City of Nashua
Purchasing Department
Administrative Services Division (603) 589-3330
229 Main Street - Nashua, NH 03060 Fax (603) 594-3233
March 10, 2021
Memo #21-086
TO:
SUBJECT:
Mayor Donchess
Finance Committee
2021 Paving Program: Residential Roadways in the amount of $4,585,195 funded from
account Paving Trust/Paving Bond
®@
ACCORD
a ed
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
02/19/2021
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS IFB
In compliance with your IFB, we hereby submit our bid for the above project. Having examined the plans and
specifications and being familiar with all of the conditions surrounding the construction of the proposed
project, including the availability of materials and labor, we hereby propose to furnish all supervision,
labor, materials and supplies, and to construct the project in accordance with the contract documents, dated
f 14.203) ,including Addenda noted below.
THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS IFB
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.
THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS IFB
Address for receipt of official communications:
AL Camo Sugaes{ RD
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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.
Wak. Clay
BF -5of7
THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS IFB
229 Main Street, City Hall
Nashua, NH_03061-2019
SUBMITTED on ,20 21
Business Name (typed or printed):
Dindividual - DPartnership DCorporation DJoint Venture
——_—"
Type: (Oceneral) DGeneral Business
DPublicly Traded DProfessional
DLimited DServices
DOther DLimited Liability
By: Parke. GC) AQoa (SEAL)
(individual's Signature, Gen Partner, Officer with authority to sign)
Doing business as: “a ud ley S MNCeSSIMS
\
THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS IFB
5. The requirements of the New Hampshire Revised Statutes Annotated shall apply to this project. The
Bidder is responsible for compliance with all applicable statutes. The entire set of the Revised Statutes
Annotated is available online at:
THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS IFB
C. Bidder is familiar with and is satisfied as to all federal, state and local Laws and Regulations that
may affect cost, progress and performance of the Work.
THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS IFB
BID FORM
PROJECT IDENTIFICATION: CONCESSION RIGHTS — STELLOS STADIUM
CONTRACT IDENTIFICATION AND NUMBER; 1FBO253-012121
THIS BID IS SUBMITTED TO: City of Nashua, New Hampshire
Purchasing Department
229 Main Street, City Hall
Nashua, NH 03061-2019
THIS FORM MUST BE SUBMITTED WITHALL RESPONSES TO THIS IFB
Product Price List describing items to be sold and prices of each item. Prices cannot
be changed during the contract term unless agreed upon by the City.
