Road Project Management and Supervision Manual Vol. II Sample Forms and Document - PDF

IMPROVEMENT OF QUALITY MANAGEMENT FOR
HIGHWAY AND BRIDGE CONSTRUCTION AND

MAINTENANCE, PHASE II
ROAD PROJECT MANAGEMENT

AND SUPERVISION MANUAL
VOLUME II:
SAMPLE FORMS AND DOCUMENTS
2014
Department of Public Works and Highways

IMPROVEMENT OF QUALITY MANAGEMENT FOR
HIGHWAY AND BRIDGE CONSTRUCTION AND
MAINTENANCE, PHASE II
ROAD PROJECT MANAGEMENT AND

SUPERVISION MANUAL
VOLUME II:
SAMPLE FORMS AND DOCUMENTS
SECOND EDITION
SEPTEMBER 2014
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS

JAPAN INTERNATIONAL COOPERATION AGENCY
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
OFFICE OF THE SECRETARY
Manila
TABLE OF CONTENTS
FOREWORD………………………………………………………………………. .. i
TABLE OF CONTENTS.................................................................................. ii
ACKNOWLEDGEMENT ................................................................................. vi
Chapter 1 Introduction ............................................................................... 1- 1

1.1 Background ................................................................................................ 1- 1
1.2 Purpose ...................................................................................................... 1- 1
Chapter 2 Plans and Drawings................................................................... 2- 1

2.1 Original Plan ............................................................................................... 2- 1
2.2 As-Staked Plan ........................................................................................... 2- 3
2.3 As-Built Plan ............................................................................................... 2- 3
2.4 Typical Title Block ....................................................................................... 2- 3
Chapter 3 Procurement.............................................................................. 3- 1
3.1 Invitation to Bid ........................................................................................... 3- 1
3.2 Program of Work ........................................................................................ 3- 3
3.3 Detailed Unit Price Analysis ........................................................................ 3- 4
3.4 Approved Budget Cost ............................................................................... 3- 5
3.5 Bill of Quantities.......................................................................................... 3- 6
3.6 Resolution................................................................................................... 3- 7
3.7 Contract Agreement.................................................................................... 3- 9
3.8 Notice of Award .......................................................................................... 3-11
3.9 Bid Security ................................................................................................ 3-12
3.10 Performance Security ................................................................................. 3-14
3.11 Surety Bond ................................................................................................ 3-16
3.12 Contractor's All Risks Insurance ................................................................. 3-17
Chapter 4 Contract Implementation............................................................ 4- 1
4.1 Notice to Proceed ....................................................................................... 4- 1
4.2 Variation Order ........................................................................................... 4- 2
4.3 Suspension Order....................................................................................... 4- 4
Road Project Management and Supervision Manual Vol. II: Sample Forms and Documents ii
4.4 Resume Order ............................................................................................ 4- 5
Chapter 5 Field Inspection and Quality Control ........................................... 5- 1
5.1 Quality Control Program ............................................................................. 5- 1
5.2 Material Test Reports .................................................................................. 5- 2

5.2.1 Status of Tests......................................................................................... 5- 2
5.2.2 Summary of Laboratory/Field Control Tests ............................................ 5- 3
5.3 Certificate of Quality Control Assurance Report ......................................... 5- 4
5.4 Laboratory/Field Control Test Reports ........................................................ 5- 5

5.4.1 California Bearing Ratio Test................................................................... 5- 5
5.4.2 Grading Test ............................................................................................ 5- 9
5.4.3 Atterberg Limit Test ................................................................................. 5-10
5.4.4 Laboratory Compaction Test ................................................................... 5-11
5.4.5 Field Density Test .................................................................................... 5-12
5.4.6 Soil Aggregates ....................................................................................... 5-13
5.4.7 Bituminous Material Test ......................................................................... 5-15
5.4.8 Bituminous Mix........................................................................................ 5-18
5.4.9 Pre-formed Expansion Joint Filler ........................................................... 5-19
5.4.10 Portland Cement ..................................................................................... 5-20
5.4.11 Reinforcing Steel Bar .............................................................................. 5-21
5.4.12 Concrete Joint Sealant ............................................................................ 5-22
5.4.13 Paint ........................................................................................................ 5-23
5.4.14 Thermoplastic Traffic Paint...................................................................... 5-24
5.5 Accreditation ............................................................................................... 5-25
5.5.1 Application for Accreditation of Asphalt/Concrete Batching Plant ............... 5-25
5.5.2 Application for Accreditation of Materials Engineer..................................... 5-26
5.5.3 Application for Accreditation of DPWH Materials Engineer......................... 5-27
5.5.4 Instructions for Application for Accreditation of Materials Engineers........... 5-28
Chapter 6 Payments................................................................................... 6- 1
6.1 Advance Payment ...................................................................................... 6- 1

6.1.1 Disbursement Voucher............................................................................ 6- 1
6.1.2 Background Information .......................................................................... 6- 2
6.1.3 Executive Summary ................................................................................ 6- 3
iii Road Project Management and Supervision Manual Vol. II: Sample Forms and Documents
6.1.4 Billing Summary ...................................................................................... 6- 4
6.1.5 Request for the Release of 15% Advance Payment ............................... 6- 5
6.1.6 Required Certification for Processing of Payments................................. 6- 6
6.1.7 List of Minimum Required Equipment ..................................................... 6- 7
6.1.8 Checklist of Supporting Document.......................................................... 6- 8
6.2 First Progress Billing................................................................................... 6- 9

6.2.1 Background Information .......................................................................... 6- 9
6.2.2 Executive Summary ................................................................................ 6-10
6.2.3 Billing Summary ...................................................................................... 6-11
6.2.4 Request for Release of First Partial Billing.............................................. 6-12
6.2.5 Certificate of Payment............................................................................. 6-13
6.2.6 Contractor's Statement of Work Accomplished ....................................... 6-14
6.2.7 Statement of Time Elapsed ..................................................................... 6-15
6.2.8 Certification of Clearance for Equipment Rental and/or Lease ............... 6-16
6.2.9 Certification of Labor and Materials Payment ......................................... 6-17
6.2.10 Detailed Quantity Calculation.................................................................. 6-18
6.2.11 Checklist of Supporting Documents and Attachments for DoTS ............. 6-19
6.3 Interim Progress Billing............................................................................... 6-20

6.3.1 Request for Release of Interim Billing ..................................................... 6-20
6.4 Final Billing ................................................................................................. 6-22

6.4.1 Property Clearance ................................................................................. 6-22
6.4.2 Regional Equipment Clearance .............................................................. 6-23
6.4.3 Certificate of Completion......................................................................... 6-24
6.4.4 Inspection Report .................................................................................... 6-25
6.5 Retention Money ........................................................................................ 6-27

6.5.1 Description .............................................................................................. 6-27
6.5.2 Request for the Release of Retention ..................................................... 6-28
6.5.3 Statement of 10% Retention ................................................................... 6-29
Road Project Management and Supervision Manual Vol. II: Sample Forms and Documents iv
Chapter 7 Project Completion and Acceptance ........................................... 7- 1
7.1 Final Inspection for Completion .................................................................. 7- 1

7.1.1 QAU or Regional Inspectorate Team Report........................................... 7- 1
7.1.2 Pre-final Inspection (Punch List) ............................................................. 7- 2
7.1.3 Final Inspection Report ........................................................................... 7- 3
7.2 Certificate of Completion ............................................................................ 7- 4
7.3 Post-evaluation Report (Post-audit)............................................................ 7- 5
7.4 Acceptance Report ..................................................................................... 7- 7
7.5 Certificate of Acceptance ............................................................................ 7- 8
v Road Project Management and Supervision Manual Vol. II: Sample Forms and Documents
ACKNOWLEDGEMENT
JICA-TCP II would like to thank the TWG members and the regional project managers for
their patience, guidance, words of encouragement and useful critiques which really helped us
a lot in accomplishing this undertaking.
TWG Members:
Dr. Judy F. SESE, Chairperson, OIC-Director, Bureau of Research and Standards
Ms. Carolina S. CANUEL, Fmr. Vice Chairperson, Fmr. Div. Chief, DPD, P/S
Mr. Adriano M. DOROY, Asst. Director, Bureau of Design
Mr. Aristarco M. DOROY, OIC-Asst. Director, Bureau of Construction
Ms. Edna F. MEÑEZ, OIC-DE, Negros Occidental 4th DEO, DPWH-Region VII
Mr. Felipe S. RAMOS, Fmr. Chief, Technical Services and Evaluation Div., BRS
Mr. Nestor B. CAOILE, OIC-Division Chief, Materials Testing Division, BRS
Thank you also to the CWG Members for their efforts and collaborations.
Regional Project Managers:

Ms. Elsa T. NABOYE, Regional Project Manager, Asst. Chief, QAD, DPWH-CAR
Ms. Ramie B. DOROY, Regional Project Manager, DE, Negros Oriental 1st DEO,
DPWH-Region VII
Ms. Rowena P. JAMITO, Regional Project Manager, Engr. V, MD, RO-XI
CWG Members:
Mr. Elmer R. FIGUEROA, Engr. III, BOC
Mr. Ernante S. ANTONIO, Engr. III, BOM
Ms. Carina B. DIAZ, Engr. III, BOD
Ms. Nenita R. VALENCIA, Former Engr. III, BRS
Mr. Vicente R. VALLE, JR., Engr. IV, DPWH-Region VII
Ms. Aurora M. LACASANDILE, Engr. III, CD, DPWH-Region XI
Finally, we wish to thank our Expert, Mr. Ryoichi Yamasaki, Co-Team Leader, JICA TCP II
and his Asst. Engineer, Mr. Feliciano P. Carpio, for their support and encouragement
throughout this activity.
Road Project Management and Supervision Manual Vol. II: Sample Forms and Documents vi
Chapter 1 Introduction
1.1 Background
The Department of Public Works and Highway, hereinafter referred to as "DPWH" and
Japan International Cooperation Agency, hereinafter referred to as "JICA", agreed in 2006 to
implement the project for Improvement of Quality Management for Highway and Bridge
Construction and Maintenance, hereinafter called as " Phase I", aiming to enhance the
engineering knowledge of the Engineers of DPWH.
For the implementation of the said project, the DPWH organized the Joint Coordinating
Committee, hereinafter called as "JCC", Technical Working Group, hereinafter called as

"TWG" and Counterpart Working group, hereinafter called as "CWG" and the JICA
dispatched the JICA Technical Cooperation Project Team, hereinafter referred to as "JICA
TCP Team" from February 2007 to February 2010.
Under Phase I, the following manuals/guidelines were prepared and issued for road
construction and maintenance through the CWG's activities.
* Guidebook for Road Construction and Maintenance Management in the Republic of

the Philippines,
* Road Project Management and Supervision Manual, Volume I: Main Text and
* Road Project Management and Supervision Manual, Volume II: Appendices (Standard
Form, Examples and References)
From October 2011 to September 2014, the DPWH and JICA TCP Team -newly
dispatched by JICA - implemented the project for Improvement of Quality Management for
Highway and Bridge Construction and Maintenance, Phase II, hereinafter called as " Phase II"
to aim further enhancement.
This manual, Road Project Management and Supervision Manual, Volume II: Sample
Forms and Ducuments, Second Edition, was prepared under Phase II through the revision
work done by CWG based on the Road Project Management and Supervision Manual,
Volume II: Appendices (Standard Form, Examples and References), 1st Edition as mentioned
above.
1.2 Purpose
Engineers of the DPWH concerned with road construction and management are the main
targets of this Manual. The CWG made efforts to make this Manual 2nd Edition easy to
understand by the Engineers, hence, it would be an effective tool related to the above areas.
Road Project Management and Supervision Manual Vol. II: Sample Forms and Documents 1-1
Chapter 2 Plans and Drawings
2.1 Original Design Plan
Original design plan is prepared to determine the approximate amount of the road project
for procurement processes. It is a Detailed Engineering Design (DED) plan prepared by the
implementing office (RO/DEO) or by the Consultant after the conduct of feasibility or
preliminary engineering study, in accordance with the DPWH Design Guidelines, Criteria and
Standards, and DPWH Standard and Specifications.
It should include survey plan, horizontal and vertical alignments (plan and profile),
typical roadway section, detailed cross-sections, drainage cross-sections, detailed drawings
and schedule of all proposed structures, design standard drawings, among others.
Original/DED plan may be approved by the Secretary, Undersecretary/Assistant Secretary for
technical services, Regional Director and District Engineer, depending on the amount of the
project and/or delegated level of authority of each approving official. With the exception of
plans approved by concerned RO/DEO, all original plans shall be subject for review by the
Bureau of Design (BOD) and should be supported with documents as contained in the BOD
Checklist of Requirement shown in the following page.
Checklist of Supporting Document as per Requirement of Bureau of Design
BOD Ref No. __________
Date: _________________
MEMORANDUM
FOR : _______________
This Bureau
SUBJECT: ____________________________________________
____________________________________________
Forwarded herewith is a set of plan for the aforecited project with the following
supporting documents:
1. Pavement
a. Soil Data
b. Material Test Result
c. Traffic Data
d. Design Analysis and Calculation
e. Typical Section of Existing Pavement Structure
2. Drainage
a. Hydrologic Analysis
b. Hydraulic Design Calculation
c. Structural Analysis of Box Culverts
d. Topographic Map
3. Embankment
a. Soil/Material Test Result
b. Slope Stability Analysis
c. Foundation Stability Analysis
4. Cut Slope
b. Slope Stability Analysis
5. Slope Protection Structures
b. Design Analysis/Calculation
6. Road Safety Facilities
a. Traffic Design Proposal
b. Road Safety Audit Report
7. Quantity Estimates
a. Detailed Quantity Estimates of all Items of Work involved
8. Specifications
a. Material Specification of all Items of Work involved (DPWH Standards Specification
2013 Edition, Volume II – Highway, Bridges and Airports)
9. Others:
_____________________________
Division Chief
2-2 Road Project Management and Supervision Manual Vol. II: Sample Forms and Documents
2.2 As-Staked Plan
As-Staked plan is prepared when, as a result of “as-stake” survey conducted jointly by
the Implementing Office and the Contractor, there was noted big discrepancy between what
was reflected in the original plan and the actual field condition that would result to major
changes in the original design and quantities of original items of work.
The As-Staked plan should reflect both the original and as-staked design and quantities,
and duly supported with detailed technical justification for all the changes from the original. If
there are no major changes between the original plan and actual field condition, it is no longer
necessary to prepare As-Staked plan. The approved As-Staked plan will be the basis in the
processing/issuance of variation order.
2.3 As-Built Plan

All the completed scope of works within the contract, as well as the changes (Variation
Orders, Extra Works, Supplemental Works) encountered and necessary for the completion of
the project are reflected in the As-Built plan.
It should be approved by the implementing office or the concerned/delegated

Undersecretary/Assistant Secretary. As-built plan shall be the basis for final billing of the
Contractor.
2.4 Typical Title Block

