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Republic of the Philippines
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DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
a]!.I-:i,I CENTRAL OFFICE
Manila

•AISooie PiLi*oni^s

1 5 APR '0?4

DEPARTMENT MEMORANDUM )
)

CIRCULAR NO. 31)

` i ,,...,. `:``
Series of 2024

FOR / TO : SENIOR UNDERSECRETARY

UNDERSECRETARIES
ASSISTANT SECRETARIES
REGIONAL DIRECTORS
BUREAU DIRECTORS
SERVIC E DIRECTORS
HEADS OF UPMOS
DISTRICT ENGINEERS
HEADS OF ATTACHED AGENCIES
OTHERS CONCERNED
This Department

For information and guidance, attached is a copy of DPWH-DOH Joint Memorandum

Circular (JMC) No. 01, series of 2024, signed on April 3, 2024 by Secretary Manuel M.
Bonoan and Secretary leodoro J. Herbosa, MD, with the subject: "GUIDELINES ON THE
IMPLEMENTATION OF FY 2024 GENERAL APPROPRIA-LIONS ACT SPECIAL
pROVIsloN NO. 6 oN DEPARTMENT OF HEALTH (IroH) - HEALTh FAclLITIEs
ENHANCEMENT PROGRAM(HFEP) PROJECTS"

A copy of the said Joint Memorandum Circular may also be downloaded from the DPWH
website: httD://dDwhweb. If an office cannot access the DPWH website, a hard copy may be
obtained from the Records Management DMsion, HRAS, upon request,

For disseminatio o all concerned.

\iR
&`
\
Atty. MICHAEL . VILLAFRANCA, CESO Ill
Officer-in-Charge
Office of the Assistant Secretary for Support Services

Encl: As stated

cc: Office of the Secretary

10.1.4 FJED/CDP/GME

©Website: https://www.dpwh.gov.ph
Q§Tel. No(s).: 5304-3000 / (02) 165-02
COCOTEC i_I

62DJ ¢„®
 #!:?`:i+;I;!=-

B^COHG PILlt.I.I^S

Republic of the Philippines

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
DEPARTMENT OF HEALTH

DPWH-DOHJointMemoramn±uffir2C6r±a4rNoiolrseriesof2024

FOR OFFICIALS OF THE DEPARTMENT OF PUBLIC WORKS AND

HIGHWAYS (DPWH), DEPARTMENT OF HEALTH (DOH),
AND ALL OTHERS CONCERNED

suB]Eor GulDELINEs ON THE IMPLEMENTAnoN OF Fy 2024

GENERAL APPROPRIATIONS ACT SPECIAL PROVISION NO. 6
0N DEPARTMENT OF HEALTH (DOH) -HEALTH FACILITIES
ENHANCEMENT PROGRAM (HFEP) PROJECTS

I. PURPOSE

This Joint Memorandum Circular (JMC) is issued to implement the following Special Provision
No. 6 of the FY 2024 General Appropriations Act (Republic Act (RA) No. 11975) relative to
Department of Health (DOH) -Health Facilities Enhancement Program (HFEP) projects:

``[t]he Department of Public Works and Highways (DPWH) shall implement the
infrastructure projects of for all Centers for Health Development (CHD) under the
Health Facilities Enhancement Program (HFEP) exceeding Five Million Pesos
(P5,000'000.00).

However, the following infrastructure projects shall be retained under the DOH for
implementation:
(a) HFEP Projects with approved Multi-Year Contractual Authority (MYCA);
(b) HFEP infrastructure projects of the Specialty Hospitals;
(c) HFEP Projects of DOH Hospitals, excluding those in the Legaey Projects; and
(d) HFEP-funded DOH Central Office projects"

11. SCOPE AND APPLICATION

This Guidelines shall apply to all infrastructure projects of DOH-Centers for Health
Development (CHD) EXCEEDING FIVE MILLION PESOS (Php 5,000,000.00),
excluding the following HFEP Projects: (a) with approved MYCA; (b) Specialty Hospitals; (c)
DOH Hospitals excluding LEGACY PROJECTS; (d) DOH Central Office projects, which funds
were mandated by the GAA 2024 to be directly released to the DPWH.

These projects shall be implemented by the DPWH Regional Offices (DPWH ROs).
 i}rj-L^-ti-I.'i.¥ffi€8}.fj#€.Sip?kai£.a,{`ETE6,¥b'ari€juirv`p€:ir€rtt[dsPN1!Lft#4S¢f!,brig:`q`erf2¢#f+

[='age 2 of 6

These infrastructure projects include' the construction, completion, rehabilitation, renovation,

u-pgradin`g or repair of buildings exceeding Five Million Pesos as identified in GAA 2024.

