVINA C. CHAVESProject Engineer(DPWH)


Certification of Clearance for Equipment Rental And/Or Lease




CERTIFICATE OF CLEARANCE FOREQUIPMENT RENTALS AND/OR LEASE

PROJECT ID : 04LO-0008NAME OF PROJECT : Rehab./Impv't. of Panabo Coastal Road(Tongson Section)

LIMITS :

LOCATION : Panabo City

This is to certify that as of December 02, 2004 to January 17, 2005, the Contractor MaverickBuilders has no claims against him on equipment lease or rental obligations filed with this office, oramounts due the Department.

This certification is issued to the Contractor as requirement in connection with their requestfor Final billing of Work Accomplished for the Rehab./Impv't. of Panabo Coastal Road(Tongson Section), Panabo City.




CERTIFICATE OF MATERIALS QUALITY TEST


PROJECT ID : 04LO-0008PROJECT NAME : Rehab./Impv't. of Panabo Coastal Road,

Tongson Section, Panabo City

CONTRACTOR : Maverick Builders

We hereby certify that we have conducted an inspection, verification and testing of materialsDelivered on site on the above-mentioned project.

DESCRIPTIONQUANTITY

ACCOMPLISHED104-1 Embankment (Borrow) 35,884.62 201 Aggregate Base Course -

SHORE PROTECTION103-3 Foundation Fill 11.00 404 Reinforcing Steel Bars 7,565.03

405-2 Structural Concrete Class "A" 74.50 605-3 Informatory Sign 1.00 SPL-2 Camphouse 36.00 SPL-3 Project Billboard 2.00 SPL-4 Detour Road 1.00 SPL-5 Furnishing & Driving of coco -

Piles(with soil bags)

ITEM NO

PETER RIEL ROQUEMaterials Engineer

CONTRACTOR CLAIMS PROGRESS BILLING

11.3a. Detailed Quantity Calculation

DETAILED QUANTITY CALCULATION(ACCOMPLISHMENT)

AGENCY: DPWH- Regional Office XI MONTH : Dec.02, 2004 to FinalMO CERTIFICATE NO. 7

PROJECT ID : 04LO-0008CONTRACTOR: MAVERICK BUILDERS

PAY ITEM NO: Item 201 ORIGINAL QTY: 2,213.00 DESCRIPTION: Aggregate Base Course REVISED QTY: 1,894.64

UNIT : Cu.M.

THIS CERTIFICATE: QTY: - CUMMULATIVE QTY: -

PROJECT NAME: Rehab./Impv't of Panabo

Coastal Road(Tongson Section)

We hereby certify that we have conducted an inspection and verification on work accomplished onthe above-mentioned project for the period Dec. 2, 2004 to Jan. 17, 2005. We furthere certify thatwe have found that the quantity of materials in the specified work item corresponding to the quantityaccomplished concforms with the Standard Specifications and Special Provisions of the Contract. We also certify that unacceptable work has been deducted, and not included in this calculation.

SUBMITTED BY: CHECKED AND VERIFIED BY:

JOSEPH ARIEL E. CACANINDIN VIVINA C. CHAVES PETER RIEL ROQUEProject Engineer Project Engineer Materials Engineer

(Contractor) (DPWH)

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS

CONTRACTOR CLAIMS PROGRESS BILLING

11.3a. Detailed Quantity Calculation


AGENCY: DPWH- Regional Office XI MONTH : Dec.02, 2004 to FinalMO CERTIFICATE NO. 7

PROJECT ID : 04LO-0008CONTRACTOR: MAVERICK BUILDERS

PAY ITEM NO: Item SPL-5 ORIGINAL QTY: 1,187.72 REVISED QTY: 1,187.72

( with soil bags)UNIT : Ln.M.

PROJECT NAME: Rehab./Impv't of Panabo

Coastal Road(Tongson Section)

DESCRIPTION: Furnishing & Driving of Coco Piles

THIS CERTIFICATE: QTY: - CUMMULATIVE QTY: -

We hereby certify that we have conducted an inspection and verification on work accomplished onthe above-mentioned project for the period December 2, 2004 to Jan. 17, 2005. We furthere certify thatwe have found that the quantity of materials in the specified work item corresponding to the quantityaccomplished concforms with the Standard Specifications and Special Provisions of the Contract. We also certify that unacceptable work has been deducted, and not included in this calculation.

SUBMITTED BY: CHECKED AND VERIFIED BY:

JOSEPH ARIEL E. CACANINDIN VIVINA C. CHAVES PETER RIEL ROQUEProject Engineer Project Engineer Materials Engineer

(Contractor) (DPWH)

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS

BACK-UP COMPUTATIONFOR ITEM 201: AGGREGATE BASE COURSE

SECTION I:STA. 0 + 000 TO STA. 0 + 400.43

L = 400.43 m.

1.0m. 3.50m. 3.50m. 1.0m.

0.20m. Thk. Item 201

A1 = 7.00(0.20)+[(0.20)(1.00)/2](2.00)A1 = 1.60 sq.m.

V1 = 400.43(1.60)V1 = 640.69 cu.m.

SECTION II: STA. 0 + 601.72 TO STA. 1 + 260 W/ EXCEPTION

L = 602.86 m.

3.40m. 3.50m. 3.50m 3.40m.

0.20m. Thk. Item 201

A2 = 7.00(0.20) + [(0.20)(3.40)/2](2.00)A2 = 2.08 sq.m.

V2 = 602.86 x 2.08 V2 = 1,253.95 cu.m.

TOTAL VOLUME VT = V1 + V2VT = 640.69 + 869.15VT = 1,894.64 cu.m.

Prepared by:

MAVERICK BUILDERS VIVINA C. CHAVESContractor Project Engineer, DPWH

BACK-UP COMPUTATIONFOR SPL-5: FURNISHING AND DRIVING OF COCO PILES W/ SOIL BAGS

STA. 0 + 601.72 TO STA. 0 + 744.58 = 142.86 ln.m.

STA.. 0 + 800 TO STA. 0 + 960 = 160.00 ln.m.

STA. 0 + 960 TO STA. 1 + 040 = 80.00 ln.m.

STA. 1 + 040 TO STA. 1 + 196.19 = 156.19 ln.m.

TOTAL = 539.05 ln.m.

Prepared by:

MAVERICK BUILDERS VIVINA C. CHAVESContractor Project Engineer, DPWH

Republic of the Philippines

Department of Public Works and Highways


Davao Oriental 2nd District Engineering Office

Region XI, Mati , Davao Oriental

CONC./DRAINAGE OF DAVAO ORIENTAL-SURIGAO ROAD, MATI POB. SECTION, MATI, DAVAO ORIENTAL

QTY TOTAL BALANCE COST OF COST OF COST BALANCE

APPROVED QUANTITY OF PREVIOUS THIS TO DATE OF

IN THIS TO DATE QUANTITY BILLING BILLING COST

BILLING

Grand Total - - - -

APPROVED:

Project Engineer(DPWH)Engineer

: December 02, 2004 to January 17, 2005

January 17, 2005

: Rehab./Impv't of Panabo Coastal Road(Tongson Section)

VIVINA C. CHAVES


: January 2005


Rehab./Impv't. of Panabo Coastal Road(Tongson Section)

Progress Billing

January 17, 2005


This is to certify that as of January 17, 2005, no written complains have been filed in this

This certification is issued to the Contractor as requirement in connection with their requestfor 6th partial payment for the Rehab./Impv't. of Panabo Coastal Road(Tongson Section), Panabo


Progress Billing

January 17, 2005


This is to certify that as of December 02, 2004 to January 17, 2005, the Contractor MaverickBuilders has no claims against him on equipment lease or rental obligations filed with this office, or

This certification is issued to the Contractor as requirement in connection with their request


January 17, 2005

We hereby certify that we have conducted an inspection, verification and testing of materials

PROGRESS BILLING


CONTRACTOR: MAVERICK BUILDERS

We hereby certify that we have conducted an inspection and verification on work accomplished onthe above-mentioned project for the period Dec. 2, 2004 to Jan. 17, 2005. We furthere certify thatwe have found that the quantity of materials in the specified work item corresponding to the quantityaccomplished concforms with the Standard Specifications and Special Provisions of the Contract. We also certify that unacceptable work has been deducted, and not included in this calculation.

PETER RIEL ROQUE Materials Engineer

PROGRESS BILLING


CONTRACTOR: MAVERICK BUILDERS

We hereby certify that we have conducted an inspection and verification on work accomplished onthe above-mentioned project for the period December 2, 2004 to Jan. 17, 2005. We furthere certify thatwe have found that the quantity of materials in the specified work item corresponding to the quantityaccomplished concforms with the Standard Specifications and Special Provisions of the Contract. We also certify that unacceptable work has been deducted, and not included in this calculation.

PETER RIEL ROQUE Materials Engineer

cqca 22

Documents

bituminous

bituminous

structural

demobilization

davao del

executive

performance

panabo coastal