52-109F1 - AIF - Certification of annual filings in connection with voluntarily filed AIF [F Proposed - Lapsed]

Concurrently Published:

• BCN 2007/17 - Request for Comment on Proposed Repeal and Replacement of Multilateral Instrument 52-109, Forms 52-109F1, 52-109FT1, 52-109F2 and 52-109FT1 and Companion Policy 52-109CP Certification of Disclosure in Issuers’ Annual and Interim Filings [BCN - Lapsed]

This certificate is being filed on the same date that  andlt;identify the issuerandgt; (the issuer) has voluntarily filed an AIF.

I, ‹identify (i) the certifying officer, (ii) his or her position at the issuer, (iii) the name of the issuer and (iv) if the certifying officer’s title is not “chief executive officer” or “chief financial officer” of the issuer, whether the certifying officer is providing the certificate in the capacity of a chief executive officer or a chief financial officer›, certify that:

1.         I have reviewed the issuer’s AIF, annual financial statements and annual MD&A, including for greater certainty all documents and information that are incorporated by reference in the AIF (together the annual filings) of ‹identify issuer› (the issuer) for the financial year ended ‹state the relevant date›.

andlt;Insert all paragraphs included in the annual certificates originally filed with the annual filings, other than paragraph 1.andgt;

Date: andlt;insert date of filingandgt;

_______________________

[Signature]

[Title]

andlt;If the certifying officer’s title is not “chief executive officer” or “chief financial officer”, indicate whether the certifying officer is providing the certificate in the capacity of a chief executive officer or a chief financial officer.andgt;