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

QUALITY CONTROL PROGRAM

NAME OF PROJECT : Construction of Flood Control Structure of Dapdap River (Both Stream) along Bacolod North Road (S00406NR)
Manapla, Negros Occidental (18GK0072)
CONTRACTOR : C'zarles Construction & Supply / GKMM COST : Php 37,235,562.84 SOURCE : Regular Infra CY 2018
Construction & Supplies (JV)
LOCATION : Manapla, Negros Occidental PAVT. PAVT.
LENGTH : WIDTH : THICKNESS :
EFFECTIVITY DURATION EXPIRY
DATE : April 12, 2018 C.D. : 170 C.D. DATE : September 28, 2018

A. TESTS TO BE PERFORMED:

ITEM NO. DESCRIPTION UNIT QUANTITY NO. OF TESTS (MIN.)

A.1.1(3) Construction of Field Office for the Engineer l.s. 1.00 I.R.
100(1) Clearing & Grubbing ha 0.35 I.R.
103(1)a Structure Excavation (Common Soil) m³ 9,927.00 I.R.
506(1) Stone Masonry m³ 6,525.00 I.R.
a. Portland Cement bags 35,888.00 Q-18;FT-180
b. Fine Aggregates m³ 1,957.50 Q-2;G-26
c. Boulders m³ 6,851.25 UW-23
B.5 Project Billboard / Signboard each 2.00 I.R.
B.7 Occupational Safety & Health Program month 5.67 I.R.
B.9 Mobilization / Demobilization l.s. 1.00 I.R.

B. COMPUTATION, BREAKDOWN AND APPOINTMENT OF QUALITY CONTROL COST:

1. Contract Cost (Direct Cost Sub-Total) P %(Q. C. Chart) P
2. Breakdown of Cost (per Regional Memos, dated December 12, 1978 and July 17, 1974)
a.) Service Field Test - (65%) (B-1) - -
b.) Quality Test (15%) (D-1) - - - - - - -
c.) Misc. & Others (20%) (B-1) - - - - -
d.) TOTAL COST - - - - - - - - - - - - - -

PREPARED BY: CONCURRED :

GENO S. VITO FROILAN F. TAGLE

Materials Engineer - DPWH Materials Engineer - C'zarles Construction & Supply / GKMM Construction & Supplies (JV)

CHECKED BY : NOTED BY:

ARNEL P. TORREFRANCA EVANGELINE N. LIMOS

Chief, Quality Assurance Section OIC - Chief, Construction Section

RECOMMENDING APPROVAL: APPROVED:

NORMITA A. NOBLE JAIME SJ. JAVELLANA

OIC- Asst. District Engineer 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

CERTIFICATE OF QUALITY CONTROL ASSURANCE

PROJECT : Construction of Multi-Purpose Building (Covered Court), Brgy. Hilub-ang

Calatrava, Negros Occidental (17RB0208)
CONTRACTOR : Trimluv Builders & Supply DATE: June 13, 2018

We hereby certify that we have conducted an inspection and verification of work accomplished on the above mentioned
project for the period March 22, 2018 - June 13, 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 ACCOMPLISHMENT
THIS WEEK
TO DATE
B.5 Project Billboard / Signboard 1.00 each 1.00 1.00 0.18
B.7 Occupational Safety & Health Program 3.00 month 2.80 2.80 7.22

B.9 Mobilization / Demobilization 1.00 l.s. 0.50 0.50 0.89

100(1) Clearing & Grubbing 0.05 m² 0.05 0.05 1.77

803(1)a Structural Excavation 36.94 m³ 36.94 36.94 3.48

1601(1) Backfill & Fill 50.35 m³ 50.35 50.35 3.00

804(4) Gravel Fill 12.00 m³ 12.00 12.00 2.93

900(1)c1 Structural Concrete 54.70 m³ 54.70 54.70 17.35

902(1)a1 Reinforcing Steel Bars (Deformed) 2,426.33 kgs 2426.33 2426.33 5.23

903(1) Forms & Falseworks 1.00 l.s. 1.00 1.00 16.05

403(5) Structural Steel, Furnished, Fabricated & Erected 9,503.65 kgs 9503.65 9503.65 23.60
1014(1)b2 Pre-painted Metal Sheets 627.00 m² 627.00 627.00 3.56

1021(1)a Cement Floor Finish 480.00 m² 480.00 480.00 4.47

1032(1)a Painting Works 936.60 m² 22.63 22.63 0.22

RAUL A. DELA TORRE MARCELINO C. ESTALES

Materials Engineer - DPWH Project Engineer - DPWH
 SUMMARY REPORT OF FIELD TEST
FOR THE MONTH OF APRIL 2018

Name of Project and Location : Construction of Multi-Purpose Building (Covered Court), Brgy. Hilub-ang, Calatrava, Negros Occidental (17RB0208)
Implementing Office : DPWH 1st Neg. Occ. Eng'g. District Name of Contractor : Trimluv Builders & Supply
Project Duration : 90 C.D. DPWH Project Inspector :
a. Date Started : March 22, 2018 Project Accomplishment :
b. Target Completion Date : June 19, 2018 Project cost : Php2,817,771.89

SAMPLED
QUANTITY ORIGINAL SOURCE KIND OF SPEC'S TESTED
LAB. No. KIND OF MATERIALS At REMARKS
REPRESENTED OF MATERIALS TESTS ITEM No.
(1) (2) (11) (12)
(3) (4) (5) (6) BY DATE BY DATE

17RB0208 - 1 Portland Cement Quality Test Jobsite FT 901(1)c1 Chua / Dela Cruz 3/22/2018 Chua / Dela Cruz 3/23/2018 Contractor's Lab Satisfactory
17RB0208 - 2 Coarse Aggregate Quality Test Malogo River G 901(1)c1 Chua / Dela Cruz 3/22/2018 Chua / Dela Cruz 3/23/2018 Contractor's Lab Recommended for Use
17RB0208 - 3 Fine Aggregate Quality Test Malogo River G 901(1)c1 Chua / Dela Cruz 3/22/2018 Chua / Dela Cruz 3/23/2018 Contractor's Lab Recommended for Use
17RB0208 - 4 Coarse Aggregate Quality Test Malogo River AL 901(1)c1 Chua / Dela Cruz 3/22/2018 Chua / Dela Cruz 3/24/2018 DPWH Lab Satisfactory
17RB0208 - 5 Coarse Aggregate Quality Test Malogo River SGA 901(1)c1 Chua / Dela Cruz 3/22/2018 Chua / Dela Cruz 3/24/2018 Contractor's Lab Satisfactory
17RB0208 - 6 Fine Aggregate Quality Test Malogo River SGA 901(1)c1 Chua / Dela Cruz 3/22/2018 Chua / Dela Cruz 3/24/2018 Contractor's Lab Satisfactory
17RB0208 - 7 Reinforcing Steel Bars 2,426.93 kgs UW 901(1)c1 Chua / Dela Cruz 3/23/2018 Chua / Dela Cruz 3/25/2018 Contractor's Lab Recommended for Use
17RB0208 - 8 Concrete Cylinder Trial Mix Jobsite COMP 901(1)c1 Chua / Dela Cruz 3/24/2018 Chua / Dela Cruz 3/31/2018 DPWH Lab Satisfactory
17RB0208 - 9 Coarse Aggregate 54.70 m³ Malogo River G 901(1)c1 Chua / Dela Cruz 4/1/2018 Chua / Dela Cruz 4/3/2018 Contractor's Lab Recommended for Use
17RB0208 - 10 Fine Aggregate 27.35 m³ Malogo River G 901(1)c1 Chua / Dela Cruz 4/1/2018 Chua / Dela Cruz 4/3/2018 Contractor's Lab Recommended for Use
17RB0208 - 11 Portland Cement 520 Bags Jobsite FT 901(1)c1 Chua / Dela Cruz 4/1/2018 Chua / Dela Cruz 4/3/2018 Contractor's Lab Satisfactory

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 BY : NOTED BY :

ESMAEL L. CHUA III RAUL DELA TORRE MARCELINO C. ESTALES ARNEL P. TORREFRANCA
Materials Engineer - Trimluv Builders & Supply Materials Engineer - DPWH Project Engineer - DPWH Chief Quality Assurance Section, DPWH
 SUMMARY REPORT OF FIELD TEST
FOR THE MONTH OF MAY 2018

Name of Project and Location : Construction of Multi-Purpose Building (Covered Court), Brgy. Hilub-ang, Calatrava, Negros Occidental (17RB0208)
Implementing Office : DPWH 1st Neg. Occ. Eng'g. District Name of Contractor : Trimluv Builders & Supply
Project Duration : 90 C.D. DPWH Project Inspector :
a. Date Started : March 22, 2018 Project Accomplishment :
b. Target Completion Date : June 19, 2018 Project cost : Php2,817,771.89

SAMPLED
QUANTITY ORIGINAL SOURCE KIND OF SPEC'S TESTED
LAB. No. KIND OF MATERIALS At REMARKS
REPRESENTED OF MATERIALS TESTS ITEM No.
(1) (2) (11) (12)
(3) (4) (5) (6) BY DATE BY DATE

17RB0208 - 12 Fine Aggregate 14.40 m³ Malogo River G 1021(1)a Chua / Dela Cruz 4/25/2018 Chua / Dela Cruz 4/26/2018 Contractor's Lab Recommended for Use
17RB0208 - 13 Portland Cement 260 Bags Jobsite FT 1021(1)a Chua / Dela Cruz 4/25/2018 Chua / Dela Cruz 4/26/2018 Contractor's Lab Satisfactory
17RB0208 - 14 Concrete Cylinder Footing Jobsite COMP 901(1)c1 Chua / Dela Cruz 4/17/2018 Chua / Dela Cruz 5/2/2018 DPWH Lab Satisfactory
17RB0208 - 15 Concrete Cylinder Footing Jobsite COMP 901(1)c1 Chua / Dela Cruz 4/18/2018 Chua / Dela Cruz 5/2/2018 DPWH Lab Satisfactory
17RB0208 - 16 Concrete Cylinder Column Jobsite COMP 901(1)c1 Chua / Dela Cruz 4/20/2018 Chua / Dela Cruz 5/4/2018 DPWH Lab Satisfactory
17RB0208 - 17 Concrete Cylinder Column Jobsite COMP 901(1)c1 Chua / Dela Cruz 4/27/2018 Chua / Dela Cruz 5/11/2018 DPWH Lab Satisfactory
17RB0208 - 18 Concrete Cylinder Floor Slab Jobsite COMP 901(1)c1 Chua / Dela Cruz 5/3/2018 Chua / Dela Cruz 5/17/2018 DPWH Lab Satisfactory
17RB0208 - 19 Concrete Cylinder Floor Slab Jobsite COMP 901(1)c1 Chua / Dela Cruz 5/4/2018 Chua / Dela Cruz 5/18/2018 DPWH Lab Satisfactory
17RB0208 - 20 Concrete Cylinder Floor Slab Jobsite COMP 901(1)c1 Chua / Dela Cruz 5/4/2018 Chua / Dela Cruz 5/19/2018 DPWH Lab Satisfactory

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 BY : NOTED BY :

ESMAEL L. CHUA III RAUL DELA TORRE MARCELINO C. ESTALES ARNEL P. TORREFRANCA
Materials Engineer - Trimluv Builders & Supply Materials Engineer - DPWH Project Engineer - DPWH Chief Quality Assurance Section, DPWH
 SUMMARY REPORT OF FIELD TEST
FOR THE MONTH OF JUNE 2018

Name of Project and Location : Construction of Multi-Purpose Building (Covered Court), Brgy. Hilub-ang, Calatrava, Negros Occidental (17RB0208)
Implementing Office : DPWH 1st Neg. Occ. Eng'g. District Name of Contractor : Trimluv Builders & Supply
Project Duration : 90 C.D. DPWH Project Inspector :
a. Date Started : March 22, 2018 Project Accomplishment :
b. Target Completion Date : June 19, 2018 Project cost : Php2,817,771.89

SAMPLED
QUANTITY ORIGINAL SOURCE KIND OF SPEC'S TESTED
LAB. No. KIND OF MATERIALS At REMARKS
REPRESENTED OF MATERIALS TESTS ITEM No.
(1) (2) (11) (12)
(3) (4) (5) (6) BY DATE BY DATE

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 BY : NOTED BY :

ESMAEL L. CHUA III RAUL DELA TORRE MARCELINO C. ESTALES ARNEL P. TORREFRANCA
Materials Engineer - Trimluv Builders & Supply Materials Engineer - DPWH Project Engineer - DPWH Chief Quality Assurance Section, DPWH
 C'Zarles Construction & Supply / GKMM Construction & Supplies (JV)

STATUS OF TEST

Project : Construction of Flood Control Structure of Dapdap River (Both Stream) along Bacolod North Road (S00406NR), Manapla, Negros Occidental (18GK0072)

Location : Manapla, Negros Occidental For the Period Ending: April 22, 2018

NO. OF TESTS NO. OF TESTS BALANCE OF

ITEM NO. DESCRIPTION QUANTITY UNIT REMARKS
REQUIRED ON FILE TESTS REQUIRED

A.1.1(3) Construction of Field Office for the Engineer 1.00 l.s. I.R. None I.R.
100(1) Clearing & Grubbing 0.35 ha I.R. None I.R.
103(1)a Structure Excavation (Common Soil) 9,927.00 m³ I.R. None I.R.
506(1) Stone Masonry 6,525.00 m³ I.R. None I.R.
a. Portland Cement 35,888.00 bags Q-18;FT-180 Q-1;FT-10 Q-17;FT-170
b. Fine Aggregates 1,957.50 m³ Q-2;G-26 Q-1;G-1 Q-1;G-25
c. Boulders 6,851.25 m³ UW-23 UW-1 UW-22
B.5 Project Billboard / Signboard 2.00 each I.R. I.R. None
B.7 Occupational Safety & Health Program 5.67 month I.R. None I.R.
B.9 Mobilization / Demobilization 1.00 l.s. I.R. None I.R.

PREPARED & SUBMITTED BY: CONCURRED BY :

FROILAN F. TAGLE EVANGELINE N. LIMOS

Materials Engineer - C'zarles Construction & Supply / Project Engineer - DPWH
GKMM Construction & Supplies (JV)

CHECKED BY: NOTED BY :

GENO S. VITO ARNEL P. TORRREFRANCA

Materials Engineer -DPWH Chief Quality Assurance Section
 C'Zarles Construction & Supply / GKMM Construction & Supplies (JV)

STATUS OF TEST

Project : Construction of Flood Control Structure of Dapdap River (Both Stream) along Bacolod North Road (S00406NR), Manapla, Negros Occidental (18GK0072)

Location : Manapla, Negros Occidental For the Period Ending: May 22, 2018

NO. OF TESTS NO. OF TESTS BALANCE OF

ITEM NO. DESCRIPTION QUANTITY UNIT REMARKS
REQUIRED ON FILE TESTS REQUIRED

A.1.1(3) Construction of Field Office for the Engineer 1.00 l.s. I.R. None I.R.
100(1) Clearing & Grubbing 0.35 ha I.R. None I.R.
103(1)a Structure Excavation (Common Soil) 9,927.00 m³ I.R. None I.R.
506(1) Stone Masonry 6,525.00 m³ I.R. None I.R.
a. Portland Cement 35,888.00 bags Q-18;FT-180 Q-2;FT-40 Q-16;FT-140
b. Fine Aggregates 1,957.50 m³ Q-2;G-26 Q-1;G-7 Q-1;G-19
c. Boulders 6,851.25 m³ UW-23 UW-6 UW-17
B.5 Project Billboard / Signboard 2.00 each I.R. I.R. None
B.7 Occupational Safety & Health Program 5.67 month I.R. None I.R.
B.9 Mobilization / Demobilization 1.00 l.s. I.R. None I.R.

PREPARED & SUBMITTED BY: CONCURRED BY :

FROILAN F. TAGLE EVANGELINE N. LIMOS

Materials Engineer - C'zarles Construction & Supply / Project Engineer - DPWH
GKMM Construction & Supplies (JV)

CHECKED BY: NOTED BY :

GENO S. VITO ARNEL P. TORRREFRANCA

Materials Engineer -DPWH Chief Quality Assurance Section
 C'Zarles Construction & Supply / GKMM Construction & Supplies (JV)

STATUS OF TEST

Project : Construction of Flood Control Structure of Dapdap River (Both Stream) along Bacolod North Road (S00406NR), Manapla, Negros Occidental (18GK0072)

Location : Manapla, Negros Occidental For the Period Ending: June 22, 2018

NO. OF TESTS NO. OF TESTS BALANCE OF

ITEM NO. DESCRIPTION QUANTITY UNIT REMARKS
REQUIRED ON FILE TESTS REQUIRED

A.1.1(3) Construction of Field Office for the Engineer 1.00 l.s. I.R. I.R. None
100(1) Clearing & Grubbing 0.35 ha I.R. None I.R.
103(1)a Structure Excavation (Common Soil) 9,927.00 m³ I.R. None I.R.
506(1) Stone Masonry 6,525.00 m³ I.R. None I.R.
a. Portland Cement 35,888.00 bags Q-18;FT-180 Q-6;FT-70 Q-12;FT-110
b. Fine Aggregates 1,957.50 m³ Q-2;G-26 Q-1;G-13 Q-1;G-13
c. Boulders 6,851.25 m³ UW-23 UW-9 UW-14
B.5 Project Billboard / Signboard 2.00 each I.R. I.R. None
B.7 Occupational Safety & Health Program 5.67 month I.R. None I.R.
B.9 Mobilization / Demobilization 1.00 l.s. I.R. None I.R.

