Republic of the Philippines

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS

QUALITY ASSURANCESECTION
Negros Occidental 1st District Engineering Office
Matab-ang, Talisay City, Negros Occidental

BILL NO. :
DATE : July 5, 2018
GKMM Cons't. & Supplies
(Name of Contractor/Supplier)
Bacolod City
(Address)

NO. OF TEST TEST DESCRIPTION TESTING FEE/TEST TOTAL AMOUNT

1 Abrasion Loss Test P 500.00 P 500.00
15 Compression Test 120.00 1,800.00

Note:
Construction of Water Supply System Level III Brgy. Cadiz
Viejo, Cadiz City, Negros Occidental (18GK0116)

PAY THIS AMOUNT P 2,300.00

I hereby certify that this bill represents a just claim for services rendered and/or supplies and materials furnished,
payment for which have not been received.

ARNEL P. TORREFRANCA
Engineer III

APPROVED:

JAIME SJ. JAVELLANA

District Engineer
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
Negros Occidental 1st District Engineering Office
Matab-ang, Talisay City, Negros Occidental

INSPECTION REPORT

Name of Project : Construction of One (1) Unit - SHS Unique Workshop Building at SPED High School, Cadiz City, Neg. Occ. (16GK0121)

QUANTITY
ITEM NO. DESCRIPTION REMARKS
Planned Actual
1006 (3) Steel Doors & Frames (Grill Door) 3.78 m² 3.78 m² The indicated item of works have been
1005 (1) d Steel Windows (Awning Ventilator) 13.56 m² 13.56 m² accomplished in accordance with the plans,
specifications and program of works.
1003 (1) b Ceiling (Marine Plywood) 83.52 m² 83.52 m²
1003 (1) c Ceiling (Ordinary Plywood) 169.92 m² 169.92 m²
1014 (1) b1 Pre-Painted Metal Sheets (Includes accessories) 251.45 m² 251.45 m²
1100 (7) b1 Polyvinyl Chloride Pipes (PVC) 60.00 pc 60.00 pc
1100 (1) a6 Rigid Steel Conduit (RSC) 1.00 pc 1.00 pc
1100 (17) Square Box 20.00 pc 20.00 pc
1100 (15) Utility Boxes 20.00 pc 20.00 pc
1100 (22) Grounding Rod Copperweld 1.00 lght 1.00 lght
1100 (11) Rubber Tape 6.00 roll 6.00 roll
1112 (12) PVC Solvent Cement 1.00 can 1.00 can
1101 (1) a3 Electric Wire 4.00 roll 4.00 roll
1101 (1) a2 Electric Wire 2.00 roll 2.00 roll
1101 (1) a13 Electric Wire 0.50 roll 0.50 roll
1101 (7) Heavy Duty Convenience Receptacle 40.00 pc. 40.00 pc.
1101 (6) Duplex Convenience Receptacle 6.00 pc. 6.00 pc.
1101 (2) Tumbler Switch Single Pole 1.00 pc. 1.00 pc.
1101 (3) Tumbler Switch Two -Gang 3.00 pc. 3.00 pc.
1101 (4) Tumbler Switch Three - Gang 2.00 pc. 2.00 pc.
1102(1) Panelboard Circuit Breaker Type 1.00 set 1.00 set
1032 (1) c3 Painting Works (Steel) 150.00 m² 150.00 m²

Inspected by:

RICKY M. BUSTILLO
Project Engineer-DPWH Neg. Occ. 1st Eng'g. Dist.
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
Negros Occidental 1st District Engineering Office
Matab-ang, Talisay City, Negros Occidental

CERTIFICATE OF QUALITY CONTROL ASSURANCE

PROJECT : Construction of Water Supply System -Level III Brgy. Cadiz Viejo, Cadiz City, Negros Occidental (18GK0116)
CONTRACTOR : GKMM Construction and Supplies DATE: July 16, 2018

We hereby certify that we have conducted an inspection and verification of work accomplished on the
above mentioned project for the period June 9 - July 16, 2018 ; We further certify that we have found the
quality of materials in the following items of work corresponding to the quantity accomplished conforms
with the STANDARD SPECIFICATIONS and Special provisions of the contract viz.

