CONTRACTOR : TSD Builders Construction and Supply COST : P 6,616,254.

12 LIMITS :
LOCATION : EB Magalona, Negros Occidental PAVT. SOURCE : FMR-DA
LENGTH : WIDTH : 5.0 meters PAVT.
EFFECTIVITY DURATION THICKNESS : 0.23 meter
DATE : June 12 , 2018 (C.D.) : 94 CD EXPIRY DATE : September 13, 2018

A. TESTS TO BE PERFORMED

ITEM NO. DESCRIPTION UNIT QUANTITY MINIMUM NUMBER OF TEST

A.1.1(3) Construction of Field Office for the Engineers ls 1.00 IR
B.4(8) Permanent monuments and markers each 2.00 IR
100(1) Clearing and Grubbing ha 0.36 IR
102(2) Surplus Common Excavation m³ 395.06 IR
104(1)a Embankment from Roadway Excavation (Common Soil) m³ 406.35 GPC-1;FDT-4
105(1)a Sub Grade Preparation m² 3,612.00 GPC-1;FDT-8
200(1) Aggregate Sub Base Course m³ 1,128.75 Q-1;CBR-1;GP-4;FDT-12
311(1)c1 PCCP Pavement (Unreinforced) 230 mm, 14 days m³ 2,257.50 DM w/ TM
a. Portland cement bags 4,933 Q-3;FT-25
b. Fine Aggergates m³ 259.61 Q-1;G-4
c. Coarse Aggregates m³ 519.23 Q-1;G-7
d. Reinforcing Steel kgs 970.72 Q-2;UW-2
e. Concrete m³ 519.23 1 Set Concrete Beam Sample/day of Pouring;7 Set Min.

f. Completed Pavement m² 2,257.50 Thickness det./5 holes/km/ lane

g. Curing Compound liters 654.68 Q-1 per shipment
h. Aphalt Sealant liters 270.90 Q-1 per shipment
B.5 Project Billboard / Sign Board each 2.00 IR
B.7 Occupation Safety and Health Program months 3.13 IR
B.8 Traffic Management months 3.13 IR
B.9 Mobilization/Demobilization ls 1.00 IR

B. COMPUTATION, BREAKDOWN AND APPOINTMENT OF QUALITY CONTROL COST:

1. Contract Cost (Direct Cost Sub-Total) P %(Q. C. Chart) P

2. Breakdown of Cost (per Regional Memos, dated December 12, 1978 and July 17, 1974)

a.) Service Field Test - (65%) (B-1) - -

b.) Quality Test (15%) (D-1) - - - - - - -
c.) Misc. & Others (20%) (B-1) - - - - -
d.) TOTAL COST - - - - - - - - - - - - - -
SUBMITTED BY: NOTED:

NO. OF TESTS NO. OF TESTS BALANCE OF TEST

ITEM NO. DESCRIPTION
NORMITA A. NOBLE QUANTITY UNIT REMARKS
REQUIRED ON FILE REQUIRED
Engineer III
A.1.1(3) Construction of Field Office for the Engineers 1.00 ls IR IR
B.4(8) Permanent monuments and markers 2.00 each IR IR
100(1) Clearing and Grubbing 0.36 ha IR IR
102(2) Surplus Common Excavation 395.06 m³ IR IR
104(1)a Embankment from Roadway Excavation 406.35 m³ GPC-1;FDT-4 GPC-1 FDT-4
105(1)a Sub Grade Preparation 3,612.00 m² GPC-1;FDT-8 GPC-1 FDT-8
200(1) Aggregate Sub Base Course 1,128.75 m³ Q-1;CBR-1;GP-4;FDT-12 Q-1;CBR-1 GP-4;FDT-12

311(1)c1 PCC Pavement (Unreinforced) 230 mm, 14 days 2,257.50 m³ DM w/ TM DM w/ TM

a. Portland cement 4,932 bags Q-3;FT-25 Q-1;FT-5 Q-2;FT-20
b. Fine Aggergates 259.61 m³ Q-1;G-4 Q-1;G-1 G-3
c. Coarse Aggregates 519.23 m³ Q-1;G-7 Q-1;G-1 G-6
d. Reinforcing Steel 970.72 kgs Q-2;UW-2 Q-2;UW-2
e. Concrete 519.23 m³ 1 Set Conc. Beam Sample 1 Set Conc. Beam Sample

day of Pouring;7 Set Min. day of Pouring;7 Set Min.

f. Completed Pavement 2,257.50 m² Thickness determination Thickness determination

5 holes/km/ lane 5 holes/km/ lane

g. Curing Compound 654.68 liters Q-1 per shipment Q-1 per shipment

h. Aphalt Sealant 270.90 liters Q-1 per shipment Q-1 per shipment

B.5 Project Billboard / Sign Board 2.00 each IR IR

B.7 Occupation Safety and Health Program 3.13 months IR IR
B.8 Traffic Management 3.13 months IR IR
B.9 Mobilization/Demobilization 1.00 ls IR IR

PREPARED & SUBMITTED BY: CONCURRED BY:

 SUMMARY REPORT OF FIELD TEST PERFORMED FOR
the month of June 2018

Name of Project and Location : Concreting of Brgy. Nanca - Brgy. Alcaygan FMR, EB Magalona, Negros Occidental (18GK0146)
Implementing Office : DPWH -Neg. Occ. 1st. Dist. Eng'g. Office Name of Contractor : TSD Builders Construction and Supply
Project Duration : 94 C.D. DPWH Project Inspector :
a) Date started : June 12, 2018 Project Accomplishment : 3.94%
b) Target Completion Date September 13, 2018 Project Cost : P 6,616,254.12

