THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS IFB
229 Main Street, City Hall
Nashua, NH 03061-2019
SUBMITTED on i2/ 24 ,20. 20
Business Name (typed or printed): Mass Ceane + Hot 8v STRUI cES | NC
Oilndividual OiPartnership (Corporation Ojoint Venture
Type: DOGeneral OGeneral Business
F1Publiely Traded OProfessional
OLimited OServices
Other OlLimited Liability
py: Stott Frost (SEAL)
(individual's Signature, General Partner, Officer with authority to sign)
Doing business as:
Business address: 560- | POTASH bh wh ep
TYN@SBoRO, MA 01879
Phone :_ (478) a44 - OTT Email. Sneily @ massorane. tor
Date and State of Organization (99D - MA
Date and State of Incorporation: |UA0- MA
Date of Qualification to do business is
Names of Current General Partners/Executive Officers/Joint Partners
Title
(Indicate managing partner by an asterisk *)
Address for receipt of official communications:
Each joint ventured must sign. The manner of signing for each individual, partnership and corporation that is a
party to the joint venture should be in the manner indicated above
BF-4o0f7
