DATE

PROJECT NEW DESIGN FOR NEW BRANCH

BRANCH NAME CLH MONDRAGON
LOCATION MONDRAGON NORTHERN SAMAR
AREA 25.44
COST/ SQ.M

MATERIAL

ITEM DISCRIPTION
UNIT QUANTITY UNIT COST

DIV 1 PRELIMINARIES
1.1 Mobilization / Demobilization LOT 1.00
1.2 Cleaning, clearing and hauling of debris LOT 1.00
1.3 Permits and Licences LOT 1.00
a. Building Permit Plans, contractor to sign & seal
b. Locational Clearance, Zoning Clearance, & DPWH Clearance (on Nat'l Road).
c. Building Permit
d. Sanitary / Plumbing Permit
e. Electrical Permit
g. Mechanical Permit
f. Fire Safety Inspection Certificate
g. Signage Permit (Single and Double Face)
h. Occupancy Permit
i. Electronic Permit (if applicable)
j. Environmental Compliance Certificate (if applicable)
k. Others (please specify)
1.4 As-built Plans, signed & sealed by all trades LOT 1.00
(3-sets blueprinted copies and 2pcs CD E-file).

Sub-Total Item 1.0

DIV 2 CIVIL & MASONRY WORKS (INCLUDING FINISHING)
2.1 Masonry Works (maximum allowable ceiling height is 2.20M)
2.1.1 Counter Façade wall SQM 2.10
4"CHB pc/s
Pozzolan Cement bags
Sand S1 cu.m
10mm diameter deformed reinforcement bars (Every other layer horizontally and Every 3 cells vertically) pc/s
tie wires gauge #18 kgs.
2.1.2 ACU Walls SQM 7.85
4" CHB PCS
Pozzolan Cement bags
sand S1 cum
10mm diameter deformed reinforcement bars (Every other layer horizontally and Every 3 cells vertically) pcs
tie wires gauge # 18 kgs.
1/2" thk plain cement plaster on steel throwel finish @ CHB wall surfaces (@ CR, working area ,lobby area to include
2.2 inside column) SQM 19.86
Pozzolan Cement bags
Sand S1 cu.m
Sub-Total Item 2.0
DIV 3 CARPENTRY & CABINETRY WORKS (INCLUDING HARDWARES BUT EXCEPT PAINTING)
Ceiling 4.5 mm thk. Ficem board on GA 24 3/4" x 2" 5m metal furring joists & GA22 carrying channel 1/2" x 1 1/2 "
and GA24 wall angle 1" x1" x 2.4 with accessories (for the entire branch except vault room) with provision of 6mm
3.1 square grooves (on joints) as per lay out sqm 25.44
4.5 mm thk. Ficem board Pc/s
GA. 24 Metal Furring 3/4"x2"x5m Pc/s
GA. 22 Carrying Channel 1/2"x1 1/2"x5m Pc/s
GA. 24 Wall Angle 1"x1"x2.4m Pc/s
W-clip Pc/s
Concrete Nail kg/s
Blind Rivets 1/8" diam. x 1/2" box
Metal Screw w/ tox 6mm diam. x 1" box

CBPMD Rev. 2 09/05/13 Page 1 of 14

 MATERIAL

ITEM DISCRIPTION
UNIT QUANTITY UNIT COST

3.2 Modular Partition wall Laminates SQM 1.47

3/4 thick marine plywood Pc/s
Common Nails 1" Kg/s
wood glue Gallon/s
SOLID Wood(2 x 2 x 8' S4S KD) PCS
Multiform Chesnut wood Laminates Pc/s
Multiform Adhesive Gallon/s
Metal Corner Angle Bracket Support (Top nad Bottom) Sets

Laminated Wall Cladding on 1/2" Thick Marine Plywood with 2" x 2" wood nailers using Multi Form CHESTNUT WOOD
and Multi-Form adhesive. Located at top portion of wall.
3.3 SQM 4.32
3/4 thick marine plywood Pc/s
1 1/2 finishing nails Kg/s
wood glue Gallon/s
SOLID Wood(1 1/2 x 1 1/2 x 8' S4S KD) PCS
Multiform Chesnut wood Laminates Pc/s
Multiform Adhesive Gallon/s
Common Nails 1" Kg/s
Concrete Nail kg/s
Guard's Podium 3/4"thk. Ordinary Plywood on Laminated Sheet Finish (Light Wenge Multiform) with cabinet doors,
and approved hardwares, use full extension drawer guides and black circular handles (Brand: HAFELE, 45kgs.
3.4 capacity, refer to detail). on Light Wenge MultiForm Laminate lot 1.00
3/4" thk marine plywood Pc/s
Light wengue Multiform Laminate Pc/s
Multiform Adhesive Gallon/s
Wood glue Gallon/s
Finishing Nails Kg/s
Concealed Hinges Pc/s
Cabinet/Drawer Handle Pc/s
45 kgs Hafele full extension drawer guide pair
Swivel Rubber wheels with Casters with lock -3inches diameter pcs
Drawer Lock w/ keys Pc/s

