Barangay: _________________________________ Barangay: _________________________________

Date: ___________________ DV. No. _________ Date: ___________________ DV. No. _________
Payee:______________________________ Payee:______________________________

Attached
Pls. Attach Requirements for Honoraria and Attached
Pls. Attach Requirements for Honoraria and
Allowances Allowances

□Certified list of winners from □Certified list of winners from

Comelec ( newly elected )
□ □ Oath of Office or Panunumpa
sa katungkulan
□ □ Statement of Assets and Liabilities
□ □ Appointment papers
□ □ Resolution confirming appointment
□ □ Resolution identifying the source
of funding
□ □ Minutes of meeting
□ □ DTR
□ □ Accomplishment Report
□ □ Resignation Letter of previous
official (if applicable)
□ □ Clearance from Money, Property
and Other Accountabilities
□ □ Notice of award and Notice to proceed
□ □ BAC resolution identifying the rates
of BAC members
□ □ Deposit slip for BAC collection
□ □ Summary or Collections and Deposits
□ □ Payroll
Others ___________________________________
___________________________________
____________________________________________
Comelec ( newly elected )
□ □ Oath of Office or Panunumpa
sa katungkulan
□ □ Statement of Assets and Liabilities
□ □ Appointment papers
□ □ Resolution confirming appointment
□ □ Resolution identifying the source
of funding
□ □ Minutes of meeting
□ □ DTR
□ □ Accomplishment Report
□ □ Resignation Letter of previous
official (if applicable)
□ □ Clearance from Money, Property
and Other Accountabilities
□ □ Notice of award and Notice to proceed
□ □ BAC resolution identifying the rates
of BAC members
□ □ Deposit slip for BAC collection
□ □ Summary or Collections and Deposits
□ □ Payroll
Others ___________________________________
___________________________________
____________________________________________

Barangay: _________________________________ Barangay: _________________________________

Date: ___________________ DV. No. _________ Date: ___________________ DV. No. _________
Payee:______________________________ Payee:______________________________

Attached
Pls. Attach Requirements for Honoraria and Attached
Pls. Attach Requirements for Honoraria and
Allowances Allowances

□ Certified list of winners from □ Certified list of winners from

Comelec (newly elected) Comelec (newly elected)
□ □ Oath of Office or Panunumpa □ □ Oath of Office or Panunumpa
sa katungkulan sa katungkulan
□ □ Statement of Assets and Liabilities □ □ Statement of Assets and Liabilities
□ □ Appointment papers □ □ Appointment papers
□ □ Resolution confirming appointment □ □ Resolution confirming appointment
□ □ Resolution identifying the source □ □ Resolution identifying the source
of funding of funding
□ □ Minutes of meeting □ □ Minutes of meeting
□ □ DTR □ □ DTR
□ □ Accomplishment Report □ □ Accomplishment Report
□ □ Resignation Letter of previous □ □ Resignation Letter of previous
official (if applicable) official (if applicable)
□ □ Clearance from Money, Property □ □ Clearance from Money, Property
and Other Accountabilities and Other Accountabilities
□ □ Notice of award and Notice to proceed □ □ Notice of award and Notice to proceed
□ □ BAC resolution identifying the rates □ □ BAC resolution identifying the rates
of BAC members of BAC members
□ □ Deposit slip for BAC collection □ □ Deposit slip for BAC collection
□ □ Summary or Collections and Deposits □ □ Summary or Collections and Deposits
□ □ Payroll □ □ Payroll
Others ___________________________________ Others ___________________________________
___________________________________ ___________________________________
 Barangay: _________________________________
Date: ___________________ DV. No. _________
Payee:______________________________

Attached
Pls. Attach Requirements for Supplies (using
alternative methods of procurement)

□ Purchase Request (indicate source of fund)

□ BAC Resolution-Mode of Procurement
□ □ Secretariat’s Cert. On Posting
(indicate period of posting)
□ □ Request for Quotations
□ □ Abstract of Bids
□ □ Contract of Award/ Purchase Order
□ □ Official/Delivery Receipt
□ □ Warranty Certificate
□ □ ICS/PAR
□ □ Waste Material Report / IIRUP
□ □ Attendance / List of Participants
□ □ Project Proposal
□ □ Minutes of Meeting
□ □ Requisition and Issue Slip
□ □ Income or Business Tax
□ □ Mayor’s /business permit
□ □ Philgeps Registration Number
□ □ Omnibus Sworn Statement
□ □ BIR Certificate of registration (for Small
Value procurement)
Others ___________________________________
___________________________________
___________________________________

Barangay: _________________________________
Date: ___________________ DV. No. _________
Payee:______________________________

Attached
Pls. Attach Requirements for Supplies (using
alternative methods of procurement)

□ Purchase Request (indicate source of fund)

□ BAC Resolution-Mode of Procurement
□ □ Secretariat’s Cert. On Posting
(indicate period of posting)
□ □ Request for Quotations
□ □ Abstract of Bids
□ □ Contract of Award/ Purchase Order
□ □ Official/Delivery Receipt
□ □ Warranty Certificate
□ □ ICS/PAR
□ □ Waste Material Report / IIRUP
□ □ Attendance / List of Participants
□ □ Project Proposal
□ □ Minutes of Meeting
□ □ Requisition and Issue Slip
□ □ Income or Business Tax
□ □ Mayor’s /business permit
□ □ Philgeps Registration Number
□ □ Omnibus Sworn Statement
□ □ BIR Certificate of registration (for Small
Value procurement)
Others ___________________________________
___________________________________
___________________________________
 Barangay: _________________________________
Date: ___________________ DV. No. _________
Payee:______________________________

Attached
Pls. Attach Requirements for Honoraria and
Allowances

□Certified list of winners from

Comelec ( newly elected )
□ □ Oath of Office or Panunumpa
sa katungkulan
□ □ Statement of Assets and Liabilities
□ □ Appointment papers
□ □ Resolution confirming appointment
□ □ Resolution identifying the source
of funding
□ □ Minutes of meeting
□ □ DT
□ □ Accomplishment Report
□ □ Resignation Letter of previous
official (if applicable)
□ □ Clearance from Money, Property
and Other Accountabilities
□ □ Notice of award and Notice to proceed
□ □ BAC resolution identifying the rates
of BAC members
□ □ Deposit slip for BAC collection
□ □ Summary or Collections and Deposits
□ □ Payroll
Others ___________________________________
___________________________________
____________________________________________

Barangay: _________________________________
Date: ___________________ DV. No. _________
Payee:______________________________

Attached
Pls. Attach Requirements for Honoraria and
Allowances

□ Certified list of winners from

Comelec (newly elected)
□ □ Oath of Office or Panunumpa
sa katungkulan
□ □ Statement of Assets and Liabilities
□ □ Appointment papers
□ □ Resolution confirming appointment
□ □ Resolution identifying the source
of funding
□ □ Minutes of meeting
□ □ DTR
□ □ Accomplishment Report
□ □ Resignation Letter of previous
official (if applicable)
□ □ Clearance from Money, Property
and Other Accountabilities
□ □ Notice of award and Notice to proceed
□ □ BAC resolution identifying the rates
of BAC members
□ □ Deposit slip for BAC collection
□ □ Summary or Collections and Deposits
□ □ Payroll
Others ___________________________________
___________________________________
 Barangay: _________________________________ Barangay: _________________________________
Date: ___________________ DV. No. _________ Date: ___________________ DV. No. _________
Payee:______________________________ Payee:______________________________

Attached
Pls. Attach Requirements for Travel and Training Attached
Pls. Attach Requirements for Utilities and Others

□ Travel Order □ Application (for new installation)

□ □ Invitation □ □ Bill
□ □ Appendix A or Itinerary of Travel duly □ □ Notice from BTR (Renewal of Bond)
.. approved by PB □ □ Form A57(Request for Bonding /
□ □ Appendix B or Certificate of Travel .. Cancellation of Bond)
.. completed □ □ Certification – no pending criminal and/or
□ □ Certificate of Appearance .. administrative case
□ □ Official Receipts □ □ Statement of Assets and Liabilities
□ □ Bus / Plane Tickets □ □ Boarding Pass
□ □ Boarding Pass □ Application (for new installation)
□ □ Bill
Others ___________________________________ □ □ Notice from BTR (Renewal of Bond)
___________________________________ □ □ Form A57(Request for Bonding /
___________________________________

Others ___________________________________
___________________________________
Barangay: _________________________________ ___________________________________
Date: ___________________ DV. No. _________
Payee:______________________________

Attached
Pls. Attach Retention Fee

□ Statement of Work Accomplished

□ □ OR
□ □ Photocopy of Paid Voucher
□ □ Certificate of Acceptance by end-user
□ □ Surety Bond

Others ___________________________________
___________________________________
___________________________________
 Barangay: _________________________________
Date: ___________________ DV. No. _________
Payee:______________________________

Pls. Attach
Attached
Requirements for Bidded Supplies

□ Purchase Request
□ □ Minutes – Pre Procurement Conference
□ □ Invitation to Bid
□ □ Certificate of Posting-BAC Sec.
.. (indicate period of posting)
□ □ Minutes – Pre Bid Conference
□ □ Supplemental Bid Bulletins
Envelope 1:
□ □ Bid Security
1. 2% if cash,
2. 5% if surety bond
SEC/DTI/CDA Registration
□ □ Mayor’s Permit
□ □ List of on-going/complete/awarded
but not yet started projects
□ □ Audited FS duly received by BIR
.. NFCC Computation/CLC
□ □ JVA
Omnibus Affidavit
Envelope 2
□ □ Bid Proposal
□ □ Detailed Estimates
□ □ Plans and Specifications
□ □ Cash Flow & Payment Schedule
□ □ Letter to Lowest Calculated Bidder (LCB)
□ Tax Clearance
□ □ Latest ITR
□ □ Cert-PhilGEPS Registration
□ □ Notice of Award
□ □ Valid JVA
□ □ PCAB Licence
□ □ Performance Security
1. 5% for goods if cash or equiv
2. 10% for infra if cash or equiv
3. 30% if surety bond
□ □ Contract
□ □ Construction Sched
□ □ S-Curve
□ □ Manpower Schedule
□ □ Equipment Utilization Sched
□ □ Construction Method
□ □ Contract
□ □ Noticeto Proceed
□ □ Certificate of Acceptance by Office
□ □ Certificate of Acceptance by End-User
□ □ Statement of Actual Work Accomplished
□ □ Detailed Estimates & Work Program
□ Pictures Before, During, After
□ □ Laboratory Test Results
□ □ Invitation to BAC Members/Observers
□ □ Purchase Order
□ □ Inspection and Acceptance Report
□ □ Official/Delivery Receipt
□ □ Warranty Certificate
□ □ ICS / PAR
□ □ Waste Material Report / IIRUP
Others ___________________________________
___________________________________
 ___________________________________
Barangay: _________________________________
Date: ___________________ DV. No. _________
Payee:______________________________

