Required Implementing Agency

: CERTIFICATE OF WITHHOLDING TAX :

DATE

DESCRIPTION

OR NO.

AMOUNT COLLECTED

2% W/holding

5% VAT

Annex 7.8

Letter-Request for Payment of Progress Billing of the Contractor

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

March 10, 2012

Date

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS Davao del Sur 1st Engineering District Office Lapu-Lapu Street, Digos City Attention : ZENAIDA T. TAN
Engineer V Officer-In-Charge

Subject

REQUEST FOR PAYMENT OF PROGRESS BILLING NO. 1 FOR PERIOD COVERED : February 03, 2012 to March 10, 2012 CONTRACT PACKAGES : WIDENING OF DIGOS-MAKAR ROAD

(KM. 1568+(-)447-KM.1568+553; KM. 1577+(-)010 - KM. 1578+350 Madam : 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. We hope that the above is in order and request you preferential attention thereof.

Very truly yours,

DENNIS JORDAN U. CHING

Chief Executive Officer

Republicof the Philippines

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS

Digos City No.

DISBURSEMENT VOUCHER
Mode of Payment Payee MDS Check MAVERICK BUILDERS INC. Davao City EXPLANATION To first partial billing of work accomplished (25.42%) for the project ; WIDENING OF DIGOSMAKAR (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 ---------------------Project ID No. Contract Amount Total Value Work to date Previous This Billing Less: retention recoupment 2% w/tax 5% VAT : : : : : = = = = 11LD-0034 Office/Unit/Project Commercial Check ADA TIN/Employee No. Others

OR/BUR No. Responsibility Center Code AMOUNT

Address

Php

Php

Php

45,306,805.92 7,812,874.41 10,767,493.53 (2,954,619.12) 781,287.44 1,562,574.88 97,660.93 244,152.33

Php Php

A Certified
Cash Available Subject to Authority to Debit Account (whwn applicable) Supporting documents complete
Signature Printed Name Position Date

Approved for Payment Seven Million Sixty Six Thousand One Hundred Sixty Seven Pesos & 63/100

Signature Printed Name Position Date

HECTOR B. WONG Accountant 111 Head,Accounting Unit/Authorized Representative

ZENAIDA T. TAN Engineer V , Officer-In-Charge Agency Head/Authorized Representative JEV No.

C Received Payment Check / ADA No.

Signature Official Receipt/Other Documents

Date :

Bank Name : Printed Name : Date

YS

OR/BUR No.

sibility Center

AMOUNT

7,812,874.41

2,685,675.58 5,127,198.83

ix Thousand One Hundred Sixty

ZENAIDA T. TAN er V , Officer-In-Charge ad/Authorized Representative JEV No.

STATEMENT OF WORK ACCOMPLISHED

For the Period : PROJECT ID NO. NAME OF PROJECT CONTRACTOR : : : 11LD-0034
WIDENING OF DIGOS-MAKAR ROAD (KM.1568+ (-)447 - KM. 1568+553 ; KM. 1577+(-)010 - KM. 1578+350

March 11, 2012 to April 10, 2012

MAVERICK BUILDERS, INC.

ITEM NO.

DESCRIPTION

UNIT

TOTAL CONTRACT QUANTITY

UNIT PRICE IN PESOS

TOTAL QTY. QTY. TOTAL CONTRACT APPROVED TOTAL QTY. APPROVED IN COST IN PREVIOUS TO THIS DATE THIS BILLING BILLING

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

101(2) 102(2) 104(1) 105(1) 200 302 310 311(1) 101(2)a 101(2)b 103(1) 103(3) 103(6) 404(a) 405(1) 405(2) 500(1)b 500(1)c

