Agenda

10.

11.

12.

13.

14.

15,

THIS FORM MUST BE SUBMATTED VATHALL RESPONSES TO THIS JFB

In the last five years, has your organization ever failed to substantially complete a project in a timely
manner?

[]Y¥es RXINo
L]yes {No

If yes, describe circumstances and provide details on attachment.

Does your organization now have any legal suits or arbitration claims pending or outstanding against
it or any officers?

[Yes [XJNo

If yes, describe circumstances and provide details on attachment.

THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS IFB

CONSTRUCTION CONTRACTOR’S
QUALIFICATION STATEMENT

On Schedule A, attached, list major engineered construction projects completed by this organization
in the past five (5) years. (If joint venture, list each participant’s projects separately).

On Schedule B, attached, list current projects under construction by this organization, (If joint
venture, list each participant’s projects separately).

guarantees.

dual value

note, loan, letter of credit

gage,

, interest rate or resi

Not valid for mort
currency rate

-

This Power of Attorney limits tha acts of those named herein, and they have no authority to
bind the Company except in the manner and to the extent herein stated,

Liberty Liberty Mutual Insurance Company
Mutual. The Ohio Casualty Insurance Company Certificate No: 8203663-968046
a aaataiataien West American Insurance Company

SURETY

POWER OF ATTORNEY

_ EJCDCS - . PENAL SUM FORM

DOCUMENTS CONMETTES

1, Bidder and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors, and
assigns to pay to Owner upon default of Bidder the penal sum set forth on the face of this Bond. Payment of the penal
sum is the extent of Bidder’s and Surety’s liability. Recovery of such penal sum under the terms of this Bond Shall be
Owner’s sole and exclusive remedy upon default of Bidder.

3. This obligation shall be null and void if:

3.2 All Bids are rejected by Owner, or

« ° PENAL SUM FORM

BID BOND

Any singular reference to Bidder, Surety, Owner or other party shall be considered plural where applicable.

BIDDER (Name and Address): SUNSHINE PAVING CORPORATION
29 Constitution Drive
Hudson, NH 03051

SURETY (Name, and Address of Principal Place of Business): THE OHIO CASUALTY INSURANCE COMPANY
Agency: P.O. Box 511
Concord, NH 03302-0511

OWNER (Name and Address): CITY OF NASHUA
229 Main Street
Nashua, NH 0306]

Sunshine “Pav May Cov porchuyy

City of Nashua, New Hampshire
Division of Public Works
IFBO660-021121

2021 Paving Program - Residential Roadways

Estimated item Description Unit Price Total Price
item No. Quantity Units “em mescripnion in figures in figures
632.0104 50,000 LF WO ew Paint Pavement Markings, 4" Line

Item No.

604.47

608.34

608.36

608.54

609.01

609.5

609.811

615.03

615.033

615.06

616.7

618.6

618.7

619.1

Estimated

Quantity

215

1,450

360

60

1,500

3,000

10,000

350

60

350

4,500

Units

EA

SY

SY

EA

SF

EA

One. indve d Tein

City of Nashua, New Hampshire

Division of Public Works
IFB0660-021121

Item No.

203.112

203.113

304.32

306,112

403.11

403.12

403.6

417

417.2

603.8221

604,124

604.4

604.45

604.46

Estimated
Quantity Units
5,200 SY
2,100 SY
250 TON
71,000 SY
36,000 TON
250 TON
82,000 LF
186,000 SY
6,000 SY
250 LF
15 EA
150 VF
475 EA
435 EA

City of Nashua, New Hampshire
Division of Public Works

IFBO660-021121

2021 Paving Program - Residential Roadways

State of New Hampshire
Department of State

CERTIFICATE

1, William M. Gardner, Secretary of State of the State of New Hampshire, do hereby certify that SUNSHINE PAVING CORP. is
a Massachusetts Profit Corporation registered to do business in New Hampshire as MASSACHUSETTS SUNSHINE PAVING on
March I6, 2009. I further certify that all fees and documents required by the Secretary of State’s office have been received and is

in good standing as far as this office is concerned.

Business ID: 610135
Certificate Number: 0005240184

SUNSHINE PAVING CORPORATION
29 CONSTITUTION DR
HUDSON, NH 03051
(603) 886-5400

CERTIFICATE OF VOTE

At a duly authorized meeting of the Board of Directors of Sunshine Paving Corporation held on

January 14, 2021 it was unanimously voted to authorize Robert Bushnell its President, to sign any and all
bonds, Bids and contract documents on behalf of the Corporation. | further certify that said vote remains
in full force and effect, and has not been rescinded or modified as of the date below.