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)}80%{background-image:url(data:image/png;base64,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Republic of the Philippines

Department of Social Welfare and Development


#REF!
Province of Agusan del Sur
Municipality of Trento
Barangay Tudela

#REF!
ADMINISTRATIVE COST DERIVATION

Fare/
No of
Sub-project Activities Destination/Description Allowance/ Qty. Unit Amount
transactions
Unit Price

1. TE for procurement transactions of CVs


BSPMC office to SAN
Serving of Canvass FRANCISCO, ADS (vice versa)
260.00 x 3 persons x 6 times = 4,680.00
Transport within vicinity 100.00 x 3 persons x 6 times = 1,800.00
Meals 80.00 x 3 persons x 6 times = 1,440.00
BSPMC office to SAN
Serving of PO & Payments FRANCISCO, ADS (vice versa)
260.00 x 2 persons x 6 times = 3,120.00
Transport within vicinity 100.00 x 2 persons x 6 times = 1,200.00
Meals 80.00 x 2 persons x 6 times = 960.00

Sub-Total 13,200.00
2. Project Meetings
Supplies 100.00 x 10 meetings = 1,000.00
Snacks 25.00 20 persons x 10 times = 5,000.00
Sub-Total 6,000.00
3. ACT-initiated Meetings
Meals 80.00 x 5 persons x 4 times = 1,600.00
Sub-Total 1,600.00
4. Treasurer Payroll Processing
BSPMC office to SAN
FRANCISCO, ADS (vice versa)
260.00 x 1 persons x 6 times = 1,560.00
Transport 100.00 x 1 persons x 6 times = 600.00
Meals 80.00 x 1 persons x 6 times = 480.00
Sub-Total 2,640.00
5. Forms/Supplies and Reproduction
Bondpaper long 342.00 x 2 reams = 684.00
Ballpens 7.00 x 8 pcs = 56.00
Reproduction 2.00 x 1790 sheets = 3,580.00
Petty cash box w/ padlock 750.00 x 1 set = 750.00
Rubber Stamp 40.00 x 1 pc = 40.00
Stampad 40.00 x 1 pc = 40.00
Stamping Ink 50.00 x 1 pc = 50.00
Stapler 100.00 x 1 pc = 100.00
Stapler Remover 15.00 x 1 pc = 15.00
Staple Wire 30.00 x 4 boxes = 120.00
Calculator 300.00 x 1 pc = 300.00
Columnar Book 50.00 x 4 pcs = 200.00
Liquid Eraser 35.00 x 1 ps = 35.00
Paste/Glue 20.00 x 1 pc = 20.00
Folder long 3.00 x 50 pcs = 150.00
Paper clip 20.00 x 1 box = 20.00
Pentil pen 30.00 x 1 pc = 30.00
Log book 80.00 x 4 pcs = 320.00
Fastener 50.00 x 1 box = 50.00
Sub-Total 6,560.00
6. Open LBP Account 1,000.00
Sub-Total 1,000.00
TOTAL for Items 1-4 31,000.00
Total for Admin Cost 31,000.00

Prepared by : Approved by :

#REF! #REF!
Municipal Deputy Area Coordinator BSPMC Chairperson

Checked & Reviewed by: Concurred by :

#REF! #REF!
Deputy Area Coordinator Barangay Captain

Recommending Approval:

#REF! #REF!
Municipal Engineer Municipal Mayor
Noted by:

#REF!
Regional Community Infrastructure Specialist
SUB-PROJECT CONCEPT FORM
Barangay: Municipality:
Province: Region:
Total number of Household(HH) in the barangay:
Total Population: 8 Male: 6 ( 75.00% ) Female: 2 ( 25.00% )

A. GENERAL INFORMATION
Name of proposed sub-project:
Category: Public Goods Enterprise Environmental Protection Human Resource Development

Problem Statement:

Project Purpose:
Project Benefecaries and Expected Benefits:
Total Number of HH Beneficairies: Total Male Beneficiaries: Total Female Beneficiaries:
Pantawid Pamilya HH Beneficiaries of SP: SLP HH Beneficiaries of SP: IP HH Beneficiaries of SP:
Pantawid Pamilya Families Beneficiaries of SP: SLP Families Beneficiaries of SP:
Types of Benefits:

B. DESCRIPTION OF PROJECT COMPONETNS


1. Physical/ Infrastructure component (Program of Works)
Physical Target: #REF! sq.m. Cost Parameter: #REF! / sq.m.
Persons who assisted in the preparation of techical proposal:
Proposed scope of works to be undertaken:

Labor Workforce requirement/sources (diaggregated by skill level and sex):


Equipment requirement / sources:
Procurement Method/s to be adopted:
2. Training Component:
2. Women-specific component
3. Management Component

C. SAFEGUARDS CONCERNS

Any displacement or relocation of community members during implementation? YES NO


(diaggregated by sex and income class)
Acquisition of proposed site/location?(sex of owner) Deed of sale Donated LGU owned other:(specify)_____________
Proposed site within the reservation area? YES NO
Necessary permit/s accomplished? (e.g. ECC, CNC) YES NO EMP ONLY
Mitigating measures to be undertaken for the environmental impact of the sub-project?

D. FINANCIAL ECONOMIC ASPECT

Local Counterpart Contribution (LCC)


Cost Items per
Total Cost CDD grant
Component Community
Men Women BLGU MLGU OTHERS TOTAL LCC
Total Estimated Cost
POW(Infrastructure)
Training
Women-Specific
Management
Other, Specify
Total
Percentage

E. SUB-PROJECT SUSTAINABILITY
Is there an existing O and M group or does t still has to be recognized? (if existing, diaggregate leaders and members by sex. If it is yet to be formed, indicate participation
of women as leaders and members)

What are the major Operation and Maintenance (O&M) components of the sub-project? (In a school building project, for example, the major O&M components would
include teachers, books and supplies, and periodic repair of the school building and desks and chairs, etc.)

How do we plan to maintain the completed sub-projects?

Is the community willing to pay for tariff and by how much?

Other sources of funds for the operation and maintenance activities?

Identified capability building requirements for O&M group? (disaggregate capability-building requirements by sex)

Prepared by: Approved for endorsement to the MIBF:

Head, Project Preparation Team Brgy. Chairperson BSPMC Chairperson


Approved for endorsement to KC:NCDDP Technical Verification by:

Municipal Mayor/MIBF Convenor Area Coordinator MIAC Representative


an Resource Development

other:(specify)_____________

TOTAL LCC
e formed, indicate participation

O&M components would

C Chairperson

epresentative
Republic of the Philippines
Province of Agusan del Norte
Municipality of Jabonga

OFFICE OF THE MUNICIPAL HEALTH

CERTIFICATION
(Prevailing unit Price of materials and labor wages)

To whom it may concern;

This is to CERTIFY that the following list of materials and labor indicated below are current
prevailing unit price for Barangay Baleguian, Municipality of Jabonga, Province of Agusan del Norte.

MATERIAL PRICE FOR MEDICAL SUPPLIES, DISINFECTING AND SANITIZING MATERIALS

#REF! 500ml #REF!


#REF! pc #REF!

#REF! pc #REF!
#REF! pc #REF!
#REF! gallon #REF!
#REF! bottle #REF!

MATERIAL PRICE FOR HARDWARE


#NAME? pc. #NAME?
#REF! pc. #REF!
#REF! pc. #REF!
#REF! pc. #REF!

PRICE FOR SUPPLY AND INSTALLATION OF WOODEN BILLBOARD AND WARNING SIGNAGES

#REF! lot #REF!

#REF! sheets #REF!

Page 7 of 76
PREVAILING CAPABILTY OF WORKS
Cleaning/Clearing sq.m. / man.day 80.00
#REF! sq.m. / man.day 15.00
Declogging of Canal l.m / man.day 10.00
Disposal of Waste Materials cu.m / man.day 4.00

PREVAILING CURRENT WAGE RATES

Description of Material unit Unit Cost


Unskilled labor /day 320.00

Given this 13th day of November 2020 at Municipal Health Office, Municipality of Jabonga, Agusan del Norte

Certified By :

#REF!
#REF!

Page 8 of 76
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!

ADMINISTRATIVE COST
UNIT COST COST SHARING SUB-TOTAL

QUANTITY
No. of
TOTAL UNIT BLGU MLGU LCC TOTAL LCC (cash
ITEM DESCRIPTION Unit Crew/L UNIT Delivery Cost TOTAL COMMUNITY TOTAL
COST & Inkind)
abor RATE/RATE PER CDD GRANT CONTRIBUTION
DAY (INKIND) CASH INKIND CASH INKIND CASH INKIND

Administrative Cost:
TE for the opening of BDC-TWG LBP Account: - - - - - - - -
Fare from Brgy. Asinan - Surigao City & vice versa 1.00 time 2.00 880.00 880.00 1,760.00 1,760.00 - - - - 1,760.00
Transport within Surigao 1.00 time 2.00 80.00 80.00 160.00 160.00 - - - - 160.00
Meals 3.00 time 2.00 80.00 80.00 480.00 480.00 - - - - 480.00
Lodging 1.00 time 2.00 850.00 850.00 1,700.00 1,700.00 - - - - 1,700.00
TE for procurement transaction of CV's (Serving of Canvasses and P.O.s): - - - - - - - -
Fare from BDC-TWG Office - Dapa & vice versa 5.00 times 3.00 100.00 100.00 1,500.00 1,500.00 - - - - 1,500.00
Transport within Dapa 5.00 times 3.00 80.00 80.00 1,200.00 1,200.00 - - - - 1,200.00
Meals 5.00 times 3.00 80.00 80.00 1,200.00 1,200.00 - - - - 1,200.00
BDC-TWG Sub-project Meetings: - - - - - - - -
Snacks 8.00 times 25.00 64.32 64.32 12,863.00 12,863.00 - - - - 12,863.00
Treasurer's Payroll Processing: - - - - - - - -
Fare from BDC-TWG Office - Surigao & vice versa 4.00 times 1.00 880.00 880.00 3,520.00 3,520.00 - - - - 3,520.00
Transport within Surigao 4.00 times 1.00 80.00 80.00 320.00 320.00 - - - - 320.00
Meals 12.00 times 1.00 80.00 80.00 960.00 960.00 - - - - 960.00
Lodging 4.00 time 1.00 850.00 850.00 3,400.00 3,400.00 - - - 3,400.00
Opening of BDC-TWG account 1.00 1.00 1,000.00 1,000.00 1,000.00 - 1,000.00 1,000.00 - 1,000.00 1,000.00
Forms, Supplies and Reproduction: - - - - - - - -
Reproduction of KC-Documents 1,500.00 sheets 2.00 2.00 3,000.00 3,000.00 - - - 3,000.00
TOTAL FOR ADMINISTRATIVE COST 33,063.00 32,063.00 - 1,000.00 - - - 1,000.00 - 1,000.00 33,063.00
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF!
Prepared by: #REF! Noted by:

#REF! #REF! #REF!


#REF! #REF! #REF!

Page 9 of 76
BARANGAY SUB-PROJECT WORK SCHEDULE
For the Month of : November 15, 2021 - December 14, 2021

Total Sub-Project Cost ###


Name of Sub-Project : #REF!
Direct Cost ###
Region : CARAGA Indirect Cost ###
Province : Surigao del Norte Planned Date of Start ### ### ### ### ### ### ### ### ### ### ### ### ###
Municipality : Pilar Target Completion Date ###
Barangay : Mabuhay Mode of Implementation Community Force Account

December 13, 2021

December 14, 2021

December 15, 2021

December 16, 2021

December 17, 2021

December 18, 2021

December 19, 2021

December 20, 2021

December 21, 2021

December 22, 2021

December 23, 2021

December 24, 2021

December 25, 2021

December 26, 2021

December 27, 2021

December 28, 2021

December 29, 2021

December 30, 2021

December 31, 2021

January 01, 2022

January 02, 2022

January 03, 2022

January 04, 2022

January 05, 2022

January 06, 2022

January 07, 2022

January 08, 2022

January 09, 2022

January 10, 2022

January 11, 2022


Sub-Project Duration : #REF! Actual date start ############

ITEM Month of November Month of December


Specific Activities/Tasks Manpower No. of Days %
No.
Week 1 Week 2 Week 3 Week 4 Week 5
2.2% 2.2% 2.2% 2.2% 2.2% 2.2%
#REF! #REF! #REF! 5.5 13.09%
1.2% 0.7%

2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4%
#REF! #REF! #REF! 20 47.61%
2.5% 2.5% 2.5% 2.5% 2.5% 2.5% 2.5% 2.5% 2.5% 2.5% 2.5% 2.5% 2.5% 2.5% 2.5% 2.5%
#REF! #REF! #REF! 16.5 39.30%

42.00
Plan 24.99% 16.66% 33.86% 19.57% 4.91%
Actual 1.91% 0.00% 0.00% 0.00% 0.00%

Prepared by: ###

#REF! #REF!
#REF! #REF!
########################

er Month of January

Week 6 Week 7 Week 8 Week 9 Week 10 Week 11 Week 12

END OF PROJECT DURATION

Noted by:

EF! #REF!
EF! #REF!
EMERGENCY COMMUNITY PROCUREMENT PLAN (ECPP)

Barangay : Mabuhay Name of Sub-Project : #REF!


Municipality : Pilar Sub-Project Duration : #REF!
Province : Surigao del Norte Total Estimated Cost : #REF! Date Prepared : _____________, 2021
Region : CARAGA Tranche Cost Sharing Details : Grant Fund LCC Cash KC Cost : #REF!
Initial Tranche : #REF! 100.00% #REF! 100.00% LCC : #REF!
Last Tranche : #REF! 0.00% #REF! 0.00% LCC In-Kind : #REF!
Total : #REF! 100.00% #REF! 100.00% LCC Cash : #REF!
Mode of Implementation : √ CFA By Contract TOTAL : #REF!

ESTIMATED COST INVOLVED


PACKAGES

PROCUREMENT INITIAL TRANCHE LAST TRANCHE CONTRACT POSSIBLE SUPPLIER OR


PACKAGE ITEMS QTY UNIT UNIT COST TOTAL COST
METHOD DURATION PAKYAW GROUP
GRANT LCC CASH GRANT LCC CASH

HARDWARE MATERIALS
#REF! #REF! #REF! - #REF! #REF! #REF! #REF! -

#REF! #REF! units - #REF! #REF! #REF! #REF! -


1 Community In-Kind
#REF! #REF! units - #REF! #REF! #REF! #REF! -

#REF! #REF! units - #REF! #REF! #REF! #REF! -

Sub-Total #REF! #REF! #REF! #REF! -

SP BILLBOARD AND SIGNAGE


#REF! #REF! #REF! - #REF! #REF! #REF! #REF! -

2 Barangay Inkind
#REF! #REF! #REF! - #REF! #REF! - #REF! -

Sub-Total #REF! #REF! #REF! #REF! -

COVID-19 RESPONSE ITEM


#REF! #REF! #REF! - #REF! - - - -
3 Community In-Kind
#REF! #REF! #REF! - #REF! #REF! #REF! - -

Sub-Total #REF! #REF! #REF! - -

LABOR
#REF! 1.00 lot #REF! #REF! #REF! #REF! - -
4 Community
#REF! 1.00 lot #REF! #REF! #REF! #REF! - -

Sub-Total #REF! #REF! #REF! - -


INDIRECT COST
#REF! 1.00 lot #REF! #REF! #REF! #REF! - -
#REF! 1.00 lot - - #REF! #REF! - -
5 INDIRECT COST
#REF! 1.00 lot - - #REF! #REF! - -
#REF! 1.00 lot - - #REF! #REF! - -
Sub-Total #REF! #REF! #REF! - -
TOTAL AMOUNT #REF! #REF! #REF! #REF! -
PERCENTAGE #REF! #REF! #REF! #REF!

Prepared by: Reviewed by: Approved by:

HADJI SAN C. ELIMANCO #REF!


Procurement Team Technical Facilitator BDC-TWG Chairperson
Page 12 of 76
SCHEDULE OF IN-KIND LOCAL COUNTERPART CONTRIBUTION (SILCC)

Barangay : Mabuhay Name of Sub-Project : #REF!


Municipality : Pilar Sub-Project Duration : #REF!
Province : Surigao del Norte Total Estimated Cost : #REF! Date Prepared : October 20, 2021
Region : CARAGA Tranche Cost Sharing Details : Grant Fund LCC In-Kind KC Cost : #REF!
Initial Tranche : #REF! 100.00% #REF! 100.00% LCC : #REF!
Last Tranche : #REF! 0.00% #REF! 0.00% LCC In-Kind : #REF!
Total : #REF! 100.00% #REF! 100.00% LCC Cash : #REF!
Mode of Implementation : √ CFA By Contract TOTAL : #REF!
PACKAGES

IMPLEMENTATION SCHEDULE (MONTH)


UNIT OF INITIAL TRANCHE FINAL TRANCHE
PACKAGE ITEMS QTY UNIT COST TOTAL COST
MEASURE
1 2 3 4 5 6
LCC IN-KIND LCC IN-KIND
HARDWARE MATERIALS
Digging Bar 1.3 m 11.00 pcs 350.00 3,850.00 3,850.00 -

Shovel with handle 8.00 pcs 350.00 2,800.00 2,800.00 -

1 Hand Gloves (Rubberized) 100.00 pcs 45.00 4,500.00 4,500.00 -

Crow Bar 3.00 pcs 350.00 1,050.00 1,050.00 -

Rubber Boots ( Assorted Sizes) 15.00 pcs 250.00 3,750.00 3,750.00 -

Sub-Total 15,950.00 15,950.00 -

SP BILLBOARD AND SIGNAGE


#REF! 1.00 lot #REF! #REF! #REF! #REF!
2
#REF! 1.00 lot #REF! #REF! #REF! -
Sub-Total #REF! #REF! #REF!

COVID-19 RESPONSE ITEM


#REF! #REF! #REF! #REF! #REF! #REF! #REF!
3
#REF! #REF! #REF! #REF! #REF! #REF! -
Sub-Total #REF! #REF! #REF!

INDIRECT COST
#REF! 1.00 lot #REF! #REF! #REF! #REF!
4
#REF! 1.00 lot #REF! #REF! #REF! -
Sub-Total #REF! #REF! #REF!
TOTAL AMOUNT #REF! #REF! #REF!
#REF! #REF!

Prepared by: Reviewed by: Approved by:

AIZA D. OROBILLO #REF! #REF!


Procurement Team Technical Facilitator BDC-TWG Chairperson

Page 13 of 76
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!

BILL OF QUANTITIES
UNIT COST COST SHARING SUB-TOTAL

QUANTITY
No. of
TOTAL UNIT BLGU MLGU LCC TOTAL LCC (cash
ITEM DESCRIPTION Unit Crew/L UNIT Delivery Cost TOTAL COMMUNITY TOTAL
COST & Inkind)
abor RATE/RATE PER CDD GRANT CONTRIBUTION
DAY (INKIND) CASH INKIND CASH INKIND CASH INKIND

A.DIRECT COST

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CBIM 2021 Form B-16
Sub-Project Completion Report

KALAHI -CIDSS
SUB-PROJECT COMPLETION REPORT

A. General Information

CASH FOR WORK


Name of Sub-project :
Sub-project :ID 2022090046

Project Source / Fund Source/ GOP/ KC-NCDDP AF


Modality :
Sub-project category/ Type : Cash For Work Target Physical Accomplishment:
Cleaning/Clearing 36,600 sq.m.
Deweed (Guna) 32,300 sq.m.
Declogging
A. Declogging of Canal 1,000 ln.m.
B. Disposal of Waste Materials 300 cu.m.
Actual Physical Accomplishment:
Cleaning/Clearing 36,600 sq.m.
Deweed (Guna) 32,300 sq.m.
Declogging
A. Declogging of Canal 1,000 ln.m.
B. Disposal of Waste Materials 300 cu.m.
Barangay/s covered: Barangay Tagbayagan Estimated Total Cost:
902,983.00
Estimated Cash: Estimated In-Kind:

897,600.00 5,383.00
Actual Total Cost:
902,983.00
Actual Cash: Actual In-Kind:
897,600.00 5,383.00
Municipality & Class: Rosario / 2nd Class Total Grant Received:
897,600.00
Province: Agusan del Sur Total Counterpart Delivered:
5,383.00

Delivered LCC Cash Delivered LCC In-Kind


N/A 5,383.00

Total no. of HH served by the Sub-Project: 278 SP Date Started:


JUNE 27, 2022
Total IP HH served by the Sub-Project: 42 SP Date Completed:
JULY 8, 2022

Total no. of Families served by the Sub-Project: 281 SP Date of Turn-over: N/A

Total IP Families served by the Sub-Project: 42

Total no. Pantawid Families served by the Sub-Project: 79 No. of Pantawid HH Beneficiary served by the Sub-project: 79

Total no. Papulation in the Barangay: 2,684 Total Population served by the Sub-project : 1,225

Male : 1,364 Male : 650


Female: 1,321 Female: 575
No. of person with disability served by the Sub-project
Male : N/A
Female: N/A

B. Sub-project Description
B.1. Please provide background information about the completed sub-project.

Ang barangay Tagbayagan adunay 278 ka mga indibidwal nga trabahante sa Cash For Work nga proyekto nga gipahigayon kaniadtong July 27, 2022
hangtud July 8, 2022 nga adunay napulo ka adlaw (10 days). Adunay 88 niini ka mga lalaki ug 190 usab ang kababaenhan nga nahatagan ug temporaryong
panginabuhian. Natubag gayud ang among nasinati nga kalisud sa pinansiyal nga aspeto, taliwala sa pandemya nga COVID - 19, nga agig tubag sa
gipahigayon nga Barangay Participatory Situational Analysis o BPSA dinhi sa among barangay.

Page 18 of 76
CBIM 2021 Form B-16
Sub-Project Completion Report
B.2.
The sub-project is completed with the following work items and activity constructed/ implemented by the concerned community/ ies.

Quantity Unit Unit Total


Item of Works Cost
I Cleaning/Clearing 36600 sq.m. 3.15 115,200.00
II Deweed (Guna) 32300 sq.m. 22.19 716,800.00
III Declogging -
A. Declogging of Canal 1000 ln.m. 32.00 32,000.00
B. Disposal of Waste Materials 300 cu.m. 80.00 24,000.00
IV Sub-Project Billboard 1 lot 500.00 500.00
1 lot 350.00 350.00
Sub-Project Billboard 4ft x 8ft (Tarpauline Printed) 32.00 sq.ft 18.00 576.00
Plywood Type II (ordinary) 5.5mm thick 1.00 sheet 445.00 445.00
Sub-Project Safety Signages four sheets 2ft x 3ft (Tarpauline Printed) 24.00 sq.ft 18.00 432.00
Good lumber 10 pcs. 2" x 2 "x 12' 40.00 bd.ft 25.00 1,000.00
CW Nails #3 1.00 kg 80.00 80.00
Direct Cost 891,383.00
indirect Cost 11,600.00
Total Project Cost 902,983.00
C. Methods of Sub-project Implementation
C.1. Procurement mode and procedures used in the sub-project implementation. Check that applies.

Modes of Procurement Methods of Procurement


By contract Implementation Community Bidding for Goods (CBG)
̸ Community Force Account Community Bidding for Works (CBW)
Community Shopping for Goods (CSG)
Community Shopping for Works (CSW)
Direct Contraction for Goods (DCG)
Direct Contraction for Works (DCW)
Pakyaw-Labor
Pakyaw-Labor with materials
Repeat Order
Small Value Procurement (SVP)

C.2. Pleases state the major problems/ challenges encountered during implementation and action taken by the ACT and the community volunteers/ leaders to
solve the issues. (Add additional rows if needed)
Challenges in Implementation Action Taken Remarks

Gipasabot pag - usab sa ACT inubanan sa BLGU


Officials ug Community Volunteers ngadto sa mga
Nalikayan ang pagkaylap sa maong virus sa komunidad
Panahon sa pag implementar sa maong proyekto, wala trabahante nga kinahanglan nga ipahigayon gayud
1 ug wala nagkasakit ang mga trabahante panahon sa pag
napahigayon ang social distancing sa matag trabahante. kanunay sa matag usa ang social distancing panahon sa
- implementar.
pagtrabaho tungod kay aduna pa kita ilalum sa
pandemya nga COVID - 19.

D. Labor Generated
Particular Number of person Rate per day No. of Total Cash Labor Total In-Kind Labor
Working
Days
Male Female Male Female Male Female Male Female
Foreperson/
Project
Supervisor - - - - - - - - -
Skilled - - - - - - - - -
Unskilled 91 190 320.00 320.00 10 291,200.00 606,400.00
Total paid labor Cash 897,600.00

E. Project Benefits: Highlight the initial impact provided by the sub-project to the covered community/ ies.

e.1. Describe community conditions before the implementation of the Project intervention-focus on situation during COVID-19 Pandemic, how long the community
deprived this services and how costly was it to access the service. (For sub-project implemented during COVID-19)

Sa wala pa niabot ang maong proyekto dinhi sa among barangay nakasinati gayud kadaghanan sa among mga kabanay nakasinati gayud sa kakulangon nga
panguhaan sa pinansyal nga aspeto ilabina ang mga mag - uuma, tungod kay seasonal lamang kini maka harvest ug makabaligya sa ilahang mga produkto.
Pag - abot sa maong programa sa KALAHI CIDSS NCDDP - AF pinaagi sa ahensiya sa DSWD, nahatagan ug temporaryong trabaho ang 278 ka indibidwal
isip tubag sa padayon nga gisagubang nga problema pinansyal luyo aning pandemya nga atong nasinati karon.

Page 19 of 76
CBIM 2021 Form B-16
Sub-Project Completion Report

e.2. Condition of the community before the Project intervention (How long were you deprive of service? How costly was it to access the service? How far? (for sub-
projects implemented in low risk or non-COVID-19 areas)

N/A

e.3. Condition of the community after the sub-project completion.


Nahatagan ug temporaryong trabaho ang mga kabanay nga low wage earners,nahinlo ug hapsay na ang palibot sa tibuok barangay. Napalig -on usab ang
relasyon sa matag usa sa komunidad.

F. Environmental and Social Aspect: Discuss any environmental and social issues/ impact encountered during the construction and the mitigating measures provided by the
community (refer to the Environmental and social Management Plan (ESMP) and ESMP Reports). (Add additional rows needed)

Environmental and Social Issue Mitigating Measures Means of Verification

Nag provide ang barangay ug mga sako nga sudlan sa mga basura
Gikinahanglan nga adunay saktong segrigasyon sa
Dili insaktong paglabay sa mga basura nga segregated para sudlan sa n ilabay nga mga basura panahon sa
mga basura ug mabutang kini sa saktong labayanan.
pag implementar sa proyekto

Adunay gi - assigned nga mga purok leader, nga mag monitor sa mga
Dli matilok ang pagkuha sa mga basura nga Adunay hugot nga pagmonitor para mapasiguro nga
trabahante sa pag hinlo para gayud matilok ang mga basura nga ana
anaa sa mga canal matilok gayud ang mga basura nga ana sa mga canal.
sa mga canal.

Kaniadtong June 27, 2022 hangtud July 8, 2022 sulod sa napulo ka


Hugot nga ipatuman gayud ang pagsunod sa health
adlaw (10 days) nga gitrabahoan sa 278 ka mga trabahante, strikto
Kakulangon sa pagsunod sa health protocols protocols sa DOH ug kanunay nga pagpahinumdom
gayud nga gipatuman ang pag suot ug face mask ug social distancing
panahon sa pagtrabaho sa mga trabahante ang social distancing ug pagsuot
sa matag trabahante isip pagsunod sa health protocol sa DOH ug
sa face mask panahon sa pagtrabaho.
paglikay sa pagkaylap sa maong Virus

Dasigon ug ipasabot sa mga kababaenhan ang ka -


Gamay ra ang bilang sa mga kababaen - han Sa 278 ka mga trabahante sa maong proyekto, adunay 190 ka bilang
importansya sa pag apil - apil panahon sa
nga maka apil panahon sa implementasyon sa mga kababaenhan nga mga trabahante.
implementasyon tungod sa gender equality.

Training Fund Source (Check that Number of Participants


List of community -Base Training Total Cost applies)
Brief Summary of Evaluation Result
Conducted. by the
Project KALAHI-
LCC Male Female
CIDSS

Pagkahuman sa maong training daghan ang nakat -


onan sa mga partisipante kabahin sa sa proceso sa
Community Procurement Training 14,000.00 14,000.00 - 20 22
procurement pinaagi sa RA 9184 under sa Emergency
Cases.

Page 20 of 76
CBIM 2021 Form B-16
Sub-Project Completion Report

Pagkahuman sa maong training daghan ang nakat -


Community Infrastructure Training 21,000.00 21,000.00 13 19 onan sa mga partisipante kabahin sa pamaagi sa
infrastructure nga aspeto.

Pagkahuman sa maong training daghan ang nakat -


Finance Training 21,000.00 21,000.00 10 21 onan sa mga partisipante kabahin sa pamaagi sa finance
nga aspeto.

Name of the Community Volunteers Age Sex (M/F) IP (Y/N) PWD (Y/N) Sitio/ Barangay Designation/Team

1 PAQUITO A. EBERO 52 M Y NO TAGBAYAGAN BDC - TWG & PSA Chairperson

2 WELYN D. CORNELIO 32 M N NO TAGBAYAGAN PPT Chairperson & PSA Member

3 ROSALIE S. SALAS 40 F N NO TAGBAYAGAN PPT & PSA Member

4 ALFREDO DAMARILLOS, SR. 65 M N NO TAGBAYAGAN PPT & PSA Member


5 CHRISTOPHER P. PUERIN 40 M N NO TAGBAYAGAN PIT Chairperson & PSA Member
6 GENEVA L. SAYSON 23 F N NO TAGBAYAGAN PIT & PSA Member
7 BERNARD G. BAHIL 21 M N NO TAGBAYAGAN PIT & PSA Member
8 MARIA VICTORIA MONTERO 52 F N NO TAGBAYAGAN PT Chairperson & PSA Member
9 EMILY H. LAPINID 44 F N NO TAGBAYAGAN PT & PSA Member

10 DIOSCORO CALABRIA 46 M N NO TAGBAYAGAN PT & PSA Member

11 ROCHELLE G. EBERO 23 F Y NO TAGBAYAGAN AIT Chairperson & PSA Member


12 CESAR SUMATRA 62 M N NO TAGBAYAGAN AIT & PSA Member

13 VIVIAN G. AYUBAN 34 F N NO TAGBAYAGAN OMT Chairperson and AIT & PSA Member

14 SHELLY O. PUERIN 36 F N NO TAGBAYAGAN MIT Chairperson and AIT & PSA Member
15 LARRY HAMPAC 50 M N NO TAGBAYAGAN MIT & PSA Member
16 JEFERSON CAPADA 50 M N NO TAGBAYAGAN MIT & PSA Member
17 RUBEN G. JUMAWID 56 M Y NO TAGBAYAGAN GRS Chairperson & PSA Member
18 JEROME E. PATRIANA 43 M N NO TAGBAYAGAN GRS & PSA Member
19 MIRALUNA G. EBERO 49 F Y NO TAGBAYAGAN GRS & PSA Member
20 RUDY Q. AYUBAN 36 M N NO TAGBAYAGAN OMT & PSA Member
21 VICTORINO TUMILAP 39 M N NO TAGBAYAGAN OMT & PSA Member

22 HON. RUFINO V. PUERIN, SR 77 M N NO TAGBAYAGAN HoPE & PSA Member

23 HON. BERNIE G. BAHIL 39 M N NO TAGBAYAGAN BAC Chirperson & PSA Member


24 HON. LEONARDO M. PARCON 55 M N NO TAGBAYAGAN BAC Vice Chairperson & PSA Member
25 HON. MICHAEL C. GUZMAN 31 M Y NO TAGBAYAGAN BAC & PSA Member
26 HON. JOSE B. GULILA 50 M N NO TAGBAYAGAN BAC & PSA Member
27 HON. RAUL O. ROCACURVA 66 M N NO TAGBAYAGAN BAC & PSA Member
28 HON. JULIUS B. GULILA 48 M N NO TAGBAYAGAN BAC & PSA Member
29 HON. REYNALDO Q. AYUBAN 43 M Y NO TAGBAYAGAN Head of BAC Secretariat & PSA Member

A. Cost of Sub-project
Type of Sub-Project Standard Cost of Sub- Name of the Total Percentage of Standard Cost Over KALAHI-CIDSS Cost
Project by Other Agency. Agency KALAHI- Sub-Projects
CIDSS Sub-
Project
NONE

B. Cost per Population


Total Actual Cost Total Population Saved Percentage Cost per Population

897,600.00 278 3,228.78 Maha


pls ko
perce
i.2 Plan vs. Actual: Did the SP incurred overrun or savings? By how much? If savings incurred, how was it utilized? popul
divide
SP Plan Cost SP Actual Cost Savings Amount Utilization of Savings over p
902,983.00 902,983.00 -

i.3 Financial Aspect: On-time releases of Project Grant (On the average, how many days did it take from the ACT receipt of community requests to the date of fund
release to the community account? List contributing factors of the case.

Average Days to Complete Sub-projects: 30 Calendar Days

Facilitating Factors: (List of facilitating factors 1) Aktibong pagpartisipar sa BDC-TWG Volunteers


that contribute to completion of sub-projects on 2) Pagka kompleto sa mga required nga mga dokumento
time)
3) Availability sa budget ug sa LCC
4) Koordinasyon sa mga stakeholders sa proyekto

Page 21 of 76
CBIM 2021 Form B-16
Sub-Project Completion Report

i.4 Participation: On the average, How many household representatives participated in deliberations of the Sub-project and its endorsement to the Municipal Inter-
Barangay Forum, Expanded B/MDRRMC or any identified municipal technical working group for other modality?

Total No. of community volunteers representative in Municipal TWG Total No. of members of the Municipal TWG (MIAC, Expanded B/MDRRMC,
(MlAC, expanded B/MDRRMC, others): others):

3 15
Male : 2 Female : 1 Male : 13 Female : 2
Total No. of IP community volunteers representative Municipal TWG IP Male Representative : IP Female Representative :
(MIAC, Expanded B/MORRMC, others):
NONE NONE

a. What significant contributions from the community members were documented throughout the implementation of the project? (Add more rows as necessary)

List of Community Representative Significant Contributions


1) Women's Association
2) Youth Association
4) Farmer's Association

Page 22 of 76
CBIM 2021 Form B-16
Sub-Project Completion Report
b. What were the roles that women played in the process?
Adunay taas nga partisipasyon sa mga kababaenhan kung adunay panagtapok kalambigitan sa pagplano sa umaabot nga pag - implementar sa maong proyekto. Kung
adunay mga training, meetings nga ipahigayon sa maong programa,majority ang mga kababaenhan ang mag apil - apil sa maong kalihokan. Panahon usab sa pag -
implementar sa maong sub - project taas gayud ang porsyento sa mga kababaehan ang mga trabahante.

i.5 Governance :
a. Percentage of total LCC (LCC over the project cost)

0.60%
b. Was LCC on time? _________yes, _________No, if No, why: Maharu I. Kobayashi:
I divide ra ang Actual
LCC utilized over actual
project cost so
5,383.00/902,983.00 =
0.60%

c. Commitment vs delivery/ fulfillment of all LCC commitments

Committed LCC Contribution Types of Contribution Delivered LCC Remarks


(check that apply)
(% of LCC Utilized)
In-Cash In-Kind
3,383.00 100% 3,383.00 BLGU
2,000.00 100% 2,000.00 MLGU

d. Supporting ordinances for O&M activities

Mane of the Ordinances for O&M Activities Date Issued


Solid Waste Management 07/18/2022

e. Technical Assistance provided by the LGU such as those during planning and implementation (Add rows as necessary.)
List of Technical Assistance Provided by LGU Date Provided
1 Project Development Workshop December 14 - 15, 2021
2 MIAC Technical Review Workshop February 16, 2022

f. Commitment of Local Government Units for O&M.


/ Yes ___ No.
( If yes, please attached an O&M Partnership Agreement.)

i.6 Multi-Stakeholder Partnership: Name the organization, agency and individuals that provided contribution to the Sub-Project. Please Indicate the amount In-Cash and In-Kind.

Total Amount of Contributions


Name of the Organizations/ agencies/ Individuals
In-Cash In-Kind
None
Total - -

i.7 Eternal Monitoring : (name external monitoring that visited the Sub-Project)

a. GOP mission Date/s


b. NGO members Date/s
c. Others, specify Date/s

i.8 If there was any Grievance/ Complaint that arouse during implementation, how was it resolved?

Status (Resolved, Partially Resolved,


Type of Grievance Details of the Grievance Resolution
Unresolved)
N/A

Page 23 of 76
CBIM 2021 Form B-16
Sub-Project Completion Report

J. Lesson Learned: Please share any lesson/s and good practice/s learned your implementation of the Sub-project and project implementation in general.

Tungod sa pandemic ang mga tao naglisud ug nawad - an jud ug mga trabaho, apan tungod ani nga programa sa KALAHI CIDSS NCDDP - AF nahimo kining nakatabang sa
katawhan sa barangay Tagbayagan. Nakahatag kini ug dugang income, temporaryo lamang kini apan makatabang kini panglahutay ug makapalit sa ginagmay nga mga
panginahanglanon sa matag pamilya. Ako, isip usa ka Community Volunteer, mapasalamaton ako ug daku sa Ginoo kay tungod niini nga proyekto nakahatag ug tabang sa
pinansyal nga aspeto dinhi sa among komunidad.

J.1. What went well and why? (What were the successful steps taken towards achieving the objectives?)

Successes How to ensure success in the achieving the objective

Paggahin ug panahon ug oras kung adunay mga aktibidadis kabahin kung adunay
Pag apil - apil sa mga kalihokan sa maong programa
pahina nga ipahigayon ang barangay.

Pagsuporta sa matag usa kung adunay mga plano para sa kalambuan sa Adunay pagsinabtanay ug respito sa matag usa para masustinar ug magmalahutayon
maong proyekto ang maong proyekto.

J.2. What can be improved and how? (What could have been done better? What can do differently in similar situation in the future to ensure success? What would be your
advice to future teams?

What can be improved Suggestions/ Recommendation


Ang BDRRMC Officials gayud ang manguna para masunod gayud ang anaa sa
Operation & Maintenance nga mga plano ug matuman gayud ang O & M programa
Ang pagsustinar sa maong proyekto nga magpabilin ang kalimpyo ug
para masustinar gayud ang maong proyekto nga inubanan kanamung mga
hapsay palibot sa among barangay.
Community Volunteer.

Prepared by: Certified by:

PAQUITO A. EBERO RUFINO V. PUERIN, SR.


BDC - TWG Chairperson Barangay Chairperson

Date: _____________ Date: _____________

VERIFICATION / CONFIRMATION:

1. Project Signboard Updating and Reporting


a. Billboard : Yes ________No __________

b. Statement of expenditures posted in the community board? Yes ________No __________

c. Expenditures reported to Barangay Assembly? Yes ________No __________

NENITA R. SENADOS
Community Empowerment Facilitator

Date :_______________

Page 24 of 76
CBIM 2021 Form B-16
Sub-Project Completion Report

2. Did the community meet basic financial reporting standard in the FM & A manual ?
Yes ________No __________

NORVELIZA L. DEDOYCO
Municipal Financial Analyst

Date :_______________

3. Did the community implement the sub-project as per approved technical plans & specification?
Yes ________No __________

Was it within the budget? Yes ________No __________

SERGIO A. VASQUEZ, JR. C.E.


Technical Facilitator

Date :_______________

Submitted by:

NENITA R. SENADOS
Community Empowerment Facilitator

Date :_______________

Checked by:

NORAYA A. NATO
Area Coordinator

Date :_______________

Approved by:

MAY M. NARZOLES
Community Development Officer III

Date :_______________

To be submitted together with;

A. Site Validation Report (with geotagged photos of the proposed site)


B. Final Inspection Report (with geotagged photos of the completed SP's)
C. Sub-project Concept Form
D. Updated Environmental and Social Management Plan (if necessary)
E. Mutual Partnership Agreement or Memorandum of Understanding for Operation and Maintenance
F. Certification of Completion and Acceptance
G. Operation and Maintenance Plan and Programed
H. Functionality Audit Report (if necessary)
I. List of Actual HH's beneficiaries

Page 25 of 76
Republic of the Philippines
Department of Social Welfare and Development
KALAHI-CIDSS NCDDP ADDITIONAL FINANCING
Caraga Region XIII
Province of Agusan del Sur
Municipality of Rosario
Barangay Tagbayagan
Batch 2 - Phase 1

OFFICE OF THE BARANGAY DEVELOPMENT COUNCIL - TECHNICAL WORKING GROUP

Sub-Project Tile CASH FOR WORK Sub-Project Duration: 30 Calendar Days

Total Sub-Project Cost ₱902,983.00

Mode of Implementation: Community Force Account

PROGRAM OF DISTRIBUTION
A.1 Direct Cost
Labor Derivation Labor Cost Requirement

No. Work Description No. of No. of Days to


Qty Required Manpower Capability Manpower Complete the Rate/Day Cost
Assigned Work

I Cleaning/Clearing 36,600 sq.m. 100 sq.m/man-day 45.00 8.00 320.00 115,200.00

II Deweed (Guna) 32,300 sq.m. 15 sq.m/man-day 224.00 10.00 320.00 716,800.00

III Declogging

A. Declogging of Canal 1,000 ln.m 10 ln.m/man-day 10.00 10.00 320.00 32,000.00

B. Disposal of Waste Materials 300 cu.m 4 cu.m/man-day 15.00 5.00 320.00 24,000.00

IV Sub-Project Billboard 1.00 1.00 500.00 500.00


1.00 1.00 350.00 350.00
Sub-Total A.1 888,850.00
A.2 Direct Cost (MATERIALS, TOOLS&EQUIPMENT)
Materials, Tools &
Materials, Tools&Equipment Derivation Equipment Cost
No. Description Requirement

Itemized Description Qty Required Unit Unit Cost Cost

IV Sub-Project Billboard
Sub-Project Billboard 4ft x 8ft (Tarpauline Printed) 32.00 sq.ft 18.00 576.00
Plywood Type II (ordinary) 5.5mm thick 1.00 sheet 445.00 445.00
Sub-Project Safety Signages four sheets 2ft x 3ft
24.00 sq.ft 18.00 432.00
(Tarpauline Printed)
Good lumber 10 pcs. 2" x 2 "x 12' 40.00 bd.ft 25.00 1,000.00
CW Nails #3 1.00 kg 80.00 80.00
Sub-Total A.2 2,533.00

Total Direct Cost 891,383.00

SOURCE OF FUNDS
Breakdown of Estimated TOTAL COST
CDD BLGU MLGU
Grant Cash In-Kind Cash In-Kind

A. Direct Cost
Material Cost 2,533.00 2,533.00

Labor Cost:

skilled (men) 500.00 500.00

unskilled (men) 611,200.00 350.00 611,550.00

unskilled (women) 276,800.00 276,800.00

Equipment Rental - -

Freight and Handling - -

Sub-Total ( A ) 888,000.00 - 3,383.00 - - 891,383.00

B. Indirect Cost

Overhead Expenses

TIME KEEPER 9,600.00 - - - - 9,600.00

LGU SUPERVISION - - - 2,000.00 2,000.00

Page 26 of 76
Sub-Total ( B ) 9,600.00 - 0.00 2,000.00 11,600.00
Total A + B 897,600.00 - 3,383.00 - 2,000.00 902,983.00

C. Total Cost 897,600.00 - 3,383.00 - 2,000.00 902,983.00

Prepared by : Recommending Approval by:

SAHARA LAUREANNE G. GALLEGO OSCAR O. GA, C.E.


Municipal Deputy Area Coordinator Municipal Engineer

Reviewed and checked by: Approved by:

SERGIO A. VASQUEZ JR.C.E. RUFINO V. PUERIN SR.


ACT Technical Facilitator Punong Barangay

Concured by: PAQUITO A. EBERO


BDC-TWG Chairperson

Noted by:

JOVENAL L. BERNAT, C.E.


Project Development Officer IV JUPITER C. ABULOG
Municipal Mayor

Page 27 of 76
KALAHI -CIDSS
SUB-PROJECT COMPLETION REPORT

A. General Information

Name of Sub-project : PROVISION OF MEDICAL SUPPLIES AND AMENITIES SUPPORT TO TEMPORARY ISOLATION FACILITY
Sub-project :ID 2022090045

Project Source / Fund Source/


GOP/ KC-NCDDP AF
Modality :

Sub-project category/ Type : Provision of Medical Supplies and


Target Physical Accomplishment:
Amenities Support to Temporary Isolation Facility
1 LOT
Actual Physical Accomplishment:
1 LOT
Barangay/s covered: Barangay Tagbayagan Estimated Total Cost:
666,511.00
Estimated Cash: Estimated In-Kind:
388,853.00 10,418.00
Actual Total Cost:
639,788.00
Actual Cash: Actual In-Kind:
250,935.00 10,419.00
Municipality & Class: ROSARIO / 2nd Class Total Grant Received:
240,516.00
Province: Agusan del Sur Total Counterpart Delivered:
399,272.00

Delivered LCC Cash Delivered LCC In-Kind

388,853.00 10,419.00
Total no. of HH served by the Sub-Project: 644 SP Date Started:
JUNE 25, 2022
Total IP HH served by the Sub-Project: 104 SP Date Completed:
JULY 7, 2022
Total no. of Families served by the Sub-Project: 700 SP Date of Turn-over: N/A

Total IP Families served by the Sub-Project: 104

Total no. Pantawid Families served by the Sub-Project: 139 No. of Pantawid HH Beneficiary served by the Sub-project: 139

Total no. Papulation in the Barangay: 2,684 Total Population served by the Sub-project : 2,684

Male : 1,364 Male : 1,364


Female: 1,321 Female: 1,321
No. of person with disability served by the Sub-project
Male : N/A
Female: N/A

B. Sub-project Description

B.1. Please provide background information about the completed sub-project.

Ang proyekto nga Provision of Medical Supplies and Amenities Support to Temporary Isolation Facility sa barangay Tagbayagan, diin nakahatag
ug saktong mga kagamitan kabahin sa medical nga aspeto, paspas usab ang pagresponde kung adunay emergency. Nga magamit sa 2,684 ka
mga lumulopyo sa among barangay nga adunay !,364 ka mga kalalakinhan ug 1,321 ka mga kababaenhan nga naglungkob sa 644 ka mga
bubong.

B.2.
The sub-project is completed with the following work items and activity constructed/ implemented by the concerned community/ ies.

Item of Works Quantity Unit Unit Cost Total


SPL I Sub-Project Billboard 1.00 lot 3,668.00 3,668.00
SPL ll Amenities 1.00 lot 605,750.00 605,750.00
Direct Cost 609,418.00
indirect Cost 30,370.00
Total Project Cost 639,788.00
C. Methods of Sub-project Implementation
C.1. Procurement mode and procedures used in the sub-project implementation. Check that applies.

Modes of Procurement Methods of Procurement


By contract Implementation Community Bidding for Goods (CBG)
/ Community Force Account Community Bidding for Works (CBW)
Community Shopping for Goods (CSG)
Community Shopping for Works (CSW)
Direct Contraction for Goods (DCG)
Direct Contraction for Works (DCW)
Pakyaw-Labor
Pakyaw-Labor with materials
Repeat Order
Small Value Procurement (SVP)
̸ NP 53.2 - Emergency Cases

C.2. Pleases state the major problems/ challenges encountered during implementation and action taken by the ACT and the community volunteers/
leaders to solve the issues. (Add additional rows if needed)
Challenges in Implementation Action Taken Remarks

D. Labor Generated

Number of person Rate per day Total Cash Labor Total In-Kind Labor
Particular
Male Female Male Female Male Female Male Female
Foreperson/
Project N/A - - - - - - -
Supervisor
Skilled - - - - - - - -
Unskilled
Total paid labor Cash

E. Project Benefits: Highlight the initial impact provided by the sub-project to the covered community/ ies.

e.1.
Describe community conditions before the implementation of the Project intervention-focus on situation during COVID-19 Pandemic, how long the
community deprived this services and how costly was it to access the service. (For sub-project implemented during COVID-19)

Ang barangay Tagbayagan gilungkuban sa 644 ka mga bubong nga adunay 2,684 ka popuslasyon, sa pagkunhod sa COVID - 19 nga pandemya
ang mga natapnan sa komunidad dalahon pa kini sa lungsod sa Rosario. Ang among barangay adunay kakulangon sa mga kagamitan sa
medikal, tungod kay kulang ang pasilidad sa mga kagamitan ug medical supplies nakasinati gayud ug kalisud sa paghatag ug saktong
pagresponde sa mga nataptan sa maong Virus sa komunidad. Ang maong sitwasyon, nikabat kini ug halos sobra tuig tungod kay ang BLGU
kulang kini sa pondo para sa pagpamalit ug pag hatag sa saktong kagamitan para sa Isolation Facility.

e.2. Condition of the community before the Project intervention (How long were you deprive of service? How costly was it to access the service? How
far? (for sub-projects implemented in low risk or non-COVID-19 areas)

Kung adunay natapnan sa maong Virus sa maong komunidad, dalhon pa kini sa lungsod sa Rosario, tungod kay kulang ug kagamitan ug medical
supplies ang barangay Tagbayagan. Dili dayon maka responde kung adunay mga emergency nga mga kaso tungod kay ang BLGU kulang gayud
kini ug pondo sa pagpamalit ug mga supply sa pang medical ug kagamitan, nasinati kini namo sobra tuig sa pagsaka sa maong pandemya dinhi
sa among barangay.

e.3. Condition of the community after the sub-project completion.

Daku gayud ang among kalipay ug mapasalamaton kami, isip lumulopyo dinhi sa among barangay nga nahatagan kami sama ani nga proyekto sa
programa sa KALAHI CIDSS NCDDP - AF pinaagi sa ahensya sa DSWD. Sa mga emergency cases napadali gayud ang pag responde niini ug
dili na kinahanglan moadto pa sa lungsod sa Rosario para iquarantine kung aduna may matapnan sa Virus, tungod kay kompleto na sa kagamitan
ug aduna nay medical supplies ang Isolation Facility.
F. Environmental and Social Aspect: Discuss any environmental and social issues/ impact encountered during the construction and the mitigating measures
provided by the community (refer to the Environmental and social Management Plan (ESMP) and ESMP Reports). (Add additional rows needed)

Environmental and Social Issue Mitigating Measures Means of Verification

Ibutang sa saktong butanganan ang


Magkalat ang mga medical supplies and Gibutang sa saktong butanganan ang medical supplies and amenities sulod
medical supplies ug amenities para
amenities sulod sa Isolation Facility sa Isolation Facility
dli kini magkalat ug dili mangadaot

Magbutang ug trash bin with label


Dili mabutang sa saktong butanganan ang mga
para adunay sakto nga segragation
ginamit nga medical supplies sama sa face Photo Documentation
sa solid waste materials sulod sa
mask, rubber gloves ug disposal gown
Isolation Facility

Pasabton gayud ang komunidad


nga importante gayud ang ilahang Kaniadtong November 25, 2021 nagpahigayon ug BDRRMC Meeting nga
Kung adunay ipahigayon nga panagtigom ang
partisipasyon kung adunay adunay gihimu nga Resolution no. 07, mahitungod kini sa proyekto nga
maong programa gamay ra ang bilang sa
ipahigayon nga panagtigom ang Provision of Medical Supplies and Amenities Support to Temporary Isolation
myembro sa komunidad ang mutambong
maong programa, kabahin sa Facility
proseso sa maong proyekto

Adunay matakdan nga BAC Members sa I - maintain ang pagsuot sa face


Panahon sa Pre - canvass sa RFQ sa suppliers, nagpahigayon gayud ug
COVID - 19 nga virus panahon sa pagpa mask, pagdalag alcohol ug social
social distancing ug nag suot ug face mask ang matag BAC Member
quote sa RFQ sa suppliers distancing sa matag usa

Training Fund Source (Check Number of Participants


List of community -Base Training Total Cost that applies)
Brief Summary of Evaluation Result
Conducted. by the
Project KALAHI-
LCC Male Female
CIDSS

Pagkahuman sa maong training daghan ang nakat - onan sa


Community Procurement Training 14,000.00 14,000.00 - 20 22 mga partisipante kabahin sa sa proceso sa procurement
pinaagi sa RA 9184 under sa Emergency Cases.

