Finance Committee

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.
The Ohio Casualty Insurance Company
Regan Cleary Insurance & Bonds

City of Nashua, New Hampshire

Division of Public Works
D1 King & Associates, Inc Legacy Playground at Labine Park
Firm Name Bid Schedule )
Ch
SUMMARY of Each Bid Shest
$710,504. yo PZ
SUBTOTAL of Page BS-1
SUBTOTAL of Page BS-2 soso700. SA 8,294.00
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TOTALBIDPRICEFIGURES | -getsuste> S 233,803.40 |
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TOTAL
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Sixty ttre Forty Cents
Contractor:

Authorized Signature:

BS - 3 of 3

City of Nashua, New Hampshire
Diviston of Public Works

Legacy Playground at Labine Park

Firm Name

ItemNo. Quantity Units

214,

304.2

304.3

403.12

870.95

602.

Estimated

1300

200

100

1200

610

3240

52

3600

City of Nashua, New Hampshire

Not valid for mortgage, note, loan, letter of credit,

currency rate, interest rate or residual value guarantees.

4

THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND.
This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated.
Certificate No. 6972429

American Fire and Casualty Company Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company West American Insurance Company
POWER OF ATTORNEY

BID BOND
PENAL SUM FORM

BIDDER (Name and Address):
DL King and Associates, Inc. 27 Tanglewood Dr. Nashua, NH

SURETY (Name and Address of Principal Place of Business):
The Ohio Casualty Insurance Company

OWNER (Name and Address):
_ City of Nashua 9 Riverside Street Nashua, NH 03062

BID
BID DUE DATE:_3/31/2016
PROJECT (Brief Description Including Location):
Construct accessible playground at Labine Field located Cleveland Street and intersection of

Fairview Avenue

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

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).

6 of 8
Bid Form

D.L. King & Associates, Inc.
Certificate of Vote

I, Arthur E. King, Jr., hereby certify that I am duly elected Secretary of D.L. King
& Associates, Inc.

I hereby certify the following is a true copy of a vote taken at a meeting of the
Board of Directors of the Corporation, duly called and held on March 31, 2016 at which a
quorum of the Board was present and voting.

VOTED: