Role in Contract Lead Process Detailed Other [check the appropriate boxes] design design design Total Contract Amount US$ [insert total contract amount [insert in local currency] Exchange rate and total contract amount in US$ equivalent]* [insert a [insert [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] responsibilities [insert roles and responsibilities] Description of the similarity in accordance with Section III Table 1, 4.2 Physical size of required contracts [insert physical size of items Complexity [insert description of complexity] Methods/Technology [insert specific aspects of the methods/technology involved in the contract] Other Characteristics [insert other characteristics as described in Section VII, Scope of Employer’s Requirements] Employer's Name: [insert full name] Address: [indicate street / number / town or city / country] Telephone/fax number [insert telephone/fax numbers, including country and E-mail: city area [insert e-mail address, if available] * Refer ITA 14 for date and source of exchange rate. Form EXP - 4.3 Specific Construction Experience 1, 4.3 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]
Role in Contract [check the appropriate boxes] Lead design Process design Detailed design Other Total Contract Amount [insert total 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 responsibilities [insert a percentage amount] [insert contract amount in local currency] [insert exchange rate and total contract amount in US$ equivalent]* [insert roles and responsibilities] Description of the similarity in accordance with Section III Table 1, 4.2 Physical size of required contracts items [insert physical size of Complexity [insert description of complexity] Methods/Technology [insert specific aspects of the methods/technology involved in the contract] Other Characteristics [insert other characteristics as described in Section VII, Scope of Employer’s Requirements] Employer's Name: [insert full name] Address: Telephone/fax number E-mail: [indicate street / number / town or city / country] [insert telephone/fax numbers, including country and city area [insert e-mail address, if available] * Refer ITA 14 for date and source of exchange rate. Form EXP - 4.3 Specific Construction Experience 1, 4.3 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]
InitialSelectionwastewatertreatment.docx