Full height Cabinet w/ CIF drawers using 3/4"marine plywood at working area
3.5 LN.M 1.20
3/4" thk marine plywood Pc/s
Wood glue Gallon/s
Finishing Nails kg/s
Concealed Hinges Pc/s
Cabinet/Drawer Handle Pc/s
45 kgs Hafele full extension drawer guide Pair/s

Form Table Laminated Sheets finish (Light Wenge MultiForm) on 3/4"thk. Marine Plywood with 10mm thk. glass top
and 1" SS Poster Bolt with covers, cabinet doors, and hardwares, (refer to detail).
3.6 L.M 1.20
3/4" thk marine plywood Pc/s
Light wengue Multiform Laminate Pc/s
10mm thk. Clear Glass ( 0.3 mx 1.1m) set/s
Multiform Adhesive gals
Wood glue gals
Finishing Nails kg/s
Stainless Steel Poster Bolts with Cover Pc/s
Concealed Hinges Pc/s

3.7 Folding Table (0.7m x 0.4m )(see details)

set 1.00
3/4" thk marine plywood Pc/s
Wood glue Gallon/s
Finishing Nails kgs.
Heavy Duty metal bracket pair
Muti form adhesive Gallon/s
multi form laminate (White) pcs

3.8 Universal Counter ( 1m width) - see details (Fabricated)

sets 2.00
Mulitform Contact Cement gals
Wood glue gals
Common Nails 1" kg/s
Finishing Nails 1 " kg/s
45 kgs Hafele full extension drawer guide pairs
Drawer Handle pcs
Drawer Lock w/ keys set/s
2" PVC Gromet Pc/s
2" PVC x 3m Pipe for Exhaust Vent Pc/s
3/4" thk marine plywood Pc/s
Pacific blue Multiform laminate Pc/s
1/4" thick ordinary Glass for the entire lower counter top (0.96 x 0.56m) set

CBPMD Rev. 2 09/05/13 Page 2 of 14

 MATERIAL

ITEM DISCRIPTION
UNIT QUANTITY UNIT COST

Srew head plug box

Connecting screw 1 1/2 pcs
3.90 Counter Top and Façade LNM 2.98
3.10.1 COUNTER FAÇADE LNM 2.98
Multiform Adhesive gals
Wood glue gals
Finishing Nails 1 " kg/s
3/4" thk marine plywood Pc/s
Pacific blue Multiform laminate Pc/s
Srew head plug box
Connecting screw 1 1/2 pcs
3.10.2 COUNTER TOP LNM 1.28
Multiform Adhesive gals
Wood glue gals
Finishing Nails 1 " kg/s
3/4" thk marine plywood Pc/s
Pacific blue Multiform laminate Pc/s
3.10 Money Divider (0.422m x 0.5m )see details sets 2.00
Sub-Total Item 3.0
DIV 4 DOORS, WINDOWS, & GLASS WORKS

4.1 Glass store front panels and door sqft 20.34

0.9m x 2.1m x 12mm thick Tempered glass door sq.ft
U- Channel for 12mm Thick Glass ln.m
GMT Floor Hinge pc/s
H type Handle stainless (32mm diameter x 600mm length) set
GMT Top patch Fittings pc/s
Glass Sealant pc/s
GMT Patch Lock pc/s
Transparent PVC side seal strip-for 12mm thickness of glass pc/s
Teller Glass Counter (1.0m high from counter top) 12mm thk. Tempered glass on 1"x1" tubular stiffener with
4.2 fabricated U clip (refer to detail drawing) sqft 32.08
12 mm thick x 1m width x 1m height tempered glass sqft
1" x1 " tubular stiffener with fabricated u-clip ln.m
U- Channel for 12mm Thick Glass ln.m
Glass Sealant GE pc/s

