PhilGEPS Sworn Statement

REPUBLIC OF THE ____________ )

MUNICIPALITY OF__________) S.S.

AFFIDAVIT
I, name , of legal age, single, citizenship, and residing at address , after having been duly
sworn in accordance with law, do hereby depose and state that:
1. I am the duly authorized and designated representative of name and place
2. As the authorized representative of name, as shown in the attached authority, I have
full power and authority to upload and maintain in the Philippine Government Electronic
Procurement System (PhilGEPS) a current and updated file of the following Class “A” eligibility
documents under Sections 23.1(a) and 24.1(a):
a) Registration Certificate;
b)Mayor’s/Business Permit or its Equivalent Document;
c) Tax Clearance;
d) Philippine Contractors Accreditation Board (PCAB) license and registration (if
applicable); and
e) Audited Financial Statements;
3. Each of the documents submitted is in satisfaction and compliance with the
requirements for PhilGEPS Platinum Membership and for participation in any Philippine
government bidding;
4. Each document is an authentic copy of the original, complete, and all statements and
information provided therein are true and correct;
5. I assume responsibility and full accountability on the validity and authenticity of the
documents submitted;
6. I am authorizing the PS-PhilGEPS and the authorized representative(s) of the
Procuring Entities to verify all the documents submitted, if necessary; and
7. I am aware of and understood the following guidelines for the use of the Government
of the Phillipines-Official Merchants Registry (GoP-OMR):
a. The PhilGEPS office shall not determine the eligibility of merchants. The PhilGEPS
office’s evaluation of the eligibility requirements shall be for the sole purpose of
determining the approval or disapproval of merchant’s application for registration.
b. A merchant’s registration and membership in the GOP-OMR is neither contract-
specific nor understood to be tantamount to a finding of eligibility. Neither shall the
merchant’s successful registration in the GOP-OMR be relied upon to claim eligibility for
the purpose of participation in any public bidding.
c. The determination of eligibility of merchants, whether registered with the GOP-OMR
or not, shall remain with the Bids and Award Committee (BAC). The BAC’s
determination of validity of the eligibility requirements shall be conclusive to enable the
merchants to participate in the public bidding process.
IN WITNESS WHEREOF, I have hereunto set my hand this date and place

Bidder’s Representative/Authorized Signatory