QUALITY CONTROL PROGRAM

Construction(Completion) of Multi Purpose Building(Covered Court with Flooring and Stage) @

Name of Project
: Brgy. Concepcion
Limits : Location: Sta. Josefa, Agusan del Sur
Appropriation/Contract Amount: ₱4,823,868.12 Source of Funds:
Test to be Performed
ITEM DESCRIPTION UNIT QTY. NO. OF TEST (Minimum)

A. Earthworks
801 (1) Removal of Obstruction & Structures lumpsum 1.00 P.E. Cert. - 1
803 (1)a Structure Excavation cu.m. 143.09 P.E. Cert. - 1
804(1)b Embankment cu.m. 136.04 P.E. Cert. - 1
804(4) Gravel Fill cu.m. 60.26 P.E. Cert. - 1
B. Other General Requirements
B.5 Removal of Obstruction & Structures each 2.00 P.E. Cert. - 1
B.7 Occupational Safety and Health Program month 3.00 P.E. Cert. - 1
B.9 Mobilization / Demobilization lumpsum 1.00 P.E. Cert. - 1
Plain and Reinforced Concrete Works
Structural Concrete-Footing & Slab on Fill
900(1)c2 cu.m 70.88 *
(fc=3,000
Structural psi @ 28 days) & Tie Beam
Concrete-Footing
900(1)c3 cu.m 9.66 *
(fc=3,000 psi @ 28 days)
900(1)c4 Structural Concrete-Columns(fc=3,000 psi @ 28 days) cu.m 17.28 *
900(1)c6 Structural Concrete-Beams/Girder(fc=3,000 psi @ 28 days) cu.m 0.56 *
Reinforcing Steel
902(1)a2 Reinforcing Steel(Deformed) Grade 40 kls. 6,689.45 Q-1/size per 10,000 kgs.
Forms and Falsework
903(1) Forms and Falsework lumpsum 1.00 P.E. Cert - 1
C. FINISHING
Corrugated Metal Roofing
1013(2) a Fabricated Metal Roofing Accessory-Ridge/Hip rools Gauge 26 ln m 3.00 P.E. Cert. - 1
1013(2) c Fabricated Metal Roofing Accessory-Gutter gauge 24 ln m 3.00 P.E. Cert. - 1
Prepainted Metal Sheets
1014(1)b1 Prepainted Metal Sheets-above 0.427mm. Longspan-corrugated type sq.m. 1,263.17 P.E. Cert. - 1
Cement Plaster Finish
1027(1) Cement Plaster Finish sq. m. 63.01 P.E. Cert. - 1
Painting, Vanishing and Other Related Works
1032(1)a1 Painting Works(Masonry/Concrete) sq.m. 115.92 Q-1
1032(1)a3 Painting Works(Steel) sq.m. 250.00 Q-1
Masonry Works
1046(2)b CHB Non Load Bearing-including RSB100mm. sq.m. 63.01 Q-1
Metal Structures
1047(1) Structural Steel (Roof Framing) lumpsum 1.00 P.E. Cert. - 1
1047(2)a Structural Steel (Roof Framing) kls. 243.17 Q-1
1047(2)c Structural Steel (Purlins) kls. 5,568.75 P.E. Cert. - 1
1047(3)a Metal Structure Accessories (Bolts) pcs 257.87 P.E. Cert. - 1
1047(3)b Metal Structure Accessories (Sagrods) pcs 388.29 P.E. Cert. - 1
1047(3)c Metal Structure Accessories (Turnbuckle) pcs 44.00 P.E. Cert. - 1
1047(5)b Metal Structure Accessories (Steel Plate) kls. 589.19 P.E. Cert. - 1
Conduits, Boxes and Fittings
1100(1)f1 Polyvinyl Chloride Pipes(PVC/uPVC)-20mm dia length 24.00 P.E. Cert. - 1
1100(2)d1 PVC/uPVC Coupling-20mm dia pcs 12.00 P.E. Cert. - 1
1100(3)c1 PVC/uPVC Adapter-20mm dia pcs 20.00 P.E. Cert. - 1
1100(4)d1 PVC/uPVC Elbow-20mm dia pcs 26.00 P.E. Cert. - 1
1100(8)a2 Conduit Clamp-20mm dia pcs 225.00 P.E. Cert. - 1
1100(9)a2 G.I. Wire #16 kilo 3.00 P.E. Cert. - 1
1100(10) PVC Solvent Cement can 2.00 P.E. Cert. - 1
1100(11)a2 Octagonal Junction Box(PVC/uPVC) pcs 13.00 P.E. Cert. - 1
1100(11)b2 Utility Boxes(PVC/uPVC) pcs 7.00 P.E. Cert. - 1
1100(14)b Grounding Rod Copper clad (20mm dia x 3m) length 2.00 P.E. Cert. - 1
Wires & Wiring Devices
1101(1)a6 Electrical Wire(3.5mm2 TW/THHN/THWN) roll 2.50 P.E. Cert. - 1
1101(1)a7 Electrical Wire(5.5mm2 TW/THHN/THWN) roll 3.00 P.E. Cert. - 1
1101(7)a2 Duplex (2 Single Pole Wall Switches on one switch plate) set 4.00 P.E. Cert. - 1
1101(8)a2 Duplex Convenience Outlet/Receptacle, Grounding Type set 6.00 P.E. Cert. - 1
Power Load Center, Switchgear and Panel Boards
1102(1)a1 Panel Board w/ Main and Branch Breakers set 1.00 P.E. Cert. - 1
Lighting Fixture
1103(12)a3 Die-Cast Aluminum Spot - Floodlight with electrocoat gray paint set 3.00 P.E. Cert. - 1
Miscellaneous Hardwares
1208(2)a2 Stainless Steel Railings-50mm dia meter 22.17 P.E. Cert. - 1
1208(5) Steel Brass Metal Nosing meter 12.00 P.E. Cert. - 1
Summary for 900(1);
CCS - 2 Sets
Reinforced Concrete * cu.m 98.38 (Footing/Column &
Beam/Slab)
a.) Portland Cement bags 818 Q-1
b.) Screened & Washed Fine Aggregate cu.m 22.93 Q-1, G-1
c.) Screened & Washed Coarse Aggregate cu.m 98.38 Q-1, G-2
d.) Water - - PE Cert.-1

COMPUTATION BREAKDOWN AND APPORTIONMENT OF QUALITY CONTROL COST:

1. Q.C Const.(Direct Cost Sub-Total 4,823,868.12 0.5000% Q.C Chart--------- P 24,119.34
2. Breakdown of Test Per Regional Memos Apportionment (For Adm.Projects
dated Dec. 12,1973 & July 17, 1974 For Dist./City Project
a.) Serv./Fld. Test - (65%) (B-1)-- P 15,677.57 Lab.(66%) (P-L) - - - - - - P
b.) Q. Test - (15%) (B-1) - - - - - - P 3,617.90 Reg.l Lab. - - - - - - -- - - - P
c.) Misc. & Other - (20%) - - - -- P 4,823.87 (34%) (B-1A) - - - - - - - - P
d.) TOTAL COST - - - - - - - - - - - P - TOTAL - - - - - - - - - - - - - P

PREPARED BY: CHECKED BY:

CHRISTIAN S. TEMBLIQUE HANNIBAL M. SALCEDO

ME-1 Accred. # 5153 ENGINEER II/ME-1 D1 - 00826
MRS Builders & Supply Quality Assurance Engineer

RECOMMENDING APPROVAL: NOTED BY:

LEODEGARIO M. MAZO MANUEL C. NARIO

Engineer III Engineer III
Chief, Quality Assurance Section Chief, Construction Section
APPROVED :

MARCELINO M. OPERARIO
District Engineer
er 10,000 kgs.
844.12
0.31
1.31
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
AGUSAN DEL SUR 2ND
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE XIII
San Francisco, Agusan del Sur
April 30, 2018
Date

CERTIFICATE OF QUALITY CONTROL ASSURANCE

Project : Construction(Completion) of Multi Purpose Building(Covered Court with Flooring and Stage) @ Brgy.
Concepcion

Sta. Josefa, Agusan del Sur

Contractor: ROIM BUILDERS & SUPPLY
We hereby certify that we have conducted an inspection and verification on work accomplished on the above- mentioned project for the
period April 16 - 30, 2018. We further certify that we have found that the quality of materials in the following items of work
corresponding to the quality accomplished conforms with the Standard Specifications an Special Provisions of the contract viz :

Quantity Accomplished
ITEM NO.: DESCRIPTION : PROGRAMMED : THIS WEEK : TOTAL : ACCOMPL.

