v Republic of the Philippines \-z
DEPARTIUENT OF ENVIRONMENT AND NATURAL RESOURCES
MINES AND GEOSCIENCES BUREAU
CHECKLIST OF REQUIREMENTS
DEED OF ASSIGNMENT
NEW TEMPLATE
NAtVlE OF CONTRACTOR
TENEMENT No.:
DATE APPROVED:
COMMODITY:
CONTRACT AREA:
LOCATION:
REQUIREMENTS REMARKS
A. Deed of Assignment (DOA) executed by and between the Assignor and t1
Assignee
B. Proof of payment of Transfer/Assignment Fee tl
C. For the Contractor
1 Corporate Secretary's Certificate attesting to the authority of the signatory tI
to the DOA
2 Certification by the Regional Office as to the Contractor's compliance with
the terms and conditions of the tvlPSA
tI
D. For the Assignee
'1.
Certificate of Environmental Management and Community
Record (CEfvlcRR) or Certificate of Exemption (COE)
Relations tI
2. Photocopy of Articles of lncorporation/Partnership/ Association, By-Laws
and Certificate of Registration, duly certified by the SEC or authorized
tl
Government agency(ies) concerned, for corporations, partnerships,
associations or cooperatives; or proof of Filipino citizenship for individual
3. Proof of technical competence to undertake the implementation of the
activities under the Work Program:
. Curricula vitae and track records in mining operations/exploration and tl
environmental management
. Sworn statemenVemployment contracUproof of availed services of the
technical person/s who will undertake the implementation of the Work t1
Programs
4. Proof of financial capability to undertake the implementation of the
activities under the Work Program:
a. For corporation/partnership/association/ cooperative:
.Latest audited Financial Statement and/or Annual Report t1
. Credit Lines/Bank Guarantees/Deposits I1
b For an individual:
.Copy of lncome Tax Return for the preceding year
.Proof of bank deposit or credit line in the amount of at least tI
PhP2,500,000.00 tl
5.Affidavit of Undertaking pursuant to DIUO No. 99-10 tl