Performance Securing Declaration
_________________________________________________________________________
REPUBLIC OF THE PHILIPPINES)
CITY OF ____________________) S.S.
PERFORMANCE SECURING DECLARATION
(For Framework Agreement and Section 76 of the Implementing Rules and Regulations of
Republic Act No. 12009)
Invitation to Bid: [Insert Reference Number indicated in the Bidding Documents]
To: [Insert name and address of the Procuring Entity]
I/We, the undersigned, declare that:
1. I/We understand that, according to your conditions, to guarantee the faithful
performance by the supplier/distributor/manufacturer/contractor/consultant of its
obligations under the Contract, I/we shall submit a Performance Securing Declaration
within a maximum period of ten (10) calendar days from the receipt of the Notice of
Award prior to the signing of the Contract;
2. I/We accept that: I/we will be automatically disqualified from bidding for any
procurement contract with any Procuring Entity, upon receipt of your Blacklisting Order
if I/We have violated my/our obligations under the Contract; and
3. I/We understand that this Performance Securing Declaration shall cease to be valid
upon:
a. Issuance by the Procuring Entity of the Certificate of Final Acceptance, subject to
the following conditions:
i. Procuring Entity has no claims filed against the contract awardee;
ii. Procuring Entity has no claims for labor and materials filed against the
contractor; and
iii. Other terms of the contract; or
[Add this paragraph for Framework Agreement]
b. replacement by the winning bidder of the submitted PSD with a performance
security in any of the prescribed forms under Section 68.4 and 68.5 of the
Implementing Rules and Regulations of RA No. 12009 as required by the Procuring
Entity.
IN WITNESS WHEREOF, I/We have hereunto set my/our hand/s this ____ day of [month]
[year] at [place of execution].
[NAME OF BIDDER OR ITS AUTHORIZED
REPRESENTATIVE]
[Position/Designation]
Affiant
SUBSCRIBED AND SWORN to before me this ___ day of [month] [year] at [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._______ issued on __________ at _____________.
NAME OF NOTARY PUBLIC
Serial No. of Commission ___________
Notary Public for ______ until _______
Roll of Attorneys No. _____
PTR No. __, [date issued], [place issued]
IBP No. __, [date issued], [place issued]
Doc. No. ___
Page No. ___
Book No. ___
Series of ____.