B. Other General Requirements

B.5 Project Billboard/Signboard 2.00 sets sets### 2.00 sets 100.00%
B.7 Occupational Safety and Health Program 2.50 month month### 0.50 month 20.00%
A. Earthworks
803(1)a Structure of Excavation 36.82 cu.m. cu.m. 16.95 cu.m. 46.03%
804(4) Gravel Fill 3.04 cu.m. cu.m. cu.m. 0.00%
804(1)a Embankment 27.05 cu.m. cu.m. cu.m. 0.00%
Plain and Reinforced Concrete Works
900(1)c2 Structural Concrete (Footings and Slab on F 14.00 cu.m. 1.00 cu.m. 1.00 cu.m. 7.14%
900(1)c3 Structural Concrete (Footing Tie Beam) 4.82 cu.m. cu.m. cu.m. 0.00%
900(1)c4 Structural Concrete (Columns) 3.28 cu.m. cu.m. cu.m. 0.00%
900(1)c6 Structural Concrete (Beam/Girder) 3.50 cu.m. cu.m. cu.m. 0.00%
Reinforcing Steel
902(1)a2 Reinforcing Steel (Deformed) 2,683.85 kls. kls. kls. 0.00%
Forms and Falsework
903(1) Forms/Falseworks 1.00 ls ls ls 0.00%
Storm Drainage and Sewerage System
1001(1)a5 Pipe-50mm dia. PVC (series 1000) 19.90 meter meter meter 0.00%
1001(1)a7 Pipe-100mm dia PVC (series 1000) 24.00 meter meter meter 0.00%
1001(2)a1 Fittings -50mm dia. PVC 4.00 each each each 0.00%
1001(2)a3 Fittings -100mm dia. PVC 4.00 each each each 0.00%
1001(2)b1 Fttings -50mm dia. PVC 2.00 each each each 0.00%
1001(2) c1 Fittings -50mm dia. PVC 2.00 each each each 0.00%
1001(2) c3 Fittings - 100 mm dia 2.00 each each each 0.00%
1001(2) d1 Fittings - 50mm dia PVC ( coupling) 6.00 each each each 0.00%
1001(2) d3 Fittings - 100mm dia PVC ( coupling) 5.00 each each each 0.00%
1001(2) e1 Fittings - 50mm dia PVC (P-trap) 4.00 each each each 0.00%
1001(2) f1 Fittings - 50mm dia PVC (Sanitary Tee) 2.00 each each each 0.00%
1001(2) g1 Fittings - 50mm dia PVC (Sanitary Wye) 4.00 each each each 0.00%
1001(2) g3 Fittings - 100mm dia PVC (Sanitary Wye) 4.00 each each each 0.00%
1001(2) i2 Fittings - 100mm diA X 50mm dia 2.00 each each each 0.00%
Plumbing
1002(7)a2 PVC Pipes-blue (20mm dia) 12.00 piece piece piece 0.00%
1002(7)b2 Fittings PVC-blue (20mm. Dia.) elbow, 10.00 piece piece piece 0.00%
1002(7)d2 Fittings PVC-blue (20mm. Dia.) tee equal 8.00 piece piece piece 0.00%
1002(7)h2 Fittings PVC-blue (20mm. Dia.) 6.00 piece piece piece 0.00%
1002(7)k2 Fittings PVC-blue (20mm. Dia.) 8.00 piece piece piece 0.00%
1002(5)a4 Water Closet Round Front, Complete 4.00 set set set 0.00%
1002(5)f1 Lavatory, Wall hung, Complete 4.00 set set set 0.00%
1002(5)i Toilet Soap Holder 4.00 set set set 0.00%
1002(5)k Toilet Tissue Holder 4.00 set set set 0.00%
1002(5)h2 Floor Drain Plates (75mm dia.) stainless 6.00 set set set 0.00%
1002(5)q Faucet 6.00 set set set 0.00%
Carpentry and Joinery Works
1003(1)a2 Ceiling (4.5mm Wooden Frame - Marine Plywood 88.00 sq.mt sq.mt sq.mt 0.00%
Hardware
1004(2)e Finishing Hardware - Knobs 6.00 set set set 0.00%
1004(2)g Finishing Hardware - Hinges 12.00 set set set 0.00%
Jalousie Window
1009(1) Jalousie Window (Glass) 5.53 sq.mt sq.mt sq.mt 0.00%
Wooden Doors & Windows
1010 (1) Frames (Jambs Sills, Heads, Transum, and Mul 5.00 set set set 0.00%
1010(2)a Doors (Flush) 3.36 sq.mt. sq.mt. sq.mt. 0.00%
Corrugated Metal Roofing
1013(2)a Fabricated Metal Roofing Accesory 5.50 ln.mt. ln.mt. ln.mt. 0.00%
1013(2)b Fabricated Metal Roofing Accesory 16.00 ln.mt. ln.mt. ln.mt. 0.00%
1013(2)c Fabricated Metal Roofing Accessory (Gutters) 27.00 ln.mt ln.mt ln.mt 0.00%
Prepainted Metal Sheets
1014(1)b1 Prepainted Metal Sheets (Long Span)-above 88.00 sq.mt. sq.mt. sq.mt. 0.00%
Ceramic Granite Tiles
1018(1) Glazed Tiles and Trims 39.68 sq.mt sq.mt sq.mt 0.00%
1018(2) Unglazed Tiles 10.40 sq.mt sq.mt sq.mt 0.00%
Cement Floor Finish
1021(1)a Cement Floor Finish (Plain)
Cement Plaster Finish
1027(1) Cement Plaster Finish 72.00 sq.mt. sq.mt. sq.mt. 0.00%
Painting, Varnishing and Other related works
1032(1)a1 Painting WorksMasonry/Concrete) 174.10 sq.mt. sq.mt. sq.mt. 0.00%
1032(1)a3 Painting Works(Steel)
Masonry Works 163.73 sq.mt. sq.mt. sq.mt. 0.00%
1046(2)a CHB Non Load Bearing-including reinforced 82.50 sq.mt. sq.mt. sq.mt. 0.00%
Roof Framing
1047(2)a Structural Steel Deformed 163.73 sq.m. sq.m. sq.m. 0.00%
Conduits, Boxes and Fittings
1100(6) a1 Polyvinyl Chloride Pipes (PVC/Upvc)- 20mm 968.71 kgs. kgs. kgs. 0.00%

1100(8) a1 PVC/Upvc Coupling - 20mm dia.

