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Board Of Aldermen - Agenda - 4/12/2022 - P75

By dnadmin on Mon, 11/07/2022 - 07:45
Document Date
Fri, 04/08/2022 - 13:45
Meeting Description
Board Of Aldermen
Document Type
Agenda
Meeting Date
Tue, 04/12/2022 - 00:00
Page Number
75
Image URL
https://nashuameetingsstorage.blob.core.windows.net/nm-docs-pages/boa_a__041220…

THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO IFB

in compliance with your BID, we hereby submit our BID for the above project. Having examined the plans and specifications
and being familar with all of the conditions surrounding the construction of the proposed project, including the availability
of materials and labor, we hereby propose to furnish all supervision, labor, materials and supplies, and to construct the
project in accordance with the contract documents, dated 4112/2022 including
Addenda{s} noted below

EXPERIENCE AND QUALIFICATIONS:

Contractor’s Qualification Statement: Provide a list of Bidder, completed or currently under production, Construction
projects that details experience on similar projects of scope, size & scale.

City Projects: Provide a list of project awards Bidder has received from the City of Nashua in the past 5 years, Please
include project detail, City department and City project lead.

References: include at least 3 professional references (business name, contact, email address & phone number).
References may be contacted as part of our preliminary bid review to assist project committee in assessing Bidder
qualifications. Current City of Nashua personnel and elected officials shall not be used as references.

Acknowledgement is made of receipt of the following addenda(s): #1 - 2/1/2022; #2 - 2/4/2022

BID GUARANTEE: Attached here is a bid guarantee in the form of Bid Bond in the amount of 5%
{five percent) of the Total Base Bid Amount.

if notice of acceptance of this bid is given to the undersigned within ninety 90 days after the date of opening of bids, or
any time thereafter before this bid is withdrawn, the undersigned will execute and deliver a contract in the prescribed
form within 10 days after the contract has been presented to them for signature.

Immigration Reform and Control Act of 1986; The undersigned certifies that it does not and will not during the
performance of this Contract violate the provisions of the Federal Immigration Reform and Contral Act of 1986, which
prohibits employment of illegal aliens.

DISQUALIFICATION OF CONTRACTORS: By signing this bid, the undersigned certifies that this person/firm/corporation is
not currently barred from bidding on contracts by any Agency of the State of New Hampshire, nor is this
person/firm/corporation a part of any firm/corporation that i currently barred from bidding on contracts by any Agency
of the State of New Hampshire.

Either the undersigned or one of the following individuals, if any, is authorized to modify this bid prior to the deadline for
receipt of bids by writing the modification and signing their name on the face of the bid, on the envelope in which it is
enclosed, on a separate document, of of a document which is faxed to the City or by sending the City's representative

an e-mail message:
Erika Payne, Keith Patnode, or Jenna Stromgren

1FBO779-021022 2022 SEWER REPLACEMENT PROJECT Page ISof 5

Page Image
Board Of Aldermen - Agenda - 4/12/2022 - P75

Board Of Aldermen - Agenda - 4/12/2022 - P76

By dnadmin on Mon, 11/07/2022 - 07:45
Document Date
Fri, 04/08/2022 - 13:45
Meeting Description
Board Of Aldermen
Document Type
Agenda
Meeting Date
Tue, 04/12/2022 - 00:00
Page Number
76
Image URL
https://nashuameetingsstorage.blob.core.windows.net/nm-docs-pages/boa_a__041220…

City of Nashua, New Hampshire
Division of Public Works
2022 Sewer Replacement Project

1FB0779-021022
BID SCHEDULE - 2022 Sewer Replacement Project
Item .

No. {Quantity} Units ltem Description Unit Price Sotal Price

1a_| 350 | LF [Remove Existing Pige and Replace with 8° or 10" Pine (PVC-SDR 35) 130.00 45.500.00
0 0 9 Depth

1B | 100 | LE Remove Existing Pige and Replace with 8 or 10" Pipe (PVC-SDR 35) 130.00 13,000.00
>to 13' Depth

IC 1640 | LF [Remove Existing Pipy and Replace with 12" Pipe (PVC- SDR 35) 153.50 251,740.00
0' w 9' Depth

1D | 230 | LF [Remove Existing Pwe and Replace with 12" Pipe (PVC-SDR 35) 153.50 35,305.00
>9'to 13' Deoth

1E 400 LF {Remove Existing Pine and Replace wih 15” Pipe (PVC- SDR 35) 155.00 62,000.00
0'r0 9° Denth

IF | 100 | LF [Remove Existing Pipe and Replace with 15" Pine(PVC-SDR 35) 155.00 15,500.00
>9'to 13’ Depth

IG | 100 | LF {Remove Existing Pige and Replace with 18" Pigg (PVC-SDR 35) 160.00 16,000.00
0' © Y Depth

iH_| 100 _| LF _|Remove Existing Pipe und Replace with 18* Ping (PVC-SDR 35) 160.00 16,000.00
>9'to 13' Deoth

ul ci) LF jRemove & Reinstall Existing 24" RCP Drain 8' to 12' Depth 140.00 5,600.00
(Clement Street Only)

J 198 LF {Remove Existing Pipe and Replace with 18" Pine (PVC-PS tt5) 300.00 59,400.00
T'tolT Denth (Clement Street Only)

IK 150 LF {Furnish &lnstall 12" Perforated Drain Pips (PVC - SDR 35) 185.00 24,750.00
0' © 9'Depth Including Stone & Geotextile Fabric (See Detail)

IL 580 LF [Remove and Replace Existiny Sewer Service with 6 Sewer Service (PVC- SDR 35) 100.00 §8,000.00
All Deoths including Fittings and Couplings

PAGE | SUBTOTAL. | 402. 195.00

BS-1tof5

Page Image
Board Of Aldermen - Agenda - 4/12/2022 - P76

Board Of Aldermen - Agenda - 4/12/2022 - P77

By dnadmin on Mon, 11/07/2022 - 07:45
Document Date
Fri, 04/08/2022 - 13:45
Meeting Description
Board Of Aldermen
Document Type
Agenda
Meeting Date
Tue, 04/12/2022 - 00:00
Page Number
77
Image URL
https://nashuameetingsstorage.blob.core.windows.net/nm-docs-pages/boa_a__041220…

Cliy of Nashug, New Hampshire
Division of Public Works
2022 Sewer Replacement Project
IFBO779-021022

BID SCHEDULE - 2022 Sewer Replacement Project

~ Quantity; Units item Description Unit Price Total Price
2A 16 EA {X"tol2" Sewer Pme (PVC-SDR 35) Pont Repar 0 9 Depth 5,500.00 88,000.00
22 10 | EA [8"tol2" Sewer Pine Pout Repair(PVC - SDR 3S) >9' w 13" Depth 5,500.00 55,000.00
xc | a | EA [1510 18" Sewer Pine Point Repair (PVC- SDR 350" 9° Depth 6,000.00 | 48,000.00
270 | 6 | EA [IS"to 18" Sewer Pine Point Repair(PVC- SPR _35) >¥ to 13° Depth 6,000.00 36,000.00
3 400 LF {Asbestos Pipe Removal & Disposal (All Sizes Up wo 18” Diameter) 25.00 10,000.00
4 20 VF fe" PVC Chimney 150.00 3,000.00
5A 44 EA [8°x6", 10°x6". of 12"x6" PVC Wye 1,650.00 72,600.00
5B 8 EA | 15°x6" of 18°x6" PVC Wye 2,000.00 16,000.00
sc | 10 | GA {12"x10"15"x10", 18°10" or 18"x12" PVC Wye 2, 100.00 21,000.00
SD 6 EA. 16" Sewer Service Saddle for Connection w Existing 8°. 12215".0r 18” Sewer Lines 100.00 600.00
SE 10 EA |Core Existing Sewer Manhole for 8", 12", 15", or 18” Pipe 850,00 8,500.00
6A 67 VF | Replace of Construct Sewer Manhole (4firot Dia) 725.00 48,575.00
6B 10 VF [Replace or Construct Sewer Manhole (5-fisot Dis} 810.00 8,100.00
6c 100 VF {Construct Single Sewer. Manhole a Point Repair Location (4-fisot Dia) 725.00 72,500.00
6D 20 VF {Sewer Manhole Internal Drop Assembly 140.00 2,800.00
6E 14 EA {Manhole Invert Reconstruction 4,100.00 15,400.00
OF 6 FA |Find, Uncover amVor Replace Existing Sewer Manhole Frame and Cover 1,000.00 6,000.00
6G 2 EA [Catch Basin Casting (Double Grate) 1,750.00 3,500.00

