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מתוך מסמכי המכרז להפרטת בתי הסוהר, שנחשפו בעקבות ערעור שהגישה האגודה לזכויות האזרח
Citation preview
PFI
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Schedule 4
DECLARATION OF NONE CONVICTIONS / DESCRIPTION OF CONVICTIONS and/or CRIMINAL PROCEDURES;
and WAIVER OF CONFIDENTIALITY
Will be Submitted at the Time of the Submission of the Bids
Without derogating from the provisions of any law, including the provisions of the Prisons Ordinance and the regulations thereunder, and without derogating from the provisions of the permit for the construction, management and operation of a privately-managed prison pursuant to Section 128XIII of the Prisons Ordinance, the form specified hereinafter will be filled in and signed by each and every individual and/or body specified in Sections 1 through 3 hereunder, as the case may be [excluding, that a form on behalf of an officer, may be signed by the corporation's authorized signatories on behalf of such officer of such company, for the purpose of submission of the bid (and for that purpose only) in accordance and subject to the provisions dealing with that matter under Section 10.4.6 of the Invitation For Bids, and without derogating from them]:
State of Israel - Ministry of Finance - Accountant Generals Branch
Through the Department for Projects in Cooperation with the Private Sector, Inbal Insurance Company Ltd.
Dear Sir / Madam:
Re: Declaration of None Convictions / Description of Convictions and/or Criminal Procedures; and Waiver of Confidentiality
I / We, the undersigned, __________________ I.D. / Co. No.________________ , (hereinafter: the Declarant/s"), hereby declare to you that:
[Please mark one of the options specified in Sections 1 through 3 below]:
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1. I am the Bidder / Officer in the Bidder.
2. I am a Shareholder of the Bidder / Officer in a Shareholder of the Bidder as specified in Section 10.4.6 of the Invitation For Bids.
3. I am the Bidder's Operating Contractor / the Experienced Prison Operator related to the Bidder / the Chief Architect / an Officer in one of the aforesaid bodies, as specified in Section 10.4.6 of the Invitation For Bids.
For the removal of any doubt, it should be clarified, that for the purpose of this Schedule 4: "Officer" means - as defined in Section 128XI of the Prisons Ordinance.
4. Please Circle the Relevant Option from Section 4 below and Sign according to the Instructions, including on the Signature Place at the Bottom of the Form:
Option A:
I was never convicted and no criminal procedures whatsoever have been conducted against me:
________________ ___________________
Name and Signature of the Company / Individual
Option B:
The following legal procedure(s) is / are conducted against me/us in connection with the criminal offenses, as defined in the Invitation, noted alongside of it/them:
Description of the Legal/Investigation Procedure(s): the Criminal Offence:
a.______________________________________ _________________
b.______________________________________ _________________
c.______________________________________ _________________
I/We have been convicted in the criminal Offence(s), as defined in the Invitation, as follows:
a.______________________________________
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b.______________________________________
c.______________________________________
5. I/we hereby irrevocably empower the Tender Committee (hereinafter: the Committee) and/or anyone on its behalf, to freely review the criminal register conducted in my/our name in accordance with the Criminal Register and Rehabilitation of Offenders Regulations Law 5741-1981 (hereinafter: The Register), and to receive any information, details and/or document in connection with the criminal offenses in which I have been convicted, and/or with respect to any procedure(s) and/or any criminal investigation(s) conducted against me, from the police and/or from any other relevant body.
6. Furthermore, in the event that, at the opinion of the Committee, further confirmation is required in accordance with the laws of the relevant country, for the purpose of review of the aforesaid Register, I/we hereby undertake to deliver to the Committee, upon the Committees request, a certificate of confirmation as aforesaid within such period of time as the Committee shall stipulate in its request to me/us.
Signature and Seal of the Declarant/s
Date Signature & Seal of Attorney at Law
I hereby certify by my signature that the signatories on behalf of the Declarant/s were cautioned by me to declare the truth and were warned that they could incur the penalties prescribed by law if they do not do so, and that after I had cautioned them as aforesaid, they signed this form in my
presence.
Date
Comment: In the event (and only in the event) that a corporation signs on behalf of its officer, in accordance with and subject to the provisions of Section 10.4.6 of the Invitation: (1) The corporation shall sign on a separate form regarding each officer that on his behalf it has signed the Form: (2) In such event, a corporation which signs on behalf of its officer, as aforesaid, may cross a line on Sections 5 and 6 of this Form.
