Form for Modification Request

A. GENERAL
1. REGION 2. DEO 3. LEGISLATIVE DISTRICT
REGION X MISAMIS OCCIDENTAL 1ST DEO MISAMIS OCCIDENTAL 1ST LEGISLATIVE DISTRICT

B. ORIGINAL PROJECT C. PROPOSED REVISED PROJECT

4. UACS (Unified Account Code Structure as defined in GAA)
300103201431000

5. Project Id
P00340653MN

6. Project Category
Local Program

7. Sub-Program (P/A/P)
Local - Buildings And Other Structures - Multipurpose / Facilities - Construction / Repair / Rehabilitation / Improvement of Various
Infrastructure including Local Projects

8. Operating Unit 18. Operating Unit (Change subject to DBM approval)

MISAMIS OCCIDENTAL 1ST DEO MISAMIS OCCIDENTAL 1ST DEO

9. Type of Work (Enter Details for all Components below) 19. Type of Work (Enter Details for all Components below)
Component ID Type of Work Component ID Type of Work
CW1 Construction of Multi Purpose CW1 Construction of Multi Purpose Building
Building
Click here to enter text. Choose an item. Click here to enter text. Choose an item.

Click here to enter text. Choose an item. Click here to enter text. Choose an item.

Click here to enter text. Choose an item. Click here to enter text. Choose an item.

10. PROJECT DESCRIPTION (as recorded in GAA) 20. PROJECT DESCRIPTION (of the revised project)
Construction of Multi-Purpose Building, Calamba, Misamis Occidental Construction (Completion) of Multi-Purpose Building, Calamba, Misamis
Occidental

11. ALLOTMENT (P’000) (as recorded in GAA) 21. REVISED ESTIMATED COST 22. CAF (To be obtained from
8,000 (P’000) (Equal to, or lower than GAA Financial Management office)
allotment) ☒YES
8,000

12. PHYSICAL TARGET (Enter Details for all Components below) 23. PHYSICAL TARGET (Enter Details for all Components below)
Component ID Target Target Unit Component ID Target Target Unit
CW1 1 Building Number of CW1 1 Building Number of
Click here to enter text. Click here to enter text. Choose an item. Click here to enter text. Click here to enter text. Choose an item.

Click here to enter text. Click here to enter text. Choose an item. Click here to enter text. Click here to enter text. Choose an item.

Click here to enter text. Click here to enter text. Choose an item. Click here to enter text. Click here to enter text. Choose an item.

13. UNIT COST (Enter Details for all Components below) 24. UNIT COST (Enter Details for all Components below)
Component ID Component Cost Target Unit Cost Component ID Component Cost Target Unit Cost
(P’000) (P’000/Target Unit) (P’000) (P’000/Target Unit)

CW1 7,920 7,920/Building CW1 7,920 7,920/Building

EAO 80 Click here to enter EAO 80 Click here to enter text.
text.

Click here to enter text. Click here to enter text. Click here to enter Click here to enter text. Click here to enter text. Click here to enter text.
text.

Click here to enter text. Click here to enter text. Click here to enter Click here to enter text. Click here to enter text. Click here to enter text.
text.

Modification Form Version 01-2019

 Form for Modification Request
14. PROJECT WORK LOCATION (Must be defined in strict 25. PROJECT WORK LOCATION (Must be defined in strict accordance with
accordance with DO 65 Series 2014) DO 65 Series 2014.
Construction of Multi-Purpose Building, Calamba, Misamis Occidental Construction (Completion) of Multi-Purpose Building, Calamba, Misamis
Occidental

Start X 123.63975 End X Click here to enter Start 123.63975 End X Click here to enter text.
text.
X
Start Y 8.5565 End Y Click here to enter Start 8.5565 End Y Click here to enter text.
text.
Y
15. ROAD CLASSIFICATION (if applicable) 26. ROAD CLASSIFICATION (if applicable)
Choose an item. Choose an item.
16. IMPLEMENTING OFFICE (Record the Implementing Office of the 27. IMPLEMENTING OFFICE (Record the Implementing Office of the
original project) proposed revised project)
MISAMIS OCCIDENTAL 1ST DEO MISAMIS OCCIDENTAL 1ST DEO

17. PROJECT IMPLEMENTATION PLAN (PIP) 28. PROJECT IMPLEMENTATION PLAN (PIP)

Planned Start Date Planned End Date Planned Start Date Planned End Date
6/15/2019 8/31/2019 6/15/2019 8/31/2019

29. OVERLAP? 30. UNDER WARRANTY?

☒ NO ☐ YES ☒ NO ☐ YES

D. ATTACHMENTS & JUSTIFICATIONS

31. PROJECT IMPACT ANALYSIS ATTACHED? (For Flood Control Projects)
☐ NO ☐ YES ☒ N/A
32. TECHNICAL JUSTIFICATION (Explain in detail in Bullet point format; minimum of 2 points)
 To continue the rehabilitation of the municipal gymnasium.
 The project is intended for completion and not for construction.

33. PHOTOS SUBMITTED

☐NO ☒YES
34. A MAP OF THE PROPOSED PROJECT WORK LOCATION SUBMITTED
☒NO ☐YES

Modification Form Version 01-2019

 Form for Modification Request
35. PREPARED BY:
Name: MARK CHRISTIAN B. SOYOC Position: Engineer II

Office: Planning and Design Section Date: 6/7/2019

36. REVIEWED BY DISTRICT OFFICE (If Required) 38. REVIEWED BY REGIONAL OFFICE
Name: NOLLY S. BOLANDO Name: SABENIANO D. CALIAO JR

Position: Chief of Planning and Design Section Position: Chief of Planning Division

Date: 6/7/2019 Date:

37. RECOMMENDED BY DISTRICT OFFICE (If Required) 39. RECOMMENDED BY REGIONAL OFFICE

Name: OMAR P. DIRON Name: ZENAIDA T. TAN

Position: District Engineer Position: Regional Director

Date: 6/10/2019 Date: Click here to enter a date.

Modification Form Version 01-2019

 Form for Modification Request
UACS (Unified Account Code Structure as defined in GAA)
300103201431000

Project Id
P00340653MN

40. DPWH OFFICE OF THE UNDERSECRETARIES FOR OPERATIONS USE ONLY

☐ Category A – Typographical Errors
☐ Category B – Change in Station Limits, due to increase or decrease in budget
☐ Category C – Change in Location
Category of Modification
☐ Category D – Change in Operating Unit (requires DBM approval)
(choose one)
☐ Adjustment – Send to PS-PD to amend MYPS
☐ Modification does not comply with DBM Categories
☐ Augmentation

Primary Reason for Request (based on Category of Modification): (choose one)

Category A Category B Category C Category D Adjustment
(Must be no change to target or
GAA line item)

☐ Typographical ☐ Overlapping Sections of ☐ No such Barangay ☐ Change in (IO), ☐ Typographical error on Project
error on Project Work ☐ No such requiring a change Component Description
Description ☐ Change in station limits, City/Municipality in the (OU) ☐ Typographical error on other
☐ Project Description due to increase or fields not included in, or not
needs items decrease in budget consistent with GAA
removed due to ☐ Change in Physical ☐ Move funds between Project
typo error Target Components
☐ Add/delete Project Components
Change of Itemized Project
Component:
☐ Various
☐ Description
☐ Location
☐ Amount
☐ Target

Reviewed by Office of the Undersecretary for Operations

Name:

Signature

Position:
Date:
41. DPWH PLANNING SERVICE OFFICE USE ONLY
☐ Category A – Typographical Errors
☐ Category B – Change in Station Limits, due to increase or decrease in budget
Category of Modification ☐ Category C – Change in Location
☐ Category D – Change in Operating Unit (requires DBM approval)
(choose one) ☐ Adjustment – Send to PS-PD to amend MYPS
☐ Modification does not comply with DBM Categories
☐ Augmentation