PREPARED & SUBMITTED BY: CONCURRED BY :

FROILAN F. TAGLE MARCELINO C. ESTALES

Materials Engineer - C'zarles Construction & Supply / Project Engineer - DPWH
GKMM Construction & Supplies (JV)

CHECKED BY: NOTED BY :

GENO S. VITO ARNEL P. TORRREFRANCA

Materials Engineer -DPWH Chief Quality Assurance Section
 C'Zarles Construction & Supply / GKMM Construction & Supplies (JV)

STATUS OF TEST

Project : Construction of Flood Control Structure of Dapdap River (Both Stream) along Bacolod North Road (S00406NR), Manapla, Negros Occidental (18GK0072)

Location : Manapla, Negros Occidental For the Period Ending: July 22, 2018

NO. OF TESTS NO. OF TESTS BALANCE OF

ITEM NO. DESCRIPTION QUANTITY UNIT REMARKS
REQUIRED ON FILE TESTS REQUIRED

A.1.1(3) Construction of Field Office for the Engineer 1.00 l.s. I.R. I.R. None
100(1) Clearing & Grubbing 0.35 ha I.R. I.R. None
103(1)a Structure Excavation (Common Soil) 9,927.00 m³ I.R. None I.R.
506(1) Stone Masonry 6,525.00 m³ I.R. None I.R.
a. Portland Cement 35,888.00 bags Q-18;FT-180 Q-10;FT-110 Q-8;FT-70
b. Fine Aggregates 1,957.50 m³ Q-2;G-26 Q-1;G-15 Q-1;G-11
c. Boulders 6,851.25 m³ UW-23 UW-13 UW-10
B.5 Project Billboard / Signboard 2.00 each I.R. I.R. None
B.7 Occupational Safety & Health Program 5.67 month I.R. I.R. None
B.9 Mobilization / Demobilization 1.00 l.s. I.R. None I.R.

PREPARED & SUBMITTED BY: CONCURRED BY :

FROILAN F. TAGLE MARCELINO C. ESTALES

Materials Engineer - C'zarles Construction & Supply / Project Engineer - DPWH
GKMM Construction & Supplies (JV)

CHECKED BY: NOTED BY :

GENO S. VITO ARNEL P. TORRREFRANCA

Materials Engineer -DPWH Chief Quality Assurance Section
 C'Zarles Construction & Supply / GKMM Construction & Supplies (JV)

STATUS OF TEST

Project : Construction of Flood Control Structure of Dapdap River (Both Stream) along Bacolod North Road (S00406NR), Manapla, Negros Occidental (18GK0072)

Location : Manapla, Negros Occidental For the Period Ending: August 22, 2018

NO. OF TESTS NO. OF TESTS BALANCE OF

ITEM NO. DESCRIPTION QUANTITY UNIT REMARKS
REQUIRED ON FILE TESTS REQUIRED

A.1.1(3) Construction of Field Office for the Engineer 1.00 l.s. I.R. I.R. None
100(1) Clearing & Grubbing 0.35 ha I.R. I.R. None
103(1)a Structure Excavation (Common Soil) 9,927.00 m³ I.R. I.R. None
506(1) Stone Masonry 6,525.00 m³ I.R. I.R. None
a. Portland Cement 35,888.00 bags Q-18;FT-180 Q-13;FT-140 Q-5;FT-40
b. Fine Aggregates 1,957.50 m³ Q-2;G-26 Q-1;G-19 Q-1;G-7
c. Boulders 6,851.25 m³ UW-23 UW-17 UW-6
B.5 Project Billboard / Signboard 2.00 each I.R. I.R. None
B.7 Occupational Safety & Health Program 5.67 month I.R. I.R. None
B.9 Mobilization / Demobilization 1.00 l.s. I.R. None I.R.

