Financial Documents for Eligibility Check

NHA documents for financial eligibility check

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Standard Form Number: SF-GOOD-14
Revised on: May 24, 2004

A. Summary of the Applicant Supplier’s/Distributor’s/Manufacturer’s assets and liabilities on the
basis of the attached income tax return and audited financial statement, stamped “RECEIVED”
by the Bureau of Internal Revenue or BIR authorized collecting agent, for the immediately
preceding year and a certified copy of Schedule of Fixed Assets particularly the list of
construction equipment.
Year 20__

Total Assets
Current Assets
Total Liabilities
Current Liabilities
Net Worth (1-3)
Net Working Capital (2-4)

B. The Net Financial Contracting Capacity (NFCC) based on the above data is computed as
NFCC = K (current asset – current liabilities) minus value of all outstanding works under
ongoing contracts including awarded contracts yet to be started
NFCC = P _______________________________________
K = 10 for a contract duration of one year or less, 15 for more than one year up to two years
and 20 for more than two years
Commitment from a licensed bank to extend to it a credit line if awarded the contract or a cash
deposit certificate in the amount of at least 10% of the proposed project to bid.
Name of Bank: ________________________________ Amount: ___________________
Herewith attached are certified true copies of the income tax return and audited financial
statement: stamped “RECEIVED” by the BIR or BIR authorized collecting agent for the immediately
preceding year and the cash deposit certificate or certificate of commitment from a licensed bank
to extend a credit line.
Submitted by:
Name of Supplier / Distributor / Manufacturer
Signature of Authorized Representative
Date : _____________________________
1. If Partnership or Joint Venture, each Partner or Member Firm of Joint Venture shall submit the
above requirements.