Agenda

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 bidder should state “None” (or similar

language stating that no subcontractors need to be listed) in the space below. (Refer to General Condition
6.09.H)

Name Address of aS Portion of Work
d Peters pc\

Bid Form

By: N |

(Signature of joint ventured partner -- attach evidence of authority to sign)

Name (typed or printed):

Title:

Business Address:

Phone No.: \ Fax No.:

Address for receipt of official communications:

[
a

(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 6of8

A Corporation

7 / “>
Corporation Name: Ou aNat ne | AV As Co f Q ova sti (SEAL)

Date and State of Incorporation: 3) 4 ly — Ma SISachu sed Ls

List of Executive Officers

Name Title
Roles “Bushnell f Pesidon t

Type (Gengtra ip€ss, Professional, Service, Limited Liability): Se Vii ee
By:

r (Signature -- attach evidence of authority to sign)

Name (typed or printed): Robo 4 “Push re of
Title: Besidon. L (Corporate Seal)
Attest:

(Signature of Corporate Secretary)

If BIDDER is:

An Individual

Name (typed or printed): Vv | A

By:

Doing business as:

(SEAL)
(Undividual’s Signature)

Business address:

Phone No.: N

A Partnership

Bid Form

Partnership Name:

Date and State of Organization

Fax No.:

) a. (SEAL)

Names of Current General Partners

Name Title

Type of Partnership

L] General [] Publicly Traded

7.02 BIDDER accepts the provisions of the Agreement as to liquidated damages in the event of failure
to complete the Work within the times specified in the Agreement.

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

A. Bid Form;
B. Bid Bond;
C. A tabulation of Subcontractors, Suppliers and other individuals and entities required to be

identified in this Bid; and

D. Construction Contractor's Qualification Statement.

E, BIDDER does not consider that any further examinations, investigations, explorations,
tests, studies, or data are necessary for the determination of this Bid for performance of
the Work at the price(s) bid and within the times and in accordance with the other terms
and conditions of the Bidding Documents.

F. BIDDER is aware of the general nature of work to be performed by OWNER and others
at the Site that relates to the Work as indicated in the Bidding Documents.

BID FORM

PROJECT IDENTIFICATION: 2019 Paving Program Local & Collector Roadways

CONTRACT IDENTIFICATION AND NUMBER:_ IFB0660-021219

THIS BID IS SUBMITTED TO: City of Nashua
Central Purchasing
229 Main Street, City Hall
Room 128
Nashua, NH 03061-2019

DIVISION 3

BID FORM
BID BOND
CONTRACTOR’S
QUALIFICATIONS
BID SCHEDULE

ARTICLE 20

20.01

ARTICLE 21

RETAINAGE

The OWNER shall not retain a portion of progress payments on this contract.

APPEAL BY BIDDERS

21.01

21.02

21.03

21.04

Any bidder may appeal a pending bid award prior to award by OWNER. The appellant must:

A.

Submit a written protest to the OWNER’s Purchasing Manager within five (5) workdays
after the bid opening.

Describe, in the written protest, the issues to be addresses on appeal.

ARTICLE17 AWARD OF CONTRACT

1701

17.02

17.03

17.04

17.05

17.06