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Proponent Declaration Form

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Steve Lezama
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32 views2 pages

Proponent Declaration Form

Uploaded by

Steve Lezama
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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RFP Ref#: 14-23-ARIMA RFP Date: Friday 26th January, 2024

RFP Name: THE PROVISION OF DESIGN-BUILD SERVICES AT THE HDC’S SANTA ROSA HOUSING
DEVELOPMENT, PACKAGE 1
PROPONENT DECLARATION FORM

A. LITIGATION

1. Have you ever been convicted of any criminal offence in any jurisdiction?
Yes No

2. Has any of the director(s) ever had a professional license suspended or revoked?
Yes No

3. Has your organisation ever been the subject of any petition for bankruptcy?
Yes No

4. Has your organisation ever had any civil judgment against you?
Yes No

5. Does your organisation have any pending civil litigation matters?


Yes No

6. Does your organisation have any pending criminal matters before the court?
Yes No

7. Has your organisation, or any organisation which you have had control over, ever been the
subject of any inquiry or investigation?
Yes No

If you checked Yes to any of the above questions, kindly provide the key facts and decisions, including
dates, relating to these matters on a separate page to be annexed to this document.

B. STATUTORY COMPLIANCE

1. Is your organisation in compliance with the OSH Act 2004 (as amended) in the form of OSH
requirement applicable to your organisation? Kindly provide details of the compliance with the
most recent supporting documents.
Yes No Not applicable

If no or not applicable is selected, please provide details:

WCSL does not undertake any special processes or operations requiring specific adherence to
__________________________________________________________________________________

the OSH Act. All general HSE protocols are observed for general construction operations.
__________________________________________________________________________________

85
RFP Ref#: 14-23-ARIMA RFP Date: Friday 26th January, 2024

RFP Name: THE PROVISION OF DESIGN-BUILD SERVICES AT THE HDC’S SANTA ROSA HOUSING
DEVELOPMENT, PACKAGE 1
2. Is your organisation in compliance with the Minimum Wages Act, Chap 88:04 (as amended)?
Yes No Not applicable

If no or not applicable is selected, please provide details:

__________________________________________________________________________________

__________________________________________________________________________________

Woodgreen Construction
Services Limited
I/We………………………………………..make this declaration conscientiously believing the same to be
true, and I/we am/are aware that if there is any statement in this declaration which is false in fact, which
I/we know or believe to be false or do not believe to be true, I/we may be disqualified from the Tendering
process or if awarded the Tender, the contract will be immediately terminated.

DAVE SINGH
……………………………….. …………………..………..… 22 March 2024
……………………………..
Declarant Name Declarant Signature Date

CEO
………………………………..
Position

Company Seal

86

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