Pagkahuman sa maong training daghan ang nakat - onan sa


Community Infrastructure Training 21,000.00 21,000.00 13 19 mga partisipante kabahin sa pamaagi sa infrastructure nga
aspeto.

Pagkahuman sa maong training daghan ang nakat - onan sa


Finance Training 21,000.00 21,000.00 10 21
mga partisipante kabahin sa pamaagi sa finance nga aspeto.

Name of the Community Volunteers Age Sex (M/F) IP (Y/N) PWD (Y/N) Sitio/ Barangay Designation/Team

1 PAQUITO A. EBERO 52 M Y NO TAGBAYAGAN BDC - TWG & PSA Chairperson

2 WELYN D. CORNELIO 32 M N NO TAGBAYAGAN PPT Chairperson & PSA Member

3 ROSALIE S. SALAS 40 F N NO TAGBAYAGAN PPT & PSA Member

4 ALFREDO DAMARILLOS, SR. 65 M N NO TAGBAYAGAN PPT & PSA Member


5 CHRISTOPHER P. PUERIN 40 M N NO TAGBAYAGAN PIT Chairperson & PSA Member
6 GENEVA L. SAYSON 23 F N NO TAGBAYAGAN PIT & PSA Member
7 BERNARD G. BAHIL 21 M N NO TAGBAYAGAN PIT & PSA Member
8 MARIA VICTORIA MONTERO 52 F N NO TAGBAYAGAN PT Chairperson & PSA Member
9 EMILY H. LAPINID 44 F N NO TAGBAYAGAN PT & PSA Member

10 DIOSCORO CALABRIA 46 M N NO TAGBAYAGAN PT & PSA Member

11 ROCHELLE G. EBERO 23 F Y NO TAGBAYAGAN AIT Chairperson & PSA Member

12 CESAR SUMATRA 62 M N NO TAGBAYAGAN AIT & PSA Member

13 VIVIAN G. AYUBAN 34 F N NO TAGBAYAGAN OMT Chairperson and AIT & PSA Member

14 SHELLY O. PUERIN 36 F N NO TAGBAYAGAN MIT Chairperson and AIT & PSA Member
15 LARRY HAMPAC 50 M N NO TAGBAYAGAN MIT & PSA Member
16 JEFERSON CAPADA 50 M N NO TAGBAYAGAN MIT & PSA Member
17 RUBEN G. JUMAWID 56 M Y NO TAGBAYAGAN GRS Chairperson & PSA Member
18 JEROME E. PATRIANA 43 M N NO TAGBAYAGAN GRS & PSA Member
19 MIRALUNA G. EBERO 49 F Y NO TAGBAYAGAN GRS & PSA Member
20 RUDY Q. AYUBAN 36 M N NO TAGBAYAGAN OMT & PSA Member
21 VICTORINO TUMILAP 39 M N NO TAGBAYAGAN OMT & PSA Member

22 HON. RUFINO V. PUERIN, SR 77 M N NO TAGBAYAGAN HoPE & PSA Member

23 HON. BERNIE G. BAHIL 39 M N NO TAGBAYAGAN BAC Chirperson & PSA Member


24 HON. LEONARDO M. PARCON 55 M N NO TAGBAYAGAN BAC Vice Chairperson & PSA Member
25 HON. MICHAEL C. GUZMAN 31 M Y NO TAGBAYAGAN BAC & PSA Member
26 HON. JOSE B. GULILA 50 M N NO TAGBAYAGAN BAC & PSA Member
27 HON. RAUL O. ROCACURVA 66 M N NO TAGBAYAGAN BAC & PSA Member
28 HON. JULIUS B. GULILA 48 M N NO TAGBAYAGAN BAC & PSA Member
29 HON. REYNALDO Q. AYUBAN 43 M Y NO TAGBAYAGAN Head of BAC Secretariat & PSA Member

A. Cost of Sub-project
Total
Standard Cost of Sub-
Name of the KALAHI- Percentage of Standard Cost Over KALAHI-CIDSS Cost Sub-
Type of Sub-Project Project by Other
Agency CIDSS Sub- Projects
Agency.
Project
NONE

B. Cost per Population

Total Actual Cost Total Population Saved Percentage Cost per Population
639,788.00
2,684 0.42%

Plan vs. Actual: Did the SP incurred overrun or savings? By how much? If savings incurred, how was it utilized?
i.2
SP Plan Cost SP Actual Cost Savings Amount Utilization of Savings
639,788.00
666,511.00 26,725.00 Waived Grant

Financial Aspect: On-time releases of Project Grant (On the average, how many days did it take from the ACT receipt of community requests to the date of
i.3
fund release to the community account? List contributing factors of the case.

Average Days to Complete Sub-projects: 30 Calendar Days

1) Pag partisipar sa Community Volunteers sa mga aktibidadis sa maong programa


Facilitating Factors: (List of facilitating factors 2) Andam sa paghimu ug pag comply sa mga gikinahnglan nga mga dokumento
that contribute to completion of sub-projects on
time) 3) Availability sa budget ug sa LCC
4) Koordinasyon sa mga stakeholders sa proyekto

Participation: On the average, How many household representatives participated in deliberations of the Sub-project and its endorsement to the
i.4 Municipal Inter-Barangay Forum, Expanded B/MDRRMC or any identified municipal technical working group for other modality? 90%

Total No. of community volunteers representative in Municipal


Total No. of members of the Municipal TWG (MIAC, Expanded B/MDRRMC, others):
TWG (MlAC, expanded B/MDRRMC, others):
3 15
Male : 2 Female : 1 Male : 13 Female : 2
Total No. of IP community volunteers representative Municipal TWG
IP Male Representative : IP Female Representative :
(MIAC, Expanded B/MORRMC, others):
1 NONE

a. What significant contributions from the community members were documented throughout the implementation of the project? (Add more rows as
necessary)
List of Community Representative Significant Contributions
1) Women's Association
2) Youth Association
4) Farmer's Association
b. What were the roles that women played in the process?

Adunay dakung tahas ang mga kababaenhan sa pagplano ug pag - implementar sa maong proyekto. Basi sa gipahigayon nga BPSA dinhi sa among barangay,
taas gayud ang partisipasyon sa mga kababaenhan, labi na sa pagtambong sa mga gipahigayon nga trainings sa maong programa nga adunay kalambigitan sa
maong proyekto. Hangtud sa panahon sa pagdeliver sa medical supplies ug amenities sila usab ang nagplastar para dili madaot ug hapsay ang mga kagamitan
kay aron makasustinar pa kini sa umaabot nga panahon.

i.5 Governance :
a. Percentage of total LCC (LCC over the project cost)
62.41%
b. Was LCC on time? _________yes, _________No, if No, why:
c. Commitment vs delivery/ fulfillment of all LCC commitments

Types of Contribution Delivered LCC


Committed LCC Contribution Remarks
(check that apply)
(% of LCC Utilized)
In-Cash In-Kind
1,000.00 100% 1,000.00 BLGU
10,418.00 100% 10,418.00 BLGU
387,853.00 100% 387,853.00 MLGU

d. Supporting ordinances for O&M activities

Mane of the Ordinances for O&M Activities Date Issued


Solid Waste Management 07/18/2022

e. Technical Assistance provided by the LGU such as those during planning and implementation (Add rows as necessary.)
List of Technical Assistance Provided by LGU Date Provided
1 Project Development Workshop December 14 - 15, 2021
2 MIAC Technical Review Workshop February 16, 2022

f. Commitment of Local Government Units for O&M.


_________ Yes _________ No.
( If yes, please attached an O&M Partnership Agreement.)

Multi-Stakeholder Partnership: Name the organization, agency and individuals that provided contribution to the Sub-Project. Please Indicate the amount In-Cash
i.6
and In-Kind.

Total Amount of Contributions


Name of the Organizations/ agencies/ Individuals
In-Cash In-Kind
None
Total - -

i.7 Eternal Monitoring : (name external monitoring that visited the Sub-Project)

a. GOP mission Date/s


b. NGO members Date/s
c. Others, specify Date/s

i.8 If there was any Grievance/ Complaint that arouse during implementation, how was it

Type of Grievance Details of the Grievance Resolution Status (Resolved, Partially Resolved, Unresolved)

None

J. Lesson Learned: Please share any lesson/s and good practice/s learned your implementation of the Sub-project and project implementation in general.

Ako isip usa ka Community Volunteer sa KALAHI CIDSS NCDDP - AF nga programa, daku akong pasalamat sa maong kahigayon sa paghatag sa maong
proyekto sa among barangay. Daku gayud kinig kahimoan sa among komunidad tungod kay kulang gayud sa pondo ang among barangay sa pagpamalit sa mga
kagamitan ug medical supplies nga kinahanglanon ibutang sa Isolation Facility. Nakabaton ako ug kaalaam o mga pamaagi o proseso nga magmalambuon ang
maong pag - implementar sa usa ka proyekto tungod kay adunay mga training nga gipahigayon ang maong programa kabahin nga masustinar ug
magmalahutayon kini sa umaabot nga panahon.

J.1. What went well and why? (What were the successful steps taken towards achieving the objectives?)
Successes How to ensure success in the achieving the objective

Daku gayud ang supporta sa among kawani sa barangay, ug kanamong mga


Nakaangkon kami ug mga kagamitan ug medical nga mga supply sa Community Volunteers sa gihatag nga proyekto sa KALAHI CIDSS NCDDP -
among Isolation Facility AF nga programa. Ang among panaghiusa ug pagsinabtanay sa matag - usa
ang giya para nagmalampuson ang maong proyekto.

Kaming mga Community Volunteers, inubanan sa mga maabtik namu nga


Natuman gayud ang gitakda nga panahon sa pagdliver sa maong
BLGU Officials, kanunay nga nag monitor sa maong supplier para madeliver
proyekyo
gayud kini, subay sa RA 9184 under Negotiated Procurement nga proseso.

J.2. What can be improved and how? (What could have been done better? What can do differently in similar situation in the future to ensure success? What would
be your advice to future teams?

What can be improved Suggestions/ Recommendation

Kami sa komunidad, mangita ug lain nga asosasyon mapribado o Pangunahan gayud sa BDRRMC Officials sa pagpangita ug mga asosasyon nga
gobyerno man kini para maka pondo o makahatag ug suporta aron makasuporta o makahatag ug dugang pondo nga gigahin sa Operation & Maintenance
makasustinar sa among proyekto sa barangay Tagbayagan. para makasustinar sa maong proyekto kung aduna may mga kagamitan nga mangauba ug
adunay ikapalit sa mga consumable nga medical supplies.

Prepared by: Certified by:

PAQUITO A. EBERO RUFINO V. PUERIN, SR.


BDC - TWG Chairperson Barangay Chairperson

Date: _____________ Date: _____________

VERIFICATION / CONFIRMATION:

1. Project Signboard Updating and Reporting


a. Billboard : Yes ________No __________

b. Statement of expenditures posted in the community board? Yes ________No __________

c. Expenditures reported to Barangay Assembly? Yes ________No __________

NENITA R. SENADOS
Community Empowerment Facilitator

Date :_______________

2. Did the community meet basic financial reporting standard in the FM & A manual ?
Yes ________No __________

NORVELIZA L. DEDOYCO
Municipal Financial Analyst

Date :_______________

3. Did the community implement the sub-project as per approved technical plans &
specification? Yes ________No __________

Was it within the budget? Yes ________No __________

SERGIO A. VASQUEZ, JR. C.E.


Technical Facilitator
Date :_______________

Submitted by:

NENITA R. SENADOS
Community Empowerment Facilitator

Date :_______________

Checked by:

NORAYA A. NATO
Area Coordinator

Date :_______________

Approved by:

MAY M. NARZOLES
Community Development Officer III

Date :_______________

To be submitted together with;

A. Site Validation Report (with geotagged photos of the proposed site)


B. Final Inspection Report (with geotagged photos of the completed SP's)
C. Sub-project Concept Form
D. Updated Environmental and Social Management Plan (if necessary)
E. Mutual Partnership Agreement or Memorandum of Understanding for Operation and Maintenance
F. Certification of Completion and Acceptance
G. Operation and Maintenance Plan and Programed
H. Functionality Audit Report (if necessary)
I. List of Actual HH's beneficiaries
Republic of the Philippines
Department of Social Welfare and Development
KALAHI-CIDSS: ADDITIONAL FINANCING
Caraga Region XIII
Province of Agusan del Sur
Municipality of Rosario
Barangay Tagbayagan
OFFICE OF THE BARANGAY DEVELOPMENT COUNCIL - TECHNICAL WORKING GROUP

SUB- PROJECT PROGRAM OF WORK


Sub-Project Tile PROVISION OF MEDICAL SUPPLIES AND AMENITIES SUPPORT TO TEMPORARY ISOLATION FACILITY
Category Public Goods
Physical Target 1.00 Lot
Total Sub-Project Cost ₱666,511.00
Mode of Implementation CFA
PROJECT DESCRIPTION : Acquisition of medical tools and Sub-Project Duration 30 Calendar days
equipments and Amenities Support to Temporary Isolation Facility Equipment Needed None

Technical Personnel Municipal Engineer, DAC,MDAC, BLGU, P.E.

Unit of
Item
no.

Scope of Work ( Direct Cost ) % Wt. Quantity Unit Price Total


Measure

SPL I Sub-Project Billboard 0.60% 1.00 lot 3,668.00 3,668.00


SPL ll Amenities 99.40% 1.00 lot 609,100.00 609,100.00
Total Direct Cost 100.00% 612,768.00

Breakdown of Estimated SOURCE OF FUNDS


TOTAL COST
CDD COMMUNITY BLGU MLGU
Project Cost
Grant In-Kind Cash In-Kind Cash In-Kind
A. Direct Cost
Material Cost 221,247.00 - - 3,668.00 387,853.00 - 612,768.00
Labor Cost: -
skilled (men) - - - - - - -
unskilled (men) - - - - - - -
unskilled (women) - - - - - - -
Equipment Cost - - - - - - -
Freight and Handling - -
Sub-Total ( A ) 221,247.00 - - 3,668.00 387,853.00 - 612,768.00
B. Indirect Cost
Administrative Cost 30,062.00 - 1,000.00 - - - 31,062.00
Bond Premium - - 6,750.00 - - 6,750.00
Total for Contingency 15,931.00 - - - - - 15,931.00
Sub-Total ( B ) 45,993.00 - 1,000.00 6,750.00 - - 53,743.00
TOTAL ( A+ B ) 267,240.00 - 1,000.00 10,418.00 387,853.00 - 666,511.00
0.00% 1.71% 58.19%
% Cost Sharing to TEPC 40.10% 100.00%
0.15% 1.56% 58.19% 0.00%
0.00% 4.27% 145.13%
% Cost Sharing to KC Grant 100.00% 249.41%
0.37% 3.90% 145.13% 0.00%
TOTAL ESTIMATED COST 267,240.00 - 1,000.00 10,418.00 387,853.00 - 666,511.00
Add: O and M (Other Amenities)
GRAND TOTAL 267,240.00 - 1,000.00 10,418.00 387,853.00 - 666,511.00

Prepared by : Approved by :

SAHARA LAUREANNE G. GALLEGO RUFINO V. PUERIN SR.


Municipal Deputy Area Coordinator Punong Barangay

Reviewed by: Concurred by :

SERGIO A. VASQUEZ, JR. C.E. PAQUITO A. EBERO


Deputy Area Coordinator BDC-TWG Chairperson

Recommending Approval:

OSCAR O. GA, C.E. JUPITER C. ABULOG


Municipal Engineer Municipal Mayor

Noted by:

DRA. REBECCA AQUINO JOVENAL L. BERNAT, C.E.


Municipal Health Officer Project Development Officer IV

Page 35 of 76
CBIM 2021 Form B-16
Sub-Project Completion Report

KALAHI -CIDSS
SUB-PROJECT COMPLETION REPORT

A. General Information

CASH FOR WORK


Name of Sub-project :
Sub-project :ID 2022090046

Project Source / Fund Source/ GOP/ KC-NCDDP AF


Modality :
Sub-project category/ Type : Cash For Work Target Physical Accomplishment:
Cleaning/Clearing 36,600 sq.m.
Deweed (Guna) 32,300 sq.m.
Declogging
A. Declogging of Canal 1,000 ln.m.
B. Disposal of Waste Materials 300 cu.m.
Actual Physical Accomplishment:
Cleaning/Clearing 36,600 sq.m.
Deweed (Guna) 32,300 sq.m.
Declogging
A. Declogging of Canal 1,000 ln.m.
B. Disposal of Waste Materials 300 cu.m.
Barangay/s covered: Barangay Tagbayagan Estimated Total Cost:
902,983.00
Estimated Cash: Estimated In-Kind:

897,600.00 5,383.00
Actual Total Cost:
902,983.00
Actual Cash: Actual In-Kind:
897,600.00 5,383.00
Municipality & Class: Rosario / 2nd Class Total Grant Received:
897,600.00
Province: Agusan del Sur Total Counterpart Delivered:
5,383.00

Delivered LCC Cash Delivered LCC In-Kind


N/A 5,383.00

Total no. of HH served by the Sub-Project: 278 SP Date Started:


JUNE 27, 2022
Total IP HH served by the Sub-Project: 42 SP Date Completed:
JULY 8, 2022

Total no. of Families served by the Sub-Project: 281 SP Date of Turn-over: N/A

Total IP Families served by the Sub-Project: 42

Total no. Pantawid Families served by the Sub-Project: 79 No. of Pantawid HH Beneficiary served by the Sub-project: 79

Total no. Papulation in the Barangay: 2,684 Total Population served by the Sub-project : 1,225

Male : 1,364 Male : 650


Female: 1,321 Female: 575
No. of person with disability served by the Sub-project
Male : N/A
Female: N/A

B. Sub-project Description
B.1. Please provide background information about the completed sub-project.

Ang barangay Tagbayagan adunay 278 ka mga indibidwal nga trabahante sa Cash For Work nga proyekto nga gipahigayon kaniadtong July 27, 2022
hangtud July 8, 2022 nga adunay napulo ka adlaw (10 days). Adunay 88 niini ka mga lalaki ug 190 usab ang kababaenhan nga nahatagan ug temporaryong
panginabuhian. Natubag gayud ang among nasinati nga kalisud sa pinansiyal nga aspeto, taliwala sa pandemya nga COVID - 19, nga agig tubag sa
gipahigayon nga Barangay Participatory Situational Analysis o BPSA dinhi sa among barangay.

Page 36 of 76
CBIM 2021 Form B-16
Sub-Project Completion Report
B.2.
The sub-project is completed with the following work items and activity constructed/ implemented by the concerned community/ ies.

Quantity Unit Unit Total


Item of Works Cost
I Cleaning/Clearing 36600 sq.m. 3.15 115,200.00
II Deweed (Guna) 32300 sq.m. 22.19 716,800.00
III Declogging -
A. Declogging of Canal 1000 ln.m. 32.00 32,000.00
B. Disposal of Waste Materials 300 cu.m. 80.00 24,000.00
IV Sub-Project Billboard 1 lot 500.00 500.00
1 lot 350.00 350.00
Sub-Project Billboard 4ft x 8ft (Tarpauline Printed) 32.00 sq.ft 18.00 576.00
Plywood Type II (ordinary) 5.5mm thick 1.00 sheet 445.00 445.00
Sub-Project Safety Signages four sheets 2ft x 3ft (Tarpauline Printed) 24.00 sq.ft 18.00 432.00
Good lumber 10 pcs. 2" x 2 "x 12' 40.00 bd.ft 25.00 1,000.00
CW Nails #3 1.00 kg 80.00 80.00
Direct Cost 891,383.00
indirect Cost 11,600.00
Total Project Cost 902,983.00
C. Methods of Sub-project Implementation
C.1. Procurement mode and procedures used in the sub-project implementation. Check that applies.

Modes of Procurement Methods of Procurement


By contract Implementation Community Bidding for Goods (CBG)
̸ Community Force Account Community Bidding for Works (CBW)
Community Shopping for Goods (CSG)
Community Shopping for Works (CSW)
Direct Contraction for Goods (DCG)
Direct Contraction for Works (DCW)
Pakyaw-Labor
Pakyaw-Labor with materials
Repeat Order
Small Value Procurement (SVP)

C.2. Pleases state the major problems/ challenges encountered during implementation and action taken by the ACT and the community volunteers/ leaders to
solve the issues. (Add additional rows if needed)
Challenges in Implementation Action Taken Remarks

Gipasabot pag - usab sa ACT inubanan sa BLGU


Officials ug Community Volunteers ngadto sa mga
Nalikayan ang pagkaylap sa maong virus sa komunidad
Panahon sa pag implementar sa maong proyekto, wala trabahante nga kinahanglan nga ipahigayon gayud
1 ug wala nagkasakit ang mga trabahante panahon sa pag
napahigayon ang social distancing sa matag trabahante. kanunay sa matag usa ang social distancing panahon sa
- implementar.
pagtrabaho tungod kay aduna pa kita ilalum sa
pandemya nga COVID - 19.

D. Labor Generated
Particular Number of person Rate per day No. of Total Cash Labor Total In-Kind Labor
Working
Days
Male Female Male Female Male Female Male Female
Foreperson/
Project
Supervisor - - - - - - - - -
Skilled - - - - - - - - -
Unskilled 91 190 320.00 320.00 10 291,200.00 606,400.00
Total paid labor Cash 897,600.00

E. Project Benefits: Highlight the initial impact provided by the sub-project to the covered community/ ies.

e.1. Describe community conditions before the implementation of the Project intervention-focus on situation during COVID-19 Pandemic, how long the community
deprived this services and how costly was it to access the service. (For sub-project implemented during COVID-19)

Sa wala pa niabot ang maong proyekto dinhi sa among barangay nakasinati gayud kadaghanan sa among mga kabanay nakasinati gayud sa kakulangon nga
panguhaan sa pinansyal nga aspeto ilabina ang mga mag - uuma, tungod kay seasonal lamang kini maka harvest ug makabaligya sa ilahang mga produkto.
Pag - abot sa maong programa sa KALAHI CIDSS NCDDP - AF pinaagi sa ahensiya sa DSWD, nahatagan ug temporaryong trabaho ang 278 ka indibidwal
isip tubag sa padayon nga gisagubang nga problema pinansyal luyo aning pandemya nga atong nasinati karon.

Page 37 of 76
CBIM 2021 Form B-16
Sub-Project Completion Report

e.2. Condition of the community before the Project intervention (How long were you deprive of service? How costly was it to access the service? How far? (for sub-
projects implemented in low risk or non-COVID-19 areas)

N/A

e.3. Condition of the community after the sub-project completion.


Nahatagan ug temporaryong trabaho ang mga kabanay nga low wage earners,nahinlo ug hapsay na ang palibot sa tibuok barangay. Napalig -on usab ang
relasyon sa matag usa sa komunidad.

F. Environmental and Social Aspect: Discuss any environmental and social issues/ impact encountered during the construction and the mitigating measures provided by the
community (refer to the Environmental and social Management Plan (ESMP) and ESMP Reports). (Add additional rows needed)

Environmental and Social Issue Mitigating Measures Means of Verification

Nag provide ang barangay ug mga sako nga sudlan sa mga basura
Gikinahanglan nga adunay saktong segrigasyon sa
Dili insaktong paglabay sa mga basura nga segregated para sudlan sa n ilabay nga mga basura panahon sa
mga basura ug mabutang kini sa saktong labayanan.
pag implementar sa proyekto

Adunay gi - assigned nga mga purok leader, nga mag monitor sa mga
Dli matilok ang pagkuha sa mga basura nga Adunay hugot nga pagmonitor para mapasiguro nga
trabahante sa pag hinlo para gayud matilok ang mga basura nga ana
anaa sa mga canal matilok gayud ang mga basura nga ana sa mga canal.
sa mga canal.

Kaniadtong June 27, 2022 hangtud July 8, 2022 sulod sa napulo ka


Hugot nga ipatuman gayud ang pagsunod sa health
adlaw (10 days) nga gitrabahoan sa 278 ka mga trabahante, strikto
Kakulangon sa pagsunod sa health protocols protocols sa DOH ug kanunay nga pagpahinumdom
gayud nga gipatuman ang pag suot ug face mask ug social distancing
panahon sa pagtrabaho sa mga trabahante ang social distancing ug pagsuot
sa matag trabahante isip pagsunod sa health protocol sa DOH ug
sa face mask panahon sa pagtrabaho.
paglikay sa pagkaylap sa maong Virus

Dasigon ug ipasabot sa mga kababaenhan ang ka -


Gamay ra ang bilang sa mga kababaen - han Sa 278 ka mga trabahante sa maong proyekto, adunay 190 ka bilang
importansya sa pag apil - apil panahon sa
nga maka apil panahon sa implementasyon sa mga kababaenhan nga mga trabahante.
implementasyon tungod sa gender equality.

Training Fund Source (Check that Number of Participants


List of community -Base Training Total Cost applies)
Brief Summary of Evaluation Result
Conducted. by the
Project KALAHI-
LCC Male Female
CIDSS

Pagkahuman sa maong training daghan ang nakat -


onan sa mga partisipante kabahin sa sa proceso sa
Community Procurement Training 14,000.00 14,000.00 - 20 22
procurement pinaagi sa RA 9184 under sa Emergency
Cases.

Page 38 of 76
CBIM 2021 Form B-16
Sub-Project Completion Report

Pagkahuman sa maong training daghan ang nakat -


Community Infrastructure Training 21,000.00 21,000.00 13 19 onan sa mga partisipante kabahin sa pamaagi sa
infrastructure nga aspeto.

Pagkahuman sa maong training daghan ang nakat -


Finance Training 21,000.00 21,000.00 10 21 onan sa mga partisipante kabahin sa pamaagi sa finance
nga aspeto.

Name of the Community Volunteers Age Sex (M/F) IP (Y/N) PWD (Y/N) Sitio/ Barangay Designation/Team

1 PAQUITO A. EBERO 52 M Y NO TAGBAYAGAN BDC - TWG & PSA Chairperson

2 WELYN D. CORNELIO 32 M N NO TAGBAYAGAN PPT Chairperson & PSA Member


3 ROSALIE S. SALAS 40 F N NO TAGBAYAGAN PPT & PSA Member
4 ALFREDO DAMARILLOS, SR. 65 M N NO TAGBAYAGAN PPT & PSA Member
5 CHRISTOPHER P. PUERIN 40 M N NO TAGBAYAGAN PIT Chairperson & PSA Member
6 GENEVA L. SAYSON 23 F N NO TAGBAYAGAN PIT & PSA Member
7 BERNARD G. BAHIL 21 M N NO TAGBAYAGAN PIT & PSA Member
8 MARIA VICTORIA MONTERO 52 F N NO TAGBAYAGAN PT Chairperson & PSA Member
9 EMILY H. LAPINID 44 F N NO TAGBAYAGAN PT & PSA Member
10 DIOSCORO CALABRIA 46 M N NO TAGBAYAGAN PT & PSA Member
11 ROCHELLE G. EBERO 23 F Y NO TAGBAYAGAN AIT Chairperson & PSA Member

12 CESAR SUMATRA 62 M N NO TAGBAYAGAN AIT & PSA Member


13 VIVIAN G. AYUBAN 34 F N NO TAGBAYAGAN OMT Chairperson and AIT & PSA Member
14 SHELLY O. PUERIN 36 F N NO TAGBAYAGAN MIT Chairperson and AIT & PSA Member
15 LARRY HAMPAC 50 M N NO TAGBAYAGAN MIT & PSA Member
16 JEFERSON CAPADA 50 M N NO TAGBAYAGAN MIT & PSA Member
17 RUBEN G. JUMAWID 56 M Y NO TAGBAYAGAN GRS Chairperson & PSA Member
18 JEROME E. PATRIANA 43 M N NO TAGBAYAGAN GRS & PSA Member
19 MIRALUNA G. EBERO 49 F Y NO TAGBAYAGAN GRS & PSA Member
20 RUDY Q. AYUBAN 36 M N NO TAGBAYAGAN OMT & PSA Member
21 VICTORINO TUMILAP 39 M N NO TAGBAYAGAN OMT & PSA Member

22 HON. RUFINO V. PUERIN, SR 77 M N NO TAGBAYAGAN HoPE & PSA Member

23 HON. BERNIE G. BAHIL 39 M N NO TAGBAYAGAN BAC Chirperson & PSA Member


24 HON. LEONARDO M. PARCON 55 M N NO TAGBAYAGAN BAC Vice Chairperson & PSA Member
25 HON. MICHAEL C. GUZMAN 31 M Y NO TAGBAYAGAN BAC & PSA Member
26 HON. JOSE B. GULILA 50 M N NO TAGBAYAGAN BAC & PSA Member
27 HON. RAUL O. ROCACURVA 66 M N NO TAGBAYAGAN BAC & PSA Member
28 HON. JULIUS B. GULILA 48 M N NO TAGBAYAGAN BAC & PSA Member
29 HON. REYNALDO Q. AYUBAN 43 M Y NO TAGBAYAGAN Head of BAC Secretariat & PSA Member

A. Cost of Sub-project
Type of Sub-Project Standard Cost of Sub- Name of the Total Percentage of Standard Cost Over KALAHI-CIDSS Cost
Project by Other Agency. Agency KALAHI- Sub-Projects
CIDSS Sub-
Project
NONE

B. Cost per Population


Total Actual Cost Total Population Saved Cost per Population

902,987.00 1,225 737.13

i.2 Plan vs. Actual: Did the SP incurred overrun or savings? By how much? If savings incurred, how was it utilized?

SP Plan Cost SP Actual Cost Savings Amount Utilization of Savings


Mah
902,983.00 902,983.00 - pls k
perc
popu
divid
over

Page 39 of 76
CBIM 2021 Form B-16 Mah
Sub-Project Completion Report pls k
perc
popu
divid
over
i.3 Financial Aspect: On-time releases of Project Grant (On the average, how many days did it take from the ACT receipt of community requests to the date of fund
release to the community account? List contributing factors of the case.

Average Days to Complete Sub-projects: 30 days

1) Dili available ang mamirmahay kay naay conflict of activities.


2) Adunay kabag-ohan sa forms/templates

i.4 Participation: On the average, How many household representatives participated in deliberations of the Sub-project and its endorsement to the Municipal Inter-
Barangay Forum, Expanded B/MDRRMC or any identified municipal technical working group for other modality?

Total No. of community volunteers representative in Municipal TWG Total No. of members of the Municipal TWG (MIAC, Expanded B/MDRRMC,
(MlAC, expanded B/MDRRMC, others): others):

3 15
Male : 2 Female : 1 Male : 13 Female : 2
Total No. of IP community volunteers representative Municipal TWG IP Male Representative : IP Female Representative :
(MIAC, Expanded B/MORRMC, others):
NONE NONE

a. What significant contributions from the community members were documented throughout the implementation of the project? (Add more rows as necessary)

List of Community Representative Significant Contributions


1) Women's Association
2) Youth Association
4) Farmer's Association
b. What were the roles that women played in the process?
Adunay taas nga partisipasyon sa mga kababaenhan kung adunay panagtapok kalambigitan sa pagplano sa umaabot nga pag - implementar sa maong proyekto. Kung
adunay mga training, meetings nga ipahigayon sa maong programa,majority ang mga kababaenhan ang mag apil - apil sa maong kalihokan. Panahon usab sa pag -
implementar sa maong sub - project taas gayud ang porsyento sa mga kababaehan ang mga trabahante.

i.5 Governance :
a. Percentage of total LCC (LCC over the project cost)

0.60%
b. Was LCC on time? _________yes, _________No, if No, why:

Maharu I. Kobayashi:
I divide ra ang Actual
LCC utilized over actual
project cost so
5,383.00/902,983.00 =
0.60%

Page 40 of 76
CBIM 2021 Form B-16
Sub-Project Completion Report

Maharu I. Kobayashi:
I divide ra ang Actual
LCC utilized over actual
project cost so
5,383.00/902,983.00 =
0.60%
c. Commitment vs delivery/ fulfillment of all LCC commitments

Committed LCC Contribution Types of Contribution Delivered LCC Remarks


(check that apply)
(% of LCC Utilized)
In-Cash In-Kind
3,383.00 100% 3,383.00 BLGU
2,000.00 100% 2,000.00 MLGU

d. Supporting ordinances for O&M activities

Mane of the Ordinances for O&M Activities Date Issued


Solid Waste Management 07/18/2022

e. Technical Assistance provided by the LGU such as those during planning and implementation (Add rows as necessary.)
List of Technical Assistance Provided by LGU Date Provided
1 Project Development Workshop December 14 - 15, 2021
2 MIAC Technical Review Workshop February 16, 2022

f. Commitment of Local Government Units for O&M.


/ Yes ___ No.
( If yes, please attached an O&M Partnership Agreement.)

i.6 Multi-Stakeholder Partnership: Name the organization, agency and individuals that provided contribution to the Sub-Project. Please Indicate the amount In-Cash and In-Kind.

Total Amount of Contributions


Name of the Organizations/ agencies/ Individuals
In-Cash In-Kind
None
Total - -

i.7 Eternal Monitoring : (name external monitoring that visited the Sub-Project)

a. GOP mission Date/s


b. NGO members Date/s
c. Others, specify Date/s

i.8 If there was any Grievance/ Complaint that arouse during implementation, how was it resolved?

Status (Resolved, Partially Resolved,


Type of Grievance Details of the Grievance Resolution
Unresolved)
N/A

Page 41 of 76
CBIM 2021 Form B-16
Sub-Project Completion Report

J. Lesson Learned: Please share any lesson/s and good practice/s learned your implementation of the Sub-project and project implementation in general.

Tungod sa pandemic ang mga tao naglisud ug nawad - an jud ug mga trabaho, apan tungod ani nga programa sa KALAHI CIDSS NCDDP - AF nahimo kining nakatabang sa
katawhan sa barangay Tagbayagan. Nakahatag kini ug dugang income, temporaryo lamang kini apan makatabang kini panglahutay ug makapalit sa ginagmay nga mga
panginahanglanon sa matag pamilya. Ako, isip usa ka Community Volunteer, mapasalamaton ako ug daku sa Ginoo kay tungod niini nga proyekto nakahatag ug tabang sa
pinansyal nga aspeto dinhi sa among komunidad.

J.1. What went well and why? (What were the successful steps taken towards achieving the objectives?)

Successes How to ensure success in the achieving the objective

Paggahin ug panahon ug oras kung adunay mga aktibidadis kabahin kung adunay
Pag apil - apil sa mga kalihokan sa maong programa
pahina nga ipahigayon ang barangay.

