Statement of all Ongoing Government & Private contracts including contracts awarded but not yet started

Business Name : ______________________________

Business Address : _______________________________

End user’s
Amount
acceptance or
Name of
Date of Contract Kinds Date of Value of official receipt(s)
Contract/ Owner’s Name and
Contract Duration of Delivery Contract Outstanding or sales invoice
Project Cost Address
Goods Contract issued for the
contract
Government

Private

Note: This statement shall be Total Cost

supported with:
1 Notice of Award , Contract, NTP,
and other docs, if necessary

Submitted by : _________________________________________________
(Printed Name & Signature)
Designation : _________________________________________________
Date : _________________________________________________
Statement of all completed Government & private contracts which are similar in nature and complexity to the
Contract to be Bid

Business Name : ______________________________

Business Address : _______________________________

End user’s
Name of acceptance or official
Date of Contract Kinds Date of
Contract/ Owner’s Name and receipt(s) or sales
Contract Duration of Delivery Contract Amount
Project Cost Address invoice issued for the
Goods contract

Government

Private

Note: This statement shall be

supported with:
1 Notice of Award, Contract, NTP,
and other docs, if necessary

Submitted by : _________________________________________________
(Printed Name & Signature)
Designation : _________________________________________________
Date : _________________________________________________
 Statement of Bidder’s Single Largest Completed Contract (SLCC)

Business Name : ______________________________

Business Address : _______________________________

End user’s
Amount of acceptance or
Name of Contract/ Date of Contract Kinds Date of completed official receipt(s)
Owner’s Name and
Project Cost Contract Duration of Delivery contracts, and sales
Address
Goods adjusted by the invoice issued for
Bidder the contract
Government

Private

Total Cost
Note: This statement shall be supported with:
1 Notice of Award, Contract, NTP, and other
docs, if necessary

Submitted by : _________________________________________________
(Printed Name & Signature)
Designation : _________________________________________________
Date : _________________________________________________