application form for epass services
DESCRIPTION
application on epassTRANSCRIPT
![Page 1: Application Form for Epass Services](https://reader035.vdocuments.net/reader035/viewer/2022073103/55cf9a2b550346d033a0b680/html5/thumbnails/1.jpg)
The following information is provided to Skyway O&M Corporation or its assignee (the “Provider”) in relation to this application for the privilege to avail of the E-Pass Services:
(Please mark with “X” or “ ” to fill up the appropriate )
APPLICATION FOR E-PASS SERVICES
I hereby certify that the information provided above is true, correct and complete. I understand that any false, misleading, incorrect or withheld information relative to this application may cause the disapproval thereof or
the termination of the Contract for E-Pass Services (“Contract”). I hereby authorize the Provider to verify the foregoing information as may be necessary in its approval of this application and/or its implementation of the
Contract. I agree that in the event that the Provider disapproves this application, the Provider has no obligation to provide any reason for its disapproval. I fully understand the terms and conditions of the Contract, including
the Rules and Guidelines, and I agree to strictly conform to the same, as may be amended by the Provider from time to time.
CORPORATION
APPLICATION FOR PERSONAL ACCOUNT APPLICATION FOR CORPORATE ACCOUNT
Client's Information Client's Information
Birthdate
Gender
Civil Status
Occupation
Office:
Home Address
Contact Person in case of Emergency:
Relationship:
Contact Numbers
Home: Fax :
Contact Numbers:
Office: Fax:
Contact Number:
Mobile:
Widowed
Business Name
Business Address
:
MM DD YYYY
First Name
Middle Name
Last Name :
:
:
TIN No. :
:
: Male Female
: Single Married
Legally Seperated
:
E-mail Address :
E-mail Address :
:
Mode of Delivery of E-Pass Statement of Account:
:
Government Finance/Banking Service
Manufacturing IT/Telecommunications Media
Power/Utilities Academe Others:
Industry/Sector:
First Name
Middle Name
Last Name :
:
:
Authorized Company Representative
Position :
Contact Numbers:
Office: Fax:
Mobile:
Mode of Delivery of E-Pass Statement of Account:
Date MM DD YYYY:Printed Name and Signature of the Applicant
Requirements:
Copy of Vehicle's Official Receipt (O.R.) and Certification of Registration (C.R.)
issued by the relevant Land Transportation Office (original to be presented for verification)
Accomplished Authorization Form, if applicant will register a vehicle which is not
registered in his name, as reflected in the O.R. and the C.R.
Accomplished E-Pass Application Form
Customer Care Business Hours:Mondays to Fridays 8:00 a.m. to 8:00 p.m.Saturdays 9:00 a.m. to 5:00 p.m.
Office Address
E-Mail Address:
Skyway O&M Corporation
Skyway Building, Doña Soledad Avenue
Better Living Subdivision, 1700 Parañaque City
CSC Hotline
:
(02) 888-8787:
Contact Information:
TIN No. :
FM-CSD-018, Rev.0
E-Mail Fax/Statement-On-Demand Hotline No.: 888-8787Others: E-Mail Fax/Statement-On-Demand Hotline No.: 888-8787
Others:
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CONTRACT FOR E-PASS SERVICES
By signing below, in consideration of the privilege to avail of the E-Pass Services, through the use of an E-Pass Tag that is exclusively owned
by the provider of the E-Pass Services, Skyway O & M Corporation or its assignee (“ ”), the Undersigned (“ ”) hereby agrees
to abide by, and to cause any person who shall avail of the E-Pass Services through the E-Pass Tag issued pursuant hereto (“ ”) to abide
by, this , including its integrally attached hereto, as may be amended by the Provider
from time to time (“ ”). The Provider and the Client shall collectively be referred to as “ ” and each as a “ ”.
The Client shall comply at all times with all traffic laws, rules and regulations applicable within the South Metro Manila
Skyway System, the South Luzon Expressway and other tollways where the E-Pass Services are to be provided (“ ”).
The Client understands that the Provider has and retains exclusive ownership of the E-Pass Tag at all times, and its
issuance of the E-Pass Tag to the Client is not a transfer of ownership thereof.
The Client shall be authorized to use the E-Pass Tag for only one (1) vehicle, which should be
registered with the Provider. During the Term of this Contract (as defined in Section 4 hereof):
. The Client may substitute the registered vehicle covered by this Contract with another vehicle of the same
vehicle class also owned by the Client for the remaining Term of this Contract, subject to the submission of a duly
accomplished to the Customer Service Center (“ ”) of the Provider the approval
thereof by the Provider, and the subsequent registration of the new vehicle with the CSC.
. In case the registered vehicle is transferred ( , sale of vehicle) by the Client to another person
(“ ”), the Client may be allowed to transfer this Contract (with the E-Pass Tag) to the Transferee, subject to the
following conditions:
a) The Client submits a duly accomplished and turns over the E-Pass Tag to the
CSC;
b) The Client settles all outstanding amounts payable to the Provider, including those pertaining to his E-Pass Account
under this Contract and other contract(s) for E-Pass services, if any;
Provider Client
User
Contract Parties Party
E-Pass Tollways
CSC
Transferee
Contract for E-Pass Services Rules and Guidelines
Application for Vehicle Substitution
Application for Contract Endorsement
1. .
2. .
A. .
1)
2) e.g.
Traffic Laws
Proper Use of Tag
One Tag, One Vehicle Policy
Transfer of Tag
Transfer/Sale of Vehicle
c ) The Transferee presents the original and submits a copy of the documents on the registration of the registered vehicle
in his name ( , Official Receipt (O.R.) and Certificate of Registration (C.R.) issued by the relevant Land
Transportation Office) to the CSC;
d) If the Transferee has other contract(s) for E-Pass services, he settles all outstanding amounts payable to the Provider
under such contract(s); and
e) The Provider notifies the Transferee of the approval of the endorsement application, and the Transferee claims the E-
Pass Tag from the CSC.
From the date of such approval, all references to the Client in this Contract shall pertain to the Transferee.
. During the Term of this Contract, the Client shall be responsible for the proper use, care, and safe-
keeping of the E-Pass Tag. The said responsibility shall include, but shall not be limited to:
. Voluntarily turning over the E-Pass Tag to the Provider, through its CSC or authorized outlets, personnel or
representatives as may be required by the Provider, such as for check-up, repair, replacement, and marking ( affixing a
sticker, etching or the like) by the Provider;
. Depositing sufficient amounts in the E-Pass Account from time to time and maintaining the
required minimum balance therein at all times, as stated in the which may be adjusted by the
Provider as it shall deem necessary (“ ”), to continuously avail of the E-Pass Services;
. In case the Client intends to temporarily discontinue the E-Pass Services for a period
of at least one hundred eighty (180) consecutive calendar days within the Term of this Contract, immediately sending to
the Provider a written request to suspend the E-Pass Services and temporarily deactivate the E-Pass Tag at least seven (7)
calendar days from the effective date thereof (“ ”), as well as written request to reactivate the E-Pass
Services at least seven (7) calendar days from the effective date thereof (“ ”);
. In case of loss of the E-Pass Tag (“ ”), immediately sending a written notice of such loss to the Provider,
which shall likewise serve as a notice to permanently deactivate the Lost Tag and pre-terminate this Contract (“
”); and
. In case the Client intends to permanently modify or regularly load his registered vehicle, which
would cause a reclassification thereof to a different vehicle class than that registered with the Provider, sending a
e.g.
B.
1)
e.g.,
2)
3)
4)
5)
Client Responsibility for Tag
Turnover of Tag
Minimum Load Balance
Temporary Discontinuance of Service
Lost Tag
Vehicle Modification
Rules and Guidelines,
Deactivation Notice
Reactivation Notice
Notice of
Lost Tag
Notice of
Maintaining Balance
Lost Tag
Term
Dormant Tag
Pass Tag to the Provider for replacement.
The Client understands and agrees that the amounts to be deposited and maintained in the E-Pass Account pursuant to this Contract
shall not bear any interest.
The obligation of the Client to properly take care of and safe-keep the E-Pass Tag shall survive the termination of this Contract until the
Client has returned the E-Pass Tag to the Provider.
The Client understands, and shall cause all Users to understand, all the terms and conditions of this Contract, and the Client shall be
fully responsible for the strict compliance of all Users therewith, as well as for the full settlement of all charges, fees and penalties
relative to the E-Pass Services.
3. As prescribed in this Contract and the materials in the E-Pass Tag kit, the E-Pass Tag should always be
properly mounted inside the registered vehicle using the official clip/sticker on the windshield area of the registered vehicle. The E-
Pass Tag may not be transferred to any other vehicle, except as provided in Section 2.A hereof. The Client shall strictly observe the
mounting instructions for the E-Pass Tag as stated in the , as improper mounting may cause the pre-termination
of this Contract pursuant to Section 4.2 hereof
This Contract shall take effect from the start of the Contract Period until the end thereof, as indicated below
(“ ”), unless automatically terminated by the Provider as follows:
1) If the E-Pass Tag becomes damaged beyond repair due to causes not attributable to the Provider;
2) If the E-Pass Tag is not properly mounted on the registered vehicle;
3) If the E-Pass Tag does not function and/or E-Pass Services are not rendered to the satisfaction of the Client;
4) If the E-Pass Tag is not properly used, cared for and/or kept safe, as stated in this Contract;
5) If the Client fails to maintain the Maintaining Balance for at least one hundred eighty (180) consecutive calendar days within the
Term of this Contract;
6) If the Client fails to use the E-Pass Tag for at least one hundred eighty (180) consecutive calendar days within the Term of this
Contract without a Deactivation Notice submitted by the Client to the Provider (“ ”);
7) Upon receipt by the Provider of a Notice of Lost Tag from the Client, which must be received within the Term of this Contract;
8) Upon receipt by the Provider of a written of this Contract from the Client, at least seven (7) calendar days
from the effective date thereof; or
9) If the Client fails to timely send a to the Provider in case of modification of his registered vehicle, as
provided in Section 2.B.5 hereof.
10)If the Client provides any false, misleading or incorrect information, or withholds any pertinent information, relative to his
application and availment of E-Pass Services.
Notwithstanding the termination of this Contract the obligation of the Client to settle all outstanding amounts that are due to the
Provider shall subsist, which should be settled within fifteen (15) calendar days from termination of this Contract. Otherwise, the
Client shall be liable to pay an additional two percent (2%) interest per month on all outstanding amounts that are due to the Provider
until the full settlement thereof.
Upon termination of this Contract, whether in accordance with herein Section 4 (except Section 4.7) or due to the lapse
of the Term, or for any other reason whatsoever, the Client shall immediately return the E-Pass Tag to the Provider as well as any other
items that may have been provided to the Client by the Provider pursuant to this Contract within thirty (30) calendar days from the
termination date. Otherwise, the Client shall be liable to pay the Provider the amount of Two Thousand Philippine Pesos
(Php2,000.00) to compensate the Provider for the non-return of the E-Pass Tag.
A. The E-Pass Tag shall be temporarily deactivated and the corresponding E-Pass Account shall be suspended by the Provider under
any of the following circumstances:
1) Failure of the Client to maintain the Maintaining Balance; or
2) Receipt by the Provider of a Deactivation Notice from the Client.
Proper Mounting of Tag.
Term and Termination.
Return of Tag
Deactivation of Tag.
4.
,
5. .
6.
Rules and Guidelines
.
Pre-Termination Notice
Notice of Vehicle Modification
Vehicle Modification to the Provider at least seven (7) calendar days prior to the said modification, and surrendering the E-
“E-Pass Services” generally refers to the services rendered to the Client by the Provider, through its CSC, authorized outlets, personnel and representatives, allowing the Client to electronically pay toll for the use of the E-Pass Tollways through the Electronic Toll Collection System using an E-Pass Tag owned and
issued by the Provider, including the management of the Client's E-Pass Accounts, the maintenance of E-Pass Lanes, and the handling of E-Pass queries and requests of the Client.
“E-Pass Tag” refers to the interior transponder or electronic device owned and issued by the Provider to the Client for his exclusive use to avail of the E-Pass Services.
“E-Pass Account” refers to the account of the Client established and maintained with the Provider, identified through the E-Pass Tag number and relevant information on the registered vehicle, which contains the record of usage of E-Pass Services by the Client, and
the amounts deposited and maintained by the Client to avail of the same.
1
2
3
FM-CSD-016, Rev.0
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In the event that the registered owner of the above vehicle is not the Client:
1)The Client shall submit a duly accomplished or any documentary proof acceptable to the Provider that he has
been duly authorized by the registered owner of the above vehicle to use the same throughout the Term of this Contract; and
2)The Client shall represent and warrant to the Provider that he and the registered owner of the above vehicle shall be jointly and
severally liable to the Provider for his and/or any User's breach of any provision of this Contract.
IN WITNESS WHEREOF, this Contract was executed on __________ 20__.
CLIENT: PROVIDER:
Authorization Form
INFORMATION BELOW TO BE FILLED UP BY THE PROVIDER:
CHECKLIST OF DOCUMENTARY REQUIREMENTS:
Contract Period:
B. To reactivate the E-Pass Tag and the E-Pass Account, the Client shall do the following, as applicable:
1) Replenish the E-Pass Account to at least meet the Maintaining Balance within one hundred eighty (180) consecutive calendar
days from temporary deactivation; otherwise, this Contract shall be terminated by the Provider pursuant to Section 4.5 hereof;
and/or
2) Send a Reactivation Notice to the Provider.
The Client shall also be required to settle all amounts due to the Provider under this Contract as a prerequisite to reactivation.
The period of temporary deactivation of the E-Pass Tag, from the effective date stated in the Deactivation Notice until the effective
date stated in the Reactivation Notice (or such other period as may be determined by the Provider, if the Client has failed to comply
with any or both of the prescribed notice periods or for any other reason), shall not cause any extension of the Term of this Contract.
In case of a Dormant Tag, in addition to the deactivation of the E-Pass Tag, as penalty for failure of the Client to comply with his
obligation to send the required Deactivation Notice under Section 2.B.3 hereof, any remaining balance in the E-Pass Account shall be
non-refundable.
If the Client has:
1) More than one (1) Contract for E-Pass Services;
2) At least one (1) of his E-Pass Accounts has a negative balance due to unpaid toll and other charges, fees and penalties
(“ ”); and
3) At least one (1) of his E-Pass Accounts has a balance above the Maintaining Balance (“ ”);
The Client hereby authorizes the Provider to transfer such amount from his Regular Account(s) to his Delinquent Account(s) as may be
necessary to settle all his payment obligations under this Contract and his other contract(s) for E-Pass Services. The foregoing
authorization shall not relieve the Client of his obligation to maintain the Maintaining Balance in all his E-Pass Accounts pursuant to
Section 2.B.3 hereof and of his other contract(s) for E-Pass Services.
The designated E-Pass Lanes in the Toll Plazas of the E-Pass Tollways shall only be used by the
Client/User if the Client has sufficient balance in his E-Pass Account and his E-Pass Tag is not a “ ”, which is when an E-Pass
Tag malfunctions for any reason whatsoever (such as improper use, case and safekeeping, manufacturing defect or depletion of
battery). If the Client has insufficient balance in his E-Pass Account, and/or the E-Pass Tag is a Defective Tag, the Client/User shall
obtain an Entry Toll Card from, and pay the corresponding toll in cash to, the Cash or Mixed Lanes of the appropriate Toll Plaza. The
consequences of non-compliance with the foregoing are as follows:
1) The Client/User shall be liable to pay the following:
a) A toll applicable to that distance traveled from the farthest Entry Toll Plaza to the actual Exit Toll Plaza; and
b) A fixed penalty for not presenting an Entry Card (as applicable), in the amount prescribed in the
which may be adjusted by the Provider from time to time.
