ADOPT-A-SCHOOL/

BRIGADA ESKWELA
2017 ACCOMPLISHMENT
Regional Accomplishment
Division Accomplishment
 2017 ACCOMPLISHMENT

TOTAL

Schools Total
Total Hours Equivalent Total Resource
Total No. of
Rendered by Amount Generated
Volunteers
volunteers [rendered by (Php)
volunteers]
ELEMENTARY 84125 362468 18111818 9974596
SECONDARY 59746 176374 8816217 11440349
TOTAL 143871 538842 26928035 21414945
January 21, 2018 SAMPLE LETTER OF INTENT
Leonor Magtolis Briones
Secretary
Department of Education
DepEd Complex, Meralco Ave.
Pasig City, Metro Manila

RE; Application for Tax Exemption Claim under RA 8525, as provided in BIR Revenue
Regulation No. 10, s. 2003

Dear Secreatary Briones;

The government allots the biggest share of the national budget to public basic education, but the
amount still cannot keep up with the increasing student population.

As stated in the provisions of the approved template Memorandum of Agreement (MOA) DMLA
-2017-0048, Office of the Undersecretary of Legal Affairs between LYR MARKETING AND
FURNITURE CENTER – Represented by the Proprietor Mr. Lorenzo Y. Rubinos and
Nabunturan Central Elementary School, Poblacion, Nabunturan, Compostela Valley. The
COMPANY as the donor is entitled to apply for the availment of tax incenteives as provided
under the Republic Act No. 8525, otherwise known as Adopt-A-School Act of 1998 and as
provided under |BIR Revenue Regulations No. S, 2003, Implementing the Tax incentives
provision of RA 8525.

LYR MARKETING AND FURNITURE CENTER hereby applies for tax exemption based on
Guidelines for Accepting Donations and processing Applications for the Availment of Tax
Incentives by Private Donor-Partners Supporting the K-12 Program, DepEd Order No. 24, s.
2016.

The cost of assistance provided for the school within the agreed term is Php 100,000.00

Thank you and God bless.

Very truly yours,

LORENZO Y. RUBINOS, SR.

Proprietor
 MEMORANDUM OF AGREEMENT

This Agreement made and entered into this 18th day of May, 2017 at Tagum City, Davao del Norte,
Philippines, by and between:

The DEPARTMENT OF EDUCATION NABUNTURAN CENTRAL ELEMENTARY SCHOOL, DIVISION OF

COMPOSTELA VALLEY, an agency of the national government of the Republic of the Philippines, created by virtue
of Batas Pambansa (B.P.) No. 232 “The Education Act of 1982” as amended by Republic Act (R.A.) No. 9155 otherwise
known as “Governance of Basic Education Act of 2001”, with office address at Barangay Cabugan, Tagum City,
represented by its School Principal III, MS. ROSARIO A.NOÑEZA, herein referred to as “DepEd”;
-and-
LYR GROUP OF COMPANIES, a corporation/ organization duly organized and existing under the laws of the
Republic of the Philippines, or an individual, with office address at Purok Rosal, Visayan Village, Tagum City, Davao
represented in this transaction by its CEO/President, MR. LORENZO Y. RUBINOS, SR., hereinafter referred to as the
“PROPONENT’’;
WITNESSETH: That
WHEREAS, Republic Act 8525, otherwise known as “An Act Establishing the Adopt-A-School Program and
Providing Incentives Therefore and for Other Purposes”, was enacted to encourage private companies to assist in the
delivery of better quality education to public schools in the country, particularly in the poverty-stricken provinces;
WHEREAS, Revenue Regulations No. 10 s. 2003, Implementing the Tax Incentives Provision of RA 8525
otherwise known as the Adopt-a-School Act of 1998 has been issued by the Department of Finance thru the Bureau of
Internal Revenue;
WHEREAS, DepEd has the responsibility of securing resources to make our public schools competitive and
is now calling on the private sector to serve as a major partner in the nation’s development and in the improvement of
the public education system;
WHEREAS, DepEd believes that one way of achieving an enhanced learning environment and addressing
the shortage of resources in public schools is through the provision of Learners and Teachers’ Support Package
through Financial Support;
WHEREAS, the PROPONENT is a business enterprise/organization/an individual engaged in MARKETING
AND SERVICES CENTER; and
WHEREAS, LYR GROUP OF COMPANIES has responded to the call of DepEd for private sector participation
in public education by developing a project entitled Adopt-A-School Program which would help as Financial Subsidy
and which is aligned with the goals of DepEd’s K to 12 Basic Education Program.
NOW THEREFORE, for and in consideration of the foregoing premises and the terms and conditions herein
set forth, the parties hereby agree as follows:
Section 1 Description of the Project
The project known as Adopt-A-School consists of the provision of One Hundred Thousand Pesos
(P100,000) Cash donation as financial subsidy for “Adopt-a-School” of Nabunturan Central
Elementary School.
Section 2 Rights and Obligations of the Concerned Parties
2.1 DepEd shall:
2.1.1 Provide policy guidance and directions to ensure the proper implementation and
completion of the project;
2.1.2 Coordinate with the adopting entities in the implementation of the project’s
activities;
2.1.3 Assist in the implementation and in monitoring the progress of the project by
ensuring the cooperation of the beneficiary schools and the division/regional
offices;
2.1.4 Execute a Deed of Acceptance as a way of recognizing and acknowledging the
support or donation received from the adopting entities;
2.1.5 Review, facilitate or endorse the application of the adopting private entity for tax
incentive or tax exemption entitlement to the corresponding Revenue District
Office;
2.1.6 Provide proper management, maintenance, and care for the
support/intervention received by the beneficiary school/s, through the School
Head/s or Principals, in close coordination with the adopting entity;
2.1.7 Ensure proper booking-up of donations through coordination with the school’s
property custodian or division’s supply officer
2.2 The “Proponent” shall:
2.2.1 (on causing the planning & preparation and other obligations to be done about
the project)
 Collaborate with DepEd in determination of the immediate needs of the
school
2.2.2 (on administering the efficient and effective implementation & adhering to basic
safety practices or legalities of the project)
 Provide in one-time basis the amounting of P100,000.00 as financial
subsidy for “Adopt-a-School”
2.2.3 (on stating that the expenses arising from the project will be paid out by the
agreed party or person)
 Require the school to furnish them a copy of financial or physical inventory
2.2.4 Execute a Deed of Donation in favor of DepED for the completed project;
2.2.5 Render periodic report/ assessment of the projects being implemented to
DepEd as deemed necessary;
2.2.6 Submit to the Adopt-a-School Program Secretariat all pertinent documents in
support to the amount specified/claimed for tax incentive application, with the
submission date not later than March 5 of the taxable year.
Section 3 Scope of the Project Beneficiaries
The project beneficiary/ies shall be:
1. Nabunturan Central Elementary School – P100,000.00
Section 4 Project Cost
The estimated cost of the project covering the entire term is
P100,000.00 for the school.
Breakdown of the cost:
Details Cost
Financial Subsidy
Construction of Lunch Counter under the Project K.A.L.A.R.O. P100,000.00
TOTAL P100,000.00
Section 5 Project Effectivity
This Memorandum of Agreement shall take effect upon its signing and shall remain in full
force and effect during the entire project duration which will be from June 2017- December
2017.
Section 6 Capacity and Authorization. The parties herein warrant that they have the capacity, power
and requisite authorization to enter into this Agreement.
Section 7 Separability Clause. Should any part of this Agreement be judicially declared null and void,
such nullity shall not affect the validity of the remaining provisions hereof.
Section 8 Breach of Contract. The violation or omission of any of the provisions of this Agreement
shall be ground for the cancellation or rescission of the same without need for legal or court
action.
Section 9 Amendments
This Agreement may be revised, amended or modified only through a written instrument duly
executed and signed by all parties.

SIGNED on the date and at the place first above written.

DEPARTMENT OF EDUCATION ADOPTING /PARTNERING ENTITY

By: By:

ROSARIO A. NOÑEZA LORENZO Y. RUBINOS, SR.

School Principal II CEO/President
Nabunturan Central Elementary School LYR Group of Companies

SIGNED IN THE PRESENCE OF:

_______________________________ __________________________________
 ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)

_______________________________) ss.

BEFORE ME this ________________ (date) _________________, personally appeared:

_______________________________ CTC# _________________, Issued on/at ___________________

_______________________________ CTC# _________________, Issued on/at ___________________

Known to me and to me known to be the same persons who executed the foregoing instrument, and they
acknowledged to me that the same is their free and voluntary act and deed, and that of the corporations
herein they represented. This Memorandum of Agreement consists of 4 pages including this page in which
this acknowledgement is written, signed by the parties in their instrumental witnesses each and every page
thereof.

WITNESS MY HAND AND NOTARIAL SEAL, on the date at the place first written above.

Doc. No. _______

Page No._______
Book No._______
Series of _______
 DEED OF DONATION

KNOW ALL MEN BY THESE PRESENTS:

This Deed of Donation made and executed by

The LYR GROUP OF COMPANIES herein represented by its CEO/President, MR. LORENZO .
RUBINOS, SR., with office address at Doña Regina, Dalisay Avenue, Tagum City, hereinafter called the
DONOR.

- in favor of -

The DEPARTMENT OF EDUCATION REGION XI - herein represented by MS. ROSARIO A. NOÑZA,

Principal II, with office address at Poblacion, Nabunturan, Compostela Valley, hereinafter called the
DONEE.

WITNESSETH
That for and in consideration of a desire to contribute a share for the cause of the education of
Filipino learners through the Adopt-a-School Program of the Department of Education, the DONOR has
freely and voluntarily given, transferred and conveyed by way of donation to the DONEE, its successors
and assigns free and clear of any and all liens and encumbrances whatsoever all its rights, interests and title
on Cash Donation of P100,000.00.

IN WITNESS WHEREOF, the DONOR has hereto subscribed herself/himself this ____ day of
____________, 2017

______________________________

MR. LORENZO Y. RUBINOS, SR.

CEO/President
LYR Group of Companies
 ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

_____________________________) ss.

BEFORE ME this ______________ (date) ___________________, personally appeared:

_____________________________ CTC# ___________________ Issued on/at ___________________

_____________________________ CTC# ___________________ Issued on/at ___________________

Known to me and to me known to be the same persons who executed the foregoing instrument, and they
acknowledged to me that the same is free and voluntary act and deed, including that of the entities that they
represent.

This instrument refers to a Deed of Donation that consists of 2 pages, including this whereon this
acknowledgement is written, and which is signed by the parties concerned on each and every page thereof.

WITNESS MY HAND AND NOTARIAL SEAL, on the date at the place first written above.
NOTARY PUBLIC
Doc. No. ________
Page No.________
Book No.________
Series of ________
 DEED OF ACCEPTANCE

The DONEE, for and in behalf of the SCHOOLS whose names are cited in the enclosed list/certification, hereby accepts the
donation from LYR GROUP OF COMPANIES thru the Adopt-a-School Program, with the donation of:

_______________P100,000.00 - Cash Donation __________________

For and in behalf of the recipient schools, the DONEE expresses his most sincere appreciation for the benevolence shown by the
DONOR

In witness whereof, the DONEE has set his hands this __________, 2017 in __________
.

_____________________________

MS. ROSARIO A. NOÑEZA

School Principal II
Nabunturan Central Elementary School
DONEE

SIGNED IN THE PRESENCE OF:

_____________________________ ______________________________
 ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

______________________________)ss.

BEFORE ME this _______________(date) ________________, personally appeared:

______________________________CTC# ________________ Issued on/at ______________________
______________________________CTC# ________________ Issued on/at ______________________

Known to me and to me known to be the same persons who executed the foregoing instrument, and they
acknowledged to me that the same is free and voluntary act and deed, including that of the entities that they
represent.

This instrument refers to a Deed of Donation that consists of 1 page, including this whereon this
acknowledgement is written, and which is signed by the parties concerned on each and every page thereof.

WITNESS MY HAND AND NOTARIAL SEAL, on the date at the place first written above.

NOTARY PUBLIC
Doc. No. ________
Page No.________
Book No.________
Series of ________
 Republika ng Pilipinas
Appendix D KAGAWARAN NG EDUKASYON
BE Form 01 Rehiyon XI
Sangay ng Compostela Valley
__________________________________________
School
BRIGADA ESKWELA
PHYSICAL FACILITIES REPAIR AND MAINTENANCE NEEDS ASSESSMENT FORM
(To be Accomplished by the School Physical Facilities Coordinator)
Instruction: Conduct an ocular inspection of the school physical facilities listed below . Then provide the needed information to facilitate the
improvement of these identified facilities. (If needed, you may use separate forms each classroom or each facility.)
Condition Nature of Materials Resources
Remarks Manpower Needed
(Check One) Improvement Needed
FACILITIES
(e.g. repair, repainting, Indicate quantity and nature of
Satisfactory Unsatisfactory In unsatisfactory, describe the problem Indicate Kind and Quantity
replacement, etc.) labor services needed

