sos.nh.govcenter conway nh 03813 1.5 contractor phone number (603) 356-5432 1.6 account number...

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T•^177/£ 57>1 TE OF NEW HAMPSHIRE

DEPA R TMENT OF TRA NSPOR TA TION

fhiiHirtiiu^ut of Trunsporiotion

Victoria F. Sheehan

Commissioner

His Excellency, Governor Christopher T. Sununuand the Honorable Council

State House

Concord, New Hampshire 03301

1.--

William Cass, P.E.

Assistant Commissioner

Bureau of Highway MaintenanceJune 26, 2020

REQUESTED ACTION

Authorize the Department ofTransportalion to retroactively pay invoices to Burke Quarry LLC,Vendor #305817, Center Conway NH, for purchases made between May 5, 2020 and June 11, 2020.100% Other Funds (Betterment)

Funds are available as follows: FY 2021

04-096-096-963015-30390000

Betterment

020-500241 Construction Materials $42,641.36

EXPLANATION

This request is retroactive because of the tight construction schedule to complete culvert replacementsprior to resurfacing by paving contractor.

The Department of Transportation, District 3, rebuilt two portions of Green Hill Road in South Chathamin May which were subject to significant frost heaves in advance of the scheduled resurfacing by theannual paving contract. Paving contractor GMTs schedule provided a narrow window in late May forthe reconstruction, which included culvert replacements, a 12-inch layer of crushed gravel and 2 inchesof binder pavement, to occur without disrupting GMl's schedule. District 3 ordered crushed gravel fromBurke Quarry because Burke was able to deliver the needed materials, they were the closest supplier andthe District had previously purchased small quantities of materials from Burke. District 3 personnel didnot verify that Burke Quarry had a State aggregate contract prior to ordering and receiving the product.

Your approval of this request to pay invoices retroactively is respectfully requested.

Sincerely,

2,^. f.Victoria F. Sheehan

Commissioner

Attachments

JOHN O. MORTON BUILDING • 7 HAZEN DRIVE • P.O. BOX 483 • CONCORD, NEW HAMPSHIRE 03302-0483

TELEPHONE; 603-271-2171 • FAX; 603-271-7025 • TDD ACCESS: RELAY NH 1-800-735-2964 • INTERNET; VWVW.NHDOT.COM

FORM NUMBER P-37 (version 12/11/2019)

Notice: This agreement and all of its attachments shall become public upon submission to Governor and

Executive Coimcil for approval. Any information that is private, confidential or proprietary mustbe clearly identified to the agency and agreed to in writing prior to signing the contract.

AGREEMENT

' The 8tate"oFNew Hampshire and the Contractor hereby mutually agree as follows:

GENERAL PROVISIONS

1. IDENTiriCATION.

1.1 State Agency NameDepartment of Transportation

1.2 State Agency Address7 Hazen Drive

PC Box 483

Concord NH 03302-0483

1.3 Contractor Name

Burke Quarry, LLC1.4 Contractor Address

170 Industrial Drive

PC Box 496

Center Conway NH 03813

1.5 Contractor Phone

Number

(603) 356-5432

1.6 Account Number

04-096-096-9643050-

30390000-400-500241

1.7 Completion Date

May 28, 2020

1.8 Price Limitation

$42,641.36

1.9 Contracting Officer for State AgencyDavid P. Rodrigue, PE, Director of Operations

1.10 State Agency Telephone Number603-271-1486

1.11 Contractor Signature

■.13 State Agency^^j^feture

1.12 Name and Title of Contractor Signatory

1.14 Name and Title of State Aeency Sienator^Agency Signatoryij-

Date:e: / /^ I - David PI Rodrigue, PE, Director of Operations1.15 Approval by the N.H. Department of Administration, Division of Personnel (if applicable)

By: Director, On:

1.16 Approval by the Attorney General (Form, Substance and Execution) (ifapplicable)

By: On:

1.17 Approval by the Governor and Executive Council (if applicable)

G&C Item number: G&C Meeting Date:

Page 1 of 4Contractor Initials

Date

2. SERVICES TO BE PERFORMED. The State of NewHampshire, acting through the agency identified in block 1.1

("State"), engages contractor identified in block 1.3("Contractor") to perform, and the Contractor shall perform, thework or sale of goods, or both, identified and more particularlydescribed in the attached EXHIBIT B which is incorporatedherein by reference ("Services").

3. EFFECTIVE DATE/COMPLETION OF SERVICES.

3.1 Notwithstanding any provision of this Agreement to thecontrary, and subject to the approval of the Governor andExecutive Coimci! of the State of New Hampshire, if applicable,this Agreement, and all obligations of the parties hereunder, shallbecome effective on the date the Governor and Executive

Council approve this Agreement as indicated in block 1.17,unless no such approval is required, in which case the Agreementshall become effective on the date the Agreement is signed by

the State Agency as shown in block 1.13 ("Effective Date").3.2 If the Contractor commences the Services prior to theEffective Date,-"all"Serviccs performed by theContracior prior tothe Effective Date shall be performed at the sole risk of theContractor, and in the event that this Agreement does not becomeeffective, the State shall have no liability to the Contractor,including without limitation, any obligation to pay theCuiitJuOlOi fui any costs iiicurrcd or Services performed.Contractor must complete all Services by the Completion Datespecified in block 1.7.

4. CONDI riONAL NATURE OF AGREEMENT.

Notwithstanding any provision of this Agreement to thecontrary, all obligations of the State hereunder, including,without limitation, the continuance of payments hereunder, arecontingent upon the availability and continued appropriation offunds affected by any state or federal legislative or executiveaction that reducw;, ftliminafe.s or otherwise modifies theappropriation or availability of finding for this Agreement andthe Scope for Services provided in EXHIBIT B, in whole or inpart. In no event shall the State be liable for any paymentshereimder in excess of such available appropriated funds. In theevent of a reduction or termination of appropriated funds, theState shall have the right to withhold payment until such flmdsbecome available, if ever, and shall have the right to reduce orterminate the Services under this Agreement immediately, upongiving the Contractor notice of such reduction or termination.The State shall not be required to transfer funds from any otheraccount or source to the Account identified in block 1.6 in the

event funds in that Account are reduced or unavailable.

5. CONTRACT PRICE/PRICE LIMITATION/

PAYMENT.

5.1 The contract price, method of payment, and terms ofpaymentare identified and more particularly described in EXHIBIT Cwhich is incorporated herein by reference.5.2 The payment by the State of the contract price shall be theonly and the complete reimbursement to the Contractor for all

expenses, of whatever nature incurred by the Contractor in theperformance hereof, and shall be the only and the complete

compensation to the Contractor for the Services. The State shallhave no liability to the Contractor other than the contract price.5.3 The State reserves the right to offset from any amountsotherwise payable to the Contractor under this Agreement tho?"liquidated amounts required or permitted by N.H. RSA 8(through RSA 80:7-c or any .other provision of law.5.4 Notwithstanding any provision in this Agreement to thecontrary, and notwithstanding unexpected circumstances, in noevent shall the total of all payments authorized, or actually madehereunder, exceed the Price Limitation set forth in block 1.8.

6. COMPLIANCE BY CONTRACTOR WITH LAWS

AND REGULATIONS/ EQUAL EMPLOYMENTOPPORTUNITY.

6.1 In cormection with the performance of the Services, theContractor shall comply with all applicable statutes, laws,regulations, and orders of federal, state, county or municipalauthorities which impose any obligation or duty upon theContractor, including, but not limited to, civil rights and equalemployment opportunity laws. In additidn,"if this Agreement isfunded in any part by monies of the United States, the Contractorshall comply with all federal executive orders, mles, regulationsand statutes, and with any rules, regulations and guidelines as theState or the United States issue to implement these regulations.The Cuulmclur shall also comply with all applicable intellectualproperty laws.6.2 During the term of this Agreement, the Contractor shall notdiscriminate against employees or applicants for employmentbecause of race, color, religion, creed, age, sex, handicap, sexualorientation, or national origin and will take affirmative action toprevent such discrimination.6.3. The Contractor agrees to permit the State or United Stateoaccess to any of the Contractor's books, records and accounts forthe purpose of ascertaining compliance with all rules, regulationsand orders, and, the covenants, terms and conditions of this

Agreement.

7. PERSONNEL.

7.1 The Contractor shall at its own expense provide all personnelnecessary to perform the Services. The Contractor warrants thatall persoimel engaged in the Services shall be qualified toperform the Services, and shall be properly licensed andotherwise authorized to do so imder all-applicable laws.7.2 Unless otherwise authorized in writing, during the term ofthis Agreement, and for a period of six (6) months after theCompletion Date in block 1.7, the Contractor shall not hire, andshall not permit any subcontractor or other person, firm orcorporation with whom it is engaged in a combined effort toperform the Services to hire, any person who is a State employeeor official, who is materially involved in the procurement,administration or. performance of this Agreement. Thisprovision shall survive termination' of this Agreement.7.3 The Contracting Officer specified in block 1.9, or his or hersuccessor, shall be the State's representative. In the event of anydispute concerning the interpretation of this Agreement, theContracting Officer's decision shall be final for the State.


Date^-^-iPa96

8. EVENT OF DEFAULT/REMEDIES.

8.1 Any one or more of the following acts or omissions of theContractor shall constitute an event of default hereunder ("Event

Default"):

6.1.1 failure to perform the Services satisfactorily or onschedule;

8.1.2 failure to submit any report required hereunder; and/or8.1.3 failure to perform any other covenant, term or condition ofthis Agreement.8.2 Upon the occurrence of any Event of Default, the State maytake any one, or more, or all, of the following actions:8.2.1 give the Contractor a written notice specifying the Event ofDefault and requiring it to be remedied within, in the absence ofa greater or lesser specification of time, thirty (30) days from thedate of the notice; and if the Event of Default is not timely cured,terminate this Agreement, effective two (2) days after giving theContractor notice of termination;

8.2.2 give the Contractor a written notice specifying the Event ofDefault and suspending all payments to be made under-thisAgreement and ordering that the portion of the contract pricewhich would otherwise accrue to the Contractor during theperiod from the date of such notice imtil such time as the Statedelei'tiiines that (he Couliacloi has cuied tlie Event of Default

shall never be paid to the Contractor;8.2.3 give the Contractor a written notice specifying the Event ofDefault and set off against any other obligations the State mayowe to the Contractor any damages the State suffers by reason ofany Event of Default; and/or8.2.4 give the Contractor a written notice specifying the Event of

^fault, treat the Agreement as breached, terminate the. agreement and pursue any of its remedies at law or in equity, orboth.

8.3. No failure by the State to enforce any provisions hereof afterany Event of Default shall be deemed a waiver of its rights withregard to that Event of Default, or any subsequent Event ofDefault. No express failure to enforce any Event of Default shallbe deemed a waiver of the right of the State to enforce each andall of the provisions hereof upon any further or other Event ofDefault on the part of the Contractor.

9. TERMINATION.

9J^.Notwithstanding paragraph 8, the State, may^ at its solediscretion, terminate the Agreement for any reason, in whole orin part, by thirty (30) days written notice to the Contractor thatthe State is exercising its option to terminate the Agreement.9.2 In the event of an early termination of this Agreement forany reason other than the completion of the Services, theContractor shall, at the State's discretion, deliver to theContracting Officer, not later than fifteen (15) days after the dateof termination, a report ("Terminadon Report") describing indetail all Services performed, and the contract price earned, toand including the date of termination. The form, subject matter,content, and number of copies of the Termination Report shallbe identical to those of any Final Report described in the attachedEXHIBIT B. In addition, at the Stale's discredon, the Contractor

' all, within 15 days of nodce of early termination, develop and

submit to the State a Transidon Plan for services under the

Agreement.

10. DATA/ACCESS/CONFIDENTIALITY/

PRESERVATION.

10.1 As used in this Agreement, the word "data" shall mean allinformadon and things developed or obtained during theperformance of, or acquired or developed by reason of, thisAgreement, including, but not limited to, all studies, reports,files, formulae, surveys, maps, charts, sound recordings, videorecordings, pictorial reproductions, drawings, analyses, graphicrq)resentadons, computer programs, computer printouts, notes,letters, memoranda, papers, and documents, all whetherfinished or unfinished.

10.2 All data and any property which has been received fromthe State or purchased with funds provided for that purposeunder this Agreement, shall be the property of the State, andshall be returned to the State upon demand or upon terminationof this Agreement for any reason.10.3 Confidentiality of data shall be governed by N.H.RSAchapter 91-A or other existing law. Disclosure of data requiresprior written approval of the State.

11. CONTRACTOR'S RELATION TO THE STATE. In the

performance of this Agreement the Contractor is in all respectsan independent contractor, and is neither an agent nor anemployee of the State. Neither the Contractor nor any of itsofficers, employees, agents or members shall have authority tobind the State or receive any benefits, workers' compensation orother emoluments provided by the State to its employees.

12. ASSIGNMENT/DELEGATION/SUBCONTRACTS.

12.1 The Contractor shall not assign, or otherwise transfer anyinterest in this Agreement without the prior written notice, whichshall be provided to the State at least fifteen (15) days prior tothe assignment, and a written consent of the State. For purposesof this paragraph, a Change of Control shall constituteassignment. "Change of Control" means (a) merger,consolidation, or a transaction or series of related transactions inwhich a third party, together with its affiliates, becomes thedirect or indirect owner of fifty percent (50%) or more of thevoting shares or similar equity interests, or combined votingpower of the Contractor, or (b) the sale of ̂ or substantially allof the assets of the Contractor.

12.2 None of the Services shall be subcontracted by theContractor without prior written notice and consent of the State.The State is entitled to copies of all subcontracts and assignmentagreements and shall not be bound by any provisions containedin a subcontract or an assignment agreement to which it is not aparty.

13. INDEMNIFICATION. Unless otherwise exempted by law,the Contractor shall indemnify and hold harmless the State, itsofficers and employees, from and against any and all claims,liabilities and costs for any personal injury or property damages,patent or copyright infringement, or other claims asserted againstthe State, its officers or employees, which arise out of (or whichmay be claimed to arise out oO the acts or omission of the

Page 3 of 4Contractor Initials7^

Contractor, or subcontractors, including but not limited to thenegligence, reckless or iotentional conduct. The State shall notbe liable for any costs incurred by the Contractor arising underthis paragraph 13. Notwithstanding the foregoing, nothing hereincontained shall be deemed to constitute a waiver of the sovereignimmunity of the State, which immunity is hereby reserved to theState. This covenant in paragraph 13 shall survive thetermination of this Agreement.

14. INSURANCE.

14.1 The Contractor shall, at its sole expense, obtain andcontinuously maintain in force, and shall require anysubcontractor or assignee to obtain and maintain in force, thefollowing insurance:14.1.1 commercial general liability insurance against all claimsof bodily injury, death or property damage, in amounts of notless than $1,000,000 per occurrence and $2,000,000 aggregateor excess; and

14.1.2 special cause of loss coverage form covering all propertysubject to subparagraph 10.2 herein, in an amount not less than80% of the whole replacement value of the property.14.2 The policies described in subparagraph 14.1 herein shall beon policy forms and endorsements approved for use in the Stateof New Hampshire by the N.H. Department of Instirance, andissued by insurers licensed in the State of New Hampshire.14.3 The Contractor shall furnish to the Contracting Officeridentified in block 1.9, or his or her successor, a certificate(s) ofinsurance for all insurance required under this Agreement.Contractor shall also furnish to the Contracting Officer identifiedin block 1.9, or his or her successor, cenificate(s) of insurancefor all renewal(s) of insurance required under this Agreement nolater than ten (10) days prior to the expiration date of eachinsurance policy. The certificate(s) of insurance and anyrenewals thereof shall be attached and are incorporated herein byreference.

