* Refer ITA 14 for date and source of exchange rate. Form EXP - 4.2(a) Specific Construction and Contract Management Experience [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, year] Joint Venture Member Name: [insert full name] RFB No. and title: [insert RFB 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] date [insert day, month, year, e.g., 15 June, 2015] Completion date [insert day, month, year, e.g., 03 October, 2017] Role in Contract Prime Member in Management [check the appropriate box] JV Contractor Contract Amount US$ [insert total contract amount [insert in local currency] Exchange rate and 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] responsibilities [insert roles and responsibilities] Employer's Name: [insert full name] Address: [indicate street / number / town or city / country] Telephone/fax number [insert telephone/fax numbers, including country and city area codes] E-mail: [insert e-mail address, if available]
* Refer ITA 14 for date and source of exchange rate. Form EXP - 4.2(a) Specific Construction and Contract Management Experience [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, year] Joint Venture Member Name: [insert full name] RFB No. and title: [insert RFB 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] date [insert day, month, year, e.g., 15 June, 2015] Completion date [insert day, month, year, e.g., 03 October, 2017] Role in Contract [check the appropriate box] Prime Member in JV Management Contractor Contract Amount [insert total contract amount in local currency] US$ [insert Exchange rate and 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 total contract amount in local currency] [insert exchange rate and total contract amount in US$ equivalent]* [insert roles and responsibilities] 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 codes] [insert e-mail address, if available]
SPD-Prequalification-Document-WORKS-July-2016.docx