The following page shows a typical title block utilized in the preparation of Original
Design, As-Staked and As-Built plans. All plans shall be prepared in accordance with D.O. No.
56, Series of 1995 regarding Quality of Plans.
2-4
PROJECT TITLE/LOCATION: SHEET CONTENTS: PREPARED: REVIEWED: S U B M I T T E D: REVIEWED AS PRESENTED: RECOMMENDING APPROVAL: APPROVED: SET NO. SHEET NO.
PROJECT ENGINEER (CONTRACTOR

) OIC-CHIEF PLANNING & DESIGN DIVISION
CHECKED:
Road Project Management and Supervision Manual Vol. II: Sample Forms and Documents
ASSISTANT REGIONAL DIRECTOR REGIONAL DIRECTOR CHIEF, HIGHWAYS DIVISION, B.O.D DIRECTOR IV, B.O.D ASSISTANT SECRETARY UNDERSECRETARY
PROJECT ENGINEER (DPWH-RO) OIC-ASST. CHIEF PLANNING & DES. DIV. DATE: DATE: DATE: DATE: DATE: DATE:
Chapter 3 Procurement
3.1 Invitation to Bid

DEPARTMENT OF PUBLIC WORKS AND HIGWAYS
Implementing Office
Invitation to Bid
Contract ID No.: ________________________________________________
________________________________________________
1. The Department of Public Works and Highways (DPWH), through the General
Appropriations Act intends to apply the sum of Php ____________ being the Approved
Budget for the Contract (ABC) to payments under the contract for
_______________________________. Bids received in excess of the ABC shall be
automatically rejected at the bid opening.
2. The Department of Public Works and Highways now invites bids for
______________________. The length of the road is _______ kms. to be made of
_____________, width of _____ meter (__ -lane at ___ m/lane) at ___ m thick.
Completion of the Works is ________ calendar days. Bidders should have completed a
single contract similar to the Project, equivalent to at least fifty percent (50%) of the ABC.
The description of an eligible bidder is contained in the Bidding Documents, particularly, in
Section II, Instruction to Bidders.
3. Bidding will be conducted through open competitive bidding procedures using

nondiscretionary pass/fail criterion as specified in the Revised Implementing Rules and
Regulations (IRR) of Republic Act 9184 (RA 9184), otherwise known as the “Government
Procurement Reform Act”. Bidding is restricted to Filipino citizens/sole proprietorships,
partnerships, or organizations with at least seventy five percent (75%) interest or
outstanding capital stock belonging to citizens of the Philippines.
4. Contractors/applicants who are interested in the DPWH civil works are required to register
prior to the set schedule of submission of bid while those already registered shall keep their
records current and updated. Contractor’s eligibility to bid on the project will be
determined using the DPWH Contractor Profile Eligibility Process (CPEP) and subject to
further post- qualification. Information on registration can be obtained at DPWH website
www.dpwh.gov.ph or Central Procurement Office (CPO), ________________
_________________________, from ____________________.
5. Interested bidders shall be required to submit PCAB License applicable to the type and cost
of this contract and classification of contractors as Large “B” for road, and ISO9000
Certification as part of the technical documents under Item 12.1(b) (iv) of the Bid Data
Sheet. They may obtain further information from DPWH-______ and CPO and inspect the
bidding documents at the address given below from ________________________.
Page 1 of 2
6. A complete set of Bidding Documents may be purchased by interested Bidders from the
address below and upon payment of a non-refundable fee for the Bidding Documents in the
amount of Php _______________. It may also be downloaded free of charge from the
website of the Philippine Government Electronic Procurement System (PhilGEPS) and the
website of the DPWH, provided that bidders shall pay the fee for the Bidding Documents
not later than the submission of their bids.
7. The Department of Public Works and Highways will hold a Pre-Bid Conference on
_____________ at ______________________________ which shall be open only to all
interested parties who have purchased the Bidding Documents.
8. Interested bidders may obtain further information from Department of Public Works and
Highways, Central Procurement Office (CPO) and inspect the Bidding Documents at the
address given below from _________ to __________.
9. Bids must be delivered on or before ____________________ at
_____________________________. All bids must be accompanied by a bid security in
any of the acceptable forms and in the amount stated in ITB Clause 18.1. Bids will be
opened in the presence of the bidders’ representatives who choose to attend at the aforesaid
address. Late bids shall not be accepted.
10. The DPWH reserves the right to accept or reject any bid, to annul the bidding process, and
to reject all bids at any time prior to contract award, without thereby incurring any liability
to the affected bidder or bidders.
11. For further information, please refer to:
______________________________ ______________________________
Head of Office Chairman, BAC for _______________ Project
“Implementing Office, Address and Contact Details”
Page 2 of 2
3.2 Program of Work

Implementing Office
Date: _______________
Program of Work
District/City: ____________ Road Width: _______________
Name of Project: ____________ Pavement Width: _______________
Location: ____________ Pavement Thickness: _______________
Appropriation: ____________ Type of Superstructure: _______________
Source of Funds: ____________ No. of Spans: _______________
Limits: ____________ Starting Date: _______________
Net Length: ____________ No. of Days to Complete: _______________
Number
Description of Works to be done % of Total Equipment
Needed Available
Adjusted
Item No. Description Unit Qty. Unit Cost Total Cost
Cost
Breakdown of Estimated Expenditures:

1) Labor (Man-days): _________________________ A. Material, Fuel, Oil: _________________________
2) Materials: _________________________ B. Equipment, Labor _________________________
3) Equipment, Rental: _________________________ C. OCM, Profit (15%): _________________________
4) OCM, Profit (15%): _________________________ D. VAT 12% (ABC): _________________________
5) Overhead (3.50%): _________________________ E. Total Const. Cost: _________________________
6) VAT (12%): _________________________ F. Overhead (3.50%): _________________________
Total: _________________________ G. Total Estimated Cost: _________________________
Say: _________________________ Say: _________________________
Prepared by: Checked by: Submitted by:
___________________________ ___________________________ ___________________________
Reviewed as to Unit Cost: Approved:

__________________________ __________________________
Regional Director/District Engineer
3.3 Detailed Unit Price Analysis
Detailed Unit Price Analysis (DUPA)

Item No./Description: _______________________________
Unit of Measurement: _______________________________
Output per hour: _______________________________
No. of No. of
Designation Hourly Rate Amount
Person Hours
A. Labor
Sub - Total for A
No. of No. of
Name and Capacity Hourly Rate Amount
Unit Hours
B. Equipment
Sub - Total for B
C. Total (A+B)
D. Output per hour =
E. Direct Unit Cost ( C ÷ D )
F. Name and Specification Unit Quantity Unit Cost Amount
Materials
Sub - Total for F
G. Direct Unit Cost ( E + F )
H. Overhead, Contingencies & Miscellaneous (OCM) % of G
I. Contractor's Profit (CP) % of G
J. Value Added Tax (VAT) 12 % of (G+H+I)
K. Total Unit Cost (G+H+I+J)
Implementing Office
Approved Budget for the Contract

_____________________________________________
Project Name and Location
Station: _____________________________
Length: _____________________________ Contract Duration: _____________________________
Mark-ups
Total Mark-up Total
Item Estimated Direct In Percent
Description Quantity Unit VAT Total Cost Unit Cost
No. Cost
OCM Profit % Value Indirect Cost
3.4 Approved Budget Cost
(9) (10) (11) (12) (13)

(1) (2) (3) (4) (5) (6) (7) (8)
(5) x (8) 12% x ((5)+(9) (9) + (10) (5)+(11) (12)/(3)
Total
Prepared/Submitted by: Recommending Approval: Approved:
______________________________ ______________________________ ______________________________
3-5
3.5 Bill of Quantities
Contract ID No.: ____________________________________

Contract Name: ____________________________________
BILL OF QUANTITIES
Item Unit Cost Total Cost

Description Unit Qty
No. (PhP) (PhP)
Subtotal: ____________
Subtotal: ____________
Total: ____________
Total Amount in Words:
3.6 Resolution

Implementing Office
RESOLUTION
RESOLUTION DECLARING (Name of Construction Firm) WITH THE LOWEST

CALCULATED RESPONSIVE BID AND RECOMMENDING AWARD FOR THE (Name of
Project) .
WHEREAS, the Department of Public Works and Highways advertised the Invitation to Bid
for the (Name of Project) in the (No. or Vol.) issue of (Date of Issue)
(Name of Leading Newspaper) ;
WHEREAS, bidding for the project was conducted in accordance with relevant procedures
for open competitive bidding as specified in the IRR of RA 9184 (R.A. 9184) with some amendments,
as stated in the bidding document and opened to all bidders from eligible source countries as defined in
the applicable procurement guidelines of the World Bank. The contract shall be awarded to the Lowest
Calculated Responsive Bidder (LCRB) who was determined as such during post-qualification;
WHEREAS, in response to the said Invitation, (Name of Bidder), (Name of Bidder), (Name
of Bidder) bidders and purchased bidding documents;
WHEREAS, during the submission and opening of bids on (Date of Opening), the SBAC for
Civil Works received only (No. of Bids) ( (Numeric) ) bids. (No. of Applicant Bidders) applicant
bidders, namely: (1) (Name of Applicant Bidder) , (2) (Name of Applicant Bidder) ,,, The (No. of
Applicant Bids) bids were checked as to compliance with the bidding requirements, and read, as
follows:
Bidder Read-out Bid Prices (Php) Remarks
WHEREAS, the Estimated Project Cost (EPC) is PhP (Estimated Project Cost);
WEREAS, all bids submitted were referred to the SBAC-Technical Working Group (TWG)
for correction of arithmetical errors, application of the discounts offered, evaluation, examination and
comparison of bids;
WHEREAS, based on the detailed examination, and comparison of the (No. of
Bids) ((Numeric)) bids and unconditional discounts offered applied, shown in the table below were the
corrected bid prices, ranked from lowest to highest;
Bid as Corrected/ Variance vs. EPC
Bidder Rank
Discounted (Php) (%)
Page 1 of 2
WHEREAS, (Name of Construction Firm), with the lowest calculated bid, was subjected to
post-qualification evaluation based on the criteria in the bidding document, and found (Name of
Contractor) passing all the requirements for the Technical Experience, Average Annual Turnover, Net
Financial Contracting Capacity, Key Personnel and Equipment;
WHEREAS, the SBAC for Civil Works for (Implementing Office) during the meeting on (Date
of meeting), and after a careful deliberation, approved the findings of the SBAC-TWG and recommended
to award the contract for the (Name of Project) to (Winning Bidder), at its total bid price of PhP (Total Bid
Price) which is (Percentage) below the Estimated Project Cost.
NOW THEREFORE, for and in consideration of the foregoing premises, the herein Special
Bids and Awards Committee for Civil Works for (Foreign Assisted or Locally Funded Project) resolves as
it is hereby resolved the following:
a) To declare (Name of Contractor), as the Bidder with the Lowest Calculated Responsive Bid
(LCRB) for the above mentioned Contract; and
b) To recommend to (Approving Official), for approval, the award of the said Contract to (Name of
Contractor), at its Total Calculated Bid Price of (Amount in words and figures) .
Done in _________________________ this ________ day of ____________.
___________________________________
(Chairperson)
___________________________________ ___________________________________
(Member) (Member)
___________________________________ ___________________________________
(Member) (Member)
Approved:
___________________________________
( Name )
Date of Approval: ________________________
Page 2 of 2
3.7 Contract Agreement
Implementing Office
Contract Agreement
Contract ID No.: ________________________________________________
Contract Name: ________________________________________________
Location of the Contract: ________________________________________
THIS CONTRACT AGREEMENT, made this ______ day of ___________, _______

between____________________________________ (hereinafter called the “ENTITY”) and
___________________________________ (hereinafter called the “CONTRACTOR”).
WHEREAS, the ENTITY is desirous that the CONTRACTOR execute the Works under
__________________________________, hereinafter called “the Works” and the Entity has
accepted the Calculated Bid for the execution and completion of such Works calculated in the unit
prices shown in the attached Bill of Quantities, or a total Bid price of ______________________.
NOW THIS CONTRACT AGREEMENT WITNESSETH AS FOLLOWS:
1. In this CONTRACT AGREEMENT, words and expressions shall have the same meanings
as are respectively assigned to them in the Conditions of Contract hereinafter referred to.
2. The following documents shall be attached, deemed to form, and be read and construed as
part of this CONTRACT AGREEMENT:
a. Bidding Documents for the Contract (Annex “_”)

(1) General Conditions of Contract
(2) Special Conditions of Contract
(3) Drawings
(4) Specifications
(5) Invitation to Apply for Eligibility and to Bid
(6) Instructions to Bidders
(7) Bid Data Sheet
(8) Supplemental/Bid Bulletins (Addenda)
b. CONTRACTOR’s Calculated Bid in the Form of Bid including its Technical and
Financial Proposals (Annex “_”)
c. CONTRACTOR’s Letter of Intent for Eligibility and Contractor’s Information
from the DPWH Registry (Annex “_”)
d. Notice of Award of Contract and the CONTRACTOR’s “Conforme” (Annex
“_”)
e. Performance Security (Annex “_”)
f. Credit Line or Cash Deposit Certificate (Annex “_”)
g. PERT/CPM diagram and bar chart with S-curve (Annex “_”)
3. In consideration of the payments to be made by the ENTITY to the CONTRACTOR as

hereinafter mentioned, the CONTRACTOR hereby covenants with the ENTITY to execute
and complete the Works and remedy any defects therein in conformity with the provisions
of this CONTRACT AGREEMENT in all respects.
Page 1 of 2
4. The ENTITY hereby covenants to pay the CONTRACTOR in consideration of the
execution and completion of the Works, the unit prices in the CONTRACTOR’s
Calculated Bid as applied to the actual quantities accomplished as certified by the
PROCURING ENTITY under the provisions of this CONTRACT AGREEMENT at the
times and in the manner prescribed by this CONTRACT AGREEMENT.
IN WITNESS whereof the parties thereto have caused this CONTRACT AGREEMENT
to be executed the day and year first before written.
Signed, sealed, delivered by ___________the ___________(for the Entity)
Signed, sealed, delivered by ___________the ___________(for the Contractor)
Binding Signature of the PROCURING ENTITY

________________________________________________
Binding Signature of Contractor

____________________________________________
[Addendum showing the corrections, if any, made during the Bid evaluation to arrive at the Calculated Bid should
be attached with this CONTRACT AGREEMENT]
Acknowledgement
Republic of the Philippines)
City of _______________ S.S.
BEFORE ME, this _________ day of _____________, in the City of ______________,

personally appeared _________________, ____________________ with Residence Certificate
No. ____________issued __________ at ________ on___________ and
______________________, _________________________ with Residence Certificate No.
____________issued at _________ on ______________, known to me to be the same persons,
who executed the foregoing instrument, and they acknowledged to me that the same are their free
acts and deeds.
This instrument, consisting of ____ pages, including this page on which this
acknowledgement is written, have been signed on the margin of each and every page thereof by
____________ and ____________ and their instrumental witnesses, and sealed with my notarial
seal.
IN WITNESS WHEREOF, I have hereunto set my hand the day, month, year and place
above written.
NOTARY PUBLIC
Doc. No.: __________

Page No.: __________
Book No. __________
Series of 20__
Page 2 of 2
3 - 10 Road Project Management and Supervision Manual Vol. II: Sample Forms and Documents
3.8 Notice of Award

Implementing Office
Contract ID No.: ________________________________________________

Contract Name: ________________________________________________
Notice of Award
Date: _______________
_______________________
_______________________
_______________________
Dear __________________:
We hereby accept your bid for the above stated Contract and therefore award the Contract to you
as the Bidder with the Lowest Calculated Responsive Bid at a total Contract Price equivalent to
___________________________________________.
You are required within ______ days from your receipt of this Notice of Award to submit to us (a)
this Notice with your signed "Conforme" thereon, (b) the required Performance Security, (c) the
required credit line or cash deposit certificate and (d) the PERT/CPM diagram and Bar Chart with
S-curve, all of which will form part of the Contract Agreement in accordance with the Bidding
Documents. You are also required, within the said ______ days, to formally sign the Contract
Agreement.
Your failure to comply with these requirements shall constitute a sufficient ground for the
cancellation of this award and the forfeiture of your Bid Security.
Very truly yours,
_____________________________
Received by:
_________________________
Date Received:
_________________________
Road Project Management and Supervision Manual Vol. II: Sample Forms and Documents 3 - 11
3.9 Bid Security
BID SECURITY: IRREVOCABLE STANDBY LETTER OF CREDIT

Reference No. ______Date: __________
___________________________________
___________________________________
SUBJECT: Irrevocable Standby Letter Of Credit No. _______

(Name of Project and Location)
Gentlemen:
WHEREAS, (Name of Bidder), hereinafter called “The Bidder”, with address at (Address of
Bidder) has undertaken to submit to you a bid for the above stated contract and whereas, you have
stipulated in the instruction to bidders for the said contract that the bidder shall furnish you with an
irrevocable standby letter of credit for a sum specified therein as bid security for the faithful
compliance of the following obligations of the bidder:
1. The bidder shall not withdraw its bid for the abovementioned contract during the period bid validity
specified in the instructions to bidders.
2. The bidder shall accept the corrections to be made by the bids and awards committee on any arithmetical or
computational errors in its bid prices in accordance with the instructions to bidders.
3. If the bidder received your Notice of Award for the contract, it shall submit to you, within ten (10) days
from receipt of the said notice, (a) its written “Conforme” on the Notice of Award, (b) Performance Security, (c) Credit
Line/Cash Certificate/Deposit Certificate, and (d) Pert/CPM, and shall execute the contract agreement in accordance
with the instructions to bidders and general conditions of the contract.
WHEREAS, we have agreed to guarantee this obligation of the bidder,
THEREFORE, We (Insurer and Address) hereby affirm that we are guarantors and
responsible to you on behalf of the bidder thus, we hereby issue our Irrevocable Standby Letter of
Credit up to the total amount of Pesos: (Coverage Amount in Words ) (Php (Coverage Amount in
Figures)) and we undertake to pay you, upon your first notarized written demand declaring the bidder
to be in default under the instructions to bidders and without cavil or argument, any sum or sums
within the limits of Pesos ________________________________ (Php __________ ) as aforesaid,
without your needing to prove or show grounds or reasons for your demand for the sum specified
therein.
Page 1 of 2
This Irrevocable Standby Letter of Credit is valid until _________calendar days after the
date of opening of bids for the said Contractor until ____________ (the “expiry date”), whichever
comes earlier.
This Irrevocable Standby Letter of Credit is being issued in favor of the said bidder in
connection with your requirements of the bidding for the said contract. We are aware that any false
statements issued by us make us liable to perjury.
This Irrevocable Standby Letter of Credit is issued subject to the uniform customs and
practice for documentary credits (2007 Revision) International Chamber of Commerce Publication no.
600.
___________________________________________
(Insurer)
____________________________
Bank’s Authorized Officer
Page 2 of 2
3.10 Performance Security
PERFORMANCE SECURITY: IRREVOCABLE STANDBY LETTER OF CREDIT

Date: __________
(Name of the Head of the Procuring Entity)

(Position of the Head of the Procuring Entity)
(Name of the Procuring Entity)
(Address of the Procuring Entity)
(Facsimile Number of the Procuring Entity)
Irrevocable Letter of Credit No. __________

For (Contract Number and Name)
WHEREAS, (Name of Contractor), hereinafter called “Contractor” has undertaken to enter

into a contract with you to execute (Contract Number and Name) and whereas you have stipulated in
the said Contract that the Contractor shall furnish you with an irrevocable standby Letter of Credit for a
sum specified therein as Performance Security for the faithful compliance of the Contractor’s
obligations in accordance with the Contract.
WHEREAS, we have agreed to guarantee this obligation by the Contractor.
THEREFORE, we hereby affirm that we are guarantors and responsible to you, on behalf of
the Contractor, up to the total amount of (Amount of Guarantee) and we undertake to pay you, upon
first written demand declaring the Contractor to be in default under the Contract and without cavil, or
argument, any sum or sums within the limits of (Amount of Guarantee) as aforesaid without you
needing to prove or to show grounds or reasons for your demand for the sum specified therein.
The right to institute action on this guarantee pursuant to Act No. 3688 of any individual,
firm, partnership, corporation and association supplying the Contractor with labor and materials for the
prosecution of the works is hereby acknowledged and confirmed.
This irrevocable guarantee is valid until the issuance by you of the Certificate of Acceptance
of the completed works.
This certification is being issued in favor of the said Contractor in connection with the
requirements of the bidding by (Name of the Procuring Entity) for the above-mentioned Contract.
We are aware that any false statements issued by us make us liable for perjury.
Page 1 of 2
Name and Signature of Authorized
Financing Institution Officer: _____________________________
Official Designation: _____________________________
Concurred By:
Name & Signature of Contractor’s

Authorized Representative: _____________________________
Official Designation: _____________________________
Note:
The amount committed should be machine validated.
ACKNOWLEDGMENT
SUBSCRIBED AND SWORN to before me this _____ day of _____________, 20___,

affiant exhibited to me his/her Community Tax Certificate No. ___________ issued on
_______________ at _____________________, Philippines.
Notary Public
Until 31 December 20_____
PTR No. _______________
Issued at: _______________
Issued on: _______________
TIN No. _______________
Doc. No. _______
Page No. _______
Book No. _______
Series of _______.
Page 2 of 2
3.11 Surety Bond
PSIS Bond No. _______

PERFORMANCE BOND (SURETY BOND)
KNOW ALL MEN BY THESE PRESENTS:
That, we (Name of Construction Firm) of (Address) as PRINCIPAL and (Name of Insurance

Company), a corporation duly organized and existing under and by virtue of the laws of the Philippines, with
principal office at _____________________________ Philippines, as SURETY, are held and firmly bound
unto (Contracting Party) in the sum of _______________________ (Php ______).
Philippine currency, for the payment of which sum well and truly to be made, we bind ourselves, our heirs,
executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.
The conditions of this obligation are as follows:
WHEREAS, the above bounded Principal has a contract with the Obligee to fully & faithfully
guarantee the Contract for (Complete description of project and location).
“THIS BOND IS CALLABLE ON DEMAND”

Provided, however, that the liability of the surety under this bond shall in no case exceed the sum of
_______________________ (Php ________) Philippine Currency.
WHEREAS, the Obligee requires the above bounded principal to give a good and sufficient bond in the
above stated sum to secure the full and faithful performance on its part of said Obligee.
NOW, THERFORE, if the above bounded Principal shall in all respects duly and fully observe and
perform all and singular the aforesaid covenant conditions and agreements to the true intent and meaning thereof,
then this obligation shall be null and void, otherwise to remain in full force and effect.
Liability of surety on this bond will expire on co-terminus with the final acceptance of the project.
This bond will be considered automatically cancelled ten (10) days after expiration, unless surety is notified by any
existing obligations thereunder and the latter signifies in wrong in content to act as surety for the continuance of
any existing obligations hereunder.
IN WITNESS WHEREOF, we have set our hands and signed our names on this (Date) day of (Month),
20_____.
WITNESSES: BY: (Name of Construction Company)
ATTESTED:
______________________________
Principal
3.12 Contractor's All Risks Insurance
CONTRACTOR’S ALL RISKS POLICY
WHEREAS THE INSURED named in the Schedule hereto has made to the
________________ (hereinafter called “the Insured” a written proposal by completing a
Questionnaire which together with any other statements made in writing by the Insured for
the purpose of this Policy deemed to be incorporated herein.
NOW THIS POLICY OF INSURANCE WITNESSETH that in consideration of the Insured

having paid to the Insurers the premium mentioned in the Schedule and subject to the
exclusions, provisions and condition contained herein or endorsed hereon the Insurers will
indemnify the insured in the manner and to extent hereinafter provided.
GENERAL EXCLUSIONS
The Insurers will not indemnify the insured in respect of loss, damage or liability directly or
indirectly caused by or raising out of
a) war, invasion, act of foreign enemy, hostilities, (whether war be declared or not), civil
war, rebellion, revolution, insurrection, mutiny, riot, strike, lock - civil commotion,
military or usurped power, or malicious persons acting on behalf of or in connection
with any political organization, confiscation, commandeering, requisition or
destruction of or damage to property by order of the government de jure or de facto or
by any public authority;
b) nuclear reaction, nuclear radiation or radioactive contamination;
c) willful act of willful negligence of the Insured;
d) cessation of work whether total or partial,
In any action, suit or other proceeding where the Insurers allege that by reason of the
provisions of Exclusion (a) above any loss, destruction, damage or liability is not covered by
this insurance the burden of proving that such loss, destruction, damage or liability is covered
shall be upon the Insured.
PERIOD OF COVER
a) CONSTRUCTION PERIOD
The liability of the insurers shall commence, notwithstanding any date to the
contrary specified in the Schedule, with the unloading of the property specified in the
Schedule. The Insurer’s liability expired also for parts of the insured contract works
taken over or put into service by the Principal prior the expiry date specified in the
Policy whichever shall be earlier.
Page 1 of 9
b) MAINTAINED PERIOD
If a maintenance period is specified in the Schedule, the liability of the Insurers
during this period shall be limited to any loss or damage caused by the Insured
Contactor(s) in the course of the operations carried out by him for the purpose of
complying with his obligations under the Maintenance ______ of the Contract.
GENERAL CONDITIONS
1) The due observance and fulfillment of the Terms of this Policy in SO FAR as they
relate to anything to be done or complied with by the Insured shall ____ condition
precedent to any liability of the Insurers to make any payment under this Policy;
2) The Schedule and the Section(s) shall be deemed to be incorporated and in form part of
this Policy and the expression “this Policy” wherever used in contract shall be read as
including the Schedule and Section(s). Any work or expression to which a specific
meaning has been attached in any part of Policy or of the Schedule or of the Section(s)
shall bear such meaning wherever it may appear;
3) The Insured shall give notice to the Insurers of any insurance or insurances already
effected, or which may subsequently be effected, covering any of property hereby
insured, and unless such notice be given and the particulars of such insurance or
insurances be stated in or endorsed on this policy by or behalf of the Insurers before the
occurrence of any loss or damage, all benefits under this Policy shall be forfeited;
4) The Insured shall take all reasonable precautions to prevent loss, damage or liability
and to comply with sound engineering practice, statutory requirement and
manufacturer’s recommendations and maintain in efficient condition all contract
works, construction plant, equipment and construction machine insured by this Policy;
5) The Insured shall immediately notify the Insurers in writing of any material change in
the risk hereunder; the scope of cover and/or the premium shall, if necessary, be
adjusted accordingly;
6) Representatives of the Insurers shall at any reasonable time have access to the site or
premises and to all pertinent data, documents, drawings, etc. and shall have the right to
inspect any property Insured;
7) In the event of any occurrence which might give rise to a claim under this Policy, the
Insured shall:
a) Immediately notify the Insurers by telephone or telegram as well as in writing;
b) Take all steps within his power to minimize the extent of the loss or damage;
c) Preserve the damaged parts and make them available for inspection by a
representative or surveyor of the __________;
Page 2 of 9
d) Furnish all such information and documentary evidence as the Insurers may
require;
e) Inform the police authorities in case of loss or damage due to theft, burglary or
sabotage.
The Insurers shall not in any case be liable for loss, damage or liability of which no
notice has been received by the Insurers within 14 days of its occurrence.
Upon notification being given to the Insurers under this condition, the Insured may
carry out the repairs or replacement of any minor damage; in other cases a
representative of the insurers shall have the opportunity of inspecting the loss or
damage before any repairs or alterations are effected. ______ thing herein shall
prevent the Insured from taking such steps as are absolutely necessary for the security
and continuation of the contract work. If a representative of the Insurers does not
carry out the inspection with a period of time which could be considered as adequate
under the circumstances insured is entitled to proceed with the repairs or replacement.
8) The Insured shall at the expense of the Insurers do and concur in doing and permit to
be done all such acts and things as may be necessary or required the Insurers in the
interest of any rights or remedies, or of obtaining relief for indemnity from parties
(other than those insured under this Policy) to who the Insurers shall be or would
become entitled or subrogated upon their paying for or making good any loss or
damage under this Policy, whether ___ acts and things shall be or become necessary or
required before or after the Insured’s Indemnification by the Insurers.
9) All differences arising out of this Policy with respect to the amount of liability shall be
referred to the decision of an Arbitrator to be appointed in writing by the parties in
difference or if they cannot agree upon a single Arbitrator to the decision of two
Arbitrators, one to be appointed in writing by each the parties, within one calendar
month after having been required in writing so to do by either of the parties, or in case
the Arbitrators do not agree, of Umpire to be appointed in writing by the Arbitrators
before entering upon the reference. The Umpire shall sit with the Arbitrators and
preside at the meetings. The Arbitrators and the Umpire shall be qualified Engineer.
The making of an award shall be a condition precedent to any right of act against the
Insurers.
Page 3 of 9
10) If a claim is in any respect fraudulent, or if any false declaration is made or used in
support thereof, or if any fraudulent means or devices are used in support thereof, or if
fraudulent means or devices by the Insured or anyone acting on his behalf to obtain
any benefit under this Policy, or claim is made and rejected and no action or suit is
commenced within twelve months after such rejection or, in case of arbitration taking
place as provided herein, within twelve months after the Arbitrator or Arbitrators or
Umpire have made their award, all benefit under this Policy shall be forfeited.
11) Any claim arises under the Policy there be any other insurance covering the same loss,
damage of liability the Insurers shall not be liable _____ contribute more than their
ratable proportion of any claim for such loss or damage.
Section 1
PROPERTY INSURED
(Material Damage)
THE INSURERS HEREBY AGREE with the insured that if at any time during the period of
insurance stated in the Schedule, or doing any further period of extension thereof the property
or any part thereof described in the Schedule shall suffer any unforeseen loss or damage from
any cause, other than the specifically excluded, in a manner necessitating repair or
replacement, the Insurers will pay or make good all such loss or damage up to an amount not
exceed in respect of each of the items specified in the Schedule the sum set opposite thereto
and not exceeding in all the total sum expressed in the said Schedule insured hereby.
The Insurers will also reimburse the Insured for the cost of clearance of the debris of the
insured property following upon any event giving rise to a claim under this Policy but not
exceeding all the sum set opposite thereto in the Schedule.
EXCLUSIONS TO SECTON 1
The Insurers shall not, however, be liable for:
(a) the deductibles stated in the Schedule to be borne by the Insured in any one
occurrence other than fire, lightning or explosion;
(b) consequential loss of any kind or description whatsoever including penalties, losses
due to delay, lack of performance, loss of contract;
(c) loss or damage due to faulty design;
(d) cost of replacement or rectification of defective material and/or workmanship, but
this exclusion shall be limited to the items immediately affected shall not be
deemed to exclude loss or damage resulting from an accident due to such defective
material and/or workmanship;
Page 4 of 9
(e) wear and tear, corrosion, oxidation, deterioration due to lack of use and normal
atmospheric conditions:
(f) mechanical and or electrical breakdown or derangement of construction plant,
equipment and construction machinery;
(g) loss of or damage to vehicles licensed for general road use or waterborne vessels or
aircraft;
(h) loss or damage to files, drawings, accounts bills, currency, stamps, deeds evidences
of debt, notes, securities or cheques;
(i) loss discovered only at the time of taking an inventory.
PROVISIONS APPLYING TO SECTION 1
MEMO1. SUM INSURED It is a requirement of this insurance that the amounts of
insurance stated in the Schedule shall:
Not be less than for item 1 The full value of the contract works at the completion of
the construction, inclusive of materials, wages, freight,
custom duties, dues and materials or items supplied by the
Principal;
For items 2 & 3: The replacement value of construction plant, equipment
and construction machinery;
The Insured undertakes to notify the Insurers of any fact effecting a material increase or
decrease of the sums insured provided always that such increase/decrease take effect only
after the same has been recorded on the Policy by the Insurers, before the occurrence of any
claim hereunder.
If, in the event of loss or damage, it is found that the sum insured is less than the amount
required to be insured, then the amount recoverable by the Insured under this Policy shall,
before taking into account the deductibles stated in the Schedule, be reduced in such
proportion as the sum insured bears to amount required to be insured.
MEMO 2. BASIS OF LOSS SETTLEMENT: In the event of any loss or damage the basis of
any settlement under this Policy shall be:
(a) In the case of any damage which can be repaired – the cost of repairs necessary to
restore the insured property to its condition immediately before occurrence of the
damage less salvage, or
Page 5 of 9
(b) In the case of a total loss – the actual value of the insured property immediately before
the occurrence of the loss less salvage provided always that the provisions and
conditions have been complied with.
The Insurers will make payments only after being satisfied by production of the necessary
bills and documents that the repairs have been effected or replacement has taken place, as the
case may be.
All damage which can be repaired shall be repaired, but if the cost of repairing any damage
equals or exceeds the value of the Insured property immediately before the occurrence of the
damage, the settlement shall be made on the basis provided for in (b) above.
The cost of any provisional repairs will be borne by the Insurers if such repairs constitute part
of the final repairs and do not increase the total repair expenses.
The cost of any alterations, additions and/or improvements shall not be recoverable under this
Policy.
MEMO 3. EXTENSION OF COVER: Extra charges for overtime, night work, work on
public holidays, express freight, etc. are covered by this Insurance or if previously and
specially agreed upon.
Section 11
THIRD PARTY LIABILITY
The Insurers will indemnify the insured against all sums which the Insured shall become
legally liable to pay as damages consequent upon :
a) Accidental bodily injury of illness (whether fatal or not) to third parties
b) Accidental loss or damage to property belonging to third parties occurring in direct
connection with the performance of the contract insured by this Policy and happening
on or in the immediate vicinity of the Contract Site during the Period of Insurance.
In respect of a claim for compensation to which the indemnity provided herein applies the
insurers will in addition indemnify the Insured against.
a) All costs and expenses of litigation recovered by any claimant from the Insured; and
b) All costs and expenses incurred with the written consent of the insurers.
The Liability of the Insurers under this section shall not exceed the limits of indemnity stated
in the Schedule (Section 11).
Page 6 of 9
EXCLUSIONS TO SECTION 11
The Insurers will not indemnify the Insured in respect of
1. Expenditure incurred in doing or redoing or making good or repairing or replacing
any work or property covered or coverable under Section 1 of the Policy.
2. Damage to any property or land or building caused by subsidence collapse, vibration
or by the removal or weakening of support or injury or damage to any person or
property occasioned by or resulting from any such damage.
3. Liability consequent upon
(a) Bodily injury to or illness of employees or workmen of the Contractor(s) or the
Principal or any other firm connected with the contract work or members of their
families;
(b) Loss of or damage to property belonging to or held in care, custody or control of
the Contractor(s), the Principal or any other firm connected with the contract
work or an employee or workman of anyone of the aforesaid.
(c) Any accident caused by vehicles licensed for general road use or by waterborne
vessels or aircraft;
(d) Any agreement by the Insured to pay any sum by way of indemnity or otherwise
unless such liability would have attached in the absence of such agreement.
SPECIAL CONDITIONS APPLYING TO SECTION 11
1. No admission, offer, promise, payment or indemnity shall be made or given by or on
behalf of the Insured without the written consent of the Insurers who shall be entitled if
they so desire to take over and conduct in the name of the insured the defense or
settlement of any claim or to prosecute for their own.
CAR DCB/CAR NO. ___________________________ Issued at ______________

Name of Contract: ___________________________________________________
Name(s) and address(es) of Insured ______________________________________
a) Principal ________________________________________________________
b) Contractor(s) _____________________________________________________
c) Location of Contract Site: ___________________________________________
Page 7 of 9
Description of the Insured Items
Section 1 - Property Insured Sum Insured
1. Contract Works 1.
Permanent and Temporary Works, including all
Materials to be incorporated therein)
(a) Contract Price (a) ____________
(b) Materials or items supplied by the Principal (b) ____________
2. Construction Plant and Equipment 2.
3. Construction Machinery according to attached list 3.
4. Installation of Machinery and Equipment forming 4.
part of Permanent Contract Work.
TOTAL
Limit of indemnity under this Policy in respect of Clearance of Debris
DEDUCTIBLES:
Amounts to be borne by the Insured in respect of each
and every occurrence for loss of or damage to contract
works and/or construction plant and equipment
(Schedule Section 1 Items 1 and 2) arising out of
(a) earthquake, storm, typhoon, cyclone, flood, the first
inundation, subsidence, landslide, collapse
(b) any other cause, except fire lightning and the first
explosion
Amounts to be borne by the Insured in respect of each
and every occurrence for loss of or damage to
construction machinery (Schedule Section 1 item (3)
arising out of
(a) earthquake storm, typhoon, cyclone, flood the first
inundation, subsidence, landslide, collapse
(b) any other cause, except fire lightning and the first
explosion
1. Limit of indemnity in respect of any one accident or 1.

series of accidents arising out of one event
(a) for bodily injury to any one person (a)
(b) for property damage (b)
2. Total limit of indemnity under this policy 2.
PERIOD OF INSURANCE (subject to the Provision concerning the Period of Cover)

(a) Construction Period From : To:
(b) Maintenance Period From: To:
Premium
(Subject to adjustment in accordance with the Provisions and Conditions of the Policy)
Note: NO KNOWN LOSS PRIOR TO THE ISSUANCE OF THIS POLICY
Page 8 of 9
IN WITNESS WHEREOF the Undersigned being duly authorized by the Insurers and on
behalf of the Insurers has/have hereunto set his/their hand(s) this (Date) Day of (Month)
at (Place) .
Documentary and National Science

stamps amounting to PhP (Amount)
are affixed and cancelled on the
Office copy of this Policy.
Examined by (Name and Signature of Representative of the Insur)
Page 9 of 9
Chapter 4 Contract
Implementation
4.1 Notice to Proceed

Implementing Office
Contract ID No.: ________________________________________________

Contract Name: ________________________________________________
Notice to Proceed
Date: _______________
_______________________
_______________________
_______________________
Dear __________________:
As the attached Contract Agreement with you for the above stated Contract has been approved, we
hereby instruct you to proceed with implementation of the said Contract which shall be effective
on _________________.
You shall execute the Contract works in accordance with the terms and conditions of the Contract
Agreement, including the Conditions of Contract, Specifications, Drawings, Bill of Quantities and
PERT/CPM network diagram.
Please acknowledge receipt and acceptance of this Notice by signing both copies thereof
in the space provided below. Keep one copy and return the other to us.
Very truly yours,
_____________________________
I acknowledge receipt of this Notice on ____________________.
__________________________________________________
Name and Signature of Contractor's Authorized representative
__________________________________________________
Position
4.2 Variation Order

Implementing Office
Variation Order No.: __________ Change Order ( __ ) Extra Work Order ( __ )

Project: ________________________________________________
Station Limit: ________________________________________________
Location: ________________________________________________
To: ______________________________________________
Contractor
You are hereby directed to make the described changes from the Plans and Specifications,
or do the following described work as per approved revised plans and specifications.
Description of work to be done:

________________________________________________
________________________________________________
________________________________________________
Reasons for change:
________________________________________________
________________________________________________
________________________________________________
I, the undersigned contractor ITEMIZED OUANTITIES AND COST REVISION

representing our construction firm have given
careful consideration to the change proposed Original Contract Amount (S.C #1)
and hereby agree, if the proposal is approved, _________________________
that I will provide the necessary equipment, Revised Contract Amount by Reason of this proposed
furnish all materials and labor except as may be variation order No. _____
otherwise be noted above, perform all services _________________________
necessary for the work above specified and will Difference in cost of this revision
accept as full payment thereafter, the price _________________________
stipulated hereon. Additional Contract Time Granted
_________________________
By: Effectivity of this variation order
_________________________
________________________________
Contractor's Authorized Representative Approval Recommended:
___________________________
Asst. Regional Director
Prepared by: Submitted by Approved by
________________________ ________________________ ________________________

Project Engineer Chief, Construction Division Regional Director
Note: Form's orientation can be changed to "landscape".
ITEMIZED COST OF REVISION
Project:
Limit:
Contractor:
Approved Original Contract Change Order No.1 Revised

Revised
Contract
ITEM Quantity if
Description Additive Deductive Amount if C.O. Remarked
No. Unit Price in C.O. # __ is
Unit Quantity Total Cost # __ is
Pesos Quantity Total Cost Quantity Total Cost approved
approved
Original sum involved in the revision: ____________________
New Sum involved in this change: ____________________
Difference in cost: ____________________
Prepared by: Submitted by: Recommending Approval: Approved:
________________________ _______________________ ___________________________ ___________________________
4-3
Project Engineer Chief, Construction Division Asst. Regional Director Regional Director
4.3 Suspension Order

Implementing Office
Suspension Order No. _____
Project Name & No.: ________________________________________________

________________________________________________
Location: ________________________________________________
Station: ________________________________________________
Date: ______________________________________________
Contractor: ______________________________
______________________________
______________________________
You are hereby directed to suspend all construction activities effective ___________
due to ___________________________________________________________ .
Contract time including extension _______________ calendar days

Days used to date _______________ calendar days
Days remaining _______________ calendar days
Please acknowledge receipt of this order by dating, signing and returning three (3) of the
attached copies. The other copy is for your file.
Prepared by: Approved by:
________________________ ________________________
Project Engineer Regional Director
I HEREBY ACKNOWLEDGE RECEIPT OF THE ABOVE NOTICE.
________________________
Contractor
Date: ___________________
4.4 Resume Order

Implementing Office
Resume Order No. _____
Project Name & No.: ________________________________________________

________________________________________________
Location: ________________________________________________
Station: ________________________________________________
Date: ______________________________________________
Contractor: ______________________________
______________________________
______________________________
You are hereby directed to resume all construction activities effective ______________ .
Please acknowledge receipt of this order by dating, signing and returning three (3) of the
attached copies. The other copy is for your file.
Prepared by: Approved by:
________________________ ________________________
Project Engineer Regional Director
I HEREBY ACKNOWLEDGE RECEIPT OF THE ABOVE NOTICE.
________________________
Contractor
Date: ___________________
Chapter 5 Field Inspection and
Quality Control
5.1 Quality Control Program
Letterhead of the Contractor

QUALITY CONTROL PROGRAM
NAME OF PROJECT :
STATION LIMITS :
LOCATION :
APPROPRIATION :
ITEM NO. DESCRIPTION UNIT QTY. KIND OF TEST
B. COMPUTATION, BREAKDOWN AND APPORTIONMENT OF QUALITY CONTROL COST

1. Quality Control Cost:
a. Programmed Direct / Indirect Cost in Pesos
b. % Q.C. (per Department Order # 10 s.2009), 0.20*(2.75%)
c. Total Quality Control Cost (1a x 1b)
d. TOTAL COST in PESOS
PREPARED BY: NOTED BY:
_____________________________________________ _____________________________________________
Materials Engineer (Contractor) Project Engineer (DPWH)
CHECKED BY: APPROVED BY:
_____________________________________________ _____________________________________________
Materials Engineer (DPWH) Chief, QAD/QAS (DPWH)
5-2
Implementing Office
QUALITY ASSURANCE DIVISION/SECTION
MONTHLY STATUS OF TESTS OF MATERIALS
Project : Province/City :
Project Number : Appropriation : Source of Fund :

Date Started : Contract Amount : End of Contract :
5.2.1 Status of Tests
Contractor : Contract Time : For the Month of :
Quantities as Quantities Minimum Test Test

Item No. MATERIALS Programmed or per Accomplished Required Performed Total Tests　Performed
Contract this Month (Itemized) this Month Test Balance Required
5.2 Material Test Reports
PREPARED BY: NOTED BY: SUBMITTED BY:
_____________________________________ _____________________________________ _____________________________________
Materials Engineer Project Engineer Chief, QAD/QAS (DPWH)

Letterhead of the Contractor
SUMMARY REPORT OF FIELD TESTS

For the month of : ________________
Name of Project and Location :

Implementing Office :
Project Duration
a) Date Started :
b) Target Completon Date :
Contractor :
Laboratory Kind of Quantity Original Source of Materials Kind of Spec. Sampled and Tested REMARKS
Number Materials Represented Test Item No. By Date At
5.2.2 Summary of Laboratory/Field Control Tests
PREPARED BY: CERTIFIED CORRECT: ATTESTED BY:: NOTED BY:
_____________________________ _____________________________ _____________________________ _____________________________
Material Enginer (Contractor) Materials Engineer (DPWH) Project Engineer (DPWH) Chief, QAD/QAS
5-3
5.3 Certificate of Quality Control Assurance Report
Implementing Office
QUALITY ASSURANCE DIVISION/QUALITY ASSURANCE SECTION

