DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
Contract ID : 17-GOODS-011
Contract Name : Supply & Delivery of Const. Materials for use in the Construction of two (2) Storey DOLE
Building
Contract Location: Cabid-an Sorsogon City
________________________________________________________________________________________________
Republic of the Philippines )
City of _______________ ) S.S.
x-----------------------------------x
BID SECURING DECLARATION
Invitation to Bid :
Contract ID : 17-GOODS-011
Contract Name : Supply & Delivery of Const. Materials for use in the Construction of two (2) Storey DOLE
Building
To: MERLA A. REVECHE
DPWH Sorsogon 1st DEO
Guinlajon, Sorsogon City
I/We, the undersigned, declare that:
1. I/We understand that, according to your conditions, bids must be supported by a Bid Security, which may be in
the form of a Bid-Securing Declaration.
2. I/We accept that: (a) I/we will be automatically disqualified from bidding for any contract with any procuring
entity for a period of two (2) years upon receipt of your Blacklisting Order; and, (b) I/we will pay the
applicable fine provided under Section 6 of the Guidelines on the Use of Bid Securing Declaration, within
fifteen (15) days from receipt of the written demand by the Procuring Entity for the commission of acts
resulting to the enforcement of the bid securing declaration under Sections 23.1 (n), 34.2, 40.1 and 69.1 (f), of
the IRR of RA 9184; without prejudice to other legal action the government may undertake.
3. I/We understand that his Bid-Securing Declaration shall cease to be valid on the following circumstances:
(a) Upon expiration of the bid validity period, or any extension thereof pursuant to your request;
(b) I am/we are declared ineligible or post-disqualified upon receipt of your notice to such effect, and (i) I/we
failed to timely file a request for reconsideration or (ii) I/we filed a waiver to avail of said right;.
(c) I am/we are declared as the bidder with the Lowest Calculated and Responsive Bid, and I/we have
furnished the performance security and signed the Contract
IN WITNESS WHEREOF, I/We have hereunto set my/our hand/s this ___ day of
_______________________, 2017 at _______________________
________________________________
NAME OF BIDDER
________________________________
AUTHORIZED REPRESENTATIVE
SUBSCRIBED AND SWORN to before me this ___ day of _____________, 2017 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 on Notarial Practice. 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 _________________, 2017
________________________________
NAME OF NOTARY PUBLIC
Serial No. of Commission ________________
Notary Public for ________ until __________
Roll of Attorneys No. ___________________
PTR No. _____________________________
IBP No. ______________________________
Doc. No. _________________
Page No. _________________
Book No. ________________
Series of _________________
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