1100(12)a1 PVC/Upvc Elbow - 20mm dia. X 90 deg. 60.00 meter meter meter 0.00%
1100(16) a2 Conduit Clamp- 20mm dia. 22.00 pcs pcs pcs 0.00%
1100(18) PVC Solvent Cement (400 cc) 30.00 pcs pcs pcs 0.00%
1100(19) b Octagonal Junction Box (PVC/uPVC) 150.00 pcs pcs pcs 0.00%

1100(20) b Utility Box (PVC/Upvc) 2.00 can can can 0.00%

Wires and Wiring Devices 10.00 piece piece piece 0.00%
1101 (1)a6 Electrical Wire (3.5mm2 tw/thhn/thwn) 8.00 piece piece piece 0.00%
1101(8) Single Pole Wall Switch On One Plate
1101(9) Duplex 2.00 rolls rolls rolls 0.00%
1101(21) Duplex Convenience Outlet/Receptacle 2.00 pcs. pcs. pcs. 0.00%
POWER LOAD CENTER SWITCH GEAR AND PAN 4.00 pcs. pcs. pcs. 0.00%
1102(2)a4 Panel Board with Main Lugs and Branch Breakers 4.00 set set set 0.00%
LIGHTING FIXTURES
1103(5)a4 Down Light/Pin Light Fixtures 1.00 set set set 0.00%

Project on-going…

ANA MARIE S. VILLACERAN ALEXANDER B. ORTIZ

(Project Quality Control Engineer) Project Engineer I

Note: To be submitted every quarter of the month

1st report 1 - 7
2nd report 8 - 15

3rd report 16 - 22

4th report 23-30/31

 MONTHLY MATERIALS QUALITY CONTROL PROGRESS REPORT

April 2018
Month Year

Project : Construction(Completion) of Multi-Purpose Building San Francisco Pilot Elementary School

San Francisco, Agusan del Sur

P 1,446,444.96 ROIM BUILDERS AND SUPPLY

Contract Amount and Sources of Funds Contractor

ALEXANDER B. ORTIZ
(P. Project Engineer,Gov't)

Quality Control Activity

a. Similar ( Number and kind sent to Control / Regional Office lab. )

b. Test done in regional or Project laboratory ( kind & item No. )

c. Inspection

Quality Control Works Accomplished

1.59% 1.59%
(Current Month) Total to Date

Quality Control personnel in project ( Name & Designation )

PREPARED BY:

MAYLA N. MAGUDDATU
ME-1/Accred. # 1835
ROIM Builders & Const. Supply

SUBMITTED BY:

LEODEGARIO M. MAZO
Engineer III
Chief, Quality Assurance Section
 STATUS OF TEST
Date:April 30, 201

Date
Project: Construction(Completion) of Multi-Purpose Building San Francisco Pilot Elementary School

Location: San Francisco, Agusan del Sur

Our records indicate that the status of test in the above project for April 1 - 30,2018
is as follows.
Actual Medium Number Test
Estimated No. of Test on Balance
Item Materials Quantities Required File
B. Other General Requirements
B.5 Project Billboard/Signboard 2.00 sets P.E. Cert. - 1 1 0
B.7 Occupational Safety and Health Program 2.50 month P.E. Cert. - 1 0 1
A. Earthworks
803(1)a Structure of Excavation 36.82 cu.m. P.E. Cert. - 1 0 1
804(4) Gravel Fill 3.04 cu.m. P.E. Cert. - 1 0 1
804(1)a Embankment 27.05 cu.m. P.E. Cert. - 1 0 1
Plain and Reinforced Concrete Works
900(1)c2 Structural Concrete (Footings and Slab on Fill) 14.00 cu.m. *
900(1)c3 Structural Concrete (Footing Tie Beam) 4.82 cu.m. *
900(1)c4 Structural Concrete (Columns) 3.28 cu.m. *
900(1)c6 Structural Concrete (Beam/Girder) 3.50 cu.m. *
Reinforcing Steel
902(1)a2 Reinforcing Steel (Deformed) 2,683.85 kls. Q-1/size per 10,000 0 1
Forms and Falsework
903(1) Forms/Falseworks 1.00 ls P.E. Cert - 1 0 1
Storm Drainage and Sewerage System
1001(1)a5 Pipe-50mm dia. PVC (series 1000) 19.90 meter P.E. Cert - 1 0 1
1001(1)a7 Pipe-100mm dia PVC (series 1000) 24.00 meter P.E. Cert - 1 0 1
1001(2)a1 Fittings -50mm dia. PVC (elbow 1/8 bend (45deg.) 4.00 each P.E. Cert - 1 0 1
1001(2)a3 Fittings -100mm dia. PVC (elbow 1/8 bend (45deg. 4.00 each P.E. Cert. - 1 0 1
1001(2)b1 Fttings -50mm dia. PVC(elbow 1/4 elbow bend (90 2.00 each P.E. Cert. - 1 0 1
1001(2) c1 Fittings -50mm dia. PVC (Clean out w/ plug) 2.00 each P.E. Cert. - 1 0 1
1001(2) c3 Fittings - 100 mm dia (Clean out w/ plug) 2.00 each P.E. Cert. - 1 0 1
1001(2) d1 Fittings - 50mm dia PVC ( coupling) 6.00 each P.E. Cert. - 1 0 1
1001(2) d3 Fittings - 100mm dia PVC ( coupling) 5.00 each P.E. Cert. - 1 0 1
1001(2) e1 Fittings - 50mm dia PVC (P-trap) 4.00 each P.E. Cert. - 1 0 1
1001(2) f1 Fittings - 50mm dia PVC (Sanitary Tee) 2.00 each P.E. Cert. - 1 0 1
1001(2) g1 Fittings - 50mm dia PVC (Sanitary Wye) 4.00 each P.E. Cert. - 1 0 1
1001(2) g3 Fittings - 100mm dia PVC (Sanitary Wye) 4.00 each P.E. Cert. - 1 0 1
1001(2) i2 Fittings - 100mm diA X 50mm dia (PVC)reducer-b 2.00 each P.E. Cert. - 1 0 1
Plumbing
1002(7)a2 PVC Pipes-blue (20mm dia) 12.00 piece P.E. Cert. - 1 0 1
1002(7)b2 Fittings PVC-blue (20mm. Dia.) elbow, 1/4 bend (9 10.00 piece P.E. Cert. - 1 0 1
1002(7)d2 Fittings PVC-blue (20mm. Dia.) tee equal 8.00 piece P.E. Cert. - 1 0 1
1002(7)h2 Fittings PVC-blue (20mm. Dia.) socket/Coupling) 6.00 piece P.E. Cert. - 1 0 1
1002(7)k2 Fittings PVC-blue (20mm. Dia.)Female Threaded 8.00 piece P.E. Cert. - 1 0 1
1002(5)a4 Water Closet Round Front, Complete 4.00 set P.E. Cert. - 1 0 1
1002(5)f1 Lavatory, Wall hung, Complete (manually operated 4.00 set P.E. Cert. - 1 0 1
1002(5)i Toilet Soap Holder 4.00 set P.E. Cert. - 1
1002(5)k Toilet Tissue Holder 4.00 set P.E. Cert. - 1 0 1
1002(5)h2 Floor Drain Plates (75mm dia.) stainless 6.00 set P.E. Cert. - 1 0 1
1002(5)q Faucet 6.00 set P.E. Cert. - 1 0 1
Carpentry and Joinery Works
1003(1)a2 Ceiling (4.5mm Wooden Frame - Marine Plywood 88.00 sq.mt P.E. Cert. - 1 0 1
Hardware
 1004(2)e Finishing Hardware - Knobs 6.00 set P.E. Cert. - 1 0 1
1004(2)g Finishing Hardware - Hinges 12.00 set P.E. Cert. - 1 0 1
Jalousie Window
1009(1) Jalousie Window (Glass) 5.53 sq.mt P.E. Cert. - 1 0 1
Wooden Doors & Windows
1010 (1) Frames (Jambs Sills, Heads, Transum, and Mullion 5.00 set P.E. Cert. - 1 0 1
1010(2)a Doors (Flush) 3.36 sq.mt. P.E. Cert. - 1 0 1

Corrugated Metal Roofing

1013(2)a Fabricated Metal Roofing Accesory (Hip/Ridgeroll 5.50 ln.mt. P.E. Cert. - 1 0 1
1013(2)b Fabricated Metal Roofing Accesory (Flashings) 16.00 ln.mt. P.E. Cert. - 1 0 1
1013(2)c Fabricated Metal Roofing Accessory (Gutters) 27.00 ln.mt P.E. Cert. - 1 0 1
Prepainted Metal Sheets
1014(1)b1 Prepainted Metal Sheets (Long Span)-above 0.427 88.00 sq.mt. P.E. Cert. - 1 0 1
Ceramic Granite Tiles
1018(1) Glazed Tiles and Trims 39.68 sq.mt P.E. Cert. - 1 0 1
1018(2) Unglazed Tiles 10.40 sq.mt P.E. Cert. - 1 0 1
Cement Floor Finish
1021(1)a Cement Floor Finish (Plain) 72.00 sq.mt. P.E. Cert. - 1 0 1
Cement Plaster Finish
1027(1) Cement Plaster Finish 174.10 sq.mt. P.E. Cert. - 1 0 1
Painting, Varnishing and Other related works
1032(1)a1 Painting WorksMasonry/Concrete) 163.73 sq.mt. Q-1 0 1
1032(1)a3 Painting Works(Steel) 82.50 sq.mt. Q-1 0 1
Masonry Works
1046(2)a CHB Non Load Bearing-including reinforced stee 163.73 sq.m. Q-1 0 1
Roof Framing

1047(2)a Structural Steel Deformed 968.71 kgs. Q-1 /size 0 1

Conduits, Boxes and Fittings

1100(6) a1 Polyvinyl Chloride Pipes (PVC/Upvc)- 20mm dia. 60.00 meter P.E. Cert. - 1 0 1
1100(8) a1 PVC/Upvc Coupling - 20mm dia. 22.00 pcs P.E. Cert. - 1 0 1
1100(12)a1 PVC/Upvc Elbow - 20mm dia. X 90 deg. 30.00 pcs P.E. Cert. - 1 0 1
1100(16) a2 Conduit Clamp- 20mm dia. 150.00 pcs P.E. Cert. - 1 0 1
1100(18) PVC Solvent Cement (400 cc) 2.00 can P.E. Cert. - 1 0 1
1100(19) b Octagonal Junction Box (PVC/uPVC) 10.00 piece P.E. Cert. - 1 0 1
1100(20) b Utility Box (PVC/Upvc) 8.00 piece P.E. Cert. - 1 0 1
Wires and Wiring Devices
1101 (1)a6 Electrical Wire (3.5mm2 tw/thhn/thwn) 2.00 rolls P.E. Cert. - 1 0 1
1101(8) Single Pole Wall Switch On One Plate 2.00 pcs. P.E. Cert. - 1 0 1
1101(9) Duplex (2 Single Pole Wall Switches on One Plate 4.00 pcs. P.E. Cert. - 1 0 1
1101(21) Duplex Convenience Outlet/Receptacle (GT) 4.00 set P.E. Cert. - 1 0 1
POWER LOAD CENTER SWITCH GEAR AND PANEL BOARDS
1102(2)a4 Panel Board with Main Lugs and Branch Breakers (Plug in T 1.00 set P.E. Cert. - 1 0 1
LIGHTING FIXTURES
1103(5)a4 Down Light/Pin Light Fixtures w/CFL (152mm dia. (6") 12.00 set P.E. Cert. - 1 0 1
Summary:
900(1)c2,c3, Structural Concrete * 25.60
cu.m. CCS - 2sets 0 2
c4, & c6 a. Cement 243.20bags Q-1 0 1
b. Fine Aggregates 12.80
cu.m. Q-1, G-1 0 1
c.Coarse Aggregates 25.60 cu.m. Q-1, G-1 0 1
d. Water P.E. Cert. - 1 0 1
2.05%
\
PREPARED BY: NOTED:

MAYLA N. MAGUDDATU ALEXANDER B. ORTIZ

ME-1/Accred. # 1835 Engineer II
ROIM BUILDERS & CONSTRUCTION SUPPLY Project Engineer I
LEGEND
M- Mechanical or Sieve Analysis P- Plastic and Liquid Limits Test
C- Compaction of Test D- Field Density Test
Q- Quality Test SF- Shrinkage Factor Test
FT- Free Test IR- Inspection Report
-One test of every layer of 20 cu.m. distance between test holes not to exceed 150 linear meters.
-One set by Cylinder samples for every dry pouring but not exceed 75 cu.m
-One set by beam samples for every dry pouring but not exceed 75 cu.m.
 Date:April 30, 2018

Date
ry School

April 1 - 30,2018

Work
Accom. 0.3603106

100.00%
0.00%

0.00%
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0.00%
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0.00%
0.00%
0.00%
0.00%

0.00%

0.00%
0.00%

0.00%

0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%

0.00%
0.00%
0.00%

0.00%
 0.00%
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0.00%

0.00%
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0.00%

0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%

0.00%
0.00%
0.00%
0.00%

0.00%

0.00%

0.00%
0.00%
0.00%
0.00%
0.00% 1.59%
1.56%

DER B. ORTIZ
gineer II
Engineer I

astic and Liquid Limits Test

Shrinkage Factor Test
nspection Report
 SUMMARY REPORTS OF FIELD TESTS

Project : Construction(Completion) of Multi-Purpose Building San Francisco Pilot Elementary School

For the period: April 1-30,2018
Location : San Francisco, Agusan del Sur

Quality Original Source Kind of Spec's SAMPLED TESTED Remarks/

Laboratory Kind of Materials
Represented of Materials Test Item By Date By Date Recommendation

Note:

Project on-going…

PREPARED BY: CERTIFIED CORRECT: ATTESTED BY:

MAYLA N. MAGUDDATU ANA MARIE S. VILLACERAN ALEXANDER B. ORTIZ

ME-1/Accred. # 1835 Engineer II/ME-1 Engineer II
ROIM Builders & Const. Supply Quality Assurance Section Project Engineer I
 MONITORING OF QUALITY ASSURANCE (QA) IMPLEMENTATION BY THE
DISTRICT ENGINEERING & CITY OFFICES IN DPWH INFRASTRUCTURE PROJECTS

Name of Project : Construction(Completion) of Multi-Purpose Building San Francisco Pilot Eleme

School

Contractor : ROIM BUILDERS & SUPPLY San Francisco, Agusan

Implementing Office : DPWH 2nd District Engineering Office , San Francisco, ADS Project Cost : P
Project Duration : a.) Date Started :
b.) Project Date of Completion :
c.) Calendar Days :

CONCERN REMARKS
* Accreditation of PE/PI A
ALEXANDER B. ORTIZ PE I
Accreditation No.
* Accreditation of Contractors'/Consultants'
ME B
MAYLA N. MAGUDDATU ME-I
Project on going…
Acreditation No. 1835
* Limits of Assignment of PE/ME C

PE - Project being implemented do not exceed ₱ 20 M

in cost.

ME - One (1) project costing not more than ₱ 100 M or

Three (3) projects located within the same province
with an aggregate cost of not more than ₱ 20 M.

* Current or latest sanction(s) Imposed on

DPWH PE/PI/ME or Contractor's/ME

None

* Approval of BRS on Special Items of Works

(SPL) D

None

* Accreditation of Private Testing Laboratory

and Batching Plants E
* The minimum testing requirement were perfo
Compliance to Minimum Testing Requirements F contractor.

