PA DEP CERTIFIED DRINKING WATER OP SITE VISIT 08.18.25.doc

DOC document 25 KB Posted

Attached to
PA DEP Certified Drinking Water Operator
Solicitation number
6100065873
Issued by
Fulton County, Pennsylvania

About this file

This is a mandatory site visit form issued by the Commonwealth of Pennsylvania Department of Transportation for a PA DEP Certified Drinking Water Operator contract. The project involves the operation and maintenance of the water supply system at Warfordsburg Rest Area & Welcome Center located at 1001 Quarry Road, Warfordsburg, PA 17267 in Fulton County on I-70 West, 0.5 miles west of the PA/MD state line. The form documents contractor representative attendance at the required site visit, with fields for the contractor's company name, representative name and signature, visit date and time, and corresponding certification by the PennDOT representative. Project Manager Jamie Chestney can be contacted at 814-932-2491 or jamchestne@pa.gov for questions regarding the site visit information or Statement of Work specifications.

The document serves as a verification mechanism ensuring that prospective bidders have visited the job site prior to submitting proposals. The form requires signatures from both the contractor's representative and the PennDOT representative to create an official record of site visit participation. No pricing information, contract term, funding sources, or other financial details are included in this administrative form.

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Text version

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF TRANSPORTATION

PA DEP CERTIFIED DRINKING WATER OPERATOR

AT:

WARFORDSBURG REST AREA & WELCOME CENTER

SITE B – I-70 WEST 0.5 MILES WEST OF PA/MD STATE LINE

1001 QUARRY RD

WARFORDSBURG PA 17267

IF YOU HAVE ANY QUESTIONS REGARDING THE SITE VISIT INFORMATION OR STATEMENT OF WORK SPECIFICATIONS, PLEASE CONTACT PROJECT MANAGER, JAMIE CHESTNEY BY TELEPHONE AT 814-932-2491 or EMAIL @ JAMCHESTNE@PA.GOV

MANDATORY SITE VISIT FORM

Contractor Representative:

Company Name ______________________________________________

Date and Time of Site Visit ________________________

Name of Contractors’ Representative:

Please Print:_____________________________

Signature of Contractors’ Representative:

_____________________________________________ Date: _____________

Department of Transportation Representative:

Please Print: ________________________________

I hereby certify that the above listed contractor representative visited the job on the date and

Time listed above.

Signature of PennDOT representative:

__________________________________________ Date:_____________

File details come from the government source that posted it. Updated .