Omnibus Sworn Statement (Multi-B)
Omnibus Sworn Statement (Multi-B)
AFFIDAVIT
I, BRYAN JHONSON C. LIM, of legal age, Filipino, and with office address at 125-B Edsa
Cor., Kaingin Rd, Brgy. Apolonio Samson, Quezon City, after having been duly sworn in
accordance with law, do hereby depose and state that:
2. I am granted full power and authority to do, execute and perform any and all acts
necessary to participate, submit the bid, and to sign and execute the ensuing contract for
[Name of the Project] of the [Name of the Procuring Entity], as shown in the attached
[state title of attached document showing proof of authorization (e.g., duly notarized
Secretary’s Certificate, Board/Partnership Resolution, or Special Power of Attorney,
whichever is applicable;)];
5. Bryan Jhonson C. Lim is authorizing the Head of the Procuring Entity or its duly
authorized representative(s) to verify all the documents submitted;
7. Multi-B Construction Corporation complies with existing labor laws and standards; and
9. Multi-B Construction Corporation 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.
10. In case advance payment was made or given, failure to perform or deliver any of
the obligations and undertakings in the contract shall be sufficient grounds to
constitute criminal liability for Swindling (Estafa) or the commission of fraud with
unfaithfulness or abuse of confidence through misappropriating or converting any
payment received by a person or entity under an obligation involving the duty to
deliver certain goods or services, to the prejudice of the public and the
government of the Philippines pursuant to Article 315 of Act No. 3815 s. 1930, as
amended, or the Revised Penal Code.
IN WITNESS WHEREOF, I have hereunto set my hand this __ day of ___, 20__ at
____________, Philippines.