Finance Committee

10.

il.

12.

13.

14,

15.

Has your organization had a contract partially or completely terminated for default (cause) within
the past five yéars?

[ l¥es o

If yes, describe circumstances and provide details on attachment.

List the licensed categories of work that your company normally performs with its own

workforce, S@.ioc, Llarte. OAiway2 , Parrindg, 32 bing .
Side vsad fe ‘ ‘

=

If requited, can your organization provide a bid bond for this project?
es [INo

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.

Alive Cesuel he

This Power of Atlamey limlls the acts of thoso named herein, and they have no authorily to bind the Company except in tke manner and to the extent hereln stated. Not
valld for mortgage, note, loan, letter of credit, hank deposit, cumency rate, Interest rate or residual value guarantees. To confirm the validily of {his Power of Attomey cali
610-832-0240 between 9:00 am and 4:30 pm EST on aay business day,

Bi BOND
PENAL SUM FORM

BIDDER (Narie and Address):
RWC Enterprises
PO Box 3721
Nashua, NE 06061

SURETY QName and Address of Principal Place of Business): .
The Ohio Casualty Insurance Company :

175 Berkeley St
Boston, MA 02116

OWNER (Name and Address):
City of Nashua

Riverside Dr
Nashua, NH

BID
BID DUE DATE:_May 15, 2020
PROJECT (Brief Description Including Location}:
2020 Sidewalk Program
TFB0851-032720

Contractor:

Address:

Authorized Signature:

Date:

Phone:

Email Address:

SCHEDULE OF VALUES

IFBO851-032720
2020 SIDEWALK PROGRAM

SIGNATURE PAGE

Rus Co entry ses
y

Py Gor BI4\ Washia Ai ool

£2

5/18/2020

(03 165 S087

Re exe a) gmais, Con

Page 3 of 3

Estimated

Item No. Quantity

648.6 1
618.7 200
619.1 1
628.1 200
628.2 989
692 t
TOTAL OF BID ITEMS
(words)

Units

Allow

HR

LF

LF

2020 Sidewalk Program

City of Nashua, New Hampshire
Division of Public Works
1FB0851-032720
2020 Sidewalk Program

Item Description Unit Price Total Price
in figuras in figures
Uniformed Officers
One Thousand Eight Hundred Dollars and
00/100 Cents $ 3,800.00 $ 1,805.00

Flaggers

Dollars and

Item Na,

203.3

304.3

403.12

6038.24

608.26

608.54

609.01

609.02

609,5

Estimated
Quantity

625

150

35

775

15

30

50

800

Units

cy

cy

Tons

sy

SY

SY

LF

LF

City of Nashua, New Hampshire
Division of Public Works
IFB0851-032720
2020 Sidewalk Program

2020 Sidewalk Program

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)

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 7
Bid Form

A Corporation

Corporation Name: (SEAL)

Date and State of Incorporation:

List of Executive Officers
Name Title

Type (General Business, Professional, Service, Limited Liability):

By:

(Signature ~- attach evidence of authority to sign)
Name (typed or printed):
Title: (Corporate Seal}
Attest:

(Signature of Corporate Secretary)

Business Address:
Phone No.: Fax No.:

Date of Qualification to do business is

A Joint Venture

Bid Form

Jomt Venture Name: (SEAL)