---

H

--rL

.H Its rF E<

PNOC EXPLORATION CORPORATION

---{ ----{

\r-!H7

A SUBSIDIARY OF THE PHILIPPINE NATIONAL OIL COMPANY

--

--!,

PNOC Ihe Energy Compony

EGOTIATED PROCU REMENT (Small Value Procurement) N

PNOC Exploration Corporation (PNOC EC), through its 2018 Corporate Budget, has an Approved Budget for the Contract (ABC) of One Hundred Seventeen Thousand Six Hundred pesos (Php117,600.00), inclusive of all applicable taxes and other charges for the Supply and Delivery of Quadrivalent lnfluenza Vaccine ("Project") (see below for details). The items shall be delivered within'15 calendar days to PNOC EC, Bldg. 1 Energy Center, Rizal Drive, Bonifacio Global City, TagqgCit' Approved Budget for the Contract Quadrivalent lnfluenza Vaccine Type A and B Subvirion 0.5m1

; 1

Pre-filled syringe

17 600 00

Fifteen (15) calendar days upon receipt of Purchase Order.

PNOC EC now invites qualified bidders to submit proposals for the Project. Financial proposals received in excess of the ABC shall be automatically rejected at bid opening.

Proposals may be delivered

to the address below or send via fax at (02) 840-161g or email to or before March g, 2018 not later

[email protected] / [email protected] on than 2:00 P.M. Late submission shall not be accepted.

Bidders are also required to submit photocopy of the following documents within seven (7) calendar days after bid submission date.

o o o o .

Current and Valid Mayor's Permit Latest lncome and Business Tax Returns Ph|IGEPS Registration Number (Red membership) Notarized Omnibus Sworn Statement (see attached form)

Other appropriate licenses and permits as required by law or as stated in the Terms of Reference

For further information, please contact:

PNOC EC BAC Secretariat c/o Ms. Benilda C. Baniqued or Ms. Kat A. Caancan Bldg. 1 Energy Center, RizalDrive, Bonifacio GlobalCity, Taguig City Tel. No.: (02) 479-9239 or 840-1614 t Fax:(02) 840-1619 E m a il bc ba n iq u ed@pn oc-ec. com. ph / kaca a n ca n@pnoc-ec. com. ph :

PNOC EC reserves the right to accept or reject any bid, to annul the bidding process, and to reject any and all bids at any time, without thereby incurring any liability to the affected bidder or bidders. PNOC EC assumes no responsibility whatsoever to compensate or indemnify bidders for any expenses incurred in the preparation of the bid"

This notice is also posted in our website at www.pnoc-ec.com.ph and in the Ph|IGEPS website at www.philgeps.gov.ph

lw tkaaafa

/' *-'(.(-'-/ /anooo /uecsouaol

chairman

/

Bids and Awards Buildl:|l

Omnibus Sworn Statement REPUBLIC OF THE PHILIPPINES CITY/MUNICIPALITY OF

)

)SS

AFFIDAVIT

l'

[Name of Affiant], of legal age, [CivillFryrl, fNationatity], and residing at [Address of Affiant], after having been duly sworn in accordince with law, oo nereoi tepose and state that:

1. Se/ecf one, delete the other: l! a

sole proprietorship: I am the sole proprietor of [Name of Bidder] with office address at faddress of Bidder];

lf a partnership,

corporation, cooperative, or

joint venture: I am the duly authorized

designated representative of [Name of Bidder]with office address at faddress of Bidder];

2.

and

Se/ecf one, delete the other:

lf a sole proprietorshrp; As the owner and sole proprietor of [Name of power and authority to do, execute and perform

Bidder],I have full any and all acts necessary io represent it in the bidding for [Name of the projecfl of the [Name oi tne procuring Entity];

lf a partnership, corporation, cooperative, or ioint vehture: 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 /sfafe titte of attached document showing proof authorizatioi (r.g., duty notarized Secretary's certificate rssued ..of by the corporation or the members of the joint venturefl;

3'

4'

[Name of Bidder] is not "blacklisted" or barred from bidding by the Government of the Philippines or any of its agencies, offices, corporations, tr loiat bovernment Units, foreign governmenuforeign or international financing institution whose blacklisting rules have been recognized by the Government procurementFolicy Board; Each of the documents submitted in satisfaction of the bidding requirements is an authentic copy of the original, complete, and all statements and informltion provided thlrein are true

and correct;

5'

[Name of Bidde.r] is authorizing the Head of the Procuring Entity or its duty authorized representative(s) to verify allthe documents submitted;

6.

Se/ecf one, delete the rest: lf a sole proprietorship: I am not related to the Head of the procuring Entity, members of the Bids and Awards committee (BAc), the Technicalworking Group, ind tne BAC secretariat, the head of the Proje-ct Management office or the eno-user unit, and the project consultants by consanguinity or affinity up to the third civil degree;

lf a partnership or cooperative; None of the officers and membe rs of [Name of Bidder] is related to the Head of the Procuring Entity, members of the Bids and Awards committee (BAc), the Technical Working Grou'p, and the. BAC Secretariat, the head of the project Management office or the end-user'unit, and in" pro;u.t consultants by consanguinity or affinity up to the third civit degree; lf a corporation or ioint ventire: 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 Technicalworking Group,"and the BAC secretariat, the head of the Project Management office or the endluserunit, ano the project consuttants by consanguinity or affinity up to the third civil degree;

7.

[Name of Bidder] complies with existing labor laws and standards; and

B.

fName of Bidder] is aware of and has undertaken the following responsibilities as a Bidder:

a)

Carefully examine all of the Bidding Documents;

b)

Acknowledge all conditions, local or otheruvise, 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)

lnquire or secure Supplemental/Bid Bulletin(s) issued for the [Name of the project].

9' [Name of Bidder] did not give or pay directly or indirectly, any commission, amount, fee, or any form of consideration, pecuniary or otherwise, to any person or official, personnel or representative of the government in relation to any procurement project or activity.

lN wlrNESS WHEREOF,

I

have hereunto set my hand this

Philippines.

_

day of

Bidde/s Representative/Authorized

SUBSCRIBED AND SWORN

to before me this

_,

20_

Sig natory

day of [month] [year] at [ptace of

executionl, Philippines. AffianUs is/are personally known to m-eand was/were iOentifiea -Oy m6 through competent evidence of identity as defined in the 2004 Rules on Notarial practice (A.M. No. O2-S-11SC). AffianUs exhibited to me his/her [insert type of government identification card used], with his/her photograph and signature appearing thereon, with and his/her Community Tax Certificate No.

_

issued on

_

Witness my hand and seal this

at

_

_.

-

no.

day of [month] [year].

NAME OF NOTARY PUBLIC Serial No. of Commission Notary Public for

until

Rollof Attorneys No.. PTR No.

issuedl IBP No. rssued/

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

-,

_,

[date iss;ue [ptace [date issued], [place