QUANTITY ORIGINAL SOURCE OF SPECS ITEM SAMPLED TESTED

LAB NO. KIND OF MATERIALS KIND OF TEST At REMARKS
REPRESENTED MATERIALS NO.
BY DATE BY DATE
CBNBA-01 Embankment (Excavation) Quality Test Jobsite GP 104(1)a A. Arcolas/A. Maravilla 6/12/2018 A. Arcolas/A. Maravilla 6/13/2018 Contractor's Lab Satisfactory
CBNBA-02 Aggregate Sub Base Course Quality Test Malogo River GP 200(1) A. Arcolas/A. Maravilla 6/12/2018 A. Arcolas/A. Maravilla 6/13/2018 Contractor's Lab Satisfactory
CBNBA-03 Sub Grade Preparation Quality Test Jobsite GP 105(1)a A. Arcolas/A. Maravilla 6/12/2018 A. Arcolas/A. Maravilla 6/13/2018 Contractor's Lab Satisfactory
CBNBA-04 Embankment (Excavation) Quality Test Jobsite C 104(1)a A. Arcolas/A. Maravilla 6/12/2018 A. Arcolas/A. Maravilla 6/14/2018 Contractor's Lab Recommended for Use
CBNBA-05 Aggregate Sub Base Course Quality Test Malogo River C 200(1) A. Arcolas/A. Maravilla 6/12/2018 A. Arcolas/A. Maravilla 6/14/2018 Contractor's Lab Recommended for Use
CBNBA-06 Sub Grade Preparation Quality Test Jobsite C 105(1)a A. Arcolas/A. Maravilla 6/12/2018 A. Arcolas/A. Maravilla 6/14/2018 Contractor's Lab Recommended for Use
CBNBA-07 Aggregate Sub Base Course Quality Test Malogo River AL 200(1) A. Arcolas/A. Maravilla 6/12/2018 A. Arcolas/A. Maravilla 6/15/2018 DPWH Lab. Satisfactory
CBNBA-08 Portland Cement Quality Test Jobsite FT 311(1)c1 A. Arcolas/A. Maravilla 6/15/2018 A. Arcolas/A. Maravilla 6/16/2018 Contractor's Lab Satisfactory
CBNBA-09 Fine Aggregates Quality Test Malogo River G 311(1)c1 A. Arcolas/A. Maravilla 6/15/2018 A. Arcolas/A. Maravilla 6/16/2018 Contractor's Lab Recommended for Use
CBNBA-10 Coarse Aggregate Quality Test Malogo River G 311(1)c1 A. Arcolas/A. Maravilla 6/15/2018 A. Arcolas/A. Maravilla 6/16/2018 Contractor's Lab Recommended for Use
CBNBA-11 Coarse Aggregate Quality Test Malogo River AL 311(1)c1 A. Arcolas/A. Maravilla 6/15/2018 A. Arcolas/A. Maravilla 6/16/2018 DPWH Lab. Satisfactory
CBNBA-12 Reinforcing Steel Bars 970.72 kgs Jobsite UW 311(1)c1 A. Arcolas/A. Maravilla 6/15/2018 A. Arcolas/A. Maravilla 6/16/2018 Contractor's Lab Satisfactory
CBNBA-13 Portland Cement 1000 bags Jobsite FT 311(1)c1 A. Arcolas/A. Maravilla 6/18/2018 A. Arcolas/A. Maravilla 6/19/2018 Contractor's Lab Satisfactory
CBNBA-14 Fine Aggregates 75 m³ Malogo River G 311(1)c1 A. Arcolas/A. Maravilla 6/18/2018 A. Arcolas/A. Maravilla 6/19/2018 Contractor's Lab Recommended for Use
CBNBA-15 Coarse Aggregate 75 m³ Malogo River G 311(1)c1 A. Arcolas/A. Maravilla 6/18/2018 A. Arcolas/A. Maravilla 6/19/2018 Contractor's Lab Recommended for Use

Note: 1. Indicate the name of batching plant as source of ready-mix concrete and hot-bituminous mix original source of materials
2. Indicate the name of testing laboratories on the tested

PREPARED & SUBMITTED BY: CHECKED BY: ATTESTED BY:

NOTED BY:

ARMONIE J. ARCOLAS MARK JOHN B. MALIBONG GENO S. VITO ARNEL P. TORREFRANCA

Materials Engineer Materials Engineer -DPWH Project Engineer -DPWH Chief Quality Assurance Section
TSD Construction and Supply
 SUMMARY REPORT OF FIELD TEST PERFORMED FOR
the month of July 2018

Name of Project and Location : Concreting of Brgy. Nanca - Brgy. Alcaygan FMR, EB Magalona, Negros Occidental (18GK0146)
Implementing Office : DPWH -Neg. Occ. 1st. Dist. Eng'g. Office Name of Contractor : TSD Builders Construction and Supply
Project Duration : 94 C.D. DPWH Project Inspector :
a) Date started : June 12, 2018 Project Accomplishment : 36.40%
b) Target Completion Date September 13, 2018 Project Cost : P 6,616,254.12

QUANTITY ORIGINAL SOURCE OF SPECS ITEM SAMPLED TESTED

LAB NO. KIND OF MATERIALS KIND OF TEST At REMARKS
REPRESENTED MATERIALS NO.
BY DATE BY DATE
CBNBA-16 Embankment from Excavation 500 m² Jobsite FDT 104(1)a A. Arcolas/A. Maravilla 6/23/2018 A. Arcolas/A. Maravilla 6/23/2018 Jobsite Satisfactory
CBNBA-17 Embankment from Excavation 500 m² Jobsite FDT 104(1)a A. Arcolas/A. Maravilla 6/23/2018 A. Arcolas/A. Maravilla 6/23/2018 Jobsite Satisfactory
CBNBA-18 Agg. Sub Base Course 300 m³ Malogo River GP 200(1) A. Arcolas/A. Maravilla 6/25/2018 A. Arcolas/A. Maravilla 6/26/2018 Contractor's Lab Satisfactory
CBNBA-19 Sub Grade Preparation 500 m² Jobsite FDT 105(1)a A. Arcolas/A. Maravilla 6/29/2018 A. Arcolas/A. Maravilla 6/29/2018 Jobsite Satisfactory
CBNBA-20 Sub Grade Preparation 500 m² Jobsite FDT 105(1)a A. Arcolas/A. Maravilla 6/29/2018 A. Arcolas/A. Maravilla 6/29/2018 Jobsite Satisfactory
CBNBA-21 Concrete Beam Trial Mix - Flex 311(1)c1 A. Arcolas/A. Maravilla 6/16/2018 A. Arcolas/A. Maravilla 6/30/2018 DPWH Lab. Satisfactory
CBNBA-22 Embankment from Excavation 500 m² Jobsite FDT 104(1)a A. Arcolas/A. Maravilla 6/30/2018 A. Arcolas/A. Maravilla 6/30/2018 Jobsite Satisfactory
CBNBA-23 Embankment from Excavation 500 m² Jobsite FDT 104(1)a A. Arcolas/A. Maravilla 3/7/2018 A. Arcolas/A. Maravilla 3/7/2018 Jobsite Satisfactory
CBNBA-24 Sub Grade Preparation 500 m² Jobsite FDT 105(1)a A. Arcolas/A. Maravilla 3/7/2018 A. Arcolas/A. Maravilla 3/7/2018 Jobsite Satisfactory
CBNBA-25 Sub Grade Preparation 500 m² Jobsite FDT 105(1)a A. Arcolas/A. Maravilla 3/7/2018 A. Arcolas/A. Maravilla 3/7/2018 Jobsite Satisfactory
CBNBA-26 Portland Cement 1000 bags Jobsite FT 311(1)c1 A. Arcolas/A. Maravilla 5/7/2018 A. Arcolas/A. Maravilla 6/7/2018 Contractor's Lab Satisfactory
CBNBA-27 Fine Aggregates 75 m³ Malogo River G 311(1)c1 A. Arcolas/A. Maravilla 5/7/2018 A. Arcolas/A. Maravilla 6/7/2018 Contractor's Lab Recommended for Use
CBNBA-28 Coarse Aggregate 75 m³ Malogo River G 311(1)c1 A. Arcolas/A. Maravilla 5/7/2018 A. Arcolas/A. Maravilla 6/7/2018 Contractor's Lab Recommended for Use
CBNBA-29 Coarse Aggregate 75 m³ Malogo River G 311(1)c1 A. Arcolas/A. Maravilla 5/7/2018 A. Arcolas/A. Maravilla 6/7/2018 Contractor's Lab Recommended for Use
CBNBA-30 Agg. Sub Base Course 500 m² Jobsite FDT 200(1) A. Arcolas/A. Maravilla 7/7/2018 A. Arcolas/A. Maravilla 7/7/2018 Jobsite Satisfactory
CBNBA-31 Sub Grade Preparation 500 m² Jobsite FDT 105(1)a A. Arcolas/A. Maravilla 9/7/2018 A. Arcolas/A. Maravilla 9/7/2018 Jobsite Satisfactory
CBNBA-32 Sub Grade Preparation 500 m² Jobsite FDT 105(1)a A. Arcolas/A. Maravilla 9/7/2018 A. Arcolas/A. Maravilla 9/7/2018 Jobsite Satisfactory
CBNBA-33 Agg. Sub Base Course 300 m³ Malogo River GP 200(1) A. Arcolas/A. Maravilla 7/10/2018 A. Arcolas/A. Maravilla 10/7/2018 Contractor's Lab Satisfactory
CBNBA-34 Agg. Sub Base Course 500 m² Jobsite FDT 200(1) A. Arcolas/A. Maravilla 10/7/2018 A. Arcolas/A. Maravilla 10/7/2018 Jobsite Satisfactory
CBNBA-35 Sub Grade Preparation 500 m² Jobsite FDT 105(1)a A. Arcolas/A. Maravilla 7/16/2018 A. Arcolas/A. Maravilla 7/16/2018 Jobsite Satisfactory
CBNBA-36 Sub Grade Preparation - Jobsite FDT 105(1)a A. Arcolas/A. Maravilla 7/16/2018 A. Arcolas/A. Maravilla 7/16/2018 Jobsite Satisfactory
CBNBA-37 Agg. Sub Base Course 500 m² Jobsite FDT 200(1) A. Arcolas/A. Maravilla 7/16/2018 A. Arcolas/A. Maravilla 7/16/2018 Jobsite Satisfactory
CBNBA-38 Agg. Sub Base Course 500 m² Jobsite FDT 200(1) A. Arcolas/A. Maravilla 7/20/2018 A. Arcolas/A. Maravilla 7/20/2018 Jobsite Satisfactory

