MCX Nci

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.1 SMAW (NC I)
ANNEX I
October 11-19, 2018
ITEM DESCRIPTION QUANTITY TOTAL COSTS
1 Oxy-Acetylene Goggles 345 27,772.50

2 Arc Welding Machine AC/DC and Accessories 345 5,847,750.00
3 Welding Table/Positioners 345 4,381,500.00
4 Portable Electrode Oven 345 828,000.00
5 Anvil 345 733,125.00
6 Work Bench with Bench Vises on Four Corners 345 8,780,250.00
7 Oxy-Acetylene Cutting and Cylinder Welding Outfit 345 4,381,500.00
8 Pedestal/Bench Grinding Machine 345 791,688.75
9 Industrial Fan 345 381,225.00
Total 26,152,811.25
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
ANNEX I
October 11-19, 2018
DESCRIPTION QUANTITY TOTAL COSTS UNIT COSTS

Qty p
Oxy-Acetylene Goggles 345 27,772.50 80.50 5
Arc Welding Machine AC/DC and Accessories 345 5,847,750.00 16,950.00 5
Welding Table/Positioners 345 4,381,500.00 12,700.00 5
Portable Electrode Oven 345 828,000.00 2,400.00 5
Anvil 345 733,125.00 2,125.00 5
Work Bench with Bench Vises on Four Corners 345 8,780,250.00 25,450.00 5
Oxy-Acetylene Cutting and Cylinder Welding Outfit 345 4,381,500.00 12,700.00 5
Pedestal/Bench Grinding Machine 345 791,688.75 2,294.75 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0419-M;
DR Number
0532-M;
03/20/
04/30/
Delivery Date
05/22/
06/28
03/20/
Date Received 05/02/2
date; 06/
Jonathan Y
Received by
Torralb
Findings
Iluminado
RO Representative
-
RO Representative
Daniel A
-
Property C
Date Tested 7/11/
All items
Remarks condition
Per IAR IAR 0
Date Inspected 7/11/

Date Received 7/11/
Inspected by Aurelio M
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 7/11/

Date Received 7/11/
Approved by Felisa R
Received by Property C
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
1. ANGELES
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Findings -
RO Representative
RO Representative
Date Tested
All items received are in good

Remarks condition, marked as responsiv
report.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
1. ANGELES CITY NTS
Amo
Oxy-Acetylene Goggles 345 27,772.50 80.50
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0450-M;
DR Number
0686
04/05/
Delivery Date 04/24/
07/02
No d
Date Received
04/25/201
Received by Glordan I.
There i
indicati
Findings outfits re
Per IAR 0
Cutting o
RO Representative
Reynaldo
RO Representative
-
-
Date Tested 7/8/2
All tools
Remarks delivered
Per IAR IAR 0
Date Inspected 08/07

Date Received 08/07
Inspected by Richie M.
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 08/07

Date Received 08/07
Roylan T.
Received by
(Assist. Pr
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
2. BATA
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
There is a note per DR No. 0
indicating no Oxy-Acetylene
Findings outfits received yet, written in
Per IAR 0128 indicates 5 Oxy-A
Cutting outfits inspected and r
RO Representative
RO Representative
Date Tested
All tools and equipment that h

Remarks delivered, inspected and tested
responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
2. BATAAN NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0417-M;
DR Number
0462-M;
03/20/
03/23/
Delivery Date
04/06/
07/02
No date;
Date Received
No date; 0
Ernan M
Fermina
Received by
(PC); Herm
Maca
Findings

Edgardo
RO Representative Serr
Aurelio
RO Representative
Maria Don
Property C
Date Tested 08/07
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/07
Inspected by Aurelio
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 08/02

Date Received 08/02
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
3. HERMO
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Findings -
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
3. HERMOSA NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0457-M;
DR Number 0540-M;
074
04/06/
04/30/
07/03/
07/03
04/07/
05/03/
Date Received
05/28/2
date; N
Kristin
Mangubat
Received by
Agustin; G
Herna
Findings
RO Representative
Reynaldo
RO Representative
-
Jhenie R.
(SHS
Date Tested 8/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/08
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/08

Date Received 08/08
Jhenie R.
Received by
(SHS
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
4. JUSTICE EMILIO
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Findings -
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
4. JUSTICE EMILIO GANCAYCO MHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0473-M;
DR Number 0508-M;
073
04/11/
04/25/
07/03/
07/24/
04/11/
04/25/
Date Received
04/30/2
date; N
Janet B. C
Erika Z
Received by
Caragay
Sant
Findings
RO Representative
Reynaldo
RO Representative
-
-
Date Tested 8/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/08
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/08

Date Received 08/08
June C.
Received by (Assis
Princip
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
5. LAMA
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Findings -
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
5. LAMAO NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0471-M;
DR Number
0549-M;
04/11/
05/30/
07/03/
07/24
No date; 5
date; N
Claro A. S
Rhoda P. P
Received by
II); Renato
Lexter R.
There is a
Oxy-Acety
Pedestal/B
Lot B.3-NC
delivery
Findings written in
two item
delivery d
No. 0688
same it
-
RO Representative
Reynaldo
RO Representative
-
-
Date Tested 8/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/08
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/08

Date Received 08/08
Jennif
Received by Domingu
Princi
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
6. LIMA
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
There is a note per DM No. 047
Oxy-Acetylene Goggles, Weldin
Pedestal/Bench Grinding Machi
Lot B.3-NCII)
delivery date printed was tam
Findings written in ballpen; a correction t
two items of DR.
delivery dated May 30, 2018.
No. 0688-M a written DR was a
same items, signed. The prin
unsigned and
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
6. LIMAY NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
There is a note per DM No. 0471-M indicating additio
Oxy-Acetylene Goggles, Welding Machine w/ access
Pedestal/Bench Grinding Machine. (5pcs-Lot B.1.
Lot B.3-NCII) Per DR No
delivery date printed was tampered to show May 3
Findings written in ballpen; a correction tape was used to eras
two items of DR. Property Custodian
delivery dated May 30, 2018.
No. 0688-M a written DR was attached dated July 2,
same items, signed. The printed DR 0689-M is att
unsigned and dated July 3.
RO Representative
RO 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
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0683-M;
DR Number
0444-M;
07/02/
03/23/
Delivery Date
04/04/
04/06
07/02/
03/23/
Date Received
04/04/
04/06
Michael L.
Mark Diw
Received by
Sarili; Gin
(Actin
Findings
RO Representative
Edgardo
Maria Don
Date Tested 7/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/07
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/07

Date Received 08/07
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
7. LUAKA
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Findings -
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
7. LUAKAN NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0478-M;
DR Number 0555-M;
073
04/13/
05/29/
07/03/
07/24
No d
05/30/2
Date Received
date; 07/
No d
Sallyver B
Received by (ADAS II)
Locso
Findings
RO Representative
Reynaldo
RO Representative
-
-
Date Tested 8/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/08
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/08

Date Received 08/08
Ludivina S
Received by
(Princi
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
8. MARIVE
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Findings -
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
8. MARIVELES NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0475-M;
DR Number 0553-M;
073
04/11/
05/29/
07/03/
07/24
No d
05/29/2
Date Received
date; 07/
07/24
Timi T. La
Received by Nieva D.
Robelita P
There is
Goggles w
ff. items:
Oven, Be
Findings 5pcs. prin
Automatic
0731-M,
Cleared fo
RO Representative
Reynaldo
RO Representative
-
-
Date Tested 9/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/09
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/09

Date Received 08/09
Norma N.
Received by
(Princi
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
9. MORO
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Goggles were not delivered; no
ff. items: Welding Machine W/ A
Oven, Bench Grinding Machine
Findings 5pcs. printed on DR. written in
Automatic Gas cutting w/ railing
0731-M, there is a Subic Bay S
Cleared for Entry.
B.1 NCI, 5-pcs
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
9. MORONG NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
There is a note per DR No. 0475-M indicating Oxy A
Goggles were not delivered; note that 10 pcs deliver
ff. items: Welding Machine W/ Accessories, Portable
Oven, Bench Grinding Machine, Industrial Fan, inste
Findings 5pcs. printed on DR. written in ballpen. Note indicat
Automatic Gas cutting w/ railing received. Per DR No
0731-M, there is a Subic Bay Seaport Dept stamp in
Cleared for Entry. For each 10 items
B.1 NCI, 5-pcs-Lot B.3 NCII)
RO Representative
RO 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
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0452-M;
DR Number 0458-M;
0682
04/05/
04/05/
05/24/
07/02/
No date;
Date Received No date;
07/13
Ramil P. C
Received by
Arnel C
There i
indicat
Findings
Positioner
pcs on Ju
RO Representative
Aurelio
RO Representative
Ede
Supplier Representative Payong
Ma. Conce
Reyes
Princi
Date Tested 7/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/07
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 08/07

Date Received 08/07
Ma. Conce
Received by Reyes
Princi
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
10. ORA
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
indicating only 1 pc. Welding
Findings
Positioner was received and 4 r
pcs on June 1, 2018 written in
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
10. ORANI NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0468-M;
DR Number
0688
04/10/
07/02/
04/10/
Date Received 06/10/
07/02/
Aida M. Pa
Received by Antonio
Anto
Findings
RO Representative
Reynaldo
RO Representative
-
-
Date Tested 9/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/09
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/09

Date Received 08/09
Migwe
Received by Cayaby
Assis
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
11. PABLO R
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Findings -
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
11. PABLO ROMAN NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0454-M;
DR Number 0537-M;
073
04/05/
04/10/
07/03/
07/24
No Date;
date; N
Milyn B.
Received by Rustico P. E
Erish Ma
Findings
RO Representative
Reynaldo
RO Representative
-
-
Date Tested 7/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/07
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/07

Date Received 08/07
Received by Soledad
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
12. SAM
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
12. SAMAL NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018
13.
Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0377-M;
0394-M;
DR Number
0446-M;
0647
02/21/
02/26/
02/27/
Delivery Date
04/03/
06/10/
06/25
02/21/
02/26/2
Date Received date; No
date; No
da
Joanna A. C
Reden
Received by
Enriquez
Sarmie
There i
indicati
Cutting
Findings
written in
(5-pcs for
RO Representative
Reynaldo
RO Representative
-
-
Date Tested 07/25
All tools
Remarks delivered
Per IAR IAR 0

Date Received 07/25
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 7/25/

Date Received 7/25/
R. A. Vill
Received by
(Princi
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
13. ASSEMBLYWOMAN FE
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
indicating 5 units of Automa
Cutting Machine w/ Railing re
Findings
written in ballpen; with note an
(5-pcs for Lot B.1 NCI and 5pcs
NCII)
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
13. ASSEMBLYWOMAN FELICITA BERNARDINO M
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0378-M;
DR Number 0448-M;
0640
02/21/
02/28/
06/10/
06/25
No d
04/04/201
Received by Edralyn
There i
indicati
Cutting
Findings ballpen; w
who recei
pcs for Lo
NCII)
RO Representative
Edwin T.
RO Representative
Rafael C
-
Date Tested 07/24
All tools
Remarks delivered
Per IAR IAR 0

Date Received 07/24
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 7/24/

Date Received 7/24/
Reyna
Received by Cristobal
IV
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
14. BALAG
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Cutting Machine received wr
Findings ballpen; with note and initial by
who received the goods.
pcs for Lot B.1 NCI and 5pcs fo
NCII)
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
14. BALAGTAS NAHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0381-M;
DR Number 0403-M;
0571-M;
02/21/
02/26/
03/06/
Delivery Date
04/10/
06/18/
06/25
No d
02/26/2
Date Received
date; N
06/18/201
Noel C. de
Received by
Ma. Victor
There i
indicati
Cutting
Findings written in
the one w
(5-pcs for L
RO Representative
Edwin T.
RO Representative
Rafael C
-
Date Tested 07/24
All tools
Remarks delivered
Per IAR IAR 0

Date Received 07/24
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 7/24/

Date Received 7/24/
Roman M
Received by
(SP
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
15. GUIGUI
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Cutting Machine w/ Railing re
Findings written in ballpen; with note and
the one who received the good
NCII)
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
15. GUIGUINTO NVHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0379-M;
DR Number 0443-M;
0573-M;
02/21/
03/02/
04/03/
Delivery Date
04/25/
06/18/
06/25/
No date;
No d
Date Received
04/25/20
date; N
Received by Richie M.
There is a
ballpen "
Findings
items are
RO Representative
Edwin T.
RO Representative
Rafael C
-
Date Tested 07/25
All tools
Remarks delivered
Per IAR IAR 0

Date Received 07/25
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 07/25

Date Received 07/25
Neri L.
Received by
(Princ
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
16. ILUMINADA ROX
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
There is a note per DR No.0573
ballpen "including bolts and nu
Findings
items are components of the W
w/ bench vises.
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
16. ILUMINADA ROXAS MENDOZA MHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0383-M;
DR Number 0407-M;
0580-M;
02/22/
03/01/
03/13/
Delivery Date
04/26/
06/18/
06/25
No d
03/01/2
Date Received
date; 04/
No date;
Leodora G
(Principal I
Received by
R. Matic; P
Cru
Findings
RO Representative
Edgardo
-
Leodora G
(Princi
Date Tested 07/26
All tools
Remarks delivered
Per IAR IAR 0

Date Received 07/26
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 07/26

Date Received 07/26
Leodora G
Received by
(Princi
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
17. SAN RA
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Findings -
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
17. SAN RAFAEL NTS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0384-M;
0404-M;
DR Number
0578-M;
0639
02/22/
03/01/
03/07/
Delivery Date
06/18/
06/20/
06/25
No date;
03/07/
date; 06/2
No d
Exmun
Fortaleza;
Received by Roque; M
Salonga;
Dela
Per DR No
mark acr
Findings out, name
DR is
delivere
Rafael C
RO Representative
Edwin T.
RO Representative
-
-
Date Tested 07/25
All tools
Remarks delivered
Per IAR IAR 0

Date Received 07/25
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 07/25

Date Received 07/25
Exmundo
Received by
(SA
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
18. MALOLOS MAR
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Per DR No. 0398-M, there is a b
mark across the 2nd item can
Findings out, name of the person who si
DR is not given. All 9 items
delivered as per all DR's pres
RO Representative
RO Representative
Date Tested

Remarks delivered and inspected and te
all responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
18. MALOLOS MARINE FISHERY SAL
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 1
Total 26,152,811.25
0415-M;
DR Number
0506-M;
03/19/
04/02/
Delivery Date
04/27/
06/29/
No date;
da
Armando
Allen S. M
Received by Eduardo L
Ericson L.
(OI
Findings
Iluminado
RO Representative
Aurelio M
RO Representative
Ede
Ericson L.
(OI
Date Tested 07/13
All tools
Remarks delivered
Per IAR IAR 0

Date Received 07/13
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 07/13

Date Received 07/13
Ericson L.
Received by
(OI
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
19. SAN
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Findings -
RO Representative
RO Representative
Date Tested

all responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
19. SAN JUAN HS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 1
Total 26,152,811.25
0399-M;
DR Number 0435-M;
066
03/01/
03/14/
04/27/
06/29
No date;
04/27/201
Bea B. E
Received by
Gerio A. D
There i
indicatin
Railing we
Findings and initia
goods.
(5-pcs for L
Rafael C
RO Representative
Edwin T.
RO Representative
-
-
Date Tested 2/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/02
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/02

Date Received 08/02
Fe Q. B
Received by
(Princi
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
20. SAN S
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
indicating only 5 pcs. Cutting
Railing were received; written i
Findings and initial by the one who rece
goods.
NCII)
RO Representative
RO Representative
Date Tested

all responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
20. SAN SIMON HS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number 0528-M;
05/21/
Delivery Date
06/29
05/21/
Date Received
06/29
Received by I. M. Man
Findings
Iluminado
RO Representative
Aurelio M
RO Representative
Dolores
(School
Date Tested 07/13
All items
Remarks
inspected
Per IAR IAR 0

Date Received 07/13
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 7/13/

Date Received 7/13/
Dolores
Received by
(Princi
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
21. SAN VICEN
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Findings -
RO Representative
RO Representative
Date Tested
All items that have been delive

Remarks
inspected and tested were all re
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
21. SAN VICENTE PILOT SFPC
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0400-M;
DR Number
0505-M;
03/01/
03/11/
Delivery Date
04/27/
06/29
03/21/
03/21/
Date Received
04/27/
06/29
Julito B. T
Received by
Edna C
There
Automa
written
Findings Returned i
note bes
George P
Jose E.
RO Representative
Reynaldo
RO Representative
Lenie
Marita M. F
OI
Date Tested 07/26
All items
condition
Remarks
report. R
Oxy-Ace
Per IAR IAR 0

Date Received 07/26
Inspected by Jose E.
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 7/26/

Date Received 7/26/
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
22. STO TO
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Automatic Gas Cutting Mach
written in ballpen item crosse
Findings Returned item was not included
A photocopy of DR
note beside the Automatic gas
George Pagio signed by the pe
RO Representative
RO Representative
Date Tested

condition, marked as responsiv
Remarks
report. Remarks portion indica
Oxy-Acetylene hose for replac
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
22. STO TOMAS NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
There is a note per DR No. 0400-M indicating tha
Automatic Gas Cutting Machine w/ Railing were re
written in ballpen item crossed-out in the DR.
Findings Returned item was not included for the Lot B.1 NCI ite
A photocopy of DR 0400-M was attache
note beside the Automatic gas cutting machine; pu
George Pagio signed by the person who received th
RO Representative
RO 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
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0422-M;
DR Number
0515-M;
03/21/
04/02/
Delivery Date
04/30/
06/29/
No date;
01
Rolan
Fernandez
Received by
Roncal; C
Cab
Findings
Iluminado
RO Representative
-
RO Representative
Daniel A
Property C
Date Tested 7/11/
All items
Remarks condition
Per IAR IAR 0

Date Received 7/11/
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 7/11/

Date Received 7/11/
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
23. PANIP
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Findings -
RO Representative
RO Representative
Date Tested

report.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
23. PANIPUAN HS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 1
Total 26,152,811.25
0402-M;
DR Number 0497-M;
0648
03/05/
03/22/
06/18/
06/25
03/05/2
Date Received date; 04/
06/18/201
Elvira E.
Joanna M
Received by
Servas; M
De
Findings
Rafael C
RO Representative
Edwin T.
RO Representative
-
-
Date Tested 07/26
All items
Remarks condition
Per IAR IAR 0

Date Received 07/26
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 7/26/

Date Received 7/26/
Elvira E.
Received by
(ADA
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
24. SAN JOSE D
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Findings -
RO Representative
RO Representative
Date Tested

report.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
24. SAN JOSE DEL MONTE NTS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0562-M; 0
DR Number
072
06/06/
07/24
06/06/
Date Received
07/11/201
Bea B. E
Received by
Gerio A. D
There i
indicatin
cutting o
No. 0699
outfit and
Findings
without c
and initia
items.
All 9 i
Edgardo
RO Representative
Aurelio
RO Representative
Maria Don
Katherine
(P
Date Tested 8/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/08
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/08

Date Received 08/08
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
25. BOTO
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
indicating 5 sets of acetylene
cutting outfit written in ballpen
No. 06995-M, with note beside
outfit and cylinder, "acetylene
Findings
without cover (1)" and with "ok
and initial by the one who rece
items.
All 9 items were delivered a
DR's presented.
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
25. BOTOLAN NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0564-M; 0
DR Number
072
06/06/
07/24
06/06/
07/24
Tessie Cu
Received by
Edwin P.
There is a
Oxygen ta
(5-pcs for
Findings
NCII) ; Bot
Acetylene
Edgardo
RO Representative
Aurelio
RO Representative
Maria Don
Property C
(PC); Sch
Date Tested 08/08
All items
Remarks Name of s
Per IAR IAR 0

Date Received 08/08
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 08/08

Date Received 08/08
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
26. SAN GUIL
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
There is a note per DR indicati
Oxygen tank and 5 pcs. Acetyle
Findings
NCII) ; Both items component o
Acetylene Cutting and Cylinder
Outfit
RO Representative
RO Representative
Date Tested
All items are in good working c

Remarks Name of school head indicated
no signature.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
26. SAN GUILLERMO NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0561-M; 0
DR Number
072
06/06/
07/24
No d
07/25
Gener M
Received by
(PC); Trisia
There
additional
Acetylene
Findings
5pcs fo
componen
and
Edgardo
RO Representative
Edwin T.
RO Representative
-
-
Date Tested 8/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/08
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 08/08

Date Received 08/08
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
27. STA. C
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
There is a note per DR indic
additional 5 pcs. Oxygen tank a
Acetylene tank. (5-pcs for Lot B.
Findings
5pcs for Lot B.3 NCII) ; Both
component of the Oxy-Acetylen
and Cylinder Welding Ou
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
27. STA. CRUZ NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0414-M;
DR Number
0516-M;
03/16/
03/27/
Delivery Date
04/30/
06/28/
No date;
06/28
Myrna D.
Received by Angeline B
Jonath
Name of S
Findings of Recip
Sch
Rafael C
RO Representative
Edwin T.
RO Representative
-
-
Date Tested 07/27
All tools
Remarks delivered
Per IAR IAR 0

Date Received 07/27
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 07/27

Date Received 07/27
Girly L. Pa
Received by
(Princ
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
28. A. SIAMPAO EDU
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Name of School NOT included i
Findings of Recipient Schools per Sect
Schedule of Requiremen
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
28. A. SIAMPAO EDUCATIONAL AND TS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0563-M; 0
DR Number
072
06/06/
07/24
06/06/
07/24
Charlao
Received by Curtis Carl
(P
Findings
Edgardo
RO Representative
Aurelio
RO Representative
Maria Don
Property C
(P
Date Tested 8/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/08
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/08

Date Received 08/08
Issued by
Findings
not fille
ANNEX I
October 11-19, 2018
29. SAN RAFAEL
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Date Received
Received by
Findings -
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
ANNEX I
October 11-19, 2018
29. SAN RAFAEL TECHNICAL VHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018

Qty p
Anvil 345 733,125.00 2,125.00 14
Industrial Fan 345 381,225.00 1,105.00 16
Total 26,152,811.25
DR Number
Delivery Date Prepare
Date Received
Received by
ANNEX I
October 11-19, 2018
TOTAL (29
Qty pe
Anvil 345 733,125.00 2,125.00 14
Industrial Fan 345 381,225.00 1,105.00 14
Total 26,152,811.25
DR Number
Delivery Date
Welly Yumu
Date Received
Accou
Received by
ANNEX I
October 11-19, 2018
TOTAL (29 Schools)
Amo
Arc Welding Machine AC/DC and Accessories 345 5,847,750.00 16,950.00 2,45
Welding Table/Positioners 345 4,381,500.00 12,700.00 1,84
Anvil 345 733,125.00 2,125.00 30
Work Bench with Bench Vises on Four Corners 345 8,780,250.00 25,450.00 3,69
Oxy-Acetylene Cutting and Cylinder Welding Outfit 345 4,381,500.00 12,700.00 1,84
Industrial Fan 345 381,225.00 1,105.00 16
Total 26,152,811.25 10,991
DR Number
Delivery Date Certified
Date Received
Received by
ANNEX I
October 11-19, 2018
Difference
Total Co
Oxy-Acetylene Goggles 345 27,772.50 80.50 16,1

Arc Welding Machine AC/DC and Accessories 345 5,847,750.00 16,950.00 3,390,0
Welding Table/Positioners 345 4,381,500.00 12,700.00 2,540,0
Portable Electrode Oven 345 828,000.00 2,400.00 480,0
Anvil 345 733,125.00 2,125.00 425,0
Work Bench with Bench Vises on Four Corners 345 8,780,250.00 25,450.00 5,090,0
Oxy-Acetylene Cutting and Cylinder Welding Outfit 345 4,381,500.00 12,700.00 2,540,0
Pedestal/Bench Grinding Machine 345 791,688.75 2,294.75 458,9
Industrial Fan 345 381,225.00 1,105.00 221,0
Total 26,152,811.25 15,161,0
DR Number
Delivery Date
Angelina M
Date Received
Accounta
Received by
ANNEX I
October 11-19, 2018

% Cost to
Arc Welding Machine AC/DC and Accessories 345 5,847,750.00 16,950.00
Welding Table/Positioners 345 4,381,500.00 12,700.00
Portable Electrode Oven 345 828,000.00 2,400.00
Anvil 345 733,125.00 2,125.00
Work Bench with Bench Vises on Four Corners 345 8,780,250.00 25,450.00
Oxy-Acetylene Cutting and Cylinder Welding Outfit 345 4,381,500.00 12,700.00
Pedestal/Bench Grinding Machine 345 791,688.75 2,294.75
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 42.0
DR Number
Delivery Date
Date Received
Received by
ANNEX I
October 11-19, 2018
DESCRIPTION QUANTITY TOTAL COSTS UNIT COSTS Remaining

% CP
Anvil 345 733,125.00 2,125.00
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 57.97%
DR Number
Delivery Date
Date Received
Received by
ANNEX II
October 11-19, 2018
ITEM DESCRIPTION QUANTITY TOTAL COSTS UNIT COSTS
1 Oxy-Acetylene Goggles 345 27,772.50 80.50

2 Arc Welding Machine AC/DC and Accessories 345 5,847,750.00 ###
3 Welding Table/Positioners 345 4,381,500.00 ###
4 Portable Electrode Oven 345 828,000.00 2,400.00
5 Anvil 345 733,125.00 2,125.00
6 Work Bench with Bench Vises on Four Corners 345 8,780,250.00 ###
7 Oxy-Acetylene Cutting and Cylinder Welding Outfit 345 4,381,500.00 ###
8 Pedestal/Bench Grinding Machine 345 791,688.75 2,294.75
9 Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25
Notice to Proceed: 7/28/2017
8/28/2017
Receipt of Notice:
Effective date of Contract: 8/31/2017
( Contract effectivity 3 days from receipt of notice)

within 90 calendar days
Execution of Contract:
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
Day 1 for liquidation damages computation 28-Jan-2018

1. ANGELES CITY NTS 2. BATAAN NHS
Days Past Days Past

Due Due
LD Factor Qty per IAR LD Amount Qty per IAR LD Factor LD Amount
51 0.001 5 20.53 67 5 0.001 26.97
51 0.001 5 4,322.25 67 5 0.001 5,678.25
114 0.001 5 7,239.00 86 5 0.001 5,461.00
51 0.001 5 612.00 67 5 0.001 804.00
151 0.001 5 1,604.38 155 5 0.001 1,646.88
114 0.001 5 14,506.50 86 5 0.001 ###
92 0.001 5 5,842.00 155 5 0.001 9,842.50
92 0.001 5 1,055.59 67 5 0.001 768.74
51 0.001 5 281.78 67 5 0.001 370.18
35,484.01 ###
DR No. & DR No. & Days Past

Date
Items Computation Days Past Due
Date
Items Computation
Due
Jan-18 4 Jan-18 4
0419-M 0450-M
03/20/201 1, 9, 2, 4 Feb-18 28 04/05/201 1, 2, 4, 8, 9 Feb-18 28
8 8
Mar-18 19 Mar-18 31
Apr-18 Apr-18 4
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 51 Total 67
Jan-18 4 Jan-18 4
0513-M 0491-M
04/30/201 7, 8 Feb-18 28 04/24/201 3, 6 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 29 Apr-18 23
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 92 Total 86
Jan-18 4 Jan-18 4
0532-M 0686-M
05/22/201 3, 6 Feb-18 28 07/02/201 5, 7 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 21 May-18 31
Jun-18 Jun-18 30
Jul-18 Jul-18 1
Total 114 Total 155
Jan-18 4
0656-M
06/28/201 5 Feb-18 28
8
Mar-18 31
Apr-18 30
May-18 31
Jun-18 27
Jul-18
Total 151
3. HERMOSA NHS 4. JUSTICE EMILIO GANCAYCO MHS
Days Past Days Past

Due Due
Qty per IAR LD Factor LD Amount Qty per IAR LD Factor LD Amount
51 5 0.001 20.53 68 5 0.001 27.37
54 5 0.001 4,576.50 68 5 0.001 5,763.00
54 5 0.001 3,429.00 120 5 0.001 7,620.00
51 5 0.001 612.00 68 5 0.001 816.00
155 5 0.001 1,646.88 156 5 0.001 1,657.50
51 5 0.001 6,489.75 120 5 0.001 ###
68 5 0.001 4,318.00 92 5 0.001 5,842.00
54 5 0.001 619.58 68 5 0.001 780.22
51 5 0.001 281.78 68 5 0.001 375.70
### ###
DR No. & Days Past DR No. & Days Past

Date
Items Computation
Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0417-M 0457-M
03/20/201 1,9,6,4 Feb-18 28 04/06/201 1, 2, 4, 8, 9 Feb-18 28
8 8
Mar-18 19 Mar-18 31
Apr-18 Apr-18 5
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 51 Total 68
Jan-18 4 Jan-18 4
0428-M 0511-M
03/23/201 2, 3, 8 Feb-18 28 04/30/201 7 Feb-18 28
8 8
Mar-18 22 Mar-18 31
Apr-18 Apr-18 29
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 54 Total 92
Jan-18 4 Jan-18 4
0462-M 0540-M
04/06/201 7 Feb-18 28 05/28/201 3, 6 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 5 Apr-18 30
May-18 May-18 27
Jun-18 Jun-18
Jul-18 Jul-18
Total 68 Total 120
Jan-18 4 Jan-18 4
0680-M 0741-M
07/02/201 5 Feb-18 28 07/03/201 5 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 30 Jun-18 30
Jul-18 1 Jul-18 2
Total 155 Total 156
5. LAMAO NHS 6. LIMAY NHS
Days Past Days Past

Due Due
73 5 0.001 29.38 73 5 0.001 29.38
73 5 0.001 6,186.75 73 5 0.001 6,186.75
87 5 0.001 5,524.50 123 5 0.001 7,810.50
73 5 0.001 876.00 73 5 0.001 876.00
177 5 0.001 1,880.63 177 5 0.001 1,880.63
87 5 0.001 ### 123 5 0.001 ###
92 5 0.001 5,842.00 122 5 0.001 7,747.00
73 5 0.001 837.58 73 5 0.001 837.58
73 5 0.001 403.33 73 5 0.001 403.33
### ###

Date
Items Computation
Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0473-M 0471-M
04/11/201 1, 2, 4, 8, 9 Feb-18 28 04/11/201 1, 2, 4, 8, 9 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 10 Apr-18 10
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 73 Total 73
Jan-18 4 Jan-18 4
0493-M 0546-M
04/25/201 3, 6 Feb-18 28 05/30/201 7 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 24 Apr-18 30
May-18 May-18 29
Jun-18 Jun-18
Jul-18 Jul-18
Total 87 Total 122
Jan-18 4 Jan-18 4
0508-M 0549-M
04/30/201 7 Feb-18 28 05/31/201 3 ,6 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 29 Apr-18 30
May-18 May-18 30
Jun-18 Jun-18
Jul-18 Jul-18
Total 92 Total 123
Jan-18 4 Jan-18 4
0738-M 0736-M
07/24/201 5 Feb-18 28 07/24/201 5 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 30 Jun-18 30
Jul-18 23 Jul-18 23
Total 177 Total 177
7. LUAKAN NHS 8. MARIVELES NHS
Days Past Days Past

Due Due
54 5 0.001 21.74 75 5 0.001 30.19
54 5 0.001 4,576.50 75 5 0.001 6,356.25
67 5 0.001 4,254.50 124 5 0.001 7,874.00
54 5 0.001 648.00 75 5 0.001 900.00
155 5 0.001 1,646.88 177 5 0.001 1,880.63
67 5 0.001 8,525.75 124 5 0.001 ###
68 5 0.001 4,318.00 121 5 0.001 7,683.50
54 5 0.001 619.58 75 5 0.001 860.53
54 5 0.001 298.35 75 5 0.001 414.38
### ###

Date
Items Computation
Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0426-M 0478-M
03/23/201 1, 2, 4, 8, 9, Feb-18 28 04/13/201 1, 2, 4, 8, 9 Feb-18 28
8 8
Mar-18 22 Mar-18 31
Apr-18 Apr-18 12
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 54 Total 75
Jan-18 4 Jan-18 4
0444-M 0419-M
04/04/201 3, 6 Feb-18 28 06/01/201 3, 6 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 4 Apr-18 30
May-18 May-18 31
Jun-18 Jun-18
Jul-18 Jul-18
Total 67 Total 124
Jan-18 4 Jan-18 4
0461-M 0733-M
04/06/201 7 Feb-18 28 07/24/201 5 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 5 Apr-18 30
May-18 May-18 31
Jun-18 Jun-18 30
Jul-18 Jul-18 23
Total 68 Total 177
Jan-18 4 Jan-18 4
0683-M 0541-M
07/02/201 5 Feb-18 28 05/29/201 7 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 28
Jun-18 30 Jun-18
Jul-18 1 Jul-18
Total 155 Total 121
9. MORONG NHS 10. ORANI NHS
Days Past Days Past

Due Due
127 5 0.001 51.12 68 5 0.001 27.37
73 5 0.001 6,186.75 67 5 0.001 5,678.25
127 5 0.001 8,064.50 116 5 0.001 7,366.00
73 5 0.001 876.00 68 5 0.001 816.00
177 5 0.001 1,880.63 155 5 0.001 1,646.88
127 5 0.001 ### 116 5 0.001 ###
121 5 0.001 7,683.50 68 5 0.001 4,318.00
73 5 0.001 837.58 68 5 0.001 780.22
73 5 0.001 403.33 68 5 0.001 375.70
### ###

Date
Items Computation
Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0475-M 0458-M
04/11/201 2, 4, 8, 9 Feb-18 28 04/06/201 1, 4, 7, 8, 9, Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 10 Apr-18 5
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 73 Total 68
Jan-18 4 Jan-18 4
0543-M 0452-M
05/29/201 7 Feb-18 28 04/05/201 2 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 4
May-18 28 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 121 Total 67
Jan-18 4 Jan-18 4
0553-M 0533-M
06/04/201 1, 3, 6 Feb-18 28 05/24/201 3, 6 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 23
Jun-18 3 Jun-18
Jul-18 Jul-18
Total 127 Total 116
Jan-18 4 Jan-18 4
0731-M 0682-M
07/24/201 5 Feb-18 28 07/02/201 5 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 30 Jun-18 30
Jul-18 23 Jul-18 1
Total 177 Total 155
11. PABLO ROMAN NHS 12. SAMAL NHS
Days Past
Days Past Due
Due
72 5 0.001 28.98 67 5 0.001 26.97
72 5 0.001 6,102.00 67 5 0.001 5,678.25
124 5 0.001 7,874.00 117 5 0.001 7,429.50
72 5 0.001 864.00 67 5 0.001 804.00
155 5 0.001 1,646.88 177 5 0.001 1,880.63
124 5 0.001 ### 117 5 0.001 ###
72 5 0.001 4,572.00 72 5 0.001 4,572.00
72 5 0.001 826.11 67 5 0.001 768.74
72 5 0.001 397.80 67 5 0.001 370.18
### ###
Days Past DR No. & Days Past

