Site Visit Form.doc

PENNSYLVANIA STATE POLICE

PROOF OF VISIT – Troop M Fogelsville CONTACT PERSON: Lieutenant Gregory Emery – gemery@pa.gov 610-871-3840 Before visiting, the prospective bidder must arrange an appointment with the Station Commander, or his designated representative.

This FORM must be completed at the time of the visit and must be signed by the authorized person who conducted the tour and explained the responsibilities.

FAILURE TO ATTACH THIS FORM TO YOUR BID BEFORE BID OPENING IS CAUSE FOR BID REJECTION.

DESCRIPTION OF WORK _____Janitorial Services_______

BID NUMBER_________________________________________

BID OPENING DATE ___________________________________

VISIT DATE ___________________________________________

STATION COMMANDER OR DESIGNATED REPRESENTATIVE

PRINT STATION COMMANDER NAME

SIGNATURE COMMANDER

I have been escorted to the work areas by the above authorized person and understand all aspects of the work to be performed under the specifications as further explained to me by said authorized person.

I certify that I have made my own observations and have satisfied myself as to all conditions & matters which may affect the work or cost thereof under this contract. No additional compensation will be awarded due to unfamiliarity. It will be assumed that the vendor has full knowledge of all existing conditions.

NAME OF COMPANY

SIGNATURE

ADDRESS

VENDOR NUMBER

PHONE

E-MAIL ADDRESS