Applicant JV Member’s authorized representative information Name: [insert full name] Address: [insert street/ number/ town or city/ country] Telephone/Fax numbers: [insert telephone/fax numbers, including country and city codes] E-mail address: [indicate e-mail address] 1. Attached are copies of original documents of Articles of Incorporation (or equivalent documents of constitution or association), and/or registration documents of the legal entity named above, in accordance with ITA 4.5. In case of a state-owned enterprise or institution, documents establishing legal and financial autonomy, operation in accordance with commercial law, and they are not under the supervision of the Employer, in accordance with ITA 4.8. 2. Included are the organizational chart, a list of Board of Directors, and the beneficial ownership. Form CON 2 – Historical Contract Non-Performance, and Pending Litigation and Litigation History [The following table shall be filled in for the Applicant and for each member of a Joint Venture] Applicant’s Name: [insert full name] Date: [insert day, month, year] Joint Venture Member’s Name: [insert full name] RFB No. and title: [insert RFB number and title] Page of pages [insert page number] [insert total number] Non-Performed Contracts in accordance with Section III, Qualification Criteria and Requirements Contract non-performance did not occur since 1st January specified in Section [insert year] III, Qualification Criteria and Requirements, Sub-Factor 2.1. Contract(s) not performed 1st January specified in Section III, [insert year] Qualification Criteria and Requirements, requirement 2.1 Year Contract Identification Total Contract performed Amount (current portion of value, currency, contract exchange rate and US$ equivalent)
Applicant JV Member’s authorized representative information Name: [insert full name] Address: [insert street/ number/ town or city/ country] Telephone/Fax numbers: [insert telephone/fax numbers, including country and city codes] E-mail address: [indicate e-mail address] 1. Attached are copies of original documents of Articles of Incorporation (or equivalent documents of constitution or association), and/or registration documents of the legal entity named above, in accordance with ITA 4.5. In case of a state-owned enterprise or institution, documents establishing legal and financial autonomy, operation in accordance with commercial law, and they are not under the supervision of the Employer, in accordance with ITA 4.8. 2. Included are the organizational chart, a list of Board of Directors, and the beneficial ownership. Form CON – 2 Historical Contract Non-Performance, and Pending Litigation and Litigation History [The following table shall be filled in for the Applicant and for each member of a Joint Venture] Applicant’s Name: [insert full name] Date: [insert day, month, year] Joint Venture Member’s Name: [insert full name] RFB No. and title: [insert RFB number and title] Page [insert page number] of [insert total number] pages Non-Performed Contracts in accordance with Section III, Qualification Criteria and Requirements Contract non-performance did not occur since 1st January [insert year] specified in Section III, Qualification Criteria and Requirements, Sub-Factor 2.1. Contract(s) not performed 1st January [insert year] specified in Section III, Qualification Criteria and Requirements, requirement 2.1 Year performed portion of contract Contract Identification Total Contract Amount (current value, currency, exchange rate and US$ equivalent)
SPD-Prequalification-Document-WORKS-July-2016.docx