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)

Bid Form

By:

(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 communicatio

V

(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 6 of 8

A Corporation

Corporation Name: __ Brox Industries, Inc. (SEAL)

Date and State of Incorporation: Incorporated in the State of MA in 1982

List of Executive Officers
Name Title
Stephen M. Brox, President
Cecilia Nickerson, Clerk
Henry Hyder Ill, Assistant Clerk

Type { ee Service, Limited Liability): Construction Corporation

(Signatur @ -- attach evidence of authority to sign)

‘Name (typed or printed): _Stephen M. Brox

Title: ___ President . (Corporate Seal)
( .

Attest:

If BIDDER is:

An Individual

A Partnership

Bid Form

N/A

Name (typed or printed):

By:

(SEAL)

(Undividua}
Doing business as:

‘'s Signature)

Business address:

Phone No::

Fax No.:

Partnership Name:

Date and State of Organization

N/A

(SEAL)

Names of Current General Partners

Name

Title

Type of Partnership
[-] General [[] Publicly Tratled
[] Limited [7] Other (descyibe):
By:

(Signature of General Partner — q

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- Arterial Roadways
CONTRACT IDENTIFICATION AND NUMBER: _IFB0660-020719

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

RETAINAGE

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

APPEAL BY BIDDERS

20.01
ARTICLE 21
21.01
A.
B.
C.
D.
E.
21.02
21.03
21.04

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

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