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Republic of the Philippines

Department of Health
CAGAYAN VALLEY - CENTER FOR HEALTH DEVELOPMENT

CERTIFICATE OF ACCEPTANCE
Name of Project : Completion/Upgrading of GFND Clinical/Ancillary and Support Facilities
Location : Calamagui 2nd, Ilagan City, Isabela
Date :

THIS IS TO CERTIFY that I, Imelda Guillermo, MD, FPPS, Chief of Hospital / PHO 1 , of Gov.
Faustino N. Dy Sr. Memorial Hospital , Ilagan , Isabela do hereby accept from the Cagayan Valley Center
for Health Development the above-prescribed Health Facility funded under the Health Facilities
Enhancement Program and implemented by the CVCHD under the following conditions:

 That this Certificate of Acceptance applies only to the completed portions of the facility which are
included in the Program of Works prepared by the CVCHD and which where jointly inspected and
certified completed by the concerned parties;
 That the Provincial Government of Isabela – Gov. Faustino N. Dy Sr. Memorial Hospital accepts
the facility with the assumption that it was constructed with the highest quality standards of the
DOH thereby assuring it’s structural integrity,
 That the Gov. Faustino N. Dy Sr. Memorial Hospital, owned and operated under the Provincial
Government of Isabela assumes full responsibility for the proper maintenance and operation of
the completed facility, and;
 That this Certificate of Acceptance does not relieve the Contractor from the enforcement and
implementation of all legal matters pertaining to the contract of construction and applicable
provisions of Republic Act 9184.

Issued this ________ day of ______________, 2019 at Cagayan Valley Center for Health
Development, Maharlika Highway, Carig Norte, Tuguegarao City.

Recommending Acceptance:

VICTORINO F. MANINGAS
Engineer III – RCWIO

RIO L. MAGPANTAY, MD, PHSAE, CESO III


Director IV

ACCEPTED:

_________________________
Signature over printed name

__________________
Designation

_________________________
Signature over printed name

__________________
Designation

Maharlika Highway, Carig Norte, Tuguegarao City Telephone Number: 304-6585, 304-8737, 846-7261
& 8467230 e-mail address: chdcvdoh@yahoo.com/TeleFax no. 304-6523