Ill. IMPLEMENTABLE PROJECTS

Only those projects compliant with the requirements set by this Guidelines, as determined
by the Joint Validation of each respective DPWH Regional Office (RO) and DOH-CHD
concerned, shall be implemented.

IV. SUBMISSION OF DOCUMENTS OF PROJECTS AS LISTED IN THE FY 2024 GAA

The DOH-CHD _shall submit to the DPWH RO the proposed Detailed Architecture and
Engineering Design (DAED) if already available, and all other project documents necessary
to facilitate the implementation of the identified Infrastructure Projects covered by this JMC.
In addition, the DOH-CHD shall secure and provide pertinent documents to assist the DPWH
RO in the acquisition of necessary permits for the implementation of the projects.

All of these documents should be submitted promptly to the DPWH RO.

V. DOH Infrastructure Project Regional Monitoring Team (DIPRM)

A DOH Infrastructure Project Regional Monitoring Team (DIPRM) shall be created and
composed of the following:

a) Two (2) Representatives from the respective DOH-CHD; and

b) Two (2) Representatives from the DPWH RO.

The DIPRM shall conduct all validations as covered in this Guidelines.

VI. MEMORANDUM OF AGREEMENT BETVI/FEN DPWH RO AND DOH-CND

The DPWH RO and the DOH-CHD shall enter into a Memorandum of Agreement (MOA) for
all infrastructure projects within the concerned region's area of jurisdiction and covered by
this JMC.

VIE. PROCEDURE FOR THE DPWH IMPLEMENTATION OF DOH-HFEP

IN FRASTRUCTU RE PROJ ECTS

A. The DPwil RO shall initiate the request to enter into Memorandum of Agreement
(MOA);

8. DPWH RO and concerned DOH-CHD shall conduct Initial Joint Validation per DPWH
Unnumbered Memorandum dated February 2, 2024 to identify implementable
projects using the prescribed format (please see Annex A);

C. The parameters for the verification of the project to be deemed iinplementable shall
be based on the favorable evaluation results/findings of the DAED, soil test
necessary), availability of buildable space, site improvements (if needed), scope
work, estimated cost, and other parameters that the DPWH RO and DOH-CHD may
identify;
 (:IFX`th{H+ I)f},!£ Hciii.?t pr€ei`rf¥€Ti+a!-idL!Fyi €:,ir€'\wia F` F`v!i~¢. ®£f ! ¢ri.gi€vt€ fjf *'ex2``-4

r'a7£je :# Or @,

• Negative result/findings of the Initial Joint Validation shall deemed the project
unimplementable which shall be signed by the DPWH Regional Director (RD) and
concurred by the DOH-CHD Regional Director (RD). The DPWH RD shall provide copy
of the said document to the Office of the Undersecretary for Operations in-charge of
Convergence Projects (OUOCP). Likewise, the DOH-CHD shall inform 'its DOH-Central
Office, through Health Regulations and Facility Development Cluster (HRFDC), for
consolidation and reference;

D. Based on the said validation, only the projects identified as implementable shall be-
allowed to proceed for the submission of the Request for Authority to Enter into MOA
to the DPWH Secretary using the prescribed format (please see Annex I);

E. The DPWH RO, through the OUOPCP, shall request authority from the DPWH
Secretary to enter into a MOA with a specific DOH-CHD to implement infrastructure
project/s covered by this JMC. The request shall include the following:

1. Draft MOA, as provided in this Guidelines;

2. Annex ``A" - Initial Joint Validation Report signed by the DPWH RD and
DOH-CHD RD per DPWH Unnumbered Memorandum dated February 2, 2024;
3. Annex ``8" - Certification from of Availability of Conceptual plans from the
DOH-CHD (if any);
4. Annex ``C" - Consolidated Right-of-Way and Lot Ownership Certification from
DOH-CHD (if any);
5. Annex ``D" - Consolidated Outside of Hazard Areas, No Build Zones, and
Protected Areas Certification (if any/applicable) from DPWH RO;
6. Annex "E" - Certificate of No Pending Payments and/or Arrears to the Local
Electric Cooperative/Corporation from DOH-CHD;
7. Annex ``F" -Certificate of Availability of Funds from DPWH RO.

The request for authority shall be recommended by the OUOPCP to the DPWH
Secretary upon review of the completeness of the documents as attached in the
request by the DPWH RO.

No MOA shall be entered into by the DPWH RO without prior authority from the
DPWH Secretary pursuant to DPWH Order No. 14, s. 2024.

The DOH-CHD Regional Director shall seek from the DOH Secretary, by
recommendation of HRFDC, authority to enter into MOA with the DPWH RO. The
DOH-Cent.ral Office shall issue a Department Personnel Order to this effect.

F. Upon receipt of their respective Authorities to Enter into a MOA, the DPWH RO,
represented by the DPWH RD, and the DOH-CHD, represented by the DOH-CHD RD,
shall sign the MOA (please see Annex C).

G. The DPWH RO shall prepare and approve the Final Detailed Architectural and
Engineering Design (DAED) plans, based on the submitted DAED of the DOH-CHD,
DPWH Design Standards, and other pertinent codes and laws, for the DOH-CHD's
concurrence. Likewise, the DPWH RO shall conduct cost estimation of the project in
accordance with the existing DPWH orders, guidelines, policies, rules and
regulations;
 rjgrLWEi. E}SH Fe}int lfe.{ifi®raiidum i:if¢uuiaF -F*(\iE dr£, ¢qefrieLg €'if 2.ft}4

r`'acie 4 r>f ('`;,

. H.. The Final DAED Plans and Program of Works (POW) should be approved by the
DPWH RD and should be concurred promptly by the DOH-CHD RD and kept and filed
in the DPWH RO;

I. The DPWH RO shall furnish to OUOCP the full list of DOH Projects with signed MOA;

J. The DPWH RO shall prepare monthly status report reflecting the progress of the
implementation of each project. Likewise, the DPWH RO shall prepare and approve
Variation Orders (if any) and shall be concurred by the DOH-CHD which copies shall
be submitted to the OUOCP and respective DOH-CHD copies;

K. The DPWH RO shall submit to the OUOCP and DOH-CHD copies of the Final
Completion/Final Acceptance Inspection Report and turnover documents approved by
the DPWH RD and concurred by the DOH-CHD RD for every completed projects.

L. The DOH-CHD shall furnish a copy to DOH-Central Office, through HRFDC, all the
abovementioned documents in item K for reference.

VIII. TURNIOVER OF PROJECTS

A. The DPWH RO, after the issuance of the Certificate of Completion to the contractor,
shall turn-over the completed project to the DOH-CHD.

8. The DOH-CHD, upon its acceptance of the turn-over structure, using the prescribed
Turn-Over documents format (Certificate of Turn-Over and Acceptance and Project
Completion and Turn-Over Report), shall assume responsibility on the possession,
security, and operations of the turned-over structure/project (please see Annex D)

C. The DPWH RO shall submit to the OUOPCP and to the DOH-CHD copies of the Final
Completion/Final Acceptance Inspection Report and turnover documents approved by
the DPWH RD and concurred by the DOH-CHD RD for every completed project.

D. The DOH-CHD shall furnish a copy to DOH-Central Office, through HRFDC, all the
abovementioned documents in items 8 and C for reference

IX. ARBITRATION

In case there will be disagreements, disputes or unsettled issues, the DOH-CHD and DPWH
RO shall consider the Alternative Dispute Resolution Act of 2004 (RA 9285) and/or the
Uniform Rules o.n Dispute Resolution under Presidential Decree 242, as amended, for
Government Agencies and Instrumentalities, and Government-owned or Controlled
Corporations.

In this case, the DPWH RO shall inform the DPWH Secretary, through the OUOPCP, and the
DOH-CHD RD shall inform the DOH Secretary, through the HRFDC, for their reference.

X. AMENDMENT

Any supplemental amendment, modification, or revision to the provisions of this Guidelines

shall be done only in writing and with the consent of all the parties. Such supplement
amendment or revision shall form part of this Guidelines;
 1' tr'kF`chFEli-rj€!1+,IO!E\I`S pfemcji`andijm`, ciFTciBlai F€i¥, ®f Bt *k`^I ;tit €!r 3Fiz4€,

i,atj(-: ti: ,Jf {f`L

In the event that any of the provisions of this Guidelines or any document that may be
executed in connection therewith shall be declared invalid, illegal, or unenforceable in any
respect by a competent authority, the validity, legality, and enforceability of the remaining
provisions of this Guidelines or any document that may be executed in connection therewith
shall not in any way be affected or impaired and shall remain valid and ih full force and
effect.

XI. EFFECTIVITY

This Joint Memorandum Circular shall take effect immediately after the filing with the Office
of National Administrative Register at the University of the Philippines Law Center, UP
Diliman, Quezon City.

Departme%ff|fcop#I(:ewfr::gr?Hlghways

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WIN4AA00077
 DPWH-DOH Joint fuemorandum Circular rdo, 01, series of 2024
Page 6 of 6

REFERENCES:

ANNEX A
INITIAL JOINT VALIDATION REPORT PER DPWH MEMORANDUM DATED
FEBRUARY 7, 2024

ANNEX 8
REQUEST FOR AUTHORITY TO ENTER INTO MOA

ANNEX C
MEMORANDUM OF AGREEMENT (MOA) TEMPLATE

ANNEX D
TURN-OVER DOCUMENTS

Annex "A"
Initial Joint Validation Report signed by the undersigned per DPWH Unnumbered
Memorandum dated February 2, 2024

Annex "8''
Certification from of Availability of Conceptual plans from the DOH (if any)

Annex "C"
Consolidated Right-of-Way and Lot Ownership Certification from DOH (if any)

Annex "D"
Consolidated Outside of Hazard Areas, No Build Zones, and Protected Areas
Certification (if any/applicable) from DPWH RO

Annex "E"
Certificate of No Pending Payments and/or Arrears to the Local Electric
Cooperative/Corporation from DOH

Annex ``F''
Certificate of Availability of Funds from DPWH RO.
 Repiiblic of the Philippines
I)EPAR"ENT OF PUBLIC WORKS AND HIGHWAYS
CE NTRAL. OFFICE
Manila

CV 2024 DOH-HFEP {Prip 10.507 8) Validetion Report

ProposedModified
Pngject Maine
as listed inGAA2024 Lmation Scoire Of Work
AIlcation per Estimated Cost For Modificatfro
DAED Fthns
Avallabillty(YesorN®)
PDE status
Soil Tct BuildatdeSpecs
Site
Imiilementallle
R-n
GAA 2024 Projed Name Availabi]]tv (YesOrNO) Soil Test Cost Im|.roveinentsNeeded (if Unimpk>menlal,le)
ier Validation ryes or No) A,ailability(YesorMo) ryes or No)

Please AttachPrngramofI«fro(asANNEXA) ( r'N/A" if natsubjectforMedificationPleaseincludeMedifi edscopEOFWORKandspel ingcor ections) Please attachSoilTestReportifavailable(asANNEX8) Please attachSiteMap(asANNEXC, Please attachRelevanl/Support,ngDacunents(asANNEXD)

Completion,Construction, orRepeir

Approved by: Concumed by:

DPWH- Regional Director DOH-Center for Help Development Regional Director

Note: ,
Please prepare a(Validation Report for each prp}ect and attached the required documents. Regional Offices are directed to consolidate the hard
copies and summarize the soft copy Of this Fcrm in one MS Excel file prior to submission.
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
:]!.--.[[ CENTRAL OFFICE
Manila

B^GOMG "LI.I\.^S

MEMORANDUM

FOR : Secretary MANUEL M. BONOAN

This Department

SUBJECT : Request for Authority to Enter into Memorandum of Agreement

(MOA) for FY 2024 Department of Health (DOH) - Health
Facilities Enhancement Program (HFEP) Infrastructure
Projects

Respectfully requesting AUTHORlrv TO ENTER INTO MEMORANDUM OF AGREEMENT

(MOA) between this Region and the [DOH-CHD Office] for the project [following projects]:

NO, HFEP Project Name Hospital/ Facilities Name

1. e.g. "Itogon Super Health Center"

2.
3.
4.

The attached proposed MOA outlines the terms and conditions, duties and responsibilities,
and additional guidelines under which both parties shall collaborate towards the realization of
the Section 6 of the Special Provisions applicable to the DOH-HFEP under Republic Act (RA)
NO.11975, otherwise known as the ``General Appropriations Act of 2024," (GAA 2024):

``6. The Department Of Public Works and Highways (DPWH) shall implement the
infrastructure projects for all Centers for Health Development (CHDs) under the HFEP costing
more than Five Million Pess (P5,000,000). However, the following infrastructure projects shall
be retained under the DOH for implemenfation:

(a) HFEP projects with approved Multi-Year contractual Authority (MYCA);

(b) HFEp infrastructure projects of the specialty Hospitals
(c) HFEP projects of DOH hospitals, excluding those in the Legaey projects; and
(d). HFEP-funded DOWH central office projects.