Reviewed by Planning Service

Name: Name:
Signature Signature:

Position: Regional Coordinator Position: Chief of Programming Division

Date: Date:

Modification Form Version 01-2019

 Guidelines to Form for Modification Request
Item Description

A. General
1) Region Record the Regional Office.
2) DEO Record the District Engineering Office.
3) Legislative District Record the Legislative District.
B. Original Project
4) UACS Unified Accounts Structure as defined in Multi Year Planning and Scheduling (MYPS) / GAA.
5) Project Id Id of original project as defined in MYPS / GAA.
Id of original component as defined in MYPS / GAA.
6) Project Category Record the Project Category from MYPS / GAA.

7) P/A/P Record the Program / Activity / Project (P/A/P) from MYPS / GAA.

8) Operating Unit Record the Operating Unit from MYPS / GAA.

9) Type of Work Record the Type of Work activity from MYPS / GAA for each component.

10) Project Description Project Description from MYPS / GAA.

11) Allocation (P’000) Allocation as defined in MYPS / GAA.
12) Physical Target Physical target shall be defined for each corresponding Component Id. Record Component ID, physical target
and target unit from MYPS.
13) Unit Cost Unit cost in units appropriate to the type of project, for each corresponding Component Id.
Component Cost Component costs shall sum up to the Allocation.
14) Project Work Location Project Work Location from MYPS / GAA.
Project Work Location must be defined in strict accordance with DO 65 Series 2014. For national road
project fill out “Annex A”, for national bridge project provide Bridge ID and for other projects fill in the x &
y coordinates fields.
15) Road Classification Record the Road Classification of the original project (if applicable).

16) Implementing Office Record the Implementing Office of the original project.

17) Project Implementation Record the Planned Start Date and Planned End Date of the project
Plan
C. Proposed Revised Project
18) Operating Unit Record the revised Operating Unit (if a change is required).

19) Type of Work Record the Type of Work. If this is different from original, must include technical justification.

20) Project Description Description of the proposed revised project

21) Revised Estimated Cost (P New Estimate of Cost of proposed revised project. Project costs may stay the same, or decrease, but cannot
'000) be increased.

22) CAF To be obtained from Financial Management office.

23) Physical Target Accomplishment against targets will be reported on a Regional basis in order for the Department to
demonstrate that it has met its obligations. Record any change in target, or confirm that original target has
not changed. Any change in target must be justified in economic terms and/or Department policy. Physical
target shall be defined for each corresponding Component Id. The physical target shall include the target
unit.
24) Unit Cost Unit cost in units appropriate to the type of project, for each corresponding Component Id.
Component Cost Component costs shall sum up to the Estimated Cost.