15. WORKERS'COMPENSATION.

15.1 By signing this agreement, the Contractor agrees, certifiesand warrants that the Contractor is in compliance with or exemptfrom, the requirements ofN.H. RSA chapter 281-A ("Workers'Compensation ").15.2 To the extent the Contractor is subject to the requirementsof N.H. RSA chapter 281-A, Contractor shall maintain, andrequire any subcontractor or assignee to secure and maintain,payment of Workers' Compensation in connection withactivities which the person proposes to undertake pursuant to thisAgreement. The Contractor shall furnish the Contracting Officeridentified in block 1.9, or his or her successor, proof of Workers'Compensation in the manner described in N.H. RSA chapter281-A and any applicable renewal(s) thereof, which shall beattached and are incorporated herein by reference. The Stateshall not be responsible for payment of any Workers'Compensation premiums or for any other claim or benefit forContractor, or any subcontractor or employee of Contractor,which might arise under applicable State of New HampshireWorkers' Compensation laws in connection with theperformance of the Services under this Agreement.

16. NOTICE. Any notice by a party hereto to the other partyshall be deemed to have been duly delivered or given at the timeof mailing by certified mail, postage prepaid, in a United State«Post Office addressed to the parties at the addresses givenblocks 1.2 and 1.4, herein.

17. AMENDMENT. This Agreement may be amended, waivedor discharged only by an instrument in writing signed by theparties hereto and only after approval of such amendment,waiver or discharge by the Governor and Executive Council ofthe State of New Hampshire unless no such approval is requiredunder the circumstances piirsuant to State law, rule or policy.

18. CHOICE OF LAW AND FORUM. This Agreement shallbe governed, interpreted and construed in accordance with thelaws of the State of New Hampshire, and is binding upon andinures to the benefit of the parties and their respective successorsand assigns. The wording used in this Agreement is the wordingchosen by the parties to express their mutual intent, and no ruleof construction shall be applied against or in favor of any party.Any actions arising out of this Agreement shall be brought andmaintained in New Hampshire Superior Court which shall haveexclusive jurisdiction thereof.

19. CONFLICTING TERMS. In the event of a conflictbetween the terms of this P-37 form (as modified in EXHIBIT

A) and/or attachments and amendment thereof, the terras of theP-37 (as modified in EXHIBIT A) shall control.

20. THIRD PARTIES. The parties hereto do not intend tbenefit any third parties and this Agreement shall not beconstrued to confer any such benefit.

21. HEADINGS. The headings throughout the Agreement arefor reference purposes only, and the words contained thereinshall in no way be held to explain, modify, amplify or aid in theinterpretation, construction or meaning of the provisions of thisAgreement.

22. SPECIAL PROVISIONS. Additional or modifyingprovisions set forth in the attached EXHIBIT A are incorporatedherein by reference.

23. SEVERABILITY. In the event any of the provisions of thisAgreement arc held by a court of competent jurisdiction to becontrary to any state or federal law, the remaining provisions ofthis Agreement will remain in full force and effect.

24. ENTIRE AGREEMENT. This Agreement, which may beexecuted in a number of counterparts, each of which shall bedeemed an original, constitutes the entire agreement andunderstanding between The-parties, and supersedes all prioragreements and understandings with respect to the subject matterhereof.


Date

Certificate of Authoritj' # 1 (Corporation of LLC- Non-specific, open-ended)

Cornoratc Resolution

. hereby certify that 1 am duly elected Cicrk/Secretary of{Name)

15uxk-je_Q.uarxu LLC(Name of Corporation or uLO(Name of Corporation or uLC)

. I hereby certify the foiiowitig Is a true copy of a

vote taken at a meeting of the Board of Directors/shareholders, duly called and held on(Month)

IZ , 20 at which a quorum of the Directors/shareholders were present and voting.(Day) (Year)

VOTED: That (may list more than one person) is duly authorized{Name and Title)

enter into contracts or agreements on behalf of j2xaric^Q.uarxy_I._LC__(Name ofCorporalioiJor LLC)

wit

(Name ofCorporalioiihr LLC)

to

h

the State of New Hampshire and any of its agencies or departments and further is authorized to execute any

documents which may in his/her judgment be desirable or necessary to effect the purpose of this vote.

1 hereby certify that said vote has not been amended or repealed and remains in full force and effect as of

the date of the contract to which this certificate is attached. I further certify that it is understood that the State of

New Hampshire will rely on this certificate as evidence that the person(s) listed above currently occupy the

position(s) indicated and that they have full authority to bind the corpoiation. To the extent tiiai there arc any limits

on the authority of any listed individual to bind the corporation in contracts with the State of New Hampshire, all

such limitations are expressly stated herein.

DATED: A'lTEST:

UlY ^WTf

5 /cOMMlSStON= ; expiresi : OCT. 23.2024%

and Title)

1

state of New Hampshire

Department of State

CERTIFICATE

I, William M. Gardner, Secretary of State of the State of New Hampshire, do hereby certify that BURKE QUARRY, LLC is

a New Hampshire Limited Liability Company registered to transact business in New Hampshire on January 23, 2019. 1 further

certify that all fees and documents required by the Secretary of State's office have been received and is in good standing as far as

this office is concerned; and the attached is a true copy of the list of documents on file in this office.

Business ID: 811156

Certificate Number; 0004935972

u.

o

>1.

IN TESTIMONY WHEREOF,

I hereto set rhy hand and cause to be affixed

the Seal of the State of New Hampshire,-

this 24th day of June A.D. 2020.

William M. Gardner

Secretary of State

OJ

tl

State of New Hampshire

Department of State

*

OSS

Business Name : BURKE QUARRY, LLC

Business ID: 811156

Filing History

Filing# Filing Date Effective Date Filing Type Annual Report Year

0004884941 04/06/2020 04/06/2020 Annual Report 2020

0004656357 01/05/2020 01/05/2020 Annual Report Reminder N/A

0004387483 01/23/2019 01/23/2019 Business Formation N/A

Trade Name Information

Business Name Business ID Business Status

No Trade Name(s) associated to this business.

Name History

Name Name Type

No Name Changes found for this business.

Principal Information

Name Title

Thomas Burke Manager

Mailing Address - Corporation Division, NH Department ofSiaic, 107 North Main Street, Room 204, Concord, NH 03301-4989Physical Location - Stale House Annex, 3rd Floor, Room 317, 25 Capitol Street, Concord, NH

Phone: (603)271-3246 | Fax: (603)271-3247 | Email: [email protected] | Website: sos.nh.gov

CERTIFICATE OF LIABILITY INSURANCEDATE (MMAMVYYYY)

6/24/2020

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES

BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder Is an ADDmONAL INSURED, the policy(le8) must bo endorsed. If SUBROGATION IS WAIVED, subject tothe terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to thecertificate holder In lieu of such endorsements).

PRODUCER

THE ROWLEY AGENCY INC.

45 Constitution Avenue

P.O. Box 511

Concord NH 03302-0511

namf"^ Sarah Fifield(603)224-2562 f",,,

ADDRESS- a^l^laldSrowleyagency.com

INSURERfS) AFFORDING COVERAGE NAIC f

INSURER A Union Insurance Company 25844

INSURED

Cedar Stusp LLC £ Burke Quarry LLC

170 Industrial Drive

PC Box 495

North Conway NH 03860

INSURER B Acadia Insurance Company 31325

INSURER C

INSURER D

INSURER E

INSURER F

COVERAGES CERTIFICATE NUMBER: 3/20-12/20 REVISION NUMBER:

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD

INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR

LTR TYPE OF= INSURANCE ITOSIiTOl POtlCV NUMBER

COMMERCIAL GENERAL UASnJTY

1 CLAIMSJAAOe OCCURContractual Li«bility

GENl AGGREGATE LIMIT APPUES PER:

POUCY

OTHER:

LOC

CPAS3BS769

POLICY EPF POLICY EXPIMM/POnrYYYl IMMUXYYYYYl

3/26/2020 12/31/2020

LIMITS

EACH OCCURRENCE

TSaSKSTT^^EnTEB—PREMISES fE« oengrwKct

MED EXP (Any ona person)

