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CDD E-34: Form

CBIM Form C-3


2nd Tranche Requirement
Department of Social Welfare and Development
KALAHI CIDSS: NATIONAL COMMUNITY-DRIVEN DEVELOPMENT PROGRAM – ADDITIONAL FINANCING PHASE 1

COMMUNITY OPERATION AND MAINTENANCE/PROJECT IMPLEMENTATION PROGRAM 1


CY 2023
Name of Sub-project: ________________________________________________
Barangay: _______________________
Municipality/Province: PLACER/SURIGAO DEL NORTE

A. Organizational and Financial Aspects

RESPONSIBLE
ASPECTS CAPABILITY BUILDING ACTION PLAN/ ACTIVITIES SCHEDULE BUDGET FUND SOURCE
PERSON/UNIT
Organizational Aspect/
Management

Financial

1
To include non-infrastructure subprojects, Common Service Facilities, Warehouse and similar projects
1
B. Physical/Technical Aspect
Resources Needed
Activities to Source of Fund
Work Item Physical Frequen Labor Materials Expected
be Remarks
Description Scope cy No.of Total Output
Undertaken Qty. Rate Cost Description Qty. Price Cost BLGU MLGU Community
days

2
Resources Needed
Activities to Source of Fund
Work Item Physical Frequen Labor Materials Expected
be Remarks
Description Scope cy No.of Total Output
Undertaken Qty. Rate Cost Description Qty. Price Cost BLGU MLGU Community
days

TOTAL

Prepared by: Reviewed by: Recommending Approval: Approved by:

HON. HON. ______________________ ________________


BDRRMC Chairperson/Punong Barangay Punong Barangay/BDRRMC Chairperson Municipal Engineer BDC-TWG Chairperson Municipal Mayor
Date: April , 2023 Date: April , 2023 Date: April , 2023 Date: April , 2023 Date: April , 2023

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