Modification Form Version 01-2019


Item
25) Project Work Location
26) Road Classification
27) Implementing Office
28) Project Implementation
Plan
29) Overlap?
30) Under Warranty?
31) Project Impact Analysis
32) Technical Justification
33) Geotagged photos
34) A map generated from the
department’s GIS of the
proposed project work
location submitted
35) Prepared by
36/37) Reviewed/recommended
By District Office
38/39) Reviewed/recommended
By Regional Office
40) Undersecretary for Operations
Evaluation and
Recommendation
41) Planning Service Evaluation
and recommendation
Modification Form Version 01-2019
Guidelines to Form for Modification Request
Description
Project Work Location must be defined in strict accordance with DO 65 Series 2014. For national road
project fill out “Annex A”, for national bridge project provide Bridge ID and for other projects fill in the x &
y coordinates fields.
Record the Road Classification of the proposed revised project (if applicable).
Implementing office for the proposed revised project.
Record the Planned Start Date and Planned End Date of the project.
Verify that there is no project from any other Fund Source programmed within one (1) year which would
overlap with the proposed project, otherwise proposed project should be deferred / clustered with
overlapping project.
Does any part of the proposed project include a portion of road which has a Defects Liability Period /
Warranty Period in effect? Check with Construction Division / Section for any defects liability period(s) on
the proposed infrastructure. Require statement from DEO to effect that there is no outstanding warranty /
defects liability in effect.
Submit Project Impact Analysis for Flood Control Projects
Flood Control projects should also be consistent with Flood Control Master Plan for the River Basin.
Justification in support of project modification. Should be in bullet points with minimum of two bullet points.
Geotagged photographs must be submitted as part of justification of project
A map generated from the Department’s GIS of the proposed project work location shall be provided with
the submission. The map shall include the proposed project together with clearly marked locations of
adjacent projects that are either:
1. Ongoing;
2. Scheduled for implementation within the current year;
3. Subject of completed or ongoing feasibility study;
4. Committed under Foreign Assistance;
5. Committed under the Motor Vehicle User Charge (MVUC).
Name, Position and Office of Proposer
Date of Proposal
Only necessary if project originates in the district. Enter Name, Position and Office of Reviewer and
Approver in the relevant geographical District Office
Date of Review
Always required. Enter Name, Position and Office of Reviewer and Approver in the relevant geographical
Regional Office
Date of Review
Confirm DBM Category of Modification
Choose the primary justification for the request based on technical evaluation.
PD confirmation of DBM Category of Modification. If disagreement, PD to discuss with USEC for Operations
 Tables for Form for Modification Request
Table 1 - List of Project Category

Description
1 OO1: Ensure Safe and Reliable National Road System
2 OO2: Protect Lives and Properties Against Major Floods
3 Convergence and Special Support Program
4 Local Program

Table 2 - List of P/A/P

Description
1 Asset Preservation - Construction/ Upgrading/ Rehabilitation of Drainage along National Roads - Primary Roads
2 Asset Preservation - Construction/ Upgrading/ Rehabilitation of Drainage along National Roads - Secondary Roads
3 Asset Preservation - Construction/ Upgrading/ Rehabilitation of Drainage along National Roads - Tertiary Roads
4 Asset Preservation - Preventive Maintenance - Primary Roads
5 Asset Preservation - Preventive Maintenance - Secondary Roads
6 Asset Preservation - Preventive Maintenance - Tertiary Roads
7 Asset Preservation - Rehabilitation/ Reconstruction of National Roads with Slips, Slope Collapse, and Landslide - Primary Roads
8 Asset Preservation - Rehabilitation/ Reconstruction of National Roads with Slips, Slope Collapse, and Landslide - Secondary Roads
9 Asset Preservation - Rehabilitation/ Reconstruction of National Roads with Slips, Slope Collapse, and Landslide - Tertiary Roads
10 Asset Preservation - Rehabilitation/ Reconstruction/ Upgrading of Damaged Paved Roads- Primary Roads
11 Asset Preservation - Rehabilitation/ Reconstruction/ Upgrading of Damaged Paved Roads - Secondary Roads
12 Asset Preservation - Rehabilitation/ Reconstruction/ Upgrading of Damaged Paved Roads - Tertiary Roads
13 Bridge - Construction of New Bridges
14 Bridge - Rehabilitation/ Major Repair of Permanent Bridges
15 Bridge - Replacement of Bridges (Temporary to Permanent)
16 Bridge - Replacement of Permanent Weak Bridges
17 Bridge - Retrofitting/ Strengthening of Permanent Bridges
18 Bridge - Widening of Permanent Bridges
19 Network Development - Construction of Bypass and Diversion Roads
20 Network Development - Construction of Flyovers/ Interchanges/ Underpasses/ Long Span Bridges
21 Network Development - Construction of Missing Links/ New Roads
22 Network Development - Road Widening - Primary Roads
23 Network Development - Road Widening - Secondary Roads
24 Network Development - Road Widening - Tertiary Roads
25 Network Development - Off-Carriageway Improvement - Primary Roads
26 Network Development - Off-Carriageway Improvement - Secondary Roads
27 Network Development - Off-Carriageway Improvement - Tertiary Roads
28 Network Development - Paving of Unpaved Roads - Primary Roads
29 Network Development - Paving of Unpaved Roads - Secondary Roads
30 Network Development - Paving of Unpaved Roads - Tertiary Roads
31 Flood Management - Construction/ Maintenance of Flood Mitigation Structures and Drainage Systems
32 Flood Management - Construction/ Maintenance of Flood Mitigation Structures and Drainage Systems