The DPWH shall ensure that the implementation of the delagated HFEP projects strictly
conform to the General and Special Provisions in this Act. Funds intended for the
aforemention projects shall be directly released to DPWH. The DOH and DPWH shall issue
the neccessary guidelines to implement this provisions"

The undersigned certifies that all documentary requirements are true, correct, and
accomplished as prescribed by the Department, attached as follows:

1. Annex ``A" -Initial Joint Validation Report signed by the undersigned and DOH-CHD
Regional Director per DPWH Unnumbered Memorandum dated February 2, 2024
2. Annex ``8" -Certification from of Availability of Conceptual Plans from the DOH-CHD
(if any)
3. Annex ``C" - Consolidated Right-of-Way and Lot Ownership Certification from DOH-
CHD (if any)

®Website: https://www.dpwh.gov.ph
ng§Tel. Nro(S).: 5304-3000 / (02) 165-02
 Request for Authority to Enter into Memorandum of Agreement (MOA) for FY 2024 Department of
Health (DOH) -Health Facilities Enhancement Program (HFEP) Infrastructure Projects

Page 2 of 2

4. Annex ``D" - Consolidated Outside of Hazard Areas, No Build Zones, and Protected
Areas Certification (if any/applicable) from DPWH RO
5. Annex ``E" -Certificate of No Pending Payments and/or Arrears to tha Local Electric
Cooperative/Corporation from DOH-CHD
6. Annex ``F" -Certificate of Availability of Funds from DPWH RO

Requesting for the approval of the said authority.

DPWH REGIONAL DIRECTOR

Region

Recommending Approval:

ERIC A. AYAPANA
Undersecretary for Operations In-Charge of Convergence Projects

APPROVED/ DISAPPROVED

MANUEL M. BONOAN
Secretary

CC: DOH-CHD
Date :

CERTIFICATE 0F TURN-OVER AND ACCEPTANCE

The /Contract „ame/ undertaken by rconfractorJ, satisfactorily completed in accordance with

the approved Plans and Specifications, is hereby officially turned-over to the /Ivame of £4e
Agency/ LGU concerned).

NAME & SIGNATURE

Head of Implementing Office

ACCEPTANCE:

By the virtue of this certificate, through the undersigned, hereby accepts the completed project,
as inspected, and confirms the assumption of responsibility with regards to custody, security, and
operations of the structure and its facilities.

NAME & SIGNATURE

Authorized Representative
End User Agency/Office

Date :
 (10 LETTER HEAD)

PROJECT COMPLETION AND TURN-OVER REPORT

Contract ID :
P roj ect :
Location .

Contractor =

1. Original contract cost

2. Contract Effectivity

3. Original contract Duration

4. Original contract Expiry Date

5. Approved variation order

6, Revised contract cost

7. Additional contract lime due to v.O.

8. Revised contract Expiry Date due to v.O.

9. Approved contract Time Extension

10. Revised contract Expiry Date due to CTE

Prepared by: Submitted by:

NAME & SIGNATURE NAME & SIGNATURE

Project Engineer Head of Implementing Unit

Noted by:

NAME & SIGNATURE

Head of Implementing Office
 Post Completion and Turn~over
(Contract ID)
(Project Name/Location)

Page. 2 of 2

ACKNOWLEDGEMENT

This is to certify that I, (Authorized ReDresentative, Position, Offlce\ , has this day
received custody of the above-mentioned project in good order and
condition.

NAME & SIGNATURE

Authorized Representative
Position
Office
 [Insert DOH Header]

CERTIFICATE OF AVAILABILI]TY OF DAED PLANS

This is to certify that the DOH-CHD, [Region], with the address [address], has available Detailed
Architectural and Engineering Design Plans for the [project name]. In the event that the
aforementioned stakeholder is to impede and/or hold issuance of relative documents during and
after the implementation of project, the undersigned will be held liable.

Issued on [date] in support of the projects for implementation of the Department of Public Works
and Highways for [Funding Year].

Certified by:

[signature over Printed Name]

CHD Regional Director
[Region Name]
 [lnsert DOH-CHD Header]

CONSOLIDATED RIGHTIOFIWAY CERTIFICATION

FOR DOHIHFEP INFRASTRUCTURE PROJECTS

This is to certify that the projects listed in Annex ``D.1", with the entirety of its project location
and/or alignment, geographically located within the jurisdiction of [DOH-CHD] in [Address],
are cleared from any man-made and natural structures, and are free of legal claims.