PERSONAL & AOV INJURY

GENERAL AGGREGATE

PRODUCTS • COMP/OPAGG

COMBINED SiNGLk LIMITfEa MXktwWI

1,000,000

300,000

10,000

1,000,000

2,000,000

2,000,000

AUTOMOBILE UABIUTY 1,000,000

ANY AUTO

Aa ovmEDAUTOS

HIRED AUTOS

BODILY INJURY (Par paraon)

SCHEDULEDAUTOSNON-OWNEDAUTOS

CPA53e976» 3/26/2020 12/31/2020 BODILY INJURY (Par acddartt)

PROPERTY DAMAGEfPeracdilanl)

UMBRELLA LlAB

EXCESS UAB

DED X

OCCUR

CLAIMS-MADE

EACH (XCURRENCE 5,000,000

AGGREGATE 5,000,000

RETENTION i CUAS3e9770 3/26/2020 12/31/2020

PERSTATUTE

OTH-WORKERS COMPENSATION

AND EMPLOYERS' LtABUTY

ANY PROPRIETORffARTNER/EXECUTIVEOFFICER/MEMeER EXCLUDED?(Mandalory In NH)iryti, Oaacriba undarDESCRIPTION OF OPERATIONS balffw

□E.L. EACH ACCIDENT

E.L. DISEASE • EA EMPLOYEE

E.L. DISEASE - POLKV LIMIT

DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101. AddltlorMi Ramarha Schadula. may ba attachad If mora apaca la raqulrad)State of KH DOT, Owner, and all other parties as required by written contract are additional insureds onall liability policies on a primary and non-contributory basis for both ongoing and coa^leted operations.Waiver of subrogation ^plies in favor of additional insureds when required by written contract.

CERTIFICATE HOLDER CANCELLATION

State of NH DOT

PC Box 483Concord, NH 03301-0483

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

Sarah Fifield/SEF

ACORD 25 (2014/01)INS02S (201401)

1988-2014 ACORD CORPORATION. All rights rosorved.The ACORD name and logo are registered marks of ACORD

Burice Quarry, LLC

170 Industrial Dr. Ctr. ConwayPO Box 496

North Conway. NH 03860-0496603) 356-5432

Bill To:

Account ID: NHDOTState of NHDOT-District 32 Sawmill Rd.

Gilford, NH 03249

QUARRY.

Invoice

Invoice Date Invoice#

05/04/2020 1638

Terms: Net 30

Pagel

Ship To:(jreen niii ko

Vendor#305817

S. Chatham. NH 03813Delivery with 33/ton Dump trailer would be3.15/ton + 8.75/ton = total $11.90Aon - thiswould reculre suitabie area for tractor and

Oescrlptlort (Ticket, Date and RIatarlal) Quantity Untt$ Material $ Delivery $ MlacS Una Total

6020 5/4/2020 Crushed Gravel T Minus




6033 S/4/2020 Crushed Gravel T Minus



6.37

6.96

6.42

6.93

6.81

7.39

7.62

/ $8.00 An

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$8.00 An

$8.00 An

$8.00 An

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/-

$42.96

$55.68

$51.38

$55.44

$54.48

$59.12

$60.96

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$42.06

$55.66

$51.36

$55.44

$54.46

$59.12

$60.96

If-.f

Vendor# Oran:-, 303°!

Obj: 500 SV/ woe

DBF Project# ¥3\'>50

Signature

V23i(gl

JUN 08

DlSN.H. D

TRICT 03

2020

x>.T.GILFORD

Discounts will only be applied on accounts which are currentand If payment Is received by the discount date noted onInvoice. AU unpaid Invoices over 30 days are subject to a

flruince charge of 1.50% per month.

2% Discount Allowed If Full Payment la Received by (helOthoftheMorrth

Sub Totals $360.00 $0.00 $0.00 $380.00

Tax Total $0.00

Balance Due $380.00

Burfce Quarry, LLC


North Conway, NH 03860-0496:803) 356-5432

iQUARRY

Invoice Date Invoice #

05/05/2020 1658

Terms: Net 30

Pagel

Bill To:

Account ID: NHDOT

State of NH DOT - District 3

2 Sawmill Rd.Gilford, NH 03249

InvoiceShip To:GTddn Hlil Kd

Ver>dor#305817

S. Chatham. NH 03813Delivery with 33/ton Dump trailer would t>e3.15/ton + 8.75/ton = total $11.90Aon - thiswould reouire suitable area for tractor and

Deecrlpdon (Tlckat, Date and Matertel) Quantity Unttt

/ $16.00/in

Matafial $ Dallvary $ MiacI Una Total

6084 5/5/2020 NH DOT Clasa I WASHED 1)lp-Rap.

4*^

7.64 $122.24 $0.00 $0.00 $122.24

Vendor# Orgn: 3 03^

Obj: 50Q (P V / WCC_ 23

5"

Burke Quarry, LLC


North Conway, NH 03860-0496'603) 356-5432

UARRY

Bill To;

Account ID: NHDOT


2 Sawmill Rd.

Gilford. NH 03249

invoice


05/12/2020 1740

Terms: Net 30

Page 1

Ship To:

Order ID: 2

Green Hill Rd

Vendor#305817

S.Chatham, NH 03813

Description (Ticket, Date and Material) Quantity Unit! Material $ Delivery $ MlacS Line Total

6305 S/12/2020 NH DOT 304.4 Crushed Stone Fin...

6307 5/12^020 NH DOT 304.4 Crushed Stone Fin...

6310 5/12/2020 NH DOT 304.4 Crushed Stone Fin...

6311 6/12/2020 NH DOT 304.4 Ciuahad Stone Fin...













6346-5/12^20-NH-DOT-d04;4Crushed-Stonennrr^


6349 5/12/2020 NH DOT 304.4 Cnrshed Stone Fin...





6362 S/12/2020 NH DOT 304.4 Crushed Stone Rn...

6363 snzaolo NH DOT 304.4 Crushed Stone Fin...

Vendor# 305WI1 ©rgn

ObJ; 500 wcc

23.67

24.36

23.34

23.63

23.70

24.02

22.66

23.17

23.55

22.78

23.41

23.60

22.26

23.79

23.25

23.46

'-23:03

'2374"

24.29

24.07

23.66

23.65

24.68

23.98

23.50

Z $8.75 An$8.76 An

$6.75 An

$6.75 An

$6.76 An

$6.75 An

$8.75 An

$8.75 An

$8.75 An

$8.76 An

$8.75 An

$8.75 An

$8.75 An

$8.76 An

$8.75 An

$8.75 An

), t8r76An

/ / $875 An$8.75 An

$8.75 An

$8.75 An

// $8.75An

$8.75 An

$6.75 /tn

$8.75/In

Z

/

/

DBF M50l Prolaet#

Signature

305^

"is.?)

Discounts will only be applied on accounts which are currentand if paynnent is received by the discount date noted oninvoice. All unpaid Invoiced over 30 days are subject to a

finance charye of 1.50% per month.

2% Discount Allowed If Full Poymarrt la Received by the10th of the Month

Sub Totals

Tax Total

$206.24

$213.33

$204.23

$205.89

$207.36

$210.18

$196.28

$202.74

$206.06

$199.33

$204.64

$206.50

$194.78

$206.16

$203.44

$205.26

-$201.61-

$68.39

$91.43

$87.53

$88.24

$68.88

$90.08

$84.98

$88.69

$88.31

$85.43

$67.79

$68.50

$63.46

$69.21

$67.19

$67.98

-$66.36

$207.73

$212.54

$210.61

$206.78

$208.69

$217.70

$209.83

$205.63

$69.03

$91.09

$90.26

$89.48

$89.44

$93.30

$89.93

$88.13

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

-$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

(§

JUN

NDISTRIC

10^

0 8 2020

H. D.O.T.T 03 GILF

$294.63

$304.76

$291.76

$294.13

$296.26

$300.26

$283.26

$269.63

$294.37

$284.76

$292.63

$295.00

$276.26

$297.37

$290.63

$293.26

.$287.67

$296.76

$303.63

$300.67

$298.26

$296.13

$311.00

$299.76

$293.76

ORD

$5,159.66 $2,211.33 $0.00 $7,371.01

$0.00

Balance Due $7,371.01

'

Lamarre, Penny

From: wendy@burl

J

QUARRY.LLC

Burke Quarry LLC

PO Box 496

N. Conway. NH 03860603-662-0380

Billed To: State of NH DOT - District 3

2 Sawmill Rd

Gilford NH 03249

Service Invoice

Invoice#: 1741c

Date: 06/10/2020

.io\d/

Scheduled; 06/09/2020 Order#;

Assembly# Part# Descrip

Notes:

Credit Invoice - tic


Quantity

-1.0000

■1.0000

Price

201.51000086,360000

5/12/2020 ticket #6346 was incorrectly charged to invoice #1741. Sorry for anyinconvenience.

