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DEPARTMENT OF EDUCATION

REGONAL OFFICE NO. III


City of San Fernando, Pampanga

Supply and Door to Door Delivery of TVL Tools and Equipment - Lot B.3 SMAW (NC II)
ANNEX I
October 11-19, 2018

ITEM DESCRIPTION QUANTITY TOTAL COSTS UNIT COSTS

1 Oxy-Acetylene Goggles 305 24,552.50 80.50


2 Arc Welding Machine AC/DC and Accessories 305 5,169,750.00 16,950.00
3 Welding Table/Positioners 305 3,873,500.00 12,700.00
4 Portable Electrode Oven 305 751,825.00 2,465.00
5 Automatic Gas Cutting Machine 305 3,888,750.00 12,750.00
6 Power Hacksaw 305 12,951,825.00 42,465.00
7 Anvil 305 648,125.00 2,125.00
8 Work Bench with Bench Vises on Four Corners 305 7,768,350.00 25,470.00
9 Oxy-Acetylene Cutting and Cylinder Welding Outfit 305 3,881,125.00 12,725.00
10 Pedestal/Bench Grinding Machine 305 695,400.00 2,280.00
11 Industrial Fan 305 337,025.00 1,105.00

Total 39,990,227.50

DR Number

Delivery Date

Date Received

Received by

Findings

Report on Testing of SHS TVL Equipment

RO Representative

RO Representative

Supplier Representative
School Representative

Date Tested

Remarks

Per IAR

Date Inspected
Date Received

Inspected by

Received by

Findings

Per PTR

Date Approved
Date Received

Approved by

Received by

Findings
1. ANGELES CITY NTS 2. BATAAN NHS
Qty per DR Qty per IAR Amount Qty per DR Qty per IAR Amount
5 5 402.50 5 5 402.50
5 5 84,750.00 5 5 84,750.00
5 5 63,500.00 5 5 63,500.00
5 5 12,325.00 5 5 12,325.00
5 5 63,750.00 5 5 63,750.00
5 5 212,325.00 5 5 212,325.00
5 5 10,625.00 5 5 10,625.00
5 5 127,350.00 5 5 127,350.00
5 5 63,625.00 5 5 63,625.00
5 5 11,400.00 5 5 11,400.00
5 5 5,525.00 5 5 5,525.00

655,577.50 655,577.50

0419-M; 0514- 0451-M; 0492-


M; 0531-M; M; 0557-M;
0657; 0685-M

03/20/2018; 04/05/2018;
04/30/2018; 04/24/2018;
05/22/2018; 06/04/2018;
06/28/2018; 07/02/2018

03/20/2018;
No date;
05/02/2018; No
4/25/2018; No
date;
date; No date
06/28/2018

Jonathan Yu; Glordan I.


Cherish Torralba Punzalan; Judith
(PC) C. Guzman

There is a note per DR No. 0451-


M indicating no Oxy-Acetylene
Cutting outfits received yet,
written in ballpen. Per IAR 0128
-
indicates 5 Oxy-Acetylene
Cutting outfits inspected and
received.Acknowledgement
Receipt to be attached.

Iluminado M. Reynaldo G.
Garcia Castillo

Daniel A.
Edwin T. Marcos
Cumlat
Property
-
Custodian

11/7/2018 7/8/2018

All items received are in good All tools and equipment that had
working condition, marked as been delivered, inspected and
responsive on the report. tested were all responsive.

IAR 0193 IAR 0196

11/7/2018 7/8/2018
11/7/2018 7/8/2018

Aurelio M. Richie M.
Escoto Centino
Felisa Ebreo Felisa Ebreo

Per IAR there was no quantity indicated for Power


-
Hack Saw Item

PTR 0193 PTR 0196

11/7/2018 7/8/2018
11/7/2018 7/8/2018

Felisa R. Ebreo Felisa R. Ebreo

Roylan T. Del
Property
Cruz (Asst
Custodian
Principal II)

Issued by portion not filled out. Quantity of items


Issued by portion not filled out. Quantity of items per PTR not indicated. Transfer type: Door to Door
per PTR not indicated. Transfer type: Door to Door Delivery not indicated.
Delivery not indicated.
3. HERMOSA NHS 4. JUSTICE EMILIO GANCAYCO MHS 5. LAMAO NHS
Qty per DR Qty per IAR Amount Qty per DR Qty per IAR Amount Qty per DR Qty per IAR
5 5 402.50 5 5 402.50 5 5
5 5 84,750.00 5 5 84,750.00 5 5
5 5 63,500.00 5 5 63,500.00 5 5
5 5 12,325.00 5 5 12,325.00 5 5
5 5 63,750.00 5 5 63,750.00 5 5
5 5 212,325.00 5 5 212,325.00 5 5
5 5 10,625.00 5 5 10,625.00 5 5
5 5 127,350.00 5 5 127,350.00 5 5
5 5 63,625.00 5 5 63,625.00 5 5
5 5 11,400.00 5 5 11,400.00 5 5
5 5 5,525.00 5 5 5,525.00 5 5

655,577.50 655,577.50

0456-M; 0512- 0474M; 0494-M;


0418-M; 0429-
M; 0539-M; 0509-M; 0545-
M; 0463-M;
0536-M; 0672- M; 0673-M;
0556-M; 0679-M
M; 0740-M 0739-M

4/6/2018; 4/11/2018;
03/20/2018;
04/30/2018; 04/25/2018;
03/23/2018;
05/28/2018; 04/30/2018;
04/06/2018;
05/28/2018; 05/30/2018;
06/04/2018;
07/03/2018; 07/03/2018;
07/02/2018
07/03/2018 07/24/2018

4/7/2018; 04/11/2018;
No date; No
05/03/2018; 04/25/2018;
date; No date;
05/28/2018; 04/30/2018;
No date;
05/28/2018; No 05/30/2018; No
07/02/2018
date; No date date; No date

Erwan Manalac;
Kristine Joy
Fermina D.
Mangubat; Janet B. Cruz
Sazon (Acting
Jhenie R. (PC); Erika Zyra
PC, ADAS II);
Agustin; L. Caragay; Jay-
Jethro Nogoy;
Gerardo B. R Santillan
Herminihilda L.
Hernandez
Macalino

Per DR No. 0545-M delivery date


printed was tampered to show
The persons in the DR who May 30, 2018 written in ballpen
received the goods are not signed by the noted person on
property custodians. the DR.
Date received was May 30, 2018
as per PC'c signature.

Reynaldo G. Reynaldo G.
Edgardo Simon
Castillo Castillo

Aurelio Escoto Edwin T. Marcos Edwin T. Marcos

Ederlyn
- -
Payongayong
Reycor E.
Sacdalan - -
(Pricipal III)

7/8/2018 08/08/2018 08/08/2018

All tools and equipment that had All tools and equipment that had All tools and equipment that had
been delivered, inspected and been delivered, inspected and been delivered, inspected and
tested were all responsive. tested were all responsive. tested were all responsive.

IAR 0197 IAR 0198 IAR 0199

7/8/2018 08/08/2018 08/08/2018


7/8/2018 08/08/2018 08/08/2018

Richie M. Richie M.
Aurelio Escoto
Centino Centino
Felisa Ebreo Felisa Ebreo Felisa Ebreo

- - -

PTR 0197 PTR 0198 PTR 0199

7/8/2018 08/08/2018 08/08/2018


7/8/2018 08/08/2018 08/08/2018

Felisa R. Ebreo Felisa R. Ebreo Felisa R. Ebreo

Reycor E. Jhenie R. June C. Servera


Sacdalan Agustin (Asst. (Asst. SHS
(Pricipal III) SHS Principal II) Principal II)

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity o
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door
Delivery not indicated. Delivery not indicated. Delivery not indicated.
5. LAMAO NHS 6. LIMAY NHS
Amount Qty per DR Qty per IAR Amount
402.50 5 5 402.50
84,750.00 5 5 84,750.00
63,500.00 5 5 63,500.00
12,325.00 5 5 12,325.00
63,750.00 5 5 63,750.00
212,325.00 5 5 212,325.00
10,625.00 5 5 10,625.00
127,350.00 5 5 127,350.00
63,625.00 5 5 63,625.00
11,400.00 5 5 11,400.00
5,525.00 5 5 5,525.00

655,577.50 655,577.50

0472-M; 0546-
M; 0548-M;
0689-M; 0737-M

04/11/2018;
05/30/2018;
05/31/2018;
07/02/2018;
07/24/2018

No date;
5/30/2018;
05/31/2018; No
date; No date

Claro M.
Sapuyot; Rhoda
P. Pasion (AO II);
Renato H.
Tiglao; Lexter R.
Angeles

There is a note indicating additional 5 pcs.


Welding Machine w/ accessories. Per DR No.
05460-M delivery date printed was tampered to
show May 30, 2018 written in ballpen; a
correction tape used to erase the first two items
of DR. All 11 items are correct per all DR
presented.
Per DR No. 0689-M, separate handwritten DR
was attached dated July 2,with the same items,
signed. The printed DR 0689-M is attached,
unsigned and dated July 3.

Reynaldo G.
Castillo

Edwin T. Marcos

-
-

08/08/2018

All tools and equipment that had


been delivered, inspected and
tested were all responsive.

IAR 0200

08/08/2018
08/08/2018

Richie M.
Centino
Felisa Ebreo

PTR 0200

08/08/2018
08/08/2018

Felisa R. Ebreo

Jennifer S.
Dominguez
(Asst. Principal
II)

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door
Delivery not indicated. Delivery not indicated.
7. LUAKAN NHS 8. MARIVELES NHS 9. MORONG NHS
Qty per DR Qty per IAR Amount Qty per DR Qty per IAR Amount Qty per DR Qty per IAR
5 5 402.50 5 5 402.50 5 5
5 5 84,750.00 5 5 84,750.00 5 5
5 5 63,500.00 5 5 63,500.00 5 5
5 5 12,325.00 5 5 12,325.00 5 5
5 5 63,750.00 5 5 63,750.00 5 5
5 4 169,860.00 5 5 212,325.00 5 5
5 5 10,625.00 5 5 10,625.00 5 5
5 5 127,350.00 5 5 127,350.00 5 5
5 5 63,625.00 5 5 63,625.00 5 5
5 5 11,400.00 5 5 11,400.00 5 5
5 5 5,525.00 5 5 5,525.00 5 5

613,112.50 655,577.50

0684-M; 0729-
M; 0427-M; 0477-M; 0542- 0476-M; 0544-
0445-M; 0460- M; 0554-M; M; 0552-M;
M; 0510-M; 0670-M; 0732-M 0676-M; 0730-M
0558-M

07/02/2018;
04/13/2018; 4/11/2018;
07/24/2018;
05/29/2018; 05/29/2018;
03/23/2018;
06/01/2018; 06/04/2018;
04/04/2018;
07/03/2018; 07/03/2018;
04/06/2018;
07/24/2018 07/24/2018
04/30/2018;

07/02/2018; No 4/11/2018;
04/13/2018; No
date; No date; 5/29/2018;
Date; No Date;
04/04/2018; 06/04/2018; No
07/03/2018; No
04/06/2018; date;
date
04/30/2018; 07/24/2018

Timi T.
Michael L.
Sallyver B. Labandino;
Gallardo; Mark
Pancho (ADAS Nieva D.
Diwa; Roel S.
II); Romeo Adelino;
Sarili; Gina S.
Locson, Jr.; Robelita P.
Cruz (Acting PC)
Filipina;

There is a note per DR No. 0476-M indicati


There is a note per DR No. 0558- Acetylene Goggles were not delivered; not
Per DR No. 0554-M delivery date
M indicating 4pcs. of Power 10 pcs delivered for the ff. items: Welding
printed was tampered to show
Hacksaw received written in Machine, Portable Electrode Oven, Bench G
June 1, 2018 written in ballpen
ballpen and signed by the person Machine, Industrial Fan, instead of the 5pc
signed by the noted person on
notedin DR. Per printed on DR. written in ballpen. Per DR N
the DR.
Report on Testing and IAR, there 0552-M there is a Subic Bay Seaport Dept
Delivery date signed by supplier
are 5 units of Power Hacksaw indicating Cleared for Entry.
representative.
received. Oxy Acetylene Goggles were delivered Jun
DR 0052-M.

Reynaldo G. Reynaldo G. Reynaldo G.


Castillo Castillo Castillo

Edwin T. Marcos Edwin T. Marcos

Maria Dona
- -
Cheang
- - -

7/8/2018 08/08/2018 9/8/2018

All tools and equipment that had All tools and equipment that had All tools and equipment that had
been delivered, inspected and been delivered, inspected and been delivered, inspected and
tested were all responsive. tested were all responsive. tested were all responsive.

IAR 0201 IAR 0202 IAR 0203

7/8/2018 08/08/2018 9/8/2018


7/8/2018 08/08/2018 9/8/2018

Aurelio M. Richie M. Richie M.


Escoto Centino Centino
Felisa Ebreo Felisa Ebreo Felisa Ebreo

- - -

S PTR 0202 PTR 0203

7/8/2018 08/08/2018 9/8/2018


7/8/2018 08/08/2018 9/8/2018

Felisa R. Ebreo Felisa R. Ebreo Felisa R. Ebreo

Ludivina S. Norma N.
Property
Omania Mariano
Custodian
(Principal II) (Principal II)

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity o
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door
Delivery not indicated. Delivery not indicated. Delivery not indicated.
9. MORONG NHS 10. ORANI NHS
Amount Qty per DR Qty per IAR Amount
402.50 5 5 402.50
84,750.00 0 5 84,750.00
63,500.00 5 5 63,500.00
12,325.00 5 5 12,325.00
63,750.00 5 5 63,750.00
212,325.00 5 5 212,325.00
10,625.00 5 5 10,625.00
127,350.00 5 5 127,350.00
63,625.00 5 5 63,625.00
11,400.00 5 5 11,400.00
5,525.00 5 5 5,525.00

655,577.50 655,577.50

0459-M; 0534-M;
0681-M

04/06/2018;
05/24/2018;
06/02/2018

No date; No date;
No date

Arnel C. Paulo;
Michael L. Gallardo

There is a note per DR No. 0476-M indicating Oxy


Acetylene Goggles were not delivered; note that
There is a note per DR No. 0534-M
10 pcs delivered for the ff. items: Welding
indicating only 1 pc of Welding
Machine, Portable Electrode Oven, Bench Grinding
Table/Positioners was delivered and
Machine, Industrial Fan, instead of the 5pcs.
remaining 4 pcs on June 1; written
printed on DR. written in ballpen. Per DR No.
in ballpen and initial by the one
0552-M there is a Subic Bay Seaport Dept stamp
who received the goods. Items
indicating Cleared for Entry.
received per IAR and PTR 0204.
Oxy Acetylene Goggles were delivered June 4 per
DR 0052-M.

Reynaldo G.
Castillo

Aurelio Escoto

Ederlyn
Payongayong
Ma. Concepcion M.
Reyes, Asst.
Principal II

7/8/2018

All tools and equipment that had


been delivered, inspected and
tested were all responsive.

