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    G-Omnibus Sworn Statement Dpwh.

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    1. Rosalinda N. Gamba is the sole proprietor of JANSHA CONSTRUCTION & SUPPLY, which is bidding to construct a multi-purpose building in Barangay Canlong, Garchitorena, Camarines Sur. 2. JANSHA CONSTRUCTION & SUPPLY is not blacklisted by the Philippine government or any of its agencies. 3. Rosalinda affirms that all documents submitted are authentic and information provided is true, and authorizes verification of submitted documents.

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    G-Omnibus Sworn Statement Dpwh.

    Uploaded by

    jj
    408 views2 pages
    1. Rosalinda N. Gamba is the sole proprietor of JANSHA CONSTRUCTION & SUPPLY, which is bidding to construct a multi-purpose building in Barangay Canlong, Garchitorena, Camarines Sur. 2. JANSHA CONSTRUCTION & SUPPLY is not blacklisted by the Philippine government or any of its agencies. 3. Rosalinda affirms that all documents submitted are authentic and information provided is true, and authorizes verification of submitted documents.

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    G-omnibus Sworn Statement Dpwh.

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    1. Rosalinda N. Gamba is the sole proprietor of JANSHA CONSTRUCTION & SUPPLY, which is bidding to construct a multi-purpose building in Barangay Canlong, Garchitorena, Camarines Sur. 2. JANSHA CONSTRUCTION & SUPPLY is not blacklisted by the Philippine government or any of its agencies. 3. Rosalinda affirms that all documents submitted are authentic and information provided is true, and authorizes verification of submitted documents.

    Copyright:

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

    G-Omnibus Sworn Statement Dpwh.

    Uploaded by

    jj
    1. Rosalinda N. Gamba is the sole proprietor of JANSHA CONSTRUCTION & SUPPLY, which is bidding to construct a multi-purpose building in Barangay Canlong, Garchitorena, Camarines Sur. 2. JANSHA CONSTRUCTION & SUPPLY is not blacklisted by the Philippine government or any of its agencies. 3. Rosalinda affirms that all documents submitted are authentic and information provided is true, and authorizes verification of submitted documents.

    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 )


    CITY OF NAGA)S.S

    AFFIDAVIT
    I, Rosalinda N. Gamba, of legal age, Married, Filipino and residing at Conception Grande,
    Naga City after having duly sworn in accordance with law, do hereby depose and state that:
    1. I am the sole proprietor of JANSHA CONSTRUCTION & SUPPLY, with office address at Phase 2,
    VGH, Conception Grande, Naga City
    2.

    As the owner of JANSHA CONSTRUCTION & SUPPLY, I have full power and authority to do,
    execute and perform any and, all acts necessary to represent it in the bidding for Contact
    CONSTRUCTION OF MULTI-PURPOSE BUILDING, BARANGAY CANLONG, Garchitorena, Cam.

    Sur
    3. JANSHA CONSTRUCTION & SUPPLY is not Blacklisted or barred from bidding by the
    Government of the Philippines or any of its agencies, offices, corporations, Local Government
    Units, foreign or international financing institution whose blacklisting rules have been
    recognized by the Government Procurement Policy Board;
    4.

    Each of the documents submitted in satisfactions of the bidding requirements is an


    authentic copy of the original, complete and all statements and information provided therein
    are true and correct;

    5.

    JANSHA CONSTRUCTION & SUPPLY is authorizing the head of Procuring Entity or his duly
    authorized representative/s to verify all the documents submitted;

    6. I am not related to the Head of procuring Entity, members of the Bids & Awards Committee
    (BAC), the Technical Working Group, and the BAC Secretariat, the head of the Project
    Management Office , and the project consultants by consanguinity or affinity up to the third
    civil degree;
    7. JANSHA CONSTRUCTION & SUPPLY complies with the existing labor laws and standards; and
    8. JANSHA CONSTRUCTION & SUPPLY is aware of and has undertaken the following
    responsibilities as a Bidder:
    a. Carefully examine all 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
    IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of ___________,
    2015 at Naga City, Philippines.

    Rosalinda N. Gamba
    Bidders Representative/Authorized Signatory

    REPUBLIC OF THE PHILIPPINES


    City of Naga
    SUBSCRIBED AND SWORN TO before me this ______day of _________, 2016 affiant exhibiting to me
    her Community Tax Certificate No. __________________ issued on January ______, 2016 at Naga City,
    Philippines.

    Doc. No. __________


    Page No. __________
    Book No. _________
    Series of _________

    _________________________
    Notary Public

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