Name of Project: Construction of Level II Potable Water System (For Design and Build)

Municipality/City: Braulio E. Dujali Province: Davao del Norte

Type of Project: Expansion Region: XI
Service Area: Barangay Name of Barangay : Sitios Balisong and Pawas
Source: Well Dist. of Source to Service Area: 7.10 km
Type of System: Pumped Elev. diff. from Source to Service Area: 2.50 m
Yield of Source (lps): 6 Source's method of measurement: Flow Meter
(measured) Construction Period (year): 1

Design Criteria: Pump Requirement: (Req'd) Storage Requirement: ✘

Level of System: Level 3 Pumping hours/day: 12 Volume:
Design Year: 10 Pumping Rate (lps): 12.00 Height =
Growth Rate: 4.40% Pump Efficiency: 70% Base (Square) =
NRW: 25% Total Dynamic Head (TDH): 90 Base (Dia) =
No of persons per HH: 5 HP: 3.0 HP
KW: 2.24 KW Filling Time =
HHs served per faucet: 4
Poblacion: 10
Barangay: 4

Consumption Rate: 100 lpcd System Pressure: 7m

Total No. of HH= 231 Total Population= 1155 ADD = 2.74 (Lps)
Projected No. of HH= 355 Pop. at Start of Operation= 1206 MDD = 3.56 (Lps)
No. of Tap Stand= Projected Population= 1777 PHD = 5.48 (Lps)

No. Name of Barangay/s HH Present Pop. Proj. Pop. ADD (LPD) ADD (LPs) MDD (Lps)
1 Sitios Balisong & Pawas 231 1155 1777 236879 2.74 3.56
2 0 0 0 0.00 0.00
3 0 0 0 0.00 0.00
4 0 0 0 0.00 0.00
5 0 0 0 0.00 0.00
6 0 0 0 0.00 0.00
7 0 0 0 0.00 0.00
8 0 0 0 0.00 0.00
9 0 0 0 0.00 0.00
10 0 0 0 0.00 0.00
11 0 0 0 0.00 0.00
12 0 0 0 0.00 0.00
13 0 0 0 0.00 0.00
14 0 0 0 0.00 0.00
15 0 0 0 0.00 0.00
16 0 0 0 0.00 0.00
17 0 0 0 0.00 0.00
18 0 0 0 0.00 0.00
19 0 0 0 0.00 0.00
20 0 0 0 0.00 0.00
21 0 0 0 0.00 0.00
22 0 0 0 0.00 0.00
23 0 0 0 0.00 0.00
24 0 0 0 0.00 0.00
25 0 0 0 0.00 0.00
26 0 0 0 0.00 0.00
27 0 0 0 0.00 0.00
28 0 0 0 0.00 0.00
29 0 0 0 0.00 0.00
30 0 0 0 0.00 0.00
31 0 0 0 0.00 0.00
32 0 0 0 0.00 0.00
33 0 0 0 0.00 0.00
34 0 0 0 0.00 0.00
35 0 0 0 0.00 0.00
36 0 0 0 0.00 0.00
37 0 0 0 0.00 0.00
38 0 0 0 0.00 0.00
39 0 0 0 0.00 0.00
40 0 0 0 0.00 0.00
41 0 0 0 0.00 0.00
42 0 0 0 0.00 0.00
43 0 0 0 0.00 0.00
44 0 0 0 0.00 0.00
45 0 0 0 0.00 0.00
46 0 0 0 0.00 0.00
47 0 0 0 0.00 0.00
48 0 0 0 0.00 0.00
49 0 0 0 0.00 0.00
50 0 0 0 0.00 0.00
51 0 0 0 0.00 0.00
52 0 0 0 0.00 0.00
53 0 0 0 0.00 0.00
54 0 0 0 0.00 0.00
55 0 0 0 0.00 0.00
56 0 0 0 0.00 0.00
57 0 0 0 0.00 0.00
58 0 0 0 0.00 0.00
59 0 0 0 0.00 0.00
60 0 0 0 0.00 0.00
61 0 0 0 0.00 0.00
62 0 0 0 0.00 0.00
63 0 0 0 0.00 0.00
64 0 0 0 0.00 0.00
65 0 0 0 0.00 0.00
66 0 0 0 0.00 0.00
67 0 0 0 0.00 0.00
68 0 0 0 0.00 0.00
69 0 0 0 0.00 0.00
70 0 0 0 0.00 0.00
71 0 0 0 0.00 0.00
72 0 0 0 0.00 0.00
73 0 0 0 0.00 0.00
74 0 0 0 0.00 0.00
75 0 0 0 0.00 0.00
76 0 0 0 0.00 0.00
77 0 0 0 0.00 0.00
78 0 0 0 0.00 0.00
79 0 0 0 0.00 0.00
80 0 0 0 0.00 0.00
Total 231 1155 1777 236879 2.74 3.56
 "This spreadhseet accomplishes an input to the Simplified FS Template Worksheet.
Enter the data in the white shaded cells only."

