SWORN STATEMENT OF ACCOUNTABILITY
I,Mr. Jianting Cai of legal age, Filipino, a resident of Brgy. Apalit, Floridablanca, Pampanga. and
the Owner of Vibro Sand Screening Project located at Brgy. Consuelo, Floridablanca Pampanga R03
after being sworn to in accordance with the law, do hereby depose and say that:
          1. 1.I declare, confirm and affirm the authenticity and truthfulness of the information stated
          herein and undertake to perform the following:
             a.) To the best of my knowledge, there is no complaint. opposition or protest against the
         establishment of the proposed Vibro Sand Screening Project) prior to the submission of the
         online ECC application;
             b.)The Proponent recognized and hereby consent to the authority of EMB to deny the
         ECC application in case of proven misrepresentation or material falsehood on the submitted
         IEE Checklist Report.
             c.)The project Proponent authorized his/her representative, and/or caused the processing
         of the ECC and thus. duly informed of the Account Name and the corresponding Password of
         the Online ECC application;
         2. All information and commitments in the Initial Environmental Examination (lEE) Checklist
         Report are accurate and complete to the best of my knowledge. That the undersigned
         Proponent and/or authorized representative of the Proponent shall implement all
         commitments, mitigating measures and monitoring requirements indicated in the IEE
         Checklist Report;
         3. I will take full responsibility and accountability in complying with all the terms and conditions
         of the Environmental Compliance Certificate (ECC) that will be issued emanating from the
         said IEE; and
         4. I am executing this Sworn statement of Accountability to attest to the foregoing statements.
         and to comply with the requirements of P.D. 1586 and its Implementing Rules and
         Regulations (lRR)
     Done this ___ day of ________________ in ___________________ .
     In witness whereof, I hereby set my hand this ________ day of _______________ at
__________________________.
                                            Mr. Jianting Cai
                                                 Affiant
SUBSCRIBED AND SWORN TO before me this ________ day of _______________ 201___, affiant
exhibiting his/her Community Tax Certificate No. __________________________ issued at
______________________ on __________________________.
Doc. No. _______________
Page No. _______________
Book No. _______________
Series of _______________