CONFIRMATION OF EARLIER COMPLETED CONTRACTS - 1)

Name of the Contracting Authority:
Address of the Contracting Authority:
Company number:
TAX ID:
Based on Article 124, paragraph 1, point 1) of the Law on Public Procurement, the Contracting Authority issues:

CONFIRMATION
That the business entity ____________________________________________________,
(name, address of the contractor/tenderer)  

for the Contracting Authority___________________________________________________,

provided a qualitative and timely execution of works for the following facility: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
on the basis of contract number ____________________dated ___ . ___. _____.
Gross building area constructed_______________ m2.
Underground floors_________________ m2.
The underground floors contain garage space for visitors and employees: yes/no (circle)
Purpose of the facility: ____________________________
Facility classified as: __________________________

Date of commencement of works: ___________________
Date of completion of works: ______________________

Indicate the form of engagement for the execution of the works: ________________ as a contractor (independently) or as a main contractor.

This confirmation has been issued for the purpose of participation in the public procurement procedure and cannot be used for any other reason.

Contact person for Contracting Authority: _________________________, phone:___________.

Date:		Signature of authorized person of the Contracting Authority