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Bid Securing

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Form No.

3
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 No.: PR No.RS-2311-178 and ITB No.2402-020-01R

To: NICOLAS G. OMBAO


Chairperson, LRTA BAC
LRTA Bids and Awards Committee
LRTA Line 2 Depot, Marcos Highway, Santolan Pasig City

I, the undersigned, declare that:

1. I 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 accept that: (a) I 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 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(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 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 are declared ineligible or post-disqualified upon receipt of your notice to
such effect, and (i) I failed to timely file a request for reconsideration or (ii) I
filed a waiver to avail of said right; and
c. I am are declared the bidder with the Lowest Calculated Responsive Bid, and I
have furnished the performance security and signed the Contract.

IN WITNESS WHEREOF, I have hereunto set my hand this ____day of ___________ at


________________.

ALVIN B. CAMPOSANO
Authorized Representative
Affiant
ACKNOWLEDGEMENT

SUBSCRIBED AND SWORN to before me this _____ day of _______ 2024 at


________________, Philippines. Affiant is personally known to me and was 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, with his photograph and signature
appearing thereon, with his License No.0005790 issued on November 16, 2022 at Parañaque City,
PHILIPPINES.

Witness my hand and seal this ____ day of ____________ 2024.

NAME OF NOTARY PUBLIC


Serial No. of Commission ___________
Notary Public for ______ until _______
Roll of Attorneys No. _____
MCLE Compliance No. ____________
PTR No. __, [date issued], [place issued]
IBP No. __, [date issued], [place issued]

Doc. No. ___


Page No. ___
Book No. ___
Series of ____

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