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Name of Projea | Reference ABC Bidder “Markings & Schedule Adherence: a) Number of copies required met (1 Original, 4 photocopies)? Q)YES_()NO b) Time & Date of Bid Submission, met? (YES ()NO Markings, labels and groupings of copies properly followed? | ()YES_()NO- Technical and Financial documents properly paginated, bounded, tab-marked & SEALED \1. ° 2 PHILGEPS CERTIFICATE OF REGISTRATION (PLATINUM MEMBERSHIP) iness Registration i, For Sole Proprietorship, Department of Trade and Industry (DTI) Business ‘Name Rexistration | ii, For Corporation/Partnership, Securities and Exchange Commission (SEC) Registration Certificate or latest Articles of Incorporation/Partnership or By- | _Lavs, or amendments thereto, duly approved by the SEC | Valid and Current Mayor's Permit Tax Clearance (for bidding purposes) | 4. Audited Financial Statement stamped “RECEIVED” by the BIR accompanied by | the most recent eFPS filed Annual Income Tax Retum 2 Duly signed statement ofall Ongoing iment & Private Contracts, within the last five (5) years, including Contracts awarded but not yet started 3,__ Duly signed statement ofall Completed Government & Private Contracts, five (5) years which is similar in nature to the contract to be bid, 4__Valid Joint Venture Agreement, if applicable 5___ Omnibus Sworn Statements thin the last (C) Eligible (-) Tneligible Any missing document in the above-mentioned checklist Is a ground for outright rejection of the bid. Certified True & Correct: JANEL B, BORJA FRAMILA IVY BOALOY EDEN BORILLA-LANUZO. Head, BAC Secretariat Head, BAC TWG BAC Chaitperson ‘Name of Project ‘Statement of the prospective bidder of al its ongoing government and private contracts, including contracts awarded but not yet started, if any, whether similar or not similar in nature and complenity to the contract to be bid I Statement of the bidder's Single Largest Completed Contract (SLCC) similar to the ‘contract to be bid, except under conditions provided for in Sections 23.4.1.3 and | 23.4 2.4 of the 2016 revised IRR of RA No. 9184, within the relevant period as provided in the Bidding Documents ‘Original copy of Bid Security. IFin the form of Surety Bond, submit also certification issued by the Insurance Commission or Original copy of Notarized Bid Securing Declaration ‘Conformity withthe Technical Specifications, which includes (© production/delivery schedule, | (© manpower requirements, © and/or after-sales/parts if applicable ] 5. Original duly signed Omnibus Swom Statement (OSS), and if applicable, Original. Notarized Secretary’s Certificate in case of a corporation, partnership, or cooperative; or Original Special Power of Attomey of all members of the joint venture | | ‘giving full power and authority to its officer to sign the OSS and do acts to represent | the Bidder. [6 The Supplier's audited financial statements, showing, among others, the Supplier's total and current assets and liabilities, stamped “received” by the BIR or its duly accredited and authorized institutions, for the preceding calendar year which should not be earlier than two (2) years from the date of bid submission | 7. Other Documents/materials to comply with other non-diseretionary criteria of requirements a. LATEST INCOME AND BUSINESS TAX RETURNS b._ (1701, 1701Q, 2551M) in accordance with EO 398 Series of 2005 (The Supplier’ audited financial statements, showing, among others, the Supplier's | total and current assets and liabilities, stamped “received” by the BIR or its duly | accredited and authorized institutions, for the preceding calendar year which should not | be earlier than two (2) years from the date of bid submission; | | 9, The prospective bidder's computation of Net Financial Contracting Capacity | | | FCC); or | | Acommitted Line of Credit from a Universal or Commercial Bank in lieu ofits NFCC computation Pg 10. If applicable, a duly signed joint venture agreement ( venture is already in existence; or duly notarized statements from all the potential joint venture partners stating, | that they will enter into and abide by the provisions of the JVA in the instance that the bid is successful. .) in case the joint | 11, Other documentary requirements under RA No. 9184 (as applicable) | | 12, [For foreign bidders claiming by reason of their country’s extension of | reciprocal rights to Filipinos] Certification from the relevant government office of their country stating that Filipinos are allowed to participate in government procurement activities for the same item or product. | 1B. Certification from the DTT if the Bidder claims preference as @ Domestic Bidder | or Domestic Entity. C) Complying (© Non-Complying

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