Finance Committee - Agenda - 4/6/2022 - P157
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