QUANTITY ACCOMPLISHED
%
ITEM NO. DESCRIPTION PROGRAMMED units TOTAL
THIS WEEK ACCOMPLISHEMENT
TO DATE
B.5 Project Billboard / Signboard 1.00 each 1.00 0.35
B.7 Occupational Safety and Health Program 3.00 month 1.03 2.73 3.30
B.9 Mobilization / Demobilization 1.00 l.s. 0.50 0.74
803(1)a Structure Excavation (Common Soil) 27.20 m³ 27.20 0.34
1600(2) Pipeline Trench Excavation 151.20 m³ 151.20 1.87
1601(1) Fill & Backfill 189.00 m³ 189.00 8.03
900(1)c1 Structural Concrete Class A 15.03 m³ 15.03 3.73
902(1)a1 Reinf. Steel (Deformed) Grade 40 2,805.36 kg 2,805.36 7.35
903(1) Forms & Falseworks 1.00 l.s. 1.00 6.03
1005(1) Residential Casement (Steel) 8.28 m² 8.28 1.43
1010(2)c Door 4.62 m² 4.62 4.62 1.04
1010(1) Frames 1.80 set 1.80 1.80 0.65
127(1) Cement Plaster Finish 226.84 m² 226.84 2.48
1032(1)a Painting Works (Masonry / Concrete) 258.20 m²
1046(2)a2 CHB Non Load Bearing (including Reinf. Steel) 48.60 m² 48.60 2.02
150mm thk.
1046(2)a1 CHB Non Load Bearing (including Reinf. Steel) 64.82 m² 64.82 5.85
100mm thk.
1047(1) Structural Steel 1.00 l.s. 0.80 1.00 3.83
1014(1)b2 Prepainted Metal Sheets 196.78 m² 196.78 196.78 5.86
1002(1)e Galvanized Iron Pipes w/ Fittings 6.00 m 6.00 6.00 1.58
1002(1)g Galvanized Iron Pipes w/ Fittings 6.00 m 6.00 6.00 1.68
1602(4) PVC Polyvinyl Chloride Pipes 1.00 l.s. 1.00 1.00 11.86
1201(12) Valves & Pipe Fittings 1.00 l.s. 1.00 1.00 2.22
1100(3) Conduits, Boxes & Fittings 1.00 l.s. 1.00 1.00 1.07
1101(42) Wiring & Wiring Devices 1.00 l.s. 1.00 1.00 7.44
1102(10)b Pipe Mounted Transformer (OIS 1.00 set 1.00 1.00 2.96
1102(26) Kilowatt Metal w/ Base 1.00 set 1.00 1.00 0.99
1102(27) Power Load Center, Switchgear & Panelboards 1.00 l.s. 1.00 1.00 2.12
1103(1) Lighting Fixtures 1.00 l.s. 1.00 1.00 1.98
1111(1) Reinforced Concrete Pedestal/Pole 1.00 l.s. 0.90 0.90 1.11
1201(4) Submersible Multi-Stage Deepwell Pump with control 1.00 set
1201(2) Water Pumping System 1.00 l.s.

GENO S. VITO RICKY M. BUSTILLO

Materials Engineer -DPWH Project Engineer -DPWH
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
Negros Occidental 1st District Engineering Office
Matab-ang, Talisay City, Negros Occidental

CERTIFICATE OF QUALITY CONTROL ASSURANCE

PROJECT : Construction of Water Supply System -Level III Brgy. Cadiz Viejo, Cadiz City, Negros Occidental (18GK0116)
CONTRACTOR : GKMM Construction and Supplies DATE: July 24, 2018

We hereby certify that we have conducted an inspection and verification of work accomplished on the
above mentioned project for the period July 17 - 24, 2018 ; We further certify that we have found the
quality of materials in the following items of work corresponding to the quantity accomplished conforms
with the STANDARD SPECIFICATIONS and Special provisions of the contract viz.