PREPARED & SUBMITTED BY: CONCURRED BY :

FROILAN F. TAGLE MARCELINO C. ESTALES

Materials Engineer - C'zarles Construction & Supply / Project Engineer - DPWH
GKMM Construction & Supplies (JV)

CHECKED BY: NOTED BY :

GENO S. VITO ARNEL P. TORRREFRANCA

Materials Engineer -DPWH Chief Quality Assurance Section
 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 Flood Control Structure of Dapdap River (Both Stream) along Bacolod North Road (S00406NR)
Manapla, Negros Occidental (18GK0072)

QUANTITY
ITEM NO. DESCRIPTION REMARKS
Planned Actual
A.1.1(3) Construction of Field Office for the Engineer 1.00 l.s. 1.00 l.s. The indicated item of works
have been accomplished in
100(1) Clearing & Grubbing 0.35 ha 0.35 ha
accordance with the plans,
B.5 Project Billboard / Signboard 2.00 each 2.00 each specifications and program of
B.7 Occupational Safety & Health Program 5.67 month 5.67 month works.

Inspected by:

MARCELINO C. ESTALES
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

INSPECTION REPORT

Name of Project : Construction of Flood Control Structure of Dapdap River (Both Stream) along Bacolod North Road (S00406NR)
Manapla, Negros Occidental (18GK0072)

QUANTITY
ITEM NO. DESCRIPTION REMARKS
Planned Actual
A.1.1(3) Construction of Field Office for the Engineer 1.00 l.s. 1.00 l.s. The indicated item of works
have been accomplished in
100(1) Clearing & Grubbing 0.35 ha 0.35 ha
accordance with the plans,
103(1)a Structure Excavation (Common Soil) 9,927.00 m³ 9,927.00 m³ specifications and program of
B.5 Project Billboard / Signboard 2.00 each 2.00 each works.
B.7 Occupational Safety & Health Program 5.67 month 5.67 month

Inspected by:

MARCELINO C. ESTALES
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

BILL NO. :
DATE :
TRIMLUV BUILDERS & SUPPLY
(Name of Contractor/Supplier)
TALISAY CITY, NEG. OCC.
(Address)

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

1 Abrasion Loss Test P 500.00 P
24 Compression Test P 120.00 P

XXXXXXXXXXXXXXXXXXXXX

Construction of Multi-Purpose Building (Covered

Court), Brgy. Hilub-ang, Calatrava, Negros Occidental
(17RB0208)

PAY THIS AMOUNT P

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

JAIME S.J. JAVELLANA

DISTRICT ENGINEER
WAYS

ffice
al

December 05, 2018

TOTAL AMOUNT
500.00
2,880.00

3,380.00
ered and/or supplies and

EL P. TORREFRANCA
ENGINEER III
 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 : Improvement of Multipurpose Building (Covered Court) Brgy. Makiling, Sagay City, Negros Occidental (17RB0027)

CONTRACTOR : Humming Bird Construction & Supply DATE: April 1, 2018

We hereby certify that we have conducted an inspection and verification on work accomplished on the
aforementioned project for the period March 23 - 31, 2018 ; We further certify that we have found out that the quality of
materials in the following items of work corresponding to the quantity accomplished conforms with the approved POW
Standard Specifications and Special provisions of the contract, viz.:

QUANTITY ACCOMPLISHED %
ITEM DESCRIPTION PROGRAMMED UNITS
THIS WEEK TOTAL TO DATE ACCOMPLISHMENT

B.5 Project Billboard/SignBoard 1.00 each 1.00 1.00 0.80

803(1)a Structural Excavation 6.32 m³ 6.32 6.32 0.33
1601(1) Fill and Backfill 16.32 m³ 16.32 16.32 1.79
901(1)c1 Structural Concrete 52.05 m³ 52.05 64.79 52.60
902(1)a1 Reinforcing Steel (Deformed) (16, 12 & 10mmØ DSB) 111.60 kg 111.60 3,071.88 0.69
1046(2)a CHB Non Load Bearing Wall (Including Reinforcing Steel) 124.80 m² 124.80 186.35 25.89
403(5) Structural Steel, Furnished, Fabricated, and Erected 144.00 l.s. 144.00 8,720.78 1.95
1100(19) Conduits, Boxes & Fittings 1.00 l.s. 1.00 1.00 0.69
1100(18) Wires and Wiring Devices 1.00 l.s. 1.00 1.00 2.76
1103(1) Lighting Fixtures 1.00 l.s. 0.68 0.68 2.35
1032(1) Painting Works 480.00 m²

PREPARED BY : CONCURRED BY :

GENO S. VITO EVANGELINE N. LIMOS

Materials Engineer -DPWH Project Engineer -DPWH