Name of enterprise
Company address
Tender number: 10021232
Works/services put out to tender: Supporting the Financial Institutions Green Transition
Declaration of commitment
We will make the following capacities available to [insert name of tenderer] if the contract is awarded to the aforementioned tenderer:
Grounds for exclusion
Do any of the grounds for exclusion specified in section 123 of the German Act against Restraints on Competition (GWB) apply in your case?
[ ] YES [ ] NO
If yes, please provide details:
If yes, have self-cleaning measures as specified in section 125 of the German Act against Restraints on Competition (GWB) been taken by the company?
[ ] YES [ ] NO
If yes, please describe the measure taken:
Do any of the grounds for exclusion specified in section 124 (1) of the German Act against Restraints on Competition (GWB) apply in your case?
[ ] YES [ ] NO
If yes, please provide details:
If yes, have self-cleaning measures as specified in section 125 of the German Act against Restraints on Competition (GWB) been taken by the company?
[ ] YES [ ] NO
If yes, please describe the measure taken:
In the last three years, has a custodial sentence of more than three years or a fine of more than 90 daily rates or a fine of more than two thousand five hundred euros, which resulted in an entry in the Competition Register, been imposed on you for non-compliance as specified in section 124 (2) of the German Act against Restraints on Competition (GWB)?
[ ] YES [ ] NO
If yes, have self-cleaning measures been taken by the company?
[ ] YES [ ] NO
If yes, please describe the measure taken:
GIZ will assess the measure taken by the company and decide on a case-by-case basis whether exclusion is warranted.
We also undertake to inform GIZ without delay if one of the grounds for exclusion pursuant to Sections 123 and 124 (1) of the German Act against Restraints on Competition (GWB), which resulted in an entry in the Competition Register, arises during the award procedure or if a custodial sentence of more than three months or a fine of more than 90 daily rates or a fine of more than two thousand five hundred euros is imposed on us during the award procedure for non-compliance as specified in section 124 (2) of the German Act against Restraints on Competition (GWB).
Do any of the grounds for exclusion specified in section 22 of the German Supply Chain Due Diligence Act (LkSG) apply in your case?
[ ] YES [ ] NO
If yes, please provide details:
If yes, have self-cleansing measures as specified in section 22 (1) LkSG and section 125 GWB been taken by the company?
[ ] YES [ ] NO
If yes, please describe the measure taken:
We hereby confirm that the details provided above are complete and true.
Date
Given and family name, signature, company stamp if applicable