Department of Public Works and Highways (DPWH)

Contract ID: 17K00104

Project Name: Construction of Slope Protection (Usugan River) along Ozamiz-
Pagadian Road, Incl. ROW, Brgy. Linconan, Bonifacio, Misamis Occidental
Location: Misamis Occidental
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KEY PERSONNELS AFFIDAVIT OF COMMITMENT TO WORK ON THE
CONTRACT

January 5, 2017

The Chairman
Bids and Awards Committee
Department of Public Works and Highways
Regional Office X
Bulua, Cagayan de Oro City

Dear Sir/Madame:

1. I confirm that MINDANAO ROCK has engaged my services for the position SAFETY
OFFICER if it is awarded to the Contractor.

2. I, therefore, commit to assume the said position in the above stated contract in once
it is awarded to the Contractor, and I shall employ the best care, skill, and ability to
perform the duties of such position in accordance with the Conditions of Contract,
Specifications, Drawings, and other provisions of the Contract Agreement, I am aware
that I have to stay in the jobsite for the duration of my assignment.

3. I do not allow the use of my name to enable the Contractor to qualify for the above
stated contract in without my commitment to assume the said position, since I
understand that to do so shall be a sufficient ground for my disqualification from this
Contract and future biddings of the DPWH.

4. I submit, and certify as true and correct, my bio-data as follows:

a) Name : EDWINA A. SOLOSOD

b) Date of Birth : August 4, 1994
c) Nationality : Filipino
d) Educational Attainment : College Graduate (DIT)
e) Specialty : Horizontal/Vertical
f) PRC License No. : N/A
Date Issued : N/A
Expiry Date : N/A
g) Employment Record : 2013 up to the present

Name & Address of Employer Position From To Total Period

Mo./Yr. Mo./Yr. Yrs. & Mos.
Mindanao Rock Safety Officer 2013 PRESENT 4 Years
h.Work Experience (Projects Handled):
i. Proj. Name & Location i. Proj. Description i. Part of Proj. I i. Start Date
ii. Owners Name & Address ii. Total Proj. Cost Handled ii. Compl. Date
iii. My Position ii. Cost of Part
Completed Projects:
12K00091 Construction of Roads-New Whole Project March 25, 2013
Ozamiz City Coastal By-Pass Construction-Gravel P March 26, 2014
Road, (INCL. RROW), Misamis P 210,426,962.59 210,426,962.59
Occidental, (2nd LD)
DPWH-Region X, Bulua,
Cagayan de Oro City
Safety Officer
13JA0042 Roads-Rehabilitation- Whole Project January 9, 2014
Repair/Rehabilitation/Improve PCCP P 9,178,138.53 August 3, 2014
ment along MCLL Highway, P 9,178,138.53
Cabaluay Section, Zamboanga
City Within K1918+600
DPWH-ZCDEO
Safety Officer
14J00015 Roads-Rehabilitation- Whole Project February 28,
Repair/Rehab/Improvement of Asphalt P 9,802,494.99 2014
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 Department of Public Works and Highways (DPWH)

Contract ID: 17K00104

Project Name: Construction of Slope Protection (Usugan River) along Ozamiz-
Pagadian Road, Incl. ROW, Brgy. Linconan, Bonifacio, Misamis Occidental
Location: Misamis Occidental
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Jct. Aurora-Ozamiz Brdy. Road, P 9,802,494.99 March 26, 2014
Tambulig Poblacion, Tambulig,
ZDS
DPWH-Region IX
Safety Officer
14J00016 Road-Rehabilitation Whole Project February 28,
Repair/Rehabilitation/Improve Asphalt P 9,355,088.49 2014
ment of Liloy-Labason-Gutalac P 9,355,088.49 April 28, 2014
Road ZDS
DPWH-Region IX
Safety Officer
13K00192 Road Upgrading Roads-New Whole Project August 5, 2011
(Gravel to Paved) Based on Construction-PCCP P 4,398,235.80 October 4, 2011
GRS, TB for Upgrading to PRS P 4,398,235.80
(HDM-4 Proj. Analysis)
(Intermittent Section)
DPWH-Region X, Bulua,
Cagayan de Oro City
Safety Officer
12K00080 Assets Roads-Rehabilitation- Whole Project August 22, 2012
Presevation of NATIONAL Rds Asphalt P 59,007,007.11 Dec. 11, 2012
Gen Fr PMS/HDM-4 Preventive P 59,007,007.11
Maint. (Int. Sect.) Oroquieta
City-Plaridel-Calamba
DPWH-Region X, Bulua,
Cagayan de Oro City
Safety Officer
13JA0042 Roads-Rehabilitation- Whole Project April 12, 2013
Repair/Rehab/Improvement Asphalt P 9,842,971.01 June 25, 2013
along MCLL Highway, P 9,842,971.01
Cabaluay Section, Zamboanga
City withinK1918+600
DPWH MODEO-II, Tangub
City
Project Manager
13K00167 Concreting of Roads-New Whole Project January 20, 2014
Shoulder of Ozamiz-Pagadian Construction-PCCP P 961,817.54 February 8, 2014
Road, Misamis Occidental P 961,817.54
DPWH Region 10, Bulua,
Cagayan de Oro City
Project Manager
13K00212 Const./Imprvt. of Roads-New Whole Project March 21, 2014
Ozamiz City Coastal By-Pass Construction-PCCP P 87,715,211.79 Nov. 13, 2014
Road, Misamis Occidental 2nd P 87,715,211.79
LD
DPWH Region 10, Bulua,
Cagayan de Oro City
Project Manager
14KI0040 Maintenance Roads Whole Project January 8, 2015
Repair/Rehb./Imprvt. along and Bridges P 9,496,132.08 June 14, 2015
National Roads (Road Slope P 9,496,132.08
Protection) Oroquieta City-
Calamba Mt. Rd K1761+000
-1761+800 w/ exception
DPWH MODEO-I, Oroquieta
City
Project Manager
15KI0044 - Maintenance Roads Whole Project Sept. 9, 2015
Repair/Rehb./Imprvt. along and Bridges P 9,509,827.84 March 13, 2016
National Roads (Road Slope P 9,509,827.84
Protection) Oroquieta City-
Calamba Mt. Rd
DPWH MODEO-I, Oroquieta
City
Project Manager
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 Department of Public Works and Highways (DPWH)

Contract ID: 17K00104

Project Name: Construction of Slope Protection (Usugan River) along Ozamiz-
Pagadian Road, Incl. ROW, Brgy. Linconan, Bonifacio, Misamis Occidental
Location: Misamis Occidental
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On-going Projects:
15KI0073 Repair/Rehab. of Building-Industrial Whole Project February 1, 2016
Multi-Purpose Building, Brgy. Plant-LOW rise P 2,911,674.02 May 1, 2016
Sta. Cruz, Jimenez, Misamis P 2,911,674.02
Occidental
DPWH MODEO-I, Oroquieta
City
Project Manager

Very truly yours,

EDWINA A. SOLOSOD
Name and Signature of Personnel

Noted by:

ERIC O. LIM
Name and Signature of Contractors Authorized Representative

REPUBLIC OF THE PHILIPPINES )

CITY OF OZAMIZ . . . . . . . . . . . )

SUBSCRIBED and SWORN TO before me this _____ day of __________, 2016 at Ozamiz
City, affiant exhibiting to me his/her Residence Certificate No. 19318387 issued at Oroquieta
City on January 4, 2016.

__________________
Notary Public

Until
PTR No.
Date
Place
TIN

Doc. No.
Page No.
Book No.
Series of 2016.

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