Sample Format of Letter Request

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Department of Public Works and Highways (DPWH)

Contract I.D : 19KF0026


Contract Name : Preventive Maintenancew along Sta. Felomina-
Bonbonon-Digkilaan Rogongon Road, K1523+000-
K1523+707,K1528+000-K1528+205,K1541+420-K1542+000
Location of the Contract :_ Brgy. Digkilaan, IligaCity___________________________

AFFIDAVIT OF THE INSPECTION

I, SALAMAN D. MANGCA of Legal age, Married, Filipino and residing at 015 Alonto Village
Brgy. Moncado kadingilan Marawi City under oath and Hereby depose and say:

1. That I am the Proprietor/Gen. Manager of the SDM VENTURES with office at 015 Alonto Village
Brgy. Moncado Kadingilan Marawi City;
2. That I have inspected the Project site for 19KF0026- Preventive Maintenancew along Sta.
Felomina-Bonbonon-Digkilalaan-Rogongon Road, K1523+000-k1523+707,k1528+000-K1528+205,
K1541+420- K1542+000 located at Brgy. Digkilaan, Iligan City;
3. That during this inspection, I was accompanied by representative/s of a) DPWH and b) the local
Government Unit (LGU)/Barangay/s where the Project will be located;
4. That during tis inspection, I thoroughly invested the ground terrain , existing structures, access and
found the project site to be appropriate and complain to the advertised Plans/Drawings and Program
of Works;
5. That 19KF0026- Preventive Maintenancew along Sta.Felomina-Bonbonon-Digkilaan-Rogongon
Road, K1523+000-k1523+707,k1528+000-K1528+205, K1541+420-k1542+000 located at Brgy.
Digkilaan, Iligan City,if awarded the contract, can immediately commence work on the project,
without complaints on being impeded by adverse actual site conditions;
6. That attached to this affidavit is a printed geo-tagged photograph of my self, together with
representative/s of DPWH and pertinent LGU, taken during the said inspection;
7. That I am making this statement as part of the requirement for the Technical Proposal of the SDM
VENTURES for 19KF0026- Preventive Maintenancew along Sta.Felomina-Bonbonon-Digkilaan-
Rogongon Road, K1523+000-k1523+707,k1528+000-K1528+205, K1541+420-k1542+000 located at
Brgy. Digkilaan, Iligan City,

____________________________
(Contractor’s technical personnel)
-
WITNESS

_________________________
Brgy. Captain/Representative

SUBSCRIBED AND SWORN to before me this ________ at _______Philippines affiant exhibited to


me his/her Community Tax Certificate No. 03866891 issued on January 18, 2018 at Marawi City,
Philippines.

Doc. No.____
Page No.____
Book No.____
Series of 2018

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