IAR 0204

7/8/2018
7/8/2018

Richie Centino

Felisa Ebreo

PTR 0204

7/8/2018
7/8/2018

Felisa R. Ebreo

Property Custodian

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items per
per PTR not indicated. Transfer type: Door to Door PTR not indicated. Transfer type: Door to Door
Delivery not indicated. Delivery not indicated.
11. PABLO ROMAN NHS 12. SAMAL NHS 13. ASSEMBLYWOMAN FELICITA BERNARDI
Qty per DR Qty per IAR Amount Qty per DR Qty per IAR Amount Qty per DR Qty per IAR
5 5 402.50 5 5 402.50 5 5
5 5 84,750.00 5 5 84,750.00 5 5
5 5 63,500.00 5 5 63,500.00 10 5
5 5 12,325.00 5 5 12,325.00 10 5
5 5 63,750.00 5 5 63,750.00 10 5
5 5 212,325.00 5 5 212,325.00 5 5
5 5 10,625.00 5 5 10,625.00 5 5
5 5 127,350.00 5 5 127,350.00 10 5
5 5 63,625.00 5 5 63,625.00 5 5
5 5 11,400.00 5 5 11,400.00 5 5
5 5 5,525.00 5 5 5,525.00 5 5

655,577.50 655,577.50

0393-M; 0394-
0455-M; 0469-
M; 0441-M;
0467-M; 0551- M; 0535-M;
0447-M; 0522-
M; 0687-M 0538; 0677-M;
M; 0576-M;
0734-M
0646-M

02/26/2018;
04/05/2018;
02/27/2018;
04/10/2018;
04/10/2018; 04/03/2018;
05/25/2018;
06/01/2018; 04/04/2018;
05/25/2018;
07/02/2018 05/17/2018;
07/03/2018;
06/18/2018;
07/24/2018
06/25/2018

No date; No 02/26/2018; No
No date; date; date; No date;
06/01/2018; 05/26/2018; No date;
07/02/2018 05/26/2018; No 05/17/2018; No
date; No date date; No date

Joanna A.
Milyn B. Alcalde; Clemente;
Aida M. Paguio
Rustico P. Redentor C.
(PC); Antonio
Estioco Jr; Erish Enriquez;
Lucky Antonio
Macalinao Claribel
Sarmiento;

There is a note per DR No. 0393-


There is a note per DR No. 0551-
M indicating 5 units of Automatic
M written in ballpen indicating
Gas Cutting Machine w/ Railing
5pcs Power Hacksaw were not
received written in ballpen; with
yet received; delivery will be on -
note and initial.
June 4 and with "ok" remark.
5pcs Automatic Gas Cutting
Items received per IAR and
Machine w/ Railing for LotB.1
PTR 0204.
NCI.

Reynaldo G. Reynaldo G.
Rafael C. Rubio
Castillo Castillo

Edwin T. Marcos Edwin T. Marcos Edwin T. Marcos

- - -
- - -

9/8/2018 7/8/2018 07/25/2018

All tools and equipment that had All tools and equipment that had All tools and equipment that had
been delivered, inspected and been delivered, inspected and been delivered, inspected and
tested were all responsive. tested were all responsive. tested were all responsive.

IAR 0205 IAR 0206 IAR 0207

9/8/2018 7/8/2018 07/25/2018


9/8/2018 7/8/2018 07/25/2018

Richie M. Richie M. Aurelio M.


Centino Centino Escoto
Felisa Ebreo Felisa Ebreo Felisa Ebreo

- - -

PTR 0205 PTR 0206 PTR 0207

9/8/2018 7/8/2018 07/25/2018


9/8/2018 7/8/2018 07/25/2018

Felisa R. Ebreo Felisa R. Ebreo Felisa R. Ebreo

Migwela B.
Soledad R. A. Villanueva
Cayabyab (OIC
Villarina (Principal IV)
Asst Principal II)

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity o
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door
Delivery not indicated. Delivery not indicated. Delivery not indicated.
13. ASSEMBLYWOMAN FELICITA BERNARDINO MTS 14. BALAGTAS NAHS
Amount Qty per DR Qty per IAR Amount
402.50 5 5 402.50
84,750.00 5 5 84,750.00
63,500.00 10 5 63,500.00
12,325.00 10 5 12,325.00
63,750.00 10 5 63,750.00
212,325.00 5 5 212,325.00
10,625.00 5 5 10,625.00
127,350.00 10 5 127,350.00
63,625.00 5 5 63,625.00
11,400.00 5 5 11,400.00
5,525.00 5 5 5,525.00

655,577.50 655,577.50

0391-M; 0395-
M; 0449-M;
0519-M; 0574-
M; 0641-M

02/26/2018
02/28/2018;
04/04/2018;
05/16/2018;
06/18/2018;
06/25/2018

2/26/2018;
2/28/2018;
04/04/2018;
05/16/2018; No
date; No date

Maribel Go (PC);
Edralin Santos

There is a note per DR No. 0391-


M indicating 5 units of Automatic
Gas Cutting Machine received
written in ballpen; with note and
initial by the one who received
the goods. 5pcs Automatic Gas
Cutting Machine w/ Railing for
LotB.1 NCI.

Rafael C. Rubio

Edwin T. Marcos

-
-

07/24/2018

All tools and equipment that had


been delivered, inspected and
tested were all responsive.

IAR 0208

07/24/2018
07/24/2018

Aurelio M.
Escoto
Felisa Ebreo

PTR 0208

07/24/2018
07/24/2018

Felisa R. Ebreo

Reynaldo S.
Cristobal
(Principal IV)

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door
Delivery not indicated. Delivery not indicated.
15. GUIGUINTO NVHS 16. ILUMINADA ROXAS MENDOZA MHS 17. SAN RAFAEL NTS
Qty per DR Qty per IAR Amount Qty per DR Qty per IAR Amount Qty per DR Qty per IAR
5 5 402.50 5 5 402.50 5 5
5 5 84,750.00 5 5 84,750.00 5 5
10 5 63,500.00 10 5 63,500.00 5 5
10 5 12,325.00 10 5 12,325.00 10 5
10 5 63,750.00 5 5 63,750.00 10 5
5 5 212,325.00 5 5 212,325.00 5 5
5 5 10,625.00 5 5 10,625.00 5 5
10 5 127,350.00 10 5 127,350.00 5 5
5 5 63,625.00 5 5 63,625.00 5 5
5 5 11,400.00 5 5 11,400.00 5 5
5 5 5,525.00 5 5 5,525.00 5 5

655,577.50 655,577.50

0392-M; 0403- 0401-M; 0442- 0397-M; 0408-


M; 0465-M; M; 0496-M; M; 0502-M;
0520-M; 0570- 0518-M; 0572- 0524-M; 0579-
M; 0644-M M; 0643-M M; 0652-M

02/26/2018; 03/02/2018; 3/1/2018;


03/06/2018; 04/03/2018; 03/13/2018;
04/10/2018; 04/25/2018; 04/26/2018;
05/16/2018; 05/16/2018; 05/17/2018;
06/18/2018; 06/18/2018; 06/18/2018;
06/25/2018 06/25/2018 06/25/2018

02/26/2018; No No date; No 3/1/2018;


date; No date; date; 03/13/2018;
05/16/2018; 04/25/2018; 04/26/2018;
06/18/2018; No 05/16/2018; No 05/17/2018; No
date date; No date date; No date

Kristian R.
Matic; Ma. Almie
Noel C. de Jane M. Miguel;
Richie Centino;
Guzman; Ma. Pilipina C. Cruz;
Jean Alday
Victoria P. Maga Kristian Diego
Rey R. Matic;
Jubpir Esguerra

There is a note per DR No. 0392- There is a note per DR No. 0397-
M indicating 5 units of Automatic M indicating 5 units of Automatic
Gas Cutting Machine w/ Railing Gas Cutting Machine received
received written in ballpen; with written in ballpen; with note and
note and initial by the one who - initial by the one who received
received the goods. the goods.
5pcs Automatic Gas Cutting 5pcs Automatic Gas Cutting
Machine w/ Railing for LotB.1 Machine w/ Railing for LotB.1
NCI. NCI.

Rafael C. Rubio Rafael C. Rubio Rafael C. Rubio

Edwin T. Marcos Edwin T. Marcos Edwin T. Marcos

- - -
- - -

07/24/2018 07/25/2018 07/26/2018

All tools and equipment that had All tools and equipment that had All tools and equipment that had
been delivered, inspected and been delivered, inspected and been delivered, inspected and
tested were all responsive. tested were all responsive. tested were all responsive.

IAR 0209 IAR 0210 IAR 0211

07/24/2018 07/25/2018 07/26/2018


07/24/2018 07/25/2018 07/26/2018

Aurelio M. Aurelio M. Aurelio M.


Escoto Escoto Escoto
Felisa Ebreo Felisa Ebreo Felisa Ebreo

- - -

PTR 0209 PTR 0210 PTR 0211

07/24/2018 07/25/2018 07/26/2018


07/24/2018 07/25/2018 07/26/2018

Felisa R. Ebreo Felisa R. Ebreo Felisa R. Ebreo

Leodora G.
Roman M. Neri L. Dizon
Mendoza
Carreon (SP IV) (Principal I)
(Principal III)

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity o
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door
Delivery not indicated. Delivery not indicated. Delivery not indicated.
17. SAN RAFAEL NTS 18. SAN JUAN HS
Amount Qty per DR Qty per IAR Amount
402.50 10 5 402.50
84,750.00 10 5 84,750.00
63,500.00 5 5 63,500.00
12,325.00 10 5 12,325.00
63,750.00 10 5 63,750.00
212,325.00 5 5 212,325.00
10,625.00 5 5 10,625.00
127,350.00 5 5 127,350.00
63,625.00 5 5 63,625.00
11,400.00 5 5 11,400.00
5,525.00 10 5 5,525.00

655,577.50 655,577.50

0386-M; 0416-
M; 0437-M;
0507-M; 0527-
M; 0659-M

02/26/2018;
03/19/2018;
04/02/2018;
04/27/2018;
05/18/2018;
06/29/2018

No date; No
date; No date:
04/27/2018;
05/18/2018; No
date

Armando S.
Maun; Allen S.
Malonzo;
Eduardo L.
Tacoloy; Ericson
L. Villanueva
(OIC)

There is a note per DR No. 0386-


M indicating 5 sets pullout
Automatic Gas Cutting Machine
w/ Railing written in ballpen
dated 06/29/2018. 5pcs
Automatic Gas Cutting Machine
w/ Railing for LotB.1 NCI.

Iluminado M.
Garcia

Aurelio M.
Escoto

Ederlyn
Payongayong
Ericson L.
Villanueva (OIC)

07/13/2018

All items received are in good


working condition, marked as
responsive on the report.

IAR 0238

07/13/2018
07/13/2018

Aurelio M.
Escoto
Felisa Ebreo

PTR 0238

07/13/2018
07/13/2018

Felisa R. Ebreo

Ericson L.
Villanueva (OIC)

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door
Delivery not indicated. Delivery not indicated.
19. SAN SIMON HIGH SCHOOL 20. STA LUCIA INTEGRATED S 21. SAN JOSE DEL MONTE NTS
Qty per DR Qty per IAR Amount Qty per DR Qty per IAR Amount Qty per DR Qty per IAR
10 5 402.50 5 5 402.50 10 5
10 5 84,750.00 5 5 84,750.00 10 5
5 5 63,500.00 5 5 63,500.00 5 5
10 5 12,325.00 5 5 12,325.00 10 5
10 5 63,750.00 5 5 63,750.00 5 5
5 5 212,325.00 5 5 212,325.00 5 5
5 5 10,625.00 5 5 10,625.00 5 5
5 5 127,350.00 5 5 127,350.00 5 5
5 5 63,625.00 5 5 63,625.00 5 5
5 5 11,400.00 5 5 11,400.00 5 5
10 5 5,525.00 5 5 5,525.00 10 5

655,577.50 655,577.50

0399-M; 0409- 0402-M; 0425-


0421-M; 0439-
M; 0434-M; M; 0498-M;
M; 0529-M;
0504-M; 0506- 0523-M; 0583-
0658-M
M; 0665-M M; 0649-M

03/01/2018; 03/05/2018;
03/14/2018; 03/21/2018; 03/22/2018;
04/02/2018; 04/03/2018; 04/26/2018;
04/27/2018; 05/21/2018; 05/17/2018;
05/18/2018; 06/28/2018; 06/18/2018;
06/29/2018 06/25/2018

No date; No 03/05/2018; No
date; 03/21/2018; date;
04/02/2018; 04/03/2018; 04/26/2018;
04/27/2018; 05/21/2018; 05/17/2018;
05/18/2018; No 07/02/2018; 06/18/2018; No
date date

Amor D. Reyes;
Lorna C. Turla; Elvira E.
Mechelita A.
Enrique S. Manuel; Joanna
Gacusana;
Canlas; Michael Marie B. Servas;
Tyrone P.
U. Pangilinan Marvin O. Deito
Bondoc

There is a note per DR No. 0399-


M indicating only 5 pcs. Cutting
Machine Railing were received;
written in ballpen and initial by
- -
the one who received the goods.
5pcs
Automatic Gas Cutting Machine
w/ Railing for LotB.1 NCI.

Rafael C. Rubio Jose E. Escano Rafael C. Rubio

Reynaldo G.
Edwin T. Marcos Edwin T. Marcos
Castillo

- Lenie N Go -
Marilen Calma-
- -
Munoz

2/8/2018 07/26/2018 07/26/2018

All tools and equipment that had Items are in good working All tools and equipment that had
been delivered, inspected and condition. One clamp of welding been delivered, inspected and
tested were all responsive. positioner was broken. tested were all responsive.

IAR 0239 IAR 0240 IAR 0242

2/8/2018 07/26/2018 07/26/2018


2/8/2018 07/26/2018 07/26/2018

Aurelio M.
Aurelio Escoto Jose E. Escano
Escoto
Felisa Ebreo Felisa Ebreo Felisa Ebreo

- - -

PTR 0239 PTR 0240 PTR 0242

2/8/2018 07/26/2018 07/26/2018


2/8/2018 07/26/2018 07/26/2018

Felisa R. Ebreo Felisa R. Ebreo Felisa R. Ebreo

Fe Q. Bondoc, Property Property


Principal II Custodian Custodian

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity o
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door
Delivery not indicated. Delivery not indicated. Delivery not indicated.
21. SAN JOSE DEL MONTE NTS 22. A. SIAMPAO EDUCATIONAL AND TS
Amount Qty per DR Qty per IAR Amount
402.50 5 5 402.50
84,750.00 5 5 84,750.00
63,500.00 5 5 63,500.00
12,325.00 5 5 12,325.00
63,750.00 5 5 63,750.00
212,325.00 5 5 212,325.00
10,625.00 5 5 10,625.00
127,350.00 5 5 127,350.00
63,625.00 5 5 63,625.00
11,400.00 5 5 11,400.00
5,525.00 5 5 5,525.00

655,577.50 655,577.50

0413-M; 0433-
M; 0517-M;
0530-M; 0655-M

03/16/2018;
03/27/2018;
04/30/2018;
05/21/2018;
06/28/2018

No date;
05/22/2018;
05/03/2018;
05/22/2018;
06/28/2018

Myrna D.
Santos;
Angeline B.
Cortez;
Jonathan Yu

Name of School NOT included in


the List of Recipient Schools per
Section IV - Schedule of
Requirements

Iluminado M.
Garcia

Aurelio M.
Escoto

Ederlyn
Payongayong
Claro Zapanta
School Head

07/27/2018

All tools and equipment that had


been delivered, inspected and
tested were all responsive.

