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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
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.