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[]
["ANEXO No.12 - RELACIÓN DE EXPERIENCIA"]
[]
[]
["CONCEPTO ","CONTRATO 1 ","CONTRATO 2 ","CONTRATO 3"]
["Nombre de la entidad contratante"]
["Nombre contratista"]
["Fecha de inicio y fecha de terminación"]
["Valor del contrato incluida sus adiciones"]
["Objeto del contrato y/o Servicio"]
["Datos de contacto"]
[]
[]
[]
[]
[]
[]
["_____________________________________ (Firma)"]
["XXXXXXXXXXXXXXXXXXXXXXXXX (NOMBRE)"]
["XXXXXXXXXXXX (CÉDULA DE CIUDADANÍA)"]