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Summary

CHANGE IN CONTRACT PRICE:

Original Contract Price

5

Final completion:

CHANGE IN CONTRACT TIMES:
Original Contract Times

Ready for final payment:

Net changes from previous Change Orders

$

Net change from previous Change Orders

Contract Price prior to this Change Order

3

Final completion:

Contract Times prior to this Change Order

Ready for final payment:

Net Increase (decrease) of this Change Order

$

Net Increase (decrease) of this Change Order

Contract Price with all approved Change Orders

Contract Times with all approved Change Orders

$ Final completion:
Ready for final payment:
RECOMMENDED: ACCEPTED: APPROVED:

By: By: By:

Engineer Name Mayor Jim Donchess
Contractor Owner
(Authorized Signature} {Authorized Signature)
(Authorized Signature)
Date:
Date: Date:
Change Order # Z2of2

CERTIFICATE OF SUBSTANTIAL COMPLETION

PROJECT:

OWNER’S CONTRACT NO:

DATE OF ISSUANCE:
OWNER: City of Nashua, NH

OWNER’s Purchase Order NO.:

CONTRACTOR:

ENGINEER:

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 ENGINEER: ACCEPTS THIS CERTIFICATE OF SUBSTANTIAL ACCEPTS THIS CERTIFICATE OF SUBSTANTIAL
COMPLETION: COMPLETION:
By: By: By:

Daniel Hudson, P.E.

(Authorized signature} Owner Representative Contractor (Authorized Signature}

Title: Title: City Engineer, City of Nashua Title:

Date: Date: Date:

CERTIFICATE OF FINAL COMPLETION

PROJECT:

OWNER’S CONTRACT NO:

DATE OF ISSUANCE:

OWNER:

OWNER’s Purchase Order NO.:

CONTRACTOR:

City of Nashua, NH

ENGINEER:

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 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 ENGINEER:

ACCEPTS THIS CERTIFICATE OF FINAL
COMPLETION:

ACCEPTS THIS CERTIFICATE OF FINAL
COMPLETION:

By: By: By:
Daniel Hudson, P.E.
(Authorized signature) {Owner Representative} Contractor {Authorized Signature}
Title: Title: — City Engineer, City of Nashua Title:
Date: Date: Date:

CONSENT OF SURETY FOR FINAL PAYMENT

OWNER’S CONTRACT NO. :

PROJECT:

TYPE OF CONTRACT:

AMOUNT OF CONTRACT (INCLUDING CHANGE ORDERS):

CONTRACTOR:

CONTRACT FOR:

CONTRACT DATE:

In accordance with the provisions of the above named contract between the OWNER and the CONTRACTOR,
the following named Surety Company:

On the Payment Bond of the following named CONTRACTOR:

Hereby approves of final payment to the CONTRACTOR, and further agrees that said final payment to the
CONTRACTOR shail not relieve the Surety Company named herein of any of its obligations to the following
named OWNER; as set forth in said Surety Company’s bond:

IN WITNESS WHEREOF, the Surety Company has hereunto set its hand and seal

this day of , of 20

(Name of Surety Company}

(Signature of Authorized Representative)

(Title)
(Affix corporate seal here}

Consent of Surety

CONTRACTOR'S AFFIDAVIT

STATE OF:

COUNTY OF:

Before me, the undersigned, a

(Notary Public, Justice of Peace, Alderman)
in and for said County and State personally appeared,

(Individual, Pariner or duty authorized representative of corporate contractor)
who being duly sworn according to law deposes and says that the cost of all the Work, and
outstanding claims and indebtedness of whatever nature arising out of the performance of the
contract between

City of Nashua, New Hampshire of 229 Main Street, Nashua. NH 03060
(Owner) (Address)
and
of
(Contractor) (Address)
Dated for the construction of the

and necessary appurtenant installations have been paid in full.

(Individual, Partner or duly authorized representative of corporate contractor)

{Title)

(individual, Partner, or duly authorized representative of corporate contractor)

Sworm to and subscribed before me this day of , 2020

(Notary Public)

CONTRACTOR'S FINAL RELEASE AND WAIVER OF LIEN

Project:
Owner Contractor
Owner: _City of Nashua, New Hampshire Name:
Address:_229 Main Street Address:
Nashua, New Hampshire 03060
City State Zip City State Zip

Contractor License:

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 rights 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 nights of lien may arise and exist.

The undersigned further hereby acknowledges that the sum of

Dollars ($ } constitutes the entire unpaid 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

DIVISION 9

TECHNICAL SPECIFICATIONS

A. NHDOT Supplemental Specifications (2016 Edition) — updated July 6, 2018
B. Special Provisions

NHDOT SUPPLEMENTAL SPECIFICATIONS
(2016 EDITION) — UPDATED JULY 6, 2018

The following Construction Specifications amend, revise, supplement and/or otherwise modify
the New Hampshire Department of Transportation’s STANDARD SPECIFICATIONS FOR
ROADWAY AND BRIDGE CONSTRUCTION (2016 edition as amended).

The following table is a list of all of the Supplemental Specifications that have been adopted by
the NHDOT as additions or revisions to the “Standard Specifications fer Road and Bridge
Construction”, March 2016 Edition as of the date of this proposal. Some of the Supplemental
Specifications are included and made a part of this proposal. The Bidder is responsible to

examine each item to determine its effect, if any, on the contract.

NHDOT Supplemental Specifications (2016 Edition) - updated July 6, 2018

» Section . Description

Division 100

Conditions, Changes

i101 | Definitions and
, Terms
|

106.04 . Qualified Products
© List

107.01 |= Legal Relations and
. Responsibility to
| Public

108.09 | Prosecution and
_ Progress

109.04 | Differing Site

Division 200

211.3.4 | Vibration Monitoring

Division 300
Division 400

401
; » General

i
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and Extra Work

|

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|

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: 3.4.7.1 - Revises Recycled Materials

Revision

(06/06/17)

101.116-119 - Revises Definitions of

Weather Days and Working Days
(04/02/18)

Revises Frequency of Updates

107.01 - Revises References to DES Rules

and Regulations

Requirements (04/02/18)

Adds reference to pre- and post-

construction survey requirements

control points (04/05/17)

; 2.10 - No greater than 1% TRB

(06/06/17)

! Weighing Procedures (07/06/18)

| 101.79 - Revises Frequency of Updates

108.09 - Amends the Requirements for
Liquidated Damages

: Revises Rental Rate Blue Book Online

. Plant Mix Pavements | 2.5.1 - Adds winter binder to the design

| 3.4.1 - Revises Cold Feeder Requirements
» (07/06/18)

i

i

01/06/12

Last
Revision
Date

| 06/06/17 |

speetereersd

07/06/18

Current
Revision
Date

04/02/18

06/06/17

07/06/18 |

| 07/06/18

04/02/18 |

04/05/17 |

© 11/07/18 >

Page 1 of 3

!
403.1.3 | Night Item Removal
410 Bituminous Surface

Treatment
|

4i1i _ Pneumatic Tired

' Roller
417 Rumble Strip Iniay

Division 500

| Portland Cement
. Concrete

320

|

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3.4.11 - 3.4.15 - Describes the
Intreduction of Recycled Materials at a
Batch Plant and Controls Minimurn Dry
Time for Recycled Aggregates (07/06/18)

3.5.2 & 3.5.2.1 - Revises Recycled
Materials Requirements (07/06/18)

3.10.10.1 ~ Removes penalty for failing
tack (06/06/17)

3.12 - Allows a reduction in use of
| pneumatic-tired rollers (06/06/17)

3.17.1.3 - Revises the NETTCP QA
Technologist requirements (11/07/18)

3.17.3.1.1 - Revises HMA gradation
specification limits, completes addition of
winter binder, removes allowance for Aim
change after two sub-lots (06/06/17)

4.1.1 - Removes reference to Night Items

(06/06/17)

Removes all references to Night Items in
Section 403

2.1 ~ Adopts new AASHTO Specifications
for Emutsions (04/13/26)

3.4.1.1 - Revises pavement conditions,
application rate for tack (01/04/17)

2.1.1, 2.1.2, 3.2, 3.3, 3.4 - Identifies
tack sarnpling and penalties for non-
conformance (06/06/17)

3,2 & 3.5,2 - Amends Distribution
Equipment and Initiates an Annual Tack
Truck Inspection Program (07/06/18)

1 3.5.5 - Requires the use of pneumatic

tired rollers on all Section 411 paving
(06/06/17)

5.1.1 - Ensures Tack Used for PMST and
Leveling Course is a Pay Item (07/06/18)

Removes Pay Items (04/02/18)

2.1 & 3.7 - Specifies PMST as the asphalt

inlay to fill in rumbie strips

3.1.6.2.1.2 A ~ Revise NETTCP QA
Technologist requirements (11/07/18)

3.8.1.1 - Revises the acceptable concrete
delivery temp to 90 degrees Fahrenheit

| (04/02/18)

06/06/17 —

06/06/17 07/06/18 |

04/02/18 07/06/18 |
_ 04/02/18
04/02/18 | 11/07/18

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