Republic of the Philippines

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS

Samar first District Engineering Office MONTHLY CERTIFICATE OF PAYMENT
Calbayog City June 21, 2018 – September 13, 2018
PAYMENT CERTIFICATE NO. 01
Sheet No : 01 of 01
Name of Project: Date : September 13, 2018
CONTRACT ID: 19IJ-0121 002: Protect Lives And Properties I hereby certify that the attached Statement of work is correct
Against Major Floods, Flood Management Program and just and does not include items and or portions thereof for
Construction/Maintenance Of Flood Mitigation Structures And which payment has already been received. In regard to item
Drainage System, Construction Of Flood Control Structures covering advance payment for materials, the said materials are
Along Calbayog River (Upstream), From Jasminez Bridge To on site and are properly protected.
CHECKED AND RECOMMENDED
Payahan Bridge FOR PAYMENT:
RODNEY ROSS L. ROLEDA
Name of Contractor : B. VICENCIO BUILDERS (BVB) INC. Contractor’s Representative
B. VICENCIO BUILDERS(BVB) INC.
Original Contract Amount : P 28,376,433.00 DENIS C. CAGOMOC
Officer –In-Charge
Revised Contract Amount : P I hereby certify that the materials incorporated in this monthly
Assistant District Engineer
certificate for payment have been verified and tested in
1. Total value of work to date : P 11,178,175.97 accordance with Specifications.
2. Total value of work previously :P
3. Total value of work this bill : P 11,178,175.97
4. Liquidated Damages :P DONALD C. CAGOMOC
Total Bill of this bill :P Project Materials Representative
APPROVED FOR PAYMENT:
Deductions: Noted By:
a. 10 % Retention :P 1,117,817.60
b. 5 % Final withholding VAT : P 424,171.86 RAQUEL Y. SUMAYO
c. Recoupment from Advance : P 1,676,726.40 Chief, Materials & Quality Control Section
d. 2% Expanded Withholding Tax: P 169,668.74 ALVIN A. IGNACIO
District Engineer
TOTAL DEDUCTIONS :P 3,388,384.60 I hereby certify that the quality of work approved for payment
in the attached statement has been accomplished. That the
5. Amount approved for payment :P 7,789,791.37 quantities including materials brought to site but not
6. LESS : Request No. _____ for :P incorporated in the work are correct and consistent with all
7. ADD : Request No. _____ for :P Schedule Physical Progress : 37.93 %
previous recommendations for payment and the work quantities Actual Physical Program : 39.39 %
materials currently on hand and amount are consistent with the requirements of the
8. Net Amount due to Contractor :P 7,789,791.37 Slippage (+) or (-) : (+) 1.46 %
contract. Expiry Date : November 12, 2018
Whenever applicable, otherwise these items will not be
filled up or should be revised accordingly to suit lending RAUL C. NABOR, JR.
institution Payment Procedure. Project Engineer

Noted By:

CARLOS G. RAÑOLA
Chief, Construction Section