Philippine Ports Authority
Port Management Office – General Santos
Contract Reference Number: PR-GEN-2193-13
Supply and Delivery of Materials for Two (2)-Units, 175KVA 220V/460V,
3Phase, 60 Hz, Non Polychlorinated Biphenyl (PCB)
Transformer with Complete Accessories at Port of General Santos,
Makar Wharf, General Santos City
Standard Form Number 001
Revised on: May 11, 2004
NO. ________
Republic of the Philippines
Department of Trade & Industry
(REGION)
Certificate of Registration
OF
BUSINESS NAME
THIS IS TO CERTIFY THAT
___________________________________________
as a business name, or firm or style was registered in this office on ________________________
by:
____________________________
which will expire on _________________, in accordance with the provisions of Act No. 3883 of the
Philippine Legislature approved on November 14, 1931 as amended by Act No. 4147, approved
November 28, 1934, and Republic Act No. 863, approved June 16, 1953, and in compliance with
the rules and regulations prescribed by the Department of Trade and Industry.
IN TESTIMONY WHEREOF, I have hereunto set my hand
caused the seal of the DEPARTMENT OF TRADE AND
INDUSTRY to be affixed at ___________________,
Philippines, this _______ day of ________________, in
the year of our Lord, ____________.
Logo of DTI
AFFIX
DOCUMENTARY
STAMP
(Name of the Director)
Director, DTI
NOTE: THIS IS NOT A LICENSE TO ENGAGE IN ANY KIND OF BUSINESS.
(VALID ONLY AT THE BUSINESS ADDRESS INDICATED HEREIN)
Philippine Ports Authority
Port Management Office – General Santos
Contract Reference Number: PR-GEN-2193-13
Supply and Delivery of Materials for Two (2)-Units, 175KVA 220V/460V,
3Phase, 60 Hz, Non Polychlorinated Biphenyl (PCB)
Transformer with Complete Accessories at Port of General Santos,
Makar Wharf, General Santos City
Standard Form Number 002
Revised on: July 29, 2004
Bilang _________
Republic of the Philippines
Name of the City or Municipality
Address
Telephone and Fax Numbers
Website Address
E-mail Address
PAHINTULOT SA PANGANGALAKAL
(BUSINESS PERMIT)
MATALASTAS NG LAHAT:
(KNOW ALL MEN BY THESE PRESENTS:)
Na Si/Ang:
(That:) _________________________(Name of Bidder)______________________________
Na matatagpuan at may pahatirang sulat sa
(with postal address at)
_____________________________(Address of the Bidder)___________________________
Naitinatag ng may buong karapatan at umiiral sa ilalim ng mga batas ng
(duly organized and existing under the laws of the)
Republika ng Pilipinas, ay pinagkakalooban ng pahintulot na mangangalakal bilang
(Republic of the Philippines, is hereby granted the permit to operate as)
_____________________________________
Ngayong ika - _______________________
ng
(on this)
(day of)
_____________________
Ang pahintulot na ito ay matatapos sa ika- __________________________
(This permit expires on)
Malibang ito’y maagang bawiin at walaing bisa.
(unless sooner revoked.)
O.R. BILANG
(OR No.)
__________
HALAGA
(Amount)
__________
PETSA
(Date)
__________
(Name of Head)
Business Permit Office
(Name of Mayor)
Punong Lungsod
(Mayor)
ITO AY DAPAT IPASKEL SA HAYAG NA POOK NG KALAKALAN AT DAPAT
(This must be posted on conspicuous place and)
IPAKITA SA SANDALING HINGIN NG MGA KINAUUKULANG MAYKAPANGYARIHAN.
(to be presented upon demand by proper authorities.)
SF - 1
Philippine Ports Authority
Port Management Office – General Santos
Con
Makar Wharf, General Santos City
Standard Form Number 003
Revised on July 29, 2004
JOINT VENTURE AGREEMENT
KNOW ALL MEN BY THESE PRESENTS:
That this JOINT VENTURE AGREEMENT is entered into by and between: ___________, of
legal age, __(civil status)__, owner/proprietor of _________________________ and a resident of
________________________.
- and _______________________, of legal age, __(civil status)__, owner/proprietor
____________________ a resident of ____________________________________.
of
That both parties agree to join together their capital, manpower, equipment, and other
resources and efforts to enable the Joint Venture to participate in the Eligibility Check, Bidding and
Undertaking of the hereunder stated Contract of the Philippine Ports Authority –Port
Management Office of General Santos.
NAME OF PROJECT
CONTRACT AMOUNT
Supply and Delivery of Materials for
Two (2)-Units 175KVA, 220V/460V Non
Polychlorinated
Biphenyl
(PCB)
Transformers with complete accessories
Php1,151,650.00
That both parties agree to be jointly and severally liable for their participation in the
Eligibility Check, Bidding and Undertaking of the said contract.
That both parties agree that ___________________ and/or __________________ shall
be the Official Representative of the Joint Venture, and are granted full power and authority to do,
execute and perform any and all acts necessary and/or to represent the Joint Venture in the
Eligibility Check, Bidding and Undertaking of the said contract, as fully and effectively and the Joint
Venture may do and if personally present with full power of substitution and revocation.
That this Joint Venture Agreement shall remain in effect only for the above stated
Contracts until terminated by both parties.
Done this _____ day of ______, in the year of our Lord _____.
____________________
________________________
Witnesses:
________________________________
__________________________________
ACKNOWLEDGMENT
BEFORE ME, this ____ day of _____ 2013 personally appeared _______________ and
________________________
with
__________
identification
number
issued
at
SF - 2
Philippine Ports Authority
Port Management Office – General Santos
Con
Makar Wharf, General Santos City
________________ on ________________ and ___________________ with identification card
_________ with number issued at _____________ on _______________________, and they
acknowledged to me that the above document is their true and correct deed.
This document consisting of _____ pages is signed by the herein parties and their witnesses on
each and every page thereof.
Doc No. ________;
Page No. _______;
Book No. _______;
Series of 2013
SF - 3
Philippine Ports Authority
Port Management Office – General Santos
Con
Makar Wharf, General Santos City
Standard Form Number 004
Revised on: July 29, 2004
FORM OF BID SECURITY (BANK GUARANTEE)
WHEREAS, __(Name of Bidder)__ (hereinafter called “the Bidder”) has submitted his bid dated
__(Date)__ for the __(Name of Contract)__ (hereinafter called “the Bid”).
KNOW ALL MEN by these presents that We __(Name of Bank)__ of __(Name of Country)__ having
our registered office at ________________________ (hereinafter called “the Bank” are bound
unto __(Name of Procuring Entity)__ (hereinafter called “the Entity”) in the sum of
_______________ for which payment well and truly to be made to the said Entity the Bank binds
himself, his successors and assigns by these presents.
SEALED with the Common Seal of the said Bank this _____ day of _________ 20___.
THE CONDITIONS of this obligation are that:
1)
if the Bidder withdraws his Bid during the period of bid validity specified in the Form
of Bid; or
2)
if the Bidder does not accept the correction of arithmetical errors of his bid price in
accordance with the Instructions to Bidder; or
3)
if the Bidder having been notified of the acceptance of his bid and award of contract
to him by the Entity during the period of bid validity:
a) fails or refuses to execute the Form of Contract in accordance with the
Instructions to Bidders, if required; or
b) fails or refuses to furnish the Performance Security in accordance with the
Instructions to Bidders;
we undertake to pay to the Entity up to the above amount upon receipt of his first written
demand, without the Entity having to substantiate its demand, provided that in his demand the
Entity will note that the amount claimed by it is due to the occurrence of any one or combination
of the three (3) conditions stated above.
The Guarantee will remain in force up to and including the date _______________ days after the
deadline for submission of Bids as such deadline is stated in the Instructions to Bidders or as it
may be extended by the Entity, notice of which extension(s) to the Bank is hereby waived. Any
demand in respect of this Guarantee should reach the Bank not later than the above date.
