Republic of the Philippines

PROVINCE OF ZAMBALES

OFFICE OF THE GOVERNOR

Name of Project:_____________________________________________________________________
Location: _____________________________________________________________________
Proponent: _____________________________________________________________________

I. As per DAO 2019 – 13 Complying Non-complying

1. Dredging Clearance Issued by the DPWH _________ ____________

 What are the requirements needed?
1. ___________
2. ___________

2. Memorandum of Agreement (MOA) with DENR Region III _________ ____________

 Does the DENR have a format for this?
 What are the specific provisions needed to be incorporated in the MOA?
 Who are the signatories representing the DENR?

3. ECC issued by EMB Region III _________ ___________

 What are the requirements needed?

4. Accreditation as Trader issued by MGB Region III __________ ____________

 What are the requirements needed?

5. Posting Cash bond in the amount of Php 20,000,000.00 in favor of __________ ____________
PGZ (c/o of Jason)

6. Verified certification of non- involvement in any case relating to _________ ___________

Compliance with existing environmental laws, rules and regulations.
 Do they have or require a particular format for this?

7. Undertake protection of river banks and other necessary intervention _________ __________
to support infrastructures along the river.
 Do they have or require a particular format for this?

II. As per PGZ

1. Filing Fee ____________ __________

2. Purchase Order/Contract Agreement _____________ __________
 Who are the parties in this Agreement?
 What are the provisions needed to be incorporated in the Contract Agreement?
 Do they require a particular format for this?

3. Individual curriculum vitae showing personal circumstances, similar ____________ __________

work experience and professional licenses of all employees in the project ____________ __________
4. Working Permit with Consul seal and Alien certification of ____________ __________
Registration if a project employee is a foreigner
5. Documents showing the establishment of its own port for the ____________ __________
maintenance of water based equipment and for other purpose
 What specific or particular document is needed to comply with this?

6. Updated Business permit. ____________ _________

III. OPERATION

1. Monitoring and Supervising fee _____________ __________

2. Excise Tax _____________ __________
3. Extraction fee _____________ __________
4. Notice to proceed _____________ __________
5. Transport Permit ______________ __________

IV. As per Marina

1. If vessel is owned, Marina Letter – authority to acquire ship ____________ ___________

through importation under MC 2013-02
2. If vessel is leased refer to FORM No. DSS-SBD-SF03 _____________ __________

Checked by:

ENGR. DOMINGO L. MARIANO ATTY. JO ELLAINE L. COLLADO

Head TWG Head Secretariat