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									FORM NO. 1

        LETTER OF INTENT (LOI) AND APPLICATION FOR ELIGIBILITY

(Date of Issuance)


Commissioner
Bureau of Customs
Port Area, Manila

Attention     :      Deputy Commissioner Gregorio B. Chavez
                     Chairman
                     Committee on the Accreditation of Service Provider (CASP)

Dear Sir / Madame:

      I hereby express my intention to apply for eligibility pursuant to CAO No. 4-
2010 as implemented by CMO 24-2010 to become a Customs Electronic GPS-
Equipped Barrier Seal Service Provider (CEGBSSP). The company which I
represent is committed to undertake the following:

       1. To supply the required number of Customs Electronic GPS-Equipped
          Barrier Seals (CEGBS) to be installed on containers carrying transit cargo;
       2. To provide the appropriate hardware, software and application system for
          the tracking and monitoring of transit cargo installed with CEGBS;
       3. To establish a network of competent personnel deployed in designated
          customs ports to handle the attachment and removal, maintenance,
          transport, and security and ensuring availability of CEGBS units
       4. To provide training to BOC personnel and its partner agencies in the
          monitoring and tracking of CEGBS installed transit cargo as well as in the
          audit of historical transit data;
       5. To deliver all the services detailed in the Invitation to Apply for Eligibility.

      I hereby certify that all information provided herein, is true and correct, and I
hold myself liable, criminally or civilly, for any misrepresentation or false statement
made herein.

Very truly yours,

Name, Position and Signature of Authorized Signatory




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Form No. 2

REPUBLIC OF THE PHILIPPINES)
MANILA                     ) S.s.


              AFFIDAVIT OF NON-INCLUSION IN THE BLACKLIST


      I, (name and designation of authorized signatory), Filipino, of legal age and
(address), after having sworn in accordance with law hereby deposes and states
that:

   1. I am the (designation) of (name of applicant corporation), as shown by a
      Secretary’s Certificate which is hereto attached;

   2. (name of the company) is an applicant as Customs Electronic GPS-Equipped
      Barrier Seal Service Provider (CEGBSSP) with the Bureau of Customs
      pursuant to Customs Administrative Order No. 04-2010 and Customs
      Memorandum Order No. 24-2010;

   3. (name of the company) is not included in the blacklist of contractors for any
      government projects including its subdivisions or was included in the
      Consolidated Blacklisting Report issued by the Government Procurement
      Policy Board (GPPB). Attached herewith is the certification from the GPPB;
      and

   4. I am executing this Affidavit to attest to the truth of the foregoing facts and in
      compliance with the eligibility requirement as Customs Electronic GPS-
      Equipped Barrier Seal Service Provider (CEGBSSP).



   AFFIANT FURTHER SAYETH NAUGHT.


                                                                      Mr. X
                                                                      Affiant


   SUBSCRIBED AND SWORN to before me this __ day of January 2011, in
   Manila.


                                                        NOTARY PUBLIC

   Doc. No.
   Page No.
   Book No.
   Series of 2011

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Form No. 3



          LIST OF ONGOING & COMPLETED UNDERTAKINGS (2007-2010)

Name of Company: _____________________________________
Business Address: _____________________________________

A. On-going Undertakings
Name        of Inclusive          Description         of Amount of Project
Project        Dates              Service/s       Being
                                  Provided




* For the above list, attached copy of contract

B. Completed Undertakings

Name         of Inclusive         Description        of Amount of Project
Project         Dates             Service/s Provided




* For the above list, attached copy of Certificate of Satisfactory Completion issued by
the client


Submitted by:



Printed Name, Position & Signature of Authorized Signatory




                                                                                      3
FORM NO. 4


STATEMENT ON TECHNICAL COMPETENCE AND EXPERTISE OF OFFICERS /
                         PERSONNEL


Date of Issuance


Commissioner
Bureau of Customs
Port Area, Manila


Attention     :     Deputy Commissioner Gregorio B. Chavez
                    Chairman, Committee on the Accreditation of Service Provider
                    (CASP)


Dear Sir/Madame:

In compliance with the requirements of the Bureau of Customs CASP for eligibility to
be accredited as Customs Electronic GPS-Equipped Barrier Seal Service Provider
(CEGBSSP), we certify to the technical competence, experience and expertise of the
following officers/personnel, hereunder enumerated:

Name                         Educational Attainment     Years with Firm    Age
1.
2.
3.
4.
5.
n.

Attached are their respective bio-data.


Very truly yours,


Name, Position and Signature of Authorized Signatory




                                                                                   4
FORM NO. 5


       LETTER OF AUTHORITY TO VALIDATE SUBMITTED DOCUMENTS




Commissioner
Bureau of Customs
Port Area, Manila


Attention     :     Deputy Commissioner Gregorio B. Chavez
                    Chairman, Committee on the Accreditation of Service Provider
                    (CASP)


Dear Sir/Madame:

In compliance with the eligibility requirements of the Bureau of Customs CASP for
accreditation as Customs Electronic GPS-Equipped Barrier Seal Service Provider
(CEGBSSP), we hereby authorize the CASP or its authorized representative/s to
verify the statements, documents and information submitted herewith to substantiate
our eligibility.

The following persons, including telephone/fax numbers may be contacted to provide
further information with regard to this application:

       Name               Telephone No.                    Fax No.

   1. ___________________________________________________________
   2. ___________________________________________________________
   3. ___________________________________________________________


Very truly yours,




Name, Position and Signature of Authorized Signatory




                                                                                   5
FORM NO. 6


                          AFFIDAVIT OF AUTHENTICITY


I, ___(Representative of the Company)___, of legal age, __(civil status)__, Filipino
and residing at ___(Address of the Representative)_, under oath, hereby depose
and say:

1. That I am the __(Position in the Signatory)__ of the ___(Name of the
   Company)___, with principal office address at ___(Address of the Company)___;

2. That each of the documents submitted is original copy or certified true copy and
   that all statements and information contained therein are true and correct;

3. That this affidavit is being executed to attest to the truth of the foregoing and in
   compliance with the eligibility requirement of __(Name of the Company)__ for
   qualification as Customs Electronic GSP-Equipped Barrier Seal Service Provider
   (CEGBSSP).


IN TRUTH WHEREOF, I hereby affix my signature this _____ day of _____, 20___
at _____________, Philippines.



                                ___________________________________
                           Name, Position & Signature of Authorized Signatory


SUBSCRIBED AND SWORN TO before me this _________, day of ______ 2003,
affiant exhibiting to me his/her (Passport or any valid ID) No. ________________
issued on _________ at _____________________, Philippines.



                                                              (Notary Public)




Doc. No.
Page No.
Book No.
Series of 2011

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