HomeMy WebLinkAboutHighway - Road Matl Contracts ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-6145
Telephone (516) 765-1800
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
FROM:
RE:
DATE:
SUPERINTENDENT OF HIGHWAYS RAYMOND JACOBS
ELIZABETH A. NEVILLE, TOWN CLERK
ROAD MATERIAL CONTRACTS
JULY 3O, 1999
ENCLOSED PLEASE FIND COPIES OF ALL 1999-2000 ROAD MATERIAL
CONTRACTS BETWEEN CORAZZINI AND THOMAS H. GANNON ~
SONS. I HAVE NOT YET RECEIVED THE PERFORMANCE BOND
FROM CORAZZINI. THEY ARE WORKING ON IT. I WILL FORWARD
A COPY TO YOU AS SOON AS IT IS RECEIVED.
AGREEMENT made this 11th day of June 1999 , between
CORAZZINI ASPHALT, INC., with its principal office and place of business at
COX LANE, CUTCHOGUE, NEW YORK (Mailing: PO Box 1281, Cutchogue, NY 11935),
hereinafter called the Contractor, and the TOWN OF SOUTHOLD, a municipal
corporation of the State of New York, with offices at 53095 Main Road,
Southold, Suffolk County, New York, hereinafter called the Town.
WITNESSETH, that the Contractor has agreed to provide all necessary
labor, materials, equipment and incidentals required to furnish and place
asphalt concrete for the Town of Southold in accordance with the
requirements of the specifications for bid, at the following unit prices:
**OIL & SAND"
Furnish F, Place within Town of Southold Furnish & Place on Fishers Island
Liquid Asphalt RC-250 ~. MC-250
with Screened Sand
$.90 per sq. yd.
Liquid Asphalt RC-250 ~, MC-250
with Screened Sand
$1.75
Schim Mix Asphalt Concrete-Type 5
$51.00 per ton
Schim Mix Asphalt Concrete-Type 5
$100.00 per ton
Fog Coat:Liquid Asphalt RC-250 ~, MC-250
$1.00 per gal.
Fog Coat:Liquid Asphalt RC-250 & MC-250
$1.00 per gal.
The above specified contract shall be a period of one (1) year from the 11th
day of June 1999 through the 11thday of June 2000,
IN WITNESS WHEREOF. the parties hereto have set their hands and seals the day
and year first above written,
TOWN OF SOUTHOLD
Jea~t~/S. Cochran. ~r
CONTRACTOR
STATE OF NEW YORK
COUNTY OF SUFFOLK
~ On the ~ day of
_.7--/~x-'./ , /qqq , before me personally came
· to me known, who, being by me duly sworn,
did depose and say that he resides at ~',~o~ ~.,~X~q~ ~ ,"~d- ~_,u?'~l.~o~zx~
and that he is th~_~/o~_~7" of ~"~-~z~/~_~ ~oh,~--/' .~,'-~'
the corporation described in and which executed the foregoing instrument;
that he 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, that the he signed his name there
by like order,
STATE OF NEW YORK
COUNTY OF SUFFOLK
On the 23rdday of July , 1999 , before me personally came JEAN
W. COC[IRAN, to me known, who being by me duly sworn, did depose and
say that she resides at Boisseau Avenue, Southold, New York, and that she
is the Supervisor of the Town of Southold, the corporation described in and
which executed the foregoing instrument; that she knowsthe seal of said
corporation; that the seal affixed to said instrument is such corporate
seal; that it was so affixed by order of the Town Board of the Town of
Southold, and that she signed her name thereto by llke order.
~N o~ary Public
N ELIZABETH ANN NEVILLE
otery Public, State of New York
No. 52-8125850, Suffolk County
Term Expires October 31, ,=~,,"J~
AGREEMENT made this 11th day of June , 19 99, between
CORAZZINI ASPHALT, INC., with its principal office and place of business at
COX LANE, CUTCHOGUE, NEW YORK (Mailing: PO Box 1281, Cutchogue, NY 11935),
hereinafter called the Contractor, and the TOWN OF SOUTHOLD, a municipal
corporation of the State of New York, with offices at 53095 Main Road,
Southold, Suffolk County, New York, hereinafter called the Town.
