THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO IFB
6. The following documents are attached to and made a condition of this BID:
A. Bid Form — which includes a tabulation of Subcontractors, Suppliers and other individuals and
entities required to be identified in this proposal;
B. Bid Submission Form;
C. References; and
D. Any and all addendums issued after the release of this BID. Upon issuance, addendums can be
found on the City website or on Bid Express with the original BID documents
7 Communications concerning this BID shall be addressed to:
Jon Ibarra, Superintendent
City of Nashua Street Department
9 Stadium Drive, Nashua, NH 03062
SUBMITTED on , 20
¢ j o
Business Name (typed or printed): Fishel Tanat Corp,
[_] Individual [_] Partnership Xi corporation [_] Joint Venture
Type:
[] General Rl General
| Publicly Traded [] Professional
C] Limited LC] Services
[_] Other [] Limited Liability
By: = aa (SEAL)
. Pe ae (Individual's Signature, General Partner, Officer with authority to sign)
Doing Business as): Finalvel Garon. Deo ss
Business Address: 281 Qaniel UWjlebster Wishwoy
MAercivaancki por C3054 _
Phone: (G03) 424\-11784 Email: AAoinc aud @ Fiabe CORA
Date and State of Organization: AJew) amp Sbrre_
Date and State of Incorporation: None. VA “AAS New Ram pw
Date of Qualification to do business is
IFBO285-110221 DPW Street Department Garage Doors Replacement Page| 4of8
