WORK AND FINANCIAL PLAN

SCHOOL-BASED FEEDING PROGRAM (SBFP)

SY 2016 - 2017
Region:
Division:
District:
Name of School:
BEIS School ID:

Objectives: To rehabilitate at least 70% of the beneficiaries to normal nutritional status

Ensure 85-100% attendance among target beneficiaries
To improve the children's health and nutrition values and behavior

Target Beneficiaries SY 2015 - 2016 Financial Requirements for SY 2016- 2017

CY 2016 CY 2017
PROGRAM/ACTIVITY/PROJECT Performance Grade 1 3rd - 4th 1st Qtr. TOTAL Cost TOTAL
Indicator / Kinder to Qtr. of 2016 TARGET Assumption OCT. NOV. DEC. JAN. FEB. MAR. APR. (days)
Unit of Grade6 2015
Measure 0
GAS/STO/Project
1. Procurement of
Food Commodities for School-Based no. of SBFP Number of -
beneficiaries
Feeding Beneficiaries beneficiaries XP16.00X120
fed days

(See attached lists of commodities

estimated amount and Cycle Menu)
beneficiaries beneficiaries beneficiaries

Kinder 0 0 0 0 - - - - - - - - -
Grade 1 0 0 0 0 - - - - - - - - -
Grade 2 0 0 0 0 - - - - - - - - -
Grade 3 0 0 0 0 - - - - - - - - -
Grade 4 0 0 0 0 - - - - - - - - -
Grade 5 0 0 0 0 - - - - - - - - -
Grade 6 0 0 0 0 - - - - - - - - -
Total No. of Beneficiaries 0 0 0 0 0 0 Sub - total - - - - - - - -

Number of
beneficiaries
XP2.00X120 days
II. Operational Expenses
 Target Beneficiaries SY 2015 - 2016 Financial Requirements for SY 2016- 2017
CY 2016 CY 2017
PROGRAM/ACTIVITY/PROJECT Performance Grade 1 3rd - 4th 1st Qtr. TOTAL Cost TOTAL
Indicator / Kinder to Qtr. of 2016 TARGET Assumption OCT. NOV. DEC. JAN. FEB. MAR. APR. (days)
Unit of Grade6 2015
Measure 0
Maintenance and Operating Expenses
(See attached lists of supplies and
materials with estimated cost )
1. Orientation of stakeholders
2. Supplies & materials related to
feeding program 0.9
(Gasul, kerosene, fuel, charcoal, water, 0.3 LPG & LPG &
etc.) other other
Cooking Cooking
Materials Materials
- - - - - - - - -
0.1 contains contains
gallons / gallons /
containers) containers)
of of mineral /
mineral / purified
purified water
water
- - - - - - - - -

set of set of
related related
feeding feeding
0.5 utensils utensils - - - - - - - - -
3. Management Program Operation 0.1
(minimal transportation expenses, xerox,
and other priority related expenses)

0.1 photocopyi photocopyi

ng & other ng & other
supplies supplies for
for
documenta documen
tation
tion - - - - - - - - -

Sub-Total - - - - - - - -

TOTAL ESTIMATED COST GRAND TOTAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Prepared by: Requested by: Noted by: Funds Available: Approved by:

AAA BBB CCC LEILA C. ESTIOCO MYRA V. DILIG JESSIESchools

D. FERRD
Feeding Coordinator Principal / School Head District Supervisor AOV / Budget Officer Accountant III Superinte
RESPONSIBILIT SOURC
E OF REMARKS
Y CENTER FUND

PES HNC-
Sub-
ARO
 RESPONSIBILIT SOURC
E OF REMARKS
Y CENTER FUND

- - -

ed by:

D. FERRER,
Schools CESO V
Division
Superintendent
 ANNUAL PROCUREMENT PLAN FOR 2015
For School Feeding 2016 - 2017

Department/Bureau/Office: Contact Person:

Region: III Position:
Address: E-mail :
Telephone/Mobile Nos:

Quantity Requirement
Unit of
Item & Specifications Measure
Jan Feb Mar Q1 April May June Q2 July Aug Sept Q3 Oct Nov Dec Q4

A. Food Commodities for School-Based Feeding Beneficiaries

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0
0 0 0 0

0 0 0 0

0 0 0 0

B. OPERATIONAL EXPENSE

ORIENTATION OF STAKEHOLDERS
 Quantity Requirement
Unit of
Item & Specifications Measure
Jan Feb Mar Q1 April May June Q2 July Aug Sept Q3 Oct Nov Dec Q4

1. 0 0 0 0

2. 0 0 0 0

3. 0 0 0 0

4. 0 0 0 0

5. 0 0 0 0

SUPPLIES & MATERIALS RELATED TO FEEDING PROGRAM

1. 0 0 0 0

2. 0 0 0 0

3. 0 0 0 0

4. 0 0 0 0

5. 0 0 0 0

MANAGEMENT PROGRAM OPERATION

1. 0 0 0 0

2. 0 0 0 0

3. 0 0 0 0

4. 0 0 0 0

5. 0 0 0 0

C. TOTAL (A + B):

D. MONTHLY CASH REQUIREMENTS (In Pesos)

D.1 Available at Procurement of Food Commodities 0 0 0 0
for School-Based Feeding Beneficiaries
D.2 Other Items for Operational Expense 0 0 0 0

