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    Oimb Citizens Charter 11 02 Coc Checklist Form PDF

    Uploaded by

    Chie Nograles Telleran Rubis
    1) This document outlines the checklist of requirements for securing a Certificate of Compliance from the Department of Energy Oil Industry Management Bureau for operating a retail fuel outlet. It details the application process and supporting documents needed for both new applications and renewals. 2) The requirements include a completed application form, notice of undertaking, supply agreement, facility design plans, equipment lists, photographs, clearance documents, and fee payments. 3) Applicants must provide documents showing their business information, retail outlet details, fuel supply agreements, facility designs compliant with standards, equipment inventories, and clearance of any pending cases to obtain initial or renewal certificates.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Oimb Citizens Charter 11 02 Coc Checklist Form PDF

    Uploaded by

    Chie Nograles Telleran Rubis
    334 views1 page
    1) This document outlines the checklist of requirements for securing a Certificate of Compliance from the Department of Energy Oil Industry Management Bureau for operating a retail fuel outlet. It details the application process and supporting documents needed for both new applications and renewals. 2) The requirements include a completed application form, notice of undertaking, supply agreement, facility design plans, equipment lists, photographs, clearance documents, and fee payments. 3) Applicants must provide documents showing their business information, retail outlet details, fuel supply agreements, facility designs compliant with standards, equipment inventories, and clearance of any pending cases to obtain initial or renewal certificates.

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    oimb_citizens_charter_11_02_coc_checklist_form.pdf

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    1) This document outlines the checklist of requirements for securing a Certificate of Compliance from the Department of Energy Oil Industry Management Bureau for operating a retail fuel outlet. It details the application process and supporting documents needed for both new applications and renewals. 2) The requirements include a completed application form, notice of undertaking, supply agreement, facility design plans, equipment lists, photographs, clearance documents, and fee payments. 3) Applicants must provide documents showing their business information, retail outlet details, fuel supply agreements, facility designs compliant with standards, equipment inventories, and clearance of any pending cases to obtain initial or renewal certificates.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    334 views1 page

    Oimb Citizens Charter 11 02 Coc Checklist Form PDF

    Uploaded by

    Chie Nograles Telleran Rubis
    1) This document outlines the checklist of requirements for securing a Certificate of Compliance from the Department of Energy Oil Industry Management Bureau for operating a retail fuel outlet. It details the application process and supporting documents needed for both new applications and renewals. 2) The requirements include a completed application form, notice of undertaking, supply agreement, facility design plans, equipment lists, photographs, clearance documents, and fee payments. 3) Applicants must provide documents showing their business information, retail outlet details, fuel supply agreements, facility designs compliant with standards, equipment inventories, and clearance of any pending cases to obtain initial or renewal certificates.

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    © All Rights Reserved
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    OMB/COR#017-COCDrev1

    CHECKLIST OF REQUIREMENTS
    FOR SECURING CERTIFICATE OF COMPLIANCE
    As provided for in DOE Department Circular DC2017-11-0011
    TO BE FILLED-OUT BY DOE-OIMB LIQUID FUELS OFFICERS ONLY
    Type of Application: New Renewal Reportorial Change dealer/name
    (Previous dealer/name)
    Business Name: Name of RO:
    Dealer/Retailer: Start of Operation:
    Complete Address of Retail Outlet:
    Oil Company: Independent: Name of Supplier/s:
    Remarks
    REQUIREMENTS
    (Date of Submission)

    I. PRIOR NOTICE
    1. Filled-out and notarized application form complete with the following information:
    a. Business name, address, telephone number, fax number and e-mail address of the business office;
    b. Location and complete address of the Retail Outlet; and
    c. Name of dealer/retailer or authorized representative if partnership/corporation/cooperative.
    2. A Notice of Undertaking on liability in case of violations committed by dealer, operator, owner or proprietor
    II. SUPPORTING DOCUMENTS FOR 1st ISSUANCE
    1. Authenticated copy of the valid Supply Agreement or original Supplier’s Certificate from an OIMB-registered
    distributor/supplier
    2. Notarized Statement that the facility design and operation of the Retail Outlet is PNS-compliant signed by the
    Engineering Procurement Construction Contractor and dealer/owner of the Retail Outlet
    3. List of dispensing pumps/hoses and underground storage tank/s with corresponding capacity/ies
    4. Scaled lay-out plan showing the island/dispensing pumps, underground storage tanks, cashier’s booth and
    other facilities (with measurement)
    5. Accomplished DOE Form on Undertaking
    6. Latest photographs (in 5R size) showing:
    Full/front, right, and left side views Price display board
    of the retail outlet
    Required stickers/labels for RON, Safety and informational signs
    E10 and B2, among others
    7. DOE SCC/COC Clearance of No Pending Case, as applicable
    8. Payment of fee
    III. SUPPORTING DOCUMENTS FOR RENEWAL *Application MUST be filed a month before COC expiration
    1. Accomplished DOE Form on Undertaking
    2. Authenticated copy of the valid Supply Agreement or original Supplier’s Certificate from an OIMB-registered
    distributor/supplier
    3. DOE SCC/COC Clearance of No Pending Case, as applicable
    4. Photocopy of previous COC
    5. Payment of fee
    IV. REPORTORIAL REQUIREMENTS (Under oath; submitted every 30 th day of January)
    1. Data on Purchase, Sales and Inventory in Volume
    2. Authenticated copy of the valid Supply Agreement or original Supplier’s Certificate from an OIMB-registered
    distributor/supplier
    NOTE: ALL DOCUMENTS MUST BE IN ITS ORIGINAL FORMS UNLESS OTHERWISE STATED
    V. CORRESPONDING FEES
    1. Acknowledgement of Notice/Engagement on the DOI ₱ 500.00 Official Receipt
    2. COC for Retail Outlet for 5 years (New Application) ₱ 3,000.00 No.:

    3. COC for Retail Outlet for 5 years (Renewal) ₱ 2,500.00 Date:

    IMPORTANT: Amount:
    For Mailed Application: We ONLY ACCEPT Postal Money Order (PMO) / Manager’s Cheque (MC) payable to
    the DEPARTMENT OF ENERGY

    All applications must be addressed to: Director, Oil Industry Management Bureau
    Department of Energy
    Energy Center, 3rd Floor, PNOC Bldg. 5, BGC, Taguig City
    Assessed by: Recommendation: Forwarded to OBD
    Returned to applicant
    (Printed Name and Signature)

    Energy Center, Rizal Drive, Bonifacio Global City, Taguig City, Philippines
    Tel. No. 479-2900 loc. 376/840-2184, Website: www.doe.gov.ph, E-mail: info@doe.gov.ph

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