Agenda

Executive Summary

This document has been prepared to provide a description of the safety program plan to be
routinely utilized by Sealcoating, Inc., a roadway repair and reconstruction firm based in
Hingham, Massachusetts. Typical work activities consist of Pavement Seals, Crack Repair and
Sealing, Bridge Deck Repairs and Surface Treatments. This work activity will be performed as
an individual contractor working directly for the client/owner or as a designated subcontractor
to a project general contractor.

TABLE OF CONTENTS

Executive Summary

1.0 Introduction

2.0 Corporate Safety Philosophy

3.0 Corporate Safety Program Elements

4.0 Individual Contract/ Project Specific Safety Program Elements

5.0 Future Modification Procedures

Sealcoating, Inc. Created by J2M Consulting
825 Granite Street February 2013, Rev. 1
Braintree, MA 02184 Page 2

14.

Sealcoating, Inc.

Corporate Safety Plan

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Sealcoating, Inc. Created by J2M Consulting
825 Granite Street February 2013, Rev. 1
Braintree, MA 02184 Page 1

IFB0660-040617
2017 PAVEMENT PRESERVATION
MAINTENANCE PROGRAM

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

Sealcoating, Inc.

-

By: Lhthth— ee

Elizabeth Wuori

Sealcpating, Inc.

82 ranite St., Braintree, MA 02184
Title: President

Dated: April 4, 2017

CQ -30f7

10.

11.

12.

13.

14.

15.

IFB0660-040617
2017 PAVEMENT PRESERVATION
MAINTENANCE PROGRAM

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

LlYes [XINo

If yes, describe circumstances and provide details on attachment.
Has your organization had a contract partially or completely terminated for default (cause) within
the past five years?

[_}Yes [XINo

If yes, describe circumstances and provide details on attachment.

IFB0660-040617 ~
2017 PAVEMENT PRESERVATION
MAINTENANCE PROGRAM

CONSTRUCTION CONTRACTOR’S
QUALIFICATION STATEMENT

Contractor Business I.D. 73653
Contractor: Sealcoating, Inc.

Authorized Signature: Dealt. 1) yesh

an Wuori, President

Date: April/4, 2017

Address: 825 Granite Street, Braintree, MA 02184

Phone (781) 428-3400 | Fax: (781) 428-3430
Email Address: aviall@sealcoatinginc.com

Page 1 of 1

Revised per Addendum #1

Contractor:

Item No.

203.112

304.112

403.11

403.12

404.11

405.11

604.4

604.45

604.46

618.6

Estimated
Quantity

1,620

633

143

360

27,380

11,259

14

20

10,760

Sealcoating, Inc.

STREETS

City of Nashua, New Hampshire
Division of Public Works

Bid Schedule
Item Description Unit Price
Units with Unit Bid Price in Words in figures