PhilGEPS Sworn Statement
REPUBLIC OF THE PHILIPPINES )
CITY/MUNICIPALITY OF DULAG) S.S.
AFFIDAVIT
I, Severa G. Martin, of legal age, Single, Filipino, and residing at Barangay Barbo Street,
Dulag, Leyte after having been duly sworn in accordance with law, do hereby depose and state
that:
1. I am the sole proprietor of SGM CONSTRUCTION SUPPLIES with office address at
Barangay Barbo Street, Dulag, Leyte;
2. As the owner and sole proprietor, of SGM CONSTRUCTION SUPPLIES, I have full
power and authority to upload and maintain in the Philippine Government Electronic
Procurement System (PhilGEPS) a current and updated file of the following Class “A”
eligibility documents under Sections 23.1(a) and 24.1(a):
a) Registration Certificate;
b) Mayor’s/Business Permit or its Equivalent Document;
c) Tax Clearance;
3. If a foreign bidder submitting appropriate equivalent documents in a language other than
English: SGM CONSTRUCTION SUPPLIES is uploading and maintaining in the
PhilGEPS equivalent documents accompanied by a translation of the documents in English
issued by the relevant foreign government agency, the foreign government agency
authorized to translate documents, or a registered translator in the foreign bidder’s country;
and shall be authenticated by the appropriate Philippine foreign service establishment/post
or the equivalent office having jurisdiction over the foreign bidder’s affairs in the
Philippines;
4. Each of the documents submitted is in satisfaction and compliance with the requirements
for PhilGEPS Platinum Membership and for participation in any Philippine government
bidding;
5. Each document is an authentic copy of the original, complete, and all statements and
information provided therein are true and correct;
6. I assume responsibility and full accountability on the validity and authenticity of the
documents submitted;
7. I am authorizing the PS-PhilGEPS and the authorized representative(s) of the Procuring
Entities to verify all the document submitted, if necessary; and
8. 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.
b. A merchant’s registration and membership in the GOP-OMR is neither contract-
specific nor understood to be tantamount to a finding of eligibility. Neither shall
the merchant’s successful registration in the GOP-OMR be relied upon to claim
eligibility for the purpose of participation in any public bidding.
c. The determination of the eligibility of merchants, whether registered with the
GOP-OMR or not, shall remain with the Bids and Awards Committee (BAC).
The BAC’s determination of validity of the eligibility requirements shall be
conclusive to enable the merchant to participate in the public bidding process.
IN WITNESS WHEREOF, I have hereunto set my hand this __ day of ___, 20__ at
____________, Philippines.
SEVERA G. MARTIN
Bidder’s Representative/Authorized Signatory