QUANTITY ACCOMPLISHED
%
ITEM NO. DESCRIPTION PROGRAMMED units TOTAL
THIS WEEK ACCOMPLISHEMENT
TO DATE
B.5 Project Billboard / Signboard 1.00 each 1.00 0.35
B.7 Occupational Safety and Health Program 3.00 month 0.27 3.00 3.63
B.9 Mobilization / Demobilization 1.00 l.s. 0.50 1.00 1.48
803(1)a Structure Excavation (Common Soil) 27.20 m³ 27.20 0.34
1600(2) Pipeline Trench Excavation 151.20 m³ 151.20 1.87
1601(1) Fill & Backfill 189.00 m³ 189.00 8.03
900(1)c1 Structural Concrete Class A 15.03 m³ 15.03 3.73
902(1)a1 Reinf. Steel (Deformed) Grade 40 2,805.36 kg 2805.36 7.35
903(1) Forms & Falseworks 1.00 l.s. 1.00 6.03
1005(1) Residential Casement (Steel) 8.28 m² 8.28 1.43
1010(2)c Door 4.62 m² 4.62 1.04
1010(1) Frames 1.80 set 1.80 0.65
127(1) Cement Plaster Finish 226.84 m² 226.84 2.48
1032(1)a Painting Works (Masonry / Concrete) 258.20 m² 258.20 258.20 2.25
1046(2)a2 CHB Non Load Bearing (including Reinf. Steel) 48.60 m² 48.60 2.02
150mm thk.
1046(2)a1 CHB Non Load Bearing (including Reinf. Steel) 64.82 m² 64.82 5.85
100mm thk.
1047(1) Structural Steel 1.00 l.s. 1.00 3.83
1014(1)b2 Prepainted Metal Sheets 196.78 m² 196.78 5.86
1002(1)e Galvanized Iron Pipes w/ Fittings 6.00 m 6.00 1.58
1002(1)g Galvanized Iron Pipes w/ Fittings 6.00 m 6.00 1.68
1602(4) PVC Polyvinyl Chloride Pipes 1.00 l.s. 1.00 11.86
1201(12) Valves & Pipe Fittings 1.00 l.s. 1.00 2.22
1100(3) Conduits, Boxes & Fittings 1.00 l.s. 1.00 1.07
1101(42) Wiring & Wiring Devices 1.00 l.s. 1.00 7.44
1102(10)b Pipe Mounted Transformer (OIS 1.00 set 1.00 2.96
1102(26) Kilowatt Metal w/ Base 1.00 set 1.00 0.99
1102(27) Power Load Center, Switchgear & Panelboards 1.00 l.s. 1.00 2.12
1103(1) Lighting Fixtures 1.00 l.s. 1.00 1.98
1111(1) Reinforced Concrete Pedestal/Pole 1.00 l.s. 0.10 1.00 1.24
1201(4) Submersible Multi-Stage Deepwell Pump with control 1.00 set 1.00 1.00 2.22
1201(2) Water Pumping System 1.00 l.s. 1.00 1.00 4.45

GENO S. VITO RICKY M. BUSTILLO

Materials Engineer -DPWH Project Engineer -DPWH
 SUMMARY REPORT OF FIELD TEST
For the Month of June 9 - July 16, 2018

Name of Project and Location : Construction of Water Supply System -Level III Brgy. Cadiz Viejo, Cadiz City, Negros Occidental (18GK0116)
Implementing Office : DPWH -Neg. Occ. 1st. Dist. Eng'g. Office Name of Contractor : GKMM Construction & Supplies
Project Duration : 90 C.D. DPWH Project Inspector :
a. Date Started : April 26, 2018 Project Accomplishment : 89.89%
b. Target Completion Date : Project cost : 3,479,995.08

QUANTITY KIND OF SPEC'S

ORIGINAL SOURCE OF
LAB. No. KIND OF MATERIALS REPRESENTED MATERIALS TESTS ITEM No. SAMPLED BY DATE TESTED BY DATE At REMARKS
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)

( NO TEST PERFORMED )

Note: 1. Indicate the Name of batching plant as source of ready-mix concrete and hot -bituminuos mix to column (4).
2. Indicate the name of testing laboratories on the sample tested to column (11).

PREPARED & SUBMITTED BY: CHECKED BY: CONCURRED: NOTED:

FROILAN F. TAGLE GENO S. VITO RICKY M. BUSTILLO ARNEL P. TORREFRANCA

Materials Engineer -GKMM Construction & Supplies Engineer II Engineer II Engineer III
Materials Engineer -DPWH Project Engineer -DPWH Chief, Q. A. Section -DPWH
 SUMMARY REPORT OF FIELD TEST
For the Month of JULY 2018

Name of Project and Location : Construction of Water Supply System -Level III Brgy. Cadiz Viejo, Cadiz City, Negros Occidental (18GK0116)
Implementing Office : DPWH -Neg. Occ. 1st. Dist. Eng'g. Office Name of Contractor : GKMM Construction & Supplies
Project Duration : 90 C.D. DPWH Project Inspector :
a. Date Started : April 26, 2018 Project Accomplishment : 100.00%
b. Target Completion Date : July 24, 2018 Project cost : 3,479,995.08

QUANTITY ORIGINAL SOURCE OF KIND OF SPEC'S

LAB. No. KIND OF MATERIALS SAMPLED BY DATE TESTED BY DATE At REMARKS
REPRESENTED MATERIALS TESTS ITEM No.
(1) (2) (4) (7) (8) (9) (10) (11) (12)
(3) (5) (6)

( NO TEST PERFORMED )

Note: 1. Indicate the Name of batching plant as source of ready-mix concrete and hot -bituminuos mix to column (4).
2. Indicate the name of testing laboratories on the sample tested to column (11).

PREPARED & SUBMITTED BY: CHECKED BY: CONCURRED: NOTED:

FROILAN F. TAGLE GENO S. VITO RICKY M. BUSTILLO ARNEL P. TORREFRANCA

Materials Engineer -GKMM Construction & Supplies Materials Engineer -DPWH Project Engineer -DPWH Chief, Q. A. Section -DPWH
 STATUS OF TEST

Name of Project : Construction of One (1) Unit - SHS Unique Workshop Building at SPED High School, Cadiz City, Neg. Occ. (16GK0121) For the Period Ending: January 22, 2017

BALANCE OF
NO. OF TESTS NO. OF TESTS
ITEM NO. DESCRIPTION QUANTITY TESTS REMARKS
REQUIRED ON FILE
REQUIRED
1100 (1) Rubber Tape 6.00 roll I.R. I.R. None
1112 (12) PVC Solvent Cement 1.00 can I.R. I.R. None
1101 (1) a3 Electric Wire 4.00 roll I.R. I.R. None
1101 (1) a2 Electric Wire 2.00 roll I.R. I.R. None
1101 (1) a13 Electric Wire 0.50 roll I.R. I.R. None
1101 (7) Heavy Duty Convenience Receptacles 40.00 pc I.R. I.R. None
1101 (6) Duplex Convenience Receptacles 6.00 pc I.R. I.R. None
1101 (2) Tumbler Switch Single Pole 1.00 pc I.R. I.R. None
1101 (3) Tumbler Switch Two -Gang 3.00 pc I.R. I.R. None
1101 (4) Tumbler Switch Three -Gang 2.00 pc I.R. I.R. None
1103 (1) d4 Flourescent Lighting Fixture 15.00 set I.R. None I.R.
1103 (1) d3 Flourescent Lighting Fixture 5.00 set I.R. None I.R.
1103 (2) a1 Pin Light 6 "Ø w/ Single CFL Bulb 1.00 set I.R. None I.R.
1102 (1) Panelboard Circuit Breaker Type 1.00 set I.R. I.R. None
1209 (1) Fire Alarm System 1.00 l.s. I.R. None I.R.
1001 (1) a3 Pipe 6.00 m I.R. None I.R.
1001 (2) b3 Fittings 2.00 each I.R. None I.R.
1001 (1) a1 Pipe 5.00 each I.R. None I.R.
1001 (2) f1 Fittings 6.00 each I.R. None I.R.
1001 (2) a3 Fittings 1.00 each I.R. None I.R.
1002 (7) a6 Pipe 11.00 pc I.R. None I.R.
1001 (2) f1 Fittings 23.00 each I.R. None I.R.
1001 (2) b1 Fittings 5.00 each I.R. None I.R.
1001 (2) i2 Fittings 3.00 each I.R. None I.R.
1001 (2) j2 Fittings 4.00 each I.R. None I.R.
1001 (2) a2 Fittings 21.00 each I.R. None I.R.
1001 (2) e1 Fittings 5.00 each I.R. None I.R.
1001 (1) b1 Pipe 60.00 m I.R. None I.R.
1720 (9) Adjusting Catch Basin 7.00 each I.R. None I.R.
1002 (5) a3 Polyprophylene Random Copolymer (PPR-C) Pipes 10.00 pc I.R. None I.R.
1002 (6) h1 Fittings -Polyprophylene Random Copolymer (PPR-C) 8.00 pc I.R. None I.R.
1002 (6) c1 Fittings -Polyprophylene Random Copolymer (PPR-C) 10.00 pc I.R. None I.R.
1002 (6) b1 Fittings -Polyprophylene Random Copolymer (PPR-C) 20.00 pc I.R. None I.R.
1002 Plumbing 1.00 lot I.R. None I.R.
1032 (1) a1 Painting Works (Masonry / Concrete) 246.71 m² Q None Q
1032 (1) a2 Painting Works (Wood) 298.04 m² Q None Q
1032 (1) a3 Painting Works (Steel) 150.00 m² Q Q None

PREPARED BY: CONCURRED:

FROILAN F. TAGLE RICKY M. BUSTILLO

Materials Engineer -Silverrock Const. & Supply Engineer II
Project Engineer -DPWH

CHECKED BY: NOTED:

GENO S. VITO ARNEL P. TORREFRANCA

Engineer II Engineer III
Materials Engineer -DPWH Chief, Quality Assurance Section -DPWH
2017

KS
 STATUS OF TEST

Name of Project : Construction of One (1) Unit - SHS Unique Workshop Building at SPED High School, Cadiz City, Neg. Occ. (16GK0121) For the Period Ending: January 22, 2017

