1-004000 - Experience Questionnaire.pdf
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- Attached to
- Leola Community Park
- Solicitation number
- Not on record
- Issued by
- Lancaster County, Pennsylvania
About this file
This is an Experience Questionnaire form used by Upper Leacock Township in Lancaster County, Pennsylvania for the Leola Community Park Project (Contract No. 0573903528). The questionnaire is designed to evaluate contractor qualifications and experience prior to award and requires bidders to provide comprehensive information about their organization's background, current and past project experience, personnel qualifications, and references. Bidders must respond to seven interrogatories covering business type, years of relevant contracting experience, current service contracts in progress, comparable projects completed within the last five years, any contract defaults or failures to complete work, reference contacts, and construction experience of principal individuals within the organization. All responses must be sworn and notarized, with the signatory guaranteeing the truth and accuracy of all statements provided.
The Experience Questionnaire serves as a pre-award evaluation document to assess bidder capability and reliability for the Leola Community Park Project, which involves construction of a new pickleball court, parking lot expansion, new walking trail, and associated stormwater management facilities. Bids for this project were due by 2:00 PM on Thursday, August 13, 2026, with a 10 percent bid bond required at submission. Successful bidders must furnish a warranty bond equal to 10 percent of the contract price and performance and payment bonds equal to 100 percent of the contract price. The project is subject to Pennsylvania Prevailing Wage Act requirements, the Americans with Disabilities Act, OSHA regulations, the Pennsylvania One Call Act, and various non-discrimination and contract compliance regulations. All questions regarding the project must be submitted online through PennBID, with the final question deadline being 4:00 PM on Tuesday, August 11, 2026. No pre-bid meeting was held for this project.
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Text version
EXPERIENCE QUESTIONNAIRE 004000 - 1
RETTEW Project No.: 0573903528
DOCUMENT 004000
EXPERIENCE QUESTIONNAIRE
PROJECT IDENTIFICATION Leola Community Park Project
CONTRACT
IDENTIFICATION:
0573903528
SUBMITTED TO: UPPER LEACOCK TOWNSHIP
161 Newport Road Leola, PA 17540
(-Corporation BY: (-Partnership (-An Individual
PRINCIPAL OFFICE ADDRESS
(The signer of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter made.)
1. What type of business is Bidder's organization?
2. How many years has Bidder's organization been performing work, as a contractor or subcontractor, of the type required for this Project?
3. Provide information on all service contracts currently in progress.
Contract Amt. Type of Work
Completed Name and Address of Owner(*) Engineer/
Architect(*)
(*) Provide name of contact person.
EXPERIENCE QUESTIONNAIRE 004000 - 2
4. What five (or more) projects, comparable to this Project, has Bidder's organization completed within the last five years?
Contract Amt. Type of Work
When Completed
Name and Address of Owner (*)
Engineer/ Architect (*)
(*) Provide name of contact person.
5. Has Bidder's organization ever defaulted on any contract or failed to complete any contract?
If so, where and why?
6. List names, addresses, and phone numbers of individuals or organizations that can be contacted by Owner or Engineer to obtain references.
EXPERIENCE QUESTIONNAIRE 004000 - 3
7. What is the construction experience of the principal individuals of Bidder's organization?
Individual’s Name
Present Position or Office
Magnitude and Type of Work In What Capacity?
STATE OF
COUNTY OF
being duly sworn deposes and says that he is of
Title
Name of Organization and that the answers to the foregoing questions and all statements therein are true and correct.
Signature
Sworn to before me this Day of , 20
My commission expires
Signature of Notary Public
Type or print name below each signature.
END OF EXPERIENCE QUESTIONNAIRE
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