Finance Committee

THIS FORM MUST. BE SUBMITTED WITH ALL RESPONSES TO THIS IFB

16 Furnish the following information with respect to an accredited banking institution familiar with your
organization

Name of Bank Savings Bank of Walpole
84 Marlboro Street, Keene, NH 03431

Address

Jessica Weston; Amy Lehr
603-352-1822

Account Manager

Telephone

( hereby certify that the information submitted herewith, including any attachment is true to the best of my
knowledge and belief

S.U.R. Construction West, Inc.

LW Mody

10

it

12.

13

14.

15.

THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS IF8

Inthe last five years, has your organization ever failed to substantially complete a project in a timely manner?

(_lves [X]No
[_]Yes [_]No

if yes, describe circumstances and provide details on attachment.

Does your organization now have any legal suits or arbitration claims pending or outstanding against it or
any officers?

[les x JNo

if yes, describe circumstances and provide details on attachment.

THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS IFB

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 proyects under construction by this organization, (If joint venture, list
each participant’s projects separately}

Travelers Casualty and Surety Company of America
Travelers Casualty and Surety Company

TRAVELER - St. Paul Fire and Marine Insurance Company

te

Bidder and Surety. jointly and severally, bind
themselves, their heirs, cxecuters, administrators,
successors, and assigns to puy to OWNER upon
default of Bidder the penal sum sct forth on the face
of this Bond.

BID BOND
PENAL SUM FORM

BIDDER (Name and Address);

S.U.R. Construction West, Inc.
SiPayneRd.
Winchester, NH 03470

Travelers Casualty + Surety Company of America
350 Granite St.

Braintree, MA 02184

OWNER (Name and Address),
City of Nashua, NH
Central Purchasing,229 Main St.
Nashua, NH 03061

BIDDUEDATE: February 10,2022

PROJECT (Brief Description Including Location):
2022 Sewer Replacement Project.1FB0779-021022

BONDNUMBER: bid bond
DATE:(Not laterthanBidDueDate): February 102022

City of Neshua, New Hampshire
Divislon of Public Works
2022 Sewer Replacement Project
1FB0779-021022

BID SCHEDULE - 2022 Sewer Replacement Project

7 Quantity! Units Item Description Unit Price Total Price

264 6 CA |Tes Pit 9) 500.00 3,900.00

268 4 EA [Tes Put9’ w 13") 1,000.00 4,000.00

27 bt) LE [Remove & Reinstall Easstune Fence (Clement Sirect Only) 50.00 2,500.00
PAGE SSUBTOTAL| 9500.00

SUBTOTAL of Page BS-1_992,795.00

City of Nashua, New Hampshire
Division of Public Works
2022 Sener Replacement Project
JFB0779-021022

BID SCHEDULE - 2022 Sewer Replacement Project

Clty of Nashua, New Hampshire
Division of Public Works
2022 Sewer Replacement Project

Cliy of Nashug, New Hampshire
Division of Public Works
2022 Sewer Replacement Project
IFBO779-021022

BID SCHEDULE - 2022 Sewer Replacement Project