PAGE 2 SUBTOTAL

515.0 19.00

BS-2o0f5

Page Image
Board Of Aldermen - Agenda - 4/12/2022 - P77

Board Of Aldermen - Agenda - 4/12/2022 - P78

By dnadmin on Mon, 11/07/2022 - 07:45
Document Date
Fri, 04/08/2022 - 13:45
Meeting Description
Board Of Aldermen
Document Type
Agenda
Meeting Date
Tue, 04/12/2022 - 00:00
Page Number
78
Image URL
https://nashuameetingsstorage.blob.core.windows.net/nm-docs-pages/boa_a__041220…

Clty of Nashua, New Hampshire
Division of Public Works
2022 Sewer Replacement Project

IFBO0779-023022
BID SCHEDULE - 2622 Sewer Repiacement Project
Item
No. |Quantity| Unis lrem Description Unit Price Total Price
6H 33 EA {Connect New Sewer a Drain to Existing Manhole or Catch Basin with Existing Hole 1,800.00 59,400.00
6} 17 FA {Connect Existing Sewer Line of Dram Lateral & New Sewer Manhole or Catch Basin 1,800.00 30,600.00
TA | 107 | VE jReplace or Construct Catch Basin (4Foot Diameter) 510.00 54,570.00
7B 17 VF {Replace or Construct Catch Basin (S-Foat Dismeter) 510.00 8,670.00
x 16 VF _|Construci Leaching Catch Basin (4-Foot Diameter) Including Stone & Geotexnle Fabric $30.00 8,480.00
8 2 CY [flowable Fill For Pipe Abandoned In Place 180.00 6,300.00
9 ‘ EA {Precast Headwall (See Detail) 4,000.00 4,000.00
10 3x0 CY |Ruwmp, Class { (Includiry peotextde Fatnep 60.00 1,800.00
WIA | 1,015 | CY [Crushed Gravel 35.00 35,525.00
IIB | 2,250 SY [Temporary Bituminous Pavement Patch including 18" Crushed Gravel Base 36.50 82,125.00
1IC_ | 1,400 | TON jltot Bituminous Pavement (Permanent Binder and Weanng Courses} 175.00 245,000.00
IID }| 13,520 | LE |Sawed Biuminous Pavement 1.25 16,900.00
WE | 3,030 | CY [Unclassified Excavation 27.50 83,325.00
2A 0 SY [2° Bauminous Sidewatk Repam Includiny Crushed Gravel Base 81.50 7,335.00
128 | 40 SY [4° Concrete Sidewalk Repair Including Crushed Gravel Base 125.00 6,250.00
9A 120 LF [Reset Granite Curb 40.00 4,800.00
138 : $0 LF__|New Verucal Granite Cuh (Straight) 60.00 3,000.00
13C 50 LF |New Granite Curb (Sloped) 60.00 3,000.00
PAGE J SUBTOTAL | lolol O80, UC

BS-3a0f5

Page Image
Board Of Aldermen - Agenda - 4/12/2022 - P78

Board Of Aldermen - Agenda - 4/12/2022 - P79

By dnadmin on Mon, 11/07/2022 - 07:45
Document Date
Fri, 04/08/2022 - 13:45
Meeting Description
Board Of Aldermen
Document Type
Agenda
Meeting Date
Tue, 04/12/2022 - 00:00
Page Number
79
Image URL
https://nashuameetingsstorage.blob.core.windows.net/nm-docs-pages/boa_a__041220…