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-
-
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Schedule 4A
DECLARATION OF NONE CONVICTIONS / DESCRIPTION OF CONVICTIONS and/or CRIMINAL PROCEDURES;
and WAIVER OF CONFIDENTIALITY
will be Submitted within 30 days From Receipt of the Notification of Nomination for Wining the Tender; and will Constitute a Condition for Receipt of Notification of
Wining the Tender
Without derogating from the provisions of any law, including the provisions of the Prisons Ordinance and the regulations thereunder, and without derogating from the provisions of the permit for the construction, management and operation of a privately-managed prison pursuant to Section 128XIII of the Prisons Ordinance, the form specified hereinafter will be filled in and signed by each and every individual(s) and/or bodies specified in Sections 1-2 hereunder, as the case may be.
State of Israel - Ministry of Finance - Accountant Generals Branch
Through the Department for Projects in Cooperation with the Private Sector, Inbal Insurance Company Ltd.
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Dear Sir / Madam:
Re: Declaration of None Convictions / Description of Convictions and/or Criminal Procedures; and Waiver of Confidentiality
I / We, the undersigned, __________________ I.D. / Co. No.________________ , (hereinafter: the Declarant/s"), hereby declare to you that:
[please mark one of the options specified in Sections 1-2 below:]
1. I am an officer in a Shareholder of the Bidder / an officer in the Operating Contractor of the Bidder (or in the Experienced Prison Operator of the bidder) / an officer in the Chief Architect - whose declaration was not required from the bidder (according to the previsions of the Invitation for Bids) under Schedule 4, or whose declaration was submitted in schedule 4 (according to Section 10.4.6 of the Invitation for Bids), but was not personally signed by him (at the time of submission of Schedule 4).
2. I am an Interested Party in the Bidder, directly or indirectly / an Interested Party in the Operating Contractor of the Bidder, directly or indirectly / an Interested Party in the Experienced Prison Operator of the Bidder, directly or indirectly / an Interested Party in the Chief Architect, directly and indirectly.
For the removal of any doubt, it should be clarified, that for the purpose of this Schedule 4A:
"Officer" means - as defined in Section 128XI of the Prisons Ordinance;
"Interested Party" means - as defined in Section 128XI of the Prisons Ordinance.
3. Please Circle the Relevant Option from Section 3 below, and Sign according to Instructions, including on the Signature Place at the Bottom of the Form:
Option A:
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I was never convicted and no criminal procedures whatsoever have been conducted against me:
________________ ____________________
Name and Signature of Company/Individual
Option B:
The following legal procedure(s) is / are conducted against me/us in connection with the criminal offenses, as defined in the Invitation, noted alongside of it/them:
Description of the Legal/Investigation Procedure(s): the Criminal Offence:
a.______________________________________ _________________
b.______________________________________ _________________
c.______________________________________ _________________
I/We have been convicted in a criminal Offence, as defined in the Invitation, as follows:
a.______________________________________
b.______________________________________
c.______________________________________
4. I/we hereby irrevocably empower the Tender Committee (hereinafter: The Committee) and/or anyone on its behalf, to freely review the criminal register conducted in my/our name in accordance with the Criminal Register and Rehabilitation of Offenders Regulations Law 5741-1981 (hereinafter: The Register), and to receive any information, details and/or document in connection with the criminal offenses in which I have been convicted, and/or with respect to any procedure(s) and/or any criminal investigation(s) conducted against me, from the police and/or from any other relevant body.
5. Furthermore, in the event that, in the opinion of the Committee, further confirmation is required in accordance with the laws of the relevant country for the purpose of review
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of the aforesaid Register, I/we hereby undertake to deliver to the Committee, upon the Committees request, a certificate of confirmation as aforesaid within such period of time as the Committee shall stipulate in its request to me/us.
Signature and Seal of the Declarant/s
Date Signature and Seal of Attorney at Law
I hereby certify by my signature that the signatories on behalf of the Declarant/s were cautioned by me to declare the truth and were warned that they could incur the penalties prescribed by law if they do not do so, and that after I had cautioned them as aforesaid, they
signed this form in my presence.
Date
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Base Case
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Stand-By
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1
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ADSCR (Annual Debt Service Cover Rat io)
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LLCR (Loan Life Cover Rat io)
PLCR (Project Life Cover Rat io)
Equity I RR
Project I RR
Excel
CD
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Ultimate
Parents
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C
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aarreennttssPPUUllttiimmaattee
Ult imate Parents
Ultimate Parent
Ultimate Parents
Ultimate Parents
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C
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Ultimate Parents
Ultimate Parent
Ult imate Parent
Ultimate Parent
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7 SCHEDULE 3. FORM NO
INFORMATION ABOUT THE SHAREHOLDERS AND THE ULTIMATE PARENTS )IF RELIED UPON(IN THE BIDDER
(This Form is to be completed separately by each of the shareholders in the Bidder together with its Ultimate Parents (if relevant))
1. General Information
Name of Shareholder in the Bidder: ____________________________________
Company/I. D. No: ____________________________________
Percentage Holdings in the Bidder: _____________ %
Name of the Ultimate Parent: ________________________________
Percentage holding in the Shareholder in the Bidder: ____________________%
2. Declarations and Undertakings
The Shareholders in the Bidder and the Ultimate Parents hereby, jointly and severally, declare and undertake that:
2.1 They have received the Tender documents, have read and understood them, and that they accept upon themselves the terms and conditions thereof, and in particular the powers vested thereby in the Tender Committee.
2.2 They have reviewed the provisions of the Tender documents, and particularly of the Concession Agreement, that impose restrictions and obligations
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directly on the Shareholders and that every one of the aforesaid obligations are to be regarded, as of the date of signing this Schedule, to have been made by each of them, jointly and severally, and jointly and severally with the Bidder.
2.3 They have examined the representations and declarations contained in the Proposal for the Tender, and in the Concession Agreement, and that every one of the aforesaid representations and declarations are to be regarded, as of the date of signing of this Schedule, to have been made by each of them, jointly and severally, and jointly and severally with the Bidder.
2.4 That other than as specified below, since the date of submission of the bids in the Prequalification Stage, no material change has occurred in relation to the Shareholders and the Ultimate Parents, in comparison with the data presented in respect thereof in the framework of the Prequalification Stage, and in particular that:
2.4.1 No material change has occurred in its legal status, and to the best of its knowledge, following the conduct of an appropriate examination, no such change is anticipated;
2.4.2 No material change has occurred in its financial position, and following the conduct of an appropriate examination, no such change is anticipated;
2.4.3 No material legal claims have been submitted against it, and following the conduct of an appropriate examination, the submission of such claims is not anticipated;
2.4.4 No events have occurred which affect it and/or that could potentially affect the Bidder's ability to execute the Project and perform its obligations under the Concession Agreement; and furthermore
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2.4.5 No change has occurred in relation thereto in respect of any of the other matters specified in Chapter C of the Invitation in the Prequalification Stage and in the declarations contained in the bid forms in the Prequalification Stage.
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
_____________________________________________________
2.5 To the best of their knowledge, and after the conduct of an appropriate examination, all the data, representations and declarations included in the Bid are correct, complete and exact and are updated as of the date of submission of the Bid, and no detail, which could affect the discretion of the Tender Committee, has been omitted from the Bid.
2.6 The Authorized Representative whose particulars are detailed in Form No. 5, has been legally authorized by them to perform all the actions and to sign all the documents pertaining to the Tender, in their name and on their behalf.
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2.7 The force and effect of their obligations under this form will not be prejudiced even in the event of a change in the Tender documents, and particularly in the Concession Agreement, at any stage whatsoever, and they give their consent in advance to any such change, and their obligations in accordance with this Form will be adjusted so as to be compatible with the Tender documents revised as aforesaid.
2.8 The Shareholders Agreement attached to the Bid is the only existing agreement between the shareholders (all or some of them) with respect to the Tender and/or the Project, and apart from it no other such agreements exist.
2.9 They, as well as any body that controls any of them or that is controlled by any of them or is that is under joint control with any one of them, are participating in the Tender only in this Bid.
2.10 They are not associated, directly or indirectly, with any of the advisors specified in Schedule 3
of the Invitation, for the purposes of the Tender and/or the Project.
3. Attachments
3.1 Shareholders' and the Ultimate Parents' last existing annual audited financial reports as of the Date of Submission of the Bids.
3.2 The Shareholders reviewed reports for the period following the last audited financial report (as aforesaid), and up to the date of submission of the Bids.
4. Miscellaneous
4.1 Any matter pertaining to this Form shall be subject to the Laws of the State of Israel.
4.2 The provisions prescribed in the Concession Agreement for the resolution of disputes shall apply, mutatis mutandis, to any dispute pertaining to this Schedule.
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4.3 Without derogating from the aforesaid, the Jerusalem District Court shall have exclusive jurisdiction in relation to any matter deriving from or pertaining to this Schedule.
4.4 The address of the undersigned shall be through the Bidder, and the Bidder shall be authorized to receive on its behalf notices and documents in connection with the Tender and/or the Project.
Signature and Seal of the shareholder in the
Bidder
Date Signature and Seal of Attorney
at Law
I hereby declare and certify by my signature that the signatories on behalf of the shareholder in the Bidder are duly authorized to sign on its behalf and to bind it for the
purposes of the Tender.
I hereby certify by my signature that the signatories on behalf of the shareholder were cautioned by me to declare the truth and were warned that they could incur
the penalties
prescribed by law if they do not do so, and that after I had cautioned them as aforesaid,
they signed this Form in my presence.
Date
Signature and Seal of the Ultimate Parent
Date Signature and Seal of Attorney at Law
I hereby declare and certify by my signature that the signatories on behalf of the Ultimate Parent are duly authorized to sign on its behalf and to bind it for the purposes of the
Tender.
