DocuSign Envelope ID: F10CD110-1F14-458C-93D5-F71341FC0ED8

B699A420-79ED-42A5-A76D-9223B250619B

CLAIMS PROCESSING CHECKLIST - Type A Transactions

JOB ORDER OR PURCHASE ORDER-BASED REQUISITIONS (OPEX)
☐ Purchase or Job Order
☐ Purchase or Job Order approved based on LOA. With Conforme of Contractor, duly ☐ Approved Contract signed by MWC and Vendor; Assessment/Request
issued before start of works except for approved Emergency Works.
☐ Emergency Works approval and support for cost estimate (for EWs only).
☐ Approved Contract signed by MWC and Vendor. Must show agreed rates and
scope/BOQ/BOM.
☐ Approved Opex budget.
☐ Goods/service receipt
☐ Accomplishment, Completion or Acceptance Report. Accepted and approved by
both Proponent and Vendor. With completion dates and details of goods/services
received based on Bill of Quantities/Bill of Materials.
☐ For contracted services - Daily Time Records or Time cards.
☐ For goods - Delivery Receipt. With name and wet signature of authorized MWC
receiver and actual date of delivery.
☐ For inventories/chemicals only -
☐ Approved Delivery Acceptance Form.
☐ Approved Certificate of Quality Compliance.
☐ Security Log or stamp during actual date of delivery.
☐ Invoice receipt
☐ Request for Payment approved based on LOA. Attach OneApp approvals
☐ Billing Statement/SOA billed to Manila Water Company, Inc. with TIN. Billing
amounts must exactly match GR amounts in SAP.
☐ Summary of Billings/Claims in Excel file (for multiple or staggered claims).
☐ Performance Bond with Official Receipt for Orders amounting to PHP1M and above
for staggered claims.
NON-JOB/PURCHASE ORDER-BASED REQUISITIONS (OPEX)
☐ Approved Materials/Services Requisition or Purchase Requisition.
Letter/Quotation from regulators/government agencies/vendors. Must show
agreed rates and scope
☐ Approved Opex budget
☐ Goods/service receipt
☐ Accomplishment, Completion or Acceptance Report. Accepted and
approved by both Proponent and Vendor. With completion dates and
details of goods/services received.
☐ For regular utility billings - Approved Application Form with Service Provider
for new connections.
☐ Other supporting docs to validate the costs.
☐ Invoice receipt
☐ Request for Payment approved based on LOA. Attach OneApp approvals
☐ Billing Statement/SOA billed to Manila Water Company, Inc. with TIN.
☐ Summary of Billings/Claims in Excel file (for multiple or staggered claims).
☐ Performance Bond with Official Receipt for Orders amounting to PHP1M and
above for staggered claims.

EMPLOYEE CASH ADVANCE REQUEST EMPLOYEE CASH ADVANCE/PETTY CASH LIQUIDATION

☐ Request for Payment approved based on LOA. Attach OneApp approvals. ☐ Request for Payment approved based on LOA. Attach OneApp approvals.
☐ Approved Cash Advance Form with signed Salary Deduction Authority. ☐ Copy of Original Cash Advance Form with Salary Deduction Authority.
☐ Approved Opex budget ☐ Excel file – breakdown of actual expenses with the following details:
☐ Confirmation from Finance that there are no unliquidated prior CAs at time of request ☐ Date and Place of Event.
☐ Excel file - breakdown of estimated expenses with the following details: ☐ Business Purpose.
☐ Date and Place of Event ☐ Attendance Sheet with names and signatures, as applicable.
☐ Business Purpose ☐ Actual expense details.
☐ Names and number of participants ☐ Total Cash Advance used and Cash Advance unused (if any).
☐ Projected expenses ☐ BIR registered Sales Invoices and Official Receipts under the name of
☐ Total Amount of Cash Advance requested Manila Water Company Inc. with TIN.
☐ Management approval of Emergency CA ☐ For unused CA to remit back to MWC - Acknowledgement receipt from
Treasury showing correct GL and Vendor account for cash remittance

RETENTION REFUNDS OF GUARANTEE DEPOSIT

☐ Surety Bond, for less than 1 year (Face Value = Amount of Claims) ☐ Secretary’s Certificate and Board Resolution
☐ Retention Withheld Summary, excel file ☐ Proof of Payment (BIR Registered OR/PR with Complete Information), as
☐ Copy of Check Vouchers showing amounts retained. applicable
☐ Request Letter of Contractor. ☐ Letter request
☐ Valid Identification Card
☐ FPL9
☐ Justification Letter
☐ Screenshot of manual clearing in SAP ISU

