Acknowledgement is made of receipt of the following bid documents: Request for Proposals (RFP}, Appendix A
(Scope of Work), Appendix B (Conditions, Federal Provisions), Appendix C (Bid Forms & Bid Express Guides),
Appendix D (Agreement, Bonds), Appendix E (Specifications and Plans)
DL King & Associates, Inc.
(Name of Bidding Vendor}
my i
Neca KPa
(Signatures A
Immigration Reform and Control Act of 1986: The undersigned certifies that it does not and will not during the
performance of this Contract violate the provisions of the Federal Immigration Reform and Control Act of 1986,
which prohibits employment of illegal aliens.
Disqualification of Bidders: By signing this bid or proposal, the undersigned certifies that this
person/firm/corporation is not currently barred from bidding on contracts by any Federal Agency or Agency of the
State of New Hampshire, nor is this person/firm/corporation a part of any firm/corporation that is currently
barred from bidding on contracts by any Federal Agency or Agency of the State of New Hampshire. We have
attached an explanation of any previous debarment(s) and copies of notice(s) of reinstatement(s).
| certify that the firm name given below is the true and complete name of the bidder and that the bidder is legally
qualified and licensed by the State of New Hampshire to perform all work included in the scope of the Contract.
Bidder DL King & Associates, Inc.
(Name of Firm}
By (signature) Nenad Pina
Donna L King (
(typed name)
Date 04/09/2021
512290-BX19
Bid Form - 14 of 14
