FORM No. 1
Consortium Declaration
The undertakings below hereby solemnly declare that we have formed a consortium or another
group of undertakings and that we - in case we are awarded the contract - will undertake joint and
several liability.
Name of consortium:
[Insert the name of the consortium/group]
[undertaking 1]
[undertaking 2]
[Title and signature]
[Title and signature]
[undertaking 3]
[undertaking 4]
[Title and signature]
[Title and signature]
The undersigned member of the consortium is fully authorised to represent the consortium and to
act with binding effect on behalf of all members of the consortium:
[name of undertaking]
[This declaration is only to be completed and enclosed if the application for prequalification is
submitted by a group of undertakings (e.g. a consortium). Add additional lines for consortium
members as appropriate].
FORM No. 2
Statement on annual overall turnover, equity ratio and long term debt
rating
- Section III.1.2), letter E and F of the Contract Notice
Annual overall turnover (in IFRS: "revenue") for each of the past 3 financial
years
Financial year (specify period)
[mm/dd/yyyy to mm/dd/yyy]
1.
2.
3.
Annual overall turnover (amount and
currency)
Equity ratio for the latest financial year (total equity/total assets x 100)
Financial year
(specify period)
Total equity
Total assets
Long term debt rating (optional)
Date
Credit rating agency
Name and business registration no.
Signature
Rating
Equity ratio
FORM No. 3
Declaration of support
(Economic and financial capacity)
The undertaking below:
Name
Address
Business reg.no.
Tel.
E-mail
(herinafter "the above stated undertaking") hereby declares that the [insert name and business
registration number of the applicant] which applies for prequalification can rely on the capacity of
the above stated undertaking with respect to the information stated in section III.1.2) of the Contract
Notice.
The above stated undertaking is aware that it is required that the above stated undertaking co-signs
the concession contract - if the applicant is awarded the contract - and thereby assumes joint and
several liability with the applicant.
[Title and signature]
FORM No. 4
Declaration of Support
(Technical capacity-
Project development and management of construction)
The undertaking below:
Name
Address
Business reg.no.
Tel.
E-mail
(herinafter "the above stated undertaking") hereby declares that [insert name and business
registration number of the applicant], which applies for prequalification can rely on the capacity of
the above stated undertaking with respect to the information stated in section III.1.3), letter K of the
Contract Notice.
The above stated undertaking is aware that it is required that the above stated undertaking co-signs
the concession contract - if the applicant is awarded the contract and the applicant does not
without the support of the above stated undertaking meet the minimum requirement on technical
capacity stated under section VI.2(7) of the Contract Notice - and thereby assumes joint and
several liability with the applicant.
[Title and signature]