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Central Business Park 1 - Island A Association Inc

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PLS.

PHOTOCOPY FOR DISTRIBUTION TO EACH VEHICLE FOR PRESENTATION TO SECURITY GUARDS

CENTRAL BUSINESS PARK 1 – ISLAND A ASSOCIATION INC.


Ground Floor, One E-Com Center Building, Harbor Drive, Mall of Asia Complex, Pasay City
Call 822-02-64 or 401-17-11

THE ADMINISTRATOR
VALID ONLY UNTIL EXTENDED UP TO
Central Business Park 1 – Island A Associations Inc.
Ground Floor, One E-Com Center Building ________________ ________________
Harbor Drive, Mall of Asia Complex DATE DATE
Pasay City

APPLICATION FOR PERMIT FOR USE OF CBP1A ROADWAYS


AND OTHER COMMON AREA
FOR DELIVERY/HAULING OF EQUIPMENT AND MATERIALS

To be filled up COMPLETELY by the Applicant

Name of Applicant

Designation of Applicant

Address of Applicant Contact Nos.

Name of Corporation

Address of Corporation Contact Nos.

Name of Project / Event

Name of Roads/Streets to be used (attached Map/Route)

Applicant’s Right over Property (Owner, Contractor or Project Manager) Date of Filing

Kind/Type of Materials (Please Check)

______ Construction Materials _____ Excavated Materials ________ Construction Waste/Garbage

_______ Others (please specify)

Type of Vehicles : __________________________ Covering Period of Deliveries :


No. of Vehicles : __________________________
No. of Deliveries : __________________________ Date and Time of Delivery :
No. of Hauling : __________________________
Per Attached List of Plate Number of Vehicles

Details of Payment : Amount Paid O.R. No. Valid Only

Conditions:
Applicants have read, understood and agreed to the Rules and Regulations of the CBP 1-Island A
Association and agree and consent to all the conditions stipulated at the back portion of this
Application and in all the representations of the applicant which shall form part of the approval of the
Permit and are subject to monitoring.
Non-compliance therewith shall be a cause for the immediate cancellation of this permit without
prejudice to charges of fines, penalties and actual damages to the common area.
The applicable requirements of other government entities and applicable provisions of existing laws
shall be complied with.
CBP 1 – Island A shall not be responsible for any damages, physical injury or death caused by the
Suppliers, Contractors or personnel of the Applicant and shall be free from civil or criminal liability.
Applicant Name Applicant Signature

Recommending Approval Approved By :

BENJAMIN L. MANCHUS
Security Head ERNESTO S. ENCARNACION
CBP 1 – A Administrator
MAMERTO Q. VILLALUZ, JR
Project and Planning Officer
TERMS AND CONDITIONS OF THE PERMIT:

1. No other activities other than that applied for shall be conducted within the closure.
2. Confine all equipment and workers within the area applied .
3. Provide the necessary personnel or guards with proper reflectorize vest, early warning signs and
other devices to ensure the safety of vehicles and pedestrian upon closure of the area up to the
time it will be opened.
4. Require all workers to wear proper identification.
5. Assign a responsible representative to monitor the activity.
6. Observe cleanliness and sanitary practices during and after the activity.
7. In case the CBP 1- Island A Association provides additional guards and janitorial deployment
during the said activity, the Applicant shall be charge Service Fee.
8. In case the Applicant’s Suppliers or Contractors incur damages on the common area, the cost of
damage shall be valued by the CBP 1-Island A and shall be chargeable to the Applicant.
9. Applicant shall inform the CBP 1 –IA at least two (2) hours prior to the closure or occupancy of the
common area.
10. The Applicant shall inform at least one (1) day should there be any changes in the schedule
indicated in this application.
11. Construction litter which may include dirt, soil and other debris shall be immediately removed and
cleaned upon the opening of the common areas. Spillage of Concrete, oil and other similar liquid
materials shall be washed using water and shall see to it that hard materials should not flow to the
drainage.
12. The Applicant shall present to the CPB 1 – Island A Guard this Permit prior to the use/entry of
roads and shall allow the Guards to enter the enclosed area for proper monitoring.
13. Failure to comply with these conditions shall cause the immediate cancellation of this Permit
without prejudice to the fines and penalties provided for under the Rules and Regulations.

Approved Route and Lane Closure for the Delivery / Hauling:

Vehicles Type and Plate Numbers:

Type Plate Number Type Plate Number

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