Republic of the Philippines

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS

BULACAN 2ND
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE III
Sta. Maria, Bulacan

_________
(Date)
The District Engineer
DPWH-2nd Bulacan Eng’g. District
Sta. Maria, Bulacan

REQUEST FOR INSPECTION

This is to inform you that the project described is 100.00% completed as of
December 2, 2021.

CONTRACT : 21CD0199
NAME OF PROJECT : CONSTRUCTION/ COMPLETION OF 4 STOREY
24 – CLASSROOM, NORTH HILLS VILLAGE ELEMENTARY
SCHOOL, NORZAGARAY, BULACAN

LIMITS:

LOCATION : NORZAGARAY,BULACAN

CONTRACT PRICE (Original/Revised): Php 2, 838, 623. 80

CONTRACTOR : ELITE GENERAL CONTRACTOR AND DEVELOPMENT

CORP.

Resident Engineer :

In view thereof, an inspection by the District Inspectorate Team is hereby

recommended for the purpose of final payment.

MICHAEL ANGELO P. REYES

Project Engineer

MEMORANDUM TO: The Inspectorate Team

You are hereby directed to undertake the inspection on the above-mentioned

project, and submit your comments and/or recommendation for payment.
Compliance is enjoined.
PLEASE ACKNOWLEDGE RECEIPT:

GENE S. LEAÑO________________ GEORGE DC. SANTOS ___________

Assistant District Engineer District Engineer
ACE M. CAPER _________________ Date of Inspection ___________
JOHN PAOLO S. TAN ___________ Meeting Place DPWH Office
MICHAEL L. PRINCIPE ________ Time ___________
EDGARDO C. PIÑGOL _________
FOR FINAL PAYMENT
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
BULACAN 2ND
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE III
Sta. Maria, Bulacan

JOINT PUNCH LISTING INSPECTION REPORT

Date : __________________

Project : CONSTRUCTION/ COMPLETION OF 4 STOREY

24 – CLASSROOM, NORTH HILLS VILLAGE ELEMENTARY
SCHOOL, NORZAGARAY, BULACAN

Location : NORZAGARAY,BULACAN

Funded by : CY 2021 Basic Educational Facilities Fund (BEFF) Batch

Appropriation :

Item No./ Description Findings/Affects / Remarks

Defficiencies

JAYSON R. SANTOS
DPWH – Bul. 2nd DEO Project Inspector

MICHAEL L. PRINCIPE CARL PAULO A. FERNANDO

DPWH – Bul. 2nd DEO Chief, Planning & Design Section DepEd Division Engineer
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
BULACAN 2ND
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE III
Sta. Maria, Bulacan

______________
Date of Assesment

JOINT FINAL INSPECTION REPORT

A. PROJECT INFORMATION

NAME OF PROJECT : CONSTRUCTION/ COMPLETION OF 4 STOREY

24 – CLASSROOM, NORTH HILLS VILLAGE ELEMENTARY
SCHOOL, NORZAGARAY, BULACAN

LIMITS/LOCATION : Norzagaray, Bulacan

CONTRACT AMOUNT : Php 2, 838, 623. 80

REVISED CONTRACT AMOUNT :

CONTRACTOR : ELITE GENERAL CONTRACTOR AND

DEVELOPMENT CORP.

IMPLEMENTING OFFICE : DPWH - Bulacan 2ND District Engineering Office

PROJECT ENGINEER : MICHAEL ANGELO P. REYES

MATERIALS ENGINEER : PRINCESS KRIZZEL C. PASCUAL

DATE STARTED : October 4, 2021

ORIGINAL EXPIRY DATE : December 2, 2021

REVISED EXPIRY DATE :

DATED COMPLETED :

ACCOMPLISHMENT : 100.00%

SLIPPAGE : (+) %

B. FINDINGS / OBSERVATION:
100.00% Physically Completed

C. RECOMMENDATIONS:
Recommended for final Payment.

JAYSON R. SANTOS
DPWH – Bul. 2nd DEO Project Inspector

MICHAEL L. PRINCIPE CARL PAULO A. FERNANDO

DPWH – Bul. 2nd DEO Chief, Planning & Design Section DepEd Division Engineer
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
BULACAN 2ND
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE III
Sta. Maria, Bulacan

____________
(Date)

FINAL COMPLETION INSPECTION REPORT

CONTRACT : 21CD0199

NAME OF PROJECT : CONSTRUCTION/ COMPLETION OF 4 STOREY

24 – CLASSROOM, NORTH HILLS VILLAGE
ELEMENTARY SCHOOL, NORZAGARAY, BULACAN
LIMITS :

LOCATION : NORZAGARAY,BULACAN

CONTRACT PRICE (Original/Revised): Php 2, 838, 623. 80

CONTRACTOR : ELITE GENERAL CONTRACTOR AND

DEVELOPMENT CORP.

IMPLEMENTING OFFICE: DPWH-Bulacan 2nd District Engineering Office

Sta. Maria, Bulacan

DATE OF INSPECTION : ___________________

FINDINGS :

____No defects/deficiencies are noted_______________

______________________________________________
______________________________________________

We, the undersigned members of the Inspectorate Team, conducted a joint inspection of
the above stated project and found the same to be satisfactorily completed on
________________ in accordance with the Plans and Specifications of the Contract.

