INFORMATIONSMEMORANDUM INFORMATIONAL MEMORANDUM

FORM F5
Declaration of applicant or applicant community
that there is no impediment to participation
Each applicant must fill out this form. In the case of applicant communities, each member must fill out this form. If an
applicant refers to the capabilities of a third-party company, that company must also fill out this form. Please copy this form
if necessary.
Name of applicant or member of applicant community
I/we declare that:
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A person whose behaviour can be attributed to the company has not been convicted of violating one of the provisions in
§ 8 a No. 1 Par. 1 Clause 1 a) to g) of VOB/A and furthermore that my/our company has not been guilty of serious
misconduct in the sense of § 8 No. 5 Par. 1 c) of VOB/A, which would provide reason to question my/our reliability as an
applicant
Neither insolvency proceedings nor any comparable, legally regulated proceedings have been initiated against me/our
company; that no request has been made to initiate such proceedings and no application has been rejected for lack of
assets; and that the company is not in liquidation
I/we have fulfilled my/our legal obligation to pay taxes and make contributions to my/our country’s social insurance fund
I am/we are a member of a professional organisation
I/we acknowledge, accept and confirm that an applicant can be excluded from the procedure if a check conducted as part of
the applicant selection stage or the bid evaluation stage reveals that information I/we have provided proves to be false.
Location, date Signature and company stamp
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