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Cnty of Suffolk-Traffic Signal
PATRICIA A. FINNEGAN TOWN ATTORNEY pat ricia.finnegan~,t own.southold.ny.us KIERAN M. CORCORAN ASSISTANT TOWN ATTORNEY kieran.corcoran~'town.sou t hold.ny.us LORI HULSE MONTEFUSCO ASSISTANT TOWN ATTORNEY lori.montefusco@town.southold.ny.us JOSHUA Y. HORTON Supervisor Town Hall Annex, 54375 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1939 Facsimile (631) 765-6639 OFFICE OF THE TOWN ATTORNEY TOV~N OF SOUTHOLD December 12, 2005 Mr. Charles J. Bartha, P.E.,Commissioner Suffolk County DepartmentofPublicWorks 335 Yaphank Avenue Yaphank, NY 11980 RE: Traffic Signal Agreement @ CR 48, Middle Road @ Cox Neck Road in Mattituck Dear Mr. Bartha: I am enclosing five (5) counterparts of the referenced Agreement, which have been signed by Supervisor Horton. Also enclosed is the Living Wage Exhibit which has also been signed by the Supervisor. Pursuant to your letter dated August 11,2005, I am also including copies of the required Certificate of Insurance and the Resolution pertaining to this matter. We would appreciate your forwarding us a fully executed original Agreement as soon as it is available. If you have any questions regarding the enclosed, please do not hesitate to call me. Thank you for your attention. Lori ~lse MOA~~ LHM/Ik Enclosures cc: Ms. Elizabeth Neville, Town Clerk (w/encls.)~'''~ Patricia A. Finnegan, Esq., Town Attorney (w/encls.) Town of Southold with COS Law Dept. No. A~reement Location: CR 48, Middle Rd. ~, Cox Neck Rd., Hamlet of Mattituck As Revised 8/03/05 AGREEMENT FOR THE INSTALLATION OF TRAFFIC CONTROL DEVICES This AGREEMENT is between the County of Suffolk ("COUNTY"), a municipal corporation of the State of New York, having its principal office at the County Canter, Riverhead, New York 11901, acting through its duly constituted Department of Public Works ("the DEPARTMENT") located at 335 Yaphank Avenue, Yaphank, New York 11980-9744, and the Town of SOUTHOLD ("TOWN"), having its principal office at Indepandence Hill, Farmingville, NY, 11738. TERMS AND CONDITIONS: Shall be as set forth in "Exhibit A" and "Exhibit B" attached hereto and made a part hereof. 1N WITNESS WHEREOF, the parties hereto have executed this Agreement as of the latest date written below: TOWN OF SOUTHOLD upervisor Date APPROVED: B~ CHARLES J. BARTHA, P.E. Commissioner Date APPROVED AS TO LEGALITY: CHRISTINE MALAFI Suffolk County Attorney By: COUNTY OF SUFFOLK By: Date MARISA G. MARLETTI, ESQ. Date PAUL SABATINO li Assistant County Attorney Chief Deputy County Executive Town of Southold with COS Am'cement Location: CR 48, Middle Rd. ~ Cox Neck Rd., Hamlet of Mattituck Law Dept. No. As Revised 8/03/05 EXHIBIT A WHEREAS, the DEPARTMENT operates a program to improve traffic signals, markings, signs and the like ("Devices") in order to ensure the safe and continuous movement of traffic, and WHEREAS, the DEPARTMENT has determined that certain Devices are necessary along CR 48, Middle Road ~ Cox Neck Road, Itamlet of Matfltuck for the improvement of traffic conditions at the said location within the TOWN, and the TOWN accepts said determination, and WHEREAS, pursuant to Section 136 of the New York State Highway Law, the Commissioner of the Suffolk County Department of Public Works ("Commissioner") is empowered to erect Devices, as authorized by the County Legislature, in order to improve traffic conditions, and WHEREAS, the parties hereto desire to provide for the installation and maintenance of Devices at the aforesaid location within the TOWN for the improvement of traffic conditions, in accordance with a traffic signal plan on file with the DEPARTMENT: NOW, THEREFORE, in consideration of the individual and mutual covenants, promises and representations heroin contained, the parties hereto agree as follows: 1. Definitions: meaning: The following terms whenever used in this Agreement shall have the following Devices: Traffic signals and associated appurtenances. Traffic Signal Service Report: A report of any and all work performed on the Devices. 2. Design: Installation: The COUNTY shall install, at the expense of the Permit Applicant or through the COUNTY'S Capital or Operating Budget, Devices of the type, and at the location, set forth above. 3. Ownership: A. Any and all Devices installed pursuant to this Agreement shall be the sole and exclusive property of the TOWN. B. Any Devices removed from the site(s) designated herein shall be delivered to either the DEPARTMENT or the TOWN, as directed by the Commissioner. 4. Ooeration and Maintenance: ho All costs incurred in the operation and maintenance of the Devices, including any and all charges for electricity, shall be borne by the TOWN or, in the case of a Permit Signal, the Permit Applicant, until such time as responsibility for the operation and maintenance of the Devices is assumed by the TOWN. At such time as responsibility for the operation and maintenance of the Devices is assumed by the TOWN, the TOWN shall operate and maintain the Devices in accordance with the current Maintenance Specifications of the DEPARTMENT. A copy of said specifications is available upon request at the DEPARTMENT. Page 1 Town of Southold with COS A~reement Location: CR 48, Middle Rd. @ Cox Neck Rd., Hamlet of Matfituck Law Dept. No. As Revised 8/03/05 In the event that the TOWN has a set of Maintenance Specifications equivalent to that of the DEPARTMENT, the TOWN may, subject to the review and approval of same by the DE- PARTMENT, use same in lieu of the DEPARTMENT'S Maintenance Specifications. In connection with its maintenance of the Devices, the TOWN shall provide the COUNTY with a Traffic Signal Service Report whenever and wherever a maintenance problem exists which prevents the device from operating as designed. The TOWN shall keep all local police authorities aware of the party responsible for maintenance of the Devices. The TOWN shall establish procedures that will allow maintenance contractors and/or TOWN employees to provide maintenance services for the Devices on a 24-hour basis. 