Annex A - Water Supply Projects-Final111518
Annex A - Water Supply Projects-Final111518
Annex A - Water Supply Projects-Final111518
(2)Title of Project:
________________________________________________________________________
Project Location (Sitio/Purok, Brgy, Municipality,City, Province): -
_________________________
______________________________________________________________________________________
Mode of Implementation: By Contract By Administration
Level of Service: Level I Level II Level III Level II & III
Nature of Project: New Construction Upgrading Expansion
Rehabilitation
(3)Source of Funds:
National Subsidy PHP
LGU Counterpart PHP
Other Source of Fund (Please
PHP
Specify)_______________________
Total Project Cost PHP
(6.a) If YES:
System in place are in good working condition Suitable for
Drinking
(6.b.1) If NO, state the reasons:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
(6.b.2) No. of Months NON-FUNCTIONAL: ________________
(7)CATEGORY OF NON-FUNCTIONALITY:
DISASTER SOURCE DESIGN CONSTRUCTION MAINTENANCE
INSTITUTIONAL
(8.a) If YES:
System is being managed Sufficient Supply of Others (specify)
_______________________
Who manages the facility? __________
BWSA LGU Managed Water Districts Others (specify)
_________
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ANNEX A
If managed, does it have the following attributes? (Tick all items applicable)
List of Officers Registered by an accredited entity (DA, SEC...) By
Laws
Tariff Collection - How much? PHP ____________ per container or per week or per
month
Is the facility regularly maintained? Yes No
Is there water quality test conducted? Yes No
If yes, how frequent? every 3 mos every 6 mos once a year
___________________________ _____________________________
LGU C/MLGOO
NOTED:
_____________________________
Cluster Head
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