Note: 1. Indicate the name of batching plant as source of ready-mix concrete and hot-bituminous mix original source of materials
2. Indicate the name of testing laboratories on the tested

PREPARED & SUBMITTED BY: CHECKED BY: ATTESTED BY:

NOTED BY:

ARMONIE J. ARCOLAS MARK JOHN B. MALIBONG GENO S. VITO ARNEL P. TORREFRANCA

Materials Engineer Materials Engineer -DPWH Project Engineer -DPWH Chief Quality Assurance Section
TSD Construction and Supply
 SUMMARY REPORT OF FIELD TEST PERFORMED FOR
the month of August 2018

Name of Project and Location : Concreting of Brgy. Nanca - Brgy. Alcaygan FMR, EB Magalona, Negros Occidental (18GK0146)
Implementing Office : DPWH -Neg. Occ. 1st. Dist. Eng'g. Office Name of Contractor : TSD Builders Construction and Supply
Project Duration : 94 C.D. DPWH Project Inspector :
a) Date started : June 12, 2018 Project Accomplishment : 79.33%
b) Target Completion Date September 13, 2018 Project Cost : P 6,616,254.12

QUANTITY ORIGINAL SOURCE OF SPECS ITEM SAMPLED TESTED

LAB NO. KIND OF MATERIALS KIND OF TEST At REMARKS
REPRESENTED MATERIALS NO.
BY DATE BY DATE
CBNBA-39 Agg. Sub Base Course 300 m³ Malogo River GP 200(1) A. Arcolas/A. Maravilla 7/23/2018 A. Arcolas/A. Maravilla 7/23/2018 Contractor's Lab Satisfactory
CBNBA-40 Portland Cement 1000 bags Jobsite FT 311(1)c1 A. Arcolas/A. Maravilla 7/23/2018 A. Arcolas/A. Maravilla 7/23/2018 Contractor's Lab Satisfactory
CBNBA-41 Fine Aggregates 75 m³ Malogo River G 311(1)c1 A. Arcolas/A. Maravilla 7/23/2018 A. Arcolas/A. Maravilla 7/24/2018 Contractor's Lab Recommended for Use
CBNBA-42 Coarse Aggregate 75 m³ Malogo River G 311(1)c1 A. Arcolas/A. Maravilla 7/23/2018 A. Arcolas/A. Maravilla 7/24/2018 Contractor's Lab Recommended for Use
CBNBA-43 Coarse Aggregate 75 m³ Malogo River G 311(1)c1 A. Arcolas/A. Maravilla 7/23/2018 A. Arcolas/A. Maravilla 7/24/2018 Contractor's Lab Recommended for Use
CBNBA-44 Concrete Beam 382.50 m² Jobsite Flex 311(1)c1 A. Arcolas/A. Maravilla 11/7/2018 A. Arcolas/A. Maravilla 7/25/2018 DPWH Lab. Satisfactory
CBNBA-45 Concrete Beam 393.75 m² Jobsite Flex 311(1)c1 A. Arcolas/A. Maravilla 7/17/2018 A. Arcolas/A. Maravilla 7/31/2018 DPWH Lab. Satisfactory
CBNBA-46 Agg. Sub Base Course 500 m² Jobsite FDT 200(1) A. Arcolas/A. Maravilla 8/2/2018 A. Arcolas/A. Maravilla 2/8/2018 Jobsite Satisfactory
CBNBA-47 Concrete Beam 352.50 m² Jobsite Flex 311(1)c1 A. Arcolas/A. Maravilla 7/23/2018 A. Arcolas/A. Maravilla 6/8/2018 DPWH Lab. Satisfactory
CBNBA-48 Agg. Sub Base Course 500 m² Jobsite FDT 200(1) A. Arcolas/A. Maravilla 7/8/2018 A. Arcolas/A. Maravilla 7/8/2018 Jobsite Satisfactory
CBNBA-49 Portland Cement 1000 bags Jobsite FT 311(1)c1 A. Arcolas/A. Maravilla 7/8/2018 A. Arcolas/A. Maravilla 8/8/2018 Contractor's Lab Satisfactory
CBNBA-50 Fine Aggregates 34.23 m³ Malogo River G 311(1)c1 A. Arcolas/A. Maravilla 7/8/2018 A. Arcolas/A. Maravilla 8/8/2018 Contractor's Lab Recommended for Use
CBNBA-51 Coarse Aggregate 75 m³ Malogo River G 311(1)c1 A. Arcolas/A. Maravilla 7/8/2018 A. Arcolas/A. Maravilla 8/8/2018 Contractor's Lab Recommended for Use
CBNBA-52 Coarse Aggregate 69.61 m³ Malogo River G 311(1)c1 A. Arcolas/A. Maravilla 7/8/2018 A. Arcolas/A. Maravilla 8/8/2018 Contractor's Lab Recommended for Use
CBNBA-53 Portland Cement 932 bags Jobsite FT 311(1)c1 A. Arcolas/A. Maravilla 7/8/2018 A. Arcolas/A. Maravilla 8/8/2018 Contractor's Lab Satisfactory
CBNBA-54 Concrete Beam 292.50 m² Jobsite Flex 311(1)c1 A. Arcolas/A. Maravilla 3/8/2018 A. Arcolas/A. Maravilla 8/17/2018 DPWH Lab. Satisfactory
CBNBA-55 Agg. Sub Base Course 500 m² Jobsite FDT 200(1) A. Arcolas/A. Maravilla 8/17/2018 A. Arcolas/A. Maravilla 8/17/2018 Jobsite Satisfactory
CBNBA-56 Agg. Sub Base Course 500 m² Jobsite FDT 200(1) A. Arcolas/A. Maravilla 8/22/2018 A. Arcolas/A. Maravilla 8/22/2018 Jobsite Satisfactory
CBNBA-57 Concrete Beam 270.00 m² Jobsite Flex 311(1)c1 A. Arcolas/A. Maravilla 8/8/2018 A. Arcolas/A. Maravilla 8/22/2018 DPWH Lab. Satisfactory