IAR 0236

07/27/2018
07/27/2018

Aurelio M.
Escoto
Felisa Ebreo

PTR 0236

07/27/2018
07/27/2018

Felisa R. Ebreo

Claro Zapanta
(Head Teacher)

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door
Delivery not indicated. Delivery not indicated.
Total
% Cost to Remaining
Qty per DR Qty per IAR Amount Difference from Total Cost CP % CP
125 110 8,855.00 15,697.50
120 110 1,864,500.00 3,305,250.00
130 110 1,397,000.00 2,476,500.00
150 110 271,150.00 480,675.00
140 110 1,402,500.00 2,486,250.00
110 109 4,628,685.00 8,323,140.00
110 110 233,750.00 414,375.00
130 110 2,801,700.00 4,966,650.00
110 110 1,399,750.00 2,481,375.00
110 110 250,800.00 444,600.00
125 110 121,550.00 215,475.00

14,380,240.00 25,609,987.50 35.96% 64.04%

Prepared by:

Welly C. Yumul
Accountant I

Certified Correct:

Angelina Manio
Accountant III
DEPARTMENT OF EDUCATION
REGONAL OFFICE NO. III
City of San Fernando, Pampanga

Supply and Door to Door Delivery of TVL Tools and Equipment - Lot B.3 SMAW (NC II)
ANNEX II
October 11-19, 2018
1. ANG
ITEM DESCRIPTION QUANTITY TOTAL COSTS UNIT COSTS Days Past
Due
Qty per IAR
1 Oxy-Acetylene Goggles 305 24,552.50 80.50 51 5
2 Arc Welding Machine AC/DC and Accessories 305 5,169,750.00 16,950.00 51 5
3 Welding Table/Positioners 305 3,873,500.00 12,700.00 114 5
4 Portable Electrode Oven 305 751,825.00 2,465.00 51 5
5 Automatic Gas Cutting Machine 305 3,888,750.00 12,750.00 51 5
6 Power Hacksaw 305 12,951,825.00 42,465.00 114 5
7 Anvil 305 648,125.00 2,125.00 151 5
8 Work Bench with Bench Vises on Four Corners 305 7,768,350.00 25,470.00 114 5
9 Oxy-Acetylene Cutting and Cylinder Welding Outfit 305 3,881,125.00 12,725.00 92 5
10 Pedestal/Bench Grinding Machine 305 695,400.00 2,280.00 92 5
11 Industrial Fan 305 337,025.00 1,105.00 51 5

Total 39,990,227.50

DR No. &
Date
Items

Notice to Proceed: 7/28/2017

Receipt of Notice: 8/28/2017

Effective date of Contract: 8/31/2017

( Contract effectivity 3 days from receipt of notice) 0419-M


within 90 calendar days 03/20/2011, 2, 4, 5, 11,
Execution of Contract:
8
Approved Delivery Extension request: 60 calendar days
150 days

August, 2017 1
September, 2017 30

October, 2017 31

November, 2017 30

December, 2018 31

January, 2018 27
150
0514-M
4/30/2018 9, 10
Day 1 for liquidation damages computation 28-Jan-2018
0531-M
05/22/201 3, 6, 8
8

0657-M
06/28/201 7
8
1. ANGELES CITY NTS 2. BATAAN NHS

Days Past Due


LD Factor LD Amount Qty per IAR LD Factor LD Amount
0.001 20.53 67 5 0.001 26.97
0.001 4,322.25 67 5 0.001 5,678.25
0.001 7,239.00 86 5 0.001 5,461.00
0.001 628.58 67 5 0.001 825.78
0.001 3,251.25 67 5 0.001 4,271.25
0.001 24,205.05 127 5 0.001 26,965.28
0.001 1,604.38 155 5 0.001 1,646.88
0.001 14,517.90 86 5 0.001 10,952.10
0.001 5,853.50 191 5 0.001 12,152.38
0.001 1,048.80 67 5 0.001 763.80
0.001 281.78 67 5 0.001 370.18

62,973.00 69,113.84

Days Past
Computation Days Past Due DR No. & Date Items Computation
Due

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 19 Mar-18 31
0451-M
Apr-18 1, 2, 4, 5, 10 11 Apr-18 4
04/05/2018
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 51 Total 67
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0492-M
Apr-18 29 3, 8 Apr-18 23
04/24/2018
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 92 Total 86
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0557-M
Apr-18 30 6 Apr-18 30
06/04/2018
May-18 21 May-18 31
Jun-18 Jun-18 3
Jul-18 Jul-18
Aug-18 Aug-18
Total 114 Total 127
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0658-M
Apr-18 30 7 Apr-18 30
07/02/2018
May-18 31 May-18 31
Jun-18 27 Jun-18 30
Jul-18 Jul-18 1
Aug-18 Aug-18
Total 151 Total 155
Nov 28-30, 2017
Dec-17
0451-M Jan-18 4
7/8/2018 9 Feb-18 28
Mar-18 31
Apr-18 30
May-18 31
Jun-18 30
Jul-18 31
Aug-18 6
Total 191
3. HERMOSA NHS 4. JUSTICE EMILIO GANCAYCO MHS 5. LAMA

Days Past Days Past Days Past


Due Due Due
Qty per IAR LD Factor LD Amount Qty per IAR LD Factor LD Amount Qty per IAR
51 5 0.001 20.53 68 5 0.001 27.37 73 5
54 5 0.001 4,576.50 68 5 0.001 5,763.00 73 5
54 5 0.001 3,429.00 120 5 0.001 7,620.00 87 5
51 5 0.001 628.58 68 5 0.001 838.10 73 5
51 5 0.001 3,251.25 68 5 0.001 4,335.00 73 5
127 5 0.001 26,965.28 120 5 0.001 25,479.00 122 5
155 5 0.001 1,646.88 156 5 0.001 1,657.50 177 5
51 5 0.001 6,494.85 120 5 0.001 15,282.00 122 5
68 5 0.001 4,326.50 92 5 0.001 5,853.50 * 5
54 5 0.001 615.60 68 5 0.001 775.20 73 5
51 5 0.001 281.78 68 5 0.001 375.70 73 5

52,236.73 68,006.37

DR No. & Days Past DR No. & Days Past DR No. &
Date
Items Computation
Due Date
Items Computation
Due Date
Items

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 19 Mar-18 31
0418-M 0456-M 0474-M
03/20/201 1, 4, 5, 8, 11, Apr-18 04/06/2011, 2, 4, 5, 10, 11 Apr-18 5 04/11/2011, 2, 4, 5, 10, 11
8 8 8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 51 Total 68
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 22 Mar-18 31
0429-M 0512-M 0494-M
03/23/201 2, 3,10 Apr-18 04/30/201 9 Apr-18 29 04/25/201 3
8 8 8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 54 Total 92
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17 Item 9
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28 0509-M 3 items - 92
Mar-18 31 Mar-18 31 4/30/2018 3,512.10
0463-M 0539-M
04/06/201 9 Apr-18 5 05/28/201 3, 8 Apr-18 30
8 8
May-18 May-18 27
Jun-18 Jun-18 0545-M 2 items - 123
Jul-18 Jul-18 5/30/2018 3,130.35
Aug-18 Aug-18
Total 68 Total 120
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0556-M 0536M 0545-M
06/04/201 6 Apr-18 30 05/28/201 6 Apr-18 30 05/30/201 6, 8
8 8 8
May-18 31 May-18 27
Jun-18 3 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 127 Total 120
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0679-M 0740-M 0739-M
07/02/201 7 Apr-18 30 07/03/201 7 Apr-18 30 07/24/201 7
8 8 8
May-18 31 May-18 31
Jun-18 30 Jun-18 30
Jul-18 1 Jul-18 2
Aug-18 Aug-18
Total 155 Total 156
5. LAMAO NHS 6. LIMAY NHS

Days Past
Due
LD Factor LD Amount Qty per IAR LD Factor LD Amount
0.001 29.38 73 5 0.001 29.38
0.001 6,186.75 73 5 0.001 6,186.75
0.001 5,524.50 123 5 0.001 7,810.50
0.001 899.73 73 5 0.001 899.73
0.001 4,653.75 73 5 0.001 4,653.75
0.001 25,903.65 122 5 0.001 25,903.65
0.001 1,880.63 177 5 0.001 1,880.63
0.001 15,536.70 123 5 0.001 15,664.05
0.001 6,642.45 155 5 0.001 9,861.88
0.001 832.20 73 5 0.001 832.20
0.001 403.33 73 5 0.001 403.33

68,493.06 74,125.83

Days Past DR No. & Days Past


Computation
Due Date
Items Computation
Due

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0472-M
Apr-18 10 04/11/2011, 2, 4, 5, 10, 11 Apr-18 10
8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 73 Total 73
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0546-M
Apr-18 24 05/30/201 6 Apr-18 30
8
May-18 May-18 29
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 87 Total 122
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0548-M
Apr-18 29 05/31/201 3 ,8 Apr-18 30
8
May-18 May-18 30
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 92 Total 123
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0737-M
Apr-18 30 07/24/201 7 Apr-18 30
8
May-18 29 May-18 31
Jun-18 Jun-18 30
Jul-18 Jul-18 23
Aug-18 Aug-18
Total 122 Total 177
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0689-M
Apr-18 30 07/02/201 9 Apr-18 30
8
May-18 31 May-18 31
Jun-18 30 Jun-18 30
Jul-18 23 Jul-18 1
Aug-18 Aug-18
Total 177 Total 155
7. LUAKAN NHS 8. MARIVELES NHS

Days Past Days Past Days Past


Due Due Due
Qty per IAR LD Factor LD Amount Qty per IAR LD Factor LD Amount
54 5 0.001 21.74 75 5 0.001 30.19 127
54 5 0.001 4,576.50 75 5 0.001 6,356.25 73
92 5 0.001 5,842.00 124 5 0.001 7,874.00 127
54 5 0.001 665.55 75 5 0.001 924.38 73
54 5 0.001 3,442.50 75 5 0.001 4,781.25 73
127 4 0.001 21,572.22 121 5 0.001 25,691.33 121
* 5 0.001 1,823.25 177 5 0.001 1,880.63 177
66 5 0.001 8,405.10 124 5 0.001 15,791.40 127
68 5 0.001 4,326.50 121 5 0.001 7,698.63 121
54 5 0.001 615.60 75 5 0.001 855.00 73
54 5 0.001 298.35 75 5 0.001 414.38 73

51,589.31 72,297.41

DR No. & Days Past DR No. & Days Past DR No. &
Date
Items Computation
Due Date
Items Computation
Due Date

Nov 28-30, 2017 Nov 28-30, 2017


Item 7 Dec-17 Dec-17
0684-M 4 pcs - 155 days Jan-18 4 Jan-18 4
7/2/2018 1,317.50 Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0477-M 0476-M
0729-M 1pc - 157 days Apr-18 30 04/13/201 1, 2, 4, 5, 10, 11 Apr-18 12 04/11/201
8 8
7/4/2018 505.75 May-18 31 May-18
Jun-18 30 Jun-18
Jul-18 1 Jul-18
Aug-18 Aug-18
Total 155 Total 75
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 22 Mar-18 31
0427-M 0542-M 0544-M
03/23/201 1, 2, 4, 5, 10, 11 Apr-18 05/29/201 6, 9 Apr-18 30 05/29/201
8 8 8
May-18 May-18 28
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 54 Total 121
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0445-M 0554-M 0552-M
04/04/201 8 Apr-18 3 06/01/201 3, 8 Apr-18 30 06/04/201
8 8 8
May-18 May-18 31
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 66 Total 124
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0460-M 0732-M 0730-M
04/06/201 9 Apr-18 5 07/24/201 7 Apr-18 30 07/24/201
8 8 8
May-18 May-18 31
Jun-18 Jun-18 30
Jul-18 Jul-18 23
Aug-18 Aug-18
Total 68 Total 177
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
0558-M
06/04/201 6 Apr-18 30
8
May-18 31
Jun-18 3
Jul-18
Aug-18
Total 127
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
0510-M
04/30/201 3 Apr-18 29
8
May-18
Jun-18
Jul-18
Aug-18
Total 92
9. MORONG NHS 10. ORANI NHS

Days Past
Due
Qty per IAR LD Factor LD Amount Qty per IAR LD Factor LD Amount
5 0.001 51.12 68 5 0.001 27.37
5 0.001 6,186.75 67 5 0.001 5,678.25
5 0.001 8,064.50 * 5 0.001 6,299.20
5 0.001 899.73 68 5 0.001 838.10
5 0.001 4,653.75 68 5 0.001 4,335.00
5 0.001 25,691.33 116 5 0.001 24,629.70
5 0.001 1,880.63 155 5 0.001 1,646.88
5 0.001 16,173.45 116 5 0.001 14,772.60
5 0.001 7,698.63 68 5 0.001 4,326.50
5 0.001 832.20 68 5 0.001 775.20
5 0.001 403.33 68 5 0.001 375.70

72,535.39 63,704.50

Days Past DR No. & Days Past


Items Computation
Due Date
Items Computation
Due

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0459-M
2, 4, 5, 10, 11 Apr-18 10 04/06/201 1, 4, 5, 9, 10, 11 Apr-18 5
8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 73 Total 68
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0453-M
6, 9 Apr-18 30 04/05/201 Apr-18 4
8
May-18 28 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 121 Total 67
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0534-M
1, 3, 8 Apr-18 30 05/24/201 6, 8 Apr-18 30
8
May-18 31 May-18 23
Jun-18 3 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 127 Total 116
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0681-M
7 Apr-18 30 07/02/201 7 Apr-18 30
8
May-18 31 May-18 31
Jun-18 30 Jun-18 30
Jul-18 23 Jul-18 1
Aug-18 Aug-18
Total 177 Total 155
Nov 28-30, 2017
1pc 05/24/201/8 Dec-17

1,473.20 Jan-18 4
116 days Feb-18 28
Mar-18 31
0534-M
Item 3 4pcs 06/01/2018 Apr-18 30
6,299.20 May-18 31
124 days Jun-18
Jul-18
Aug-18
Total 124
11. PABLO ROMAN NHS 12. SAMAL NHS 13. ASSEMBLY

Days Past Days Past


Days Past Due
Due Due
Qty per IAR LD Factor LD Amount Qty per IAR LD Factor LD Amount
72 5 0.001 28.98 67 5 0.001 26.97 29
72 5 0.001 6,102.00 67 5 0.001 5,678.25 29
124 5 0.001 7,874.00 117 5 0.001 7,429.50 30
72 5 0.001 887.40 67 5 0.001 825.78 29
72 5 0.001 4,590.00 67 5 0.001 4,271.25 29
127 5 0.001 26,965.28 117 5 0.001 24,842.03 109
155 5 0.001 1,646.88 177 5 0.001 1,880.63 141
124 5 0.001 15,791.40 117 5 0.001 14,899.95 30
72 5 0.001 4,581.00 72 5 0.001 4,581.00 66
72 5 0.001 820.80 67 5 0.001 763.80 65
72 5 0.001 397.80 67 5 0.001 370.18 29

69,685.53 65,569.32

DR No. & Date Days Past DR No. & Days Past DR No. &
Items Computation
Due Date
Items Computation
Due Date

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0455-M 0393-M
0467-M 1, 2, 4, 5, 9, 10,
Apr-18 9 04/05/201 1, 2, 4, 5, 10, 11 Apr-18 4 02/26/201
04/10/2018 11
8 8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 72 Total 67
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0469-M 0394-M
0551-M
3, 8 Apr-18 30 04/10/201 9 Apr-18 9 02/27/201
06/01/2018
8 8
May-18 31 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 124 Total 72
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0538-M 0441-M
0687-M
7 Apr-18 30 05/25/201 3, 8 Apr-18 30 04/03/201
07/02/2018
8 8
May-18 31 May-18 24
Jun-18 30 Jun-18
Jul-18 1 Jul-18
Aug-18 Aug-18
Total 155 Total 117
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0535-M 0447-M
0551-M
6 Apr-18 30 05/25/201 6 Apr-18 30 04/04/201
06/04/2018
8 8
May-18 31 May-18 24
Jun-18 3 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 127 Total 117
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
0734-M 0522-M
07/24/201 7 Apr-18 30 05/17/201
8 8
May-18 31
Jun-18 30
Jul-18 23
Aug-18
Total 177

0576-M
06/18/201
8
13. ASSEMBLYWOMAN FELICITA BERNARDINO MTS 14. BALAGTAS NAHS

Days Past
Due
Qty per IAR LD Factor LD Amount Qty per IAR LD Factor LD Amount
5 0.001 11.67 29 5 0.001 11.67
5 0.001 2,457.75 29 5 0.001 2,457.75
5 0.001 1,905.00 31 5 0.001 1,968.50
5 0.001 357.43 29 5 0.001 357.43
5 0.001 1,848.75 29 5 0.001 1,848.75
5 0.001 ### 108 5 0.001 ###
5 0.001 1,498.13 141 5 0.001 1,498.13
5 0.001 3,820.50 31 5 0.001 3,947.85
5 0.001 4,199.25 66 5 0.001 4,199.25
5 0.001 741.00 66 5 0.001 752.40
5 0.001 160.23 29 5 0.001 160.23

### ###

Days Past DR No. & Days Past


Items Computation
Due Date
Items Computation
Due

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 25 Feb-18 25
Mar-18 Mar-18
0391-M
1, 2, 4, 5, 11 Apr-18 02/26/201 1, 2, 4, 5, 11 Apr-18
8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 29 Total 29
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 26 Feb-18 27
Mar-18 Mar-18
0395-M
3, 8 Apr-18 02/28/201 3, 8 Apr-18
8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 30 Total 31
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0449-M
10 Apr-18 2 04/04/201 9, 10 Apr-18 3
8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 65 Total 66
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0519-M
9 Apr-18 3 05/16/201 6 Apr-18 30
8
May-18 May-18 15
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 66 Total 108
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0574-M
6 Apr-18 30 06/18/201 7 Apr-18 30
8
May-18 16 May-18 31
Jun-18 Jun-18 17
Jul-18 Jul-18
Aug-18 Aug-18
Total 109 Total 141
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
7 Apr-18 30
May-18 31
Jun-18 17
Jul-18
Aug-18
Total 141
15. GUIGUINTO NVHS 16. ILUMINADA ROXAS MENDOZA MHS 17. SAN RA

Days Past Days Past


Days Past Due
Due Due
Qty per IAR LD Factor LD Amount Qty per IAR LD Factor LD Amount Qty per IAR
29 5 0.001 11.67 24 5 0.001 9.66 32 5
29 5 0.001 2,457.75 24 5 0.001 2,034.00 32 5
37 5 0.001 2,349.50 24 5 0.001 1,524.00 44 5
29 5 0.001 357.43 24 5 0.001 295.80 32 5
29 5 0.001 1,848.75 24 5 0.001 1,530.00 32 5
108 5 0.001 ### 108 5 0.001 22,931.10 109 5
141 5 0.001 1,498.13 141 5 0.001 1,498.13 141 5
37 5 0.001 4,711.95 24 5 0.001 3,056.40 44 5
72 5 0.001 4,581.00 87 5 0.001 5,535.38 88 5
72 5 0.001 820.80 65 5 0.001 741.00 88 5
29 5 0.001 160.23 24 5 0.001 132.60 32 5

### 39,288.06

Days Past DR No. & Days Past DR No. &


DR No. & Date Items Computation
Due Date
Items Computation
Due Date
Items

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 25 Feb-18 20
Mar-18 Mar-18
0401-M 0397-M
0392-M 1, 2, 3, 4, 5,
1, 2, 4, 5, 11 Apr-18 03/02/201 Apr-18 03/01/201 1, 2, 4, 5, 11
02/26/2018 8, 11
8 8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 29 Total 24
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 5 Mar-18 31
0442-M 0408-M
0403-M
3, 8 Apr-18 04/03/201 10 Apr-18 2 03/13/201 3, 8
03/06/2018
8 8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 37 Total 65
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0496-M 0502-M
0465-M
9, 10 Apr-18 9 04/25/201 9 Apr-18 24 04/26/201 9, 10
04/10/2018
8 8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 72 Total 87
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0518-M 0524-M
0520-M
6 Apr-18 30 05/16/201 6 Apr-18 30 05/17/201 6
05/16/2018
8 8
May-18 15 May-18 15
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 108 Total 108
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0572-M 0579-M
0570-M
7 Apr-18 30 06/18/201 7 Apr-18 30 06/18/201 7
06/18/2018
8 8
May-18 31 May-18 31
Jun-18 17 Jun-18 17
Jul-18 Jul-18
Aug-18 Aug-18
Total 141 Total 141
17. SAN RAFAEL NTS 18. SAN JUAN HS

Days Past
Due
LD Factor LD Amount Qty per IAR LD Factor LD Amount
0.001 12.88 29 5 0.001 11.67
0.001 2,712.00 29 5 0.001 2,457.75
0.001 2,794.00 50 5 0.001 3,175.00
0.001 394.40 29 5 0.001 357.43
0.001 2,040.00 29 5 0.001 1,848.75
0.001 23,143.43 110 5 0.001 23,355.75
0.001 1,498.13 152 5 0.001 1,615.00
0.001 5,603.40 50 5 0.001 6,367.50
0.001 5,599.00 89 5 0.001 5,662.63
0.001 1,003.20 64 5 0.001 729.60
0.001 176.80 29 5 0.001 160.23

44,977.23 45,741.30

Days Past DR No. & Days Past


Computation
Due Date
Items Computation
Due

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 25
Mar-18 Mar-18
0386-M
Apr-18 02/26/201 1, 2, 4, 5, 11 Apr-18
8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 32 Total 29
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 12 Mar-18 18
0416-M
Apr-18 03/19/201 3, 8 Apr-18
8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 44 Total 50
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0437-M
Apr-18 25 04/02/201 10 Apr-18 1
8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 88 Total 64
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0507-M
Apr-18 30 04/27/201 9 Apr-18 26
8
May-18 16 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 109 Total 89
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0527-M
Apr-18 30 05/18/201 6 Apr-18 30
8
May-18 31 May-18 17
Jun-18 17 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 141 Total 110
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
0659-M
06/29/201 7 Apr-18 30
8
May-18 31
Jun-18 28
Jul-18
Aug-18
Total 152
19. SAN SIMON HS 20. STA. LUCIA IS 21. SA

Days Past Days Past Days Past


Due Due Due
Qty per IAR LD Factor LD Amount Qty per IAR LD Factor LD Amount
32 5 0.001 12.88 52 5 0.001 20.93 36
32 5 0.001 2,712.00 52 5 0.001 4,407.00 36
45 5 0.001 2,857.50 65 5 0.001 4,127.50 53
32 5 0.001 394.40 52 5 0.001 640.90 36
32 5 0.001 2,040.00 52 5 0.001 3,315.00 36
110 5 0.001 23,355.75 113 5 0.001 23,992.73 109
152 5 0.001 1,615.00 155 5 0.001 1,646.88 141
45 5 0.001 5,730.75 65 5 0.001 8,277.75 53
89 5 0.001 5,662.63 65 5 0.001 4,135.63 88
64 5 0.001 729.60 52 5 0.001 592.80 53
32 5 0.001 176.80 52 5 0.001 287.30 36

45,287.31 51,444.41

DR No. & Days Past DR No. & Days Past DR No. &
Date
Items Computation
Due Date
Items Computation
Due Date

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 Mar-18 20
0399-M 0421-M 0402-M
03/01/201 1, 2, 4, 5, 11 Apr-18 03/21/201 1, 2, 4, 5, 10,11 Apr-18 03/05/201
8 8 8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 32 Total 52
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 13 Mar-18 31
0409-M 0439-M 0425-M
03/14/201 3, 8 Apr-18 04/03/201 3, 8, 9 Apr-18 2 03/22/201
8 8 8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 45 Total 65
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0434-M 0529-M 0498-M
04/02/201 10 Apr-18 1 05/21/201 6 Apr-18 30 04/26/201
8 8 8
May-18 May-18 20
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 64 Total 113
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0504-M 0658-M 0523-M
04/27/201 9 Apr-18 26 07/02/201 7 Apr-18 30 05/17/201
8 8 8
May-18 May-18 31
Jun-18 Jun-18 30
Jul-18 Jul-18 1
Aug-18 Aug-18
Total 89 Total 155
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
0526-M 0654-M
05/18/201 6 Apr-18 30 06/18/201
8 8
May-18 17
Jun-18
Jul-18
Aug-18
Total 110
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
0666-M
06/29/201 7 Apr-18 30
8
May-18 31
Jun-18 28
Jul-18
Aug-18
Total 152
21. SAN JOSE DEL MONTE NTS

Qty per IAR LD Factor LD Amount


5 0.001 14.49
5 0.001 3,051.00
5 0.001 3,365.50
5 0.001 443.70
5 0.001 2,295.00
5 0.001 23,143.43
5 0.001 1,498.13
5 0.001 6,749.55
5 0.001 5,599.00
5 0.001 604.20
5 0.001 198.90

46,962.89

Days Past
Items Computation
Due

Nov 28-30, 2017


Dec-17
Jan-18 4
Feb-18 28
Mar-18 4
1, 2, 4, 5, 11 Apr-18
May-18
Jun-18
Jul-18
Aug-18
Total 36
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 21
3, 8, 10 Apr-18
May-18
Jun-18
Jul-18
Aug-18
Total 53
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
9 Apr-18 25
May-18
Jun-18
Jul-18
Aug-18
Total 88
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
6 Apr-18 30
May-18 16
Jun-18
Jul-18
Aug-18
Total 109
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
7 Apr-18 30
May-18 31
Jun-18 17
Jul-18
Aug-18
Total 141
22. A. SIAMPAO EDUCATIONAL AND TS

Days Past
Due
Qty per IAR LD Factor LD Amount TOTAL LD
47 5 0.001 18.92 476.96
47 5 0.001 3,983.25 96,021.75
58 5 0.001 3,683.00 108,216.70
47 5 0.001 579.28 13,939.58 Contract Price:
47 5 0.001 2,996.25 72,101.25 39,990,227.50
113 5 0.001 23,992.73 537,734.30
151 5 0.001 1,604.38 36,545.75
58 5 0.001 7,386.30 219,933.45
92 5 0.001 5,853.50 128,929.70 LD Percentage on CP
58 5 0.001 661.20 16,906.20 3.09%
47 5 0.001 259.68 6,248.78

51,018.47 1,237,054.41

DR No. &
Date
Items Computation Days Past Due

Nov 28-30, 2017


Dec-17
Jan-18 4
Feb-18 28
Mar-18 15
0413-M
03/16/201 1, 2, 4, 5, 11 Apr-18
8
May-18
Jun-18
Jul-18
Aug-18
Total 47
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 26
0433-M
03/27/201 3, 8, 10 Apr-18
8
May-18
Jun-18
Jul-18
Aug-18
Total 58
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
0517-M
04/30/201 9 Apr-18 29
8
May-18
Jun-18
Jul-18
Aug-18
Total 92
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
0530-M
05/21/201 6 Apr-18 30
8
May-18 20
Jun-18
Jul-18
Aug-18
Total 113
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
0655-M
06/28/201 7 Apr-18 30
8
May-18 31
Jun-18 27
Jul-18
Aug-18
Total 151

Prepared by:

Welly C. Yumul
Accountant I

Certified Correct:

Angelina Manio
Accountant III
DEPARTMENT OF EDUCATION
REGONAL OFFICE NO. III
City of San Fernando, Pampanga

Supply and Door to Door Delivery of TVL Tools and Equipment - Lot B.3 SMAW (NC II)
ANNEX I
2nd Payment

ITEM DESCRIPTION QUANTITY TOTAL COSTS UNIT COSTS

1 Oxy-Acetylene Goggles 305 24,552.50 80.50


2 Arc Welding Machine AC/DC and Accessories 305 5,169,750.00 16,950.00
3 Welding Table/Positioners 305 3,873,500.00 12,700.00
4 Portable Electrode Oven 305 751,825.00 2,465.00
5 Automatic Gas Cutting Machine 305 3,888,750.00 12,750.00
6 Power Hacksaw 305 12,951,825.00 42,465.00
7 Anvil 305 648,125.00 2,125.00
8 Work Bench with Bench Vises on Four Corners 305 7,768,350.00 25,470.00
9 Oxy-Acetylene Cutting and Cylinder Welding Outfit 305 3,881,125.00 12,725.00
10 Pedestal/Bench Grinding Machine 305 695,400.00 2,280.00
11 Industrial Fan 305 337,025.00 1,105.00

Total 39,990,227.50

DR Number

Delivery Date

Received by

Findings

Report on Testing of SHS TVL Equipment

RO Representative

RO Representative

Supplier Representative
School Representative

Date Tested

Remarks

Per IAR

Date Inspected

Date Received

Inspected by

Received by

Findings

Per PTR

Date Approved
Date Received

Approved by

Received by

Issued by por
PTR not indica
Findings
not indicated.
1. STA LUCIA HS 2 PASIG HS
Qty per DR Qty per IAR Amount Qty per DR Qty per IAR Amount
5 5 402.50 5 5 402.50
5 5 84,750.00 5 5 84,750.00
5 5 63,500.00 5 5 63,500.00
5 5 12,325.00 5 5 12,325.00
10 5 63,750.00 5 5 63,750.00
5 5 212,325.00 5 5 212,325.00
5 5 10,625.00 5 5 10,625.00
5 5 127,350.00 5 5 127,350.00
5 5 63,625.00 5 5 63,625.00
5 5 11,400.00 5 5 11,400.00
5 5 5,525.00 5 5 5,525.00

655,577.50 655,577.50

0396-M; 0406-
0412-M; 0430-
M; 0500-M;
M; 0525-M;
0581-M;0521-M;
0663-M;
0851-M

03/01/2018;
03/08/2018; 05/16/2018 03/15/2018;
04/26/2018; Delivery date 03/26/2018;
04/26/2018; received 05/18/2018;
05/16/2018; 06/18/2018 05/25/2018;
05/24/2018

Jessie M.
Salonga; Jerry Severino B.
O. Sunga; Salonga; Edgar
Ramon D. B. Salonga
Ramos

Per DR 0396-M, there is a note indicating 5 pcs of


Automatic Gas Cutting Machine were received.
5pcs of Automatic Gas Cutting Machine for
LotB.1 SMAW1.

