Finance Committee

lf BIDDER is:
An Individual
Name (typed or printed}:

By: (SEAL)
(individual's Signature)

Doing business as:

Business address:

Phone: Email: DUN’s#:

A Partnership

Partnership Name; (SEAL)

Date and State of Organization

Names of Current General Partners

Name Title

Type of Partnership
[| General [_] Publicly Traded [] Limited [_] Other (describe):
By:

(Signature of General Partner — attach evidence of authority to sign)

Name (typed or printed):

Business address:

9. Communications concerning this Bid shall be addressed to:
(Contractor's mailing address to be filled in by Bidder}

27 Tanglewood Drive

Nashua, NH 03062

10. The terms used in this Bid with initial capital letters have the meanings indicated in the

Instructions to Bidders, the General Conditions, and the Supplementary Conditions.

Submitted by:

Name of Organization _D,L. King and Associates, Inc.
Name of Individual Arthur E. King

Title CFO

Address 2f Tanglewood Drive

Telephone

Submitted to:

procedures of construction to be employed by BIDDER, and safety precautians and
programs incident thereto.

E. BIDDER does not consider that any further examinations, investigations, explorations,
tests, studies, or data are necessary for the determination of this Bid for performance of
the Work at the price(s) bid and within the times and in accordance with the other terms
and conditions of the Bidding Documents.

BID FORM
DAVIS BACON

PROJECT IDENTIFICATION: Nashua City Hall Renovations - RFP0285-081820
CONTRACT IDENTIFICATION AND NUMBER: RFP0285-081820

THIS BID IS SUBMITTED TO: City of Nashua
Purchasing Department
229 Main Street, City Hall
Nashua, NH 03061-2019

sa\ THE CITY OF NASHUA “The Gate City”
FY echexing De pestnect

Appendix B

RFPO285-081820

Bid Form
Bid Form — Davis Bacon

RFPO285-081820 City Hall Building Renovations — Bid Form
229 Main Street « Nashua, New Hampshire 03061 » Phone (603) 589-3330 e Fax (603) 589-3233

27 Tanglewood Dr.
Nashua, NH 03062
Office: 603-883-5880
Fax: 603-883-5061

ER SE

& Associates, Inc.

eis atct

August 31, 2020

Ms. Kelly Parkinson
Purchasing Manager
City of Nashua

229 Main Street
Nashua, NH 03061

Re: RFP0285-081820 — City Hall, 229 Main Street Nashua NH Renovation

Dear Kelly:

Bid Proposal

City Hall, 229 Main St. Nashua, NH
Renovations
RFP 0285-081820

229 Main Street
Nashua, NH 03061

Nashua Purchasing Department

229 Main Street
Nashua, NH 03061

Nashua

NEW HAMPSHIRE’S GATE CITY

General Contractor

D.L. King & Associates, Inc.
27 Tanglewood Drive
Nashua, NH 03062
603-883-5880

10. NO OBLIGATION BY FEDERAL GOVERNMENT

The Federal Government is not a party to this contract and is not subject to any
obligations or liabilities to the non-Federal entity, contractor, or any other party
pertaining to any matter resulting from the contract.

11. PROGRAM FRAUD AND FALSE OR FRAUDULENT STATEMENTS OR RELATED ACTS

The Contractor acknowledges that 31 U.S.C. Chap 38 (Administrative Remedies for False
Claims and Statements) applies to the Contractor’s actions pertaining to this contract.

7, BYRD ANTI-LOBBYING AMENDMENT
Byrd Anti-Lobbying Amendment, 31 U.S.C. § 1352 (as amended)

States government to the State of New Hampshire.

Federal Water Pollution Control Act

(1) |The contractor agrees to comply with all applicable standards, orders, or
regulations issued pursuant to the Federal Water Pollution Control Act, as amended, 33
U.S.C. 1251 et seq.