APPENDIX A
NOT USED
CONTRACT RD276
IT-APP B-1
APPENDIX B
LAND TRANSPORT AUTHORITY
Contract RD276
Address : _________________________________________________
The tenderer hereby declares that as of this tender date the GST (Goods & Services
Tax) Status of the Firm/Joint Venture as follows:-
If declared as taxable under the GST Act, the tenderer shall provide the following
details:-
CONTRACT RD276
IT-APP C-1
APPENDIX C
(iii) I confirm that I am / am not* a tax-resident in Singapore for income tax purposes.
I confirm that :
[Please tick the appropriate box(es)]
I have been residing in Singapore since ___________ (month & year) and my
absences from Singapore, if any, is temporary.
I have been / expect to be* physically present in Singapore for 183 days or more
in a single calendar year for :
(a) the past years from ____________ to _____________ ,
(b) the current year _______ , and
(c) the future years from ___________ to ______________.
I have been / expect to be* employed in Singapore for 183 days or more in a
single calendar year for :
(a) the past years from ____________ to _____________ ,
(b) the current year __________ , and
(c) the future years from ___________ to ______________.
(vi) I understand that the above information may be used for all existing and future
contracts that I may have with LTA. I confirm that I shall notify LTA immediately if
there is any change to the above information.
_____________________________________
Name & Signature
Date :
Document to be attached :
Photocopy of NRIC / Passport(particulars page)
CONTRACT RD276
IT-APP C-2
APPENDIX C
Declaration of Tax-Residency Status of Tenderer
Please fill in the appropriate column.
Note : If Tenderer is a registered joint-venture/consortium, complete one Declaration for the joint-venture/consortium
If Tenderer is a non-registered joint-venture/consortium, each joint-venture/consortium partner shall have to complete one Declaration.
Incorporation No. (given by ACRA#) : ________________________________ Registration No. (given by ACRA#) : ________________________________
We confirm that the Company is / is not* a tax-resident in Singapore for We confirm that the Business is / is not* a tax-resident in Singapore for
income tax purposes. income tax purposes.
We confirm that the control and management of the Company is / is not* We confirm that we have / do not have* a branch/office* in Singapore to carry
exercised in Singapore. on the business activities in Singapore.
We understand that the above information may be used for all existing and We understand that the above information may be used for all existing and
future contracts that we may have with LTA. We confirm that we would notify future contracts that we may have with LTA. We confirm that we would notify
LTA immediately if there is any change to the above information LTA immediately if there is any change to the above information
#
Company and Businesses Registration No.
* delete as appropriate
CONTRACT RD276
IT-APP D1-1
APPENDIX D1
LAND TRANSPORT AUTHORITY
Contract RD276
Address : _________________________________________________
The tenderer shall furnish hereunder the particulars of all work/services currently
executed by him for the private sector, government and statutory bodies.
I/We hereby confirm that the contracts embodied in the above schedule are the only
projects currently executed by us (if space is insufficient, please continue on separate
sheet).
CONTRACT RD276
IT-APP D2-1
APPENDIX D2
LAND TRANSPORT AUTHORITY
Contract RD276
Address : _________________________________________________
The tenderer shall furnish hereunder the particulars of all work/services previously
executed by him for the private sector, government and statutory bodies.
Client Reference
Details of Contracts Total Value of Date of
Address and
Executed Consultancy Completion
Contact Nos.
Contract
I/We hereby confirm that the contracts embodied in the above schedule are the only
projects previously executed by us (if space is insufficient, please continue on
separate sheet).
CONTRACT RD276
IT-APP E-1
APPENDIX E
NOT USED
CONTRACT RD276
IT-APP F-1
APPENDIX F
LAND TRANSPORT AUTHORITY
Contract RD276
Address : _________________________________________________
I hereby certify that as of this date the equity participation of the Companys Director /
Partnership are as follows :
Name of NRIC / % of
S/no Directors / Nationality Passport Appointment Share
Partners No Holding
CONTRACT RD276
IT-APP G-1
APPENDIX G
UNDERTAKING TO SAFEGUARD OFFICIAL INFORMATION
FOR CONTRACT RD276
(TO BE SUBMITTED WITH TENDER SUBMISSIONS)
1. My attention has been drawn to the Official Secrets Act (Chapter 213, Revised
Edition 2012) and in particular to Section 5 thereof which relates to the
safeguarding of official information.
3. I shall ensure that any other person who is authorised by me to have access to
any official information shall similarly sign an undertaking to safeguard such
official information on the same terms.
4. I undertake to return any document received from the Authority, and any copies
made or reproduced from the whole or any part of such document, whenever
required by the Authority.
5. I further understand and agree that any breach or neglect of this undertaking may
render me liable to prosecution under the Official Secrets Act, in addition to any
other remedies available to the Authority under any cause of action.
_______________________ __________________________
Signature Full Name in BLOCKS
_______________________ __________________________
Designation NRIC/Passport No.
_______________________ __________________________
Name of Company Date
_______________________ __________________________
Signature of Witness Full Name in BLOCKS
_______________________ __________________________
Designation NRIC/Passport No.
_______________________ __________________________
Name of Company Date
CONTRACT RD276
IT-APP L-1
APPENDIX L
Date
Dear Sir/Madam
CONTRACT RD276
APPOINTMENT OF QUALIFIED PERSON (SUPERVISION) FOR PRPOPOSED
BUS DEPOT AT LOYANG
Yours faithfully,
CONTRACT RD276
IT-APP N1-1
APPENDIX N1
ORIGINAL
(On Company letterhead)
Dear Sir
CONTRACT RD276
APPOINTMENT OF QUALIFIED PERSON (SUPERVISION) FOR PRPOPOSED
BUS DEPOT AT LOYANG
Letter of Certification
I, [name of authorized person], for and on behalf of [name of company] hereby certify
that all copies submitted are identical to and processed from the originals submitted.
Yours faithfully,
CONTRACT RD276
IT-APP N2-1
APPENDIX N2
ORIGINAL
Dear Sir
CONTRACT RD276
APPOINTMENT OF QUALIFIED PERSON (SUPERVISION) FOR PRPOPOSED
BUS DEPOT AT LOYANG
TENDER INVENTORY
Yours faithfully,
*Please refer to Section 6.2 of the Instructions to Tenderers and amend accordingly.
CONTRACT RD276
IT-APP N3-1
APPENDIX N3
CONTACT DETAILS
CONTRACT RD276
APPOINTMENT OF QUALIFIED PERSON (SUPERVISION) FOR PRPOPOSED BUS
DEPOT AT LOYANG
For correspondence during tender clarification and evaluation, the following are
our contact details:
Name of Tenderer(s)* :
Address :
Facsimile Number :
Contact Number(s) :
Email Address :
Contact Number(s) :
Email Address :
Contact Number(s) :
Email Address :
*please indicate all names of members of JV or consortium as appropriate
__________________________________________________
COMPANY STAMP & AUTHORISED SIGNATORY
CONTRACT RD276