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END USER SCHOOL SBM COORDINATOR SCHOOL HEAD SCHOOL BAC DESIGNATED CANVASSER
(1) (1) (5) (1)
PROCESS Review/Check
BEFORE CHECKthe PR
GRANTED
Prepares Purchase
whether items are
Request for items School
foundtoin the APP & ifHead will the method
Determine
be procured & submit endorses
warranted, approve
to the
ofPR
procurement
to SBM Coordinator
School Head for
approval
SchoolDetermines
Head will the eligibility of
approvesupplier,
(BAC receives & open
canvass and recommends
Resolution & Abstract
of Quotation) Contracts to the
Award of
School Head
(Prepare BAC Resolution &
Abstract of Quotation)
*** DILI GAMITON ANG NAPALIT NA MATERYALES KONG WALA PAY NAG INSPECT SA TAGA DIVISION
INSPECTOR ***
*** 100,000.00 PER CASH ADVANCE REQUEST***
arrange your Liquidation Report IN ORDER:
ISUNOD SUNOD NI NA FORMS: No.1 HANGTUD No. 30
1 REPORT OF DISBURSEMENT - pirmahan sa H.O.P.E mao ang Cluster Head or Principal
-Itemize na form bag o na form gamiton - Para sa Cluster Schools Isahon ang RD og CDR Forms
-Fill up pan og butangan account code sa ACCOUNT CODE na column og gamita ang 3 digit #
9 ABSTRACT OF BIDS
PAPIRMAHAN SA BAC MEMBERS OG APPROVED SA H.O.P.E (ang HOPE mao ang Principal or Cluster Head)
SA CLUSTER NA SCHOOLS - PAREHA RA ANG BAC MEMBER ANG MOPIRMA OG APPROVED SA H.O.P.E
10 CANVASS FORM/ REQUEST FOR QUOTATION
PAPIRMAHAN SA SCHOOL CANVASSSER NA DILI MEMBRO SA BAC Committee OG SCHOOL INPECTORATE
TEAM og dili Property Custodian human PAPIRMAHAN SA SUPPLIER/TINDAHAN
11 BAC RESOLUTION TO AWARD
PAPIRMAHAN SA BAC MEMBERS OG APPROVE SA H.O.P.E (ANG H.O.P.E MAO ANG PRINCIPAL or Cluster head)
SA CLUSTER NA SCHOOLS - PAREHA RA ANG BAC committee MOPIRMA OG I APPROVE SA H.O.P.E
(DILI LAIN LAINON ANG BAC MEMBERS OG SCHOOL CANVASSER OG ANG SCHOOL INSPECTORS)
(KONG KINSA NAMIRMA SA CLUSTER NA SCHOOL MAO SAD ANG MOPIRMA SA CLUSTER MEMBER)
12 PURCHASE REQUEST
PIRMAHAN SA NAG REQUEST OG APPROVED SA H.O.P.E (H.O.P.E mao ang Principal or Cluster Head)
DAPAT NAKA SUMMARIZE OR ITEMIZE ANG REQUEST
13 MANDATORY BILLS (DLPC - LIGHT AND DCWD-WATER) O.R ISUNOD ANG BILLING OR STATEMENT
PARA SA LABORER OG JANITORIAL/ WATCHMEN SERVICES/ GROUND MAINTENANCE (MATAG BULAN DILI ISAHON)
21 RER - REIMBURSEMENT EXPENSES RECEIPT
"RECEIVE FROM" SA PRINCIPAL OR SA NAG CASH ADVANCE SA CHEKE
NAPIRMAHAN SA DUHA KA SCHOOL INSPECTORS OG DIVISION INSPECTOR
22 CONTRACT OF AGREEMENT
NAPIRMAHAN SA PRINCIPAL OG SA LABORER DAPAT NAAY ISA KA WITNESS NA DILI APIL SA BAC OG INSECTORS OG PROPERTY
24 CERTIFICATE OF COMPLETION
KINI NA FORM IATTACH PARA PAMATUOD NA NAAY NAHIMONG CONSTRUCTION SA ESKWELAHAN
PIRMAHAN SA PRINCIPAL WALAY LAIN
25 PROGRAM OF WORKS
KONG NAA REPAIR OG GIPANGPALIT NA HARDWARE MATERIALS
APPROVED SA PRINCIPAL OG NA REVIEW SA ENGR'NG TEAM DIRI SA DIVISION OFFICE
PARA SA TRAVEL EXPENSES (NAG DAVAO TRAINING OG TRANSPORTATION CLAIMS NAG CANVASS OR NAG SUBMIT
REPORT SA DIVISION OFFICE FOLLOW ANG MEMO SA SCHOOL DISTANCE TRANSPORTATION)
