Annex K
Page 38 of 62
CHECKLIST OF SUPPORTING DOCUMENTS AND ATTACHMENTS FOR DoTS
Interim Progress Billing
I. To be prepared by the Contractor
1. Letter request of Contractor for payment
2. Statement of Work Accomplished and Monthly Certificate of Payment
3. BIR Form No. 2307 (Certificate of Creditable Taxes Withheld at Source), if any
4. BIR Form No. 2550 M – VAT Declaration
5. Certificate of Materials Quality Test (Materials on Site), if any
6. Materials Test Report/Quality Test
7. Contractor’s Affidavit - duly notarized
8. Backup Computation
9. Geotagged pictures of Work Accomplished (size 3R min.)- “with proper labelling”
10. Change Order/Extra Work Order/Time Extension/Suspension and Resume Order, if needed
11. Copy of Contract of Lease/Rental Agreement for Facilities to the Engineer/Official Receipt for
Lease/Rent/Purchase – OR and CR for vehicles and proof of purchase
12. Official Receipt and Approved Voucher of the previous payment, if not yet submitted to the
Accounting Division or copy of duly received OR by the Accounting Division (if GOP, FRS Section and
if Loan Proceed, FAP Section (per billing requirement))
13. One set certified true copy of all the documents submitted for accounting's copy
I hereby certify that the above supporting documents are complete
Print Name: ________________________________
Designation: ________________________________
Date: ________________________________
Annex K
Page 39 of 62
CHECKLIST OF SUPPORTING DOCUMENTS AND ATTACHMENTS FOR DoTS
Interim Progress Billing
II. To be prepared by the Implementing Office
1. Background Information and Executive Summary
2. Billing Summary
3. Disbursement Voucher
4. Certification from Implementing Office that the supporting documents are verified as valid and
complete
5. Certified True Copy of Obligation Request and Status (ORS)
6. Foreign portion-Withdrawal Application (for foreign assisted projects, if applicable)
7. Certification of Clearance for Labor and Materials Payment
8. Certification of Clearance for Equipment Rentals and/or Lease
9. Certificate of Materials Quality Control Assurance by DPWH Materials Engineer
10. Statement of Time Elapsed (Justification Letter (including compliance with calibrated actions) is
needed if accomplishment is negative slippage of 10% and above)
11. One set certified true copy of all the documents submitted for accounting's copy
I hereby certify that the above supporting documents are complete
Print Name: ________________________________
Designation: ________________________________
Date: ________________________________