PETTY CASH FUND REPLENISHMENT REIMBURSEMENTS

☐ Request for Payment approved based on LOA. Attach OneApp approvals. ☐ Request for Payment approved based on LOA. Attach OneApp approvals.
☐ Approved Petty Cash Fund Liquidation ticket and all supporting docs ☐ Preapproval from Proponent GD to incur cost.
☐ Approved Opex budget.
☐ BIR-registered Sales Invoices and Official Receipts under the name of
Manila Water Company Inc with TIN.
☐ Excel file – breakdown of actual expenses with the following details:
☐ Date and Place of Event.
☐ Business Purpose.
☐ Attendance Sheet with names and signatures, as applicable
☐ Actual expense details for reimbursement.

Notes/ Reminders:
 Default Settlement Method are SCB Cheque* for Vendor/ Suppliers claims while BPI Bizlink Credits: MWC Employee claims
 Advance copy of official receipt will form part of the requirements for claims to be settled via wire transfer/PesoNet.
 Hardcopies/ Original Copies of Sales Invoices/ Delivery Receipts/ Billing Statements must be submitted to Accounts Payable R&R Team
 For references, you may access APWiki page at https://manilawater.sharepoint.com/sites/AccountsPayableWiki or send an email to MWC
Accounts Payable Mailbox (accountspayable@manilawater.com)

Prepared by:
Princess Raschel Gabot Approved by:
Mark D. Racpan
Signature over Printed Name Signature over Printed Name
Designation: SAMG EA Designation: Asset Manager

*This checklist must be signed by the RFP preparer and preparer’s immediate manager
DocuSign Envelope ID: F10CD110-1F14-458C-93D5-F71341FC0ED8 For Records Management
Department: Asset Management
Linear Process: Others

REQUEST FOR PAYMENT X Cost Type A X Regulated

2400364596 / Page 1of 1 Cost Type B Non Regulated

PAYEE INFORMATION
Document No. 2400364596
Document Date 10/16/2023
CITY TREASURER-MARIKINA
Reference/Invoice No. 119015
Currency PHP
TAX ID NUMBER : Exchange Rate/PHP

DESCRIPTION OF PAYMENT AMOUNT

Pre-payment of 2024 RPT for MWC Props in Marikina1
PHP 92,316.00
ACCOUNT G/L ACCOUNT COST CENTER DEBIT AMOUNT CREDIT AMOUNT
CODE TITLE PROJECT CODE
1173040008 Other Prepaid Expens 92,316.00
2111140001 Due from Treasury-AP 92,316.00

92,316.00 92,316.00
RECOMMENDED BY: ENDORSED BY: APPROVED BY:
Approved in OneApp Approved in OneApp
Approved in OneApp
MARK D. RACPAN ANNE LORRAINE GARCIA EVANGELINE M. CLEMENTE
ASSET MANAGER HEAD, AIMS DEPT. GROUP DIRECTOR, STRATEGIC ASSET
MANAGEMENT
FOR CONTROLLERSHIP USE: FOR ACCOUNTS PAYABLE USE:
REVIEWED BY: REVIEWED BY: APPROVED BY:

Vendor Bank Details: Acknowledgement Receipt:

Beneficiary Bank: Requested By:
Bank Account: Name: ___________________
Bank Address: Date:_________________
Swift Code: Area/BA:_______________
Signature:___________
Received By:
Name:_________________
Date:__________________
Signature:_________
DocuSign Envelope ID: F10CD110-1F14-458C-93D5-F71341FC0ED8

SUMMARY OF 2024 Pre-Payment of RPT

For MWC MARIKINA PROPERTIES
PARK DOC #
PAYEE: City Treasurer - Marikina
ACCOUNT NAME OTHER PREPAID EXPENSE
GL CODE 1173040008
AMOUNT ₱92,316.00 Cost type: A B

SOA / BILLING STATEMENT

LOCATION OF PROPERTY PCC CODE PIN TAX DECLARATION AMOUNT
NUMBER
Marikina North STP 24007000 115-02-0006-015-168-1002 E-006-256535 119015 ₱92,316.00

TOTAL ₱92,316.00

Prepared by: Recommended for approval: Approved by:

MARK D. RACPAN ANNE LORRAINE GARCIA EVANGELINE M. CLEMENTE

APEO AM, AMD HEAD, AIMS DEPARTMENT SAMG GROUP DIRECTOR

CONTROLLERSHIP USE ONLY

Reviewed by: Approved by:
DocuSign Envelope ID: F10CD110-1F14-458C-93D5-F71341FC0ED8
DocuSign Envelope ID: F10CD110-1F14-458C-93D5-F71341FC0ED8