CERTIFICATE OF QUALITY CONTROL ASSURANCE
DATE: __________________
PROJECT: _______________________________________________________________
STATION: _______________________________________________________________
CONTRACTOR: _______________________________________________________________
WE HEREBY CERTIFY that we have conducted an inspection and verification on work

accomplished on the above mentioned for the period __________ THAT we have found that the
quality of the materials in the following items of work corresponding to the quantity accomplished
conforms with the Standard Specifications and Special Provisions of the Contract., viz.
ITEM No. DESCRIPTION OUANTITY ACCOMPLISHED
＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿
Materials Engineer (DPWH) Project Engineer (DPWH)
5.4 Laboratory/Field Control Test Reports
5.4.1 California Bearing Ratio Test
Letterhead of the Accredited Laboratory

WORKSHEET FOR CBR TEST (1/4)
Project :
Location :
Kind of Material :
Tested By :
(Name and Designation) (Date)
Computed By :
Lab. No. :
Density Determination Moisture Content Determination

Number of Blows 10
Number of Blows 10
Before AFTER After
Test Sample COMPACTION COMPACTION PENETRATION
Test Sample Trial 1 Trial 2
Trial 1 Trial 1 Trial 1 Trial 2
Mold ID Can ID
Compacted Wet Sample
Sample + Mold + Can
Weight of Mold Can + Oven
Sample Dry Sample
Volume of Moisture
Mold Can
Wet Unit Oven Dry
Weight Sample
Dry Unit Moisture
Weight MC
3
MDD = kg/m
SOAKED COMPACTED VALUES

Dial LOAD
Penetration 300
Reading PSI
0.0000
0.0125
250
0.0250
0.0375
0.050
200
0.075
0.10
0.20
Load, psi
150
0.30
0.40
0.50
100
RESULTS :
Load CBR Value
CBR Value @ 0.10 0.00
50
CBR Value @ 0.20 0.00

Swell I.R. =
0
F.R. = 0.000 0.050 0.100 0.150 0.200 0.250 0.300 0.350 0.400 0.450 0.500
Penetration, in
Swell, %
Page 1 of 4
Project :
Location :
Kind of Material :
Tested By :
Computed By :
Lab. No. :

Number of Blows 30
Number of Blows 30
Before AFTER After
Mold ID Can ID
Sample + Mold + Can
Sample Dry Sample
Volume of Moisture
Mold Can
Wet Unit Oven Dry
Weight Sample
Dry Unit Moisture
Weight MC
MDD = kg/m3

Dial LOAD
Penetration 300
Reading PSI
0.0000
0.0125
250
0.0250
0.0375
0.050
200
0.075
0.10
0.20
Load, psi
150
0.30
0.40
0.50
100
RESULTS :
Load CBR Value
CBR Value @ 0.10 0.00
50
CBR Value @ 0.20 0.00

Swell I.R. =
0
F.R. = 0.000 0.050 0.100 0.150 0.200 0.250 0.300 0.350 0.400 0.450 0.500
Penetration, in
Swell, %
Page 2 of 4
Project :
Location :
Kind of Material :
Tested By :
Computed By :
Lab. No. :

Number of Blows 65
Number of Blows 65
Before AFTER After
Mold ID Can ID
Sample + Mold + Can
Sample Dry Sample
Volume of Moisture
Mold Can
Wet Unit Oven Dry
Weight Sample
Dry Unit Moisture
Weight MC
MDD = kg/m3

Dial LOAD
Penetration 300
Reading PSI
0.0000
0.0125
250
0.0250
0.0375
0.050
200
0.075
0.10
0.20
Load, psi
150
0.30
0.40
0.50
100
RESULTS :
Load CBR Value
CBR Value @ 0.10 0.00
50
CBR Value @ 0.20 0.00

Swell I.R. =
0
F.R. = 0.000 0.050 0.100 0.150 0.200 0.250 0.300 0.350 0.400 0.450 0.500
Penetration, in
Swell, %
Page 3 of 4
Project :
Location :
Kind of Material :
Tested By :
Computed By :
Lab. No. :
CBR Value @ 0.10

No. of Blows UW DRY
CBR Value @ 0.20
10 Blows @ 0.10
MS @ 0.20
30 Blows @ 0.10
@ 0.20
65 Blows @ 0.10
@ 0.20
@ MDD CBR Value @ MDD
70.00
68.00
66.00
64.00
62.00
60.00
58.00
56.00
54.00
52.00
50.00
48.00
CBR Value, %
46.00
44.00
42.00
40.00
38.00
36.00
34.00
32.00
30.00
28.00
26.00
24.00
22.00
20.00
18.00
16.00
14.00
12.00
10.00
1940 1960 1980 2000 2020 2040 2060 2080
Dry Density, kg/m3
Prepared by: Submitted by: Verified Correct: Concurred by:
__________________ __________________ __________________ __________________
Laboratory Technician Materials Engineer (Contractor) Materials Engineer (DPWH) Project Engineer (DPWH)
Page 4 of 4
5.4.2 Grading Test

WORKSHEET FOR SIEVE ANALYSIS
Project:
Kind of Material: Spec's Item No.
Sampled at:
Original Source:
Sampled by:
Tested by: Computed by:
(Date) (Date)
Lab. No.
Dry Unit mass, kg/m3 Loose Mass of Sample, g
Rodded Mass of Oven dried, g
Moisture Content, % Mass of washed oven
dried sample
Fineness Modulus . Mass of materials passing
0.075 mm, g
Sieve Mass C UMUL AT IVE

Mass Passing Specification
Size Retained % Passing % Retained
(g)
75.0
63.0
50.0
37.5
25.0
19.0
12.5
9.5
6.3
4.75
2.36
2.00
1.18
0.600
0.425
0.300
0.250
0.150
0.075
Pan
Wash
TOTAL
Remarks: __________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________ __________________ __________________ __________________
5.4.3 Atterberg Limit Test

WORKSHEET FOR LIQUID AND PLASTIC LIMIT TEST
Project
Sampled at Quantity Represented
Original Source
Proposed Use Spec's Item No.
Sampled By Date
Tested By Date
Laboratory Report No.
LIQUID LIMIT PLASTIC LIMIT

DETERMINATION NUMBER
1 2 3 4 1 2
Container Number
Container + wet soil, g
Container + dry soil, g
Moisture loss, g
Container, g
Dry Soil, g
Moisture Content. %
Number of Blows Ave.
SIEVE ANALYSIS
MOISTURE CONTENT, %
40
Sieve size
35 2.0
0.425
30 0.75
Liquid Limit
25 Plastic Limit
Plasticity Index
20 Group Index
Soil Classification
6 10 15 20 25 30 35 40
NUMB ER OF BLOWS
Remarks/Recommendations: ___________________________________________________________
___________________________________________________________
___________________________________________________________
__________________ __________________ __________________ __________________
5.4.4 Laboratory Compaction Test

WORKSHEET FOR COMPACTION TEST
Lab. Report No.
Project:
Sampled at: Quantity Represented -
Original Source:
Proposed use: - Spec's Item No. -
Sampled by:
(Name & Designation) (Office) (Date)
Tested by:
Computed by:
Trial Number 1 2 3 4 5 6 7
Water added in C.C,
Weight : Mold+Wet Soil
In : Mold
Kilograms : Wet Soil
Wet Density, kg/m3
Can Number
Weight : Can+Wet Soil
: Can+Dry Soil
In : Water
: Can
Grams : Dry Soil
Moisture Content, %
Dry Density, kg./m3
2000 Method used

Weight of hammer, kg,
Volume of mold, cu. m.
1950 Number of layers
Dry Density, kg/m 3
Number of Blows per lay er
Maximum dry density,

1900
kg/m3
Optimum moisture
content, %
1850
Remarks/Recommendation:
1800
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Moisture Content, %
__________________ __________________ __________________ __________________
5.4.5 Field Density Test

WORKSHEET FOR FIELD DENSITY TEST
Project
(Number) (Name) (City/Province)
Kind of material Spec's Item No.
Test hole:Depth Location
(Station & Reference to Center Line)
Representing
(Layer No.) (Depth) (Station to Station) (Width)
Tested by
(Name and Designation) (Office) (Date)
Computed by
(Name and Designation) (Office) (Date)
Lab. No. Moisture Content obtained by using Speedy Moisture Tester

Unit weight of air-dry sand Actual moisture content
1. Container full of water, kg 11. Container + wet soil, g
2. Container, kg 12. Container + dry soil, g
3. Water, kg (1) - (2) 13. Moisture, g (11) - (12)
4. Container, m3 (3) / 1000 14. Container, g
5. Container filled with air 15. Dry soul, g (12-(14)
dry sand, kg 16. Actual moisture content, %
6. Air-dry sand, kg (5) - (2) (13)/(15)x100
7. Unit weight of dry sand, 17. Average actual moisture
kg/m3(6)/(4) content, %
Mass of Sand to Fill Funnel

8. Mass of Jar + Sand, kg
(after pouring)
10. Sand in Funnel, kg (8) - (9)
FIELD DENSITY
18. Total materials taken from hole, kg
20. Mass of Jar + Sand, Kg (after pouring)
21. Sand to fill hole, kg (19)-(20)-(10)
22. Volume of hole, m3 (21)/(7)
23. Wet unit weight, kg/m3 (18)/(22)
24. Dry unit weight, kg/m3 (23)/(17)/(100) +1
25. Laboratory compaction test data:
(a) Maximum dry density, kg/m3
(b) Optimum moisture content, %
26. Degree of compaction, % (24)/(25a)x100
___________________________________________________________
___________________________________________________________
__________________ __________________ __________________ __________________
5.4.6 Soil Aggregates
5.4.6.1 Abrasion Test

WORKSHEET FOR ABRASION TEST
Lab. Report No.
Project:
(Number) (Name) (City/Province)
Kind of Materials: Spec's Item No.
Source of Mixture:
(Give accurate location as possible)
Original Source:
(Pit, Quarry, River, etc., location)
Sampled By:
Tested By:
Computed By:
Original Weight of Sample - - - - - - - - - - - - - - - - -

Weight of Sample after Abrasion - - - - - - - - - - - - -
Weight of Sample loss - - - - - - - - - - - - - - - - - - -
% Abrasion Loss - - - - - - - - - - - - - - - - - - - - - - -
___________________________________________________________
___________________________________________________________
__________________ __________________ __________________ __________________
5.4.6.2 Composite Aggregates

Date: _____________________
Lab. Report No.: _____________________
TEST REPORT ON COMPOSITE AGGREGATES
Project :
Kind of material :
Sample identification :
Quantity represented :
Sampled at :
Original source :
Supplied by :
Proposed use :
Spec's Item No. :
Sampled by :
Submitted by :
(Name and Designation) (Office) (Date Received)
Lab. No. ___________________

TESTS REQUIREMENTS RESULTS
Sieve Analysis: Cumulative % Passing
Sieve Size, mm
19.0 100
12.5 95-100
9.5 74-92
4.75 48-70
2.36 33-53
1.18 22-40
0.600 15-30
0.300 10-20
0.150 -
0.075 4-9
Specific Gravity -
Abrasion Loss (LAM), % 40 Max.
Liquid Limit, % -
Plasticity Index, % 6 Max.
Stripping -
Remarks: __________________________________________________________________________
__________________________________________________________________________
Tested by: Checked by
________________________ ________________________
Laboratory Technician Laboratory Supervisor
Witnessed by: Attested by:
________________________ ________________________ ________________________

Materials Engineer (Contractor) Representative (DPWH) Project Engineer (DPWH)
5.4.7 Bituminous Material Test
5.4.7.1 Asphalt Cement

Date: _____________________
Lab. Report No.: _____________________
TEST REPORT ON ASPHALT CEMENT
Project :
Sampled at :
Original source :
Grade :
Supplied by :
Proposed use :
Spec's Item No. :
Sampled by :
Submitted by :
(Name & Designation) (Office) (Date Received)
Lab. No. ___________________

Original sample
o
Penetration 25 C, 100 g, 5s
o
Flash Point, Cleveland Open Cup, C
Ductility, 25 o C, 5 cm/min, cm
Solubility in trichloroethylene, %
Loss on heating, %
Residue:
Penetration , % of original
Ductility, 25 o C, 5 cm/min, cm
Spot Test, 25% xylene - heptane
Specific Gravity -
Remarks: __________________________________________________________________________
__________________________________________________________________________
________________________ ________________________
________________________ ________________________ ________________________

Materials Engineer (Contractor) Materials Engineer (DPWH) Project Engineer (DPWH)
5.4.7.2 Emulsified Asphalt

Date: _____________________
Lab. Report No.: _____________________
TEST REPORT ON EMULSIFIED ASPHALT
Project :
Sample Identification :
Sampled at :
Type and Grade :
Original Source :
Supplied by :
Proposed Use :
Spec's Item No. :
Sampled by :
Submitted by :
Lab. No. ___________________

Emulsion:
Viscosity ( Saybolt-furol), 25 o C, s 20-100
Storage Stabililty, % 1.0 Max.
Cement Mixing, % 2.0 Max.
Sieve Test, % 0.10 Max.
Residue, % 57 Min.
Specific Gravity, % -
Residue:
Penetration, 25 o C, 100g, 5's 40-90
Ductility, 25 o C, 5 cm/min, cm 40 Min.
Solubility in trichloroethylene, % 97.5 Min.
Remarks: __________________________________________________________________________
__________________________________________________________________________
________________________ ________________________
________________________ ________________________ ________________________

5.4.7.3 Cutback Asphalt

WORKSHEET FOR TEST OF CUTBACK ASPHALT
Project Name: ____________________________________________________
Laboratory No.: ___________________ Date Tested: __________________
o
I. Viscosity (Kinematic) at _______ C, cSt: _____________________
o
II. Flash Point (TOC): ___________________ C
III. Specific Gravity
a. Mass of Pycnometer, g.: _____________________
b. Mass of Pycnometer + water, g.: _____________________
c. Mass of Pycnometer + sample, g.: _____________________
Specific Gravity = (c-a)/(b-a): _____________________
IV. Distillation
Volume of Sample, ml. = mass of sample/sp. Gravity: _____________________
Temperature Volume of Distillate % by volume
o o
190 C (374 F)
o o
225 C (437 F)
o o
260 C (500 F)
o o
315 C (600 F)
o o
360 C (680 F)
Residue, % by volume: _____________________
V. Test on Residue
o
1. Penetration at 25 C, 100g, 5s: _____________________
o
2. Ductility at 25 C, 5cm/min, cm: _____________________
3. Solubility in Trichloroethylene: _____________________
a. Mass of sample, g: _____________________
b. Mass of crucible, empty, g: _____________________
c. Mass of crucible + residue, g: _____________________
Solubilty, % = 100- [(c-b)/A x 100]: _____________________
4. Spot Test: _____________________
________________________ ________________________
________________________ ________________________ ________________________

5.4.8 Bituminous Mix

Date: _____________________
Lab. Report No.: _____________________
TEST REPORT ON BITUMINOUS MIX
Project :
Sampled at :
Original source :
Supplied by :
Proposed use :
Spec's Item No. :
Sampled by :
Submitted by :
Lab. No. ___________________

Sieve Analysis: Cumulative % Passing
(After Extraction)
Sieve Size, mm
19.0
12.5
9.5
4.75
2.36
1.18
0.600
0.300
0.075
Bitumen Content, % by wt. of aggregate
Bulk Specific Gravity
Immersion/Compression Test, KPa
Dry
Wet
Index of Retained Strength, %
Remarks: __________________________________________________________________________
__________________________________________________________________________
________________________ ________________________
________________________ ________________________ ________________________

5.4.9 Pre-formed Expansion Joint Filler

Date: _____________________
Lab. Report No.: _____________________
TEST REPORT ON PREFORMED EXPANSION JOINT FILLER
Project :
Kind of material :
Sampled at :
Original source :
Supplied by :
Proposed use :
Spec's Item No. :
Sampled by :
Submitted by :
Lab. No. ___________________

Thickness, mm 17.5 - 20.7

Density, kg/m3 304 Min.
Water Absorption, % 20 Max.
2
Compression, KN/m 689 - 5171
Recovery, % 70 Min.
Remarks: __________________________________________________________________________
__________________________________________________________________________
________________________ ________________________
________________________ ________________________ ________________________

5.4.10 Portland Cement

Date: _____________________
Lab. Report No.: _____________________
TEST REPORT ON PORTLAND CEMENT
Project :
Sampled at :
Manufactured by :
Brand :
Supplied by :
Spec's Item No. :
Sampled by: :
Submitted by :
Lab. No. ___________________

Magnesium Oxide (MgO), % 6.0 Max.
Sulfur Trioxide (SO 3 ), % 3.0 Max.
Loss on Ignition, % 3.0 Max.
Insoluble Residue, % 0.75 Max.
Air Content of Mortar, % 12.0 Max.
Fineness : Amount Passing
No. 0.075 mm, Sieve, % -
Autoclave Expansion, % 0.8 Max.
Time of Setting : Vicat Test, mins. 45 - 375
Compressive Strength, Avg. mortar
cubes, Mpa:
3 days 12.0 Min.
7 days 19.0 Min.
28 days 28.0 Min.
Specific Gravity -
Remarks: __________________________________________________________________________
__________________________________________________________________________
________________________ ________________________
________________________ ________________________ ________________________

5.4.11 Reinforcing Steel Bar

Date: _____________________
Lab. Report No.: _____________________
TEST REPORT ON REINFORCING STEEL BAR
Project :
Kind of material :
Sampled at :
Original source :
Supplied by :
Proposed use :
Spec's Item No. :
Sampled by :
Submitted by :
Lab. No. ___________________

Tensile Properties:
Yield Point, Mpa 280 Min.
Tensile Strength, Mpa 420 Min.
Elongation, % 12 Min.
Bending Properties: No cracking on outside
Degree bent, 180 degrees bent portion
Actual Unit mass, kg/m -
Variation in mass, % 6.0 Max. under nominal mass
Deformation, mm
Spacing, average 11.1 Max.
Height, average 0.71 Min.
Gap 6.1 Max.
Phosphorous Content, % 0.06 Max.
Remarks: __________________________________________________________________________
__________________________________________________________________________
________________________ ________________________
________________________ ________________________ ________________________

5.4.12 Concrete Joint Sealant

Date: _____________________
Lab. Report No.: _____________________
TEST REPORT ON CONCRETE JOINT SEALANT
Project :
Kind of material :
Sampled at :
Original source :
Supplied by :
Proposed use :
Spec's Item No. :
Sampled by :
Submitted by :
Lab. No. ___________________
o
Safe heating temperature, C -
o
Pour point temperature, C 211 Max.
Flow at 60 o C, mm 5 Max.
o
Penetration at 25 C, 150g, 5 sec. 90 Max.
Remarks: __________________________________________________________________________
__________________________________________________________________________
________________________ ________________________
________________________ ________________________ ________________________

5.4.13 Paint

Date: _____________________
Lab. Report No.: _____________________
TEST REPORT ON PAINT
Project :
Kind of material :
Sampled at :
Original source :
Supplied by :
Proposed use :
Spec's Item No. :
Sampled by :
Submitted by :
Lab. No. ___________________
Total Solids, % 49 Min.
Non-volatile vehicle, %
by wt. of vehicle 18 Min.
Pigment, % 39 Min.
Titanium Dioxide, %
by wt.of pigment 30 Min.
Weight, kg/L 1.35 Min.
Drying Time:
Set to touch, mins. 10-15
Dry hard, h 1 Max.
Remarks: __________________________________________________________________________
__________________________________________________________________________
________________________ ________________________
________________________ ________________________ ________________________

5.4.14 Thermoplastic Traffic Paint

Date: _____________________
Lab. Report No.: _____________________
TEST REPORT ON THERMOPLASTIC PAINT
Project :
Kind of material :
Sampled at :
Original source :
Supplied by :
Proposed use :
Spec's Item No. :
Sampled by :
Submitted by :
Lab. No. ___________________

A. Physical Properties
1. Condition in Container Shall be free from all skins,
dirts & foreign objects
2. Specific Gravity 2.15 Max.
3. Drying Time, mins. 10 Max.
4. Softening Point, o C 102.5 + 9.5
B. Paint Composition
1. Total Dry Solids % -
(Pigment & Glass Beads & Fillers)
2. Lead Chromate, % 10 Min.
3. Extenders (Fillers), % 42 Max.
4. Binders, % 18 Min.
5. Glass Beads, % 30-40
6. Grading, % Passing
Sieve Size No. 20 (0.850 mm) 100
30 (0.600 mm) 75-95
40 (0.425 mm) -
50 (0.300 mm) 15-35
80 (0.180 mm) -
100 (0.150 mm) 0-5
Remarks: __________________________________________________________________________
__________________________________________________________________________
________________________ ________________________
________________________ ________________________ ________________________

5.5 Accreditations
5.5.1 Application for Accreditation of Asphalt/Concrete Batching Plant (Per
DO. No. 253, series of 2003)
BRS Form No. 2
APPLICATION FOR ACCREDITATION OF BATCHING PLANT
The Director
Bureau of Research and Standards
EDSA, Quezon City
Sir:
In accordance with the “Guidelines for the Accreditation of Asphalt and Portland Cement
Concrete Batching Plants” issued by DPWH, we hereby apply for assessment as a DPWH accredited
_________ batching plant.
1. Name of Applicant: __________________________________________________________

2. Address: __________________________________________________________
3. Telephone Number(s): __________________________________________________________
4. Address of batching Plant if different from No. 2: ________________________________
5. Telephone Number of Batching Plant if different from No.3: _______________________
6. Name of Duly Authorized Representative: ________________________________________
7. Position of Duly Authorized Representative: ________________________________________
8. Plant Machinery and Laboratory Equipment/Apparatus: _______________________________
List down all production and test facilities. Include name of equipment, its purpose/use,
manufacturer, date acquired and date placed in service (Use a separate sheet if necessary).
9. Calibration
State the program of calibration of measuring instruments/equipment (Use a separate sheet if
necessary).
10. List of personnel together with their qualifications.
a) Production Personnel
b) Quality Control Personnel
In the event that a certificate of accreditation is granted, we hereby agree to comply with the
“Guidelines for the Accreditation of Asphalt and Portland cement Concrete Batching plants” and to abide
by the rules and regulations promulgated by the DPWH for the accreditation of batching plants.
_________________________
(Signature)
President/Manager/Duly Authorized Representative
Subscribed and sworn to before me this ___________ day of _____________ 20__, affiant
exhibiting to me his/her Residence Certificate No. ________________ issued at ___________ on
20____.
____________________________
Notary Public
Doc. No.: ___________
Page No.: __________
Book No.: __________
Series of : __________
5.5.2 Application for Accreditation of Materials Engineer (Per D.O. No. 184,
Series of 1999)

ACCREDITATION OF MATERIALS ENGINEERS
APPLICATION FORM
Application Number □□□□ 2" x 2" Photo
□ New Applicant
□ Accredited Materials Engineer I,
Indicate accreditation number □□□□

Name: ____________________ ____________________ ____________________
(Last) (First) (Middle)
PRC License Number: ___________________ Valid until __________________
Home Address: ________________________________________________
________________________________________________
Office Name: ________________________________________________
Office Address: ________________________________________________
Position Title: ________________________________________________
Home Tel No.: ________________________________________________
Office Tel No.: ________________________________________________
Mobile No.: ________________________________________________
Nationality: ___________ Birthday: ____________ Sex: _____ Civil Status: ________
Education (Limit to Tertiary Level up)

Degree School Year Graduated
______________________ ______________________ ______________________
______________________ ______________________ ______________________
______________________ ______________________ ______________________
I certify to the correctness of the foregoing.
________________________________
Signature over printed name
________________________________
Date
Preferred Venue of Examination

□Manila □Cebu City □Davao City
Date of Examination(Do not fill up) : ______________________________________
5.5.3 Application for Accreditation of DPWH Materials Engineer (Per D.O.
No. 12, Series of 2013)

ACCREDITATION OF DPWH MATERIALS ENGINEERS
APPLICATION FORM
＿＿＿＿＿＿＿＿＿＿＿＿
2" x 2" Photo
Date of Examination
Application Number □□□□

Accredited as Contractors' Materials Engineer □ Yes Accreditaion No. ____
□ No
Name: ____________________ ____________________ ____________________
(Last) (First) (Middle)
PRC License Number: ___________________ Valid until __________________
Home Address: ________________________________________________
________________________________________________
Regional/District Office: ________________________________________________
Office Address: ________________________________________________
Position Title: ________________________________________________
Home Tel No.: ______________ Office Tel No.: ______________ Mobile No.: _______________
Nationality: ___________ Birthday: ____________ Sex: _____ Civil Status: ________
Education (Limit to Tertiary Level up)

Degree School Year Graduated
______________________ ______________________ ______________________
______________________ ______________________ ______________________
______________________ ______________________ ______________________
I certify to the correctness of the foregoing.
________________________________
Signature over printed name
________________________________
Date
5.5.4 Instructions for Application for Accreditation of Materials Engineers
1. Type or print the data on each space clearly.
2. Attach to this Application Form the following requirements:
a. Xeroxed copy of valid Professional Regulation Commision (PRC) Identification
Card
b. Two 2” x 2” photographs (one to be pasted in the Application Form and the other
is for Notice of Examination Schedule)
c. One 1” x 1” photograph
3. Submit the Application Form and the requirements to:
The Chief
Quality Assurance Division
Any Regional Office of the Department of Public Works and Highways
4. Application forms must be submitted at least forty (40) days before the scheduled
accreditation examination.
5. Applicants shall obtain the Notice of Examination Schedule from the DPWH Office
where the application was filed within, one (1) week before the scheduled examination.
The notice shall confirm the date, time and place of examination. This notice must be
presented to the DPWH examination proctor during the examination.
EXAMINATION COVERAGE
Construction materials specifications, sampling and testing procedures, test results

calculations/interpretation/evaluation, DPWH minimum testing requirements,
materials quality control terminologies/practices, duties and responsibilities of
materials engineers, and quality control implementation/documentation.
Chapter 6 Payments
6.1 Advance Payment
6.1.1 Disbursement Voucher
Implementing Office
DISBURSEMENT VOUCHER
MODE OF PAYMENT DV No.:
□MDS Check □Commercial Check □ADA □Others Date:
Payment/Office: TIN/Employee No.: OR/BUR No.:
Date:
Bank Account No.: Responsibility Center
Address: Title: Code:
Account
Explanation Amount
Code
Advance to Contractors P
Due to BIR
_______________ payment in connection with the Contract ID#
＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿
Contract Amount P -
_____x___________
-
Less: P ________________-
12 % VAT P ________________ -
P -
Net Amount Due to - - - - - - - - - - P -
□
A. Certified
E
A □
B. Approved for Payment
A
E
A
□Cash Available
□Subject to ADA (where applicable)
□Supporting documents complete
Signature: ＿＿＿＿＿＿＿＿＿＿＿＿_ Signature: ＿＿＿＿＿＿＿＿＿＿＿＿_

Printed Name: ＿＿＿＿＿＿＿＿＿＿＿＿_ Printed Name: ＿＿＿＿＿＿＿＿＿＿＿＿_
Position: U Accountant Position: U Regional Director
(Head Accounting Unit/Authorized Representative) (Agency Head/Authorized Representative)
Date: ＿＿＿＿＿＿＿＿＿＿＿＿_ Date: ＿＿＿＿＿＿＿＿＿＿＿＿_

□
C. Received Payment:
A
E
A Check/ADA No.: _______________________
Signature: ____________ Date: Date: _____________ JEV No.: ______________
_____________ Bank Name: _____________ Date: ___________
Printed Name: ____________________________ OR No./Other relevant documents issued: __________________
FOR ACCOUNTING USE ONLY

JEV No.:＿＿＿＿＿＿＿＿＿＿
ACCOUNT
OR. # P.P.A ACCOUNTING ENTRY DEBIT CREDIT
CODE
6.1.2 Background Information

Implementing Office
Date: ____________________
FOR: _________________________________
The Regional Director/District Engineer
FROM: ___________________________________________
___________________________________________
SUBJECT: ___________________________________________
BACKGROUND:
Project ID: ________________________________________________________

Project Name: ________________________________________________________
Loan: ________________________________________________________
Contractor: ________________________________________________________
Original Contract Amount: ________________________________________________________
Revised Contract Amount: ________________________________________________________
Original Contract Time: ________________________________________________________
Revised Contract Time: ________________________________________________________
Effectivity of Contract Time: ________________________________________________________
Original Expiry Date: ________________________________________________________
Revised Expiry Date: ________________________________________________________
Percent Time Elapsed: ________________________________________________________
Percent Work Accomplished: ________________________________________________________
Percent Work Schedule: ________________________________________________________
Percent Slippage: ________________________________________________________
Date Project Completed: ________________________________________________________
Date Project Accepted: ________________________________________________________
Kind of Bank Guarantee or Letter of Credit: ______________ issued by ________________
Expiry Date of Bank Guarantee or Letter of Credit: Until fully recouped
_______________________________________
REMARKS: __________________________________________________
__________________________________________________
_____________________
Project Engineer
6.1.3 Executive Summary

Implementing Office
Reference No.: ____________________

Date: ____________________
EXECUTIVE SUMMARY
FOR: _________________________________
----------------------------------------------------------------------
1. Subject 15% Cash Advance payment in the amount of
P_____________________ for the ____________________.
2. Period Covered ________________________________________________
3. Action Recommended ________________________________________________
4. Implementing Office ________________________________________________
5. Reviewing Office ________________________________________________
6. Contractor ________________________________________________
7. Contract Data ________________________________________________
8. Amount ________________________________________________
9. Duration ________________________________________________
10. Starting Date ________________________________________________
11. Expiration ________________________________________________
12. Percent Time Elapsed ________________________________________________
13. Physical Accomplishment ________________________________________________
14. Scheduled ________________________________________________
15. Actual ________________________________________________
16. Slippage ________________________________________________
17. Contractor’s Surety Bond in lieu of 15% Cash Advance money, if needed.
________________________________________________
18. Kind Bank Guarantee____________________________________
U U
19. Amount ________________________________________________

20. Issued By ________________________________________________
21. Expiration Until fully recouped_________________________________
U U
22. Validated By DPWH Action Committee____________________________

U U
23. Is Performance Bank Guarantee or Letter of Credit still valid?

