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CERTIFICATE OF

TVM DBE

COMPLIANCE

(TO BE FILLED OUT BY MANUFACTURER’S OF ROLLING STOCK ONLY)
In connection with the contract to be awarded as a result of the invitation to bid issued by the Nashua Transit
System:

| hereby certify that the (name of company) has complied with
the requirements of 49 CFR 26, participation by Disadvantage Business in DOT Programs, and that our goals
have not been disapproved by the Federal Transit Administration.

Name of Company

Signature of Authorized Official

Name and Title of Authorized Official

Date

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BUY AMERICA CERTIFICATE OF COMPLIANCE WITH FTA
REQUIREMENTS FOR BUSES, OTHER ROLLING STOCK,
OR ASSOCIATED EQUIPMENT

(To be submitted with a bid or offer exceeding the small purchase threshold for Federal
assistance programs, currently set at $150,000.)

Certificate of Compliance

The bidder hereby certifies that it will comply with the requirements of 49 U.S.C.
Section 5323()(2)(C), Section 165(b)(3) of the Surface Transportation Assistance
Act of 1982, as amended, and the regulations of 49 CFR 661.11:

Date:

Signature:

Company Name:

Title:

Certificate of Non-Compliance

The bidder hereby certifies that it cannot comply with the requirements of 49 U.S.C. Section
5323(j)(2)(C) and Section 165(b)(3) of the Surface Transportation Assistance Act of 1982,
as amended, but may qualify for an exception to the requirements consistent with 49
U.S.C. Sections 5323(j)(2)(B) or (j)(2)(D), Sections 165(b)(2) or (b)(4) of the Surface
Transportation Assistance Act, as amended, and regulations in 49 CFR 661.7.

Date:

Signature:

Company Name:

Title:

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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

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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

DISCLOSURE OF LOBBYING ACTIVITIES

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Board of Aldermen — 9/12/17 Page 36
A viva voce roll call was taken on the motion for definite postponement which resulted as follows:
Yea: Ald. Cookson, Ald. McGuinness, Ald. LeBrun 3
Nay: Ald. Wilshire, Ald. Clemons, Ald. Deane,
Ald. Dowd, Ald. Caron, Ald. Siegel,
Ald. Schoneman, Ald. Melizzi-Golja,
Ald. O’Brien, Ald. Lopez, Ald. McCarthy 11
MOTION FAILED
President McCarthy
We are back to the motion for final passage as amended. Any further discussion?
Alderman Clemons
| wanted to just say that | really respect my colleague, Alderman Deane’s, concerns for the other things that
Nashua has to consider. The only thing that | will say to that is being an alderman is not an easy thing, and
you've done it a lot longer than | have. It’s nights like tonight when you see a room full of people, you get a

petition of 500 people asking you to do something, and you have different amendments come up and us
working togheter to try to come up with a solution that really speaks to this community.

Alderman Siegel

| think Alderman Deane brought up a very valid point, and | am very concerned. I’ve been back and forth on
this and that’s one of the other considerations. | don’t know how we are going to pay for the other stuff.
Frankly, | would like to spend the money on an administration building that we were supposed to have, and |
don’t have an answer for that right now. It’s very troubling.
A viva voce roll call was taken on the motion for final passage as amended, which resulted as follows:
Yea: = Ald. Wilshire, Ald. Clemons, Ald. Dowd
Ald. Caron, Ald. Melizzi-Golja, Ald. O’Brien
Ald. Lopez, Ald. McCarthy 8
Nay: Ald. Deane, Ald. Cookson, Ald. Siegel,
Ald. Schoneman, Ald. McGuinness,
Ald. LeBrun 6
MOTION FAILED
Alderman Clemons
Was that the motion to amend?
President McCarthy
No, that was the motion for final passage.

Alderman Clemons

| would like to propose an amendment. My amendment would be to put R-17-116 on the ballot to allow for the
citizens of Nashua to vote on it at the next municipal election coming up in November, by adding the word

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 Federal contract, grant, loan, 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, ef 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 Seller understands and agrees that the provisions of 31
U.S.C. A 3801, ef seq., apply to this certification and disclosure, if any.

Executed this day of , 20

Name of Bidder

Address

City/State/Zip

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

Title of Contractor's Authorized Official

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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 ofthis statement shall 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
part thereof.

Delinquent Personal Property Tax *

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
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NON-COLLUSION AFFIDAVIT

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 the 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 collusion 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

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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:

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Creative Bus Sales

Exhibit D
Creative Care & Warranty

Recently, we launched an initiative to improve customer service and
warranty operations. We developed the Creative Care team to enhance customer
relations and provide a better overall experience when working with Creative Bus
Sales.

Today, | am pleased to announce the development of the Creative Care
and Warranty Department. Stephen Boyce has accepted the position of
Customer Service and Warranty Manager. The objective is to support the
customer's buying experience and ensure a positive transition from sales to
service. The customer's experience will be improved by focusing on the following
tasks:

The Creative Care Team will focus on the following objectives:

After-Sale Support
The Creative Care Team will contact customers at the time of the order to

discuss order confirmation, training needs, point of contacts, confirm
delivery dates, and thank the customer for the order. The Team is now
utilizing a CRM specifically for the Warranty and Service Team.

Coordinate Post Sales Services & Support
The Customer Care Supervisor will work with sales, customers, and our

internal service and support teams to coordinate training and support as
necessary.

After-Delivery Support
Today, our Team is contacting customers post-delivery to ensure delivery

was successful. They gather feedback and provide to management as
necessary.

The Warranty Department has been restructured to provide a faster, more
comprehensive service for our customers. The objective is to streamline the
sublet warranty process and improve the claim processing and vendor approval
processes.

The Warranty Team will focus on the following goals to improve the customer's
experience:

Creative Bus Sales | 688.633.8380 | CreativeBusSales.com
14740 Ramona Ave. Chino, CA 91710

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