IO’s LETTERHEAD

STATEMENT OF TIME ELAPSED AND WORK ACCOMPLISHED

From _______ to _______
(Billing Period)

1. Contract ID : _________________________________
_
2. Contract Name : _________________________________
_
3. Location : _________________________________
_
4. Contractor : _________________________________
_
5. Original Contract Cost : _________________________________
_
6. Revised Contract Cost : _________________________________
(due to latest approved V.O.) _
7. Original Contract Duration (C.D.) : _________________________________
_
8. Revised Contract Duration (C.D.) : _________________________________
_
9. Contract Effectivity Date : _________________________________
_
10. Original Contract Expiry Date : _________________________________
_
11. Revised Contract Expiry Date : _________________________________
_
12. Planned Accomplishment (%) : _________________________________
_
13. Actual Accomplishment (%) : _________________________________
_
14. Slippage (%) : _________________________________
_
15. Time Elapsed (%) : ____ [state elapsed calendar days out of
revised contract duration]

Prepared By:

NAME & SIGNATURE

Project Engineer
DPWH & Consultant, if any

PIF-06-BIL-08 Rev 00
 IO’s LETTERHEAD

Noted:

NAME & SIGNATURE

Chief of Implementing Section/Division/
Project Manager
DPWH & Consultant, if any

PIF-06-BIL-08 Rev 00