DATE
__________________
SIGNATURE OF THE BANK ______________________
WITNESS ____________________________ SEAL _________________________________
_____________________________________
(Signature, Name and Address)
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Philippine Ports Authority
Port Management Office – General Santos
Con
Makar Wharf, General Santos City
Standard Form Number 005
Revised on: July 29, 2004
BID SECURITY: SURETY BOND
BOND NO.: _______________________ DATE BOND EXECUTED: ___________________
By this bond, We __(Name of Bidder)__ (hereinafter called “the Principal”) as Principal and
__(Name of Surety)__ of the country of (Name of Country of Surety), authorized to transact
business in the country of __(Name of Country of Procuring Entity)__ (hereinafter called “the
Surety”) are held and firmly bound unto __(Name of Procuring Entity)__ (hereinafter called “the
Entity”) as Obligee, in the sum of ______________________, Philippine currency, callable on
demand by the Entity for the payment of which sum, well and truly to be made, we, the said
Principal and Surety bind ourselves, our successors and assigns, jointly and severally, firmly by
these presents.
SEALED with our seals and dated this _____ day of ______________ 20 ________
WHEREAS, the Principal will submit a written Bid to the Entity on the __(Date)__ day of
___(Month)___ 20 _Year_, for the _____(Name of Contract)____ (hereinafter called “the Bid”).
NOW, THEREFORE, the conditions of this obligation are that:
1)
if the Principal withdraws his Bid during the period of bid validity specified in the
Form of Bid; or
2)
if the Principal does not accept the correction of arithmetical errors of his bid price
in accordance with the Instruction’s to Bidders: or
3)
if the Principal having been notified of the acceptance of his Bid and award of
contract to him by the Entity during the period of bid validity:
a)
fails or refuses to execute the Form of Contract in accordance with the
Instructions to Bidders, if required; or
b)
fails or refuses to furnish the Performance Security in accordance with the
Instructions to Bidders;
then the Entity shall call on the bond upon a written demand to the Surety, and the Surety shall
pay the Entity up to the entered amount of the Bond, upon receipt by the Surety of a written
demand from the Entity, without the Entity having to substantiate its demand, provided that, in
the demand, the Entity will note that the sum claimed by it is due to the occurrence of any or
combination of the three conditions stated above. In this case, this obligation shall remain in full
force and effect, otherwise it shall be null and void.
PROVIDED HOWEVER, that the Surety shall not be:
a)
liable for a greater sum than the specified penalty of this bond, nor
b)
liable for a greater sum that the difference between the amount of the said
Principal’s Bid and the amount of the Bid that is accepted by the Entity.
This Surety executing this instrument hereby agrees that its obligation shall be valid for 120
calendar days after the deadline for submission of Bids as such deadline is stated in the
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Philippine Ports Authority
Port Management Office – General Santos
Con
Makar Wharf, General Santos City
Instructions to Bidders or as it may be extended by the Entity, notice of which extension(s) to the
Surety is hereby waived.
PRINCIPAL ________________________
SURETY ______________________________
SIGNATURE(S) ____________________
SIGNATURES(S) _______________________
NAME(S) AND TITLE(S) _____________
NAME(S) _____________________________
SEAL ___________________________
SEAL ________________________________
SF - 6
Philippine Ports Authority
Port Management Office – General Santos
Con
Makar Wharf, General Santos City
Standard Form Number 006
Revised on: August 11, 2004
REPUBLIC OF THE PHILIPPINES )
CITY OF _______________________ ) S.S.
BID-SECURING DECLARATION
Invitation to Bid/Request for Expression of Interest No.[Insert reference number]
To: [Insert name and address of the Procuring Entity]
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
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, if I/we have committed any
of the following actions:
(i) Withdrawn my/our Bid during the period of bid validity required in the Bidding
Documents; or
(ii) Fail or refuse to accept the award and enter into contract or perform any and all
acts necessary to the execution of the Contract, in accordance with the Bidding
Documents after having been notified of your acceptance of our Bid during the period
of bid validity.
