CPES DOCUMENTARY REQUIREMENT’S ARRANGEMENT:
ALL PAPERS MUST BE CERTIFIED TRUE COPY, PRINTED ON A4 SIZE AND
                          EARTAGGED (PROVIDED)
         1. CPES Evaluation Form
         2. Contractor’s Valid License
                     - If Joint Venture, provide Special Contractor’s License and Approved Joint
                         Venture Agreement
         3. Contract Agreement and Bill of Quantities (BOQ)
         4. Notice to Proceed (NTP)
         5. Approved Statement of Time Elapsed (STE)
                     - For On-going: At the Time of Inspection
                     - For Completed: At the Time of Completion
                     - For Expired and On-Going: At the Time of Expiry and Inspection
                     - For Expired and Completed: At the Time of Expiry and Completion
         6. Approved Statement of Work Accomplished (SWA)
                     - For On-going: At the Time of Inspection
                     - For Completed: At the Time of Completion
                     - For Expired and On-Going: At the Time of Expiry and Inspection
                     - For Expired and Completed: At the Time of Expiry and Completion
         7. All Approved Variation Orders (if any)
         8. All Approved Time Extensions (if any)
         9. All Approved Time Suspension and Resumption Orders (if any)
         10. All Approved Monthly Time Suspension Reports (if any)
         11. Valid Certificate of Contractor’s Materials Engineers Accreditation
         12. Straight Line Diagram (reflecting actual accomplishment per items of work)
         13. Approved and updated/latest PERT-CPM/PDM with S-Curve and bar chart
         14. Quality Control Program and Revised Quality Control Program (if applicable)
         15. Latest Status of Test
         16. Calibrated Actions for projects behind schedule
         17. Latest Approved plans
         18. Program of Works
         FOR COMPLETED PROJECTS:
         19. Final Inspection Report and Certificate of Completion
         FOR ON-GOING PROJECTS (ESH):
          100-05-:Emission test results for equipment 200-10: Valid certificate for construction
                                                      equipment operators
          100-09: ECC/CNC                             200-11: Valid certificate for skilled workers
          200-01: DOLE concurred CSHP                 200-12: Valid Inspection/ Certificate for
                                                      construction equipments
          200-03: Proof of Safety and Health          200-17: Proof of conduct of regular safety
          Committee                                   meeting
          200-04: Certificate of COSH for Safety      200-19: Proof of monthly construction safety
          Officer (40hrs)                             and health report submitted to DOLE
1. ALL DOCS MUST BE WITH CERTIFIED TRUE COPY STAMP !!!
2. Hard Copy (Arrangement same as Eartags)
3. Scanned Files (Saved TO USB - Same arrangement as per Eartags
                                  CPES EVALUATION FORM
   Road  Bridge  Housing Building                 Irrigation  Flood Control
   Port and Harbor         Power Transmission Line  Substation  Diesel Power Plant
   Mooring Facilities for Power Barges  Site Development         Others ____________
Project Owner                     :
Project Implementing Office       :
 PART I. GENERAL INFORMATION
Name of Constructor/s
% Share of each Firm (if Joint Venture)
Name of AMO
Address
Valid License Number & Category/ARC-C
Nationality (Local/Foreign)
Date of Evaluation            :
Project Type                  :
Project Name                  :
Project Location/Region       :
Funding Source                :
Scope of Work                 :
Status                        :
Name of Constructor/Gov’t Proj Manager      :
Name of Constructor/Gov’t Proj Engineer     :
Name of Constructor/Gov’t Mat’ls Engineer   :
Name of Constructor Cost Engineer           :
Consultant/Consulting Firm                  :
Contract Cost, Original           : P             Revised   :             as of
Contract Duration, Original       :               Revised   :             as of
Scheduled Start Date              :               Revised   :             as of
Actual Date Started               :
Scheduled Completion Date         :               Revised   :             as of
% Planned Physical Accomplishment for the Month                        :
% Actual Physical Accomplishment for the Month                         :
Slippage for the Month                                                 :
Variation Order (Php, M)                                               :
Time Extension                                                         :
                                                      Contract ID: _________________
                                                      Prepared by: _________________
                                                                   (DPWH Project Engineer)
                                                            Date: _________________
                                            8-1
       PART II. DURING CONSTRUCTION RATING SHEET                                                       Date of ___ Visit / / / /
                                                               %           Relative           Workmanship                      Materials
               Items of Work/Description                                                       [Max 0.40]                     [Max. 0.30]
                                                              Weight         %
                                                                           Weight
                                                                                                         Relative                         Relative
                                                                                             Rate                         Rate
                                                                                                          Rate                             Rate
           Total
       Summary of Ratings
       Workmanship [Max. 0.40] ..............................................................................................
       Materials [Max. 0.30] ......................................................................................................
       Time [Max. 0.15] ............................................................................................................
       Facilities [Max. 0.03] .....................................................................................................
       Environmental, Safety & Health [Max. 0.07] ...................................................................
       Resource Deployment [Max. 0.05] .................................................................................
       RATING .........................................................................................................................
       Sum of Ratings “During Construction” (a) ………………………………………
       Average Rating “During Construction” (b) ………………………………………
       Appropriate Weight for Kind of Project (c) ……………………………………..
       (A) WEIGHTED RATING FOR “DURING CONSTRUCTION” (b x c) ……..
               CPE Head/Individual                                            Designation, Office                        Signature
               CPE Members                                                    Designation, Office                        Signature
              REMEGIO M. MORAN, III                                          ENGINEER III, BRS
              NORMAN R. CABACUNGAN                                           ENGINEER II, BQS
               Resource Persons/Witnesses                                     Designation, Office                        Signature
CONTRACTOR 1.
PE, DPWH      2.
                         (Note: This form maybe reproduced depending on the number of visits)
                                                                           8-2
           PART III. UPON COMPLETION RATING SHEET                                                           Date of ___ Visit / / / /
                                                                    %           Relative           Workmanship                       Materials
                      Item of Work/Description                                                      [Max 0.50]                      [Max. 0.20]
                                                                   Weight         %
                                                                                Weight
                                                                                                               Relative                      Relative
                                                                                                  Rate                          Rate
                                                                                                                Rate                          Rate
           Total
           Summary of Ratings
           Workmanship [Max. 0.50] ....................................................................................................
           Materials [Max. 0.20]............................................................................................................
           Time [Max. 0.30] ..................................................................................................................
           RATING (a) ........................................................................................................................
           Appropriate Weight for Kind of Project (b) ...........................................................................
           (B) WEIGHTED RATING FOR “UPON COMPLETION” ( a x b ) ....................
           OVER-ALL CPES RATING (A of Part II + B of Part III) x 100%
           = ( ________ + _________ ) x 100% = ______ %
           QUALITATIVE DESCRIPTION
           [ ]     Outstanding                  >96%                                    [ ]      Unsatisfactory > 75% < 82%
           [ ]     Very Satisfactory            >89% < 96%                              [ ]      Poor           < 75%
           [ ]     Satisfactory                 >82% < 89%
                   CPE Head/Individual                                             Designation, Office                         Signature
                   CPE Members                                                     Designation, Office                         Signature
                 REMEGIO M. MORAN, III                                             ENGINEER III, BRS
                 NORMAN R. CABACUNGAN                                              ENGINEER II, BQS
                      Resource Persons/Witnesses                                  Designation, Office                          Signature
CONTRACTOR       1.
PE, DPWH         2.
                                                                                 8-3
                      CORRECTIVE ACTION REQUEST (CAR)
Project Data
Project Owner                    : Department of Public Works and Highways
Project Implementing Office      :
Project Type                     :
Project Name                     :
Project Location                 :
Constructors Name                :
Date of Evaluation               :
Non-Conformance Findings (to be submitted by Evaluator):
Sub-Item Code: Location/Detail
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Proposed Corrective Action Required from Constructor Not later than   ___/___/___/
                                                                           Date
1. Engineer III   REMEGIO M. MORAN, III
2. Engineer II    NORMAN R. CABACUNGAN
__________        ______________________        _____________         ___/___/___/
     Position              Printed Name              Signature            Date
                                          9-1
      CORRECTIVE ACTION PLAN (CAP) & PREVENTIVE ACTION PLAN (PAP)
                      (To be Submitted by Constructor)
Project Data
 Project Owner                   : Department of Public Works and Highways
 Project Implementing Office     :
 Project Type                    :
 Project Name                    :
 Project Location                :
 Constructors Name               :
 Date of Evaluation              :
Proposed Corrective Action Plan (CAP)
[ ] Remove & Replace      [ ] Repair    [ ] Variation
Sub-Item Code: Location/Detail
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Proposed Preventive Action Plan (PAP)
Sub-Item Code: Location/Detail
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__________      ______________________          _____________       ___/___/___/
   Position              Printed Name                   Signature       Date
CONTRACTOR
                                         9-2
                   ASSESSMENT OF CORRECTIVE ACTION PLAN
Project Data
 Project Owner                  : Department of Public Works and Highways
 Project Implementing Office    :
 Project Type                   :
 Project Name                   :
 Project Location               :
 Constructors Name              :
 Date of Evaluation             :
Assessment by the Head of the Implementing Office:
Sub-Item Code: Location/Detail
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[ ] Approved              [ ] Not Approved
Reasons_______________________________________________________________
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__________      ______________________          _____________            ___/___/___/
CONSTRUCTION,            Printed Name                   Signature            Date
    CHIEF
Verification: (Verified by Owner’s Project Engineers)
[ ] Implemented Corrected Action
[ ] Unsatisfactory
______________________________________________________________________
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_________________________________________ _____________    ___/___/___/
                                                             Signature              Date
[ ] Ongoing
______________________________________________________________________
______________________________________________________________________
_________________________________________ _____________    ___/___/___/
                                                             Signature              Date
[ ] Satisfactorily Completed
______________________________________________________________________
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_________________________________________ _____________    ___/___/___/
                                                             Signature              Date
                                         9-3
                                                                       Issue Date:          03/05/2024
                    Department of Public Works and Highways
                      Constructors' Performance Evaluation System      Doc. Code:      QMS-15.1.2-07-01 Rev003
                          Certificate of Assessed Projects             Page No.              ___ of ___
 This is to certify that the following projects listed hereunder which were implemented by
 ________________________________________ have been evaluated by the undersigned CPE Team on
 __________________ using the NEDA approved CPES Guidelines. Further, it is informed that the
 concerned Contractors have been duly notified of the said CPES evaluation.
                                                                               Name and Signature
                                                  Contract                                                No. of
No.         Name/Location of Project                           Name of Firm      of Contractor's
                                                    ID                                                    CARs
                                                                                 Representative
Certified by:
                           Name and Signature                                              Date
                (District/Regional/UPMO Representative)
Noted by:
                       REMEGIO M. MORAN, III
                         Name and Signature                                                Date
                         (CPE Team Leader)
                      NORMAN R. CABACUNGAN
                         Name and Signature                                                Date
                         (CPE Team Member)