Removal of Structures and Obstructions Surplus Common Excavation Embankment (from Excavation) Subgrade Preparation Aggregate Subbase Course Bituminous Tack Coat, (Emulsified) Bituminous Concrete Surface Course, Hot Laid PCC Pavement (Plain), thk = 0.28 m Removal of Existing Headwall Removal of Existing Wingwall Structure Excavation Foundation Fill Pipe and Drain Excavation Reinforcing Steel, Grade 40 Structural Concrete Class "A" Structural Concrete Calss "B" Pipe Culvert, 910mm Pipe Culvert, 1220mm Removing, Cleaning and Stockpiling of 504(1) Salvage Culvert Pipe Removing, Cleaning and Relaying of 504(2) Salvage Culvert Pipe 506 Stone Masonry 518(1) Coco Net 518(2) Coco Log/Fascine 518(3) Vegetation 603(3)a Metal Guardrails (Metal Beam) Inlcluding Post (Removal and Reinstallation) 612(1) Reflactorized Thermoplastic Pavement Markings (white) PROJECT B - 1577+(-)010 to 1578+350 100(4) Individual Removal of Trees, small 101(2) Removal of Structures and Obstruction 101(3) Removal of Existing PCCPavement 102(2) Surplus Common Excavation 104(1) Embankment (from excavation) 105(1) Subgrade Preparation 105(2) Subgrade Preparation (Existing Pavement) 200 Aggregate Subbase Course

each cu.m. cu.m. sq.m. cu.m. m.t. sq.m. sq.m. each each cu.m. cu.m. cu.m. kgs. cu.m. cu.m. ln.m. ln.m. ln.m. ln.m. cu.m sq.m ln.m sq.m ln.m sq.m

6.00 1,402.00 2,400.00 10,283.22 4,403.00 0.41 294.60 6,579.40 18.00 6.00 91.80 20.29 43.32 15,692.73 183.96 5.14 34.00 5.00 11.00 19.00 96.93 2,911.00 726.00 2,911.00 1,011.33 444.00

660.80 262.12 249.21 11.97 671.72 73,075.90 701.64 1,421.85 4,370.69 4,752.38 358.69 1,090.17 440.83 70.92 6,995.43 5,752.53 8,026.88 13,116.36 1,099.76 1,413.11 4,104.24 127.78 548.97 110.34 192.28 1,669.16

3,964.80 367,492.24 598,104.00 123,090.14 2,957,583.16 29,961.12 206,703.14 9,354,919.89 78,672.42 28,514.28 32,927.74 22,119.55 19,096.76 1,112,928.41 1,286,879.30 29,568.00 272,913.92 65,581.80 12,097.36 26,849.09 397,823.98 371,967.58 398,552.22 321,199.74 194,458.53 741,107.04

3.000 531.90 1,623.99 5,105.93 1,710.51

3,108.80

3.000 568.100 356.010 1,578.070 1,151.490 2,009.200 12.000 4.000 505.000 -

6.00 1,100.00 1,980.00 6,684.00 2,862.00 5,118.00 12.00 4.00 505.00 11.00 20.00 110.00 638.00 2,292.50 6,637.31 2,343.82

each each sq.m cu.m cu.m sq.m sq.m cu.m

11.00 25.00 222.22 798.00 3,275.00 13,261.96 94.42 6,421.000

1,197.50 4,747.06 132.18 235.10 229.38 10.79 187.32 672.23

13,172.50 118,676.50 29,373.04 187,609.80 751,219.50 143,096.55 17,686.75 4,316,388.83

5.00 12.00 598.26 1,021.24 6,637.31 2,343.82

6.000 8.000 110.000 39.740 1,271.260 -

302 310 311(1)a 311(1)b 101(2)a 103(1) 103(3) 500(1)a 500(1)b 500(1)c-1 500(1)d 502(2) 506 518(1) 518(2) 518(3) 600(3) 601 603(3)a 605(2) 612(1) A.1.1

Bituminous Tack Coat(Emulsified) Bituminous Concrete Surface Course,Hot Laid PCCPavement Plain (0.28m thck.) PCCPavement Plain (0.23m thck.) Removal of Existing Headwall Structure Excavation Foundation Fill Pipe Culvert, 460mm dia. Pipe Culvert, 910mm dia. Pipe Culvert, 1050 mm dia. Pipe Culvert, 1220 mm dia. Inlet, for 18" dia. Stone Masonry Coco net Coco Logs/Fascine Vegetation Curb and Gutter (Cast in Plane) Sidewalk Metal Guardrails (Metal Beam ) Including Post (Removal and Reinstallation) Regulatory Signs Reflectorized Thermoplastic Pavement Markings (white) A. Facilities for Engineer Office for the Engineer and Other Related Equipment/Facilities B. Other General Requirements Informatory Signs Informatory Signs (DPWH Project Billboard) Removal and Re-installation of Prov'l Sign (Steel Arc) Standard Steel Bollards (for Proj. A and B) Mobilization and Demobilization Construction Safety and Health

m.t sq.m sq.m sq.m each cu.m cu.m ln.m ln.m ln.m ln.m each cu.m sq.m ln.m sq.m ln.m sq.m ln.m each sq.m sq.m