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;
(c) I am/we are declared as the bidder with the Lowest Calculated and Responsive
Bid/Highest Rated and Responsive Bid, and I/we have furnished the performance
security and signed the Contract.
1 Select one and delete the other.
2 Select one and delete the other. Adopt same instruction for similar terms throughout the document.
3 Issued by the GPPB through GPPB Resolution 03-2012 on 27 January 2012.
4 Select one and delete the other.
SF - 7
Philippine Ports Authority
Port Management Office – General Santos
Con
Makar Wharf, General Santos City
IN WITNESS WHEREOF, I/We have hereunto set my/our hand/s this ____ day of
[month] [year] at [place of execution].
[Insert NAME OF BIDDER’S
AUTHORIZED EPRESENTATIVE]
[Insert signatory’s legal capacity]
Affiant
SUBSCRIBED AND SWORN to [place of execution], 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/her [insert type of government identification card used], with his/her
photograph and signature appearing thereon, with no. ______ and his/her Community Tax
Certificate No. _______ issued on ______ at ______.
Witness my hand and seal this ___ day of [month] [year].
Doc. No. ___
Page No. ___
Book No. ___
Series of ____
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Philippine Ports Authority
Port Management Office – General Santos
Con
Makar Wharf, General Santos City
Form Number 007
Omnibus Sworn Statement
REPUBLIC OF THE PHILIPPINES )
CITY/MUNICIPALITY OF ______ ) S.S.
AFFIDAVIT
I, [Name of Affiant], of legal age, [Civil Status], [Nationality], and residing at [Address
of Affiant], after having been duly sworn in accordance with law, do hereby depose and state
that:
1. Select one, delete the other:
If a sole proprietorship: I am the sole proprietor of [Name of Bidder] with office
address at [address of Bidder];
If a partnership, corporation, cooperative, or joint venture: I am the duly authorized
and designated representative of [Name of Bidder] with office address at [address of
Bidder];
2. Select one, delete the other:
If a sole proprietorship: As the owner and sole proprietor of [Name of Bidder], I have
full power and authority to do, execute and perform any and all acts necessary to
represent it in the bidding for [Name of the Project] of the [Name of the Procuring
Entity];
If a partnership, corporation, cooperative, or joint venture: I am granted full power
and authority to do, execute and perform any and all acts necessary and/or to
represent the [Name of Bidder] in the bidding as shown in the attached [state title of
attached document showing proof of authorization (e.g., duly notarized Secretary’s
Certificate issued by the corporation or the members of the joint venture)];
3. [Name of Bidder] is not “blacklisted” or barred from bidding by the Government of
the Philippines or any of its agencies, offices, corporations, or Local
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Philippine Ports Authority
Port Management Office – General Santos
Con
Makar Wharf, General Santos City
Government Units, foreign government/foreign or international financing institution
whose blacklisting rules have been recognized by the Government Procurement
Policy Board;
4. Each of the documents submitted in satisfaction of the bidding requirements is an
authentic copy of the original, complete, and all statements and information provided
therein are true and correct;
5. [Name of Bidder]is authorizing the Head of the Procuring Entity or its duly
authorized representative(s) to verify all the documents submitted;
6. Select one, delete the rest:
If a sole proprietorship: I am not related to the Head of the Procuring Entity,
members of the Bids and Awards Committee (BAC), the Technical Working Group,
and the BAC Secretariat, the head of the Project Management Office or the end-user
unit, and the project consultants by consanguinity or affinity up to the third civil
degree;
If a partnership or cooperative: None of the officers and members of [Name of
Bidder] is related to the Head of the Procuring Entity, members of the Bids and
Awards Committee (BAC), the Technical Working Group, and the BAC Secretariat,
the head of the Project Management Office or the end-user unit, and the project
consultants by consanguinity or affinity up to the third civil degree;
If a corporation or joint venture: None of the officers, directors, and controlling
stockholders of [Name of Bidder] is related to the Head of the Procuring Entity,
members of the Bids and Awards Committee (BAC), the Technical Working Group,
and the BAC Secretariat, the head of the Project Management Office or the end-user
unit, and the project consultants by consanguinity or affinity up to the third civil
degree;
7. [Name of Bidder] complies with existing labor laws and standards; and
8. [Name of Bidder] is aware of and has undertaken the following responsibilities as a
Bidder:
a) Carefully examine all of the Bidding Documents;
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Philippine Ports Authority
Port Management Office – General Santos
Con
Makar Wharf, General Santos City
b) Acknowledge all conditions, local or otherwise, affecting the implementation of the
Contract;
c) Made an estimate of the facilities available and needed for the contract to be bid, if
any; and
d) Inquire or secure Supplemental/Bid Bulletin(s) issued for the [Name of the Project].
