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QMS F301-13
Apr-30-2020 Rev.001
QUALITY MANAGEMENT SYSTEM

INTERIM CERTIFICATE (PAYMENT)

PROJECT TITLE : MISC. WORKS 2021 - DAIHO LAGUNA (PROPOSED FIRE PROTECTION WORK FOR FACTORY 2)
SUBCONTRACT : SUPPLY AND INSTALLATION OF FIRE PROTECTION SYSTEM FOR FACTORY 2
VENDOR : OPERATION & MAINTENANCE TECHNOLOGY PHILS., INC. PURCHASE ORDER NO. : DAL-21-156
INTERIM CERTIFICATE NO. : DAL-21-156-DEC282021-004 DATE OF CERTIFICATION : DEC. 28, 2021
WORK PERIOD AS OF : DEC. 23, 2021

PAYMENT RESPONSE TO :
Subcontract Payment Claim No. : 4TH PAYMENT
Dated : DEC. 28, 2021

SUBCONTRACT LAST CUM TO-DATE CUM TO-DATE NET

AMOUNT AMOUNT AMOUNT CUM AMOUNT
BREAKDOWN OF WORKS
(Peso) (Peso) (Peso) % (Peso)
(a) (b) (b) - (a)

Original Subcontract Works (see Attachment 1) 31,399,231.74 12,170,224.49 25,705,628.74 81.87% 13,535,404.25

Sub-Total 31,399,231.74 12,170,224.49 25,705,628.74 81.87% 13,535,404.25

Deduction :-
(a) Retention 10% (1,217,022.45) (2,570,562.87) (1,353,540.42)

(b) Back charges -

(c) Advance Payment 15% Recouped (1,825,533.67) (3,855,844.31) (2,030,310.64)

AMOUNT DUE FOR PAYMENT EXC. VAT PHP 9,127,668.37 PHP 19,279,221.56 PHP 10,151,553.19

Note :
1. This Payment Response must be attached to your tax invoice.
2. Prepare your tax invoice accordingly and attention to SMCC PHILIPPINES INC.
3. Send the original copy of invoice with interim / Final certificate to Project QS / SMCC-Head Office
4. Please refer to attached valuation

Signed by:
DEC. 28, 2021 December 29, 2021 For Dec,29,2021
Ann Jeannette Perez Christopher Carlos Uy Edwin Martin Daniel Ajero Kazushi Kurita
Quantity Surveyor Site Engineer Site Manager - M&E Project Manager Regional Manager

Acknowledged by:

OPERATION & MAINTENANCE TECHNOLOGY PHILS., INC.

Quality Management System Rev.07 - SMCC Philippines, Inc.

 Page 1 of 2
QMS F301-13a

QUALITY MANAGEMENT SYSTEM Apr-30-2020 Rev.001

INTERIM CERTIFICATE ATTACHMENT 1 - ORIGINAL SUBCONTRACT

PROJECT NAME: MISC. WORKS 2021 - DAIHO LAGUNA (PROPOSED FIRE PROTECTION WORK FOR FACTORY 2) DATE OF CERTIFICATION Dec-28-2021
PURCHASE ORDER NO.: DAL-21-156 WORK PERIOD AS OF Dec-23-2021
VENDOR: OPERATION & MAINTENANCE TECHNOLOGY PHILS., INC.
INTERIM CERTIFICATE NO.: DAL-21-156-DEC282021-004
SUBCONTRACT PAYMENT CLAIM NO.: 4TH PAYMENT
DATE: Dec-28-2021

SMCC VALUATION REMARKS

SUBCONTRACT PROGRESS CLAIM
Cost
S/No Breakdown of Works Done Cummulative Last Certified This Period (Justification why
Code
claim is not certified
QTY UNIT U/R AMOUNT QTY UNIT U/R AMOUNT % AMOUNT % AMOUNT % AMOUNT
(e.g. over claim)
(a) (b) (c) (d=axc) (e ) (f) (c) (g=e x c) (h=i/d) (g) (j=k/d) (k) (l=m/d) (m)

1 Supply of Labor and Materials, Delivery and Installation of Fire Protection System
Mechanical Works
A. Aerosol Fire Suppression System 1.00 lot 2,111,000.00 2,111,000.00 0.00 lot 2,111,000.00 - 0.00% - 0.00% - 0.00% -
Electrical Room
* Aerosol Generator 8/2 2.00 set 290,000.00 580,000.00 0.00 set 290,000.00 - 0.0% - 0.00% - 0.0% -
* Fire Suppression Control Panel 1.00 set 222,000.00 222,000.00 0.00 set 222,000.00 - 0.0% - 0.00% - 0.0% -
* Smoke Detector w/ Base 1.00 set 8,500.00 8,500.00 0.00 set 8,500.00 - 0.0% - 0.00% - 0.0% -
* Heat Detector w/ Base 1.00 set 8,500.00 8,500.00 0.00 set 8,500.00 - 0.0% - 0.00% - 0.0% -
* Strobe Horn 1.00 pcs 13,500.00 13,500.00 0.00 pcs 13,500.00 - 0.0% - 0.00% - 0.0% -
* Alarm Bell 1.00 pcs 9,500.00 9,500.00 0.00 pcs 9,500.00 - 0.0% - 0.00% - 0.0% -
* Abort Switch 1.00 pcs 13,500.00 13,500.00 0.00 pcs 13,500.00 - 0.0% - 0.00% - 0.0% -
* Manual Discharge Station 1.00 pcs 15,500.00 15,500.00 0.00 pcs 15,500.00 - 0.0% - 0.00% - 0.0% -
* Electrical Materials 1.00 lot 480,000.00 480,000.00 0.00 lot 480,000.00 - 0.0% - 0.00% - 0.0% -

Genset Room

Server Room
* Aerosol Generator 8/1 1.00 set 207,000.00 207,000.00 0.00 set 207,000.00 - 0.0% - 0.00% - 0.0% -
* Fire Suppression Control Panel 1.00 set 132,000.00 132,000.00 0.00 set 132,000.00 - 0.0% - 0.00% - 0.0% -
* Smoke Detector w/ Base 1.00 set 8,500.00 8,500.00 0.00 set 8,500.00 - 0.0% - 0.00% - 0.0% -
* Heat Detector w/ Base 1.00 set 8,500.00 8,500.00 0.00 set 8,500.00 - 0.0% - 0.00% - 0.0% -
* Strobe Horn 1.00 pcs 13,500.00 13,500.00 0.00 pcs 13,500.00 - 0.0% - 0.00% - 0.0% -
* Alarm Bell 1.00 pcs 9,500.00 9,500.00 0.00 pcs 9,500.00 - 0.0% - 0.00% - 0.0% -
* Abort Switch 1.00 pcs 13,500.00 13,500.00 0.00 pcs 13,500.00 - 0.0% - 0.00% - 0.0% -
* Manual Discharge Station 1.00 pcs 15,500.00 15,500.00 0.00 pcs 15,500.00 - 0.0% - 0.00% - 0.0% -
* Electrical Materials 1.00 lot 352,000.00 352,000.00 0.00 lot 352,000.00 - 0.0% - 0.00% - 0.0% -

B. Fire Protection System 1.00 lot 13,540,448.00 13,540,448.00 0.74 lot 13,540,448.00 9,957,425.00 73.5% 9,957,425.00 26.41% 3,575,386.00 47.1% 6,382,039.00
Installation of Fire Hose Cabinet (Outside Building)
* FIRE HOSE CABINET 10.00 pcs 22,400.00 224,000.00 10.00 pcs 22,400.00 224,000.00 100.0% 224,000.00 0.00% - 100.0% 224,000.00
Installation of Fire Extinguisher -
* DRY CHEMICAL FIRE EXTINGUISHER 105.00 pcs 5,320.00 558,600.00 0.00 pcs 5,320.00 - 0.0% - 0.00% - 0.0% -
Capacity: 20 Lbs -
Leadtime: 30 Days Upon P.O -
* HCFC 123 FIRE EXTINGUISHER 20.00 pcs 21,700.00 434,000.00 0.00 pcs 21,700.00 - 0.0% - 0.00% - 0.0% -
Capacity: 20 Lbs
Leadtime: 30 Days Upon P.O