Pagsuporta sa matag usa kung adunay mga plano para sa kalambuan sa Adunay pagsinabtanay ug respito sa matag usa para masustinar ug magmalahutayon
maong proyekto ang maong proyekto.

J.2. What can be improved and how? (What could have been done better? What can do differently in similar situation in the future to ensure success? What would be your
advice to future teams?

What can be improved Suggestions/ Recommendation


Ang BDRRMC Officials gayud ang manguna para masunod gayud ang anaa sa
Operation & Maintenance nga mga plano ug matuman gayud ang O & M programa
Ang pagsustinar sa maong proyekto nga magpabilin ang kalimpyo ug
para masustinar gayud ang maong proyekto nga inubanan kanamung mga
hapsay palibot sa among barangay.
Community Volunteer.

Prepared by: Certified by:

PAQUITO A. EBERO RUFINO V. PUERIN, SR.


BDC - TWG Chairperson Barangay Chairperson

Date: _____________ Date: _____________

VERIFICATION / CONFIRMATION:

1. Project Signboard Updating and Reporting


a. Billboard : Yes ________No __________

b. Statement of expenditures posted in the community board? Yes ________No __________

c. Expenditures reported to Barangay Assembly? Yes ________No __________

NENITA R. SENADOS
Community Empowerment Facilitator

Date :_______________

Page 42 of 76
CBIM 2021 Form B-16
Sub-Project Completion Report

2. Did the community meet basic financial reporting standard in the FM & A manual ?
Yes ________No __________

NORVELIZA L. DEDOYCO
Municipal Financial Analyst

Date :_______________

3. Did the community implement the sub-project as per approved technical plans & specification?
Yes ________No __________

Was it within the budget? Yes ________No __________

SERGIO A. VASQUEZ, JR. C.E.


Technical Facilitator

Date :_______________

Submitted by:

NENITA R. SENADOS
Community Empowerment Facilitator

Date :_______________

Checked by:

NORAYA A. NATO
Area Coordinator

Date :_______________

Approved by:

MAY M. NARZOLES
Community Development Officer III

Date :_______________

To be submitted together with;

A. Site Validation Report (with geotagged photos of the proposed site)


B. Final Inspection Report (with geotagged photos of the completed SP's)
C. Sub-project Concept Form
D. Updated Environmental and Social Management Plan (if necessary)
E. Mutual Partnership Agreement or Memorandum of Understanding for Operation and Maintenance
F. Certification of Completion and Acceptance
G. Operation and Maintenance Plan and Programed
H. Functionality Audit Report (if necessary)
I. List of Actual HH's beneficiaries

Page 43 of 76
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
Batch 2 Cycle 2
OFFICE OF THE BARANGAY SUB-PROJECT MANAGEMENT COMMITTEE

SUB- PROJECT PROGRAM OF WORK SUMMARY

Sub-Project Tile #REF!


Category Health and Sanitation
Physical Target 1 lot
Total Sub-Project Cost #REF!
Mode of Implementation Community Force Account
Sub-Project Duration 75 Calendar days
Mini Dump Truck/Haul Truck 6 wheeler, Mesting
PROJECT DESCRIPTION : Cash for Work for Cleaning/clearing, Declogging , Equipment Needed Machine, Grass Cutter
Gardening and Disinfecting of drainage canals and isolation areas
Technical Personnel Municipal Engineer, DAC,MDAC, Project Engineer

Unit of
Item no. Scope of Work ( Direct Cost ) % Wt. Quantity Unit Price Total
Measure

#REF! #REF! #REF! #REF! #REF! #REF! #REF!


#REF! #REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF!
Total Direct Cost #REF! #REF!

Breakdown of Estimated SOURCE OF FUNDS


TOTAL COST
CDD IP COMMUNITY BLGU MLGU
Project Cost
Grant In-Kind Cash In-Kind Cash In-Kind
A. Direct Cost
Material Cost #REF! - - - - - #REF!
Labor Cost:
skilled (men) #REF! - - - - - #REF!
unskilled (men) #REF! - - - - - #REF!
unskilled (women) #REF! - - - - - #REF!
Equipment Rental #REF! - - - - - #REF!
Freight and Handling - - - - - - -
Sub-Total ( A ) #REF! - - - - - #REF!

Page 44 of 76
B. Indirect Cost
Overhead #REF! - - - - - #REF!
Administrative Cost #REF! - #REF! - - - #REF!
Supervision - - - - - #REF! #REF!
MISCELLANEOUS: - - - - - - -
Personal Protective Equipments #REF! - - - - - #REF!
Handtools #REF! - - - - - #REF!
Material Testing - - - - - - -
#REF! #REF! - - - - - #REF!
Permits and Licences - - - - - - -
Bond Premium #REF! - - - - - #REF!
Contingency #REF! - - - - - #REF!
Sub-Total ( B ) #REF! - #REF! - - #REF! #REF!
TOTAL ( A+ B ) #REF! - #REF! - - #REF! #REF!
#REF! #REF! #REF!
% Cost Sharing to TEPC #REF! #REF!
#REF! #REF! #REF! #REF!
#REF! #REF! #REF!
% Cost Sharing to KC Grant #REF! #REF!
#REF! #REF! #REF! #REF!
TOTAL ESTIMATED COST #REF! - #REF! - - #REF! #REF!
Add: O and M (Other Amenities)
GRAND TOTAL #REF! - #REF! - - #REF! #REF!

Prepared by : Approved by :

#REF! #REF!
#REF! #REF!

Reviewed by: Concurred by :

#REF! #REF!
#REF! Tribal Leader

Recommending Approval: Noted by:

#REF! #REF! #REF!


#REF! #REF! #REF!

Page 45 of 76
BARANGAY SUB-PROJECT WORK SCHEDULE
For the Month of : August 15, 2020 - OCTOBER 8, 2020

Total Sub-Project Cost : #REF! LABOR No. of days Ave. rate per day
Name of Sub-Project : #REF!
Direct Cost : #REF! MALE
SKILLED
Physical Target : 1 lot Indirect Cost : #REF! FEMALE
Region : CARAGA Planned Date of Start : 15-Aug-20 MALE
UNSKILLED
Province : Agusan del Norte Target Completion Date : 6-Oct-20 FEMALE
Municipality : Kitcharao Mode of Implementation : Community Force Account TOTAL
Barangay : Bangayan
I. To be filled up by MCT- Deputy Area Coordinator
WEIGHT
PHYSICAL
ITEM TARGET D U R A T I O N
DESCRIPTION QTY UNIT AMOUNT (%)
No.
Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 Week 11 Week 12
#REF! Planned #REF!
#REF! #REF! #REF! #REF! #REF!
Actual
#REF! Planned #REF! #REF! #REF! #REF! ###
#REF! #REF! #REF! #REF! #REF!
Actual
END OF PROJECT DURATION
#REF! Planned #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF!
Actual
#REF! Planned #REF! #REF!
#REF! #REF! #REF! #REF! #REF!
Actual
#REF! Planned
TOTAL #REF!
Actual
PERIODIC #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
% PROGRESS (PLANNED)
CUMMULATIVE #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
PHYSICAL
PERIODIC
% PROGRESS (ACTUAL)
CUMMULATIVE
PERIODIC
% PROGRESS (PLANNED)
CUMMULATIVE
FINANCIAL
PERIODIC
% PROGRESS (ACTUAL)
CUMMULATIVE

II. Major Issues Encountered: III. Recommendation:

Prepared by: Concurred by: ### Approved by:

#REF! DIOS MARIE A. DAYONG #REF! #REF! #REF!


#REF! PIT Chairperson #REF! #REF! #REF!

Noted by:

JESSICA ANLAGAN #REF! ENGR. JOVENAL L. BERNAT


MIT Chairperson #REF! #REF!
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
KALAHI CIDSS: PAMANA IP CDD
#REF!
#REF!
#REF!

SUPPLEMENTAL PROJECT PROCUREMENT MANAGEMENT PLAN (PPMP)

END-USER/UNIT: INDIGENOUS PEOPLE COMMUNITY, BRGY. BALEGUIAN, JABONGA, AGUSAN DEL NORTE
TITLE: #REF!

Mode of Schedule/Milestone of Activities


Code (PAP) Item No. General Description Quantity/Size Unit/s Unit Cost Estimated Budget Procurement Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

LOT 1 COVID-19 RESPONSE ITEMS

12191601-AL-E01 1 #REF! #REF! #REF! #REF! #REF!

42131713-SM-M01 2 #REF! #REF! #REF! #REF! #REF!

46181702-FSH01 3 #REF! #REF! #REF! #REF! #REF! NP-53.5 Agency-to-


Agency
41112224-TG-T02 4 #REF! #REF! #REF! #REF! #REF!

53131626-HS- S01 5 #REF! #REF! #REF! #REF! #REF!

73101612-HS-L01 6 #REF! #REF! #REF! #REF! #REF!

SUB-TOTAL LOT 1 #REF!


SUPPLY WITH DELIVERY OF HARDWARE MATERIALS
1 #REF! #REF! #REF! #REF! #REF!
LOT 2 NP-53.2
2 #REF! #REF! #REF! #REF! #REF! Emergency Cases
3 #REF! #REF! #REF! #REF! #REF!
SUB-TOTAL LOT 3 #REF!
GRAND TOTAL #REF!

NOTE: Technical Specifications for each Item/Project being proposed shall be submitted as part of the PPMP

Prepared By: Recommending Approval: Approved by:

#REF! CARY M. TELLO #REF!


CSPMC CHAIRPERSON (End User Representative) BAC Chairperson HOPE

Page 47 of 76
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
KALAHI CIDSS: PAMANA IP CDD
#REF!
#REF!
#REF!

Supplememental Annual Procurement Plan for FY 2020

Code (PAP) Procurement PMO/ Is this an Mode of Procurement Schedule for Each Procurement Activity Source of Estimated Budget (PhP) Remarks S
Project End-User Early Funds (brief description o
Procurement Advertisement/ Submission/ Notice of Contract Total MOOE CO of Project) u
N
Activity? Posting of IB/REI Opening of Award Signing or
(Yes/No) Bids tc
ei
c
eo
f
t
oF
u
LOT 1 COVID-19 RESPONSE ITEMS BLGU - BALEGUIAN YES NP-53.5 Agency-to-Agency N/A N/A 15-Feb-20 16-Feb-20 GoP #REF! - #REF! To be procure n
P
d
r
os
c
e
e
d
SUPPLY WITH DELIVERY OF
LOT 2 HARDWARE MATERIALS BLGU - BALEGUIAN YES NP-53.2 Emergency Cases N/A 15-Feb-20 25-Feb-20 26-Feb-20 GoP #REF! - #REF! To be procure

Prepared by: Approved by Noted By:

JESSICA R. LOPEZ #REF! #REF!


Head, BAC Secretariat HOPE CSPMC Chairperson (End -User -Representatives)

Page 48 of 76
Republic of the Philippines
Province of Agusan del Norte
Municipality of Jabonga

OFFICE OF THE MUNICIPAL ENGINEER

CERTIFICATION
(Prevailing unit Price of materials and labor wages)

To whom it may concern;

This is to CERTIFY that the following list of materials and labor indicated below are current
prevailing unit price for Barangay Baleguian, Municipality of Jabonga, Province of Agusan del Norte.

MATERIAL PRICE FOR MEDICAL SUPPLIES, DISINFECTING AND SANITIZING MATERIALS

#REF! 500ml #REF!


#REF! pc #REF!

#REF! pc #REF!
#REF! pc #REF!
#REF! gallon #REF!
#REF! bottle #REF!

MATERIAL PRICE FOR HARDWARE


#NAME? pc. #NAME?
#REF! pc. #REF!
#REF! pc. #REF!
#REF! pc. #REF!

PRICE FOR SUPPLY AND INSTALLATION OF WOODEN BILLBOARD AND WARNING SIGNAGES

#REF! lot #REF!

#REF! sheets #REF!

Page 49 of 76
PREVAILING CAPABILTY OF WORKS
Cleaning/Clearing sq.m. / man.day 80.00
#REF! sq.m. / man.day 15.00
Declogging of Canal l.m / man.day 10.00
Disposal of Waste Materials cu.m / man.day 4.00

PREVAILING CURRENT WAGE RATES

Description of Material unit Unit Cost


Unskilled labor /day 320.00

Given this 13th day of November 2020 at Municipal Engineering Office, Municipality of Jabonga, Agusan del Norte

Certified By :

#REF!
Municipal Engineer

Page 50 of 76
BLGU OF BANGAYAN
KITCHARAO, AGUSAN DEL NORTE
REQUEST FOR QUOTATION
(Emergency Cases-Goods)

Project Refence Number:


Name of Lot / Contract: Lot 3: Supply with delivery of Hardware Materials
Delivery Location: Barangay Bangayan Kitcharao, Agusan del Norte

Date:
Quotation No.:

Name of Supplier :
Business Address
of Supplier:

Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last page, stating the shortest time of delivery and submit your quotation duly signed by your
representative not later than August 25, 2020 1:00PM in the return envelope attached herewith.

CARY M. TELLO
Name of Procurement Officer and Signature

ITEM NO. ITEM & DESCRIPTION QTY. UNIT UNIT PRICE TOTAL PRICE

#NAME? #NAME? ### ###

1 #REF! #REF! #REF!

2 #REF! #REF! #REF!

#NAME? #NAME? ### ###

#NAME? #NAME? ### ###

#NAME? #NAME? ### ###

3 #REF! #REF! #REF!

***Nothing Follows***

TOTAL AMOUNT
Approved Budget for the Contract : Php 34,940.00

Note:
A. 1. ALL ENTRIES MUST BE TYPE OR INK WRITTEN
2. CONTRACT DURATION THIRTY (15) CALENDAR DAYS
3. WARRANTY SHALL BE REQUIRED 120 CALENDAR DAYS FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY , IF APPLICABLE
4. PRICE VALIDITY SHALL BE FOR A PERIOD OF 120 CALENDAR DAYS
5. REQUIREMENTS (Shall be attached upon submission of quotation)
a. Mayor’s / Business Permit (if expired, attached receipt of renewal including the expired permit upon submission of RFQ and the valid copy of permit must be submitted after receipt of notice of
award but must be done prior payment)
b. Latest Income Tax Return (for ABC above 500K)
c. Notarized orginal copy of Omnibus Sworn Statement (if not yet notarized, submit a notarized original copy after receipt of notice of award but must be done prior payment)

Brand and Model:

After having carefully read nd accepted your General Conditions, I, /we quote you on the item at prices noted above.

Printed Name&signature of Proprietor / Authorized Representative

Tel. No. / Cellphone No. /e-mail address

Date
BLGU OF BANGAYAN
KITCHARAO, AGUSAN DEL NORTE
REQUEST FOR QUOTATION
(Emergency Cases-Goods)

Project Refence Number:


Name of Lot / Contract: Lot 4: Supply with Installation of Woodedn Billboard and Signages
Delivery Location: Barangay Bangayan Kitcharao, Agusan del Norte

Date: August 18, 2020


Quotation No.: 1

Name of Supplier :
Business Address
of Supplier:

Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last page, stating the shortest time of delivery and submit your quotation duly signed by your
representative not later than August 25, 2020 1:00PM in the return envelope attached herewith.

CARY M. TELLO
Name of Procurement Officer and Signature

ITEM NO. ITEM & DESCRIPTION QTY. UNIT UNIT PRICE TOTAL PRICE

#NAME? #NAME? ### ###

#NAME? #NAME? ### ###

***Nothing Follows***

TOTAL AMOUNT
Approved Budget for the Contract : Php 9,000.00

Note:
A. 1. ALL ENTRIES MUST BE TYPE OR INK WRITTEN
2. CONTRACT DURATION THIRTY (15) CALENDAR DAYS
3. WARRANTY SHALL BE REQUIRED 120 CALENDAR DAYS FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY , IF APPLICABLE
4. PRICE VALIDITY SHALL BE FOR A PERIOD OF 120 CALENDAR DAYS
5. REQUIREMENTS (Shall be attached upon submission of quotation)
a. Mayor’s / Business Permit (if expired, attached receipt of renewal including the expired permit upon submission of RFQ and the valid copy of permit must be submitted after receipt of notice of
award but must be done prior payment)
b. Latest Income Tax Return (for ABC above 500K)
c. Notarized orginal copy of Omnibus Sworn Statement (if not yet notarized, submit a notarized original copy after receipt of notice of award but must be done prior payment)

Brand and Model:

After having carefully read nd accepted your General Conditions, I, /we quote you on the item at prices noted above.

