checklist and forms

7/29/2019 Checklist and Forms

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CHECKLIST AND FORMS


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CyberparkHoldings Inc. Contract Reference Number CP FGH-LHR-WWR 11-2012Makati City, Philipines Proposed Construction of Fleurdelis Green Heights, Liberty Hills

Residences and Resorts, White Wave Resorts and North Mindanao Power

The Eligibility Documents shall contain the following:

CLASS A DOCUMENTS

Valid Philippine Contractors Accreditation Board (PCAB) license and registration for the

type and cost of the contract for this Project; (CF-CONST-09) or its equivalent in / from the

Contractor country of origin

Registration certificate from the Securities and Exchange Commission (SEC), Department of

Trade and Industry (DTI) for sole proprietorship, or Cooperative Development Authority(CDA) for cooperatives; (CF-CONST-10) or its equivalent in / from the Contractor country

of origin

Mayors permit issued by the city or municipality where the principal place of business of the

prospective bidder is located; (CF-CONST-11) or the equivalent business permit issued in /

from the Contractor country of origin

Duly signed statement of all Ongoing Private Construction Contracts & GovernmentConstruction Contracts including contracts awarded but not yet started. (CF-CONST-15)

Supported with the following:

1. Notice of Award and/or Contract;

2. Notice to Proceed issued by the Owner; and

3. Statement of Time Elapsed duly signed by the Owner or Project Engineer of the

owner (CF-INFR-1)


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CLASS B DOCUMENTS

Valid Joint Venture Agreement (JVA) or, in lieu thereof, duly notarized statements from all

the potential joint venture partners stating that they will enter into and abide by theprovisions of the JVA in the instance that the bid is successful shall be included in the bid;

(CF-CONST-22)

The Technical Component shall contain the following:

Bid Security in the form of the following:

1. a bank draft/guarantee or an irrevocable letter of credit issued by a foreign bank, it

shall be accompanied by a confirmation from a Universal or Commercial Bank; or

(CF-CONST-36)

2. a surety bond accompanied by a certification coming from an authorized Insurance

Commission that a surety or insurance company is authorized to issue such

instrument; (CF-CONST-37 or CF-CONST-37)

Duly signed construction schedule and S-curve with PERT/CPM; (CF-CONST-41)

Duly Signed Manpower Schedule; (CF-CONST-42)

Duly Signed Construction Methods in narrative form; (CF-CONST-43)

Duly Signed Contract Organizational Chart; (CF-CONST-44)



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1. Proof of ownership (O.R/C.R/Deed of absolute sale) for owned equipment;

2. Certificate of availability of lease equipment (for leased equipment); (PRO-

FORMA ATTACHED) and

3. Lease contract agreement as well as the proof of ownership of the lessor

((O.R/C.R/Deed of absolute sale - for leased equipment);

Equipment utilization schedule; (CF-CONST-50)

Affidavit of Site Inspection; (CF-CONST-51)

Construction safety and health program duly signed by the Safety Officer and the Owner of

the company;

Omnibus Sworn Statement (PRO-FORMA ATTACHED)

The Financial Component shall contain the following:

Duly Signed Bid Form; (PRO-FORMA ATTACHED)

Bill of Quantities; (CF-CONST-55)

Duly Signed Detailed Estimates including a summary sheet indicating the unit prices ofconstruction materials, labor rates and equipment rentals used in coming up with the bid; and

Duly Signed Cash Flow by Quarter and Payments Schedule. (CF-CONST-56)


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Standard Form Number: CF-CONST-09Error ! Re fe rence source no t foun d.Er ro r ! Re fe rence sour ce no tfo u n d .Er r o r ! R efe r e n c e s o u r ce n o t fo u n d .

Revised on: September 30, 2012

Republic of the PhilippinesDepartment of Trade and Industry

CONSTRUCTI ON I NDUSTRY AUTHORI TY OF THE PHI LI PPI NES

PHILIPPINE CONTRACTORS ACCREDITATION BOARDMakati City, Metro Manila

CONTRA CTORS LI CENSE

This certifies that CONTRACTORS PARTI CULARSAuthorized Managing Officer (name and signature) NOT VALID

w/oSIGNATURE

Sole Proprietorship/Partnership/Corporation Head Officer Location (Region)

Taxpayer Identification Number (TIN)

LI CENSE PARTI CULARSLicense First Issue Date and Number

No.

having complied with all the requirements for Validity Period of this License/Renewal

tolicensure in accordance with Republic ActNo. 4566, as amended, and its

implementing rules and regulations, is

hereby authorized to engage in the

construction contracting business in the

Philippines, subject to limitations oflicense validity period, classification andcategory as prescribed under License

Particulars in the box to the right hereof

and to the terms and conditions annotated

at the back hereof.

