* Refer ITA 14 for date and source of exchange rate. ** Total USD equivalent for all years divided by the total number of years. See Section III, Table 1 Qualification Criteria, and Requirements, 3.2. Form EXP - 4.1 Specific DBO Experience (Table 1, 4.1 and Table 2) [The following table shall be filled in for contracts performed by the Applicant, each member of a Joint Venture, and Specialized Sub-contractors] Applicant’s Name: [insert full name] Date: [insert day, month, year] Joint Venture Member Name:[insert full name] RFP No. and title: [insert RFP number and title] Page of pages [insert page number] [insert total number] Information Similar Contract No. of [insert number] [insert number of similar contracts required] Contract Identification [insert contract name and number, if applicable] Award date [insert day, month, year, e.g., 15 June, 2014] Design-Build Commissioning Date [insert day, month, year, e.g., 15 June, 2015] Operations period completion date [insert day, month, year, e.g. 03 October, 2030] (actual or expected) Role in Contract Prime Member in Management Sub-contractor the appropriate box] Contractor JV Contractor Total Contract Amount US$ [insert contract amount [insert in local currency] Exchange rate and total contract amount in US$ equivalent]* [insert a [insert total [insert exchange rate and If member in a JV or sub-contractor, percentage contract total contract amount in US$ specify share in value in total amount] amount in local equivalent]* Contract amount and roles and currency]
* Refer ITA 14 for date and source of exchange rate. ** Total USD equivalent for all years divided by the total number of years. See Section III, Table 1 Qualification Criteria, and Requirements, 3.2. Form EXP - 4.1 Specific DBO Experience (Table 1, 4.1 and Table 2) [The following table shall be filled in for contracts performed by the Applicant, each member of a Joint Venture, and Specialized Sub-contractors] Applicant’s Name: [insert full name] Date: [insert day, month, year] Joint Venture Member Name:[insert full name] RFP No. and title: [insert RFP number and title] Page [insert page number] of [insert total number] pages Similar Contract No. [insert number] of [insert number of similar contracts required] Information Contract Identification [insert contract name and number, if applicable] Award date [insert day, month, year, e.g., 15 June, 2014] Design-Build Commissioning Date [insert day, month, year, e.g., 15 June, 2015] Operations period completion date (actual or expected) [insert day, month, year, e.g. 03 October, 2030] Role in Contract the appropriate box] Prime Contractor Member in JV Management Contractor Sub-contractor Total Contract Amount [insert contract amount in local currency] US$ [insert Exchange rate and total contract amount in US$ equivalent]* If member in a JV or sub-contractor, specify share in value in total Contract amount and roles and [insert a percentage amount] [insert total contract amount in local currency] [insert exchange rate and total contract amount in US$ equivalent]*
InitialSelectionwastewatertreatment.docx