Finance Committee

LIST OF SUBCONTRACTORS
(to be submitted after bid opening)

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

E.J. Paving Co., Inc.

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 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).

BF 6 of 8
Bid Form

A Corporation

Corporation Name: (SEAL)

Sealcoating, Inc.

Date and State of Incorporation:_ December 6, 1957 Massachusetts

List of Executive Officers

Name Title

Elizabeth Wuori, President, Manager, Treasurer

Richard L. Goodick, Vice President

April Durant, Clerk/Secretary

Type (Ggneral Business, Pro ssional, Service, Limited Liability); General Business

By: WW

(Signature -- attach evidence of authority to sign)

Name (typed or printed); Elizabeth Wuori

Title:President .
Attest: ( ful Tiel

If BIDDER is:

An Individual

Name (typed or printed):

By: (SEAL)
(Individual's Signature)
Doing business as:

Business address:

Phone No.: Fax No.:

A Partnership

Bid Form

Partnership Name: (SEAL)

Date and State of Organization

Names of Current General Partners
Name Title

Type of Partnership
[-] General (_] Publicly Traded
(| Limited [[] Other (describe):

By: ~e “
(Signature of General Partner — attach evidence of authority to sign)

Name (typed or printed):

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

A.

B.

Bid Form;
Bid Bond;

A tabulation of Subcontractors, Suppliers and other individuals and entities required to be
identified in this Bid; and

Construction Contractor's Qualification Statement.

9.01 Communications concerning this Bid shall be addressed to:
(Contractor's mailing address to be filled in by Bidder)

Elizabeth Wuori, President

Sealcoating, Inc.

825 Granite Street

Braintree, MA 02184

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: 2017 Pavement Preservation Maintenance Program

CONTRACT IDENTIFICATION AND NUMBER: IFB0660-040617
THIS BID IS SUBMITTED TO: City of Nashua

Purchasing Department

229 Main Street, City Hall

Nashua, NH 03061-2019

DIVISION 3

BID FORM

BID BOND

BID SCHEDULE

CONTRACTOR’S QUALIFICATIONS

23.02

23.03

23.04

E. Not seek any type of judicial intervention until Owner has rendered its final decision on
the protest.

Owner will stay award actions until after the Owner’s contract administrator has responded in
writing to the protest. If the appellant is not satisfied with the response, the appellant may then
protest to the Board of Public Works, who will render a final decision for the Owner. No bid
protests will be heard by the Board of Public Works unless bidder has followed the appeal
process.