The undersigned further certifies that the projects listed in the Annex ``C.1" comply with the set
of guidelines and appropriate attachments (see Annex ``C.2'); and the original and/or legally
accepted copies of the said certification are stored at the Engineering Unit of the DOH-CHD.

Issued on [date] in support of the projects for implementation in the FY [funding year] of the
Department of Public Works and Highways (DPWH) Budget.

Certified by:

[signature over Printed Name]

CHD Regional Director
[Region Name]
 [Insert Header of DOH-CHD] Annex "C.1"

CONSOLIDATED RIGHT OF WAY CERTIFICATION FOR

DOH-HFEP INFRASTRUCTURE PROJECTS

DOH-HFEP Infrastructure Projects

1.

2.

3-

4.

[signature over Printed Name]

CHD Regional Director
[Region Name]
 [Insert Header of DOH-CHD]
Annex "C.2"

CONSOLIDATED RIGHT OF WAY CERTIFICATION FOR

DOH-HFEP INFRASTRUCTURE PROJECTS

PROJECT [#]
(see Annex "C.1'?

Project Name
Project Location
Amount Requested
Scope of Work

AVAILABILITY
DOCUMENTARY REQUIREMENTS REMARKS

(A) Proof of Ownership of Lot

Can be of the ff:
1. Deed of Donation
2. TCT

(8) Site Development plan

signed by the Head Of Engineering
Unit of the SUC and approved by
the President of the SUC

(C) Accomplished Project Profile

As provided in Annex "C"

(D) Concept Plan /ifapp/y.cab/€/

[signature over Printed Name]

CHD Regional Director
[Region Name]

Attested by:

[signature` over Printed Name]

Regional Director
[DPWH Regional Offlce]
 [DPWH Header]

OUTSIDE OF HIGH HAZARD AREAS, NO BUILD

ZONES, AND PROTECTED AREAS
CERTIFICATION

This is to certify that the projects listed in Annex ``D.1'', with the entirety of its total project scope
and/or alignment, are geographically located within the property of [DOH-CHD], are compliant
with all the relevant provisions of existing national laws and policies, as well as standing
department issued orders and/or policies relative to high hazard areas, no build zones, and
national protected areas.

The undersigned further certifies that the listed projects are:

1. Not within the High Hazard Areas, No Build Zones or National Protected Areas as identified
by the Department of Environmental and Natural Resources (DENR), Mines and
Geosciences Bureaus (MGB), Environmental Management Bureau (EMB), DOST-
PHILVOLCS and other relevant institution under the Republic of the Philippines; and
2. Adherent to the provisions and guidelines outlined in the Updated Social and
Environmental Management System (SEMS) Operations Manual prior to its
implementation.

Issued on [date] in support of the projects for implementation of the Department of Public Works
and Highways for [Funding Year].

Certified by:

[Sighature over Printed Name]

DPWH Regional Director
 [Insert Header of DPWH] Annex "D.1"

CONSOLIDATED CERTIFICATION FOR

OUTSIDE OF HIGH HAZARD AREAS, NO BulLD ZONES, AND PROTECTED AREAS

DOHIHFEP Infrastructure Projects

1-

2-

3.

4.

[Signature over Printed Name]

DPWH Regional Director
 [Insert DOH-CHD Header]

CERTIFICATE OF NO PENDING PAYMENT/ARREARS

FROM LOCAL ELECTRIC COOPERATIVE

This is to certify that the DOH-CHD, [Region Name], with the address [address], has no pending
payment/arrears with [Local Electric Cooperative/Corporation] as of this date. In the event that
the aforementioned stakeholder is to impede and/or hold issuance of relative documents during
and after the implementation of the [project name], the undersigned will be held liable

Issued on [date] in support of the projects for implementation of the Department of Public Works
and Highways for [Funding Year].

Certified by:

[Sighature over Printed Name]

CHD Regional Director
[Region Name]
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
]]!...-.[E CENTRAL OFFICE
Manila

BAICOWG PIL\F.IWAG

Date

CERTIFICATE OF AVAILABLITY OF FUNDS

This is to certify that the amount of intended for the

released under FY 2024 RA (11975) Proaram ,
Sub-allotment No. dated is still available as of this date.

Certified Correct: Approved by:

Accountant Regional Director