27 ACTUAL ITINERARY
NA APROBAHAN SA PRINCIPAL
28 PASSLIP AND CERTIFICATE OF APPEARANCE ( DAPAT NAA SA ISA KA PAPEL)
NAPRIMAHAN SA TINDAHAN KONG ASA NAG CANVASS OR ASA NAG ADTO OPISINA
29 OFFICIAL RECEIPT SA TAXI OR R.E.R
30 SUBMIT NAMES SA BAC COMMITTEE (5 MEMBERS), SCHOOL CUSTODIAN, SCHOOL CANVASSER AND SCHOOL
INSPECTORATE TEAM (2) OG SIGNED/APPROVED SA H.O.P.E OR PRICNIPAL/ CLUSTER HEAD
IPASA ANG ORIGINAL OG DUPLICATE NA LIQUIDATION REPORT (IBULAG ANG DUPLICATE SA ORIGINAL)
**DILI I RECEIVE ANG LIQUIDATION KONG WALA NAKA ARRANGE ANG PAG FILE**
**DILI KA REQUEST KONG WALAY LIQUIDATION**
*** submit 3 days before deadline dili sa date sa deadline***
** CASH ADVANCE GRANTED ILIQUIDATE ONE MONTH GIKAN SA DATE SA CHEKE**
***IBULAG PAG FILE ANG DUPLICATE SA ORIGINAL COPY***
SALAMAT KAAYO… iamym
PURCHASE REQUEST
Department of Education
Unit of Estimated
Quantity
Issue Item Description Stock No.
Unit Cost
1 pc installation glass door 8,500.00
***nothing follows***
LEONILA D. GUTIERREZ
Administrative Assistant II
JHON RELL L. BALILI MARY JEAN A. ABADIA
TVL Laboratory In-charge Head of Procuring Entity/Principal
JOY D. MADRONERO
Acting Property Custodian
NOTE: ITEMIZE ANG
6/20/2018 PAGKA REQUEST
Estimated
Cost
8,500.00
8,500.00
A. ABADIA
Entity/Principal
Note: BAC Committee
mo prepare ani na
forms
Name of the Procuring Entry Name of the Project
Company Name
Address
representative not later page, stating the shortest time of delivery and submit your quotation r
duly signed by youthan _________________________ in the return envelope attached herewith.
After having carefully read and accepted your General Conditions, I we qoute you on the
at prices noted above.
Date
Republic of the Philippines
Department of Education Date Open:
DIVISION OF DAVAO CITY Bid/Canvass No.:
Davao City
BAC Chairman BAC Member BAC Member BAC Member BAC Member
APPROVED/DISAPPROVED:
H.O.P.E
NOTE: ANG BAC COMMITTEE
ANG MO PREPARE OG MO
AWARD SA BIDDER
REPUBLIKA NG PILIPINAS
KAGAWARAN NG EDUKASON SCHOOL's
LOGO
REHIYON XI
SANGAY NG LUNGSOD NG DABAW
LUNGSOD NG DABAW
Purok ng _____________
NAME OF SCHOOL
WHEREAS, in response to the request/ invitations, the bid proposals submitted by the bidder/s
were found to be substantially complying;
WHEREAS, the detailed evaluation of bid conducted during the opening of bids resulted in the
following:
Bid / Canvass No Date Opened Particulars Name of bidder
WHEREAS, upon careful examination, validation and verification of all the requirements
submitted by the aforementioned bidder/s, the respective bid/s has been found to be responsive;
NOW, THEREFORE, WE, the Members of the Bids and Awards Committee, hereby RESOLVE as it is
hereby RESOLVED:
a. To declare the aforesaid bidder/s with the Lowest Calculated and Responsive Bid (LCRB), and for
awarding of contracts;
b. To recommend for approval by the Schools Division Superintendent of the DepEd, Division of
Davao City the foregoing findings.
