Local Government Unit of General Santos City

Project Reference Number _____________________

Name of the Project __________________________

Standard Form Number: SF-GOOD-13b

Revised on: July 28, 2004

Statement of all Government & Private Contracts completed which are similar in nature
Business Name			: ___________________________________________________
Business Address			: ___________________________________________________
	Name of Contract				a. Owner’s Name b. Address c. Telephone Nos.	Nature of Work	Bidder’s Role		a. Amount at Award b. Amount at Completion c. Duration	a. Date Awarded b. Contract Effectivity c. Date Completed
							Description	%
	Government
	Private
	Note: This statement shall be supported with:
	1	Contract
	2	Certificate of Completion
	3	Certificate of Acceptance
	Submitted by		: ___________________________________________________
				(Printed Name & Signature)
	Designation		: ___________________________________________________
	Date		: ___________________________________________________