Beruflich Dokumente
Kultur Dokumente
1. Total Assets
2. Current Assets
3. Total Liabilities
4. Current Liabilities
B. The Net Financial Contracting Capacity (NFCC) based on the above data is computed as
follows:
NFCC = K (current assess – current liabilities) minus value of all outstanding works under
ongoing contracts including awarded contracts yet to be started
NFCC = Php ________________________________________
K = 10 for a contract duration of 1 year or less, 15 for more than 1 year up to 2 years and 20
for more than 2 years.
Herewith attached are certified true copies of the income tax return and audited financial
statement: stamped “RECEIVED” by the BIR or BIR authorized collecting agent for the
immediately preceding year.
Submitted by:
____________________________________
Name of Supplier/Distributor/Manufacturer
___________________________________
Signature of Authorized Representative
Date: _____________________
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Department of National Defense (VMMC)
List of All Ongoing Government & Private Contracts Awarded But Not Yet Standard
Business Name : __________________________
Business Address: __________________________
Name of Contract/
% of
a. Owner's Nature Contractor's Accomplishment
Project Cost Name of Work Role % a. Date Awarded Value of
Outstanding
b. Address Description b. Date Started Works/Undelivered
Portion
c.
Telephone
Nos. c. Date of Completion Planned Actual
Government
Private
Total Cost
Submitted by:
(Printed Name &
Signature)
Designation :
Date :
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Department of National Defense (VMMC)
Statement of All Completed Government & Private Contracts Which Are Similar In Nature
Business Name : __________________________
Business Address: __________________________
Name of Contract/
Nature
a. Owner's of Contractor's
Project Cost Name Work Role % a. Amount of Award a. Date Awarded
b. Contract
b. Address Description b. Amount at Completion Effectivity
c. Telephone
Nos. c. Duration c. Date Completed
Government
Private
Submitted by :
(Printed Name &
Signature)
Designation :
Date :
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Department of National Defense (VMMC)
Contract :___________________________
Location :___________________________
Submitted by:
___________________________________
Name of Representative of the Bidder
Position:____________________________
Name of the Bidder:___________________
Date:______________________________
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Department of National Defense (VMMC)
MONTH
Category/Equipment
1 2 3 4 5 6 7 8 9 10 11 12
Name of Procuring
Contractor's Name: Entity: Contract Name:
Submitted by:
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Department of National Defense (VMMC)
OUTLINE
1. Introduction
Cash Flow Schedules, Provisions for working capital, schedule of receipts, etc
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Department of National Defense (VMMC)
Submit copy of the Organizational Chart that the Contractor intends to use to execute
the contract if awarded to him. Indicate in the chart the names of the Project Manager, Project
Materials, & Quality Control Engineer, Structural Engineer, Foreman, and other Key Engineering
Personnel.
NOTE:
1. This organizational chart should represent the “Contractor’s Organization” for the
project and not of the firm.
2. The Bidders shall comply with and submit sample for SF-INFR-46 for each of such key
personnel.
3. Each such nominated engineer/key personnel shall comply with and submit sample
forms SF-INFRA-47 and SF-INFRA-48.
4. All these are required to be in the “Technical Proposal” Envelope of the Bidder.
Attach the required Proposed Organization Chart for the Contract as stated above.
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Department of National Defense (VMMC)
__________________________________
(Name of the Head of Procuring Entity)
__________________________________
(Position of the Head of Procuring Entity)
_________________________________
(Name of the Procuring Entity and Address)
Dear _______________________:
Supplementing our Organizational Chart for the Contract, we have the honor to submit herewith
and to certify as true and correct the following pertinent information:
3. The said Engineer shall employ the best care, skill and ability in performing his duties in
accordance with the Contract Agreement, Conditions of Contract Plans, Specifications,
Special Provisions and other provisions embodied in the proposed contract.
4. The said Engineer shall be personally present at the jobsite to supervise the phase of the
construction work, pertaining to this assignment as _______________ (Designation) all
the time.