Method of flow meas. Type of Project Water Source

1 Volumetric 1 New Spring
2 Floatation 2 Rehabilitation Well
3 Flow Meter 3 Expansion Source
4 Others

✘ (Req'd) FORMULA:
59 cum ADD = [Proj.Pop x Consumption Rate]/(1-NRW)
9m MDD = 1.3 xADD
2.6 PHD = 2.0 xADD
2.9 Storage Capacity = 25%xADD
Pumping Rate (lps) = MDD (Lpd)/Pumping Hours/3600
1.37 Hrs
82 mins
New Sys. Rehab Expansion
NRW =
15% 20% 25%

Levels Cons. Rate System Press. (m) HH served/ Tap Stand

Level 1 20
Pob. Bgy. Pob. Bgy.
Level 2 60
6.00 Lps 3 2 10 to 15 4 to 6
Min Max
Level 3 100
7 70
PHD(Lps)
5.48
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
5.48
 Sagana at Ligtas na Tubig sa Lahat Form 1
A Program funded by the GAA Provision for Potable Water Supply
Name of Project :

Construction of Level II Potable Water System (For Design and Build) DESIGN CRITERIA
a. Design Period b. Population c. Population at the start d. Population at Design Year e. Ave. No. of People
(years) Growth Rate (annual) of the Project per Household

10 4.40% 1155 1777 5

f. Per Capita Water g. NRW (%) h. Average Daily Demand i. Maximum Daily Demand j. Max. Hourly Demand (PHD)
consumption (lpcd) lpd lps lpd lps lph lps
Level
100 25% 236,879 2.74 307,942 3.56 19,740 5.48
3
k. Pumping Hours per Day l. Pumping Rate m. Storage Capacity n. System Pressure (meters)
lpd lps liters cu m
12 7
25,662 12.00 59,220 59
o. Households Served Per Faucet At Start of Operations At Design Year
p. No. of HH q. No. of Public Faucets r. No. of HH s. No. of Public Faucets
8
231 29 355 44
Formulas

d = Population at Start of Project x (1 + Population Growth Rate) ^ Design Period

h = Population at Design Year x Per Capita Water Consumption / (1-NRW)
i = Average Daily Demand x 1.3
j = Average Daily Demand x 2.0 / 24
l = Maximum Daily Demand / Pumping Hours per Day
m = Average Daily Demand / 4
p = Population At Start of Operations / Average Persons Per Household
q = Number of Households at Start of Operations / Households Served Per Faucet
r = Population At Design Year / Average Persons Per Household
s = Number of Households at Design Year / Households Served Per Faucet

Technical Data on Proposed Facility

Water Supply Source Type of System
Spring √ Well Surface Water Gravity √ Pumped
Description of Water Source/s (Add more rows for the description if there is more than one source.)
For Well/s
Casing Diameter Well Depth Water Level of Well Well Capacity or Yield (lps) : 6.00 Lps
(mm/inches) (meters) (meters below ground) Method of Measurement : q Volumetric q Flotation q
✘ Flow Meter

N/A N/A N/A q Others (specify)

Please attach computation / photographs during capacity measurement
For Springs/Surface Water
Elevation Difference from Distance from Service Capacity or Yield (lps) :
source to service area (m) Area (km) Method of Measurement : q
✘ Volumetric q Flotation q Flow Meter
2.50 7.10 q Others (specify)
Please attach computation / photographs during capacity measurement
Pump Horsepower Pumping Time Pump Design Average Daily Demand Storage Tank Capacity
Required (hp) (Hours per Day) Capacity (lps) Head (m) (cu.m.) (cu.m.) 25% of ADD

3.00 12 12.00 90 237 59

Pipeline Required Storage Tank Overflow
Pipe Material Diameter (mm) Length (m.) Elevation (m.)
Transmission (based on service area) 50 1000
Distribution (based on service area) 63 1000 Proposed No. of Faucets
50 600
44
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Sagana at Ligtas na Tubig sa Lahat Form 2

