ࡱ> NQMc bjbj ;:؎U\؎U\L bbbbbvvv8L4v[8..>>>7777777$ :<8b8bb>>8Fb>b>77>.^0>|_ /7+80[8$/:_=@_=4^0_=b^0h88![8_= > (:  OMNIBUS SWORN STATEMENT 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, hereby depose and say: (If a sole proprietorship): That I am the _______________ of the ____________________________ (Designation) (Name of applicant firm/contractor) with office address at (Address of Bidder); (If a partnership, corporation, cooperative or joint venture): I am the duly authorized and designated representative of (Name of Bidder) with office address at (Address of Bidder) (If a sole proprietorship): As the owner and sole proprietor of (Name of Bidder), I have full power and authority to do, execute and perform any and all acts necessary to represent in the bidding for (Name of the Project) of the (Name of the Procuring Entity); (If a partnership, corporation, cooperative or joint venture): I am granted full power and authority to do, execute and perform any and all acts necessary and/or to represent the (Name of the Bidder) in the bidding as shown in the attached (State title of attached documents showing proof of authorization (e.g., duly authorized Secretarys Certificate issued by the corporation or by the members of the joint venture); (Name of the Bidder) is not Blacklisted or barred from bidding by the Government of the Philippines or any of its agencies, offices, corporations or Local Government Units, foreign government/foreign or international financing institution whose blacklisting rules have been recognized by the Government Procurement Policy Board; Each of the documents submitted in satisfaction of the bidding requirements is an authentic copy of the original, complete, and all statements and information provided therein are true and correct; (Name of Bidder) is authorizing the Head of the Procuring Entity or its duly authorized representative(s) to verify all the documents submitted; (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 (TWG) and the BAC Secretariat, or the end-user unit, and the project consultants, by consanguinity or affinity up to the third civil degree; (If a partnership, corporation, cooperative or joint venture): 6. None of the Officers and members of (Name of Bidder) is related to the Head of the Procuring Entity, members of the Bids and Awards Committee (BAC), the BAC Secretariat, the Technical Working Group (TWG) or the end-user and the project consultants by consanguinity or affinity up to the third civil degree; (If a corporation or joint venture); 6. None of the Officers, directors, and controlling