Contract Identification: [indicate [insert [insert amount] [insert amount] complete contract name, number, and year] any other identification] Name of Employer: [insert full name] Address of Employer: [insert street/city/country] Matter in dispute: [indicate main issues in dispute] Party who initiated the dispute: [indicate “Employer” or “Contractor”] Status of dispute: [Indicate if it is being treated by the Adjudicator, under Arbitration or being dealt with by the Judiciary] Litigation History in accordance with Section III, Table 1 Qualification Criteria, and Requirements No Litigation History in accordance with Section III, 1 Qualification Criteria, and Requirements, Sub-Factor 2.4. Litigation History in accordance with Section III, Table 1 Qualification Criteria, and Requirements, Sub-Factor 2.4 as indicated below. Year of Outcome as Contract Identification Total Contract award percentage of Net Amount Worth (currency), USD Equivalent (exchange rate) Contract Identification: [indicate [insert [insert [insert amount] complete contract name, number, and year] percentage] any other identification] Name of Employer: [insert full name] Address of Employer: [insert street/city/country] Matter in dispute: [indicate main issues in dispute] who initiated the dispute: [indicate or “Employer” “Contractor”] Reason(s) for Litigation and award decision [indicate main reason(s)] Form FIN 3.1 – Financial Situation and Performance following table shall be filled in for the Applicant and for each member of a Joint Venture] [The
[insert year] [insert amount] Contract Identification: [indicate complete contract name, number, and any other identification] Name of Employer: [insert full name] Address of Employer: [insert street/city/country] Matter in dispute: [indicate main issues in dispute] Party who initiated the dispute: [indicate “Employer” or “Contractor”] Status of dispute: [Indicate if it is being treated by the Adjudicator, under Arbitration or being dealt with by the Judiciary] [insert amount] Litigation History in accordance with Section III, Table 1 Qualification Criteria, and Requirements No Litigation History in accordance with Section III, 1 Qualification Criteria, and Requirements, Sub-Factor 2.4. Litigation History in accordance with Section III, Table 1 Qualification Criteria, and Requirements, Sub-Factor 2.4 as indicated below. Year of award Outcome as percentage of Net Worth Contract Identification Total Contract Amount (currency), USD Equivalent (exchange rate) [insert year] [insert percentage] Contract Identification: [indicate complete contract name, number, and any other identification] Name of Employer: [insert full name] Address of Employer: [insert street/city/country] Matter in dispute: [indicate main issues in dispute] who initiated the dispute: [indicate “Employer” or “Contractor”] Reason(s) for Litigation and award decision [indicate main reason(s)] [insert amount] Form FIN – 3.1 Financial Situation and Performance [The following table shall be filled in for the Applicant and for each member of a Joint Venture]