Sub-Factor 2.2 as indicated below. Year of Amount in dispute Contract Identification Total Contract dispute (currency) Amount (currency), USD Equivalent (exchange rate) 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 or “Employer” “Contractor”] Status of dispute: [Indicate if it is being treated by the Adjudicator, under Arbitration or being dealt with by the Judiciary] No pending litigation in accordance with Section III, Qualification Criteria and Requirements, Sub-Factor 2.2. Pending litigation in accordance with Section III, Qualification Criteria and Requirements, Sub-Factor 2.2 as indicated Year of Outcome as Contract Identification Total Contract award percentage of Net Amount Worth (currency), USD Equivalent (exchange rate)
Sub-Factor 2.2 as indicated below. Year of dispute Amount in dispute (currency) Contract Identification Total Contract Amount (currency), USD Equivalent (exchange rate) [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] No pending litigation in accordance with Section III, Qualification Criteria and Requirements, Sub-Factor 2.2. Pending litigation in accordance with Section III, Qualification Criteria and Requirements, Sub-Factor 2.2 as indicated Year of award Outcome as percentage of Net Worth Contract Identification Total Contract Amount (currency), USD Equivalent (exchange rate)
ZRA-KDRP-08-2015%20Prequalification%20Document%20for%20Underwater%20Investigation%20Works.docx