Search

A-3,2
The BIDDER shall state below what works of a similar character to that of the proposed contract
he has performed and provide such references as will enable the OWNER to judge his experience,
skill, and business standing.

All questions must be answered, and the data given must be clear and comprehensive. This
statement must be notarized. If necessary, add separate sheets.

2 ie Ni a Lane en We OK > lo
3. "a S Wg \

4 ere incorporated?
BETTS
5. Is re registered with the Secretary of the State to do business in New Hampshire?
e

1. Name of Slicec

6. | For how many years has your firm engaged 1 in the contracting business under its present name?
Also, state Year . dates of previous firm names, if any.

7. et m cor (Schedule these, showing gross amount of each contract and the
ap Wage Se Seo CL dates of co ceo

| Getaldenees BES O tye , ormed oe company.

Have et oe Sales to comp ‘No any wc) 1.
including approved time extensions? _ (Yes) (No).
If so, where and why?

oo

you in ad way Reonshvchs contract N

10, Have you ever defaulted on a contract? __ (Yes) VN).
Ifso, where and why?

11. Have you ever had liquidated damages assessed on a contract? (Yes) Keo
If so, where and why?

12. List the more important contracts recently executed by your company, stating approximate
“ ach, and the month and year completed.

YS Seo

13. List your major equipment available for this contract.
PleOSC ee OmCOnod

14. List*your key ee S such as Project Superintendent and ono a "oy contract,

Taw NPE WSF CONCT (heeow,

15. List any Oyiief< Sie hom you wou uid expect 0 use for the NO eH) unless tise fond ist
to be done by your own organization):

a. Civil Engineering ——~< Delehieo
b. Utility Installation Delerico aN

eer phic reer tech taal reo nie

A-3.3

16. BIDDER has included the services of Electrical Installations, Inc., Moultonborough, NH (the
City’s preferred System Integrator), in its Bid for PLC Progyamming, OIT Programming, HMI
Programming, and integration of new SCADA system. (Yes) __ (No).

17. With what banks do you conduct business?
SAOWISS, J.
Do you grant the Engineer permission io contact this (these) institutions? “ (Yes} __ (No)
NOTE: BIDDERS may be required to furnish their latest financial statement as part of the
award process.
Respec' subraj
BES Hga Y
Coto kg tSignature BE LO\IC Address
reson apalg
Tithe Date

Coen2ing. Dekel CO Being duly sworn, deposes and says that he is
Pros Wont of Velekes Conn OXON

. (Name of Organization)
and that the answers to the foregoing questions and all statements contained therein are true and

correct,

Sworn to before me this ag day of Narct ,20 \ Q

wth fo

{/-9 Notary Public
My commission expires A A / i, QC VY y ee GHOUAS RICHARD LEDUC.
eS es Notary Public ts
ef LER Massaciusels ; 5
: : : ip EB momission Expires
(Seal - If BID is by Corporation) BQ e Hy Eo NOV). 2006 ews

won Aig Lib fp

Gemie Ve SL.

BIDDER agrees to perform all the work described in the CONTRACT DOCUMENTS for the
following unit prices or lump sum:

NOTE: BIDS shall exclude sales tax and include all other applicable taxes and fees.

24. NON-WAIVER OF TERMS AND CONDITIONS None of the terms and conditions of this contract shall

25.

26.

27.

28.

29.

be considered waived by the City of Nashua. There shall be no waiver of any past or future default,
breach, or modification of any of the terms and conditions of the contract unless expressly
stipulated to by the City of Nashua in a written waiver.

RIGHTS AND REMEDIES The duties and obligations imposed by the contract and the rights and
remedies available under the contract shall be in addition to and not a limitation of any duties,
obligations, rights, and remedies otherwise imposed or available by law.

PROHIBITED INTERESTS Professional Engineer shall not allow any officer or employee of the
City of Nashua to have any indirect or direct interest in this contract or the proceeds of this contract.
Professional Engineer warrants that no officer or employee of the City of Nashua has any direct or
indirect interest, whether contractual, noncontractual, financial or otherwise, in this contract or in
the business of Professional Engineer. If any such interest comes to the attention of Professional
Engineer at any time, a full and complete disclosure of the interest shall be immediately made in
writing to the City of Nashua. Professional Engineer also warrants that it presently has no interest
and that it will not acquire any interest, direct or indirect, which would conflict in any manner or
degree with the performance of services required to be performed under this contract. Professional
Engineer further warrants that no person having such an interest shall be employed in the
performance of this contract. If City of Nashua determines that a conflict exists and was not
disclosed to the City of Nashua, it may terminate the contract at will or for cause in accordance
with paragraph 8.

In the event Professional Engineer (or any of its officers, partners, principals, or employees acting
with its authority) is convicted of a crime involving a public official arising out or in connection
with the procurement of work to be done or payments to be made under this contract, City of
Nashua may terminate the contract at will or for cause in accordance with paragraph 8. Upon
termination, Professional Engineer shall refund to the City of Nashua any profits realized under
this contract, and Professional Engineer shall be liable to the City of Nashua for any costs incurred
by the City of Nashua in completing the work described in this contract. At the discretion of the
City of Nashua, these sanctions shall also be applicable to any such conviction obtained after the
expiration or completion of the contract.

