Omnibus Sworn Statement-DBP
Omnibus Sworn Statement-DBP
Omnibus Sworn Statement-DBP
____________________________________________________________________________
AFFIDAVIT
I, RODEL L. AYSON, of legal age, Married, Filipino, and residing at 3580 Mag Araullo St.
Bacood, Sta. Mesa Manila, Philippines 1016, after having been duly sworn in accordance with
law, do hereby depose and state that:
2. I am granted 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 Supply and
Delivery of 15 units 1TB Solid State Drive (SSD) Internal Hard Drive of the (Solicitation
Number: P-ICTSD-23-00348), as shown in the attached duly notarized SECRETARY’S
CERTIFICATE.
3. Agile Techfrontier Corporation (ATC) 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, by
itself or by relation, membership, association, affiliation, or controlling interest with
another blacklisted person or entity as defined and provided for in the Uniform
Guidelines on Blacklisting;
5. Agile Techfrontier Corporation (ATC) is authorizing the Head of the Procuring Entity or its
duly authorized representative(s) to verify all the documents submitted;
7. Agile Techfrontier Corporation (ATC) complies with existing labor laws and standards;
and
8. Agile Techfrontier Corporation (ATC) is aware of and has undertaken the responsibilities
as a Bidder in compliance with the Philippine Bidding Documents, which includes:
9. Agile Techfrontier Corporation (ATC) 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.
10. In case advance payment was made or given, failure to perform or deliver any of the
obligations and undertakings in the contract shall be sufficient grounds to constitute
criminal liability for Swindling (Estafa) or the commission of fraud with unfaithfulness
or abuse of confidence through misappropriating or converting any payment received
by a person or entity under an obligation involving the duty to deliver certain goods
or services, to the prejudice of the public and the government of the Philippines
pursuant to Article 315 of Act No. 3815 s. 1930, as amended, or the Revised Penal
Code.
IN WITNESS WHEREOF, I have hereunto set my hand this __ day of ___, 20__ at
____________, Philippines.
RODEL AYSON
Bidder's Representative / Authorized Signatory
Affiant
Republic of the Philippines
____________________) S.S.
SECRETARY’S CERTIFICATE
I, JAYCEL ANNE B. JULIANO, single, Filipino, of legal age, with business address LG-07
Lower Ground Floor., Peninsula Court, Paseo de Roxas, cor. Makati Ave., Makati City, after
having been duly sworn to an oath in accordance with law, hereby depose and say:
In a special meeting of the Board of Directors of the Corporation held on Dec. 04, 2016 held
at ATC Office, Makati City, the following was unanimously passed and approved, to wit:
I hereby certify to the correctness of the foregoing resolution and that the same exists and
have not been amended, modified or revoked.
NOTARY PUBLIC