I hereby certify by my signature that the
Date
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signatories on behalf of the Ultimate Parent were cautioned by me to declare the truth and were warned that they could incur the penalties prescribed by law if they do not do so, and that after I had cautioned them as aforesaid, they signed this Form in my
presence.
aarreennttssPPUUlltt iimmaattee
Ult imate Parents
Ultimate Parent
Ultimate Parent
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Ultimate Parent
Ultimate Parents
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Ultimate Parent
Ult imate Parent
Ultimate Parent
Ultimate Parent
Ult imate Parent
Ultimate Parent
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Ultimate Parent
Ult imate Parent
Ultimate Parent
7 SCHEDULE A 3. FORM NO
UNDERTAKINGS OF THE SHAREHOLDERS AND THE ULTIMATE PARENTS JOINTLY AND SEVERALLY IN THE BIDDER ) IF RELIED UPON(
(This Form is to be completed separately by each of the shareholders in the Bidder together with its Ultimate Parents (if relevant))
1 . Genera l I nformat ion
Name of Shareholder in t he Bidder ___________________________
Com pany/ I . D. No: ____________________________
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Percent age Holdings in t he Bidder: ________%
Name of t he Ult imat e Parent : ____________________________
Percent age holding in t he Shareholder in t he Bidder:
Name of Shareholder in t he Bidder
___________________________
Com pany/ I . D. No: ____________________________
Percent age Holdings in t he Bidder:
________%
Name of t he Ult imat e Parent : ____________________________
Percent age holding in t he Shareholder in t he Bidder:
Name of Shareholder in t he Bidder
___________________________
Com pany/ I . D. No: ____________________________
Percent age Holdings in t he Bidder:
________%
Name of t he Ult imat e Parent : ____________________________
Percent age holding in t he Shareholder in t he Bidder:
2. Declarations and Undertakings
The Shareholders in the Bidder and the Ultimate Parents hereby, jointly and severally, declare and undertake that:
2.1. They have received the Tender documents, have read and understood them and that they accept upon themselves the terms and condit ions thereof , and in part icular the powers vested thereby in t he Tender Commit tee.
2.2. They have reviewed the provisions of t he Tender documents, and part icular ly of t he Concession Agreement , t hat impose rest r ict ions and obligat ions direct ly on the Shareholders and that every one of t he aforesaid obligat ions are to be regarded, as of the date of signing this Schedule, t o have been made by each of t hem, j oint ly and severally,
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and j oint ly and severally with the Bidder and with t he other Shareholders.
2.3. They j oint ly and severally undertake to invest in the Concessionaire t he proport ionate amount of the Concessionaires equit y, as specif ied in t he Shareholders Agreement , in accordance with t he Shareholder 's proport ionate share in the Concessionaires equit y, and that such sum shall be invested by the Concessionaire in t he Proj ect . The aforesaid undertaking shall remain in ef fect unt il t he State cer t if ies that each of t he Shareholders in t he Concessionaire has invested it s share in t he Concessionaires equit y, and that said amounts have been invested by the Concessionaire in t he Proj ect .
2.4. They j oint ly and severally undertake to invest in the Concessionaire t he proport ionate amount of the shareholders' loans to the Concessionaire in accordance with t he Shareholders Agreement and in accordance with t he Shareholders' Loans Agreements, and that said amount shall be invested by the Concessionaire in the Proj ect . The aforesaid undertaking shall remain in ef fect unt il t he State conf irms that each of t he Shareholders in t he Concessionaire has invested it s share of the shareholders' loans to t he Concessionaire, and that said amounts have been invested by the Concessionaire in the Proj ect .
2.5. The Shareholders Agreement at t ached to t he Bid is the only exist ing agreement between the Shareholders (all or some of them) with respect t o the Tender and/ or the Project and apart f rom it , no other such agreements exist .
3. Miscellaneous
3.1. Any matter pertaining to this Form shall be subject to the Laws of the State of Israel.
3.2. The provisions prescribed in the Agreement for the resolution of disputes shall apply, mutatis mutandis, to any dispute pertaining to this Schedule.
3.3. Without derogating from the aforesaid, the Jerusalem District Court shall have exclusive jurisdiction in relation to any matter deriving from or pertaining to this Schedule.
3.4. The address of the undersigned shall be through the Bidder, and the Bidder shall be authorized to receive on its behalf notifices and documents in connection with the Tender and/or the Project.
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Signature and Seal of the shareholder in the
Bidder
Date Signature and Seal of Attorney at Law
I hereby declare and certify by my signature that the signatories on behalf of the shareholder in the Bidder are duly authorized to sign on its behalf and to bind it for the purposes of the
Tender.
I hereby certify by my signature that the signatories on behalf of the shareholder were cautioned by me to declare the truth and were warned that they could incur the penalties prescribed by law if they do not do so, and that after I had cautioned them as aforesaid, they
signed this Form in my presence.