WlTNESSETH, that the Contractor has agreed to provide all necessary
labor, materials, equipment and incidentals required to furnish and place
asphalt concrete for the Town of Southold in accordance with the
requirements of the specifications for bid, at the following unit prices:
"OIL F., STONE"
Furnish & Place within Town of Southold
Liquid Asphalt RC-250 & lA Stone
with Screened Sand
$.97 per sq. yd.
Schim Mix Asphalt Concrete-Type 5
$46.00 per ton
Furnish & Place on Fishers Island
Liquid Asphalt RC-250 & lA Stone
with Screened Sand
$2.00
Schim Mix Asphalt Concrete-Type 5
$49.00 per ton
Fog Coat:Liquid Asphalt RC-250 & MC-250
$1.00 per gal.
Fog Coat:Liquid Asphalt RC-250 & MC-250
$1.00 per gal.
The above specified contract shall be a period of one (1) year from the 11th
day of June 1999 through thellth day of June 2000,
IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day
and year first above written,
TOWN OF SOUTHOLD
Jean ~q~. Cochran. ~ ~erv!sor
STATE OF NEW YORK
COUNTY OF SUFFOLK
~d~ On the ~-~_~/3 .day of~ , //~4~, before me personally came
dap°se ~/-/dJ~c'~'~~t h~Jre.itOsmee sde at known, who, being by me duly sworn,
the corporation described in and which executed the foregoing instrument;
that he knows the
instrument is such
Board of Directors
by like order,
seal of said corporation; that the seal affixed to said
corporate seal; that it was so affixed by order of the
of said corporation, that the he signed his name there
Notary I~blic
STATE OF NEW YORK
COUNTY OF SUFFOLK
On the 23rdday of June 1999 · before me personally came JEAN
W. COCItRAN, to me known, who being by me duly sworn, did depose and
say that she resides at Boisseau Avenue, Southold, New York, and that she
is the Supervisor of the Town of Southold, the corporation described in and
which executed the foregoing instrument; that she knowsthe seal of said
corporation; that the seal affixed to said instrument is such corporate
seal; that it was so affixed by order of the Town Board of the Town of
Southold, and that she signed her name thereto by like order.
Public
ELIZABETH ANN NEVILLE
Notary Public, State of New York
No. 52-8125850, Suffolk County
Term Expires October 31,~:2~>~-¢~
ACREEMENT made this 11th day of June , 19 99, between
CORAZZlNI ASPHALT. IN(:., with its principal office and place of business at
COX LANE, CUTCHOGUE, NE~ YORK (Mailing: PO Box 1281, Cutchogue, NY 11935),
hereinafter called the Contractor, and the TOWN OF SOUTHOLD, a municipal
corporation of the State of New York, with offices at 53095 Main Road,
Southold, Suffolk County, New York, hereinafter called the Town.
WITNESSETH, that the Contractor has agreed to provide all necessary
labor, materials, equipment and incidentals required to furnish and place
asphalt concrete for the Town of Southold in accordance with the
requirements of the specifications for bid, at the following unit prices:
"SAND MIX ASPHALT TYPE 5 SHIM"
Furnish & Place within Town of Southold Furnish & Place on Fishers Island
0-330 Tons
$65.00 per ton $110.00
350-650 Tons
$55.00 $75.00
650-1,000
$49.00 $75.00
Over 1,000 tons
$49.00 $65.00
The above specified contract shall be a period of one (1) year from the 11th
day of June 1999 through the 11th day of June 2000.
IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day
and year first above written.
TOWN OF SOUTHOLD
Jea~. Cochran, Superwsor
STATE OF NEW YORK
COUNTY OF SUFFOLK f~
//~._ ~O.n t~he~__~day of ~.~ , f~, before me personally came
~ ~' ~.~.~ , t~ me known, who, being by me duly sworn,
/did depose and~s23~at he resides at f~C.K'~)O~,~]~,~.~ ~ ~_~'L~j_~.~
the corporation described in and which executed the foregoing instrument;
that he knows the seal of said corporation; that the seal affixed to said
instrument is such corporate seal; that it was so affixed by order of the
Board of Directors of said corporation, that the he signed his name there
by like order,
STATE OF NEW YORK
COUNTY OF SUFFOLK
On the 23rdday of July , 1999 , before me personally came JEAN
W. COCHRAN. to me known, who being by me duly sworn, did depose and
say that she resides at Bolsseau Avenue, Southold, New York, and that she
is the Supervisor of the Town of Southold, the corporation described in and
which executed the foregoing instrument; that she knowsthe seal of said
corporation; that the seal affixed to said instrument is such corporate
seal; that it was so affixed by order of the Town Board of the Town of
Southold, and that she signed her name thereto by like order.
ary Public
ELIZABETH ANN NEVILLE
Notary Public, State of New York
No, 62-81258~0, Suffolk County
Term ERoire$ October 31,
AGREEMENT made this 11th day of June , 19 99, between
CORAZZlNI ASPHALT, INC., with its principal office and place of business at
COX LANE, CUTCHOGUE, NEW YORK (Mailing: PO Box 1281, Cutchogue, NY 11935),
hereinafter called the Contractor, and the TOWN OF SOUTHOLD, a municipal
corporation of the State of New York, with offices at 53095 Main Road,
Southold, Suffolk County, New York, hereinafter called the Town.
WlTNESSETH, that the Contractor has agreed to provide all necessary
labor, materials, equipment and incidentals required to furnish and place
asphalt concrete for the Town of Southold in accordance with the
requirements of the specifications for bid, at the following unit prices:
"TYPE 6 TOP"
Furnish & Place within Town of Southold Furnish & Place on Fishers Island
0-350 Tons
$57.00 per ton $120.00
350-650 Tons
$50.00 $85.00
650-1,000
$45.00 $75.00
Over 1,000 tons
$45.00 $75.00
The above specified contract shall be a period of one (1) year from the 11th
day of June 1999 through thellth day of June 2000.
IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day
and year first above written.
TOWN OF SOUTHOLD
STATE OF NEW YORK
COUNTY OF SUFFOLK
On the- ~'.v'~ da., o
~ un [ne~ ~ ~ . ~ . before me personally came
~~ ~~~ ~to me known, who. being by me duly sworn.
'did depose and ~ he resides at
and that he is t~~-~ of
the corporation described in and which executed the foregoing ihstrument;
that he 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, that the he signed his name there
by like order.
~T~ ~ MN~ York
~ 4~1~ ~ ~un~
STATE OF NEW YORK
COUNTY OF SUFFOLK
On the 23rdday of June 1999 , before me personally came JEAN
W. COCflRAN, to me known, who being by me duly sworn, did depose and
say that she resides at Boisseau Avenue, Southold, New York, and that she
is the Supervisor of the Town of Southold, the corporation described in and
which executed the foregoing instrument; that she knowsthe seal of said
corporation; that the seal affixed to said instrument is such corporate
seal; that it was so affixed by order of the Town Board of the Town of
Southold, and that she signed her name thereto by llke order.
ELIZABETH ANN NEVILLE
Not;~rv Public, Sta~e of New York
No. 52-r5! 2E~50, Suffolk Coun[y
ACREEMENT made this 11th day of June , 19 99, between
CORAZZINI ASPHALT, INC., with its principal office and place of business at
COX LANE, CUTCHOGUE, NEW YORK (Mailing: PO Box 1281, Cutchogue, NY 11935),
hereinafter called the Contractor, and the TOWN OF SOUTHOLD, a municipal
corporation of the State of New York, with offices at 53095 Main Road,
Southold, Suffolk County, New York, hereinafter called the Town.
WITNESSETH, that the Contractor has agreed to provide all necessary
labor, materials, equipment and incidentals required to furnish and place
asphalt concrete for the Town of Southold in accordance with the
requirements of the specifications for bid, at the following unit prices:
"LIQUID ASPHALT"
Furnish & Place within Town of Southold Furnish & Place on Fishers Island
Asphalt Road Materials RC-250 ~, MC-250 Asphalt Road Materials RC-250 & MC-250
$1.85 per gal $2.15 per gal
The above specified contract shall be a period of one (1) year from the 11th
day of June 1999 through thellth day of June 2000.
IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day
and year first above written.
TOWN ~_ SOUtTHOLD
Jean ~ Cold1~an. Supervisor
STATE OF NEW YORK
COUNTY OF SUFFOLK ///
On theg ' da . of,m , before me persona.y came
(,~J~'4 ~ ~~ ~ U , t~ me known, who, being by me duly sworn,
did depose and s~ t~at he resides at ~ ~ ~, ~~
the corporation described in and which exerted the foregoing instrument;
that he 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, that the he signed his name there
by like order.
Notary/Public
STATE OF NEW YORK
COUNTY OF SUFFOLK
On the 2.3z_dday of July 1999 , before me personally came JEAN
W. COCHRAN, to me known, who being by me duly sworn, did depose and
say that she resides at Boisseau Avenue, Southold, New York, and that she
is the Supervisor of the Town of Southold, the corporation described in and
which executed the foregoing instrument; that she knowsthe seal of said
corporation; that the seal affixed to said instrument is such corporate
seal; that it was so affixed by order of the Town Board of the Town of
Southold, and that she signed her name thereto by like order.
otary Pubhc ~
· ~r,,y ~_~ic, State of Now York
"~'~" =~m~res October 3 I, ~
AGREEMENT made this 11th day of June , 19 99, between
CORAZZlNI ASPHALT, INC., with its principal office and place of business at
COX LANE, CUTCHOCUE, NEW YORK (Mailing: PO Box 1281, Cutchogue, NY 11935),
hereinafter called the Contractor, and the TOWN OF SOUTHOLD, a municipal
corporation of the State of New York, with offices at 53095 Main Road,
Southold, Suffolk County, New York, hereinafter called the Town.
WITNESSETH, that the Contractor has agreed to provide all necessary
labor, materials, equipment and incidentals required to furnish and place
asphalt concrete for the Town of Southold in accordance with the
requirements of the specifications for bid, at the following unit prices:
"OIL & RECYCLED STONE"
Furnish ~. Place within Town of Southold
Liquid Asphalt RC-250 S Recycled Stone
$.75 per sq. yd.
Schim Mix Asphalt Concrete-Type 5
$50.00 per ton
Fog Coat: RC-250 Liquid Asphalt
$1.00 per gal.
The above specified contract shall be a period of one (1) year from the 11th
day of June 1999 through thellth day of June 2000,
IN WITNESS WHEREOF. the parties hereto have set their hands and seals the day
and year first above written,
TOWN OF SOUTHOLD
'eax~ya~/~ perT°r
that he knows the
instrument is such
Board of Directors
by like order.
STATE OF NEW YORK
COUNTY OF SUFFOLK
On the~ day of /~ , j~_~ , before me personally came
~ ~~ known, who, being by me duly sworn,
CJ, ~o me
depose and say t~hat he resides atd6'~5-~) ~'~_~,~,~j/~_~. ~-'J~'J~dff4,~
did
and that he is the ~-'~,. ~'~_. of ~/~~~, ~l~::~ ~,
the corporation described in and which exec~t~ed the foregoing instrument;
seal of said corporation; that the seal affixed to said
corporate seal; that it was so affixed by order of the
of said corporation, that the he signed his name there
4787134,
STATE OF NEW YORK
COUNTY OF SUFFOLK
On the23rd day of July 1999 , before me personally came JEAN
W. COCHRAN, to me known, who being by me duly sworn, did depose and
say that she resides at Boisseau Avenue, Southold, New York, and that she
is the Supervisor of the Town of Southold, the corporation described in and
which executed the foregoing instrument; that she knowsthe seal of said
corporation; that the seal affixed to said instrument is such corporate
seal; that it was so affixed by order of the Town Board of the Town of
Southold, and that she signed her name thereto by like order.
AGREEMENT made this 11th day of June , 19 99, between
CORAZZINI ASPHALT, INC., with its principal office and place of business at
COX LANE, CUTCNOGUE, NEW YORK (Mailing: PO Box 1281, Cutchogue, NY 11935),
hereinafter called the Contractor, and the TOWN OF SOUTHOLD, a municipal
corporation of the State of New York, with offices at 53095 Main Road,
Southold, Suffolk County, New York, hereinafter called the Town.
