Annex 2-21

SWORN STATEMENT OF ACCOUNTABILITY OF THE PREPARERS

This is to certify that all the information and commitments in this

INITIAL ENVIRONMENTAL EXAMINATION REPORT for the OLIVIA RESORT
HOMES PROJECT located in BRGY. DANAO, PANGLAO ISLAND, PANGLAO,
BOHOL are accurate and complete to the best of our knowledge, and that an
objective and thorough assessment of the OLIVIA RESORT HOMES Project was
undertaken in accordance with the dictates of professional and reasonable
judgment. Should I/we learn of any information, which would make this INITIAL
ENVIRONMENTAL EXAMINATION REPORT inaccurate, I shall immediately
bring the said information to the attention of DENR-EMB.

I hereby certify that no DENR-EMB personnel was directly involved in the

preparation of this INITIAL ENVIRONMENTAL EXAMINATION REPORT other
than to provide procedural and technical advice consistent with the guidelines in
the DAO 03-30 Revised Procedural Manual.

I hereby bind myself to answer any penalty that may be imposed arising
from any misrepresentation or failure to state material information in this INITIAL
ENVIRONMENTAL EXAMINATION REPORT.

I witness whereof, I hereby set my hand this 14TH day of _October , 2010 at
Tagbilaran City, Bohol

Name Field of Expertise Signature

1. Thomas Woods Electrical and
Mechanical Engineering

SUBSCRIBED AND SWORN TO before me this ________day of

__________________, 2009, affiant exhibiting his/her Community Tax Certificate
as follows:

Name Community Tax Certificate Information

CTC NO. Place of Issue Date of Issue
1. Thomas Woods

_ THOMAS WOODS___
NAME OF PROPONENT

Doc. No. ________

Page No. ________
Book No. ________
Series of _________
*The Sworn Statement of Accountability of the Proponent shall be part of ALL seven (7) EIA report type
submissions- PEIS, EIA, PEPRMP, EPRMP, IEER, IEEC and PD Report.
October 14, 2010

To: Regional Director

Enviromental Management Bureau
DENR-7, Banilad, Mandaue City

SUBJECT: REQUEST FOR SCOPING FOR OLIVIA HOMES RESORT PROJECT.

Dear Director Arranguez:

I THOMAS WOODS would like to request for the conduct of the Scoping activity for the
OLIVIA HOMES RESORT project, prefrerably on _____________________________ to
_____________________________________ at _______________________.

We hereby submit the following documents required by EMB as basis of the Proponent’s
preparedness for the Scoping activity:

1 Pro-forma Project Description for Scoping (PDS) /

2 Accomplished EIA Coverage & REquiements Screening /
Checklist (ECRSC)
3 Description and NAMRIA Map of the Project’s Tentatively /
Identified Impact Areas
4 Preliminary List of Stakeholders and Partial List of Invitees to /
the Public Scoping
5 Summary Matrix of Accomplished IEC/Social Preparation /
Activities with List of Issues and Proponent’s Response
6 Accomplished Scoping Checklist for the Project /

We hope our submission merits your timely and favorable action on our request

Very truly yours,

MR. THOMAS WOODS

Proponent