A Program funded by the GAA Provision for Potable Water Supply (page2)
Name of Project:
Socio-economic, Technical
Construction of Level II Potable Water System (For Design and Build) and Financial Information
D. TYPE OF PROJECT
o
✘ New Construction o Expansion o Rehabilitation
Barangay Municipality Province Region
Sitios Balisong and Pawas Braulio E. Dujali Davao del Norte XI
E. PROJECT TARGETS (Indicate baseline data and targets)
Without the project (existing facility) With the project (proposed facility)
No. of households (HHs) served 231 355
Population Served 1155 1777
Existing major source/s of water hand pump deep well
Average distance of target HHs from water source (in m) 2000
Average daily supply per person (lpcd) 60 100
Water quality (bacteriological, physical, chemical) Potable
Spending on water per day per HH (in pesos)
F. TECHNICAL INFORMATION ON EXISTING SOURCES (use separate sheets if necessary)
Wells Within the Service Area
Casing
Well Year Water Type of Remarks
Location Depth (m) Diameter
No. Constructed Level Pump (Utilized or Unutilized)
(mm)
N/A N/A N/A N/A N/A N/A N/A N/A

Springs Within the Service Area

Average Relative Remarks
Spring Year Flow/Yield Elevation (Utilized or not; Protected
No. Location Constructed (lps) (m) or Unprotected; etc.)
N/A N/A N/A N/A N/A N/A

Is there an existing water tank that can be used? o Yes o

✘ No
If yes, indicate location in the map of the project area.
Water Tank Type Capacity, in cu. m. Elevation, m. Remarks
Steel o Ground o Elevated
Reinforced Concrete o Ground o Elevated
Are there other sites where water tanks may be erected? o
✘ Yes oNo
If yes, describe location and ownership. Indicate location in the map of the project area.
Relative Elevation With Respect
Location and Ownership to Service Area (m.)
With in the Barangay ( Private - To be donated ) 2m
 Are there water supply materials and equipment (pumps,
o Yes o
✘ No
pipes, fittings) which can be used for this project?
PVC Pipes GI Pipes
Diameter Length Diameter Length
Remarks Remarks
mm inches meters mm inches meters

Others, specify Others, specify

Other Pipe Materials Pumps
Diameter, mm Length, meters Type Power, Hp

Does the community have skilled personnel? Are there competent contractors within the area?
o
✘ Yes o No Plumbing contractor o Yes o
✘ No
If yes, how many: Tank fabricator o Yes o
✘ No

Skill Number Well drillers o Yes o

✘ No
Plumbers 2 Are there suppliers of materials (pumps, pipes, fittings) in the
Masons 5 municipality?
Carpenters 8 o
✘ Yes o No
Others
 Sagana at Ligtas na Tubig sa Lahat
A Program funded by the GAA Provision for Potable Water Supply Form 2 (page1)
Name of Project
Socio-economic, Technical and
Construction of Level II Potable Water System (For Design and Build) Financial Information
Data for the responses of this survey may be taken from well-informed primary or secondary sources preferably from technical
persons within the municipal LGU.
A. LOCATION
Barangay Municipality Province Region
Sitios Balisong and Pawas Braulio E. Dujali Davao del Norte XI
B. GENERAL INFORMATION (Barangay/s)
Population (per barangay) Number of Households (per barangay) Distance from Poblacion (km, per barangay)

4565 608 4.5

Availability of Electricity
o Available
✘ o Not Available
Availability of Public Transportation
Power Cost per kwh (per barangay) Distance from Main Electric Line (km, per
barangay)
7 .2
If Transportation is Available, Types Average Monthly Income / HH (P)

o Available
✘ o Not Available Jeepney, Motorcycle (Habal-habal) 8347
Main Livelihood of Residents (as % of Population)
Farming 80% Fishing 5% Services Enterpreneur/Own Business
Sector % Business Type %
Self Employed 35 Retail Store 5
Employed Agriculture 15
Private 9% Govt 4%

C. HEALTH INFORMATION
Number of Water-Related Disease Cases Last Year
Diarrheal Diseases Skin Diseases Cholera Hepatitis A Others

0 0 0 0 4
Number of Households with Sanitary Toilets
Flush Pour Flush Ventilated Improved Pit

779 3 0
Number of Households with Insanitary Toilets
Open/Closed Pit Overhang Without Toilets

34 0 237
1 2 3 4 5 6 7 8 9 ###11 #######################################################################################

Sagana at Ligtas na Tubig sa Lahat Form 2

A Program funded by the GAA Provision for Potable Water Supply (page3)
Name of Project
Socio-economic, Technical
Construction of Level II Potable Water System (For Design and Build) and Financial Information
G. FINANCIAL INFORMATION
1. Local Counterpart Contribution
Cash In-Kind (Please Specify)
Provincial LGU
Municipal LGU 400,000.00
Barangay LGU
Community Based Organization
Others

Totals
Unit Cost (Peso)
Total Cost (Peso) 400,000.00
2. Target number of beneficiary families or households 3. Average monthly family or household income
167 8,347.00

4. Present average monthly family or household expense on 5. Average monthly amount the family or household is willing
water (amount spent for buying water and paying others to to pay for water (to avail of an improved water supply service)
fetch water)

200 150
H. INSTITUTIONAL INFORMATION

1. Is there an existing water user association willing to operate the system?

o Yes o
✘ None
Name of Water Service Provider: No. of Facilities Managed
Level 1 Level 2 Level 3

o Active for _ years o Inactive for years

Registered with the following:
o LGU o CDA o SEC o LWUA o NWRB o Others, specify

2. Are the residents willing to operate and maintain the WS facilities?

o Yes
✘ o No
3. Community dialogue/workshops held with the residents.
Date Topic Conducted By No. of Attendees

4. Type of organization to be formed

o RWSA/BWSA o✘ Cooperative o Water District o Other, specify
Name of Organization
Oregon Waterworks System

5. Submit the following for existing or proposed water supply organization:

o By-Laws o
✘ List of Officers o Certificate of Registration
 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Sagana at Ligtas na Tubig sa Lahat Form 3

A Program funded by the GAA Provision for Potable Water Supply
Name of Project

Construction of Level II Potable Water System (For Design and Build)

MAP OF PROJECT AREA

Attach map of the area. Please indicate location of houses, and structures which have access or no access to water

supply. Please indicate locations of existing wells and springs and/or possible sources of water supply. The map should preferably

be drawn to scale.

Lay out with Profile

Scale: 1:50,000
 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Sagana at Ligtas na Tubig sa Lahat Form 4

A Program funded by the GAA Provision for Potable Water Supply
Name of Project

Construction of Level II Potable Water System (For Design and Build)

SCHEMATIC DIAGRAM

Scale: 1:50,000
 Sagana at Ligtas na Tubig sa Lahat Form 5
A Program funded by the GAA Provision for Potable Water Supply
Name of Project Cross-section of well source/
plan of spring source
Construction of Level II Potable Water System (For Design and Build)
development/ others

(Include, for example, a cross-section of geological formation encountered.)

 Sagana at Ligtas na Tubig sa Lahat Form 6a
A Program funded by the GAA Provision for Potable Water Supply (Level I)
Name of Project
Program of
Construction of Level II Potable Water System (For Design and Build) Works
Proposed Type of Water Source Mode of Construction
Deep Well ✘ New Construction ✘

Shallow Well Rehabilitation

Spring
Rainwater

Well
Item Description (or attach detailed item desription)
Unit Qty Unit Cost Total Cost
1. Well drilling m
2. Supply and installation of hand pump pc
3. Construction of apron m3
4. Treatment / Disinfection Lump sum
Total Project Cost

Spring
Item Description (or attach detailed item desription)

Unit Qty Unit Cost Total Cost

1. Source Development m3
2. Treatment / Disinfection LS
Total Project Cost

Rainwater
Item Description (or attach detailed item desription)

Unit Qty Unit Cost Total Cost

1. Source Development m 2

2. Cistern m3
3. Treatment / Disinfection LS
Total Project Cost

No.
Week Number
of
Schedule of Activities Days 1 2 3 4 5 6 7
1. Land acquisition
2. Mobilization and site preparation
3. Construction
4. Site restoration and demobilization
(Provide additional sheets if necessary)
 1 2 3 4 5 6 7 8
Form 6b
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Sagana at Ligtas na Tubig sa Lahat (Levels II &

A Program funded by the GAA Provision for Potable Water Supply III)
Name of Project
Construction of Level II Potable Water System (For Design and Build)
Program of Works
Proposed Type of Project Mode of Construction
Level II ✘ New Construction ✘

Level III Rehabilitation

Combination of Expansion
Level II & III
Item Description (or attach detailed item desription)
Unit Qty Unit Cost Total Cost

