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Insured : FIBERNET KONSTRUKT CORPORATION

Location : Barangay Talomo, Poblacion, Davao City


Date of Loss : April 28, 2022
Nature of Loss : Material Damage
Strike No: : IR-SM-O-150
Per Claim
Price/Claim Breakdown

UOM
PU No. Details/SOW
(Unit of Measurement)

1 Preliminaries & Temporary Restoration works


(align to standard SLA)

Site Fault Mapping: (includes FOC testing,


1.1 day
Actual Site Markings & Survey)

Excavation Works(inclusive concrete


1.2 breaking, disposal of debri and supply of cu. meter
necessary Equipment, tools & manpower)

Sub-Total
2 Permanent Engineering Works
2.1 Supervision Man-day
Mobilization/Demobilization - with HDD
2.2 lot
Equipment + Trucks
2.8 HDD Works: 1x7 Way MD (2022) meters
2.10 Mandrell Test meters
Restoration of Affected Road Pavement
2.13 meters
Concrete
2.19 MD Jointing - 1 Run per joint
Sub-Total
Total(1,2,3)
Add: 5% Management Cost
Total Amount of Claim (VAT Ex.)
Per Claim
Price/Claim Breakdown

Qty U-Rate
Amount Notes PU No.
(Quantity) Unit Rate

1.00 8,844.00 8,844.00 Refer to Fault Mapping DUPA

1.00 3,091.00 3,091.00 Refer to Excavation Works DUPA

11,935.00
2
1.00 2,127.00 2,127.00 1 Engr/Strike

1.00 50,000.00 50,000.00

80.00 1,277.73 102,218.30 Refer to HDD Works DUPA


600.00 14.84 8,902.20 Refer to Mandrell Works DUPA

3.65 2,185.71 7,977.86 Refer to Concrete Works DUPA

2.00 1,720.47 3,440.95 Refer to Jointing Works DUPA


174,666.31
186,601.31
9,330.07
195,931.37
Per Adjuster
Price/Claim Breakdown

UOM Qty U-Rate


Details/SOW
(Unit of Measurement) (Quantity) Unit Rate

Preliminaries & Temporary Restoration works


(align to standard SLA)

Site Fault Mapping: (includes FOC testing,


1.1 day
Actual Site Markings & Survey)

Excavation Works(inclusive concrete breaking,


1.2 disposal of debri and supply of necessary cu. meter 1.00 935.80
Equipment, tools & manpower)

Sub-Total
Permanent Engineering Works
2.1 Supervision Man-day 1.00 2,127.00
Mobilization/Demobilization - with HDD
2.2 lot 1.00 50,000.00
Equipment + Trucks
2.8 HDD Works: 1x7 Way MD (2022) meters 80.00 483.54
2.10 Mandrell Test meters 600.00 14.84

2.13 Restoration of Affected Road Pavement Concrete meters 3.66 1,598.20

2.19 MD Jointing - 1 Run per joint 2.00 1,720.47


Sub-Total
Total(1,2,3)
Add: 5% Management Cost
Total Amount of Claim (VAT Ex.)
Amount Notes

Excluded

935.80 Refer to Excavation Works DUPA

935.80

2,127.00 1 Engr/Strike

50,000.00

38,683.10 Refer to HDD Works DUPA


8,902.20 Refer to Mandrell Works DUPA

5,841.42 Refer to Concrete Works DUPA

3,440.95 Refer to Jointing Works DUPA


108,994.66
109,930.46
Exluded
109,930.46
Insured : FIBERNET KONSTRUKT CORPORATION
Location : Barangay Talomo, Poblacion, Davao City
Date of Loss : April 28, 2022
Nature of Loss : Material Damage
Strike No: : IR-SM-O-150

PER CLAIM
Detailed Unit Price Analysis

Item No./Description : Fault Mapping


1.1 Quantity/Unit
: Daily
Item no./code
Description
Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
a. Engineer
A.
b. Splicer
c. Driver

Name and Capacity


TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
B a. L300
b. Fusion Machine
c. OTDR

Name and Specification


MATERIALS & CONSUMABLES
C
a. Fuel

TOTAL COST(A+B+C)
Unit Cost : PhP/day

Detailed Unit Price Analysis

Item No./Description : Excavation Works


Quantity/Unit
1.2
: 5.00 Cu. Meter/day Output per
Hour : 0.63 Cu. Meter
Item no./code

Description
Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
a. Engineer
A. b. Labor
c. Driver
d. Equipment Operator

Name and Capacity


TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
B a. Truck
b. Concrete Cutter
c. Backhoe

Name and Specification


MATERIALS & CONSUMABLES
C
a. Fuel

TOTAL COST(A+B+C)
Unit Cost : PhP/cu.meter

Detailed Unit Price Analysis

Item No./Description : Horizontal Directional Drilling (HDD)


2.19 Quantity/Unit : 250.00 m(Standard Length/machine set-up)
Output per Hour : 18.75 m(Average Production for 8 Hour Works=150
Item no./code
Description
Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
a. Supervisor
b. HDD Operator
c. HDD Locator
d. Excavation Crew
A.
e. Rodman
f. Labor/Helper
g. Mud Truck Driver
h. BT Driver
i. SLT Driver

Name and Capacity


TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
a. HDD Machine
b. GPR
c. Concrete Cutter
B
B d. Mud Truck
e. Mini Dump Truck
f. Water/Mud Pump
g. Boom Truck
h. Self Loader Truck
i. Locating Devices with Transmitter

Name and Specification


MATERIALS & CONSUMABLES
a. Fuel
b. Bentonite
c. Duct Tape
d. Battery
e. Copper Grease
C f. Soda Ash
g. Drilling Polymer
h. 7-way MD
i. MD End Caps
j. Water Consumption

TOTAL COST(A+B+C)
Unit Cost : PhP/meter

Detailed Unit Price Analysis

Item No./Description : Mandrel


Quantity/Unit : 1,000.00
2.10
m/day Output per Hour : 125.00
m
Item no./code
Description
Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
a. Team Leader
A. b. Labor
c. Driver
d. Equipment Operator

Name and Capacity


TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
B
a. Compressor/ Blowing Machine
b. Mini Dump Truck

Name and Specification


MATERIALS & CONSUMABLES
C
a. Sponge
C
b. Metal Ball
c. Fuel

TOTAL COST(A+B+C)
Unit Cost : PhP/cu.meter

Detailed Unit Price Analysis

Item No./Description : Concrete Restoration Works


2.13 Quantity/Unit : 35.00 sq.m.
Output per Hour : 4.38 sq.m.
Item no./code
Description
Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
a. Engineer
A.
b. Labor
c. Driver

Name and Capacity


TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
B a. Compressor/ Blowing Machine
b. Mini Dump Truck
c. One Bagger Mixer

Name and Specification


MATERIALS & CONSUMABLES
a. Cement
C b. Gravel
c. Sand
d. Fuel

TOTAL COST(A+B+C)
Unit Cost : PhP/sq.m.

Detailed Unit Price Analysis

Item No./Description : MD Jointing


Quantity/Unit :
2.19
4.00 joints/day Output per Hour
: 0.5 joints
Item no./code
Description
Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
a. Joint Leadman
A. b. Labor
c. Jointer
d. Driver

Name and Capacity


TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
B
a. L300
b. Jointing Tools

Name and Specification


MATERIALS & CONSUMABLES
a. Fuel
C
b. MD Staright Connector/Coupler 14/10
c. Duct Tape

TOTAL COST(A+B+C)
Unit Cost : PhP/joint
PER CLAIM
Detailed Unit Price Analysis (DUPA)

No. of Person No. of Man-days Unit Rate/Day Amount

1.00 1.00 1,579.00 1,579.00


2.00 1.00 974.00 1,948.00
1.00 1.00 888.00 888.00
Sub-Total for A 4,415.00
No. of units No. of days Unit Rate/Day Amount

1.00 1.00 1,500.00 1,500.00


1.00 1.00 1,151.00 1,151.00
1.00 1.00 1,028.00 1,028.00
Sub-Total for B 3,679.00
Unit Quantity Unit Cost Amount

L 15.00 50.00 750.00


Sub-Total for C 750.00
TOTAL COST(A+B+C) 8,844.00
Unit Cost : PhP/day 8,844.00

Detailed Unit Price Analysis (DUPA)

No. of Person No. of Man-days Unit Rate/Day Amount


1.00 1.00 1,579.00 1,579.00
2.00 1.00 400.00 800.00
1.00 1.00 888.00 888.00
1.00 1.00 888.00 888.00
Sub-Total for A 4,155.00
No. of units No. of days Daily Rate Amount

1.00 1.00 1,200.00 1,200.00


1.00 1.00 100.00 100.00
1.00 1.00 5,000.00 5,000.00
Sub-Total for B 6,300.00
Unit Quantity Unit Cost Amount

L 100.00 50.00 5,000.00


Sub-Total for C 5,000.00
TOTAL COST(A+B+C) 15,455.00
Unit Cost : PhP/cu.meter 3,091.00

Detailed Unit Price Analysis (DUPA)

ctional Drilling (HDD)


andard Length/machine set-up)
erage Production for 8 Hour Works=150meters)

No. of Person No. of Man-days Unit Rate/Day Amount

- - 2,106.00 -
1.00 1.67 1,583.00 2,638.33
1.00 1.67 1,583.00 2,638.33
- - 400.00 -
2.00 1.67 400.00 1,333.33
2.00 1.67 400.00 1,333.33
1.00 1.67 888.00 1,480.00
1.00 1.67 888.00 1,480.00
1.00 1.67 888.00 1,480.00
Sub-Total for A 12,383.33
No. of units No. of days Daily Rate Amount

1.00 13.33 12,000.00 160,000.00


1.00 2.00 2,000.00 4,000.00
- - 120.00 -
1.00 13.33 900.00 12,000.00
- - 900.00 -
1.00 13.33 150.00 2,000.00
1.00 13.33 1,200.00 16,000.00
1.00 13.33 1,800.00 24,000.00
1.00 13.33 750.00 10,000.00
Sub-Total for B 228,000.00
Unit Quantity Unit Cost Amount

L 375.00 75.00 28,125.00


pcs 25.00 526.40 13,160.00
rl 1.00 134.99 134.99
pc 2.00 87.00 174.00
L 1.00 70.24 70.24
bag 0.50 2,561.44 1,280.72
pale 0.50 5,454.79 2,727.40
m 262.50 90.00 23,625.00
pcs 14.00 23.00 322.00
L 800.00 1.20 960.00
Sub-Total 70,579.35
Add 12% for Warehousing & Logistic Expenses 8,469.52
Sub-Total for C 79,048.87
TOTAL COST(A+B+C) 319,432.20
Unit Cost : PhP/meter 1,277.73

Detailed Unit Price Analysis (DUPA)

No. of Person No. of Man-days Unit Rate/Day Amount

1.00 1.00 923.00 923.00


4.00 1.00 400.00 1,600.00
1.00 1.00 888.00 888.00
2.00 1.00 888.00 1,776.00
Sub-Total for A 5,187.00
No. of units No. of days Daily Rate Amount

1.00 1.00 1,800.00 1,800.00


1.00 1.00 1,800.00 1,800.00
Sub-Total for B 3,600.00
Unit Quantity Unit Cost Amount
pc 1.00 10.00 10.00
pc 1.00 40.00 40.00
L 120.00 50.00 6,000.00
Sub-Total 6,050.00
Add 11.5% for Warehousing & Logistics Expenses 695.75
6,745.75
TOTAL COST(A+B+C) 14,837.00
Unit Cost : PhP/cu.meter 14.84

Detailed Unit Price Analysis (DUPA)

ration Works
00 sq.m.
sq.m.

No. of Person No. of Man-days Unit Rate/Day Amount

1.00 1.00 1,579.00 1,579.00


5.00 1.00 400.00 2,000.00
2.00 1.00 888.00 1,776.00
Sub-Total for A 5,355.00
No. of units No. of days Daily Rate Amount

1.00 1.00 1,800.00 1,800.00


1.00 1.00 1,800.00 1,800.00
1.00 1.00 750.00 750.00
Sub-Total for B 4,350.00
Unit Quantity Unit Cost Amount

bags 105.00 395.00 41,475.00


cu.m. 3.00 440.00 1,320.00
cu.m. 11.00 1,500.00 16,500.00
L 150.00 50.00 7,500.00
Sub-Total 66,795.00
Add 11.5% for Warehousing & Logistics Expenses 7,681.43
74,476.43
TOTAL COST(A+B+C) 76,500.00
Unit Cost : PhP/sq.m. 2,185.71

Detailed Unit Price Analysis (DUPA)


No. of Person No. of Man-days Unit Rate/Day Amount

1.00 1.00 974.00 974.00


1.00 1.00 400.00 400.00
1.00 1.00 845.00 845.00
1.00 1.00 888.00 888.00
Sub-Total for A 3,107.00
No. of units No. of days Daily Rate Amount

1.00 1.00 1,500.00 1,500.00


1.00 1.00 230.00 230.00
Sub-Total for B 1,730.00
Unit Quantity Unit Cost Amount

L 30.00 50.00 1,500.00


pcs 7.00 38.07 266.49
roll 0.50 134.99 67.50
Sub-Total 1,833.99
Add 11.5% for Warehousing & Logistics Expenses 210.91
2,044.89
TOTAL COST(A+B+C) 6,881.89
Unit Cost : PhP/joint 1,720.47
Item No./Description : Fault Mapping
1.1 Quantity/Unit
: Daily
Item no./code
Notes Description
Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
a.
A.
b.
c.

Notes Name and Capacity


TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
B a.
b.
c.

Notes Name and Specification


MATERIALS & CONSUMABLES
C
a.

TOTAL COST(A
Unit Cost : PhP

Item No./Description : Excavation Works


Quantity/Unit
1.2
: 5.00 Cu. Meter/day Output
per Hour : 0.63 Cu. Meter
Item no./code

Notes Description
Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
a.
A. b.
c.
d.

Notes Name and Capacity


TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
B a.
b.
c.

Notes Name and Specification


MATERIALS & CONSUMABLES
C
a.

TOTAL COST(A
Unit Cost : PhP/c

Item No./Description : Horizontal Directional Drilling


2.19 Quantity/Unit : 250.00 m(Standard Length/m
Output per Hour : 18.75 m(Average Produc
Item no./code
Notes Description
Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
a.
b.
c.
d.
A.
e.
f.
g.
h.
i.

Notes Name and Capacity


TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
a.
b.
c.
B
B d.
e.
f.
g.
h.
i.

Notes Name and Specification


MATERIALS & CONSUMABLES
a.
b.
c.
d.
e.
C f.
g.
h.
i.
j.

TOTAL COST(A
Unit Cost : PhP

Item No./Description : Mandrel


Quantity/Unit : 1,000.00
2.10
m/day Output per Hour : 125.00
m
Item no./code
Notes Description
Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
a.
A. b.
c.
d.

Notes Name and Capacity


TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
B
a.
b.

Notes Name and Specification


MATERIALS & CONSUMABLES
C
a.
C
b.
c.

TOTAL COST(A
Unit Cost : PhP/c

Item No./Description : Concrete Restoration Works


2.13 Quantity/Unit : 35.00 sq.m
Output per Hour : 4.38 sq.m
Item no./code
Notes Description
Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
a.
A.
b.
c.

Notes Name and Capacity


TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
B a.
b.
c.

Notes Name and Specification


MATERIALS & CONSUMABLES
a.
C b.
c.
d.

TOTAL COST(A
Unit Cost : PhP

Item No./Description : MD Jointing


Quantity/Unit :
2.19
4.00 joints/day Output per Hour
: 0.5 joints
Item no./code
Notes Description
Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
a.
A. b.
c.
d.

Notes Name and Capacity


TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
B
a.
b.

Notes Name and Specification


MATERIALS & CONSUMABLES
a.
C
b.
c.

TOTAL COST(A
Unit Cost : PhP
PER ADJUSTER
Detailed Unit Price Analysis (DUPA)

Item No./Description : Fault Mapping


Quantity/Unit
: Daily

Description No. of Person No. of Man-days Unit Rate/Day


Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
Engineer 1.00 1.00 1,579.00
Splicer 2.00 1.00 974.00
Driver 1.00 1.00 888.00
Sub-Total for A
Name and Capacity No. of units No. of days Unit Rate/Day
TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
L300 1.00 1.00 1,500.00
Fusion Machine 1.00 1.00 1,151.00
OTDR 1.00 1.00 1,028.00
Sub-Total for B
Name and Specification Unit Quantity Unit Cost
MATERIALS & CONSUMABLES
Fuel L 15.00 50.00
Sub-Total for C
TOTAL COST(A+B+C)
Unit Cost : PhP/day

Detailed Unit Price Analysis (DUPA)

Item No./Description : Excavation Works


Quantity/Unit
: 5.00 Cu. Meter/day Output
per Hour : 0.63 Cu. Meter

Description No. of Person No. of Man-days Unit Rate/Day


Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
Engineer 1.00 1.00 1,579.00
Labor 5.00 1.00 400.00
Driver
Equipment Operator
Sub-Total for A
Name and Capacity No. of units No. of days Daily Rate
TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
Truck
Concrete Cutter 1.00 1.00 100.00
Backhoe
Sub-Total for B
Name and Specification Unit Quantity Unit Cost
MATERIALS & CONSUMABLES
Fuel 1.00 20.00 50.00
Sub-Total for C
TOTAL COST(A+B+C)
Unit Cost : PhP/cu.meter

Detailed Unit Price Analysis (DUPA)

Item No./Description : Horizontal Directional Drilling (HDD)


Quantity/Unit : 250.00 m(Standard Length/machine set-up)
Output per Hour : 18.75 m(Average Production for 8 Hour Works=150meters)

Description No. of Person No. of Man-days Unit Rate/Day


Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
Supervisor - - 2,106.00
HDD Operator 1.00 1.67 1,583.00
HDD Locator 1.00 1.67 1,583.00
Excavation Crew - - 400.00
Rodman 2.00 1.67 400.00
Labor/Helper 2.00 1.67 400.00
Mud Truck Driver 1.00 1.67 888.00
BT Driver 1.00 1.67 888.00
SLT Driver 1.00 1.67 888.00
Sub-Total for A
Name and Capacity No. of units No. of days Daily Rate
TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
HDD Machine 1.00 2.00 12,000.00
GPR 1.00 2.00 2,000.00
Concrete Cutter - - 120.00
Mud Truck 1.00 2.00 900.00
Mini Dump Truck - - 900.00
Water/Mud Pump 1.00 2.00 150.00
Boom Truck 1.00 2.00 1,200.00
Self Loader Truck 1.00 2.00 1,800.00
Locating Devices with Transmitter 1.00 2.00 750.00
Sub-Total for B
Name and Specification Unit Quantity Unit Cost
MATERIALS & CONSUMABLES
Fuel L 375.00 75.00
Bentonite pcs 25.00 526.40
Duct Tape rl 1.00 134.99
Battery pc 2.00 87.00
Copper Grease L 1.00 70.24
Soda Ash bag 0.50 2,561.44
Drilling Polymer pale 0.50 5,454.79
7-way MD m 262.50 90.00
MD End Caps pcs 28.00 23.00
Water Consumption L 800.00 1.20
Sub-Total
Add 12% for Warehousing & Logistic Expenses
Sub-Total for C
TOTAL COST(A+B+C)
Unit Cost : PhP/meter

