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Federal Motor Vehicle Safety Standards

The Proposer and (if selected) Seller shall submit (1) manufacturer's FMVSS self-certification sticker
information that the vehicle complies with relevant FMVSS or (2) manufacturer's certified statement that the
contracted buses will not be subject to FMVSS regulations.

Company name:
Name of signer:
Title:

Authorized signature Date

28

Certification Regarding Debarment, Suspension,
Ineligibility and Voluntary Exclusion

- Lower Tier Covered Transaction

(1) The prospective lower tier participant certifies, by submission of this bid or proposal, that neither it
nor its "principals" [as defined at 49 CFR § 29.105(p)] is presently debarred, suspended, proposed
for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by
any Federal department or agency.

(2) When the prospective lower tier participant is unable to certify to the statements in this certification,
such prospective participant shall attach an explanation to this proposal.

The bidder respondent and all subcontractors hereby certifies that he/she has not been debarred or
suspended from participation in Federal contracts. Please note - separate certification may be photo
copied and submitted by each subcontractor. (Pursuant to 49 CFR, Part 29)

CERTIFIED (Contractor) CERTIFIED (Sub-Contractor(s))

| | | |
Company Company
| | | |
Signed By Signed By

| | |
Name & Title Name & Title
| | | |
Date Date

29

DISCLOSURE OF LOBBYING ACTIVITIES

The undersigned [Contractor] certifies, to the best of his or her knowledge and belief, that:

(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or employee of
an agency, a Member of Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with the awarding of any Federal contract, the making of
any Federal grant, the making of any Federal loan, the entering into of any cooperative
agreement, and the extension, continuation, renewal, amendment, or modification of any
Federal contract, grant, loan, or cooperative agreement.

(2) If any funds other than Federal appropriated funds have been paid or will be paid to any
person for making lobbying contacts to an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with this Federai contract, grant, ioan, or cooperative agreement, the undersigned
shall complete and submit Standard Form--LLL, "Disclosure Form to Report Lobbying,” in
accordance with its instructions [as amended by "Government wide Guidance for New
Restrictions on Lobbying," 61 Fed. Reg. 1413 (1/19/96). Note: Language in paragraph (2)
herein has been modified in accordance with Section 10 of the Lobbying Disclosure Act of
1995 (P.L. 104-65, to be codified at 2 U.S.C. 1601, et seq.)]

(3) The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers (including subcontracts, subgrants, and contracts
under grants, loans, and cooperative agreements) and that all subrecipients shall certify and
disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making or
entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying
Disclosure Act of 1995). Any person who fails to file the required certification shall be subject to a
civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

[Note: Pursuant to 31 U.S.C. § 1352(c)(1)-(2)(A), any person who makes a prohibited expenditure
or fails to file or amend a required certification or disclosure form shall be subject to a civil penalty
of not less than $10,000 and not more than $100,000 for each such expenditure or failure.]

The Seller_certifies or affirms the truthfulness and accuracy of each statement of its certification
and disclosure, if any. In addition, the Sellerunderstands and agrees that the provisions of 314
U.S.C. A 3801, ef seg., apply to this certification and disclosure, if any.

Executed this day of , 20.

Name of Bidder

Address

City/State/Zip

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Name of Contractor's Authorized Official Signature of Contractor's Authorized Official

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Title of Contractor's Authorized Official

30

DELINQUENT PERSONAL PROPERTY STATEMENT

, hereby affirms under oath, pursuant to New Hampshire State
Code, that at the time the bid was submitted by_(company) was / was not (please circle one) charged with
delinquent personal property taxes on the General Tax List of Personal Property for Hillsborough County, New
Hampshire.

If such charge for delinquent personal property tax exists on the General Tax List of Personal Property for
Hillsborough County, New Hampshire, the amount of such due and unpaid delinquent taxes, including due
and unpaid penalties and interest shall be set forth below. A copy of this statement shall be transmitted to
the Hillsborough County Treasurer within thirty (30) days of the date it is submitted. If a contract is entered
into, a copy of this statement shali also be incorporated into the contract between NTS and the bidder and no
payment shall be made with respect to any contract unless such statement has been so incorporated as a

Delinquent Personal Property Tax *

part thereof.
Penalties *
Interest *

Company

Signed By

Name & Title

Date

State of

County of

SWORN TO BEFORE ME THIS DAY OF. ,20_

NOTARY PUBLIC

SEAL

MY COMMISSION EXPIRES

* Mark “N/A” if not applicable

31

NON-COLLUSIONAFFIDAVIT

This affidavit is to be filled out and executed by the bidder; if a corporation makes the bid, then by its properly
executed agent. The name of the individual swearing to the affidavit should always appear on the line marked
"Name of Affidavit.". The affidavit's capacity, when a partner or officer of a corporation, should be inserted on
lines marked "Capacity." The affidavit should sign individual name at end not partnership or corporation name,
and swear to said affidavit before a notary public, who must attach his/her seal.