Date
Signature and Seal of the Ultimate Parent
Date Signature and Seal of Attorney at Law
I hereby declare and certify by my signature that the signatories on behalf of the Ultimate Parent are duly authorized to sign on its behalf and to
bind it for the purposes of the Tender.
I hereby certify by my signature that the signatories on behalf of the Ultimate Parent were cautioned by me to declare the truth and were warned that they could incur the penalties prescribed by law if they do not do so, and that after I had cautioned them as aforesaid, they
signed this Form in my presence.
Date
Signature and Seal of Date Signature and Seal of Date
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the shareholder in the Bidder
Attorney at Law
I hereby declare and certify by my signature that the signatories on behalf of the shareholder in the Bidder are duly authorized to sign on its behalf and to bind it for the purposes of the
Tender.
I hereby certify by my signature that the signatories on behalf of the shareholder were cautioned by me to declare the truth and were warned that they could incur the penalties prescribed by law if they do not do so, and that after I had cautioned them as aforesaid, they
signed this Form in my presence.
Signature and Seal of the Ultimate Parent
Date Signature and Seal of Attorney at Law
I hereby declare and certify by my signature that the signatories on behalf of the Ultimate Parent are duly authorized to sign on its behalf and to
bind it for the purposes of the Tender.
I hereby certify by my signature that the signatories on behalf of the Ultimate Parent were cautioned by me to declare the truth and were warned that they could incur the penalties prescribed by law if they do not do so, and that after I had cautioned them as aforesaid, they
signed this Form in my presence.
Date
Signature and Seal of the shareholder in the
Bidder
Date Signature and Seal of Attorney at Law
I hereby declare and certify by my signature that the signatories on behalf of the shareholder in the Bidder are duly authorized to sign on its behalf and to bind it for the purposes of the
Date
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Tender.
I hereby certify by my signature that the signatories on behalf of the shareholder were cautioned by me to declare the truth and were warned that they could incur the penalties prescribed by law if they do not do so, and that after I had cautioned them as aforesaid, they
signed this Form in my presence.
Signature and Seal of the Ultimate Parent
Date Signature and Seal of Attorney at Law
I hereby declare and certify by my signature that the signatories on behalf of the Ultimate Parent are duly authorized to sign on its behalf and to
bind it for the purposes of the Tender.
I hereby certify by my signature that the signatories on behalf of the Ultimate Parent were cautioned by me to declare the truth and were warned that they could incur the penalties prescribed by law if they do not do so, and that after I had cautioned them as aforesaid, they
signed this Form in my presence.
Date
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C
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7 SCHEDULE 4.FORM NO
CONTRACTORS-INFORMATION ABOUT THE SUB
(This form is to be completed by the Sub-contractors)
1. General Information
Name of the Sub-Contractor: ________________________________
2. Declarations and Undertakings:
The Sub-contractor hereby declares and undertakes that:
2.1. Save as specified hereunder, since the date of submission of the bids in the Prequalification Stage, no material change has occurred in relation thereto in comparison with the data presented in respect thereof in the framework of the bid in the Prequalification Stage, and in particular that:
2.1.1. No material change has occurred in its legal status, and to the best of its knowledge, following the conduct of an appropriate examination, no such change is anticipated;
2.1.2. No material adverse change has occurred in its financial position, and following the conduct of an appropriate examination, no such change is anticipated;
2.1.3. No material legal claims have been submitted against it, and following the conduct of an appropriate examination, the submission of such claims is not anticipated;
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2.1.4. No events have occurred which affect it and/or that could potentially affect the Bidders ability to execute the Project and perform its obligations under the Concession Agreement; and furthermore
2.1.5. No change has occurred in relation to it in respect of any of the other matters specified in Chapter C Article 8 of the Invitation in the Prequalification Stage and in the declarations contained in the bid forms of the Prequalification Stage.
2.1.6. In the event of the Bidder being declared the winner of the Tender and the Concession Agreement being signed therewith, it undertakes to act as the Sub-contractor in the Project for a period of ____________.
2.1.7. It will contribute and convey its know-how and experience for the purposes of the Project, and in particular the know-how and experience that was presented to the Tender Committee in the framework of the Prequalification Stage, whether with the object of complying with the pre-conditions, or for point scoring purposes, or for any other purpose, in accordance with the conditions of the Tender and the Concession Agreement.
2.1.8. The force of its undertakings will not change even in the event of a change in the Tender documents, and in particular in the Concession Agreement, at any stage whatsoever, and it gives its consent in advance to any such aforesaid change.
2.1.9. In the event of the Bidder being declared the winner of the Tender and the Concession Agreement being signed therewith, it undertakes to enter into a complete and binding agreement with the Bidder, on the basis of the binding principles agreement that shall be submitted by the Bidder as part of the Bid document.
