REPUBLIC OF THE PHILIPPINES)

CITY OF ROXAS
) S.S.

AFFIDAVIT OF OWNERSHIP

I, MR. RAMIL S. ARTATES, of legal age, Filipino, married and a resident of Brgy. Dumulog,.
Roxas City, Capiz, Philippines, after being duly sworn in accordance with the law depose
and say:
1. That I am duly licensed Contractor under the business name of CSC BUILDERS
located at Rendon Bldg., Legaspi St., Roxas City duly registered with the
Department of Trade and Industry.
2. That being in this kind of business, I owned the following construction and
transportation equipments.
Description

Nissan Power Pick-up

No.
of
Unit
s
1

Mitsubishi Starda

Mini Elf Truck

Bagger Concrete
YANMAR Engine
Bagger Concrete
Yamma Engine
Bagger Concrete
Robin Engine
Bagger Concrete
Robin Engine
Concrete Vibrator

Motor No./ Body

No.

Location

Conditio
n

UTGD21-39320

Roxas City

Good

MMBJNKA40ED042
651

Roxas City

Good

TLD54-9981005

Roxas City

Good

Mixer / 1

EY 28-1459916

Roxas City

Good

Mixer / 1

Good

Mixer / 1

EY
28-013- Roxas City
0001700971
EY 23-013-1432712 Roxas City

Mixer / 1

EY 23-1616310

Roxas City

Good

MSH 2711304

Roxas City

Good

033146PS

Roxas City

Good

Roxas City

Good

Roxas City

Good

Roxas City

Good

Demolition
Hammer
Bosch
40 Water Pump with 5HP
Yanmar Engine
Denyo Power Generator
2.4 KW
10 HP Robin Air-cooled
Engine
5 Ton chain Blocks Bosch
GBH 230
H.D.
Electric
Sander
Bosch AEG BH 22E

1
1

6S-300

Good

Present
Value

P
160,000.00
P
1,030,000.0
0
P
120,
000.00
P
20,
000.00
P
30,
000.00
P
30,
000.00
P 8, 000.00
P
48,
500.00
P
12,
000.00
P 6, 500.00

AGC 88600358

Roxas City

Good

P
25,
000.00
P
10,
000.00
P 9, 800.00

19047

Roxas City

Good

P 8, 500.00

IN WITNESS WHEREOF, I Hereunder set my hand this 21st of December 2015.

RAMIL S. ARTATES
Affiant

SUBSCRIBED AND SWORN to be me this ______ day of ________________ at Roxas City Capiz,
Philippines. Affiant exhibited to me his/her Residence Certificate No. 32463888 issued at
Roxas City on January 6, 20165

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of 2015.

___________________________________________________________________________
CONTRACTORS ORGANIZATIONAL CHART FOR THE CONTRACT

RAMIL S. ARTATES
Project Manager/Safety
Officer
RAMIL S. ARTATES
Project Engineer

JOEL PIMENTEL
Surveyor

SURVEY AIDES

ST. JOHN
VILLARUZ
Materials Lab.

NOEL AMANTE
Construction
Foreman
H.E.
OPERATOR

CARPENTERS

DRIVERS

MASONS

LABORERS

Prepared by:

MATERIALS
LAB. AIDE

RAMIL S. ARTATES
AMO/PROPRIETOR

Name of Project: Construction/Repair/Rehabilitation of Various Projects namely:

1. LantagaP/S, Pinoy Espinosa E/S, 3. Panta Buri E/S, 4. Tagubanhan E/S, 5. Camambugan E/S, 6. Pedro Bedez
E/S, 7. Quiasan E/S, 8. Salong E/S, 9. Ajuy Rural Health Unit, 10. Bay ang Brgy. Health Center, 11. Lantagan
Brgy. Health Center, 12. Balasan Rural Health Unit, 13. Cabalic Brgy. Health Center.

QUALIFICATIONS OF KEY PERSONNEL PROPOSED TO BE ASSIGNED TO THE CONTRACT

Business Name : SDB STEELSTRUCT BUILDERS ENT.
Business Address : Provincial Road Brgy. Cagay Roxas City, Capiz
Materials Engineer

Construction Foreman

JOSE REX C. NEYRA

28 Sto. Domingo St.
Iloilo City
October 17, 1960
September 22, 2009
29
Supreme
ABF
Construction
B. S. Civil Engineering

Noel Amante
Lawaan, Roxas City

Date of Birth
Employed Since
Experience
Previous
Employment
7. Education

Project Manager/Const. of Resident Engineer

Safety Health Officer
RAMIL S. ARTATES
RAMIL S. ARTATES
Brgy. Dumulog, Roxas City
Brgy. Dumulog, Roxas
City
April 15, 1968
April 15, 1968
April 2009
April 2009
20
23
JP Orleans Development JP Orleans Development
Corp
Corp.
B.S. Civil Engineering
B. S. Civil Engineering

8. PRC License

77254

0074721

1. Name
2. Address
3.
4.
5.
6.

Note

: Attached are individual resumes and PRC License of the personnel.

Submitted by

Designation
Date

77254

____RAMIL S. ARTATES__
(Printed Name & Signature)
:
:

Section IX. Bidding Forms

AMO/Proprietor__________________
January 29, 2016__________________

January 21, 1969

June 2009
20
Private
Contractor
(Labor Only)
B.S.
Mechanical
Engineering
None

Statement Identifying Bidders Single Largest Completed Contracts

Similar to the Contract to be bid
Registered Business Name of Bidder:
Business Address:

Name of Contract/Location/Contract
Completion Period in calendar days and Date
of Contract

Government
Cy2014 S/B Program for areas affected
By St. Yolanda Under Matuwid na Daan
Sa Silid Aralan Project (PAGCOR FUNDS)
R6-D6-PAGCOR 2
BITOON 12 DOORS APARTMENT

CSC BUILDERS.
RENDON BLDG., LEGASPI ST., ROXAS CITY
Contractors Role
Owners Name, Address,
Telephone Numbers

Nature of Work

DepEd-Capiz Division

Construction

Brgy. Banica, Roxas City

Description
Sole
Contractor

%
100
%

Amount of Award,
Amount of completion,
Actual contract
duration

Date Awarded,
Contract Affectivity
Date and Date
Completed

Php 14,244,814.73

3-Oct-14

Php 14,244,814.73
150 C.D.

29-Oct-14
5-May-15

14,600000.00

Note:The bidder shall support this statement with duly signed Notice of Award or Notice to Proceed; and the duly signed Owners Certification of Completion, or the
Constructors Performance Evaluation summary (CPES) Final Rating, which must be satisfactory. In addition, the bidder may attach herewith the duly signed
Contracts, Agreements, POs or Job Orders.

Submitted by
Designation
Date

RAMIL S. ARATTES
Authorized Representative
January 29, 2016

One of the Technical documents required to be in the technical Component envelope of a bidder is a statement identifying the bidders single largest completed
contract which similar in nature and complexity to the contract to be bid. This statement will show the value of the prospective bidders largest single completed
contract similar to the contract to be bid, adjusted to current prices uning NSO consumer price indices, must be at least fifty percent (50%) of the ABC to be bid.

Provided, however, that contractors under Small A and B categories without similar experience on the contract to be bid may be allowed to bid if the cost of such
contract is not more than fifty percent (50%) of the allowable range of contract cost (ABC) of their registration based on the guideline at prescribed by the PCAB.