Revised per Addendum #1
Contractor:
Item No.
618.7
619.1
632.0104
632.3112
632.32
632.80
632.911
632.913
TOTAL OF BID ITEMS (words)
Estimated
Quantity
7,744
gto.
Sealcoating, Inc.
STREETS
Units
Allowance — Fie
Seven Thousand !SeveniHu
City of Nashua, New Hampshire
Division of Public Works
Bid Schedule
Item Description
with Unit Bid Price in Words
Flaggers
iidred Korty-four Dollars and
Zero Cents
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ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
1.
Bidder and Surety, jointly and severally, bind
themselves, their heirs, executors, administrators,
successors, and assigns to pay to OWNER upon
default of Bidder the penal sum set forth on the face
of this Bond. :
BID BOND
PENAL SUM FORM
BIDDER (Name and Address):
ealcoating, Inc.
825 Granite Street
Braintree, MA 92184
SURETY (Name and Address of Principal Place of Business):
Fidelity and Deposit Company of Maryland
100 High Street Suite 1400 :
Boston, MA 02210
OWNER (Name and Address):
City of Nashua, NH
BID ]
BID DUE DATE:_ April 6, 2017
PROJECT (Brief Description Including Location):
2017 Pavement Preservation Maintenance Program
IFB0660-040617, _Micro-Surfacing, Crack Sealing
LIST OF SUBCONTRACTORS
(to be submitted after bid opening)
LIST OF 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 bidder should state “None” (or similar
language stating that no subcontractors need to be listed) in the space below. (Refer to General Condition
6.09.H)
Name
E.J. Paving Co., Inc.
By:
(Signature of joint ventured partner -- attach evidence of authority to sign)
Name (typed or printed):
Title:
Business Address:
Phone No.: Fax No.:
Address for receipt of official communications:
(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).
BF 6 of 8
Bid Form
A Corporation
Corporation Name: (SEAL)
Sealcoating, Inc.
Date and State of Incorporation:_ December 6, 1957 Massachusetts
List of Executive Officers
Name Title
Elizabeth Wuori, President, Manager, Treasurer
Richard L. Goodick, Vice President
April Durant, Clerk/Secretary
Type (Ggneral Business, Pro ssional, Service, Limited Liability); General Business
By: WW
(Signature -- attach evidence of authority to sign)
Name (typed or printed); Elizabeth Wuori
Title:President .
Attest: ( ful Tiel
If BIDDER is:
An Individual
Name (typed or printed):
By: (SEAL)
(Individual's Signature)
Doing business as:
Business address:
Phone No.: Fax No.:
A Partnership
Bid Form
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: ~e “
(Signature of General Partner — attach evidence of authority to sign)
Name (typed or printed):
