A ANNEX - ADMINISTRATIVE TABLE

Transcription

RfP - IRS for managing the EEA/Norway Grants 09-14
A
ANNEX - ADMINISTRATIVE TABLE OF ANSWER
Where a tender involves several service providers, they shall make a proposal in the name of only one
candidate, who is then the sole candidate if the proposal is successful, the other service providers being
considered as subcontractors. The candidate(s) must stipulate the role, qualifications and experience of each
service provider and, where relevant, the monitoring arrangements that exist between them.
A.1
Legal Entity Form
The legal entity form shall be filled in by a representative of the candidate authorised to sign contracts with
third parties.
The Legal Entity File must be supported by the following documents relating to each candidate in order to
show its name, address and official registration number:
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A legible copy of the instrument of incorporation or constitution, and a copy of the statutes, if they are
contained in a separate instrument, or a copy of the notices of such constitution or incorporation
published in the national or other official journal, if the legislation which applies to the candidate
requires such publication;
A legible copy of the most recent amendment to the instruments mentioned in the previous indent,
including that involving any transfer of the registered office of the legal entity, or a copy of the notice
published in the relevant national or other official journal of such amendment, if the legislation which
applies to the candidate requires such publication. If the instruments mentioned in the previous
paragraph have not been amended since incorporation and the candidate 's registered office has not
been transferred since then, a written confirmation, signed by an authorised representative of the
candidate, that there has been no such amendment or transfer;
A legible copy of the notice of appointment of the persons authorised to represent the candidate in
dealings with third parties and in legal proceedings, or a copy of the publication of such appointment if
the legislation which applies to the legal entity concerned requires such publication.
If the above documents doesn’t show the registration number, a proof of registration, as prescribed in
their country of establishment, on one of the professional or trade registers or any other official
document showing the registration number.
If the above documents does not show the VAT number, a copy of the VAT registration document,
where applicable.
All candidates shall provide their Legal Entities File as well as the evidence mentioned above.
Subcontractors shall only provide the legal entity file, without the above mentioned evidence.
The legal entity form is available at the following link:
http://ec.europa.eu/budget/info_contract/legal_entities_en.htm
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A.2
Financial Identification Form
The “Financial Identification Form” must be completed for the bank account opened in the country of
domicile of the Candidate and:
- stamped and signed by the representative of the candidate’s Bank, and
- countersigned by the Account Holder, representing [1] the Contractor.
The Financial Identification Form can be downloaded from the EUROPA website:
http://ec.europa.eu/budget/info_contract/ftiers_en.htm
1
The declared Account Holder must be a person duly authorised to act legally on behalf of the Contractor for financial
matters related to the present Contract.
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A.2.1
Candidate Identification Form
Please complete the information below:
REPLY
1.
Name of the candidate party
2.
Legal status of the candidate party
3.
Candidate party’s address
4.
Person(s) authorised to sign contracts on
behalf of the candidate party
a)
SURNAME and first name
b)
POSITION / ROLE (Director, etc.)
c)
d)
5.
COPY of an official document issued by the
National Authority for confirmation, with a
specimen signature
PROOF OF AUTHORISATION to sign
contracts on behalf of the candidate party
Contact person for this call for tender:
a)
SURNAME and first name
d)
Position/Role (Director, etc.)
e)
Direct telephone number
f)
Direct fax number
g)
Direct electronic mail address
h)
Postal address
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A.3
Exclusion criteria form
DECLARATION OF HONOUR
with respect to
THE EXCLUSION CRITERIA
The undersigned [name of the signatory of this form, to be completed]:
in his/her own name (if the economic operator is a natural person (i.e an individual) or in case of own
declaration of a director or person with powers of representation, decision making or control over the economic
operator)
or
representing (if the economic operator is a legal person)
Official name in full (only for legal person):
Official legal form (only for legal person):
Official address in full:
VAT registration number:
declares that the company or organisation that he/she represents / he/she:
a) Is not bankrupt or being wound up, is not having its affairs administered by the courts, has not
entered into an arrangement with creditors, has not suspended business activities, is not the
subject of proceedings concerning those matters, and is not in any analogous situation arising
from a similar procedure provided for in national legislation or regulations;
b) Has not been convicted of an offence concerning professional conduct by a judgment which has
the force of res judicata;
c) Has not been guilty of grave professional misconduct proven by any means which the contracting
authorities can justify;
d) Has fulfilled its obligations relating to the payment of social security contributions or the payment
of taxes in accordance with the legal provisions of the country in which it is established, or with
those of the country of the contracting authority or those of the country where the contract is to
be carried out;
e) Has not been the subject of a judgement which has the force of res judicata for fraud, corruption,
involvement in a criminal organisation or any other illegal activity.
f) Is not a subject of the administrative penalty for being guilty of misrepresentation in supplying the
information required by the contracting authority as a condition of participation in the
procurement procedure or failing to supply an information, or being declared to be in serious
breach of his obligation under contract covered by the budget;
g) That in case of award of contract, he/she shall provide the evidence that they are not in any of
the situations described in points a, b, d, e above.
For situations described in (a), (b) and (e), production of a recent extract from the judicial record is
required or, failing that, a recent equivalent document issued by a judicial or administrative authority in
the country of origin or provenance showing that those requirements are satisfied. Where the Candidate
is a legal person and the national legislation of the country in which the Candidate is established does
not allow the provision of such documents for legal persons, the documents should be provided for
natural persons, such as the company directors or any person with powers of representation, decision
making or control in relation to the Candidate.
For the situation described in point (d) above, recent certificates or letters issued by the competent
authorities of the State concerned are required. These documents must provide evidence covering all
taxes and social security contributions for which the Candidate is liable, including for example, VAT,
income tax (natural persons only), company tax (legal persons only) and social security contributions.
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For any of the situations (a), (b), (d) or (e), where any document described in two paragraphs above is
not issued in the country concerned, it may be replaced by a sworn or, failing that, a solemn statement
made by the interested party before a judicial or administrative authority, a notary or a qualified
professional body in his country of origin or provenance.
By signing this form, the undersigned acknowledges and agrees that if any of the declarations or information
provided in the context of the present tender proves to be false, or has made substantial errors or committed
irregularities or fraud he/she may be excluded from the tender procedure at any moment without any right
for compensation. He she also undertakes that EFTA/FMO shall determine a financial penalty proportional
to the seriousness of the offence committed.
Full name:
Date:
Signature:
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A.3.1
Absence of conflict of interests form
DECLARATION OF HONOUR
with respect to
ABSENCE OF CONFLICT OF INTERESTS
The undersigned [name of the signatory of this form, to be completed]:

in his/her own name (if the economic operator is a natural person (i.e an individual) or in case of own
declaration of a director or person with powers of representation, decision making or control over the economic
operator)
or
representing (if the economic operator is a legal person)
Official name in full (only for legal person):
Official legal form (only for legal person):
Official address in full:
VAT registration number:
declares on their honour:
• They have no conflict of interest in connection with the contract; a conflict of interest could arise in
particular as a result of economic interests, political or national affinities, family or emotional ties, or any
other relevant connection or shared interest;
• They will inform the FMO, without delay, of any situation constituting a conflict of interest or which
could give rise to a conflict of interest;
• They have not made and will not make any offer of any type whatsoever from which an advantage can be
derived under the contract;
• They have not granted and will not grant, have not sought and will not seek, have not attempted and will
not attempt to obtain, and have not accepted and will not accept, any advantage, financial or in kind, to or
from any party whatsoever, constituting an illegal practice or involving corruption, either directly or
indirectly, as an incentive or reward relating to the award of the contract;
• That the information provided, within the context of this invitation to tender, is accurate, sincere and
complete.
By signing this form, the undersigned acknowledges and agrees that if any of the declarations or information
provided in the context of the present tender proves to be false, or has made substantial errors or committed
irregularities or fraud he/she may be excluded from the tender procedure at any moment without any right
for compensation. He she also undertakes that EFTA/FMO shall determine a financial penalty proportional
to the seriousness of the offence committed.
Full name:
Date:
Signature:
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