State of ,

County of. ,

I, being first duly sworn, do hereby state that
(Name of Affidavit)

lam of
(Capacity) (Name of Firm, Partnership, Corporation)

whose business is

and who resides at

and that

(Give names of all persons, firms, or corporation interested in the bid)

is/are the only person(s) with me/us in ihe profits of the herein contained contract; that the contract is made
without any connection or interest in the profits thereof with any persons making any bid or proposal for said
work; that the said contract is on my/our part, in all respects fair and without coliusion or fraud, and also that no
members of the Board of Trustees, head of any department or bureau, or employee therein, or any employee
of the Authority, is directly or indirectly interested therein.

SIGNATURE OF AFFIDAVIT

SWORN TO BEFORE ME THIS DAY OF ,20_.
NOTARY PUBLIC

SEAL
MY COMMISSION EXPIRES

32

Seller Service and Parts Support Data

— Location of nearest Technical Service Representative to Agency

Name:

Address:

Telephone:

Describe technical services readily available from said representative:

— Location of nearest Parts Distribution Center to Agency:

— Name:
Address:
Telephone:
Describe the extent of parts available at said center:

- Policy for delivery of parts and components to be purchased for service and maintenance:

— Regular method of shipment:
Cost to Agency:

33

Exhibit E Warranty

New England Wheels, Inc.

LIMITED WARRANTY

New England Wheeis, ine. warrants to the original purchaser of this product, that New Erighand Wheels,
Ine. (NEW) will repair or replace, at its option, all parts manufactured by NEW that fai] by reason of
defective material or workmanship as follows:

1. Limited Warranty.. Except as set forth otherwise below, NEW warrants all NEW manufactured parts
against defective material and. workmanship or failure, under wormal use and service, fora period of three
(3) years or 50,000 miles, and for the bus. structine (3) years 75,000 whichever occurs first following
delivery. NEW will repair or replace dating such Limited Warranty coverage period all NEW manufactured
parts covered under this Limited Warranty or reimburse the warranty holder for such repair or.replacement
as set forth herein. This Limited Warranty period ig not extended if we repair or replace thesproduct.

2. Labor Costs. Labor costs: for New Englarid Wheels, Inc, parts replaced urider this Liniied Warranty
will be re-imbursed at & fiir and adequate.amountfor labor actually incurfed, as such.aniounts will vary by
market and by region. Under all circumstances, watranty répair-work rust be performed by an authorized
NEW dealer according to NEW’s warranty claim procedures. Unauthorized repair of parts replaced by
someone-other thar an authorized NEW dealer is hoe cévered by this warranty. NEW reserves the right to
require that defective parts be-returned for inspection prior lo paying warranty claims.

3. Other Manufacturer's Warranties. Individually installed componenis of NEW paris that are
manufactured by other manufacturers are not covered by this. Limited Warranty arid may carry their own
individual manufacturer warranties includnig butnot limited to heating and cooling components, electric
doors, seating composents, wheelchair lifis/rainps, and wheelchair tie-downs. These individual warranties
carry their own terms whichimay be greater or less than those specified herein: Please refer to the hidividual
warranties for installed coraponents that are part of the-vehicle’s delivery package;

4, OEM Warranty. The vehicle's original equipment manufacturer's OEM") warranty (ic. Ford, Dodge}
will supplement this warranty for all non-todified components, Le, vehicle engine anddrive train, tires,
brakes, and all other aon-modified OFM equipment.

5, Exclusions from Limited. Warranty Coverase. This Limited Warranty does not cover:
* Datnage cansed by accident, road hazard, misuse, lack of proper maintenance, or failure to follow towin ff
hoisting: and other operating instructions:

*

Routine maintenance, adjustments, repair.diagnasis, road service and towing,
6. Disclaimers and Limitations. This warranty covers only those paris manufactured and. installed by

NEW and is intended tw supplement the OEM vehicle manufacturer's wartdaty. Refer to the vehicle
manatictarer’s warranty coverage.

34

New Grgiand Wheels, Int, disclaims fability for any personal. injury or property demaue that results from
the operation ofa New England Wheels, Ine. product that has been modified from the original New England

Wheels, Inc. design. No other person or com pany is authorized to change the design of this product without
writen authorization from New England Wheels, Inc.

NEW DNGLAND WHEELS, INC'S OBLIGATION UNDER THIS LIMITED WARRANTY IS
EXCLUSIVELY LIMITED TO THE REPAIR-OR EXCHANGE OF PARTS. OR REIMBURSEMENT
FOR SAME, THAT FAIL. WIFHIN-THE APPLICABLE LIMITED WARRANTY: PERIOD, THE
REMEDIES DESCRIBED ABOVE ARE THE SOLE AND EXCLUSIVE REMEDIES AND NEW
ENTIRE LIABILITY FOR 2 BREACH OF THIS LIMITED WARRANTY. NEWS LLABITE i ¥
SHALL UNDER NO CIRCUMSTANCES EXCEED THE ACTUAL AMOUNT PAID BY THE
WARRANTY HOLDER FOR. THE DEFECTIVE propuct NOR SHALL NEW UNDER ANY
CIRCUMSTANCES BE LIABLE FOR-ANY CONSEQUENTIAL, INCIDENTAL, SPECIAL OF
PUNITIVE DAMAGES OR LOSSES, WHETHER DIRECTOR INDIRECT.

SOME STATES DO NOT ALLOW THE EXCLUSION OB. LIMITATION OF INCIDE TAL OR
CONSEQUENTIAL DAMAGES, SO THE. ABOVE- LIMITATION MAY NOT APPLY. THIS
WARRANTY GIVES. SPECIBIC LEGAL RIGHTS: AND THERE MAY BE OTHER RIGHTS Ti IAT
VARY FROM STATE TO STATE.
New England Wheels, Inc.
33 Manning Road
Billerica, MA 01821
1-800-886-0247
Fax: 978-663-6709
imail: warranty @newenglandwheels.com

WARRANTY CLAIM PROCEDURES

Whereas, all New England Wheels, Inc. ( NEW") manufactored parts and workmanship are
warranted against defective material or workmanship or failure for the pertod ofthree (3) years or
50.000 miles, whichever occurs titst following delivery-to customer, and all other parts are-held to
existing manufacturer's watrantees, the folldwitig procedures inust be adhered to for the aggurance
of proper care and re-irnbursement for warranty claims by NEW customers:

Upon examination, should a defect of failure-of parts or workmanship be found, customer or
dealer's authorized persomnel must contact NEW. by phane-or e-mail for authorizationt6 proceed
with warranty work. Within one business day or sooner, the enstomer or dealer-will recelve an
authorization number ic proceed with the warranty work.

All invoices submitted to New England Wheels, Inc. must reference the authorization number. In
addition, the invoice must contain:

. Name of End User/Custorner

. Name of New England Wheels Dealer or Authorized Repair Facility
. Vehicle identification Number

. Vehicle Mileage

. Date of Parcha:

ap Be lak BO eee

and/or Manufacture Date of Vehicle

35 |

6. New Engiand Wheels Warranty. Work Authorization Number

ifrequested, defective parts must be returned to NEW betSie Warranty rée-imburse
Upon receipt-of said parts. arid verification of the warranty aul
will be-pracessed,

For outside warranty work-by an authorized NEW. desler, parts will |
unless otherwise arranged by NEW.

ment is made.
horization. payment of the claim

be supplied to the dealer

New England Wheels, Inc.
33 Manning Road
Billerica, MA OL821
1-800-886-9247
Fax: 978-663-6700

Email: Wwarranty@newenglandwheels.com

Lae

36

) THE CITY OF NASHUA “The Cate City’

Administrative Services

Purchasing Department

August 29, 2019
Memo #20-029

To: MAYOR DONCHESS
FINANCE COMMITTEE

SUBJECT: CITY HALL FRONT DOOR RENOVATIONS (VALUE: $27,169)
DEPARTMENT: 129 BUILDING DEPARTMENT; FUND: BUILDING TRUST FUND

Please see the attached communication from Kim Kleiner, Administrative Services Director, dated August
25, 2019 for information related to this purchase.

Pursuant to § 5-78 Major purchases (greater than $10,000) A. All supplies and contractual services,
except as otherwise provided herein, when the estimated cost thereof shall exceed $10,000 shall be
purchased by formal, written contract from the lowest responsible bidder, after due notice inviting bids.

The Administrative Services Director and Purchasing respectfully request your approval of the change
order for an additional $2,300 from Northpoint Construction Management of Hudson, NH making the
total amount $27,169.

Respectfull

”

-Dan Kooken

Purchasing Manager

Ce: K. Kleiner J. Graziano