(Bidders Heading)
To be completed, signed and stamped by the representative of the bidder
DECLARATION OF THE BIDDER
Exclusion criteria
I, the undersigned, declare:
- being duly authorised to represent and commit the Supplier;
That the Supplier I represent:
a. has not been sentenced by final judgment on one or more of the following charges: participation in a criminal organisation, corruption, fraud, money laundering;
b. is not in a situation of bankruptcy, liquidation, termination of activity, insolvency or arrangement with creditors or any like situation arising from a procedure of the same kind, or are subject to a procedure of the same kind;
c. has not received a judgment with res judicata force, finding an offence that affects its professional integrity or serious professional misconduct;
d. does comply with its obligations as regards payment of social security contributions, taxes and dues, according to the statutory provisions of its country of incorporation.
Name of Supplier |
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Name and function of the Signatory |
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Place of signature |
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Date of signature |
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Signature and stamp |