ANNEX XI– STATEMENT OF AUTHORISED SIGNATORY I, the undersigned [name], being duly empowered to act ………………………………………. ……………….[title], as representative of [company’s full legal name] (as evidenced in [trade ……………………………………….. register/articles of association/by-laws, or equivalent]*, enclosed), hereby confirm that ……………………………………….. [name], …………………..[title], is/are the authorised signatory/ies for [company’s full legal name]; and ………………………………………………. [company’s full legal name], is the authorised signatory for the ……………………………………….. Consortium comprising [leader’s name] and ………………………………. …………………………………………………. [company’s full legal name] (as evidenced by the enclosed delegations/powers of attorney signed by all consortium members) for the purpose of signing, authorising and submitting any documents related to this tender referenced EASA.2012.OP.26 – “COTS-AEH — Use of complex COTS in airborne electronic hardware failure mode and mitigation” and any contract as – – may result from this procedure. ______________________ Date and signature Enclosures: - trade register/ articles of association / by-laws, or equivalent* - delegations / powers of attorney signed by all consortium members* *(delete/fill in as appropriate)
ANNEX XI– STATEMENT OF AUTHORISED SIGNATORY I, the undersigned ………………………………………. [name], ……………….[title], being duly empowered to act as representative of ……………………………………….. [company’s full legal name] (as evidenced in [trade register/articles of association/by-laws, or equivalent]*, enclosed), hereby confirm that ……………………………………….. [name], …………………..[title], is/are the authorised signatory/ies for ………………………………………………. [company’s full legal name]; and ……………………………………….. [company’s full legal name], is the authorised signatory for the Consortium comprising ………………………………. [leader’s name] and …………………………………………………. [company’s full legal name] (as evidenced by the enclosed delegations/powers of attorney signed by all consortium members) for the purpose of signing, authorising and submitting any documents related to this tender referenced EASA.2012.OP.26 – “COTS-AEH — Use of complex COTS in airborne electronic hardware – failure mode and mitigation” – and any contract as may result from this procedure. ______________________ Date and signature Enclosures: - trade register/ articles of association / by-laws, or equivalent* - delegations / powers of attorney signed by all consortium members* *(delete/fill in as appropriate)
2012-op26-ANNEX%20XI%20-%20STATEMENT%20OF%20AUTHORISED%20SIGNATORY.docx