DR No. & Date Items Computation
Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0454-M
0468-M 04/10/2018 1, 2, 4, 7, 8, 9 Feb-18 28 04/05/201 1, 2, 4, 8, 9 Feb-18 28
8
Mar-18 31 Mar-18 31
Apr-18 9 Apr-18 4
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 72 Total 67
Jan-18 4 Jan-18 4
0470-M
0550-M 06/01/2018 3, 6 Feb-18 28 04/10/201 7 Feb-18 28
8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 9
May-18 31 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 124 Total 72
Jan-18 4 Jan-18 4
0537-M
0688-M 07/02/2018 5 Feb-18 28 05/25/201 3, 6 Feb-18 28
8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 24
Jun-18 30 Jun-18
Jul-18 1 Jul-18
Total 155 Total 117
Jan-18 4 Jan-18 4
0735-M
0419-M 03/20/2018 1,9,2,4 Feb-18 28 07/24/201 5 Feb-18 28
8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 30 Jun-18 30
Jul-18 31 Jul-18 23
Total 185 Total 177
13. ASSEMBLYWOMAN FELICITA BERNARDINO MTS 14. BALAGTAS NAHS
Days Past Days Past

Due Due
24 5 0.001 9.66 24 5 0.001 9.66
24 5 0.001 2,034.00 24 5 0.001 2,034.00
30 5 0.001 1,905.00 31 5 0.001 1,968.50
29 5 0.001 348.00 29 5 0.001 348.00
141 5 0.001 1,498.13 133 5 0.001 1,413.13
30 5 0.001 3,817.50 31 5 0.001 3,944.75
66 5 0.001 4,191.00 66 5 0.001 4,191.00
65 5 0.001 745.79 66 5 0.001 757.27
24 5 0.001 132.60 24 5 0.001 132.60
### 14,798.90

Date
Items Computation
Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0393-M 0391-M
02/26/201 4 Feb-18 25 02/26/201 4 Feb-18 25
8 8
Mar-18 Mar-18
Apr-18 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 29 Total 29
Jan-18 4 Jan-18 4
0394-M 0395-M
02/27/201 3, 6 Feb-18 26 02/28/201 3, 6 Feb-18 27
8 8
Mar-18 Mar-18
Apr-18 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 30 Total 31
Jan-18 4 Jan-18 4
0440-M 0448-M
04/03/201 8 Feb-18 28 04/04/201 7, 8 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 2 Apr-18 3
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 65 Total 66
Jan-18 4 Jan-18 4
0446-M 0674-M
04/04/201 7 Feb-18 28 06/10/201 5 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 3 Apr-18 30
May-18 May-18 31
Jun-18 Jun-18 9
Jul-18 Jul-18
Total 66 Total 133
Jan-18 4 Jan-18 4
0577-M 0378-M
06/18/201 5 Feb-18 28 02/21/201 1, 2, 9 Feb-18 20
8 8
Mar-18 31 Mar-18
Apr-18 30 Apr-18
May-18 31 May-18
Jun-18 17 Jun-18
Jul-18 Jul-18
Total 141 Total 24
Jan-18 4
0377-M
02/21/201 1, 2, 9 Feb-18 20
8
Mar-18
Apr-18
May-18
Jun-18
Jul-18
Total 24
15. GUIGUINTO NVHS 16. ILUMINADA ROXAS MENDOZA MHS
Days Past
Days Past Due
Due
25 5 0.001 10.06 24 5 0.001 9.66
25 5 0.001 2,118.75 24 5 0.001 2,034.00
37 5 0.001 2,349.50 33 5 0.001 2,095.50
29 5 0.001 348.00 33 5 0.001 396.00
141 5 0.001 1,498.13 141 5 0.001 1,498.13
37 5 0.001 4,708.25 33 5 0.001 4,199.25
72 5 0.001 4,572.00 87 5 0.001 5,524.50
72 5 0.001 826.11 65 5 0.001 745.79
25 5 0.001 138.13 24 5 0.001 132.60
### ###

Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0379-M
0392-M
4 Feb-18 25 02/21/201 1, 2, 9 Feb-18 20
02/26/2018
8
Mar-18 Mar-18
Apr-18 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 29 Total 24
Jan-18 4 Jan-18 4
0401-M
0403-M
3, 6 Feb-18 28 03/02/201 4, 3, 6 Feb-18 28
03/06/2018
8
Mar-18 5 Mar-18 1
Apr-18 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 37 Total 33
Jan-18 4 Jan-18 4
0443-M
0464-M
7, 8 Feb-18 28 04/03/201 8 Feb-18 28
04/10/2018
8
Mar-18 31 Mar-18 31
Apr-18 9 Apr-18 2
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 72 Total 65
Jan-18 4 Jan-18 4
0495-M
0571-M
5 Feb-18 28 04/25/201 7 Feb-18 28
06/18/2018
8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 24
May-18 31 May-18
Jun-18 17 Jun-18
Jul-18 Jul-18
Total 141 Total 87
Jan-18 4 Jan-18 4
0573-M
0381-M
1, 2, 9 Feb-18 21 06/18/201 5 Feb-18 28
02/22/2018
8
Mar-18 Mar-18 31
Apr-18 Apr-18 30
May-18 May-18 31
Jun-18 Jun-18 17
Jul-18 Jul-18
Total 25 Total 141
17. SAN RAFAEL NTS 18. MALOLOS MARINE FISHERY SAL
Days Past Days Past

Due Due
25 5 0.001 10.06 25 5 0.001 10.06
25 5 0.001 2,118.75 25 5 0.001 2,118.75
44 5 0.001 2,794.00 38 5 0.001 2,413.00
32 5 0.001 384.00 32 5 0.001 384.00
141 5 0.001 1,498.13 143 5 0.001 1,519.38
44 5 0.001 5,599.00 38 5 0.001 4,835.50
88 5 0.001 5,588.00 72 5 0.001 4,572.00
88 5 0.001 1,009.69 72 5 0.001 826.11
25 5 0.001 138.13 25 5 0.001 138.13
### ###

Date
Items Computation
Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0383-M 0384-M
02/22/201 1, 2, 9 Feb-18 21 02/22/201 1, 2, 9 Feb-18 21
8 8
Mar-18 Mar-18
Apr-18 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 25 Total 25
Jan-18 4 Jan-18 4
0397-M 0398-M
03/01/201 4 Feb-18 28 03/01/201 4 Feb-18 28
8 8
Mar-18 Mar-18
Apr-18 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 32 Total 32
Jan-18 4 Jan-18 4
0407-M 0404-M
03/13/201 3, 6 Feb-18 28 03/07/201 3, 6 Feb-18 28
8 8
Mar-18 12 Mar-18 6
Apr-18 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 44 Total 38
Jan-18 4 Jan-18 4
0501-M 0466-M
04/26/201 7, 8 Feb-18 28 04/10/201 7, 8 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 25 Apr-18 9
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 88 Total 72
Jan-18 4 Jan-18 4
0580-M 0638-M
06/18/201 5 Feb-18 28 06/20/201 5 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 17 Jun-18 19
Jul-18 Jul-18
Total 141 Total 143
19. SAN JUAN HS 20. SAN SIMON HS
Days Past Days Past

Due Due
29 5 0.001 11.67 32 5 0.001 12.88
29 5 0.001 2,457.75 32 5 0.001 2,712.00
50 5 0.001 3,175.00 45 5 0.001 2,857.50
29 5 0.001 348.00 32 5 0.001 384.00
152 5 0.001 1,615.00 152 5 0.001 1,615.00
50 5 0.001 6,362.50 45 5 0.001 5,726.25
89 5 0.001 5,651.50 89 5 0.001 5,651.50
64 5 0.001 734.32 64 5 0.001 734.32
29 5 0.001 160.23 32 5 0.001 176.80
### ###

Date
Items Computation
Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0386-M 0399-M
02/26/201 1,9,2,4 Feb-18 25 03/01/201 1,9,2,4 Feb-18 28
8 8
Mar-18 Mar-18
Apr-18 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 29 Total 32
Jan-18 4 Jan-18 4
0415-M 0410-M
03/19/201 3, 6 Feb-18 28 03/14/201 3, 6 Feb-18 28
8 8
Mar-18 18 Mar-18 13
Apr-18 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 50 Total 45
Jan-18 4 Jan-18 4
0436-M
04/02/201 8 Feb-18 28 8 Feb-18 28
8
Mar-18 31 0435-M Mar-18 31

04/02/201
Apr-18 1 Apr-18 1
8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 64 Total 64
Jan-18 4 Jan-18 4
0506-M
04/27/201 7 Feb-18 28 7 Feb-18 28
8
Mar-18 31 0503-M Mar-18 31

04/27/201
Apr-18 26 Apr-18 26
8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 89 Total 89
Jan-18 4 Jan-18 4
0660-M 0666-M
06/29/201 5 Feb-18 28 06/29/201 5 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 28 Jun-18 28
Jul-18 Jul-18
Total 152 Total 152
21. SAN VICENTE PILOT SFPC 22. STO TOMAS NHS
Days Past Days Past

Due Due
113 5 0.001 45.48 32 5 0.001 12.88
152 5 0.001 ### 32 5 0.001 2,712.00
113 5 0.001 7,175.50 42 5 0.001 2,667.00
113 5 0.001 1,356.00 32 5 0.001 384.00
152 5 0.001 1,615.00 152 5 0.001 1,615.00
113 5 0.001 ### 42 5 0.001 5,344.50
152 5 0.001 9,652.00 89 5 0.001 5,651.50
113 5 0.001 1,296.53 42 5 0.001 481.90
113 5 0.001 624.33 32 5 0.001 176.80
### ###

Date
Items Computation
Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0419-M 0400-M
05/21/201 1, 3, 4, 6, 8, 9 Feb-18 28 03/01/201 1,9,2,4 Feb-18 28
8 8
Mar-18 31 Mar-18
Apr-18 30 Apr-18
May-18 20 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 113 Total 32
Jan-18 4 Jan-18 4
0667-M 0423-M
06/29/201 2, 5, 7 Feb-18 28 03/11/201 3, 6, 8 Feb-18 28
8 8
Mar-18 31 Mar-18 10
Apr-18 30 Apr-18
May-18 31 May-18
Jun-18 28 Jun-18
Jul-18 Jul-18
Total 152 Total 42
Jan-18 4
0505-M
04/27/201 7 Feb-18 28
8
Mar-18 31
Apr-18 26
May-18
Jun-18
Jul-18
Total 89
Jan-18 4
0662-M
06/29/201 5 Feb-18 28
8
Mar-18 31
Apr-18 30
May-18 31
Jun-18 28
Jul-18
Total 152
23. PANIPUAN HS 24. SAN JOSE DEL MONTE NTS
Days Past Days Past

Due Due
52 5 0.001 20.93 36 5 0.001 14.49
52 5 0.001 4,407.00 36 5 0.001 3,051.00
64 5 0.001 4,064.00 53 5 0.001 3,365.50
52 5 0.001 624.00 36 5 0.001 432.00
152 5 0.001 1,615.00 142 5 0.001 1,508.75
64 5 0.001 8,144.00 53 5 0.001 6,744.25
92 5 0.001 5,842.00 88 5 0.001 5,588.00
52 5 0.001 596.64 53 5 0.001 608.11
52 5 0.001 287.30 36 5 0.001 198.90
### ###

Date
Items Computation
Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0422-M 0420-M
03/21/201 1, 9, 2, 4, 8 Feb-18 28 03/05/201 1,9,2,4 Feb-18 28
8 8
Mar-18 20 Mar-18 4
Apr-18 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 52 Total 36
Jan-18 4 Jan-18 4
0438-M 0424-M
04/02/201 3, 6 Feb-18 28 03/22/201 3, 6, 8 Feb-18 28
8 8
Mar-18 31 Mar-18 21
Apr-18 1 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 64 Total 53
Jan-18 4 Jan-18 4
0661-M 0497-M
06/29/201 5 Feb-18 28 04/26/201 7 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 25
May-18 31 May-18
Jun-18 28 Jun-18
Jul-18 Jul-18
Total 152 Total 88
Jan-18 4 Jan-18 4
0515-M 0584-M
04/30/201 7 Feb-18 28 06/19/201 5 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 29 Apr-18 30
May-18 May-18 31
Jun-18 Jun-18 18
Jul-18 Jul-18
Total 92 Total 142
25. BOTOLAN NHS 26. SAN GUILLERMO NHS
Days Past Days Past

Due Due
129 5 0.001 51.92 129 5 0.001 51.92
163 5 0.001 ### 162 5 0.001 ###
163 5 0.001 ### 162 5 0.001 ###
129 5 0.001 1,548.00 129 5 0.001 1,548.00
177 5 0.001 1,880.63 177 5 0.001 1,880.63
163 5 0.001 ### 162 5 0.001 ###
163 5 0.001 ### 162 5 0.001 ###
129 5 0.001 1,480.11 129 5 0.001 1,480.11
129 5 0.001 712.73 129 5 0.001 712.73
### ###

Date
Items Computation
Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0562-M 0564-M
06/06/201 1, 4, 8, 9 Feb-18 28 06/06/201 1, 4, 8, 9 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 5 Jun-18 5
Jul-18 Jul-18
Total 129 Total 129
Jan-18 4 Jan-18 4
06995-M 06992-M
07/10/201 2, 3, 6, 7 Feb-18 28 07/09/201 2, 3, 6, 7 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 30 Jun-18 30
Jul-18 9 Jul-18 8
Total 163 Total 162
Jan-18 4 Jan-18 4
0728-M 0723-M
07/24/201 5 Feb-18 28 07/24/201 5 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 30 Jun-18 30
Jul-18 23 Jul-18 23
Total 177 Total 177
27. STA. CRUZ NHS 28. A. SIAMPAO EDUCATIONAL AND TS
Days Past Days Past

Due Due
129 5 0.001 51.92 47 5 0.001 18.92
163 5 0.001 ### 47 5 0.001 3,983.25
163 5 0.001 ### 58 5 0.001 3,683.00
129 5 0.001 1,548.00 47 5 0.001 564.00
177 5 0.001 1,880.63 152 5 0.001 1,615.00
163 5 0.001 ### 58 5 0.001 7,380.50
163 5 0.001 ### 92 5 0.001 5,842.00
129 5 0.001 1,480.11 58 5 0.001 665.48
129 5 0.001 712.73 47 5 0.001 259.68
### ###

Date
Items Computation
Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0561-M 0414-M
06/06/201 1, 4, 8, 9 Feb-18 28 03/16/201 1,9,2,4 Feb-18 28
8 8
Mar-18 31 Mar-18 15
Apr-18 30 Apr-18
May-18 31 May-18
Jun-18 5 Jun-18
Jul-18 Jul-18
Total 129 Total 47
Jan-18 4 Jan-18 4
06994-M 0432-M
07/10/201 2, 3, 6, 7 Feb-18 28 03/27/201 3, 6, 8 Feb-18 28
8 8
Mar-18 31 Mar-18 26
Apr-18 30 Apr-18
May-18 31 May-18
Jun-18 30 Jun-18
Jul-18 9 Jul-18
Total 163 Total 58
Jan-18 4 Jan-18 4
0723-M 0516-M
07/24/201 5 Feb-18 28 04/30/201 7 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 29
May-18 31 May-18
Jun-18 30 Jun-18
Jul-18 23 Jul-18
Total 177 Total 92
Jan-18 4
0654-M
06/29/201 5 Feb-18 28
8
Mar-18 31
Apr-18 30
May-18 31
Jun-18 28
Jul-18
Total 152
Prepared by:
Welly Yumul
Accountant I
29. SAN RAFAEL TECHNICAL VHS
Days Past
Due
Qty per IAR LD Factor LD Amount TOTAL LD
129 5 0.001 51.92 744.63
162 5 0.001 ### 167,042.25
162 5 0.001 ### 161,734.50
129 5 0.001 1,548.00 21,996.00
177 5 0.001 1,880.63 48,545.63
162 5 0.001 ### 323,724.00
162 5 0.001 ### 186,372.50
129 5 0.001 1,480.11 25,540.57
129 5 0.001 712.73 9,922.90
### 945,622.97
DR No. & Days Past

Date
Items Computation
Due
Jan-18 4
0563-M
06/06/201 1, 4, 8, 9 Feb-18 28
8
Mar-18 31
Apr-18 30
May-18 31
Jun-18 5
Jul-18
Total 129
Jan-18 4
06993-M
07/09/201 2, 3, 6, 7 Feb-18 28
8
Mar-18 31
Apr-18 30
May-18 31
Jun-18 30
Jul-18 8
Total 162
Jan-18 4
0725-M
07/24/201 5 Feb-18 28
8
Mar-18 31
Apr-18 30
May-18 31
Jun-18 30
Jul-18 23
Total 177
Certified Correct:
Angelina Manio
Accountant III
ANNEX I
2nd Payment
ITEM DESCRIPTION QUANTITY TOTAL COSTS
1 Oxy-Acetylene Goggles 345 27,772.50

2 Arc Welding Machine AC/DC and Accessories 345 5,847,750.00
3 Welding Table/Positioners 345 4,381,500.00
4 Portable Electrode Oven 345 828,000.00
5 Anvil 345 733,125.00
6 Work Bench with Bench Vises on Four Corners 345 8,780,250.00
7 Oxy-Acetylene Cutting and Cylinder Welding Outfit 345 4,381,500.00
8 Pedestal/Bench Grinding Machine 345 791,688.75
9 Industrial Fan 345 381,225.00
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO 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
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
0380-M;
DR Number 0499-M;
0650
02/22/
03/08/
06/18/
05/24
Maria
Marcelin
Received by
Salonga;
Cas
Findings
Aurelio M
RO Representative
-
RO Representative
Maria Don
Sherwin G
SHS Foca
Date Tested 5/9/2
All items
Remarks condition
Per IAR IAR 0
Date Inspected 5/9/2

Date Received 5/9/2
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 5/9/2

Date Received 5/9/2
Received by Sherwin G
Issued by
Findings
not fille
ANNEX I
2nd Payment
1. STA LU
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

report.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
1. STA LUCIA HS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
04/05/
07/02
Received by Glordan I.
Findings
RO Representative
Reynaldo
RO Representative
-
-
Date Tested 7/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/07
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 08/07

Date Received 08/07
Roylan T.
Received by
(Assist. Pr
Issued by
Findings
not fille
ANNEX I
2nd Payment
2. PAS
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
2. PASIG HS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
03/20/
03/23/
Delivery Date
04/06/
07/02
Ernan M
Fermina
Received by
(PC); Herm
Maca
Findings

Edgardo
Aurelio
RO Representative
Maria Don
Property C
Date Tested 08/07
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/07
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 08/02

Date Received 08/02
Issued by
Findings
not fille
ANNEX I
2nd Payment
3. KALAL
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
3. KALALAKE NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
04/06/
04/30/
07/03/
07/03
Kristin
Mangubat
Received by
Agustin; G
Herna
Findings
RO Representative
Reynaldo
RO Representative
-
Jhenie R.
(SHS
Date Tested 8/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/08
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/08

Date Received 08/08
Jhenie R.
Received by
(SHS
Issued by
Findings
not fille
ANNEX I
2nd Payment
4. JESUS F MAG
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
4. JESUS F MAGSAYSAY TVHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
04/11/
04/25/
07/03/
07/24/
Janet B. C
Erika Z
Received by
Caragay
Sant
Findings
RO Representative
Reynaldo
RO Representative
-
-
Date Tested 8/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/08
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/08

Date Received 08/08
June C.
Received by (Assis
Princip
Issued by
Findings
not fille
ANNEX I
2nd Payment
5. SUB
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
5. SUBIC NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
04/11/
05/30/
07/03/
07/24
Claro A. S
Rhoda P. P
Received by
II); Renato
Lexter R.
Findings
-
RO Representative
Reynaldo
RO Representative
-
-
Date Tested 8/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/08
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/08

Date Received 08/08
Jennif
Received by Domingu
Princi
Issued by
Findings
not fille
ANNEX I
2nd Payment
6. SAN MAR
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
6. SAN MARIANO NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
07/02/
03/23/
Delivery Date
04/04/
04/06
Michael L.
Mark Diw
Received by
Sarili; Gin
(Actin
Findings
RO Representative
Edgardo
Maria Don
Date Tested 7/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/07
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/07

Date Received 08/07
Issued by
Findings
not fille
ANNEX I
2nd Payment
7. SAN AN
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
7. SAN ANTON NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number 0380
Delivery Date
Sallyver B
Received by (ADAS II)
Locso
Findings
RO Representative
Reynaldo
RO Representative
-
-
Date Tested 8/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/08
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/08

Date Received 08/08
Ludivina S
Received by
(Princi
Issued by
Findings
not fille
ANNEX I
2nd Payment
8. NUEVA
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
8. NUEVA ECIJA NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Timi T. La
Received by Nieva D.
Robelita P
Findings
RO Representative
Reynaldo
RO Representative
-
-
Date Tested 9/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/09
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/09

Date Received 08/09
Norma N.
Received by
(Princi
Issued by
Findings
not fille
ANNEX I
2nd Payment
9. ZARAG
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
9. ZARAGOZA NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Ramil P. C
Received by
Arnel C
Findings
RO Representative
Aurelio
RO Representative
Ede
Ma. Conce
Reyes
Princi
Date Tested 7/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/07
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 08/07

Date Received 08/07
Ma. Conce
Received by Reyes
Princi
Issued by
Findings
not fille
ANNEX I
2nd Payment
10.STO. RO
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
10.STO. ROSARIO NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Aida M. Pa
Received by Antonio
Anto
Findings
RO Representative
Reynaldo
RO Representative
-
-
Date Tested 9/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/09
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/09

Date Received 08/09
Migwe
Received by Cayaby
Assis
Issued by
Findings
not fille
ANNEX I
2nd Payment
11. LAMB
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
11. LAMBAKIN NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Milyn B.
Received by Rustico P. E
Erish Ma
Findings
RO Representative
Reynaldo
RO Representative
-
-
Date Tested 7/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/07
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/07

Date Received 08/07
Received by Soledad
Issued by
Findings
not fille
ANNEX I
2nd Payment
12 .LINIO P BE
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
12 .LINIO P BERNARDO HS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Joanna A. C
Reden
Received by
Enriquez
Sarmie
Findings
RO Representative
Reynaldo
RO Representative
-
-
Date Tested 07/25
All tools
Remarks delivered
Per IAR IAR 0

Date Received 07/25
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 7/25/

Date Received 7/25/
R. A. Vill
Received by
(Princi
Issued by
Findings
not fille
ANNEX I
2nd Payment
13 . CAMP
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
13 . CAMP TINIO NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment
14. F
Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by Edralyn
Findings
RO Representative
Edwin T.
RO Representative
Rafael C
-
Date Tested 07/24
All tools
Remarks delivered
Per IAR IAR 0

Date Received 07/24
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 7/24/

Date Received 7/24/
Reyna
Received by Cristobal
IV
Issued by
Findings
not fille
ANNEX I
2nd Payment
14. FORT MAGSAYSAY NHS
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
14. FORT MAGSAYSAY NHS (BARANGAY MILITAR
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Noel C. de
Received by
Ma. Victor
Findings
RO Representative
Edwin T.
RO Representative
Rafael C
-
Date Tested 07/24
All tools
Remarks delivered
Per IAR IAR 0

Date Received 07/24
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 7/24/

Date Received 7/24/
Roman M
Received by
(SP
Issued by
Findings
not fille
ANNEX I
2nd Payment
15. GENERA
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
15. GENERAL LUNA NHS
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by Richie M.
Findings
RO Representative
Edwin T.
RO Representative
Rafael C
-
Date Tested 07/25
All tools
Remarks delivered
Per IAR IAR 0

Date Received 07/25
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 07/25

Date Received 07/25
Neri L.
Received by
(Princ
Issued by
Findings
not fille
ANNEX I
2nd Payment
1
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
16
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Leodora G
(Principal I
Received by
R. Matic; P
Cru
Findings
RO Representative
Edgardo
-
Leodora G
(Princi
Date Tested 07/26
All tools
Remarks delivered
Per IAR IAR 0

Date Received 07/26
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 07/26

Date Received 07/26
Leodora G
Received by
(Princi
Issued by
Findings
not fille
ANNEX I
2nd Payment
1
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
17
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Exmun
Fortaleza;
Received by Roque; M
Salonga;
Dela
Findings
Rafael C
RO Representative
Edwin T.
RO Representative
-
-
Date Tested 07/25
All tools
Remarks delivered
Per IAR IAR 0

Date Received 07/25
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 07/25

Date Received 07/25
Exmundo
Received by
(SA
Issued by
Findings
not fille
ANNEX I
2nd Payment
1
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

all responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
18
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 1
Total 26,152,811.25
DR Number
Delivery Date
Armando
Allen S. M
Received by Eduardo L
Ericson L.
(OI
Findings
Iluminado
RO Representative
Aurelio M
RO Representative
Ede
Ericson L.
(OI
Date Tested 07/13
All tools
Remarks delivered
Per IAR IAR 0

Date Received 07/13
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 07/13

Date Received 07/13
Ericson L.
Received by
(OI
Issued by
Findings
not fille
ANNEX I
2nd Payment
1
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

all responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
19
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 1
Total 26,152,811.25
DR Number
Delivery Date
Bea B. E
Received by
Gerio A. D
Findings
Rafael C
RO Representative
Edwin T.
RO Representative
-
-
Date Tested 2/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/02
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/02

Date Received 08/02
Fe Q. B
Received by
(Princi
Issued by
Findings
not fille
ANNEX I
2nd Payment
2
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

all responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
20
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by I. M. Man
Findings
Iluminado
RO Representative
Aurelio M
RO Representative
Dolores
(School
Date Tested 07/13
All items
Remarks
inspected
Per IAR IAR 0

Date Received 07/13
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 7/13/

Date Received 7/13/
Dolores
Received by
(Princi
Issued by
Findings
not fille
ANNEX I
2nd Payment
2
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested
All items that have been delive

Remarks
inspected and tested were all re
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
21
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Julito B. T
Received by
Edna C
Findings
Jose E.
RO Representative
Reynaldo
RO Representative
Lenie
Marita M. F
OI
Date Tested 07/26
All items
condition
Remarks
report. R
Oxy-Ace
Per IAR IAR 0

Date Received 07/26
Inspected by Jose E.
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 7/26/

Date Received 7/26/
Issued by
Findings
not fille
ANNEX I
2nd Payment
2
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

condition, marked as responsiv
Remarks
report. Remarks portion indica
Oxy-Acetylene hose for replac
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
22
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Rolan
Fernandez
Received by
Roncal; C
Cab
Findings
Iluminado
RO Representative
-
RO Representative
Daniel A
Property C
Date Tested 7/11/
All items
Remarks condition
Per IAR IAR 0

Date Received 7/11/
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 7/11/

Date Received 7/11/
Issued by
Findings
not fille
ANNEX I
2nd Payment
2
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

report.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
23
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 1
Total 26,152,811.25
DR Number
Delivery Date
Elvira E.
Joanna M
Received by
Servas; M
De
Findings
Rafael C
RO Representative
Edwin T.
RO Representative
-
-
Date Tested 07/26
All items
Remarks condition
Per IAR IAR 0

Date Received 07/26
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 7/26/

Date Received 7/26/
Elvira E.
Received by
(ADA
Issued by
Findings
not fille
ANNEX I
2nd Payment
2
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

report.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
24
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Bea B. E
Received by
Gerio A. D
Findings
Edgardo
RO Representative
Aurelio
RO Representative
Maria Don
Katherine
(P
Date Tested 8/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/08
Received by Felisa
Findings
Per PTR PTR 0
Date Approved 08/08

Date Received 08/08
Issued by
Findings
not fille
ANNEX I
2nd Payment
2
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
25
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Tessie Cu
Received by
Edwin P.
Findings
Edgardo
RO Representative
Aurelio
RO Representative
Maria Don
Property C
(PC); Sch
Date Tested 08/08
All items
Remarks Name of s
Per IAR IAR 0

Date Received 08/08
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 08/08

Date Received 08/08
Issued by
Findings
not fille
ANNEX I
2nd Payment
2
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested
All items are in good working c

Remarks Name of school head indicated
no signature.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
26
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Gener M
Received by
(PC); Trisia
Findings
Edgardo
RO Representative
Edwin T.
RO Representative
-
-
Date Tested 8/8/2
All tools
Remarks delivered
Per IAR IAR 0

Date Received 08/08
Received by Felisa
Findings -
Per PTR PTR 0
Date Approved 08/08

Date Received 08/08
Issued by
Findings
not fille
ANNEX I
2nd Payment
2
Qty pe
Anvil 345 733,125.00 2,125.00 5
Industrial Fan 345 381,225.00 1,105.00 5
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
RO Representative
Date Tested

responsive.
Per IAR
Date Inspected
Date Received
Inspected by
Received by
Findings
Per PTR
Date Approved
Date Received
Approved by
Received by
Findings
ANNEX I
2nd Payment
27
Amo
Anvil 345 733,125.00 2,125.00 1
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 37
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

Qty p
Oxy-Acetylene Goggles 345 27,772.50 80.50 #R
Arc Welding Machine AC/DC and Accessories 345 5,847,750.00 16,950.00 #R
Welding Table/Positioners 345 4,381,500.00 12,700.00 #R
Portable Electrode Oven 345 828,000.00 2,400.00 #R
Anvil 345 733,125.00 2,125.00 #R
Work Bench with Bench Vises on Four Corners 345 8,780,250.00 25,450.00 #R
Oxy-Acetylene Cutting and Cylinder Welding Outfit 345 4,381,500.00 12,700.00 #R
Pedestal/Bench Grinding Machine 345 791,688.75 2,294.75 #R
Industrial Fan 345 381,225.00 1,105.00 #R
Total 26,152,811.25
DR Number
Delivery Date Prepare
Received by
Findings
RO Representative
ANNEX I
2nd Payment
TOTAL (27
Qty pe
Anvil 345 733,125.00 2,125.00 #R
Industrial Fan 345 381,225.00 1,105.00 #R
Total 26,152,811.25
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment
TOTAL (27 Schools)
Amo
Anvil 345 733,125.00 2,125.00 #R
Industrial Fan 345 381,225.00 1,105.00 #R
Total 26,152,811.25
DR Number
Delivery Date Certified
Received by
Findings
RO Representative
ANNEX I
2nd Payment
Difference
Total Co
Oxy-Acetylene Goggles 345 27,772.50 80.50 #REF

Arc Welding Machine AC/DC and Accessories 345 5,847,750.00 16,950.00 #REF
Welding Table/Positioners 345 4,381,500.00 12,700.00 #REF
Portable Electrode Oven 345 828,000.00 2,400.00 #REF
Anvil 345 733,125.00 2,125.00 #REF
Work Bench with Bench Vises on Four Corners 345 8,780,250.00 25,450.00 #REF
Oxy-Acetylene Cutting and Cylinder Welding Outfit 345 4,381,500.00 12,700.00 #REF
Pedestal/Bench Grinding Machine 345 791,688.75 2,294.75 #REF
Industrial Fan 345 381,225.00 1,105.00 #REF
Total 26,152,811.25 #REF
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment

% Cost to
Anvil 345 733,125.00 2,125.00
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 #R
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX I
2nd Payment
DESCRIPTION QUANTITY TOTAL COSTS UNIT COSTS Remaining

% CP
Anvil 345 733,125.00 2,125.00
Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25 #REF
DR Number
Delivery Date
Received by
Findings
RO Representative
ANNEX II
2nd Payment
ITEM DESCRIPTION QUANTITY TOTAL COSTS UNIT COSTS
1 Oxy-Acetylene Goggles 345 27,772.50 80.50

2 Arc Welding Machine AC/DC and Accessories 345 5,847,750.00 ###
3 Welding Table/Positioners 345 4,381,500.00 ###
4 Portable Electrode Oven 345 828,000.00 2,400.00
5 Anvil 345 733,125.00 2,125.00
6 Work Bench with Bench Vises on Four Corners 345 8,780,250.00 ###
7 Oxy-Acetylene Cutting and Cylinder Welding Outfit 345 4,381,500.00 ###
8 Pedestal/Bench Grinding Machine 345 791,688.75 2,294.75
9 Industrial Fan 345 381,225.00 1,105.00
Total 26,152,811.25
Notice to Proceed: 7/28/2017
8/28/2017
Receipt of Notice:
Effective date of Contract: 8/31/2017
( Contract effectivity 3 days from receipt of notice)

within 90 calendar days
Execution of Contract:
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
Day 1 for liquidation damages computation 28-Jan-2018

1. STA LUCIA 2. PASIG HS
Days Past Days Past

Due Due
LD Factor Qty per IAR LD Amount Qty per IAR LD Factor LD Amount
25 0.001 5 10.06 67 5 0.001 26.97
25 0.001 5 2,118.75 67 5 0.001 5,678.25
39 0.001 5 2,476.50 57 5 0.001 3,619.50
= 0.001 5 #VALUE! 67 5 0.001 804.00
141 0.001 5 1,498.13 117 5 0.001 1,243.13
39 0.001 5 4,962.75 57 5 0.001 7,253.25
88 0.001 5 5,588.00 117 5 0.001 7,429.50
88 0.001 5 1,009.69 57 5 0.001 654.00
25 0.001 5 138.13 67 5 0.001 370.18
#VALUE! ###
DR No. & DR No. & Days Past

Date
Items Computation Days Past Due
Date
Items Computation
Due
Jan-18 4 Jan-18 4
0380-M 0411-M
02/22/201 1, 2, 9 Feb-18 21 03/15/201 1, 2, 4, 9 Feb-18 28
8 8
Mar-18 Mar-18 31
Apr-18 Apr-18 4
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 25 Total 67
Jan-18 4 Jan-18 4
0405-M 0431-M
03/08/201 3, 6 Feb-18 28 03/26/201 3, 6, 8 Feb-18 28
8 8
Mar-18 7 Mar-18 25
Apr-18 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 39 Total 57
Jan-18 4 Jan-18 4
0499-M 0664-M
04/26/201 7 ,8 Feb-18 28 05/25/201 5, 7 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 25 Apr-18 30
May-18 May-18 24
Jun-18 Jun-18
Jul-18 Jul-18
Total 88 Total 117
Jan-18 4
0582-M
06/18/201 5 Feb-18 28
8
Mar-18 31
Apr-18 30
May-18 31
Jun-18 17
Jul-18
Total 141
3. KALALAKE NHS 4. JESUS F. MAGSAYSAY TVHS
Days Past Days Past

Due Due
113 5 0.001 45.48 113 5 0.001 45.48
118 5 0.001 ### 117 5 0.001 9,915.75
113 5 0.001 7,175.50 113 5 0.001 7,175.50
113 5 0.001 1,356.00 113 5 0.001 1,356.00
122 5 0.001 1,296.25 122 5 0.001 1,296.25
113 5 0.001 ### 113 5 0.001 ###
118 5 0.001 7,493.00 117 5 0.001 7,429.50
113 5 0.001 1,296.53 113 5 0.001 1,296.53
113 5 0.001 624.33 113 5 0.001 624.33
### ###

Date
Items Computation
Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0559-M 0570-M
05/21/201 1, 3, 4, 6, 8, 9 Feb-18 28 05/21/201 1, 3, 4, 6, 8, 9 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 20 May-18 20
Jun-18 Jun-18
Jul-18 Jul-18
Total 113 Total 113
Jan-18 4 Jan-18 4
0666-M 0663-M
05/26/201 2, 7 Feb-18 28 05/25/201 2, 7 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 25 May-18 24
Jun-18 Jun-18
Jul-18 Jul-18
Total 118 Total 117
Jan-18 4 Jan-18 4
0717-M 0720-M
05/30/201 5 Feb-18 28 05/30/201 5 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 29 May-18 29
Jun-18 Jun-18
Jul-18 Jul-18
Total 122 Total 122
5. SUBIC NHS
Days Past Days Past

Due Due
113 5 0.001 45.48 113 5 0.001 45.48
117 5 0.001 9,915.75 124 5 0.001 ###
113 5 0.001 7,175.50 128 5 0.001 8,128.00
113 5 0.001 1,356.00 113 5 0.001 1,356.00
122 5 0.001 1,296.25 124 5 0.001 1,317.50
113 5 0.001 ### 128 5 0.001 ###
117 5 0.001 7,429.50 113 5 0.001 7,175.50
113 5 0.001 1,296.53 113 5 0.001 1,296.53
113 5 0.001 624.33 113 5 0.001 624.33
### ###

Date
Items Computation
Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0565-M 0589-M
05/21/201 1, 3, 4, 6, 8, 9 Feb-18 28 05/21/201 1, 4, 7, 8, 9 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 20 May-18 20
Jun-18 Jun-18
Jul-18 Jul-18
Total 113 Total 113
Jan-18 4 Jan-18 4
0668-M 0742-M
05/25/201 2, 7 Feb-18 28 06/01/201 2, 5 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 24 May-18 31
Jun-18 Jun-18
Jul-18 Jul-18
Total 117 Total 124
Jan-18 4 Jan-18 4
0721-M 0787-M
05/30/201 5 Feb-18 28 06/05/201 3 ,6 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 29 May-18 31
Jun-18 Jun-18 4
Jul-18 Jul-18
Total 122 Total 128
7. SAN ANTON NHS 8. NUEVA ECIJA NHS
Days Past Days Past

Due Due
113 5 0.001 2.83 113 5 0.001 0.00
127 5 0.001 3.18 127 5 0.001 0.00
128 5 0.001 3.20 128 5 0.001 0.00
113 5 0.001 2.83 113 5 0.001 0.00
127 5 0.001 3.18 127 5 0.001 0.00
128 5 0.001 3.20 128 5 0.001 0.00
113 5 0.001 2.83 113 5 0.001 0.00
113 5 0.001 2.83 113 5 0.001 0.00
113 5 0.001 2.83 113 5 0.001 0.00
26.88 0.01

Date
Items Computation
Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0599-M 0600-M
05/21/201 1, 4, 7, 8, 9 Feb-18 28 05/21/201 1, 4, 7, 8, 9 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 20 May-18 20
Jun-18 Jun-18
Jul-18 Jul-18
Total 113 Total 113
Jan-18 4 Jan-18 4
0768-M 0771-M
06/04/201 2, 5 Feb-18 28 06/04/201 2, 5 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 3 Jun-18 3
Jul-18 Jul-18
Total 127 Total 127
Jan-18 4 Jan-18 4
0785-M 0796-M
06/05/201 3 ,6 Feb-18 28 06/05/201 3, 6 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 4 Jun-18 4
Jul-18 Jul-18
Total 128 Total 128
9. ZARAGOZA NHS 10. CABIAO NHS
Days Past Days Past

Due Due
113 5 0.001 0.00 113 5 0.001 0.00
124 5 0.001 0.00 127 5 0.001 0.00
128 5 0.001 0.00 128 5 0.001 0.00
113 5 0.001 0.00 113 5 0.001 0.00
124 5 0.001 0.00 127 5 0.001 0.00
128 5 0.001 0.00 128 5 0.001 0.00
113 5 0.001 0.00 113 5 0.001 0.00
113 5 0.001 0.00 113 5 0.001 0.00
113 5 0.001 0.00 113 5 0.001 0.00
0.01 0.01

Date
Items Computation
Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0592-M 0585-M
05/21/201 1, 4, 7, 8, 9 Feb-18 28 05/21/201 1, 4, 7, 8, 9 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 20 May-18 20
Jun-18 Jun-18
Jul-18 Jul-18
Total 113 Total 113
Jan-18 4 Jan-18 4
0744-M 0773-M
06/01/201 2, 5 Feb-18 28 06/04/201 2, 5 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 Jun-18 3
Jul-18 Jul-18
Total 124 Total 127
Jan-18 4 Jan-18 4
0794-M 0782-M
06/05/201 3 ,6 Feb-18 28 06/05/201 3, 6 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 4 Jun-18 4
Jul-18 Jul-18
Total 128 Total 128
11. STO ROSARIO NHS 12. LAMBAKIN NHS
Days Past
Days Past Due
Due
113 5 0.001 0.00 115 5 0.001 46.29
124 5 0.001 0.00 128 5 0.001 ###
129 5 0.001 0.00 128 5 0.001 8,128.00
113 5 0.001 0.00 115 5 0.001 1,380.00
124 5 0.001 0.00 128 5 0.001 1,360.00
129 5 0.001 0.00 128 5 0.001 ###
113 5 0.001 0.00 128 5 0.001 8,128.00
113 5 0.001 0.00 115 5 0.001 1,319.48
113 5 0.001 0.00 115 5 0.001 635.38
0.01 ###

Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0628-M
0595-M
1, 4, 7, 8, 9 Feb-18 28 05/23/201 1, 4, 8, 9 Feb-18 28
05/21/2018
8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 20 May-18 22
Jun-18 Jun-18
Jul-18 Jul-18
Total 113 Total 115
Jan-18 4 Jan-18 4
0749-M
2, 5 Feb-18 28 Feb-18 28
06/01/2018
Mar-18 31 0781-M; Mar-18 31

0788-M
Apr-18 30 2, 3, 5, 6, 7 Apr-18 30
06/05/201
8
May-18 31 May-18 31
Jun-18 Jun-18 4
0781-M;
0788-M
2, 3, 5, 6, 7
06/05/201
8
Jul-18 Jul-18
Total 124 Total 128
Jan-18 4
0807-M
3 ,6 Feb-18 28
06/06/2018
Mar-18 31
Apr-18 30
May-18 31
Jun-18 5
Jul-18
Total 129
13. LINIO BERNARDO NHS 14. CAMP TINIO NHS
Days Past Days Past

Due Due
115 5 0.001 2.88 113 5 0.001 0.00
128 5 0.001 3.20 128 5 0.001 0.00
129 5 0.001 3.23 128 5 0.001 0.00
115 5 0.001 2.88 113 5 0.001 0.00
128 5 0.001 3.20 128 5 0.001 0.00
129 5 0.001 3.23 128 5 0.001 0.00
128 5 0.001 3.20 128 5 0.001 0.00
115 5 0.001 2.88 113 5 0.001 0.00
115 5 0.001 2.88 113 5 0.001 0.00
27.55 0.01

Date
Items Computation
Due Date
Items Computation
Due
Jan-18 4 Jan-18 4
0630-M 0611-M
05/23/201 1, 4, 8, 9 Feb-18 28 05/21/201 1, 4, 8, 9 Feb-18 28
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 22 May-18 20
Jun-18 Jun-18
Jul-18 Jul-18
Total 115 Total 113
Jan-18 4 Jan-18 4
Feb-18 28 Feb-18 28
Mar-18 31 0784-M; Mar-18 31

0783-M
0791-M
06/05/201 2, 5, 7 Apr-18 30 2, 3, 5, 6, 7 Apr-18 30
06/05/201
8
8
May-18 31 May-18 31
Jun-18 4 Jun-18 4
0784-M;
0783-M
0791-M
06/05/201 2, 5, 7 2, 3, 5, 6, 7
06/05/201
8
8
Jul-18 Jul-18
Total 128 Total 128
Jan-18 4
Feb-18 28
0804-M Mar-18 31
06/06/201 3, 6
Apr-18 30
8
May-18 31
Jun-18 5
Jul-18
Total 129
15. FORT MAGSAYSAY NHS 16. GENERAL LUNA NHS 17. C
Days Past Days Past Days Past

Due Due Due
115 5 0.001 0.00 115 5 0.001 0.00 25
124 5 0.001 0.00 128 5 0.001 0.00 25
129 5 0.001 0.00 128 5 0.001 0.00 44
115 5 0.001 0.00 115 5 0.001 0.00 32
124 5 0.001 0.00 128 5 0.001 0.00 141
129 5 0.001 0.00 128 5 0.001 0.00 44
115 5 0.001 0.00 128 5 0.001 0.00 88
115 5 0.001 0.00 115 5 0.001 0.00 88
115 5 0.001 0.00 115 5 0.001 0.00 25
0.01 0.01
DR No. & Days Past DR No. & Days Past DR No. &
Date
Items Computation
Due Date
Items Computation
Due Date
Jan-18 4 Jan-18 4
0627-M 0383-M
0623-M
1, 4, 7, 8, 9 Feb-18 28 05/23/201 1, 4, 8, 9 Feb-18 28 02/22/201
05/23/2018
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 22 May-18 22
Jun-18 Jun-18
Jul-18 Jul-18
Total 115 Total 115
Jan-18 4 Jan-18 4
0397-M
Feb-18 28 Feb-18 28 03/01/201
8
Mar-18 31 0786-M; Mar-18 31

0745-M 0798-M
2, 5 Apr-18 30 2, 3, 5, 6, 7 Apr-18 30
06/01/2018 06/05/201
8
May-18 31 May-18 31
Jun-18 Jun-18 4
0786-M;
0745-M 0798-M
2, 5 2, 3, 5, 6, 7
06/01/2018 06/05/201
8
Jul-18 Jul-18
Total 124 Total 128
Jan-18 4
0407-M
Feb-18 28 03/13/201
8
Mar-18 31
0809-M
3, 6
06/06/2018 Apr-18 30
May-18 31
Jun-18 5
Jul-18
Total 129
0501-M
04/26/201
8
0580-M
06/18/201
8
17. CABIAO NHS 18. STO ROSARIO NHS 19. LAMBAKIN
Days Past Days Past

Due Due
5 0.001 10.06 25 5 0.001 10.06 29
5 0.001 2,118.75 25 5 0.001 2,118.75 29
5 0.001 2,794.00 38 5 0.001 2,413.00 50
5 0.001 384.00 32 5 0.001 384.00 29
5 0.001 1,498.13 143 5 0.001 1,519.38 152
5 0.001 5,599.00 38 5 0.001 4,835.50 50
5 0.001 5,588.00 72 5 0.001 4,572.00 89
5 0.001 1,009.69 72 5 0.001 826.11 64
5 0.001 138.13 25 5 0.001 138.13 29
### ###
Days Past DR No. & Days Past DR No. &

Items Computation
Due Date
Items Computation
Due Date
Jan-18 4 Jan-18 4
0384-M 0386-M
1, 2, 9 Feb-18 21 02/22/201 1, 2, 9 Feb-18 21 02/26/201
8 8
Mar-18 Mar-18
Apr-18 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 25 Total 25
Jan-18 4 Jan-18 4
0398-M 0415-M
4 Feb-18 28 03/01/201 4 Feb-18 28 03/19/201
8 8
Mar-18 Mar-18
Apr-18 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 32 Total 32
Jan-18 4 Jan-18 4
0404-M 0436-M
3, 6 Feb-18 28 03/07/201 3, 6 Feb-18 28 04/02/201
8 8
Mar-18 12 Mar-18 6
Apr-18 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 44 Total 38
Jan-18 4 Jan-18 4
0466-M 0506-M
7, 8 Feb-18 28 04/10/201 7, 8 Feb-18 28 04/27/201
8 8
Mar-18 31 Mar-18 31
Apr-18 25 Apr-18 9
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 88 Total 72
Jan-18 4 Jan-18 4
0638-M 0660-M
5 Feb-18 28 06/20/201 5 Feb-18 28 06/29/201
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 17 Jun-18 19
Jul-18 Jul-18
Total 141 Total 143
19. LAMBAKIN NHS 20. FORT MAGSAYSAY NHS (BARANGAY MILITAR HS) 21. GENERAL LUN
Days Past Days Past

Due Due
5 0.001 11.67 32 5 0.001 12.88 113
5 0.001 2,457.75 32 5 0.001 2,712.00 152
5 0.001 3,175.00 45 5 0.001 2,857.50 113
5 0.001 348.00 32 5 0.001 384.00 113
5 0.001 1,615.00 152 5 0.001 1,615.00 152
5 0.001 6,362.50 45 5 0.001 5,726.25 113
5 0.001 5,651.50 89 5 0.001 5,651.50 152
5 0.001 734.32 64 5 0.001 734.32 113
5 0.001 160.23 32 5 0.001 176.80 113
### ###

Items Computation
Due Date
Items Computation
Due Date
Jan-18 4 Jan-18 4
0399-M 0419-M
1,9,2,4 Feb-18 25 03/01/201 1,9,2,4 Feb-18 28 05/21/201
8 8
Mar-18 Mar-18
Apr-18 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 29 Total 32
Jan-18 4 Jan-18 4
0410-M 0667-M
3, 6 Feb-18 28 03/14/201 3, 6 Feb-18 28 06/29/201
8 8
Mar-18 18 Mar-18 13
Apr-18 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 50 Total 45
Jan-18 4 Jan-18 4
8 Feb-18 28 8 Feb-18 28
Mar-18 31 0435-M Mar-18 31

04/02/201
Apr-18 1 Apr-18 1
8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 64 Total 64
Jan-18 4 Jan-18 4
7 Feb-18 28 7 Feb-18 28
Mar-18 31 0503-M Mar-18 31

04/27/201
Apr-18 26 Apr-18 26
8
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 89 Total 89
Jan-18 4 Jan-18 4
0666-M
5 Feb-18 28 06/29/201 5 Feb-18 28
8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 28 Jun-18 28
Jul-18 Jul-18
Total 152 Total 152
21. GENERAL LUNA NHS 22. CAMP TINIO NHS 23. LINIO P BERNA
Days Past Days Past

Due Due
5 0.001 45.48 32 5 0.001 12.88 52
5 0.001 ### 32 5 0.001 2,712.00 52
5 0.001 7,175.50 42 5 0.001 2,667.00 64
5 0.001 1,356.00 32 5 0.001 384.00 52
5 0.001 1,615.00 152 5 0.001 1,615.00 152
5 0.001 ### 42 5 0.001 5,344.50 64
5 0.001 9,652.00 89 5 0.001 5,651.50 92
5 0.001 1,296.53 42 5 0.001 481.90 52
5 0.001 624.33 32 5 0.001 176.80 52
### ###

Items Computation
Due Date
Items Computation
Due Date
Jan-18 4 Jan-18 4
0400-M 0422-M
1, 3, 4, 6, 8, 9 Feb-18 28 03/01/201 1,9,2,4 Feb-18 28 03/21/201
8 8
Mar-18 31 Mar-18
Apr-18 30 Apr-18
May-18 20 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 113 Total 32
Jan-18 4 Jan-18 4
0423-M 0438-M
2, 5, 7 Feb-18 28 03/11/201 3, 6, 8 Feb-18 28 04/02/201
8 8
Mar-18 31 Mar-18 10
Apr-18 30 Apr-18
May-18 31 May-18
Jun-18 28 Jun-18
Jul-18 Jul-18
Total 152 Total 42
Jan-18 4
0505-M 0661-M
04/27/201 7 Feb-18 28 06/29/201
8 8
Mar-18 31
Apr-18 26
May-18
Jun-18
Jul-18
Total 89
Jan-18 4
0662-M 0515-M
06/29/201 5 Feb-18 28 04/30/201
8 8
Mar-18 31
Apr-18 30
May-18 31
Jun-18 28
Jul-18
Total 152
23. LINIO P BERNARDO HS 24. EASTERN CABU NHS 25. PALAYAN CIT
Days Past Days Past

Due Due
5 0.001 20.93 36 5 0.001 14.49 129
5 0.001 4,407.00 36 5 0.001 3,051.00 163
5 0.001 4,064.00 53 5 0.001 3,365.50 163
5 0.001 624.00 36 5 0.001 432.00 129
5 0.001 1,615.00 142 5 0.001 1,508.75 177
5 0.001 8,144.00 53 5 0.001 6,744.25 163
5 0.001 5,842.00 88 5 0.001 5,588.00 163
5 0.001 596.64 53 5 0.001 608.11 129
5 0.001 287.30 36 5 0.001 198.90 129
### ###

Items Computation
Due Date
Items Computation
Due Date
Jan-18 4 Jan-18 4
0420-M 0562-M
1, 9, 2, 4, 8 Feb-18 28 03/05/201 1,9,2,4 Feb-18 28 06/06/201
8 8
Mar-18 20 Mar-18 4
Apr-18 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 52 Total 36
Jan-18 4 Jan-18 4
0424-M 06995-M
3, 6 Feb-18 28 03/22/201 3, 6, 8 Feb-18 28 07/10/201
8 8
Mar-18 31 Mar-18 21
Apr-18 1 Apr-18
May-18 May-18
Jun-18 Jun-18
Jul-18 Jul-18
Total 64 Total 53
Jan-18 4 Jan-18 4
0497-M 0728-M
5 Feb-18 28 04/26/201 7 Feb-18 28 07/24/201
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 25
May-18 31 May-18
Jun-18 28 Jun-18
Jul-18 Jul-18
Total 152 Total 88
Jan-18 4 Jan-18 4
0584-M
7 Feb-18 28 06/19/201 5 Feb-18 28
8
Mar-18 31 Mar-18 31
Apr-18 29 Apr-18 30
May-18 May-18 31
Jun-18 Jun-18 18
Jul-18 Jul-18
Total 92 Total 142
25. PALAYAN CITY NHS 26. RICARDO DIZON CANLAS AHS 27. STA MARIA
Days Past Days Past

Due Due
5 0.001 51.92 129 5 0.001 51.92 129
5 0.001 ### 162 5 0.001 ### 163
5 0.001 ### 162 5 0.001 ### 163
5 0.001 1,548.00 129 5 0.001 1,548.00 129
5 0.001 1,880.63 177 5 0.001 1,880.63 177
5 0.001 ### 162 5 0.001 ### 163
5 0.001 ### 162 5 0.001 ### 163
5 0.001 1,480.11 129 5 0.001 1,480.11 129
5 0.001 712.73 129 5 0.001 712.73 129
### ###

Items Computation
Due Date
Items Computation
Due Date
Jan-18 4 Jan-18 4
0564-M 0561-M
1, 4, 8, 9 Feb-18 28 06/06/201 1, 4, 8, 9 Feb-18 28 06/06/201
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 5 Jun-18 5
Jul-18 Jul-18
Total 129 Total 129
Jan-18 4 Jan-18 4
06992-M 06994-M
2, 3, 6, 7 Feb-18 28 07/09/201 2, 3, 6, 7 Feb-18 28 07/10/201
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 30 Jun-18 30
Jul-18 9 Jul-18 8
Total 163 Total 162
Jan-18 4 Jan-18 4
0723-M 0723-M
5 Feb-18 28 07/24/201 5 Feb-18 28 07/24/201
8 8
Mar-18 31 Mar-18 31
Apr-18 30 Apr-18 30
May-18 31 May-18 31
Jun-18 30 Jun-18 30
Jul-18 23 Jul-18 23
Total 177 Total 177
27. STA MARIA NHS
Qty per IAR LD Factor LD Amount TOTAL LD

5 0.001 51.92 565.18
5 0.001 ### 132,809.63
5 0.001 ### 103,384.43
5 0.001 1,548.00 #VALUE!
5 0.001 1,880.63 27,557.00
5 0.001 ### 207,169.43
5 0.001 ### 129,863.53
5 0.001 1,480.11 18,902.97
5 0.001 712.73 7,685.45
-
### #VALUE!
Days Past
Items Computation
Due
Jan-18 4
1, 4, 8, 9 Feb-18 28
Mar-18 31
Apr-18 30
May-18 31
Jun-18 5
Jul-18
Total 129
Jan-18 4
2, 3, 6, 7 Feb-18 28
Mar-18 31
Apr-18 30
May-18 31
Jun-18 30
Jul-18 9
Total 163
Jan-18 4
5 Feb-18 28
Mar-18 31
Apr-18 30
May-18 31
Jun-18 30
Jul-18 23
Total 177
Supply and Door to Door Delivery of TVL Tools and Equipment - Lot B.1
SMAW (NC I) & Lot B.3 SMAW (NC II)
October 11-19, 2018
FINDINGS
NCI NCII
1. Number of Recipient Schools per Contract

and Purchase Request differ
Per Purchase Request 69 61
Per Contract 68 60
2. A. SIAMPAO EDUCATIONAL AND TS was NOT

on the List of Recipient Shools
3. Recommended Amount of Payment of ### ###

Contract price: NCI- 42% NCII- 36%
Per Contract ### ###

Per DV ### ###
Difference 56,169.47 (26,223.10)
4. Difference between Total Cost (NC I)
Per Supplier Invoice ### OK

Per Worksheet ### OK
Difference 63,750.00
*Difference attributed to the qty. of 2 items;

1.Workbench with Bench Vises P25,450
2. Oxy-Acetylene Cutting and Cylinder Welding
Outfit P12,700
1. Per Inv. Per IAR 140; 145 127,250.00

2. Per Inv. Per IAR 150; 145 63,500.00
63,750.00

MCX Nci

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DEPARTMENT OF EDUCATION

REGONAL OFFICE NO. III

ITEM DESCRIPTION QUANTITY TOTAL COSTS

1 Oxy-Acetylene Goggles 345 27,772.50

Report on Testing of SHS TVL Equipment

DESCRIPTION QUANTITY TOTAL COSTS UNIT COSTS

Report on Testing of SHS TVL Equipment

Date Tested 7/11/

Per IAR IAR 0

Date Inspected 7/11/

Per PTR PTR 0

Date Approved 7/11/

Report on Testing of SHS TVL Equipment

All items received are in good

DESCRIPTION QUANTITY TOTAL COSTS UNIT COSTS

Report on Testing of SHS TVL Equipment

Date Tested 7/8/2

Per IAR IAR 0

Date Inspected 08/07

Per PTR PTR 0

Date Approved 08/07

Report on Testing of SHS TVL Equipment

All tools and equipment that h

DESCRIPTION QUANTITY TOTAL COSTS UNIT COSTS

Report on Testing of SHS TVL Equipment

Date Tested 08/07

Per IAR IAR 0

Date Inspected 08/07

Per PTR PTR 0

Date Approved 08/02

Report on Testing of SHS TVL Equipment

All tools and equipment that h

DESCRIPTION QUANTITY TOTAL COSTS UNIT COSTS

Report on Testing of SHS TVL Equipment

Date Tested 8/8/2

Per IAR IAR 0

Date Inspected 08/08

Per PTR PTR 0

Date Approved 08/08

Report on Testing of SHS TVL Equipment

All tools and equipment that h

DESCRIPTION QUANTITY TOTAL COSTS UNIT COSTS

Report on Testing of SHS TVL Equipment

Date Tested 8/8/2

Per IAR IAR 0

Date Inspected 08/08

Per PTR PTR 0

Date Approved 08/08

Report on Testing of SHS TVL Equipment

All tools and equipment that h

DESCRIPTION QUANTITY TOTAL COSTS UNIT COSTS

Report on Testing of SHS TVL Equipment

Date Tested 8/8/2

Per IAR IAR 0

Date Inspected 08/08

Per PTR PTR 0

Date Approved 08/08

Report on Testing of SHS TVL Equipment

All tools and equipment that h

Report on Testing of SHS TVL Equipment

DESCRIPTION QUANTITY TOTAL COSTS UNIT COSTS

Report on Testing of SHS TVL Equipment