7-15 - Proposal Form 4 - Past Performance Experience of Contractor.pdf

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Attached to
Request for Bids Collection and Transportation of Recyclables From Countywide Drop-off Depots in Lawrence and Mercer Counties
Solicitation number
Not on record
Issued by
Lawrence County, Pennsylvania

About this file

This is Proposal Form 4, a past performance and experience disclosure document for the Lawrence-Mercer Recycling/Solid Waste Department's request for bids on collection and transportation of recyclables from countywide drop-off depots in Lawrence and Mercer Counties, Pennsylvania. The form requires bidders to list all contracts that were not completed, defaulted, or terminated (in whole or in part) within the past ten years, along with the basis for such non-completion. Bidders must submit sealed proposals online through PennBid no later than 3:00 PM on Monday, October 20, 2026, with bids to be opened the following day at 10:00 AM during a regularly scheduled Lawrence County Board of County Commissioners meeting. A mandatory pre-bid conference is scheduled for Tuesday, September 22, 2026 at 10:00 AM at the Lawrence-Mercer Recycling/Solid Waste Department located at 1451 Countyline Road, New Castle. Bidders are required to submit proposals for both Options A and Options B.

The form also requires submission of declarations regarding any criminal or civil litigation against the parent company, subsidiaries, and current officers (defined as those serving or having served within the past two years). Bidders must disclose whether any adverse litigation outcomes could substantially impact their entity's operations or finances. For joint ventures, unincorporated associations, partnerships, or entities formed within the last 12 months, declarations from all constituent entities are required. The proposal must include all required paperwork organized in a specific order, including a signed cover sheet in blue ink, bid bond, non-collusion affidavit, power of attorney if necessary, a notarized agreement, rate sheets, statement of qualifications, and Proposal Forms 1 through 5, with failure to include all required documents resulting in automatic rejection.

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Text version

Lawrence Mercer Counties Drop-off Collection, Processing, Marketing Recyclables Page 1

PROPOSAL FORM 4

Past Performance and Experience of Contractor

List all contracts that were not completed, defaulted or terminated (partial or complete) within the past ten (10) years and the basis thereof. Use additional pages as necessary.

Name/Contact Address Phone Dates/Type/ Value of Contract

Lawrence Mercer Counties Drop-off Collection, Processing, Marketing Recyclables Page 2

Submit declarations of the status of any criminal or civil litigation against both the parent company and all subsidiaries of the parent company. Also, submit declarations of the current status of any pending criminal or civil litigation naming any current officer of the parent company and all subsidiary companies as a defendant. For these declarations, "current officer" shall be defined to include those individuals who are presently serving or who have served within the last two years as an officer of the parent company. If the Offeror is a joint venture, unincorporated association, partnership, or any entity formed within the last 12 months, then the Offeror shall also submit such declarations of all entities forming such a joint venture, unincorporated association, partnership, or other entity. State whether an adverse decision in any such litigation may have a substantial impact on the operation or finances of your entity.

Company Name

Address

Contract Officer

Telephone Number FAX Number

Contract Number Total Value of Contract

Explain

15 - Proposal Form 4 - Past Performance & Experience of Contractor
PROPOSAL FORM 4
Address:
NameContactRow1:
DatesType Value of ContractRow1:
NameContactRow2:
undefined:
DatesType Value of ContractRow2:
NameContactRow3:
undefined_2:
DatesType Value of ContractRow3:
NameContactRow4:
within the past ten 10 years and the basis thereof Use additional pages as necessary:
DatesType Value of ContractRow4:
Company Name:
Address_2:
Contract Officer:
Telephone Number:
FAX Number:
Contract Number:
Total Value of Contract:
Explain:
Text1:
Text2:
Text3:
Text4:
Text5:

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