Ext Price Sales Tax

-201.51

-86.36

(gnow

JUN 1 0 2020N.H. D.O.T.

DISTRICT 03 GILFORD

A service charge of 18.00 % per annum will be charged on all amounts Non-Taxable Amount: -287.87overdue on regular statement dates. Taxable Amount: 0.00Thank you for your prompt payment! Sales Tax: 0.00

Amount Due •287.87

Burlce Quarry, LLC


North Conway. NH 03860-0496603) 356-5432

r

QUAUARRY

Em

Bill To:

Account ID: NHDOTState of NH DOT - District 3

2 Sawmill Rd.

Gilford. NH 03249

InvoiceShip To:


05/13/2020 1749

Terms: Net 30

Pago 1 ̂ 1

Order ID: 2Green Hill Rd

Vendor#30S817

S. Chatham, NH 03813

Oo«cr1ptlon (Ticket Oats and Matorfal) Quantity Unit I Material $ Detlvary $ MlacI Line Total



637$ 5/13/2020 NH DOT 304,4 Crushed Stone Fin...



6385 5/13/2020 NH DOT 304.4 Cnjshed Stone Fin...





6394 5/13/2020 NH DOT 304.4 Crushed Stone Rn...



;398 5/13/2020 NH DOT 304.4 Crushed Stone Fin...

6401 5/13/2020 NH OOT 304.4 Crushed.Slone Fin...

6405 5/13/2020 NH OOT 304.4 Crushed Stone Fin...





6411 5/13/2020 3/4" Burke Pack • NH DOT 304.33 ^6412 5/13/2020 NH DOT 304.4 Crushed Stone Fin...



6410 5/13/2020 3/4" Burke Pack • NH DOT 304.33 ̂ )6420 5/13/2020 NH DOT 304.4 Crushed Stone Fin...^



6425 5/13/2020 3/4" Burke Pack ■ NH OOT 304.33 j-l'


^426 6/13/2020 NH OOT 304.4 Crushed Stone Fin...6430 6/13/2020 NH OOT 304.4 Crushed Stone Fin...


f[

(9

23,79

23.70

23.61

23.70

24.33

23.72

23.63

23.99

24.06

23.98

24.18

(23.5823:3t

23.31

23.81

17.42

23.30

22.89

16.66

23.17

23.65

23.91

17.21

23.14

23.65

23.12

17.33

23.35

f]23.40

16.71

7^

/

/

//

\/

/

//

K

/«/'

1/

V

:/

$8.75 An

$8.75 /tn

$8.75 An

$8.75 An

$8.76 An

$8.75 An

$8.76 An

$8.76 An

$8.76 An

$8.75 An

$8.75 /tn

'$8.76 An

$8.75 An

$8.75 An

$8.75 An

$8.75 An

$8.75 An

$6.75 An

$8.75/(n

$^75

$6.56 /tn

$8.75 An

$8.75 An

$8.75 An

$8.55 An

$8.75 /tn

$8.75 An

$6.75 An

$8,55 /in

$8.75 An

$8.76 An

$8.75 An

$8.75 An

Sub Totals

$206.16

$207.38

$206.59

$207.36

$212.69

$207.65

$206.76

$209.91

$210.53

$209.63

$211.58

$203.88

$206.33

$203.96

$203.96

$206.34

$152.43

$203.86

$200.29

$203.09

$142.44

$202.74

$206.94

^09.21

$147.15

$202.48

$206.94

$202.30

$148,17

$204.31

$196.98

$204.75

$146.21

Tax Total

$89.21

$86.88

$88.54

$68.88

$91.24

$88.95

$88.61

$89.96

$90.23

$89.93

$90.68

$87.38

$88.43

$87.41

$87.41

$66.29

$0.00

$87.38

$85.84

$87.04

$0.00

S86.89

$68.69

$89.66

$0.00

$86.78

$88.69

$86.70

$0.00

$87.56

$85.26

$87.75

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

SO.OO

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

~$b!6o$0.00

$0.00

$0.00

$0.00

SO.OO

$o.x

$0.00

SO.OO

$0.00

$0.00

$0.00

$0.00

$297.37

$296.26

$295.13

$296.26

$304.13

$296.50

$295.37

$299.67

$300.76

$299.76

$302.26

$291.26

$294.76

$291.37

$291.37

$297.63

$152.43

$291.26

$286.13

$290.13

$142.44

$269.63

$295.63

$298.67

$147.15

$i286.26

$295.63

$289.00

$148.17

$291.87

$284.26

$262.50

$146.21

2% Discount Allowed If Full Payment is Received by ttie10th of the Month

Balance Due JUN 06 ?fi;n

Burlce Quarry, LLC


North Conway, NH 03860-0496303) 356-5432

RY

Bill To:

Account ID: NHDOT

State of NH DOT - District 32 Sawmill Rd.

Gilfbrd, NH 03249

invoice

Due Date Invoice Date Invoice #

06/12/2020 05/13/2020 1749

Terma: Net 30

Page 2

Ship To:

Order ID: 2

Green Hill Rd

VendOf#305817


DMCdptlon (Ticket, Dote and Metorlel) Quantity

7^y:

)

/' //./

y/

y /•/

/ Unit $ Materials Dalivery $ MlacS Una Total

6434 5/13/2020 NH DOT 304.4 Crushed Stone Fin..


6436 5/13/2020 NH DOT 304.4 Crushed Stono Fin..




6446 5/13/2020 NH DOT 304.4 Crushed Storte Fin..

6447 5/13/2020 NH DOT 304.4 Crushed Stor)e Fin..

644S S/13/2020 NH DOT 304.4 Crushed Stone Fin..

6449 S/13/2020 NH DOT 304.4 Crushed Stone Fin..


6453 S/13/2020 NH DOT 304.4 Crushed Stone Fin;.





6461 5/13/2020 NH DOT 304.4 Crushed Stor>e Fin..









A

22.64

22.66

17.73

22.54

22.72

22.67

22.96

V 16.86,

22.79

17.38

22.65

22.47

22.90

16.39

22.80

23.15

23.57

15.06

23.79

23,33

16.13

23.29

22.96

23.01

23.27

$8.75 An

$6.75 An

$6.75 An

$8.75 An

$6.75 An

$6.75 An

$6.75 An

$8.75 An

$8.75 An

$6.75 An

$6.75 An

$6.75 An

$6.75 An

$8.75 An

$8.75 An

$6.75 An

$8.75 An

$8.75 An

$6.75 An

$6.75 An

$6.75 An

$6.75 An

$6.75 An

$6.75 An

$8.76 An

Vendor# S11 Omn. 303^

Obj; 500 c^V/ WCC ; /^-3'

DBF 301 Project# 3aSlO

Signature,

Discounts will only be applied on accounts which are currentand if payment Is received by the discount date noted onInvoice. All unpaid involcea over 30 daya are aut^ect to a

finance charge of 1.50% per month.

2% Dlacount Allowed If Full Payment la Received by thelOtti of the Month

Sub Totala

Tax Total

$199.65

$198.45

$155.14

$197.23

$196.60

$196.36

$200.90

$147.70

$199.41

$151.90

$199.94

$196.61

$200.38

$143.41

$199.50

$202.66

$206.24

$131.78

$206.16

$204.14

$141.14

$203.79

$200.90

$201.34

$203.61

$85.65

$65.05

$0.00

$64.53

$65.20

$85.01

$66.10

$0.00

$65.46

$0.00

$65.69

$64.26

$85.68

$0.00

$65.50

$66.61

$66.39

$0.00

$69.21

$67.49

$0.00

$67.34

$66.10

$66.29

$87.26

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

SQ.OC

SO.OO

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$285.50

$263.50

$155.14

$261.76

$284.00

$283.37

$207.00

$147.70

$264.87

$151.90

$285.63

$280.67

$286.26

$143.41

$265.00

$269.37

$294.63

$131.76

$297.37

$291.63

$141.14

$291.13

$267.00

$287.63

$290.87

JL

DISTR

N 08 20;

M.H. D.O.TICT 03 Gi' .FORD

$11,198.56 $4,110.51 $0.00 $15,309.09

$0.00


Burke Qukrry, LLC170 Industrial Dr. Ctr. ConwayPO Box 496

North Conway, NH 03860-0496803) 356-5432

kLdQUARRY

Bill To:

Account ID: NHDOT



Invoice


05/14/2020 1761

Terms; Net 30

Pago 1 C

Ship To:

Order ID: 2

Green Hill Rd

Vendor#305817

S. Chatham. NH 03813

Deecrlption (Tlckat, Date and Material) Quantity Units Material $ DetNtfy S MlacS Lino Total

64M) S/14/2020 NH DOT 304.4 Crushed Slone Fin....

6491 S/14/2020 NH DOT 304.4 Cmshed Slone Fin...




6497 5/14/2020 NH DOT 304.4 Crushed Slone Fin...

6600 5/14/2020 3/4" Burke Pack - NH DOT 304.33

6503 5/14/2020 NH DOT 304.4 Cnished Stonie Fin...

/il// I 23.08

6504 5/14/2^0 ;V4" Buike Rack - NH iXjT 304.33^'6505 S/14/2020 NH DOT 304.4 Crushed Stone Fin...


6507 5/14/2020 NH DOT 304.4 Crushed Stono Fin...

6510 6/14/2020 NH DOT 304.4 Cnished Stone Fin...

>511 S/14/2020 3/4" Buike Pack • NH DOT 304.33 '


6516 5/14/2020 3/4" Burke Pack - NH DOT 304.33 ji

6517 6/14/2020 NH"66t"304.4 Crushed Stbnrp'ln...^6519 5/14/2020 NH DOT 304.4 Crushed Stone Fin...'








. 6532 6/14/2020 NH DOT 304.4 Crushed Stone Fin...

( 653^14/2020 NH DOT 304.4 Crushed Stone Fin...16^5/14/2020 NH DOT 304.4 Cnished Stone Fin...6536 5/14/2020 NH DOT 304.4 Cnished Stone Fin...




6545 6/14/2020 NH DOT 304.4 Cnished Stono Fin...

23.47

23.09

23.39

22.67

16.55

23.37

16.71

23.08

23.24

23.17

21.70

16.66

23.46

17.73

2l2f

23.46

C 23.83

'l\3.7e15.66

23.10

23.39

15.62

23.40

23.54

20.52

23.31

15.46

23.96

23.65

15.53

23.57

/y

//.

/

(/-

$8.75 An

$6.75 An

$8.75 An

$8.75 An

$6.75 An

$8.75 An

$6.55 An

$6.75 An

$149.36

$201.78

$205.36

$202.04

$204.66

$198.36

$141.50

$204.49

$0.00

$68.48

$86.01

$66.59

$87.71

$85.01

$0.00

$87.64

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$149.36

$286.26

$293.37

$286.63

$292.37

$283.37

$141.50

$292.13

$6.95 An $142.87 $0.00 $0.00 $142.67

/ $8.75 An

^ j $8.75/m' $8.75 An

, $8.75 An

/ ̂ $8.55/In

$8.75 An

v/

$8.55 An

■$8.7T/tri$8.75 An

$8.75 An

$8.76 An

Sd.75/tn

$8.75 /(n

$8.75 An

$8.75/In

$8.75/in

^.75^$8.75 Aj^

$8.75 an

$8.75 An

$8.75 An

$8.75 An

$8.75 An

S201.95

$203.35

$202.74

$169.68

$141.76

$205.26

$151.59

$80.55

$87.15

$88.89

$81.38

./

y'-y

y

y

V

'y

/

$203.09

$205.45

$208.51

$206.16

$136.94

$202.13

$204.66

$138.43

$204.75

$205.98

$179.55

$203.96

$135.28

S209.65

$206.94

$135.89

$206.24

MOO

$87.98

$0.00

$87.04

$68,05

$89.36

$89.21

$0.00

$86.63

$87.71

$0.00

$87.75

$88.28

$76.95

$67.41

$0.00

$89.85

$88.69

$0.00

$68.39

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

so.oo

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$288.50

$290.50

$269.63

M71.26

$14T76

$293.26

$151.59

$2M.'l3$293.50

$297.87

$297.37

$136.94

$286.76

$292.37

$138.43

$292.50

$294.26

^56^50^$291.37

$135.28

$299.50

$295.63

$135.69

S294.63

yei'

2% Discount Allowed If Full Paymerrt le Received by the10th of the Month

Sub Totals

Tax Total

Balance Due JUN 0 8 2020N.h. P.O.T.

DISTRICT 03 GILFORD

Burke Quarry, LLC


North Conway, NH 03860-0496303) 356-5432

QUARRY

Due Date Invoice Date Invoice #

06/13/2020 05/14/2020 1761

Terms; Net 30

Page 2

Bill To:

Account ID: NHDOT


Gilford. NH 03249

InvoiceShip To:

Order ID: 2

Green Hill Rd

Vendor#305817


Description (TIckst, Dste and Mstarfal) Quantity Unit! Materials Delivery $ MlacS Lino Total

/it'.

6'' -•/

6546 5/14/2020 NH

6547 5/14/2020 NH

6551 5/14/2020 NH

6552 5/14/2020 NH

6555 S/14/2020 NH

8557 5/14/2020 NH

6559 5/14/2020 NH

6560 5/14/2020 NH

6563 5/14/2020 NH

6564 5/14/2020 NH

6566 5/14/2020 NH

6567 5/14/2020 NH

6566 5/14/2020 NH

>569 5/14/2020 NH

8572 5/14/2020 NH

6574 5/14/2020 NH

6577 5/14/2020 NH

657B 5/14/2020 NH

6582 5/14/2020 3/4''

6593 5/14/2020 3/4"

DOT 304.4 Crushed

DOT 304.4 Crushed

DOT 304.4 Crushed

DOT 304.4 Crushed

DOT 304.4 Crushed

DOT 304.4 Cru8t>ed

DOT 304.4 Crushed

DOT 304.4 Crushed

DOT 304.4 Crushed

DOT 304.4 Crushed

DOT 304.4 Crushed

DOT 304.4 Crushed

DOT 304.4 Crushed

DOT 304.4 Crushed

DOT 304.4 Crushed

DOT 304.4 Crushed

DOT 304.4 Crushed

DOT 304.4 Crushed

Stone Rn.

Stone Rn.

Stone Fin.

Stone Fin.

Stone Fin.

Stone Fin.

Stone Fin.

Stone Fin.

Stone Pin.

Stone Fin.

Stor>e Fin.

Storte Fin.

Stone Fin.

Stone Fin.

Stone Fin.

Stone Fin.

Stone Fin.

Stone Fin.

n

Burke Pech - NH DOT 304.33

Burke Peck • NH DOT 304.33

23.33

23.27

16.06

23.02

23.66

22.69

23.40

23.33

16.21

23.39

23.03

23.11

23.39

23.23

17.16

23.34

23.32

23.25

67

83

/ $6.75 /tn

$8.75 /In

fin

^ / $8.75

Vy $8.75$8.75 ftn

$8.75/tn

l/y $6.75 /tnl/\ $8.75/tn

t/V $6.76/tn

sf $0.75 /tn^/ $8.75 AniX 58.75 An

An

^'■$6.75 An$8.75 An

^ , $8.75/tn^ $6.75 AnV. $6.75/tn

^, SB.75 /inl/y $8.55 An^ $8.55 An

$204.14

$203.61

$140.53

$201.43

$206.94

$200.20

$204.75

$204,14

$141.84

$204.66

$201.51

$202.21

$204.66

$203.26

$150.15

$204.23

$204.05

$203.44

$133.98

$.135.35

$87.40

$67.26

$0.00

$66.33

$88.69

$85.64

$87.75

$87.49

$0.00

$87.71

$86.36

$86.66

$87.71

$87.11

$0.00

$87.53

$87.45

$87.19

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

Vendor# 305?!! Orgn: 9Obj; 500 / WCC__^DBF S'O/ Project#Signature

oso

(giO'S^

UN 08 21 120

DISTN.H. D.O

RIOT 03 G

$291.63

$290.87

$140.53

$287.76

$295.63

$268.13

$292.50

$291.63

$141.64

$292.37

$287.87

$288.87

$292.37

$290.37

$150.15

$291.76

$291.50

$290.63

$133.98

$135,35

T.ILFORD

Discounts will only be applied on accounts which are currentand If payment Is received by the discount date noted onInvoice. All unpaid Invoioee over 30 days are subject to a


2% Diacount Allowed ff Full Payment Is Racslvad by the10th of the Month

Sub Totals $9,697.75 $3,395.26 $0.00 $13,293.03

Tax Total $0.00


I o4.£-^3

QUARRY.t

4±;i Ali

ic

Burke Quarry LLC

PO 80X496

N. Conway. NH 03860603-662-0360

Service Invoice

Invoice#: 1761c

Date: 06/04/2020

Billed To: State of NH DOT - District 3

2 Sawmill RdGilford NH 03249

Scheduled: 06/03/2020 Order#:

Asoombty# Part# Doocrip


Credit Invoice - tic OS'S V

Quantity

-20.5200

-1.0000

Price

8.750000

76.050000

Ext Price SeleaTax

-179.65

-76.95

(girw

JUN 0 8 2020

N.H. D.O.T.DISTR.-'n" 03GIL.'^ORD

A seivlce charge of 1B.00% per ennum will be charged on ell amountsoverdue on regular statement dates.

Thank you for your prompt paymanti

NorvTaxable Amount -256.50

Taxable Amount; 0.00

Sales Tax: 0.00

Amount Due -258.60

Burke Quarry LLC

Service Invoice List

aienm 264 to 264, Period " 05 (May 2020)

Service Invoice Ljst06/06/20

Record Invoice# Date Client Invoice Total Balance

1693 1638 05/04/2020 264 NHDOT 380.00 360.00

1713 1658 05/05/2020 264 NHDOT 122.24 122.24

1795 1740 05/12/2020 • 264 NHDOT 7,371.01 7,371.01

1804 1749 06/13/2020 264 NHDOT 16,309.09 15,309.09

1816 1761 06/14/2020 264 NHDOT 13293.03 13,293.03

1887 1812 05/18/2020 264 NHDOT 2,660.43 2,580.43

1861 1826 05/19/2020 264 NHDOT 1,243.27 1243.27

1699 1844 05/20/2020 264 NHDOT 692.19 892.19

2001 1937 06/27/2020 264 NHDOT 854.15 854.15

2015 1951 05/26/2020 264 NHDOT 1.140.32 1,140.32

Qrand Total*: 43,185.73 43,165.73

CrtA»' 4"

713

^5^. Si

4-5 640^4

©low

JUN 0 8 2020

N.H. D.O.T.DISTRICT 03 GILFORD

Report 11-1-2-21torn)r Page 1 of 1

06/06/20

08:18 AM

Bur1(e Quarry, LLC

170 Industrial Or. Ctr. ConwayPO Box 496North Conway, NH 03860-0496.603) 356-5432

Bill To:

/f

Invoice


06/16/2020 1812

Terms: Net 30

Pegei

Account ID: NHDOT



Ship To:

Order ID: 2

Green Hill RdV0ndor#3O5817


Deecriptlon (Ticket, Date end Material) Quantity Units Materials Oallvery S MlacS Una Total

v/

1/

v/

//

ly

6690 5/18/2020 3/4"

M83 6/16/2020 3/4"

6688 5/18/2020 3/4"

6703 6/18/2020 3/4"

6706 6/18/2020 3/4'

6709 5/18/2020 3/4"

6714 5/18/2020 3/4"

6719 6/16/2020 3/4'

6721 6/16/2020 3/4"

6725 6/16/2020 3/4"

'6726 5/16/2020 3/4"

Burke Peck - NH

Burke Pack - NH

Burke Pack - NH

Buike Peck-NH

Burke Pack - NH

Burke Peck - NH

Burke Pack - NH

Burke Pack • NH

Burke Pack - NH

Burke Peck - NH

Burke Pack - NH

DOT 304.33

DOT 304.33

DOT 304.33

DOT 304.33

DOT 304.33

DOT 304.33

DOT 304.33

DOT 304.33

DOT 304.33

DOT 304.33

DOT 304.33

16.18

22.97

23.29

23.01

23.00

17.39

23.81

16.15

23.20

16.96

23.07

S8.55/tn

S6.66/ln

S6.56 tin

S6.56 /in

S6.55 An

$6.55/tn

Se.5S An

S6.S5An

S6.65 An

Se.SSAn

Sd.55An

S138.34

$166.39

$199.13

$196.74

S196.65

$148.68

$201.01

$155.16

$198.36

$145.01

$197.25

$0.00

$66.14

$67.34

$66.29

$66.26

SO.OO

$88.16

$0.00

$67.00

$0.00

$66.51

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

SO.OO

SO.OO

$0.00

$0.00

$138.34

$262.63

$266.47

$283.03

$282.90

$146.66

$269.17

$155.16

$286.36

$145.01

$263.76

Vendor# SOS^ll orgn:303*^

Obj: 500_£jj__ WOO ^d If payment la received by the discount date noted ontnvolce. All unpaid Invoices over 30 days are subject to a

finence charge of 1.60% par month.

2% Discount /Ulowed If Full Payment Is Received by the10th of the Month

Bub Totals $1,972.74 $607.69 $0.00 $2,560.43

Tax Total $0.00


Burte Quarry, LLC170 IrKlustrial Dr. Ctr. ConwayPO Box 496

North Conway, NH 03860-0496.603) 356-6432

iQUARRY


05/19/2020 1626

Terms: Net 30

Pacte 1

MTSr

Account ID: NHDOT


Gilford. NH 03249

InvoiceShip To:

Order ID: 2

Green Hill Rd

VendOf#305817


t/

i/

y

y

i/y

DMcrlption (Tlcfcat, Date and Material) Quantity Units Material $ Delivery $ Mlac$ Line Total

6735 5/19/2020 3/4" BuiXe Pack - NH DOT 304.33

6742 5/19/2020 3/4" Bufke Pack • NH DOT 304.33/

6743 5/19/2020 3/4" Burtca Pack • NH DOT 304.33

6750 5/19/2020 3/4" Burke Peck • NH DOT 304.33

6753 5/19/2020 3/4" Burke Pack - NH DOT 304.33

6759 5/19/2020 3/4" Burke Peck • NH DOT 304.33

6760 5/19/2020 3/4" Buike Pack - NH DOT 304.33

6766 5/19/2020 3/4" Burke Pack. NH DOT 304.33

6769 5/19/2020 3/4" Burke Pack. NH DOT 304.33

6767 5/19/2020 3/4" Burke Peck - NH DOT 304.33

6769 6/19/2020 3/4" Burke Pack - NH DOT 304.33

17.69

17.56

8.17

17.49

8.47

17.67

7.61

6.05

16.90

17.92

7.68

$6.55 An

$6.55 An

$6.55 An

$6.55 An

$6.55 An

$6.55 An

$6.55 An

$6.55 An

$8.55 An

$8.55 An

$6.55 An

$151.25

$150.14

$69.85

$149.54

$72.42

$151.06

$65.07

$66.83

$144.50

$153.22

$67.37

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$151.25

$150.14

$69.65

$149.54

$72.42

$151.06

$65.07

$68.63

$144.50

$153.22

$67.37

Vendor# ^ I Orgn:' SO'S>'^

Obj: 500 WCC

30! Project# ^3^5

^.5

DBF 0

Signature.