EDGARDO C. PIÑGOL ACE M. CAPER

Chief, Maintenance Section OIC - Chief, Construction Section

JOHN PAOLO S. TAN MICHAEL L. PRINCIPE

Chief Quality Assurance Section Chief, Planning & Design Section
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
BULACAN 2ND
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE III
Sta. Maria, Bulacan

___________
____________
(Date)

CERTIFICATE OF FINAL INSPECTION

This is to certify that inspection of CONSTRUCTION/ COMPLETION OF 4

STOREY 24 – CLASSROOM, NORTH HILLS VILLAGE ELEMENTARY SCHOOL,
NORZAGARAY, BULACAN was conducted by the Ispectorate Team, this District, and
found out that quantities accomplished were done in accordance prior to first and final
payment in total amount of Php 2, 838, 623. 80

GEORGE DC. SANTOS

District Engineer
 CERTIFICATE OF ACCEPTANCE

Contract ID No. : 21CD0199

ProjectName and Location : CONSTRUCTION/ COMPLETION OF 4 STOREY

24 – CLASSROOM, NORTH HILLS VILLAGE
ELEMENTARY SCHOOL, NORZAGARAY, BULACAN

This is to certify that I, JOSEPHINE E. GENOBIAGON, PhD, representing

the, North Hills Village Elementary School which is the end-user of the above
mentioned project, hereby accept from the Department of Public Works and
Highways, Bulacan 2nd District Engineering Office at Pulong Buhangin, Sta. Maria,
Bulacan, that the said project completed in accordance with the approved plans and
specifications.

As project end-user, we assume full responsibility for the proper operation

and maintenance of the structures.

_______________________________________

JOSEPHINE E. GENOBIAGON, PhD

Principal III, North Hills Village Elementary School
ATTACHMENT NO. 2

Date of Issuance: _______________

CERTIFICATE OF ACCEPTANCE

Contract ID No. : 21CD0199

Project Name and Location : CONSTRUCTION/ COMPLETION OF 4 STOREY

24 – CLASSROOM, NORTH HILLS VILLAGE
ELEMENTARY SCHOOL,
NORZAGARAY, BULACAN

Contractor : ELITE GENERAL CONTRACTOR AND

DEVELOPMENT CORP.

Implementing Office : DPWH-Bulacan 2nd District Engineering Office

Based on the Final Inspection Report of the joint DPWH-DepEd Engineers on

___________________, after the one-year Defects Liability Period, the project is free from
defects/liabilities which are due to poor workmanship, use of poor quality materials and non-
compliance with the Plans and Specifications of the Contract.

In view thereof, we hereby certify that the above stated project is accepted on
______________________.

MICHAEL ANGELO P. REYES CARL PAULO A. FERNANDO

DPWH Project Engineer DepEd Physical Facilities Engineer

Approved: Concurred:

GEORGE DC. SANTOS MAY B. ECLAR, PhD, CESO III

District Engineer Director III
DPWH – Bulacan 2nd D.E.O. Office of the Regional Director and

ZENIA G. MOSTOLES, EdD, CESO V

Office of the Schools Division
Superitendent
Malolos City, Bulacan
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
BULACAN 2ND
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE III
Sta. Maria, Bulacan

CERTIFICATE OF COMPLETION

Contract ID : 21CD0199

Project Name and Location : CONSTRUCTION/ COMPLETION OF 4 STOREY

24 – CLASSROOM, NORTH HILLS VILLAGE
ELEMENTARY SCHOOL, NORZAGARAY, BULACAN

Implementing Office : PLANNING AND DESIGN SECTION

This is to certify that the above-stated project has been satisfactorily completed on
December 2, 2021 in accordance with the plans and specifications of the Contract base
on the DPWH-DepED inspection dated_______________.

This certification does not relieve the Contractor of his obligations and responsibilities in
undertaking repair works on any defects/deficiencied that may occur in any section of the
project during the one year Defects Liability Period starting from the completion date as
herin stated. Neither is he relieved from his obligations and responsibilities pursuant to the
provisions of the Contract R.A. 9184.

GEORGE DC. SANTOS

District Engineer
DPWH – Bulacan 2nd D.E.O.

Conforme:

MARITONI D. PESIGAN
Authorized Managing Officer
ELITE GENERAL CONTRACTOR AND DEVELOPMENT CORP.
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
BULACAN 2ND
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE III
Sta. Maria, Bulacan

CERTIFICATE OF COMPLETION

Contract ID : 21CD0199

Project Name and Location : CONSTRUCTION/ COMPLETION OF 4 STOREY

24 – CLASSROOM, NORTH HILLS VILLAGE
ELEMENTARY SCHOOL, NORZAGARAY, BULACAN

Contractor : ELITE GENERAL CONTRACTOR AND

DEVELOPMENT CORP.

Implementing Office : PLANNING AND DESIGN SECTION

This is to certify that the above-stated project has been satisfactorily completed on
December 2, 2021 in accordance with the plans and Sspecifications of the Contract base
on the DPWH-DepED inspection dated ______________.

This certification does not relieve the Contractor of his obligations and responsibilities in
undertaking repair works on any defects/deficiencied that may occur in any section of the
project during the one year Defects Liability Period starting from the completion date as
herin stated. Neither is he relieved from his obligations and responsibilities pursuant to the
provisions of the Contract R.A. 9184.

DPWH Project Engineer: DepEd Physical Facilities Engineer

MICHAEL ANGELO P. REYES CARL_PAULO_A._FERNANDO

Planning & Design Section DepEd Division Engineer
DPWH – Bulacan 2nd D.E.O. Malolos City, Bulacan
Sta. Maria, Bulacan

Approved: Concurred:

GEORGE DC. SANTOS ZENIA G. MOSTOLES, EdD, CESO V

District Engineer School Division Superitendent
DPWH – Bulacan 2nd D.E.O. Malolos City, Bulacan