Pls. Attach
Attached
Requirements for Bidded Infrastructure
Projects

□ Purchase Request
□ □ Minutes – Pre Procurement Conference
□ □ Invitation to Bid
□ □ Certificate of Posting-BAC Sec.
.. (indicate period of posting)
□ □ Minutes – Pre Bid Conference
□ □ Supplemental Bid Bulletins
Envelope 1:
□ □ Bid Security
1. 2% if cash,
2. 5% if surety bond
SEC/DTI/CDA Registration
□ □ Mayor’s Permit
□ □ List of on-going/complete/awarded
but not yet started projects
PCAB License

□ □ Audited FS duly received by BIR

.. NFCC Computation/CLC
□ □ JVA
Omnibus Affidavit
Envelope 2
□ □ Bid Proposal
□ □ Detailed Estimates
□ □ Plans and Specifications
□ □ Cash Flow & Payment Schedule
□ □ Letter to Lowest Calculated Bidder (LCB)
□ Tax Clearance
□ □ Latest ITR
□ □ Cert-PhilGEPS Registration
□ □ Notice of Award
□ □ Valid JVA
□ □ PCAB Licence
□ □ Performance Security
1. 5% for goods if cash or equiv
2. 10% for infra if cash or equiv
3. 30% if surety bond
□ □ Contract
□ □ Construction Sched
□ □ S-Curve
□ □ Manpower Schedule
□ □ Equipment Utilization Sched
□ □ Construction Method
□ □ Contract
□ □ Noticeto Proceed
□ □ Certificate of Acceptance by Office
□ □ Certificate of Acceptance by End-User
□ □ Statement of Actual Work Accomplished
□ □ Detailed Estimates & Work Program
□ Pictures Before, During, After
□ □ Laboratory Test Results
□ □ Invitation to BAC Members/Observers
□ □ Purchase Order
□ □ Inspection and Acceptance Report
□ □ Official/Delivery Receipt
□ □ Warranty Certificate
□ □ ICS / PAR
□ □ Waste Material Report / IIRUP
Others ___________________________________
 Barangay: _________________________________
Date: ___________________ DV. No. _________
Payee:______________________________

Pls. Attach
Attached
Requirements for Mobilization Fee

□ Purchase Request
□ □ Invitation to Bid
Envelope 1:
□ □ Bid Security
.. 1. 2% if cash,
2. 5% if surety bond
□ □ SEC/DTI/CDA Registration
□ □ Mayor’s Permit
□ □ List of on-going/complete/awarded
but not yet started projects
PCAB License

□ □ Audited FS duly received by BIR

.. NFCC Computation/CLC
□ □ JVA
Omnibus Affidavit
□ □ JVA
□ □ Envelope 2
□ □ Bid Proposal
□ □ Detailed Estimates
□ □ Plans and Specifications
□ □ Cash Flow & Payment Schedule
Abstract of Bids
Letter to Lowest Calculated Bidder (LCB)
□ Tax Clearance
□ □ Latest ITR
□ □ Cert-PhilGEPS Registration
□ □ Declaration of LCRB and Recommendation
.. of award
□ □ Notice of Award
□ □ Contract
□ □ Construction Schedule
□ □ Performance Security
1. 5% for goods if cash or equiv
2. 10% for infra if cash or equiv
3. 30% if surety bond
□ □ Contract
□ □ Construction Sched
□ □ S-Curve
□ □ Manpower Schedule
□ □ Equipment Utilization Sched
□ □ Construction Method
□ □ Contract
□ □ Noticeto Proceed
□ □ Certificate of Acceptance by Office
□ □ Certificate of Acceptance by End-User
□ □ Statement of Actual Work Accomplished
□ □ Detailed Estimates & Work Program
□ Pictures Before, During, After
□ □ Laboratory Test Results
□ □ Invitation to BAC Members/Observers
□ □ Purchase Order
□ □ Inspection and Acceptance Report
□ □ Official/Delivery Receipt
□ □ Warranty Certificate
□ □ ICS / PAR
□ □ Waste Material Report / IIRUP
Others ___________________________________
___________________________________