stockholders of (Name of Bidder) is related to the Head of the Procuring Entity, members of the Bids and Awards Committee (BAC), the BAC Secretariat, the Technical Working Group (TWG) or the end-user and the project consultants by consanguinity or affinity up to the third civil degree; (Name of the Bidder) complies with existing labor laws and standards; and (Name of the Bidder) is aware of and has undertaken the following responsibilities as a Bidder: Carefully examine all the Bidding Documents; Acknowledge all conditions, local or otherwise, affecting the implementation of the Contract; Made an estimate of the facilities available and needed for the contract to be bid, if any; and Inquire or secure Supplemental/Bid Bulletin(s) issued for the (Name of the Project). IN WITNESS WHEREOF, I have hereunto set my hand this ______day of ___________,20_______at ______________, Philippines. _____________________________________________ (Affiant/Bidders Representative/Authorized Signatory) SUBSCRIBED AND SWORN to before me this ______ day of__________20_______, affiant exhibiting to me his/her Community Tax Certificate No. __________________ issued on _______________ at ____________________________ . Doc. No. __________ NOTARY PUBLIC Page No. __________ Until ________________ Book No.__________ Series of __________     PAGE    #$48:FHIʶ}l_Q=Q_l_, hhvCJOJQJ^JaJ&hhv6>*CJOJQJ^JaJhhv>*OJQJ^Jhh={OJQJ^J hh={CJOJQJ^JaJ&hrhr5CJOJQJ\^JaJ h={5CJOJQJ\^JaJ&hrh={5CJOJQJ\^JaJ&hrhv5CJOJQJ\^JaJ&hh5CJOJQJ\^JaJ h5CJOJQJ\^JaJ hea5CJOJQJ\^JaJ   $d^a$gdr$ & F da$gdr $da$gdr$7d^7a$gdr$ 77d`7a$gdr $ 7a$gd*$a$gdrgdq gd$a$Iklm{|}   5 S T g νzzhVhIhhDOJQJ^J#hh={6CJOJQJ^JaJ#hh*6CJOJQJ^JaJ hh*CJOJQJ^JaJ&hh*6>*CJOJQJ^JaJ hhvCJOJQJ^JaJhhvOJQJ^J hhvCJOJQJ^JaJ hh={CJOJQJ^JaJhh={OJQJ^J&hhv6>*CJOJQJ^JaJg    ' 7 W ƶ{g{UD3D hh={CJOJQJ^JaJ hh*CJOJQJ^JaJ"hh*6OJQJ]^JaJ&hh*6CJOJQJ]^JaJ&hh*6CJOJQJ]^JaJ)hh*6>*CJOJQJ]^JaJ#hh*CJOJQJ]^JaJhh*OJQJ]^JaJ#hh*CJOJQJ]^JaJ&hh*6CJOJQJ]^JaJ&hh={6CJOJQJ]^JaJ   G H Z[dgdr$ & Fda$gdr$d^a$gdr$d^a$gdr$d`a$gdr$ & Fda$gdr $da$gdrW Y k C Q ` a u y  ) 3 T V ο߿߈οο߈οtdRdRd#hf\hQCJOJQJ]^JaJhhQOJQJ]^JaJ&hf\hQ6CJOJQJ]^JaJ&hh*6>*CJOJQJ^JaJ#hh*6CJOJQJ^JaJ hh={CJOJQJ^JaJhh*OJQJ^JaJ hh*CJOJQJ^JaJ&hh*6>*CJOJQJ^JaJhh*OJQJ^JV k F G H ] YZ[lȸjVD"hh36OJQJ]^JaJ&hf\h36CJOJQJ]^JaJ)hh36>*CJOJQJ]^JaJ#hf\h3CJOJQJ]^JaJ#hf\h/CJOJQJ]^JaJ)hh/6>*CJOJQJ]^JaJhh/OJQJ]^JaJhhQOJQJ]^JaJ#hf\hQCJOJQJ]^JaJ)hhQ6>*CJOJQJ]^JaJ   !"