For ECC applications, this IEE Checklist Report shall be submitted with

SWORN STATEMENT OF ACCOUNTABILITY OF THE PROPONENTThis is to certify that all the information and commitments in this InitialEnvironmental Examination (IEE) Checklist Report are accurate and complete to thebest of my knowledge.By the authority vested in me by the ______(Company Name) as___(Position/Designation), I hereby commit to ensure implementation of allcommitments, mitigating measures and monitoring requirements indicated in this IEEChecklist Report as well as the following: Conform with pertinent provisions of applicable environmental lawse.g., R.A. No. 6969 (Toxic Substances and Hazardous and NuclearWastes Control Act of 1990), R.A. No. 9003 (Ecological Solid WasteManagement Act of 2000), R.A. No. 9275 (Philippine Clean Water Actof 2004), and R.A. No. 8749 (Philippine Clean Air Act of 1999). Abide and conform with LGU development plans and guidelines. Promptly pay local taxes and other financial obligations. Regularly submit reports to concerned agencies.I hereby bind myself to answer any penalty that may be imposed arising fromany misrepresentation or failure to state material information in this IEE Checklist.In witness whereof, I hereby set my hand this ____ day of __________ at______________________.__________________________NAME OF PROPONENT HEAD(Position)(Company Name)SUBSCRIBED AND SWORN TO before me this _____ day of ____________ 201__, affiantexhibiting his/her Community Tax Certificate No. ___________________ issued at______________________ on __________________________.Doc. No.Page No.Book No.Series of________________________________________________________________________________14 IEE Checklist Report for Subdivisions and Housing Projects