D - Annex No. 5a - Exporter’s declaration on compliance with legal provisions against bribery in international trade and in prosecution of the exporter

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Appendix 5
to the application for insurance of an export buyer credit against the risk of non payment - product "D"
Exporter's declaration on compliance with legal provisions against bribery in international trade and in prosecution of the exporter
Export credit insurance cannot be provided for exports concluded as a result of a bribe and indirect bribe provided to official persons or foreign public officials within the meaning of Sections 332 to 334 of the Criminal Code.
For this purpose I hereby declare that in preparation and negotiation of the export contract:
  1. (the "Company"),
    any person acting on its behalf or representing it and acting for the benefit of the Company, any person controlled by or controlling the Company had not committed a crime of bribery and indirect bribery,
  2. persons acting on behalf of the Company or representing it and acting for the benefit of the Company, including any person controlled by or controlling the Company were not accused of bribery or indirect bribery and have not been convicted for such an offence in the recent five years, and
  3. our Company, persons acting on behalf of the Company or representing it and acting for the benefit of the Company, including any person controlled by or controlling the Company, are not listed in a publicly accessible list of bribing persons maintained by the World Bank Group1.
I hereby acknowledge that Exportní garanční a pojišťovací společnost a.s., as the insurer, is entitled to:
  1. verify the truthfulness of the above statement and I hereby agree to provide all information and documents required by the insurer for this purpose,
  2. apply a sanction against the Company, within the meaning of Article XII (3 b and c) of the General Insurance Terms and Conditions "D", if it will be proven that the Company has committed a criminal offence under Sections 332 to 334 of the Criminal Code.
  In       dated  
[person authorized to sign for the exporter]

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

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