Form C: Joint Venture/Consortium/Association Information Form

Name of Bidder:	[Insert Name of Bidder]	Date:	Select date	
ITB reference:	[Insert ITB Reference Number]	

To be completed and returned with your Bid if the Bid is submitted as a Joint Venture/Consortium/Association.

No	Name of Partner and contact information (address, telephone numbers, fax numbers, e-mail address)  	Proposed proportion of responsibilities (in %) and type of goods and/or services to be performed 	
1	[Complete]	[Complete]	
2	[Complete]	[Complete]	
3	[Complete]	[Complete]	

Name of leading partner 
(with authority to bind the JV, Consortium, Association during the ITB process and, in the event a Contract is awarded, during contract execution)	[Complete]	

We have attached a copy of the below referenced document signed by every partner, which details the likely legal structure of and the confirmation of joint and severable liability of the members of the said joint venture:

☐ Letter of intent to form a joint venture	OR 	☐ JV/Consortium/Association agreement 

We hereby confirm that if the contract is awarded, all parties of the Joint Venture/Consortium/Association shall be jointly and severally liable to UNDP for the fulfillment of the provisions of the Contract.

Name of partner: ___________________________________ 	Name of partner: ___________________________________	
Signature: ______________________________	Signature: _______________________________	
Date: ___________________________________	Date: ___________________________________	
		
Name of partner: ___________________________________	Name of partner: ___________________________________	
Signature: ______________________________	Signature: _______________________________	
Date: ___________________________________	Date: ___________________________________