City of Nashua, New Hampshire
Division of Public Works
2022 Sener Replacement Project
JFB0779-021022

BID SCHEDULE - 2022 Sewer Replacement Project

= Quantity| Units {tem Description Unit Price Total Price
14 | 2,860 | SY |Loan: and Seed (6-Inch Depth) 15.00 38,400.00
ISA 10 EA [Remove Tree (4" @ 12") 250.00 2,500.00
\SB 7 EA |Remove Tree (12° wb 24") §00.00 3,500.00
isc | 4 EA _|Remove Tree (>24" to 30”) 1,000.00 4,000.00
6A 30 EA 100.00 3,000.00
16B 100 LF 4.00 400.00
WA | 1800 | LF [4" Pawnted Lines 2.50 3,750.00
175 | 100 | LF {I2* Painted Lines 8.00 800.00
7c {00 LF | $8” Painted Lines 8.00 800.00
7D | 9 SF [Painted Symbols 50.00 2,500.00
18 1 LS 100,000.00 | 100,000.00
19 Allowance [Uniformed Pohce Officers $25,000.00 $25,000.00
2” 2400 HR 29.00 69,600.00
2 ] LS__|Maintenance of Traffic 25,000.00 25,000.00
22 Allowance — [Allowance for Unanucipated Hazardous Matenals $30,000.00 $30,000.00
23 100 CY [Rock Structure Excavation end Disposal 100.00 10,000.00
a 120 WR {Night Work Ordered by Ciry 200.00 24,000.00
35 15 | WEEK | Message Bourd 250.00 3,750.00
PAGE 4SUBTOTAL] 349 OLD.00

BS-40f5

Page Image
Board Of Aldermen - Agenda - 4/12/2022 - P79

Board Of Aldermen - Agenda - 4/12/2022 - P80

By dnadmin on Mon, 11/07/2022 - 07:45
Document Date
Fri, 04/08/2022 - 13:45
Meeting Description
Board Of Aldermen
Document Type
Agenda
Meeting Date
Tue, 04/12/2022 - 00:00
Page Number
80
Image URL
https://nashuameetingsstorage.blob.core.windows.net/nm-docs-pages/boa_a__041220…

City of Neshua, New Hampshire
Divislon of Public Works
2022 Sewer Replacement Project
1FB0779-021022

BID SCHEDULE - 2022 Sewer Replacement Project

7 Quantity! Units Item Description Unit Price Total Price

264 6 CA |Tes Pit 9) 500.00 3,900.00

268 4 EA [Tes Put9’ w 13") 1,000.00 4,000.00

27 bt) LE [Remove & Reinstall Easstune Fence (Clement Sirect Only) 50.00 2,500.00
PAGE SSUBTOTAL| 9500.00

SUBTOTAL of Page BS-1_992,795.00

515,575.
SUBTOTALof PageBS-2 15,575.00
661,080.00
SUBTOTALof Page BS-3
347,000.00
SUBTOTAL of PageBS-4
9,500.00
SUBTOTALof Page BS-5
TOTAL BID PRICE (FIGURES }: $2,B595000

t

TOTAI. BID PRICE (\VORDS) - BASE BID

Two million one hundred thirty-five thousand nine hundred fifty Dollars and

Zero Cents

Contractor:

S.U.R. Construction West Inc.

Address’

51 Payne Road, Winghester, NH 03470

Authorized Signature:

Muh Nii

Date:

February 10, 2022.

Phone

603-357-7950

Email Address:

erika@surconstructionwest.com

BS-50/5

Page Image
Board Of Aldermen - Agenda - 4/12/2022 - P80

Board Of Aldermen - Agenda - 4/12/2022 - P81

By dnadmin on Mon, 11/07/2022 - 07:45
Document Date
Fri, 04/08/2022 - 13:45
Meeting Description
Board Of Aldermen
Document Type
Agenda
Meeting Date
Tue, 04/12/2022 - 00:00
Page Number
81
Image URL
https://nashuameetingsstorage.blob.core.windows.net/nm-docs-pages/boa_a__041220…

BID BOND
PENAL SUM FORM

BIDDER (Name and Address);

S.U.R. Construction West, Inc.
SiPayneRd.
Winchester, NH 03470

Travelers Casualty + Surety Company of America
350 Granite St.

Braintree, MA 02184

OWNER (Name and Address),
City of Nashua, NH
Central Purchasing,229 Main St.
Nashua, NH 03061

BIDDUEDATE: February 10,2022

PROJECT (Brief Description Including Location):
2022 Sewer Replacement Project.1FB0779-021022

BONDNUMBER: bid bond
DATE:(Not laterthanBidDueDate): February 102022

PENAL SU M:fivepercent attachedbid 5% attached bid
(words) (figures)

IN WITNESS WHEREOEF, Surety and Bidder, Intending to be legally bound hereby, subject to the terms
printed on the reverse side hereof, do each cause the Bid Bond to be duly executed on its behalf by its
authorized officer, agent, or representative.

BIDDER SURETY
struct . (Seal) Travelers Casualty + Surety Co. of America (Seal)
: ; wy Ath and ay Seal
Ai
ye Sighature. and a Pyd4]y CAA ” Kitorney-in-fact™

Signature and Title
(Attach Power of Attomty)

Attest On wr Jhmuac Le Aan 0 "A ae LLG LY
U SQnature and THe TT(OAML Yr Attest: Signature ai ule /

Note: (1) Adove addresses are in be use for giving required notice
(2) Any Singuiar mfe:rence to Bidder, Surety, OWNER or other party shall be considered plural where applicable,

BB-1 of2

Page Image
Board Of Aldermen - Agenda - 4/12/2022 - P81

Board Of Aldermen - Agenda - 4/12/2022 - P82

By dnadmin on Mon, 11/07/2022 - 07:45
Document Date
Fri, 04/08/2022 - 13:45
Meeting Description
Board Of Aldermen
Document Type
Agenda
Meeting Date
Tue, 04/12/2022 - 00:00
Page Number
82
Image URL
https://nashuameetingsstorage.blob.core.windows.net/nm-docs-pages/boa_a__041220…

te

Bidder and Surety. jointly and severally, bind
themselves, their heirs, cxecuters, administrators,
successors, and assigns to puy to OWNER upon
default of Bidder the penal sum sct forth on the face
of this Bond.

Default of Bidder shall occur upon the failure of
Bidder © deliver within the time required by the
Bidding Documents (or any extension thereof’
agreed to in writing by OWNER) te executed
Agreement required by the Bidding Documents and
any performance and payment bonds required by
the Bidding Documents and Contract Documents.

This obligation shall be null and void if:

3.1. OWNER accepts Bidder’s bid and Bidder
delivers within the time required by the
Bidding Documents (or any extension thereof
agreed to in writing by OWNER) the executed
Agreement required by the Bidding Documents
and any performance and payment bonds
required by the Bidding Documents and
Contract Documents, or

3.2 Allbids are rejected by OWNER, or

3.3 OWNER fails @ issue a notice of award to
Bidder within the time specified in the Bidding
Documents (or any extension thercofagrced to
in writing by Bidder and, if applicable,
consented to by Surety when required by
paragraph 5 hereof).

Payment under this bond will be due and payable
upon default by Bidder und Within 30 celendar days
ofter receipt by Bidder and Surety of written notice
of default from OWNER, which notice will be
given with reasonable promptness, identifying this
Bond and the Project and including a statement of
the amount duc.

Surety waives notice of and any and all defiznses
based on or arising out of any time extension to
issuc notice of award agreed to in writing by
OWNER il Bidder, provided that the time for
issuing Notice of Award including extensions shall
not in the agercgate exceed 120 days fromBid Duc
Date without Surcty's writtenconsent.

No suit or action shall be commenced under this
Bond prior 10 30 calendar days after the notice of
default required in paragraph 4 above is received by
Bidder and Surety, und in n0 case [ster than one year
afler Bid due date.

7.

Any suit or action under this Bond shall be
commenced only in 9 court of competent
jurisdiction located in the state in which the Project
is located.

