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    Omnibus Sworn Statement

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    Bet Arvs
    This document is an omnibus sworn statement from ABC, the general manager of DEF Inc., stating that: 1) DEF Inc. is authorized to participate in and submit a bid for the TLJ project of MMM. 2) DEF Inc. is not blacklisted by the Philippine government or any of its agencies. 3) All documents submitted are authentic copies and the statements within are true. 4) There are no conflicts of interest between DEF Inc. and individuals involved in the procurement process.

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    Omnibus Sworn Statement

    Uploaded by

    Bet Arvs
    241 views2 pages
    This document is an omnibus sworn statement from ABC, the general manager of DEF Inc., stating that: 1) DEF Inc. is authorized to participate in and submit a bid for the TLJ project of MMM. 2) DEF Inc. is not blacklisted by the Philippine government or any of its agencies. 3) All documents submitted are authentic copies and the statements within are true. 4) There are no conflicts of interest between DEF Inc. and individuals involved in the procurement process.

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    This document is an omnibus sworn statement from ABC, the general manager of DEF Inc., stating that: 1) DEF Inc. is authorized to participate in and submit a bid for the TLJ project of MMM. 2) DEF Inc. is not blacklisted by the Philippine government or any of its agencies. 3) All documents submitted are authentic copies and the statements within are true. 4) There are no conflicts of interest between DEF Inc. and individuals involved in the procurement process.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    241 views2 pages

    Omnibus Sworn Statement

    Uploaded by

    Bet Arvs
    This document is an omnibus sworn statement from ABC, the general manager of DEF Inc., stating that: 1) DEF Inc. is authorized to participate in and submit a bid for the TLJ project of MMM. 2) DEF Inc. is not blacklisted by the Philippine government or any of its agencies. 3) All documents submitted are authentic copies and the statements within are true. 4) There are no conflicts of interest between DEF Inc. and individuals involved in the procurement process.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Republic of the Philippines)

    City of __________________ )S.S.

    OMNIBUS SWORN STATEMENT


    I, ABC, of legal age, married, Filipino and residing at XXX Muntinlupa City, after
    having been duly sworn in accordance with law, do hereby depose and state that:

    1. I am the duly authorized representative of DEF Inc., with business address


    at DDD, Ayala Alabang Muntinlupa City;

    2. As the authorized representative of DEF Inc., I have full power and


    authority to do, execute and perform any and all acts necessary to
    participate, submit the bid, and to sign and execute the ensuing contract
    for the TLJ project of the MMM, as shown in the attached duly notarized
    Secretary’s Certificate;

    3. DEF Inc., is not “blacklisted” or barred from bidding by the Government of


    the Philippines or any of its agencies, corporations, or Local Government
    Units. Foreign government/foreign or international financing institution
    whose blacklisting rules have been recognized by the Government
    Procurement Policy Board;

    4. Each of the documents submitted in satisfaction of the bidding


    requirements is an authentic copy of the original, complete and all
    statements and information provided therein are true and correct;

    5. DEF Inc., is authorizing the Head of the Procuring Entity or its duly
    authorized representative(s) to verify all the documents submitted;

    6. None of the officers and members of DEF Inc., is related to the Head of the
    Procuring Entity, members of the Bids and Awards Committee (BAC), the
    Technical Working Group, and the BAC Secretariat, the head of the Project
    Management Office or the end-user unit, and the project consultants by
    consanguinity or affinity up to the third civil degree;

    7. DEF Inc., complies with existing labor laws and standards;

    8. DEF Inc., is aware of and has undertaken the following responsibilities as


    a Bidder:

    a) Carefully examine all of the Bidding Documents;


    b) Acknowledge all conditions, local or otherwise, affecting the
    implementation of the contract;
    c) Made an estimate of the facilities available and needed for the
    contract to be bid, if any; and
    d) Inquire or secure Supplemental/Bid Bulletin(s) issued for the
    TLJ project;

    9. DEF Inc., did not give or pay directly or indirectly, any commission,
    amount fee, or any form of consideration, pecuniary or otherwise, to any
    person or official, personnel or representative of the government in relation
    to any procurement project or activity.

    IN WITNESS WHEREOF, I have hereunto set my hand this ___________ day of


    __________________, 2019 in the City of ______________________,
    Philippines.

    ABC
    General Manager
    DEF Inc.,

    SUBSCRIBED AND SWORN to before me, this _____day of ____________________


    at ______________________, Philippines. Affiant is personal known to me and was
    identified by me through competent evidence of identity as defined in the 2004 Rules on
    Notarial Practice (A.M> No. 02-8-13-SC). Affiant exhibited to me his ___________________,
    with his photograph and signature appearing thereon, with no. _______________.
    Witness my hand and seal this ______day of __________.

    Notary Public
    Doc. No. :____
    Page No. :____
    Book No. :____
    Series of 2019

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