Annex D

Page 35 of 40
CHECKLIST OF SUPPORTING DOCUMENTS AND ATTACHMENTS FOR DoITS

Interim Progress Billing

I. To be prepared by the Contractor

1. Letter request of Contractor for payment
2. Statement of Work Accomplished/Progress Billing
3. Certificate of Materials Quality Test (Materials on Site), if any
4. Materials Test Report
5. Contractor’s Affidavit on payment of laborers and materials (duly notarized)
6. Backup Computation
7. Pictures of Work Accomplished (size 3R min.)- “with proper labeling”
8. Photocopy of vouchers of previous payment
9. Change Order/Extra Work Order/Time Extension/Suspension and Resume Order, if any
10. Copy of Contract of Lease for Facilities to the Engineer and Official Receipt for
Lease/Rent/Purchase – OR and CR for vehicles and proof of purchase (if applicable)

I hereby certify that the above supporting documents are complete

Print Name: ________________________________

Designation: ________________________________
Date: ________________________________
 Annex D
Page 36 of 40
CHECKLIST OF SUPPORTING DOCUMENTS AND ATTACHMENTS FOR DoITS

Interim Progress Billing

II. To be prepared by the Implementing Office

1. Inspection Report by authorized Engineers
2. Statement of Time Elapsed (Justification Letter , including compliance with calibrated
actions, is needed if accomplishment is negative slippage of 10% and above)
3. Monthly Certificate of Payment
4. Progress Bar Chart with S-Curve
5. Original copy of Obligation Request
6. Disbursement Voucher

I hereby certify that the above supporting documents are complete

Print Name: ________________________________

Designation: ________________________________
Date: ________________________________