.& Notice required hereunder shall be in writing and sent

to Bidder and Surety a their respective addresses
shown on the face of this Bond. Such notices may
be sent by personal delivery, commercial courier or
by United States Registered of Certified Mail,
return receipt requested, postage pre-paid, and shall
be deemed to be effective upon receipt by the party
concemed,

Surety shall cause to be attached to this Bond a
current and effective Power of Attorney evidencing
the authority of the officer, agent or representalive
who executed this Bond on behalf of Surety to
execute, seal and deliver such Bond and bind the
Surety thereby.

10. This Bond is intended to conform ¢ all applicable

statulory requirements. Any applicable requirement
of any applicable statute that hos been omitted from
this Bond shalt be deemed to be included herein as
if sct forth et length. If any provision of the Bond
conflicts with uny applicable provision of any
applicable statute, then the provision of said statute
shall govern and the remainder of this Bond that is
not in conilict therewith shall continue in full force
and effect.

The term "Bid" as used herein includes a Bid, offer
Or proposal ss applicable

Page Image
Board Of Aldermen - Agenda - 4/12/2022 - P82

Board Of Aldermen - Agenda - 4/12/2022 - P83

By dnadmin on Mon, 11/07/2022 - 07:45
Document Date
Fri, 04/08/2022 - 13:45
Meeting Description
Board Of Aldermen
Document Type
Agenda
Meeting Date
Tue, 04/12/2022 - 00:00
Page Number
83
Image URL
https://nashuameetingsstorage.blob.core.windows.net/nm-docs-pages/boa_a__041220…

Travelers Casualty and Surety Company of America
Travelers Casualty and Surety Company

TRAVELER - St. Paul Fire and Marine Insurance Company

POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS That Travelers Casually and Surety Company of America, Travetars Casualty and Surety Company, and &
Paul Fre and Marine Insurance Company are corporations duly organized under the laws of the Stale of Connecticul (herein collectively called the
"Compan es"), and tha the Companies do hereby make, constitute and appoint Michael Sweeney, of Keene, New Hampshire, ther true and tawful
Attomey-in-Fact to s:gn, execute. seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory hh
the nature thereof an behalf of the Companies in the business of guaranteeing the fidelity df persons, guaranteeing the performance of contracts
and executing or guaranieeing bonds and undertakings required or permitied any actions or proceedings allowed by law.

TO NESS WHEREOF, the Companies have caused this instrument to be sl.gned, and their corporate seals tb be hereto affi xed, Uis vd day of February.

<>
State of Connecticut A LEE
By LE. Fay

Cty of Hartford ss Robert L Raney, Sefifor Vice President

On ths the vd day of February, 2017. before me personally appeared Robert L. Raney, who acknowledged himself to be the Sentor Vice President of
Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and &. Paul Fire and Marine insurance Company, and
that he, as such, being authorized so fb do, executed the foregeing Instrument for the purposes thereln contained by signing on behalf of the corporalions
by himself at a duty authorized officer.

in Witness Whereof, | hereunto set my hand and official seal.
My Commission expires the th day of June, 2021 Won Cc Attar

C.Tetreaullt, Notary Public

This Power of Atlomay is granted under and by the authority of the following resolutions adopied by the Boards of Directors of Travelers Casually and
Surety Company of America, Traveters Casualty and Surety Company, and St Paui Fre and Marine insurance Company, which resolutions are now in

ful force and effect, reading as fdlows:

RESOLVED, that the Chairman, the President, any Vice Chairmen, any Executive Vice President, any Senior Vice President, any Vee President, any
Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary o any Assistant Secretary may appoint Attomeys-in-F act and
Agents lo act for and on behalf df the Company and may give such appointee such authority 8s his of her certificate of euthority may prescribe © sign wih
the Company's name and seal wih tha Company's seal bonds, recognizences, contracts of indemnity, and other wrilings obligatory in the nature of a
bend, recognizance, or conditional undertaking, and any of said officers a the Board of Directors a any time may remove any such appointee and revoke

the power given him or her, and its

FURTHER RESOLVED, that the Chairman, the President, any Vice Chalrman, ony Executive Vice President, any Senior Vie President or any Vice
President may delegate ail or any pat of tha foregoing authority © one or more officers or employees of tis Company, provided that each such delegation
& In writing and a copy thereo! is filed In the office of the Secretary; and 2 is

FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obtigatory in the nature of a bond, recognizance, of conditional
undertaking shall be valid and binding upon the Company when (a) signed by the Pres any Vice Chalrman. any Executive Vice President, any Serior
Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant
Secretary and duly attested and seated wih the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, I required) by
one of more Atlomeys-in-Faet and Agents pursuant to the power prescribed in his a her certificate a thelr certificates of authority or by one or more
Company officers pursuant to 4 written delegation df authority, and Rb

FURTHER RESOLVED, thal the signature of each of the following officers: Presi dart, any Executive Vice President, any Senior Vie President, any Vice
President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile & any Power
of Atlomey or © any certficate relating thereto appointing Resident Vice Presidents, Residan Assistant Secretaries of Attorneys-in-F act for purposes orty
of executing and atlesting bonds and undertakings and other writings obli galory h the nature thereo!, and any such Power of Attomey or certificate bearing
such facsimile signature of facsimile seal shall be valid and binding upon the Company and ay such power so execuied end certified by such facsimie
signature and facsimile sea shal be valid and binding cn the Company in tha future wih respect ib any bond a understanding > which 4 & attached

| Kevin E Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company a America, Travelers Casualty and Surety
Company, and St. Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing is a tue and correct copy of the Power of

Atlomey executed by said Companies, which remains h full face and efect.
Dated this sn day of February 1. 202

Kevin E. Hughes. ant Secretary

To verity the authenticlty of thts Power of Attorney, please cail us at 1-800-421-3880,
Please refer to the above-named Attorney-in-Fact and the details of the bond to which the power bs attached.

Page Image
Board Of Aldermen - Agenda - 4/12/2022 - P83

Board Of Aldermen - Agenda - 4/12/2022 - P84

By dnadmin on Mon, 11/07/2022 - 07:45
Document Date
Fri, 04/08/2022 - 13:45
Meeting Description
Board Of Aldermen
Document Type
Agenda
Meeting Date
Tue, 04/12/2022 - 00:00
Page Number
84
Image URL
https://nashuameetingsstorage.blob.core.windows.net/nm-docs-pages/boa_a__041220…

THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS IFB

CONSTRUCTION CONTRACTOR’S
QUALIFICATION STATEMENT

On Schedule A, attached, list major engineered construction projects completed by this organization in the
past five (5) years. (if joint venture, list each participant’s projects separately).

On Schedule B, attached, list current proyects under construction by this organization, (If joint venture, list
each participant’s projects separately}

On Schedule C, attached, provide a list of project awards Vendor has received from the City of Nashua in
the past 5 years. Please include project detail, City department and City project lead

On Schedule D, attached, furnish References. Include at least three (3) professional references (business
name, contact, email address & phone number), References may be contacted as part of our preliminary
bid review to assist project committee m assessing Vendor qualifications. Current City of Nashua personnel
and elected officials shall not be used as references.

Name of Surety Company and name, address, and phone number of agent.
Travelers Casualty and Surety Company of America, 350 Granite Street, Braintree, MA 02184

Agent, Michael Sweeney of Clark Mortenson Agency, 603-352-2121

ls your organization a member of a controlled group of corporations as defined in I.R.C. Sec. 1563?

(yes [X]No

if yes, show names and addresses of affiliated companies.

Has your organization ever failed to complete any construction contract awarded to it?
[]yes [X]No

f yes, describe circumstances and provide details on attachment.

Has any Corporate officer, partner, joint venture participant or proprietor ever failed to complete a
construction contract awarded to him or her in thew own name or when acting as a principal of another
organization?

[ves {x]No

if yes, describe circumstances and provide details on attachment.

IFBO779-021022 2022 SEWER REPLACEMENT PROJECT

CQ1of?7

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Board Of Aldermen - Agenda - 4/12/2022 - P84

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