SF-INFR-16 List of Completed Projects

NHA infrastructure project statement for completed government and private projects

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Standard Form Number: SF-INFR-16
Revised on: July 29, 2004

Statement of all Completed Government & Private Construction Contracts which are similar in nature
Business Name

: ____________________________________________________________________________________________________

Business Address

: ____________________________________________________________________________________________________

Name of Contract

a.
b.
c.

Owner’s Name
Address
Telephone Nos.

Contractor’s Role
Nature of Work

Government

Private

Submitted by

: ___________________________________________________
(Printed Name & Signature)

Designation
Date

: ___________________________________________________
: ___________________________________________________

Description

%

a. Amount at Award
b. Amount at Completion
c. Duration

a. Date Awarded
b. Contract Effectivity
c. Date Completed