THIS FORM MUST BE SUBMITTED WITHALL RESPONSES TO /FB
Names of Current General Partners/Executive Officers/Joint Partners
Cac\ Everbe\ Presidinhd
Aadceuds Fiabe Vice Pres dant
Jon FE.mbel \Wesuce ce
(Indicate managing partner by an asterisk *)
Vendor Address for receipt of official communications:
QA\_Temie\ Udebster Wiepsy
Merrimack Neh aoc 4
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.
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 Vendor should state "None" (or similar language stating
that no subcontractors need to be listed) in the space below.
Portion of Work
- Name & Address of Subcontractor
IFBO285-110221 DPW Street Department Garage Doors Replacement Pagel 5of 8