A. D.O. No. 73, s.1998

B. D.O. No. 184, s.1999
C. D.O. No. 42 s.2006, D.O. No. 41,s. 2007 and D.O. 55 s.2012
D. D.O. No. 43, s.2006
E. D.O. No. 253, s.2003 and D.O No. 26, s.1989
F. DPWH Secretary's Memorandum dated 25 January 1989
 BRS FORM QA-1
LITY ASSURANCE (QA) IMPLEMENTATION BY THE
CITY OFFICES IN DPWH INFRASTRUCTURE PROJECTS

ompletion) of Multi-Purpose Building San Francisco Pilot Elementary

San Francisco, Agusan del Sur

1,446,444.96

REMARKS

Project on going…
The minimum testing requirement were performed by the
contractor.
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
AGUSAN DEL SUR 2ND
DISTRICT ENGINEERING OFFICE
REGIONAL OFFICE XIII
San Francisco, Agusan del Sur

April 8, 2018
Date

CERTIFICATION
Name of Project : Construction(Completion) of Multi-Purpose Building San Francisco Pilot Elementary Scho

Location : San Francisco, Agusan del Sur

Contractor : ROIM BUILDERS & SUPPLY

I hereby certify that Item B.5 which represents the Project Billboard/ SignBoard of the abov
named project with a total quantity of Two (2) units was done in accordance to the approved plans &
specifications.

ALEXANDER B. ORTI
Project Engineer I

R.13.11.6/qas/ads II/fconolIIIfiles
 Republic of the Philippines
NT OF PUBLIC WORKS AND HIGHWAYS
AGUSAN DEL SUR 2ND
TRICT ENGINEERING OFFICE
REGIONAL OFFICE XIII
San Francisco, Agusan del Sur

April 8, 2018
Date

IFICATION
n) of Multi-Purpose Building San Francisco Pilot Elementary School

hich represents the Project Billboard/ SignBoard of the above

o (2) units was done in accordance to the approved plans &

ALEXANDER B. ORTIZ
Project Engineer I
 QUALITY CONTROL PROGRAM

Name of Project : Construction(Completion) of Multi-Purpose Building San Francisco Pilot Elementary School
Limits : Location: San Francisco, Agusan del Sur
Appropriation/Contract Amount: P 1,446,444.96 Source of Funds:
Test to be Performed
ITEM DESCRIPTION UNIT QTY. NO. OF TEST (Minimum)

