Republic of the Philippines)

Tacloban City……………………………..)S.S.

VERIFICATION AND CERTIFICATION

AGAINST FORUM SHOPPING

I, Barry E. Palma of legal age, Filipino and a resident of Brgy.

Baras, Palo, Leyte after having been duly sworn to in accordance with
the law hereby depose and say:
1. That I am the complainant in the above-entitled insurance
claim case and I have caused the preparation of the same;
2. That I have read and understood all the allegations contained
therein and that the same are true and correct based on my
own personal knowledge and authentic records;
3. That the pleading is not filed to harass, cause unnecessary
delay, or needlessly increase the cost of litigation;
4. That the factual allegations therein have evidentiary support
or, if specifically, so identified, will likewise have evidentiary
support after a reasonable opportunity for discovery;
5. That I have not theretofore commenced any action or filed any
claim involving the same issues in any court, tribunal or quasi-
judicial agency and, to the best of my knowledge, no such other
action or claim is pending therein;
6. That if I should learn thereafter that a similar action or
proceeding has been filed or is pending before these courts or
tribunal or quasi-judicial agency, I undertake to report that fact
to the Court within five (5) days therefrom;
7. That I am executing this verification and certification against
forum shopping to attest to the truth of the foregoing
statements.
 IN WITNESS WHEREOF, I have hereunto affix my signature in
this document this 8th day of September at Tacloban City.

BARRY E. PALMA
Affiant

SUBSCRIBED AND SWORN to before me before this 8th day of

September 2022 at Tacloban City. The affiant exhibited to me his
competent proof of identification.

ATTY. KENNETH B. FABILA, CPA

Roll No. 61570
IBP Lifetime No. 017945 – 07/04/17 – Leyte
PTR No. 8103151 – 01/06/22 – Tacloban City
MCLE Compliance No. VII-0002822 – valid until 04/14/25
Door 3, 2nd Floor, LF & V Fatima Bldg., Real St. Tacloban City
(053) 832-3281 attykennethfabila@gmail.com

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