Statement of Bidder’s Qualifications

Each Bidder shall submit on the form furnished for that purpose (a copy of which is included in the Contract Documents), a statement of the Bidder’s qualifications, their experience record in swimming pool construction, the type of improvements embraced in the site preparation, and their organization and equipment available for the work contemplated; and, when specifically requested by the CITY OF ALTOONA, a detailed financial statement. The CITY OF ALTOONA shall have the right to take such steps as it deems necessary to determine the ability of the Bidder to perform their obligations, under the Contract and the Bidder shall furnish the CITY OF ALTOONA all such information and data for this purpose as it may request. The right is reserved to reject any Bid where an investigation of the available evidence or information does not satisfy the CITY OF

ALTOONA that the Bidder is qualified to carry out properly the terms of the Contract. A minimum of five (5) commercial pool projects constructed directly by the General

Contractor or Pool Subcontractor is required.

STATEMENT OF BIDDER’S QUALIFICATIONS

All questions must be answered, and the data given must be clear and comprehensive.

This statement must be notarized. If necessary, questions may be answered on separate attached sheets. A minimum of five (5) commercial pool projects of a similar nature constructed directly by the General Contractor or Pool Subcontractor is required.

The Bidder may submit any additional information he desires.

This form shall be filled out by the General Contractor and by any Subcontractors.

1. Name of Bidder

2. Permanent main office address and employer identification number

3. When Organized

4. If a corporation, where incorporated

5. How many years have you been engaged in the contracting business under your present firm or trade name?

6. Contracts on hand: (Schedule these, showing the amount of each contract and the appropriate anticipated dates of completion).

7. General character of work performed by your company.

8. Have you ever failed to complete any work awarded to you? If so, where and why?

9. Have you ever defaulted on a contract? If so, where and why?

10. List the more important projects recently completed by your company, stating the approximate cost for each and the month and year completed.

11. List your major equipment available for this contract.

12. Experience in commercial swimming pool construction work similar in nature to this project (list 5 with dollar amount and references.)

13. Background and experience of the principal members of your organization, including the officers.

14. Credit available: $

15. Give a bank reference.

16. Will you, upon request, fill out a detailed financial statement and provide any other information that may be required by the CITY OF ALTOONA.

17. The undersigned certifies for itself; it has no unsatisfied tax liabilities or other Commonwealth obligations.

18. The undersigned certifies for itself and all of its subcontractors and suppliers that it is not under suspension or debarment by the

Commonwealth or any government entity, instrumentality, or authority.

19. The undersigned hereby authorizes and requests any person, firm, or corporation to furnish any information requested by the CITY OF

ALTOONA in verification of the recitals comprising this Statement of

Bidder’s Qualifications.

Dated at this day of , 20 .

By

Title

State of _____________________________)

County of____________________________)

__________________________________ being duly sworn deposes and says that they are

___________________________ of _________________________________ and that the answers to the foregoing questions and all statements therein contained are true and correct.

Subscribed and sworn to before me this.

__________ day of _____________, 20_____.

Notary Public