Agenda

CERTIFICATE OF

TVM DBE

COMPLIANCE

(TO BE FILLED OUT BY MANUFACTURER'S OF ROLLING STOCK ONLY)
In connection with the contract to be awarded as a result of the invitation to bid issued by the Nashua Transit
System:

| hereby certify that the (name of company) has complied with
the requirements of 49 CFR 26, participation by Disadvantage Business in DOT Programs, and that our goals
have not been disapproved by the Federal Transit Administration.

Name of Company

Signature of Authorized Official

Date:

Firm:

FTA BUS TESTING CERTIFICATION

I. NEW BUS MODEL TO BE TESTED

EXHIBIT C - FORMS

THE FOLLOWING PAGES MUST BE FILLED

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imsurance and/or an adequately funded self-insurance program will constitute
a material breach in of this Contract.

Occurrence Coverage — Insurance shall be provided on an occurrence basis and not
a claim-made basis.
Deductibles and Retentions — Seller shall be responsible for payment of any

deductible or retention on Contractor’s policies without right of contribution
from. the City of Nashua.

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capacity, and their successors and _assignees, as they now, or as they may
hereafter be constituted , singly, jointly or severally.

e Cross Liability or Severability of Interests Clause.
@ Primary and Non-Contributory wording.
@ Waiver of Subrogation.

Product Liability for products and completed operations coverage of at least
$10 million for a period of five (5) years after acceptance of the last Low
Floor Cutaway Van delivered under this contract.

Exhibit B

Insurance

Option Pricing fer the City of Nashua, NH
RFPO152-071519

Hanover . ’ aa & Side
Slamond SV Fare Box
REI Monitor with

Walker

Note: Suspension Software refers an annual renewal. ist yaaris included

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Exhibit A
Price Sheet

Proposal Form

Proposer stall conmiete the following fom aid Inclade iy ihe prea Prenogal.

Pom Dor? Low Ficor Cutaway Vans”

¢ Dopatimunt
a Bivent

re GARGD

The widersigged hageby offers ta far ara yay Vaatr at the prices quoted. tislew
® santaoaasce with the-tenng, a ty whi “4

IN WITNESS WHEREOEF, the parties hereto have executed this Contract.

SELLER
Dated: , 2019 By
Name:
Title:
Duly Authorized
CITY OF NASHUA
Dated: , 2019 By:

James W. Donchess, Mayor
Duly Authorized

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