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HomeMy WebLinkAboutHVAC at Town Recreation Center DENIS NONCARROW �� �y Town Hall,53095 Main Road TOWN CLERK p P.O.Box 1179 GO Y Southold,New York 11971 REGISTRAR OF VITAL STATISTICS O ® Fax(631)765-6145 MARRIAGE OFFICER � ®� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER •� `� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD BID OPENING Bid on Town Recreation Center HVAC System Bid Opening April 6,2023 2:00 PM Five ( ) bids received E rgy Mechanical Inc. 106,050.00 ' 7 Brightside Ave Central Islip,NY 11722 Megan Raguseo 631-629-3100 Eastern Industrial Services of NY 139,000.00 215 McCormick Drive Bohemia,NY 11716 Chris Prema 631-471-7205 tricate Tech Solutions, Ltd 74,200.00 98 Mahan Street West Babylon,NY 11704 Krsyztof or Brianna Zamajtys 631-454-0168 Dominion Construction Corp 189,000.00 108 Allen Blvd Farmingdale, NY 11735 Charles•Rumpf 631-249-0888 Star Mechanical 54,000.00 PO Box 797/150 Moose Trail Cutchogue,NY 11935 Donald Starzee 631-734-6882 ®- %SFFoc��o DENIS NONCARROW �� G.j, Town Hall,53095 Main Road TOWN CLERK a P.O.Box 1179 cz Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER '��0 �Q� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 12, 2023 Star Mechanical POB 797 150 Moose Trail Cutchogue NY 11935 Dear Mr. Starzee, Congratulations. At the regular Town Board meeting held on April 11th, 2023 the Town Board accepted the bid of Star mechanical to install HVAC at the Recreation Center. A certified copy of the resolution is enclosed. Thank you for your bid. V ruly o s, Denis Noncarrow Town Clerk Ens. o�o�vFFoc��® DENIS NONCARROW �� G.j, Town Hall,53095 Main Road TOWN CLERK ® P.O.Box 1179 CIO Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p ® Fax(631)765-6145 MARRIAGE OFFICER 'y�� a�� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER d l �► www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 12, 2023 Dominion.Construction Corp 108 Allen Blvd Farmingdale NY 11735 Dear Mr. Rumpf: At the regular Town Board meeting held on February 7, 2023 the Town Board accepted the bid of Star mechanical to install HVAC at the Recreation center. A certified copy of the resolution is enclosed. Thank you for your bid. Ve truly o s, Denis Noncarrow Town Clerk Encl. --DENYS NONCAR.ROW Town Hall,53095 Main Road TOWN CLERK ®-- P.O.Box 1179 t/s iZ Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER 'f'� �Q� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �l www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 12, 2023 Intricate Tech Solutions, LTD 98 Mahan Street West Babylon NY 11704 Dear Mr. Brianna, At the regular Town Board meeting held on February 7, 2023 the Town Board accepted the bid of Star mechanical to install HVAC at the Recreation center. A certified copy of the resolution is enclosed. Thank you for your bid. Ve truly o s, Denis Noncarrow Town Clerk Encl. DENIS NONCARROW h� °may Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 a Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ®,� .� Telephone 765-1800 FREEDOM OF INFORMATION OFFICER www.southoldtldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 12, 2023 Eastern Industrial Services of NY 215 McCormick Drive Bohemia NY 11716 Dear Mr. Prema At the regular Town Board meeting held on February 7, 2023 the Town Board accepted the bid of Star mechanical to install HVAC at the Recreation center. A certified copy of the resolution is enclosed. Thank you for your bid. V ry t ly yours Denis Noncarrow Town Clerk Encl. %pvf lilt DENIS NONCARROW �� ®�$ Town Hall,53095 Main Road TOWN CLERK ® P.O.Box 1179 cas Southold,New York 11971 REGISTRAR.OF VITAL STATISTICS 02 Fax(631)765-6145 MARRIAGE OFFICER �' ® ®�� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ®1 �� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 12, 2023 Energy Mechanical Inc 77 Brightside Ave Central Islip NY 11722 Dear Mrs. Raguseo, At the regular Town Board meeting held on February 7, 2023 the Town Board accepted the bid of Star mechanical to install HVAC at the Recreation center. A certified copy of the resolution is enclosed. Thank you for your bid. Vtru1 you , Denis Noncarrow Town Clerk Encl. RESOLUTION 2023-370 ADOPTED DOC ID: 19061 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2023-370 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON APRIL 11,2023: RESOLVED that the Town Board of the Town of Southold hereby accepts the bid of Star Mechanical for the removal and installation of a HVAC system at the Southold Town Recreation Center in the amount of$54,000.00 per bid received April 6, 2023, all in accordance with the Town Attorney approval. Denis Nonearrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Greg Doroski, Councilman SECONDER:Brian O. Mealy, Councilman AYES: Nappa, Doroski, Mealy, Doherty, Evans, Russell Q�oS�FFot�-�o DENIS NONCARROWo� G.f� Town Hall,53095 Main Road OWN CLERK P.O.Box 1179 T coo Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Q Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ��.� '1►a www.southoldtovrnny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD BID OPENING Bid on Town Recreation Center HVAC System Bid Opening April 6, 2023 2:00 PM Five (5) bids received Energy Mechanical Inc. 106,050.00 77 Brightside Ave Central Islip,NY 11722 Megan Raguseo - 631-629-3100 Eastern Industrial Services of NY 139,000.00 215 McCormick Drive Bohemia,NY 11716 Chris Prema 631-471-7205 Intricate Tech Solutions, Ltd 74,200.00 98 Mahan Street West Babylon,NY 11704 Krsyztof or Brianna Zamajtys 631-454-0168 Dominion Construction Corp 189,000.00 108 Allen Blvd Farmingdale,NY 11735 Charles Rumpf 631-249-0888 Star Mechanical 54,000.00 PO Box 797/150 Moose Trail Cutchogue,NY 11935 Donald Starzee 631-734-6882 I 4a170814-c390-43e0-a67a-7d6d83819690 lynda.rudder@town.southoId.ny.us AFFIDAVIT OF PUBLICATION The Suffolk Times State of New York, i County of,Suffolk, The undersigned is the authorized designee of The Suffolk Times,a Weekly Newspaper published in Suffolk County, New York. I certify that the public notice, a printed copy of which is attached hereto, was printed and published in this newspaper on the following dates: March 23,2023 This newspaper has been designated by the County Clerk of Suffolk County,as a newspaper of record in this county, and as such, is eligible to publish such notices. Signature Eliot T. Putnam Printed Name Subscribed and sworn to before me, This 29 day of March 2023 Notary Signat re MARY BETH ALESCIO WALLING NOTARY PUBLIC,STATE OF NEW YORK Registration No:01AL5056219 Qualified in Saratoga County My Commission Expires March 04,2026 Notary Public Stamp i i SOUTHOLD TOWN CLERK 1 i f i 4a170814-c390-43e0-a67a-7d6d83819690 lynda.rudder@town.southold.ny.us AFFIDAVIT OF PUBLICATION The Suffolk Times LEGAL NOTICE s INVITATION TO BID NOTICE IS HEREBY GIVEN THAT SEALED PROPOSALS ARE SOUGHT AND REQUESTED FOR THE FOLLOWING: BID NAME: "RFP HVAC SYSTEM FOR THE SOUTHOLD TOWN RECREATION CENTER" Definite specifications may be obtained at the Southold Town Clerk's Office beginning March 23, 2023 PLACE OF OPENINGS: SOUTHOLD TOWN CLERK 53095 MAIN ROAD SOUTHOLD, NY 11971 DATE/TIME OF OPEN: APRIL 6, 2023 2:00 P.M. CONTACT PERSON: Tim Abrams Depart of Public Works 631-765-1283 VENDORS MUST SUBMIT BIDS IN SEALED ENVELOPES. PLEASE PRINT ON THE FACE OF ENVELOPE: 1) NAME&ADDRESS OF BIDDER 2) BID NAME It is the bidder's responsibility to read the attached Bid ; Specifications, Instructions to Bidders,and General Conditions, which outline bidding rules of the Town of Southold. Upon submission of bid, it is understood that the bidder has read,fully understands and will comply with SOUTHOLD TOWN CLERK 2 1 I 4a 170814-c390-43e0-a67a-7d6d83819690 lynda.rudder@town.southoId.ny.us i AFFIDAVIT OF PUBLICATION The Suffolk Times said GENERAL CONDITIONS and specification requirements. The Town of Southold requires that this document be returned intact and that it be filled out completely. Please do not remove any pages from this bid package,and make a copy of the bid document for your records. The Town of Southold welcomes and encourages minority and women-owned businesses to participate in the bidding process. Dated: February 28,2023 BY ORDER OF THE SOUTHOLD TOWN BOARD Denis Noncarrow.. Southold Town Clerk i i i i SOUTHOLD TOWN CLERK 3 -Star Mechanical PO Boy,797 Cutchogue, NY 11935 US astarzee@gmail.com Estimate ADDRESS 19W TO ESTIMATE# 113608 Tim Abrams RFP HVAC SYSTEM FOR DATE 04/04/2023 Town of Southold Town Clerks SOUTHOLD TOWN Office RECREATION CENTER 53095 Main Road PECONIC LANE Southold, New York 11971 PECONIC, NY DATE DESCRIPTION AMOUNT Remove and discard existing AC system. Install (4) Rheem, 16 seer, high efficiency model# RA1360AJ1 NA 54,000.00 condensers and (4) model#RH 1 T6024STANJA air handlers with 410 refrigerant. Install 100,000 BTU ADP hot water coil. Condenser will be placed at residence exterior on pre-cast slabs. Air handler will be suspended from attic rafters by kindorf and threaded rod. Auxiliary drain pan with moisture sensor will be placed under air handlers. Install 40 feet of copper line set,thermostat wire, PVC drain and (4)White- Rogers day night programmable thermostat. All necessary supply and return trunk duct work shall be fabricated from 26 gauge galvanized metal and wrapped with 3"foil insulation. Install (4) Honeywell Argo panels with all necessary control wiring. Tie in new units to existing duct work .Balance off system and run system to check. ------------------------------------------I-------------------------------------------------------------------------------------------------------------------- Please sign and return a copy of this estimate with your deposit. SUBTOTAL 54,000.00 TAX 0.00 TOTAL IMA 000_00 Client: Authorized signatur _-- Owner to carry fire,tornado and other necessary insurances. Our workers are fully insured. TERMS: 50%down,25%upon setting of units,25%upon completion. All materials is guaranteed to be as specified. All work to be completed in a workman like manner according to standard practices. STAR MECHANICAL IS NOT RESPONSIBLE FOR ANY ELECTRICAL OR GAS PIPING. Any alteration from the above specifications will be executed only upon written orders and will become an extra charge over and above this estimate. This price is valid for 30 days VENDOR NAME: Gkir mex 1011 (oq I VENDOR INFORMATION SHEET TYPE OF ENTITY:CORP. PARTNERSHIP INDIVIDUAL FEDERAL EMPLOYEE ID #: ��"" q® OR SOCIAL SECURITY#: DATE OF ORGANIZATION: IF APPLICABLE: DATE FILED: STATE FILED: If a non-publicly owned Corporation: CORPORATION NAME: LIST PRINCIPAL STOCKHOLDERS: (5% of outstanding shares) LIST OFFICERS AND DIRECTORS: NAME TITLE If a partnership: PARTNERSHIP NAME: LIST PARTNERS NAMES: Proposal Package 3 of 9 ADDRESS RECORD FORM MAIL BID TO: VENDOR NAME: z:n P�'e Mcch an i cu 1 ADDRESS: P 0_?,>oxc , 0 Dr) PT(-O CONTACT: TELEPHONE:������r�D l FAX: 031- 73q-6®® E-MAIL: Asm� d "o l 1 w cu m1 ONLY if different - MAIL PURCHASE ORDER TO: ADDRESS: TELEPHONE: FAX: CONTACT: E-MAIL: ONLY if different - MAIL PAYMENT TO: ADDRESS: TELEPHONE: FAX: CONTACT: E-MAIL: / Proposal Package 4 of 9 VENDOR NAME: �CA(— Mechan i m I ASSUMED NAME CERTIFICATION *If the business is conducted under an assumed name, a copy of the certificate required to be filed under the New York general business law must be attached. NAME ED 11 V � � L -� ���I � ` j�C�► 1 /�I L 1 h- If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, by an officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership, by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid or previously filed with the Purchasing Agent. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that individuals working for the Town of Southold or other municipality bid on contracts only that such interest be revealed when they do bid.) Proposal Package 5 of 9 AFFIDAVIT OF NON-COLLUSION I hereby attest that I am the person responsible within my firm for the final decision as to the prices(s) and amount of this bid or, if not, that I have written authorization, enclosed herewith, from that person to make the statements set out below on his or her behalf and on behalf of my firm. I further attest that: 1. The price(s) and amount of this bid have been arrived at independently, without consultation, communication or agreement for the purpose of restricting competition with any other contractor,bidder or potential bidder. 2. Neither the price(s), nor the amount of this bid, have been disclosed to any other firm or person who is a bidder or potential bidder on this project, and will not be so disclosed prior to bid opening. 