Statement of all completed Government & private contracts which are similar in nature and complexity to the

Contract to be Bid

Business Name : PV GRILL HOUSE

Business Address Taft, Surigao City. Surigao del Norte

End user’s
Name of acceptance or official
Date of Contract Kinds Date of
Contract/ Owner’s Name and receipt(s) or sales
Contract Duration of Delivery Contract Amount
Project Cost Address invoice issued for the
Goods contract

Government
Catering June 8-15- 8 days Provincial Governement of Meals and June 8-15- 641,600.00 P.O No. SEF-22-
services/ 2022 Surigao del Norte/ Snacks 2022 06-0002
P641,600.00 Province of Surigao del
Norte
Private
3 DAYS October 21- 3 days JCI SENATE SURIGAO/ Meals and October 21- 756,600.00 Official Receipt No.
CATERING 23,2022 Surigao City Snacks 23,2022 6191.
SERVICES AT
JCI SENATE
SURIGAO /
P756,600.00

TOTAL:
1,398,200.00

Note: This statement shall be supported with:

1 Notice of Award, Contract, NTP,
and other docs, if necessary

Submitted by : MARIVIC CONSIGNA EJANDRA

(Printed Name & Signature)
Designation : Sole Proprietor- PV GRILL HOUSE_ __
Date :
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