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Checklist 23DL0191

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Contract ID: 23DL0191

Contract Name: IMPROVEMENT OF DPWH QUEZON 4TH DEO, BRGY. PANIKIHAN AND DPWH SUB-OFFICE, BRGY. LAGYO, GUMACA,
QUEZON

Location of the Contract: GUINAYANGAN, QUEZON


Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUEZON IV
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE IV-A
Gumaca, Quezon

PRELIMINARY EXAMINATION OF TECHNICAL COMPONENT OF THE BID


Date of Submission/Opening of Bids August 1, 2023
Name of Contractor

Approved Budget for the Contract (ABC) PHP 5,000,000.00

TOTAL AMOUNT OF BID

ANDREW FERNAN S. MARQUEZ


MARIA CRISELLE M. ARINTOC
End-User for Construction Projects
Tab. No.

BAC Member (Provisional)

YOLANDA F. HOLGADO
LUCILA L. MASCARDO

PAUL NIKKI D. AREJA


EPHRAIM P. ANGARA
BAC Member (Regular)

BAC Member (Regular)

BAC Vice-Chairperson

BAC Chairperson
1 PhilGEPS Certificate of Registration and Membership
2 a. If not enrolled in CWR: following Class A and B Documents not covered by PhilGEPS Certificate.
(1) PCAB License and Registration
(2) Statement of All Ongoing Government and Private Projects
(3) SLCC
(4) NFCC Computation and Statement of Total Assets and Liabiliities
(5) JVA, if applicable
b. If enrolled in CWR: Class A and B Documents in CWR, if any, to be updated.
3 Bid Security in the prescibed form, amount and validity period.
a. Acceptable Forms: Cash, Cashier's Check, Bank Draft/Guarantee, or Surety Bond callable upon Bid Securing Declaration
Manager's Check, issued Irrevocable Letter of Credit demand issued by a surety or
by a Universal or issued by a Universal or insurance company duly
Commercial Bank (2% of Commercial Bank (If issued by certified by the Insurance
ABC) a Foreign Bank, confirmed or Commission as authorized to
authenticated by a Universal or issue such security (5% of
Commercial Bank (2% of ABC)
ABC)

Form Submitted by Contractor:


b. Amount Required:

Amount Submitted by Contractor: ( ) Sufficient ( ) Insufficient

c. Validity Period:

d. Issuing Company/Bank:
e. Official Receipt No.:
f. Callable on Demand:
g. Certificate from Insurance
Commision
ANDREW FERNAN S. MARQUEZ
MARIA CRISELLE M. ARINTOC
End-User for Construction Projects

BAC Member (Provisional)

YOLANDA F. HOLGADO
Tab. No.

LUCILA L. MASCARDO

PAUL NIKKI D. AREJA


EPHRAIM P. ANGARA
BAC Member (Regular)

BAC Member (Regular)

BAC Vice-Chairperson

BAC Chairperson

Bid Security in Prescibed Form, Amount and Validity Period.

4 Project Requirements:

a. Organizational Chart for the contract to be bid.


b. List of Contractor's Key Personnel, (see Clause 14.2a(3)(b), BDS) to be assigned to the contract, with
their complete qualification data.
c. List of Contractor's Major Const and Lab Equipment Units owned, leased and/or under purchase
agreements, supported by proof of ownership/lease/purchase and certification of availability of eqpt
from lessor/vendor for project duration. (see Clause 14.2a(3)(c), BDS)
4. Omnibus Sworn Statement in the form prescribed by GPPB - 8 items
Note : Any missing, incomplete or patently insufficient document in the above-mentioned checklist is a
ground for outright rejection of the bid.

Overall Rating : ( ) Passed ( ) Failed

DPWH-INFR-29-2016
Contract ID: 23DL0191
Contract Name: IMPROVEMENT OF DPWH QUEZON 4TH DEO, BRGY. PANIKIHAN AND DPWH SUB-OFFICE, BRGY. LAGYO, GUMACA,
QUEZON

Location of the Contract: GUINAYANGAN, QUEZON


Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUEZON IV
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE IV-A
Gumaca, Quezon

PRELIMINARY EXAMINATION OF FINANCIAL COMPONENT OF THE BID


Date of Submission/Opening of Bids August 1, 2023
Name of Contractor :
Approved Budget for the Contract (ABC) PHP 5,000,000.00

TOTAL AMOUNT OF BID AS READ

ANDREW FERNAN S. MARQUEZ


MARIA CRISELLE M. ARINTOC
End-User for Construction Projects

BAC Member (Provisional)

YOLANDA F. HOLGADO
Tab. No.

LUCILA L. MASCARDO

PAUL NIKKI D. AREJA


EPHRAIM P. ANGARA
BAC Member (Regular)

BAC Member (Regular)

BAC Vice-Chairperson

BAC Chairperson
1. Bid Form

2. Bid Prices in the Bill of Quantities

Detailed Estimates including a Summary sheet indicating the unit prices of construction materials,
3.
labor rates and equipment rentals used in coming up with the bid;

4. Quarterly/Monthly Cash Flow and Payment Schedule

Note : Any missing, incomplete or patently insufficient document in the above-mentioned checklist is a
ground for outright rejection of the bid.

Overall Rating: ( ) Passed ( ) Failed

DPWH-INFR-32-2016

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