Printed Name&signature of Proprietor / Authorized Representative

Tel. No. / Cellphone No. /e-mail address

Date
Republic of the Philippines
Province: Agusan Del Norte
Municipality: Kitcharao
Barangay: Bangayan

Name of Sub-Project:CASH FOR WORK

ACKNOWLEDGEMENT RECEIPT

This is to certify that :

__________________________________________________________________________________

__________________________________________________________________________________

of Barangay Local Government Unit of Barangay Bangayan for the purpose of negotation for Lot 3: Supply with
delivery of Hardware Materials has appeared on ______________________

________________________________________________________
(SIGNATURE OVER PRINTED NAME OF REGISTERED OWNER OR AUTHORIZED REPRESENTATIVES)

________________________________________________________
(REGISTERED BUSINESS NAME OF THE BIDDER/CONTRACTOR/SUPPLIER/LESSOR)
Republic of the Philippines
Province: Agusan Del Norte
Municipality: Kitcharao
Barangay: Bangayan

Name of Sub-Project:CASH FOR WORK

ACKNOWLEDGEMENT RECEIPT

This is to certify that :

__________________________________________________________________________________

__________________________________________________________________________________

of Barangay Local Government Unit of Barangay Bangayan for the purpose of negotation for Lot 4: Supply with
Installation of Wooden Billboard and Signages has appeared on ______________________

________________________________________________________
(SIGNATURE OVER PRINTED NAME OF REGISTERED OWNER OR AUTHORIZED REPRESENTATIVES)

________________________________________________________
(REGISTERED BUSINESS NAME OF THE BIDDER/CONTRACTOR/SUPPLIER/LESSOR)
NAME AND BLGU OF BANGAYAN
ACCT. CODE
ADDRESS OF Barangay Bangayan, Kitcharao Agusan del Norte
REQUESTING AGENCY CONTROL No.: 2020-08-001
AGENCY PROCUREMENT REQUEST PS APR No.
To: PROCUREMENT SERVICE ____________________
Butuan City (Date Prepared)

ACTION REQUESTED ON THE ITEM LISTED BELOW

[ ] Please furnish with us Price Estimate (for office equipment/furniture & supplementary items)
[ ] Please purchase for our agency/furniture/supplementary items per you Price Estimate
(PS RAD No. ___________________ attached) dated __________________,_______
[ ] Please issue common-use supplies/materials per price list as of ___________________, ____________
[ ] Please issue Certificate or Price Reasonableness
[ ] Please furnish us with your latest/updated Price List
[ ] Other (Specify) _________________________________________________________________________________

IMPORTANT!! PLEASE SEE THE INSTRUCTIONS/CONDITION AT THE BACK OF THE ORIGINAL COPY
ITEM
ITEM AND DESCRIPTION/SPECIFICATIONS/STOCK No. QUANTITY UNIT Unit Price AMOUNT
No.
1 #REF! ### #REF! #REF! #REF!
2 #REF! ### #REF! #REF! #REF!
3 #REF! ### #REF! #REF! #REF!
4 #REF! ### #REF! #REF! #REF!
5 #REF! ### #REF! #REF! #REF!
6 #REF! ### #REF! #REF! #REF!
### #NAME? ### #NAME? #NAME? #NAME?
### #NAME? ### #NAME? #NAME? #NAME?
### #NAME? ### #NAME? #NAME? #NAME?
***Nothing Follows***
Medical Supplies, Disinfecting and Sanitizing Materials:
CSPMC Office
Total AMOUNT #REF!
NOTE: ALL SIGNATURES MUST BE OVER PRINTED NAME

STOCKS REQUESTED ARE CERTIFIED TO BE FUNDS CERTIFIED AVAILABLE APPROVED:


WITHIN APPROVED PROGRAM:

ARNEL P. BOQUILON MA. ELYN E. GRINO #REF!


COMMITTEE ON APPROPRIATION BARANGAY TREASURER PUNONG BARANGAY

[ ] FUNDS DEPOSITED WITH PS [ ] ___________________ CHECK No. ________________


IN THE AMOUNT OF: ________________________________________________ (P________________ ) ENCLOSED
BARANGAY SUB-PROJECT WORK SCHEDULE

Total Sub-Project Cost : #REF! LABOR No. of days Ave. rate per day
Name of Sub-Project : CASH FOR WORK
Direct Cost : #REF! MALE
SKILLED
Physical Target : 1 lot Indirect Cost : #REF! FEMALE
Region : CARAGA Planned Date of Start : 1-Mar-21 MALE
UNSKILLED
Province : Agusan del Norte Target Completion Date : 19-Apr-21 FEMALE
Municipality : Jabonga Mode of Implementation : Community Force Account TOTAL
Barangay : Mabuhay
I. To be filled up by MCT- Deputy Area Coordinator
WEIGHT
PHYSICAL
ITEM TARGET D U R A T I O N
DESCRIPTION QTY UNIT AMOUNT (%)
No.
Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 Week 11 Week 12
#REF! Planned ###
I SP Billboard 1.00 lot 600.00
Actual
#REF! Planned #REF! #REF! #REF! #REF! #REF! ###
II Clearing/Grubbing #REF! sq.m. #REF!
Actual
#REF! Planned #REF! #REF! #REF! #REF! #REF!
III Deweed (Guna) #REF! sq.m. #REF! END OF PROJECT DURATION
Actual
#REF! Planned #REF! ###
IV Declogging #REF! ln.m #REF!
Actual
#REF! Planned #REF! #REF!
V Purchase of Materials 1.00 lot #REF!
Actual
#REF! Planned
TOTAL #REF!
Actual
PERIODIC #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
% PROGRESS (PLANNED)
CUMMULATIVE #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
PHYSICAL
PERIODIC
% PROGRESS (ACTUAL)
CUMMULATIVE
PERIODIC
% PROGRESS (PLANNED)
CUMMULATIVE
FINANCIAL
PERIODIC
% PROGRESS (ACTUAL)
CUMMULATIVE

II. Major Issues Encountered: III. Recommendation:

Prepared by: Concurred by: Reviewed and Recommending Approval by: Approved by:

ENGR. JAY FRED D. TELIN DIANA B. ARANDOQUE ENGR. SAMUEL C. MONOY DR. ROBERTO L. BLACANO #REF!
Deputy Area Coordinator PIT Chairperson Municipal Engineer Municipal Health Officer Punong Barangay

Noted by:

DANTE C. BIOG 0.00 ENGR. JOVENAL L. BERNAT


MIT Chairperson Tribal Leader/CSPMC Chairperson Project Development Officer IV

Note: Attach Material Record Sheet if physical accomplishment lags behind financial disbursements
BLGU OF BANGAYAN
KITCHARAO, AGUSAN DEL NORTE
REQUEST FOR QUOTATION
(Emergency Cases-Goods)

Project Refence Number:


Name of Lot / Contract: Lot 1: Supply with delivery of Medical Supplies, Disinfecting and Sanitizing Materials
Delivery Location: Barangay Bangayan Kitcharao, Agusan del Norte

Date:
Quotation No.:

Name of Supplier :
Business Address
of Supplier:

Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last page, stating the shortest time of delivery and submit your quotation duly signed by your
representative not later than August 25, 2020 1:00PM in the return envelope attached herewith.

CARY M. TELLO
Name of Procurement Officer and Signature

ITEM NO. ITEM & DESCRIPTION QTY. UNIT UNIT PRICE TOTAL PRICE

1 #REF! #REF! #REF!

2 #REF! #REF! #REF!

3 #REF! #REF! #REF!

4 #REF! #REF! #REF!

5 #REF! #REF! #REF!

6 #REF! #REF! #REF!

#NAME? #NAME? ### ###

#NAME? #NAME? ### ###

#NAME? #NAME? ### ###

***Nothing Follows***

TOTAL AMOUNT
Approved Budget for the Contract : Php 99,950.00

Note:
A. 1. ALL ENTRIES MUST BE TYPE OR INK WRITTEN
2. CONTRACT DURATION THIRTY (15) CALENDAR DAYS
3. WARRANTY SHALL BE REQUIRED 120 CALENDAR DAYS FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY , IF APPLICABLE
4. PRICE VALIDITY SHALL BE FOR A PERIOD OF 120 CALENDAR DAYS
5. REQUIREMENTS (Shall be attached upon submission of quotation)
a. Mayor’s / Business Permit (if expired, attached receipt of renewal including the expired permit upon submission of RFQ and the valid copy of permit must be submitted after receipt of notice of
award but must be done prior payment)
b. Latest Income Tax Return (for ABC above 500K)
c. Notarized orginal copy of Omnibus Sworn Statement (if not yet notarized, submit a notarized original copy after receipt of notice of award but must be done prior payment)

Brand and Model:

After having carefully read nd accepted your General Conditions, I, /we quote you on the item at prices noted above.

Printed Name&signature of Proprietor / Authorized Representative

Tel. No. / Cellphone No. /e-mail address

Date
Republic of the Philippines
Province: Agusan Del Norte
Municipality: Kitcharao
Barangay: Bangayan

Name of Sub-Project:CASH FOR WORK

ACKNOWLEDGEMENT RECEIPT

This is to certify that :

__________________________________________________________________________________

__________________________________________________________________________________

of Barangay Local Government Unit of Barangay Bangayan for the purpose of negotation for Lot 1: Supply with
delivery of Medical Supplies, Disinfecting and Sanitizing Materials has appeared on ______________________

________________________________________________________
(SIGNATURE OVER PRINTED NAME OF REGISTERED OWNER OR AUTHORIZED REPRESENTATIVES)

________________________________________________________
(REGISTERED BUSINESS NAME OF THE BIDDER/CONTRACTOR/SUPPLIER/LESSOR)
BLGU OF BANGAYAN
KITCHARAO, AGUSAN DEL NORTE
REQUEST FOR QUOTATION
(Emergency Cases-Goods)

Project Refence Number:


Name of Lot / Contract: Lot 2: Supply with delivery of Office Supplies
Delivery Location: Barangay Bangayan Kitcharao, Agusan del Norte

Date:
Quotation No.:

Name of Supplier :
Business Address
of Supplier:

Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last page, stating the shortest time of delivery and submit your quotation duly signed by your
representative not later than August 25, 2020 1:00PM in the return envelope attached herewith.

CARY M. TELLO
Name of Procurement Officer and Signature

ITEM NO. ITEM & DESCRIPTION QTY. UNIT UNIT PRICE TOTAL PRICE

#NAME? #NAME? ### ###

#NAME? #NAME? ### ###

#NAME? #NAME? ### ###

***Nothing Follows***

TOTAL AMOUNT
Approved Budget for the Contract : Php 3,600.00

Note:
A. 1. ALL ENTRIES MUST BE TYPE OR INK WRITTEN
2. CONTRACT DURATION THIRTY (15) CALENDAR DAYS
3. WARRANTY SHALL BE REQUIRED 120 CALENDAR DAYS FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY , IF APPLICABLE
4. PRICE VALIDITY SHALL BE FOR A PERIOD OF 120 CALENDAR DAYS
5. REQUIREMENTS (Shall be attached upon submission of quotation)
a. Mayor’s / Business Permit (if expired, attached receipt of renewal including the expired permit upon submission of RFQ and the valid copy of permit must be submitted after receipt of notice of
award but must be done prior payment)
b. Latest Income Tax Return (for ABC above 500K)
c. Notarized orginal copy of Omnibus Sworn Statement (if not yet notarized, submit a notarized original copy after receipt of notice of award but must be done prior payment)

Brand and Model:

After having carefully read nd accepted your General Conditions, I, /we quote you on the item at prices noted above.

Printed Name&signature of Proprietor / Authorized Representative

Tel. No. / Cellphone No. /e-mail address

Date
Republic of the Philippines
Province: Agusan Del Norte
Municipality: Kitcharao
Barangay: Bangayan

Name of Sub-Project:CASH FOR WORK

ACKNOWLEDGEMENT RECEIPT

This is to certify that :

__________________________________________________________________________________

__________________________________________________________________________________

of Barangay Local Government Unit of Barangay Bangayan for the purpose of negotation for Lot 2: Supply with
delivery of Office Supplies has appeared on ______________________

________________________________________________________
(SIGNATURE OVER PRINTED NAME OF REGISTERED OWNER OR AUTHORIZED REPRESENTATIVES)

________________________________________________________
(REGISTERED BUSINESS NAME OF THE BIDDER/CONTRACTOR/SUPPLIER/LESSOR)
Republic of the Philippines
Department of Social Welfare and Development
#REF!
Province of Surigao del Norte
#REF!
#REF!

ANNUAL PROCUREMENT PLAN (APP)

#REF! #REF!
#REF! #REF!
Code (PAP) Procurement Program/Project PMO/ Mode of Schedule for Each Procurement Activity Source of Estimated Budget (PhP) Remarks
End-User Procurement Pre-Proc Ads/Post of IAEB Pre-bid Conf Eligibility Check Sub/Open of Bids Bid Evaluation Post Qual Notice of Award Contract Signing Notice to Proceed Delivery/ Acceptance/ Funds Total MOOE CO
Conference Completion Turnover (brief
description of
Program/Project)

BLGU -
LOT 1 #REF! MAHANUB
#REF! 15-Mar-20 16-Mar-20 23-Mar-20 4-Apr-20 4-Apr-20 5-Apr-20 10-Apr-20 13-Apr-20 23-Apr-20 26-Apr-20 24-Aug-20 24-Aug-20 GOP #REF! To be procure

BLGU -
LOT 2 #REF! MAHANUB
#REF! 15-Mar-20 n/a n/a n/a 04-Apr-20 04-Apr-20 n/a n/a 23-Apr-20 n/a 08-May-20 08-May-20 GOP #REF! To be procure

#REF! #REF!

DEFINITION Remarks
1. PROGRAM (BESF)– A homogeneous group of activities necessary for the performance of a major purpose for which a government agency is established, for the basic maintenance of the agency’s administrative operations or for the provisions of staff support to the agency’s administrative operations or Programs and projects should be alligned with budget
for the provisions of staff support to the agency’s line functions. documents, and especially those posted at the PhilGeps.
2. PROJECT (BESF)– Special agency undertakings which are to be carried out within a definite time frame and which are intended to result in some pre-determined measure of goods and services.
3. PMO/End User - Unit as proponent of program or project
4. Mode of Procurement - Competitive Bidding and Alternative Methods including: selective bidding, direct contracting, repeat order, shopping, and negotiated procurement.
5. Schedule for Each Procurement Activity - Major procurement activities (pre-procurement conference; advertising/posting; pre-bid conference; eligibility screening; submission and receipt of bids; bid evalutaion; post qualification; award of contract; contract preparation), delivery/completion and Breakdown into mooe and co for tracking purposes; alligned
acceptance/turnover. with budget documents

6. Source of Funds - Whether GOP, Foreign Assisted or Special Purpose Fund


7. Estimated Budget - Agency approved estimate of project/program costs
8. Remarks - brief description of program or project

Prepared by: Submitted by:


Approved by:

#REF! #REF!
BAC Secretariat #REF! HOPE
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!

SUB-PROJECT PHOTOS
#REF!

FRONT VIEW

LEFT SIDE VIEW

Page 62 of 76
RIGHT SIDE VIEW

REAR VIEW

Page 63 of 76
KC-PAMANA IP CDD MINIMUM TESTING REQUIREMENTS

MINIMUM QUANTITY/VOLUME OF MATERIALS FOR EACH


WORK ITEM MINIMUM TESTING REQUIREMENTS
SAMPLE SUBMITTED
1 set of 3 Cylinders at Footing
Item 405 - Structural Concrete 1 set of 3 Cylinders (6" x 12") PVC Pipe 1 set of 3 Cylinders at Column
1 set of 3 Cylinders at Beam
MINIMUM QUANTITY/VOLUME OF MATERIALS FOR EACH
WORK ITEM MINIMUM TESTING REQUIREMENTS
SAMPLE SUBMITTED
Product Certificate as to quality control passed ( to be secured from the
Cement Minimum of 2,000 bags (40 kgs)
supplier/hardware)
Product Certificate as to quality control passed ( to be secured from the
Concete Hollow Blocks Minimum of 20,000 units
manufacturer)
Product or Mill Certificate as to quality control passed (to be secured
Reinforced Steel Bars Minimum of 10,000 kgs
from the supplier/hardware)

Prepared by: Reviewed by: Approved by:

RAMIEL Q. ALBUNA, C.E. POTAMIO VALDEHUEZA, C.E. JOVENAL L. BERNAT, C.E.


DAC RIO-III RCIS
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!
#REF!

BILL OF QUANTITIES

UNIT COST COST SHARING SUB-TOTAL

QUANTITY
No. of
TOTAL UNIT IP'S COMMUNITY MLGU LCC TOTAL LCC (cash
ITEM DESCRIPTION Unit Crew/L UNIT Delivery Cost TOTAL COMMUNITY TOTAL
COST & Inkind)
abor RATE/RATE PER KALAHI GRANT CONTRIBUTION
DAY (INKIND) CASH INKIND CASH INKIND CASH INKIND

A.DIRECT COST
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65
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#REF!
Safety Belts 3.00 pcs. 810.00 - 810.00 2,430.00 2,430.00 - - - 2,430.00
Rubber Boots 15.00 pair 490.00 - 490.00 7,350.00 7,350.00 - - - 7,350.00
Hard Hats 15.00 pcs. 180.00 - 180.00 2,700.00 2,700.00 - - - 2,700.00
Hand Gloves (Rubberized) 30.00 pair 50.00 - 50.00 1,500.00 1,500.00 - - - 1,500.00
Construction Mask 15.00 pcs. 50.00 - 50.00 750.00 750.00 - - - 750.00
Shovel with Handle 6.00 pcs. 550.00 - 550.00 3,300.00 3,300.00 - - - 3,300.00
Crow Bar 1.00 pc. 340.00 - 340.00 340.00 340.00 - - - 340.00
Empty Container for Concrete Pail 8.00 pcs. 220.00 - 220.00 1,760.00 1,760.00 - - - 1,760.00
Wheel Borrow 2.00 pcs. 2,700.00 - 2,700.00 5,400.00 5,400.00 - - - 5,400.00
Sledge Hammer (5kg) with Handle 1.00 pc. 550.00 - 550.00 550.00 550.00 - - - 550.00

Prepared by: Reviewed by: Recommending Approval: Approved by:

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Concurred by: Noted by:

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66
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UNIT COST COST SHARING SUB-TOTAL

QUANTITY
No. of
TOTAL UNIT BRGY. LGU MLGU LCC TOTAL LCC
ITEM DESCRIPTION Unit Crew/L UNIT Delivery Cost TOTAL COMMUNITY TOTAL
COST (cash & Inkind)
abor RATE/RATE PER KALAHI GRANT CONTRIBUTIO
DAY N (INKIND) CASH INKIND CASH INKIND CASH INKIND

A.DIRECT COST
Lumber Materials
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67
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#REF!
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#REF!
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#REF!
A. Materials
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - - - #REF!
Sub-Total #REF! #REF! - - - - - - - - #REF!
#REF!
#REF! #REF! days #REF! #REF! #REF! #REF!
Sub-Total #REF! #REF! - - - - - - - - #REF!
Total Material Cost #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
Total Labor Cost
Skilled
Unskilled (Men)
Unskilled (Women)
Equipment Rental
Freight and Handling Cost - - - - - - - - - - -

Total Direct Cost #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!

