Attachment E

PM-PE-ECD-14
Rev. 1
1 of 12

WORK ACCOMPLISHMENT CERTIFICATE No. XXTP-Contract/PO-TL/SS-BT-Sch No.-SN(for SS)-YYYY-ZZZ

FOREIGN SUPPLY

PROJECT TITLE/CONTRACT NO. /PO NO. : _________________ Transmission Project /Sp_________/PO No. _______________ Date :

CONTRACT AMOUNT :

CONTRACTOR :

CONTRACT DURATION :

CONTRACT EFFECTIVITY : Transmission Line

CONTRACT EXPIRY : Substation

REVISED CONTRACT EXPIRY :

UNIT PRICE TOTAL PRICE PREVIOUS THIS PERIOD TO DATE

CERTIFICATE OF
PROVISIONAL
PHYSICAL
DATE OF
ASSET INVENTORY OFFSHORE OFFSHORE
PO ITEM NO. CONTRACT ITEM NO. DESCRIPTION QTY UNIT DELIVERY AT
CATEGORY (CPPI) AND FOREIGN SUPPLY FOREIGN SUPPLY
QTY AMOUNT QTY AMOUNT QTY AMOUNT SITE
NOTICE OF
ARRIVAL (NOA)
AT PORT
USD USD

TOTAL (GROSS AMOUNT)

This is to certify that the Contractor has satisfactorily completed and accomplished all the abovementioned works based on shipping documents, CPPI and NOA for the period Month Day Year to Month Day Year; all pertinent documents relative to this WAC are in the
custody of our Project Division. This certification is being issued upon the request and as supporting document to the claim of the Contractor subject to acceptance of NGCP concerned groups.

Item No./s ______________ was/were accomplished beyond project completion due to ______________ (if applicable).

PREPARED BY:

Construction Projects Supervisor Date Contractor's Authorized Date

Representative
CHECKED/VERIFIED BY:

Construction Projects Manager Date

APPROVED BY:

Construction Projects Senior Manager/ Date

Construction Projects Regional Manager
 Attachment F
PM-PE-ECD-13
Rev.0
2 of 12

WORK ACCOMPLISHMENT CERTIFICATE No. 01-Sp20.VSUP2.Vt-0479(I)(Maasin SS)

LOCAL DELIVERY FOR FOREIGN SUPPLY

PROJECT TITLE/CONTRACT NO. /PO NO. : VISAYAS SUBSTATION UPGRADING PROJECT 2, SCHEDULE I/Sp20.VSUP2.Vt-0479(I) Date :
CONTRACT AMOUNT : USD 5,702,040.70 & PhP 87,046,756.12
CONTRACTOR : FUJIAN YONGFU POWER ENGINEERING CO.,LTD
CONTRACT DURATION : 480 Calendar days
CONTRACT EFFECTIVITY : UNKNOWN Transmission Line
CONTRACT EXPIRY : UNKNOWN ✘ Substation
REVISED CONTRACT EXPIRY : NONE

UNIT PRICE TOTAL PRICE PREVIOUS THIS PERIOD TO DATE

CERTIFICATE OF
PROVISIONAL
PHYSICAL
ASSET ONSHORE ONSHORE DATE OF ARRIVAL AT
PO ITEM NO. CONTRACT ITEM NO. DESCRIPTION QTY. UNIT INVENTORY
CATEGORY LOCAL DELIVERY FOR LOCAL DELIVERY FOR SITE
(CPPI) NO. / QTY AMOUNT QTY AMOUNT QTY AMOUNT
FOREIGN SUPPLY FOREIGN SUPPLY
DELIVERY
RECEIPT NO.
PHP PHP
C. CIVIL WORKS
COMPLETE DESIGN, FURNISH, INSTALL, SUPPLY,
PROVIDE, ERECT, PLACE, APPLY, AND/OR LAY
INCLUDING FURNISHING OF ALL PLANTS, LABOR,
C.1
EQUIPMENT AND MATERIALS OF THE FOLLOWING
STRUCTURES IN ACCORDANCE WITH THE
PROVISIONS IN THE TENDER DOCUMENTS:
Power Transformer Foundation with Oil-Water
1
Containment Pit
a. Pernament Foundation with Oil-Water Separator Tank 1 lot

TOTAL ( NET OF VAT)

12 % VAT
TOTAL ( GROSS AMOUNT)

This is to certify that the Contractor has satisfactorily completed and accomplished all the abovementioned works based on delivery receipt and CPPI for the period Month Day Year to Month Day Year; all pertinent documents relative to this WAC are in the custody of our Project
Division. This further certifies that the works were checked, inspected, verified and found in accordance with the plans and contract specification and hereby accepted and submitted for payment.

Item No./s ______________ was/were accomplished beyond project completion due to ______________ (if applicable).

PREPARED BY:

Construction Projects Supervisor Date Contractor's Authorized Date

Representative
CHECKED/VERIFIED BY:

Construction Projects Manager Date

APPROVED BY:

Construction Projects Senior Manager/ Date

Construction Projects Regional Manager
 Attachment G
PM-PE-ECD-13
Rev.0
3 of 12

WORK ACCOMPLISHMENT CERTIFICATE No. XXTP-Contract/PO-TL/SS-BT-Sch No.-SN(for SS)-YYYY-ZZZ

LOCAL SUPPLY INCLUDING DELIVERY

PROJECT TITLE/CONTRACT NO. /PO NO. : Date :

CONTRACT AMOUNT :
CONTRACTOR :
CONTRACT DURATION :
CONTRACT EFFECTIVITY : Transmission Line
CONTRACT EXPIRY : Substation
REVISED CONTRACT EXPIRY :

UNIT PRICE TOTAL PRICE PREVIOUS THIS PERIOD TO DATE

DATE OF
ASSET CONTRACT ITEM DELIVERY ONSHORE ONSHORE
PO ITEM NO. DESCRIPTION QTY UNIT ACCOMPLISHME
CATEGORY NO. RECEIPT NO. LOCALSUPPLY INCLUDING LOCALSUPPLY INCLUDING
QTY AMOUNT QTY AMOUNT QTY AMOUNT NT
DELIVERY DELIVERY

PHP PHP

TOTAL ( NET OF VAT)

12% VAT

TOTAL ( GROSS AMOUNT)

This is to certify that the Contractor has satisfactorily completed and accomplished all the abovementioned works for the period Month Day Year to Month Day Year; all pertinent documents relative to this WAC are in the custody of our Project Division. This further certifies that the works were checked, inspected,
verified and found in accordance with the plans and contract specification and hereby accepted and submitted for payment.

Item No./s ______________ was/were accomplished beyond project completion due to ______________ (if applicable).

PREPARED BY:

Construction Projects Supervisor Date Contractor's Authorized Date

Representative
CHECKED/VERIFIED BY:

Construction Projects Manager Date

APPROVED BY:

Construction Projects Senior Manager/ Date

Construction Projects Regional Manager
 Attachment H
PM-PE-ECD-13
Rev.0
4 of 12

WORK ACCOMPLISHMENT CERTIFICATE No. 01-Sp21.VSUP2.Vt-0511(VI)(Maasin SS)

ERECTION/INSTALLATION/CIVIL WORKS/TESTING

PROJECT TITLE/CONTRACT NO. /PO NO. : VISAYAS SUBSTATION UPGRADING PROJECT 2, SCHEDULE VI/Sp21.VSUP2.Vt-0511(V Date : 15-Nov-22
CONTRACT/PO AMOUNT : USD 5,499,686.42 & PhP 328,563,067.1
CONTRACTOR : FUJIAN YONGFU POWER ENGINEERING CO.,LTD/MAXIPRO DEVELOPMENT CORPORA
CONTRACT DURATION : 510 CALENDAR DAYS
CONTRACT EFFECTIVITY : JANUARY 10,2022 Transmission Line
CONTRACT EXPIRY : JUNE 4,2023 ✘ Substation
REVISED CONTRACT EXPIRY : NONE

