Form EXP - 4.

2(b): Construction Experience in Key

Activities
Tenderer’s Name:
Date:
Joint Venture Member’s Name
Sub-contractor's Name17 (as per ITB 34.2 and 34.3):

Tender No. and Title:

Page of pages

Sub-contractor's Name (as per ITT 34.2 and 34.3):

All Sub-contractors for key activities must complete the information in this form as per ITT
34.2 and 34.3 and Section IV, Qualification Criteria and Requirements, Sub-Factor 4.2.

1. Key Activity No One:

Information
Contract Identification
Award date
Completion date
Role in Contract Prime Member Management Sub-
Contracto in Contractor contracto
r JVCA  r
  
Total Contract Amount
TZS

Quantity (Volume, number or Total quantity Percentage Actual

rate of production, as applicable) in the contract participatio Quantity
performed under the contract (i) n (ii) Performed
per year or part of the year (i) x (ii)

Year 1
Year 2
Year 3
Year 4
Employer’s Name:

17
If applicable.
Address:

Telephone/fax number

E-mail:

Information

Employer’s Name:
Address:

Telephone/fax

number

E-mail:

2. Activity No. Two

. …………………

Information

Description of the key activities in

accordance with Sub-Factor 4.2(b) of
Section IV: