Search

CHANGE ORDER

PROJECT:

OWNER’S CONTRACT NO:

EXECUTED CONTRACT DATE:

DATE OF ISSUANCE:

OWNER:

OWNER’s Purchase Order NO.:

EFFECTIVE DATE:

City of Nashua, NH

Upon City Approval

CONTRACTOR:

ENGINEER:

Sanborn, Head & Associates

You are directed to make the following changes in the Contract Documents:

Description:

Justification:

Change Order #

1 of 2

Summary

CHANGE IN CONTRACT PRICE:

Onginal Contract Price

$

CHANGE IN CONTRACT TIMES:
Original Contract Times

Substantial completion:
Ready for final payment:

Net changes from previous Change Orders

$

Net change from previous Change Orders

Contract Price prior to this Change Order

$

Contract Times prior to this Change Order

Substantial completion:
Ready for final payment:

Net Increase (deerease} 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

$ Substantial completion:
Ready for final payment:
RECOMMENDED: ACCEPTED: APPROVED:
By: By: By:
Sanborn, Head & Associates Name Mayor Jim Donchess
Engineer Contractor Owner
(Authorized Signature) (Authorized Signature) (Authorized Signature)
Date: Date: Date:

Change Order #

2 of 2

RESPONSIBILITIES

OWNER: City of Nashua

CONTRACTOR:

The following documents are attached to and made a part of this Certificate:

[For items to be attached see definition of Substantial Completion as supplemented and other specifically
noted conditions precedent to achieving Substantial Completion as required by Contract Documents.}

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 on 20
(ENGINEER)
By:
(Authorized Signature)
CONTRACTOR accepts this Certificate of Substantial Completion on, 20
(CONTRACTOR)
By:
(Authorized Signature)
OWNER accepts this Certificate of Substantial Completion on 20
(For the City of Nashua)
By:
(Authorized Signature)
2 of 2

Certificate of Substantial Completion

CERTIFICATE OF SUBSTANTIAL COMPLETION

PROJECT:

OWNER’S CONTRACT NO:

DATE OF ISSUANCE:
OWNER: City of Nashua, NH

OWNER’s Purchase Order NO.:

CONTRACTOR:

ENGINEER: Sanborn, Head & Associates

This Certificate of Substantial Completion applies to all Work under the Contract Documents or to the
following specified parts thereof:

TO City of Nashua
(OWNER)
And To
(CONTRACTOR)

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.

From the date of Substantial Completion the responsibilities between OWNER and CONTRACTOR for
security, operation, safety, maintenance, heat, utilities, insurance and warranties and guarantees shall be as
follows:

1 of 2
Certificate of Substantial Completion

RESPONSIBILITIES

OWNER: City of Nashua

CONTRACTOR:

The following documents are attached to and made a part of this Certificate:

[For items to be attached see definition of Substantial Completion as supplemented and other specifically
noted conditions precedent to achieving Substantial Completion as required by Contract Documents.}

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 on 20
(ENGINEER)
By:
(Authorized Signature)
CONTRACTOR accepts this Certificate of Substantial Completion on, 20
(CONTRACTOR)
By:
(Authorized Signature)
OWNER accepts this Certificate of Substantial Completion on 20
(For the City of Nashua)
By:
(Authorized Signature)
2 of 2

Certificate of Substantial Completion

CERTIFICATE OF FINAL COMPLETION

PROJECT:

OWNER’S CONTRACT NO:

DATE OF ISSUANCE:
OWNER: City of Nashua, NH

OWNER’s Purchase Order NO.:

CONTRACTOR:

ENGINEER: Sanborn, Head & Associates

This Certificate of Final Completion applies to all Work under the Contract Documents or to the following

specified parts thereof:
TO City of Nashua
(OWNER)
And To
(CONTRACTOR)

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 arelease 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 Acceptance

1 of 2
Certificate of Final Completion

Special Board of Aldermen Page 5
September 14, 2016

there is clarity about what our options are we are happy to engage with the city and think through that in a very
collaborative way.

Vice President Wilshire

Thank you so much for coming and | hope to hear more positive things about SNHU.

ADJOURNMENT

MOTION BY ALDERMAN SIEGEL TO ADJOURN
MOTION CARRIED

The meeting was declared adjourned at 7:10 p.m.

Attest: Patricia D. Piecuch, City Clerk

CITY OF NASHUA, NEW HAMPSHIRE
LIST OF PRINCIPAL OFFICIALS
FISCAL YEAR 2021

MAYOR

Jim Donchess

ALDERMEN AT LARGE

Lori Wilshire, President
Michael O’Brien, Sr., Vice President
Benjamin M. Clemons

Shoshanna Kelly
Brandon Michael Laws
David C. Tencza
WARD ALDERMEN
Tear STM Gs sis ssecicecens seg ecoscevs sceeeesunccecegeceeepeccaecies««sgrcceeted
Richard A. DoW wcsccccssscssssssrsssvesssessnseseees
Patricia Klee ..........ccccccccsecesseesesesssserecetereereeneceeeesaneesannasess
PD ORAS LOEB ca: anarscnsenrareteniatrinsinsimenteececnmmnauinariurennd
Prriést A. Jette siicincavacciiiiakiicn eee
Elizabeth but: ink S28 Sie ee pee pee
Jue M, Caron .........ccccccsecesereseeesesssessenesssenenteeenaeereranenenens
Sheps Cea Ve hes seics. «cee tate accineataiey onieteitaeenl inbanitevennideiaannbital
Linda Harriott-Gathright .0.....0.0..0..cccccscsesessestseceneeseeseenes

10

Executed by ENGINEER on

20

(ENGINEER)

By:

(Authorized Signature)

CONTRACTOR accepts this Certificate of Final Completion on

2

20

(CONTRACTOR)

By:

(Authorized Signature)

OWNER accepts this Certificate of Final Completion on,

20

(For the City of Nashua)

(Authorized Signature)

2 of 2
Certificate of Final Completion

CONSENT OF SURETY FOR FINAL PAYMENT

OWNER's Project No.:
Project:
Amount of Contract (including
Type of Contract: 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 shall 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 WHEREOEF, 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)

lof 1
Consent of Surety