The following Construction Specifications amend, revise, supplement and/or otherwise modify
the New Hampshire Department of Transportation’s STANDARD SPECIFICATIONS FOR
ROADWAY AND BRIDGE CONSTRUCTION (2016 edition as amended).
NHDOT SUPPLEMENTAL SPECIFICATIONS
(2016 EDITION) — UPDATED JULY 6, 2018
DIVISION 9
TECHNICAL SPECIFICATIONS
A. NHDOT Supplemental Specifications (2016 Edition) — updated July 6, 2018
B. Special Provisions
CONTRACTOR'S FINAL RELEASE AND WAIVER OF LIEN
Project:
Owner Contractor
Owner: _City of Nashua, New Hampshire Name:
Address:_229 Main Street Address:
Nashua, New Hampshire 03060
City State Zip City State Zip
Contractor License:
Contract Date:
TO ALL WHOM IT MAY CONCERN:
CONTRACTOR'S AFFIDAVIT
STATE OF:
COUNTY OF:
Before me, the undersigned, a
(Notary Public, Justice of Peace, Alderman)
in and for said County and State personally appeared,
(Individual, Pariner or duty authorized representative of corporate contractor)
who being duly sworn according to law deposes and says that the cost of all the Work, and
outstanding claims and indebtedness of whatever nature arising out of the performance of the
contract between
CONSENT OF SURETY FOR FINAL PAYMENT
OWNER’S CONTRACT NO. :
PROJECT:
TYPE OF CONTRACT:
AMOUNT OF CONTRACT (INCLUDING CHANGE ORDERS):
CONTRACTOR:
CONTRACT FOR:
CONTRACT DATE:
In accordance with the provisions of the above named contract between the OWNER and the CONTRACTOR,
the following named Surety Company:
On the Payment Bond of the following named CONTRACTOR:
CERTIFICATE OF FINAL COMPLETION
PROJECT:
OWNER’S CONTRACT NO:
DATE OF ISSUANCE:
OWNER:
OWNER’s Purchase Order NO.:
CONTRACTOR:
City of Nashua, NH
ENGINEER:
The Work to which this Certificate applies has been inspected by authorized representative of OWNER,
CONTRACTOR, and ENGINEER, and that Work is hereby declared to be substantially complete in
accordance with the Contract Documents on
(DATE OF FINAL COMPLETION)
CERTIFICATE OF SUBSTANTIAL COMPLETION
PROJECT:
OWNER’S CONTRACT NO:
DATE OF ISSUANCE:
OWNER: City of Nashua, NH
OWNER’s Purchase Order NO.:
CONTRACTOR:
ENGINEER:
The Work to which this Certificate applies has been inspected by authorized representative of OWNER,
CONTRACTOR, and ENGINEER, and that Work is hereby declared to be substantially complete in
accordance with the Contract Documents on
(DATE OF SUBSTANTIAL COMPLETION)
Summary
CHANGE IN CONTRACT PRICE:
Original Contract Price
5
Final completion:
CHANGE IN CONTRACT TIMES:
Original Contract Times
Ready for final payment:
Net changes from previous Change Orders
$
Net change from previous Change Orders
Contract Price prior to this Change Order
3
Final completion:
Contract Times prior to this Change Order
Ready for final payment:
Net Increase (decrease) of this Change Order
$
Net Increase (decrease) of this Change Order
CHANGE ORDER
No.
PROJECT:
OWNER’S CONTRACT NO:
EXECUTED CONTRACT DATE:
DATE OF ISSUANCE: EFFECTIVE DATE: Upon City Approval
OWNER: City of Nashua, NH
OWNER’s Purchase Order NO.:
CONTRACTOR:
ENGINEER;
You are directed to make the following changes in the Contract Documents:
Description:
