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168

Section VIII. Bill of Quantities

BID ANNEX 5

PROJECT TITLE : EASTERN SAMAR PORT CLUSTER PROJECT

LOCATION : Eastern Samar

REHABILITATION & EXPANSION OF DOLORES PORTDolores, Eastern Samar

EXCAVATIONCLASS III ROCKS (10 to 99 kgs./pc.)CLASS II ROCKS (100 to 900 kgs./pc.)CONCRETE WORKSREINFORCING STEEL BARAGG. SUB-BASE COURSE

Lawaan, Eastern Samar

CLASS II ROCKS (100 - 900 kgs./pc.)CONCRETE WORKSREINFORCING STEEL BARAGG. SUB-BASE COURSEP.C.C.P. (0.15m. Thick)

May-Olo, Salcedo, Eastern Samar

GROUTED RIPRAPCONCRETE WORKSREINFORCING STEEL BARAGGREGATE SUB-BASE COURSEP.C.C.P. (0.20m. Thick)

WASO RIVER LANDINGBrgy. Waso, Llorente, Eastern Samar

EMBANKMENTGROUTED RIPRAPCLASS III ROCKS (10 to 99 kgs./pc.)CONCRETE WORKSREINFORCING STEEL BARCONSTRUCTION OF WAITING SHED

BAROBO RIVER LANDINGBrgy. Barobo, Llorente, Eastern Samar

EMBANKMENTGROUTED RIPRAPCLASS III ROCKS (10 to 99 kgs./pc.)CONCRETE WORKSREINFORCING STEEL BARCONSTRUCTION OF WAITING SHED

200 cu.m. 5.00

405.B kgs 1,470.00 SPL-1 l.s. 1.00

701.A cu.m. 9.00 405.A cu.m. 18.00

105 cu.m. 1,005.00 602 cu.m. 235.00

D.2

405.B kgs 1,470.00 SPL-1 l.s. 1.00

701.A cu.m. 9.00 405.A cu.m. 18.00

105 cu.m. 989.00 602 cu.m. 235.00

D.1

D. CONSTRUCTION OF VARIOUS RIVER LANDINGS WITH WAITING SHED IN LLORENTE, EASTERN SAMAR

307 sq.m. 657.00

405.B kgs 6,686.00 200 cu.m. 182.00

602 cu.m. 229.00 405.A cu.m. 162.00

C. REHAB. OF WHARF & RIVER CONTROL & EXTENSION OF MAY-OLO WHARF

307 sq.m. 595.20

405.A cu.m. 116.00 405.B kgs 6,168.00

701.B cu.m. 772.00

REHABILITATION AND EXPANSION OF THE LAWAAN PORT

3,490.00

701.A

B.

cu.m. 80.00

PROPOSAL SCHEDULE

cu.m. 755.00

(14.2) (14.3)QUANTITYITEM

104

NO.

(14.6)AMOUNT ITEM OF WORK UNIT

(14.4)

COST

cu.m.

(14.5)UNIT BID

701.B

(14.1)

A.

200 cu.m. 147.00

405.A750.00

cu.m. 737.00

405.B kgs

IX - 1 of 3

BID ANNEX 5

PROJECT TITLE : EASTERN SAMAR PORT CLUSTER PROJECT

LOCATION : Eastern Samar

PROPOSAL SCHEDULE

(14.2) (14.3)QUANTITYITEM

NO.

(14.6)AMOUNT ITEM OF WORK UNIT

(14.4)

COST

(14.5)UNIT BID

(14.1)

BULAWAN RIVER LANDINGBrgy. Bulawan, Maslog, Eastern Samar

EMBANKMENTGROUTED RIPRAPCLASS III ROCKS (10 to 99 kgs./pc.)CONCRETE WORKSREINFORCING STEEL BARCONSTRUCTION OF WAITING SHED

MAPUTI RIVER LANDINGBrgy. Maputi, Maslog, Eastern Samar

EMBANKMENTGROUTED RIPRAPCLASS III ROCKS (10 to 99 kgs./pc.)CONCRETE WORKSREINFORCING STEEL BARCONSTRUCTION OF WAITING SHED

PATAG RIVER LANDINGBrgy. Patag, Maydolong, Eastern Samar

EMBANKMENTGROUTED RIPRAPCLASS III ROCKS (10 to 99 kgs./pc.)CONCRETE WORKSREINFORCING STEEL BARCONSTRUCTION OF WAITING SHED

CANLOTERIO RIVER LANDINGBrgy. Canloterio, Maydolong, Eastern Samar

EMBANKMENTGROUTED RIPRAPCLASS III ROCKS (10 to 99 kgs./pc.)CONCRETE WORKSREINFORCING STEEL BARCONSTRUCTION OF WAITING SHED

405.B kgs 1,470.00 SPL-1 l.s. 1.00

701.A cu.m. 9.00 405.A cu.m. 18.00

105 cu.m. 863.00 602 cu.m. 265.00

F.2

405.B kgs 1,470.00 SPL-1 l.s. 1.00

701.A cu.m. 9.00 405.A cu.m. 18.00

105 cu.m. 1,021.00 602 cu.m. 235.00

F.1

F. CONSTRUCTION OF VARIOUS RIVER LANDINGS WITH WAITING SHED IN MAYDOLONG, EASTERN SAMAR

SPL-1 l.s. 1.00

405.A cu.m. 18.00 405.B kgs 1,470.00

602 cu.m. 235.00 701.A cu.m. 9.00

105 cu.m. 1,040.00

E.2

SPL-1 l.s. 1.00

405.A cu.m. 18.00 405.B kgs 1,470.00

602 cu.m. 235.00 701.A cu.m. 9.00

105 cu.m. 1,053.00

E.1

CONSTRUCTION OF VARIOUS RIVER LANDINGS WITH WAITING SHED IN MASLOG, EASTERN SAMAR

E.

IX - 2 of 3

BID ANNEX 5

PROJECT TITLE : EASTERN SAMAR PORT CLUSTER PROJECT

LOCATION : Eastern Samar

PROPOSAL SCHEDULE

(14.2) (14.3)QUANTITYITEM

NO.

(14.6)AMOUNT ITEM OF WORK UNIT

(14.4)

COST

(14.5)UNIT BID

(14.1)

PUNTA MARIA FISHING PORTBrgy. Punta Maria, Borongan, Eastern Samar

CLASS III ROCKS (10 to 99 kgs./pc.)GROUTED RIPRAPMETAL WORKS

SAN PABLO WHARFBrgy. San Pablo, Borongan, Eastern Samar

EXCAVATIONEMBANKMENTGROUTED RIPRAPAGGREGATE BASE COURSECONCRETE WORKSREINFORCING STEEL BAR

BATO MULTI-PURPOSE PIERBrgy. Bato, Borongan, Eastern Samar

EXCAVATIONGROUTED RIPRAPCONCRETE WORKSREINFORCING STEEL BARMETAL WORKS

TEMPORARY FACILITIES

AMOUNT IN WORDS :

Submitted By :

Signing Authority :

Designation :Date :

SPL-3 l.s. 1.00

SPL-2 l.s. 1.00

405.A cu.m. 5.00 405.B kgs 587.00

104 cu.m. 6.00 602 cu.m. 14.00

G.3

405.A cu.m. 27.00 405.B kgs 1,113.00

602 cu.m. 187.00 201 cu.m. 15.00

104 cu.m. 31.00 105 cu.m. 153.00

G.2

602 cu.m. 503.00 SPL-2 l.s. 1.00

701.A cu.m. 604.00

G.1

CONSTRUCTION OF BRGY. WHARVES, BORONGAN, EASTERN SAMAR

G.

(Name of Firm)

(Printed Name and Signature)

*** nothing follows ***

TOTAL PROJECT COST

IX - 3 of 3

169

Section IX. Bidding Forms

TABLE OF CONTENTS

Bid Form........................................................................................................................................ 170

Form of Contract Agreement ......................................................................................................... 172

Omnibus Sworn Statement ............................................................................................................ 174

170

Bid Form

Date: _________________________

IAEB1 No: ______________________

To: [name and address of PROCURING ENTITY]

Address: [insert address]

We, the undersigned, declare that:

(a) We have examined and have no reservation to the Bidding Documents, including Addenda, for the Contract [insert name of contract];

(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];

The discounts offered and the methodology for their application are: [insert information];

(c) Our Bid shall be valid for a period of [insert number] days from the date fixed for the Bid submission deadline in accordance with the Bidding Documents, and it shall remain binding upon us and may be accepted at any time before the expiration of that period;

(d) If our Bid is accepted, we commit to obtain a Performance Security in the amount of [insert percentage amount] percent of the Contract Price for the due performance of the Contract;

(e) Our firm, including any subcontractors or suppliers for any part of the Contract, have nationalities from the following eligible countries: [insert information];

(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 included in 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 any other Bid that you may receive.

