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REPUBLIC OF THE PHILIPPINES)

CITY OF PASIG )S.S.

AFFIDAVIT OF UNDERTAKING

I, MARICAR C. ANGELES , of legal age, Filipino and residing at 21-


045 Arezzo Pace Pasig A. Sandoval Ave. Pinagbuhatan, Pasig City, after
having been duly sworn in accordance with law, hereby depose and say:

1. That I am the owner of a Condo Residential at 21-045 Arezzo Pace


Pasig A. Sandoval Ave. Pinagbuhatan, Pasig City;

2. That I am in the process for securing a Building Permit of the said


condominium;

3. That as a requirement for said permit it must have secured copy of


as-built plan and I hereby undertake to provide the same upon
application of occupancy permit, and there is no alteration of
electrical and mechanical will be done.

4. I hereby absolute remise, release and forever discharge the City of


Official Pasig City, its officer, with Engineering Office of Pasig,
administrators and assigns and/or any of its officer or employees from
any and all claims, suits actions or causes of action which our
successors now have in the future may be against and the said
government agency , and I hereby further obligate myself solely to
indemnify the said government agency, its administrator and assign
and/or its officers or employees for liabilities that may arise

5. That I am executing this affidavit to attest to the truth of the foregoing


statement and for whatever legal purposes this may serve.

I N WITNESS WHEREOF, I have hereunto set my hand this


_____________ at Pasig City.

MARICAR C. ANGELES
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of ___, at


Pasig City.

Doc. No.
Page No.
Book No.
Series of 2021.

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