Certification For Projects To Be Undertaken by Administration
Certification For Projects To Be Undertaken by Administration
Certification For Projects To Be Undertaken by Administration
009
Rev. 00, 22 Feb. 2010
2. That in doing so, ____________________________________ will secure the services of the following
engineers and workers for the said project.
3. That said project will be under the direct supervision and responsibility of the following engineers:
4. That I commit to provide a duly trained Project Safety Officer and provide all workers with Personal
Protective Equipment (PPE) and shall provide a Construction Safety and Health Program to be
implemented.
Acknowledged by:
Name: Signature
IN WITNESS WHEREOFF, I have hereunto set my hand this ___ day of __________at
________________________.
_____________________________________
Signature of Affiant
SUBSCRIBED AND SWORN, before me this ___ day of _____________at ________________, affiant
exhibiting to me her Community Tax Certificate No.___________ issued on ___________ at
________________.
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