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Standard Form Number: SF-GOOD-14 Financial Documents For Eligibility Check

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Project Reference No.

IB NO
Name of Project:

Location of Project:

Standard Form Number : SF-GOOD-14


Revised on May 24, 2004

FINANCIAL DOCUMENTS FOR ELIGIBILITY CHECK

A. Summary of the Applicant Supplier’s/Distributors/Manufacturer’s assets and liabilities on the basis of the
attached income tax return and the audited financial statement, stamped “RECEIVED” by the Bureau of Internal
Revenue or BIR authorized collection agent, for the immediately preceding year and a certified copy of Schedule
of Fixed Assets particularly the list of construction equipment.

Year 2019
1 Total Assets
2 Current Assets
3 Total Liabilities
4 Current Liabilities
5 Total Net Worth (2-4)
6 Net Working Capital
B. The Net Financial Contracting Capacity (NFCC) based on the above data is computed as follows:

NFCC = K (current assets-current liabilities) minus value of all outstanding works under ongoing Contracts
including awarded yet to be started.

15 (4,331,328.00 – 225,168.00) 61,592,400.00

Less: Value of Outstanding Contracts 29,012,395.85

TOTAL NFCC 32,580,004.15

K = 15

Herewith attached are certified true copies of the Income Tax Return and audited financial statement stamped
“RECEIVED” by the BIR authorized collecting agent for the immediately preceding year.

Submitted by:

Name of Supplier/Distributor/Manufacturer

Signature of Authorized Representative

Note:

1. If partnership or Joint Venture, each Partner or Member Firm Joint Venture shall submit the above requirements.

The above information are among the financial documents required for Eligibility Check. Together with the legal
and technical documents required, the financial documents shall be placed inside the eligibility envelope and
submitted to the BAC before the deadlines for the submission and receipt of Eligibility Envelopes.

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