SWORN STATEMENT OF ACCOUNTABILITY
I,Ms. Cherrel L. Calahatian of legal age, Filipino, a resident of Sitio Pantay Barangay Dalig
Teresa Rizal. and the Owner of Harvest Farm Villas Subdivision project located at Sitio Pantay
Barangay Dalig Teresa Rizal Province R4A 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 Harvest Farm Villas Subdivision 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
                            .
                                       Ms. Cherrel L. Calahatian
                                                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