Bm BOND
PENAL SUM FORM
BIDDER (Name and Address):
Brox Industries, Inc.
1471 Methuen Street
Dracut MA 01826-5439
SURETY (Name and Address of Principal Place of Business):
Fidelity and Deposit Company of Maryland
1299 Zurich Way, 5th Floor
Schaumburg, IL 60196-1056
OWNER (Name and Address):
City of Nashua, NH
Central Purchasing 229 Main Street City Hall Room 128
Nashua, NH 03061-2019
BID
BID DUE DATE: February 12. 2019
PROJECT (Brief Description Including Location):
IFBO660-020719 2019 Paving Program - Arterial Roadways
BOND
BOND NUMBER:_ N/A
DATE: (Not later than Bid Due Date): _February 7, 2019
PENAL SUM: Five Percent of Amount Bid 5%
(Words) (Figures)
IN WITNESS WHEREOF, Surety and Bidder, Intending to be legally bound hereby, subject to the terms
printed on the reverse side hereof, do each cause the Bid Bond to be duly executed on its behalf by its
authorized officer, agent, or representative.
BIDDER SURETY
Brox Industries, Inc. (Seal) Fidelity and Deposit Company of Maryland (Seal)
Bidder’s Name and Corporgte Seal Surety’s Name and Corporate Seal
—
By: 3 4x7 Bys YN >
a Signature 4nd Tifle Signaturé and Title Donna M. Planeta, Attorney-in-Fact
(Attach Power pf Attorney)
/
Attest: iN / Fa
Signature and fitle ! Ssigeatinve’and Title Lorina Garcia, Witness
Deborah MacCallum Contract Admin. /
Ea
Stephen M. Brox esident
Attest?
Note: (1) Above addresses are to be used for giving required notice. = “——~
(2) Any singular reference to Bidder, Surety, OWNER or other party shall be considered plural where applicable.
BB - 1 0f2