Installation of Main Line and Branch Line for Sprinkler System

PIPES:
B.I. Pipe, 6" (150A) 37.00 le 12,194.00 451,178.00 25.00 le 12,194.00 304,850.00 67.6% 304,850.00 27.03% 121,940.00 40.5% 182,910.00
B.I. Pipe, 5" (125A) 30.00 le 9,800.00 294,000.00 23.00 le 9,800.00 225,400.00 76.7% 225,400.00 33.33% 98,000.00 43.3% 127,400.00
B.I. Pipe, 4" (100A) 206.00 le 7,056.00 1,453,536.00 206.00 le 7,056.00 1,453,536.00 100.0% 1,453,536.00 49.51% 719,712.00 50.5% 733,824.00
B.I. Pipe, 3" (80A) 53.00 le 4,625.00 245,125.00 25.00 le 4,625.00 115,625.00 47.2% 115,625.00 33.96% 83,250.00 13.2% 32,375.00
B.I. Pipe, 2"(50A) 126.00 le 2,114.00 266,364.00 126.00 le 2,114.00 266,364.00 100.0% 266,364.00 70.63% 188,146.00 29.4% 78,218.00
B.I. Pipe, 1 1/2" (40A) 174.00 le 1,990.00 346,260.00 155.00 le 1,990.00 308,450.00 89.1% 308,450.00 33.33% 115,420.00 55.7% 193,030.00
B.I. Pipe, 1 1/4" (32A) 244.00 le 1,680.00 409,920.00 210.00 le 1,680.00 352,800.00 86.1% 352,800.00 36.07% 147,840.00 50.0% 204,960.00
CONVERTED PIPES (From B.I. to G.I.) -
G.I. Pipe, 8" (200A) 40.00 le 33,540.00 1,341,600.00 40.00 le 33,540.00 1,341,600.00 100.0% 1,341,600.00 0.00% - 100.0% 1,341,600.00
G.I. Pipe, 4" (100A) 2.00 le 12,075.00 24,150.00 2.00 le 12,075.00 24,150.00 100.0% 24,150.00 0.00% - 100.0% 24,150.00
G.I. Pipe, 2"(50A) 1.00 le 4,185.00 4,185.00 1.00 le 4,185.00 4,185.00 100.0% 4,185.00 0.00% - 100.0% 4,185.00
G.I. Pipe, 1 1/2" (40A) 2.00 le 2,850.00 5,700.00 2.00 le 2,850.00 5,700.00 100.0% 5,700.00 0.00% - 100.0% 5,700.00
G.I. Pipe, 1 1/4" (32A) 2.00 le 2,460.00 4,920.00 2.00 le 2,460.00 4,920.00 100.0% 4,920.00 0.00% - 100.0% 4,920.00
PIPE FITTINGS 1.00 lot 2,786,000.00 2,786,000.00 1.00 lot 2,786,000.00 2,786,000.00 100.0% 2,786,000.00 40.00% 1,114,400.00 60.0% 1,671,600.00
Installation of Sprinkler Heads
Upright Sprinkler Head, (K=8) 710.00 pcs 791.00 561,610.00 515.00 pcs 791.00 407,365.00 72.5% 407,365.00 36.34% 204,078.00 36.2% 203,287.00
Pendent Sprinkler Heads w/ Escutcheon, (K=8) 107.00 pcs 1,400.00 149,800.00 107.00 pcs 1,400.00 149,800.00 100.0% 149,800.00 17.76% 26,600.00 82.2% 123,200.00
Upright Sprinkler Heads, (K=11.2) 434.00 pcs 4,200.00 1,822,800.00 263.00 pcs 4,200.00 1,104,600.00 60.6% 1,104,600.00 41.47% 756,000.00 19.1% 348,600.00

Installation of Valves and Fittings

* Alarm Check Valve, TYCO Model AV-1-300(8") 4.00 pc 119,000.00 476,000.00 3.00 pc 119,000.00 357,000.00 75.0% 357,000.00 0.00% - 75.0% 357,000.00
Flanged Ends
Includes:

Quality Management System Rev.07 - SMCC Philippines, Inc.