Note: 1. Indicate the name of batching plant as source of ready-mix concrete and hot-bituminous mix original source of materials
2. Indicate the name of testing laboratories on the tested

PREPARED & SUBMITTED BY: CHECKED BY: ATTESTED BY:

NOTED BY:

ARMONIE J. ARCOLAS MARK JOHN B. MALIBONG GENO S. VITO ARNEL P. TORREFRANCA

Materials Engineer Materials Engineer -DPWH Project Engineer -DPWH Chief Quality Assurance Section
TSD Construction and Supply
 SUMMARY REPORT OF FIELD TEST PERFORMED FOR
the month of September 2018

Name of Project and Location : Concreting of Brgy. Nanca - Brgy. Alcaygan FMR, EB Magalona, Negros Occidental (18GK0146)
Implementing Office : DPWH -Neg. Occ. 1st. Dist. Eng'g. Office Name of Contractor : TSD Builders Construction and Supply
Project Duration : 94 C.D. DPWH Project Inspector :
a) Date started : June 12, 2018 Project Accomplishment : 100.00%
b) Target Completion Date September 13, 2018 Project Cost : P 6,616,254.12

QUANTITY ORIGINAL SOURCE OF SPECS ITEM SAMPLED TESTED

LAB NO. KIND OF MATERIALS KIND OF TEST At REMARKS
REPRESENTED MATERIALS NO.
BY DATE BY DATE
CBNBA-58 Concrete Beam 281.25 m² Jobsite Flex 311(1)c1 A. Arcolas/A. Maravilla 08/16/2018 A. Arcolas/A. Maravilla 08/30/2018 DPWH Lab. Satisfactory
CBNBA-59 Concrete Beam 285.00 m² Jobsite Flex 311(1)c1 A. Arcolas/A. Maravilla 8/24/2018 A. Arcolas/A. Maravilla 8/27/2018 DPWH Lab. Satisfactory
CBNBA-60 Agg. Sub Base Course 228.78 m³ Malogo River GP 200(1) A. Arcolas/A. Maravilla 8/23/2018 A. Arcolas/A. Maravilla 8/24/2018 Contractor's Lab Satisfactory
CBNBA-61 Agg. Sub Base Course 500 m² Jobsite FDT 200(1) A. Arcolas/A. Maravilla 1/9/2018 A. Arcolas/A. Maravilla 1/9/2018 Jobsite Satisfactory
CBNBA-62 Agg. Sub Base Course 500 m² Jobsite FDT 200(1) A. Arcolas/A. Maravilla 3/9/2018 A. Arcolas/A. Maravilla 3/9/2018 Jobsite Satisfactory
CBNBA-63 Agg. Sub Base Course 500 m² Jobsite FDT 200(1) A. Arcolas/A. Maravilla 5/9/2018 A. Arcolas/A. Maravilla 5/9/2018 Jobsite Satisfactory
CBNBA-64 Agg. Sub Base Course 500 m² Jobsite FDT 200(1) A. Arcolas/A. Maravilla 6/9/2018 A. Arcolas/A. Maravilla 6/9/2018 Jobsite Satisfactory
CBNBA-65 Concrete Beam 270.33 m² Jobsite Flex 311(1)c1 A. Arcolas/A. Maravilla 1/9/2018 A. Arcolas/A. Maravilla 09/15/2018 DPWH Lab. Satisfactory

Note: 1. Indicate the name of batching plant as source of ready-mix concrete and hot-bituminous mix original source of materials
2. Indicate the name of testing laboratories on the tested

PREPARED & SUBMITTED BY: CHECKED BY: ATTESTED BY:

NOTED BY:

ARMONIE J. ARCOLAS MARK JOHN B. MALIBONG GENO S. VITO ARNEL P. TORREFRANCA

Materials Engineer Materials Engineer -DPWH Project Engineer -DPWH Chief Quality Assurance Section
TSD Construction and Supply
SUBMITTED BY: NOTED:
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
NORMITA A. NOBLE Negros Occidental 1st District Engineering Office
Engineer III Matab-ang, Talisay City, Negros Occidental

CERTIFICATE OF QUALITY CONTROL ASSURANCE

PROJECT Concreting of Brgy. Nanca - Brgy. Alcaygan FMR, EB Magalona, Negros Occidental (18GK0146)
CONTRACTOR TSD Builders Construction and Supply DATE: June 16, 2018
We hereby certify that we have conducted an inspection and verification on work accomplished on the
aforementioned project for the period June 12 - 15, 2018 ; We further certify that we have found out that the quality
of materials in the following items of work corresponding to the quantity accomplished conforms with the approved
POW Standard Specifications and Special provisions of the contract, viz.:

QUANTITY ACCOMPLISHED %
ITEM DESCRIPTION PROGRAMMED UNITS
THIS WEEK TOTAL TO DATE ACCOMPLISHMENT

A.1.1(3) Construction of Field Office for the Engineers 1.00 ls 1.00 1.00 0.78
B.4(8) Permanent monuments and markers 2.00 each
100(1) Clearing and Grubbing 0.36 ha 0.20 0.20 0.33
102(2) Surplus Common Excavation 395.06 m³ 83.17 83.17 0.38
104(1)a Embankment from Roadway Excavation (Common Soil) 406.35 m³
105(1)a Sub Grade Preparation 3,612.00 m²

200(1) Aggregate Sub Base Course 1,128.75 m³

311(1)c1 PCCP Pavement (Unreinforced) 230 mm, 14 days 2,257.50 m³
B.5 Project Billboard / Sign Board 2.00 each 2.00 2.00 0.15
B.7 Occupation Safety and Health Program 3.13 months 0.10 0.10 0.04
B.8 Traffic Management 3.13 months 0.10 0.10 0.03
B.9 Mobilization/Demobilization 1.00 ls 0.50 0.50 0.62

MARK JOHN B. MALIBONG GENO S. VITO

Materials Engineer -DPWH Project Engineer -DPWH
SUBMITTED BY: NOTED:
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
NORMITA A. NOBLE Negros Occidental 1st District Engineering Office
Engineer III Matab-ang, Talisay City, Negros Occidental

CERTIFICATE OF QUALITY CONTROL ASSURANCE

PROJECT Concreting of Brgy. Nanca - Brgy. Alcaygan FMR, EB Magalona, Negros Occidental (18GK0146)
CONTRACTOR TSD Builders Construction and Supply DATE: June 23, 2018
We hereby certify that we have conducted an inspection and verification on work accomplished on the
aforementioned project for the period June 16 - 22, 2018 ; We further certify that we have found out that the quality
of materials in the following items of work corresponding to the quantity accomplished conforms with the approved
POW Standard Specifications and Special provisions of the contract, viz.:

QUANTITY ACCOMPLISHED %
ITEM DESCRIPTION PROGRAMMED UNITS
THIS WEEK TOTAL TO DATE ACCOMPLISHMENT

A.1.1(3) Construction of Field Office for the Engineers 1.00 ls 1.00 0.78
B.4(8) Permanent monuments and markers 2.00 each
100(1) Clearing and Grubbing 0.36 ha 0.16 0.36 0.60
102(2) Surplus Common Excavation 395.06 m³ 145.55 228.72 1.04
104(1)a Embankment from Roadway Excavation (Common Soil) 406.35 m³ 129.29 129.29 0.55
105(1)a Sub Grade Preparation 3,612.00 m²

200(1) Aggregate Sub Base Course 1,128.75 m³

311(1)c1 PCCP Pavement (Unreinforced) 230 mm, 14 days 2,257.50 m³
B.5 Project Billboard / Sign Board 2.00 each 2.00 0.15
B.7 Occupation Safety and Health Program 3.13 months 0.18 0.28 0.11
B.8 Traffic Management 3.13 months 0.18 0.28 0.09
B.9 Mobilization/Demobilization 1.00 ls 0.50 0.62

MARK JOHN B. MALIBONG GENO S. VITO

Materials Engineer -DPWH Project Engineer -DPWH
SUBMITTED BY: NOTED:
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
NORMITA A. NOBLE Negros Occidental 1st District Engineering Office
Engineer III Matab-ang, Talisay City, Negros Occidental

CERTIFICATE OF QUALITY CONTROL ASSURANCE

PROJECT Concreting of Brgy. Nanca - Brgy. Alcaygan FMR, EB Magalona, Negros Occidental (18GK0146)
CONTRACTOR TSD Builders Construction and Supply DATE: July 01, 2018
We hereby certify that we have conducted an inspection and verification on work accomplished on the
aforementioned project for the period June 23 - 30, 2018 ; We further certify that we have found out that the quality
of materials in the following items of work corresponding to the quantity accomplished conforms with the approved
POW Standard Specifications and Special provisions of the contract, viz.:

QUANTITY ACCOMPLISHED %
ITEM DESCRIPTION PROGRAMMED UNITS
THIS WEEK TOTAL TO DATE ACCOMPLISHMENT

A.1.1(3) Construction of Field Office for the Engineers 1.00 ls 1.00 0.78
B.4(8) Permanent monuments and markers 2.00 each
100(1) Clearing and Grubbing 0.36 ha 0.36 0.60
102(2) Surplus Common Excavation 395.06 m³ 166.34 395.06 1.80
104(1)a Embankment from Roadway Excavation (Common Soil) 406.35 m³ 147.76 277.05 1.19
105(1)a Sub Grade Preparation 3,612.00 m² 1,111.38 1,111.38 0.28
200(1) Aggregate Sub Base Course 1,128.75 m³
311(1)c1 PCCP Pavement (Unreinforced) 230 mm, 14 days 2,257.50 m³
B.5 Project Billboard / Sign Board 2.00 each 2.00 0.15
B.7 Occupation Safety and Health Program 3.13 months 0.20 0.48 0.19
B.8 Traffic Management 3.13 months 0.20 0.48 0.15
B.9 Mobilization/Demobilization 1.00 ls 0.50 0.62

MARK JOHN B. MALIBONG GENO S. VITO

Materials Engineer -DPWH Project Engineer -DPWH
SUBMITTED BY: NOTED:
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
NORMITA A. NOBLE Negros Occidental 1st District Engineering Office
Engineer III Matab-ang, Talisay City, Negros Occidental

CERTIFICATE OF QUALITY CONTROL ASSURANCE

PROJECT Concreting of Brgy. Nanca - Brgy. Alcaygan FMR, EB Magalona, Negros Occidental (18GK0146)
CONTRACTOR TSD Builders Construction and Supply DATE: July 08, 2018
We hereby certify that we have conducted an inspection and verification on work accomplished on the
aforementioned project for the period July 01 - 07, 2018 ; We further certify that we have found out that the quality
of materials in the following items of work corresponding to the quantity accomplished conforms with the approved
POW Standard Specifications and Special provisions of the contract, viz.:

QUANTITY ACCOMPLISHED %
ITEM DESCRIPTION PROGRAMMED UNITS
THIS WEEK TOTAL TO DATE ACCOMPLISHMENT

A.1.1(3) Construction of Field Office for the Engineers 1.00 ls 1.00 0.78
B.4(8) Permanent monuments and markers 2.00 each
100(1) Clearing and Grubbing 0.36 ha 0.36 0.60
102(2) Surplus Common Excavation 395.06 m³ 395.06 1.80
104(1)a Embankment from Roadway Excavation (Common Soil) 406.35 m³ 129.30 406.35 1.74
105(1)a Sub Grade Preparation 3,612.00 m² 972.46 2,083.84 0.52
200(1) Aggregate Sub Base Course 1,128.75 m³ 104.46 104.46 3.34
311(1)c1 PCCP Pavement (Unreinforced) 230 mm, 14 days 2,257.50 m³
B.5 Project Billboard / Sign Board 2.00 each 2.00 0.15
B.7 Occupation Safety and Health Program 3.13 months 0.18 0.66 0.26
B.8 Traffic Management 3.13 months 0.18 0.66 0.21
B.9 Mobilization/Demobilization 1.00 ls 0.50 0.62

MARK JOHN B. MALIBONG GENO S. VITO

Materials Engineer -DPWH Project Engineer -DPWH
SUBMITTED BY: NOTED:
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
NORMITA A. NOBLE Negros Occidental 1st District Engineering Office
Engineer III Matab-ang, Talisay City, Negros Occidental

CERTIFICATE OF QUALITY CONTROL ASSURANCE

PROJECT Concreting of Brgy. Nanca - Brgy. Alcaygan FMR, EB Magalona, Negros Occidental (18GK0146)
CONTRACTOR TSD Builders Construction and Supply DATE: July 16, 2018
We hereby certify that we have conducted an inspection and verification on work accomplished on the
aforementioned project for the period July 08 - 15, 2018 ; We further certify that we have found out that the quality
of materials in the following items of work corresponding to the quantity accomplished conforms with the approved
POW Standard Specifications and Special provisions of the contract, viz.:

QUANTITY ACCOMPLISHED %
ITEM DESCRIPTION PROGRAMMED UNITS
THIS WEEK TOTAL TO DATE ACCOMPLISHMENT

A.1.1(3) Construction of Field Office for the Engineers 1.00 ls 1.00 0.78
B.4(8) Permanent monuments and markers 2.00 each
100(1) Clearing and Grubbing 0.36 ha 0.36 0.60
102(2) Surplus Common Excavation 395.06 m³ 395.06 1.80
104(1)a Embankment from Roadway Excavation (Common Soil) 406.35 m³ 406.35 1.74
105(1)a Sub Grade Preparation 3,612.00 m² 1,111.38 3,195.22 0.80
200(1) Aggregate Sub Base Course 1,128.75 m³ 119.38 223.84 7.15
311(1)c1 PCCP Pavement (Unreinforced) 230 mm, 14 days 2,257.50 m³ 382.50 382.50 9.15
B.5 Project Billboard / Sign Board 2.00 each 2.00 0.15
B.7 Occupation Safety and Health Program 3.13 months 0.20 0.86 0.34
B.8 Traffic Management 3.13 months 0.20 0.86 0.28
B.9 Mobilization/Demobilization 1.00 ls 0.50 0.62

MARK JOHN B. MALIBONG GENO S. VITO

Materials Engineer -DPWH Project Engineer -DPWH
SUBMITTED BY: NOTED:
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
NORMITA A. NOBLE Negros Occidental 1st District Engineering Office
Engineer III Matab-ang, Talisay City, Negros Occidental

CERTIFICATE OF QUALITY CONTROL ASSURANCE

PROJECT Concreting of Brgy. Nanca - Brgy. Alcaygan FMR, EB Magalona, Negros Occidental (18GK0146)
CONTRACTOR TSD Builders Construction and Supply DATE: July 23, 2018
We hereby certify that we have conducted an inspection and verification on work accomplished on the
aforementioned project for the period July 16 - 22, 2018 ; We further certify that we have found out that the quality
of materials in the following items of work corresponding to the quantity accomplished conforms with the approved
POW Standard Specifications and Special provisions of the contract, viz.:

QUANTITY ACCOMPLISHED %
ITEM DESCRIPTION PROGRAMMED UNITS
THIS WEEK TOTAL TO DATE ACCOMPLISHMENT

A.1.1(3) Construction of Field Office for the Engineers 1.00 ls 1.00 0.78
B.4(8) Permanent monuments and markers 2.00 each
100(1) Clearing and Grubbing 0.36 ha 0.36 0.60
102(2) Surplus Common Excavation 395.06 m³ 395.06 1.80
104(1)a Embankment from Roadway Excavation (Common Soil) 406.35 m³ 406.35 1.74
105(1)a Sub Grade Preparation 3,612.00 m² 416.78 3,612.00 0.91
200(1) Aggregate Sub Base Course 1,128.75 m³ 104.46 328.30 10.49
311(1)c1 PCCP Pavement (Unreinforced) 230 mm, 14 days 2,257.50 m³ 393.75 776.25 18.57
B.5 Project Billboard / Sign Board 2.00 each 2.00 0.15
B.7 Occupation Safety and Health Program 3.13 months 0.18 1.04 0.41
B.8 Traffic Management 3.13 months 0.18 1.04 0.34
B.9 Mobilization/Demobilization 1.00 ls 0.50 0.62

MARK JOHN B. MALIBONG GENO S. VITO

Materials Engineer -DPWH Project Engineer -DPWH
SUBMITTED BY: NOTED:
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
NORMITA A. NOBLE Negros Occidental 1st District Engineering Office
Engineer III Matab-ang, Talisay City, Negros Occidental

CERTIFICATE OF QUALITY CONTROL ASSURANCE

PROJECT Concreting of Brgy. Nanca - Brgy. Alcaygan FMR, EB Magalona, Negros Occidental (18GK0146)
CONTRACTOR TSD Builders Construction and Supply DATE: August 01, 2018
We hereby certify that we have conducted an inspection and verification on work accomplished on the
aforementioned project for the period July 23 - 31, 2018 ; We further certify that we have found out that the quality
of materials in the following items of work corresponding to the quantity accomplished conforms with the approved
POW Standard Specifications and Special provisions of the contract, viz.:

QUANTITY ACCOMPLISHED %
ITEM DESCRIPTION PROGRAMMED UNITS
THIS WEEK TOTAL TO DATE ACCOMPLISHMENT

A.1.1(3) Construction of Field Office for the Engineers 1.00 ls 1.00 0.78
B.4(8) Permanent monuments and markers 2.00 each
100(1) Clearing and Grubbing 0.36 ha 0.36 0.60
102(2) Surplus Common Excavation 395.06 m³ 395.06 1.80
104(1)a Embankment from Roadway Excavation (Common Soil) 406.35 m³ 406.35 1.74
105(1)a Sub Grade Preparation 3,612.00 m² 3,612.00 0.91
200(1) Aggregate Sub Base Course 1,128.75 m³ 60.00 388.30 12.41
311(1)c1 PCCP Pavement (Unreinforced) 230 mm, 14 days 2,257.50 m³ 352.50 1,128.75 27.00
B.5 Project Billboard / Sign Board 2.00 each 2.00 0.15
B.7 Occupation Safety and Health Program 3.13 months 0.09 1.13 0.44
B.8 Traffic Management 3.13 months 0.09 1.13 0.36
B.9 Mobilization/Demobilization 1.00 ls 0.50 0.62

MARK JOHN B. MALIBONG GENO S. VITO

Materials Engineer -DPWH Project Engineer -DPWH
SUBMITTED BY: NOTED:
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
NORMITA A. NOBLE Negros Occidental 1st District Engineering Office
Engineer III Matab-ang, Talisay City, Negros Occidental

CERTIFICATE OF QUALITY CONTROL ASSURANCE

PROJECT Concreting of Brgy. Nanca - Brgy. Alcaygan FMR, EB Magalona, Negros Occidental (18GK0146)
CONTRACTOR TSD Builders Construction and Supply DATE: August 08, 2018
We hereby certify that we have conducted an inspection and verification on work accomplished on the
aforementioned project for the period August 01 - 07, 2018 ; We further certify that we have found out that the
quality of materials in the following items of work corresponding to the quantity accomplished conforms with the
approved POW Standard Specifications and Special provisions of the contract, viz.:

QUANTITY ACCOMPLISHED %
ITEM DESCRIPTION PROGRAMMED UNITS
THIS WEEK TOTAL TO DATE ACCOMPLISHMENT

A.1.1(3) Construction of Field Office for the Engineers 1.00 ls 1.00 0.78
B.4(8) Permanent monuments and markers 2.00 each
100(1) Clearing and Grubbing 0.36 ha 0.36 0.60
102(2) Surplus Common Excavation 395.06 m³ 395.06 1.80
104(1)a Embankment from Roadway Excavation (Common Soil) 406.35 m³ 406.35 1.74
105(1)a Sub Grade Preparation 3,612.00 m² 3,612.00 0.91
200(1) Aggregate Sub Base Course 1,128.75 m³ 117.53 505.83 16.16
311(1)c1 PCCP Pavement (Unreinforced) 230 mm, 14 days 2,257.50 m³ 292.50 1,421.25 34.00
B.5 Project Billboard / Sign Board 2.00 each 2.00 0.15
B.7 Occupation Safety and Health Program 3.13 months 0.25 1.38 0.54
B.8 Traffic Management 3.13 months 0.25 1.38 0.45
B.9 Mobilization/Demobilization 1.00 ls 0.50 0.62

MARK JOHN B. MALIBONG GENO S. VITO

Materials Engineer -DPWH Project Engineer -DPWH
SUBMITTED BY: NOTED:
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
NORMITA A. NOBLE Negros Occidental 1st District Engineering Office
Engineer III Matab-ang, Talisay City, Negros Occidental

CERTIFICATE OF QUALITY CONTROL ASSURANCE

PROJECT Concreting of Brgy. Nanca - Brgy. Alcaygan FMR, EB Magalona, Negros Occidental (18GK0146)
CONTRACTOR TSD Builders Construction and Supply DATE: August 16, 2018
We hereby certify that we have conducted an inspection and verification on work accomplished on the
aforementioned project for the period August 08 - 15, 2018 ; We further certify that we have found out that the
quality of materials in the following items of work corresponding to the quantity accomplished conforms with the
approved POW Standard Specifications and Special provisions of the contract, viz.:

QUANTITY ACCOMPLISHED %
ITEM DESCRIPTION PROGRAMMED UNITS
THIS WEEK TOTAL TO DATE ACCOMPLISHMENT

A.1.1(3) Construction of Field Office for the Engineers 1.00 ls 1.00 0.78
B.4(8) Permanent monuments and markers 2.00 each
100(1) Clearing and Grubbing 0.36 ha 0.36 0.60
102(2) Surplus Common Excavation 395.06 m³ 395.06 1.80
104(1)a Embankment from Roadway Excavation (Common Soil) 406.35 m³ 406.35 1.74
105(1)a Sub Grade Preparation 3,612.00 m² 3,612.00 0.91
200(1) Aggregate Sub Base Course 1,128.75 m³ 134.32 640.15 20.46
311(1)c1 PCCP Pavement (Unreinforced) 230 mm, 14 days 2,257.50 m³ 270.00 1,691.25 40.46
B.5 Project Billboard / Sign Board 2.00 each 2.00 0.15
B.7 Occupation Safety and Health Program 3.13 months 0.25 1.63 0.64
B.8 Traffic Management 3.13 months 0.25 1.63 0.53
B.9 Mobilization/Demobilization 1.00 ls 0.50 0.62

MARK JOHN B. MALIBONG GENO S. VITO

Materials Engineer -DPWH Project Engineer -DPWH
SUBMITTED BY: NOTED:
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
NORMITA A. NOBLE Negros Occidental 1st District Engineering Office
Engineer III Matab-ang, Talisay City, Negros Occidental

CERTIFICATE OF QUALITY CONTROL ASSURANCE

PROJECT Concreting of Brgy. Nanca - Brgy. Alcaygan FMR, EB Magalona, Negros Occidental (18GK0146)
CONTRACTOR TSD Builders Construction and Supply DATE: August 23, 2018
We hereby certify that we have conducted an inspection and verification on work accomplished on the
aforementioned project for the period August 16 - 22, 2018 ; We further certify that we have found out that the
quality of materials in the following items of work corresponding to the quantity accomplished conforms with the
approved POW Standard Specifications and Special provisions of the contract, viz.:

QUANTITY ACCOMPLISHED %
ITEM DESCRIPTION PROGRAMMED UNITS
THIS WEEK TOTAL TO DATE ACCOMPLISHMENT

A.1.1(3) Construction of Field Office for the Engineers 1.00 ls 1.00 0.78
B.4(8) Permanent monuments and markers 2.00 each
100(1) Clearing and Grubbing 0.36 ha 0.36 0.60
102(2) Surplus Common Excavation 395.06 m³ 395.06 1.80
104(1)a Embankment from Roadway Excavation (Common Soil) 406.35 m³ 406.35 1.74
105(1)a Sub Grade Preparation 3,612.00 m² 3,612.00 0.91
200(1) Aggregate Sub Base Course 1,128.75 m³ 117.53 757.68 24.21
311(1)c1 PCCP Pavement (Unreinforced) 230 mm, 14 days 2,257.50 m³ 281.25 1,972.50 47.18
B.5 Project Billboard / Sign Board 2.00 each 2.00 0.15
B.7 Occupation Safety and Health Program 3.13 months 0.25 1.88 0.73
B.8 Traffic Management 3.13 months 0.25 1.88 0.61
B.9 Mobilization/Demobilization 1.00 ls 0.50 0.62

MARK JOHN B. MALIBONG GENO S. VITO

Materials Engineer -DPWH Project Engineer -DPWH
SUBMITTED BY: NOTED:
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
NORMITA A. NOBLE Negros Occidental 1st District Engineering Office
Engineer III Matab-ang, Talisay City, Negros Occidental

CERTIFICATE OF QUALITY CONTROL ASSURANCE

PROJECT Concreting of Brgy. Nanca - Brgy. Alcaygan FMR, EB Magalona, Negros Occidental (18GK0146)
CONTRACTOR TSD Builders Construction and Supply DATE: Sept. 01, 2018
We hereby certify that we have conducted an inspection and verification on work accomplished on the
aforementioned project for the period August 23 - 31, 2018 ; We further certify that we have found out that the
quality of materials in the following items of work corresponding to the quantity accomplished conforms with the
approved POW Standard Specifications and Special provisions of the contract, viz.:

QUANTITY ACCOMPLISHED %
ITEM DESCRIPTION PROGRAMMED UNITS
THIS WEEK TOTAL TO DATE ACCOMPLISHMENT

A.1.1(3) Construction of Field Office for the Engineers 1.00 ls 1.00 0.78
B.4(8) Permanent monuments and markers 2.00 each
100(1) Clearing and Grubbing 0.36 ha 0.36 0.60
102(2) Surplus Common Excavation 395.06 m³ 395.06 1.80
104(1)a Embankment from Roadway Excavation (Common Soil) 406.35 m³ 406.35 1.74
105(1)a Sub Grade Preparation 3,612.00 m² 3,612.00 0.91
200(1) Aggregate Sub Base Course 1,128.75 m³ 100.74 858.42 27.43
311(1)c1 PCCP Pavement (Unreinforced) 230 mm, 14 days 2,257.50 m³ 285.00 2,257.50 54.00
B.5 Project Billboard / Sign Board 2.00 each 2.00 0.15
B.7 Occupation Safety and Health Program 3.13 months 0.25 2.13 0.83
B.8 Traffic Management 3.13 months 0.25 2.13 0.69
B.9 Mobilization/Demobilization 1.00 ls 0.50 0.62

MARK JOHN B. MALIBONG GENO S. VITO

Materials Engineer -DPWH Project Engineer -DPWH
SUBMITTED BY: NOTED:
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
NORMITA A. NOBLE Negros Occidental 1st District Engineering Office
Engineer III Matab-ang, Talisay City, Negros Occidental

CERTIFICATE OF QUALITY CONTROL ASSURANCE

PROJECT Concreting of Brgy. Nanca - Brgy. Alcaygan FMR, EB Magalona, Negros Occidental (18GK0146)
CONTRACTOR TSD Builders Construction and Supply DATE: Sept. 08, 2018
We hereby certify that we have conducted an inspection and verification on work accomplished on the
aforementioned project for the period September 01 - 07, 2018 ; We further certify that we have found out that the
quality of materials in the following items of work corresponding to the quantity accomplished conforms with the
approved POW Standard Specifications and Special provisions of the contract, viz.:

QUANTITY ACCOMPLISHED %
ITEM DESCRIPTION PROGRAMMED UNITS
THIS WEEK TOTAL TO DATE ACCOMPLISHMENT

A.1.1(3) Construction of Field Office for the Engineers 1.00 ls 1.00 0.78
B.4(8) Permanent monuments and markers 2.00 each
100(1) Clearing and Grubbing 0.36 ha 0.36 0.60
102(2) Surplus Common Excavation 395.06 m³ 395.06 1.80
104(1)a Embankment from Roadway Excavation (Common Soil) 406.35 m³ 406.35 1.74
105(1)a Sub Grade Preparation 3,612.00 m² 3,612.00 0.91
200(1) Aggregate Sub Base Course 1,128.75 m³ 270.33 1,128.75 36.07
311(1)c1 PCCP Pavement (Unreinforced) 230 mm, 14 days 2,257.50 m³ 2,257.50 54.00
B.5 Project Billboard / Sign Board 2.00 each 2.00 0.15
B.7 Occupation Safety and Health Program 3.13 months 0.50 2.63 1.03
B.8 Traffic Management 3.13 months 0.50 2.63 0.85
B.9 Mobilization/Demobilization 1.00 ls 0.50 0.62

MARK JOHN B. MALIBONG GENO S. VITO

Materials Engineer -DPWH Project Engineer -DPWH
SUBMITTED BY: NOTED:
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
NORMITA A. NOBLE Negros Occidental 1st District Engineering Office
Engineer III Matab-ang, Talisay City, Negros Occidental

CERTIFICATE OF QUALITY CONTROL ASSURANCE

PROJECT Concreting of Brgy. Nanca - Brgy. Alcaygan FMR, EB Magalona, Negros Occidental (18GK0146)
CONTRACTOR TSD Builders Construction and Supply DATE: Sept. 13, 2018
We hereby certify that we have conducted an inspection and verification on work accomplished on the
aforementioned project for the period September 08 - 13, 2018 ; We further certify that we have found out that the
quality of materials in the following items of work corresponding to the quantity accomplished conforms with the
approved POW Standard Specifications and Special provisions of the contract, viz.:

QUANTITY ACCOMPLISHED %
ITEM DESCRIPTION PROGRAMMED UNITS
THIS WEEK TOTAL TO DATE ACCOMPLISHMENT

A.1.1(3) Construction of Field Office for the Engineers 1.00 ls 1.00 0.78
B.4(8) Permanent monuments and markers 2.00 each 2.00 2.00 0.49
100(1) Clearing and Grubbing 0.36 ha 0.36 0.60
102(2) Surplus Common Excavation 395.06 m³ 395.06 1.80
104(1)a Embankment from Roadway Excavation (Common Soil) 406.35 m³ 406.35 1.74
105(1)a Sub Grade Preparation 3,612.00 m² 3,612.00 0.91
200(1) Aggregate Sub Base Course 1,128.75 m³ 1,128.75 36.07
311(1)c1 PCCP Pavement (Unreinforced) 230 mm, 14 days 2,257.50 m³ 2,257.50 54.00
B.5 Project Billboard / Sign Board 2.00 each 2.00 0.15
B.7 Occupation Safety and Health Program 3.13 months 0.50 3.13 1.22
B.8 Traffic Management 3.13 months 0.50 3.13 1.01
B.9 Mobilization/Demobilization 1.00 ls 0.50 1.00 1.23

MARK JOHN B. MALIBONG GENO S. VITO

Materials Engineer -DPWH Project Engineer -DPWH
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
Negros Occidental 1st District Engineering Office
Matab-ang, Talisay City, Negros Occidental

BILL NO. :
DATE :
TSD BUILDERS CONSTRUCTION AND SUPPLY
(Name of Contractor/Supplier)
BACOLOD CITY
(Address)

NO. OF TEST TEST DESCRIPTION TESTING FEE/TEST TOTAL AMOUNT

1 Abrasion Loss Test P 500 P 500.00
12 Flexural Test 140 1,680.00

Note:

Concreting of Brgy. Nanca - Brgy. Alcaygan FMR,

EB Magalona, Negros Occidental (18GK0146)

PAY THIS AMOUNT P 2,180.00

I hereby certify that this bill represents a just claim for services rendered and/or supplies and materials furnished,
payment for which have not been received.

ARNEL P. TORREFRANCA
Engineer III

APPROVED:

JAIME SJ. JAVELLANA

District Engineer
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
Negros Occidental 1st District Engineering Office
Matab-ang, Talisay City, Negros Occidental

BILL NO. : 1018-57

DATE : 10-25-2018
TSD BUILDERS CONSTRUCTION AND SUPPLY
(Name of Contractor/Supplier)
BACOLOD CITY
(Address)

NO. OF TEST TEST DESCRIPTION TESTING FEE/TEST TOTAL AMOUNT

9 Flexural Test 140 P 1,260.00

Note:

Concreting of Brgy. Nanca - Brgy. Alcaygan FMR,

EB Magalona, Negros Occidental (18GK0146)

PAY THIS AMOUNT P 1,260.00

I hereby certify that this bill represents a just claim for services rendered and/or supplies and materials furnished,
payment for which have not been received.

ARNEL P. TORREFRANCA
Engineer III

APPROVED:

JAIME SJ. JAVELLANA

District Engineer
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
QUALITY ASSURANCE SECTION
Negros Occidental 1st District Engineering Office
Matab-ang, Talisay City, Negros Occidental

BILL NO. : 0119-12

DATE : 01-15-2019
TSD BUILDERS CONSTRUCTION AND SUPPLY
(Name of Contractor/Supplier)
BACOLOD CITY
(Address)

NO. OF TEST TEST DESCRIPTION TESTING FEE/TEST TOTAL AMOUNT

9 Flexural Test 140 P 1,260.00

Note:

Concreting of Brgy. Nanca - Brgy. Alcaygan FMR,

EB Magalona, Negros Occidental (18GK0146)

PAY THIS AMOUNT P 1,260.00

I hereby certify that this bill represents a just claim for services rendered and/or supplies and materials furnished,
payment for which have not been received.

ARNEL P. TORREFRANCA
Engineer III

APPROVED:

JAIME SJ. JAVELLANA

District Engineer
SUBMITTED BY: NOTED:
Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
NORMITA A. NOBLE QUALITY ASSURANCE SECTION
Engineer III Negros Occidental 1st District Engineering Office
Matab-ang, Talisay City, Negros Occidental

INSPECTION REPORT

Name of Project : Rehabilitation/Major Repair of Matigay Bridge (B00144NR) along Bacolod North Road Silay City, Neg. Occ. (16RO0020)

QUANTITY
ITEM NO. DESCRIPTION REMARKS
PLANNED ACTUAL

B.5 Project Billboard/Sign Board 3.00 each 3.00 each

B.7 Occupation Safety and Health Program 2.67 months 2.67 months
The indicated item of works
have been accomplished in
B.8 Traffic Management 2.67 months 2.67 months accordance with the plans,
specifications and program of
works.
B.9 Mobilization and Demobilization 1.00 ls 1.00 ls

506(1) Stone Masonry 38.00 m³ 38.00 m³

INSPECTED BY:

MELECIO B. PACETE JR.

Project Engineer-DPWH Neg. Occ. 1st Eng'g. Dist.

SUBMITTED BY: NOTED:

NORMITA A. NOBLE EMMANUEL

JOSUE B. CENA
A. ABAYGAR
Engineer III Engineer
Engineer
II III