BALANCE OF
NO. OF TESTS NO. OF TESTS
ITEM NO. DESCRIPTION QUANTITY TESTS REMARKS
REQUIRED ON FILE
REQUIRED
B.9 Mobilization / Demobilization 1.00 l.s. I.R. I.R. None
B.5 Project Billboard / Signboard 1.00 each I.R. I.R. None
B.7 Occupational Safety & Health Program 3.00 month I.R. I.R. None
800 (1) Clearing & Grubbing 157.50 m² I.R. I.R. None
803 (1) a Structural Excavation 33.12 m³ I.R. I.R. None
1601 (1) Backfill & Fill 84.84 m³ G/P- 1 G/P- 1 G/P- 1
1712 (1) Bed Course Granular Material 20.00 m³ I.R. I.R. None
1000 (1) Soil Poisoning 157.50 m² I.R. I.R. None
901 (1) Plain Concrete 60.51 m³ DM W/ TM DM W/ TM
a. Portland Cement 575 bags Q -1 ; FT -3 Q -1 ; FT -3 None
b. Fine Aggregates 31.00 m³ Q -1 ; G -1 Q -1 ; G -1 None
c. Coarse Aggregates 61.00 m³ Q -1 ; G -1 Q -1 ; G -1 None
d. Concrete 60.51 m³ 1 Set of 3 Cylinder Sample / Comp. -18
day of Pouring
407 (7) Reinforcing Steel Bars 4,002.09 kg. Q -4 (U.W) Q -4 (U.W) None
1044 (1) Forms & Falseworks 1.00 L.s. I.R. I.R. None
1043 (2) b CHB Non Load Bearing (6" thk.) 158.40 m²
a. CHB 6" thk. 1,980 pcs. Comp. -3 Comp. -3 None
b. Portland Cement 218 bags FT -2 FT -2 None
c. Sand 20 m³ G -1 G -1 None
d. 10mmØ DSB 625.68 kg. U.W -1 U.W -1 None
Doors 1.89 m² I.R. None I.R.
Doors 3.78 m² I.R. None I.R.
1006 (3) Steel Doors & Frames (Grill Door) 3.78 m² I.R. I.R. None
1005 (1) d Steel Windows (AwningVentilator) 13.56 m² I.R. I.R. None
1003 (2) d Wall 5.86 m² I.R. None I.R.
1018 (2) Unglazed Tiles 3.06 m² I.R. None I.R.
1021 (1) Cement Floor Finish 246.15 m²
a. Portland Cement 74 bags FT -1 FT -1 None
b. Sand 7 m³ G -1 G -1 None
1018 (2) Glazed Tiles & Trim 9.92 m² I.R. None I.R.
1027 (1) Cement Platter Finish 316.80 m²
a. Portland Cement 96 bags FT -1 FT -1 None
b. Sand 8 m³ G -1 G -1 None
1003 (1) b Ceiling (Marine Plywood) 83.52 m² I.R. I.R. None
1003 (1) c Ceiling (Ordinary Plywood) 169.92 m² I.R. I.R. None
409 (1) Welded Structural Steel 7,744.12 kg. Q Q None
1014 (1) b1 Pre-painted Metal Sheets (includes accessories) 251.45 m² I.R. I.R. None
1100 (7) b1 Polyvinyl Chloride Pipes (PVC) 60.00 pc I.R. I.R. None
1100 (1) a6 Rigid Steel Conduit (RSC) 1.00 pc I.R. I.R. None
1100 (17) Square Box 20.00 pc I.R. I.R. None
1100 (15) Utility Boxes 20.00 pc I.R. I.R. None
1100 (22) Grounding Rod Copperweld 1.00 lgth. I.R. I.R. None

PREPARED BY: CONCURRED:

FROILAN F. TAGLE RICKY M. BUSTILLO

Materials Engineer -Silverrock Const. & Supply Engineer II
Project Engineer -DPWH

CHECKED BY: NOTED:

GENO S. VITO ARNEL P. TORREFRANCA

Engineer II Engineer III
Materials Engineer -DPWH Chief, Quality Assurance Section -DPWH
2017

KS
 SILVERROCK CONSTRUCTION AND SUPPLY

QUALITY CONTROL PROGRAM

NAME OF PROJECT : Construction of One (1) Unit - SHS Unique Workshop Building at SPED High School (16GK0121)
CONTRACTOR : Silverrock Cons't. & Supply LIMITS:
LOCATION : Cadiz City, Negros Occidental COST ₱ 2,510,291.24 SOURCE: DEP -ED's CY 2016 BEFF (Batch 12)
PAVT. PAVT.
LENGTH : WIDTH THICKNESS:
EFFECTIVITY DURATION
DATE : November 13, 2016 (C.D.) 90
DATE:

