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CERTIFICATION

1. The undersigned duly certifies that ARIEL D.C. GARCIA, Administrative Aide IV,
GSD-Maintenance Division has personally reported for work and rendered services for
the period of March 29-31, 2021, April 5-8, 12-13, 19-23, 26-30, 2021 and May 3-6, 10-
12, 14, 2021

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA
CERTIFICATION

1. The undersigned duly certifies that ADJUREX P. HAMBRE, TECHNICAL SUPPORT


STAFF III, GSD-Maintenance Division has personally reported for work and rendered
services for the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION
1. The undersigned duly certifies that MARK ANTHONY B. DE GUZMAN,
TECHNICAL SUPPORT STAFF I, GSD-Maintenance Division has personally reported
for work and rendered services for the period of March 29-31, April 1-15, April 16-30
and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION
1. The undersigned duly certifies that RODEL R. REPUBLICA, Repair and Maintenance,
GSD-Maintenance Division has personally reported for work and rendered services for
the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that TARCISIO D. ANTONIO JR., Repair and
Maintenance, GSD-Maintenance Division has personally reported for work and rendered
services for the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.
2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that MELVIN SABSALON, Repair and Maintenance,
GSD-Maintenance Division has personally reported for work and rendered services for
the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that ANTONIO S. ESDRELON, Repair and


Maintenance, GSD-Maintenance Division has personally reported for work and rendered
services for the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.
3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that REYJAN B. DAGANATO, Repair and


Maintenance, GSD-Maintenance Division has personally reported for work and rendered
services for the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.
This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that ROLANDO L. DELA CRUZ JR., Repair and
Maintenance, GSD-Maintenance Division has personally reported for work and rendered
services for the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that MAGNO M. VICENTE III, Repair and
Maintenance, GSD-Maintenance Division has personally reported for work and rendered
services for the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.
______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that JOHN PAUL P. ORTEA, Repair and Maintenance,
GSD-Maintenance Division has personally reported for work and rendered services for
the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service
Verified corrected by Personnel Division:
____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that ARJAY D LEGASPI, Repair and Maintenance,
GSD-Maintenance Division has personally reported for work and rendered services for
the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that RECTO O. DE LEON JR., Repair and Maintenance,
GSD-Maintenance Division has personally reported for work and rendered services for
the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN
____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that ROWIN O. ROMERO, Repair and Maintenance,
GSD-Maintenance Division has personally reported for work and rendered services for
the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA
CERTIFICATION

1. The undersigned duly certifies that FELICIANO C. SORIO, Repair and Maintenance,
GSD-Maintenance Division has personally reported for work and rendered services for
the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA
CERTIFICATION

1. The undersigned duly certifies that ERNANI L. ANGALA, Repair and Maintenance,
GSD-Maintenance Division has personally reported for work and rendered services for
the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION
1. The undersigned duly certifies that JHON MARK P. ALARCADO, Repair and
Maintenance, GSD-Maintenance Division has personally reported for work and rendered
services for the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION
1. The undersigned duly certifies that JUN-JUN Q. ANDES, Repair and Maintenance,
GSD-Maintenance Division has personally reported for work and rendered services for
the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that RODOLFO F. BALBUENA, Repair and


Maintenance, GSD-Maintenance Division has personally reported for work and rendered
services for the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.
2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that JADE M. ATABELO, Repair and Maintenance,
GSD-Maintenance Division has personally reported for work and rendered services for
the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that NONILON E. ENOVIJAS, Repair and Maintenance,
GSD-Maintenance Division has personally reported for work and rendered services for
the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.
3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that RONIE J. TAÑO, Repair and Maintenance, GSD-
Maintenance Division has personally reported for work and rendered services for the
period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.
This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that ALFREDO M. RAMOS, Engineer II, Head of
Maintenance & Improvement Section has personally reported for work and rendered
services for the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.
______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that ROMEO G. MAESTRO, Administrative Aide II,
GSD-Maintenance Division has personally reported for work and rendered services for
the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that EDUARDO C. TOMALABCAD, Administrative


Aide I, GSD-Maintenance Division has personally reported for work and rendered
services for the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service
Verified corrected by Personnel Division:
____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that DANIEL M. VALLEY, Administrative Aide IV,
GSD-Maintenance Division has personally reported for work and rendered services for
the period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
CUPIDO GERRY D. ASUNCION
Director IV, Administrative Service

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

CERTIFICATION

1. The undersigned duly certifies that Jimmy T. Samoy, Administrative Aide V, GSD-
Maintenance Division has personally reported for work and rendered services for the
period of March 29-31, April 1-15, April 16-30 and May 1-14, 2021.

2. It is also certified that all documents submitted, i.e., approved Alternative Work
Arrangement (AWA) of General Services Division and copy of office log book/
attendance sheet/guard log book are accurate and duly authenticated to support his/her
claim for hazard pay.

3. As the head of the office, I have personally reviewed his/her claim as per attached
obligation request and status (ORS) and disbursement voucher (DV) together with its
supporting documents.

This Certification is being issued to support his/her claim for the payment of hazard pay per
Administrative Order No. 43, s. 2021 and Memorandum No. 230, s. 2021.
Signed this _________, 2021.

______________________________
LAILANI A. CORTEZ
OIC-Chief, General Services Division

Verified corrected by Personnel Division:


____________________________
ROSALINA B. PABALAN

____________________________
JAYVEE D. PACANZA

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