Name of the Procuring Entity

Contract Reference Number

Proposed Two-Storey Residence
Brgy. Sambat, San Pascual, Batangas

Standard Form Number: SF-INFR - 49

Revised on: August 11, 2004

List of Equipment, Owned or Leased and/or under Purchase Agreements, Pledged to the Proposed Contract
Business Name : Global Heavy Equipment Corp.____________________
Business Address : #169 Chico St., Project 2, Brgy Quirino 2C, Quezon City
Description Model/Year Capacity / Plate No. Motor No. / Location Condition Proof of Ownership /
Performance / Size Body No. Lessor or Vendor
A. Leased
i. Backhoe MS230 2.10 cu. m 8TR00396
ii .Dump Truck GIGA 65 metric tons CXZ81K1- #169 Chico St., Project 2, Brgy NEW Global Heavy Equipment
3001227 Quirino 2C, Quezon City Corp.
iii. Cutting Outfit
iv. Concrete Mixer ZZ1257N38 19.0 -18.0 cu.ft LZZ5BLSD7 #169 Chico St., Project 2, Brgy NEW Global Heavy Equipment
41W /min DN810769 Quirino 2C, Quezon City Corp.
v. Concrete Vibrator 2000H #169 Chico St., Project 2, Brgy NEW Global Heavy Equipment
Quirino 2C, Quezon City Corp.
vi. Bar Cutter JTHB210-3 10999 #169 Chico St., Project 2, Brgy NEW Global Heavy Equipment
Quirino 2C, Quezon City Corp.
vii. Bar Bender
viii. Drill Bit

List of minimum equipment required for the project:

Submitted by : ___________________________________________________
(Printed Name & Signature)
Designation : ___________________________________________________
Date : May 25, 2018_______________________________________

One of the requirements from the bidder to be included in its Technical Envelope is the list of its equipment units pledged for the contract to be bid, which are owned (supported by proof/s of ownership), leased,
and/or under purchase agreements (with corresponding engine numbers, chassis numbers and/or serial numbers), supported by certification of availability of equipment from the equipment lessor/vendor for the
duration of the project.