RESOLVED, at the DepEd, Division of City Schools, E. Quirino Avenue, Davao City, this _____th
day of ______________ 2016.
BAC Chairman
Approved:
Principal/H.O.P.E/Cluster Head
NOTE: ANG BAC COMMITTEE
ANG MO PREPARE OG MO
AWARD SA BIDDER
PURCHASE ORDER
Department of Education
Region XI
Division of Davao City
Supplier: SANFORD MARKEING CORP P.O No. 18-09-
Address ALONG KM.7, MC ARTHUR HWAY, BANGKAL, D.C Date: 9/27/2018
T.I.N 2079611750069 Mode of Procurement: BCash
Gentlemen,
Please furnish this office the following articles subject to the terms and condtions contrained therein:
Place of Delivery: Delivery Term:
Date of Delivery: Payment Term:
Funds Available:
O.B.R. No:
Amount:
Note: pirmahan sa nakadaug na
supplier og approved sa H.O.P.E
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REPUBLIKA NG PILIPINAS
KAGAWARAN NG EDUKASON
REHIYON XI
SANGAY NG LUNGSOD NG DABAW
LUNGSOD NG DABAW
Purok ng _____________
CATALUNAN PEQUENO NATIONAL HIGH SCHOOL
Madam:
The undersigned would like to request for Cash Advance of our School MOOE for the month of
__________________ 2016 in the total amount of _____________________________ to purchase supplies and
materials, Labor and Mandatory Bills which are found under items as follows:
AIP No. APP No. S.I.P No. PARTICULARS Quantity Unit Price Total
1.3 MOUSE 1 300.00 300.00
16 nail #1 2 60.00 120.00
16 nail #2 2 60.00 120.00
16 office table 1 2000.00 2,000.00
16 padlock 2 150.00 300.00
16 paint brush,#2 10 30.00 300.00
16 paint, enamel white 10 500.00 5,000.00
16 pillow 4 200.00 800.00
16 PILLOWCASE 4 50.00 200.00
16 plyboard, 3/4x4x8 marine 10 800.00 8,000.00
16 PLYWOOD, 5mm ORDINARY 2 320.00 640.00
16 SOFA BED 2 1500.00 3,000.00
16 STEEL FILE CABINET 1 6000.00 6,000.00
17.1 TARPAULIN PRINTING, 4'X8' 4 320.00 1,280.00
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P 27,760.00
Very truly yours, This is to certify that the above items are included in
the APP/PPMP SY 2016:
Purok ng _____________
CATALUNAN PEQUENO NATIONAL HIGH SCHOOL
Madam:
The undersigned would like to request for Cash Advance of our School MOOE for the month of
__________________ 2016 in the total amount of _____________________________ to purchase supplies and
materials, Labor and Mandatory Bills which are found under items as follows:
AIP No. APP No. S.I.P No. PARTICULARS Quantity Unit Price Total
1.3 FOLDER, LONG BROWN 200 4.00 800.00
1.3 FORM 137 SPECIAL PAPER 2000 5.00 10,000.00
1.3 LOGBOOK 2 100.00 200.00
1.3 MASKING TAPE 8 45.00 360.00
1.3 PARCHMENT PAPER 300 4.00 1,200.00
1.3 PENCIL SHARPENER, HEAVY DUTY 1 400.00 400.00
1.3 Push pins 8 10.00 80.00
1.3 Refill ink Whiteboard/Permanent 60 90.00 5,400.00
1.3 SCISSORS 4 120.00 480.00
1.3 SCOTCH TAPE 8 30.00 240.00
1.3 STAPLE WIRE #35 4 40.00 160.00
1.3 WHITE BOARD MARKER 8 70.00 560.00
1.3 WHITE BOARD MARKER INK 8 70.00 560.00
16 Alcohol 500ml 8 60.00 480.00
1.2 Garbage bin 20 20.00 400.00
16 green cross alcohol, 500ml 12 50.00 600.00
P 21,120.00
Very truly yours, This is to certify that the above items are included in
the APP/PPMP SY 2016:
Purok ng _____________
CATALUNAN PEQUENO NATIONAL HIGH SCHOOL
Madam:
The undersigned would like to request for Cash Advance of our School MOOE for the month of
September 2016 in the total amount of _____________________________ to purchase supplies and
materials, Labor and Mandatory Bills which are found under items as follows:
AIP No. APP No. S.I.P No. PARTICULARS Quantity Unit Price Total
1.1 plyboard, 3/4x4x8 marine 10 800.00 8,000.00
1.1 REPAIR AND MAINTAINANCE 10000.00 10,000.00
1.2 Garbage bin 20 20.00 400.00
DUST PAN, non-rigid plastic, with detachable
1.2 handle
12 34.94 419.28
1.2 FLOOR WAX, paste, natural, 2kgs. 24 268.63 6,447.12
1.3 CARTOLINA, assorted color, 20s/pack 16 74.26 1,188.16
P 83,842.93
Very truly yours, This is to certify that the above items are included in
the APP/PPMP SY 2016:
Purok ng _____________
CATALUNAN PEQUENO NATIONAL HIGH SCHOOL
Madam:
The undersigned would like to request for Cash Advance of our School MOOE for the month of
September 2016 in the total amount of _____________________________ to purchase supplies and
materials, Labor and Mandatory Bills which are found under items as follows:
AIP No. APP No. S.I.P No. PARTICULARS Quantity Unit Price Total
1.3 CARTOLINA, assorted color, 20s/pack 16 74.26 1,188.16
Very truly yours, This is to certify that the above items are included in
the APP/PPMP SY 2016:
Responsibility Center
Code:
PARTICULARS
AMOUNT TO BE REIMBURSED P
A.Certified: Correctness of the above B. Certified: Purpose of travel/ C. Certified: Supporting documents
data. cash advance duly accomplished complete and proper.
Purok ng _____________
NAME OF SCHOOL
REPORT OF DISBURSEMENTS
Report No.
Sheet No.
Account
Date Ref. NO. Payee Nature of Payment Code Amount
O.R NO.
PARTICULARS AMOUNT
6/27/2016 109151614071.00 MERCURY DRUG DRUGS AND MEDICINE 2,049.75 759 2,049.75
6/12/2016 49399 NCCC MOBILE EXPENSES 1,200.00 773 1,200.00
6/4/2016 21932 DIOLAN COMPUTER OFFICE SUPPLIES 12,409.00 755
PRINTING AND BINDING 6,591.00 781 19,000.00
6/5/2016 19595 PANABO SUNRISE MINOR SCHOOL REPAIR 13,657.00 812 13,657.00
R.E.R BOBBY MAGNO GENERAL SERVICES 4,097.10 795 4,097.10
R.E.R JOSE BUDDY AGUNTAWATCHMAN 6,000.00 797 6,000.00
R.E.R ALBERTO MANOS GENERAL SERVICES 1,000.00 795 1,000.00
R.E.R JUNARD BOLA GENERAL SERVICES 1,522.00 795 1,522.00
R.E.R RECHARD MONTEBONHAULING 900.00 784 900.00
TOTAL 15,000.00
CERTIFICATION:
I hereby certify that this Report of Disbursement in 1 sheet is full, true and correct statement
of dibursements made by me, that this is in liquidation of the cash advance granted last 8/25/2015 in the amount
of 15,000.00 per check # 123456 dated 42,185.00
Signature
PRINTED NAME
Claimant Date
REPORT OF DISBURSEMENTS
DEPED - DIVISION OF DAVAO CITY SCHOOLS, DAVAO CITY
Report No.
Sheet No.
