PQD For Resident Supervision Issued - 044

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Prequalification Document for the Resident Supervision

ANNEXURE 3 AFFIDAVIT Date: The Chief Executive Officer Punjab Mineral Company (PMC) 36-E, Rehman Arcade, Court Street, Lower Mall, Near Civil Secretariat, Lahore, Pakistan We, [insert name of Applicant] hereby represent and warrant that, as of the date of this letter [Name of Applicant / Lead Member of Applicant], and each member of Applicant (if applicable): a. b. c. is not in bankruptcy or liquidation proceedings; has not been convicted of, fraud, corruption, collusion or money laundering; and is not aware of any conflict of interest or potential conflict of interest arising from prior or existing contracts or relationships which could materially affect its capability to comply with the obligations in respect of the subject Project for which prequalification is being done.

We further represent and warrant that all information and documentation submitted as part of our Expression of Interest is true and accurate. We have also attached a clearance certificate duly attested by the chamber of commerce / registration authority evidencing registration. Yours sincerely,

Signature of Authorized Signatory Name and Title of Signatory: Name of Firm: Address:

PUNJAB MINERAL COMPANY (Pvt.) LIMITED

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