Half plated G.I. Steel Door (ga.#18 x 0.85 x 1.05m x 45mm thk.) with ga.#16 x 2" x 4" tubular steel jamb complete with
Single Deadbolt with inside thumbturn and Built-in Barrel Bolt, 4-sets 4" x 4" s/s Hinges, and Night Latch (all hardwares
shall be stainless finish, brand: YALE refer to detailed drawings. laminated finish on lobby side face)
4.3 set/s 1.00
1/8" thk. MS Plate pc/s
16 mm Square Bar pc/s
1/4" x 1 1/2" x 1 1/2" Angular Bar pc/s
2" Flat Bar pc/s
2" x 4" Tubular Steel pc/s
4" x 4" SS Hinges pc/s
Welding Rod kgs.
Grinding Disk 4" pc/s
Grinding disk 7" pc/s
Sanding paper #100 pc/s
Single deadlock (Yale) pc/s
Night Latch (Yale) pc/s
Hafele heavy duty hinges pc/s
Multi-form Pacific Blue Laminate (included in counter facade)

Half Steel Grille Door (0.85m x 1.05m) using 1/8" THK MS Plate on 1/4" THK x 2" Steel Flat Bars and 16mm square bars
(for framing), including steel jamb and 3-pairs cylindrical hinges, built-in barrel bolt, Deadbolt with inside thumbturn
and outside cylinder lock, night latch. (refer to detail drawing).
4.4 set 1.00
1/8" thk. MS Plate pc/s
16 mm Square Bar pc/s
2" Flat Bar pc/s
1/4" x 1 1/2" x 1 1/2" Angular Bar pc/s
Welding Rod E70 kgs.
Grinding Disk 4" pc/s
Grinding disk 7" pc/s
Sanding paper #100 pc/s
Single Deadbolt (Yale) pc/s
Hafele heavy duty hinges pc/s
Barrel bolt pc/s

4.5 Jewelry Display Cabinet, 6 mm. thick tempered glass with sliding door, 1 m. length X 0.50 m height x .22 m witdth.
(refer to drawing detail). set 1.00
Tempered glass "clear" 6 mm. Thickness sqft

CBPMD Rev. 2 09/05/13 Page 3 of 14

 MATERIAL

ITEM DISCRIPTION
UNIT QUANTITY UNIT COST

Aluminum tubular anodize 1" x1" x 21 ft. pc/s

Aluminum glass clip anodize 6mm x 10 mm x 12 ft. pc/s
Aluminum "kaha' channel anodize 1/2" x 3/4"x 12 ft. pc/s
Plastic roller 12 ft. pc/s
Sliding glass lock stainless steel pc/s
Silicon selant (for glass) tube
Stainless steel bracket, 3/16" x 1' x 2" pc/s
Sub-Total Item 4.0
DIV 5 METAL / STEEL WORKS

Fabrication of Teller Counter Grilles using 16mm plain round bar bolted to Teller wall (pls. refer to plans for details)
5.1 sq.m 4.32

Pc/s
16mm diameter plain round horizontal bars x 6m
3/8" thk X 1 1/2 vertical bars Pc/s
1/2" diam. Expansion Bolt Pc/s
Cutting Disk 4" Pc/s
Grinding disk 4" Pc/s
Sanding paper #100 Pc/s
Welding Rod E70 kgs.
16 mm Drill Bit pc/s
Fabrication of Steel Grille Cover for Rotary Light of Manual Alarm attached to wall or exterior ceiling using 12mm
5.2 square bars (8" x 8" x 8" height) set 1.00
12mm Square Bar Pc/s
1/8" x 1" x 1" Angle Bar Pc/s
1/2" diam. Expansion Bolt Pc/s
Welding Rod E70 Pc/s
Gauge 18 GI plain sheet pc/s
5.3 Fabrication of Cover for Alarm Siren using 1/8" thk. MS plate screwed to ceiling set 1.00
12mm Square Bar Pc/s
1/8" x 1" x 1" Angle Bar Pc/s
1/2" diam. Expansion Bolt Pc/s
Welding Rod E70 Pc/s
Gauge 18 GI plain sheet pc/s
5.4 TV Holder with complete accessories set 1.00
Sub-Total Item 5.0
DIV 6 PAINTING WORKS
6.1 GENERAL CEILING SQM 25.44
Flat Latex paint (White) gal
Patching compound bags
Paint Roller 7" Pc/s
Paint Brush 4" Pc/s
Stopa/Rug Pc/s
Sandpaper #100 Pc/s
Mesh Tape 2" Pc/s
6.2 General Walls SQM 80.91
Concrete Neutralizer gal
Boysen Concrete Emulsion (2 coats) gal
4' Camel Brush Pc/s
Stopa/Rug Pc/s
Sandpaper #100 Pc/s
6.3 Façade / Store Front & Exterior Face of Perimeter Wall SQM 8.34
Flat Latex paint (White) gal
Semi Gloss Latex Paint (White) gal
Patching compound bags
Paint Brush 4" pc/s
Stopa/Rug pc/s
Sandpaper #100 pc/s
Painting of MS Plates Enclosure using 2-coats Epoxy Enamel Paint including 1-coat of epoxy primer, surface preparation,
6.4 rust converter, grinding, sanding and other consumables. sq.m 16.40
Pioneer Epoxy Primer Gray Gallon/s
Epoxy Enamel Paint-Boysen Gallon/s
Lacquer Thinner-Boysen Gallon/s
Polytuff Filler Liter/s
Paint Brush 4" Pc/s
Paint Brush 2" Pc/s
Stopa/Rug pcs

Painting of all steel surfaces including full plated door (counter grilles, ceiling grilles, ) using "Boysen QDE 75 Silver Finish
Aluminum Paint" 2 - final coats with red oxide primer, surface preparation, rust converter, sanding and other consumables
6.5 (SPRAY PAINT FINISH) sqm 9.94
Counter Grilles sq.m 4.32
WT ACU grills sqm 0.97
Half Steel Grill Door sqm 2.20

CBPMD Rev. 2 09/05/13 Page 4 of 14

 MATERIAL

ITEM DISCRIPTION
UNIT QUANTITY UNIT COST

Half Steel Plated Door sqm 2.20

Other (Cover Grills) sqm 0.25
Boysen QDE 75 silver finish aluminum paint Gallon/s
Red Oxide Primer Paint Gallon/s
Lacquer Thinner-Boysen Gallon/s
Polytuff Filler Liter/s
Tinting Color (1/4L) Can/s
Paint Brush 2" Pc/s
Paint Brush 1" Pc/s
Stopa/Rug pcs
Sandpaper #220 Pc/s

Painting of Roll-up Door slots & mechanism box, using "Boysen QDE B-640 Royal Blue", 2-coats to include 2-coats red oxide
6.6 primer on B.I. Sheets or galvacoat on Galvanized finish, surface preparation, rust converter, sanding & other consumables
including Paint Murals sq.m 16.75
Semi Gloss Enamel Paint-Boysen- Royal Blue Gallon/s
Semi Gloss Enamel Paint-Boysen- Red Gallon/s
Semi Gloss Enamel Paint-Boysen- White Gallon/s
Galvacoat Primer Gallon/s
Paint Thinner#0340-Boysen Gallon/s
Tinting Color (1/4L) Can/s
Paint Brush 4" Pc/s
Paint Brush 2" Pc/s
Paint Brush 1" pcs
Stopa/Rug pcs
Sandpaper #220 Pc/s
Masking Tape 25mm x 50m Roll/s
6.7 Painting of all wooden surfaces SQM 4.16
Full height Cabinet sqm 4.16
Semi Gloss Latex Paint (White) gal
Thinner gal
Polytuff Filler liters/s
Tinting Color (1/4L) Can/s
Paint Brush 4" Pc/s
Paint Brush 2" Pc/s
Stopa/Rug pcs
Sandpaper #220 Pc/s
Sub-Total Item 6.0
DIV 7 ELECTRICAL WORKS
7.1 Telephone Feederline (from TTC or Telephone Service Provider to Counter) sq.m 25.44
a. Telephone IMC Conduits lnm
b.Fittings(elbow, wye and Tee) pc/s
c. Utility Box pc/s
d. Telephone Cables (CAT-5 / 6 pairs) ln.m
e. 3/4 PVC Clamp spaced at 100mm pcs
f. PVC solvent cement liter/s
Telephone Feederline roughing ins for Fiber Optic provision using 3/4" diamater PVC pipe with full height cabinet home run
7.2 and CAT-5 wire to counter (CPU) sq.m 25.44
a. IMC Conduits 3/4" (fiber Optic) ln.m
b.Fittings(elbow, wye and Tee)(fiber optic line) pc/s
c. IMC Conduits 3/4" (cat5) ln.m
d.Fittings(elbow, wye and Tee)(cat5 Line) pc/s
e. Pull box pc/s
f. Pullwire (rope, GI) kgs.
g. Utility Box (cat5 line) pc/s
h. Telephone Cables (CAT-5 / 6 pairs) ln.m
i. 3/4 PVC Clamp spaced at 100mm pcs
j. PVC solvent cement liter/s
7.3 Distribution Lines & Rough-ins should be intermediate metallic conduit or IMC sq.m 25.44
a. IMC Conduits 3/4"(lights and Outlets) ln.m
b. IMC Conduits 3/4"(acu and Signage) ln.m
c.Fittings(elbow, wye and Tee) pc/s
d. Cable Tray 2X2 pc/s
e. junction Box pc/s
f. Utility Box pc/s
g. 3/4 PVC Clamp spaced at 100mm pcs
h. PVC solvent cement liter/s
7.4 Distribution Lines Wires & cables sq.m 25.44
3.5 sq. mm phelps dodge THW for outlets, lights ln.m
5.5 sq.mm phelps dodge THW for ACU and signage wire prep ln.m
8.0 sq.mm phelps dodge THW breaker to meter / service entrance ln.m
TOTAL COST OF 7.5 TO 7.32