1 If ADB, JICA and WB funded projects, use IFB.

171

Name:

In the capacity of:

Signed:

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

Date: ___________

172

Form of Contract Agreement

THIS AGREEMENT, made this [insert date] day of [insert month], [insert year] between [name and address of PROCURING ENTITY] (hereinafter called the“Entity”) and [name and address of Contractor] (hereinafter called the “Contractor”).

WHEREAS, the Entity is desirous that the Contractor execute [name and identification number of contract] (hereinafter called “the Works”) and the Entity has accepted the Bid for [insert the amount in specified currency in numbers and words] by the Contractor for the execution and completion of such Works and the remedying of any defects therein.

NOW THIS AGREEMENT WITNESSETH AS FOLLOWS:

1. In this Agreement, words and expressions shall have the same meanings as are respectively assigned to them in the Conditions of Contract hereinafter referred to.

2. The following documents shall be attached, deemed to form, and be read and construed as part of this Agreement, to wit:

(a) General and Special Conditions of Contract;

(b) Drawings/Plans;

(c) Specifications;

(d) Invitation to Apply for Eligibility and to Bid;

(e) Instructions to Bidders;

(f) Bid Data Sheet;

(g) Addenda and/or Supplemental/Bid Bulletins, if any;

(h) Bid form, including all the documents/statements contained in the Bidder’s bidding envelopes, as annexes;

(i) Eligibility requirements, documents and/or statements;

(j) Performance Security;

(k) Credit line issued by a licensed bank, if any;

(l) Notice of Award of Contract and the Bidder’s conforme thereto;

(m) Other contract documents that may be required by existing laws and/or the Entity.

3. In consideration of the payments to be made by the Entity to the Contractor as hereinafter mentioned, the Contractor hereby covenants with the Entity to execute and complete the Works and remedy any defects therein in conformity with the provisions of this Contract in all respects.

4. The Entity hereby covenants to pay the Contractor in consideration of the execution and completion of the Works and the remedying of defects wherein, the Contract Price or such other sum as may become payable under the provisions of this Contract at the times and in the manner prescribed by this Contract.

173

IN WITNESS whereof the parties thereto have caused this Agreement to be executed the day and year first before written.

Signed, sealed, delivered by the (for the Entity)

Signed, sealed, delivered by the (for the Contractor).

Binding Signature of PROCURING ENTITY

________________________________________________

Binding Signature of Contractor

_____________________________________________

[Addendum showing the corrections, if any, made during the Bid evaluation should be attached with this agreement]

Omnibus Sworn Statement

REPUBLIC OF THE PHILIPPINES ) CITY/MUNICIPALITY OF ______ ) S.S.

A F F I D A V I T

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: If a sole proprietorship: As the owner and sole proprietor of [Name of Bidder], I have full power and authority to do, execute and perform any and all acts necessary to represent it in the bidding for [Name of the Project] of the [Name of the Procuring Entity]; If a partnership, corporation, cooperative, or joint venture: I am granted full power and authority to do, execute and perform any and all acts necessary and/or to represent the [Name of Bidder] in the bidding as shown in the attached [state title of attached document showing proof of authorization (e.g., duly notarized Secretary’s Certificate issued by the corporation or the members of the joint venture)];

3. [Name of Bidder] is not “blacklisted” or barred from bidding by the Government of the Philippines or any of its agencies, offices, corporations, or Local 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 an authentic 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 to the 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; If a corporation or joint venture: None of the officers, directors, and controlling stockholders 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;

7. [Name of Bidder] complies with existing labor laws and standards; and

8. [Name of Bidder] is aware of and has undertaken the following responsibilities as a Bidder: 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. _____________________________________ Bidder’s Representative/Authorized Signatory

[JURAT]

* This form will not apply for WB funded projects.