I - Annex No. 3a - Investor's declaration on compliance with legal provisions against bribery in international trade and in prosecution of the investor

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Annex No. 3
to application for insurance of investment abroad - product "I"
Investor's declaration on compliance with legal provisions against bribery in international trade and in prosecution of the investor

Insurance of export credit risks cannot be provided to investments 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 the investment and negotiation of the conditions of the investment:
  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 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) ("insurer") has the right to verify the truthfulness of the above statement and I undertake to provide all information and materials requested by the insurer to this end.

Within the meaning of art. XVI of the General Insurance Terms and Conditions "I", 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 sign for the investor]

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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