REPUBLIC OF THE PHILIPINES ]

BUTUAN CITY ] SS.

AFFIDAVIT OF UNDERTAKING

I, ___________________________, of legal age, Filipino and a resident of

___________________________, Philippines, after having been duly sworn to in accordance with
law, hereby depose and state that:

1. I am the authorized representative of ________________________________________,

per Board Resolution No. ____ as certified by Secretary’s Certificate dated ________
attached herein;

2. I acknowledge, affirm, and/or confirm that the Corporation failed to comply with
the requirement of securing a Certificate of Occupancy / Occupancy Permit from
the City Architect’s Office and/or Office of the Building Official, subject to
imposition of administrative fines, penalties, and/or surcharges under the
Implementing Rules and Regulations of Presidential Decree No. 1096;

3. In behalf of the Corporation, I shall process, submit the requirements of, and secure
the Certificate of Occupancy / Occupancy Permit from appropriate city
government office(s), agency(ies), and/or department(s) before December 31,
2020;

4. The Corporation shall fully cooperate with the city government in the inspection
and evaluation of its building/structure where its business is being conducted;

5. The Corporation hereby waives all rights and privileges in its business permit if it fails
to comply with the requirements of Certificate of Occupancy / Occupancy Permit
before December 31, 2020, subject to imposition of administrative fines, penalties,
and/or surcharges under the Implementing Rules and Regulations of Presidential
Decree No. 1096;

6. The Corporation shall comply with all existing laws, ordinances, and regulatory
requirements mandated by law for the operation of its business and understands
that it may be held criminally, civilly, and/or administratively liable for violation of
any law or ordinance;

7. Any violation of this undertaking shall result in the imposition of fines and/or
penalties as provided by law, or warrant the suspension, cancellation, or
revocation of the Corporation’s Mayor’s/Business Permit, and it shall not oppose
the closure of its business as a result thereof ;

8. If the Corporation fails to comply with this undertaking after the December 31,
2020 deadline imposed by the City Government of Butuan, it shall voluntarily
cease and desist from its business operations.

9. I am executing this Affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve.
 IN WITNESS WHEREOF, I have hereunto set my hand this ________________________ at
__________________________, Philippines.

__________________________

Affiant

SUBSCRIBED AND SWORN TO before me, this _____________ at ________________,

Philippines. Affiant exhibited to me his ___________ ID No. ___________________ as competent
proof of his identity.

Doc. No. _____;

Page No. ______;
Book No. ______;
Series of 2020.