Affidavit of No Pending Case

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

[149]

PROPOSED DEMOLITION OF EXISTING SIX (6) STOREY OFFICE AND DESIGN & BUILD OF THIRTEEN
(13) STOREY OFFICE BUILDING WITH ROOF DECK LOCATED AT ROXAS BOULEVARD CORNER SAN LUIS STREET, PASAY CITY (LLFC-GAP-21-003)

ANNEX 10. Affidavit of No Pending Case

REPUBLICOFTHEPHILIPPINES)

C I T Y O F_______________________________) S . S .

x----------------------------------------------------------------------x

AFFIDAVIT OF NO PEND ING CASE

I, [Name of Affiant], of legal age, [Civil Status], [Nationality], and residing at [Address of
Affiant], after having been duly sworn in accordance with law, do hereby depose and state:

1. That I am the [State position in the company] of [Name of Company orBidder’s Name] with office
address at [State office address];

2. That no pending civil, criminal and/or administrative case/s has been filed by the Government of the
Republic of the Philippines against [Name of Company or Bidder]in any forum;

3. That I am executing this statement as part of the eligibility requirement for the project [State project
title]; and

4. That in the event of finding against the veracity hereof shall constitute a ground for the automatic
disqualification of [Name of Company or Bidder] for the project [State project title].

IN WITNESS WHEREOF, I have hereunto set my hand this day of , Philippines. _, 20__ at

Bidder’s Representative/Authorized Signatory

(Affiant’s name and signature)

SUBSCRIBED AND SWORN to before me this day of [month] [year] at [place of execution],
Philippines. Affiant/s is/are personally known to me and was/were 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/s
exhibited to me his/her [insert type of government identification card used], with his/her photograph and
signature appearing thereon, with no.
[150]
PROPOSED DEMOLITION OF EXISTING SIX (6) STOREY OFFICE AND DESIGN & BUILD OF THIRTEEN
(13) STOREY OFFICE BUILDING WITH ROOF DECK LOCATED AT ROXAS BOULEVARD CORNER SAN LUIS STREET, PASAY CITY (LLFC-GAP-21-003)

Witness my hand and seal this day of [month] [year].

NAME OF NOTARY PUBLIC

Serial No. of Commission__________________________


Notary Public for ______until_________ Roll of Attorneys No.
PTR No._______________ [date issued], [place issued]
IBP No. _______________ [date issued], [place issued]

Doc. No._______________
Page No. _________
Book No________________
Series of ________________

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy