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Philippine Rural Development Project  Operations Manual

I-BUILD Component

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ANNEX 29
Republic of the Philippines
Office of the Municipal Mayor/Provincial Governor
________, ______________ Region ___

FINAL INSPECTION REPORT

Proponent Agency : ____________________________________________


Subproject No. : ______________
Subproject Title : ____________________________________________
Approved Subproject Cost : _____________ Actual Subproject Cost : __________
Programmed Subproject Duration : _________ Actual Subproject Duration : _______
Date Inspected : _______________

FINDINGS:

I. SCOPE OF WORK : (Quantity and value of work accomplished)

Item Approved Actual


Major Work Items Remarks
No. Quantity Value (PhP) Quantity Value (PhP)
Civil Works (Direct
A.
Cost)
L.S. L.S.

L.S. L.S.
Sub-total A
B. Indirect Cost
OCM L.S. L.S.
Contractors Profit L.S. L.S.
Taxes L.S. L.S.

Sub-total B
TOTAL ESTIMATED
PROJECT COST

II. GENERAL WORK DESCRIPTION : (a brief description of actual work accomplished


vis-a-vis approved drawings and specifications)

III. QUALITY CONTROL :

Item Work Items Required Actual Tests


Remarks
No. (Civil Works) Tests Performed
Philippine Rural Development Project  Operations Manual
I-BUILD Component

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IV. FINANCIAL PERFORMANCE:

a. Total Cost of Subproject: PhP ______________

b. Actual Disbursement Record

Actual Disbursement
Date Amount (PhP)

Total

Cost Overrun / Underrun as of Final Inspection : PhP ______________________

JUSTIFICATION: (Explanation for overrun and source of funds to cover such)

V. IDENTIFIED ADVERSE ENVIRONMENTAL IMPACT:

VI. MITIGATING MEASURES PROVIDED

VII. RECOMMENDATIONS: (If any)

INSPECTORATE TEAM:

Chairman (PPDC/MPDC) Members

_______________________________ _______________________________
Members Members

Noted:

Chief, Infrastructure Unit - PSO

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