CBPMD Rev. 2 09/05/13 Page 5 of 14

 MATERIAL

ITEM DISCRIPTION
UNIT QUANTITY UNIT COST

Double throw panel (GE brand) for Emergency Power. Weather Proof outlet location outside the branch (Panasonic)
7.5 pc/s 1.00
7.6 Panel Board with 1-main & 6-branches (bolt-on type) with grounding pc/s 1.00
7.7 Circuit breaker 60 Amps, GE (Main) pc/s 2.00
7.8 Circuit breaker 30 AT, GE (ACU & for emergency power) pc/s 2.00
7.9 Circuit breaker 20 AT, GE (lOutlets& Spare) pc/s 2.00
7.10 Circuit breaker 15 AT, GE (lights & Signage) pc/s 2.00
7.11 Convenience Outlets (National, 2-gang) pc/s 14.00
7.12 Convenience Outlet (National, 1-gang, 3-Pronged for flat TV and other appliances) pc/s 1.00
7.13 Light Switches ( 3-gang, National) pc/s 2.00
7.14 Light Switches ( 2-gang, National) pc/s 3.00
7.15 Light Switches ( 1-gang, National) pc/s 5.00
7.16 ACU Outlet (National, 3 pronged) pc/s 1.00
LED Pinlight 10W 220V socket type daylight (Phillips or GE) with 6" Akari housing (code ; APNL-327)Lobby, Working Area,
7.17 Toilet) pc/s 17.00
7.18 10 watts Appraising light Phillips pc/s 2.00
7.19 10 watts Black light Phillips pc/s 2.00
7.20 Alarm Siren with rotary beacon light pc/s 1.00
7.21 Manual alarm toggle switch (vault room and counter) pc/s 1.00
7.22 Signage Timer Analog Type (PANASONIC) 24V with back up battery up to 3 hours pc/s 1.00
7.23 2 Gang Data Outlet (National) pc/s 6.00
7.24 3D (4" x 4") Exhaust fan @ appraising counter pc/s 2.00
7.25 3D (6" x 6") Exhaust fan @ Toilet pc/s 1.00
7.26 3D (16") Orbit Ceiling Fan (3D brand) pc/s 2.00

Roughing Ins Neltex PVC pipe or IMC and provision of Wires for I-sense (see Layout), Vault Room to CIF Cabinet 1-Speaker
7.27 wire, CIF Cabinet to Siren 1-Jacketed wire, Counter to CIF Cabinet 4-pcs Cat5, CIF Cabinet to Motion Detectors 1-Cat5 Each,
CIF Cabinet to Counter door 1-Cat5, CIF Cabinet to Vault Room 2-CAT5, CIF Cabinet to Lobby Wall Arm/disarm 1-Cat5(ht.
1.6m) and Counter to Vault Room 1-Telephone Wire. All wires should have a Tagging on both ends.
sq.m 25.44
a. IMC Pipe 3/4" (Isense) ln.m
b. IMC Pipe 3/4" (CCTV) ln.m
c. 3/4" PVC pipe (Fiber Optic) with long bend lnm
d.Fittings(elbow, wye and Tee) 3/4" cctv line pc/s
e. PVC Cable Tray / w cover pc/s
f. CAT-e5 ln.m
g. 10" x 10' pullbox pc/s
h.Fittings(elbow, wye and Tee) 3/4" isense pc/s
i. Pullwire (rope, GI) kg
Sub-Total Item 7.0
DIV 8 DEMOLITION OF EXISTING STRUCTURES

