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PHILIPPINE SEVEN CORPORATION

Operations Division

Change Fund Accountability Form

Store # and Store Name:

I hereby acknowledge receipt and accountability of the following;

DESCRIPTION
Change Fund
Cash Register Build-up
Petty Cash/Revolving Fund
Total

AMOUNT

I agree with the company established Policy and Procedure associated in this accountability with the
following conditions:

1. Change Fund, Cash Register Build-up and Petty Cash/Revolving Fund enthr
will only be used for its intended purpose.
2. To safekeep the fund in safebox all the times and securely keep the key in m
or in the possesion of my duly assigned custodian.
3. To return or endorse the fund completely upon the termination of my empl
with the company.
It is within my knowlege that unauthorize or misuse of Change Fund, Cash Register Build-up and
Petty Cash/Revolving Fund I have received will be subject for disciplinary action and/or any loss will be
charged against me.

Store Manager
(please print name and sign)

Date:

d enthrusted to me

key in my possesion

y employment

MARKETING ENDORSEMENT TO OPERATIONS


Store:
Deliverables
FASTFOOD AREA:

Qty

Date:
Check Mode

Page 1 of 3
Points

Hot dog Crowner


Siopao Crowner
Hotdog stainless price tag

Available
Available
Available

5
5
5

Steamer "Pre-heating Sign"


Pandesal price talker

Available
Available

5
5

Del Monte price header


Del Monte Dispenser

2 pcs. Available
Available

ok

5
15

Del Monte wrap around sticker


Open show case header

Available
Available

5
5

Open show case base cover


Mr Donut over head lights

Available
Available

5
5

Mr. Donut show case


Microwave instruction
Coffee frame

Available
Available
Available

15
5
5

Coffee rack

Available

RACKS:
Magazine rack

Available

News paper rack


Wine rack

Available
Available

5
5

Umbrella rack
BAT rack

Available
Available

5
15

Gillette rack
Litro pack rack
Sachet bar rack

Available
Available
Available

5
5
5

Toy's and Novelty rack


Hardware rack

Available
Available

5
5

Haba rack
School supply rack ( big/small)

Available
Available

5
5

Mens Express (uniliver)


Spread & Condiments rack

Available
Available

5
5

Fork & Spoon rack


Ballpen Dispenser

Available
Available

5
5

Wine rack
Absolute rack 4 & 6gal.
Wilkins rack 5 gal.

Available
as per request
as per request
TOTAL

5
5
5
200

REMARKS

MARKETING ENDORSEMENT TO OPERATIONS


Store: ______________________
Deliverables
RACKS:
Tide & fabric conditioner rack

Qty

Date:
________________
Check Mode

Page 2 of 3

Points

Available

Water Fall rack Gum


Water fall rack chocolate

Available
Available

5
5

Choco & cookies Kiosk ( 23 kinds )


1 Chemical rack

Available
Available

5
5

1 Gal Liquid soap


2 sprayer
2 Triger Sprayer

Available
Available
Available

5
5
5

1 Soap Dispenser

Available

STICKERS/FIXTURES:
Trash

Available

Wall clock
Drinking of Alcohol

Available
Available

5
5

We are not selling


Shoplifter is a crime

Available
Available

5
5

Employees only
Bus. License
Restroom

Available
Available
Available

5
5
5

Office
Fire Exit

Available
Available

5
5

Please keep vault


No smoking

Available
Available

5
5

Bulletin Board
Note board

Available
Available

5
5

Single Serve
Next counter sign ( stainless)

Available
Available

5
5

Drop Box
Door Height sticker
Pepsi Stickers

Available
Available
Available

5
5
5

Coca Cola sticker


Ice Available

Available
Available

5
5

Ice Machine stickers chest type

Available
TOTAL

5
155

ok

REMARKS

MARKETING ENDORSEMENT TO OPERATIONS


Store: ______________________
Deliverables
POPs/ COLLATERALS:
End cap header

Qty

Date:
________________
Check Mode

Page 3 of 3

Points

Available

Outside banner
Walk in Chiller banner holders

Available
Available

5
5

Marketing Brochure
Wine rack header

Available
Available

5
5

Magazine header
Umbrella header

Available
Available

5
5

Hardware rack header


School supply rack header

Available
Available

5
5

Sachet bar rack header


Spread and condiment header
Litro pack header

Available
Available
Available

5
5
5

4 & 6 gal rack header


5 gal rack header

Available
Available

5
5

wine rack header


Haba rack header

Available
Available

5
5

Gillette rack header


Ball pen rack header

Available
Available

5
5

Toys and Novelties header


Gulp Translite header

Available
Available

5
5

Slurpee flavored card


slurpee price sticker
Slurpee translite

Available
Available
Available

5
5
5

Bills Payment vertical banner


Bills payment translite

Available
Available

5
5

Siopao translite
Microwave instruction

Available
Available

5
5

Pre heating signage stainless


Pre heating signage sticker

Available
Available

5
5

Ice price decals 2klgs


Midnight blend poster

Available
Available

5
5

Hotdog translite
Siopao Steamer sticker
Hotdog steamer sticker

Available
Available
Available

5
5
5

Siomai steamer sticker


Pandisal Price talker 9 kinds

Available
Available

5
5

Ticket to Ride POP's & Collaterals


Acrylic Divider 8 kinds

Available
Available

5
5

Open show case grip mat


Double peghook

Available
Available
TOTAL POINTS

Endorsed by:
Marketing Division Representaive
Accepted by:

5
5
555

ok

REMARKS

0%

Operations Representative

ENGINEERING ENDORSEMENT TO OPERATIONS


Store:

Page 1 of 3

Date:

Deliverables

Qty

Check Mode

Points

PERMITS:
Occupancy Permit

2 copies Photocopy for Store & OPS Support

15

Mayor's / Business Permit

2 copies Photocopy for Store & OPS Support

15

DTI Certificate
Fire Permit

2 copies Photocopy for Store & OPS Support


2 copies Photocopy for Store & OPS Support

15
15

Electrical Permit
Building Permit

2 copies Photocopy for Store & OPS Support


2 copies Photocopy for Store & OPS Support

5
5

Sanitary Permit

2 copies Photocopy for Store & OPS Support

Business Plate
Water Testing

1 pc

ok

Original
Done During Punchlisting

15
0

Flood lights
Tire Guard
Apron
Entrance Ramp
Entrance Door
Glass Panels

Available and functioning.


Stable and surface not rough
check texture and inclination
As needed
Door aligned w/ Handle & Height stickers
No water leak and glass panel well sealed

1
1
1
1
15
1

Zocalo Walls
Alum Banner Holder
Perimeter lights

No crack and well installed, Type?


Available
Functioning and no busted lights

PARKING:

1
5
5

SELLING AREA:
Selling Area Light
Ceiling Board
T-runners
Egg Crates
Alum Hanger

No busted lights w/ alternate switch.


Clean and well installed.
Alligned properly
Alligned properly
Available and installed

15
1
5
1
1

WIC Banner Holder


Floor Tiles
Wall Finish
Transfer Fan
Convenient Outlet
Gate Valve
Surface Jack (Rj11)
UTPcat5e
UTPcat5e Conduits

Available and installed


Stable & no cracks.
In standard color with no dirt marks
standard 3D V-10Z II transfer fan.
Duplex with ground
No Leak / Brand?
Must be installed within the PC area
must be installed inside conduits
Mustbe installed

1
1
1
1
1
1
1
1
1

BACKROOM AREA:
Backroom Door
Roof Insulation (optional)
Roof Ventilator (optional)
Orbit Fan
Ceiling Lights
Mechanical Exhaust Fan
Wall Finish
Louver Fire Exit(w/ insect screen)
Louver Window(w/ insect screen)

Stable & can be automatically closed.


Available layed properly
Available and functioning. No leaks
Available and properly installed.
Complete and no busted lights
Available and functioning
In standard color with no dirt marks

TOTAL

5
15
15
5
5
1
1
1
1
202

REMARKS

ENGINEERING ENDORSEMENT TO OPERATIONS


Store: ______________________

Deliverables

Page 2 of 3

Date: ________________

Qty

Check Mode

Points

BACKROOM AREA:
Hanging Shelvings(optional)

Available and hanged tightly

Stainless Sink

Check fittings and drainage

15

Sand Trap

Fit, cleaned & with steel holder

Drainage System

Check drain and should not be clogged

15

Freestanding Backroom Racks

Avail. (w/ 6 shelvings ) & mount tightly

Breakers/Panel Boards

Check label fixtures and labeling

15

Storage Tank

Check fittings with no leak.

15

Pressure Tank

Check fittings with no leak.

15

Booster Pump

Check fittings with no leak.

15

Fastfood Steamer Hose

Installed.( Required foodgrade hose )

Ceiling

Properly aligned and well painted

Tranfer Fan

Available and functional

Wall Finish

In standard color with no dirt marks

Cabinetry

Check screw tigtening and paint

Tile Flooring

Stable and should have no cracks

Ceiling

Aligned and well painted

Exhaust Fan

Available and funtioning/Size /Brand

Wall Tiles

Stable and should have no cracks

Flooring Tiles

Stable and should have no cracks

Water Closet

Check fittings with no leak.

Lavatory

Check fittings with no leak.

Urinal(optional)

Check fittings with no leak

Faucet

Check fittings with no leak

MANAGER'S OFFICE:

COMFORT ROOM:

Floor Drain and Drainage

Orbit Fan

standard 3D Aeromatic III Orbit fan

CR Door

Wood or Plastic with Barrel Bolt

FURNITURE:
Sales & Fastfood Counters

Available and complete

15

Gondola

Avail. complete & set up accordingly

15

Bar Table and Chair

Avail. complete & set up accordingly

15

Alum Table and Chairs

Avail. complete & set up accordingly

15

Tidel Safe

Programmed and keys endorsed to SM

SIGNAGES & FIXTURES:


Stripe Board Sticker 280/SQ.FT

Installed, smooth finished & no dirt marks

15

Canopy Sign 700/SQ.FT

Installed, smooth finished & no dirt marks

15

ok

REMARKS

TOTAL

241

ENGINEERING ENDORSEMENT TO OPERATIONS


Store: ______________________

Page 3 of 3

Date: ________________

Deliverables

Qty

Check Mode

Points

SIGNAGES & FIXTURES:


Cantilever Sign

Installed, smooth finished & no dirt marks

15

Pole Sign

Installed, smooth finished & no dirt marks

15

Window Sticker 1.30/SQ.IN

Installed, smooth finished & no dirt marks

REFRIGERATION & AIRCON:


5- Door WIC 46,900 Installation

Available ,Operational in standard temp.

15

2-5TR Aircon 30,000 Installation

Available ,Operational in standard temp.

15

Open Showcase 3,000 Conversion


1- Door Reach / Glass Top Freezer

Available ,Operational in standard temp.


Available ,Operational in standard temp.

15
15

Operational, clean & no leaks

15

ok

REMARKS

0%

FASTFOOD EQUIPMENT:
Slurpee Machine
Postmix machine is operational &
meets required temperature &
brix ratio

Valve1

Valve2

Valve3

Valve4

Valve5

Valve6

12

Ice Machine
BIB Racks
Siopao Steamer
Hotdog Steamer
Optional Steamer

Operational, clean & no leaks


Available and check stability
Available, Operational in standard temp.
Available, Operational in standard temp.
Available, Operational in standard temp.

15
15
15
15
5

Pandesal Showcase
Hot Showcase
Microwave Oven
Blue Light
Wall Fan

1 pc.

Available and cleaned


Available and cleaned
Avail., installed & functioning
Available with glue pads
2 units available and properly installed

15
15
15
15
5

1 pc.

Avail., good condition & functioning

15

OTHERS:
Telephone Line (landline)
3 Stage Sediment Water Filter
Generator (Honda, 5KVA)
Emergency Light
Air Curtain
Chain Hoist Mach. (w/ 2nd Flr)

Endorsed by:

Engineering Division Representaive

Accepted by:

Operations Representative

Available and check installation


Available & Functioning
Available & Functioning.
(Optional)
(Optional)
TOTAL POINTS

15
15
15
5
5
765

FINANCE-TAX ENDORSEMENT TO OPERATIONS


Store:

Page 1 of 1

Date:

Deliverables

Qty

Check Mode

Points

Certificate of Registration
Reg. Fee (BIR Form 0605)

2 copies
2 copies

Original for store & photocopy for OPS


Original for store & photocopy for OPS

15
15

POS Permit
POS Stickers

2 copies
# of POS

Original for store & photocopy for OPS


Sticked at all POS machines

15
15

Official Receipt Pad

4 pads

Available & in sequence


TOTAL POINTS

15
75

ok

REMARKS

0%

Endorsed by:

Finance Division Representaive

Accepted by:

Operations Representative

BDD (FRANCHISE) ENDORSEMENT TO OPERATIONS


Store: ______________________

Deliverables

Page 1 of 1

Date: ________________

Qty

Check Mode

Points

Telephone Line (landline)

1 pc.

Avail., good condition & functioning

15

Certificate of Registration
Reg. Fee (BIR Form 0605)

2 copies
2 copies

Original for store & photocopy for OPS


Original for store & photocopy for OPS

15
15

Official Receipt Pad

4 pads

Available & in sequence


TOTAL POINTS

15
60

Endorsed by:

BDD Representaive

Accepted by:

ok

REMARKS

0%

Operations Representative

MIS ENDORSEMENT TO OPERATIONS


Store:

Page 1 of 1

Date:

Deliverables

Qty

Check Mode

Points

CPU
Monitor

1 pc.
1 pc.

Avail., all applications installed & functioning


Avail. & with Display

5
5

Mouse & Keyboard


Modem

1 pc.
1 pc.

Avail. & functioning


Avail. &functioning (can connect to Line 1)

5
5

Broadband Router
UPS

1 pc.
1 pc.

Avail. & functioning


Avail. & fuctioning

5
5

Printer
Handy Terminal (Symbol)
Order: DTSD Ordering

1 pc.
1 pc.

Avail. & functioning (test print)


Avail. & functioning (create online ordering)
Can create DTSD Ordering

5
5
5

Order: EODS Ordering


Order: Fresh Food Ordering

Can create EODS Ordering


Can create Fresh Food Ordering

5
5

Order: HT Transfer
CMS: Srvc Sales Monitoring

Can Transfer Order from HT to PC & vice versa


Can generate sample reports

5
5

CMS: Disbursement
CMS: Shift Worksheet

Can generate sample reports


Can generate sample reports

5
5

CMS: PLU Monitoring


Sales Report - POS Report

Can generate sample reports


Available

5
5

Display Management - Price


POS - POS Report
POS - Price Look Up

Available
Available
Available

5
5
5

Utilities - Employee Master


Communications: APEX

Store personnel can log in


Can send & receive orders

5
5

Communications: Check
Communications: E-mail

Can be accessed
Can send & receive e-mail

5
5

Communications: PC
Communications: SAS

Can connect and can be managed remotely


Can generate reports for transfer

5
5

Communications: I-Connect
PC-POS 1

Can send & receive orders

5
5

PC-POS 2
Customer Scroll Display
POS Key - Crew
POS Key - Manager

Endorsed by:

MIS Division Representaive

Accepted by:

1 pc.
1 pc.

Avail. & functioning (Print actual receipts,


check address/telephone no. and serial no.)

Updated (refer to latest Marketing Brochure)


# of POS Avail. (Black Key)
# of POS Avail. (Blue Key)
TOTAL POINTS

ok

REMARKS

5
5
5
5
160

0%

Operations Representative

ADMIN ENDORSEMENT TO OPERATIONS


Store:

Page 1 of 1

Date:

Deliverables

Qty

Check Mode

Umbrella Bin

1 pc.

Grocery Baskets
Fish Eye Mirror

10 pcs. Avail. & good condition


3 pcs. Avail., good condition & installed

15
15

Smoke Detector
Amplifier with Two Speeakers
Chest Type Freezer

3 pcs.
1 pc.
1 pc.

Avail., good condition, installed & functioning


Avail., good condition, installed & functioning
Avail., good condition, installed & functioning

5
15
15

Mop Squeezer
Fire Extinguisher

1 pc.
3 pcs.

Avail., good condition & functioning


Avail., sealed & not expired

15
15

Push Cart (Heavy Duty)


Aluminum Ladder

1 pc.
1 pc.

Avail., good condition & functioning


Avail., good condition & functioning
TOTAL POINTS

15
5
130

Endorsed by:

ADMIN Division Representaive

Accepted by:

Operations Representative

Avail. & good condition

Points

ok

15

age 1 of 1

REMARK
S

0%

OPS SUPPORT ENDORSEMENT TO OPERATIONS


Store:

Page 1 of 1

Date:

Deliverables
Security guard deployment
Initial Delivery

Qty

Check Mode

Present & in complete uniform


BIBs, CO2, & other Admin Supplies Available

Points
15
15

Store Matrix
Shelf Tags
Duffle Bag

All Cat.
4 pcs.

All Categories planogram available

Store Diary
Store Operation Manual

1 pc.
1 pc.

Available & good condition

Now Open" banner


Can Opener

1 pc.
1 pc.

Available & good condition

Bread Box
Hotdog Container

Available & good condition


6 pcs
10 sets Available & good condition

5
5

Wall Organizer
Shopping Basket carrier

1 set
1 unit

1 Backing Mesh, 1 Big Organizer, 1 Small Organizer, 2 Peg Hooks

5
5

Toolbox

1 set

1 Plastic Toolbox with padlock, 1 Hammer, 1 Vice Grip, 1 Mechanical


Pliers, 1 Long Nose, 1 Philip Screw, 1 Flat Screw,

Soaking Container
Counter Drawer Organizer
Inside Matting (Brown)

2 units
2 pcs.
1 pc.

Available & good condition

Outside Matting (Brown)


Slurpee Matting (Brown)

1 pc.
1 pc.

Available & good condition

Wet Floor Sign


Wind Chime

1 pc.
1 pc.

Available & good condition

Plus Selling Acrylic


Plus Selling Basket

1 pc.
1 pc.

Available & good condition


Available & good condition

5
5

Stainless Mixing Bowl


Straw Dispenser

1 pc.
1 pc.

Avail. & good condition


Avail. & good condition

5
5

Cylindrical trash Bin


Trash Bin w/ Ash Urn

2 units
2 units

Avail. & good condition


Avail. & good condition

5
5

Stainless Tong
Fastfood Tray
Wire Whisk

4 pcs.
12 pcs
1 pc.

Avail., good condition & functioning


Avail. & good condition

Endorsed by:

OPS Support Representaive

Accepted by:

Operations Representative

Available for store database

Available & good condition

Available & good condition

Available and good condition / functioning

Available & good condition

Available & good condition


Available & good condition

Available & good condition

Available & good condition

ok

15
15
5
5
15
5
5

5
5
5
15
15
5
5
5

Available and good condition / functioning

15
5
5

TOTAL POINTS

230

age 1 of 1

REMARKS

0%

SOF CHECKLIST
Store: _________________________
Deliverables
OUTSIDE PREMISE: Signages and Fixtures
1. Cantilever Sign available.
None,
movable signage
2. IfPole
Signneed
Available.
None,
needSignages
movableProperly
signage Installed (not over
3.
Canopy
extended)
4. Flood Lights or Metal Holide
(as needed)
5. Gray Sticker (as needed only)

Page 1 of 2
Contractor: _______________________________

Date: _________________
Check Mode

If

POINT

Installed, Not Wavy. Smooth and Visible

Installed, Not Wavy. Smooth and Visible

installed, not wavy, with new design and sticker

If high risk. If not, remove

No gray sticker blocking counter.


needed, specify for approval

If

6. Outside Banner Board with Provision for POP


6.1 Is there extra walls/glass for murals
7. Glass Panels
8. Entrance Door
9. Outside Matting Embedded
10.Entrance Matting Embedded

Panel board holder with frame

Estimated size sq/m

Properly mounted and sealed

Alligned and with Lock

Brown Matt embedded properly

Brown Matt embedded properly

11.Parking/Apron

Properly cemented/ No stiff steps/with Disable Ramp

12.Tire Guard (provision for delivery truck not too


set back

Painted with black and Yellow. Proper tire guard location

13.Island Fast Food Table

Proper location: at least 2 meters away from counter.


Not obstructing
customer line up

14.Island MENU BOARD

Good Finishing. No Rough Edges. Proper Location and edge


is not pointed

15.Island Fast Food wirings and installation

No Gaps in between. All wirings hidden with holes to insert


tubings.

16.Island Fast food table allignment

3x4 or 4x4 tables are alligned.


Not protruding.

17.Island Fast Food Lights/Pin lights

Lightinngs with LED. Pin Lights installed

18.Fast Food Tables and Chairs

Complete sets.
If not, how many needed

19.Drop Lights Standards and Installations

Hanged Properly. 1.8 meters from floor or 6 ft.