1. Roofs/gutters
2. Ceilings
3. Walls
4. Blackboards
5. Chairs/desks/tables
Water facilities / Drainage
6.
System
7. Signages
8. School Garden
9. Lighting
10. Windows
11. Doors
12. Comfort Rooms
13. School Grounds
14. School Canteen/Clinic
15. School Fence
16. Others, please specify:
Prepared by:
NOTED:

School Facilities Coordinator Date of Inspection School Head

 Republika ng Pilipinas
A ppendix D KAGAWARAN NG EDUKASYON
BE Form 02 Rehiyon XI
Sangay ng Compostela Valley
_________________________________________
School

BRIGADA ESKWELA
SCHOOL WORK PLAN
(To be Accomplished by the School Head)

Inst ruct ion: List dow n all t he specific act ivit ies t hat you w ill be undert aking in relat ion t o t he conduct of Brigada Eskw ela in your school and fill in t he required
informat ion. Add anot her sheet if needed. Once complet ed, submit a copy t o t he Adopt -A-School Program coordinat or or Brigada Eskw ela coordinat or of your
division on or before ___________________.
PERSON/S
KRA A CTIVITIES TIMELIME Materials Needed BUDGET
RESPONSIBLE

1. Advocacy and Marketing

2. Resource Mobilization

3. Implementation

4. Monitoring and Evaluation

5. Reporting

Prepared by:
NOT ED:

School Head Dat e Prepared ASP Division Coordinat or/BE Coordinat or

 Republika ng Pilipinas
Appendix D KAGAWARAN NG EDUKASYON
BE Form 03 Rehiyon XI
Sangay ng Compostela Valley
___________________________________________
School

BRIGADA ESKWELA
RESOURCE MOBILIZATION FORM
(To be Accomplished by the Resource Mobilization Committee)

Instruction: Using the completed BE FORM 01: Physical Facilities Needs Assessment Form as basis, summarize the resources (materials and manpow er) needed and list dow n
the potential source or partners to be tapped. Add additional sheet if needed. The Status and Remarks colums should be updated regualrly to determine progress in aquiring
resources needed.
KEY
STRATEGIES/PLAN
MATERIALS NEEDED QUANTITY PERSONS/ORGANIZATIONS PERSON RESPONSIBLE STATUS REMARKS
OF ACTION
TO BE TAPPED

KEY
LABOR SKILLS/VOLUNTEERS STRATEGIES/PLAN
QUANTITY PERSONS/ORGANIZATIONS PERSON RESPONSIBLE STATUS REMARKS
NEEDED OF ACTION
TO BE TAPPED

Prepared by:
NOTED:

Resource Mobilization Committee Chairperson School Head

 Republika ng Pilipinas
Appendix E KAGAWARAN NG EDUKASYON
BE Form 04 Rehiyon XI
Sangay ng Compostela Valley
______________________________________________
School

BRIGADA ESKWELA
DAILY ATTENDANCE OF VOLUNTEERS

Instruction: Volunteers themselves should personally fill in the details required by this form under the supervision of any of the committee members. For the last column,
indicate if masonry, carpentry, plumbing, painting, electrical, gardening/landscaping, ordinary labor, or others.

TOTAL NATURE OF
ADDRESS / TIME
POSITION / CONTACT NUMBER OF VOLUNTEER
NAME ORGANIZATION / SIGNATURE
DESIGNATION NUMBER HOURS SERVICE
AFFILIATION IN OUT SERVED RENDERED
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.
PREPARED BY: NOTED:

School Brigada Coordinator School Head Date

 Republika ng Pilipinas
A ppendix F KAGAWARAN NG EDUKASYON
BE Form 05 Rehiyon XI
Sangay ng Compostela Valley
_______________________________________________
School

BRIGADA ESKWELA
RECORD OF DONATIONS RECEIVED
(To be accomplished by the Documentation Committee)

ASSUMED COST OF ITEMS

ITEMS OR MATERIALS QUANTITY DATE RECEIVED NAME OF DONOR
PER UNIT T OT AL

Prepared by:

Commit t ee on Document at ion Chair/Member

NOT ED:

School Head
 Republika ng Pilipinas
Appendix G KAGAWARAN NG EDUKASYON
BE Form 06 Rehiyon XI
Sangay ng Compostela Valley
____________________________________________
School

BRIGADA ESKWELA
DAILY ACCOMPLISHMENT REPORT
(To be accomplished by the Program Implementation Committee)

DAY 1 2 3 4 5 6 DATE:
Instruction: List down all the activities that needs to be undertaken for each day of the Brigada Eskwela week. At the end of each day, please mark the appropriate column
that corresponds to the status of each activity. Cite reasons for non-completion.

