Statement of the bidder’s Single Largest Completed Contract (SLCC) similar to the contract to be bid within the last

two (2) years

Business Name : ___________________________________________________

Business Address : ___________________________________________________

a. Owner’s Name Bidder’s Role a. Amount at Award a. Date Awarded

Name of Contract
b. Address Kinds of Goods Description b. Amount at Completion b. Contract Effectivity
c. Telephone Nos. % c. Duration c. Date Completed

Note: This statement shall be supported with certification of satisfactory performance or end-user’s acceptance or official receipts(s) or sales invoice issued for the contract

Submitted by : ___________________________________________________
(Printed Name & Signature)
Designation : ___________________________________________________

Date : ___________________________________________________