Standard Form Number: SF-GOOD-13a

Revised on: July 28, 2004

Statement / List of all Ongoing Government & Private Contracts including contracts awarded but not yet started

Business Name : ___________________________________________________

Business Address : ___________________________________________________

Value of Outstanding
% of
Bidder’s Role Works / Undelivered
Name of Contract/ a. Owner’s Name a. Date Awarded Accomplishment
Portion
Project Cost b. Address Nature of Work b. Date Started
c. Telephone Nos. Description c. Date of Completion
% Planned Actual

Government

Private

Total Cost

Submitted by : ___________________________________________________
(Printed Name & Signature)
Designation : ___________________________________________________
Date : ___________________________________________________