________________________________________________
24. Remarks ________________________________________________
_____________________
Project Engineer
6.1.4 Billing Summary

Implementing Office
Date: ____________________
BILLING SUMMARY
PAYEE: _________________________________________________________
PROJECT ID: _________________________________________________________

PROJECT NAME: _________________________________________________________
_________________________________________________________
_________________________________________________________
IMPLEMENTING OFFICE: _________________________________________________________
NATURE OF CONTRACT: _________________________________________________________
CONTRACT AMOUNT: _________________________________________________________

PREVIOUS BILLING: _________________________________________________________
THIS BILLING: _________________________________________________________
BALANCE: _________________________________________________________
PAYMENT BREAKDOWN
15% Cash Advance: P _________________________
REMARKS:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
NOTED:
_____________________
Project Engineer
6.1.5 Request for the Release of 15% Advance Payment
CONSTRUCTION
COMPANY CO., LTD.
Date: _____________________
_______________________________________
THE REGIONAL DIRECTOR/DISTRICT ENGINEER
U
_______________________________________
Thru: ___________________
Chief, Construction Division/Section
SUBJECT: Request for the Release of 15% Advance Payment

Project Name: ___________________________________________________________
Sir:
In accordance with the conditions of contract, we have complied with all your
guidelines and requirements, that is; a.) The Form of Agreement was executed by and between
the both parties, b.) The Performance Security was provided by us and still valid, c.) The
Warranty in a form of Bank Guarantee in the amounts equal to Advance payment.
Accordingly, may we request your good office to release advance payment, 15% of
contract amount, exclusively for the costs of mobilization of the above-mentioned project.
Your kindest attention on this matter will be highly appreciated.
Very truly yours,
_________________________
Contractor
6.1.6 Required Certification for Processing of Payments
As per D.O. 55 series of 1988

Implementing Office
Date: ____________________
CERTIFICATION
U
In connection with the implementation of the Contract ID#__________:

_________________________________, this is to certify that (Contractor’s Name) has
submitted all the documentary requirements necessary for the processing of its
_________________ in the amount of _________________________ (P ______________).
This is to certify further that all requirements and supporting papers pursuant to
Department Order No. 55 series of 1988 have been complied with, reviewed and found to be in
order.
______________________________
6.1.7 List of Minimum Required Equipment

Implementing Office
Date: ____________________
LIST OF EQUIPMENT ON SITE

U
Name of Project: ___________________________________________________________

___________________________________________________________
List of minimum required equipment for 15% advance payment.
1) ___________________________________________________________________
2) ___________________________________________________________________
3) ___________________________________________________________________
4) ___________________________________________________________________
5) ___________________________________________________________________
6) ___________________________________________________________________
7) ___________________________________________________________________
8) ___________________________________________________________________
9) ___________________________________________________________________
10) ___________________________________________________________________
PHOTOGRAPHS
______________________________
Project Engineer
6.1.8 Checklist of Supporting Document
6.2 First Progress Billing
6.2.1 Background Information

Implementing Office
Date: ____________________
FOR: _________________________________
FROM: _________________________(The Project Engineer)
___________________________________________
SUBJECT: First Billing
U
BACKGROUND:
Project ID: ________________________________________________________

Project Name: ________________________________________________________
Loan: ________________________________________________________
Contractor: ________________________________________________________
Original Contract Amount: ________________________________________________________
Revised Contract Amount: ________________________________________________________
Original Contract Time: ________________________________________________________
Revised Contract Time: ________________________________________________________
Effectivity of Contract Time: ________________________________________________________
Original Expiry Date: ________________________________________________________
Revised Expiry Date: ________________________________________________________
Percent Time Elapsed: ________________________________________________________
Percent Work Accomplished: ________________________________________________________
Percent Work Schedule: ________________________________________________________
Percent Slippage: ________________________________________________________
Date Project Completed: ________________________________________________________
Date Project Accepted: ________________________________________________________
Kind of Bank Guarantee or Letter of Credit: ______________ issued by ________________
Expiry Date of Bank Guarantee or Letter of Credit: Until fully recouped
_______________________________________
REMARKS: __________________________________________________
__________________________________________________
_____________________
Project Engineer
6.2.2 Executive Summary

Implementing Office
Reference No.: ____________________

Date: ____________________
EXECUTIVE SUMMARY
FOR: _________________________________
----------------------------------------------------------------------
1. Subject First payment in the amount of
P_____________________ for the ____________________.
2. Period Covered ________________________________________________
3. Action Recommended ________________________________________________
4. Implementing Office ________________________________________________
5. Reviewing Office ________________________________________________
6. Contractor ________________________________________________
7. Contract Data ________________________________________________
8. Amount ________________________________________________
9. Duration ________________________________________________
10. Starting Date ________________________________________________
11. Expiration ________________________________________________
12. Percent Time Elapsed ________________________________________________
13. Physical Accomplishment ________________________________________________
14. Scheduled ________________________________________________
15. Actual ________________________________________________
16. Slippage ________________________________________________
17. Contractor’s Surety Bond in lieu of 15% Cash Advance money, if needed.
________________________________________________
18. Kind UBank Guarantee____________________________________
U
19. Amount ________________________________________________

20. Issued By ________________________________________________
21. Expiration UUntil its final acceptance_____________________________
U
22. Validated By UDPWH Action Committee____________________________

U
23. Is Performance Bank Guarantee or Letter of Credit still valid?

________________________________________________
24. Remarks ________________________________________________
_____________________
Project Engineer
6.2.3 Billing Summary

Implementing Office
Date: ____________________
BILLING SUMMARY
PAYEE: _________________________________________________________
PROJECT ID: _________________________________________________________

PROJECT NAME: _________________________________________________________
_________________________________________________________
_________________________________________________________
IMPLEMENTING OFFICE: _________________________________________________________
NATURE OF CONTRACT: _________________________________________________________
CONTRACT AMOUNT: _________________________________________________________

PREVIOUS BILLING: _________________________________________________________
THIS BILLING: _________________________________________________________
BALANCE: _________________________________________________________
PAYMENT BREAKDOWN
1st Billing: P _________________________

P P
REMARKS:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
NOTED:
_____________________
Project Engineer
6.2.4 Request for Release of First Partial Billing
CONSTRUCTION
COMPANY CO., LTD.
Date: _____________________
_______________________________________
U
_______________________________________
Thru: _____________________________
SUBJECT: Request for the Release of First Partial Billing

Project Name: ___________________________________________________________
Sir:
We are submitting herewith our First Partial Billing for the above-mentioned project, in
the amount of _____________________________ (P______________________) only. We have
accomplished the work satisfactorily in accordance to the terms and conditions of the contract. We
also certify that the Performance Security of Contractors Comprehensive All Risk Insurance
(CARI) is valid and premiums have been paid on time. Detailed Quantity Calculation, supporting
papers and pertaining documents are hereto attached for your review and approval.
We hope that the above is in order and request your preferential attention thereof.
Very truly yours,
_________________________
Contractor
Implementing Office
CERTIFICATE OF PAYMENT
For the period : ______________________________
Payment Certificate No. __
PROJECT NAME:
CONTRACTOR:
ORIGINAL CONTRACT AMOUNT: P 9. I hereby certify that the attached statement of work is CHECKED AND VERIFIED:
REVISED CONTRACT AMOUNT P correct and just and does not include items and/or
portions thereof for which payment has already been
6.2.5 Certificate of Payment
1. Total value of work to da P received. In regard to item covering advance payment

2. Total value of work previously: P for materials, the said materials are on site and are
3. Total value of work this billing P properly protected. Chief, Construction Division
4. Deductions:
A. 10% Retention P
Recoupment from Advance P AMO/Contractor's Representative
Sub-Total P
B. 2% Withholding Tax P 10. We hereby certify that the materials incorporated in this RECOMMENDED FOR PAYMENT:
5% VAT P certificate for payment have been verified and tested
Others (Specify) in accordance with specifications.
Sub-total P
TOTAL DEDUCTIONS P
5. Amount received for payment: P Assistant Regional Director
6. Add: Request No.___ for materials currently on hand Chief, QAD/QAS
7. Less: Request No.___for previous payment
materials on hand P
8. Net amount Due to Contractor P
11. I hereby certify that the quantity of work approved for APPROVED FOR PAYMENT:
payment in the attached statement have been
accomplished; that the quantities including materials
Schedule Physical Progress: % brought to site but not incorporated in the work are
Actual Physical Progress: % correct and consistent with all previous recommendations
Slippage (+) % for payment and the work quantities and amounts are
Original Expiry Date: consistent with the requirements of the contract. Regional Director
6 - 13
Project Engineer (DPWH)
6 - 14
Implementing Office
CONTRACTOR'S STATEMENT OF WORK ACCOMPLISHED

Period Covered: From __________ To ___________
Project ID: _________________

Project Name: _________________
Contractor: ____________________________ Payment Certificate No.: _____
Quantity Total Total Qty.

Total Cost of
Unit Price in Revised Approved in Balance of Cost of this Cost to Balance of
Item Description Unit Quantity to Previous
Pesos Contract Previous Quantity Billing Date Cost
Date Billing
Original Revised Cost Billing
6.2.6 Contractor's Statement of Work Accomplished
TO TAL
Submitted by: Checked by: Verified by: Recommending Approval by: Approved by:
__________________________ __________________________ __________________________ __________________________ __________________________
Contractor Project Engineer Chief, Construction Division Assistant Regional Director Regional Director
6.2.7 Statement of Time Elapsed

Implementing Office
Date: ____________________
STATEMENT OF TIME ELAPSED AND WORK ACCOMPLISHED
PROJECT ID: _________________________________________________________

PROJECT NAME: _________________________________________________________
_________________________________________________________
CONTRACTOR: _________________________________________________________
_________________________________________________________
Period Covered: ________________________________________________

Original Contract Time: ________________________________________________
Date of Effectivity of Contract: ________________________________________________
Original Contract Amount: ________________________________________________
Revised Contract Amount due to Approved Change Order/
Extra Work Order: ________________________________________________
Original Expiry Date : ________________________________________________
Approved Time Extension: ________________________________________________
Shutdown days due to
Suspension of Work: ________________________________________________
Total Time Extension: ________________________________________________
Total Calendar Days Elapsed to Date: ________________________________________________
Contract Time Elapsed (After Suspension): _______________________________________________
Revised Expiry Date due to
Extension/Extension: ________________________________________________
Percentage of Time Elapsed: ________________________________________________
Schedule of Work Accomplished: ________________________________________________
Percentage of Work Accomplished: ________________________________________________
Actual Slippage: ________________________________________________
Certified by:
_____________________
Project Engineer
6.2.8 Certification of Clearance for Equipment Rental and/or Lease

Implementing Office
Date: ____________________
CERTIFICATION OF CLEARANCE FOR
EQUIPMENT RENTALS AND/OR LEASE
PROJECT ID: ___________________________________________________

NAME OF PROJECT: ___________________________________________________
LIMITS: ___________________________________________________
LOCATION: ___________________________________________________
This is to certify that as of _________________, the Contractor _______________

has no claims against him on equipment lease or rental obligations filed with this Office, or
amounts due the Department.
This certification is issued to the Contractor as a requirement in connection with

their request for first payment of Work Accomplished for the ____________________.
______________________________
Project Engineer
6.2.9 Certification of Labor and Materials Payment

Implementing Office
Date: ____________________
CERTIFICATION OF CLEARANCE FOR
LABOR AND MATERIALS PAYMENT
PROJECT ID: ___________________________________________________

NAME OF PROJECT: ___________________________________________________
LIMITS: ___________________________________________________
LOCATION: ___________________________________________________
This is to certify that as of _________________, no written complaints have been

filed in this office on unpaid labor or unpaid materials against the Contractor
_______________________.
This certification is issued to the Contractor as a requirement in connection with

their request for first payment for __________________________.
______________________________
Project Engineer
6.2.10 Detailed Quantity Calculation
DETAILED QUANTITY CALCULATION (Accomplishment)

Agency: Department of Public Works and Highways Month:
Implementing Office and Address Mo. Certificate No.:
Project ID: Contractor:

Project Name: Contractor's Name
Pay Item No.: Original Quantity:

Description: Revised Quantity:
Uni: unit
Total Qty. Accomplished To-Date: ________________ unit

Less: Previous Accomplishment: ________________ unit
This Period Accomplishment: ________________ unit
This Certificate Quantity: ________________ unit

Cumulative Quantity: ________________ unit
We hereby certify that we have conducted inspection and verification on work accomplished on
the above-mentioned project for the period ____________. We further certify that we have found that the
quality of materials in the specified work item corresponding to the quantity accomplished conforms with
the Standard Specifications and Special Provisions of Contract.
We also certify that unacceptable work has been deducted, and not included in this calculation.
Submitted by: Checked by:
_________________________ _________________________ _________________________

Authorized Managing Officer Material Engineer Project Engineer
(Contractor) (DPWH) (DPWH)
6.2.11 Checklist of Supporting Documents and Attachments for DoTS
6.3 Interim Progress Billing
6.3.1 Request for Release of Interim Billing
CONSTRUCTION
COMPANY CO., LTD.
Date: _____________________
_______________________________________
U
_______________________________________
Thru: _____________________________
SUBJECT: Request for the Release of ________ Partial Billing

Project Name: ___________________________________________________________
Sir:
With reference to our contract for the above-mentioned project, we would like to request
for the _______ partial payment of work accomplished in the amount of
_________________________ (P _________________). We have accomplished the work
satisfactorily in accordance to the terms and conditions of the contract. Attached herewith are the
Detailed Quantity Calculation, Statement of Work Accomplished and other documents for your
review and approval.
Favorable actions on this regard will be highly appreciated.
Very truly yours,
_________________________
Contractor
6.3.2 Checklist of Supporting Documents And Attachments for DoTS
6.4 Final Billing
6.4.1 Property Clearance

Implementing Office
Reference No.: ____________________

Date: ____________________
SUPPLY AND PROPERTY CLEARANCE CERTIFICATE
ON PROPERTY ACCOUNTABILITY
(FOR CONTRACTORS)
To Whom It May Concern:
This is to certify that as per records of this office, (Name of the Contractor),
U U
contractor of the (Project Name), has no property and/or money accountability with the
U U
Supply and Property in Administrative Division/Section, in connection with the

above-mentioned contract.
In order to be complete, similar clearance shall be obtained from the DPWH

Implementation Office (IO) of the above mentioned project and from the Bureau of
Equipment and/or Regional Equipment Services (RES) for whatever accountabilities there
might be under their respective jurisdictions.
This certificate is issued for the purpose of final billing.
_________________________________
Supply Officer, Administrative Division/Section
_________________________________
Chief, Administrative Division/Section
6.4.2 Regional Equipment Clearance

Implementing Office
Date: ______________
CERTIFICATE OF CLEARANCE FOR EQUIPMENT AND OTHER OBLIGATIONS
Contractor: ___________________________________________________________
___________________________________________________________
Project ID: ___________________________________________________________
Project Name: ___________________________________________________________
Description: ___________________________________________________________
Location : ___________________________________________________________
1. EQUIPMENT RENTALS, SPARE PARTS AND MATERIALS ISSUED, SERVICES RENDERED

ETC. (Attach supporting papers if necessary)
BILL NUMBER PARTICULARS AMOUNT REMARKS

NONE NONE NONE NONE
Note: Equipment Lease contract dated ____________ and approved by _________________________
2. OTHER OBLIGATIONS RELATIVE TO EQUIPMENT
(This will include unreturned equipment, attachments and accessories, estimated cost of repairs, etc.)
REMARKS: ___________________________________________________________
___________________________________________________________
(State the present condition of the equipment together with your comment
and/or recommendation).
FOR FINAL PAYMENT

CLEARED OF EQUIPMENT ACCOUNTABILITY &
OTHER OBLIGATIONS IN THE AREA II EQUIPMENT
SERVICES
____________________________________
Chief, EMD
PREPARED AND VERIFIED BY: SUBMITTED BY:
____________________________________ ____________________________________
Chief Accountant
6.4.3 Certificate of Completion

Implementing Office
CERTIFICATION OF COMPLETION
PROJECT ID: ___________________________________________________

NAME OF PROJECT: ___________________________________________________
CONTRACTOR: ___________________________________________________
DATE: ___________________________________________________
This is to certify that the above-stated project has been satisfactorily completed on
_____________________ in accordance with the Plans and Specifications of the Contract
based on the Final Inspection Report of the Inspectorate Team dated ___________________.
This Certificate does not relieve the Contractor of his obligations and
responsibilities in undertaking repair works on any defect or failure that may occur on any
section of the Project during the defects liability period starting from the date of completion
as herein stated. Neither is he relieved of his obligations and responsibilities pursuant to the
provisions of R.A. 9184.
______________________________
Comforme:
______________________________
Contractor
6.4.4 Inspection Report

Implementing Office
INSPECTION REPORT FOR FINAL COMPLETION
NAME OF PROJECT: ___________________________________________________

CONTRACTOR: ___________________________________________________
IMPLEMENTING OFFICE:___________________________________________________
_____________________ in accordance with the Plans and Specifications of the Contract
based on the Final Inspection Report of the Inspectorate Team dated ___________________.
This Certificate does not relieve the Contractor of his obligations and
responsibilities in undertaking repair works on any defect or failure that may occur on any
section of the Project during the defects liability period starting from the date of completion
as herein stated. Neither is he relieved of his obligations and responsibilities pursuant to the
provisions of R.A. 9184.
______________________________ ______________________________
Representative Representative
Construction Division/Section Planning & Design Division/Section
______________________________ ______________________________
Representative Representative
Maintenance Division/Section QA Division/Section
NOTED BY:
______________________________
Asst. Regional Director/Asst. District Engineer
6.5 Retention Money
6.5.1 Description
Progress payments are subject to retention of ten percent (10%) referred to as the
“retention money”. Such retention shall be based on the total amount due to the contractor
prior to any deduction and shall be retained from every progress payment until fifty percent
(50%) of the value of works, as determined by the procuring entity, are completed. If, after
fifty percent (50%) completion, the work is satisfactorily done and on schedule, no additional
retention shall be made; otherwise, the ten percent (10%) retention shall be imposed.
The total “retention money” shall be due for release upon acceptance of the works. The
contractor may, however, request the submission of the retention money for each progress
billing with irrevocable standby letters of credit from a commercial bank, bank guarantees or
surety bonds callable on demand, of amounts equivalent to the retention money substituted for
and acceptable to DPWH, provided that the project is on schedule and is satisfactorily
undertaken. Otherwise, the ten percent (10%) retention shall be made. Said irrevocable
standby letters of credit, bank guarantees and/or surety bonds, to be posted in favor of the
DPWH shall be valid for a duration to be determined by the concerned implementing
office/agency or procuring entity and will answer for the purpose of which the ten percent
(10%) retention is intended, i.e. to cover uncorrected noted defects and third party liabilities.”
6.5.2 Request for the Release of Retention
CONSTRUCTION
COMPANY CO., LTD.
Date: _____________________
_______________________________________
U
_______________________________________
Thru: _____________________________
SUBJECT: Request for the Release of Retention

Project Name: ___________________________________________________________
Sir:
With reference to our contract for the above-mentioned project, we would like to request
for the release of Retention in the amount of _____________________ (P _________________).
Favorable actions on this regard will be highly appreciated.
Very truly yours,
_________________________
Contractor
6.5.3 Statement of 10% Retention
STATEMENT OF 10% RETENTION MONEY
Contractor: __________________________________________________
Name of the Project: __________________________________________________
No. of billing D.V. Number Date Amount
Total
Certified Corrected:
_________________________________
Accountant
Chapter 7 Project Completion and
Acceptance
7.1 Final Inspection for Completion
7.1.1 QAU or Regional Inspectorate Team Report

Implementing Office
QAU/REGIONAL INSPECTORATE TEAM

PROJECT ASSESSMENT REPORT
Date of Inspection: ____________________
I. PROJECT INFORMATION
Name of Project: ____________________________________________________
Location: ____________________________________________________
Contract Amount: ____________________________________________________
Contractor: ____________________________________________________
II. FINDINGS AND OBSERVATIONS

__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
III. RECOMMENDATIONS
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Submitted by:
QAU/RO TEAM
_________________________________ _________________________________
_________________________________ _________________________________
Noted by:
_________________________________
Chief, QAD
Road Project Management and Supervision Manual Vol. II:Sample Forms and Documents 7-1
7.1.2 Pre-final Inspection (Punch List)

Implementing Office
Date: ___________________
Pre-final Inspection
(PUNCHLIST)
NAME OF PROJECT: _______________________________________________________
STATION LIMITS : _______________________________________________________
LOCATION: _______________________________________________________
CONTRACTOR: _______________________________________________________
FINDINGS:
1. ________________________________________________________________________
2. ________________________________________________________________________
3. ________________________________________________________________________
4. ________________________________________________________________________
5. ________________________________________________________________________
6. ________________________________________________________________________
7. ________________________________________________________________________
8. ________________________________________________________________________
9. ________________________________________________________________________
10. ________________________________________________________________________
11. ________________________________________________________________________
12. ________________________________________________________________________
13. ________________________________________________________________________
14. ________________________________________________________________________
15. ________________________________________________________________________
Prepared by:
__________________________________ __________________________________
Project Facilitator Project Engineer
Received by:
__________________________________
Contractor
7.1.3 Final Inspection Report

Implementing Office
Date: ____________________
FINAL INSPECTION REPORT
PROJECT/LOCATION: ___________________________________________________
___________________________________________________________
CONTRACTOR: ___________________________________________________________
___________________________________________________________
We, the undersigned members of the Inspectorate Team, conducted a joint

inspection of the above-stated project and found the same to be satisfactorily completed on
______________________________ in accordance with Plans and Specification of the
Contract.
_____________________________________ _____________________________________
Chief, Planning and Design Division/Section Chief, Construction Division/Section
_____________________________________ _____________________________________
Chief, Maintenance Division/Section Chief, Quality assurance Division/Section
____________________________________________________
Assistant Regional Director/Assistant District Engineer
7.2 Certificate of Completion
Implementing Office
Date: ____________________
CERTIFICATE OF COMPLETION
___________________________________________________________
___________________________________________________________
CONTRACTOR: ___________________________________________________________
___________________________________________________________
___________________ in accordance with the Plans and Specifications of the Contract based on
the Final Inspection Report of the Inspectorate Team dated ____________________________.
This certification does not relieve the Contractor of his obligations and responsibilities
in undertaking repair works on any defect or failures that may occur in any section of the project
during the one-year Warranty Period starting from the date of completion as herein stated.
Neither is he relieved of his obligations and responsibilities pursuant to the provisions of
PD 1759.
_____________________________________
Comforme:
_____________________________________
Contractor
7.3 Post-evaluation Report (Post-audit)
COMMISSION ON AUDIT
TECHNICAL and INFORMATION TECHNOLOGY SERVICES
VALIDATION REPORT
FOR INFRASTRUCTURE PROJECTS
DATE
PROJECT:
LIMITS/LOCATION:
CONTRACTING PARTIES :
CONTRACT DURATION : NOTICE TO PROCEED:
EFFECTIVITY DATE: TARGET DATE OF COMPLETION:
DATE OF INSPECTION: ACTUAL DATE OF COMPLETION:
A. OBJECTIVE
To validate the reported accomplishment and determine compliance with plans specification
B. SCOPE
Progress accomplishment as to physical and technical aspect.
C. REFERENCE DOCUMENTS
SUBMITTED DATE AMOUNT
DOCUMENTS REMARKS
YES NO NA YY MM DD (PhP)
1 Original Contract
1.1 Plans
1.2 Specifications
1.3 Cost Breakdown
2 Change Order No. 1

3 Extra Work Order No.
3.1 Revised Plans
3.2 Specifications
3.3 Cost Breakdown
4 Agency Accomplishment Report

5 Agency Certificate of Complition
7 Test Results, if any
8 As-built Plans
9 Others
D. METHODOLOGY
1 Studied plans and specifications
2 Prepared inspection working paper.
3 Conducted physical/ocular inspection
4 Conducted technical evaluation (actual measurements)
E. PERSONS/PERSONNEL PRESENT AT THE TIME OF INSPECTION

NAME POSITION AND DESIGNATION
F. CONDITIONS/CIRCUMSTANCES ATTENDANT TO INSPECTION

The name mentioned above assissted the undersigned during the conduct of inspection
Page 1 of 2
Page 2 of 2
7.4 Acceptance Report
Implementing Office
Date: ____________________
ACCEPTANCE REPORT
___________________________________________________________
CONTRACTOR: ___________________________________________________________
___________________________________________________________
We, the undersigned members of the Inspectorate Team, conducted a inspection on

the above-stated project and found the same to be free from failures and detects that are
traceable to poor workmanship, use of poor quality materials and non-compliance with Plans
and Specification of the Contract.
_____________________________________ _____________________________________
Chief, Planning and Design Division/Section Chief, Construction Division/Section
_____________________________________ _____________________________________
Chief, Maintenance Division/Section Chief, Quality assurance Division/Section
____________________________________________________
Assistant Regional Director/Assistant District Engineer
7.5 Certificate of Acceptance
Implementing Office
Date: ____________________
CERTIFICATE OF ACCEPTANCE
___________________________________________________________
___________________________________________________________
CONTRACTOR: ___________________________________________________________
___________________________________________________________
This is to certify that the above-stated project has been accepted as of ( date ) .
Based on the Acceptance Report of the Inspectorate Team dated ( date ) , the
Project is free from failures and defects which are traceable to poor workmanship, use of poor quality
materials and non-compliance with Plans and Specifications of Contract.
_____________________________________
Comforme:
_____________________________________
Contractor

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IMPROVEMENT OF QUALITY MANAGEMENT FOR

HIGHWAY AND BRIDGE CONSTRUCTION AND

ROAD PROJECT MANAGEMENT

Department of Public Works and Highways

ROAD PROJECT MANAGEMENT AND

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS

Chapter 1 Introduction ............................................................................... 1- 1

1.2 Purpose ...................................................................................................... 1- 1

Chapter 2 Plans and Drawings................................................................... 2- 1

2.2 As-Staked Plan ........................................................................................... 2- 3

2.3 As-Built Plan ............................................................................................... 2- 3

2.4 Typical Title Block ....................................................................................... 2- 3

3.2 Program of Work ........................................................................................ 3- 3

3.3 Detailed Unit Price Analysis ........................................................................ 3- 4

3.4 Approved Budget Cost ............................................................................... 3- 5

3.5 Bill of Quantities.......................................................................................... 3- 6

3.7 Contract Agreement.................................................................................... 3- 9

3.8 Notice of Award .......................................................................................... 3-11

3.9 Bid Security ................................................................................................ 3-12

3.10 Performance Security ................................................................................. 3-14

3.11 Surety Bond ................................................................................................ 3-16

3.12 Contractor's All Risks Insurance ................................................................. 3-17

Chapter 4 Contract Implementation............................................................ 4- 1

4.1 Notice to Proceed ....................................................................................... 4- 1

4.2 Variation Order ........................................................................................... 4- 2

4.3 Suspension Order....................................................................................... 4- 4

Chapter 5 Field Inspection and Quality Control ........................................... 5- 1

5.1 Quality Control Program ............................................................................. 5- 1

5.2 Material Test Reports .................................................................................. 5- 2

5.3 Certificate of Quality Control Assurance Report ......................................... 5- 4

5.4 Laboratory/Field Control Test Reports ........................................................ 5- 5

5.5 Accreditation ............................................................................................... 5-25

5.5.1 Application for Accreditation of Asphalt/Concrete Batching Plant ............... 5-25

5.5.2 Application for Accreditation of Materials Engineer..................................... 5-26

5.5.3 Application for Accreditation of DPWH Materials Engineer......................... 5-27

5.5.4 Instructions for Application for Accreditation of Materials Engineers........... 5-28

6.1 Advance Payment ...................................................................................... 6- 1

6.2 First Progress Billing................................................................................... 6- 9

6.3 Interim Progress Billing............................................................................... 6-20

6.4 Final Billing ................................................................................................. 6-22

6.5 Retention Money ........................................................................................ 6-27

7.1 Final Inspection for Completion .................................................................. 7- 1

7.2 Certificate of Completion ............................................................................ 7- 4

7.3 Post-evaluation Report (Post-audit)............................................................ 7- 5

7.4 Acceptance Report ..................................................................................... 7- 7

7.5 Certificate of Acceptance ............................................................................ 7- 8

Regional Project Managers:

Committee, hereinafter called as "JCC", Technical Working Group, hereinafter called as

* Guidebook for Road Construction and Maintenance Management in the Republic of

2.3 As-Built Plan

It should be approved by the implementing office or the concerned/delegated

2.4 Typical Title Block

PROJECT ENGINEER (CONTRACTOR

Republic of the Philippines

3. Bidding will be conducted through open competitive bidding procedures using

11. For further information, please refer to:

Republic of the Philippines

Breakdown of Estimated Expenditures:

Reviewed as to Unit Cost: Approved:

Detailed Unit Price Analysis (DUPA)

Sub - Total for A

Sub - Total for B

D. Output per hour =

__

Done in _____________ this day of .

THIS CONTRACT AGREEMENT, made this day of _, ___

Signed, sealed, delivered by _the _(for the Entity)

Signed, sealed, delivered by _the _(for the Contractor)

BEFORE ME, this ___ day of _, in the City of ________,

SUBSCRIBED AND SWORN to before me this _ day of _______, 20_,

CAR DCB/CAR NO. _____________ Issued at

Variation Order No.: ______ Change Order ( ) Extra Work Order ( )

____________ _ _ ___________