0.57 408.00 9,621.76 667.56 4.00 5.99 4.00 24.00 8.00 4.00 8.00 6.00 37.67 6,242.00 1,648.50 6,242.00 182.08 364.16 1,096.07 4.00 641.13 36.00

76,223.67 691.92 1,420.36 1,250.62 5,099.14 1,298.68 1,290.91 4,168.30 8,089.03 11,410.90 13,066.87 12,249.44 4,162.23 127.67 547.19 110.66 879.05 569.58 191.70 4,830.00 1,615.87 19,568.27

43,447.49 282,303.36 13,666,363.03 834,863.89 20,396.56 7,779.09 5,163.64 100,039.20 64,712.24 45,643.60 104,534.96 73,496.64 156,791.20 796,916.14 902,042.72 690,739.72 160,057.42 207,418.25 210,116.62 19,320.00 1,035,982.73 704,457.72

1,675.00

1,671.650 548.00 36.000

3,346.65 548.00 36.00

605(3)a 605(3)b

each each each each l.s days

4.00 2.00 1.00 204.00 1.00 150.00

6,510.00 4,178.50 107,520.00 785.88 134,400.00 701.89

26,040.00 8,357.00 107,520.00 160,319.52 134,400.00 105,283.50 45,306,805.92

4.00 2.00

4.00 2.00

SPL-I SPL-II SPL-III SPL-IV

0.50 36.00

150.000 0.500 37.000

150.00 1.00 73.00 Total

Contract Amount- - 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 Chief Executive Officer MAVERICK BUILDERS INC.

DOMINICO O. CABAHUG Project Engineer (DPWH)

AMPARO M. CLAR Engineer III Acting Chief, Construction Division

CONTRACTOR CLAIMS 11.3 Certificate of Payment

Republic of the Philippines Department of Public Works and Highways OFFICE OF THE DISTRICT ENGINEER Davao del Sur District Engineering Office City of Digos

CERTIFICATE OF PAYMENT
For the Period from PROJECT NAME: March 11, 2012 to April 10, 2012 Payment Certificate No. : Sheet No. : 1 1

WIDENING OF DIGOS-MAKAR ROAD (KM.1568+ (-)447 - KM. 1568+553 ; KM. 1577+()010 - KM. 1578+350 MAVERICK BUILDERS, INC.
P P 45,306,805.92 18,580,367.94 10,767,493.53 7,812,874.41 781,287.44 1,562,574.88 2,343,862.32 97,660.93 244,152.33 341,813.26 2,685,675.58 5,127,198.83 9. I hereby certify that the attached statement of work is correct and just and does not include items and/or portions thereof for which payment has already been received. In regard to item covering advance payment for materials, the said materials are on site and are properly protected.

Date : March 10, 2012 CONTRACTOR:

ORIGINAL CONTRACT AMOUNT: REVISED CONTRACT AMOUNT

1. Total value of work to date: P 2. Total value of work previously: P 3. Total value of work this billing P 4. Deductions: A. 10% Retention P Recoupment from Advance P Sub-Total P B. 2% Withholding Tax P 5% VAT P Others (Specify) P Sub-total P TOTAL DEDUCTIONS P 5. Amount recieved for payment: P 6. Add: Request No.___ for materials currently on hand 7. Less: Request No.___for previous payment materials on hand P 8. Net amount Due to Contractor P

CHECKED, VERIFIED AND RECOMMENDED FOR PAYMENT :

DENNIS JORDAN U. CHING Contractor's Authorized Representative 10. We hereby certify that the materials incorporated in this certificate for payment have been verified and tested in accordance with specifications.

