Agenda

BID BOND
PENAL SUM FORM

BIDDER (Name and Address):
DL King and Associates, Inc. 27 Tanglewood Dr. Nashua, NH

SURETY (Name and Address of Principal Place of Business):
The Ohio Casualty Insurance Company

OWNER (Name and Address):
_ City of Nashua 9 Riverside Street Nashua, NH 03062

BID
BID DUE DATE:_3/31/2016
PROJECT (Brief Description Including Location):
Construct accessible playground at Labine Field located Cleveland Street and intersection of

Fairview Avenue

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

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).

6 of 8
Bid Form

D.L. King & Associates, Inc.
Certificate of Vote

I, Arthur E. King, Jr., hereby certify that I am duly elected Secretary of D.L. King
& Associates, Inc.

I hereby certify the following is a true copy of a vote taken at a meeting of the
Board of Directors of the Corporation, duly called and held on March 31, 2016 at which a
quorum of the Board was present and voting.

VOTED:

A Corporation

Corporation Name: D.L.King & Associates, Inc. (SEAL)

Date and State of Incorporation: 1983 - Illinois

List of Executive Officers

Name Title
Donna L. King President
A. Dean King Vice President
Arthur E. King, Jr. P.E. CFO

Type (Ge eral Business, Professional, Servtee, Limited Liability):
; 4 <* ‘ °
yi _A ttA7 “MAF - =~ Ld ent
By lien ee 2 ea! dhl

(Sigrlagae -- attach evidence of authority to sign)

Name (typed or printed); _Donna_L. King

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:

(Signature of General Partner — attach evidence of authority to sign)

Name (typed or printed):

8.01 The following documents are attached to and made a condition of this Bid:

A. Bid Form;

B. Bid Bond;

Ce A tabulation of Subcontractors, Suppliers and other individuals and entities required to be
identified in this Bid; and

D. Construction Contractor's Qualification Statement.

9.01 Communications concerning this Bid shall be addressed to:
(Contractor's mailing address to be filled in by Bidder)

D.L. King & Associates, Inc.
27 Tanglewood Drive

Nashua, NH 03062

E. BIDDER does not consider that any further examinations, investigations, explorations,
tests, studies, or data are necessary for the determination of this Bid for performance of
the Work at the price(s) bid and within the times and in accordance with the other terms
and conditions of the Bidding Documents.

F, BIDDER is aware of the general nature of work to be performed by OWNER and others
at the Site that relates to the Work as indicated in the Bidding Documents.

BID FORM

PROJECT IDENTIFICATION: LEGACY PLAYGROUND AT LABINE PARK
CONTRACT IDENTIFICATION AND NUMBER: IFB 0651-033116

THIS BID IS SUBMITTED TO: City of Nashua
Purchasing Department
229 Main Street, City Hall
Nashua, NH 03061-2019