Ol:

!©(![

JUN 0 8

N.H. D.STRICT 03

2020

b.TGILFORD

_

Dbcounts will only be applied on accounte which are currentand if payment is received by the discount date noted onInvoice. All unpaid Invoices over 30 days ore subject to a


2% Discount Allowed if Full Payment Is Received by ttw19th of the Month

Sub Totals $1,243.27 $0.00 $0.00 $1,243.27

Tax Totel $0.00


Burke Quarry, LLC


North Conway, NH 03660-0496803) 356-5432

iM iUAR


05/20/2020 1644

Terms; Net 30

Pagel

Bill To:

Account ID: NHDOT



InvoiceShip To:

Order ID: 2Green Hill Rd

Vendor#305817


Daecrlptlon (TIckaL 0«t« and Material^ Quantity Units Matartall Oallvary $ Mlacl Line Total

6807 5/20/2020 3/4"

6808 5/20/2020 3/4'

6812 5/20/2020 3/4"

6817 5/20/2020 3/4'

6819 5/20/2020 3/4-

^6837 5/20/2020 3/4'6846 5/20/2020 3/4"

'6860 5/20/2020 3/4"

Burfce Pack

Burke Pack

Burke Pack

Burke Pack <

Burke Peck

Burke Pack ■

Burke Pack -

Burke Pack'

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

7.43

17.91

8.42

18.57

8.28

18.14

17.19

6.41

$8.55/In

$8.55 /In

$8.65 An

$8.55/In

$8.55/In

$6.55 An

$8.55 An

$6.55 An

$63.53

$153.13

$71.99

$158.77

$70.79

$155.10

$146.97

$71.91

$0.00

$0.00

$0.00

SO.OO

SO.OO

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$63.53

S153.13

$71.99

$158.77

$70.79

$156.10

$146.97

$71.91

Vendor# (3PS^/7 Orpn:: 3639

Obj: 500 WOO "^^^3

^0 I Project# ¥'30S 0DBF

Signature

t(5[1DW

JUfI 0 8 2033

DISTR/.H. ...u.

•...'T 05 G!

U

. JRD

Discounts will only be applied on accounts which are currentartd if payment Is received by the discount date noted on

. invoice. All unpaid Invoices over 30 days are subject to afinance charge of 1.50% per month.

. 2% Discount Allowed If Full Payment la Received by the10th of the Month

Sul) Totale $692.19 $0.00 $0.00 $892.19

Tax Total $0.00

Balance Due $892.19

Burke Quarry, LLC


North Conway, NH 03660-0496i03) 356-5432

UARRY


06/27/2020 1937

Terms: Nat 30

1 Page 1

OTTa

Account ID: NHDOTState of NH D0T-Distrtet3


InvoiceShip To:

Order ID: 2

Green Hill Rd

Vendor#305817


DMcrlptlon (Tlckst, Date and Malarial) Quantity Units Malarial $ Oallvary $ MIecS Una Total

7CX)4 5/27/2020 3/4" 8ui1

$8.55 An

$8.55 An

$8.55 An

$8.55 An

$8.55 An

$8.55 An

$8.55 An

$8.55 An

$8.55 An

' $8.55 An

$62.42

$66.86

$67.80

$65.41

$65.24

$66.52

$67.20

$83.61

$04.09

$65.41

$66.01

$67.03

$65.75

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

so.oo

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

(0.00

$0.00

$0.00

so.oo

$0.00

$62.42

$66.88

$67.80

$65.41

$65.24

$66.52

$67.20

$63.61

$64.69

$65.41

$66.01

$67.03

$66.75

Vendor#_30£Fj2__Orgnr. 303^ ■ObJ: 500 WCC

DBF .^/ Project# f30 ̂ 0

Signature

D

[©11

JUN 0

N.H.

STRICT I

?n?n

i.o.r.:• GiLFCRD

Discounia wDI only be applied on accounta which ere currantend if payment Is received by the discount date noted onInvoice. All unpaid invoices ovar 30 daya are subject to a


2% Dlacount Allowed If Pull Payment la Received by the10th ol the Month

Sub Totals $854.15 $0.00 $0.00 $654.15

Tax Total $0.00

Balance Due $854.16

Burfce Quarry, LLC

170 Industrial Or. Ctr. ConwayPO Box 496North Conway, NH 03860-0496603) 356-5432

QUARI

Bill To;

Account ID: NHDOTState of NH DOT - District 3

2 Sawmill Rd.Gilford. NH 03249

Invoice


05/28/2020 1951

Terms; Net 30

Peoe 1

Ship To:

Order ID: 2

Green Hill Rd

Vendo(#305817


(/yy

Description (Ticket Dete and Matedal) Quantity Unlt$ Material $ Dellvery $ MIscI Una Total

/70&4 5/26/2020 3/4" Burke Pack

7055 5/26/2020 3/4" Burke Pack

7057 5/26/2020 3/4' Burke Pack

7060 5/26/2020 3/4" Burke Peck

x/ J06Z 5/28/2020 3/4" Burke Pack

ly

t/

■j

ly

v/

[/

7065 S/28^020 3/4" Burke Pack •"7066 5/28/2020 3/4- Burke Pack -7067 5/26/2020 3/4" Burke Pack -/

7066 5/28/2020 3/4" Burke Pack -

,7071 5/28/2020 3/4' Burke Pack -

7072 5/28/2020 3/4' Burke Pack •1/7073 5/28/2020 3/4- Burke Pack •7076 5/28/2020 3/4' Burke Pack •

077 5/28/2020 3/4" Burke Pack -

7078 5/28/2020 3/4' Burke Pack.

,^080 5/26/2020 3/4" Burke Pack •7084 5/26/2020 3/4" Burke Pack -

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

NH DOT 304.33

6.34

7.84

7.98

7.74

7.65

7.46

7.69

7.63

7.93

7.56

7.71

7.75

7.84

6.35

7,96

7.85

6.09

Vendor# 3OS EH Qron: '303^woeObj:600

i Project# ^30DBF

Signature.

^0

Olscounta wlll only be applied on accounts which are currentend if payment ta received by the discount date noted oninvoice. All unpaid Invoices over 30 days are sub|ect to a


2% Discount Allowed tf Full Paymsnt Is Received try tt>e10th of the lUonth

$8.55 /tn

$8.65 /tn

$8.55 /tn

$8.55 /tn

$8.55 /tn

$8.55 /in

$8.55 /In

$8.55 /tn

$8.55 /tn

$8.55 /tn

$8.55 /tn

$8.55 /tn

$8.55 An

$8.55 /tn

$8.56 /tn

$8.55 /In

$6.55 /tn

Sub Totals

Tax Total

$71.31

$67.03

$66.23

$66.18

$65.41

$63.78

$85.75

$65.24

$67.80

$64.64

$65.92

$66.26

$67.03

$71.39

$68.06

$87.12

$69.17

$1,140.32

Balance Due

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$71.31

$67.03

$66.23

$66.18

$65.41

$63.76

$65.76

$65.24

$67.60

$64.64

$65.92

$66.26

$67.03

$71.39

$68.06

$67.12

$69.17

D

KDIS

©H

JUN 08N.H. D

TRICT03

2020O.T.GILFORD

$0.00 $0.00 $1,140.32

$0.00

$1,140.32

sos.nh.govcenter conway nh 03813 1.5 contractor phone number (603) 356-5432 1.6 account number...

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