2) The Client/User may be deemed to have violated traffic laws, rules and regulations applicable to the E-Pass Tollways, and may
be issued a Traffic Violation Ticket for Disregarding Traffic Signs (DTS) therein, by using the exclusive E-Pass Lane when not
qualified to do so.
If for any reason, the Provider has a reason to believe that:
1) The E-Pass Tag is a Defective Tag, the Client/User shall voluntarily and immediately turnover the Defective Tag to the Provider
for check-up. Upon receipt of the Defective Tag from the Client/User, the Provider shall issue an (AR)
to the Client/User for the latter's presentation when claiming the repaired or replacement E-Pass Tag.
2) The E-Pass Tag:
a) Has been permanently deactivated pursuant to Section 4 or the expiration of the Term of this Contract;
b) Was used or is being used on another vehicle not registered under this Contract; or
c) Was used or is being used on a registered vehicle which has been modified or loaded as provided in Section 2.B.5, without
prior to the Provider;
Then, upon demand by the Provider, the Client/User shall voluntarily and immediately return the E-Pass Tag; otherwise, the Client
understands and agrees that the Provider may take such actions as may be necessary to retrieve the same.
The Client shall indemnify and hold the Provider, its affiliates and related parties, as well as their respective
shareholders, directors, officers, employees and representatives, directly or indirectly, free and harmless against any claim by, or from
any liability to, any User or third party, for any loss, damage or liability arising out of or in connection with this Contract, including but
not limited to those caused by any of the following:
1) Any delay, interruption, stoppage or error in delivery of the E-Pass Services caused by administrative, technical, mechanical,
electronic, electrical, computer error or fault, or any other reason or circumstance attributable to the improper use, care
and/or safekeeping of the E-Pass Tag by the Client/User, and/or beyond the control of the Provider, its employees, contractors
and representatives, including but not limited to such causes as government action, change in legislation, force majeure,
interference or damage by third parties;
2) Unauthorized use of the E-Pass Tag after it was lost, without any Notice of Lost Tag submitted by the Client to the Provider; or
3) Any circumstance contemplated under Section 4 hereof.
The Client agrees that the Provider shall only address questions or complaints with respect to an E-Pass transaction
within sixty (60) calendar days from the date of such transaction. The Client hereby confirms that all E-Pass transactions that are not
brought to the attention of the Provider by the Client within the said sixty (60) day period shall be considered by the Parties to be in
7. .
8. .
9. .
10. .
11. .
Settlement of Multiple Contracts
Prohibited Use of E-Pass Lane
Repair, Replacement, Turnover or Return of Tag
Limitation of Liability
Complaints
Delinquent Account
Regular Account
Defective Tag
Rules and Guidelines
Acknowledgment Receipt
Notice of Vehicle Modification
good order. The Client also agrees that the Provider may cause any necessary adjustment to the SOA, and that in case of such
adjustment, the 60-day period shall commence from the date of receipt by the Client of a written notice of such adjustment from
the Provider.
The Client shall inform the Provider of his preferred mode of obtaining a copy of his monthly E-Pass
Statement of Account (E-Pass SOA) among the available modes of delivery stated in the .
The Client agrees that the Provider reserves the right to amend or modify this Contract from time to time as the
Provider shall deem necessary and/or expedient in relation to its provision of the E-Pass Services, by posting the corresponding notice
of such amendment or modification at the Toll Plazas, the CSC, the offices of the Provider, and the official website of the Provider, as
well as and by variable messaging services. The Client shall be responsible for monitoring such notices, and agrees to be bound by the
amended or modified terms and conditions of Contract as posted in such notices.
Any invalidity in any of the provisions of this Contract shall not affect the validity and enforceability of the
remaining provisions. No waiver by the Provider of any violation of this Contract by the Client shall be deemed as a waiver of any other
or subsequent violations.
The Provider shall be entitled to assign its rights and interests, and to transfer its obligations and liabilities, under this
Contract in whole or in part to any third party without the consent of, but upon written notice to, the Client. The Client shall not assign
any of his rights and interests, or transfer any of his obligations and liabilities, under this Contract in whole or in part to any third party
without the prior written consent of the Provider.