A. TESTS TO BE PERFORMED:

ITEM NO. DESCRIPTION UNIT QUANTITY MINIMUM NUMBER OF TEST

1101 (3) Tumbler Switch Two -Gang pc 3.00 I.R.
1101 (4) Tumbler Switch Three -Gang pc 2.00 I.R.
1103 (1) d4 Flourescent Lighting Fixture set 15.00 I.R.
1103 (1) d3 Flourescent Lighting Fixture set 5.00 I.R.
1103 (1) a1 Pin Light 6 "Ø w/ Single CFL Bulb set 1.00 I.R.
1102 (1) Panelboard Circuit Breaker Type set 1.00 I.R.
1209 (1) Fire Alarm System l.s. 1.00 I.R.
1001 (1) a3 Pipe m 6.00 I.R.
1001 (2) b3 Fittings each 2.00 I.R.
1001 (1) a1 Pipe each 5.00 I.R.
1001 (2) f1 Fittings each 6.00 I.R.
1001 (2) a3 Fittings each 1.00 I.R.
1002 (7) a6 Pipe pc 11.00 I.R.
1001 (2) f1 Fittings each 23.00 I.R.
1001 (2) b1 Fittings each 5.00 I.R.
1001 (2) i2 Fittings each 3.00 I.R.
1001 (2) j2 Fittings each 4.00 I.R.
1001 (2) a2 Fittings each 21.00 I.R.
1001 (2) e1 Fittings each 5.00 I.R.
1001 (1) b1 Pipe m 60.00 I.R.
1720 (9) Adjusting Catch Basin each 7.00 I.R.
1002 (5) a3 Polyprophylene Random Copolymer (PPR-C) Pipes pc 10.00 I.R.
1002 (6) h1 Fittings -Polyprophylene Random Copolymer (PPR-C) pc 8.00 I.R.
1002 (6) c1 Fittings -Polyprophylene Random Copolymer (PPR-C) pc 10.00 I.R.
1002 (6) b1 Fittings -Polyprophylene Random Copolymer (PPR-C) pc 20.00 I.R.
1002 Plumbing lot 1.00 I.R.
1032 (1) a1 Painting Works (Masonry / Concrete) m² 246.71 Q
1032 (1) a2 Painting Works (Wood) m² 298.04 Q
1032 (1) a3 Painting Works (Steel) m² 150.00 Q

SUBMITTED BY: CHECKED BY:

FROILAN F. TAGLE ARNEL P. TORREFRANCA

Materials Engineer -Silvergraces Const. & Supply Chief, Quality Assurance Section

NOTED BY: RECOMMENDING APPROVAL:

LYDIA D. TUPAS NORMITA A. NOBLE

Chief, Construction Section OIC -Asst. District Engineer

APPROVED:

JAIME SJ. JAVELLANA

District Engineer
 SILVERROCK CONSTRUCTION AND SUPPLY

QUALITY CONTROL PROGRAM

NAME OF PROJECT : Construction of One (1) Unit - SHS Unique Workshop Building at SPED High School (16GK0121)
CONTRACTOR : Silverrock Cons't. & Supply LIMITS:
LOCATION : Cadiz City, Negros Occidental COST ₱ 2,464,926.48 SOURCE: DEP -ED's CY 2016 BEFF (Batch 12)
PAVT. PAVT.
LENGTH : WIDTH THICKNESS:
EFFECTIVITY DURATION
DATE : November 13, 2016 (C.D.) 90
DATE:

A. TESTS TO BE PERFORMED:

ITEM NO. DESCRIPTION UNIT QUANTITY MINIMUM NUMBER OF TEST

B.9 Mobilization / Demobilization l.s. 1.00 I.R.
B.5 Project Billboard / Signboard each 1.00 I.R.
B.7 Occupational Safety & Health Program month 3.00 I.R.
800 (1) Clearing & Grubbing m² 157.50 I.R.
803 (1) a Structural Excavation m³ 33.12 I.R.
1601 (1) Backfill & Fill m³ 84.84 G/P -1
1712 (1) Bed Course Granular Material m³ 20.00 I.R.
1000 (1) Soil Poisoning m² 157.50 I.R.
901 (1) Plain Concrete l.s. 60.51 DM w/ TM
a. Portland Cement bags 575 Q -1 ; FT -3
b. Fine Aggregates m³ 31.00 Q -1 ; G -1
c. Coarse Aggregates kg. 61.00 Q -1 ; G -1
d. Concrete m³ 60.51 1 Set of Cylinder Sample / day of Pouring

407 (7) Reinforcing Steel Bars kg. 4,002.09 Q -4 (U.W)

1044 (1) Forms & Falseworks L.s. 1.00 I.R.
1043 (2) b CHB Non Load Bearing (6" thk.) m² 158.40
a. CHB 6" thk. pcs. 1,980 Comp. -3
b. Portland Cement bags 218 FT -2
c. Sand m³ 20 G -1
d. 10mmØ DSB kg. 625.68 U.W -1
1010 (2) a Doors m² 1.89 I.R.
1010 (2) b Doors m² 3.78 I.R.
1006 (3) Steel Doors & Frames (Grill Door) m² 3.78 I.R.
1005 (1) d Steel Windows (AwningVentilator) m² 13.56 I.R.
1003 (2) d Wall m² 5.86 I.R.
1018 (2) Unglazed Tiles m² 3.06 I.R.
1021 (1) Cement Floor Finish m² 246.15
a. Portland Cement bags 74 FT -1
b. Sand m³ 7 G -1
1018 (2) Glazed Tiles & Trim m² 9.92 I.R.
1027 (1) Cement Platter Finish m² 316.80
a. Portland Cement bags 96 FT -1
b. Sand m³ 8 G -1
1003 (1) b Ceiling (Marine Plywood) m² 83.52 I.R.
1003 (1) c Ceiling (Ordinary Plywood) m² 169.92 I.R.
409 (1) Welded Structural Steel kg. 7,744.12 Q
1014 (1) b1 Pre-painted Metal Sheets (includes accessories) m² 251.45 I.R.
1100 (7) b1 Polyvinyl Chloride Pipes (PVC) pc 60.00 I.R.
1100 (1) a6 Rigid Steel Conduit (RSC) pc 1.00 I.R.
1100 (17) Square Box pc 20.00 I.R.
1100 (15) Utility Boxes pc 20.00 I.R.
1100 (22) Grounding Rod Copperweld lgth. 1.00 I.R.
1100 (11) Rubber Tape roll 6.00 I.R.
1112 (12) PVC Solvent Cement can 1.00 I.R.
1101 (1) a3 Electric Wire roll 4.00 I.R.
1101 (1) a2 Electric Wire roll 2.00 I.R.
1101 (1) a13 Electric Wire roll 0.50 I.R.
1101 (7) Heavy Duty Convenience Receptacles pc 40.00 I.R.
1101 (6) Duplex Convenience Receptacles pc 6.00 I.R.
1101 (2) Tumbler Switch Single Pole pc 1.00 I.R.
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
MATERIALS AND QUALITY CONTROL SECTION
Negros Occidental 1st District Engineering Office
Matab-ang, Talisay City, Negros Occidental

QUALITY CONTROL ASSURANCE

April 16, 2008

Name of Project :

Contractor :

We hereby certify that we have conducted an inspection and verification of work accomplished on the above
mentioned project for the period ; we further certify that
we have found the quality of materials in the following items of work corresponding to the special provision of the
contract viz.

ITEM NO. DESCRIPTION QTY. ACCOMPLISHED

 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
MATERIALS AND QUALITY CONTROL SECTION
Negros Occidental 1st District Engineering Office
Matab-ang, Talisay City, Negros Occidental

CERTIFICATE OF QUALITY CONTROL ACTIVITIES

For the month of October 2012

Name of Project Rehabilitation / Improvement of Multi -Purpose Bldg. at Brgy. 5, Silay City, Negros Occidental
:
Contractor /
Administration : Administration

Date
Item No. Kind of Test No. of Tests Cost per Test Total Cost Cost of rental Remarks
Conducted
II FT 5 9/11/2012 P 90.00 P 450.00
G 2 9/11/2012 370.00 740.00
U.W 3 9/17/2012 90.00 270.00
COMP. 3 9/20/2012 120.00 360.00

TOTAL P 1,820.00

I hereby certify the correctness of the above statement.

ATTESTED: CONCURRED: CERTIFIED CORRECT:

ESTHER V. MIRANDA ARNEL P. TORREFRANCA GENOVEVA A. GUERRERO

Project Engineer OIC -Chief Q.A. Section Materials Engineer

NOTED:

JAIME SJ. JAVELLANA

OIC -District Engineer