B. Other General Requirements

B.5 Project Billboard/Signboard sets 2.00
B.7 Occupational Safety and Health Program month 2.50
A. Earthworks
803(1)a Structure of Excavation cu.m. 36.82
804(4) Gravel Fill cu.m. 3.04
804(1)a Embankment cu.m. 27.05
Plain and Reinforced Concrete Works
900(1)c2 Structural Concrete (Footings and Slab on Fill) cu.m. 14.00
900(1)c3 Structural Concrete (Footing Tie Beam) cu.m. 4.82
900(1)c4 Structural Concrete (Columns) cu.m. 3.28
900(1)c6 Structural Concrete (Beam/Girder) cu.m. 3.50
Reinforcing Steel
902(1)a2 Reinforcing Steel (Deformed) kls. 2,683.85
Forms and Falsework
903(1) Forms/Falseworks ls 1.00
Storm Drainage and Sewerage System
1001(1)a5 Pipe-50mm dia. PVC (series 1000) meter 19.90
1001(1)a7 Pipe-100mm dia PVC (series 1000) meter 24.00
1001(2)a1 Fittings -50mm dia. PVC (elbow 1/8 bend (45deg.)) each 4.00
1001(2)a3 Fittings -100mm dia. PVC (elbow 1/8 bend (45deg.)) each 4.00
1001(2)b1 Fttings -50mm dia. PVC(elbow 1/4 elbow bend (90 deg.)) each 2.00
1001(2) c1 Fittings -50mm dia. PVC (Clean out w/ plug) each 2.00
1001(2) c3 Fittings - 100 mm dia (Clean out w/ plug) each 2.00
1001(2) d1 Fittings - 50mm dia PVC ( coupling) each 6.00
1001(2) d3 Fittings - 100mm dia PVC ( coupling) each 5.00
1001(2) e1 Fittings - 50mm dia PVC (P-trap) each 4.00
1001(2) f1 Fittings - 50mm dia PVC (Sanitary Tee) each 2.00
1001(2) g1 Fittings - 50mm dia PVC (Sanitary Wye) each 4.00
1001(2) g3 Fittings - 100mm dia PVC (Sanitary Wye) each 4.00
1001(2) i2 Fittings - 100mm diA X 50mm dia (PVC)reducer-bushing) each 2.00
Plumbing
1002(7)a2 PVC Pipes-blue (20mm dia) piece 12.00
1002(7)b2 Fittings PVC-blue (20mm. Dia.) elbow, 1/4 bend (90 deg.) piece 10.00
1002(7)d2 Fittings PVC-blue (20mm. Dia.) tee equal piece 8.00
1002(7)h2 Fittings PVC-blue (20mm. Dia.) socket/Coupling) piece 6.00
1002(7)k2 Fittings PVC-blue (20mm. Dia.)Female Threaded Adoptor) piece 8.00
1002(5)a4 Water Closet Round Front, Complete set 4.00
1002(5)f1 Lavatory, Wall hung, Complete (manually operated) set 4.00
1002(5)i Toilet Soap Holder set 4.00
1002(5)k Toilet Tissue Holder set 4.00
1002(5)h2 Floor Drain Plates (75mm dia.) stainless set 6.00
 1002(5)q Faucet set 6.00
Carpentry and Joinery Works
1003(1)a2 Ceiling (4.5mm Wooden Frame - Marine Plywood) sq.mt 88.00
Hardware
1004(2)e Finishing Hardware - Knobs set 6.00
1004(2)g Finishing Hardware - Hinges set 12.00
Jalousie Window
1009(1) Jalousie Window (Glass) sq.mt 5.53
Wooden Doors & Windows
1010 (1) Frames (Jambs Sills, Heads, Transum, and Mullions) set 5.00
1010(2)a Doors (Flush) sq.mt. 3.36
Corrugated Metal Roofing
1013(2)a Fabricated Metal Roofing Accesory (Hip/Ridgeroll)-gauge 26 ln.mt. 5.50
1013(2)b Fabricated Metal Roofing Accesory (Flashings) ln.mt. 16.00
1013(2)c Fabricated Metal Roofing Accessory (Gutters) ln.mt 27.00
Prepainted Metal Sheets
1014(1)b1 Prepainted Metal Sheets (Long Span)-above 0.427m sq.mt. 88.00
Ceramic Granite Tiles
1018(1) Glazed Tiles and Trims sq.mt 39.68
1018(2) Unglazed Tiles sq.mt 10.40
Cement Floor Finish
1021(1)a Cement Floor Finish (Plain) sq.mt. 72.00
Cement Plaster Finish
1027(1) Cement Plaster Finish sq.mt. 174.10
Painting, Varnishing and Other related works
1032(1)a1 Painting WorksMasonry/Concrete) sq.mt. 163.73
1032(1)a3 Painting Works(Steel) sq.mt. 82.50
Masonry Works
1046(2)a CHB Non Load Bearing-including reinforced steel-100 mm sq.m. 163.73
Roof Framing
1047(2)a Structural Concrete kgs. 968.71
Conduits, Boxes and Fittings
1100(6) a1 Polyvinyl Chloride Pipes (PVC/Upvc)- 20mm dia. X 3m meter 60.00
1100(8) a1 PVC/Upvc Coupling - 20mm dia. pcs 22.00
1100(12)a1 PVC/Upvc Elbow - 20mm dia. X 90 deg. pcs 30.00
1100(16) a2 Conduit Clamp- 20mm dia. pcs 150.00
1100(18) PVC Solvent Cement (400 cc) can 2.00
1100(19) b Octagonal Junction Box (PVC/uPVC) piece 10.00
1100(20) b Utility Box (PVC/Upvc) piece 8.00
Wires and Wiring Devices
1101 (1)a6 Electrical Wire (3.5mm2 tw/thhn/thwn) rolls 2.00
1101(8) Single Pole Wall Switch On One Plate pcs. 2.00
1101(9) Duplex (2 Single Pole Wall Switches on One Plate) pcs. 4.00
1101(21) Duplex Convenience Outlet/Receptacle (GT) set 4.00
POWER LOAD CENTER SWITCH GEAR AND PANEL BOARDS
1102(2)a4 Panel Board with Main Lugs and Branch Breakers (Plug in Type set 1.00
LIGHTING FIXTURES
1103(5)a4 Down Light/Pin Light Fixtures w/CFL (152mm dia. (6")) set 12.00

a.) Portland Cement bags

b.) Screened & Washed Fine Aggregate cu.m
c.) Screened & Washed Coarse Aggregate cu.m
d.) Water - -
COMPUTATION BREAKDOWN AND APPORTIONMENT OF QUALITY CONTROL COST:
1. Q.C Const.(Direct Cost Sub-Total 1,446,444.96 0.5000% Q.C Chart--------- P
2. Breakdown of Test Per Regional Memos Apportionment (For Adm.Projects
 dated Dec. 12,1973 & July 17, 1974
a.) Serv./Fld. Test - (65%) (B-1)--
b.) Q. Test - (15%) (B-1) - - - - - -
c.) Misc. & Other - (20%) - - - --
d.) TOTAL COST - - - - - - - - - - - P
For Dist./City Project
P 4,700.95 Lab.(66%) (P-L) - - - - - - P
P 1,084.83 Reg.l Lab. - - - - - - -- - - - P
P 1,446.44 (34%) (B-1A) - - - - - - - - - P
- TOTAL - - - - - - - - - - - - - P

PREPARED BY: CHECKED BY:

MAYLA N. MAGUDDATU ANA MARIE S. VILLACERAN

ME-II, Accred # 1835 ENGINEER II/ME-1
ROIM BLDRS. & CONST. SUPPLY Quality Assurance Engineer

RECOMMENDING APPROVAL: NOTED BY:

LEODEGARIO M. MAZO MANUEL C. NARIO

Engineer III Engineer III
Chief, Quality Assurance Section Chief, Construction Section

APPROVED :

MARCELINO M. OPERARIO
District Engineer
 lementary School
San Francisco, Agusan del Sur

NO. OF TEST (Minimum)

7,232.22
 . VILLACERAN
ER II/ME-1
rance Engineer

C. NARIO
neer III
uction Section