WlTNESSETH, that the Contractor has agreed to provide all necessary
labor, materials, equipment and incidentals required to furnish and place
asphalt concrete for the Town of Southold in accordance with the
requirements of the specifications for bid, at the following unit prices:
"EMULSIONS F. STONE"
Furnish & Place within Town of Southold Furnish & Place on Fishers Island
Asphalt Emulsion R5-250 & lA Stone
$.95 per sq. yd.
Asphalt Emulsion RS-250 & lA Stone
$1.90 per sq. yd.
Schim Mix Asphalt Concrete-Type 5
$39.00 per ton
Schlm Mix Asphalt Concrete-Type 5
$39.00 per ton
Fog Coat:Asphalt Emulsion RS-2
$1.00 per gal.
Fog Coat:Liquid Asphalt RS-2
$1.00 per gal.
The above specified contract shall be a period of one (1) year from thellth
day of June 1999 through the 11thday of June 2000.
IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day
and year first above written.
TOWN OF SOUTHOLO
B Y j e~'~.~~,~~r~u~r~v i s--~- or~-~
STATE OF NEW YORK
COUNTY OF SUFFOLK
~ On the ~ day of ~ , /~, before me personally came
.,/_.~_~.~ ~ ' ,to ~le known, who, being by me duly sworn,
did depose and say that he resides at
and that he is the
the corporation described in and which executed the foregoing instrument;
that he 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, that the he signed his name there
by like order.
STATE OF NEW YORK
COUNTY OF SUFFOLK
On the~rHday of ~, lgg9 , before me personally came JEAN
W. COCHRAN, to me known, who being by me duly sworn, did depose and
say that she resides at Boisseau Avenue, Southold, New York, and that she
is the Supervisor of the Town of Southold, the corporation described in and
which executed the foregoing instrument; that she knowsthe seal of said
corporation; that the seal affixed to said instrument is such corporate
seal; that it was so affixed by order of the Town Board of the Town of
Southold, and that she signed her name thereto by like order.
Notary Public
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hail, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-6145
Telephone (516) 765-1800
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
FROM:
RE:
DATE:
SUPERINTENDENT OF HIGHWAYS RAYMOND JACOBS
ELIZABETH A. NEVILLE, TOWN CLERK
ROAD MATERIAL CONTRACTS
JULY 30, 1999
ENCLOSED PLEASE FIND COPIES OF ALL 1999-2000 ROAD MATERIAL
CONTRACTS BETWEEN CORAZZINI AND THOMAS H. GANNON
SONS. I HAVE NOT YET RECEIVED THE PERFORMANCE BOND
FROM CORAZZINI. THEY ARE WORKING ON IT. I WILL FORWARD
A COPY TO YOU AS SOON AS IT IS RECEIVED.
[ X] LUMBERMENS MUTUAL CASUALTY COMPANY
[ t AMERICAN MOTORISTS INSURANCE COMPANY
[ ] AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
GENERAL STATUS INQUIRY - CONTRACT BONDS
CC: GEORGE R LEHMULLER, SR
OWNER, OBLIGEE OR ORIGINATING COMPANY AND ADDRESS
TOWN OF SOUTHOLD
SELF ADDRESSED STAMPED
ENVELOPE ENCLOSED FOR
SPEEDY RETURN.
53095 MAIN RD
PO BOX 1179
SOUTHOLD, NY 11971
CONTRACTOR
CORAZZINI ASPHALT, INC
ADDRESS
COX LN
CUTCHOGUE, NY 11935
DESCRIPTION OF CONTRACT - INCLUDE LOCATION AND OWNER'S CONTRACT NUMBER
PROVIDE ALL NECESSARY LABOR, MATERIALS, EQUIPMENT AND REQUIRED TO FURNISH AND PLACE
ASPHAET CONCRETE FOR THE TOWN OF SOUTHOLD FOR THE PERIOD OF ONE (1) YEAR FROM 06/05/98-
06/05/99.
OWNER
TOWN OF SOUTHOLD
RECEIVED
DATE JUN 8 1999
06/02/99
OUR BOND NUMBER
3S 198 545-00
REINSURED'S NUMBER
CONTRACT PRICE BONDS EFFECTIVE DATE
$10,000.00 $10,000.00 06/05/99
Without prejudicing your right or affecting our liability under our bond(s) described above, we would appreciate such
of the following information as is now available.Very truly yours,
1. It is understood that the information contained herein is furnished as a matter of courtesy for the confidential use
of the surety and is merely an expression of opinion. It is also agreed that in furnishing this information, no guaranty
or warranty of accuracy or correctness is made and no responsibility is assumed as a result of reliance by the surety,
whether such information is furnished by the owner or by an architect or engineer as the agent of the owner.
