COI STATEMENT

LOCAL VENDOR

REPUBLIC OF THE PHILIPPINES)

) S. S.

VENDOR CONFLICT OF INTEREST STATEMENT

I, JOEL JUDE L. GATCHALIAN , President and authorized signatory of

J. Gatchalian 531 Ventures, Inc. , a/n Corporation duly
registered under the laws of the Republic of the Philippines with principal address at Purok
Chrysanthemum, Barangay, Cogon, Ormoc City Leyte, Philippines (the “Vendor”), hereby declare that
(except as otherwise disclosed and attached as an Annex hereto):

1. The Vendor is or will be doing business or engaging in business transactions with Energy
Development Corporation (“EDC”) as a contractor or supplier of goods and/or services.
2. None of the Vendor’s partners, owners, investors, stockholders, officers, representatives, agents
or employees, or as applicable, the corresponding officers, stockholders, representatives, agents
or employees, of its parent company, subsidiaries, affiliates ( collectively the “Vendor Group”),
are related to, by consanguinity or affinity up to the fourth civil degree, any director, officer,
employee, stockholder, representative, or agent of EDC, its affiliates and subsidiaries
(collectively the “EDC Group”).

3. None of the EDC Group has an ownership interest or any other financial interest in the Vendor or
vice versa. Without limiting the generality of “ownership interest” or “financial interest”, the
same shall refer to ownership (either of record or beneficially) of at least five percent (5%) of
any outstanding class of shares, in the case of a corporation, or of partnership interest, in the case
of a partnership.
4. The Vendor Group has not and shall not, in any manner, exploit, capitalize, or take advantage of
any family or close personal relations in order to influence or in any other manner obtain the
award of any contract from EDC.

5. The Vendor, or any member of the Vendor Group, has not:

a. offered and paid, directly or indirectly, any EDC official or employee any consideration or
commission, in whatever form, or have exerted or utilized any influence in order to secure or
solicit any contract from EDC; and

b. provided or accepted, and will not provide or accept, any gift, entertainment or hospitality or
any other gratuity in cash (or in kind) to or from any of the EDC Group, or any of their
immediate family members, which may unduly influence the engagement of Vendor or the
performance of its obligations to EDC.
6. The Vendor did not, and shall not communicate with any of EDC Group with a view to obtain
any preferred treatment with respect to Vendor as a contractor or supplier of goods or services to
EDC.
 COI STATEMENT
LOCAL VENDOR

7. The Vendor shall not subcontract, or attempt to subcontract, to any EDC official or employee,
including their relatives within the fourth civil degree of consanguinity or affinity, all or any
portion of the works or services for which it was contracted or engaged by EDC.
8. The Vendor shall not directly or indirectly enter into any transaction involving the EDC’s
employees’ properties, including but not limited to sale, lease, and mortgage.
9. The Vendor has not engaged, and shall not engage, in any unlawful or improper conduct that
compromises, or could be seen to compromise, the integrity of the EDC
procurement/accreditation process.
10. Should it be necessary to disclose any conflict of interest to EDC, the Vendor shall make the
disclosure following the form attached as Annex “A” hereof.
11. The Vendor is executing this statement as a requirement for accreditation.
12. The Vendor agrees that any misrepresentation, falsification in or breach of this sworn statement
shall be sufficient cause for either the (a) suspension, disqualification, blacklisting or delisting of
the Vendor’s accreditation by EDC, or (b) the immediate cancellation or termination of any
existing agreement, contract or purchase order between the Vendor and EDC, without prejudice
to a claim or suit for damages by EDC.
13. EDC reserves the right to reconsider any change in circumstances that would warrant the
reinstatement of Vendor’s accreditation, agreement, contract or purchase order.

Signed on at , Philippines.

JOEL JUDE L. GATCHALIAN

Signature over Printed Name

SUBSCRIBED AND SWORN TO BEFORE ME this_________day of__ at

Ormoc City, Philippines, affiant exhibiting to me valid proof of identification
Driver’s License No.: X01-95-026280 issued at Ormoc City, Philippines
issued on .

Doc. No. ;
Page No. ; NOTARY PUBLIC
Book No. ;
Series of .
 COI STATEMENT
LOCAL VENDOR

ANNEX A – DISCLOSURE OF CONFLICT OF INTEREST

[TO BE FILLED OUT AS APPLICABLE]

Pursuant to the foregoing Vendor Conflict of Interest Statement of EDC, I, [name], [position] and
authorized signatory of [company name] (the “Vendor”), hereby disclose the following:

CONFLICT OF INTEREST DESCRIPTION

1. Any of the Vendor Group are related to, by Name of member of Vendor Group:
consanguinity or affinity up to the fourth civil
degree, to any of the EDC Group. Relationship to member of EDC Group:

N/A

[enumerate all conflicts]

2. Any of the EDC Group has an ownership Name:
interest or any other financial interest in the N/A
Vendor or vice versa. Ownership/Financial Interest in EDC/Vendor:
N/A

[enumerate all conflicts]

3. Any member of the Vendor Group has close Name of member of Vendor Group:
personal relations with of the EDC Group, N/A
either in the form of close personal Description of close personal relationship with
friendships, social and fraternal connections any of the EDC Group:
or professional employment which may N/A
promote or perceive to promote any undue
influence with respect to the engagement of [enumerate all conflicts]
Vendor by EDC.

4. Vendor has offered and paid, directly or Name of EDC official or employee:
indirectly, any EDC official or employee any N/A
consideration or commission, in whatever
form, or have exerted or utilized any influence [enumerate all conflicts]
in order to secure or solicit any contract from
EDC

5. Vendor has provided or accepted a gift, Description of gift, entertainment, hospitality,

entertainment or hospitality or any other etc:
gratuity in cash (or in kind) to or from any of N/A
the EDC Group or any of their immediate
family members, which may unduly influence [enumerate all conflicts]
the engagement of Vendor or the performance
of its obligations to EDC.

6. Vendor communicated with any of the EDC Description of communication:

Group with a view to obtain preferred N/A
 COI STATEMENT
LOCAL VENDOR

treatment from EDC with respect to

Vendor as a contractor or supplier of Name of member of EDC Group
goods or services for EDC. communicated with:
N/A

[enumerate all conflicts]

7. The Vendor has subcontracted, or attempted to Description of works or services which was
subcontract, to any EDC official or employee, subcontracted:
including their relatives within the fourth N/A
civil degree of consanguinity or affinity, all
or any portion of the works or services for Name of member of EDC Group involved:
which it was contracted or engaged by EDC. N/A

[enumerate all conflicts]

8. The Vendor has directly or indirectly entered Description of transaction involving the EDC’s
into any transaction involving the EDC’s employees’ properties:
employees’ properties, including but not N/A
limited to sale, lease, and mortgage
[enumerate all conflicts]
N/A
9. Vendor has engaged in unlawful or improper Description of unlawful or improper conduct:
conduct that compromises, or could be seen to N/A
compromise, the integrity of the EDC
procurement/accreditation process [enumerate all conflicts]

I hereby certify that the above information is true and correct.

JOEL JUDE L. GATCHALIAN

Signature over Printed Name
Date: January 30, 2023