Affidavit of Site Inspection
Affidavit of Site Inspection
I, LEO D. LLACUNA, of legal age, married, Filipino and residing at 16 San Jose St., Polillo,
Quezon, under oath, hereby depose and say:
1. That I am the General Manager of LD LLACUNA CONSTRUCTION & SUPPLY, with office
at 16 San Jose St., Polillo, Quezon;
2. That I have inspected the site for Construction of PBLARC MPC PHF (Post Harvest
Facility), located at Brgy. Libjo, Polillo, Quezon on July 30, 2013;
3. That I am making this statement as part of the requirements for the Technical Proposal
of LD LLACUNA CONSTRUCTION & SUPPLY for the bidding of the Construction of
PBLARC MPC PHF (Post Harvest Facility) at Brgy. Libjo, Polillo, Quezon.
IN FAITH WHEREOF, I hereby affix my signature this ______ day of August, 2013 at Lucena City,
Quezon, Philippines.
LEO D. LLACUNA
AFFIANT
SUBSCRIBED AND SWORN TO before me this _________, day of August, 2013, affiant
exhibiting to me his/her Community Tax Certificate No. 22866692 issued on January 2, 2013 at
Polillo, Quezon, Philippines.
________________________
(Notary Public)
Doc No. _________
Page No. ________
Book No. ________
Series of _________