ANNEX 4 Page1/2 Certification of Compliance with Statement of Assets, Liabilities, and Net Worth (SALN) Republic of the Philippines CABAGAN WATER DISTRICT Cabagan, Isabela CERTIFICATE OF COMPLIANCE SALN Submission/Filing This certifies that _25_ employees out of _25_ employees of Cabagan Water District covered by RA 6713 have files their Statement of Assets, Liabilities, and Net Worth (SALN) for FY 2014. The local water district has forwarded/filed all SALNs with the appropriate receiving entity (i.e. Ombudsman in the case of President, Vice President and Constitutional Officials; etc.), in accordance with RA 6713 and its implementing rules and regulations. This also attests that the submission of this agency’s employees have substantially compiled with the minimum requisites for content and formalities prescribed under Republic Act 6713 and its Implementing Rules, which are as follows: a. b. c. d. e. f. Basic Information Assets (Real Properties and Personal Properties) Liabilities Net Worth Financial Connections and Business Interests Relatives in the Government Lastly, this certifies that this agency has already executed appropriate action against those who failed to comply with RA 6713 and have no justifiable reason not to comply. IN WITNESS WHEREOF, we have hereunto affixed our signatures on the __28th__ day of ____January_____ Year ___2015____ at Cabagan, Isabela, Philippines. JACQUELINE M. TALAUE ___Senior Accounting Processor A__ Chairman SALN Review and Compliance Committee JULIETA S. TUPAZ ______General Manager______ Agency Head ANNEX 4 Page 2/2 Republic of the Philippines CABAGAN WATER DISTRICT Cabagan, Isabela Officers and Employees Submission of SALN DELIVERY UNIT Unit 1 Total Number of Employees Covered by RA 6713 25 Unit 2 Number of Employees Filed SALN PERCENTAGE OF COMPLIANCE (%) 25 100% NAME POSITION Employees who submitted duly accomplished SALN 1. Pedro M. Allam Utility Worker A 2. Robertson T. Apigo Administration Services Aide 3. Rhex Flor Z. Atuan Water Resources Facilities Operator C 4. Armando B. Baquiran Customer Services Assistant D 5. Michael B. Baquiran Engineering Aide B 6. Edwin P. Bautista Accounting Processor B 7. Sergio F. Canceran Utility Worker A 8. Achilles B. Castañeda Cashiering Assistant 9. Ricky Nelson A. Gatan Utility Worker A 10. Aida Z. Laggui Clerk Processor C 11. Joseph C. Maddara Water Resources Facilities Operator C 12. Joeffrey M. Malabad Clerk Processor D 13. Doris M. Malayao Cashier C 14. Romel Z. Malenab Utility Worker A 15. Antonio R. Paguigan Engineering Assistant 16. Alan T. Ramos Engineering Aide B 17. Burton M. Tagao Water/Sewerage Maintenance Operator C 18. Jacqueline M. Talaue Senior Accounting Processor A 19. Alfonso C. Zipagan Water Resources Facilities Operator C 20. Julieta S. Tupaz General Manager 21. Ester Z. Antonio Chairman, BOD 22. Engr. Oliver U. Masigan Vice-Chairman, BOD 23. Lelita T. Ramos Member, BOD 24. Rodolfo G. Taguinod Member, BOD 25. Editha R. Banguilan Secretary/Member, BOD Employees who submitted duly accomplished SALN 1. 2. 3. Employees with no SALN submission 1. 2. 3. TOTAL Prepared by: JACQUELINE M. TALAUE Senior Accounting Processor A Chairman SALN Review and Compliance Committee Noted by: JULIETA S. TUPAZ General Manager Agency Head SALARY GRADE 3 4 4 6 4 6 3 8 3 4 4 3 12 3 8 4 4 12 4 24 N/A N/A N/A N/A N/A REMARKS