STATUS
ACTIVITIES STARTED BUT NOT YET REMARKS/RECOMMENDATIONS
COMPLETED NOT DONE
COMPLETED

Prepared by:

Program Implementation Committee Chair/Member Date Prepared

NOTED:

School Head
 A ppendix H
BE Form 07

DEPART MENT OF EDUCAT ION

BRIGADA ESKWELA
SCHOOL ACCOMPLISHMENT REPORT
(To be accomplished by the S chool Head)
DIVIS ION : REGION :
S CHOOL : S CHOOL ID :
S CHOOL ADDRES S :
(Please check appropriate box)
Level: Type of S chool:

Elementary Central S chool

High S chool Non-Central S chool (complete)

Multi-Grade

Primary S chool / Incomplete

Integrated S chool

S CHOOL HEAD CONTACT NUMBER

PTA PRES IDENT CONTACT NUMBER

A. SCOPE OF REPA IR A ND MA INTENA NCE WORK COMPLETED (Please check appropriate column)
What was done?
Ot hers
Repaired Repaint ed Replaced
(Brief Description)
1. Roofs
2. Ceilings
3. Walls
4. Windows and Doors
5. Chairs/Desks, Tables, and Blackboards
6. Comfort Rooms
7. Leaking Pipes
8. S chool Grounds/Landscaping
9. S chool S igns
10. Others (S pecify)
B. DONA TIONS / MA TERIA LS RESOURCES GENERA TED (Use separat e sheet s, if necessary)

Type of Donat ion Source Est imat ed Cost

TOTA L

C. VOLUNTEER SERVICES

Number of Volunt eers

Name of Individuals / Organizat ion
Type of Volunt eer
(Use separat e sheet s, if needed)
Day Day Day Day Day Day
TOTA L
1 2 3 4 5 6

1. PTA Members

2. Barangay Officials

Municipal/City
3.
Government Officials
Provincial Government
4.
Officials
NGOs/Civic
5.
Organizations

6. Private Citizens

Private Companies /
7.
Corp
Other Government
8.
Offices

9. Parents

10. Teachers

11. Pupils/S tudents

12. Other (S pecify)

13. Prominent Volunteers

TOTA L
D. ESTIMA TED COST OF VOLUN TEER SERVICES RENDERED. Refer to Guide for Comput ing Labor Cost .
(Use separate sheets, if needed)
Est imat ed Cost
Tot al Number of Tot al Number of
Ty pe of Serv ice Per Hour Tot al Est imat ed Cost
Volunt eers Hours Rendered
(Local Standard Rate )

Masonry

Carpentry

Plumbing

Electrical/Electronic

Landscaping/Gardening

Painting

Ordinary Labor

Other

TOTAL

E. SIGNIFICA NT EVENTS / EXPERIENCES (Use separat e sheet s, if needed)

What is/are its important contribution to the
What happened Who were involved? When operation of the school or to the existing needs
of the school?

F. ISSUES A ND CONCERNS (Describe briefly problems encount ered and how resolv ed)

G. LEESONS LEA RNED / BEST PRA CTICES

H. SUGGESTIONS TO STRENGTHEN BRIGA DA ESKWELA PROJECT (Include support needed from Cent ral, Region,
Div ision Offices t hat can increase t he impact of Brigada Eskwela Project in y our school)

I. EVIDENCES / A TTA CHMENTS

a. Phot os (before, during and aft er)

b. Phot ocopy of all complet ed BE Forms (check if at t ached)

Form 01 Form 05

Form 02 Form 06

Form 03

Form 04

Prepared by: Date:

S chool Head

S ubmit copy of this completed form to ADOPT-A-S CHOOL PROGRAM DIS TRICT COORDINATOR or District S upervisor on

or before June 15,____________.

ELEMENTARY

Elementary
ASP - 1st QUARTER
January - March 2018
AMOUNT OF THE DONATI ON
School ID District/School Donor/s Items Learning Environment Learning Support Health and Nutrition Reading Prog Technology Support Direct Assistance Training Total
Prvt Sect LGU Prvt Sect LGU Prvt Sect LGU Prvt Sect Public Prvt Sect LGU Prvt Sect LGU Prvt Sect LGU