B.INDIRECT COST
#REF!
Safety Belts 3.00 pcs. 810.00 - 810.00 2,430.00 2,430.00 - - - 2,430.00
Rubber Boots 15.00 pair 490.00 - 490.00 7,350.00 7,350.00 - - - 7,350.00
Hard Hats 15.00 pcs. 180.00 - 180.00 2,700.00 2,700.00 - - - 2,700.00
Hand Gloves (Rubberized) 30.00 pair 50.00 - 50.00 1,500.00 1,500.00 - - - 1,500.00
Construction Mask 15.00 pcs. 50.00 - 50.00 750.00 750.00 - - - 750.00
Total for PPE 14,730.00 14,730.00 - - - - - - - - 14,730.00
#REF!
Shovel with Handle 6.00 pcs. 550.00 - 550.00 3,300.00 3,300.00 - - - 3,300.00
Crow Bar 1.00 pc. 340.00 - 340.00 340.00 340.00 - - - 340.00
Empty Container for Concrete Pail 8.00 pcs. 220.00 - 220.00 1,760.00 1,760.00 - - - 1,760.00
Wheel Borrow 2.00 pcs. 2,700.00 - 2,700.00 5,400.00 5,400.00 - - - 5,400.00
Sledge Hammer (5kg) with Handle 1.00 pc. 550.00 - 550.00 550.00 550.00 - - - 550.00
Total for Handtools 11,350.00 11,350.00 - - - - - - - - 11,350.00
TOTAL INDIRECT COST 26,080.00 26,080.00 - - - - - - - - 26,080.00

TOTAL PROJECT COST #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!

Prepared by: Reviewed by: Recommending Approval: Approved by:

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Concurred by: Noted by:

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68
PLANNED COMMUNITY PROCUREMENT PACKAGING

Date Prepared : February 25, 2016 Name of Proposed Sub-Project : #REF!


Barangay : #REF! Total Cash (Php) : #REF!
Municipality : #REF! Sub-project Duration : #REF! .
AMOUNT
Province : Agusan del Sur SOURCES OF FUNDS PERCENTAGE WEIGHT LEGEND: FUND SOURCE (PESO)
DESCRIPTION TOTAL TO LCC
KC Grant: LCC: TO KC GRANT KC GRANT 1,648,515.00
CASH
1st Tranche (Php) #REF! #REF! #REF! #REF! #REF! TOTAL LCC 94,873.00
2nd Tranche (Php) #REF! #REF! #REF! #REF! 0% LCC - In-kind 63,873.00
3rd Tranche (Php) #REF! #REF! #REF! #REF! 0% LCC - Cash 1,000.00
Mode of Implementation : Community Force Account (CFA) TOTAL CASH (Php) #REF! #REF! #REF! #REF! #REF! TOTAL 1,743,388.00

PROPOSED
UNIT COST TRANCHES IMPLEMENTATION

QUANTITY
SCHEDULE
PACKAGES

REMARKS
TOTAL PROC 1st Tranche 2nd Tranche 3rd Tranche SUB-TOTAL MONTH
PACKAGE ITEMS Unit TOTAL TOTAL
UNIT RATE/ ADD: UNIT COST METHOD
RATE PER Delivery
DAY cost KC Grant LCC Cash KC Grant LCC Cash KC Grant LCC Cash KC Grant LCC Cash 1 2 3

PACKAGE 1 - LUMBER MATERIALS


#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!

CSG
P -1

#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
TOTAL FOR PACKAGE 1 #REF! #REF! - - - - - #REF! - #REF!
PACKAGE 1 - CHB, AGGREGATES & FILLING MATERIALS

SHOPPING FOR
COMMUNITY
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!

GOODS
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
P-1

#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
TOTAL FOR PACKAGE 1 #REF! #REF! - - - #REF! - #REF! - #REF!
PACKAGE 3 - HARDWARE MATERIALS - - - - -
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
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#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #NAME? #REF! #REF! #REF! #REF! #NAME? #NAME? #NAME? - #NAME?
#REF! #REF! #REF! #REF! #REF! #REF! #REF! CSG #REF! #REF! #REF! - #REF!
P-3

#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! 12,233.30 #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
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#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
TOTAL FOR PACKAGE 2 #REF! #REF! - - - #REF! - #REF! - #REF!
PACKAGE 4 - ROOFING MATERIALS - - - - -
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
CSG
P-4

#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
TOTAL FOR PACKAGE 3 #REF! #REF! - - - - - #REF! - #REF!
PACKAGE 5 - DOORS - - - - -
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
CSG
P-7

#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
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Page 69 of 76
PROPOSED
UNIT COST TRANCHES IMPLEMENTATION

QUANTITY
SCHEDULE
PACKAGES

REMARKS
TOTAL PROC 1st Tranche 2nd Tranche 3rd Tranche SUB-TOTAL MONTH
PACKAGE ITEMS Unit TOTAL TOTAL
UNIT COST METHOD
P-7

UNIT RATE/ ADD:


RATE PER Delivery
DAY cost KC Grant LCC Cash KC Grant LCC Cash KC Grant LCC Cash KC Grant LCC Cash 1 2 3

TOTAL FOR PACKAGE 5 #REF! #REF! - #REF! - - - #REF! #REF! #REF!


PACKAGE 6 - WINDOWS

CSG
P-8

#NAME? #NAME? ### #NAME? #NAME? #NAME? #NAME? #NAME? #NAME? #NAME? - #NAME?

TOTAL FOR PACKAGE 6 #NAME? - #NAME? - #NAME? - - - #NAME? - #NAME? -


PACKAGE 7 - PLUMBING MATERIALS - - - - -
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
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#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
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#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!

CSG
P-9

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#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#NAME? #NAME? ### #NAME? #NAME? #NAME? #NAME? #NAME? #NAME? - #NAME?
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#NAME? #NAME? ### #NAME? #NAME? #NAME? #NAME? #NAME? #NAME? - #NAME?
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
TOTAL FOR PACKAGE 7 #REF! #REF! - - - - - #REF! - #REF!
PACKAGE 8 - ELECTRICAL MATERIALS - - - - -
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
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#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!

Page 70 of 76
SG
10
PROPOSED
UNIT COST TRANCHES IMPLEMENTATION

QUANTITY
SCHEDULE
PACKAGES

REMARKS
TOTAL PROC 1st Tranche 2nd Tranche 3rd Tranche SUB-TOTAL MONTH
PACKAGE ITEMS Unit TOTAL TOTAL
UNIT RATE/ ADD: UNIT COST METHOD
RATE PER Delivery
DAY cost KC Grant LCC Cash KC Grant LCC Cash KC Grant LCC Cash KC Grant LCC Cash 1 2 3

#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!

CSG
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
P - 10

#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
TOTAL FOR PACKAGE 8 #REF! #REF! - - - - - #REF! - #REF!
PACKAGE 9 - PAINTING MATERIALS - - - - -
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!

CSG
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
P - 11

#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
TOTAL FOR PACKAGE 9 #REF! #REF! - #REF! - - - #REF! - #REF!
PACKAGE 12 - AMENITIES - - - - -
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
CSG
P - 12

#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
TOTAL FOR PACKAGE 12 #REF! #REF! - - - #REF! - #REF! - #REF!
PACKAGE 10 - STEEL BILLBOARD - - - - -
CSG
P - 13

#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
TOTAL FOR PACKAGE 10 #REF! #REF! - - - - - #REF! - #REF!
PACKAGE 11 - SUB-PROJECT MARKER - - - - -
CSG
P - 14

#REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! - #REF!
TOTAL FOR PACKAGE 11 #REF! #REF! - - - #REF! - #REF! - #REF!
PACKAGE 15 - EQUIPMENT RENTAL
P-15

Page 71 of 76
PROPOSED
UNIT COST TRANCHES IMPLEMENTATION

QUANTITY
SCHEDULE
PACKAGES

REMARKS
TOTAL PROC 1st Tranche 2nd Tranche 3rd Tranche SUB-TOTAL MONTH
PACKAGE ITEMS Unit TOTAL TOTAL
UNIT RATE/ ADD: UNIT COST METHOD
RATE PER Delivery
DAY cost KC Grant LCC Cash KC Grant LCC Cash KC Grant LCC Cash KC Grant LCC Cash 1 2 3
P-15

#REF! #REF! days #REF! - #REF! #REF! #REF! - - -


TOTAL FOR PACKAGE 15 #REF! #REF! - - - - - - - -
TOTAL MATERIALS DIRECT COST (cash) #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
Labor: -
Skilled #REF! #REF! 7,001.10 #REF! #REF!

CFA
Unskilled (Men) #REF! #REF! #REF! #REF!
Unskilled (Women) #REF! #REF! #REF! #REF!
sub-total #REF! - #REF! - 7,001.10 - - - #REF! - #REF!
TOTAL CASH DIRECT COST #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
Indirect Cost
PACKAGE 12 - HANDTOOLS AND PPE -
#REF!
Safety Belts 3.00 pcs. 810.00 - 810.00 2,430.00 2,430.00 2,430.00 2,430.00
Rubber Boots 15.00 pair 490.00 490.00 7,350.00 7,350.00 7,350.00 7,350.00
Hard Hats 15.00 pcs. 180.00 180.00 2,700.00 2,700.00 2,700.00 2,700.00

CSG
Hand Gloves (Rubberized) 30.00 pair 50.00 50.00 1,500.00 1,500.00 1,500.00 1,500.00
Construction Mask 15.00 pcs. 50.00 50.00 750.00 750.00 750.00 750.00
P-12

#REF!
Shovel with Handle 6.00 pcs. 550.00 550.00 3,300.00 3,300.00 3,300.00 3,300.00
Crow Bar 1.00 pc. 340.00 340.00 340.00 340.00 340.00 340.00
Empty Container for Concrete Pail 8.00 pcs. 220.00 220.00 1,760.00 1,760.00 1,760.00 1,760.00
Wheel Borrow 2.00 pcs. 2,700.00 2,700.00 5,400.00 5,400.00 5,400.00 5,400.00
Sledge Hammer (5kg) with Handle 1.00 pc. 550.00 550.00 550.00 550.00 550.00 550.00
TOTAL FOR PACKAGE 12 26,080.00 26,080.00 - - - - - 26,080.00 - 26,080.00
Material Testing 1.00 lot #REF! #REF! #REF! #REF! #REF! #REF! #REF!
Permit and Licences 1.00 lot #REF! #REF! #REF! #REF! #REF! #REF!
Administrative Cost 1.00 lot #REF! #REF! #REF! #REF! - 1,000.00 1,000.00
Overhead 1.00 lot #REF! #REF! #REF! #REF! 25,116.20 #REF! #REF!
Treasurer's Bond 1.00 lot #REF! #REF! #REF! #REF! #REF! - #REF!
Contingency 1.00 lot #REF! #REF! #REF! #REF! 42,306.00 #REF! - #REF!
sub-total #REF! #REF! #REF! #REF! - 42,306.00 - #REF! 1,000.00 #REF!
TOTAL CASH INDIRECT COST #REF! #REF! #REF! #REF! - 42,306.00 - #REF! 1,000.00 #REF!
GRAND TOTAL CASH #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!

Page 72 of 76
CBPM Form A-1
KALAHI-CIDSS NATIONAL COMMUNITY DRIVEN DEVELOPMENT PROJECT
COMMUNITY PROCUREMENT PLAN (CPP)

Name of Proposed Community Project #REF! Date Prepared: 14-Mar-16


Location Barangay Poblacion, Sta. Josefa, Agusan del Sur
Total Estimated Cost #REF! KC GRANT COST: #REF!
Estimated Cost IST TRANCHE : #REF! LCC CASH: #REF!
2ND TRANCHE : #REF! Proposed Project Implementation Schedule 6//2016
3rd TRANCHE : #REF!
Community Project Duration #REF!
Type of Plan: ( x ) Initial ( ) Actual
PACKAGES

Source of Funds
SCHEDULE OF SCHEDULE OF COMMENTS/
ITEMS TO BE PROCURED QUANTITY Unit UNIT COST TOTAL PROC METHOD
FUND RELEASE PROCUREMENT REMARKS
Grant LCC

Direct Cost
PACKAGE 1 - CHB, AGGREGATES &
FILLING MATERIALS
#REF! #REF! #REF! #REF! #REF! #REF!
P-1

#REF! #REF! #REF! #REF! #REF! CSG #REF! 1st Tranche


#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
TOTAL FOR PACKAGE 1 #REF! #REF! -

PACKAGE 2 - LUMBER MATERIALS

#REF! #REF! #REF! #REF! #REF! #REF!


P-2

#REF! #REF! #REF! #REF! #REF! CSG #REF! 1st Tranche


#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF! -
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
TOTAL FOR PACKAGE 2 #REF! #REF! -

PACKAGE 3 - HARDWARE MATERIALS

#REF! #REF! #REF! #REF! #REF! #REF!


#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! CSG #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
P-3

#REF! #REF! #REF! #REF! #REF! #REF! 1st Tranche


#REF! #REF! #REF! #REF! #REF! #REF!
CSG

P-3
1st Tranche

#REF! #REF! #REF! #REF! #REF! #REF!


#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
TOTAL FOR PACKAGE 3 #REF! #REF! -

PACKAGE 4 - ROOFING MATERIALS

CSG
#REF! #REF! #REF! #REF! #REF! #REF! 1st Tranche
P-4

#REF! #REF! #REF! #REF! #REF! #REF!


#REF! #REF! #REF! #REF! #REF! #REF!
TOTAL FOR PACKAGE 4 #REF! #REF!

PACKAGE 5 - DOORS

CSG
P-5

2nd Tranche
#REF! #REF! #REF! #REF! #REF! #REF!
TOTAL FOR PACKAGE 5 #REF! #REF! -

PACKAGE 6 - WINDOWS

#REF! #REF! #REF! #REF! #REF! #REF!


#REF! #REF! #REF! #REF! #REF! #REF!

CSG
P-6

2nd Tranche
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
TOTAL FOR PACKAGE 6 #REF! #REF! -

PACKAGE 7 - PLUMBING MATERIALS

#REF! #REF! #REF! #REF! #REF! #REF!


#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!

CSG
P-7

1st Tranche
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!

CSG
P-7

1st Tranche
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
TOTAL FOR PACKAGE 7 #REF! #REF! -

PACKAGE 8 - ELECTRICAL MATERIALS

#REF! #REF! #REF! #REF! #REF! #REF!


#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!

CSG
P-8

#REF! #REF! #REF! #REF! #REF! #REF! 1st Tranche


#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
TOTAL FOR PACKAGE 8 #REF! #REF! -

PACKAGE 9 - PAINTING MATERIALS

#REF! #REF! #REF! #REF! #REF! #REF!


#REF! #REF! #REF! #REF! #REF! #REF!
9
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!

CSG
P-9

2nd Tranche
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF! #REF!
TOTAL FOR PACKAGE 9 #REF! #REF! -

PACKAGE 10 - STEEL BILLBOARD


P - 10

CSG
1st Tranche
#REF! #REF! #REF! #REF! #REF! #REF!
TOTAL FOR PACKAGE 10 #REF! #REF! -

PACKAGE 11 - SUB-PROJECT MARKER

CSG
3rd Tranche
P - 11

#REF! #REF! #REF! #REF! #REF! #REF!


TOTAL FOR PACKAGE 11 #REF! #REF! -
TOTAL MATERIALS DIRECT COST #REF! #REF! -
Indirect Cost
PACKAGE 12 - HANDTOOLS AND PPE
#REF!
Safety Belts 3.00 pcs. 810.00 2,430.00 2,430.00 -
Rubber Boots 15.00 pair 490.00 7,350.00 7,350.00 -
Hard Hats 15.00 pcs. 180.00 2,700.00 2,700.00 -
Hand Gloves (Rubberized) 30.00 pair 50.00 1,500.00 1,500.00 -
Construction Mask 15.00 pcs. 50.00 750.00 CSG 750.00 - 1st Tranche
P-12

#REF!
Shovel with Handle #REF! #REF! #REF! #REF! #REF! -
Crow Bar 1.00 pc. #REF! #REF! #REF! -
Empty Container for Concrete Pail 8.00 pcs. #REF! #REF! #REF! -
Wheel Borrow 2.00 pcs. #REF! #REF! #REF! -
Sledge Hammer (5kg) with Handle 1.00 pc. #REF! #REF! #REF! -
TOTAL FOR PACKAGE 12 #REF! #REF! -
TOTAL INDIRECT COST (cash) #REF! #REF! -
GRAND TOTAL CASH #REF! #REF! -
#REF!

Workshop output of: Checked & Reviewed by: Approved by:

MELANIE AGAN #REF! #REF!


Procurement Team Head Deputy Area Coordinator BSPMC Chairman

#REF!
Municipal Engineer

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