5. That in order to guarantee the said Engineer shall perform his duties properly and
hereby required to secure a Certificate of “Appearance” from the Procuring Entity’s
Engineer at the end of every month.
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Department of National Defense (VMMC)
6. That in the event that I/we elect or chose to replace Engineer with a new one, the
Procuring Entity will be accordingly notified by us in writing at least 21 days before
making the replacement. We will submit to the Procuring Entity, for prior approval, the
name of the proposed new Engineer, his qualifications, experience, list of projects
undertaken and other relevant information.
7. 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.
__________________________________
(Authorized Representative of Bidder)
CONCURRED IN:
___________________________________
(Name of Engineer)
__________________________________
(Address)
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Department of National Defense (VMMC)
__________________________________
(Name of the Head of Procuring Entity)
__________________________________
(Position of the Head of Procuring Entity)
_________________________________
(Name of the Procuring Entity and Address)
Dear _______________________:
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Department of National Defense (VMMC)
As ______________________ (Designation), I know I will have to stay in the job site all
the time to supervise and manage 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 abovementioned
Contractor to qualify for the contract w/o any firm commitment on my part to assume the post
of ____________ therefore, if the contract is awarded to him since I understand that to do so
will be sufficient ground for my disqualification as _____________in any future bidding or
employment with any Contractor doing business with the Procuring Entity.
________________________
(Signature of Engineer)
ACKNOWLEDGMENT
SUBSCRIBED AND SWORN to before me this ____ day of ______, 20 ___, affiant
exhibited to me his/her competent evidence of identity no.__________ issued on ____________
at __________ Philippines.
Notary Public
Until Dec. 31, 20____
PTR No.___________
Issued at: __________
Issued on: _________
TIN No.___________
Doc No.:_______
Book No._______
Page No._______
Series of _______
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Department of National Defense (VMMC)
Give the detailed information of the following personnel to be assigned as full-time field staff
for the project. Fill up a form for each person.
1. Name : ____________________________________________
2. Date of Birth : ____________________________________________
3. Nationality : ____________________________________________
4. Education and Degrees: ____________________________________________
5. Specialty : ____________________________________________
6. Registration : ____________________________________________
7. Length of Service: ________Year from______ (months)_________(year)
to ______ (months) _______ (year)
8. Years of Experience: ____________________________________________
9. If item 7 is less than 10 years, give name and length of service with previous employers
for a 10 year period (attached additional sheet/s), if necessary
NAME AND ADDRESS OF EMPLOYER LENGTH OF SERVICE
___________________________________ _______year(s) from ________ to__________
___________________________________ _______year(s) from ________ to__________
10. Experience:
This should cover the past 10 years of experience. (Attached as many pages as necessary
to show involvement of personnel in projects using the format below)
1. Name: ___________________________________________________
2. Name & Address of the Owner:___________________________________________
3. Name & Address of the Owner’s Engineer:_________________________________
4. Indicate the Features of the Project (Particulars of the project component and any
other particular interest connected w/ the project):
____________________________
5. Contract Amount Expressed in Philippine Currency: __________________________
6. Position: ___________________________________________________
7. Structures for which the employees was responsible:__________________________
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Department of National Defense (VMMC)
____________________________________
Name and Signature of Employee
It is hereby certified that the above personnel can be assigned to this project, if the contract is to
be awarded to our company.
__________________________ ____________________________
Place and Date Authorized Representative
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Department of National Defense (VMMC)
Business Name :
______________________________________
Business Address :
______________________________________
Foremen
Project Materials Sanitary Engineer/
Electrical
Engineer Engineer Engineer Master Plumber
1. Name
2. Address
3. Date of Birth
4. Employed Since
5. Experience
6. Previous
Employment
7. Education
8. PRC License
Minimum
Requirements :Project Engineer
:Materials Engineer
:Electrical Engineer
:Sanitary/Master Plumber
:Foremen
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Department of National Defense (VMMC)
LIST OF EQUIPMENT, OWNED OR LEASED AND/OR UNDER PURCHASE AGREEMENTS PLEDGED TO THE PROPOSED CONTRACT
Proof of
Capacity/Performance Motor No./ Ownership/
Description Model/Year Plate No. Location Condition
Size Body No. Lessor or
Vendor
A. Owned
B. Leased
C. Under Purchased
Agreements
Submitted by :_________________________________
Designation :_________________________________
Date :_________________________________
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Department of National Defense (VMMC)
Contract Reference
DEPARTMENT OF NATIONAL DEFENSE Number
VETERANS MEMORIAL MEDICAL CENTER Name of the Project
Location of the Project
Standard Form Number: SF-INFRA-50
Revised on: August 11, 2004
MONTH
Category/Equipment 1 2 3 4 5 6 7 8 9 10 11 12
Submitted by:
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Department of National Defense (VMMC)
3. That I am making this statement as part of the requirement for the Technical Proposal of
the _______________________ for ________________________
(Name of Bidder) (Name of the Contract)
IN WITNESS HEREOF, I hereby affix my signature this ________ day of ______, 20___ at
____________________, Philippines. ______________ (AFFIANT)
ACKNOWLEDGMENT
SUBSCRIBED AND SWORN to before me this ____ day of ______, 20 ___, affiant exhibited to
me his/her competent evidence of identity No. __________ issued on ____________ at
__________ Philippines
Notary Public
Until Dec. 31, 20___
PTR No.__________
Issued at: _________
Issued on:_________
TIN No.___________
Doc No.:_______
Book No._______
Page No._______
Series of _______
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Department of National Defense (VMMC)
I/WE understand that, according to your conditions, bids must be supported by a Bid
Security, which may be in the form of a Bid securing Declaration.
I/WE accept that: (a) I/We will be automatically disqualified from bidding for any contract
with any procuring entity for a period for two (2) years upon receipt of your Blacklisting
Order; and (b) I/We will pay the applicable fine provided under Section 6 of the Guidelines
on the Use of Bid Securing Declaration, if I/We have committed any of the following actions:
(a) Withdrawn my/our Bid during the period of bid validity required in the
Bidding Documents; or
(ii) Fail or refuse to accept the award and enter into contract or perform any
and all acts necessary to the execution of the Contract, in accordance with
the Bidding documents after having been notified of your acceptance of our
Bid during the period of bid validity.
I/WE understand that this Bid Securing Declaration shall cease to be valid on the following
circumstances:
(a) Upon expiration of the bid validity period, or any extension thereof pursuant to
your request;
(b) I am/we are declared ineligible or post-disqualified upon receipt of your notice
to such effect and; (i) I/We failed to timely file a request for reconsideration or
(ii) I/We filed a waiver to avail of said right;
(c) I am/we are declared as the bidder with the Lowest Calculated and Responsive
Bid/Highest Rated and Responsive Bid”, and I/we have furnished the
performance security and signed the Contract.
IN WITNESS WHEREOF, I/We have hereunto set my/our hand/s this___day of (month) (year)
at (place of execution)
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Department of National Defense (VMMC)
Doc No___
Page No__
Book No__
Series of__
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Department of National Defense (VMMC)
AFFIDAVIT
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Department of National Defense (VMMC)
c) Made an estimate of the facilities available and needed for the contract to be
bid, if any; and
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Department of National Defense (VMMC)
IN WITNESS WHEREOF, I have hereunto set my hand this __ day of ___, 20__ at
____________, Philippines.
_____________________________________
ACKNOWLEDGMENT
SUBSCRIBED AND SWORN to before me this ____ day of ______, 20 ___, affiant
exhibited to me his/her competent evidence of identity no __________ issued on ____________
at __________ Philippines.
Notary Public
PTR No.__________
Issued on:_________
TIN No.___________
Doc No.:_______
Book No._______
Page No._______
Series of _______
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