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Republic of the Philippines

Bangsamoro Autonomous Region in Muslim Mindanao


Province of Lanao del Sur
Municipality of Poona Bayabao
Barangay Lumbaca Ingud
Office of the Barangay Chairman

REPUBLIC OF THE PHILIPPINES)


MUNICIPALITY OF BAYANG
x-------------------------------------------x
Annex B1
SWORN STATEMENT

I, the undersigned attest to the veracity of the following:

I. There is a Sangguniang Resolution endorsing the following program(s) and/or project(s),


and that the same is/are part of duly approved Local Development Investment Program
and Annual Investment Program of the Local Government of BARANGAY LIONG,
BAYANG, LANAO DEL SUR.

1. Barangay/Household Solar Street Lighting

II. The said program and/or project shall be implemented in accordance with the standards
and existing policies of the National Government.

IN WITNESS WHEREOF, I have hereunto set my hand this 17th day of September 2020 at
BARANGAY LIONG, BAYANG, LANAO DEL SUR.

Hon. Cairoden M. Sangcopan


Barangay Chairman

SUBSCRIBED AND SWORN to before me this day of _______________, _________ at


________________, Philippines. Affiant-is personally known to me and was identified by me
through competent evidence of identity as defined in the 2004 Rules on National Practice (A.M.
NO. 02-8-13-SC) Affiant exhibited to me his/her _________________________________, with
his/her photograph and signature appearing thereon, with No._______ issued on
____________at ____________.

Witnesses my hand and seal this ______ day of _______,______.

Doc. No.______
Page. No._____
Book No.______
Series of 2020
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
Province of Lanao del Sur
Municipality of Poona Bayabao
Barangay Lumbaca Ingud
Office of the Barangay Chairman

REPUBLIC OF THE PHILIPPINES)


MUNICIPALITY OF BAYANG
x-------------------------------------------x

OMNIBUS SWORN STATEMENT

I, the undersigned attest to the veracity of the following:

I. There is a Sangguniang Resolution endorsing the following proposed project(s), and that
the same is/are part of duly approved Local Development Investment Program and
Annual Investment Program of the Local Government of BARANGAY LIONG,
BAYANG, LANAO DEL SUR.

1. Barangay/Household Solar Street Lighting

II. The Local Government of BARANGAY LIONG, BAYANG, LANAO DEL SUR has the
capability to implement the project by administration of contract;
III. The proposed project(s) of the Local Government of BARANGAY LIONG, BAYANG
LANAO DEL SUR. is/are readily implementable within the prescribed timelines and that
there are no issues related to the site/land title, including informal settler thereon, and-
right-of-way-acquisition;
IV. The Local Government of BARANGAY LIONG, BAYANG, LANAO DEL SUR.has
complied with the standards Prescribed by the appropriate government agencies and has
secured all the necessary clearance or Certification from the same agencies before the
implementation of the eligible project (s), e.g. Environmental Clearance; and
V. The Local Government of BARANGAY LIONG, BAYANG, LANAO DEL SUR.
commits to fund the cost of maintenance and repairs thereof, including payment of
electricity, if any.

IN WITNESS WHEREOF, I have hereunto set my hand this 17th day of September 2020 at
BARANGAY LIONG, BAYANG, LANAO DEL SUR.

Hon. Cairoden M. Sangcopan


Barangay Chairman

SUBSCRIBED AND SWORN to before me this day of _______________, _________ at


________________, Philippines. Affiant-is personally known to me and was identified by me
through competent evidence of identity as defined in the 2004 Rules on National Practice (A.M.
NO. 02-8-13-SC) Affiant exhibited to me his/her ___________________, with his/her
photograph and signature appearing thereon, with No._______ issued on ____________at
____________.’
Witnesses my hand and seal this ______ day of ______,______.

Doc. No.______
Page. No._____
Book No.______
Series of 2020
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
Province of Lanao del Sur
Municipality of Poona Bayabao
Barangay Lumbaca Ingud
Office of the Barangay Chairman

REPUBLIC OF THE PHILIPPINES)


MUNICIPALITY OF BAYANG
x-------------------------------------------x
OMNIBUS SWORN STATEMENT

I, the undersigned attest to the veracity of the following:

I. There is a Sangguniang Resolution endorsing the following proposed project(s), and that the
same is/are part of duly approved Local Development Investment Program and Annual
Investment Program of the Local Goverment of BARANGAY LIONG, BAYANG, LANAO
DEL SUR.

1. Barangay/Household Solar Street Lighting

II. The Local Government of BARANGAY LIONG, BAYANG, LANAO DEL SUR. has prepared
the necessary Program of Works detailed Engineering Design for the project, in accordance with
the design, plan, specification, and such other standards policies of the National Government.
III. The Local Government of BARANGAY LIONG, BAYANG, LANAO DEL SUR. has the
capacity to implement the proposed project(s) by administering of contract;
IV. The proposed project(s) of the Local Government of BARANGAY LIONG, BAYANG, LANAO
DEL SUR. is/are readily implementable within the prescribed timelines and that there are no
issues related to the site/land title, including informal settler thereon, and-right-of-way-
acquisition;
V. The Local Government of BARANGAY LIONG, BAYANG, LANAO DEL SUR. has complied
with the standards Prescribed by the appropriate government agencies and has secured all the
necessary clearance or Certification from the same agencies before the implementation of the
eligible project (s), e.g. Environmental Clearance;
VI. The location area or site of the proposed project(s) of the Local Government of BARANGAY
LIONG, BAYANG, LANAO DEL SUR. is; (1) not a privately-owned land/lot, (2) not inluded in
the critical Geo-Hazard areas;or no build zones identified and/or certified by the Mines and Geo-
science , Bureau hazard maps, and (3) within the territorial jurisdiction of the LGU;
VII. The Local Government of BARANGAY LIONG, BAYANG, LANAO DEL SUR. commits to
fund the cost of maintenance and repairs of the project(s); and
VIII. The proposed project (s) of the Local Government of BARANGAY LIONG, BAYANG, LANAO
DEL SUR. is/are not fully funded from other sources.

IN WITNESS WHEREOF, I have hereunto set my hand this 17th day of September 2020 at
BARANGAY LIONG, BAYANG, LANAO DEL SUR.

Hon. Cairoden M. Sangcopan


Barangay Chairman

SUBSCRIBED AND SWORN to before me this day of _______________, _________ at ________________,


Philippines. Affiant-is personally known to me and was identified by me through competent evidence of identity as
defined in the 2004 Rules on National Practice (A.M. NO. 02-8-13-SC) Affiant exhibited to me his/her
___________________, with his/her photograph and signature appearing thereon, with No._______ issued on
____________at ____________.’

Witnesses my hand and seal this ______ day of ______,______.

Doc. No.______

Page. No._____
Book No.______
Series of 2020
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
Province of Lanao del Sur
Municipality of Poona Bayabao
Barangay Lumbaca Ingud
Office of the Barangay Chairman

September 17, 2020

WENDELL E. AVISADO
Acting Secretary
Department of Budget Management
General Solano Street, San Miguel Manila

Dear Secretary Avisado:

May, I respectfully submit our request for financial assistance through the Local Government Support Fund-
Financial Assistance to Local Government Units in the FY 2020 General Appropriation Act (GAA) Republic Act
No. 11260 for the construction, installation of solar street lighting in our Barangay.

Attached herewith for your consideration the following supporting documents.

Viz:

1. Sworn Statement
2. Omnibus Sworn Statement 1
3. Omnibus Sworn Statement 2
4. Sangguniang Barangay Endorsement Resolution
5. Sketch Map
6. Program of Work detailed Engineering Designs
7. Feasibility Study

We sincerely acknowledge the government financial support in nationwide development program.

Thank you very much and more power.

Very truly yours,

Hon. CAIRODEN M. SANGCOPAN


Barangay Chairman

FARHANA A. BENITO MAYRAHSNAH C. HADJI OMAR


Barangay Treasurer Barangay Secretary

HON. ALIBASHER S. BENITO HON. MOHAIMEN P. MACALANGGAN


Barangay Kagawad Barangay Kagawad

HON. ALINOR M. SANGCOPAN HON. NORHANIA S. DIAMONGUN


Barangay Kagawad Barangay Kagawad

HON. NAZZER R. SANGCOPAN HON. NORJANNA T. ABDULCADER


Barangay Kagawad Barangay Kagawad

HON. ASNAIDA H. BULEG HON. AMERHUSSIEN A. BULEG


Barangay Kagawad Sk Chairman
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
Province of Lanao del Sur
Municipality of Poona Bayabao
Barangay Lumbaca Ingud
Office of the Barangay Chairman

HON. BATAR S. BENANING


Barangay Chairman
Brgy. Lumbaca Ingud, Poona Bayabao, Lanao Del
Sur090p---------------------

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