19.Emergency Lights

LED, Available and properly installed (2 in SA, 1 in


backroom)

19.Blue Lights

Available and properly installed

2 table top candy racks with candy racks embedded

Installed firmly at the center of counter table

SELLING AREA: Island

SELLING AREA: Counter Area


20.Counter Embedded with Candy Racks
21.Counter with Shopping Bag holder
22.BAT RACK
23.Hotta Rice Table and Soft Serve Machine
24.Tidel safe/Change Fund Vault
25.POS Machines. Scaners.
Handy Terminals
26.Magazine Rack

Properly installed with provision for wine displays


With Hotta Rice table.
serve installed, If not, when?
Available and Operational
Available and Working.
not, specify when.
Wall type Magazine Rack installed

Soft
If

5
5
5
5
5

SELLING AREA: General Merchandise Area


27.Complete sets of GONDOLAS

Installed properly and complete. If not, when? If Wall, it


must be high wall

28.Inverter AIRCONS (2 or 3)
29.Circulating Fans (2 or 3)

Properly installed and working

Properly located and working

30.Walk-in Vaults (5 to 6 doors)

With brown framing and operational. Lights and selfclosing door is ok

31.Walk-in banner holder

Framed and installed properly, nuts are acceptable size

Acceptable?
YES

NO

Comments and Recommendations

SOF CHECKLIST

Page 2 of 2

Store: _________________________
Deliverables

Date: _______________________
Check Mode

POINT

Acceptable?
YES

NO

Comments and Recommendations

SELLING AREA: Beverage Area


32.Postmix Machine and Ice Machine (embedded if
against backroom)

Located at the right side (facing). Installed with hoses and


wiring.
Machine Tested and Working.

33.FCB/Slurpee Machine (embedded against


backroom)

Properly secured and alligned. Located at the LEFT side.


Hoses and wiring secured and alligned.
Machine Tested and Working

34.Beverage Machine Ventilators


35.Juice Bubblers (Installed at the middle of
PMX/FCB or installed on top of Island FF Table)

Installed with ventilators to remove hot air


Available and properly installed.
Machine Tested and Working

5
5

BACKROOM AREA
36.BIB Racks

BIB Racks installed properly.


tanks secured.

CO2

37.Special Rack
38.Hanging gondola rack for back up stocks

Available and accessible

Available and properly installed

39.Electrical Main Panel board

With specified stacking for easy operation and emergency


uses

40.Lights Switches
41.Store Manager's Table
42.Sanitary/QA Racking
43.Water Filters

Installed with labels for switch location

Improved design and good location

Installed with labels for switch location

Properly installed with gauges

44.Backroom Ventilation

With exhaust and temperature level/acceptable

45.Water storage tank

CBD - 500 or less, Prv'l - 1,500

TOTAL SCORE (YES/NO)

240

% of Acceptance

0%

Acceptable?
YES

TYPE OF SIGNAGES

POLE SIGN

CANTILEVER
SIGN

CANOPY SIGN

VERTICAL
SIGN

MOBILE
SIGN

NO
PLANT
DIRECTIONAL
BOX
SIGN
SIGN

COMMON
POLE SIGN

CANTILEVER
POLE SIGN

Available Signage/s (please indicate if "INSTALLED"


or "PENDING")

EQUIPMENT/MACHINES Checklist: Major Equipments and Machines


WORKING?
Deliverables
YES
NO
Open Showcase

Comments and Recommendations:


Area Manager:

Hotdog Steamer
Siopao Steamer
Del Monte Juice
MD Table Top / Stand alone

Approval on Turn-over:
YES
IF NO, specify areas of concern:

Rice Cooker - Hottarice


Hot Pot (ODEN)

Areas of Concern

NO

Needed Rectification

Days to Rectify

Hot Water Dispenser


FMD Coffee Machine
Bun o' Matic Coffee
SAECO Coffee Machine
Generator Set (5KVA)
Others: Specify
POS Machine
Computer (Complete Set)
Speaker/Amplifier

Estimated Number of days to recftify:

Back Up Freezer
Ice Freezer

Tentative date for final punchlisting: ________________

Evaluator:

DM/OFC/AM
Signature over printed name

Project Engineer
Signature over printed name

TYPES OF SIGNAGES

PHILIPPINE SEVEN CORPORATION


Operations Division

Contractor Evaluation Form


Please (P) check if this evaluation is for
P Accredited PSC Co (Test Project)