UNIT PRICE TOTAL PRICE PREVIOUS THIS PERIOD TO DATE

DAILY
INSPECTION
REPORT/ EAIR ONSHORE ONSHORE
ASSET No./ ERECTION/ ERECTION/ DATE OF
PO ITEM NO. CONTRACT ITEM NO. DESCRIPTION QTY UNIT INSTALLATION/ INSTALLATION/
CATEGORY INSPECTION ACCOMPLISHMENT
QTY AMOUNT QTY AMOUNT QTY AMOUNT
CHECKLIST/ CIVIL WORKS/ CIVIL WORKS/
ESTR No. (As TESTING TESTING
Applicable)
PHP PHP

C. CIVIL WORKS

COMPLETE DESIGN, FURNISH, INSTALL,

Substation
components,
SUPPLY, PROVIDE, ERECT, PLACE, APPLY,
buildings, civil AND/OR LAY INCLUDING FURNISHING OF
works and C.1 ALL PLANTS, LABOR, EQUIPMENT AND
establishments- MATERIALS OF THE FOLLOWING ITEMS OF
Power Transformer
Foundation WORKS IN ACCORDANCE WITH THE
PROVISIONS IN THE TENDER DOCUMENTS:

1 SITE GRADING

a. Clearing and Grubbing 1 lot 2,504,778.08 2,504,778.08 1 2,504,778.08 1 2,504,778.08 15-Nov-22

b. Stripping 1 lot 4,353,061.90 4,353,061.90 1 4,353,061.90 1 4,353,061.90 15-Nov-22

d. Grading Excavation(Unclassified) 1 lot 1,036,082.60 1,036,082.60 1 1,036,082.60 1 1,036,082.60 15-Nov-22

TOTAL ( NET OF VAT) 7,048,145.16 7,048,145.16

12% VAT 845,777.42 845,777.42

TOTAL ( GROSS AMOUNT) 7,893,922.58 7,893,922.58

This is to certify that the Contractor has satisfactorily completed and accomplished all the abovementioned works for the period November 15,2022; all pertinent documents relative to this WAC are in the custody of our Project Division. This further certifies that the works were checked, inspected, verified and found in
accordance with the plans and contract specification and hereby accepted and submitted for payment.

Item No./s ______________ was/were accomplished beyond project completion due to ______________ (if applicable).

PREPARED BY:

RONALD B. BERSAMIN
Construction Projects Supervisor Date Contractor's Authorized Date
Contractor's Representative
CHECKED/VERIFIED BY:

Construction Projects Manager Date

APPROVED BY:

Construction Projects Senior Manager/ Date

Construction Projects Regional Manager
 Attachment I
ASSET CATEGORY PM-PE-ECD-13
5 of 12

EDD PPDD
(a) Transmission Lines
1 Buildings, civil works and establishment
2 Towers and associated lines
- All types of Steel Towers Including Diving Bus Steel Towers
Body Ext.
Leg Ext.
Stubs
- Line Hardwares for Steel Towers Line Hardwares
* Hardwares for Suspension String Assembly
* Hardwares for Dead-End String Assembly
* Hardwares forJumper String Assembly
- Line Insulators Line insulator
* Insulators for Suspension String Assembly
* Insulators for Dead-End String Assembly
* Insulators forJumper String Assembly
- Power Conductor Power conductors
* 795MCM ACSR/AS "Condor"
* 336.4 MCM ACSR/AS "Linnet"
* 410 mm2 TACSR/AS/610 mm2 TACSR/AS
* Vibration Damper for Power Conductor
- Overhead Ground Wire (OHGW) Overhead Ground Wire
* 7 No. 6 AWG Aluminum Clad Steel Wire
* Vibration Damper for OHGW
* Tension Assembly of OHGW for Steel Tower
- Optical Ground Wire Optical Ground Wire
* Optic Fiber Groundwire Erection/Installation/Dismantling
* Vibration Damper for OPGW
* Suspension Assembly for OPGW
* Tension Assembly for OPGW
* Junction Box for OPGW
- Grounding Assemblies
* Steel Tower Grounding
- Signages
* Helicopter Patrol Number
* Ground Patrol Number
* Danger Sign
* Phase Plates
- Steel Tower Foundation
- Diving Bus Foundation
- Slope Protection Works
* Riprapping
* Rock Walling
* Slope Cutting
* Concrete Retaining Wall
- Seclusion Fence
Diversion Canal
* Open Concrete Canal
* Open Riprap Canal
* Concrete Wing Wall
3 Poles and associated lines
- All types of Pole Structures Steel Poles
* Wood Pole Erection/Installation
* Concrete Pole
 Attachment I
ASSET CATEGORY PM-PE-ECD-13
6 of 12

