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2022 EPA Certification Templates Annex A 1

2022 EPA Certification Templates Annex a 1

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Christian Paul Pinote
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18 views2 pages

2022 EPA Certification Templates Annex A 1

2022 EPA Certification Templates Annex a 1

Uploaded by

Christian Paul Pinote
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Annex “A-1”

CERTIFICATION OF UNDERTAKING/NON-UNDERTAKING OF EARLY


PROCUREMENT ACTIVITIES

I hereby certify that the [State: Complete Name of Procuring Entity] has [Choose whichever
applies: ▢successfully undertaken / ▢unsuccessfully undertaken / ▢not undertaken] Early
Procurement Activities (EPA) for eligible Procurement Projects based on the agency’s
Indicative Annual Procurement Plan consistent with the National Expenditure Plan (NEP) for
Fiscal Year _____ in the following amounts:

Total Amount
Description1
(in PhP)
a. Total Amount in Indicative APP based on NEP
b. Less: Exceptions2
c. Total Amount of Eligible Procurement Projects [c=(a-b)]
d. Amount of Successful3 EPA projects
e. Percentage of Successful EPA [e=(d/c)*100]

<In case the agency did not undertake EPA or was not able to achieve the required 50%,
please indicate reason/s and justification/s on this portion>

This Certification is being made in compliance with the Guidelines on the Grant of the
Performance-Based Bonus for the Fiscal Year _______, of the Administrative Order No. 25
Inter-Agency Task Force on the Harmonization of National Government Performance
Monitoring, Information and Reporting Systems.

The undersigned attests to the accuracy of all information contained herein based on
available records and information that can be verified with the [Name of Agency] and the
Philippine Government Electronic Procurement System.

IN WITNESS HEREOF, I have hereunto affixed my signature on (DATE) in (CITY,


PROVINCE), Philippines.

(NAME OF HEAD OF THE PROCURING ENTITY)


(POSITION)

SUBSCRIBED AND SWORN to before me this (DATE), in (CITY, PROVINCE), Philippines, with
affiant exhibiting me his/her (GOVERNMENT-ISSUED ID) issued on (DATE OF ISSUANCE) at
(PLACE OF ISSUANCE).
NOTARY PUBLIC

Doc. No. _______


Page No. _______
Book No. _______
Series of _______

1
Amount and values refer to the Approved Budget for the Contract
2
See item 4.3 of the Guidelines in the Conduct of Early Procurement Activities as a Requirement for the Grant of the
Performance-Based Bonus
3
Section 3.1 of GPPB Circular 06-2019 provides that the “EPA shall refer to the conduct of procurement activities, from
posting of the procurement opportunity, if required, until recommendation of the Bids and Awards Committee (BAC) to
the HoPE as to the award of the contract xxx”
Annex “A-2”

CERTIFICATION OF EXCEPTION FROM EARLY PROCUREMENT ACTIVITIES

I hereby certify that the [Complete Name of Procuring Entity] has no eligible
Procurement Projects for the conduct of Early Procurement Activities based on the
agency’s Indicative Annual Procurement Plan consistent with the National
Expenditure Program.

This Certification is being made in compliance with the Guidelines on the Grant of
the Performance-Based Bonus for the Fiscal Year _______, of the Administrative
Order No. 25 Inter-Agency Task Force on the Harmonization of National
Government Performance Monitoring, Information and Reporting Systems.

The undersigned attests to the accuracy of all information contained herein based on
available records and information that can be verified with the [Name of the
Procuring Entity] and the Philippine Government Electronic Procurement System.

IN WITNESS HEREOF, I have hereunto affixed my signature on [Date] in [City,


Province], Philippines.

(NAME OF HEAD OF THE PROCURING ENTITY)


(POSITION)

SUBSCRIBED AND SWORN to before me this (DATE), in (CITY, PROVINCE), Philippines, with
affiant exhibiting me his/her (GOVERNMENT-ISSUED ID) issued on (DATE OF ISSUANCE) at
(PLACE OF ISSUANCE).

NOTARY PUBLIC

Doc. No. _______


Page No. _______
Book No. _______
Series of _______

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