2.1.10. It, as well as any body that controls it or that is controlled thereby or that is jointly controlled together with it, are participating in the Tender only in the framework of this Bid.
2.1.11. It is not associated, directly or indirectly, with any of the advisors specified in Schedule 3
of the Invitation, for the purposes of the Tender and/or of the Project.
3. Attachments
3.1. Recognized Contractor Certificate for Government Works (* designation or certificate of the Board of Recognized Contractors within the framework of the Inter-ministerial
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Committee for determining proceedings for awarding Governmental Works to Contractors, according to the updated requirements as of the date of submission of the Bids).
3.2. A copy of the binding principles agreement between the Bidder and the Sub-contractor.
4. Miscellaneous
4.1. Any matter pertaining to this Form shall be subject to the Laws of the State of Israel.
4.2. The provisions prescribed in the Agreement for the resolution of disputes shall apply, mutatis mutandis, to any dispute pertaining to this Form.
4.3. Without derogating from the aforesaid, the Jerusalem District Court shall have exclusive jurisdiction in relation to any matter deriving from or pertaining to this Form.
4.4 The address of the undersigned shall be through the Bidder, and the Bidder shall be authorized to receive on its behalf notices and documents in connection with the Tender and/or the Project.
Signature and Seal of the Sub-contractor
Date
Signature and Seal of Attorney at Law
I hereby declare and certify by my signature that the signatories on behalf of the Sub-contractor are duly authorized to sign on its behalf and to bind it for the purposes of the
Tender
I hereby certify by my signature that the signatories on behalf of the Sub-contractor were cautioned by me to declare the truth and were warned that they could incur the
Date
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penalties prescribed by law if they do not do so, and that after I had cautioned them as aforesaid, they signed this Form in my
presence.
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FORM NO. 5 SCHEDULE 7
NOTARIZED POWER OF ATTORNEY FOR THE APPOINTMENT OF THE BIDDERS REPRESENTATIVE
I/we the undersigned _______________________, shareholder of the Bidder, hereby appoint ____________________ (hereinafter: The Representative) holder of I.D. no._______________ of __________________ Street to perform and act in my/our name and on my/our behalf and in the name of the Bidder and on its behalf all of the following acts, in whole or in part, all in relation to the proceedings of Tender No._____________ for the Design, Construction, Operation and Financing of a prison near Beersheva (hereinafter: The Tender) as set forth hereunder:
1. To approach the Tender Committee, responsible for the administration of the Tender proceedings (hereinafter: The Tender Committee), and to receive instructions of any kind and type for and on my/our behalf and in my/our name and for and on behalf of the Bidder and in the Bidder's name.
2. To receive in my/our name and in the name of the Bidder notices of any kind and type addressed to the Bidder by the Tender Committee.
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3. To submit in my/our name and in the name of the Bidder notices of update of any kind and type to the Tender Committee in accordance with the contents of the Invitation to Tender.
4. To take all such actions and sign any document or written instrument, without exception, which the Representative deems necessary in relation to any matter deriving from and/or pertaining to the Tender proceedings.
5. We hereby undertake that this Power of Attorney shall not be revoked and/or modified, unless prior to its revocation and/or modification, as aforesaid, and as a prior condition to the effectiveness of such modification and/or revocation, we shall provide the Tender Committee with a new Notarized Power of Attorney, certified by all the shareholders in the Bidder, in the form required under this Form and in accordance with its conditions, under which a new Representative on our behalf shall be empowered, and to which a revised and duly updated Schedule 13 (Details of the New Authorized Representative) will be attached. Until the date of receipt of the Tender Committee's written confirmation of receiving the new Power of Attorney and Schedule 13, updated, as aforesaid, the previous Power of Attorney and the corresponding Schedule 13 shall continue to be valid and binding for any and all purposes.
6. The words appearing in the singular form shall also include the plural and vice versa.
IN WITNESS WHEREOF THIS POWER OF ATTORNEY HAS BEEN EXECUTED THIS ___ DAY OF ________ [ MONTH], _________ [YEAR].
_____________________________________________
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Signature and Seal of the Shareholder of the Bidder
NOTARYS CERTIFICATE
I the undersigned, _________________, a Notary of __________________ Street, hereby certify that on the day of _________________, the duly authorized signatory on behalf of the shareholder of the Bidder, whose identity was proved to me by means of _________________, appeared before me, and signed this Power of Attorney of his own free will. In witness whereof, I authenticate his signature by my signature and seal.
Date: _____________
_________________________ _____________________________
Signature of Notary Seal of Notary
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TTeennddeerr BBoonndd
Date: _________ The St at e of I srael By t he Account ant General Depart ment Minist ry of Finance
Dear Sir / Madam.
