Agenda

ATTACHMENT A North Coast Services, LLC

44 Locke Road
PROPOSAL QUALIFICATION STATEMENT Concord, NH 03301

Related Experience

LPNS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS AFP

in compliance with your RFP, we hereby submit our proposal for the above project. Having examined the plans
and specifications and being familiar with all of the conditions surrounding the construction of the proposed
project, Including the availability of materials and labor, we hereby propose to furnish all supervision, labor,
materials and supplies, and to construct the project in accordance with the contract documents, dated

February 23, 2021 Including Addenda noted below.

THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS RFP

UST OF
SUBCONTRACTORS
{to be submitted with proposal)

The name and address of each subcontractor who will be paid at least five percent {594} of the prime contractor s
totai proposal shall be listed below. To be deemed a responsive proposal, this form must be submitted even if no
subcontractors are required to be listed. in that case, the Vendor should state "None" (or similar language stating
that no subcontractors need to be listed) in the space below.

THIS FORM MUST &E SUBIAITTED VATHALL RESPONSES 710 THIS AFP

Address for receipt of official communications:
44 Locke Road

Concord, NH 03361

Fach joint ventured must sign. The manner of signing for each individual, partnership and corperation that is a
party to the joint venture should be in the manner indicated above.

BE-5 of 7

FHIS FORM MUST 86 SUBMITTED VWATH ALL RESPONSES TO THIS BFP

229 Main Street, City Hall
Nashua, NH 03061-2019

March 15 .
SUBMITTED on aw : 20 21

North Coast Services, LLC
Business Name (typed or printed):

LJ individual EX] Partnership [| Corporation [| Joint Venture
Type:
(] Genera! L_] General
L] Publicly Traded [| Professional
[] Limited 1 Services

[] Other [A Limited Liability

=
ee (SEAL)
Nd (individual's Signature, General Partner, Officer with authority to sign}

THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS REP

The requirements of the New Hampshire Revised Statutes Annotated shall apply to this project. The
Vencor is responsible for compliance with all applicable statutes. The entire set of the Revised Statutes
Annotated is available online at:

ttp://gencourt state. nh.us/rsa/html/indexes/default. htm!
Vendor will complete the Work in accerdance with the Contract Documents for the following prices:

THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS REP

Vencor is familiar with and is satisfied as to all federal, state and local Laws and Regulations
that may affect cost, progress and serformance of the Work,

THIS FORM MUST BE SUBMITTED VATH ALL RESPONSES TO THIS RFP

BID FORM

PROJECT IDENTIFICATION: UNIVERSAL WASTES RECYCLING PROGRAM

CONTRACT IDENTIFICATION AND NUMBER: RFP1058-031624

THIS BID IS SUBMITTED TC: City of Nashua, New Hampshire
Purchasing Department
229 Main Street, City Hall
Nashua, NH 03061-2019

EXHIBIT B

City of Nashua RFP

Universal Wastes
Electronics/Fluorescents)

Recycling Program

I)

(B 1058-031612
03/16/2021

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these sanctions shall also be applicable to any such conviction obtained after the expiration
or completion of the contract.