 Page 1 of 2
QMS F301-13a

QUALITY MANAGEMENT SYSTEM Apr-30-2020 Rev.001

INTERIM CERTIFICATE ATTACHMENT 1 - ORIGINAL SUBCONTRACT

PROJECT NAME: MISC. WORKS 2021 - DAIHO LAGUNA (PROPOSED FIRE PROTECTION WORK FOR FACTORY 2) DATE OF CERTIFICATION Dec-28-2021
PURCHASE ORDER NO.: DAL-21-156 WORK PERIOD AS OF Dec-23-2021
VENDOR: OPERATION & MAINTENANCE TECHNOLOGY PHILS., INC.
INTERIM CERTIFICATE NO.: DAL-21-156-DEC282021-004
SUBCONTRACT PAYMENT CLAIM NO.: 4TH PAYMENT
DATE: Dec-28-2021

SMCC VALUATION REMARKS

SUBCONTRACT PROGRESS CLAIM
Cost
S/No Breakdown of Works Done Cummulative Last Certified This Period (Justification why
Code
claim is not certified
QTY UNIT U/R AMOUNT QTY UNIT U/R AMOUNT % AMOUNT % AMOUNT % AMOUNT
(e.g. over claim)
(a) (b) (c) (d=axc) (e ) (f) (c) (g=e x c) (h=i/d) (g) (j=k/d) (k) (l=m/d) (m)
Vertical Trimming
Retard Chamber
Water Motor Assembly
* Flush Fire Pump Test Connection 2.00 pc 14,000.00 28,000.00 2.00 pc 14,000.00 28,000.00 100.0% 28,000.00 0.00% - 100.0% 28,000.00
2-way hose outlets, 100x65x2w
* OS2&Y Gate Valve, UL/FM
Cast Iron, Flanged Ends
- 8" (200A) 9.00 pcs 95,900.00 863,100.00 4.00 pcs 95,900.00 383,600.00 44.4% 383,600.00 0.00% - 44.4% 383,600.00
* Swing Check Valve, UL/FM
Cast Iron Body, Flanged Ends
- 8" (200A) 1.00 pc 117,320.00 117,320.00 0.00 pc 117,320.00 - 0.0% - 0.00% - 0.0% -
- 2" (50A) 2.00 pc 29,400.00 58,800.00 0.00 pc 29,400.00 - 0.0% - 0.00% - 0.0% -
* System sensor Supervisory Switch 18.00 pc 10,500.00 189,000.00 0.00 pc 10,500.00 - 0.0% - 0.00% - 0.0% -
* System sensor WFD Waterflow Switch - - 0.00% - 0.0% -
- 8" (200A) 7.00 pc 11,200.00 78,400.00 0.00 pc 11,200.00 - 0.0% - 0.00% - 0.0% -
*Butterfly Valve - - 0.00% - 0.0% -
-8" (200A) 7.00 pcs 18,200.00 127,400.00 3.00 pcs 18,200.00 54,600.00 42.9% 54,600.00 0.00% - 42.9% 54,600.00
* Gate Valve,50A 14.00 pcs 3,920.00 54,880.00 14.00 pcs 3,920.00 54,880.00 100.0% 54,880.00 0.00% - 100.0% 54,880.00
* Pressure gauges, 4" dial face, 0-200 psi 15.00 pcs 7,000.00 105,000.00 0.00 pcs 7,000.00 - 0.0% - 0.00% - 0.0% -
* Sight Glass 7.00 pc 8,400.00 58,800.00 0.00 pc 8,400.00 - 0.0% - 0.00% - 0.0% -

Electronics Works 1.00 lot 3,192,000.00 3,192,000.00 1.00 lot 3,192,000.00 3,192,420.00 100.0% 3,192,420.00 36.25% 1,157,044.00 63.8% 2,035,376.00
A. Electronics for Fire Detection and Alarm System
Fire Detection and Alarm System
* Conventional FACP 16 Zones 1.00 assy 210,000.00 210,000.00 0.15 assy 210,000.00 31,500.00 15.0% 31,500.00 12.00% 25,200.00 3.0% 6,300.00
* Conventional Smoke/Heat Detectors 360.00 pcs 3,220.00 1,159,200.00 360.00 pcs 3,220.00 1,159,200.00 100.0% 1,159,200.00 20.83% 241,500.00 79.2% 917,700.00
* Conventional Manual Call Point 20.00 pcs 4,900.00 98,000.00 34.00 pcs 4,900.00 166,600.00 170.0% 166,600.00 55.00% 53,900.00 115.0% 112,700.00
* Conventional Horn Strobe 20.00 pcs 3,080.00 61,600.00 34.00 pcs 3,080.00 104,720.00 170.0% 104,720.00 55.00% 33,880.00 115.0% 70,840.00
* Conventional Fire Alarm Bell 10.00 pcs 2,800.00 28,000.00 34.00 pcs 2,800.00 95,200.00 340.0% 95,200.00 110.00% 30,800.00 230.0% 64,400.00
* TF Wire, EMT Conduits,Fittings, Supports and Accessories 1.00 lot 1,593,200.00 1,593,200.00 1.00 lot 1,593,200.00 1,593,200.00 100.0% 1,593,200.00 47.00% 748,804.00 53.0% 844,396.00
Supervisory Control System
* TF Wire, 1.25mm² (yellow) 225.00 m 28.00 6,300.00 225.00 m 28.00 6,300.00 100.0% 6,300.00 88.89% 5,600.00 11.1% 700.00
* TF Wire, 1.25mm² (blue) 225.00 m 28.00 6,300.00 225.00 m 28.00 6,300.00 100.0% 6,300.00 88.89% 5,600.00 11.1% 700.00
* Terminal Lugs and Accessories 1.00 lot 1,400.00 1,400.00 1.00 lot 1,400.00 1,400.00 100.0% 1,400.00 40.00% 560.00 60.0% 840.00
* Pipe Conduits and Fittings 1.00 lot 28,000.00 28,000.00 1.00 lot 28,000.00 28,000.00 100.0% 28,000.00 40.00% 11,200.00 60.0% 16,800.00

Brackets and Supports 1.00 lot 1,106,000.00 1,106,000.00 1.00 lot 1,106,000.00 1,106,000.00 100.0% 1,106,000.00 45.00% 497,700.00 55.0% 608,300.00
Painting Materials 1.00 lot 310,800.00 310,800.00 1.00 lot 310,800.00 310,800.00 100.0% 310,800.00 45.00% 139,860.00 55.0% 170,940.00
Restoration Materials 1.00 lot 84,000.00 84,000.00 1.00 lot 84,000.00 84,000.00 100.0% 84,000.00 30.00% 25,200.00 70.0% 58,800.00
Temporary Facility 1.00 lot 812,000.00 812,000.00 1.00 lot 812,000.00 812,000.00 100.0% 812,000.00 100.00% 812,000.00 0.0% -
Technical Cost
A. Installation fee for DAIHO Factory 1 1.00 lot 7,100,000.00 7,100,000.00 1.00 lot 7,100,000.00 7,100,000.00 100.0% 7,100,000.00 60.00% 4,260,000.00 40.0% 2,840,000.00
SITE EXPENSE AND INDIRECT WORKS
Tools Depreciation 1.00 lot 657,910.80 657,910.80 1.00 lot 657,910.80 657,910.80 100.0% 657,910.80 50.00% 328,955.40 50.0% 328,955.40
Miscellaneous & Consumables 1.00 lot 986,866.19 986,866.19 1.00 lot 986,866.19 986,866.19 100.0% 986,866.19 50.00% 493,433.10 50.0% 493,433.10
Travel & Transportation 1.00 lot 1,644,776.99 1,644,776.99 1.00 lot 1,644,776.99 1,644,776.99 100.0% 1,644,776.99 50.00% 822,388.50 50.0% 822,388.50
OVERHEAD AND PROFIT 1.00 lot 4,745,002.74 4,745,002.74 1.00 lot 4,745,002.74 4,745,002.74 100.0% 4,745,002.74 27.00% 1,281,150.74 73.0% 3,463,852.00
2 Discount 1.00 lot (4,891,572.98) (4,891,572.98) 1.00 lot (4,891,572.98) (4,891,572.98) 100.0% (4,891,572.98) 25.00% (1,222,893.25) 75.0% (3,668,679.74)

Amount Certified For This Payment 31,399,231.74 81.87% 25,705,628.74 81.87% 25,705,628.74 38.76% 12,170,224.49 43.11% 13,535,404.25

Quality Management System Rev.07 - SMCC Philippines, Inc.