16. The Client hereby designates the vehicle described below, which he will exclusively use to avail of the E-Pass
12. .
13. .
14. .
15. .
.
E-Pass Statement of Account
Amendments
Severability and Waiver
Assignment
Registered Vehicle
Rules and Guidelines
REGISTERED OWNERLICENSE
PLATE NO.MAKE MODEL YEAR COLOR
Printed Name and Signature
of the Provider’s Authorized Representative
Printed Name and of ClientSignature
From
To
MM DD YYYY:
MM DD YYYY:
(Period not to exceed three (3) years)
10-digit E-pass Serial Number
Vehicle Class
Accomplished E-Pass Application Form If Previous Client:
Photocopy of Vehicle's O.R. and C.R. No outstanding amount due to the Provider
Returned E-Pass TagAccomplished Authorization Form (For Applicants
who will register a vehicle which is not registered
in his name, as reflected in the O.R. and the C.R.)
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E-pass Tag Serial Number :
This is to authorize the Client to use the vehicle described below, which is registered in my name, as well as to register the said vehicle with Skyway O & M Corporation or its assignee (the “Provider”) to enable the Client to avail
of the E-Pass Services of the Provider for his use of the said vehicle. This Authorization is made in relation to the Contract for E-Pass Services between the Client and the Provider (“Contract”), and shall take effect upon the
approval thereof by the Provider until the termination of the Contract, unless the Provider receives a prior written notice of withdrawal of this Authorization. The Client and the registered owner of the vehicle to be used by
the Client to avail of the E-Pass Services shall be jointly and severally liable to the Provider for the Client and/or any User's breach of any provision of the Contract.
AUTHORIZATION FORM
CORPORATION
Contact No(s).
Address
Printed Name :
:
:
Date Filed MM DD YYYY:
Vehicle's Registered Owner
Plate No.
Make
Registered Owner :
:
:
Vehicle Information
Model :
Color :
Printed Name and Signature of CSC's Authorized Representative
Contact No(s).
Address
E-Pass Account Name :
:
:
Client
Date Filed MM DD YYYY:
Printed Name and Signature of Client
Conforme:
INFORMATION BELOW TO BE FILLED-UP BY CUSTOMER SERVICE CENTER (“CSC”)
Date Received MM DD YYYY:
Date Activated MM DD YYYY:
Customer Care Business Hours:
Mondays to Fridays 8:00 a.m. to 8:00 p.m.
Saturdays 9:00 a.m. to 5:00 p.m.
Office Address
E-Mail Address:
Capstone Technologies, Inc.
Skyway Building, Doña Soledad Avenue
Better Living Subdivision, 1700 Parañaque City
CSC Hotline
:
(02) 888-8787:
Contact Information:
Printed Name and Signature of the Registered Owner
FM-CSD-020, Rev.0
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The following are the Rules and Guidelines for availing the E-Pass Services, as may be amended by the Provider from time to time, which form an integral
part of the Contract for E-Pass Services (“Contract”). Unless otherwise stated herein or the context otherwise requires, capitalized terms used herein shall
have the same meaning as those stated in the Contract.
RULES AND GUIDELINESAs of April 2012
1. VEHICLE CLASSIFICATION:
2. E-PASS ACCOUNT AND MAINTAINING BALANCE:
A. Lane Display:
The following vehicle classification shall apply to the E-Pass Tollways, as detected by the Electronic Toll Collection System (“ETC System”) of the
Provider:
A. Class 1 refers to single-axle vehicles with a maximum height of seven (7) feet, such as cars and vans;
B. Class 2 refers to single or double-axle vehicles with a height of over seven (7) feet, such as buses; and
C. Class 3 refers to multiple-axle vehicles with a height of over (7) feet, such as trucks and trailers.
The balance in the E-Pass Account which triggers a “Low Balance” status in the ETC System varies depending on the above vehicle classification.
The E-Pass Lane shall display the following based on the status of the E-Pass Tag and the E-Pass Account:
Tag Status Account Status Lane Display Signal Light Get an Entry Card
(Class 1)-Load is Php500.01 and up
(Class 2)-Load is Php1,000.01 and up
(Class 3)-Load is Php1,500.01 and up
A Valid Thank You Green No
(Class 1)-Load is Php100.00 and above
but less than Php500.01.
(Class 2)-Load is Php100.00 and above
but less than Php1, 000.01.
(Class 3)-Load is Php100.00 and above
but less than Php1,500.01
B
C
Valid
Valid
Low
Balance
Insufficient
Green
Red
No
YesLoad is less than Php100.00
D Invalid* Invalid Red Yes
(Class 1)-Load is Php500.01 and up
(Class 2)-Load is Php1,000.01 and up
(Class 3)-Load is Php1,500.01 and up
E Invalid Invalid Red Yes
(Class 1)-Load is less than Php500.01
(Class 2)-Load is less than Php1,000.01
(Class 3)-Load is less than Php1,500.01
F Invalid Invalid Red Yes
* The following are Invalid E-Pass Tags: Dormant Tags, Defective Tags, Lost Tags and E-Pass Tags not registered in the ETC System
of the Provider.
B. Maintaining Balance and Low Balance Levels according to Vehicle Class:
Vehicle Class
Class 1
Maintaining Balance (Php)
100.00
Low Balance (Php)
500.00 and below
Class 2 100.00 1,000.00 and below
Class 3 100.00 1,500.00 and below
3. TABLE OF CHARGES, FEES AND PENALTIES:
Contract for E-Pass Services (inclusive of VAT and
Php400.00 initial E-Pass Account deposit load)2,100.00
Charges, Fees and Penalties Amount (Php)
Penalty for Non-Return of E-Pass Tag 2,000.00
Penalty for Lost Entry Toll Card 150.00
E-Pass Tag Reactivation Fee 150.00
E-Pass Tag Replacement Fee Based on prevailing price
E-Pass Tag Storage Fee (per day) 5.00
Penalty for Late Payment of Outstanding Amounts
upon Termination of Contract and/or Expiration of Term
2% of outstanding amount
per month until fully paid
The Client shall pay the following charges, fees and penalties to the Provider, as applicable:
FM-CSD-017, Rev.0
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4. PROPER MOUNTING OF THE E-PASS TAG:
5. PROPER USE AND CARE OF THE E-PASS TAG:
6. CREDIT CARD REPLENISHMENT OF THE E-PASS ACCOUNT:
A. Automatic Replenishment
B. Manual Replenishment
C. Dispute or Error in the Credit Card Bill/Statement of Account
7. E-PASS STATEMENT OF ACCOUNT:
8. CONTACT INFORMATION OF THE PROVIDER:
A. The E-Pass Tag shall be mounted on the inside of the front windshield of the registered vehicle, behind its rear view mirror, without obstructing
the view of the driver. The E-Pass Tag shall not be attached to the rear view mirror or your sun shade.
B. Without removing the adhesive tape on the E-Pass Tag clip, the Client shall trial fit the said clip on the mounting area of the registered vehicle and
ensure that the E-Pass Tag is facing the windshield with the E-Pass Tag clip on top.
C. Before mounting the E-Pass Tag, the Client should thoroughly clean the mounting area where the E-Tag shall be placed, preferably using a piece of
cotton with rubbing alcohol, and shall ensure that the mounting area is dry.
D. The Client shall then peel off the adhesive on the E-Pass Tag clip and mount the same on the mounting area. The Client shall carefully position the
E-Pass Tag by pressing the same on the E-Pass Tag clip against the windshield for a few seconds to ensure a strong bond.
E. The Client shall ensure that the E-Pass Tag is positioned correctly and not easily removable.
F. The Client shall not mount the E-Pass Tag on a windshield which is heavily tinted, has a “magic tint" and the like, and/or tinted with metallic-based
content, since the reading of the E-Pass Tag by the ETC System may be impaired by such types of windshield. In case the Client shall mount the E-
Pass Tag on such types of windshield, the Provider shall not be liable for any delay, interruption, stoppage or error in delivery of the E-Pass Services
attributable to the said types of windshield.
A. After proper mounting, the E-Pass Tag shall be permanently installed in the registered vehicle and shall not be detached from the E-Pass Tag clip
unless authorized by the Provider, through its CSC, authorized outlets, personnel and/or representatives. The detachment of the E-Pass Tag from
the E-Pass Tag clip without such authorization may cause damage to the E-Pass Tag and shall allow the Provider to pre-terminate the Contract
pursuant to Section 4.1 or 4.2 thereof.
B. The Client shall not tamper the E-Pass Tag (e.g., by writing on, or putting or affixing anything, on the Tag) nor handle it in any manner which may
cause any damage thereto as it may prevent the same from working properly.
C. The Client shall only have the E-Pass Tag repaired exclusively by the Provider through the CSC. Any unauthorized repair of the E-Pass Tag shall be
considered a form of tampering thereof.
D. The Client may use a damp cloth to clean the E-Pass Tag, but shall not submerge the E-Pass Tag in water or use any cleaning agents on the same.
E. The Client shall use the E-Pass Tag by approaching the E-Pass Lane at a reasonable speed to allow the sensor of the ETC System located in the Toll
Plaza to detect the E-Pass Tag. If the E-Pass Tag is not detected or properly read by the sensor, the Client shall immediately report the same to the
Provider and request for assistance.
To conveniently replenish his E-Pass Account, the Client may enroll for an automatic or manual replenishment thereof through his credit card by
submitting a duly accomplished Credit Card Authorization Form to the Provider. After the Credit Card Authorization Form of the Client/credit card
holder has been approved by the Provider, the Provider shall request to the bank which issued his credit card (“Issuing Bank”) to replenish the E-Pass
Account of the Client/credit card holder using his credit card once the available balance is below Php500.00, or such higher amount as may be
requested by the Client. Once the Issuing Bank has sent its electronic approval of the replenishment request of the Provider, the replenishment
amount shall then be automatically charged on the credit card account of the Client, and credited to his E-Pass Account.
The authorized amount for replenishment may be predetermined by the Client/credit card holder by indicating the same on the Credit Card
Authorization Form.
The authorized amount for replenishment may be determined by the Client/credit card holder from time to time by calling the E-Pass
Replenishment Hotline at telephone number 776-7575.
In case there is a dispute or error in the credit card bill/statement of account of the Client with respect to an E-Pass Account replenishment, the
Client shall immediately send a written report of such dispute or error to the Provider, through the CSC, within sixty (60) calendar days from the
replenishment date. The Client hereby confirms that all E-Pass Account replenishments that are not brought to the attention of the Provider by the
Client within the said sixty (60) day period shall be considered by the Client, the Provider and the Issuing Bank to be in good order. The E-Pass
Statement of Account (“E-Pass SOA”) shall be used as the basis for validation of the E-Pass Account vis-à-vis the credit card billing/statement of
account for an E-Pass Account replenishment.
The Client may obtain his monthly E-Pass SOA starting from the 6 day of the following month through the following modes of delivery:
A. E-mail - The Client may call the E-Pass Contact Center at telephone number 776-7676 to register his e-mail address with the CSC to receive his
monthly E-Pass SOA via e-mail. The Client shall be allowed to register only one (1) email address.
B. Fax - The Client may call the Statement-On-Demand Hotline at telephone number 776-7057 every month to obtain through fax the current E-Pass
SOA. This service is currently available only to Clients which have a Metro Manila phone line with an auto-fax feature.
C. Other modes of delivery - The Client may request for other modes of delivery to receive the E-Pass SOA, subject to such administrative fees as may be
charged by the Provider.
In case of any change in his registered e-mail address or fax number, the Client shall send prior notice thereof to the CSC through the E-Pass Contact Center
Office Address - Skyway Building, Doña Soledad Avenue, Better Living Subdivision, 1700 Parañaque City
Customer Service Center - (02) 888-8787
Replenishment Hotline - (02) 888-8787
Email address - [email protected]
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