V Insurance Against the Risk of Inability to Fulfil an Export Contract Annex No. 4 – Exporter's declaration on compliance with legal provisions against bribery in international trade and in prosecution of the exporter

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Annex No. 4
to application for insurance against the risk of impossibility to perform Export Contract – "V"
Exporter's declaration on compliance with legal provisions against bribery
in international trade and in prosecution of the exporter

Insurance of export credit risks cannot be provided to exports during the negotiation of which bribery and indirect bribery occurred in relation to officials or foreign public officials within the meaning of sections 332 to 334 of the Criminal Code.
To this end, I declare that in the preparation of export and negotiation of the Export Contract:
  1. company ("company"), persons acting on its behalf or representing it and acting for the benefit of it, persons controlled by or controlling the company have not committed an offence of bribery and indirect bribery,
  2. persons acting on behalf of our company or representing it and acting for the benefit of it, including persons controlled by or controlling them have not been accused of an offence of bribery and indirect bribery and have not been sued for such offence in the last five years, and
  3. our company, persons acting on its behalf or representing it and acting for the benefit of it, as well as persons controlled by or controlling the company are not listed in a publicly accessible list of bribing persons maintained by the World Bank group1.
I acknowledge that Exportní garanční a pojišťovací společnost a.s. (Export Guarantee and Insurance Corporation) as the insurer has the right to:
  1. verify the truthfulness of the above statement and I undertake to provide all information and materials requested by the insurer to this end,
  2. within the meaning of art. XII (2) (f) of the General Insurance Terms and Conditions "V", the insurer has the right to apply sanctions towards the company if it is proved that the company's conduct constituted an offence under the provisions in section 332 to 334 of the Criminal Code.
  In       dated  
[person authorized to act for the applicant]

1 a group of 5 institutions (International Bank for Reconstruction and Development, International Development Association, International Finance Corporation, Multilateral Investment Guarantee Agency, International Centre for Settlement of Investment Disputes) with registered office in Washington, USA.

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