STATEMENT OF ALL ONGOING GOVERNMENT AND PRIVATE CONTRACTS

Name of the Company: ______________________________________________________________

Address: ______________________________________________________________________________

STATEMENT OF ALL ONGOING GOVERNMENT AND PRIVATE CONTRACTS, INCLUDING AWARDED BUT NOT YET STARTED

a. Contract
a. Name of the % of Value of
References
Name of Contract Procuring Entity; a. Estimated Accomplishment Outstanding
(PO/Contract);
b. Contact Person; Completion Contract Works/Undelivered
c. Address; b. Contract Date of Delivery Amount Planned Actual Portion
d. Contact Nos:
c. Contract
Duration

GOVERNMENT

PRIVATE

Total Value of
Outstanding
Contract

This statement shall be supported by:

1. Notice of Award;
2. Contract, if applicable; and
3. Notice to Proceed, if applicable.

Submitted by:

NAME OF THE BIDDER OR ITS AUTHORIZED REPRESENTATIVE AND ITS SIGNATURE

Designation