3. No attempt has been made or will be made to solicit, cause or induce any firm or person to refrain from bidding on this project, or to submit a bid higher than the bid of this firm, or any intentionally high or non-competitive bid or other form of complementary bid. 4. The bid of my firm is made in good faith and not pursuant to any agreement or discussion with, or inducement from any firm or person to submit a complementary bid. 5. My firm has not offered or entered into a subcontract or agreement regarding the purchase of materials or services from any other firm or person, or offered, promised or paid cash or anything of value to any firm or person, whether in connection with this or any other project, in consideration for an agreement or promise by any firm or person to refrain from bidding or to submit a complementary bid on this project. 6. My firm has not accepted or been promised any subcontract or agreement regarding the sale of materials or services to any firm or person and has not been promised or paid cash or anything of value by any firm or person, whether in connection with this or any project, in consideration for my firm's submitting a complementary bid, or agreeing to do so, on this project. 7. I have made a diligent inquiry of all members, officers, employees, and agents of my firm with responsibilities relating to the preparation, approval or submission of my firm's bid on this project and have been advised by each of them that he or she has not participated in any communication, consultation, discussion, agreement, collusion, act or other conduct inconsistent with any of the statements and representations made in this affidavit. The person signing this bid, under the penalties of perjury, affirms the truth thereof. SWORN TO BEFORE ME THIS Signature&Company Position O, DAY OF 20_�3 Type Name&Company Position yl '� J. Company Name NOTARY PUBLIC PENNY LOUISE MAFFETONE Date Signed NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 MA64.02379 Qualified in Suffolk County . Federal I.D.Number Commis lon Expires December 30 2023 Proposal Package 6 of 9 THE PROPOSAL FORM Furnish HVAC system for Southold Recreation Center VENDOR NAME: r n c r-� k VENDOR ADDRESS: Com TELEPHONE NUMBER: �J�1 (0 Wa FAX: ��j I ""��C The undersigned bidder has carefully examined the Contract Documents and will provide all necessary labor, materials, equipment and incidentals as necessary and called for in the said Contract Documents in the manner prescribed therein and in said Contract, and in accordance with the requirements of the Engineer, at the prices listed on the attached Bid Proposal Form. If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, the bid must be signed by an officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership, by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid documents. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that individuals working .for the Town of,Southold or other municipalities bid on contracts, but only that such interest be revealed when they do bid.) The undersigned hereby acknowledges receipt of the following Addenda(if none were issued please write N/A below): Addendum No. Dated Proposal Package 7 of 9 REPLACEMENT OF HVAC AIR HANDLER AND COMPRESSOR SYSTEM, DESCRIPTION OF WORK: • Remove and discard existing AC system&replace with new(4)four zone multi stage blower system • Install(4)four new Rheem air handlers model#RH1T6024STANJA(or equivalent) located in drop ceiling hung by threaded rod and kindorf, (4)four new hot water coils, emergency overflow drain pans with shut off switches • Install (4)four new Rheem condensers model#RA1360AJ1NA (or equivalent)located outside in existing locations on new pre cast pads • To include:all new insulated refrigerant piping, condensate drain piping,hot water coil piping • Reconfigure supple and return ducting, thermostat control wiring for staging of units, new thermostats,environmentally friendly R410A refrigerant • Start up &testing of new systems • (1)one year warranty on parts and labor All work is subject to prevailing wage rate. Voucher and certified payroll must be submitted with invoice. TOTAL PRICE: ` TOTAL PRICE IN WRITTEN WORDS: Co, ,r--qovnc -bo aCS Proposal Package 8 of 9 AUTHORIZED SIGNATURE PRINTNAME TITLE //n(-.y nec DATE ACKNOWLEDGMENT STATE OF NEW YORK, COUNTY OF SuVQ ._)'ss.: On the 511-1- day of Aur in the year 2023 before me, the undersigned, personally appeared, X , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. NOTARY PUBLIC ENOTAR,y,:PUBLIC, LOUISE MAFFETONE STATE OF NEWYORK ation No.01MA6402379 lified in Suffolk County n Expires December 30 2023 A. Proposal Package 9 of 9 1-iAI0 Document A31OTM - 2010 Bid Bond CONTRACTOR: SURETY: (Name,legal status and address) (Name, legal status and principal place Eastern Industrial Services of NY Inc. of business) 215 McCormick Drive U.S.Specialty Insurance Company Bohemia,NY 11716 600 Lexington Avenue 22nd Floor This document has important legal New York,.NY 10022 consequences.Consultation with OWNER: an attorney is encouraged with (Name,legal status and address) respect to its completion or Town of Southold modification. 53095 Main Road Any singular reference to Southold,New York 11971 Contractor,Surety,Owner or BOND AMOUNT: (5%)Five Percent of Amount aid other party shall be considered plural where applicable. PROJECT: (Name,location or address,and Project number, if any) RFP for HVAC System for the Southold Recreation Center The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof,or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been famished to comply with a statutory or other legal requirement in the location.pf the'Project,, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted tierefsom air provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.Vhen'so furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond.. Signed and sealed this 5th day of April,2023 Eastern Industrial S ces ofNYlnc. (P 'ncipal) (Seal) (Witness) tle) U.S.S aciarltrrh7qurance Company / (Suret}),• (Seal) (Witness) �u (Title) Jos ' an(illoJrAtwney-!n-Fact Init. AIA Document A31 OT"—2010.Copyright©1963,1970 and 2010 by The American?nstitute of Architects.All rights reserved. 061110 a4 TOKIO MARINE HCC POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That,U.S.SPECIALTY INSURANCE COMPANY(the"Company"),a corporation duly organized and existing.under the laws of the State of Texas,and having its principal office in Houston, Harris County,Texas,does by these presents make,constitute and appoint, JOSEPH M. TANTILLO JR. its true and lawful Attorney-in-fact,with full power and authority hereby conferred in its name, place and stead,to execute,acknowledge and deliver bond number BB2021078 issued in the course of its business and to bind the Company thereby, in an amount not to exceed *********UNLIMITED********* ('UNLIMITED ***).Said appointment is made under and by authority of the following resolutions of the Board of Directors of U.S. Specialty Insurance Company: "Be it Resolved,that the President,any Vice-President,any Assistant Vice-President,any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney-in-Fact may be given full power and authority for and in the name of and on behalf of the Company,to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents canceling or terminating the Company's liability thereunder,and any such instruments so executed by any such Attomey-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached."Adopted by unanimous written consent in lieu of meeting on September 1st,2011. The Attorney-in-Fact named above may be an agent or a broker of the Company.The granting of this Power of Attorney is specific to this bond and does not indicate whether the Attorney-in-Fact is or-is not an appointed agent of the Company. IN WITNESS WHEREOF, U.S. Specialty Insurance Company has caused its seal to be affixed hereto and executed by its Senior Vice o``�::lOsui President on this 18 day of April,2022. tt111",•••..•.. + °� U.S.SPECIALTY I SURANCE COMPANY State of California =moi a County of Los Angeles SS: ?`, r s By: • ' Adam S.Pessifi,Senior Vice President A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. On this 18th day of April,2022,before me,Sonia O.Carrejo,a notary public,personally appeared Adam S.Pessin,Senior Vice President of U.S.Specialty Insurance Company,who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity,and that by his signature on the instrument the person, or the entity upon behalf of which the person acted,executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of CALIFORNIA that the foregoing paragraph is true and correct. WITNESS my hand and official seal., soNuo.calaeto Notary Pudic.Callfo•Ma Us Angeles CountyComf — 8710 Signature (seal) Comm.Exion12 23, Qy Carom.Ex iresApr 23,2026 I, Kio Lo, Assistant Secretary of U.S. Specialty Insurance Company, do hereby certify that the Power of Attorney and the resolution adopted by the Board of.Directors•of said Company as set forth above, are true and correct transcripts thereof and that neither the said Power of Attorney rior.the"resolution have been revoked and they are now in full force and effect. IN WITNESS WHEREOF, 1-have.hereunto set my hand this 5th day of April 2023 ������y tnsuran Bond No. BB2021078 ,°��s:• ••.. Agency No. 12202 =v; r ra _ Kio Lo,AssisfmOSecretary s :t; Visit tmhcc.com/surety for more information HCCSOZZPOAUSSIC04/2022 U.S.SPECIALTY INSURANCE COMPANY STATUTORY STATEMENT OF ADMITTED ASSETS, LIABILITIES,CAPITAL AND SURPLUS(1) December 31,2022 Admitted Assets Liabilities and Capital and Surplus Investments: Liabilities: Fixed Maturities,at amortized cost 1,725,976,369 Unpaid loss and loss adjustment expense 1,223,547,196 Preferred Stocks 4,521,483 Reinsurance payable on paid losses and loss adjustment expenses' 105,535,474 Common stocks 4,639,064 Commission payable 5,794,351 Mortgage loans on real estate-first liens 165,515,479 Accrued expenses 9,634,271 Mortgage loans on real estate-other than first liens 5,889,234 Taxes,licenses,and fees 3,858,788 Cash and cash equivalents 136,903,352 Current federal and foreign income taxes 9,271,163 Receivable for securities 287,550 Unearned premiums 395,416,459 Total cash and Invested assets: 2,043,732,531 Advance premium 4,928,102 Dividends declared and unpaid to policyholders 533,789 Ceded reinsurance balance payable 79,045,365 Funds held under reinsurance treaties 6,565,680 Amounts withheld or retained for others 104,274 Provision for reinsurance 7,148,000 Payable to parent,subsidiaries and affiliates 12,447,936 Payable for securities 5,685,345 Investment income due and accrued 17,766,112 Funds held-Unclaimed Property 1,561 Premium receivable 310,508,581 Total liabilities 1,869,517,754 Recoverable from reinsurers 31,275,606 Net deferred tax asset 26,900,979 Capital and Surplus: Electronic data processing equipment and software 13,482 Capital Stock 4,200,000 Receivable from parent,subsidiaries and affiliates 14,919,492 Additional paid-in and contributed capital 190,085,811 Miscellaneous receivables 511 Unassigned surplus 381,313,729 401,384,763 575,599,540 Total admitted assets 2,445,117,294 Total liabilities and capital and surplus 2,445,117,294 (1)-In accordance with the statutory financial statements as filed on March 1,2023. I,LaShonda Chermaine Davis,Chief Financial Officer of U.S.Specialty Insurance Company,hereby certify that to the best of my knowledge and belief,the foregoing is a full and true Statutory Statement of Admitted Assets,Liabilities and Capital and Surplus of the Company as of December 31,2022,prepared in conformity with accounting practices prescribed or permitted by the Texas Department of Insurance. The foregoing statement should not be taken as a complete statement of financial condition of the Company. Such a statement is available upon written request at the Company's home office located at 13403 Northwest Freeway,Houston,Texas 77040, IN WITNESS WHEREOF,I have hereunto set my hand and affixed the seal of the Corporation at Houston,Texas. L*LaShonZda"Cheftiaine-Davis - &Chief Financial Officer 2 State of ss. m County of E v 9 to a On this day of 20_ ,before me personally came to be known, x and known to me to be the individual described In and who executed the foregoing Instrument,and acknowledged to me that he executed the Q same. My commission expires Notary Public ------------------------------------------------------------------- State of ss. W County of E v On this day of 20— , before me personally came E d a to be known to me e x v a to be a member of the firm of described in and who executed the foregoing Instrument,and he thereupon acknowledged to me that he executed the same as and for the act and deed of said firm. My cormnission expires Notary Public ------------------------------------------------------------------- State of S8. e County of v e E Z On this day of 20_, before me personally came V d ac to be known to me V � v 6 who being by me duly sworn,did depose and say that he is the of the corporation described in and which executed the above instrument that he knows the seal of said corporation;the the seal affixed to said Instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said corporation,and that he signed his name thereto by like order. My commission expires Notary Public State of New York r County of Suffolkss, E �1 9 On this fn day of Awl 20 2:9, before me personally came N o. Joseph M.Tantillo to be known,who,being by me duly sworn,did depose and say that C Q he is attorney-in-fact of U.S.Specialty Insurance Company the corporation described in and which executed the above instrument;that he knows the corporate seal of said corporation;that the seal affixed to the within Instrument is such corporate seal,and that he signed the said instrument and affixed the said seal as Attorney-in-Fact by authority of the Board of Directors of said corporation and by authority of this office under the Standing Resolutions thereof. MARIE FATTORUSO Notary Public,State of Nev., No.01 FA6355998 My commission expires Qualified in Suffolk County Commission Expires arch 20,20.96 FORM#13 Notary Public 4 ' A BID BOND Hudson Insurance Company 100 William St., 5th Floor, New York, NY 10038 KNOWN ALL BY THESE PRESENTS, That we, Intricate Tech Solutions.LTD. as Principal, and Hudson Insurance Company , as Surety, are held and firmly bound unto Town of Southold , as Obligee, in the sum Of Five Percent of the Principals Bid Amount Dollars ( 5%of the Principals Bid Amount )for the payment of which we bind.ourselves, and our successors and assigns, jointly.and severally, as provided herein. -WHEREAS, Principal has submitted or is about to submit a bid to the Obligee on a contract for HVAC System for the SOUTHOLD RECREATION CENTER ("Project"). NOW, THEREFORE, the condition of this bond is that if Obligee accepts Principal's bid, and Principal enters into a contract with Obligee in conformance with the terms of the bid and provides such'bond or bonds as may be specified in the bidding or contract documents, then this obligation shall be void; otherwise Principal-and Surety will pay to Obligee the difference between the amount of Principal's bid and the amount for which Obligee shall in good faith contract with another person or entity to perform the-work covered by Principal's bid, but in no event shall Surety's and Principal's liability exceed the penal sum of this bond. Signed this 5th day of April 2023 Intricate Tech Solutions,LTD. r (Principal) By: Hudson Insurance Company By: C�7 Jeffrey W.Price , Attorney-in-Fact —————————————————————————————————————————————————————————————————————————————————— c Surety Acknowledgment State of New York } } ss: County of Nassau } On this 5" day of April , 2023, before me personally came Jeffrey W.Price to me known,who,being by me duly sworn,did depose and say that he/she is an attorney-in-fact of Hudson Insurance Company the corporation described in and which executed the within instrument;that he knows the corporate seal of said corporation;that the seal affixed to the within instrument is such corporate seal, and that he signed the said instrument and affixed the said seal as Attorney-in-Fact by authority of the Board of Directors of said corporation and by authority of this office under the Standing Resolutions thereof. My commission expires Notary lic MARY PRICE )J0TWPMLIC,gTM0NEW YORK g tioaNa 01PR5056603 Qaslifled in Nassaa Cotmty�� My Commission Expires Match 4, 0 D HUDSON INSURANCE COMPANY SHORT FORM FINANCIAL STATEMENT AS OF DECEMBER 31,2021 ASSETS Bonds $ 78,461,900 0 Real estate 55,579,974 Mortgage Loans on Real Estate 465,311,314 Cash on hand and on deposit 205,268,796 Reinsurance Receivable 20,414,554 FIT recoverable(including net deferred tax asset) 549,757,377 Aggregate write-ins for other than invested assets Deferred premiums,agents'balances and installments booked but deferred 91,769,874 and not yet due(including earned but unbilled premiums) 306,833,546 Stocks 70,533.194 Other Assets $ 1.843.930.572 Total Assets LIABILITIES&SURPLUS Losses $ 309,717,054 34,090,901 Loss adjustment expense 30,721,829 Other expenses 152,538,973 Unearned Premiums 587,327,016 Ceded reinsurance premiums payable 2,267,312 Payable to parent,subsidiaries and affiliates 35,242,334 Commissions payable,contingent commissions and other similar charges 3 90R 32 Other Liabilities $ 1 287.903.742 Total Liabilities $ 7,500,238 Preferred and Common capital stock 293,480,097 Gross paid in and contributed surplus 255.046.452 Unassigned funds(surplus) $ 556 02b 7 7 Surplus as regards policyholders Total Liabilities and Surplus STATE OF NEW YORK ) ss: COUNTY OF NEW YORK ) I,the undersigned Controller of Hudson Insurance Company hereby certify the foregoing to be a short form financial statement in the form of a balance sheet,showing the Company's assets and liabilities on a provisional basis,at the close of business on December 31,2021. w _I ,0.+'111~PTWIMONY WHEREOF,I have set my hand and affixed the seal of the Company,this_day of /'�if�h 2022. ,��%' �O ARS Ker M.BrennanM _ = Controller • 7) AVBOC' = (y 1WJ1 2022. �� %�Tqp Sp H�d.'�rtd sworn to before me this_day of OF , ` F ►�arission expires CAMCRUN GOURLAY Notary public.Slate of aYera-Y Qualified 01606372305 oLft in New Yak County "r►nmissioa)Expires June 4 2021> a BID BOND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That HUDSON INSURANCE COMPANY,a corporation of the State of Delaware,with offices at 100 William Street,New York,New York, 10038, has made, constituted and appointed, and by these presents,does make, constitute and appoint Jeffrey W.Pricc,Rachel L.Price of the State of New York its true and lawful Attorneys)-in-Fact,at New York City in the State of New York,each of them alone to have full power to act without the other, or others,to make,execute and deliver on its behalf,as Surety,bid bonds for any and all purposes. Such bid bonds,when duly executed by said Attorneys)-in-Fact,shall be binding upon said Company as fully and to the same extent as if signed by the President of said Company under its corporate seal attested by its Secretary. In Witness Whereof, HUDSON INSURANCE COMPANY has caused these presents to be of its Executive Vice President thereunto 0S • uthorized,on this 19th day of August ,2014 at New York,New York. ao SEAL« se se I) ' HUDSON INSURANCE COMPANY " fl-°✓�-�l ill P,tYes %V.!!...c ....... y... Ina as alakis,Corpora a Secretary Christopher T.Suarez,Executive Vice President STATE OF NEW YORK COUNTY OF NEW YORK SS. On the 19th day of August 120 14 before me personally came Christopher T.Suarez to me known,who being by me duly swom did depose and say that he is an Executive Vice President of HUDSON INSURANCE.COMPANY,the Company described herein and which executed the above instrument,that he kno0111j f said Company,that the seal affixed to said instrument is 4corpte seal of said Company,that it was so affixed by order of the Board of Direcland that he signed his name thereto by like order. ��� �••••..••• //// .... ....................... gS10NF'•.• . .. ... MITR IIY : et 10, jG9�. * Notary Public,State of ew York (NotarialSea� No.01MU6067553 :fit: 1tjiU6067553' Qualified in Nassau Co • � :�� Commission Expires December 10,2017 C/ALIFI� 'C, p ����` CERTIFICATION STATE OF NEW YawiI111111111t���` COUNTY OF NEW YORK SS. The undersigned Dina Daskalakis hereby certifies: THAT the original resolution,of which the following is a true and correct copy,was duly adopted by unanimous written consent of the Board of Directors of Hudson Insurance Company dated July 27'",2007,and has not since been revoked,amended or modified: "RESOLVED,that the President,the Executive Vice Presidents,the Senior Vice Presidents and the Vice Presidents shall have the authority and discretion,to appoint such agent or agents,or attorney or attomeys-in-fact,for the purpose of carrying on this Company's surety business,and to empower such agent or agents, or attorney or attorneys-in-fact, to execute and 'deliver, under this Company's seal or otherwise, bonds obligations, and recognizances,whether made by this Company as surety thereon or otherwise, indemnity contracts,contracts and certificates,and any and all other contracts and undertaking made in the course of this Company's surety business,and renewals,extensions,agreements,waivers,consents or stipulations regarding undertakings so made;and FURTHER RESOVLED,that the signature or any such Officer of the Company and the Company's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond,undertaking,recognizance,contract of indemnity or other written obligation in the nature thereof or related thereto,such signature and seal when so used whether heretofore or hereafter,being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed." THAT the above and foregoing is a full,true and correct copy of Power of Attorney issued by said Company,and of the whole of the original and that the said Power of Attorney is still in full force and effect and has not been revoked,and furthermore that the Resolution of the Board of Directors,set forth in the said Powe ttorney is now in force. o�unno• o�toFibrl'S ess the hand of the undersigned and the seal of said Company this SO' day of Apri 20 23 •: �5 orPEALse,aZ A 1918 ..... Dina Daskala/•t'kis,Corporate Secretary Form Bid 8 2010(v I) Western Surety Company Bid Bond KNOW ALL MEN BY THESE PRESENTS,that we DOMINION CONSTRUCTION CORP. 108 ALLEN BOULEVARD FARMINGDALE,NY 11735,as Principal,hereinafter called the Principal and WESTERN SURETY COMPANY 333 S.WABASH AVENUE 41St FLOOR CHICAGO, IL 60604 a corporation duly organized under the laws of the State of South Dakota, as Surety, hereinafter called the Surety,are held and firmly bound unto TOWN OF SOUTHOLD 53095 MAIN ROAD SOUTHOLD,NY 11971,as Obligee,hereinafter called the Obligee, in the sum of Five Percent of Amount Bid Dollars (5%) for the payment of which sum well and truly to be made, the said Principal and the said Surety bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the principal has submitted a bid for HVAC for Southold REC Center,Peconic Lane,Southold,NY NOW THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be,specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may be in good faith contract with another party to perform the Work covered by said bid,then this obligation shall be null and void, otherwise to remain in full force and effect. Signed eale( this 29" day of March,2023 DOMINION CONSTRUCTION CORP. (Principal) r itness) e By: AWEERN SURET COMP(Witness) B Mary Ann Mendez,Atto ey-in-fact t• ' SURETY ACKNOWLEDGtUlE.N7 STATE OF NEW YORK ' SS: COUNTY OF NASSAU On this o2O day of ���%� in the year.20 a,� before me personae came ��t''t �2 to me known,wh e,ing,by a duly swom,did depose and say that he resides irk. f�oua/, dV`' ;that he is-the attorney-in-fact of �>avn rdr the corporation described in and which ex�uted the above instrument; that he knows the seal of said corporation;that t e seal dffixed4o said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said corporation, and that he signed his name thereto by like order. NOTARY PUBLIC STAMP RC-BERT G.T i•I:-N Notary Public, Stare of �;ew Fork No. 30-4046970 Qualified In Nassau County Commission Expires May 30,20!i3__ NOTARY PUBLIC INDIVIDUAL - PRINCIPAL STATE OF SS: COUNTY OF On this day of 20 before me,the undersigned personally came and appeared to me personally known and known to me to be the individual described in and who executed the foregoing instrument and duly ackpowledged to me that executed the same. NOTARY PUBLIC STAMP NOTARY PUBLIC 7CORRATION - PRINCIPALSS: NCwOF JUQ- OAK ++ //�� On this day of � f 1 I. 20 23 before�e came 6Vr Its &fne F to me known,who, being by me duly swom, did depose a d say that he/s a resides at FOQm t n9�w�e, N Y that he/she is V of Sbft%(rrp N l�r�S�. the corporation described in and which executed the foregoing instrument as principal; that he/she knows the seal of said corporation;that the seal affixed to-said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said corporation, and that he/she signed his name thereto by like order. •NOTARYPU$LICSTAMPBARBARA LAU•FMAN Notary Public, S!