Agenda

I hereby certify that the information submitted herewith, including any attachment is true to the best of

my knowledge and belief.

By: Sener fh Grnese.
Title: “Pres deat

Dated: _Feb- Jo, AOL4

CQ-30f7

N. GRANESE & SONS, INC.

|- Control of Hazardous Energy, Lockout/Tagout - OSHA 3120
J ~ Respiratory Protection — IEE
K ~ Data Sheets for Shoring & Trench Boxes

L — Dig Safe Violation Report — Massachusetts Department of Public Utilities

REV 03/2015

N. GRANESE & SONS, INC.

10.

11,

12.

13.

14.

15.

Does your organization now have any legal suits or arbitration claims pending or outstanding

against it or any officers?
(Yes ra

If yes, describe circumstances and provide details on attachment.
Has your organization had a contract partially or completely terminated for default (cause) within

the past five ?
[]Yes ae

If yes, describe circumstances and provide details on attachment.

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).

Name of Surety Company and name, address, and phone number of agent.

Unite Sterley Sivetee Compras OneBoces Stare Ch # 250 T.msnin UD 21053

TOKIO MARINE
HCC

© >> POWER OF ATTORNEY
AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY
UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY

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.

Bip BOND
PENAL SUM FORM

B ame :
N. Granese & Sons, Inc. 59 Jefferson Ave, Salem, MA 01970

United States Surety Gafhpany, One Texas Station Court, Suite 230, 5, Timonium, MD 21093

City of Nashua, 229 Main Street, Nashua, NH 03060

BID .
BID DUE DATE:__ February, 14, 2019
PROJECT (Brief Description Including Location):
2019 Sewer Replacement IFB0779-021419 City of Nashua

BOND
BOND NUMBER:___BB02142019
DATE: (Not later than Bid Due Date): __ February, 14, 2019

N. GRANBSL & SUNS, LNG.

59 Jefferson Ave.
Water Main Cleaning & Lining Salem, MA 01970
Utility Work (781) 592-8121
Drain Layers Fax (781) 631-8466
info@ngranese.com

CLERK'S CERTIFICATE

LIST OF SUBCONTRACTORS
(to be submitted after bid opening)