2. IF CONTRACT COMPLETED, PLEASE STATE:
COMPLETION DATE
APPROXIMATE ACCEPTANCE DATE
FINAL CONTRACT PRICE
$
3. IF CONTRACT UNCOMPLETED, PLEASE STATE:
APPROXIMATE PERCENTAGE OR DOLLAR AMOUNT OF CONTRACT COMPLETED OR DELIVERED
4. DO YOU KNOW OF ANY UNPAID BILLS FOR LABOR OR MATERIALS? [ lYES, REMARKS [ ] NO
5. REMARKS
Date
Signature
Title
FK 0773-1 Printed in U.S.A.
PRODUCER
CERTIFICATE OF INSURANCE
Brisotti & Silkworth, Inc.
9400 Main Road
P. O. Box 1448
Mattituck, NY 11952-0925
Corazzini Asphalt, Inc.
Cutchogue Mate~als, lnc.
100 Lupen Dr. P. O. Box 555
Cutchogue NY 11935
COMPANIES AFFORDING COVERAGE
A Tho Hertford
B
C
D
LIMIT5
A 12WECY1092 6/22/99 6/22/00
100000
500000
100000
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED.
CERTIFICATE OF INSURANCE
516-298-4747
INSURED
Brisotti & Silkworth, Inc.
8400 Main Road
P. O. Box 1448
Mattituck, NY 11952-0925
Corazzini Asphalt, Inc.
Cutchogue Materials, Inc.
100 Lupen Dr. P. O, Box 555
Cutchogue NY 11936
COMPANIES AFFORDING COVERAGE
A Tho Hartford
B
C
D
06 04 99
LIMITS
!i~i~i~i~:i [ CLAIM8 MAD~ [-'---]OCCUR
A 12WECY1092 6/22/99 6/22/00
100000
600000
100000
BRISOTTI & SILKWORTH INSURANCE
.~400 blain Road · PO. Box IaMB ,Mattituck, New York 11952-0925
Phone: (516)298-47,J7 · Fax: (516) 298-54.96
CERTIFICATE OF INSURANCE
Re: Corazzini Asphalt Inc.
Workers Comp.
Gentlemen:
We are pleased to enclose a Certificate of Insurance for our
captioned insured.
Please contact our office if you have any questions,
Thank you, and we are happy to be of service.
Sincerely,
Enc.
cc: Corazzini Asphalt Inc.
2-61
Matatuck
(516) 298-4747
Insurance & Financial Services
Sag Hafl~or
(516) 725-3013
Shelter Island
(516) 749-1674
BRISOTTI & SILKWORTH INSURANCE
st4oo Main Road · P.O. Box 1448 .Mattituck, NewYork 11052-o925
Phone: (516)298-d747 ° Fax: i516)298-5496
CERTIFICATE OF INSURANCE
Re: Corazzini Asphalt Inc.
Workers Comp.
Gentlemen:
We are pleased to enclose a Certificate of Insurance for our
captioned insured.
Please contact our office if you have any questions.
Thank you, and we are happy to be of service.
Sincerely,
Enc.
cc: Corazzini Asphalt Inc.
2-61
Mattimck
(S 16) 298-4747
Insurance & Financial Services
Sag Harbor
(516) 725-3013
Shelter Island
(516) 749-1674
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-6145
Telephone (516) 765-1800
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
July 23, 1999
Judith B. Wurtz
Corazzini Asphalt, Inc.
P.O. Box 1281
Cutchocjue, New York 11935
Dear Judy:
Enclosed please find copies of the 1999-2000 contracts for the road
treatments. Please have the contracts executed and signatures notarized
and return the "TO~/N COPY" to me, together with a performance bond for
1999-2000. I have enclosed a photocopy of last year's. I am in receipt of
the certificate of insurance.
Should you have any questions, please feel free to call me. Thank you.
Very truly yours,
Southold Town Clerk
Enclosures