4-Laning of Dhaka-Chittagong - Roads and Highways Department

2nd Dhaka-Chittagong National Highway (Expressway)
Request for Qualification Document
FORM IX(b): SIMILAR CONSTRUCTION EXPERIENCE
[The following table shall be filled in for contracts performed by the Investor, each
member of a joint venture, and specialist subcontractors]
Investor’s / joint venture member’s legal name: [insert full name]
Date: [insert day, month, year]
Joint venture party name: [insert full name]
ICB no. and title: [insert ICB number and title]
Page [insert page number] of [insert total number] pages
Similar Contract No.
__[insert number] of [insert
number of similar contracts]
Contract Identification
Award date
Completion date
Information
_[insert contract name and number, if
applicable]_
_[insert day, month, year, i.e., 15 June, 2015]_
_[insert day, month, year, i.e., 03 October,
2017]_
Role in Contract
[check the appropriate box]
Contractor
Management
Contractor
Subcontractor
Total Contract Amount ___[insert total contract amount] US$
__[insert
total contract
amount in
US$
equivalent]
If member in a joint venture, or
subcontractor, specify participation
in total contract amount
Employer’s Name:
Address:
[insert a
percentage
amount]
_____
[insert total
contract amount]
_____________
[insert total
contract
amount in
US$
equivalent]
__________
___
___[insert full name]___
[indicate street / number / town or city / country]
Telephone / fax number
E-mail:
Web:
[insert telephone / fax numbers, including country
and city area codes]
[insert e-mail address, if available]
Roads and Highways Department 46