Local Government
Unit of
Project Reference
Number ____________________________________________________________
Name of the
Project ____________________________________________________________
Standard Form Number: SF-GOOD-13a
Revised on:
List of all Ongoing Government
& Private Contracts including contracts awarded but not yet started
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Business Name |
: ___________________________________________________ |
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Business Address
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: ___________________________________________________ |
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Name of Contract/
Project Cost
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a.
Owner’s Name
b.
Address c.
Telephone Nos. |
Nature of Work |
Bidder’s Role
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a.
Date Awarded
b.
Date Started c.
Date of Completion |
% of Accomplishment |
Value of Outstanding Works / Undelivered
Portion
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Description
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% |
Planned
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Actual
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Government
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Private
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Note: This statement shall be supported with:
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Total Cost
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1
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Notice of Award and/or Contract
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2
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Notice to Proceed issued by the owner
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3
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Certificate of Accomplishments signed by the owner or authorized
representative
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Submitted by
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: ___________________________________________________ |
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(Printed Name & Signature) |
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Designation
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: ___________________________________________________ |
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Date
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: ___________________________________________________ |
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