AMPARO M. CLAR Engineer III Acting Chief, Construction Division

5,127,198.83

HERA A. TORMIS Materials Quality Control Engineer 11. I hereby certify that the quantity of work approved for payment in the attached statement have been accomplished; that the quantities including materials brought to site but not incorporated in the work are correct and consistent with all previous recommendations for payment and the work quantities and amounts are consistent with the requirements of the contract. APPROVED FOR PAYMENT:

Schedule Physical Progress: Actual Physical Progress: Slippage (+)(-): Contract Expiry Date:

65.244% 41.01% (0.24) July 02, 2012

ZENAIDA T. TAN Engineer V Officer-In-Charge

DOMINICO O. CABAHUG Project Engineer(DPWH)

Republic of the Philippines Department of Public Works and Highways OFFICE OF THE DISTRICT ENGINEER Davao del Sur District Engineering Office City of Digos

STATEMENT OF TIME ELAPSED AND WORK ACCOMPLISHED

PROJECT ID PROJECT NAME
: :

11LD-0034 WIDENING OF DIGOS-MAKAR ROAD (KM.1568+ (-)447 KM. 1568+553 ; KM. 1577+(-)010 - KM. 1578+350
MAVERICK BUILDERS, INC.

CONTRACTOR

Period Covered Original Contract Time Date of Effectivity of Contract Original Contract Amount Revised Contract Amount due to Approved Change Order/Extra Work Order Original Expiry Approved Time Extension Shutdown days due to suspension of Work Total Time Extension Total Calendar Days Elapsed to date Total Time Elapsed(After Extension) Revised Expiry Date due to Extension Percentage of Time Elapsed Schedule of Work Accomplished Percentage of Work Accomplished-Actual Slippage

: : : : : : : : : : : : : : : : : :

March 11, 2012 to April 10, 2012

150 Calendar days February 03, 2012 45,306,805.92

July 02, 2012

36 days

24.00% 65.244% 41.01% -24.23%

Certified By:

DOMINICO O. CABAHUG Project Engineer(DPWH)

111.1

Background Information

Republic of the Philippines Department of Public Works and Highways

OFFICE OF THE DISTRICT ENGINEER Davao del Sur 1st District Engineering Office

March 10, 2012 Date

FOR

The District Engineer DPWH- District Office, Digos City, Region XI

FROM SUBJECT BACKGROUND Project ID Project Name

: :

The Project Engineer 1st Progress Billing

: :

11LD-0034 WIDENING OF DIGOS-MAKAR ROAD (KM.1568+ (-)447 - KM. 1568+553 ; KM. 1577+(-)010 - KM. 1578+350

Loan : Contractor : MAVERICK BUILDERS INC. Original Contract Amount : 45,306,805.92 Revised Contract Amount : Original Contract Time : 150 Calendar days Revised Contract Time : Effectivity of Contract Time : February 03, 2012 Original Expiry Date : July 02, 2012 Revised 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 City Expiry Date of Bank Guarantee or Letter of Credit : co-terminus

REMARKS

Recommended for Payment

DOMINICO O. CABAHUG
Project Engineer(DPWH)

III.2

Executive Summary Reference No. Date

: :

March 10, 2012

EXECUTIVE SUMMARY
For 1. Subject
: The Regional Director : 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 : : : : : : March 11, 2012 to April 10, 2012 Recommended for First Progress Billing DPWH, Davao del Sur District Engineering Office, Digos City Construction Section, District Office MAVERICK BUILDERS INC. Original Revised -

2. Period Covered 3. Action recommended 4. Implementing Office 5. Reviewing Office 6. Contractor 7. Contract Data 8. Amount 9. Duration 10.Starting Date 11. Expiration 12. Percent of Time Elapsed 13. Physical Accomplishment 14. Scheduled 15. Actual 16. Slippage

45,306,805.92 : : 150 Cal. Days : February 03, 2012 : July 02, 2012 24.00%

: : :

65.24% 41.01% (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 24. Remarks : Recommended for Payment

No_____

DOMINICO O. CABAHUG

Project Engineer(DPWH)

CONTRACTOR CLAIMS Certification of Materials Quality Test

Progress Billing

Republic of the Philippines Department of Public Works and Highways OFFICE OF THE DISTRICT ENGINEER Davao del Sur 1st District Engineering Office City of Digos

CERTIFICATE OF MATERIALS QUALITY TEST

March 10, 2012 Date

PROJECT ID PROJECT NAME

: :

11LD-0034 WIDENING OF DIGOS-MAKAR ROAD (KM.1568+ (-)447 - KM. 1568+553 ; KM. 1577+(-)010 - KM. 1578+350 Maverick Builders Inc.

CONTRACTOR

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 101(2) 102(2) 104(1) 105(1) 200 302 310 311(1) 101(2)a 101(2)b 103(1) 103(3) 103(6) 404(a) 405(1) 405(2) 500(1)b 500(1)c 504(1) 504(2) 506 518(1) 518(2) 518(3) 603(3)a 612(1)

DESCRIPTION Removal of Structures and Obstructions Surplus Common Excavation Embankment (from Excavation) Subgrade Preparation Aggregate Subbase Course Bituminous Tack Coat, (Emulsified) Bituminous Concrete Surface Course, Hot Laid PCC Pavement (Plain), thk = 0.28 m Removal of Existing Headwall Removal of Existing Wingwall Structure Excavation Foundation Fill Pipe and Drain Excavation Reinforcing Steel, Grade 40 Structural Concrete Class "A" Structural Concrete Calss "B" Pipe Culvert, 910mm Pipe Culvert, 1220mm Removing, Cleaning and Stockpiling of Salvage Culvert Pipe Removing, Cleaning and Relaying of Salvage Culvert Pipe Stone Masonry Coco Net Coco Log/Fascine Vegetation Metal Guardrails (Metal Beam) Inlcluding Post (Removal and Reinstallation) Reflactorized Thermoplastic Pavement Markings (white)

QUANTITY
ACCOMPLISHED

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

each 6.00 1,100.00 cu.m. 1,980.00 cu.m. sq.m. 6,684.00 2,862.00 cu.m. m.t. sq.m. sq.m. 5,118.00 each 12.00 each 4.00 cu.m. cu.m. cu.m. kgs. - cu.m. - cu.m. ln.m. ln.m. ln.m. ln.m.

505.00 -

sq.m sq.m ln.m sq.m ln.m sq.m

PROJECT B - 1577+(-)010 to 1578+350 100(4) 101(2) 101(3) 102(2) 104(1) 105(1) 105(2) 200 302 310 311(1)a 311(1)b 101(2)a 103(1) 103(3) 500(1)a 500(1)b 500(1)c-1 500(1)d 502(2) 506 518(1) 518(2) 518(3) 600(3) 601 603(3)a 605(2) 612(1) Individual Removal of Trees, small Removal of Structures and Obstruction Removal of Existing PCCPavement Surplus Common Excavation Embankment (from excavation) Subgrade Preparation Subgrade Preparation (Existing Pavement) Aggregate Subbase Course Bituminous Tack Coat(Emulsified) Bituminous Concrete Surface Course,Hot Laid PCCPavement Plain (0.28m thck.) PCCPavement Plain (0.23m thck.) Removal of Existing Headwall Structure Excavation Foundation Fill Pipe Culvert, 460mm dia. Pipe Culvert, 910mm dia. Pipe Culvert, 1050 mm dia. Pipe Culvert, 1220 mm dia. Inlet, for 18" dia. Stone Masonry Coco net Coco Logs/Fascine Vegetation Curb and Gutter (Cast in Plane) Sidewalk Metal Guardrails (Metal Beam ) Including Post (Removal and Reinstallation) Regulatory Signs Reflectorized Thermoplastic Pavement Markings (white) A. Facilities for Engineer A.1.1 Office for the Engineer and Other Related Equipment/Facilities B. Other General Requirements
605(3)a 605(3)b

11.00 20.00 110.00 638.00 2,292.50 6,637.31 2,343.82 3,346.65 505.00

each each sq.m cu.m cu.m sq.m sq.m cu.m m.t sq.m sq.m sq.m each cu.m cu.m ln.m ln.m ln.m ln.m each cu.m sq.m ln.m sq.m ln.m sq.m ln.m each sq.m

36.00

sq.m

Informatory Signs Informatory Signs (DPWH Project Billboard) Removal and Re-installation of Prov'l Sign (Steel Arc) Standard Steel Bollards (for Proj. A and B) Mobilization and Demobilization Construction Safety and Health

4.00 2.00 150.00 1.00 73.00

each each each each l.s days

SPL-I SPL-II SPL-III SPL-IV

HERA A. TORMIS Materials Engineer

III.3

Billing Summary

BILLING SUMMARY
PAYEE PROJECT ID PROJECT NAME : : : MAVERICK BUILDERS INC. 11LO-0004 WIDENING OF DIGOS-MAKAR ROAD (KM.1568+ (-)447 - KM. 1568+553 ; KM. 1577+(-)010 - KM. 1578+350 DPWH -Davao del Sur 1st Engineering Office

IMPLEMENTING OFFICE NATURE OF CONTRACT

CONTRACT AMOUNT REVISED CONTRACT AMOUNT PREVIOUS BILLING THIS BILLING BALANCE

: : : : :

Php

45,306,805.92
10,767,493.53 7,812,874.41 26,726,437.98

PAYMENT BREAKDOWN

: 1 Billing 2 Billing 3rd Billing 4 Billing 5 Billing 6 Billing

th th th nd st

: : : : : :

Php

7,812,874.41

SIGNATORIES

DOMINICO O. CABAHUG

Project Engineer(DPWH)

REMARKS

Recommended for payment

Republic of the Philippines Department of Public Works and Highways Region Xl OFFICE OF THE DISTRICT ENGINEER Davao del Sur 1st District Engineering Office Digos City

March 10, 2012 Date

CERTIFICATION

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.

AMPARO M. CLAR Acting Chief , Construction Section Head Implementing Office

Republic of the Philippines Department of Public Works and Highways OFFICE OF THE DISTRICT ENGINEER

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, DA

Contractor : MAVERICK BUILDERS

TOTAL ITEM NO. DESCRIPTION UNIT CONTRACT QUANTITY UNIT PRICE IN PESO TOTAL CONTRACT COST TOTAL QTY PREVIOUS BILLING QTY IN THIS BILLING APPROVED IN APPROVED

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

SUBMITTED:

RODOLFO C. MATIRA Project Engineer

Maverick Builders

Republic of the Philippines Department of Public Works and Highways OFFICE OF THE REGIONAL DIRECTOR Region XI, Davao City

STATEMENT OF TIME ELAPSED AND WORK ACCOMPLISHED PROJECT ID PROJECT NAME : 04LO-0008 : Rehab./Impv't of Panabo Coastal Road (Tongson Section), Panabo City : MAVERICK BUILDERS : December 02, 2004 to January 17, 2005 : 220 Calendar Days : March 22, 2004 : P 25,018,449.70 : P 24,888,858.70

CONTRACTOR Period Covered Original Contract Time Date of Effectivity of Contract Original Contract Amount Revised Contract Amount due to Approved Change Order/Extra Work Order Original Expiry Approved Time Extension Shutdown days due to suspension of Work Total Time Extension

: October 27, 2004 : 55 Calendar Days : :

Total Calendar Days Elapsed to date Total Time Elapsed(After Extension) Revised Expiry Date due to Extension Percentage of Time Elapsed Schedule of Work Accomplished Percentage of Work Accomplished-Actual Slippage

: 195 Calendar Days : 195 Calendar Days : April 07, 2005 : 70.91 % : 78.42 % : 100.00 % :+ 21.58 %

Certified By:

VIVINA C. CHAVES Engineer III Project Engineer(DPWH)

111.1

Background Information Republic of the Philippines Department of Public Works and Highways OFFICE OF THE REGIONAL DIRECTOR Region XI, Davao City January 17, 2005 Date

FOR

The Regional Director Region XI, Davao City The Project Engineer Final Billing

FROM SUBJECT

: :

BACKGROUND

Project ID Project Name Loan Contractor Original Contract Amount Revised Contract Amount Original Contract Time Revised Contract Time Effectivity of Contract Time Original Expiry Date Revised Expiry Date Percent Time Elapsed Percent Work Accomplished Percent Work Schedule Percent Slippage Date Project Completed Date Project Accepted Kind of Bank Guarantee or Letter of Credit Expiry Date of Bank Guarantee or Letter of Credit

