Bid Securing Declaration Form
[The duly accomplished form shall be submitted with the Bid
if bidder opts to provide this type of bid security]
_________________________________________________________________________
REPUBLIC OF THE PHILIPPINES )
CITY/MUNICIPALITY OF ____________________ ) S.S.
BID SECURING DECLARATION
Project Identification No.: [Number]
To: [Insert name 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 shall enter into contract with the Procuring Entity and furnish the
required performance security within ten (10) calendar days as indicated in
the Bidding Documents, from receipt of the Notice of Award or Declaration of
Original Offeror
b. I/we will be automatically disqualified from bidding for any procurement
contract with any Procuring Entity upon receipt of your Blacklisting Order; and
c. I/We will pay the applicable fine within fifteen (15) days from receipt of the
written demand by the Procuring Entity for the commission of acts resulting to
the enforcement of the Bid Securing Declaration under Sections 52.2 (a),
63.2, 69.1 and 100, except 100.3 (c), of the IRR of RA No. 12009; without
prejudice to other legal action the government may undertake; In case of an
original offeror
Applicable Fine
a. in the case of a single (i) two percent (2%) of the
bidder Approved Budget for the
Contract (ABC); or
(ii) the difference between the
evaluated bid price and the ABC
whichever is higher
b. in the case of multiple (i) two percent (2%) of the ABC;
bidders or
(ii) the difference between the
evaluated bid prices with the
bidder with Lowest
Calculated/Highest Rated Bid
and the bidder with the next
Lowest Calculated/Highest
Rated Bid, and so on
whichever is higher
c. in case of violations (i) a fixed amount of two percent of
committed prior to the the ABC,
opening of the
financial envelope
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 the bidder with the [Insert Award Criterion1] and I/we have
furnished the performance security and signed the Contract.
IN WITNESS WHEREOF, I/We have hereunto set my/our hand/s this ____ day of [month]
[year] at [place of execution].
Duly authorized to sign the Bid for and behalf of:
[Insert Bidder’s Name]
[Signature over Printed Name]
[Position/Designation]
[Date]
JURAT
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.
______.
1
Lowest Calculated and Responsive Bid, Most Economically Advantageous Responsive Bid, Most Advantageous Responsive
Bid, and Highest Rated Responsive Bid
WITNESS MY HAND AND SEAL this ___ day of [month] [year].
NAME OF NOTARY PUBLIC
Notarial Commission No. ___________
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 _______.