Aurelio M. Aurelio M.
Escoto Escoto

- -

Maria Dona Maria Dona


Cheang Cheang
Sherwin G.
Santos
SHS Focal
Maribeth Santos
Person
No date

No original copies of Reports on No original copies of Reports on


Inspection and Testing Inspection and Testing

IAR 0212 IAR 0237

No date No date

5/9/2018 5/9/2018

Aurelio M. Richie M.
Escoto Centino
Felisa Ebreo Felisa Ebreo

PTR 0212 PTR 0237

5/9/2018 5/9/2018
5/9/2018 5/9/2018

Felisa R. Ebreo Felisa R. Ebreo

Property Maribeth Santos


Custodian (Principal III)

Issued by portion not filled out. Quantity of items per Issued by portion not filled out. Quantity of items
PTR not indicated. Transfer type: Door to Door Delivery per PTR not indicated. Transfer type: Door to Door
not indicated. Delivery not indicated.
3. TARLAC NHS (ANNEX) 4. TIBAG NHS (MALIWALO NHS ANNEX) 5. MALIWALO NHS (MAIN)
Qty per DR Qty per IAR Amount Qty per DR Qty per IAR Amount Qty per DR Qty per IAR
5 5 402.50 5 5 402.50 5 5
5 5 84,750.00 5 5 84,750.00 5 5
5 5 63,500.00 5 5 63,500.00 5 5
5 5 12,325.00 5 5 12,325.00 5 5
5 5 63,750.00 5 5 63,750.00 5 5
5 5 212,325.00 5 5 212,325.00 5 5
5 5 10,625.00 5 5 10,625.00 5 5
5 5 127,350.00 5 5 127,350.00 5 5
5 5 63,625.00 5 5 63,625.00 5 5
5 5 11,400.00 5 5 11,400.00 5 5
5 5 5,525.00 5 5 5,525.00 5 5

655,577.50 655,577.50

0488-M; 0704- 0490-M; 0707- 0481-M; 0703-


M; 0751-M; M; 0752-M; M; 0755-M;
0816-M 0810-M 0811-M

04/18/2018; 04/18/2018; 04/17/2018; 06/06/2018


05/29/2018; 05/29/2018; 05/29/2018; Delivery date
06/01/2018; 06/01/2018; 06/04/2018; received
06/06/2018; 06/06/2018 06/06/2018 06/07/2018

Dennis
Bonifacio;
Elpidio David;
Reynaldo G. Adi Jose G Tugna
Edwin Sotto;
Immanuel
Marcos

Reynaldo G. Reynaldo G. Reynaldo G.


Castillo Castillo Castillo

Jose E. Escano - Jose E. Escano

Rowena Samson Rowena Samson Rowena Samson


Yolanda M. Rebecca K. Juvelyn L.
Gonzales Sotto Esteban

No date No date No date

No original copies of Reports on No original copies of Reports on No original copies of Reports on


Inspection and Testing Inspection and Testing Inspection and Testing

IAR 0247 IAR 0248 IAR 0249

No date No date No date

No date No date 09/18/18

Jose E. Escano Jose E. Escano Jose E. Escano

Felisa Ebreo Felisa Ebreo Felisa Ebreo

- - -

PTR 247 PTR 0248 PTR 0249

No date No date 09/18/18


No date No date 09/18/18

Felisa R. Ebreo Felisa R. Ebreo Felisa R. Ebreo

Rebecca K. Juvelyn L.
Lydia L. Bustos
Sotto Esteban P-II

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity o
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door
Delivery not indicated. Delivery not indicated. Delivery not indicated.
5. MALIWALO NHS (MAIN) 6. MALACAMPA NHS (MARAWI HS ANNEX)
Amount Qty per DR Qty per IAR Amount
402.50 5 5 402.50
84,750.00 5 5 84,750.00
63,500.00 5 5 63,500.00
12,325.00 5 5 12,325.00
63,750.00 5 5 63,750.00
212,325.00 5 5 212,325.00
10,625.00 5 5 10,625.00
127,350.00 5 5 127,350.00
63,625.00 5 5 63,625.00
11,400.00 5 5 11,400.00
5,525.00 5 5 5,525.00

655,577.50 655,577.50

0632-M; 0709-
M;0756-M;
0812-M

05/23/2018;
05/29/2018;
06/04/2018;
06/06/2018

Ronald De
Guzman PC;
Richard S.
Danelo

There is a note per DR 0632-M indicating only 2


units of Automatic Gas Cutting with Railings were
received, 3 units to be followedwritten in ballpen
signed by Property Custodian. 3 units received as
per DR 0709-M dated 05/29/2018

Reynaldo G.
Castillo

Jose E. Escano

Rowena Samson
Raquel G.
Bautista

No date

No original copies of Reports on


Inspection and Testing

IAR 0245

No date

No date

Jose E. Escano

Felisa Ebreo

PTR 0245

No date
No date

Felisa R. Ebreo

Raquel G.
Bautista

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door
Delivery not indicated. Delivery not indicated.
7. EDUARDO COJUANGCO NVS 8. BENIGNO AQUINO NHS 9. MONCADA NHS
Qty per DR Qty per IAR Amount Qty per DR Qty per IAR Amount Qty per DR Qty per IAR
5 5 402.50 5 5 402.50 5 5
5 5 84,750.00 5 5 84,750.00 5 5
5 5 63,500.00 5 5 63,500.00 5 5
5 5 12,325.00 5 5 12,325.00 5 5
5 5 63,750.00 5 5 63,750.00 5 5
5 5 212,325.00 5 5 212,325.00 5 5
5 5 10,625.00 5 5 10,625.00 5 5
5 5 127,350.00 5 5 127,350.00 5 5
5 5 63,625.00 5 5 63,625.00 5 5
5 5 11,400.00 5 5 11,400.00 5 5
5 5 5,525.00 5 5 5,525.00 5 5

655,577.50 655,577.50

0480-M; 06998-
0484-M; 06996-M; 0486-M; 0700-
M; 0716-M;
00712-M; 0760-M; M; 0711-M;
0763-M; 0813-
0814-M 0759-M; 0815-M
M;

04/17/2018; 04/18/2018; 04/17/2018;


05/29/2018; 05/29/2018; 05/29/2018;
05/29/2018; 05/29/2018; 05/29/2018;
06/04/2018; 06/04/2018; 06/04/2018;
06/06/2018 06/06/2018 06/06/2018

Benjamin P.
Joniel M. Oligarco Alvin E. Espejo; Janry F. Banzon
Soriano;
PC; Esameno PC; Arlene C. Ramirez; Adolfo
Sherwin S.
Carrera Antal; Ireneo B. Samson
Kabigting

Reynaldo G. Reynaldo G.
Reynaldo G. Castillo
Castillo Castillo

Jose E. Escano Jose E. Escano Jose E. Escano

Rowena Samson Rowena Samson Rowena Samson


Jesus C. Arlene C.
-
Mercado Ramirez

No date No date No date

No original copies of Reports on No original copies of Reports on No original copies of Reports on


Inspection and Testing Inspection and Testing Inspection and Testing

IAR 0244 IAR 0243 IAR 0246

No date No date No date

No date No date No date

Jose E. Escano Jose E. Escano Jose E. Escano

Felisa Ebreo Felisa Ebreo Felisa Ebreo

- - -

PTR 0244 PTR 0243 PTR 0246

No date No date No date


No date 12/9/2018 9/9/2018

Felisa R. Ebreo Felisa R. Ebreo Felisa R. Ebreo

Sherwin S.
Property
Property Custodian Cabigting
Custodian
(Acting PC)

Issued by portion not filled out. Quantity of items per Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity
PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Do
Delivery not indicated. Delivery not indicated. Delivery not indicated.
9. MONCADA NHS 10. KALALAKE NHS
Amount Qty per DR Qty per IAR Amount
402.50 5 5 402.50
84,750.00 5 5 84,750.00
63,500.00 5 5 63,500.00
12,325.00 5 5 12,325.00
63,750.00 5 5 63,750.00
212,325.00 5 5 212,325.00
10,625.00 5 5 10,625.00
127,350.00 5 5 127,350.00
63,625.00 5 5 63,625.00
11,400.00 5 5 11,400.00
5,525.00 5 5 5,525.00

655,577.50 655,577.50

0560-M; 0665-
M; 0718-M;
0802-M

05/21/2018;
05/25/2018;
05/30/2018;
06/06/2018

Michael Angelo
Vargas; Donald
O. Garamonte;
Regto Supnet

Aurelio M.
Escoto

Maria Dona
Cheang
Ricardo M. A.
Principal IV

No date

No original copies of Reports on


Inspection and Testing

IAR 0235

11/9/2018

11/9/2018

Aurelio M.
Escoto
Felisa Ebreo

PTR 0235

No date
11/9/2018

Felisa R. Ebreo

Ricardo M. A.
Principal IV

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door
Delivery not indicated. Delivery not indicated.
11. JESUS F MAGSAYSAY TVHS 12. SUBIC NHS 13. MENA MEMORIAL NHS (BOLITOC N
Qty per DR Qty per IAR Amount Qty per DR Qty per IAR Amount Qty per DR Qty per IAR
5 5 402.50 5 5 402.50 5 5
5 5 84,750.00 5 5 84,750.00 5 5
5 5 63,500.00 5 5 63,500.00 5 5
5 5 12,325.00 5 5 12,325.00 5 5
5 5 63,750.00 5 5 63,750.00 5 5
5 5 212,325.00 5 5 212,325.00 5 5
5 5 10,625.00 5 5 10,625.00 5 5
5 5 127,350.00 5 5 127,350.00 5 5
5 5 63,625.00 5 5 63,625.00 5 5
5 5 11,400.00 5 5 11,400.00 5 5
5 5 5,525.00 5 5 5,525.00 5 5

655,577.50 655,577.50

0569-M; 0664- 0566-M; 0667- 0567-M; 06991-


M; 0719-M; M; 0722-M; M;0724-M;
0801-M; 0803-M 0800-M;

05/21/2018; 05/21/2018; 05/21/2018;


05/25/2018; 05/25/2018; 05/31/2018;
05/30/2018; 05/30/2018; 05/30/2018;
06/06/2018 06/06/2018 06/06/2018

Jonathan I.
Marie Luz P. Bautista; Janaly T. Gonzales; Johann M. PC;
Andres; Rachael F Esteban Arnold M. Nilo F. Mortic
Ragume

Aurelio M. Aurelio M.
Eva B. Emingan
Escoto Escoto

Aurelio M.
Eva B. Emingan Eva B. Emingan
Escoto

Maria Dona Maria Dona Maria Dona


Cheang Cheang Cheang
Maria Luz P. Chester Allan P.
-
Bautista Matienzo
Property
School Head
Custodian
No date No date No date

No original copies of Reports on No original copies of Reports on No original copies of Reports on


Inspection and Testing Inspection and Testing Inspection and Testing

IAR 0250 IAR 0252 IAR 0251

No date No date No date

11/9/2018 12/9/2018 No date

Aurelio M. Aurelio M. Aurelio M.


Escoto Escoto Escoto
Felisa Ebreo Felisa Ebreo Felisa Ebreo

- - -

PTR 0250 PTR 0252 PTR 0251

No date No date No date


11/9/2018 No date No date

Felisa R. Ebreo Felisa R. Ebreo Felisa R. Ebreo

Maria Luz P. Chester Allan P. Property


Bautista ADAS II Matienzo ASP II Custodian

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity o
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door
Delivery not indicated. Delivery not indicated. Delivery not indicated.
13. MENA MEMORIAL NHS (BOLITOC NHS) 14. SAN ANTON NHS
Amount Qty per DR Qty per IAR Amount
402.50 5 5 402.50
84,750.00 5 5 84,750.00
63,500.00 5 5 63,500.00
12,325.00 5 5 12,325.00
63,750.00 5 5 63,750.00
212,325.00 5 5 212,325.00
10,625.00 5 5 10,625.00
127,350.00 5 5 127,350.00
63,625.00 5 5 63,625.00
11,400.00 5 5 11,400.00
5,525.00 5 5 5,525.00

655,577.50 655,577.50

0598-M; 0769-
M; 0784-M;
0822-M

05/21/2018;
06/04/2018;
06/05/2018;
06/07/2018

Romina Jessa S.
Rogelio; Marilyn
G. Santiago

Reynaldo G.
Castillo

Jose E. Escano

Rowena Samson
Donato B. Chico

School Principal
III
09/19/2018

All tools and equipment that had


been delivered, inspected and
tested were all responsive.

IAR 0230

No date

09/19/2018

Jose E. Escano

Felisa Ebreo

PTR 0230

09/19/2018
No date

Felisa R. Ebreo

Donato B. Chico
SP III

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door
Delivery not indicated. Delivery not indicated.
15. NUEVA ECIJA NHS 16. ZARAGOZA NHS 17. CABIAO NHS
Qty per DR Qty per IAR Amount Qty per DR Qty per IAR Amount Qty per DR Qty per IAR
5 5 402.50 5 5 402.50 5 5
5 5 84,750.00 5 5 84,750.00 5 5
5 5 63,500.00 5 5 63,500.00 5 5
5 5 12,325.00 5 5 12,325.00 5 5
5 5 63,750.00 5 5 63,750.00 5 5
5 5 212,325.00 5 5 212,325.00 5 5
5 5 10,625.00 5 5 10,625.00 5 5
5 5 127,350.00 5 5 127,350.00 5 5
5 5 63,625.00 5 5 63,625.00 5 5
5 5 11,400.00 5 5 11,400.00 5 5
5 5 5,525.00 5 5 5,525.00 5 5

655,577.50 655,577.50

0601-M; 0770- 0593-M; 0743- 0586-M; 0772-


M; 0797-M; M; 0795-M; M; 0783-M;
0827-M 0826-M 0824-M

05/21/2018; 05/21/2018; 05/21/2018;


06/04/2018; 05/30/2018; 06/04/2018;
06/05/2018; 06/05/2018; 06/05/2018;
06/07/2018 06/07/2018 06/07/2018

Donnalyn A.
Elsa S. Galiste;
Cabuhat PC; Kevin M. Fernando; Saudi A. A.;
Noel C. Santos;
Albert M. Ronaldo Dayao; Victor Onenco
Genesis Ruiz
Ramos;

Reynaldo G. Reynaldo G. Reynaldo G.


