Building Construction Department Govt. of Bihar - State Health ...

(Form-II)
FIRM’S REFERENCES
Relevant Services Carried out in the Last Five Years
Which Best Illustrate Qualifications
37
Appendix-II
The following information should be provided in the format below for each reference
assignment for which your firm, either individually as a corporate entity or as one of the
major companies within a consortium, was legally contracted by the client stated below:
Assignment Name:
Location within Country:
Country:
Name of Client : No. of Staff :
Professional Staff Provided by your firm:
Address : No. of Staff Months :
Start Date
(Month /
Year)
Completion Date
(Month / Year)
Approx. Value of
Services :
Name of Association Firm(s) if any : No. of Months of Professional
Staff provided by Associated Firm(s)
Name of Senior Staff (Project Director / Coordinator, Team Leader) involved and
functions performed:
Narrative Description of Project :
Description of Actual Services Provided by your Staff :
Signature of Authorized Representative