Republic of the Philippines

Tacloban City
Standard Form Number: SF-INFR-15
STATEMENT OF ALL ONGOING GOVERNMENT AND PRIVATE CONSTRUCTION CONTRACTS INCLUDING CONTRACT AWARDED BUT NOT YET STARTED

Business Name : ESPG BUILDERS

Business Address : BRGY. 77 APITONG, RODRIGO DUTERTE AVE., TACLOBAN CITY
a. Date Awarded % of
a. Owner’s Name
Name of Bidder’s Role b. Date Started Accomplishment Value of
Project Cost b. Address Nature of Work
Contract/Location c. Date of Outstanding Works
c. Telephone Nos. Description % Planned Actual
Completion
Government
Construction of
Public Market in a. LGU Tanauan a. March 2, 2015
Sole
Tanauan, Leyte P 24,389,077.00 b. Tanauan, Leyte Rehabilitation 100% b. April 27, 2015 28% 31% P 24,389,077.00
proprietor
c. 322-4900 c. Nov. 22, 2016
Private
NONE
Total Cost P 24,389,077.00

Note: This statement shall be supported with:

1. Notice of Award
2. Contract Agreement : KEMPEE L. PETRONIO
3. Notice to Proceed (Print Name & Signature)
: President
SUBSCRIBED AND SWORN TO before me this ______ day of _______________, at Tacloban City.
Driver’s License No. H02-90-025469 issued on November 4, 2015 at Tacloban City, Philippines.
NOTARY PUBLIC
Until 31 December 2016
Doc.________________ PTR No._____________
Page No.____________ Date: _______________
Book No.____________ Place: _______________
Series of 2015 TIN: ________________