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bid documents for the procurement of rice mill parts and ...

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LIST OF ALL GOVERMET AD PRIVATE COTRACTS<br />

COMPLETED WHICH ARE SIMILAR I ATURE<br />

EXHIBIT 3<br />

SF-GOOD-13b<br />

Business ame<br />

Business Address<br />

: _________________________________________________<br />

: _________________________________________________<br />

Name <strong>of</strong> Contract<br />

Government<br />

a. Owner’s name<br />

b. Address<br />

c. Telephone Nos.<br />

Nature <strong>of</strong><br />

Work<br />

Bidder’s Role<br />

Description %<br />

a. Amount <strong>of</strong> Award<br />

b. Amount <strong>of</strong> Completion<br />

c. Duration<br />

a. Date <strong>of</strong> Award<br />

b. Contract Effectivity<br />

c. Date Completed<br />

Private<br />

Note: This statement shall be supported with:<br />

1. Copy/ies <strong>of</strong> <strong>the</strong> Contract/s or Purchase Order/s with Delivery Receipt/s/Sales<br />

Invoice/s <strong>and</strong> Official Receipt/s<br />

2. Certificate <strong>of</strong> Completion (issued by contracted party)<br />

3. Certificate <strong>of</strong> Acceptance (issued by contracted party)<br />

Submitted by<br />

Designation<br />

Date<br />

: _____________________________________________<br />

(Print Name & Signature)<br />

: _____________________________________________<br />

: _____________________________________________<br />

94

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