Agenda

THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO RFP

REFERENCES

INSTRUCTIONS FOR SUBMITTALS:

1. OnSchedule A, attached, list five (5) completed similar conceptual field studies in the last three (3) years.
Provide project description and include contact reference information as listed.

2. On Schedule B, attached, provide a list of project awards Vendor has received from the City of Nashua in the
past 5 years. Please include project detail, City department and City project lead.

THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO RFP

Firm: Nesen Enecsecaine, LLC

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Authorized Signature: Cte falar
a

Printed Name and Title: Aesens Hembra Drm, ts, Pes ipent—
Address: /7O_/3a Zz E
Email Address: AVE NeSeA ENG, Com

Phone: 5O@8- Z2l ~ 7/74 Fax:

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RFP0651-091421 Conceptual Field Study for Mine Falls Park Athletic Area

Page 12 of 2

THIS FORM MUST BESUBMITTED WITH ALL RESPONSES TO RFP
PROPOSAL PRICING

INSTRUCTIONS FOR “PROPOSAL COSTS” SUBMITTALS:

Provide Lump Pricing for each Task below

TASK 1 - EXISTING CONDITIONS LUMP SUM PRICE $ |5;-000- 00

© TASK 1.1: Work with City to download applicable GIS information and develop a base map for the
site - no new survey work is included at this time. The final base plan should include available
resource area information and required setbacks;

THIS FORM MUST BE SUBMITTED WITHALL RESPONSES TO THIS BID

in compliance with your BID, we hereby submit our BID 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

_ Sepren ber [4 Bor! Including Addenda noted below.

THIS FORM MUST BE SUBMITTED WITHALL RESPONSES TO THIS BID

LIST OF
SUBCONTRACTORS
(To be submitted with BID)

The name and address of each subcontractor who will be paid at least five percent (5%) of the prime contractor s
total BID shall be listed below. To be deemed a responsive BID 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 BE SUBMITTED WITH ALL RESPONSES TO THIS BID

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.

RFP0651-091421 Conceptual Field Study for Mine Falls Park Athletic Area Pagel Sof 7

BID FORM

THIS FORM MUST BE SUBMITTED WITHALL RESPONSES TO THIS RFP

Th
SUBMITTED on SEPTEMBER /|4 20.2

Business Name (typed or printed): Nesra Ene(neeRing, bho

[_] Individual [_] Partnership I Corporation [_] Joint Venture
Type:
[] General (_] General
[] Publicly Traded _] Professional
[_] Limited 1 Services
[_] Other PA Limited Liability

(SEAL)

By:

—
(Individual's Signat#re, General Partner, Officer with authority to sign)

Doing Business as):

THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO RF;

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

http://gencourt.state.nh.us/rsa/html/indexes/default.html|

The following documents are attached to and made a condition of this BID:

THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS RFP

C. Vendor is familiar with and is satisfied as to all federal, state and local Laws and Regulations
that may affect cost, progress and performance of the Work.

THIS FORM MUST BESUBMITTED WITH ALL RESPONSES TO RFP

BID FORM

PROJECT IDENTIFICATION: RFPO651-091421

CONTRACT IDENTIFICATION AND NUMBER: Conceptual Field Study for Mine Falls Park Athletic Area

THIS BID 1S SUBMITTED TO: City of Nashua, New Hampshire
Purchasing Department
229 Main Street, City Hall
Nashua, NH 03061-2019