1. Source Confirmation

10% Contingency

Schedule of Activities No. of Month

Days 1 2 3 4 5 6 7
1. Land acquisition
2. Detailed Engineering Design (DED)
3. Procurement
4. Mobilization and site preparation
5. Construction
6. Site restoration and demobilization
(Provide additional sheets if necessary)
 Sagana at Ligtas na Tubig sa Lahat Form 7
A Program funded by the GAA Provision for Potable Water Supply
Name of Project
Construction of Level II Potable Water System (For Design and Build) COST SUMMARY

A. PRE-CONSTRUCTION COST

1. Georesistivity Survey
2. Detailed Engineering Design (DED)

B. CONSTRUCTION COST

1. Pipes and Fittings (in-place cost)

2. Cost of Reservoir (in-place cost)

3. Cost of Pump (in-place cost)

a. Cost of Pumps and Transformer
b. Cost of Pump House

4. Source Development

5. Treatment Facility and Powerline

Sub-total Cost of the System

6. Contingencies (10% of sub-total cost of the system)

Total Project Cost

Rounded Up To
C. COST SHARING STRUCTURE

1. DILG (GAA Provision) 4,000,000.00

2. LGU Contribution (indicate if loan or equity) 400,000.00
a. Province o Loan o Equity
b. Municipality / City o Loan x Equity
c. Barangay (indicate if cash or in kind)
o Cash o In kind

3. Users/Community-Based Organizations' Contribution

o Cash o In kind
4. Other Contributions (please give details)

Total Contributions

Total Funds 4,400,000.00

 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Sagana at Ligtas na Tubig sa Lahat Form 8

A Program funded by the GAA Provision for Potable Water Supply
Name of Project

Construction of Level II Potable Water System (For Design and Build) FINANCIAL ANALYSIS
Total Project Cost 2,000,000.00

To be Financed By: % vs. Total Amount

DILG (GAA Provision) 90% 4,000,000.00
Provincial LGU
Equity (if applicable)
Loan (if applicable)
Interest rate (%) per year
Number of years to repay
Grace period, years
Loan from :
Municipal LGU 10% 400,000.00
Equity (if applicable)
Loan (if applicable)
Interest rate (%) per year
Number of years to repay
Grace period, years
Loan from :
Barangay LGU
Users/Community-Based Organization
Others
Project Cost Total Project Cost No. of HH Beneficiaries
÷ =
per Household 4,400,000.00 167 26,347.31
B. MONTHLY EXPENSES (Write "NA" for non-applicable items.)
1. Operations
a. Salaries 2,000.00
b. Power (b1 x b2 x b3 x b4 x b5 x b6) 5,670.00
b1. Conversion Factor of kw to hp 0.75
b2. Pump horsepower, hp/pump 3
b3. Number of pump units 1
b4. Operating hours per day 12
b5. Cost /kwhr, Peso 7.00
b6. 30 days in a month 30
c. Chemicals 1,000.00
d. Office Supplies 500.00
e. Miscellaneous 500.00
Total Operating Cost 9,670.00
2. Asset Replacement Enter cost of existing assets and assets funded by the proposed project.

Type of Asset Acquisition Cost ÷ Useful Life (Mos.) = Amount

a. Well 550,000.00 360 1,527.78
b. Pump 375,000.00 120 3,125.00
c. Pumphouse 55,000.00 360 152.78
d. Tank 1,200,000.00 360 3,333.33
e. Pipelines 800,000.00 300 2,666.67

Total Assets 2,980,000.00

Total Asset Replacement Provision 10,805.56
3. Maintenance Total assets to be maintained is the Total Assets under Asset Replacement above.
Total Assets Maintenance Rate p.a. Months in a Year
2,980,000.00
x 2% ÷ 12 = 4,966.67
4. Total Annual Interest on Loan

5. Total Monthly Expenses 25,442.22

C. COMPUTATION OF WATER FEE
Total Monthly Expenses No. of HH Monthly Water Fee per Household
25,442.22 ÷ 167 = 152.35
D. AFFORDABILITY OF WATER FEE
Average Monthly Family Income 5,000.00
Present Average Monthly Family Expense on Water 200.00
Average Monthly Amount Family is Willing to Pay for Water 160.00
Water Fee Monthly Water Fee/HH Ave. Family Income/Mo.
as Percentage of Family Income 152.35 ÷ 8,347.00 = 2%