CERTIFICATION -
I hereby certify that this Report of Disbursement in 1 sheet(s) is a full, true and
correct statement of the disbursement made by me and that this is in liquidation of the cash
advance granted last ___________ in the amount of P50,000.00 per check no.___________
dated _____________
Principal Date
(School)
Division of Davao City
FOR THE PERIOD _________________________________
CASH DISBURSEMENTS REGISTER
TYPE OF WORKING FUND: MOOE
BREAKDOWN OF PAYMENTS
CASH ADVANCE
REFERENCE PAYEE/ TRAVEL TRAINING OFFICE REPAIRS & OTHER ACCOUNTS
DATE (OR/RER/ PARTICULARS AMOUNT PAYMENTS BALANCE EXPENSES EXPENSES SUPPLIES MAINTENANCE ACCOUNT ACCOUNT AMOUNT
check #) RECEIVED (6=4-5) (751) (753) (755) OF SCH. BLDG.(812) NAME CODE
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
name of principal -
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TOTAL - - - - - - - -
NAMES SIGNATURES
BAC COMMITTEE
1 BAC CHAIRMAN
2 BAC MEMBER
3 BAC MEMBER
4 BAC MEMBER
5 BAC MEMBER
PROPERTY CUSTODIAN
1
SCHOOL CANVASSER
1
APPROVED BY:
CLUSTER HEAD/H.O.P.E
TOTAL
Principal
S
Amount
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CATALUNAN PEQUENO NATIONAL HIGH SCHOOL
km. 12, Catalunan Pequeno, Davao City
INSPECTION & ACCEPTANCE REPORT
INSPECTION ACCEPTANCE
CHRISTHOPHER D. SAUZA
School Inspector
Date
Received from
Name
the amount
(Official Designation) In Words
(P )
In words ( In Figure )
In payment for
( payment for substance, services, rental or transportation should show )
PAYEE WITNESS
( Signature) ( Signature)
Address: Address:
(Signed by inspector)
Kagawaran ng Edukasyon
Rehiyon XI
Sangay ng Lungsod ng Dabaw
Distrito ng Talomo
MATAAS NA PAARALAN NG CATALUNAN PEQUENO
Lungsod ng Dabaw
CONTRACT OF AGREEMENT
For the job contract entered into between Mr./Mrs. (Principal) MARY JEAN A. ABADIA
of Catalunan Pequeno National High School, Talomo District, Davao City,
and Mr. REX AGUSTIN , Carpenter/Laborer, in connection with the minor school
building repair works of classroo Istallation of partition in Housekeeping Laboratory on a "PAKYAWAN"
basis which cost Two Thousand Seven Hundred Fifty Nine Pesos and 5/100 (P2, 759.05).
We agreed to undertake as well as to perform in good faith the aforesaid repair works, and to finish
the same within the period of 2 days from the date of acceptance.
Furthermore, after the completion of the same job contract, however, upon due inspection and
evaluation made by the Commission on Audit (COA) Team and found to have defects in the workmanship,
we joinly agreed to provide the necessary repair work to correct the defects, without any additional cost
and burdens to the Department of Education.
We, therefore, set our signature this 18th the day of November, 2017 in Catalunan Peq.,
Davao City District, Davao City as an affirmation to this Contract of Agreement.
CONFORME:
WITNESSES:
DATE : 27-Jun-18
Name of School : Catalunan Pequeno National High School
District : Talomo
Project/Nature of Project : Installation of Glass Door in the TVL Laboratory
Total Cost of Project : 8,500.00
Source of Fund : MOOE
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TOTAL COST OF MATERIALS 8,500.00
LABOR COST (35%)
GRAND TOTAL P 8,500.00
Reviewed by:
DEPARTMENT OF EDUCATION
Region XI
Division of _____Davao City_________________
CERTIFICATE OF COMPLETION
This is to certify that the above- stated project has been satisfactory
completed in accordance with the approved Program of Works (PoW).
Inspected by:
__________________________________
Chairman, School Inspectorate Committee
___________________________________
Member, School Inspectorate Committee
___________________________________
Member, School Inspectorate Committee
Purok ng _____________
NAME OF SCHOOL
School Head
FOR LABORER, JANITORIAL AND
WATCHMEN SERVICES
105 and above 1,200.00
90-104 1,100.00
75-89 1,000.00
60-74 900.00
45-59 800.00
30-44 700.00
15-29 600.00
less than 15 500.00