LIST OF EXHIBITS
NOTICE OF AWARD
NOTICE TO PROCEED
CHANGE ORDER
CERTIFICATE OF SUBSTANTIAL COMPLETION
CERTIFICATE OF FINAL COMPLETION
CONTRACTOR'S FINAL RELEASE AND WAIVER OF LIEN
“ARO OR >
DIVISION 5
EXHIBITS
NOTICE OF AWARD
DATED:
CONTRACTOR: Mass Crane and Hoist Service ADDRESS: 500 Potash Hill Road — Unit 1
Tyngsborough, MA 01879
OWNER: City of Nashua, New Hampshire ADDRESS: 229 Main Street
Nashua, NH 03060
PROJECT: Dry Well Hoist Replacement OWNER’S IFB1093-122920
CONTRACT NO.
TO CONTRACTOR:
You are notified that your Bid dated December 29, 2020 for the above Contract has been
considered. You are the apparent Successful Bidder and have been awarded a contract for
For the replacement of one (1) 3-ton hoist that can traverse laterally and longitudinally along
the existing rail track in the dry well of the Headworks of the Main Control Building, at the
Nashua Wastewater Treatment Facility (NWTF).
(Indicate total Work, alternatives or sections or Work awarded)
The Contract Price of your contract is
FORTY-SEVEN THOUSAND TWO HUNDRED EIGHTY and 00/100 DOLLARS
($ 47,280.00)
The proposed Agreement that the OWNER expects to execute, accompanies this Notice of
Award.
1. You must deliver to the OWNER a fully executed counterpart of the proposed
Agreement that the OWNER expects to execute.
2. You must deliver to the OWNER the Contract Security (Bonds), as specified in the
Contract Agreement (Article 5).
(List other conditions precedents).
1FB1093-122920
Dry Well Hoist Replacement NOTICE OF AWARD
Page 1 of 2
Failure to comply with these conditions within the time specified will entitle OWNER to
consider your bid in default, to annul this Notice of Award and to declare your Bid Security
forfeited.
By
(FOR THE CITY OF NASHUA)
(TITLE)
ACKNOWLEDGEMENT OF NOTICE
Receipt of the above NOTICE OF AWARD is hereby acknowledged
By
The day of , 20
By
Title
1FB1093-122920
Dry Well Hoist Replacement NOTICE OF AWARD
Page 2 of 2
NOTICE TO PROCEED
DATED:
ADDRESS: 500 Potash Hill Road — Unit 1
CONTRACTOR: Mass C d Hoist Servi
ass Crane an ols ervice Tyngsborough, MA 01879
. . ADDRESS: 229 Main Street
OWNER: City of Nashua, New Hampshire Nashua, NH 03060
PROJECT: Dry Well Hoist Replacement OWNER’S 1FB1093-122920
CONTRACT NO.
TO CONTRACTOR:
You are notified that the Contract Times under the above contract will commence to run on
,2021. By that date, you are to start performing your obligations under
the Contract Documents. In accordance with Article 3 of the Agreement, the date of Substantial
Completion is , 2021 and the date of Final Completion is , 2021.
Before starting any Work at the Site, Contractor must comply with the following:
Owner: City of Nashua
(Owner Representative Signature)
By:
Title:
IFB1093-122920 NOTICE TO PROCEED
Dry Well Hoist Replacement
Page 1 of 2
ACKNOWLEDGEMENT OF NOTICE
Receipt of the above NOTICE OF AWARD is hereby acknowledged
By
The day of , 20
By
Title
IFB1093-122920 NOTICE TO PROCEED
Dry Well Hoist Replacement
Page 2 of 2
CHANGE ORDER
Change Order No.
Project: Dry Well Hoist Replacement
Contractor: Mass Crane and Hoist Service, 500 Potash Hill Road — Unit 1, Tyngsborough, MA 01879
Owner: City of Nashua, NH Owner's Contract No.: IFB1093-122920
Owner’s PO No: Executed Contract Date:
Date of Issuance: Upon City Approval Effective Date: Upon City Approval
The Contract is modified as follows upon execution of this Change Order:
Description:
Justification:
Attachments:
Change Order No.
IFB1093-122920 1 of 2
Dry Well Hoist Replacement
CHANGE ORDER
Summary
CHANGE IN CONTRACT PRICE
Original Contract Price:
CHANGE IN CONTRACT TIMES
Original Contract Times:
Substantial Completion:
Ready for Final Payment:
Net Changes from previously approved Change Orders
Net Changes from previously approved Change Orders
Substantial Completion:
Ready for Final Payment:
Contract Price prior to this Change Order:
Contract Times prior to this Change Order:
Substantial Completion:
Ready for Final Payment:
Increase (Decrease) of this Change Order:
Increase (Decrease) of this Change Order:
Substantial Completion:
Ready for Final Payment:
Contract Price with all approved Change Orders:
Contract Times with all approved Change Orders:
Substantial Completion:
° Ready for Final Payment:
RECOMMENDED BY: ACCEPTED BY: ACCEPTED BY:
By: By: By:
Engineer (Authorized Signature) Owner (Authorized Signature) Contractor (Authorized Signature)
Title: Title: Title:
Date: Date: Date:
Change Order No.
IFB1093-122920 2 of 2
Dry Well Hoist Replacement
CERTIFICATE OF SUBSTANTIAL COMPLETION
PROJECT: Dry Well Hoist Replacement
OWNER’S CONTRACT NO: IFB1093-122920
DATE OF ISSUANCE:
OWNER: City of Nashua, NH
OWNER’ s Purchase Order NO.:
CONTRACTOR: Mass Crane and Hoist Service
The Work to which this Certificate applies has been inspected by authorized representative of OWNER,
CONTRACTOR, and ENGINEER, and that Work is hereby declared to be substantially complete in
accordance with the Contract Documents on
(DATE OF SUBSTANTIAL COMPLETION)
A Tentative list of items to be completed or corrected is attached hereto. This list may not be all-
inclusive, and the failure to include an item in it does not alter the responsibility of CONTRACTOR to
complete all the Work in accordance with the Contract Documents. The items in the tentative list shall
be completed or corrected by CONTRACTOR within days of the above date of
Substantial Completion.
This certificate does not constitute an acceptance of Work not in accordance with the Contract
Documents nor is it a release of CONTRACTOR’s obligation to complete the Work in accordance with
the Contract Documents.
EXECUTED BY DPW ENGINEER: ACCEPTS THIS CERTIFICATE OF SUBSTANTIAL ACCEPTS THIS CERTIFICATE OF SUBSTANTIAL
COMPLETION: COMPLETION:
By: By: By:
(Authorized signature) Owner Representative Contractor (Authorized Signature)
Title: Title: Title:
Date: Date: Date:
IFB1093-122920
Dry Well Hoist Replacement CERTIFICATE OF
SUBSTANTIAL COMPLETION
CERTIFICATE OF FINAL COMPLETION
PROJECT: Dry Well Hoist Replacement
OWNER’S CONTRACT NO: FB1093-122920
DATE OF ISSUANCE:
OWNER: City of Nashua, NH
OWNER’ s Purchase Order NO.:
CONTRACTOR: Mass Crane and Hoist Service
The Work to which this Certificate applies has been inspected by authorized representative of OWNER,
CONTRACTOR, and ENGINEER, and that Work is hereby declared to be finally complete in
accordance with the Contract Documents on
(DATE OF FINAL COMPLETION)
This certificate does not constitute an acceptance of Work not in accordance with the Contract
Documents nor is it a release of CONTRACTOR’s obligation to complete the Work in accordance with
the Contract Documents. The Warranty for all Work completed expires one year from the date of this
Final Completion.
EXECUTED BY DPW ENGINEER: ACCEPTS THIS CERTIFICATE OF FINAL ACCEPTS THIS CERTIFICATE OF FINAL
COMPLETION: COMPLETION:
By: By: By:
(Authorized signature) (Owner Representative) Contractor (Authorized Signature)
Title: Title: Title:
Date: Date: Date:
IFB1093-122920
Dry Well Hoist Replacement CERTIFICATE OF
FINAL COMPLETION
CONTRACTOR'S FINAL RELEASE AND WAIVER OF LIEN
Project: Dry Well Hoist Replacement
Owner Contractor
Owner:_City of Nashua, New Hampshire Name:__Mass Crane and Hoist Service
Address: 229 Main Street Address: 500 Potash Hill Road — Unit 1
Nashua, New Hampshire 03060 Tyngsborough, _ MA 01879
City State Zip City State Zip
Contract Date:
TO ALL WHOM IT MAY CONCERN:
For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the
undersigned Contractor hereby waives, discharges, and releases any and all liens, claims, and nights to
liens against the above-mentioned project, and any and all other property owned by or the title to which
is in the name of the above-referenced Owner and against any and all funds of the Owner appropriated
and available for the construction of said project, and any and all warrants drawn upon or issued against
any such funds or monies, which the undersigned Contractor may have or may hereafter acquire or
process as a result of the furnishing of labor, materials, and/or equipment, and the performance of Work
by the Contractor on or in connection with said project, whether under and pursuant to the above-
mentioned contract between the Contractor and the Owner pertaining to said project or otherwise, and
which said liens, claims or rights of lien may arise and exist.
The undersigned further hereby acknowledges that the sum of
DOLLARS
($ )
has been paid to date and that
DOLLARS
($ )
constitutes the entire unpaid retainage balance due the undersigned in connection with said project
whether under said contract or otherwise and that the payment of said sum to the Contractor will
constitute payment in full and will fully satisfy any and all liens, claims, and demands which the
Contractor may have or assert against the Owner in connection with said contract or project.
Dated this day of 20
Contractor
Witness to Signature
By Title
