OMNIBUS

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Contract ID : 19KD0006

Contract Name : Reconstruction to Concrete Pavement along CDO Port Road


(S00606MN) K1439+490 to K1440+175

Contract Location: Misamis Oriental

Omnibus Sworn Statement

REPUBLIC OF THE PHILIPPINES )


CITY OF CAGAYAN DE ORO ) S.S.

AFFIDAVIT

I, Sergio C. Pascual, of legal age, married, Filipino, and residing at Km.2 Doongan
Road, Butuan City after having been duly sworn in accordance with law, do hereby depose
and state that:

1. I am the sole proprietor of SCP Construction with office address at Km. 2 Doongan
Road, Butuan City, Agusan Del Norte;

2. As the owner and sole proprietor of SCP Construction, I have full power and
authority to do, execute and perform any and all acts necessary to participate,
submit the bid, and to sign and execute the ensuing contract for

Reconstruction to Concrete Pavement along CDO Port Road (S00606MN)


K1439+490 to K1440+175

In Misamis Oriental

3. SCP Construction is not “blacklisted” or barred from bidding by the Government of


the Philippines or any of its agencies, offices, corporations, or Local Government
Units, foreign government/foreign or international financing institution 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 an


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

5. SCP Construction is authorizing the Head of the Procuring Entity or its duly
authorized representative(s) to verify all the documents submitted;

6. That I, Sergio C. Pascual, the owner /sole proprietor of SCP Construction is not
related to the Head of the Procuring Entity, members of the Bids and Awards
Committee (BAC), the Technical Working Group, 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. SCP Construction complies with existing labor laws and standards; and
8. SCP Construction 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

Reconstruction to Concrete Pavement along CDO Port Road (S00606MN)


K1439+490 to K1440+175

In Misamis Oriental

9. SCP Construction 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
procurement project or activity.

IN WITNESS WHEREOF, I have hereunto set my hand this 8th day of January, 2019 at
Cagayan De Oro City, Philippines.

SERGIO C. PASCUAL
Bidder’s Representative/Authorized Signatory

SUBSCRIBED AND SWORN to before me this 8th day of January, 2019 at Cagayan
De Oro City, 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
(A.M. No. 02-8-13-SC). Affiant/s exhibited to me his/her PRC ID. NO., with his/her
photograph and signature appearing thereon, with no. 0035287, and his/her Community Tax
Certificate No. 01787630 issued on January 8, 2018 at Butuan City.

Witness my hand and seal this 8th day of January, 2019.

NAME OF NOTARY PUBLIC


Serial No. of Commission_______________
Notary Public for _______ until__________
Roll of Attorneys No. __________________
PTR No. _________ on ______ at _______
IBP No. ________ on ________ at _______
Doc. No. _____
Page No. _____
Book No. _____
Series of 2019

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