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Bid Securing Declaration Form

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Bid Securing Declaration Form

[shall be submitted with the Bid if bidder opts to provide this form of bid security]
_____________________________________________________________________________________

REPUBLIC OF THE PHILIPPINES


CITY OF ___________________} S.S.

BID SECURING DECLARATION


Project Identification Number.: DA-RFO 1-2024-GOODS-023

To: DEPARTMENT OF AGRICULTURE REGIONAL FIELD OFFICE 1


City of San Fernando, Las Union

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 procurement
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 Section 23.1(b), 34.2, 40.1 and 69.1, except 69.1(f), of the IRR of RA
No. 9184, without prejudice to other legal action the government may undertake.

3. I/We understand that this 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; and
c. I am/we are declared the bidder with the Lowest Calculated 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 December 2023 at
__________________

JOEL DEMETRIO I. CALALO


Affiant
SUBCRIBED AND SWORN to before me this ____day ________, _______ 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 (A.M. No. 02-8-13-SC). Affiant/s exhibited to me his PRC
ID No. 0037299 valid until 04/09/2024.

Witness my hand and seal this _______day of _______, ________.

NAME OF NOTARY PUBLIC

Doc. No._____
Page No._____
Book No._____
Series of _____.

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