CBIM 2021 Form 2

Schedule of In-kind Local Counterpart Contribution

KALAHI-CIDSS NCDDP Additional Financing

Date Prepared: _______________

Barangay:________________________ Name of proposed subproject:_________________________________________________________

Municipality:_____________________ Total Estimated Cost: ______________________ CDD Cost:______________
Province:________________________ Subproject Duration:_______________________ LCC: _________________
In-kind: _______________
Cash: _________________
Estimated Cost: 1 Tranche _______________ 2 Tranche _________________
st nd
3 Tranche _________________
rd

Mode of Implementation: _____ CFA _____ by Contract

Proposed Implementation
PACKAGES

Estimated Cost Involved and Schedule of Delivery

PACKAGE PROC. Schedule
QTY. UNIT TOTAL
ITEMS METHOD
1ST tranche 2nd Tranche Total MONTH
CDD Grant CDD Grant CDD Grant 1 2 3 4 5 6 7 8
Package 1
Package
2

1
CBIM 2021 Form 2
Schedule of In-kind Local Counterpart Contribution

Proposed Implementation
PACKAGES

Estimated Cost Involved and Schedule of Delivery

PACKAGE PROC. Schedule
QTY. UNIT TOTAL
ITEMS METHOD
1ST tranche 2nd Tranche Total MONTH
CDD Grant CDD Grant CDD Grant 1 2 3 4 5 6 7 8

TOTAL

Prepared by: Reviewed by: Submitted by:

(Signature Over Printed Name) (Signature Over Printed Name) (Signature Over Printed Name)
Procurement Team ACT/MCT TF/Municipal Engineer BDC-TWG Chairperson