P New Store SOF

FC Contractor

Renovation SOF

General Project Information


Name of Contractor Being Evaluated
Mycrotyx Builders

Total Contract Amount

Representative of the Contractor


Christian Santos

Total Change Order Amount

Project Title
NEW STORE SEMI SOF

NTP Start and End Dates


June 28, 2014 - July 23, 2014

Project Location
Store 1447 Daang Batang

Actual Completion Date


July 23, 2014

Project Engineer Assigned:


Francisco Montalvo III

Assistant Project Engineer assigned:

Evaluation Questionnaire

Please rate the contractor in each of the following areas. If you rate the contractor below "satisfactory" in
any area, please provide information to explain the rating assigned. You are not restricted in using the
numerical values shown and may score in between points. A total of 80 points is required for a passing grade.
1. Quality of Workmanship
Rate the quality of this contractor's workmanship. Was the work completed with the quality of materials,
workmanship and the standard specifications required? Was the project cleaned up and punchlisting items
was completed in a timely manner?
unacceptable
0 points
comments:

poor
8

satisfactory
###

very good /
###

excellent
###

With Standard and quality work

2. Project Timelines
Rate this contractor's performance in adhering to the project schedule. Did the contractor perform work within the
time frames specified in the Notice to Proceed and always keeps the project on schedule? Does the contractor
respond for requests and assistance in a reasonable period of time?
unacceptable
0 points
comments:

poor
8

satisfactory
###

very good /
###

Performed work with in the set time frame

excellent
###

3. Overall Compliance to agreed Scope of Works:


unacceptable
0 points
comments:

poor
8

satisfactory
###

very good /
###

excellent
###

Complied with in the set standard

a.) Provision of Access Ladder and Catwalk


Rate this contractor's in compliance with the scope of works that all store has provided Access Ladder
and Catwalk for the use of servicing the condensing unit of each store.
Materials and specefication are base on the scope of work and bill of materials.
unacceptable
0 points
comments:

poor
6 points

satisfactory /
8

very good
10 points

excellent
12 points

with in Standard

b.) Provision of Electrical Ground


Rate this contractor's in compliance with the scope of works that all stores has provided the needed
Electrical Earth Ground including all convinience outlet that will be used for the equipments that
required electrical ground line.
unacceptable
0 points
comments:

poor
3 points

satisfactory
5 points

very good /
7 points

excellent
8 points

Complied with in the set standard

4. Pre-punchlisting minimal and can easily be rectified


Rate this contractor's performance in response to the required rectification being identified during
pre-punchlisting . Does the contractor agressively respond to it? Did the contractor rectified the items
being identified?
unacceptable
0 points
comments:

poor
3

satisfactory
5

very good /
7

excellent
8

Response to the required rectication identified during pre-punchlisting

5. Store Turn-over
Rate this contractor's performance in response to the required final punchlisting and turn-over
Does the contractor rectified the items being itentified prior to the final punchlisting?
unacceptable
0 points
comments:

poor
3

satisfactory
5

Response to the required timelines

very good /
7

excellent
8

6. Construction Safety
Rate this contractor's on their turn-over of the store to Operation. Store must be in proper order, clean,
uncluttered, and no other activities done by workers.
unacceptable
0 points
comments:

poor
3 points

satisfactory
5 points

very good /
7 points

excellent
8 points

With Standard and quality work

7. Working Relationships
Rate this contractor's working relationship with other parties (Security Guards,Store Manager, Area & District Manager,
Service Provider, Liaison, etc.). Did this contractor relate to other parties in a professional and respectful
manner?
unacceptable
0 points
comments:

poor
3 points

satisfactory
5 points

very good /
7 points

excellent
8 points

acceptable with in the expectation

Please add up all points and enter t

100
Points

Rating

Additional Remarks:
Acceptable within the expectation
Pls revisit store before 1 year for verification

Evaluator Certification
I hereby certify that the information contained in this evaluation form represents, to the best of my knowledge,
a true analysis of the contractor's performance record on this project and that this Project evaluation and Rating
was not the subject of any negotiation or settlement of the project subject or related thereto and that no compensation
or consideration was given to the evaluators in connection with its preparation or opinions contained herein.
I also certify that I have no ties with this contractor either through a business or family relationship.

Evaluated By:
Fermin Simbajon
Area Manager

Alexander M. Cruzado
District Manager

Sept. 11, 2014


Date

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