4-Laning of Dhaka-Chittagong - Roads and Highways Department

2nd Dhaka-Chittagong National Highway (Expressway)
Request for Qualification Document
10.4 FORM IV: AFFIDAVIT 3
The undersigned, [name of the official], of legal age, and residing at [address] after
having been duly sworn deposed states:
(i)
(ii)
(a)
(b)
(c)
(d)
(e)
(f)
that he/she is the [official capacity] of [name of the Investor], duly organized
under the laws of [name of the country].
that personally, and as [official capacity] for and on behalf of the [name of the
Investor], he/she hereby certifies:
that all statements, representations, information and other matters of fact made
in this Qualification Statement including any attachments and enclosures are
true, complete and accurate;
that this statement is made for the express purpose of short-listing [name of the
Investor] as a responsible Investor by the RHD for the “Construction of 2nd
Dhaka-Chittagong National Highway (Expressway) in Bangladesh on
Public- Private Partnership (PPP) Basis”;
that the Investor will make himself/herself available to the RHD and to the
Government of the People’s Republic of Bangladesh or any other of its
authorized agencies any information they may find necessary to verify any item
in this statement or regarding its competence and general reputation;
that the Investor has accepted the Qualification criteria laid out in the
Qualification Document;
that the Investor waives its right to seek and obtain court injunction or
restraining order against the RHD or the Ministry of Communications to prevent
or restrain the shortlisting/qualification process, the holding of a Proposal, the
award of the Contract or any proceedings related thereto;
that the undersigned is duly authorized by the Investor or, if applicable, by all
the members of the joint venture to make these representations and sign the
3 Affidavit to be provided on a non-judicial stamp of Taka 150 / as admissible under the laws of the
respective country.
Roads and Highways Department 33