FORM 2c

Statement of all Government & Private Contracts completed which are similar in nature

Business Name

: ___________________________________________________

Business Address

: ___________________________________________________

Name of Contract

a.  Owner’s Name

b. Address

c. Telephone Nos.

Nature of Work

Bidder’s Role

a.  Amount at Award

b. Amount at

    Completion

c. Duration

a.  Date Awarded

b.  Contract Effectivity

c.   Date Completed

Description

%

Government

Private

Submitted by

: ___________________________________________________

 Printed Name and Signature of Bidder’s Representative/Authorized Signatory

Designation

: ___________________________________________________

Date

: ___________________________________________________