TOTAL MONTHLY CASH REQUIREMENTS 0 0 0 0

We hereby warrant that the total amount reflected in this Annual Procurement Plan for School Feeding to procure the listed supplies has been included in or is within our approved budg

Prepared by: Noted By: Certified Funds Available : Approved by:

Certified Appropriate Funds Available

AAA BBB LEILA C. ESTIOCO JESSIE D. F

 Quantity Requirement
Unit of
Item & Specifications Measure
Jan Feb Mar Q1 April May June Q2 July Aug Sept Q3 Oct Nov Dec Q4

Feeding Coordinator Principal / School Head AOV / Budget Officer Schools Divisi
 TOTAL
Unit Price AMOUNT
Total

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -
0 -

0 -

0 -
 TOTAL
Unit Price AMOUNT
Total

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

0 -

###

d budget for the year.

SIE D. FERRER, CESO V

 TOTAL
Unit Price AMOUNT
Total

s Division Superintendent
 PURCHASE REQUEST
Entity Name: DEP ED - DIVISION OF BATAAN Fund Cluster: 101
Office/Section : PR No.: Date:
Responsibility Center Code : ______________

Stock/ Property No. Unit Item Description Quantity Unit Cost Total Cost

-
 -

~nothing follows~
TOTAL: -

Purpose:
_________________
_________________
_________________
_________________
_________________
____________
_________________
____________ Requested by: Approved by:
Signature :

Printed Name : AAA BBB

Designation : Feeding Coordinator Principal / School Head
 PURCHASE REQUEST
Entity Name: DEP ED - DIVISION OF BATAAN Fund Cluster: 101
Office/Section : PR No.: Date:
Responsibility Center Code : ______________

Stock/ Property No. Unit Item Description Quantity Unit Cost Total Cost

-
 -

~nothing follows~
TOTAL: -

Purpose:
_________________
_________________
_________________
_________________
_________________
____________
_________________
____________ Requested by: Approved by:
Signature :

Printed Name : AAA BBB

Designation : Feeding Coordinator Principal / School Head
 Republic of the Philippines
Department of Education
Region III
SCHOOLS DIVISION OFFICE OF BATAAN
Balanga City

LIQUIDATION OF CASH ADVANCE

SUPPLIES FOR FEEDING

1 copy/s Approved School Feeding Plan

1 copy/s Approved Purchase Request

1 copy/s Official Receipt from Supplier

1 copy/s Original Sales Invoice from Supplier

1 copy/s Request for Quotation from 3 Suppliers

1 copy/s Summary of Canvass

1 copy/s Purchase Order

1 copy/s Inspection and Acceptance

1 copy/s RER for Vegetables / Fish

DETAILED List of vegetables / fish with Vendor's

1 copy/s
Signature and information of supplier

1 copy/s Daily Attendance

Delivery Receipt FROM SUPPLIER (ALL ITEMS

1 copy/s
PURCHASED) / Acknowledgement Receipt
 Republic of the Philippines
Department of Education
Region III
SCHOOLS DIVISION OFFICE OF BATAAN
Balanga City

SCHOOL FEEDING
GRANTING OF CASH ADVANCE: Remarks

1 copy/s Approved Purchase Request

1 copy/s Photocopy of Sales Invoice from Supplier

1 copy/s RER (IF EVER)

1 copy/s Approved Work and Financial Plan

1 copy/s List of Recipients

1 copy/s Daily Menu FOR THE MONTH

Prepared by:

JOY G. TRINIDAD
 REIMBURSEMENT EXPENSE RECEIPT

Entity Name:
Date :

RECEIVED from ______________________________________

(Name)

_________________________________________________ the amount

(Official Designation)

of __________________________________________ (P__________)
(In Words) (in Figures)

in payment for _______________________________________________

(Payments for subsistence, services,

_________________________________________________________
rental or transportation should show inclusive dates,

_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature __________________________________________
Address ________________________________________________

WITNESS
Name/Signature __________________________________________
Address ________________________________________________
 Appendix 46

NSE RECEIPT

Fund Cluster : ________________

RER No. : ___________________

Name)

services,

w inclusive dates,

s of travel, etc.)
 ACKNOWLEDGEMENT RECEIPT
TO:

NAME OF SCHOOL HEAD:

SCHOOL NAME:

ADDRESS:

CONTACT NUMBER:

P.O. #:

INVOICE NUMBER:

QUANTITY DESCRIPTION UNIT PRICE TOTAL

FROM:

SUPPLIER AUTHORIZED REPRESENTATIVE:

COMPANY NAME:

ADDRESS:

CONTACT NUMBER:

TIN #:

Received from: Received by:

(PRINTED NAME AND SIGNATURE OF SUPPLIER'S (PRINTED NAME AND SIGNATURE OF FEEDING COORDINATOR)
AUTHORIZED REPRESENTATIVE)

Date Delivered: Date Received: 12.30.99

Noted by:

0
(PRINTED NAME AND SIGNATURE OF SCHOOL HEAD)
Date Received: 12.30.99
DETAILED LIST OF VEGETABLES or FISH

School Name:
School Address:
Date Coverage:

DESCRIPTION UNIT QUANTITY UNIT PRICE AMOUNT

1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
TOTAL -

Received by: Noted by:

Feeding Coordinator School Head

Delivered by:

Printed Name and Signature of Vendor:

Store Address:
Stall Number:
Contact Number: