Statement identifying the Bidder’s Single Largest Completed Contract similar in nature
as provided in the bidding documents
Contract to be Bid : ______________________________________________________________
Business Name : ______________________________________________________________
Business Address: ______________________________________________________________
Contractor’s Role a. Total Contract Value
a. Owner’s Name Title of the Nature a. Date Awarded (whether sole at Award
Name of Client b. Address Project in the of Work b. Contract contractor, b. Total Contract Value
c. Telephone Nos. Contract Effectivity subcontractor, or at Completion
c. Date Completed partner in a JV) c. Contract Duration
Government Description %
Private
Note: This statement shall be supported with:
1. Notice of Award and/or Contract
2. Notice to Proceed issued by the Owner
3. Owner’s Certificate of Final Acceptance or Certificate of Completion
4. Constructors Performance Evaluation Summary (CPES) Final Rating, which must be satisfactory, if applicable
Submitted by : _____________________________________________________
(Print Name and Signature)
Designation : _____________________________________________________
Date : _____________________________________________________