Agenda

PROVIDED, FURTHER, that the said surety, for value received hereby stipulates and agrees
that no change, extension of time, alteration or addition to the terms of the contract or to WORK
to be performed thereunder or the specifications accompanying same shall in any way affect its
obligation on this BOND, and it does hereby waive notice of any such change, extension of time
alteration or addition to the terms of the contract or to the WORK or to the specifications.

CONSTRUCTION PERFORMANCE BOND

KNOW ALL MEN BY THESE PRESENTS: that

(Name of Contractor)

(Address of Contractor)

a , hereinafter called Principal,
(Corporation, Partnership or Individual)

and

(Name of Surety)

(Address of Surety)

hereinafter called Surety, are held and firmly bound unto

(Name of Owner)

(Address of Owner)

hereinafter called OWNER, in the total aggregate penal sum
of

Dollars, $ ( )

IN WITNESS WHEREOF, this instrument is executed

in

which shall be deemed an original,
this

ATTEST:

By:

(Principal) Secretary

(SEAL)

By:

Witness as to Principal

(Address)

ATTEST:

By

Witness as to Surety

(Address)

counterparts, each one of
(number)

day of , 20

Principal
BY
(Address)
(Surety)
BY

Attorney - in - Fact

(Address)

PROVIDED, that beneficiaries or claimants hereunder shall be limited to the subcontractors, and
persons, firms, and corporations having a direct contract with the PRINCIPAL or its
SUBCONTRACTORS.

CONSTRUCTION PAYMENT BOND

KNOW ALL MEN BY THESE PRESENTS: that

(Name of Contractor)

(Address of Contractor)

a , hereinafter called Principal,
(Corporation, Partnership or Individual)

and

(Name of Surety)

(Address of Surety)

hereinafter called Surety, are held and firmly bound unto

(Name of Owner)

(Address of Owner)

DIVISION 3

PAYMENT BOND
PERFORMANCE BOND
CERTIFICATE OF INSURANCE

THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS IFB

16, Fumish the following information with respect to an accredited banking institution familiar with
your organization.

Name of Bank M LOPLESE XY SAVING BANK

Address lG@& RITILETON ST
WESTFORD, MA

Account Manager

Telephone (41 8 ) 64a -1990

I hereby certify that the information submitted herewith, including any attachment is true to the best of my
knowledge and belief.

,
By: Scot ERoOStT
Tite: PRESLOENT

Dated: __\ 2| 22 20

CQ -3o0f7

10.

11.

12.

13.

14.

15.

THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS IFB

In the last five years, has your organization ever failed to substantially complete a project in a timely
manner?

[Yes [VINo
[]Yes [[JNo

If yes, describe circumstances and provide details on attachment.

Does your organization now have any legal suits or arbitration claims pending or outstanding against
it or any officers?

[_lYes [vino

If yes, describe circumstances and provide details on attachment.

THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS IFB

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).

®)

CRANE AND HOIST =
CRANE BUILDERS, INSTALLERS AND TECHNICIANS

Thank you again, and please call with any questions...

Sincerely,
Mass Crane & Hoist Service Inc.

Steve Neily
Sales

PROPOSAL ACCEPTED BY:

DATE:

500-1 Potash Hill Road, Tyngsboro, MA 01879 e TELEPHONE 800-909-2299 e www.masscrane.com