List your key personnel available far this contract: (Attach additional sheets as necessary.)
Staif Name Role (i.e. Project Superintendent, Foreman)
Ae) rd C
tg 5
oe << i "I + er Ts
CS
List any subcontractors whom you would expect to use for the following (unless thls WORK is to be done by your own
organization)
Civil Engineering
Utility Installation 4
Other please describe: Pleobe. Coe. Arioche.
BIDDER has included the services of Electrical Installations, Inc,, Moultonborough, NH (the City’s preferred System
Integrator), in its S for PLC Programming, OIT Programming, HMI Programming, and integration of new SCADA
system, Ss CINo
Please list banks with whom you conduct.husiness. , NV TOT
(CAT Rea CCAS ESN
i
WK Ne Ol 7
paves CINo | Do You grant the Engineer permission to contact this (these) Institutions?
sme: —_ Whe AE ATS |
Printed Name: _____ Title: Yeesich on}
BIDDER
ner “at San ane. AER Ao aka
Address:
v oe {Pasition Title] of i . V 6) Nea
and all the answers to the foregoing guestions and all statement contalned therein are tru eG and correct,
me this day of _\ Lh.
Michobs AL Le ve Mh ‘Notary Public
My Commission Expires Me df [202 / m
Seal Ap nA , | eo _
Attest. ~~" ( Mts. AbTe fs OY
BIDDER agrees to ferform all the A/ORK described in the CONTR
sum:
NOTE: BIDS shall EXCLUDE sales tax and include ail other applicable taxes and fees.
My Gommlssion Explres ‘
Nov 12024 _¥
aa.
CY DOCUMENTS for the following unit prices or lump
Page 11 of 17
