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8.01 The following documents are attached to and made a condition of this Bid:

A.

B.

Bid Form;
Bid Bond;

A tabulation of Subcontractors, Suppliers and other individuals and entities required to be
identified in this Bid; and

Construction Contractor's Qualification Statement.

9.01 Communications concerning this Bid shall be addressed to:
(Contractor's mailing address to be filled in by Bidder)

Elizabeth Wuori, President

Sealcoating, Inc.

825 Granite Street

Braintree, MA 02184

10.01 The terms used in this Bid with initial capital letters have the meanings indicated in the
Instructions to Bidders, the General Conditions, and the Supplementary Conditions.

Submitted by:

Name of Organization _Seaicoating, Inc.
Name of Individual Elizabeth Wuori
Title President

Address 825 Granite Street

Braintree, MA 02184

Telephone (781) 428-3400
Submitted to:
Name Todd Welch
Address City of Nashua
Purchasing Department
229 Main Street, City Hall
Telephone Nashua, NH 03061-2019
SUBMITTED on__ April 4 ,20_17

Bid Form

BF 3 of 8

If BIDDER is:

An Individual

Name (typed or printed):

By: (SEAL)
(Individual's Signature)
Doing business as:

Business address:

Phone No.: Fax No.:

A Partnership

Bid Form

Partnership Name: (SEAL)

Date and State of Organization

Names of Current General Partners
Name Title

Type of Partnership
[-] General (_] Publicly Traded
(| Limited [[] Other (describe):

By: ~e “
(Signature of General Partner — attach evidence of authority to sign)

Name (typed or printed):

Business address:

Phone No.: Fax No.:

BF 4 of 8

A Corporation

Corporation Name: (SEAL)

Sealcoating, Inc.

Date and State of Incorporation:_ December 6, 1957 Massachusetts

List of Executive Officers

Name Title

Elizabeth Wuori, President, Manager, Treasurer

Richard L. Goodick, Vice President

April Durant, Clerk/Secretary

Type (Ggneral Business, Pro ssional, Service, Limited Liability); General Business

By: WW

(Signature -- attach evidence of authority to sign)

Name (typed or printed); Elizabeth Wuori

Title:President .
Attest: ( ful Tiel

April Durant ~ (Signature of Corporate Secretary)

(Corporate Seal)

Business Address: _825 Granite Street

Braintree, MA 02184

Phone No.: (781) 428-3400 Fax No.:__ (781) 428-3430

Date of Qualification to do business is_ December 6, 1957

A Joint Venture

Joint Venture Name: (SEAL)

Date and State of Organization:

Name, Address and Form of Organization of Joint Venture Partners: (Indicate managing partner

by an asterisk *)

BF 5 of 8
Bid Form

By:

(Signature of joint ventured partner -- attach evidence of authority to sign)

Name (typed or printed):

Title:

Business Address:

Phone No.: Fax No.:

Address for receipt of official communications:

(Each joint ventured must sign. The manner of signing for each individual, partnership and
corporation that is a party to the joint venture should be in the manner indicated above).

BF 6 of 8
Bid Form

LIST OF SUBCONTRACTORS
(to be submitted with bid)

The name and address of each subcontractor who will be paid at least five percent (5%) of the prime
contractor's total bid shall be listed below. To be deemed a responsive bid, this form must be submitted
even if no subcontractors are required to be listed. In that case, the bidder should state “None” (or similar
language stating that no subcontractors need to be listed) in the space below. (Refer to General Condition

6.09.H)

Name

E.J. Paving Co., Inc.

Address of Subcontractor

401 Lindberg Ave.
Methuen, MA 01844

Portion of Work

Schools
Street Patch ee
Hot Bituminous Pavement, Hand Method

Streets

Street Patch

Reclaim Stabilized Base Processed in
Place, 12" Deep (F)

Hot Bituminous Pavement, Machine Method
Hot Bituminous Pavement, Hand Method

*A11 other subcontractors used are
below 54.

Bid Form

BF 7 of 8

LIST OF SUBCONTRACTORS
(to be submitted after bid opening)

Within two hours after the completion of the opening of the bids, the general contractors who
submitted the three lowest bids must provide a list of each subcontractor who will provide labor ora
portion of the work or improvement to the contractor for which the subcontractor will be paid an amount
exceeding one percent (1%) of the prime contractor's bid or $50,000, whichever is greater, and the
number of the license issued to the subcontractor. If a general contractor fails to submit such a list
within the required time, the bid shall be deemed not responsive. To be deemed a responsive bid, this
form must be submitted even if no subcontractors are required to be listed. In that case, the bidder should
state “None” (or similar language stating that no subcontractors need to be listed) in the space below.
(Refer to General Condition 6.09.H.)

Dollar Value and
Subcontractor/Address description of work
Schools
E.J. Paving Co., Inc. 101 Lindberg Ave. Street Patch — $26,000.00
Methuen, MA 01844 Hot Bituminous Pavement, Hand Method
$27,000.00
Streets

Street Patch - $40,500.00

Reclaim Stabilized Base Processed in

Place, 12" Deep (F) - $5,064.00

Hot Bituminous Pavement, Machine
Method - $19,305.00

Hot Bituminous Pavement, Hand Method -

$54,000.00

*A11 other subcontractors used are
below $50,000.00.

BF 8 of 8
Bid Form

BID BOND
PENAL SUM FORM

BIDDER (Name and Address):
ealcoating, Inc.
825 Granite Street
Braintree, MA 92184

SURETY (Name and Address of Principal Place of Business):

Fidelity and Deposit Company of Maryland
100 High Street Suite 1400 :
Boston, MA 02210

OWNER (Name and Address):
City of Nashua, NH

BID ]
BID DUE DATE:_ April 6, 2017
PROJECT (Brief Description Including Location):
2017 Pavement Preservation Maintenance Program

IFB0660-040617, _Micro-Surfacing, Crack Sealing

BOND
BOND NUMBER:___ N/A
DATE: (Not later than Bid Due Date): April 6, 2017
PENAL SUM: Five Percent of Bid Amount 54 of Bid Amount

; (Words) . (Figures)

IN WITNESS WHEREOF, 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 mie eee oe ees SURETY... .- - oe ae
Fidelity and Deposit Company

Sealcoating, Inc. (Seal) -“.of: Maryland - _ __(Seal)
Bidder’s Name and Corporate Seal tcp WV
: . ) /

By: PA LYtLth By: ty

Si d Titl Si d
Elizabgth Word, President Ellen J. You . in-F.

Attest: Wg th See. ogbriate Attest: CAUMA>N :
nature and Titl . _ , Signature and Title .
Christina D. Hickey, Attorney-in-Fact

Note: (I) Above addresses are to be used for giving required notice.
(2) Any singular reference to Bidder, Surety, OWNER or other party shal! be considered plural where applicable.

BB - 1 of 2

1.

Bidder and Surety, jointly and severally, bind
themselves, their heirs, executors, administrators,
successors, and assigns to pay to OWNER upon
default of Bidder the penal sum set forth on the face
of this Bond. :

Default of Bidder shall occur upon the failure of
Bidder to deliver 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.

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 All bids are rejected by OWNER, or

3.3 OWNER fails to issue a notice of award to
Bidder within the time specified in the Bidding
Documents (or any extension thereof agreed 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 and Within 30 calendar
days after 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 due.

Surety waives notice of and any and all defenses
based on or arising out of any time extension to
issue notice of award agreed to in writing by
OWNER and Bidder, provided that the time for
issuing Notice of Award including extensions shall
not in the aggregate exceed 120 days from Bid Due
Date without Surety’s written consent.

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

BB -2 of 2

Any suit or action under this Bond shall be
commenced only in a 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 at 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
or 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 representative
who executed this Bond on behalf of Surety to
execute, seal and deliver such Bond and bind the
Surety thereby.

. This Bond is intended to conform to all applicable

statutory requirements. Any applicable requirement
of any applicable statute that has been omitted from
this Bond shall be deemed to be included herein as
if set forth at length. If any provision of the Bond
conflicts with any applicable provision of any
applicable statute, then the provision of said statute
shall govern and the remainder of this Bond that is
not in conflict therewith shall continue in full force
and effect.

. The term “Bid” as used herein includes a Bid, offer

or proposal as applicable.

ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by
GERALD F. HALEY, Vice President, in pursuance of authority granted by Article V, Section 8, of the By-Laws of said Companies, which
are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate,
constitute, and appoint Frank J. SMITH, Donna M. ROBIE, Christina D. HICKEY and Ellen J. YOUNG, all of Natick,
Massachusetts, EACH its true and lawful agent and Attomney-in-Fact, to make, execute, seal and deliver, for, and on its behalf as surety,
and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these
presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and
acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New
York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings
Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings

Mills, Maryland., in their own proper persons.

The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By-Laws of said Companies, and is now in force.

IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and

FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 6th day of May, A.D. 2016.
ATTEST:

ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND

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Secretary Vice President
Eric D. Barnes Gerald F. Haley
State of Maryland
County of Baltimore

On this 6th day of May, A.D. 2016, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, GERALD F.

HALEY, Vice President, and ERIC D. BARNES, Secretary, of the Companies, to me personally known to be the individuals and officers described in and
who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said
officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate
Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.

IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written.

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Comctamee A. Quornr—

Constance A. Dunn, Notary Public
My Commission Expires: July 9, 2019

POA-F 063-3279A

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