8.1 Demolition of the following structures; LOT 1.00

Existing lavatory lot
Sub-Total Item 8.0
DIV 9 SANITARY AND PLUMBING FIXTURES
Sub-Total Item 9.0
DIV 10 OTHER ITEMS
10.1 Supply and Installation of door magnetic lock (or Provide Equivalent) set 1.00

ACM-Y280-5pin 600 lbs

Surface
mounted magnetic lock 5 pin, Dual
power select 12V/24V

ACM-Y280ZL LZ bracket for 600 lbs

ACM-Y280
ABK-800A Door Release Button w/ Double Feature NO/NC aluminum
SLP-12V6 UPS Access Control
Power Supply 12V 5A with back up battery
SCP-100-G3 Resetable Break Glass 3
pole – green
ACM-K8 Stainless steel key switch
Fabrication of Steel Plate Enclosure - MS Plate 1/2" thk. on all sides welded with angle bars on interior corners including
padlock hasp and heavy duty cylindrical hinges sq.m 8.20
10.2
Installation of MS plate @ 1/2" thk. pcs
Welding Rod E70 kgs.
Cutting Disk 4" pcs
Grinding disk pcs
1/4" x 1 1/2" x 1 1/2" Angular Bar pc/s
1/2 cylindrical hinges pc/s

10.3 Provision of ceiling access Panel 600mm x 600mm (same specs from ceiling) with 2 s/s 1" x 3" Hinges and Hasp for
abloy Padlock lot 1.00
10.4 For drop wall above glass frontage - Hardiflex ( 1/2" thk.) double walls on 2" galvanized metal frames sqm 0.36

CBPMD Rev. 2 09/05/13 Page 6 of 14

 MATERIAL

ITEM DISCRIPTION
UNIT QUANTITY UNIT COST

Fabrication of ACU Window Type grill (in & out for window type) with 1/4" thk. x 2" x 2" angle bars and 12 mm square
bar attached to CHB wall opening.
10.5 set 1.00
10.6 Removal of existing paint in side walls sq.m 47.45
Bosny Paint Remover 15-18sqm/ gallon Gallon/s
10.7 Skimcoat 20KG -20SQM sq.m 47.45
SKIMcoat 20KG 2-COATS sq.m
10.8 Installation of menu boards, poster holders, emergency light, LCD/LED flat TV lot 1.00
10.9 Installation of 3/4" acu drain tube embedded on the wall lot 1.00
10.10 Provision of Peep Holes in the existing roll up lot 1.00
Sub-Total Item 10.0
TOTAL
VAT

TOTAL AMOUNT

NOTE :
1.0 The Contractor is expected to abide for the specified materials indicated herein.
For those items which are not clear what materials to use should be verified through the companies Specification. Non compliance to the
2.0
specified materials will be the basis for non acceptance of work and issuance of non comformance report
3.0 All material SPECS / dimensions required herein must be satisfied. Commercial sizes are allowed.
4.0 Power & Water to be provided by Operations.

5.0 Construction Duration shall be within 30 Working Days including 10 days completion of corrective works and deficiencies.

Payment shall be 20% DP; 40% and 60% progress billing, 90% final billing upon Completion; 10% retention after 3 months from the date
6.0 of acceptance and upon submission of building Permits & Certificate of Occupancy
7.0 Application for Water & Power connection should be applied by Operations

Prepared by:

CBPMD Rev. 2 09/05/13 Page 7 of 14

ERIAL

TOTAL AMOUNT
TOTAL

CBPMD Rev. 2 09/05/13 Page 8 of 14

ERIAL

TOTAL AMOUNT
TOTAL

CBPMD Rev. 2 09/05/13 Page 9 of 14

ERIAL

TOTAL AMOUNT
TOTAL

CBPMD Rev. 2 09/05/13 Page 10 of 14

ERIAL

TOTAL AMOUNT
TOTAL

CBPMD Rev. 2 09/05/13 Page 11 of 14

ERIAL

TOTAL AMOUNT
TOTAL

CBPMD Rev. 2 09/05/13 Page 12 of 14

ERIAL

TOTAL AMOUNT
TOTAL

CBPMD Rev. 2 09/05/13 Page 13 of 14

ERIAL

TOTAL AMOUNT
TOTAL

CBPMD Rev. 2 09/05/13 Page 14 of 14