IN WITNESS WHEREOF, I have hereunto set my hand this __ day of ___, 20__ at
____________, Philippines.
_____________________________________
Bidder’s Representative/Authorized Signatory
SUBSCRIBED AND SWORN TO before me this _________ day of ____________,
20____ affiant exhibiting to me his/her ________________________ Identification Card
with No. ________ bearing his/her photograph and signature.
Doc No.______
Page No.______
Book No.______
Series of 2013
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Philippine Ports Authority
Port Management Office – General Santos
Con
Makar Wharf, General Santos City
Form number 008
Bid Form
Date: _______________________
ATTY. LUZ PATRICIA F. TANCO
BAC-PG Chairperson
Philippine Port Authority – PMO General Santos
Makar Wharf, General Santos City
Dear Atty. Tanco:
We, the undersigned, declare that:
(a) We have examined and have no reservation to the Bidding Documents, including
Addenda, for the Contract Supply and Delivery of Materials for Two (2)-Units 175KVA,
220V/460V, 3 Phase, 60 Hz Non-Polychlorinated Biphenyl (PCB) Transformer with
Complete Accessories at Port of General Santos, Makar Wharf, General Santos City;
(b) We offer to execute the Works for this Contract in accordance with the Bid and Bid Data
Sheet, General and Special Conditions of Contract accompanying this Bid;
The total price of our Bid, excluding any discounts offered in item (d) below is: [insert
information], to wit:
The discounts offered and the methodology for their application are: [insert
information];
(c) Our Bid shall be valid for a period of one hundred twenty (120) calendar days from
the date fixed for the Bid submission deadline in accordance with the Bidding
Documents, and it shall remain binding upon us and may be accepted at any time before
the expiration of that period;
(d) If our Bid is accepted, we commit to obtain a Performance Security in the amount of
[insert percentage amount] percent of the Contract Price for the due performance of the
Contract;
(e) Our firm, including any subcontractors or suppliers for any part of the Contract, have
nationalities from the following eligible countries: [insert information];
(f) We are not participating, as Bidders, in more than one Bid in this bidding process, other
than alternative offers in accordance with the Bidding Documents;
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Philippine Ports Authority
Port Management Office – General Santos
Con
Makar Wharf, General Santos City
(g) Our firm, its affiliates or subsidiaries, including any subcontractors or suppliers for any
part of the Contract, has not been declared ineligible by the Funding Source;
(h) We understand that this Bid, together with your written acceptance thereof included in
your notification of award, shall constitute a binding contract between us, until a formal
Contract is prepared and executed; and
(i) We understand that you are not bound to accept the Lowest Evaluated Bid or any other
Bid that you may receive.
Name:
In the capacity of:
Signed:
Duly authorized to sign the Bid for and on behalf of:
Date: ________________________________________________________________
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Philippine Ports Authority
Port Management Office – General Santos
Con
Makar Wharf, General Santos City
Bid Proposal
Name of Bidder ________________________________________________
1
2
3
4
5
6
Item
Description
Country of
origin
Quantity
Unit price
per item
Total price
SF - 14