&:e Of NewYork No. 01 LA608 x'33 . Qualified In Suffolk CountyGAG% Commission Expires Dec. 2, 20 alb =OTARY PUBLIC PARTNERSHIP- PRINCIPAL STATE OF SS: COUNTY OF 4 t On this day of 20 before me personally came to me personally known, and known to me to be a member of the firm of and he duly acknowledged to me that he executed the same for the uses and a purposes therein mentioned. NOTARY PUBLIC STAMP NOTARY•PUBLIC 9' ' f d WESTERN SURETY COMPANY Sioux Falls, South Dakota Statement of Net Admitted Assets and Liabilities December 31,2021 ASSETS Bonds $ 1,940,298,870 Stocks 19,721,943 Cash, cash equivalents, and short-term investments 32,146,891 Receivables for securities 140,000 Investment income due and accrued 17,433,547 Premiums and considerations 54,366,110 Amounts recoverable from reinsurers 3,204,634 Current federal and foreign income tax recoverable and interest thereon - Net deferred tax asset 14,565,007 Receivable from parent, subsidiaries, and affiliates 14,891,869 Other assets 1,037 Total Assets $ 2,096,769,908 LIABILITIES AND SURPLUS Losses $ 214,859,103 Loss adjustment expense 48,667,258 Commissions payable, contingent commissions and other similar charges 10,885,216 Other expenses (excluding taxes, license and fees - Taxes, License and fees (excluding federal and foreign income taxes) 2,781,662 Federal and foreign income taxes payable 300,285 Unearned premiums 263,317,295 Advance premiums 6,618,279 Ceded reinsurance premiums payable (net of ceding commissions) 5,081,348 Amounts withheld or retained by company for account of other 10,237,011 Provision for reinsurance 6,261,560 Payable to parent, subsidiaries and affiliates 7,170 Payable on security transactions 35,226 Other liabilities 155,189 Total Liabilities $ 569,206,602 Surplus Account: Common stock $ 4,000,000 Gross paid in and contributed surplus 286,896,195 Unassigned funds 1,236,667,111 Surplus as regards policyholders $ 1,527,563,306 Total Liabilities and Capital $ 2,096,769,908 I, Julieti ee;sAssistant Vice President of Western Surety Company hereby certify that the above is an 4 »�. accur-te�rLepesenn��tation of the financial statement of the Company dated December 31, 2021, as filed wi&4-htG ous�°h�urance Departments and is a true and correct statement of the condition of Western Surety Compar y,as of that date. WESTERN SURETY COMPANY ,.�_$,•• ,`�1� `���:�� B y �'o } A'-P '^ Assistant Vice President,External Reporting ryy.�4 . RZ4a? Subscribed and sworn to me this 14th day of March -92022. My commission expires: ..e.............eee.oeee...e By AJI "OFFICIAL SEAL" Notary Public CHRISTOPHER LOPATOWSKI Notary Public,State of Illinois My Commission Expires 01/14/2024 0 eeeeeeeeeeeoeeeeooeoeoeeeooe r Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and existing corporation having its principal office in the City of Sioux Falls,and State of South Dakota,and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Mary Ann Mendez, Lois J Treiber-Curran,Individually of Jericho,NY,its true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature -In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney,pursuant to the authority hereby given,are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof,duly adopted,as indicated,by the shareholders of the corporation. In Witness Whereof,WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 12th day of July,2021. i "S." WESTERN SURETY COMPANY �Q��POAgj�lo_ �yyj14 �Yz aul T.Bruflat,Vice President State of South Dakota ss County of Minnehaha On this 12th day of July,2021,before me personally came Paul T.Bruflat,to me known,who,being by me duly sworn,did depose and say: that he resides in the City of Sioux Falls,State of South Dakota;that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument;that he knows the seal of said corporation;that the seal affixed to the said instrument is such corporate seal;that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority,and acknowledges same to be the act and deed of said corporation. My commission expiresM.BENT f M.BENT SEAL NOTARY PUBLIC s,' March 2,2026 SOUTH DAKOTA M.Bent,Notary Public CERTIFICATE I,_L.Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By-Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 29' day of March,2023. WESTERN SURETY COMPANY A?D�POA'QT1'�? ZW:4 \SCAB.%. -os,�U�N DPK�ovR L.Nelson,Assistant Secretary Form F4280-7-2012 Go to www.cnasurety.com>Owner/Obligee Services>Validate Bond Coverage,if you want to verify bond authenticity. v VENDOR NAME: _ �J6tiy�iNitW CocisS 'ioc.9 fp VENDOR INFORMATION SHEET TYPE OF ENTITY:CORP. PARTNERSHIP INDIVIDUAL OR SOCIAL SECURITY#: DATE OF ORGANIZATION: /yv _ 1567t IF APPLICABLE: DATE FILED: STATE FILED: If a non-publicly owned Corporation: CORPORATION NAME: 040m i/Uip cv LIST PRINCIPAL STOCKHOLDERS: (5%of outstanding shares) 0141 les Rv,M,4 J- J�h,J I!Ee,h Ie, LIST OFFICERS AND DIRECTORS: NAME TITLE h oj ieve h1el f r(CS oev - c�\►hlcs �vr.. Lfiee pse5�lepj DA (,ter sc`gyt _ lmA/fai If a partnership: PARTNERSHIP NAME: Proposal Package 3 of 9 ADDRESS RECORD FORM MAIL BID TO: VENDOR NAME: J, m, aFP Cv �I,,64ya ad ADDRESS: i`� Mew (31yel ��t",! NJ' 11733' CONTACT: 4/_ i /hsoAp�— TELEPHONE: iQ 20 Me' FAX: E-MAIL: dwfampf ld kbeh I&.e a0-A -gna,1) ONLY if different - MAIL PURCHASE ORDER TO: ADDRESS: TELEPHONE: AX: CONTACT: E-MAIL: ONLY if different- MAIL PAYMENT TO: ADDRESS: TELEPHONE: FAX: CONTACT: E-MAIL: Proposal Package 4 of 9 i VENDOR NAME: 013M11*Vi'VAj ASSUMED NAME CERTIFICATION *If the business is conducted under an assumed name, a copy of the certificate required to be filed under the New York general business law must be attached. ASSUMED NAME: Js/ 4 If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, by an officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership, by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid or previously filed with the Purchasing Agent. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that individuals working for the Town of Southold or other municipality bid on contracts only that such interest be revealed when they do bid.) Proposal Package 5 of 9 AFFIDAVIT OF NON-COLLUSION I hereby attest that I am the person responsible within my firm for the final decision as to the prices(s) and amount of this bid or, if not,that I have written authorization, enclosed herewith, from that person to make the statements set out below on his or her behalf and on behalf of my firm. I further attest that: 1. The price(s) and amount of this bid have been arrived at independently, without consultation, communication or agreement for the purpose of restricting competition with any other contractor, bidder or potential bidder. 2. Neither the price(s), nor the amount of this bid, have been disclosed to any other firm or person who is a bidder or potential bidder on this project, and will not be so disclosed prior to bid opening. 3. No attempt has been made or will be made to solicit, cause or induce any firm or person to refrain from bidding on this project, or to submit a bid higher than the bid of this firm, or any intentionally high or non-competitive bid or other form of complementary bid. 4. The bid of my firm is made in good faith and not pursuant to any agreement or discussion with, or inducement from any firm or person to submit a complementary bid. 5. My firm has not offered or entered into a subcontract or agreement regarding the purchase of materials or services from any other firm or person, or offered, promised or paid cash or anything of value to any firm or person, whether in connection with,this.or any other project, in consideration for an agreement or promise by any firm or person to refrain from bidding or to submit a complementary bid on this project. 6. My firm has not accepted or been promised any subcontract or agreement regarding the sale of materials or services to any firm or person and has not been promised or paid cash or anything of value by any firm or person, whether in connection with this or any project, in consideration for my firm's submitting a complementary bid, or agreeing to do so, on this project. 7. I have made a diligent inquiry of all members, officers, employees, and agents of my firm with responsibilities relating to the preparation, approval or submission of my firm's bid on this project and have been advised by each of them that he or she has not participated in any communication, consultation, discussion, agreement, collusion, act or other conduct inconsistent with any of the statements and representations made in this affidavit. The person signing this bid, under the penalties of perjury, affirms the truth thereof. SWORN TO BEFORE ME TIES /vlA�u Signatu &Company Position y�J DAY OF 201'3 Type Name&Company Position 1 Company Name NOTARY PUBLIC �N� uE: l�{� BARBARA LAUFMAN Date Signed r Notary Public, State Of New York No. 01 LA6084233 :. m-7. ^ z3 Qualified In Suffolk County Federal I.D.Number Commission Expires Dec. 2, 20 � Proposal Package 6 of 9 THE PROPOSAL FORM Furnish HVAC system for Southold Recreation Center VENDOR NAME: Drj?1jfj);\0A-) VENDOR ADDRESS: �D� �l�e� f� 54-i1n,*g V,Ve- A/K /J 7?,-5- TELEPHONE NUMBER: 1 © FAX: The undersigned bidder has carefully examined the Contract Documents and will provide all necessary labor, materials, equipment and incidentals as necessary and called for in the said Contract Documents in the manner prescribed therein and in said Contract, and in accordance with the requirements of the Engineer, at the prices listed on the attached Bid Proposal Form. If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, the bid must be signed by an officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership,by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid documents. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that individuals working for the Town of Southold or other municipalities bid on contracts, but only that such interest be revealed when they do bid.) The undersigned hereby acknowledges receipt of the following Addenda(if none were issued please write N/A below): Addendum No. Dated Proposal Package 7 of 9 REPLACEMENT OF HVAC AIR HANDLER AND COMPRESSOR SYSTEM, DESCRIPTION OF WORK: • Remove and discard existing AC system&replace with new(4)four zone multi stage blower system • Install(4)four new Rheem air handlers model#RH1T6024STANJA(or equivalent) located in drop ceiling hung by threaded rod and kindorf, (4)four new hot water coils, emergency overflow drain pans with shut off switches • Install(4)four new Rheem condensers model#RA1360AJ1NA(or equivalent)located outside in existing locations on new pre cast pads • To include: all new insulated refrigerant piping,condensate drain piping,hot water coil piping • Reconfigure supple and return ducting, thermostat control wiring for staging of units, new thermostats,environmentally friendly R410A refrigerant • Start up&testing of new systems • (1)one year warranty on parts and labor All work is subject to prevailing wage rate. Voucher and certified payroll must be submitted with invoice. TOTAL PRICE: /SC71 J TOTAL PRICE IN WRITTEN WORDS: 6A4f-h1-1A1d11d 4A %Ne_ D� Proposal Package 8 of 9 AUTHORIZED SIGNATURE PRINT NAME G v� TITLE U01 DATE 3—2q ✓ ACKNOWLEDGMENT STATE OF NEW YORK, COUNTY OF ;�U7 O ) ss.: On the '�"/da of A/000A r QZJ in the year 2023 before me, the undersigned, personally appeared, Chlor evm p r , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. NOTA/R"Y� PUBLIC BARBARA LAUFMAN Notary Public, State Of New York No. 01 LA6084233 Qualified In Suffolk County Commission Expires Dec. 2, 20 Gov Proposal Package 9 of 9 { ;s DOMINIONCONSTRUCTION CORP. a,_.... Mechanical Contractors Ji�IDDtID�iE]ISS Jp:IEIFIEIt'�+1°�TCiF.S u ltstrookh-vVetm NauttlrnnaR la' oxo—ito rites/Utmittedl States IDtelpntrttmntetmtt of JEtmetrgy Upton,NY Mechanical Work as Requested$100-$700,000.00 Task Order Contract Agreement General Employee Radiological Training Confined Space Requirements 8/2021 -Present Contact: Sriya Adhya Brookhaven National Labs Modernization Project Office (631)344-8289 VE[age of 1Ftreelpo rt Recreation Center 130 E. Merrick Road,Freeport,NY 11520 Replace existing rooftop units Hurricane Window Installation throughout building $1,747,000.00 9/2020=12/2021 Contact:Victoria Cinielli (516)377-2314 Massapequa 1Unflomt Y ree SchooR Distttrnct Furnish and install VRF Air Conditioning Systems in Berner Elementary and East Lake Elementary School-$1.8 Million 2/2020—2/2021 Contact: School Construction Consultants -Mike Sweeny(631) 567-0200 lISHIP Ulm olm Free S+ehGoR DASttirlct 215 Main Street Islip,IVY 11751 Job: Islip High School Scope of Work: Mechanical Upgrades Mechanical Contract- $691,822.00 6/2017—10/2017 Contact: BBS Architects &Engineers, P.C.—Peter Dawkins (631)475-0349 Ilstlt"tlp lUnIOR IFtree SchooR Msttrlclt 215 Main Street Islip,NY 11751 Job: Sherwood Elementary School Scope of Work: Unit Ventilator Replacement and Mechanical Upgrades Mechanical Contract- $1,021,000.00 6/2017— 10/2017 Contact: BBS Architects &Engineers,P.C.—Peter Dawkins(631)475-0349 ]Flreelpoirtt]BGmus1ag A1ntltt io rltity 240 S.Main Street Freeport,NY 11520 Job: Freeport Housing Authority Scope of Work: Replacement of underground heating system piping Mechanical Contract-$500,000 2/2010 Contact: Juan Rosco (516)623-2508 Rvelrheavdl(Cembrah Sc]htaravh]D�itsitirld 700 Osborn Avenue Riverhead,NY 11901 Job: Edwards Avenue Bus Garage&Transportation Center Scope of Work: Furnish&Install Rooftop Units, Shop Heaters,Pneumatics&Exhaust Systems Mechanical Contract- $284,222.00 1/2017—8/2017 Contact: BBS Architects &Engineers,P.C.—Gary Schiede(631)475-0349 Hatmn p toim Bays lUnnfio nt Y ree SpfficoR Disitrek ett 86 Argonne Road East Hampton Bays,NY 11946 Job: Hampton Bays Elementary, Middle and High Schools Scope of Work: Install Mitsubishi Split Systems and Steam Condensate Pumps Mechanical&Plumbing Contracts -$189,222.00 2015-2016 Contact: BBS Architects &Engineers,P.C.—Larry Marra(631)475-0349 TOWM Of SOMtTa U¢lhdt Sub 53095 Route 25 Southold,NY 11971 Job: Peconic Lane Community Center Scope of Work: Design, Furnish&Install 6 Split Systems with Boiler and Hot Water- Coil $232,000.00 9/2010— 11/2010 Contact: CCLI(Contractor) -Eric Baumbeck(631) 727-6604 UStCIGr- Sttantela]IO2n.01 Sub t Job: VTC HVAC Upgrade Scope of Work: Upgrade of Vessel Traffic Control Data Center $120,000.00 Contact: Enfield Enterprises—Peter Barrafaldi(413) 788-2688 19SUG-IFimre I[-Aauadl Sub Job: Multi Mission Building Major Repairs Scope of Work: Remove Existing HVAC Systems,Furnish and Install 35 new PTAC units with Masonry Openings and Steel Lintels including Refinish Exterior to Match Existing. Furnish and Install 6 new Split Systems for Operations and Data Areas. $600,000.00 Contact: Enfield Enterprises—Peter Barrafaldi(413)788-2688 US(CG- Rnlaueeock, Sub Job: 100 Foster Avenue Scope of Work: Modify Kitchen Hood and Replace Fans,New Controls Owner: USCG 300 Metro Center Blvd.,Warwick, RI 02886 Contractor: ERSI, LLC, 1016 Grand Blvd., Suite 6,Deer Park,NY 11729 $125,256.00 Contact: ERSI-Rick Manhey(315)433-9045 Avro Systems lEimglmee rfuag Isar Sub 77 Raynor Avenue Ronkonkoma,NY 11779 Job: Experimental Jet propulsion combustion facility modification. Scope of Work: Furnish and Install 2000 psi Compressed Air Piping System for Combustion Test Facility.Furnish and Install Rigging Service for Installation of Test Components and Hydraulic Torqueing of Flanges to 12,000 FT LBS. $700)000.00 Contact: Subcontract Manager-Maureen Mahowald(651)220-1124 Southold UIFSIDD Prime PO Box 470 Southold,ISTY 11971 Job: Southold Junior/Senior High School Scope of Work: Door and Window Replacement,Toilet Renovation and Unit Ventilator Replacement. $638,980.00 Contact: BBS Architects Ss Engineers- Carl Weber or Peter Dawkins (631) 475-0349 IE2st IH z m ptoa<Town 11-01 Prime 159 Pantigo Road East Hampton,NY Job: East Hampton Town Hall Z Scope of Work: 14 Split AIC Systems with Hot Water Heating Coils. $712,800.00 Contact: Island Structures Engineering, P.C. -Scott DiBerardino (631) 669-0693 TO)13211A Prime 324 South Service Road Melville,NY 11747 Scope of Work: Furnish and Install Ductwork, all VAV Boxes &Registers &Diffusers $655,000.00 Contact:T Weiss Realty-Rich DiVenti(631)454-9400 VENDOR NAME: EASTERN INDUSTRIAL SERVICES OF NY VENDOR INFORMATION SHEET TYPE OF ENTITY:CORP. X PARTNERSHIP INDIVIDUAL OR SOCIAL SECURITY#: FEDERAL EMPLOYEE I.D# 13369101 DATE OF ORGANIZATION: 1997 IF APPLICABLE: DATE FILED: STATE FILED: If a non-publicly owned Corporation: CORPORATION NAME: EASTERN INDUSTRIAL SERVICES OF NY LIST PRINCIPAL STOCKHOLDERS: (5%of outstanding shares) LIST OFFICERS AND DIRECTORS: NAME TITLE CHRIS PRYDATKO-PRESIDENT JAMES PRYDATKO-VICE PRESIDENT If a partnership: PARTNERSHIP NAME: Proposal Package 3 of 9 ADDRESS RECORD FORM MAIL BID TO: VENDOR NAME: EASTERN INDUSTRIAL SERVICES OF NY ADDRESS: 215 MCCORMICK DRIVE BOHEMIA NY 11716 CONTACT: CHRIS PREMA TELEPHONE: 631.471.7205 FAX: 631.471.7209 E-MAIL: CPREMA@EASTERNINDUSTRIALSERVICES.COM ONLY if different- MAIL PURCHASE ORDER TO: ADDRESS: TELEPHONE: FAX: CONTACT: E-MAIL: ONLY if different - MAIL PAYMENT TO: ADDRESS: TELEPHONE: FAX: CONTACT: E-MAIL: Proposal Package 4 of 9 VENDOR NAME: EASTERN INDUSTRIAL SERVICES OF NY ASSUMED NAME CERTIFICATION *If the business is conducted under an assumed name, a copy of the certificate required to be filed under the New York general business law must be attached. ASSUMED EASTERN INDUSTRIAL SERVICES OF NY NAME: If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, by an officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership, by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid or previously filed with the Purchasing Agent. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that individuals working for the Town of Southold or other municipality bid on contracts only that such interest be revealed when they do bid.) Proposal Package 5 of 9 AFFIDAVIT OF NON-COLLUSION I hereby attest that I am the person responsible within my firm for the final decision as to the prices(s) and amount of this bid or, if not, that I have written authorization, enclosed herewith, from that person to make the statements set out below on his or her behalf and on behalf of my firm. I further attest that: 1. The price(s) and amount of this bid have been arrived at independently, without consultation, communication or agreement for the purpose of restricting competition with any other contractor, bidder or potential bidder. 2. Neither the price(s), nor the amount of this bid, have been disclosed to any other firm or person who is a bidder or potential bidder on this project, and willnot be so disclosed prior to bid opening. 3. No attempt has been made or will be made to solicit, cause or induce any firm or person to refrain from bidding on this project, or to submit a bid higher than the bid of this firm, or any intentionally high or non-competitive bid or other form of complementary bid. 4. The bid of my firm is made in good faith and not pursuant to any agreement or discussion with, or inducement from any firm or person to submit a complementary bid. 5. My firm has not offered or entered into a subcontract or agreement regarding the purchase of materials or services from any other firm or person, or offered, promised or paid cash or anything of value to any firm or person, whether in connection with this or any other project, in consideration for an agreement or promise by any firm or person to refrain from bidding or to submit a complementary bid on this project. 6. My firm has not accepted or been promised any subcontract or agreement regarding the sale of materials or services to any firm or person and has not been promised or paid cash or anything of value by any firm or person, whether in connection with this or any project, in consideration for my firm's submitting a complementary bid, or agreeing to do so, on this project. 7. I have made a diligent inquiry of all members, officers, employees, and agents of my firm with responsibilities relating to the preparation, approval or submission of my firm's bid on this project and have been advised by each of them that he or she has not participated in any communication, consultation, discussion, agreement, collusion, act or other conduct inconsistent with any of the statements and representations made in this affidavit. The person signing this bid, under the penalties of perjury, affirms the truth thereof. SWORN TO BEFORE ME THIS XSS' aCo p '' n QDAY OF 20-a3 Type Name&C pang Position o VP Company Name NOTARY PUBLIC P Y EASTERN INDUSTRIAL SERVICES OF NY ;1, f\ vVJLF Date Signed Notary Public. State of New York, Registration#01W06324942 Qualified In.Suffolk County Federal I.D.Number Cortinlillion,Expiry; 113369101 Proposal Package 6 of 9 THE PROPOSAL FORM Furnish HVAC system for Southold Recreation Center VENDORNAME: EASTERN INDUSTRIAL SERVICES OF NY 215 MCCORMICK DRIVE BOHEMIA, NY 11779 VENDOR ADDRESS: 631.471.7205 631.471.7209 TELEPHONE NUMBER: FAX: The undersigned bidder has carefully examined the Contract Documents and will provide all necessary labor, materials, equipment and incidentals as necessary and called for in the said Contract Documents in the manner prescribed therein and in said Contract, and in accordance with the requirements of the Engineer, at the prices listed on the attached Bid Proposal Form. If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, the bid must be signed by an officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership, by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid documents. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that individuals working for the Town of Southold or other municipalities bid on contracts, but only that such interest be revealed when they do bid.) The undersigned hereby acknowledges receipt of the following Addenda(if none were issued please write N/A below): Addendum No. Dated Proposal Package 7 of 9 REPLACEMENT OF HVAC AIR HANDLER AND COMPRESSOR SYSTEM, DESCRIPTION OF WORK: • Remove and discard existing AC system&replace with new(4)four zone multi stage blower system • Install(4)four new Rheem air handlers model#RH1T6024STANJA(or equivalent) located in drop ceiling hung by threaded rod and kindorf, (4)four new hot water coils, emergency overflow drain pans with shut off switches • Install(4)four new Rheem condensers model#RA1360AJ1NA(or equivalent)located outside in existing locations on new pre cast pads • To include:all new insulated refrigerant piping,condensate drain piping,hot water coil piping • Reconfigure supple and return ducting,thermostat control wiring for staging of units, new thermostats,environmentally friendly R410A refrigerant • Start up&testing of new systems • (1)one year warranty on parts and labor All work is subject to prevailing wage rate. Voucher and certified payroll must be submitted with invoice. TOTAL PRICE: $139,000.00 TOTAL PRICE IN WRITTEN WORDS: ONE HUNDRED THIRTY NINE THOUSAND 00/100 DOLLARS Proposal Package 8 of 9 AUTHORIZED SIGNATURE PRINT NAME 'Sa'--e S ��o TITLE V C,r— PreS,-JV17f- DATE 5 23 ACKNOWLEDGMENT STATE OF NEW YORK, COUNTY OF AUL )ss.: On the 5- day of f'i j in the year 2023 before me, the undersigned, personally appeared, .,a roesP+� , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. NOTARY PUBLIC .,PATRIC.IXA WOLF Notary Public;:lgtate of Neill York.• Registration#01 WO6324942 ::Qualified In.Suffolk County :Commission.Expires May 1s,20ta- Proposal Package 9 of 9 EASTIND-01 MLANE CERTIFICATE OF LIABILITY INSURANCE DATE,M IYYYY) 6123!/202022 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),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER C CT Michelle L.Lane Insight Companies Inc, PHONE 226 Old Country Road AIC,Ne,Ext:(631)393-0500 FAX N,:(631)393-0505 North Wing 11747 EMAIL Melville .mlane insightins.com ,NY INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A:Ohio Security Insurance Company 24082 INSURED INSURER B:Ohio Casualty Insurance Company 24074 Eastern Industrial Services of NY Inc. INSURER C: 860 S 2nd Street INSURER D Ronkonkoma,NY 11779 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 THIS CERTIFICATE 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 TYPE OF INSURANCE ADDL SUBS POLICY EFF POLICY EXP POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LUIBILnY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE [X]OCCUR X X 13KS58660420 3/12/2022 3/12/2023 DAMAGE TO aENTED $ 300,000 X Contractual Liab MED EXP(Any oneperson) S 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEMLAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY XjpCT LOC PRODUCTS-COMPlOP AGG $ 2,000,000 OTHER, B AUTOMOBILE LIABILITY CEaa OMBINED nt)SINGLE LIMIT $ 1,000,000 X ANY AUTO X X BA068660420 3/12/2022 3/12/2023 BODILY INJURY werperson) OWNED SCHEDULED AUTOS ONLY AUTOOpS�y D BODILY INJURY Per accident $ AUTOS ONLY AUTO5 ONLY PPe0acc den DAMAGE $ $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAR CLAIMS-MADE X X US068660420 3/12/2022 3/12/2023 AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 Prod/Comp)Agg $ 5,000,000 WORKERS COMPENSATION AND T OTH- AND EMPLOYERS'LIABILITY Y/N I STA ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT OFFIMIM MBER EXCLUDED? N I A $ (Mandatory r.NH) E.L.DISEASE-EA EMPLOYE Uyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ ncar mmmnN(IF nPFRATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached H more space Is required) SEE ATTACHED ACORD 101 " > -'";;::CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN •` ; - �- j { ACCORDANCE WITH THEROUCY PROVISIONS. 9 Le AUTHORIZED R�EPRESENTAMVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD f i t I COVERAGE'S UNLIMITED, INC. I 201 MORELAND RD SUITE 10 HAUPPAUGE, NY 11788 PH 631-425-2400 FAX 631-42S-2477 .................................................................................................................. November 28, 2022 RE: Eastern Industrial Services of NY Inc. I i To whom it may concern: It has been the privilege of Coverage's Unlimited Inc and U.S. Specialty Insurance Company to provide surety bonds on behalf of Eastern Industrial Services of NY Inc.. We enjoy an excellent relationship with this firm. Eastern Industrial Services of NY Inc. has demonstrated a strong performance record based on sound planning, close project control,and knowledge of their client's requirements. In our opinion Eastern Industrial Services of NY Inc.remains properly financed well equipped, and capably managed. At the present time, U.S.Specialty Insurance Company is in a position to provide bonds on behalf of Eastern Industrial Services of NY Inc.for projects as large as $3,000,000.00 or within a total capacity of $10,000,000.00. Please understand this is neither a limitation nor a commitment on the bond capacity of Eastern Industrial Services of NY Inc.,but should be viewed rather as a general guideline. As always, U.S. Specialty Insurance Company reserves the right to perform normal underwriting,to include,but not limited to the acceptability of the project documents/contract,bond forms and fmancing. U.S. Specialty Insurance Company is listed on the U.S.Treasury Department's Listing of Approved Sureties and is rated A++XV by A.M.Best Company. This letter is not to be used as a qualification for Subguard or any other subcontractor default insurance product. If you have any questions or need any additional information,please do not hesitate to contact me. Sincerely, Jo Tantillo Attorney-In-Fact U.S. Specialty Insurance Company e VENDOR NAME: Z11ne- 'r VENDOR INFORMATION SHEET TYPE OF ENTITY:CORP. v PARTNERSHIP INDIVIDUAL OR SOCIAL SECURITY#: DATE OF ORGANIZATION: IF APPLICABLE: DATE FILED: STATE FILED: If a non-publicly owned Corporation: CORPORATION NAME: LIST PRINCIPAL PRINCIPAL STOCKHOLDERS: (5%of outstanding shares) LIST OFFICERS AND DIRECTORS: NAME TITLE U If a partnership: PARTNERSHIP NAME: Proposal Package 3 of 9 ADDRESS RECORD FORM MAIL BID TO: VENDOR NAME / 1 el- ADDRESS: LADDRESS: 7,7 SL J7/ ,O ����� �1�.� '-7-- CONTACT: TELEPHONE: FAX: ONLY if different - MAIL PURCHASE ORDER TO: ADDRESS: TELEPHONE: AX: CONTACT: E-MA ONLY if different MAIL PAYMENT TO: ADDRESS: TELEPHONE: FAX: CONT E-MAIL: Proposal Package 4 of 9 VENDOR NAME: l0,4- ASSUMED NAME CERTIFICATION *If the business is conducted under an assumed name, a copy of the certificate required to be filed under the New York general business law must be attached. ASSUMED NAME: If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, by an officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership, by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid or previously filed with the Purchasing Agent. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that individuals working for the Town of Southold or other municipality bid on contracts only that such interest be revealed when they do bid.) Proposal Package 5 of 9 Y 1 AFFIDAVIT OF NON-COLLUSION I hereby attest that I am the person responsible within my firm for the final decision as to the prices(s) and amount of this bid or, if not, that I have written authorization, enclosed herewith, from that person to make the statements set out below on his or her behalf and on behalf of my firm. I further attest that: 1. The price(s) and amount of this bid have been arrived at independently, without consultation, communication or agreement for the purpose of restricting competition with any other contractor, bidder or potential bidder. 2. Neither the price(s), nor the amount of this bid, have been disclosed to any other firm or person who is a bidder or potential bidder on this project, and will not be so disclosed prior to bid opening. 3. No attempt has been made or will be made to solicit, cause or induce any firm or person to refrain from bidding on this project, or to submit a bid higher than the bid of this firm, or any intentionally high or non-competitive bid or other form of complementary bid. 4. The bid of my firm is made in good faith and not pursuant to any agreement or discussion with, or inducement from any firm or person to submit a complementary bid. 5. My firm has not offered or entered into a subcontract or agreement regarding the purchase of materials or services from any other firm or person, or offered, promised or paid cash or anything of value to any firm or person, whether in connection with this or any other project, in consideration for an agreement or promise by any firm or person to refrain from bidding or to submit a complementary bid on this project. 6. My firm has not accepted or been promised any subcontract or agreement regarding the sale of materials or services to any firm or person and has not been promised or paid cash or anything of value by any firm or person, whether in connection with this or any project, in consideration for my firm's submitting a complementary bid, or agreeing to do so, on this project. 7. 1 have made a diligent inquiry of all members, officers, employees, and agents of my firm with responsibilities relating to the preparation, approval or submission of my firm's bid on this project and have been advised by each of them that he or she has not participated in any communication, consultation, discussion, agreement, collusion, act or other conduct inconsistent with any of the statements and representations made in this affidavit. The person signing this bid,under the penalties of perjury, affirms the truth thereof. SWORN TO BEFORE ME S Signature&Company Position - =DAY OF 20;?,3 Type Name&Company Position////J/f ✓� W�� Company Name�/f ,, /Ige-eh O17 i��� �� NOTAkVILRaguseo 11 9/ NOTARY PUBLIC,STATE OS NE YOR U Registration N0.s I RA6204 Count 11 Date Signed d(JaSuffolk and Nassau County Commission Expires April 20th 2025 Federal I.D.Number ,4o,lZe ��� _7­,,?2 7 Proposal Package 6 of 9 THE PROPOSAL FORM Furnish HVAC system for Southold Recreation Center VENDOR NAME: , VENDORADDRESS77 /^ Z llo:! _ TELEPHONE NUMBEIW/ �1 /�� FAX: The undersigned bidder has carefully examined the Contract Documents and will provide all necessary labor, materials, equipment and incidentals as necessary and called for in the said Contract Documents in the manner prescribed therein and in said Contract, and in accordance with the requirements of the Engineer, at the prices listed on the attached Bid Proposal Form. If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, the bid must be signed by an officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership, by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid documents. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that individuals working for the Town of Southold or other municipalities bid on contracts,but only that such interest be revealed when they do bid.) The undersigned hereby acknowledges receipt of the following Addenda(if none were issued please write N/A below): Addendum No. Dated Proposal Package 7 of 9 REPLACEMENT OF HVAC AIR HANDLER AND COMPRESSOR SYSTEM, DESCRIPTION OF WORK: • Remove and discard existing AC system&replace with new(4)four zone multi stage blower system • Install (4)four new Rheem air handlers model#RH1T6024STANJA(or equivalent) located in drop ceiling hung by threaded rod and kindorf, (4)four new hot water coils, emergency overflow drain pans with shut off switches • Install(4)four new Rheem condensers model#RA1360AJ1NA (or equivalent)located outside in existing locations on new pre cast pads • To include:all new insulated refrigerant piping,condensate drain piping,hot water coil Piping • Reconfigure supple and return ducting,thermostat control wiring for staging of units, new thermostats,environmentally friendly R410A refrigerant • Start up&testing of new systems • (1)one year warranty on parts and labor All work is subject to prevailing wage rate. Voucher and certified payroll must be submitted with invoice. TOYAL PRICE: TOTAL PRICE IN WRITTEN WORDS: r a6l �3 Proposal Package 8 cd�r AUTHORIZED SIGNATURE PRINT NAME /� TITLE ��/ DATE ACKNOWLEDGMENT STATE OF NEW YORK, COUNTY OF . Off' On the �ay of in the year 2023 before me, the undersigned, personally app eare d�/�j�� Q Cife'fJ , personally known to me or proved to me on the basis of satisfactory evidence t e the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowle ged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. Megan L. Raguse NOTARY PUBLIC,STATE OF NEW 0 Registration No,01 RA6204711 NOTARY PUBLIC Suffolk and Nassau County Commission Expires April 20th 2025 Proposal Package 9 of 9 VENDOR NAME: �oAm ca &Tec 1 ' Io( ons,,Lf t VENDOR INFORMATION SHEET TYPE OF ENTITY:CORP. PARTNERSHIP INDIVIDUAL OR SOCIAL SECURITY#: DATE OF ORGANIZATION: 0_31 16 lao l 6 IF APPLICABLE: DATE FILED: 0a I a6 I ao STATE FILED: NEL) �10CL If a non-publicly owned Corporation: CORPORATION NAME: LIST PRINCIPAL STOCKHOLDERS: (5%of outstanding shares) yrs sZ 5 qqq o (110 LIST OFFICERS AND DIRECTORS: ME TITLE Y_r5�SJWZZOC� S� corF secje4Dj� If a partnership: PARTNERSHIP NAME: N Proposal Package 3 of 9 ADDRESS RECORD FORM MAIL BID TO: VENDOR NAME: 1 oos ADDRESS: 0 OL CONTACT: �� l6ann TELEPHONE: 6 t N5q® I6X FAX: 3I`759 Xno 11 E-MAIL: ONLY if different - MAIL PURCHASE ORDER TO: ADDRESS: N I A- TELEPHONE: FAX: CONTACT: E-MAIL: ONLY if different- MAIL PAYMENT TO: ADDRESS: NI A" TELEPHONE: FAX: CONTACT: E-MAIL: Proposal Package 4 of 9 t � VENDOR NAME: jakicohj- Tech 5�)/Aba/_m ASSUMED NAME CERTIFICATION *If the business is conducted under an assumed name, a copy of the certificate required to be filed under the New York general business law must be attached. ASSUMED NAME: N If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, by an officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership, by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid or previously filed with the Purchasing Agent. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that individuals working for the Town of Southold or other municipality bid on contracts only that such interest be revealed when they do bid.) Proposal Package 5 of 9 AFFIDAVIT OF NON-COLLUSION I hereby attest that I am the person responsible within my firm for the final decision as to the prices(s) and amount of this bid or,,if not,that I have written authorization, enclosed herewith, from that person to make the statements set out below on his or her behalf and on behalf of my firm. I further attest that: 1. The price(s) and amount of this bid have been arrived at independently, without consultation, communication or agreement for the purpose of restricting competition with any other contractor,bidder or potential bidder. 2. Neither the price(s), nor the amount of this bid, have been disclosed to any other firm or person who is a bidder or potential bidder on this project, and will not be so disclosed prior to bid opening. 3. No attempt has been made or will be made to solicit, cause or induce any firm or person to refrain from bidding on this project, or to submit a bid higher than the bid of this firm, or any intentionally high or non-competitive bid or other form of complementary bid. 4. The bid of my .firm is made in good faith and not pursuant to any agreement or discussion with, or inducement from any firm or person to submit a complementary bid. 5. My firm has not offered or entered into a subcontract or agreement regarding the purchase of materials or services from any other firm or person, or offered, promised or paid cash or anything of value to any firm or person, whether in connection with this or any other project, in consideration for an agreement or promise by any firm or person to refrain from bidding or to submit a complementary bid-on this project. 6. My firm has not accepted or been promised any subcontract or agreement regarding the sale of materials or services to any firm or person and has not been promised or paid cash or anything of value by any firm or person, whether in connection with this or any project, in consideration for my firm's submitting a complementary bid, or agreeing to do so, on this project. 