7-Experience Questionnaire Contract 2025-01 Building Const.pdf
PDF 29 KB Posted
- Attached to
- Public Works Building and Rooftop Solar Project
- Solicitation number
- Not on record
- Issued by
- Adams County, Pennsylvania
About this file
This is an Experience Questionnaire for a Public Works Building and Rooftop Solar Project issued by Conewago Township in Elizabethtown, Pennsylvania, with the RETTEW Project Number 0114103642 and Contract Number 2025-01 for Building Construction. The document is a standard pre-qualification form designed to assess a bidder's organizational capabilities, project history, and professional experience. The questionnaire requires potential bidders to provide detailed information about their business type, years of relevant contracting experience, current service contracts, completed comparable projects within the last five years, any previous contract defaults, and the construction experience of key organizational personnel.
The document provides a template for bidders to comprehensively demonstrate their qualifications by detailing their organizational structure, past performance, and key personnel expertise. The form includes sections for listing contract amounts, types of work, completion percentages, owner and engineer contact information, and references. A notarized section at the end requires the bidder to swear to the truthfulness of all provided information, adding a layer of legal accountability to the self-reported qualifications. While no specific financial details are present in this document, it serves as a critical pre-qualification tool for Conewago Township to evaluate potential contractors for the Public Works Building and Rooftop Solar Project.
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Text version
EXPERIENCE QUESTIONNAIRE 004000-01 - 1
RETTEW Project No.: 0114103642 Contract No. 2025-01
DOCUMENT 004000-01
EXPERIENCE QUESTIONNAIRE
PROJECT IDENTIFICATION Public Works Building and Rooftop Solar Project
CONTRACT
IDENTIFICATION:
0114103642 Contract No. 2025-01 – Building Construction
SUBMITTED TO:
Conewago Township 3279 Old Hershey Road Elizabethtown, PA 17022
(-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 004000-01 - 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 004000-01 - 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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