Principal Classification and Category

Other Classification/s

This f the ce tifies that said licensee s bject REGI STRATI ON PARTI CULARS


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Standard Form Number: CF-CONST-10Revised on: May 11, 2004

NO . ___ ____ _

Repub l i c o f the Ph i l i pp ines

D ep a r t m e n t o f Tr a d e & I n d u s t r y

( REGI ON)

Cer t i f i ca te o f Reg is t r a t ion

OF

BUSI NESS NAME

THI S IS TO CERTIFY THAT

___________________________________________

as a business name, or firm or style was registered in this office on ________________________ by:

____________________________

which will expire on _________________, in accordance with the provisions of Act No. 3883 of thePhilippine Legislature approved on November 14, 1931 as amended by Act No. 4147, approvedNovember 28, 1934, and Republic Act No. 863, approved June 16, 1953, and in compliance with therules and regulations prescribed by the Department of Trade and Industry.

IN TESTIMONY WHEREOF, I have hereunto set my hand

caused the seal of the DEPARTMENT OF TRADE AND INDUSTRYto be affixed at ___________________, Philippines, this day of , in the year of our Lord,


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Standard Form Number: CF-CONST-11Revised on: September 30, 2012

Bi l ang ____ ___ __

Repub l i c o f the Ph i l i pp ines

Name of the City or Municipality

Address

Telephone and Fax Number s

Website Address

E-m ail Address

PAHI NTULOT SA PANGANGALAKAL

( BUSI NESS PERMI T)

MATALASTAS NG LAHAT:

(KNOW ALL MEN BY THESE PRESENTS:)

Na Si/Ang:(That:) _________________________(Name of Bidder)______________________________

na matatagpuan at may pahatirang sulat sa(with postal address at)

__ __ __ __ ___ __ __ ___ __ _____ __ __ (Addr ess of the Bidder)______ __ __ __ _____ __ __ __ ___ _

na itinatag ng may buong karapatan at umiiral sa ilalim ng mga batas ng(duly organized and existing under the laws of the)

Republika ng Pilipinas, ay pinagkakalooban ng pahintulot na mangangalakal bilang(Republic of the Philippines, is hereby granted the permit to operate as)

_____________________________________

ngayong ika - _______________________ ng _____________________(on this) (day of)


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SF - 8


L i st o f a ll P r i vat e and / o r Gove rnmen t Cons t ruc t i on Con t rac t s O ngoi ng i nc lud i ng con t rac t s aw arded bu t no t ye t s t a r t ed

Business Name : ___________________________________________________

Business Address : ___________________________________________________

Name of Contract/LocationProject Cost

a. Owner Nameb. Address

c. Telephone Nos.

Nature of Work

Contractors Role a. Date Awardedb. Date Started

c. Date of Completion

% of

Accomplishment Value ofOutstanding

WorksDescription

% Planned Actual

Private

Government

Note: This statement shall be supported with: Total Cost

1 Notice of Award and/or Contract

2 Notice to Proceed issued by the owner

3 Certificate of Accomplishments signed by the owner or Project Engineer of the owner

Submitted by : ___________________________________________________(Printed Name & Signature)

Designation : ___________________________________________________Date : ___________________________________________________


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CF-INFR-1

OWNER'S NAME

ADDRESS

TELEPHONE NO.

Name of On-going Project:

Location:

Original Contract Cost:

Revised Contract Cost:

STATEMENT OF TIME ELAPSED AND PERCENTAGE OF WORK

ACCOMPLISHED

AS OF _____, 20__

1. Original Contract Time (Calendar Days) :

2. Date of Effectivity of Contract :

3. Original Expiry Date :

4. Time Extension Allowed (Calendar Days) :

5. Revised Expiry Date After Extension :

6. Revised Contract Time (Calendar Days) :

7. Total Calendar Days Elapsed To Date :

8. No. of Days Work Suspended (covered bySuspension Order) :

9. Contract Time Elapsed To Date :

10 Expiry Date Due to Work Suspension :


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Residences and Resorts, White Wave Resorts and North Mindanao Powe

SF - 10


Statement o f a l l Comp le ted Governm ent & Pr iva te Const ru ct ion Cont r acts which are s imi la r in nature

Business Name : ___________________________________________________Business Address : ___________________________________________________

Name of Contract d. Owner Name

e. Addressf. Telephone Nos.

Nature of Work

Contractors Role d. Amount at Award

e. Amount at Completionf. Duration

a. Date Awarded

b. Contract Effectivityc. Date Completed

Description%

Private

Government

Note: This statement shall be supported with:

1 Contract

2 CPES rating sheets and/or Certificate of Completion

3 Certificate of Acceptance

Submitted by : ___________________________________________________

(Printed Name & Signature)Designation : ___________________________________________________Date : ___________________________________________________


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UPON COMPLETI ON RATI NG SHEET Date of ___ Visit /_/ / /

Item of Work/Description %Weight

Relative%

Weight

Workmanship[Max. 0.50]

Rate Relative Rate

Total

Su m m ary o f Ra t i ngs

Workmanship [Max. 0.50]

Time [Max. 0.50] .

RATI NG ( a)

Appropriate Weight for Kind of Project (b) .

( B) WEI GHTED RATI NG FOR UPON COMPLETI ON ( a x b) .

QUALI TATI VE DESCRI PTI ON


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Residences and Resorts, White Wave Resorts and North Mindanao Powe

SF - 12

CF-CONST-16A

EXPERIENCE RECORD ON SIMILARLY COMPLETED PROJECTS

List of similarly completed projects with a period of ten (10) years from the date of submission and receipt of bids with at least one (1) contract that

is similar to contract to be bid and whose value, adjusted to current price using the NSO consumer price indices, must be at least fifty percent(50%) of the ABC to be bid.

To be filled-up by the Contractor / Applicant

Major Operations of Work Unit of

Similar Major Operation of Works1]

Unit ofMeasure

QuantityTitle ofthe

Project

Title ofthe

Project

Title ofthe

Project

Title ofthe

ProjectMeasure Quantity

R.C. Pile Driving Works LM 120

Note: 1] Submit the Certificate of Completion/Certificate of Acceptance by the project owner. Final Recapitulation/Bill of Quantities end/or

Constructor Performance Evaluation System (CPES) rating, 1

st

, 2

nd

, & Final visit (If applicable). Projects with no Certificate ofCompletion/Acceptance and Recapitulation/Bill of Quantities shall not be considered.

_________________________ _______________________ _______________________Name of Firm/Applicant Authorized Signing Official Date


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FI NANCI AL DOCUMENTS FOR ELI GI BI LI TY CHECK

A. Summary of the Applicant Firms/Contractors assets and liabilities on the basis of the attachedincome tax return and audited financial statement, stamped RECEIVED by the Bureau ofInternal Revenue or BIR authorized collecting agent, for the immediately preceding year and acertified copy of Schedule of Fixed Assets particularly the list of construction equipment.

Year 20__

1. Total Assets2. Current Assets

3. Total Liabilities

4. Current Liabilities

5. Total Net Worth (1-3)

6. Current Net Worth or Net WorkingCapital (2-4)

B. The Net Financial Contracting Capacity (NFCC) based on the above data is computed asfollows:

NFCC = K (current asset current liabilities) minus value of all outstanding works under ongoingcontracts including awarded contracts yet to be started

NFCC = P _______________________________________

K = 10 for a contract duration of one year or less, 15 for more t han one year up t o two years and

20 for more t han two years

or

Commitment from a licensed bank to extend to it a credit line if awarded the contract or a cashdeposit certificate in the amount of at least 10% of the proposed project to bid.


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CREDI T LI NE CERTI FI CATE

Date:__________________

M r . So lo m o n P . B ot i ct i cPres iden t

Cybe rpa rkHo l d i ng s I nc .

M ak a t i Ci t y

CONTRACT NAME : ______________________________

COMPANY/FIRM :_______________________________ADDRESS :_______________________________

________________________________

BANK/FINANCING INSTITUTION :_______________________________ADDRESS :_______________________________

________________________________

AMOUNT :_______________________________

This is to certify that the above Bank/Financing Institution with business address indicated

above, commits to provide the Contractor, if awarded the above-mentioned Contract, a credit line inthe amount specified above which shall be exclusively used to finance the performance of the above-mentioned Contract, subject to our terms, conditions and requirements.


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The amount commit ted should be m achine validated.

ACKNOWLEDGMENT

SUBSCRIBED AND SWORN to before me this _____ day of _____________, 20___, affiantexhibited to me his/her Community Tax Certificate No. ______________ issued on_________________ at _____________________, Philippines.

Notary PublicUntil 31 December 20____

PTR No._______________Issued at:_______________Issued on:_______________TIN No. ________________

Doc. No. _______

Page No. _______Book No. _______Series of _______.


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SAMPLE CONTRACT OF SERVI CE

KNOW ALL MEN BY THESE PRESENTS:

That this CONTRACT OF SERVICE is entered into by and between: ___________, of legal age,__(civil status)__, _____(state rank / position) of _________________________ and a resident of________________________.

- and -

_______________________, of legal age, __(civil status)__, _____(state rank / position) of____________________ a resident of ____________________________________.

That both parties agree to engage the services, start up capital, manpower, equipment, and

other resources and efforts to enable the Construction / Installation of the Septage ManagementSystem/Facility of the Fleurdelis Green Heights Village and its amenities (My Fathers Place ShoppingMall and Pilgrims Condominium Hotel) in the Eligibility Check, Bidding and Undertaking of the

hereunder stated Contract of the Cybe rpa rkHo l d i ngs I nc ..

NAME OF PROJECT CONTRACT AMOUNT

[ P rop ose d Co ns t ruc t i on o f

Fleurde l i s Green He igh t s V i l l age

Km . 6 , Brgy . Baan

B ut u a n Ci t y ]

[ P rop ose d Co ns t ruc t i on o fW h i t e W ave Reso r t s

S i to Se tan , Brgy . Ca labuanan

Ba le r , Auror a Prov in ce ]


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FORM OF BI D SECURI TY ( BANK GUARANTEE)

WHEREAS, __(Name of Bidder)__ (hereinafter called the Bidder) has submitted his bid dated__(Date)__ for the __(Name of Contract) __(hereinafter called the Bid).

KNOW ALL MEN by these presents that We __(Name of Bank)__of __(Name of Country) __having ourregistered office at ________________________ (hereinafter called the Bank are bound unto__CyberparkHoldings Inc.__ (hereinafter called the Entity) in the sum of _______________ forwhich payment well and truly to be made to the said Entity the Bank binds himself, his successors andassigns by these presents.

SEALED with the Common Seal of the said Bank this _____ day of _________ 20___.

THE CONDITIONS of this obligation are that:

1) if the Bidder withdraws his Bid during the period of bid validity specified in the Form ofBid; or

2) if the Bidder does not accept the correction of arithmetical errors of his bid price inaccordance with the Instructions to Bidder; or

3) if the Bidder having been notified of the acceptance of his bid and award of contract tohim by the Entity during the period of bid validity:

a) fails or refuses to execute the Form of Contract in accordance with the Instructions to

Bidders, if required; or

b) fails or refuses to furnish the Performance Security in accordance with theInstructions to Bidders;


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BI D SECURI TY: SURETY BOND

BOND NO.: _______________________ DATE BOND EXECUTED: ___________________

By this bond, We __(Name of Bidder)__ (hereinafter called the Principal) as Principal and __(Nameof Surety)__ of the country of (Name of Country of Surety) , authorized to transact business in thecountry of __(Name of Country of Procuring Entity)__ (hereinafter called the Surety) are held andfirmly bound unto __(Name of Procuring Entity)__ (hereinafter called the Entity) as Obligee, in thesum of ______________________, Philippine currency, callable on demand by the Entity for thepayment of which sum, well and truly to be made, we, the said Principal and Surety bind ourselves,our successors and assigns, jointly and severally, firmly by these presents.

SEALED with our seals and dated this _____ day of ______________ 20 ________

WHEREAS, the Principal will submit a written Bid to the Entity on the __(Date)__ day of___(Month)___ 20 _Year_, for the _____(Name of Contract)____ (hereinafter called the Bid).

NOW, THEREFORE, the conditions of this obligation are that:

1) if the Principal withdraws his Bid during the period of bid validity specified in the Formof Bid; or

2) if the Principal does not accept the correction of arithmetical errors of his bid price inaccordance with the Instructions to Bidders: or

3) if the Principal having been notified of the acceptance of his Bid and award of contract


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PROVIDED HOWEVER, that the Surety shall not be:

a) liable for a greater sum than the specified penalty of this bond, nor

b) liable for a greater sum that the difference between the amount of the saidPrincipals Bid and the amount of the Bid that is accepted by the Entity.

This Surety executing this instrument hereby agrees that its obligation shall be valid for 120 calendardays after the deadline for submission of Bids as such deadline is stated in the Instructions to Biddersor as it may be extended by the Entity, notice of which extension(s) to the Surety is hereby waived.

PRINCIPAL ________________________ SURETY ______________________________

SIGNATURE(S) ____________________ SIGNATURES(S) _______________________

NAME(S) AND TITLE(S) _____________ NAME(S) _____________________________

SEAL ___________________________ SEAL ________________________________


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SF - 20


PERT / CPMConst ru ct ion Schedule and S-Curve

Contract : ___________________________________________________Location : ___________________________________________________

Item# Description Month 1 Month2 Month3 Month4 Month5 Month6 Month7 Month8 Month9 Month10 Month11 Month12

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4

Submitted by:

Name of the Representative of the Bidder Date: _____________________Position

Name of the Bidder


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SF - 21


MANPOWER UTILI ZATION SCHEDULE

CategoryMonth

1 2 3 4 5 6 7 8 9 10 11 12

Contractors Name: Name of the Procuring Entity: Contract Name:

Submitted by:

Name of the Representative of the Bidder Date: ________________Position

Name of the Bidder


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Philippine Ports Authority Contract Reference Number COP-SoMin 02-2012Port District Office Southern Mindanao Proposed Construction of Travellers Hub

Port of Zamboanga, Zamboanga City


OUTLI NE

NARRATI VE DESCRI PTI ON

OF

CONSTRUCTI ON METHODS

1 .0 I NTRODUCTI ON

Refer to Bidding, etc.

2 . 0 B RI EF D ESCRI P TI ON OF CON TRA CT W O RK S

State general features of contract works. Use tables as necessary.

3 . 0 CO NSTRU CTI O N M ETH OD S AN D P RO CED UR ES

3.1 Methodology or General Approach

State general approach in construction in terms of use of equipment-intensive orlabor-based methods, any special techniques, methods or procedures to ensurecompletion on time and quality of construction financing the project, etc.

3.2 Program of Work

CPM, Progress Bar Schedule and Development Schedules submitted.

3.3 Financial Program


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Cont rac to r s Organ iza t ion a l Char t fo r t he Cont rac t

Submit Copy of the Organizational Chart that the Contractor intends to use to execute the Contract ifawarded to him. Indicate in the chart the names of the Project Manager, Project Engineer, BridgeEngineer, Structural Engineer, Materials and Quality Control Engineer, Foreman and other KeyEngineering Personnel.

Attach the required Proposed Organizational Chart for the Contract as stated above


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Standard Form Number: CF-CONST-45

Revised on: September 30, 2012

Con t r a c to r s Le t te r -Ce r t i f i ca te t o P ro cu r i ng En t i t y

Date of I ssuance

M r . So lo m o n P . B ot i ct i c

Pres iden t


Makat i C i ty

Dear Sir / Madame:

Supplementing our Organizational Chart for the Contract, we have the honor to submit herewith, andto certify as true and correct, the following pertinent information:

1. That I/we have engaged the services of ___(Name of Employee)___, to be the___(Designation)___ of the ___(Name of Contract)___, who is a ___(Profession)___ withProfessional License Certificate No. _______ issued on ____________________ and who hasperformed the duties in the construction of the Contracts enumerated in the duly filled Form

___.

2. The said Engineer shall be designated by us as our (Designation) to personally perform theduties of the said position in the above-mentioned Project, if and when the same is awarded in


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6. That any willful violation on my/our part of the herein conditions may prejudice my/our

standing as a reliable contractor in future bidding of the Procuring Entity.

Very truly yours,

_______________________________

(Authorized Representative of Bidder)

CONCURRED IN:

_____________________________(Name of Engineer)

_____________________________(Address)


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Key Personne l s Cer t i f i ca te o f Em ploym ent

I ssuance Date

M r . So lo m o n P . B ot i ct i cPres iden t


Makat i C i ty

Dear Sir / Madame:

I am __ (Nam e of Nom inee) __ __ _ a Licensed _____ Engineer with Professional License No.

______________ issued on __(dat e of issuance)__ at __(place of issuance)__.

I hereby certify that ___(Name of Bidder) has engaged my services as (Designation) for(Name of t he Contract) , if awarded to it.

As ___ (Designa t ion) ___ , I supervised the following completed projects similar to the contractunder bidding):

NAME OF PROJECT OW NER COST DATE COMPLETED

___________________ ____________ ________ ___________________________________ ____________ ________ ________________


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As __(Designation)__, I know I will have to stay in the job site all the time to supervise andmanage the Contract works to the best of my ability, and aware that I am authorized to handle only

one (1) contract at a time.

I do not allow the use of my name for the purpose of enabling the above-mentionedContractor to qualify for the Contract without any firm commitment on my part to assume the post of__(Designation)__therefore, if the contract is awarded to him since I understand that to do so will bea sufficient ground for my disqualification as __(Designation)__ in any future __(Name of theProcuring Entity)__ bidding or employment with any Contractor doing business with the __(Name ofthe Procuring Entity)__.

_____________________________(Signature of Engineer)

DRY SEAL

Republic of the Philippines )____________________ ) S.S.

SUBSCRIBED AND SWORN TO before me this _________ day of _________ 20__ affiantexhibiting to me his Residence Certificate No. _________ issued on _____________ at_______________.

Notary PublicUntil December 31, 20___


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Standard Form Number: CF-CONST-18A-1Revised on: September 30, 2012

Sta tem en t o f Ava i l ab i l i t y o f Key Personne l

(Date of Issuance)


Pres iden t


Makat i C i ty

Attention : Mr. Luisito L. MoranteThe ChairmanBids and Awards Committee Engineering Project

Dear Sir / Madame:

In compliance with the requirements of the Cyb e rpa rkHo l d i ngs I n c . ( Ph i li pp i nes) for the biddingof the Proposed Cons t ruc t i o n o f [ FGH V i l la ge o f Bu tuan Ci t y / L i ber t y H i l l s Res i d ences andReso r t s o f Nasugbu , Ba tang as Pro v i n ce / W h i t e W ave Reso r t s o f Ba l er , Au ro ra P rov i nce ]

we certify that __(Name of the Bidder)__ has in its employ key personnel such as Project Manager,Project Engineer, Materials Engineer, Qualified/Certified Safety and Health Officer, and Foreman, whomay be engaged for the construction of the said contract.


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SF - 29

CF-CONST-18A-2-Personnel

MINIMUM REQUIRED APPLICANT FIRM'S KEY PERSONNEL PROPOSED TO BE ASSIGNED IN THE PROJECT

Project Manager Project Engineer Accredited DPWH Foreman Qual ified/Certifi ed Safety Other positi ons ( asMaterials Engineer and Health Personnel deemed necessary by the

applicant-firm for this project

1. Name

2. Address

3. Date of Bi rth

4. Citizenship

5. Civi l Status

6. Education

Elementary

Name and location of School

Year graduatedHigh School


Year graduated

College


Year graduated

Post-Graduate


Year graduated

Technical Seminars

( Use extra sheets, if necessary

7. PRC LICENSE No.

Notes: Minimum qualification requirement : Project Manager - Five (5) years, Project Engineer- Three (3) years

Materials Engineer - One (1) year, Foreman - Five (5) years

Name and Signature of Authorized Official

Date : ___________________________________


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KEY PERSONNEL

( FORMAT OF BI O-DATA)

Give the detailed information of the following personnel who are scheduled to be assigned as full-timefield staff for the project. Fill up a form for each person.

- Authorized Managing Officer / Representative

- Sustained Technical Employee

1. Name : ____________________________________________

2. Date of Birth : ____________________________________________

3. Nationality : ____________________________________________

4. Education and Degrees : ____________________________________________

5. Specialty : ____________________________________________

6. Registration : ____________________________________________

7. Length of Service with the Firm : _____ Year from ____ (months) _____ (year)To ____ (months) _____ (year)

8. Years of Experience : ____________________________________________

9. If Item 7 is less than ten (10) years, give name and length of service with previous employers fora ten (10)-year period (attached additional sheet/s), if necessary:


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1. Name : ____________________________________________

2. Name and Address of Owner : ____________________________________________

3. Name and Address of theOwners Engineer : ____________________________________________(Consultant)

4. Indicate the Features of Project(particulars of the project

components and any other particularinterest connected with the project): ___________________________________________

5. Contract Amount Expressed inPhilippine Currency : ____________________________________________

6. Position : ____________________________________________

7. Structures for which the employeewas responsible : ____________________________________________

8. Assignment Period : from _______ (months) _______ (years): to _______ (months) _______ (years)

___________________________Name and Signature of Employee

It is hereby certified that the above personnel can be assigned to this project, if the contract isawarded to our company.


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Standard Form Number: CF-CONST-18B-1Revised on: September 30, 2012

Sta tem en t o f Ava i l ab i l i t y o f Equ i pm en t

(Date of Issuance)


Pres iden t


Makat i C i ty

Attention : MR. LUISITO L. MORANTEThe ChairmanBids and Awards Committee Engineering Projects

Dear Sir / Madame:

In compliance with the requirements of the Cyb e rpa rkHo l d i ngs I n c . ( Ph i li pp i nes) for thebidding of the Proposed Const r uc t ion o f [ FGH Vi l l age o f Bu tuan C i ty / L iber ty H i l l s Res idencesa nd Reso r t s o f Nasug bu , Ba tan gas P rov i n ce / W h i t e W ave Reso r t s o f Ba l er , Au ro ra P rov i nce

] we certify the availability of equipment that __(Name of the Bidder)__ owns, has under lease,and/or has under purchase agreements, that may be used for the construction contracts.

Very truly yours,


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SF - 33

CF-CONST-18B-2-Equipment

MINIMUM REQUIRED EQUIPMENT OWNED/LEASED/UNDER PURCHASED AGREEMENT PLEDGED TO THE PROPOSED PROJECT 1]

Name of Proposed Project:

Location of the Project :

Description No. of Year of Owned 1] Capacity Motor No./ Condition Present

( Type, Model, Make) Each Manufacture Leased 2] Performance Body No. Location

/Under Purchase

Agreement 3]

Backhoe (0.40m Cap, 91 hp) 1

Dump Truck (6.88-9.17m Cap) 2

Plate Compactor (3.5hp) 2

2-Bagger Concrete Mixer 1

32mm Flexible Shaft Concrete Vibrator (3.5hp) 2

50mm Flexible Shaft Concrete Vibrator 2

w/ 3.5hp Gasoline Drive Unit

Bar Cutter (Electric ) 1

Bar Bender (Electric ) 1

Welding Machine (500amp) 2

Cutting Outfit w/ Accessories 4

Stone Cutter/Grinder 2


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SF - 34

Electric Hand drill 2

20T Crawler Crane 200 hp 1

Diesel Hammer w/ Lead and Cap 1

(7,500 kg-m) maximum Rated Energy

Transit Mixer (5-6 cu.m.) 1

Name of Firm/Applicant

Authorized Signing Official

Date : _____________

Notes:1] The Applicant Firm shall enumerate hereunder the equipment units it owned, under leased, and or under purchase agreement that it shall commits to useexclusively in the project.

Incomplete required data as indicated above shall be disqualified.

a] If Joint Venture, each partner or member firm shall separate information and duly accomplished.

2] Equipment with purchase agreement must be owned at the time of bidding.


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CERTIFICATE OF AVAILABILITY

OF LEASE OF EQUIPMENT

This is to certify that the undersigned Lessor has entered into an agreement for the lease of the equipment listed

hereunder to Contractor _______________________________________________________________________________

for the contract for ____________________________________________________________________________

__________________________________________________________________________________________________.

Quantity Type/Description Serial Number Capacity Condition Location

_______ _______________ _______________ _______ ________ ____________

_______ _______________ _______________ _______ ________ ___________________ _______________ _______________ _______ ________ ____________

_______ _______________ _______________ _______ ________ ____________

_______ _______________ _______________ _______ ________ ____________

_______ _______________ _______________ _______ ________ ____________

This agreement for the lease of the aforecited equipment shall be effective the moment the said contractor is

declared the lowest bidder. The contractor or lease shall be executed immediately after the award of the above-mentioned

project to the contractors and we shall furnish a copy to Philippine Ports Authority within 20 days after the award. It shall

be our duty to verify from the Contractor when the award by Philippine Ports Authority.

The above-mentioned equipment will not be pledged to other Contractors in any other project, until the above

project is completed or the equipment is authorized by Philippine Ports Authority for withdrawal.

The PROOF OF OWNERSHIP of the above cited equipment/tools are herein attached.

This certification is being issued in favor of Mr. _____________________________________ Contractor, not

merely to help him qualify for this project as I am aware that any false statements issued by me makes liable for perjury.

In case of the equipment mentioned above is not released to the Contractor on time, I agree to be blacklisted andin the future no certification of mine for the lease of equipment shall be honored by Philippine Ports Authority.

IN FAITH therefore I hereunto affix my signature this _____ day of______________________


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SF - 36


EQUI PMENT UTI LI ZATI ON SCHEDULE

Category / EquipmentMonth

1 2 3 4 5 6 7 8 9 10 11 12

Contractors Name: Name of the Procuring Entity: Contract Name:

Submitted by:

Name of the Representative of the Bidder Date: _____________________Position

Name of the Bidder


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AFFI DAVI T OF SI TE I NSPECTI ON

I, ___(Representative of the Bidder)___, of legal age, __(civil status)__, Filipino and residingat ___(Address of the Representative)_, under oath, hereby depose and say:

1. That I am the __(Position in the Bidder)__ of the ___(Name of the Bidder)___, withoffice at ___(Address of the Bidder)___;

2. That I have inspected the site for _____(Nam e of the Cont ract )____, located at__(location of the Contract)__;

3. That I am making this statement as part of the requirement for the Technical Proposalof the ___(Name of the Bidder)___ for __(Name of t he Contract)__.

IN FAITH WHEREOF, I hereby affix my signature this _____ day of _____, 20___ at_____________, Philippines.

_________________AFFIANT

SUBSCRIBED AND SWORN TO before me this _________, day of ______ 20__, affiant

exhibiting to me his/her Community Tax Certificate No. ________________ issued on_________ at _____________________, Philippines.