7. I have made a diligent inquiry of all members, officers, employees, and agents of my firm with responsibilities relating to the preparation, approval or submission of my firm's bid on this project and have been advised by each of them that he or she has not participated in any communication, consultation, discussion, agreement, collusion, act or other conduct inconsistent with any of the statements and representations made in this affidavit. The person {signing this bid,under theenalties of perjury, affirms the truth thereof. �v 1 VIX. SWORN TO BEFORE ME THIS Signature&Company PositiiPtJ 134 UA R-N I I ) A3 I ' J� SC:Z ' P R— DAY OF 2C�� Type Name&Company Position 1f)A6ca+ wch Sol A'0)5) DID �Ql" Company Name NOTARY PUBLIC LIK'a og� Dorota Kat~vowski Date Signed FN(0)T,4Re PUBLIC,STATE A6 NEW YORKRegistration No.O1KA6426270Federal I.D.Number Qualified in Suffolk CountyCommission Expires 12%06/20'roposal Package 6 of 9 THE PROPOSAL FORM Furnish HVAC system for Southold Recreation Center VENDOR NAME: hwrjok Tffch 1I On, LM VENDOR ADDRESS: "Is TELEPHONE NUMBER: 6.2,I The undersigned bidder has carefully examined the Contract Documents and will provide all necessary labor, materials, equipment and incidentals as necessary and called for in the said Contract Documents in the manner prescribed therein and in said Contract, and in accordance with the requirements of the Engineer, at the prices listed on the attached Bid Proposal Form. If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, the bid must be signed by an officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership, by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid documents. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that individuals working for the Town of Southold or other municipalities bid on contracts,but only that such interest be revealed when they do bid.) The undersigned hereby acknowledges receipt of the following Addenda(if none were issued please write N/A below): Addendum No. Dated Proposal Package 7 of 9 4 REPLACEMENT OF HVAC AIR HANDLER AND COMPRESSOR SYSTEM, DESCRIPTION OF WORK: • Remove and discard existing AC system&replace with new(4)four zone multi stage blower system • Install(4)four new Rheem air handlers model#RH1T6024STANJA(or equivalent) located in drop ceiling hung by threaded rod and kindorf, (4)four new hot water coils, emergency overflow drain pans with shut off switches • Install (4)four new Rheem condensers model#RA1360AJ1NA(or equivalent)located outside in existing locations on new pre cast pads • To include: all new insulated refrigerant piping, condensate drain piping,hot water coil. Piping • Reconfigure supple and return ducting,thermostat control wiring for staging of units, new thermostats,environmentally friendly R410A refrigerant • Start up &testing of new systems • (1)one year warranty on parts and labor All work is subject to prevailing wage rate. Voucher and certified payroll must be submitted with invoice. TOTAL PRICE: -�q . -ZW TOTAL PRICE IN WRITTEN WORDS: Proposal Package 8 of 9 � � v AUTHORIZED SIGNATURE n PRINTNAME -bCJA1VN6f TITLE SECej 1 fi2� DATE ACKNOWLEDGMENT STATE OF NEW YORK, COUNTY OF SU lamd k ) ss.: On the_ day of in the year 2023 before me, the undersigned, personally appeared,`F5rI'f,Lnn Q- rnCL S , personally known to me or proved to me on the basis of satisfactory evidence to bee'individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. NOTARY PUBLIC Dorota Karwowski NOTARY PUBLIC,STATE OF NEW YORK ReListration No.OIKA6426270 Qualified in Suffolk County Commission Expires 12106/20 Proposal Package 9 of 9 LEGAL NOTICE INVITATION TO BID NOTICE IS HEREBY GIVEN THAT SEALED PROPOSALS ARE SOUGHT AND REQUESTED FOR THE FOLLOWING: BID NAME: "RFP HVAC SYSTEM FOR THE SOUTHOLD TOWN RECREATION CENTER" Definite specifications may be obtained at the Southold Town Clerk's Office beginning March 23,2023 PLACE OF OPENINGS: DATE OF OPENINGS: TIME OF OPENINGS: TOWN OF SOUTHOLD April 6, 2023 2:00 PM TOWN CLERKS OFFICE 53095 MAIN ROAD SOUTHOLD, NY. 11971 CONTACT PERSON: Tim Abrams—Department of Public Works Town of Southold, 631-765-1283 VENDORS MUST SUBMIT BIDS IN SEALED ENVELOPES. PLEASE PRINT ON THE FACE OF ENVELOPE: l)NAME & ADDRESS OF BIDDER 2) BID NAME It is the bidder's responsibility to read the attached Bid Specifications, Instructions to Bidders, and General Conditions, which outline bidding rules of the Town of Southold. Upon submission of bid, it is understood that the.bidder has read, fiilly understands and will comply with said GENERAL CONDITIONS and specification requirements. The Town of Southold requires that this document be returned intact and that it be filled out completely. Please do not remove any pages from this bid package, and-make a copy of the bid document for your records. The Town of Southold welcomes and encourages minority and women-owned businesses to participate in the bidding process. STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) Denis Noncarrow, Town Clerk of the Town of Southold,New York being duly sworn, says that on the 17th day of March , 2023, a notice of which the annexed printed notice is a true copy was affixed, in a proper and substantial manner, in a most public place in the Town of Southold, Suffolk County, New York, to wit: Town Clerk's Bulletin Board, 53095 Main Road, Southold, New York and the Southold Town website, www.southoldtowm-iy.gov . Denis on oKle Southol Town- k Sworn before me this 171h day of March , 2023. otary Public LYNDA M. Notary Public, st Pte of New York 0932 Quafiif ed inRS f Suffolk k C unty Commission Expires March 8,20 TOWN OF SOUTHOLD REQUEST FOR PROPOSALS HVAC SYSTEM TOWN RECREATION CENTER SOUTHOLD, SUFFOLK COUNTY,NEW YORK Prepared By.- TOWN OF SOUTHOLD 53095 Main Road Southold,New York 11971 (631) 765-1283 February 28, 2023 TOWN OF SOUTHOLD 53095 MAIN ROAD, SOUTHOLD, NEW YORK 11971 PHONE: 631-765-1283 / FAX: 631-765-9015 INVITATION TO BID NOTICE IS HEREBY GIVEN THAT SEALED PROPOSALS ARE SOUGHT AND REQUESTED FOR THE FOLLOWING: BID NAME: "RFP for HVAC System for the SOUTHOLD RECREATION CENTER" Definite specifications may be obtained by e-mail from the Southold Town Clerk's Office beginning March 23, 2023 PLACE OF OPENINGS: DATE OF OPENINGS: TIME OF OPENINGS: TOWN OF SOUTHOLD April 6,2023 2:00 PM TOWN CLERKS OFFICE 53095 MAIN ROAD SOUTHOLD,NY 11971 CONTACT PERSON: Tim Abrams Town of Southold, 631-765-1283 VENDORS MUST SUBMIT BIDS IN SEALED ENVELOPES. PLEASE PRINT ON THE FACE OF ENVELOPE: 1)NAME&ADDRESS OF BIDDER 2) BID NAME It is the bidder's responsibility to read the attached Bid Specifications, Instructions to Bidders, and General Conditions,which outline bidding rules of the Town of Southold. Upon submission of bid, it is understood that the bidder has read, fully understands and will comply with said GENERAL CONDITIONS and specification requirements. The Town of Southold requires that this document be returned intact and that it be filled out completely. Please do not remove any pages from this bid package, and make a copy of the bid document for your records. The Town of Southold welcomes and encourages minority and women-owned businesses to participate in the bidding process. TABLE OF CONTENTS TOWN OF SOUTHOLD Request For Proposal HVAC System Southold Recreation Center Title Page ------ Invitation to Bid ------ Table of Contents ------ Instructions to Bidders IB-1 thru IB-4 Proposal Form Package Pages 1 —9 INSTRUCTIONS TO BIDDERS INDEX 1. Receipt and Opening of Bids 2. Form,Preparation and Presentation of Proposal 3. Rejection of Bids 4. Bidders Responsibility 5. Bid Reservations 6. Non-Collusive Statement 7. Addenda and Interpretations 8. Method of Award 9. Single Price Bid Analysis 10. Municipal Exempt Status 11. Labor Law 12. Quantities IB - 1 INSTRUCTIONS TO BIDDERS 1. RECEIPT AND OPENING OF Request for Proposals (RPF) The Town of Southold invites RPF on the forms herein provided to HVAC work at the Southold Town Recreation Center located at 970 Peconic Lane in Peconic, New York. Sealed R F P s' shall be received by the office of the Southold Town Clerk, 53095 Route 25 Southold, New York 11971, no later than 2:00 P.M. prevailing time on Thursday, April 6th 2023, at which time they will be opened and publicly read aloud. All bids received after the time stated for the opening in the Notice to Bidders may not be considered and will be returned unopened to the bidder. The bidder assumes the risk of any delay in the mail or in the handling of the mail by employees of the Town. Whether sent by snail or by means of personal delivery, the bidder assumes responsibility for having his bid deposited on time at the place specified. Faxed bids will not be accepted. 2.FORM,PREPARATION AND PRESENTATION OF PROPOSAL The Proposal Form as issued by the Town shall be completely filled in, in black ink or typed on the original bid form. No photocopies will be accepted. All blank spaces for bid prices must be filled in, in both words and figures, with a total or gross sum for which the bid is made. All lines must have an indication of the bidder's response whether it be "0", "N/A", "No Charge", or a dollar figure. All lines must be filled in to indicate bidder's acknowledgment of the request. Bids that do not have all applicable lines filled in on the bid proposal form may be disqualified as a non-responsive bid. We cannot assume there is "no charge" when lines are left empty. Bids that contain any omission,erasure,alteration,addition or items not called for in the itemized bid form or that contain irregularities of any kind will not be accepted. In case of discrepancy between the unit price and total amount bid for any item, the unit price, as expressed in words, shall govern. The following two items will automatically render a bid unacceptable to the Town of Southold: a. Failure to sign bid proposal page. b. Failure to include necessary bid security deposit(as required). It shall be fully understood that any deviations from the inclusion of the above items will be grounds to see the bid as non-compliant and will not be considered for award. 3. REJECTION OF BIDS (a) The TOWN BOARD reserves the right to reject any bid if the evidence submitted in the qualifications statement or an investigation of such bidder fails to satisfy the TOWN BOARD that such bidder is properly qualified to carry out the obligations of the Contract and to complete the work contemplated therein. Conditional bids will be considered informal and will be rej ected. (b)The TOWN BOARD reserves the right to reject any and all bids,in whole or in part,to waive any informality in any or all bids, and to accept the bid or part thereof which it deems most favorable to the Town after all bids have been examined and/or checked. IB -2 INSTRUCTIONS TO BIDDERS 4. BIDDERS RESPONSIBILITY (a) Bidders are cautioned not to submit bids until after having inspected the site of the proposed improvement and having made themselves familiar with local conditions. The attention of persons intending to submit bids is specifically called to the paragraph of the Contract which debars a Contractor from pleading misunderstanding or deception because of estimates or quantities, character, location or other conditions surrounding the same. Special attention is called to the notes on the Plans or in the itemized form of bid, which are made a part of this Contract,which may alter or revise the Specifications for the particular contract. (b) The submission of a bid will be construed to mean that the bidder is fully informed as to the extent, cost, and character of the materials, labor, and equipment required to complete the proposed job, including all other expenses incidental thereto. (c)Bidders may examine the Site and exercise their own judgment as to the nature and amount of the whole of the work to be done, and for the bid prices, must assume all risks of variance by whomsoever made in computation or statement of amounts or quantities necessary to fully complete the work in strict compliance with the Contract Documents. (d)The Bidder shall assume all risks and responsibility and shall complete the work in whatever material and under whatever conditions he may encounter or create, without extra cost to the Town. (e)No pleas of ignorance or misunderstanding of conditions that exist or that may hereafter exist, or of conditions or difficulties that may be encountered in the execution of the work under this Contract, as a result of failure to make the necessary examinations and investigations, will be to fulfill in every detail all of the requirements of the Contract Documents, or will be accepted as a basis for any claims whatsoever for extra compensation,or for an extension of time. 5.BID RESERVATIONS Bids submitted shall remain in effect for forty-five (45) days past the date of bid opening. This period may be extended, for the benefit of the Town, by mutual agreement between the Bidder and the Purchasing Agent. 6.NON-COLLUSIVE STATEMENT The form of non-collusion bidding certification contained in the proposal package must be executed by the Bidder and submitted with the proposal. The submission of this statement certifies that the prices in this bid have been arrived at independently without collusion, IB -3 INSTRUCTIONS TO BIDDERS consultation,communication,or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor. 7. ADDENDA AND INTERPRETATIONS Every request for information or interpretation of the Contract Documents must be addressed in writing to the Southold Town Department of Public Works , 53095 Main Road Southold,New York 11971 (fax) 631-765-9015, and to be given any consideration, must be received at least five (5) days prior to the date fixed for the opening of bids; Any such interpretations or supplemental instructions will be in.the form of written addenda, and will be mailed or faxed to all prospective bidders. The failure of any bidder to receive any such addenda will not relieve the bidder of any obligation under his bid as submitted. Any addenda so issued shall become part of the Contract Documents. 8. METHOD OF AWARD The bid will be awarded to the lowest responsive, responsible bidder, as will best promote the public interest,taking into consideration the reliability of the bidder,the quality of the materials, equipment,or supplies to be furnished, and conformity with the specifications. 9.SINGLE PRICE BID ANALYSIS In the event a single bid is received,the Town will conduct a price analysis of the bid price prior to the award of the contract. 10.MUNICIPAL EXEMPT STATUS The Town is exempt from the payment of Federal, State and local taxes. Taxes must not be included in proposal prices. 11. LABOR LAW The Contractor and each and every subcontractor performing work at the site of the project to which this Contract relates shall comply with the applicable provisions of the Labor Law, as amended, of the State of New York. Attention is called to certain provisions of the Labor Law, as set forth in the Conditions of Contract,Paragraph 11,which are hereby referred to and made a part hereof. 12. QUANTITIES Any quantities set forth in the bid specifications are approximations only.No guarantee is made for any quantities stated. Payment shall be on the basis of actual quantities supplied or the actual work done at the unit prices quoted. IB -4 Town of Southold HVA C SYSTEM FOR SOUTHOLD TOWN RECREATION PROPOSAL PACKAGE BID OPENS: APRIL 6, 2023 REMINDER NOTE! !!: VENDORS MUST RETURN THIS DOCUMENT INTACT AND FILLED OUT COMPLETELY! ! All line items on the Proposal Form must be filled in! All lines must have an indication of the bidder's response whether it is a dollar figure or No Bid. Please DO NOT remove any pages from this bid package! ! ! Thank you! Proposal Package 1 of 9 BIDDER'S CHECK LIST Your response to our above referenced bid will be considered unresponsive and will be rejected if the following forms are not included at the time of the bid opening. Notarized Affidavit of Non-Collusion as required by NYS Law. Vendor Information Sheet and Address Record Form. Assumed Name Certification. Proposal Package 2 of 9 VENDOR NAME: VENDOR INFORMATION SHEET TYPE OF ENTITY:CORP. PARTNERSHIP INDIVIDUAL FEDERAL EMPLOYEE ID #: OR SOCIAL SECURITY#: DATE OF ORGANIZATION: IF APPLICABLE: DATE FILED: STATE FILED: If a non-publicly owned Corporation: CORPORATION NAME: LIST PRINCIPAL STOCKHOLDERS: (5% of outstanding shares) LIST OFFICERS AND DIRECTORS: NAME TITLE If a partnership: PARTNERSHIP NAME: LIST PARTNERS NAMES: Proposal Package 3 of 9 ADDRESS RECORD FORM MAIL BID TO: VENDOR NAME: ADDRESS: CONTACT: TELEPHONE: FAX: E-MAIL: ONLY if different - MAIL PURCHASE ORDER TO: ADDRESS: TELEPHONE: FAX: CONTACT: E-MAIL: ONLY if different - MAIL PAYMENT TO: ADDRESS: TELEPHONE: FAX: CONTACT: E-MAIL: Proposal Package 4 of 9 VENDOR NAME: ASSUMED NAME CERTIFICATION *If the business is conducted under an assumed name, a copy of the certificate required to be filed under the New York general business law must be attached. ASSUMED NAME: If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, by an officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership, by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid or previously filed with the Purchasing Agent. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that individuals working for the Town of Southold or other municipality bid on contracts only that such interest be revealed when they do bid.) Proposal Package 5 of 9 AFFIDAVIT OF NON-COLLUSION I hereby attest that I am the person responsible within my firm for the final decision as to the prices(s) and amount of this bid or, if not, that I have written authorization, enclosed herewith, from that person to make the statements set out below on his or her behalf and on behalf of my firm. I further attest that: 1. The price(s) and amount of this bid have been arrived at independently, without consultation, communication or agreement for the purpose of restricting competition with any other contractor, bidder or potential bidder. 2. Neither the price(s), nor the amount of this bid, have been disclosed to any other firm or person who is a bidder or potential bidder on this project, and will not be so disclosed prior to bid opening. 3. No attempt has been made or will be made to solicit, cause or induce any firm or person to refrain from bidding on this project, or to submit a bid higher than the bid of this firm, or any intentionally high or non-competitive bid or other form of complementary bid. 4. The bid of my firm is made in good faith and not pursuant to any agreement or discussion with, or inducement from any firm or person to submit a complementary bid. 5. My firm has not offered or entered into a subcontract or agreement regarding the purchase of materials or services from any other firm or person, or offered, promised or paid cash or anything of value to any firm or person, whether in connection with this or any other project, in consideration for an agreement or promise by any firm or person to refrain from bidding or to submit a complementary bid on this project. 6. My firm has not accepted or been promised any subcontract or agreement regarding the sale of materials or services to any firm or person and has not been promised or paid cash or anything of value by any firm or person, whether in connection with this or any project, in consideration for my firm's submitting a complementary bid, or agreeing to do so, on this project. 7. I have made a diligent inquiry of all members, officers, employees, and agents of my firm with responsibilities relating to the preparation, approval or submission of my firm's bid on this project and have been advised by each of them that he or she has not participated in any communication, consultation, discussion, agreement, collusion, act or other conduct inconsistent with any of the statements and representations made in this affidavit. The person signing this bid, under the penalties of perjury, affirms the truth thereof. SWORN TO BEFORE ME THIS Signature&Company Position DAY OF 20 Type Name&Company Position Company Name NOTARY PUBLIC Date Signed Federal I.D.Number Proposal Package 6 of 9 THE PROPOSAL FORM Furnish HVAC system for Southold Recreation Center VENDOR NAME: VENDOR ADDRESS: TELEPHONE NUMBER: FAX: The undersigned bidder has carefully examined the Contract Documents and will provide all necessary labor, materials, equipment and incidentals as necessary and called for in the said Contract Documents in the manner prescribed therein and in said Contract, and in accordance with the requirements of the Engineer, at the prices listed on the attached Bid Proposal Form. If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, the bid must be signed by an officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership, by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid documents. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that individuals working for the Town of Southold or other municipalities bid on contracts, but only that such interest be revealed when they do bid.) The undersigned hereby acknowledges receipt of the following Addenda(if none were issued please write N/A below): Addendum No. Dated Proposal Package 7 of 9 REPLACEMENT OF HVAC AIR HANDLER AND COMPRESSOR SYSTEM, DESCRIPTION OF WORK: • Remove and discard existing AC system&replace with new(4)four zone multi stage blower system • Install (4)four new Rheem air handlers model#RH1T6024STANJA (or equivalent) located in drop ceiling hung by threaded rod and kindorf,.(4)four new hot water coils, emergency overflow drain pans with shut off switches • Install (4)four new Rheem condensers model#RA1360AJ1NA (or equivalent)located outside in existing locations on new pre cast pads • To include: all new insulated refrigerant piping, condensate drain piping,hot water coil piping • Reconfigure supple and return ducting, thermostat control wiring for staging of units, new thermostats,environmentally friendly R410A refrigerant • Start up &testing of new systems • (1)one year warranty on parts and labor All work is subject to prevailing wage rate. Voucher and certified payroll must be submitted with invoice. TOTAL PRICE: TOTAL PRICE IN WRITTEN WORDS: Proposal Package 8 of 9 AUTHORIZED SIGNATURE PRINT NAME TITLE DATE ACKNOWLEDGMENT STATE OF NEW YORK, COUNTY OF ) ss.: On the day of in the year 2023 before me, the undersigned, personally appeared, , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. NOTARY PUBLIC Proposal Package 9 of 9 REQUEST FOR PROPOSAL HVAC SYSTEM Recreation Center 970 Peconic Lane Peconic, NY The Town of Southold is requesting bid proposals for replacement of HVAC air handle and compressor systems at Recreation Center, 970 Peconic Lane, Peconic, NY: Description • Remove and discard existing AC system & replace with new (4) four zone multi stage blower system • Install(4) four new Rheem air handlers model#RH1T6024STANJA(or equivalent) located in drop ceiling hung by threaded rod and kindor, (4) four new hot water coils, emergency overflow drain pans with shut off switches • Install (4) four new Rheem condensers model#RA1360AJ1NA (or equivalent) located outside in existing locations on new pre cast pads • To include: all new insulated refrigerant piping, condensate drain piping, hot water coil piping . • Reconfigure supple and return ducting, thermostat control wiring for staging of units, new thermostats, environmentally friendly R410A refrigerant • Start up & testing of new systems • (1) one year warranty on parts and labor All work is subject to prevailing wage rate. Voucher and certified payroll must be submitted with invoice. Please submit bid information to: Denis Noncarrow, Southold Town Clerk FAX: (631) 765-6145 or email to denisnAsoutholdtownny.gov Southold Town Board - Letter Board Meeting of February 28, 2023 �gUFFOlMRESOLUTION 2023-238 Item# 5.7 ADOPTED DOC ID: 18942 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2023-238 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON FEBRUARY 28, 2023: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs the Town Clerk to advertise for bids for HVAC work at the Southold Town Recreation Center located at 970 Peconic Lane, Peconic,New York, subject to the approval of the Town Attorney. Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:Brian O. Mealy, Councilman AYES: Nappa, Doroski, Mealy, Doherty, Evans, Russell Generated March 1, 2023 Page 16 Times Review Media Group Invoice#: 4a170814 The Suffolk Times Date: 03/17/2023 Bill To Customer Email SOUTHOLD TOWN CLERIC lynda.rudder@town.soutl7old.ny.us Affidavits will be mailed or emailed (as ordered) 7 days AFTER THE LAST INSERTION DATE, Description Publish Date Amount PUBLIC 03/23/2023 $48.17 Affidavit(eMail) 1 $25.00 Affidavit(Mail) 0 $0.00 Total: $73.17 Please remit checks payable to: Balance: " Times Review Media Group $73.17 PO Box 1500 Mattituck, NY 11952 The invoice number MUST be included on your check to ensure that your payment is applied correctly. LEGAL NOTICE INVITATION TO BID NOTICE IS HEREBY GIVEN THAT SEALED PROPOSALS ARE SOUGHT AND REQUESTED FOR THE FOLLOWING: BID NAME: "RFP HVAC SYSTEM FOR THE SOUTHOLD TOWN RECREATION CENTER" Definite specifications maybe obtained at the Southold Town Clerk's Office beginning March 23, 2023 PLACE OF OPENINGS: SOUTHOLD TOWN CLERK 53095 MAIN ROAD SOUTHOLD, NY 11971 DATE/TIME OF OPEN: APRIL 6, 2023 2:00 P.M. CONTACT PERSON: Tim Abrams Depart of Public Works 631-765-1283 VENDORS MUST SUBMIT BIDS IN . SEALED ENVELOPES. PLEASE PRINT ON THE FACE OF ENVELOPE: 1) NAME&ADDRESS OF BIDDER 2) BID NAME It is the bidder's responsibility to read the attached Bid Specifications, Instructions to Bidders, and General Conditions, which outline bidding rules of the Town of Southold. Upon submission of bid, it is understood that the bidder has read, fully understands and will comply with said GENERAL CONDITIONS and ' specification requirements. The Town of Southold requires that this document be returned intact and that it be filled out completely. Please do not remove any pages from this bid package, and make a copy of the bid document for your records. The Town of Southold welcomes and encourages minority and women-owned businesses to participate in the bidding process. Dated: February 28, 2023 BY ORDER OF THE SOUTHOLD TOWN BOARD Denis Noncarrow Southold Town Clerk