Re: Let t er of Guarant ee No. _ _
1. At t he request of ____________________ (hereinaf ter: t he Tenderer) , we hereby establish our autonomous and uncondit ional Guarantee in your favor, in t he amount of (hereinaf ter: t he "Pr incipal Sum) l inked to t he Consumer Pr ice I ndex ( the " I ndex " ) in accordance with the condit ions specif ied hereunder (hereinaf ter: t he "Amount of t he Guarant ee) , in connect ion with t he I nvitat ion to Tender for t he Planning, Const ruct ion, Operat ion and Financing of a Pr ison in t he Vicinit y of Be'er-Sheva, published by the Government of I srael on ______ ( the " I nvit a t ion" ) .
2. The linkage terms are as follows:
If on the date on which we pay you any sum pursuant to this Letter of Guarantee the last Index published by the Israeli Central Bureau of Statistics, prior to actual payment (hereinafter: the "New Index) is higher than the base index which was published on _________ and which is _______ points (hereinafter: the "Base Index), we shall pay you the Principal Sum plus the linkage differentials in an amount equal to the difference between the New Index and the Base Index multiplied by the Principal Sum, divided by the Base Index.
3. We undertake to pay you any sum that you might demand up to t he Amount of the Guarantee, by sending said amount t o your address specif ied above, within seven days of receiving your f irst wr it t en demand (hereinaf ter: t he Demand Let t er ) , wit hout requir ing you to explain or provide grounds for your demand or t o prove it in any way whatsoever, and without requir ing you to f irst demand of the Tenderer payment of t he aforesaid amount . Furthermore, it is hereby expressly agreed that you shall not be obliged to init iate legal proceedings against t he Tenderer and/ or t o f irst demand payment f rom the Tenderer, and/ or to exercise
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other secur it ies, as a pre-condit ion for our payment of t he Amount of the Guarantee.
4. You are author ized and ent it led to exercise the Guarantee by demand as aforesaid, f rom t ime to t ime, for any sum that you shall decide upon up to the Amount of the Guarantee, including exercise thereof in installments, provided that t he total amount t hat you shall demand and that we shall pay in respect of t his Guarantee shall not exceed the Amount of the Guarantee, plus l inkage dif ferent ials as specif ied above, and the payment shall be remit t ed in accordance with t he contents set for th in the Demand Let ter . Therefore, in the event that you shall not exercise this Guarantee in it s ent iret y in one instance, t his Guarantee shall remain in full force and ef fect with respect t o t he balance of t he unexercised Amount of the Guarantee.
5. We shall pay the sums demanded f rom t ime to t ime on a t imely basis and in accordance with t he provisions of Clauses 2-3 above.
6. I n any event , should it become evident on the date of payment of the Pr incipal Sum, or any part t hereof , that the New I ndex has fallen against the Base I ndex, in such event we shall pay the Pr incipal Sum, if you have demanded payment of t he ent ire Pr incipal Sum, or alt ernat ively we shall pay the respect ive part of t he Pr incipal Sum, if you have demanded payment of only part of t he Pr incipal Sum.
7. We shall not be ent it led to cancel t he Guarantee for any reason or on any grounds whatsoever, and fur thermore, we shall not be ent it led to ref rain f rom payment under this Let ter of Guarantee for any reason whatsoever; and we hereby expressly waive in advance any claim including any r ights granted to the Tenderer under the law and we hereby conf irm that no modif icat ion of t he terms st ipulated in t he I nvit at ion or in t he Agreement with t he Tenderer shall derogate f rom our l iabil i t y under this Guarantee.
8. I n addit ion to all t he foregoing, t he Guarantee is not condit ioned on the validit y of the Tenderer 's undertakings towards you and is ir revocable, uncondit ional and aut onom ous.
9. This Guarantee is ef fect ive as of the date hereof and shall remain in ef fect unt i l _________ (240 days f rom the last date prescr ibed for submission of the bids) inclusive, and any demand you may have must be delivered to us by such date to t he address specif ied in this Let ter of Guarantee. Following said date the Guarantee shall be null and void, unless extended by us pr ior t o said date.
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10. This Guarantee is not t ransferable and may not be assigned by you without our consent .
11. This Guarantee and any mat ter pertaining thereto shall be governed by the laws of t he State of I srael.
Yours faithfully,
____________________
Address: _________________ Telephone no.: ___________; Facsimile no.: ___________
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/2004PPP
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Schedule 11A
LETTER OF UNDERTAKI NG TO MAI NTAI N CONFI DENTI ALI TY
State of Israel Ministry of Finance Accountant Generals Branch
Through the Department for Projects in Conjunction with the Private Sector, Inbal Insurance Company Ltd.
