CBPM Form B-10a

2021 KALAHI-CIDSS NATIONAL COMMUNITY DRIVEN DEVELOPMENT PROGRAM

Additional Financing
Office of the Barangay Development Council Technical Working Group
Barangay:
Municipality:
Province:

CHECKLIST OF PASS/FAIL REQUIREMENTS FOR BAC

(for Community Shopping for Goods)

Name of Sub- Project: Company Name of Bidder:

PASS/
REQUIREMENTS Remarks
FAIL
I. ELIGIBILITY DOCUMENTS
Legal
Department of Trade and Industry (DTI) Certificate of Business
Name Registration (Sole Proprietorship),
 SEC Registration Certificate (Corporation & Partnership), or
 CDA Registration (Cooperative)
Valid and current Business/Mayor’s permit/municipal license from the
bidders principal place of business
Financial
Audited financial statements, stamped “received” by the BIR or its duly
accredited and authorized agents, for the immediately preceding
calendar year (for EBP of 500k and above)
Computation of Net Financial Contracting Capacity (NFCC)

II. TECHNICAL PROPOSAL

Authority of the Signatory:
 Board Resolution if the bidder is a corporation or a cooperative, or
Partnership Resolution if the bidder is a Partnership)(if SEC)
PASS/
REQUIREMENTS Remarks
FAIL
Omnibus Sworn Statement (Affidavit) (CBPM Form C-5);

III.FINANCIAL PROPOSAL
Financial Proposal Sheet (using the RFQ or a Bill of Quantities or
Summary of Quotation)
Recurring and maintenance costs, if applicable
Note: The absence of any one of the documents shall render a bidder ineligible and disqualified to bid for
the particular procurement.

Prepared by: Approved by:

SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME

Procurement Team Member BAC Chairperson

Concurred by the Technical Working Group (TWG) present during the Opening and Evaluation of
Bids:

SIGNATURE OVER PRINTED NAME

SIGNATURE OVER PRINTED NAME

SIGNATURE OVER PRINTED NAME