_______________________(Notary Public)


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Omnibus Sworn Statement

REPUBLIC OF THE PHILIPPINES )

CITY/MUNICIPALITY OF ______ ) S.S.

AFF IDAVIT

I, [Name of Affiant], of legal age, [Civil Status], [Nationality], and residing at

[Address of Affiant], after having been duly sworn in accordance with law, do hereby

depose and state that:

1. Select one, delete the other:

If a sole proprietorship: I am the sole proprietor of[Name of Bidder] with office

address at [address of Bidder];

If a partnership, corporation, cooperative, or joint venture: I am the duly

authorized and designated representative of[Name of Bidder] with office address

at [address of Bidder];

2. Select one, delete the other:


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Government Units, foreign government/foreign or international financing

institution whose blacklisting rules have been recognized by the Government

Procurement Policy Board;

4. Each of the documents submitted in satisfaction of the bidding requirements is anauthentic copy of the original, complete, and all statements and information

provided therein are true and correct;

5. [Name of Bidder] is authorizing the Head of the Procuring Entity or its duly

authorized representative(s) to verify all the documents submitted;

6. Select one, delete the rest:

If a sole proprietorship: I am not related to the Head of the Procuring Entity,members of the Bids and Awards Committee (BAC), the Technical Working

Group, and the BAC Secretariat, the head of the Project Management Office or

the end-user unit, and the project consultants by consanguinity or affinity up tothe third civil degree;

If a partnership or cooperative: None of the officers and members of [Name of

Bidder] is related to the Head of the Procuring Entity, members of the Bids and

Awards Committee (BAC), the Technical Working Group, and the BAC

Secretariat, the head of the Project Management Office or the end-user unit, and

the project consultants by consanguinity or affinity up to the third civil degree;


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a) Carefully examine all of the Bidding Documents;

b) Acknowledge all conditions, local or otherwise, affecting the implementation of

the Contract;

c) Made an estimate of the facilities available and needed for the contract to be bid,

if any; and

d) Inquire or secure Supplemental/Bid Bulletin(s) issued for the [Name of the

Project].

IN WITNESS WHEREOF, I have hereunto set my hand this __ day of ___, 20__ at

____________, Philippines.

_____________________________________

Bidders Representative/Authorized

Signatory

[JURAT]


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Bid Form

Date: _______________________

LUISITO L. MORANTEBAC Chairman

CyberparkHoldings Inc.Makati City

Dear Sir:

We, the undersigned, declare that:

(a) We have examined and have no reservation to the Bidding Documents, includingAddenda, for the Contract Proposed Construction of [FGH Village of Butuan City

/ Liberty Hills Residences and Resorts of Nasugbu, Batangas Province / White

Wave Resorts of Baler, Aurora Province ];

(b) We offer to execute the Works for this Contract in accordance with the Bid and Bid

Data Sheet, General and Special Conditions of Contract accompanying this Bid;

The total price of our Bid, excluding any discounts offered in item (d) below is:

[insert information], to wit:


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(f) We are not participating, as Bidders, in more than one Bid in this bidding process,

other than alternative offers in accordance with the Bidding Documents;

(g) Our firm, its affiliates or subsidiaries, including any subcontractors or suppliers for

any part of the Contract, has not been declared ineligible by the Funding Source;

(h) We understand that this Bid, together with your written acceptance thereof includedin your notification of award, shall constitute a binding contract between us, until a

formal Contract is prepared and executed; and

(i) We understand that you are not bound to accept the Lowest Evaluated Bid or anyother Bid that you may receive.

Name:

In the capacity of:

Signed:

Duly authorized to sign the Bid for and on behalf of:

Date: ________________


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Bi l l o f Quant i t i es

Bill of Quantities

ItemNo. Description Unit Quantity

Unit Price(Pesos)

Amount(Pesos)

(Pesos _______________________Amount in Words________________________________and ______________________centavos per Month)

(Pesos _______________________Amount in Words_______

_________________________and ______________________centavos per Month)

(Pesos _______________________Amount in Words________________________________and ______________________centavos per Month)

(Pesos ___________________Amount in Words


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SF - 44


Contract Name : ___________________________________________________Location : ___________________________________________________

CASH FLOW BY QUARTER AND PAYMENT SCHEDULE

PARTICULAR % WT. 1ST QUARTER 2ND QUARTER 3RD QUARTER 4TH QUARTERACCOMPLISHMENT

CASH FLOW

CUMULATIVE ACCOMPLISHMENT

CUMULATIVE CASH FLOW

Submitted by:

Name of the Representative of the Bidder Date: _______________Position

Name of the Bidder