Castillo Castillo Castillo

Jose E. Escano Jose E. Escano Jose E. Escano

Rowena Samson Rowena Samson Rowena Samson


Sergio B. Perfecto C. Felix
Gonzales Jr
School Principal Property
-
II Custodian
09/20/2018 09/20/2018 09/19/2018

All tools and equipment that had All tools and equipment that had All tools and equipment that had
been delivered, inspected and been delivered, inspected and been delivered, inspected and
tested were all responsive. tested were all responsive. tested were all responsive.

IAR 0226 IAR 0234 IAR 0219

No date No date No date

09/20/2018 09/20/2018 No date

Jose E. Escano Jose E. Escano Jose E. Escano

Felisa Ebreo Felisa Ebreo Felisa Ebreo

- - -

PTR 0226 PTR 0234 PTR 0219

09/20/2018 09/20/2018 No date


09/20/2018 09/20/2018 No date

Felisa R. Ebreo Felisa R. Ebreo Felisa R. Ebreo

Sergio B. Property Perfecto C. Felix


Gonzales SPII Custodian Jr

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity o
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door
Delivery not indicated. Delivery not indicated. Delivery not indicated.
17. CABIAO NHS 18. STO ROSARIO NHS
Amount Qty per DR Qty per IAR Amount
402.50 5 5 402.50
84,750.00 5 5 84,750.00
63,500.00 5 5 63,500.00
12,325.00 5 5 12,325.00
63,750.00 5 5 63,750.00
212,325.00 5 5 212,325.00
10,625.00 5 5 10,625.00
127,350.00 5 5 127,350.00
63,625.00 5 5 63,625.00
11,400.00 5 5 11,400.00
5,525.00 5 5 5,525.00

655,577.50 655,577.50

0594-M; 0765-
M; 0806-M;
0818-M

05/21/2018;
06/04/2018;
06/06/2018;
06/07/2018

Trinidad L
Villalon; Arvin
Jay Directo

Reynaldo G.
Castillo

Jose E. Escano

Rowena Samson
Elenita Sumait
Ph. D.

09/20/2018

All tools and equipment that had


been delivered, inspected and
tested were all responsive.

IAR 0233

No date

No date

Jose E. Escano

Felisa Ebreo

PTR 0233

No date
No date

Felisa R. Ebreo

Elenita Sumait
Ph.D. Principal
III

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door
Delivery not indicated. Delivery not indicated.
19. LAMBAKIN NHS 20. FORT MAGSAYSAY NHS (BARANGAY MILITAR HS) 21. GENERAL LUNA HS
Qty per DR Qty per IAR Amount Qty per DR Qty per IAR Amount Qty per DR Qty per IAR
5 5 402.50 5 5 402.50 5 5
5 5 84,750.00 5 5 84,750.00 5 5
5 5 63,500.00 5 5 63,500.00 5 5
5 5 12,325.00 5 5 12,325.00 5 5
5 5 63,750.00 5 5 63,750.00 5 5
5 5 212,325.00 5 5 212,325.00 5 5
5 5 10,625.00 5 5 10,625.00 5 5
5 5 127,350.00 5 5 127,350.00 5 5
5 5 63,625.00 5 5 63,625.00 5 5
5 5 11,400.00 5 5 11,400.00 5 5
5 5 5,525.00 5 5 5,525.00 5 5

655,577.50 655,577.50

0629-M; 0780- 0662-M; 01745- 0626-M; 0787-


M; 0789-M; M; 0808-M; M; 0799-M;
0823-M 0819-M; 0825-M

05/23/2018; 05/23/2018; 05/23/2018;


06/05/2018; 05/30/2018; 06/05/2018;
06/05/2018; 06/06/2018; 06/05/2018;
06/07/2018 06/07/2018 06/07/2018

Jesus Atazar;
Rohald Delos Efren M. Palasic; Armando
Eusebio
Santos; Ramos; Catherine Natividad
Melegrito

There is a note per DR 0622-M indicating 5 sets of


Oxy/Accetylene Cutting and Cylinder Welding Outfit
were received. All items per DR agrees with quantity
per IAR.

Reynaldo G. Reynaldo G.
Jose E. Escano
Castillo Castillo

Jose E. Escano Jose E. Escano

Rowena Samson Rowena Samson Rowena Samson


Angelita Dela
- Jesus M. Altazar
Fuente

- School Head School Head

09/19/2018 9/10/2018 10/10/2018

All tools and equipment that had All tools and equipment that had All tools and equipment that had
been delivered, inspected and been delivered, inspected and been delivered, inspected and
tested were all responsive. tested were all responsive. tested were all responsive.

IAR 0224 IAR 0217 IAR 0223

09/20/2018 No date No date

09/20/2018 No date No date

Jose E. Escano Jose E. Escano Jose E. Escano

Felisa Ebreo Felisa Ebreo Felisa Ebreo

- - -

PTR 0224 PTR 0217 PTR 0223

09/20/2018 No date No date


09/20/2018 9/10/2018 No date

Felisa R. Ebreo Felisa R. Ebreo Felisa R. Ebreo

Name of Erroneously Angelita Dela


Jesus M. Altazar
Signatory not signed issued Fuente (School
(School Head)
given portion Head)

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items per Issued by portion not filled out. Quantity
per PTR not indicated. Transfer type: Door to Door PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Doo
Delivery not indicated. Delivery not indicated. Delivery not indicated.
21. GENERAL LUNA HS 22. CAMP TINIO NHS
Amount Qty per DR Qty per IAR Amount
402.50 5 5 402.50
84,750.00 5 5 84,750.00
63,500.00 5 5 63,500.00
12,325.00 5 5 12,325.00
63,750.00 5 5 63,750.00
212,325.00 5 5 212,325.00
10,625.00 5 5 10,625.00
127,350.00 5 5 127,350.00
63,625.00 5 5 63,625.00
11,400.00 5 5 11,400.00
5,525.00 5 5 5,525.00

655,577.50 655,577.50

0610-M; 0785-
M; 0790-M;
0820-M

05/21/2018;
06/05/2018;
06/05/2018;
06/07/2018

Bien R. Montevirgen; Johnnell C.


Esquivel

Reynaldo G.
Castillo

Jose E. Escano

Rowena Samson
Liberty T.
Repato

10/10/2018

All tools and equipment that had


been delivered, inspected and
tested were all responsive.

IAR 0213

No date

No date

Jose E. Escano

Felisa Ebreo

PTR 0213

No date
No date

Felisa R. Ebreo

Liberty T.
Repato

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door
Delivery not indicated. Delivery not indicated.
23. LINIO P. BERNARDO HS 24. EASTERN CABU NHS 25. PALAYAN CITY NHS
Qty per DR Qty per IAR Amount Qty per DR Qty per IAR Amount Qty per DR Qty per IAR
5 5 402.50 5 5 402.50 5 5
5 5 84,750.00 5 5 84,750.00 5 5
5 5 63,500.00 5 5 63,500.00 5 5
5 5 12,325.00 5 5 12,325.00 5 5
5 5 63,750.00 5 5 63,750.00 5 5
5 5 212,325.00 5 5 212,325.00 5 5
5 5 10,625.00 5 5 10,625.00 5 5
5 5 127,350.00 5 5 127,350.00 5 5
5 5 63,625.00 5 5 63,625.00 5 5
5 5 11,400.00 5 5 11,400.00 5 5
5 5 5,525.00 5 5 5,525.00 5 5

655,577.50 655,577.50

0631-M; 0782- 0613-M; 0793-


M; 0805-M; M; 0778-M; 0602-M; 0776-M
0817-M 0821-M

05/23/2018; 05/23/2018;
06/05/2018; 06/05/2018; 06/04/2018;
06/06/2018; 06/05/2018; 09/04/2018
06/07/2018 06/07/2018

John Dee Jose; Rogelio Jonathan Ronald Nicolas; Edmira Mark Joseph
Austria;Evangeline Abbacan Navarro; Eloisa De Leon Hupana

Reynaldo G. Reynaldo G.
Castillo Castillo

Jose E. Escano Jose E. Escano Jose E. Escano

Rowena Samson Rowena Samson Rowena Samson


Teresita C.
Eloisa De Leon Racquel C. Asas
Macapagal

Principal III Principal I Asst. Principal II

9/10/2018 10/10/2018 -

All tools and equipment that had All tools and equipment that had All tools and equipment that had
been delivered, inspected and been delivered, inspected and been delivered, inspected and
tested were all responsive. tested were all responsive. tested were all responsive.

IAR 0225 IAR 0214 IAR 0227

No date No date No date

9/10/2018 No date No date

Jose E. Escano Jose E. Escano Jose E. Escano

Felisa Ebreo Felisa Ebreo Felisa Ebreo

- - -

PTR 0225 PTR 0214 PTR 0227

9/10/2018 No date No date


9/10/2018 No date No date

Felisa R. Ebreo Felisa R. Ebreo Felisa R. Ebreo

Racquel C. Asas
Teresita C. Eloisa De Leon
(Asst. Principal
Macapagal PIII (Principal I)
II)

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity o
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door
Delivery not indicated. Delivery not indicated. Delivery not indicated.
25. PALAYAN CITY NHS 26. RICARDO DIZON CANLAS AHS
Amount Qty per DR Qty per IAR Amount
402.50 5 5 402.50
84,750.00 5 5 84,750.00
63,500.00 5 5 63,500.00
12,325.00 5 5 12,325.00
63,750.00 5 5 63,750.00
212,325.00 5 5 212,325.00
10,625.00 5 5 10,625.00
127,350.00 5 5 127,350.00
63,625.00 5 5 63,625.00
11,400.00 5 5 11,400.00
5,525.00 5 5 5,525.00

655,577.50 655,577.50

0614-M; 0748-M

05/23/2018;
09/04/2018

Edward S.
Domingo

There is a note per DR 0614-M indicating 5 sets of


Oxy/Accetylene Cutting and Cylinder Welding
Outfit was received signed by the person
receiving the goods. All items per DR agrees with
quantity per IAR.

Reynaldo G.
Castillo

Jose E. Escano

Rowena Samson
Jessica P.
Francisco

School Head

All tools and equipment that had


been delivered, inspected and
tested were all responsive.

IAR 0229

No date

No date

Jose E. Escano

Felisa Ebreo

PTR 0229

No date
No date

Felisa R. Ebreo

Jessica P.
Francisco

Issued by portion not filled out. Quantity of items Issued by portion not filled out. Quantity of items
per PTR not indicated. Transfer type: Door to Door per PTR not indicated. Transfer type: Door to Door
Delivery not indicated. Delivery not indicated.
27. STA MARIA NHS Total
2nd payment %
Qty per DR Qty per IAR Amount Qty per DR Qty per IAR Amount Cost to CP Initial % CP
5 5 402.50 135 135 10,867.50
5 5 84,750.00 135 135 2,288,250.00
5 5 63,500.00 135 135 1,714,500.00
5 5 12,325.00 135 135 332,775.00 Total Contact Price
5 5 63,750.00 140 135 1,721,250.00 39,990,227.50

5 5 212,325.00 135 135 5,732,775.00


5 5 10,625.00 135 135 286,875.00
5 5 127,350.00 135 135 3,438,450.00
5 5 63,625.00 135 135 1,717,875.00
5 5 11,400.00 135 135 307,800.00 17,700,592.50 ###
5 5 5,525.00 135 135 149,175.00

655,577.50 17,700,592.50 44.26% 35.96%

0591-M; 0767-M

05/21/2018;
09/04/2018

Eugenio
Labrador; Dheo Prepared by: Certified Correct:
Garcia

Welly Yumul
Angelina Manio

Accountant III
Accountant I

Reynaldo G.
Castillo

Jose E. Escano

Rowena Samson
Marvin A. Batoy

All tools and equipment that had


been delivered, inspected and
tested were all responsive.

IAR 0231

No date

No date

Jose E. Escano

Felisa Ebreo

PTR 0231

No date
No date

Felisa R. Ebreo

Marvin A. Batoy

Issued by portion not filled out. Quantity of items


per PTR not indicated. Transfer type: Door to Door
Delivery not indicated.
Remaining % CP

Total Contact Price


39,990,227.50

7,909,395.00

19.78%
DEPARTMENT OF EDUCATION
REGONAL OFFICE NO. III
City of San Fernando, Pampanga

Supply and Door to Door Delivery of TVL Tools and Equipment - Lot B.3 SMAW (NC II)
ANNEX II
2nd Payment

ITEM DESCRIPTION QUANTITY TOTAL COSTS UNIT COSTS Days Past


Due

1 Oxy-Acetylene Goggles 305 24,552.50 80.50 32


2 Arc Welding Machine AC/DC and Accessories 305 5,169,750.00 16,950.00 32
3 Welding Table/Positioners 305 3,873,500.00 12,700.00 39
4 Portable Electrode Oven 305 751,825.00 2,465.00 32
5 Automatic Gas Cutting Machine 305 3,888,750.00 12,750.00 32
6 Power Hacksaw 305 12,951,825.00 42,465.00 108
7 Anvil 305 648,125.00 2,125.00 141
8 Work Bench with Bench Vises on Four Corners 305 7,768,350.00 25,470.00 39
9 Oxy-Acetylene Cutting and Cylinder Welding Outfit 305 3,881,125.00 12,725.00 88
10 Pedestal/Bench Grinding Machine 305 695,400.00 2,280.00 88
11 Industrial Fan 305 337,025.00 1,105.00 32

Total 39,990,227.50

DR No. &
Date

Notice to Proceed: 7/28/2017

Receipt of Notice: 8/28/2017

Effective date of Contract: 8/31/2017

( Contract effectivity 3 days from receipt of notice)


0396-M
within 90 calendar days 03/01/201
Execution of Contract:
8
Approved Delivery Extension request: 60 calendar days
150 days

August, 2017 1
September, 2017 30

October, 2017 31

November, 2017 30

December, 2018 31

January, 2018 27
150
0406-M
03/08/201
8
Day 1 for liquidation damages computation 28-Jan-2018
0500-M

04/26/201
8

0521-M
05/16/201
8

0581-M
06/18/201
8
1. STA LUCIA HS 2. PASIG HS

Days Past
Due
Qty per IAR LD Factor LD Amount Qty per IAR LD Factor LD Amount
5 0.001 12.88 46 5 0.001 18.52
5 0.001 2,712.00 46 5 0.001 3,898.50
5 0.001 2,476.50 57 5 0.001 3,619.50
5 0.001 394.40 46 5 0.001 566.95
5 0.001 2,040.00 46 5 0.001 2,932.50
5 0.001 22,931.10 110 5 0.001 23,355.75
5 0.001 1,498.13 117 5 0.001 1,243.13
5 0.001 4,966.65 57 5 0.001 7,258.95
5 0.001 5,599.00 117 5 0.001 7,444.13
5 0.001 1,003.20 57 5 0.001 649.80
5 0.001 176.80 46 5 0.001 254.15

