Annex B-6

Notarized LGU Certification for DRR-Related Equipment Projects

LETTERHEAD OF THE LOCAL GOVERNMENT UNIT

CERTIFICATION

In the implementation of DRR-Related Equipment Project/s in the Municipality of

____________________ under the 2018 AM Program for the following project/s:

1.
2.
3.

We hereby certify that:

1. DRR Related Equipment type of project:

a. For Rescue Vehicle

 Type of the Rescue Vehicle is in accordance to DBM Budget

Circular No. 2017-01, “REVISED GUIDELINES ON THE
ACQUISITION AND USE OF GOVERNMENT MOTOR
VEHICLES” dated April 26, 2017.

 All required documents for the request of issuance of Authority to

Purchase (ATP) have been submitted to DBM.

 All bidding documents have been completed and ready to proceed

with publications of Invitation To Bid/ Advertisement (ITB/Ad)
within 7 days upon receipt of ATP from DBM.

b. Other DRR related equipment

 The proposed equipment is/are not expendable item/s.

 Rescue Equipment’s Technical Specifications have been prepared

in accordance with the National Government standards and
approved by the LCE.

 If applicable, the application of Permit to Purchase for Two-way

radio has been submitted to National Telecommunication
Commission (NTC).

 All bidding documents have been completed and ready to proceed

with publications of Invitation To Bid/ Advertisement (ITB/Ad)

2. Funds shall be available for the maintenance and Rescue Vehicle’s insurance
once the project is completed.
 Annex B-6
Notarized LGU Certification for DRR-Related Equipment Projects

5. Procurement of the project/s is included in the MUNICIPALITY’s Annual

Procurement Plan and the Invitation to Bid (ITB)/ Advertisement is
targeted to commence on ___(indicate date)____.

6. The copies of approved technical documents (i.e. technical specifications)

have been provided to DILG-PO thru the MLGOO. Consequently, concerned
CSOs have been notified of the submission of Annexes A and B to DILG.

7. The Implementation Schedule (Annex C) have been prepared and

approved in accordance with the prescribed implementation timelines in
the DILG MC No. __, Series of 2018, and copies submitted together with
this Certification to the concerned DILG-PO thru the MLGOO. Revised
Annex C shall be furnished to DILG-MLGOO and concerned CSOs for every
revision thereof.

8. The above documents shall be made available to DILG during field

monitoring visits and/or as may be requested

9. The LGU has a functional Project Monitoring Team in-charged of closely

monitoring the projects under the Local Government Support Fund (LGSF).
Attached is a copy of an Executive Order intended for the purpose.

This Certification is being issued in compliance with the DILG Memorandum

Circular No._____, Series of 2018.

______________________ ________________
Municipal Planning and Date
Development Coordinator

______________________ ________________
Municipal Engineer Date

______________________ ________________
Local Chief Executive Date
 Annex B-6
Notarized LGU Certification for DRR-Related Equipment Projects

ACKNOWLEDGEMENT
REPUBLIC OF THE PHILIPPINES
(Municipality/City of ________________) S.S.

Subscribed and sworn to before me on this date, a Notary Public for and in
__________, Philippines.

NOTARY PUBLIC

Doc. No. ________

Book No. ________
Page No. ________
Series of ________