* Steel Pole
* Stub Pole
- Pole Dressing Line Hardwares
- Line Insulators Line insulator
* Insulators for Suspension String Assembly
* Insulators for Dead-End String Assembly
* Insulator for Jumper String Assembly
* Line Post Insulators
- Power Conductor Power conductors
* 795MCM ACSR/AS "Condor"
* 336.4 MCM ACSR/AS "Linnet"
* 410 mm2 TACSR/AS/610 mm2 TACSR/AS
* Vibration Damper for Power Conductor
- Overhead Ground Wire (OHGW) Overhead Ground Wire
* 7 No. 6 AWG Aluminum Clad Steel Wire
* Vibration Damper for OHGW
* Tension Assembly of OHGW for Steel Poles
- Optical Ground Wire Optical Ground Wire
* Optic Fiber Groundwire
* Vibration Damper for OPGW
* Suspension Assembly for OPGW
* Tension Assembly for OPGW
* Junction Box for OPGW
- Grounding Assemblies
* Steel Pole Grounding
- Guying Assemblies
- Signages
* Ground Patrol Number
* Danger Sign
* Phase Plates
- Steel Pole Foundation
- Steel Stub Pole Foundation
- Slope Protection Works
* Riprapping
* Rock Walling
* Slope Cutting
* Concrete Retaining Wall
- Pole Guy Concrete Anchor Block/other types

4 Underground cables
5 Sub-sea cables including CTS and CS, electrode lines and accessories;
- Submarine Cable Submarine Cable
- Submarine Fiber-Optic Cable Submarine Fiber-Optic Cable
- Cable Terminal Station Cable Terminal Station
- Converter Stations Converter Stations
- Electrode Lines Electrode Lines
6 Easements owned by the Regulated Entity
7 Other
- Clearing of Right-of-Way
- Check, Survey, Plans and Profile Pegging Survey Works (Topo/Parcellary Survey)
- Geological/Geotechnical Investigation Geological and Geotechnical Services
- Electrical Resistivity Measurement for Grounding Design
- Testing and Commissioning
- Full scale tower testing
 Attachment I
ASSET CATEGORY PM-PE-ECD-13
7 of 12

- Full scale pole testing

- Retiring/Dismantling Including Hauling of Line Materials
8 Spares, spare parts & tools
* Towers/Poles
* Power Conductors
* Insulators
* Hardwares
* OPGW
9 Land owned but used for transmission lines
Materials Investigation and Testing Works
ROW Clearing (Negotiation/Acquisition)
Relocation Cost
Price Escalation
RVAT and Import Duties

(b) Substation Components

1 Buildings, civil works and establishment
- Site Grading Site Development Plan/Improvements
- Roadways and Parking Substation Steel Structures
- Drainage system
- Gantry Foundations Foundation works
- Equipment Foundations
- Power Transformer Foundation including rail foundation
- Transformer Firewall
- Oil Water Separation System
- Cable Trench and cable trench crossing roadways
- Gravel Surfacing
- CHB Perimeter Fence
- Seclusion fence including Gates
- Grouted Rockwall
- Grouted Riprap
- Antenna tower Foundation
- Sentry tower
- Helipad
- Access Road
- Ground Concrete Water Tank
- Elevated Water tank (Steel Support Structure)
- Control/ Building (Architectural/Civil/Electrical Works) Control House
- Control Building - Mechanical Works
* Air conditioning system (variable refrigerant flow/split/window)
* Exhaust fan
* Domestic water piping system (building)
* Fire detection and alarm system
* Fire extinguishers
* Clean agent fire suppression system (FM 200/Inert gas))
- Auxiliary Building (Architectural/Civil/Electrical Works)
- Auxiliary Building-Mechanical Works
* Air conditioner
* Clean agent fire suppression system (FM 200/Inert gas))
- Administration Building (Architectural/Civil/Electrical Works)
- Administration Building-Mechanical Works
* Air conditioning system (variable refrigerant flow/split/window)
* Exhaust fan
* Domestic water piping system (building)
 Attachment I
ASSET CATEGORY PM-PE-ECD-13
8 of 12

* Fire detection and alarm system

* Fire extinguishers
- Guard house
- Pump House
- Genset House
- Lineman's Quarter (Architectural/Civil/Electrical Works)
- Lineman's Quarter-Mechanical Works
* Air conditioning system (variable refrigerant flow/split/window)
* Exhaust fan
* Domestic water piping system (building)
* Fire detection and alarm system
* Fire extinguishers
- Warehouse (Architecture/Civil/Electrical Works)
- Warehouse-Mechanical Works
* Air conditioning system (split/window)
* Exhaust fan
* Domestic water piping system (building)
* Fire detection and alarm system
* Fire extinguishers
- Concrete Open Stockyard
- Gates (Vehicular and pedestrian)
- Flagpole
- Landscaping
- BCU Building (Architecture/Civil/Electrical Works)
- BCU Building-Mechanical Works
* Air conditioner Fire-Protection
- Fire Protection System
* Fire pump
* Jockey pump
* Fire hydrant piping system
* Fire hydrant w/ hose cabinet
* Wheeled fire extinguisher
* Portable Foam Equipment
* Fireproof blockage system
2 Power Transformers
- Power Transformers
- Transformer Fire Protection System
* Deluge water spray system
* Transformer explosion & fire protection system
3 Circuit breakers & accessories
(vacuum, oil, air, SF6) PCB/GIS
Power Circuit Breaker, Live Tank (Single and Three Pole ,
- 1 + 3 Operation ) Disconnecting switch with and without ES
Power Circuit Breaker, Dead tank (Single and Three Pole ,
- 1 + 3 Operation ) Current transformer
- Power Circuit Breaker, Live Tank (Three Pole Operation )
- Power Circuit Breaker, Dead tank (Three Pole Operation )
Disconnect Switch
4 Instrument Transformers
- Current Transformer
- Voltage (Potential) Transformer
- Current Voltage Transformer
- Capacitor Voltage Transformer
- Coupling Capacitor Voltage Transformer
 Attachment I
ASSET CATEGORY PM-PE-ECD-13
9 of 12

5 Protection & control equipments

- Line Protection System Line protection
* Differential Protection Panel
* Distance Protection Panel
- Substation Protection System
* Transformer Protection System Transformer protection
* Bus Protection System Bus protection
* Breaker Failure Protection system Breaker failure protection
* Feeder Protection System Feeder protection
* Capacitor Bank Protection System
* Reactor Protection
* Submarine Cable Protection panel

