(FORM NO.

25 –INSPECTION REPORT)

Republic of the Phillipines

MUNICIPALITY OF PAGBILAO
Province of Quezon

OFFICE OF THE MUNCIPAL PLANNING AND DEVELOPMENT COORDINATOR

INSPECTION REPORT

Name of Project : DATA GATHERING SERVICES APPLYING HOUSEHOLD- LEVEL

DATA MANAGEMENT SYSTEM

Location : Office of the Municipal Planning and Development Coordinator

As per inspection conducted by the undersigned, the data gathering household survey
services with the Project Percentage of Completion (System Generated) of the above stated
project is found to be 60% completed and in accordance with the approved plans and
specifications.

Issued this _____ day of _______________2021.

Inspected by :

IT

Noted by :

EnP JAN LUKE PATRICK N. GO

Municipal Planning and Development Coordinator
FORM NO. 26 – CERTIFICATE OF PROJECT COMPLETION)

Republic of the Philippines

MUNICIPALITY OF PAGBILAO
Province of Quezon

OFFICE OF THE MUNICIPAL ENGINEER

CERTIFICATE OF PROJECT COMPLETION

Name of Project : DATA GATHERING SERVICES APPLYING HOUSEHOLD- LEVEL

DATA MANAGEMENT SYSTEM

Location : Office of the Municipal Planning and Development Coordinator

This is to certify that we have inspected and evaluated the work accomplished on the
above-captioned project which was found to be in accordance with the approved plans and
specifications and was reported 60% completed on ___________________and verified
complete without deficiencies
.
Issued this ______________ day of____________ 2021

Inspected by :

IT

Approved by :

EnP JAN LUKE PATRICK N. GO

Municipal Planning and Development Coordinator

Conformed by :

ENGR. IAN T. PALICPIC

Municipal Administrator
 Republic of the Philippines
MUNICIPALITY OF PAGBILAO
Province of Quezon
OFFICE OF THE MUNICIPAL ENGINEER

CERTIFICATE OF PROJECT ACCEPTANCE

Name of Project : DATA GATHERING SERVICES APPLYING HOUSEHOLD- LEVEL

DATA MANAGEMENT SYSTEM

Location : Office of the Municipal Planning and Development Coordinator

This is to certify that the work on the above-captioned project was found to be in
accordance with the approved plans and specifications and was reported 60% completed on
_________________________and verified complete without deficiencies and hereby accepted.

Accepted this __________ day of _________________, 2021

Accepted by :

EnP JAN LUKE PATRICK N. GO

Municipal Administrator

Conformed by :

ENGR. IAN T. PALICPIC

Municipal Administrator