Professional Engineer warrants that no gratuities (including, but not limited to, entertainment or
gifts) were offered or given by Professional Engineer to any officer or employee of the City of
Nashua with a view toward securing a contract or securing favorable treatment with respect to the
awarding or amending or making of any determinations with respect to the performance of this
contract. If City of Nashua determines that such gratuities were or offered or given, it may
terminate the contract at will or for cause in accordance with paragraph 8.

The rights and remedies of this section shall in no way be considered for be construed as a waiver
of any other rights or remedies available to the City of Nashua under this contract or at law.

THIRD PARTY INTERESTS AND LIABILITIES The City of Nashua and Professional Engineer,
including any of their respective agents or employees, shall not be liable to third parties for any act
or omission of the other party. This contract is not intended to create any rights, powers, or interest
in any third party and this agreement is entered into for the exclusive benefit of the City of Nashua

and Professional Engineer.

SURVIVAL OF RIGHTS AND OBLIGATIONS The rights and obligations of the parties that by their
nature survive termination or completion of this contract shall remain in full force and effect.

SEVERABILITY In the event that any provision of this contract is rendered invalid or unenforceable
by any valid act of Congress or of the New Hampshire legislature or any court of competent

GC 10 of 11

A-3.4

BID SCHEDULE

BIDDER will complete the Work in accordance with the CONTRACT DOCUMENTS for the
following price(s). BIDDER must complete all items including Alternates. NOTE: CITY IS
EXEMPT FROM SALES TAX. BIDS shall include all other applicable taxes and fees.

and COP _/100 PER LUMP SUM

Item Estimated | Unit Bid Price | 7) Bid Hem
No, | fem Description with Unit Price in Written Words | Quantity & rice
— Unit
m Dollars | Cents | Dollars | Cents
Mobilization and Demobilization (Limited to 5% of 1
Total Price excluding Items 11-15)
oo ,oO
: fe CreMurdeed Tien Tansand 4 150,00 | & 150,00
om v Dollars LS
and COG _/100 PER LUMP SUM
4-inch PVC Sewer Forcemain 125
T uw
‘ 2
2a 1 @ Hive Hundeed q Soo Yy va, Sov
Dollars LF
and CORO _/100 PER LINEAR FOOT
6-inch PVC Sewer Forcemain 550 0
7. ie
€
» |@ (ne tuned Sixh, Fue $ Ws iy 905;75D
Dollars LF
and CRRN /100 PER LINEAR FOOT
All Work for Trestle Brook Pump Station Improvements l D
4
‘ @
> fe Syctndaed Fleet Thwsart BUS," If (eg, ovo
Dollars LS
and_cOLD /100 PER LUMP SUM
All Work for Watson Pump Station Improvements I
Four Yundaed fu" [hausand § 450,000") Usojan'™
4 | @ NOR *windRecd ¥ LON 3 & 450, 0
J Dollars LS

A-3.5

item | Estimated | Unit Bid Price | 70'#! Bid Item
No, | {temt Description with Unit Price in Written Words | Quantity & mice
Unit Dollars | Cents | Dollars | Cents
All Work for Newton Pump Station Improvements 1
. |e kar Yuneed Tet Two Thusand | , >
v Dollars Ls $ Uss jd" | § USS, w0*
and ¢ Orr ) /100 PER LUMP SUM
All Work for Fulton Pump Station Improvements 1
5 |@ Ean noned \hwsand > a
Dollars LS YO ond" 4 Wo) aon"
and_ CoRh /100 PER LUMP SUM
All Work for National Pump Station Improvements l
_ |@ For Hunted Fue thwsand Log oo'!? | Yas, ooo
Dollars | yg RB os, om )
and COV) _/100 PER LUMP SUM
All Work for Gillis Pump Station Improvements 1
@ i ® P
8 | {hyo \lundaed) Ninery Treuscn 390,00" | 390, 90
v Dollars Ls
and_ COD —_/100 PER LUMP SUM
Miscellaneous Concrete
100 6 |
@ , \"
9 Coo # \ 4 Vp! w
. Dollars
and COVE) /100 PER CY CY

4£-3.6

item
No.

Item Description with Unit Price in Written Wards

Estimated
Quantity &
Unit

Unit Bid Price

Total Bid Item
Price

Dollars | Cents

Dollars | Cents

10

Services of Electrical Installations, Inc., Marlborough,
NH 2 Eaht s Mag as nico

Kaiglaly Nine sand Ty

Hunteed
/100 PER LUMP SUM

D—
and

LS

# 87,200"

€ 84,20°"

il

Owner's Contingency Allowance for Traffic Control

@ Twenty thousand Dollars and Zero/100
NOT TO EXCEED

NTE

$20,000

$20,000

12

Owner’s Contingency Allowance for Materials Testing

@ Twenty Five thousand Dollars and Zero/106 NOT
TO EXCEED

$25,000

$25,000

13

Owner’s Contingency Allowance for Utility Charges by
Eversource

@ Forty Two thousand Dollars and Zero/106

NOT TO EXCEED

NTE

342,000

$42,000

14

Owner’s Contingency Allowance for Contaminated Soil
and Groundwater

@ One hundred thousand Dollars and Zero/100
NOT TO EXCEED

$100,006

$106,000

18

Owner’s Contingency for Removal of Asbestos Cement
Pipes

@ Fifty thousand Dollars and Zero/100

NOT TO EXCEED

$50,000

350,000

A-3.7

and CRH /100 PER LUMP SUM

Item Estimated | Unit Bid Price Potal ¢ Hem

No, | item Description with Unit Price in Written Words | Quantity & rice

. Unit
, Dollars | Cents | Dollars | Cents
All Work for Installation of Fiber Optic Cable Citywide 1
©
6 |@ Che Huriaed “Tonk Swe Twsend &)as,00"” $1as wo"
y Dollars LS

TOTAL BASE BID PRICE (Sum of Items 1 through 16)

“VHreao_\I)
“Thusand

Q Kuo undead Sey
ap

(Use words)

Al ton) baenigcd Saar Nine

Dollars and

Cents

, _
$ 4, WA S SSO
(Use figures)

BIDDER acknowledges that estimated quantities are not guaranteed and are solely for the purpose
of comparison of BIDS, and final payment for unit price items will be based on actual quantities
determined and based on the unit prices included above.

A-3.8

ALTERNATE BID ITEMS (F AWARDED BY OWNER)

ALTERNATE A-1 LUMP SUM PRICE: Difference in price to furnish and

install complete Gorman-Rupp Wastewater Submersible Pumps (Owner's

Preference} as shown on the eme
In

Cf) Add ( Deduct
cluded in Base Bid (if checked, indicate $0}

‘OG Ce Dollars and
,

“OD Cents § { }

(Use figures)

ALTERNATE A-2 LUMP SUM PRICE: Difference in price to furnish and install

complete Gorman-Rupp Wastewater Suction Lift Pumps (Owner's Preference) as
shown on the drawings

(Use words)

/, ( Add O Deduct
, Included in Base Bid (if checked, indicate $0)

OED Dollars and 90
Cee Cents Oo

£
(Use words) (Use figures)

TOTAL ALTERNATE A LUMP SUM PRICE (items A-1 and A-2)

certo Dollars and () , “
CeO Use Reuresy

$
Cents (Use figures)
(Use words}

ALTERNATE B LUMP SUM PRICE: Difference in cost to furnish and.

install complete Programmable Logie Controllers manufactured by Allen-

Bradley (Owner's Preference) as shown on the drawings, CO Add © Deduct

wh Included in Base Bid (if checked, indicate $0)

Cerp Dollars and gd
KORY Cents | 5 0

(Use figures)

(Use words)

A-3.9

ALTERNATE C LUMP SUM PRICE: Difference in cost to furnish and
install Square D Altivar 600 Series Variable Frequency Drives (Owner's

Preference) O Add C1 Deduct
1 Included in Base Bid (if checked, indicate $0)
‘ CLD Dollars and
C CRD Cents () i ob
(Use words) $

(Use figures)

BIDS will be compared based on Base Bid OR Base Bid plus Alternates in any combination
(Alternate A (including A-1 and A-2), Alternate B, Alternate C), whichever is in the best
interest of the City.

The BIDDER hereby certifies, by checking the boxes below, that the following documents are
included with this BID

to DBE Subcontractor Utilization Form (EPA Form 6100-4)

a/ DBE Subcontractor Performance Forms (EPA Form 6100-3) Submit one form for each DBE
subcontractor

a/ BDER’S American Iron and Steel acknowledgement

BID BOND

Add ROSS :

KNOW ALL MEN BY THESE PRESENTS, that we, the undersigned,

as Principal, and

as Surety, are hereby
held and firmly bound unto _City of Nashua, New Hampshire as OWNER.

in the penal sum of

for the payment of which, well and truly to be made, we hereby jointly and severally bind

ourselves, successors and assigns.

Signed, this day of

The Condition of the above obligation is such that whereas the Principal has submitted to

a certain BID, attached hereto and hereby made a part hereof to enter into a contract in writing, for

the

NOW, THEREFORE,

(a) If said BID shall be rejected, or

(b) If said BID shall be accepted and the Principal shall execute and deliver a contract in the Form
of Contract attached hereto (Properly completed in accordance with said BID) and shall
furnish a BOND for faithful performance of said contract, and for the payment of all persons
performing labor or furnishing materials in connection therewith, and shall in all other respects
perform the agreement created by the acceptance of said BID, then this obligation shall be
void, otherwise, the same shall remain in force and effect; it being expressly understood and
agreed that the lability of the Surety for any and all claims hereunder shall, in no event,

exceed the penal amount of this obligation as herein stated.