Sworn Statement
Sworn Statement
AFFIDAVIT
1, [CESAR n TAGORDA/_, of legal age, [Filipino/, and residing at [Purok 6,
Quetegan Mangatarem Pangasinan], after having been duly sworn in accordance with law,
do hereby depose and state that:
a) Registration Certificate;
b) Mayor' s/Business Permit or its Equivalent Document;
c) Tax Clearance;
d) Philippine Contractors Accreditation Board (PCAB) license and registration (if
applicable); and
e) Audited Financial Statements;
4. Each document is an authentic copy of the original, complete, and all statements and
information provided therein are true and correct;
5. I assume responsibility and full accountability on the validity and authenticity of the
documents submitted;
6. I am authorizing the PS-PhilGEPS and the authorized representative(s) of the
Procuring Entities to verify all the document submitted, if necessary; and
7. I am aware of and understood the following guidelines for the use of the
Government of the Philippines- Official Merchant Registry (GoP-OMR):
a. The PhilGEPS office shall not determine the eligibility of merchants. The
PhilGEPS office's evaluation of the eligibility requirements shall be for the sole
purpose of determining the approval or disapproval of the merchant's
application for registration.
IN WITNESS WHEREOF, 1 hereunto set m nd his 10th day ofMArch, 2020 at Mangatarem
Pangasinan, Philippines.
Cesar Tagorda
Bidder's epresentative/Authorized Signatory
[JURAT]