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    Omnibus Sworn Statement

    Uploaded by

    Politio Monsalud
    1. Politio F. Monsalud is the sole proprietor of PFM Construction Services and is authorized to represent the company in bidding for a road construction project by the local government of Lugait, Misamis Oriental. 2. PFM Construction Services is not blacklisted by the Philippine government or any of its agencies. 3. Monsalud affirms that all documents submitted for the bidding process are authentic and all statements are true.

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    © All Rights Reserved
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    Omnibus Sworn Statement

    Uploaded by

    Politio Monsalud
    58 views2 pages
    1. Politio F. Monsalud is the sole proprietor of PFM Construction Services and is authorized to represent the company in bidding for a road construction project by the local government of Lugait, Misamis Oriental. 2. PFM Construction Services is not blacklisted by the Philippine government or any of its agencies. 3. Monsalud affirms that all documents submitted for the bidding process are authentic and all statements are true.

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    OMNIBUS SWORN STATEMENT

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    © © All Rights Reserved

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    1. Politio F. Monsalud is the sole proprietor of PFM Construction Services and is authorized to represent the company in bidding for a road construction project by the local government of Lugait, Misamis Oriental. 2. PFM Construction Services is not blacklisted by the Philippine government or any of its agencies. 3. Monsalud affirms that all documents submitted for the bidding process are authentic and all statements are true.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    58 views2 pages

    Omnibus Sworn Statement

    Uploaded by

    Politio Monsalud
    1. Politio F. Monsalud is the sole proprietor of PFM Construction Services and is authorized to represent the company in bidding for a road construction project by the local government of Lugait, Misamis Oriental. 2. PFM Construction Services is not blacklisted by the Philippine government or any of its agencies. 3. Monsalud affirms that all documents submitted for the bidding process are authentic and all statements are true.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    OMNIBUS SWORN STATEMENT

    (REPUBLIC OF THE PHILIPPINES)


    (MUNICIPALITY OF LUGA-IT) S.S
    AFFIDAVIT

    I, POLITIO F. MONSALUD, of legal age, married, Filipino and residing at Barina-ut High-way, San Roque,
    Iligan City after having been sworn in accordance with law, do hereby depose and state that:

    1. I am the sole proprietor of PFM CONSTRUCTION SERVICES with office address at Barina-ut High-
    way, San Roque, Iligan City;

    2. As the owner and sole proprietor of PFM CONSTRUCTION SERVICES, I have full power and authority
    to do, execute and perform any and all acts necessary to represent it in the bidding for CONCRETING
    OF 80.30 L.M. FARM TO MARKET ROAD AT BLIS (ARCEMIN-LOYOLA), BARANGAY BIGA, LUGAIT,
    MISAMIS ORIENTAL of the LOCAL GOVERNMENT UNIT- MUNICIPALITY OF LUGA-IT;

    3. PFM CONSTRUCTION SERVICES is not “blacklisted” or barred from bidding by the Government of the
    Philippines or any of its agencies, offices, corporations of Local Government Units, foreign
    government/ foreign or international financing institutions whose blacklisting rules have been
    recognized by the Government Procurement Policy Board;

    4. Each of the documents submitted in satisfaction of the bidding requirements is in an authentic copy
    of the original, complete, and all statements and information provided therein are true and correct;

    5. PFM CONSTRUCTION SERVICES is authorizing the Head of the Procuring entity or its duly authorized
    representative(s) to verify all the documents submitted;

    6. 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, the head of the Project
    Management Office or the end-user unit, and the project consultants by consanguinity or affinity up
    to the third civil degree;

    7. PFM CONSTRUCTION SERVICES complies with existing labor laws and standards; and

    8. PFM CONSTRUCTION SERVICES is aware of and has undertaken the following responsibilities as a
    Bidder:

    a) Carefully examine all of the Bidding Documents;


    b) Acknowledge all conditions, local or otherwise, affecting the implementation of the Contract;
    c) Made an estimate of the facilities available and needed for the contract to be bid, if any; and
    d) Inquire or secure Supplemental/Bid Bulletin(s) issued for the CONCRETING OF 80.30 L.M. FARM
    TO MARKET ROAD AT BLIS (ARCEMIN-LOYOLA), BARANGAY BIGA, LUGAIT, MISAMIS ORIENTAL.
    9. PFM CONSTRUCTION SERVICES did not give or pay directly or indirectly, any commission, amount,
    fee, or any form of consideration, pecuniary or otherwise, to any person or official, personnel or
    representative of the government in relation to any project or activity

    IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of _______, 20__ at __________________,
    Philippines.

    ____________________________________

    Bidder’s Representative/ Authorized Signatory

    SUBSCRIBED AND SWORN to before me this ____ day of _______, ___________ at ________________, Philippines.
    Affiant/s is/are personally known to me and was/were/ identified by me through competent evidence of
    identity as defined in the 2004 Rules in Notarial Practice (A.M. No. 02-8-13SC). Affiant/s exhibited to me
    his/her ________________________, with his/her photograph and signature appearing thereon, with no
    __________ and his/her Community Tax Certificate No. ___________ issued on __________ at __________________/

    Witness my hand and seal this _____ day of ___________,

    __________________________________

    NAME OF NOTARY PUBLIC

    Serial No. of Commission ____________

    Until ____________ Notary Public for _______

    Roll of Attorneys No. ______

    PTR No._____________________________
    IBP No.______________________________
    Doc. No. _________
    Page No._________
    Book No.__________
    Series No._________

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