Dear Sir / Madam
Re: Undertaking for the Preservation of Confidentiality
I / We the undersigned, __________________ I.D. / Co. No.________________ , (hereinafter: the declarant/s), hereby declare, agree and undertake to you as follows:
1. The Information or Information, in this letter of undertaking, means any information directly or indirectly pertaining to the project, to which I/we have been exposed as a result of and as part of my/our participation in Tender No.________ for the design, construction, operation and financing of a prison near Beersheva (hereinafter: The Tender) whether written or verbal or of any other nature, except for such information
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falling within the public domain, and provided that it has not come into the public domain as a result of a breach by me/us or by any third party, of a duty of confidentiality.
2. I/we hereby undertake to keep the information and/or any part thereof absolutely confidential and not disclose the same to any third party, except in the following cases:
2.1 Where I/we are under a legal duty to deliver the information and/or any part thereof and in such a case I/we will only disclose such part of the information as is legally essential.
2.2 Where the information and/or any part thereof has become public knowledge other than as a result of my/our breach of my/our obligations in this letter of undertaking as to confidentiality. In such a case I/we will only be able to disclose such part of the information which has come into the public domain.
2.3 Where the information and/or part of the information has come to my/our knowledge from a third party other than as part of my/our participation in the tender, and without the aforesaid third party having committed a breach of his duty of confidentiality towards you.
2.4 Where such part of the information as I/we disclose was within my/our knowledge prior to signature of this letter of undertaking as to confidentiality, and I/we are able to prove this assertion.
3. Nothing by virtue of the foregoing provisions of Article 2 herein shall prevent the transference of the information to any of my/our employees and/or other persons engaged by me/us (hereinafter: The Employees) in a controlled and selective manner as detailed
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hereunder, subject to it being actually necessary to deliver such information to such employees within the scope of execution of the project; and further subject to such employees taking responsibility in advance and in writing to preserve the confidentiality of the information, the terms of which shall be such so as to protect the confidentiality of the information, at least to the extent that the confidentiality of the information is protected in this letter of undertaking. Copies of the letters of undertaking for the preservation of confidentiality as aforesaid on the part of the employees will be delivered to you immediately after they are signed as a pre-condition for delivery to them of the information or any part thereof.
4. I/we hereby undertake to indemnify you within 7 days of your initial demand, and without you having to prove any damage, for any damage or out of pocket expense that you claim to have suffered as a result of a breach on my/our part and/or on the part of any of the employees, of the undertaking as to confidentiality, as aforesaid, and this without derogating from your right to claim the amount of compensation direct from the employees and without derogating from any other legal right available to you in relation thereto.
5. I/we am/are aware that the information and/or any part thereof which is made available to me/us and which comes to my/our knowledge in the project, directly and/or indirectly, in any way whatsoever, is provided for and/or is delivered to me/us solely for the purpose of my/our participation in the tender and that I/we shall not be entitled to make any use of the information and/or of any part thereof, other than for the purpose of my/our participation in the tender.
6. I/we undertake to refrain from giving, publishing, disclosing selling and/or transferring, directly and/or indirectly, in any way whatsoever, including by means of duplication, copying, photographing and/or printing, to any person or body either in Israel or elsewhere in the world at any time whatsoever, any detail contained in the information and/or that is connected to and/or that pertains to the information.
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7. I/we undertake to take reasonable security measures in order to protect the information in my/our possession.
8. I/we hereby undertake to immediately deliver to you, upon cancellation of the tender processes for any reason whatsoever and/or on conclusion of the project and/or at your request, whichever is the earlier, any document, record, report, plan, copy of any such document and/or any other document or exhibit that constitutes information or part of the information, whether the same is recorded in writing or magnetically and/or in computerized form, whether it was delivered to me/us or whether prepared by me/us.
9. I/we am/are aware that a breach of any of my/our obligations under this letter of undertaking, is liable to cause you direct or indirect economic and/or other damage, and I/we agree that you shall be entitled to receive from me/us compensation and indemnification in respect of all such damage as is caused to you as aforesaid, and this without prejudice to any other remedy conferred on you by law, and/or by virtue of this letter of undertaking. Furthermore, I/we hereby agree that in such an aforesaid event you shall be entitled to seek and be granted an injunction order against me/us to prevent such damage as is caused and/or is likely to be caused to you, in the event of exposure of the information, and I/we shall not object to such an order being made.
10. My/our obligations under this letter of undertaking are irrevocable, may not be cancelled and are not limited in time.
11. For the avoidance of doubt, I/we hereby declare that nothing by the fact of disclosure and/or delivery of the information and/or any part thereof to me/us shall give me/us any right of any kind and category in relation to the information, and neither shall I/we be entitled to use any of the information other than for the purposes of my/our participation in the tender.
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Signature and Seal of the Declarant/s
Date Signature and Seal of Attorney at Law
I hereby certify by my signature that those signing on behalf of the declarant/s we cautioned by me to declare the truth and were warned that they could incur the penalties prescribed by law if they do not do so, and that after I had cautioned them as aforesaid, they signed this form in my presence
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