Detailed Unit Price Analysis (DUPA)

Item No./Description : Mandrel


Quantity/Unit : 1,000.00
m/day Output per Hour : 125.00
m

Description No. of Person No. of Man-days Unit Rate/Day


Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
Team Leader 1.00 1.00 923.00
Labor 4.00 1.00 400.00
Driver 1.00 1.00 888.00
Equipment Operator 2.00 1.00 888.00
Sub-Total for A
Name and Capacity No. of units No. of days Daily Rate
TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
Compressor/ Blowing Machine 1.00 1.00 1,800.00
Mini Dump Truck 1.00 1.00 1,800.00
Sub-Total for B
Name and Specification Unit Quantity Unit Cost
MATERIALS & CONSUMABLES
Sponge pc 1.00 10.00
Metal Ball pc 1.00 40.00
Fuel L 120.00 50.00
Sub-Total
Add 11.5% for Warehousing & Logistics Expenses

TOTAL COST(A+B+C)
Unit Cost : PhP/cu.meter

Detailed Unit Price Analysis (DUPA)

Item No./Description : Concrete Restoration Works


Quantity/Unit : 35.00 sq.m.
Output per Hour : 4.38 sq.m.

Description No. of Person No. of Man-days Unit Rate/Day


Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
Engineer 1.00 1.00 1,579.00
Labor 5.00 1.00 400.00
Driver 1.00 1.00 888.00
Sub-Total for A
Name and Capacity No. of units No. of days Daily Rate
TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
Compressor/ Blowing Machine 1.00 1.00 1,800.00
Mini Dump Truck 1.00 1.00 1,800.00
One Bagger Mixer 1.00 1.00 750.00
Sub-Total for B
Name and Specification Unit Quantity Unit Cost
MATERIALS & CONSUMABLES
Cement bags 105.00 260.00
Gravel cu.m. 3.00 440.00
Sand cu.m. 11.00 1,000.00
Fuel L 150.00 50.00
Sub-Total
Add 11.5% for Warehousing & Logistics Expenses
Sub-Total
TOTAL COST(A+B+C)
Unit Cost : PhP/sq.m.

Detailed Unit Price Analysis (DUPA)

Item No./Description : MD Jointing


Quantity/Unit :
4.00 joints/day Output per Hour
: 0.5 joints
Description No. of Person No. of Man-days Unit Rate/Day
Labor(Refer to the attached FKC's Standard
Salary Table signed by FKC's CEO )
Joint Leadman 1.00 1.00 974.00
Labor 1.00 1.00 400.00
Jointer 1.00 1.00 845.00
Driver 1.00 1.00 888.00
Sub-Total for A
Name and Capacity No. of units No. of days Daily Rate
TOOLS & EQUIPMENT(Rates shown based on
Prevailling Market Rental fees)
L300 1.00 1.00 1,500.00
Jointing Tools 1.00 1.00 230.00
Sub-Total for B
Name and Specification Unit Quantity Unit Cost
MATERIALS & CONSUMABLES
Fuel L 30.00 50.00
MD Staright Connector/Coupler 14/10 pcs 7.00 38.07
Duct Tape roll 0.50 134.99
Sub-Total
Add 11.5% for Warehousing & Logistics Expenses

TOTAL COST(A+B+C)
Unit Cost : PhP/joint
Amount Notes

1,579.00
1,948.00
888.00
4,415.00
Amount Notes

1,500.00
1,151.00
1,028.00
3,679.00
Amount Notes

750.00
750.00
8,844.00
8,844.00

Amount Notes
1,579.00
2,000.00
-
-
3,579.00
Amount Notes

-
100.00
-
100.00
Amount Notes

1,000.00
1,000.00
4,679.00
935.80

Amount Notes

-
2,638.33
2,638.33
-
1,333.33
1,333.33
1,480.00
1,480.00
1,480.00
12,383.33
Amount Notes

