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["                           建设工程企业资质申报个人业绩汇总表                                              \n           申请工程勘察、工程设计、设计与施工一体化（除建筑装饰装修工程设计与施工）企业填报此表                                          \n                     "]
["资质类别：工程勘察□  工程设计□  设计施工一体化□                    业绩所在地区：_______省"]
["序号","申报单位名称   (1)","需核查的专业技术人员姓名  (2)","涉及项目名称(3)","项目规模(4)","需核查内容",{"$nulls":4},"工程质量安全情况",null,"核查结果"]
[{"$nulls":5},"被核查人员在勘察、设计中所起作用       (5)","实际完成单位名称   (6)","实际完成单位资质及等级      (7)","技术指标 (8)",null,"是否发生质量安全事故","是否负有责任","是否与申报数据一致","备注"]
[]
[1,{"$nulls":9},"□是 □否 ","□是 □否 ","□是 □否 "]
[null,"申报企业提供的证明人及电话：(9)",{"$nulls":4},"实际完成单位联系方式(固定电话、传真)：(10)"]
[2,{"$nulls":9},"□是 □否 ","□是 □否 ","□是 □否 "]
[null,"申报企业提供的证明人及电话：",{"$nulls":4},"实际完成单位联系方式(固定电话、传真)："]
[null,"申报单位：（公章）",{"$nulls":5},"填表人：（姓名、电话）"]
[null,"填表日期：",{"$nulls":5},"申报单位电话："]
[]
[null,"填表说明：1.请按照申报事项在“资质类别”上打“√”。"]
[null,"          2.（1）~（10）项由企业填报，“工程质量安全情况”和“核查结果”两项企业不用填写。"]
[null,"          3.个人业绩应按业绩所在地分别归集填报。即：申报事项中的业绩在多个省的，应按每省一份表填报。"]
[null,"          4.业绩汇总表应加盖单位公章并连同电子版（EXCEL格式）一并随申报材料上报（监理企业按原申报程序直接上传）。"]