CONFIRMATION OF EARLIER COMPLETED CONTRACTS - 2)
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 qualitative and timely execution of works of construction and/or extension of the health care facility: ____________________________________________________________________________________________________________________________________________________________
on the basis of contract number ____________________dated ___ . ___. _____.
Facility structure: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Purpose of the facility: ________________________
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