24,000.00
4,000.00
-
1,800.00
-
300.00
2,400.00
3,600.00
1,500.00
37,600.00
Amount Notes

28,125.00
13,160.00
134.99
174.00
70.24
1,280.72
2,727.40
23,625.00
644.00
960.00
70,901.35

70,901.35
120,884.68
483.54

Amount Notes

923.00
1,600.00
888.00
1,776.00
5,187.00
Amount Notes

1,800.00
1,800.00
3,600.00
Amount Notes
10.00
40.00
6,000.00
6,050.00
695.75
6,745.75
14,837.00
14.84

Amount Notes

1,579.00
2,000.00
888.00 ONLY ONE DRIVER FOR MDT
4,467.00
Amount Notes

1,800.00
1,800.00
750.00
4,350.00
Amount Notes

27,300.00
1,320.00
11,000.00
7,500.00
47,120.00
Excluded
47,120.00
55,937.00
1,598.20

)
Amount Notes

974.00
400.00
845.00
888.00
3,107.00
Amount Notes

1,500.00
230.00
1,730.00
Amount Notes

1,500.00
266.49
67.50
1,833.99
210.91
2,044.89
6,881.89
1,720.47
Insured : FIBERNET KONSTRUKT CORPORATION
Location : Barangay Talomo, Poblacion, Davao City
Date of Lo: April 28, 2022
Nature of : Material Damage
Strike No: : IR-SM-O-150

Sum Insured
Segment (Davao-Bagani)

Policy deductible
(10% of the loss, minimum of Php 150,000.00)
in respect of other cause

Loss and Damage


Per Claim
Price/Claim Breakdown

UOM Qty
PU No. Details/SOW
(Unit of Measurement) (Quantity)

1 Preliminaries & Temporary Restoration works


(align to standard SLA)
Site Fault Mapping: (includes FOC testing,
1.1 day 1.00
Actual Site Markings & Survey)
Excavation Works(inclusive concrete breaking,
1.2 disposal of debri and supply of necessary cu. meter 1.00
Equipment, tools & manpower)
Sub-Total

Permanent Engineering Works


2
2.1 Supervision Man-day 1.00
Mobilization/Demobilization - with HDD
2.2 lot 1.00
Equipment + Trucks
2.8 HDD Works: 1x7 Way MD (2022) meters 80.00
2.10 Mandrell Test meters 600.00
Restoration of Affected Road Pavement
2.13 meters 3.65
Concrete
2.19 MD Jointing - 1 Run per joint 2.00
Sub-Total
Total(1,2,3)
Add: 5% Management Cost
Total Amount of Claim (VAT Ex.)
Add: 12% VAT
Loss and Damage
Proposed Payable
Sum Insured (Davao-Bagani Segment)
Loss and Damage
Less: Policy deductible (10% of the Loss Minimum of PhP 150,000.00)
₱ 986,266,512.00

Per Adjuster

U-Rate Qty U-Rate


Amount Amount
Unit Rate (Quantity) Unit Rate

8,844.00 8,844.00

3,091.00 3,091.00 1.00 935.80 935.80

11,935.00 Sub-Total 935.80

2,127.00 2,127.00 1.00 2,127.00 2,127.00

50,000.00 50,000.00 1.00 50,000.00 50,000.00

1,277.73 102,218.30 80.00 483.54 38,683.10


14.84 8,902.20 600.00 14.84 8,902.20

2,185.71 7,977.86 3.66 1,598.20 5,841.42

1,720.47 3,440.95 2.00 1,720.47 3,440.95


174,666.31 108,994.66
186,601.31 109,930.46
9,330.07
₱ 195,931.37 109,930.46
11,778.26
₱ 121,708.73
₱ 986,266,512.00
121,708.73
150,000.00
(28,291.27)
NIL

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