#$cd$pd^pa$gdr$d^`a$gdr$ & Fda$gdr $da$gdr$d`a$gdrdgdr $cdgCʹo_J88o#hf\hYCJOJQJ]^JaJ)hhb46>*CJOJQJ]^JaJhhb4OJQJ]^JaJ#hf\hb4CJOJQJ]^JaJ#hf\hb3CJOJQJ]^JaJ"hhb46OJQJ]^JaJ&hf\h36CJOJQJ]^JaJ hr6CJOJQJ]^JaJ hq 6CJOJQJ]^JaJ#hf\h3CJOJQJ]^JaJ#hf\h36CJOJQJ^JaJ ,-bcwy̸lllZJhhoOJQJ]^JaJ#hf\hoCJOJQJ]^JaJ)hf\hb36>*CJOJQJ]^JaJ)hhb36>*CJOJQJ]^JaJhhb3OJQJ]^JaJ#hf\hb3CJOJQJ]^JaJ&hf\hb36CJOJQJ]^JaJ#hrh>CJOJQJ]^JaJhrCJOJQJ]^JaJ#hf\h=CJOJQJ]^JaJcdQ   $a$gdQ$a$gdo $da$gdr$ & Fda$gdrdgdr$Id^Ia$gdr$ & Fda$gdr$p0d^p`0a$gdr  yhWhWhWE3W#hf\h={5CJOJQJ^JaJ#hf\ho5CJOJQJ^JaJ hf\h={CJOJQJ^JaJ hf\hoCJOJQJ^JaJ hf\h*CJOJQJ^JaJ#hf\hQCJOJQJ]^JaJ#hf\hb4CJOJQJ]^JaJ#hf\hoCJOJQJ]^JaJ)hf\hb36>*CJOJQJ]^JaJ)hhb36>*CJOJQJ]^JaJ)hho6>*CJOJQJ]^JaJ$7LNOQRTUWXgdOUt $7`7a$gd*$a$gd* $^a$gdo $^a$gd* >BKLMOPRSUVXY_`acdǵǤǕyyuyuyuyuhrD hrD0JjhrD0JUhjhUh?Wh\fCJOJQJ^J hf\huCJOJQJ^JaJ#hf\h={5CJOJQJ^JaJ hf\h={CJOJQJ^JaJ hf\hDCJOJQJ^JaJhhf\OJQJ^Jhf\OJQJ^J XabcdgdOUt$h]ha$h]h&`#$ 9 0&P1F:pr/ N!"U#$@% s2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH <`< EBNormalCJ_HmH sH tH 44  Heading 1$@&BB  Heading 2$$@&a$5CJBB  Heading 3$$@&a$OJQJZZ   Heading 4$<@&5CJOJPJQJ\^JaJDA`D Default Paragraph FontViV  Table Normal :V 44 la (k (No List DCD Body Text Indent ^8 @8 Footer  !CJ.)@. Page Number4"4 Header  !H2H 5 Balloon TextCJOJQJ^JaJjCj  Table Grid7:V0@@R@ [S List Paragraph ^^/a^  Heading 4 Char*5CJOJPJQJ\^JaJmH sH tH T rT \f No Spacing$CJOJPJQJ_HaJmH sH tH && cyTOC 1PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. J;̊iN $AI)t2 Lmx:(}\-i*xQCJuWl'QyI@ھ m2DBAR4 w¢naQ`ԲɁ W=0#xBdT/.3-F>bYL%׭˓KK 6HhfPQ=h)GBms]_Ԡ'CZѨys v@c])h7Jهic?FS.NP$ e&\Ӏ+I "'%QÕ@c![paAV.9Hd<ӮHVX*%A{Yr Aբ pxSL9":3U5U NC(p%u@;[d`4)]t#9M4W=P5*f̰lk<_X-C wT%Ժ}B% Y,] A̠&oʰŨ; \lc`|,bUvPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!R%theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] : Ig W V  X !8@0(  B S  ?LNOQRTUWX[]X[ LNOQRTUWX33333 #  # KLLNOOQRTUWX MG rAdB|UB5֎Zm8袔:lD|i*iwi=N'-M+6>La F//dw~{FEB%Yq]cl'}CQ7$.>q(IO +^Z \r`*Et  !8M;qoUr+bj|DxjyL~bUk"-6t0H;fQR[]gk-v}WU{(a @3A2}Yw71 &>NXoRDoc49Gt,tja hA>QWU+>LWQ)I0v6\h>q]f/J`elpr}M6MEra76Frew7Z&mr7={BpCIeu}y /.L} o-{;sA_a!Zh|9Ec7P FINsz;>U R X_~zUl/-@P^*Z^im5{LN@  @UnknownG*Ax Times New Roman5Symbol3. *Cx ArialK,Bookman Old Style7.@Calibri5. .[`)TahomaA$BCambria Math"hܫLgTgTgn n !Z24DD 3qHP?2 !xx Page 1 of 2!A satisfied Microsoft Office User ESD OFFICE4         Oh+'0 ( H T ` lxPage 1 of 2$A satisfied Microsoft Office User Normal.dotm ESD OFFICE3Microsoft Office Word@@g@[[@gn ՜.+,0  hp  Padre Pio ConsultancyD Page 1 of 2 Title  !"#$%&'()*+,-./0123456789:;<>?@ABCDFGHIJKLOPSRoot Entry FR1Table=WordDocument ;:SummaryInformation(=DocumentSummaryInformation8EMsoDataStorePKC|OUZUEXNICT3K==2P-H|Item PropertiesUCompObj r   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q