REPUBLIC OF THE PHILIPPINES

PROVINCE OF MISAMIS ORIENTAL S.S.

OMNIBUS SWORN STATEMENT

I, the undersign attest to the veracity of the following:

i. The proposed initiative is a priority project to the Local Government Unit (LGU) of
Gitagum, Misamis Oriental, and that the same is part of the duly approved Local
Development Investment Program (LDIP).

ii. The LGU has the capability to implement the proposed project and undertake the
project in accordance with the approved Program of Works, Plans,
Specifications, Project Cost, and Implementation Schedule, and shall be in
accordance with the provisions of the revised Implementing Rules and
Regulations (IRR) of Republic Act No. 9184 (Government Procurement Reform
Act) and other applicable laws.

iii. The LGU ensures that the project commits to fund the cost of maintenance and
repairs of their completed projects under Indian-Quick Impact Projects (I-QIP)

iv. The LGU espouses good governance that promotes: 1.) Transparency; 2.)
Accountability; 3.) Responsiveness; 4.) Participation; 5.) Rule of Law; 6.)
Consensus Oriented; 7,) Equity and Inclusiveness; and 8.) Effectiveness and
Efficiency.

v. The LGU declares that the informatio0n provided and attached documents are
true and correct.

IN WITNESS WEREOF, we have hereunto set our hands this ___ of ___________,
2023 at _________________, Philippines.

EMMANUEL S. MUGOT
Municipal Mayor
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of __________, 2023 at

______________, Philippines. Affiant is personally known to me and was identified by me
through competent evidence of identify as defined in the 2004 Rules on Notarial Practice (A.M.
No. 02-8-13-SC).

WITNESS MY HAND AND SEAL this __ day of ______, 2023.

Serial No. of Commission ___________________

Notary Public for ________until_ _____
Roll of Attorneys No. _____
PTR No. __________(Date issue)_____________
(Place issue) ____________
IBP No. ___________(Date issue)_____________
(Place issue) ____________
Doc. No. _____
Page No. _____
Book No. _____
Book No. _____