| Note: This form has to be filled out and submitted with the tender by each consortium of tenderers. |
| The consortium of tenderers |
| declares in the Tender Procedure: |
In the event of a contract award, we will form a working group, which will be the sole contractual partner and consists of the following members:
| 1. Member (name) | |
| Legal form: | |
| Number of register: | |
| Authority of register: | |
| Type of register: | |
| Street, No: | |
| Postcode, City: | |
| Country: | |
| VAT ID: | |
| will execute the following services: |
| 1. Member (name) | |
| Legal form: | |
| Number of register: | |
| Authority of register: | |
| Type of register: | |
| Street, No: | |
| Postcode, City: | |
| Country: | |
| VAT ID: | |
| will execute the following services: |
| 1. Member (name) | |
| Legal form: | |
| Number of register: | |
| Authority of register: | |
| Type of register: | |
| Street, No: | |
| Postcode, City: | |
| Country: | |
| VAT ID: | |
| will execute the following services: |
(please multiply table if need be)
| The consortiums authorised representative is (name): |
Furthermore we declare:
- During the entire procurement procedure and during execution of the tendered services the abovementioned authorised representative will act on behalf of the abovementioned members towards the contracting authority with legally binding effect.
- The abovementioned members are jointly and severally liable due to Para 421 German Civil Code.