Affidavit of Quitclaim

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REPUBLIC OF THE PHILIPPINES)

CITY OF PASIG__________) S.S.

AFFIDAVIT OF QUITCLAIM

I, NAME , of legal age, Chinese, and with office address at No.ADDRESS, having been
sworn to law, hereby deposes and says:

That I am the authorized representative of COMPANY a Chinese corporation duly


organized under the existing laws of the Republic of the Philippines with business address at
Contractor’s Mailing Address;

That COMPANY has a Notice to Proceed with National Grid Corporation of the
Philippines (NGCP) – BID dated ______________.

That said notice to proceed has been delivered, inspected, turned-over and accepted
by NGCP;

That COMPANY has paid all taxes due, obligations incurred, the cost materials, labor
and equipment rentals, etc. arising from and in relation to the supply and delivery of the said
order;

That, in the event of any such Claims, COMPANY hereby holds NGCP free and
harmless;

That, COMPANY has no other claims for the said Purchase order against NGCP and
that we are executing a Quit claim to attest to the fact that COMPANY has no more claims
except these 10% Retention Billing of the Total Contract Price;

That COMPANY executes this Quit Claim in connection with the release of this
Retention money.

IN WITNESS WHEREOF, I have affixed my signature to this sworn statement on 19th


July, 2019 at Pasig City, Philippines.

______________
Affiant
ACKNOWLEDGEMENT

SUBSCRIBED AND SWORN to before me, this ____day of _____, 2019 at Pasig City,
Philippines, Affiant exhibiting to me his Passport Number: ____________until _________
issued in ________________.

Doc. No. ___________


Page No. ___________
Book No. ___________
Series of 2019

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