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

: : MAVERICK BUILDERS : P 25,018,449.70 : P 24,888,858.70 : 220 Cal. Days : 275 Cal. Days : March 22, 2004 : October 27, 2004 : February 25, 2004 : 70.91 % : 100.00 % : 78.42 % : + 21.58 % : : : :

REMARKS

Recommended Final payment

VIVINA C. CHAVES Engineer III Project Engineer(DPWH)

Executive Summary Reference No. Date : January

2005

EXECUTIVE SUMMARY
For 1. Subject : The Regional Director : Final billing in the amount of ONE MILLION TWO HUNDRED FORTY FOUR THOUSAND FOUR HUNDRED THIRTY NINE PESOS & 13/100(P 1,244,439.13), for Rehab./Impv't. of Panabo Coastal Road(Tongson Section),

Panabo City. 2. Period Covered 3. Action recommended 4. Implementing Office 5. Reviewing Office 6. Contractor 7. Contract Data 8. Amount 9. Duration 10.Starting Date 11. Expiration 12. Percent of Time Elapsed 13. Physical Accomplishment 14. Scheduled 15. Actual 16. Slippage : 78.42% : 100.00% : + 21.58% : Dec. 02, 2004 to January 2005 : Recommended for final partial billing : DPWH, REGION XI, DAVAO CITY : : MAVERICK BUILDERS Original Revised 25,018,449.70 220 Cal. Days March 22, 2004 October 27, 2004 24,888,858.70 275 Cal. Days Feb. 25, 2005

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

PAYEE PROJECT ID PROJECT NAME

: : :

Maverick Builders 04LO-0008 Rehab./Impv't. of Panabo Coastal Road(Tongson Section) Panabo City, Davao del Norte

IMPLEMENTING OFFICE NATURE OF CONTRACT

: :

DPWH, REGION XI, DAVAO CITY

CONTRACT AMOUNT PREVIOUS BILLING THIS BILLING BALANCE

: : : :

24,888,858.70 #REF! #REF!

PAYMENT BREAKDOWN 1st partial payment 2nd partial payment 3rd partial payment 4th partial payment 5th partial payment 6th partial payment Final payment TOTAL 8,756,457.09 4,503,320.77 2,364,240.08 1,033,493.55 3,451,725.02 3,535,183.06 23,644,419.57

SIGNATORIES

VIVINA C. CHAVES Project Engineer

REMARKS

Recommended for Final payment

CONTRACTOR CLAIMS

Progress Billing

11.7.

Certification of Clearance for Labor and Materials Payments Republic of the Philippines Department of Public Works and Highways OFFICE OF THE REGIONAL DIRECTOR Region XI, Davao City January 17, 2005 Date CERTIFICATION OF CLEARANCE FOR LABOR AND MATERIALS PAYMENT

PROJECT ID NAME OF PROJECT

: :

04LO-0008 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 this office on unpaid labor or unpaid materials against the contractor Maverick Builders. This certification is issued to the Contractor as requirement in connection with their request for 6th partial payment for the Rehab./Impv't. of Panabo Coastal Road(Tongson Section), Panabo City.

VIVINA C. CHAVES Project Engineer(DPWH)

CONTRACTOR CLAIMS

Progress Billing

Certification of Clearance for Equipment Rental And/Or Lease Republic of the Philippines Department of Public Works and Highways OFFICE OF THE REGIONAL DIRECTOR Region XI, Davao City January 17, 2005 Date CERTIFICATE OF CLEARANCE FOR EQUIPMENT RENTALS AND/OR LEASE

PROJECT ID NAME OF PROJECT

: :

04LO-0008 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 Maverick Builders has no claims against him on equipment lease or rental obligations filed with this office, or amounts due the Department. This certification is issued to the Contractor as requirement in connection with their request for Final billing of Work Accomplished for the Rehab./Impv't. of Panabo Coastal Road

(Tongson Section), Panabo City.

VIVINA C. CHAVES Project Engineer(DPWH)

Republic of the Philippines Department of Public Works and Highways OFFICE OF THE REGIONAL DIRECTOR Region XI, Davao City

CERTIFICATE OF MATERIALS QUALITY TEST

January 17, 2005 Date

PROJECT ID PROJECT NAME

: :

04LO-0008 Rehab./Impv't. of Panabo Coastal Road, Tongson Section, Panabo City Maverick Builders

CONTRACTOR

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

ITEM NO 104-1 201 103-3 404 405-2 605-3 SPL-2 SPL-3 SPL-4 SPL-5

DESCRIPTION Embankment (Borrow) Aggregate Base Course SHORE PROTECTION Foundation Fill Reinforcing Steel Bars Structural Concrete Class "A" Informatory Sign Camphouse Project Billboard Detour Road Furnishing & Driving of coco Piles(with soil bags)

QUANTITY ACCOMPLISHED 35,884.62 11.00 7,565.03 74.50 1.00 36.00 2.00 1.00 -

PETER RIEL ROQUE Materials Engineer

CONTRACTOR CLAIMS

PROGRESS BILLING

11.3a.

Detailed Quantity Calculation

DETAILED QUANTITY CALCULATION(ACCOMPLISHMENT) AGENCY: DPWH- Regional Office XI MONTH : Dec.02, 2004 to Final MO CERTIFICATE NO. 7

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

Coastal Road(Tongson Section)

CONTRACTOR: MAVERICK BUILDERS

PAY ITEM NO: Item 201 DESCRIPTION: Aggregate Base Course UNIT : Cu.M.

ORIGINAL QTY: REVISED QTY:

2,213.00 1,894.64

THIS CERTIFICATE: QTY: CUMMULATIVE QTY:

We hereby certify that we have conducted an inspection and verification on work accomplished on the above-mentioned project for the period Dec. 2, 2004 to Jan. 17, 2005. We furthere certify that we have found that the quantity of materials in the specified work item corresponding to the quantity accomplished 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

Project Engineer (Contractor)

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS

Project Engineer (DPWH)

PETER RIEL ROQUE Materials Engineer

CONTRACTOR CLAIMS

PROGRESS BILLING

11.3a.

Detailed Quantity Calculation

DETAILED QUANTITY CALCULATION(ACCOMPLISHMENT)

DETAILED QUANTITY CALCULATION(ACCOMPLISHMENT) AGENCY: DPWH- Regional Office XI MONTH : Dec.02, 2004 to Final MO CERTIFICATE NO. 7

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

Coastal Road(Tongson Section)

CONTRACTOR: MAVERICK BUILDERS

PAY ITEM NO: Item SPL-5 DESCRIPTION: Furnishing & Driving of Coco Piles ( with soil bags) UNIT : Ln.M.

ORIGINAL QTY: REVISED QTY:

1,187.72 1,187.72

THIS CERTIFICATE: QTY: CUMMULATIVE QTY:

We hereby certify that we have conducted an inspection and verification on work accomplished on the above-mentioned project for the period December 2, 2004 to Jan. 17, 2005. We furthere certify that we have found that the quantity of materials in the specified work item corresponding to the quantity accomplished 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

Project Engineer (Contractor)

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS

Project Engineer (DPWH)

PETER RIEL ROQUE Materials Engineer

BACK-UP COMPUTATION
FOR 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 = V2 = 602.86 x 1,253.95 cu.m. 2.08

TOTAL VOLUME VT = V1 + V2 VT = 640.69 + 869.15

VT =

1,894.64 cu.m.

Prepared by:

MAVERICK BUILDERS Contractor

VIVINA C. CHAVES Project Engineer, DPWH

BACK-UP COMPUTATION
FOR 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 Contractor

VIVINA C. CHAVES Project Engineer, DPWH

s and Highways

ngineering Office

, MATI POB. SECTION, MATI, DAVAO ORIENTAL

TOTAL QUANTITY TO DATE

BALANCE OF QUANTITY

COST OF PREVIOUS BILLING

COST OF THIS BILLING

COST TO DATE

BALANCE OF COST

Grand Total

APPROVED:

Project Engineer(DPWH)

Engineer