43,810.66 51,241.87

DR No. & Days Past


Items Computation Days Past Due
Date
Items Computation
Due

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 Mar-18 14
0412-M
1, 2, 4, 5, 11 Apr-18 03/15/201 1, 2, 4, 5, 11 Apr-18
8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 32 Total 46
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 7 Mar-18 25
0430-M
3, 8 Apr-18 03/26/201 3, 8 , 10 Apr-18
8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 39 Total 57
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0525-M
9, 10 Apr-18 25 05/18/201 6 Apr-18 30
8
May-18 May-18 17
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 88 Total 110
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0663-M
6 Apr-18 30 05/25/201 7, 9 Apr-18 30
8
May-18 15 May-18 24
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 108 Total 117
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
7 Apr-18 30
May-18 31
Jun-18 17
Jul-18
Aug-18
Total 141
3. TARLAC NHS (ANNEX) 4. TIBAG NHS (MALIWALO NHS ANNEX) 5. MAL

Days Past Days Past Days Past


Due Due Due
Qty per IAR LD Factor LD Amount Qty per IAR LD Factor LD Amount
80 5 0.001 32.20 80 5 0.001 32.20 79
80 5 0.001 6,780.00 80 5 0.001 6,780.00 79
124 5 0.001 7,874.00 124 5 0.001 7,874.00 127
80 5 0.001 986.00 80 5 0.001 986.00 79
80 5 0.001 5,100.00 80 5 0.001 5,100.00 79
129 5 0.001 27,389.93 129 5 0.001 27,389.93 130
124 5 0.001 1,317.50 124 5 0.001 1,317.50 127
124 5 0.001 15,791.40 124 5 0.001 15,791.40 127
91 5 0.001 5,789.88 121 5 0.001 7,698.63 121
80 5 0.001 912.00 80 5 0.001 912.00 79
80 5 0.001 442.00 80 5 0.001 442.00 79

72,414.90 74,323.65

DR No. & Days Past DR No. & Days Past DR No. &
Date
Items Computation
Due Date
Items Computation
Due Date

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0488-M 0490-M 0481-M
04/18/201 1, 2, 4, 5, 10, 11 Apr-18 17 04/18/201 1, 2, 4, 5, 10, 11 Apr-18 17 04/17/201
8 8 8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 80 Total 80
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0704-M 0707-M 0703-M
05/29/201 9 Apr-18 28 05/29/201 9 Apr-18 30 05/29/201
8 8 8
May-18 May-18 28
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 91 Total 121
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0751-M 0752-M 0755-M
06/01/201 3, 7, 8 Apr-18 30 06/01/201 3, 7, 8 Apr-18 30 06/04/201
8 8 8
May-18 31 May-18 31
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 124 Total 124
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0816-M 0810-M 0811-M
06/06/201 6 Apr-18 30 06/06/201 6 Apr-18 30 06/07/201
8 8 8
May-18 31 May-18 31
Jun-18 5 Jun-18 5
Jul-18 Jul-18
Aug-18 Aug-18
Total 129 Total 129
5. MALIWALO NHS (MAIN) 7. EDUARDO COJUA

Days Past Days Past


Due Due
Qty per IAR LD Factor LD Amount Qty per IAR LD Factor LD Amount Qty per IAR
5 0.001 31.80 115 5 0.001 46.29 79 5
5 0.001 6,695.25 121 5 0.001 10,254.75 79 5
5 0.001 8,064.50 127 5 0.001 8,064.50 121 5
5 0.001 973.68 115 5 0.001 1,417.38 79 5
5 0.001 5,036.25 * 5 0.001 7,560.75 79 5
5 0.001 27,602.25 129 5 0.001 27,389.93 129 5
5 0.001 1,349.38 127 5 0.001 1,349.38 127 5
5 0.001 16,173.45 127 5 0.001 16,173.45 121 5
5 0.001 7,698.63 121 5 0.001 7,698.63 121 5
5 0.001 900.60 115 5 0.001 1,311.00 79 5
5 0.001 436.48 115 5 0.001 635.38 79 5

74,962.25 81,901.41

Days Past DR No. & Days Past DR No. &


Items Computation
Due Date
Items Computation
Due Date
Items

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
Jan-18 4 Jan-18 4
1, 4, 10, 11
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0632-M 0484-M
1, 2, 4, 5, 10, 11 Apr-18 16 05/23/201 Apr-18 30 04/17/201 1, 2, 4, 5, 10, 11
8 8
May-18 Only 2pcs of Item May-18 22
Jun-18 5 were received Jun-18
Jul-18 2,932.50 Jul-18
Aug-18 Aug-18
Total 79 Total 115
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
2, 9
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31 06996-M;
0709-M
00712-M
9 Apr-18 30 05/29/201 Apr-18 30 3, 8, 9
05/29/201
8
May-18 28 May-18 28 8
Remaining 3pcs
Jun-18 of Item 5 Jun-18
received
Jul-18 Jul-18
Aug-18 4,628.25 Aug-18
Total 121 Total 121
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0756-M 0760-M
3, 7, 8 Apr-18 30 06/04/201 3, 7, 8 Apr-18 30 06/04/201 7
8 8
May-18 31 May-18 31
Jun-18 3 Jun-18 3
Jul-18 Jul-18
Aug-18 Aug-18
Total 127 Total 127
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0812-M 0814-M
6 Apr-18 30 06/06/201 6 Apr-18 30 06/06/201 6
8 8
May-18 31 May-18 31
Jun-18 6 Jun-18 5
Jul-18 Jul-18
Aug-18 Aug-18
Total 130 Total 129
DO COJUANCO NVS 8. BENIGNO S. AQUINO NHS 9. MONCADA NHS

Days Past Days Past


Due Due
LD Factor LD Amount Qty per IAR LD Factor LD Amount Qty per IAR LD Factor
0.001 31.80 80 5 0.001 32.20 79 5 0.001
0.001 6,695.25 80 5 0.001 6,780.00 79 5 0.001
0.001 7,683.50 121 5 0.001 7,683.50 121 5 0.001
0.001 973.68 80 5 0.001 986.00 79 5 0.001
0.001 5,036.25 80 5 0.001 5,100.00 79 5 0.001
0.001 27,389.93 129 5 0.001 27,389.93 129 5 0.001
0.001 1,349.38 127 5 0.001 1,349.38 127 5 0.001
0.001 15,409.35 121 5 0.001 15,409.35 121 5 0.001
0.001 7,698.63 121 5 0.001 7,698.63 121 5 0.001
0.001 900.60 80 5 0.001 912.00 79 5 0.001
0.001 436.48 80 5 0.001 442.00 79 5 0.001

73,604.82 73,782.98

Days Past DR No. & Days Past DR No. &


Computation
Due Date
Items Computation
Due Date
Items Computation

Nov 28-30, 2017 Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17 Dec-17
Jan-18 4 Jan-18 4 Jan-18
Feb-18 28 Feb-18 28 Feb-18
Mar-18 31 Mar-18 31 Mar-18
0486-M 0480-M
Apr-18 16 04/18/201 1, 2, 4, 5, 10, 11 Apr-18 17 04/17/201 1, 2, 4, 5, 10, 11 Apr-18
8 8
May-18 May-18 May-18
Jun-18 Jun-18 Jun-18
Jul-18 Jul-18 Jul-18
Aug-18 Aug-18 Aug-18
Total 79 Total 80 Total
Nov 28-30, 2017 Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17 Dec-17
Jan-18 4 Jan-18 4 Jan-18
Feb-18 28 Feb-18 28 Feb-18
Mar-18 31 0700-M; Mar-18 31 06998-M; Mar-18
00711-M 00716-M
Apr-18 30 3, 8, 9 Apr-18 30 3, 8, 9 Apr-18
05/29/201 05/29/201
May-18 28 8 May-18 28 8 May-18
Jun-18 Jun-18 Jun-18
Jul-18 Jul-18 Jul-18
Aug-18 Aug-18 Aug-18
Total 121 Total 121 Total
Nov 28-30, 2017 Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17 Dec-17
Jan-18 4 Jan-18 4 Jan-18
Feb-18 28 Feb-18 28 Feb-18
Mar-18 31 Mar-18 31 Mar-18
0759-M 0763-M
Apr-18 30 06/04/201 7 Apr-18 30 06/04/201 7 Apr-18
8 8
May-18 31 May-18 31 May-18
Jun-18 3 Jun-18 3 Jun-18
Jul-18 Jul-18 Jul-18
Aug-18 Aug-18 Aug-18
Total 127 Total 127 Total
Nov 28-30, 2017 Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17 Dec-17
Jan-18 4 Jan-18 4 Jan-18
Feb-18 28 Feb-18 28 Feb-18
Mar-18 31 Mar-18 31 Mar-18
0815-M 0813-M
Apr-18 30 06/06/201 6 Apr-18 30 06/06/201 6 Apr-18
8 8
May-18 31 May-18 31 May-18
Jun-18 5 Jun-18 5 Jun-18
Jul-18 Jul-18 Jul-18
Aug-18 Aug-18 Aug-18
Total 129 Total 129 Total
10. KALALAKE NHS

Days Past
Due
LD Amount Qty per IAR LD Factor LD Amount
31.80 113 5 0.001 45.48
6,695.25 113 5 0.001 9,576.75
7,683.50 117 5 0.001 7,429.50
973.68 113 5 0.001 1,392.73
5,036.25 113 5 0.001 7,203.75
27,389.93 129 5 0.001 27,389.93
1,349.38 122 5 0.001 1,296.25
15,409.35 113 5 0.001 14,390.55
7,698.63 117 5 0.001 7,444.13
900.60 113 5 0.001 1,288.20
436.48 113 5 0.001 624.33

73,604.82 78,081.58

Days Past DR No. & Days Past


Due Date
Items Computation
Due

Nov 28-30, 2017


Dec-17
4 Jan-18 4
28 Feb-18 28
31 Mar-18 31
0560-M
1, 2, 4, 5, 8, 10,
16 05/21/201 Apr-18 30
11,
8
May-18 20
Jun-18
Jul-18
Aug-18
79 Total 113
Nov 28-30, 2017
Dec-17
4 Jan-18 4
28 Feb-18 28
31 Mar-18 31
0665-M
30 05/25/201 2, 9 Apr-18 30
8
28 May-18 24
Jun-18
Jul-18
Aug-18
121 Total 117
Nov 28-30, 2017
Dec-17
4 Jan-18 4
28 Feb-18 28
31 Mar-18 31
0718-M
30 05/30/201 7 Apr-18 30
8
31 May-18 29
3 Jun-18
Jul-18
Aug-18
127 Total 122
Nov 28-30, 2017
Dec-17
4 Jan-18 4
28 Feb-18 28
31 Mar-18 31
0802-M
30 06/06/201 6 Apr-18 30
8
31 May-18 31
5 Jun-18 5
Jul-18
Aug-18
129 Total 129
11. JESUS F MAGSAYSAY TVHS 12. SUBIC NHS 13. MENA M

Days Past Days Past


Days Past Due
Due Due
Qty per IAR LD Factor LD Amount Qty per IAR LD Factor LD Amount
113 5 0.001 45.48 113 5 0.001 45.48 113
113 5 0.001 9,576.75 113 5 0.001 9,576.75 123
117 5 0.001 7,429.50 117 5 0.001 7,429.50 123
113 5 0.001 1,392.73 113 5 0.001 1,392.73 113
113 5 0.001 7,203.75 113 5 0.001 7,203.75 113
129 5 0.001 27,389.93 129 5 0.001 27,389.93 129
122 5 0.001 1,296.25 122 5 0.001 1,296.25 122
113 5 0.001 14,390.55 113 5 0.001 14,390.55 123
117 5 0.001 7,444.13 117 5 0.001 7,444.13 123
113 5 0.001 1,288.20 113 5 0.001 1,288.20 113
113 5 0.001 624.33 113 5 0.001 624.33 113

78,081.58 78,081.58

DR No. & Date Days Past DR No. & Days Past DR No. &
Items Computation
Due Date
Items Computation
Due Date

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0566-M 0567-M
0569-M 1, 2, 4, 5, 8, 10, 1, 2, 4, 5, 8, 10,
Apr-18 30 05/21/201 Apr-18 30 05/21/201
05/21/2018 11, 11,
8 8
May-18 20 May-18 20
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 113 Total 113
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0667-M 06991-M
0664-M
2, 9 Apr-18 30 05/25/201 2, 9 Apr-18 30 05/31/201
05/25/2018
8 8
May-18 24 May-18 24
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 117 Total 117
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0722-M 0724-M
0719-M
7 Apr-18 30 05/30/201 7 Apr-18 30 05/30/201
05/30/2018
8 8
May-18 29 May-18 29
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 122 Total 122
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0803-M 0800-M
0801-M
6 Apr-18 30 06/06/201 6 Apr-18 30 06/06/201
06/06/2018
8 8
May-18 31 May-18 31
Jun-18 5 Jun-18 5
Jul-18 Jul-18
Aug-18 Aug-18
Total 129 Total 129
13. MENA MEMORIAL NHS (BOLITOC NHS) 14. SAN ANTON NHS

Days Past
Due
Qty per IAR LD Factor LD Amount Qty per IAR LD Factor LD Amount
5 0.001 45.48 113 5 0.001 45.48
5 0.001 10,424.25 127 5 0.001 10,763.25
5 0.001 7,810.50 128 5 0.001 8,128.00
5 0.001 1,392.73 113 5 0.001 1,392.73
5 0.001 7,203.75 113 5 0.001 7,203.75
5 0.001 27,389.93 129 5 0.001 27,389.93
5 0.001 1,296.25 127 5 0.001 1,349.38
5 0.001 15,664.05 128 5 0.001 16,300.80
5 0.001 7,825.88 113 5 0.001 7,189.63
5 0.001 1,288.20 113 5 0.001 1,288.20
5 0.001 624.33 113 5 0.001 624.33

80,965.33 81,675.46

Days Past DR No. & Days Past


Items Computation
Due Date
Items Computation
Due

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0598-M
1,4, 5, 10, 11, Apr-18 30 05/21/201 1,4, 5, 9,10,11 Apr-18 30
8
May-18 20 May-18 20
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 113 Total 113
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0769-M
2, 3, 8, 9 Apr-18 30 06/04/201 2, 7 Apr-18 30
8
May-18 30 May-18 31
Jun-18 Jun-18 3
Jul-18 Jul-18
Aug-18 Aug-18
Total 123 Total 127
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0784-M
7 Apr-18 30 06/05/201 3, 8 Apr-18 30
8
May-18 29 May-18 31
Jun-18 Jun-18 4
Jul-18 Jul-18
Aug-18 Aug-18
Total 122 Total 128
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0800-M
6 Apr-18 30 06/06/201 6 Apr-18 30
8
May-18 31 May-18 31
Jun-18 5 Jun-18 5
Jul-18 Jul-18
Aug-18 Aug-18
Total 129 Total 129
15. NUEVA ECIJA NHS 16. ZARAGOZA NHS 17. C