Modification Form Version 01-2019

 Tables for Form for Modification Request
33 Flood Management - Construction/ Rehabilitation of Flood Mitigation Facilities along Major River Basins and Principal Rivers
34 Convergence and Special Support - Construction/ Improvement of Access Roads leading to Airports
35 Convergence and Special Support - Construction/ Improvement of Access Roads leading to Seaports
36 Convergence and Special Support - Construction/ Improvement of Access Roads leading to Declared Tourism Destinations
37 Convergence and Special Support - Construction/ Improvement of Access Roads leading to Trades, Industries and Economic Zones
38 Convergence and Special Support - Construction/Improvement of Various Infrastructures in Support of National Security
39 Convergence and Special Support - Construction/ Rehabilitation of Rain Water Collectors
40 Convergence and Special Support - Construction/ Rehabilitation of Septage and Sewerage
41 Convergence and Special Support - Construction/ Rehabilitation of Water Supply
42 Convergence and Special Support - Construction/Improvement of Access Roads leading to Trades, Industries and Economic Zones
43 Local - Buildings And Other Structures - Multipurpose / Facilities - Construction / Repair / Rehabilitation / Improvement of Various
Infrastructure including Local Projects
44 Local - Buildings And Other Structures - Multipurpose / Facilities - Local Infrastructure Program
45 Local - Buildings And Other Structures - Multipurpose / Facilities - National Building Program
46 Local - Buildings And Other Structures - School Buildings - Construction / Repair / Rehabilitation / Improvement of Various
Infrastructure including Local Projects
47 Local - Buildings And Other Structures - School Buildings - Local Infrastructure Program
48 Local - Flood Control and Drainage - Drainage / Protection Works - Construction / Repair / Rehabilitation / Improvement of Various
Infrastructure including Local Projects
49 Local - Flood Control and Drainage - Drainage / Protection Works - Local Infrastructure Program
50 Local - Flood Control and Drainage - Flood Control Structures / Facilities - Construction / Repair / Rehabilitation / Improvement of
Various Infrastructure including Local Projects
51 Local - Flood Control and Drainage - Flood Control Structures / Facilities - Local Infrastructure Program
52 Local - National Roads and Bridges - Local Bridges - Construction / Repair / Rehabilitation / Improvement of Various Infrastructure
including Local Projects
53 Local - National Roads and Bridges - Local Bridges - Local Infrastructure Program
54 Local - National Roads and Bridges - Local Roads - Construction / Repair / Rehabilitation / Improvement of Various Infrastructure
including Local Projects
55 Local - National Roads and Bridges - Local Roads - Local Infrastructure Program
56 Local - National Roads and Bridges - National Bridges - Construction / Repair / Rehabilitation / Improvement of Various Infrastructure
including Local Projects
57 Local - National Roads and Bridges - National Bridges - Local Infrastructure Program
58 Local - National Roads and Bridges - National Roads - Construction / Repair / Rehabilitation / Improvement of Various Infrastructure
including Local Projects
59 Local - National Roads and Bridges - National Roads - Local Infrastructure Program
60 Local - Water Management Facilities - Water Supply - Construction / Repair / Rehabilitation / Improvement of Various Infrastructure
including Local Projects
61 Local - Water Management Facilities - Water Supply - Local Infrastructure Program

Modification Form Version 01-2019

 Tables for Form for Modification Request
Table 3 - Target Definitions
Infra Type Major Work Category Type Of Work Unit of Measure
Accessibility Facility Construction Construction of Accessibility Facility Number of Units
Accessibility Facility Rehabilitation/Major Repair Rehabilitation/Major Repair of Accessibility Number of Units
Facility
Bridges Construction Construction of Bailey Bridge Square meters
Bridges Construction Construction of Concrete Bridge Square meters
Bridges Construction Construction of Flyover Square meters
Bridges Construction Construction of Interchange Square meters
Bridges Construction Construction of Steel Bridge Square meters
Bridges Construction Construction of Viaduct Square meters
Bridges ROW Acquisition ROW Acquisition Square meters
Bridges Rehabilitation/Major Repair Rehabilitation / Major Repair of Bridge Number of Bridges
Bridges Replacement Replacement of Bridge Square meters
Bridges Retrofitting/Strengthening Retrofitting / Strengthening of Bridge Number of Bridges
Bridges Widening Widening of Bridge Square meters
Drainage Structures along Construction Construction of Drainage Structure along Lineal meters
Roads Road

Drainage Structures along
Roads
Drainage Structures along
Roads
Flood Control Structures
Rehabilitation/Major Repair Rehabilitation / Major Repair of Drainage Lineal meters
Structure along Road
Upgrading Upgrading of Drainage Structure along Road Lineal meters
Construction Construction of Cutoff Channel Lineal meters

Flood Control Structures Construction Construction of Dike Lineal meters

Flood Control Structures Construction Construction of Drainage Structure Lineal meters
Flood Control Structures Construction Construction of Flood Gate / Sluice Gate Lineal meters
Flood Control Structures Construction Construction of Flood Mitigation Facility Number of Facilities
Flood Control Structures Construction Construction of Flood Mitigation Structure Lineal meters
Flood Control Structures Construction Construction of Groundsill Lineal meters
Flood Control Structures Construction Construction of Retarding Basin Square meters
Flood Control Structures Construction Construction of Revetment Lineal meters
Flood Control Structures Construction Construction of Sabo Dam Lineal meters
Flood Control Structures Construction Construction of Slope Protection Structure Square meters
Flood Control Structures Construction Construction of Spur Dike Lineal meters
Flood Control Structures Construction Construction of Waterway Lineal meters
Flood Control Structures Construction Embankment Cubic meters
Flood Control Structures Construction ROW Acquisition Square meters
Flood Control Structures Rehabilitation/Major Repair Rehabilitation / Major Repair of Drainage Lineal meters
Structure

Flood Control Structures Rehabilitation/Major Repair Rehabilitation / Major Repair of Flood Lineal meters
Control Structure

Flood Control Structures Rehabilitation/Major Repair Rehabilitation / Major Repair of Slope Square meters
Protection Structure

Flood Control Structures Upgrading Upgrading of Drainage Structure Lineal meters

Hospitals Construction Construction of Barangay Health Station Number of Units

Modification Form Version 01-2019

 Tables for Form for Modification Request
Hospitals Construction Construction of Hospital Number of Hospitals
Hospitals Construction Construction of Rural Health Unit Number of Units
Hospitals Rehabilitation/Major Repair Rehabilitation / Major Repair of Hospital Number of Hospitals
Multi Purpose Buildings Construction Construction of Multi Purpose Building Number of Buildings

Multi Purpose Buildings Construction Construction of Other Building Number of Buildings

Multi Purpose Buildings
Multi Purpose Buildings
Multi Purpose Buildings
Rain Water Collector
Road Slope Protection
Structures
Road Slope Protection
Structures
Roads
Roads
Roads
Construction Construction of Other Facilities Number of Facilities
Rehabilitation/Major Repair Rehabilitation / Major Repair of Multi Number of Buildings
Purpose Building
Rehabilitation/Major Repair Rehabilitation / Major Repair of Other Number of Buildings
Building
Construction Construction of Rain Water Collector Number of Units
Construction Construction of Road Slope Protection Square meters
Structure
Rehabilitation/Major Repair Rehabilitation / Major Repair of Road Slope Square meters
Protection Structure
Construction Construction of Asphalt Road Lane Km
Construction Construction of Concrete Road Lane Km
Construction Construction of Drainage Structure along Lineal meters
Road

Roads Construction Construction of Gravel Road Lane Km

Roads Construction Construction of Road Slope Protection Square meters
Structure

Roads Construction Construction of Underpass Square meters

Roads Off-Carriageway Improvement Off-Carriageway Improvement: Construction Number of Projects
of Bike Lanes

Roads Off-Carriageway Improvement Off-Carriageway Improvement: Construction Number of Laybys

of Laybys

Roads Off-Carriageway Improvement Off-Carriageway Improvement: Construction Number of Loading and

of Loading and Unloading Bays Unloading Bays
Roads Off-Carriageway Improvement Off-Carriageway Improvement: Construction Number of Turnouts
of Turnouts

Roads Off-Carriageway Improvement Off-Carriageway Improvement: Flaring of Number of Intersections

Intersections / Improvement of Intersections
Roads Off-Carriageway Improvement Off-Carriageway Improvement: Loading Bays Number of Loading Bays
Roads Off-Carriageway Improvement Off-Carriageway Improvement: Construction Square meters
of Median/Center Island
Roads Off-Carriageway Improvement Off-Carriageway Improvement: Shoulder Square meters
Paving / Construction
Roads Preventive Maintenance Preventive Maintenance of Road: Asphalt Lane Km
Overlay
Roads Preventive Maintenance Preventive Maintenance of Road: Concrete Lane Km
Reblocking
Roads Preventive Maintenance Rehabilitation / Major Repair of Drainage Lineal meters
Structure along Road
Roads ROW Acquisition ROW Acquisition Square meters
Roads Reconstruction Reconstruction to Concrete Pavement Lane Km
Roads Reconstruction Reconstruction: Raising of Grade Lane Km
Roads Rehabilitation Rehabilitation of Paved Road Lane Km

Modification Form Version 01-2019

 Tables for Form for Modification Request
Roads Rehabilitation Repair / Rehabilitation of Drainage Lineal meters
Structures

Roads Rehabilitation/Major Repair Rehabilitation / Major Repair of Road Slope Square meters
Protection Structure

Roads Upgrading Paving of Unpaved Roads Lane Km

Roads Widening Additional Lane Width Square meters
Roads Widening Road Widening Lane Km
School Buildings Construction Construction of 1-Storey Classrooms Number of 1-Storey Classrooms

School Buildings Construction Construction of 2-Storey Classrooms Number of 2-Storey Classrooms

School Buildings Construction Construction of 3-Storey Classrooms Number of 3-Storey Classrooms

School Buildings Construction Construction of 4-Storey Classrooms Number of 4-Storey Classrooms

School Buildings Construction Construction of Classrooms Number of Classrooms

School Buildings Construction Construction of School Buildings Number of School Buildings

School Buildings Rehabilitation/Major Repair Rehabilitation / Major Repair of 1-Storey Number of 1-Storey Classrooms
Classrooms

School Buildings Rehabilitation/Major Repair Rehabilitation / Major Repair of 2-Storey Number of 2-Storey Classrooms
Classrooms

School Buildings Rehabilitation/Major Repair Rehabilitation / Major Repair of School Number of Buildings
Buildings

Septage and Sewerage Construction Construction of Septage / Sewerage Plants Number of Septage/Sewerage
Plants Plants

Septage and Sewerage Rehabilitation/Major Repair Rehabilitation / Major Repair of Septage / Number of Septage/Sewerage
Plants Sewerage Plants Plants

Water Supply Systems Construction Construction of Water Supply Systems Number of Water Supply Systems

Water Supply Systems Rehabilitation Rehabilitation of Water Supply Systems Number of Water Supply System

Waterway Channelization Channelization Cubic meters

Waterway Dredging / Desilting Dredging / Desilting Cubic meters

Modification Form Version 01-2019

 Annex A to Form for Modification Request

Component ID Section ID Start Limit End Limit Start End Length Type of Work Detail Scope Target Unit Physical
LRP + Disp LRP + Disp Chainage Chainage (m) of Work Target

Modification Form Version 01-2019