- Smart GRID
- Substation Control System
* Microprocessor Based Substation Control System (MBSC) MBSC
* Substation Automation Control System (SACS)
* Remote Terminal Unit (RTU)
* Main Control Switchboard (MCS) Main control switchboard
- Main Control Switchboard (MCS)
- Network Protection Manager
- Protection Management System (PMS)
- Access, Control and Alarm Monitoring System (ACAMS) ACAMS
- Closed Circuit Television (CCTV) CCTV
- Building Management System (BMS) Building Management System
- Multifunction Fault Recorder
- Sequence of Events Recorder - Sequential events recorder (SER)
Network Disturbance Monitoring Equipment
(NDME)
- Network Disturbance Monitoring Equipment (NDME)
- Synchro-Check Relay System - Digital transient recorder (DTR)
- BCU Equipment / Bay Control Unit
- Uninterruptible Power Supply (UPS)
- Modules, Devices, Transducers, Interfacing cards, etc.
- All Relays
6 Power compensating equipment, eg. reactors
- Capacitor
- Reactor
7 Buswork, power and control cables
- Steel Structures
- Installation Materials Complete installation materials
* Bus Support
* Insulators Station post insulators
* Line Hardwares
* Connectors
* Fittings
* Conductors
* Clamps
- Power and Control cables Power, control and instrumentation cables
Cable Tray and fittings Cable Trays
- Conduits/Cable Ducts and accessories
- Grounding Materials
Complete grounding materials
* Ground conductors, wires and cables
* Lightning and Ground Rods
* Ground connectors
 Attachment I
ASSET CATEGORY PM-PE-ECD-13
10 of 12

* Thermoweld Powder
* Thermoweld Mold
8 Other
- Emergency Diesel Generator Emergency Diesel Generator Set
- Metalclad Switchgear Metal Clad Switchgear
- Surge Arrester Surge Arrester
- Storage Battery 125V/48V Station Batteries w/ battery charger
- Battery Charger
- Station Service Voltage Transformer Station service transformer
- Closed Circuit Television System (CCTV)
- AC and DC Auxilliary Switchboard/ Panels AC/DC Auxilliary Switchboard
- Marshalling Panel
- Metering Panel
- Lighting System Outdoor Lighting System and Outlets
- Water Supply Syetem
* Deepwell drilling, development and testing
* Submersible deepwell pump
* Elevated steel water tank
* Domestic water piping system (yard)
* Hydro-Pneumatic Water Supply System
* Centrifugal Pump (for domestic water)
- Uninterruptible Power Supply (UPS) UPS System
Fused DS
Capacitor Voltage Transformer/Inductive Voltage
Transformer
Air Break Switch (ABS)
Insulating Oil Treatment Plant
On-load diagnostics systems for transformers
Sychro check/voltage check panel for sync.
Reconfiguration works at the existing GIS
Geological and Geotechnical Services
Materials Investigation and Testing Works
ROW Clearing (Negotiation/Acquisition)
Survey Works (Topo/Parcellary Survey)
Price Escalation
RVAT
RVAT and Import Duties
9 Spares, spare parts & tools
10 Land owned but used for substations

(c) Communication Plant

1 Buildings, civil works and establishment
2 Communications plant and infrastructure
- Self-supporting Antenna Tower Antenna tower complete with accessories, 50
meters

- Power Line Carrier System Power Line Carrier (PLC)

* Digital Power Line Carrier Equipment (PLC)
- Protection Signalling Equipment (PSE) Protection signalling equipment for fiber optics
- Mobile Administration Terminal
- Line Trap
- Microwave Radio Communication System
* Digital Microwave Radio Terminal Microwave radio system
* Protection Signalling Equipment for microwave Protection Signalling Equipment for microwave
Multiplexer Equipment/Channel Bank and associated
* card
 Attachment I
ASSET CATEGORY PM-PE-ECD-13
11 of 12

* Antenna Systems & Waveguides Antenna system and waveguides

* Network Management System Network Management System
- VHF Base Radio Transceiver System
- Portable VHF Radio Transceiver System
- VHF Mobile Radio Transceiver System
- VHF Repeater Radio Transceiver System
- Telephone System Telephone communication equipment
(should be classified in item 3) Fiber optic approach cable, 24 fibers
(should be classified in item 4) Fiber optics communication equipment
3 Fiber Optic Cables
4 Fiber Optic Cable Terminal Equipment
5 Ancillary infrastructure
6 Other
7 Spares, spare parts & tools
8 Land owned and used for communications plant

(d) System Operations

1 Buildings, civil works and establishment
2 Control room and control infrastructure
3 Ancillary infrastructure
4 Other
5 Spares, spare parts and tools
6 Land owned but used for system operations

(e) Metering Equipment Assets

1 Market Meters
2
Meters which are not Market Meters, Connection Assets or Subtransmission
Assets

(f) Non-network Assets

 ANNEX "A"

WORK ACCOMPLISHMENT CERTIFICATE No. XXTP-SS-CW-Sched 1-Sta. Bar-2017-002

ERECTION/INSTALALTION/CIVIL WORKS/TESTING

PROJECT TITLE/CONTRACT NO. : <INSERT PROJECT NAME> Date : 30-Oct-16

CONTRACT AMOUNT : PHP 4,000,000.00
CONTRACTOR : <INSERT CONTRACTOR>
CONTRACT DURATION : 450 c.d.
CONTRACT EFFECTIVITY : December 3, 2012 Transmission Line
CONTRACT EXPIRY : February 26, 2014 Substation
REVISED CONTRACT EXPIRY : March 25, 2014

UNIT PRICE TOTAL PRICE PREVIOUS THIS PERIOD TO DATE

Certificate of
ITEM QTY/
Assset Category DESCRIPTION Delivery to Site ACCOMPLISHMENT DATE
NO. UNIT ONSHORE - Erection/Installation/Civil ONSHORE - Erection/Installation/Civil
No. QTY AMOUNT QTY AMOUNT QTY AMOUNT

PHP PHP

I NGCP SUBSTATION A

D MECHANICAL WORKS Only QTY columns will be filled out. This is for monitoring of accomplishment
progress and to answer any issue that may arise in the future.
1 DOMESTIC WATER SUPPLY SYSTEM

Piping System from the tapping point up to the Control building

B.1 1.4 1 lot 956,394.45 956,394.45 0.20 - 0.30 0.50 -
and other delivery points.

II NGCP SUBSTATION B

B CIVIL WORKS

11 DEMOLITION & REMOVAL WORKS

B.1 A Old CHB Fence 1 lot 149,064.07 149,064.07 1.00 149,064.07 1.00 149,064.07 24-Oct-16

Once the activity is complete, reflect it by inputting '1.0' under the QTY column to
indicate that this is approved for billing processing. Specify also the date of
accomplishment

TOTAL PHP 1,105,458.52 PHP 149,064.07 PHP 149,064.07

This is to certify that the Contractor has satisfactorily completed and accomplished all the abovementioned works for the period Oct. 1 - 15, 2016 and all pertinent documents relative to this WAC are in the custody of _________ Project Division. This further
certifies that the works were checked, inspected, verified and found in accordance with the plans and contract specification and hereby accepted and submitted for payment.

This is to certify that the Contractor has satisfactorily completed and accomplished all the abovementioned works for the period Jan. 15, 2016 - Jan. 30, 2016; and, all pertinent documents relative to this WAC per __________________ are in the custody of our
Project Division. This certification is being issued based on shipping documents subject to final inspection, physical inventory and acceptance of NGCP concerned groups.

The delay in the issuance of this WAC is due to _______________(if applicable).

Item No./s ______________ was/were accomplished beyond project completion due to ______________ (if applicable).

PREPARED BY: CHECKED/VERIFIED BY: CERTIFIED BY:

- SIGNED - - SIGNED - - SIGNED - - SIGNED -

Project Cluster Head (NGCP) Contractor's Representative at site Chief Engineer - Cluster Management Project Division Head
Date: ___________ Date: ___________ Date: ___________ Date: ___________

ENDORSED BY: APPROVED BY:

- SIGNED - - SIGNED -
Head, Construction Standards Division Head, Engineering Construction Department
Date: ___________ Date: ___________