Certification of Site Visit

CERTIFICATION OF SITE VISIT

SOLICITATION #XX-XXX

This certifies that ___________________________________ (Name of Representative) of _______________________________________________ (Name of Bidder’s Company) has visited the site on ______________________ (Date) for the project described in the specifications, toured the facilities, familiarized himself/herself with the facilities, and received the project briefing provided by the University.

This completed document must be signed and dated by the University’s representative and returned to be considered for award.

___________________________________ ________________________________

(University Department Representative) (Signature of Purchasing Representative)

___________________________________ ________________________________

Date Date

PURCHASING SERVICES

University of Wisconsin-Madison · 21 N Park St, Suite 6101 · Madison, WI 53715 1218

608/XXX-XXXX · (Fax) 608/262-4467 · www.bussvc.wisc.edu ·