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CERTIFICATION AND UNDERTAKING Pursuant to SBMA Revised Construction Safety Guidelines For the Implementation of all Infrastructure Projects During the Covid-19 Public Health Crisis, the undersigned, Position of address: 3 contractor of = duly authorized to act for and in behalf of the said company (as evidence by Board ResolutionSccretary Certificate/Special Power of Attomey, dated, and attached hereto), hereby: 1. Attest that, in relation to our abovementioned projects, our company has duly complied with all the requirements for commencemenv/resumption/continuation of the operation/ Activities thereof during the Covid-19 Public Health Crisis, as set forth on the SBMA Revised ‘Construction Safety Guidelines: and Undertake to: 4) Ensure strict and continued compliance with the SBMA Revised Construction Safety Guidelines and any DPWH issuances that may be issued in the furure, in relation to the implementation of infrastructure projects during the COVID-19 Public Health Crisis Community Quarantine. b.) Allow and fully cooperate with the SBMA and other monitoring agencies’ mentioned in the SBMA Revised Construction Safety Guidelines for the initial and regular inspection, and the monitoring of our abovementioned office and project and ©) Regular submit (at the end of each month, beginning on the month following the resumption of operations/sctivities of our company’s abovementioned office and projects to the SBMA and other monitoring agencies mentioned in the SBMA Revised Construction Safety Guidelines concemed electronically ( or through courier service or by personal service, if the former mode is not available/feasible or timely, and such SBMA office concemed is not under ECQ),proof of our continued compliance with the existing or subsequently-issued requirements of the DPWH relative to the COVID-19 Public Health Crisis Community Quarantine, in the form of scanned, cettified documents, photos, videos, as part of the regular monitoring and post-audit process. ‘Name of Company: Address: ‘Telephone Number: By: Nam Position: Date: SUBSCRIBED AND SWORN to before me this day of 2020. affiant exhibiting to me his/her competent evidence of identity/valid government 1D/Passport No. issued on a Series of 2020.

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