Common use of DECLARATION FORM Clause in Contracts

DECLARATION FORM. Date To: The Kenya Power Pension Fund, P.O Box 1548 – 00600, Stima Plaza, Kolobot Road, Parklands, Nairobi, Ladies and Gentlemen, The Tenderer i.e. (full name and complete physical and postal address) declare the following: - a) That I/ We have not been debarred from participating in public procurement by anybody, institution or person. b) That I/ We have not been involved in and will not be involved in corrupt and fraudulent practices regarding public procurement anywhere. c) That I/We or any director of the firm or company is not a person within the meaning of paragraph 3.2 of ITT (Eligible Tenderers) of the Instruction to Tenderers. d) That I/ We are not insolvent, in receivership, bankrupt or in the process of being wound up and is not the subject of legal proceedings relating to the foregoing. e) That I/We do hereby confirm that all the information given in this tender is accurate, factual and true to the best of our knowledge. Yours sincerely, Name of Tenderer Signature of duly authorised person signing the Tender Name and Designation of duly authorised person signing the Tender Stamp or Seal of Tenderer

DECLARATION FORM. Date To: The Kenya Power Pension FundMedia Council of Kenya, Ground Floor, Britam Centre Ragati Road, Upper Hill P.O Box 1548 43132 – 00600, Stima Plaza, Kolobot Road, Parklands00100, Nairobi, Ladies and Gentlemen, The Tenderer i.e. (full name and complete physical and postal address) declare the following: - a) That I/ We have not been debarred from participating in public procurement by anybody, institution or person. b) That I/ We have not been involved in and will not be involved in corrupt and fraudulent practices regarding public procurement anywhere. c) That I/We or any director of the firm or company is not a person within the meaning of paragraph 3.2 of ITT (Eligible Tenderers) of the Instruction to Tenderers. d) That I/ We are not insolvent, in receivership, bankrupt or in the process of being wound up and is not the subject of legal proceedings relating to the foregoing. e) That I/We do hereby confirm that all the information given in this tender is accurate, factual and true to the best of our knowledge. Yours sincerely, Name of Tenderer Signature of duly authorised person signing the Tender Name and Designation of duly authorised person signing the Tender Stamp or Seal of Tenderer