Days Past Days Past


Days Past Due
Due Due
Qty per IAR LD Factor LD Amount Qty per IAR LD Factor LD Amount
113 5 0.001 45.48 113 5 0.001 45.48 113
127 5 0.001 10,763.25 122 5 0.001 10,339.50 127
128 5 0.001 8,128.00 128 5 0.001 8,128.00 128
113 5 0.001 1,392.73 113 5 0.001 1,392.73 113
113 5 0.001 7,203.75 113 5 0.001 7,203.75 113
130 5 0.001 27,602.25 130 5 0.001 27,602.25 130
127 5 0.001 1,349.38 122 5 0.001 1,296.25 127
128 5 0.001 16,300.80 128 5 0.001 16,300.80 128
113 5 0.001 7,189.63 113 5 0.001 7,189.63 113
113 5 0.001 1,288.20 113 5 0.001 1,288.20 113
113 5 0.001 624.33 113 5 0.001 624.33 113

81,887.78 81,410.91

Days Past DR No. & Days Past DR No. &


DR No. & Date Items Computation
Due Date
Items Computation
Due Date

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0593-M 0586-M
0601-M 1,4, 5,
Apr-18 30 05/21/201 1,4, 5, 9,10,11 Apr-18 30 05/21/201
05/21/2018 9,10,11
8 8
May-18 20 May-18 20
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 113 Total 113
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0743-M 0772-M
0770-M
2, 7 Apr-18 30 05/30/201 2, 7 Apr-18 30 06/04/201
06/04/2018
8 8
May-18 31 May-18 29
Jun-18 3 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 127 Total 122
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0795-M 0783-M
0797-M
3, 8 Apr-18 30 06/05/201 3, 8 Apr-18 30 06/05/201
06/05/2018
8 8
May-18 31 May-18 31
Jun-18 4 Jun-18 4
Jul-18 Jul-18
Aug-18 Aug-18
Total 128 Total 128
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0827-M 0824-M
0827-M
6 Apr-18 30 06/07/201 6 Apr-18 30 06/07/201
06/07/2018
8 8
May-18 31 May-18 31
Jun-18 6 Jun-18 6
Jul-18 Jul-18
Aug-18 Aug-18
Total 130 Total 130
17. CABIAO NHS 18. STO ROSARIO NHS 19. LAMBAKIN N

Days Past Days Past


Due Due
Qty per IAR LD Factor LD Amount Qty per IAR LD Factor LD Amount Qty per IAR
5 0.001 45.48 113 5 0.001 45.48 115 5
5 0.001 10,763.25 127 5 0.001 10,763.25 128 5
5 0.001 8,128.00 129 5 0.001 8,191.50 128 5
5 0.001 1,392.73 113 5 0.001 1,392.73 115 5
5 0.001 7,203.75 113 5 0.001 7,203.75 115 5
5 0.001 27,602.25 130 5 0.001 27,602.25 130 5
5 0.001 1,349.38 127 5 0.001 1,349.38 128 5
5 0.001 16,300.80 129 5 0.001 16,428.15 128 5
5 0.001 7,189.63 113 5 0.001 7,189.63 128 5
5 0.001 1,288.20 113 5 0.001 1,288.20 115 5
5 0.001 624.33 113 5 0.001 624.33 115 5

81,887.78 82,078.63

Days Past DR No. & Days Past DR No. &


Items Computation
Due Date
Items Computation
Due Date
Items

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0594-M 0629-M
1,4, 5, 9,10,11 Apr-18 30 05/21/201 1,4, 5, 9,10,11 Apr-18 30 05/23/201 1,4, 5, 10,11
8 8
May-18 20 May-18 20
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
Total 113 Total 113
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31 0789-M;
0765-M
0780-M
2, 7 Apr-18 30 06/04/201 2, 7 Apr-18 30 2, 3, 7, 8, 9
06/05/201
8
May-18 31 May-18 31 8

Jun-18 3 Jun-18 3
Jul-18 Jul-18
Aug-18 Aug-18
Total 127 Total 127
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0806-M 0823-M
3, 8 Apr-18 30 06/06/201 3, 8 Apr-18 30 06/07/201 6
8 8
May-18 31 May-18 31
Jun-18 4 Jun-18 5
Jul-18 Jul-18
Aug-18 Aug-18
Total 128 Total 129
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0818-M
6 Apr-18 30 06/07/201 6 Apr-18 30
8
May-18 31 May-18 31
Jun-18 6 Jun-18 6
Jul-18 Jul-18
Aug-18 Aug-18
Total 130 Total 130
AMBAKIN NHS 20. FORT MAGSAYSAY NHS (BARANGAY MILITAR HS) 21. GENERAL LUNA NHS

Days Past Days Past


Due Due
LD Factor LD Amount Qty per IAR LD Factor LD Amount Qty per IAR LD Factor
0.001 46.29 115 5 0.001 46.29 115 5 0.001
0.001 10,848.00 122 5 0.001 10,339.50 128 5 0.001
0.001 8,128.00 129 5 0.001 8,191.50 128 5 0.001
0.001 1,417.38 115 5 0.001 1,417.38 115 5 0.001
0.001 7,331.25 115 5 0.001 7,331.25 115 5 0.001
0.001 27,602.25 130 5 0.001 27,602.25 130 5 0.001
0.001 1,360.00 122 5 0.001 1,296.25 128 5 0.001
0.001 16,300.80 129 5 0.001 16,428.15 128 5 0.001
0.001 8,144.00 115 5 0.001 7,316.88 130 5 0.001
0.001 1,311.00 115 5 0.001 1,311.00 115 5 0.001
0.001 635.38 115 5 0.001 635.38 115 5 0.001

83,124.34 81,915.81

Days Past DR No. & Days Past DR No. &


Computation
Due Date
Items Computation
Due Date
Items Computation

Nov 28-30, 2017 Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17 Dec-17
Jan-18 4 Jan-18 4 Jan-18
Feb-18 28 Feb-18 28 Feb-18
Mar-18 31 Mar-18 31 Mar-18
0622-M 0626-M
Apr-18 30 05/23/201 1,4, 5, 9,10,11 Apr-18 30 05/23/201 1,4, 5, 10,11 Apr-18
8 8
May-18 22 May-18 22 May-18
Jun-18 Jun-18 Jun-18
Jul-18 Jul-18 Jul-18
Aug-18 Aug-18 Aug-18
Total 115 Total 115 Total
Nov 28-30, 2017 Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17 Dec-17
Jan-18 4 Jan-18 4 Jan-18
Feb-18 28 Feb-18 28 Feb-18
Mar-18 31 Mar-18 31 0787-M; Mar-18
01746-M
0799-M
Apr-18 30 05/30/201 2, 7 Apr-18 30 2, 3, 7, 8 Apr-18
06/05/201
8
May-18 31 May-18 29 8 May-18
Jun-18 4 Jun-18 Jun-18
Jul-18 Jul-18 Jul-18
Aug-18 Aug-18 Aug-18
Total 128 Total 122 Total
Nov 28-30, 2017 Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17 Dec-17
Jan-18 4 Jan-18 4 Jan-18
Feb-18 28 Feb-18 28 Feb-18
Mar-18 31 Mar-18 31 Mar-18
0808-M 0825-M
Apr-18 30 06/06/201 3, 8 Apr-18 30 06/07/201 6 Apr-18
8 8
May-18 31 May-18 31 May-18
Jun-18 6 Jun-18 5 Jun-18
Jul-18 Jul-18 Jul-18
Aug-18 Aug-18 Aug-18
Total 130 Total 129 Total
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
0819-M
06/07/201 6 Apr-18 30
8
May-18 31
Jun-18 6
Jul-18
Aug-18
Total 130
22. CAMP TINIO NHS 23. LINIO P BERNARDO HS

Days Past
Days Past Due
Due
LD Amount Qty per IAR LD Factor LD Amount Qty per IAR LD Factor LD Amount
46.29 115 5 0.001 46.29 115 5 0.001 46.29
10,848.00 128 5 0.001 10,848.00 128 5 0.001 10,848.00
8,128.00 129 5 0.001 8,191.50 129 5 0.001 8,191.50
1,417.38 115 5 0.001 1,417.38 115 5 0.001 1,417.38
7,331.25 115 5 0.001 7,331.25 115 5 0.001 7,331.25
27,602.25 130 5 0.001 27,602.25 130 5 0.001 27,602.25
1,360.00 128 5 0.001 1,360.00 128 5 0.001 1,360.00
16,300.80 129 5 0.001 16,428.15 129 5 0.001 16,428.15
8,271.25 128 5 0.001 8,144.00 128 5 0.001 8,144.00
1,311.00 115 5 0.001 1,311.00 115 5 0.001 1,311.00
635.38 115 5 0.001 635.38 115 5 0.001 635.38

83,251.59 83,315.19 83,315.19

Days Past DR No. & Days Past


Due Date
Items Computation Days Past Due DR No. & Date Items Computation
Due

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
4 Jan-18 4 Jan-18 4
28 Feb-18 28 Feb-18 28
31 Mar-18 31 Mar-18 31
0631-M
1, 4, 5, 10, 0631-M 1, 4, 5, 10,
30 05/23/201 Apr-18 30 Apr-18 30
11 05/23/2018 11,
8
22 May-18 22 May-18 22
Jun-18 Jun-18
Jul-18 Jul-18
Aug-18 Aug-18
115 Total 115 Total 115
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
4 Jan-18 4 Jan-18 4
28 Feb-18 28 Feb-18 28
31 Mar-18 31 Mar-18 31
0782-M;
0782-M
30 06/05/201 2, 7, 9 Apr-18 30 2, 7, 9 Apr-18 30
06/05/2018
8
31 May-18 31 May-18 31
4 Jun-18 4 Jun-18 4
Jul-18 Jul-18
Aug-18 Aug-18
128 Total 128 Total 128
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
4 Jan-18 4 Jan-18 4
28 Feb-18 28 Feb-18 28
31 Mar-18 31 Mar-18 31
0805-M
0805-M
30 06/06/201 3, 8 Apr-18 30 3, 8 Apr-18 30
06/06/2018
8
31 May-18 31 May-18 31
6 Jun-18 5 Jun-18 5
Jul-18 Jul-18
Aug-18 Aug-18
130 Total 129 Total 129
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0820-M
0817-M
06/07/201 6 Apr-18 30 6 Apr-18 30
06/07/2018
8
May-18 31 May-18 31
Jun-18 6 Jun-18 6
Jul-18 Jul-18
Aug-18 Aug-18
Total 130 Total 130
24. EASTERN CABU NHS 25. PALAYAN CITY NHS 26. RICARDO DIZON CANLA

Days Past Days Past Days Past


Due Due Due
Qty per IAR LD Factor LD Amount Qty per IAR LD Factor LD Amount Qty per IAR
115 5 0.001 46.29 127 5 0.001 51.12 115 5
128 5 0.001 10,848.00 219 5 0.001 18,560.25 219 5
128 5 0.001 8,128.00 219 5 0.001 13,906.50 219 5
115 5 0.001 1,417.38 127 5 0.001 1,565.28 115 5
115 5 0.001 7,331.25 127 5 0.001 8,096.25 115 5
130 5 0.001 27,602.25 219 5 0.001 46,499.18 219 5
128 5 0.001 1,360.00 219 5 0.001 2,326.88 219 5
128 5 0.001 16,300.80 219 5 0.001 27,889.65 219 5
128 5 0.001 8,144.00 127 5 0.001 8,080.38 115 5
115 5 0.001 1,311.00 127 5 0.001 1,447.80 115 5
115 5 0.001 635.38 127 5 0.001 701.68 115 5

83,124.34 129,124.94

DR No. & Days Past DR No. & Days Past DR No. &
Date
Items Computation
Due Date
Items Computation
Due Date
Items

Nov 28-30, 2017 Nov 28-30, 2017


Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 Mar-18 31
0613-M 0602-M 0614-M
1, 4, 5, 9, 1, 4, 5, 9,
05/23/2011, 4, 5, 10, 11 Apr-18 30 06/04/201 Apr-18 30 05/23/201
10, 11, 10, 11,
8 8 8
May-18 22 May-18 31
Jun-18 Jun-18 3
Jul-18 Jul-18
Aug-18 Aug-18
Total 115 Total 127
Nov 28-30, 2017 Nov 28-30, 2017
Dec-17 Dec-17
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28

0793-M; Mar-18 31 Mar-18 31


0778-M 0775-M 0748-M
2, 3, 7, 8, 9 Apr-18 30 Apr-18 30
06/05/201 09/04/201 2, 3, 6, 7, 8 09/04/201 2, 3, 6, 7, 8
8 May-18 31 8 May-18 31 8
Jun-18 4 Jun-18 30
Jul-18 Jul-18 31
Aug-18 Aug-18 31
Total 128 Sep-18 3
Nov 28-30, 2017 Total 219
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
0825-M
06/07/201 6 Apr-18 30
8
May-18 31
Jun-18 6
Jul-18
Aug-18
Total 130
O DIZON CANLAS AHS

LD Factor LD Amount
0.001 46.29
0.001 18,560.25
0.001 13,906.50
0.001 1,417.38
0.001 7,331.25
0.001 46,499.18
0.001 2,326.88
0.001 27,889.65
0.001 7,316.88
0.001 1,311.00
0.001 635.38

127,240.61

Computati Days Past


on Due

Nov 28-30, 2017


Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
Apr-18 30
May-18 22
Jun-18
Jul-18
Aug-18
Total 115
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31
Apr-18 30
May-18 31
Jun-18 30
Jul-18 31
Aug-18 31
Sep-18 3
Total 219
27. STA MARIA NHS

Days Past Due


Qty per IAR LD Factor LD Amount Total LD
113 5 0.001 45.48
219 5 0.001 18,560.25
219 5 0.001 13,906.50
113 5 0.001 1,392.73
113 5 0.001 7,203.75
219 5 0.001 46,499.18
219 5 0.001 2,326.88
219 5 0.001 27,889.65
113 5 0.001 7,189.63
113 5 0.001 1,288.20
113 5 0.001 624.33

126,926.56 2,225,136.56

DR No. & Date Items Computation Days Past Due

Nov 28-30, 2017 Contract Price


Dec-17 39,990,227.50
Jan-18 4
Feb-18 28 Percentage to CP
Mar-18 31 5.56%
0614-M 1, 4, 5, 9,
Apr-18 30
05/21/2018 10, 11,
May-18 20
Jun-18
Jul-18 Batch 1 3.09%
Aug-18 Batch 2 5.56%
Total 113 Percentage LD 8.65%
Nov 28-30, 2017
Dec-17
Jan-18 4
Feb-18 28
Mar-18 31

0748-M Apr-18 30
2, 3, 6, 7, 8
09/04/2018
May-18 31
Jun-18 30
Jul-18 31
Aug-18 31
Sep-18 3
Total 219
Prepared by: Certified Correct:

Welly Yumul Angelina Manio


Accountant I Accountant III

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