Sample Forms - Philippines Bases Conversion and Development ...

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6. Select one, delete the rest:If a sole proprietorship: I am not 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-userunit, and the project consultants by consanguinity or affinity up to the third civildegree;If a partnership or cooperative: None of the officers and members of [Name ofBidder] is related to the Head of the Procuring Entity, members of the Bids andAwards Committee (BAC), the Technical Working Group, and the BAC Secretariat,the head of the Project Management Office or the end-user unit, and the projectconsultants by consanguinity or affinity up to the third civil degree;If a corporation or joint venture: None of the officers, directors, and controllingstockholders of [Name of Bidder] 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-userunit, and the project consultants by consanguinity or affinity up to the third civildegree;7. [Name of Bidder] complies with existing labor laws and standards; and8. [Name of Bidder] is aware of and has undertaken the following responsibilities as aBidder:a) Carefully examine all of the Bidding Documents;b) Acknowledge all conditions, local or otherwise, affecting the implementation ofthe Contract;c) Made an estimate of the facilities available and needed for the contract to be bid,if any; andd) Inquire or secure Supplemental/Bid Bulletin(s) issued for the [Name of theProject].IN WITNESS WHEREOF, I have hereunto set my hand this __ day of ___, 20__ at____________, Philippines._____________________________________Bidder’s Representative/Authorized SignatoryPage 2 of 2
Name of the Procuring Entity Project Reference NumberName of the ProjectLocation of the ProjectStandard Form Number: SF-GOOD-13bRevised on: July 28, 2004Statement / List of all Government & Private Contracts completed which are similar in natureBusiness NameBusiness Address: ___________________________________________________: ___________________________________________________Name of Contract a. Owner’s Nameb. Addressc. Telephone Nos.Nature of WorkBidder’s RoleDescription%a. Amount at Awardb. Amount at Completionc. Durationa. Date Awardedb. Contract Effectivityc. Date CompletedGovernmentPrivateNote: This statement shall be supported with:1 Contract or Purchase Order2 Certificate of Completion3 Certificate of Acceptance4 Others as specified in the BDSSubmitted byDesignationDate: ___________________________________________________(Printed Name & Signature): ___________________________________________________: ___________________________________________________4One of the technical documents required to be in the Eligibility Envelope of a prospective bidder is a list of all contracts which are similar in nature and complexity to thecontract to be bid. This statement will show that the value of the prospective bidder’s largest single completed contract, adjusted to current prices using the NationalStatistics Office (NSO) consumer price indices available at the G-EPS website, and similar to the contract to be bid, must be at least fifty percent (50%) of the approvedbudget for the contract to be bid.
Page 1 and 2: Name of the Procuring EntityStandar
Page 3: 2Omnibus Sworn StatementREPUBLIC OF
Page 7 and 8: Standard Form Number: SF-GOOD-15Rev
Page 9 and 10: Sample BID FORM 8Date:To: BASES CON

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