Value of Value of Pending Year Matter in Dispute Pending Claim as a Claim in NRs Percentage of Net Worth Specific Experience Form Legal Name: ___________________________ Date: _____________________ Bidder’s IFB No.: Page _______ of _______ pages Similar Contract Information Contract Identification _______________________________________ Award date Completion date___ _______________________________________ Role in Contract Subcontractor Contractor Management Contractor Total Contract amount __________________________ Currency____ Description of theWorks performed by the Bidder If partner in a JV or subcontractor, specify participation of total Contract __________% _____________ Currency____ amount Name: _______________________________________ Purchaser’s Address: Purchaser’s
Year Matter in Dispute Value of Pending Claim in NRs Value of Pending Claim as a Percentage of Net Worth Specific Experience Form Bidder’s Legal Name: ___________________________ Date: _____________________ IFB No.: Page _______ of _______ pages Similar Contract Information Contract Identification _______________________________________ Award date Completion date___ _______________________________________ Role in Contract Contractor Management Contractor Subcontractor Total Contract amount __________________________ Currency____ Description of theWorks performed by the Bidder If partner in a JV or subcontractor, specify participation of total Contract amount __________% _____________ Currency____ Purchaser’s Name: _______________________________________ Purchaser’s Address: