Situation (h) above (person created with the intent to circumvent legal obligations) Situation (i) above  (3) declares that a natural or legal person that assumes unlimited liability for the  debts of the above-mentioned legal person is in one of the following situations: YES  NO  N/A  Situation (a) above (bankruptcy)  Situation (b) above (breach in payment of taxes or social security contributions)  (4) declares that the above-mentioned person: YES  NO  Was previously involved in the preparation of the procurement documents used in this  award procedure where this entailed a breach of the principle of equality of treatment  including distortion of competition  that cannot be remedied otherwise. III – S ITUATIONS OF EXCLUSION CONCERNING NATURAL OR LEGAL PERSONS ASSUMING UNLIMITED  LIABILITY FOR THE DEBTS OF THE LEGAL PERSON IV – G ROUNDS FOR REJECTION FROM THIS PROCEDURE V – R EMEDIAL MEASURES VI – E VIDENCE UPON REQUEST If the person declares one of the situations of exclusion listed above  it must indicate measures it has taken to  remedy the exclusion situation  thus demonstrating its reliability. This may include e.g. technical   organisational and personnel measures to prevent further occurrence  compensation of damage or payment  of fines or of any taxes or social security contributions. The relevant documentary evidence which illustrates  the remedial measures taken must be provided in annex to this declaration. This does not apply for situations  referred in point (d) of this declaration.  Upon request and within the time limit set by the contracting authority the person must provide information on  natural or legal persons that are members of the administrative  management or supervisory body  or that  have powers of representation  decision or control  including legal and natural persons within the ownership  and control structure and beneficial owners.  It must also provide the following evidence concerning the person itself and the natural or legal persons on  whose capacity the person intends to rely  or a subcontractor and concerning the natural or legal persons  which assume unlimited liability for the debts of the person:  For situations described in (a)  (c)  (d)  (f)  (g) and (h) production of a recent extract from the judicial record  is required or  failing that  an equivalent document recently issued by a judicial or administrative authority  in the country of establishment of the person showing that those requirements are satisfied. For the situation described in point (b)  production of recent certificates issued by the competent authorities  of the State concerned are required. These documents must provide evidence covering all taxes and  social security contributions for which the person is liable  including for example  VAT  income tax (natural  persons only)  company tax (legal persons only) and social security contributions. Where any document  described above is not issued in the country concerned  it may be replaced by a sworn statement made  before a judicial authority or notary or  failing that  a solemn statement made before an administrative  authority or a qualified professional body in its country of establishment.  Page 4 of 6 