Sample Forms - Philippines Bases Conversion and Development ...
Sample Forms - Philippines Bases Conversion and Development ... Sample Forms - Philippines Bases Conversion and Development ...
Name of the Procuring EntityStandard Form Number: SF-GOOD-14Revised on: May 24, 2004Project Reference NumberName of the ProjectLocation of the Project5FINANCIAL DOCUMENTS FOR ELIGIBILITY CHECKA. Summary of the Applicant Supplier’s/Distributor’s/Manufacturer’s assets and liabilities onthe basis of the attached income tax return and audited financial statement, stamped“RECEIVED” by the Bureau of Internal Revenue or BIR authorized collecting agent, for theimmediately preceding year and a certified copy of Schedule of Fixed Assets particularlythe list of construction equipment.1. Total Assets2. Current Assets3. Total Liabilities4. Current Liabilities5. Net Worth (1-3)6. Net Working Capital (2-4)Year 20__B. The Net Financial Contracting Capacity (NFCC) based on the above data is computed asfollows:NFCC = K (current asset – current liabilities) minus value of all outstanding works underongoing contracts including awarded contracts yet to be startedNFCC = P _______________________________________K = 10 (for a contract duration required is of 1-year or less )K = 15 (for a contract duration required is of MORE than 1-year up to 2 years)K = 20 ( for a contract duration required is of two (2) year or more)orCommitment from a licensed bank to extend to it a credit line if awarded the contract or acash deposit certificate in the amount of at least 10% of the proposed project to bid.Name of Bank: ________________________________ Amount: ___________________Herewith attached are certified true copies of the income tax return and audited financialstatement: stamped “RECEIVED” by the BIR or BIR authorized collecting agent for theimmediately preceding year and the cash deposit certificate or certificate of commitment froma licensed bank to extend a credit line.Submitted by:________________________________________Name of Supplier / Distributor / Manufacturer_________________________________________Signature of Authorized RepresentativeDate : _____________________________NOTE:1. If Partnership or Joint Venture, each Partner or Member Firm of Joint Venture shall submitthe above requirements.The above information are among the financial documents required for Eligibility Check. Together with thelegal and technical documents required, the financial documents shall be placed inside the EligibilityEnvelope and submitted to the BAC on or before the deadline for the submission and receipt of EligibilityEnvelopes.
Standard Form Number: SF-GOOD-15Revised on: July 28, 20046CREDIT LINE CERTIFICATEName of the Head of the Procuring EntityName of the Procuring EntityAddress of the Procuring EntityCONTRACT/PROJECTCOMPANY/FIRMADDRESSBANK/FINANCING INSTITUTIONADDRESSAMOUNTDate:__________________: ______________________________:_______________________________:_______________________________________________________________:_______________________________:_______________________________________________________________:_______________________________This is to certify that the above Bank/Financing Institution with business addressindicated above, commits to provide the ,if awarded the above-mentioned Contract, a credit line in the amount specified abovewhich shall be exclusively used to finance the performance of the above-mentionedcontract subject to our terms, conditions and requirements.The credit line shall be available within fifteen (15) calendar days after receipt bythe of the Notice of Award and such lineof credit shall be maintained until the project is completed by the Contractor.This Certification is being issued in favor of said in connection with the biddingrequirement of __(Name of the Procuring Entity)__ for the above-mentioned Contract. Weare aware that any false statements issued by us make us liable for perjury.Name and Signature of AuthorizedFinancing Institution OfficerOfficial Designation: _______________________: _______________________Concurred By:Name & Signature of ’sAuthorized Representative: _______________________Official Designation: _______________________Note:The amount committed should be machine validated.ACKNOWLEDGMENTSUBSCRIBED AND SWORN to before me this _____ day of _____________,20___, affiant exhibited to me his/her Community Tax Certificate No. ______________issued on _________________ at _____________________, Philippines.Doc. No. _______Page No. _______Book No. _______Series of _______.Notary PublicThis is only a SAMPLE FORM. A Credit Line Certificate (used only forPerformance & Other Bonds and NOT as Bid Security) in another formatused by the source Bank and/or issuing entity is acceptable, providedsaid format is in accordance to law.
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St<strong>and</strong>ard Form Number: SF-GOOD-15Revised on: July 28, 20046CREDIT LINE CERTIFICATEName of the Head of the Procuring EntityName of the Procuring EntityAddress of the Procuring EntityCONTRACT/PROJECTCOMPANY/FIRMADDRESSBANK/FINANCING INSTITUTIONADDRESSAMOUNTDate:__________________: ______________________________:_______________________________:_______________________________________________________________:_______________________________:_______________________________________________________________:_______________________________This is to certify that the above Bank/Financing Institution with business addressindicated above, commits to provide the ,if awarded the above-mentioned Contract, a credit line in the amount specified abovewhich shall be exclusively used to finance the performance of the above-mentionedcontract subject to our terms, conditions <strong>and</strong> requirements.The credit line shall be available within fifteen (15) calendar days after receipt bythe of the Notice of Award <strong>and</strong> such lineof credit shall be maintained until the project is completed by the Contractor.This Certification is being issued in favor of said in connection with the biddingrequirement of __(Name of the Procuring Entity)__ for the above-mentioned Contract. Weare aware that any false statements issued by us make us liable for perjury.Name <strong>and</strong> Signature of AuthorizedFinancing Institution OfficerOfficial Designation: _______________________: _______________________Concurred By:Name & Signature of ’sAuthorized Representative: _______________________Official Designation: _______________________Note:The amount committed should be machine validated.ACKNOWLEDGMENTSUBSCRIBED AND SWORN to before me this _____ day of _____________,20___, affiant exhibited to me his/her Community Tax Certificate No. ______________issued on _________________ at _____________________, <strong>Philippines</strong>.Doc. No. _______Page No. _______Book No. _______Series of _______.Notary PublicThis is only a SAMPLE FORM. A Credit Line Certificate (used only forPerformance & Other Bonds <strong>and</strong> NOT as Bid Security) in another formatused by the source Bank <strong>and</strong>/or issuing entity is acceptable, providedsaid format is in accordance to law.
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