Past_Performance_Form.docx
DOCX document 24 KB Posted
- Solicitation number
- 72065618R00023
About this file
PAST PERFORMANCE FORM
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Text version
PAST PERFORMANCE FORM
GENERAL CONSTRUCTION EXPERIENCE
Each offeror or member of a Joint Venture or subs must fill in this form.
Description of General Construction Experience in accordance with Section M, FACTOR 4, Sub-factor 2 General Construction Experience
Starting Month Year Ending Month Year
| Contract amount |
| Contract Identification and Name |
Name and Address of Employer Brief Description of the Works Executed by the contractor Role of Bidder
SIMILAR CONSTRUCTION EXPERIENCE
Fill in one (1) form per contract.
Contract of Similar Size and Nature
| Contract No |
| Contract Identification |
Award Date
Completion Date
| Role in Contract |
| Contractor |
| Management Contractor |
| Subcontractor |
| Total Contract Amount |
| US$ |
| If partner in a JV or subcontractor, specify participation of total contract amount |
| Percent of Total |
| Amount |
Employer’s Name Address Telephone/Fax Number E-mail
Description of Similar Construction Experience in accordance with Section M , FACTOR 4, sub-factor 2
SPECIFIC CONSTRUCTION EXPERIENCE IN KEY ACTIVITIES
Fill in one (1) form per contract.
Contract with Similar Key Activities (Civil works, pharmaceutical electrical systems, pharmaceutical mechanical systems, water systems)
| Contract No . . . . . . of . . . . . . |
| Contract Identification |
Award Date
Completion Date
| Role in Contract |
| · Contractor |
| · Management Contractor |
| · Subcontractor |
| Total Contract Amount |
| US$ |
| If partner in a JV or subcontractor, specify participation of total contract amount |
| Percent of Total |
| Amount |
Employer’s Name Address Telephone Number Fax Number E-mail
Description of the key activities in accordance with Section M , FACTOR 4, sub-factor 2
CVs OF KEY PERSONNEL
Name of Bidder
Position
| Personnel information |
| Name |
| Date of birth |
Professional qualifications
| Present employment |
| Name of employer |
Address of employer
| Telephone |
| Contact (manager / personnel officer) |
| Fax |
| Job title |
| Years with present employer |
References
Name, Company and Position (1)
(2)
(3)
Contact Details Tel:
e-mail Tel:
e-mail Tel:
Summarize professional experience over the last 20 years, in reverse chronological order. Indicate particular technical and managerial experience relevant to the project.
| From |
| To |
| Company / Project / Position / Relevant technical and management experience |
File details come from the government source that posted it.