5. Modification of Devices: The TOWN shall not alter the signal operation or timing of the Devices without the prior written approval of the DEPARTMENT. In the event of any alteration to the signal operation or timing of the Devices, the TOWN shall fttmish the DEPARTMENT with one (1) set of wir'mg diagrams for ach alteration. 6. Reoresentations and Warranties: A. The TOWN shall enact any ordinance, order, rule or regulation necessary for the installation and maintenance of the Devices. The TOWN shall comply, and shall require its officers, directors, partners, trustees and other members of its governing body, as well as any personnel employed to render services under this Agreement, to comply, with all applicable rules, regulations and requirements of law, includ'mg Suffolk County local preference laws and other applicable Suffolk Cotmty local laws, and reso- lutions of the Suffolk County Legislature. The TOWN shall maintain full and complete books and records of any and all Traffic Signal Service Reports. Such books and records shall be retained for a period of seven (7) years and shall be available for inspection by the DEPARTMENT, or its duly designated representative, upon written notice during regular business hours. D. The COUNTY agrees to transfer any and all warranties and representations on all equipment and materials installed by the COUNTY or its permittees to the TOWN. 7. Violation A. In the event that the TOWN fails to maintain the Devices in accordance with the terms of this Agreement, the COUNTY, in addition to any other remedies to which it may be entitled, may withhold funds for traffic improvements within the TOWN. B. The COUNTY shall provide the TOWN with written notice of the TOWN'S failure to maintain the Devices. Such notice shall specify the particular failure. The TOWN shall be given a reasonable period of time to correct any said failure. Page 2 Town of Southold with COS Agreement Location: CR 48, Middle Rd. (~ Cox Neck Rd., Hamlet of Mattituck Law Dept. No. 8. Insurance ($ee Exhibit B) As Revised 8/03/'05 A. The TOWN shall procure, pay the entire premium for, and maintain throughout the term of this Agreement, insurance in amounts and types specified by the COUNTY. The TOWN agrees to require all of its subcontractors in connection with work performed for the TOWN related to this Agreement, procure, pay the entire premium for and maintain throughout the term of this Agreement, insurance in amounts and types equal to that specified by the COUNTY for the TOWN. Unless otherwise specified by the COUNTY and agreed to by the TOWN, in writing, such insurance shall be as follows: i. COMMERCIAL GENERAL LIABILITY INSURANCE, including contractual coverage, in an amount not less than TWO MILLION AND NO/100THS ($2,000,000.00) DOLLARS per occurrence for bodily injury and TWO MILLION AND NO/100THS ($2,000,000.00) DOLLARS per occurrence for property damage. ii. AUTOMOBILE LIABILITY INSURANCE, (if any vehicles are used by the TOWN in the performance of this Agreement including owned, non-owned, and hired cars) in an amount not less than Five Hundred Thousand Dollars ($500,000) per person, per accident, for bodily injury and not less than One Hundred Thousand Dollars ($100,000) for property damage per OCCUlTClICe. iii. WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE, in compliance with all applicable New York State laws and regulations and DISABILITY BENEFITS INSURANCE, if required by law. The TOWN shall furnish to the COUNTY, prior to its execution of the Agreement, the documentation required by the State of New York Workers' Compensation Board of coverage or exemption from coverage pursuant to §§57 and 220 of the Workers' Compensation Law. In accordance with General Municipal Law § 108, this Agreement shall be void and of no effect unless the TOWN shall provide and maintain coverage during the term of this Agreement for the benefit of such employees as are required to be covered by the provisions of the Workers' Compensation Law. iv. PROFESSIONAL LIABILITY INSURANCE (ERRORS AND OMISSIONS), that covers any damage arising out of the TOWN'S performance of professional services caused by an error, omission, or negligent acts, in an amount not less than Two Million Dollars ($2,000,000) on either a per occurrence or claims made coverage basis. v. In the event the TOWN maintains a COMPREHENSIVE GENERAL LIABILITY INSURANCE policy form in lieu of Commercial General Liability, said policy must include all of the above requirements plus premises/operations, independent contractors, contractual, and broad form property damage. All policies providing such coverage shall be issued by insurance companies with an A.M. best rating orA- or better. All insurance shall be obtained fi.om companies licensed to do business in the State of New York. Page 3 Town of Southold with COS Agreement Location: CR 48, Middle Rd. @ Cox Neck Rd., Hamlet of Mattituck Law Dept. No. As Revised 8/03/05 C. The County of Suffblk must be named Additional Insured and the TOWN shall furnish to the COUNTY a declaration page for each such policy of insurance, and upon request, a true and certified original copy of each such policy, evidencing compliance with the aforesaid insurance requirements. In the case of commercial general liability insurance, the County of Suffolk shall be named as an additional insured and the TOWN shall furnish a Declaration page and endorsement page evidencing the County's status as an additional insured on said policy. Where work under this Agreement is sub-contracted, the TOWN must require the subcontractor to provide that the COUNTY be named as an additional insured on all required policies, as well as require the subcontractor to provide the COUNTY with all required evidence of insurance. All such Declaration Pages, certificates and other evidence of insurance shall provide for the County of Suffolk to be notified in writing thirty (30) days prior to any cancellation, non-renewal or material change in said policies. Required limits of insurance are not to be modified by deductibles that the COUNTY deems excessive without the COUNTY'S written permission. All such Declaration Pages, certificates, policies and other evidence of insurance and notices shall be mailed to the DEPARTMENT and to the Suffolk County Risk Management and Benefit Division [700 Veterans Memorial Highway, 2nd Floor, Hanppauge, New York 11788, or such other address of which the COUNTY shall have given the TOWN written notice]. If the TOWN, as a municipal corporation, has a self insurance program under which it acts as a self insurer for any of such for any such required coverage, it may provide self-funded coverage, declarations and certificates or other evidence of such self-insurance in lieu of insurance issued by insurance companies. In the event the TOWN fails to provide the Declaration Pages or certificates of insurance or to maintain any insurance required by this Agreement, the COUNTY may, but shall not be required to, obtain such policies and deduct the cost thereof fi.om payments due the TOWN under this Agreement or any other Agreement between the COUNTY and the TOWN. The COUNTY will not authorize work to begin under this Agreement until all the required insurance has been obtained and said insurance has been approved and filed by the COUNTY. Approval of the insurance by the County shall not relieve or decrease the liability of the TOWN. The TOWN shall assume all responsibility for the insurance requirements of any applicable sub-consultants. 9. Indemnification: To the greatest extent permitted by law, the TOWN agrees that it shall protect, indemnify and hold harmless the County and its officers, officials, employees, contractors, agents and other persons (the "County Indenmified Parties") from and against all liabilities, fmcs, penalties, actions, damages, claims, demands, judgments, losses, costs, expenses, suits or actions and reasonable attorneys' fees, arising out of the acts or omissions or the negligence of the Contractor in connections with the services described or referred to in this Agreement. The TOWN shall defend the County in any suit, including appeals, or at the County's option, pay reasonable attorney's fees for defense of any such suit arising out of the acts or omissions or negligence of the TOWN, its officers, officials, emploYees, subcontractors or agents, is any, in connection with the services described or referred to in this Agreement. Page 4 Town of Southold with COS Am'cement Location: CR 48. Middle Rd. @ Cox Neck Rd., Hamlet of Mattituck Law Dept. No. As Revised 8/03/05 10. Licenses: The TOWN covenants, warrants and represents that it has, and shall have throughout the term of this Agreement, and that, to the extent applicable, its employees, agents and subcontractors have, and shall have throughout the term of this Agreement, the required education, knowledge, experience and character necessary to qualify them individually for the particular duties they are to perform with respect to this Agreement (the "Services"), and that the TOWN has, and shall have, and, to the extent applicable, its employees, agents and subcontractors have, and shall have throughout the term of this Agreement, all required authorization(s), registration(s), license(s) or permit(s) [hereinafter collectively referred to as a "License"] required by State, COUNTY or local authorities for the Services. The TOWN shall forward to the DEPARTMENT a copy of its License or, if applicable, a complete list of its employees, agents and subcontractors providing Services, including names, area of License, License numbers and copies of License(s). The TOWN shall furnish the DEPARTMENT with copies of any updates, additions or deletions to such list as the same may occur, together with copies of any new or renewal License(s). The TOWN shall immediately notify the DEPARTMENT, in writing, of any disciplinary proceedings against the holder of any License. In the event that the TOWN or such other holder of a License is no longer licensed for any one or more of the Services, the TOWN shall immediately so notify the DEPARTMENT. 11. Offset of Arrears or Default: The TOWN warrants that it is not, and shall not be during the term of this Agreement, in arrears to the COUNTY for taxes or upon debt or contract and that it is not, and shall not be during the term of this Agreement, in default as surety, contractor or otherwise on any obligation to the COUNTY. The COUNTY may withhold the amount of any such arrearage or default from amounts payable to the TOWN under this Agreement. 12. Termination: In the event that the COUNTY assumes responsibility for the maintenance of the Devices, thi~ Agreement shall automatically be deemed terminated. 13. Mergerl Modification: This Agreement represents the entire agreement of the parties. All previous understandings of the parties concerning the terms hereof are merged into this Agreement. No modification of this Agreement shall be valid unless written and executed by both parties. 14. Local Law No. 32-1980: TOWN warrants and represents that TOWN has not offered or given any gratuity to any official, employee or agent of Suffolk County, New York State or any political party with the purpose or intent of securing an agreement or securing favorable treatment with respect to the awarding or amending of an agreement, or the making of any determinations with respect to the performance of an agreement, and that TOWN has read and is familiar with the provisions of Suffolk County Local Law Number 32- 1980 (Chapter 386 of the Suffolk County Code). 15. Living Wage Law: This Agreement is subject to the Living Wage Law of the County of Suffolk. The /aw requires that, unless specific exemptions apply, or a waiva' is granted, all employers (as defmed) under service contracts and recipients of county financial assistance (as defined) shall provide payment of a minhnum wage to employees as set forth in the Living Wage Law. Such rate shall be adjusted annually pursuant to the terms of the Suffolk County Living Wage Law of the County of Suffolk. Under the provisions of the Living Wage Law, the COUNTY shall have the authority, under appropriate circumstances, to terminate this Agreement and to seek other remedies as set forth therein, for violations of this law. 16. Child Sexual Abuse Reoorting Policy: The TOWN agrees to comply with Chapter 577, Article IV of the Suffblk County Code, entitled, "Child Sexual Abuse Reporting Policy", as now in effect or amended hereafter or of any other Suffolk County Local Law that may become applicable during the term of this Agreement with regard to child sexual abuse reporting policy, Page5 Town of $outhold with COS A~reement Location: CR48. Middle Rd. ~ Cox Neck Rd.. Hamlet of Mattituck Law Dept. No. As Revised 8/03/05 17. Public Disclosure Statement: The TOWN represents and warrants that the TOWN has filed with the Comptroller of Suffolk County the verified public disclosure statement required by Suffolk County Administrative Code Section A5-7 and shall file an update of such statement with the said Comptroller on or before the 31 st day of January in each year of this Agreement's duration. The TOWN acknowledges that such filing is a material, contractual and statutory duty and that the failure to file such statement shall constitute a material breach of this Agreement, for which the County shall be entitled, upon a determination that such breach has occurred, to damages, in addition to all other legal remedies, of fifteen percent (15%) of the amount of the Agreement. 18. Certification: The parties to this Agreement hereby certify that, other than the funds provided in this Agreement and other valid Agreements with the County, there is no known relationship within the third degree of consanguinity, life partner, or business, commercial, economic, or financial relationship between the parties, the signatories to this Agreement, and any partners, members, directors, or shareholders of five percent (5%) (or more) of any party to this Agreement. 19. Set-Off Rights: The County shall have all of its common law, equitable, and statutory rights of set- off. These rights shall include, but not be limited to, the County's option to withhold, for the purposes of set-off, any moneys due to the Contractor under this contract up to any amounts due and owing to the County with regard to this contract and/or any other contract with any County department or agency, including any contract for a term commencing prior to the term of this contract, plus any amounts due and owing to the County for any other reason including, without limitation, tax delinquencies, fee delinquencies or monetary penalties relative thereto. The County shall exercise its set-off rights in accordance with normal County practices including, in cases of set-off pursuant to an audit, the finalization of such audit by the County agency, its representatives, or the County Comptroller, and only after legal consultation with the County Attorney. 20. Use of County Resources to Interfere with Collective Bargaining Activities Local Law No. 26-2003: The Contractor represents and warrants that it has read and is familiar with the requirements of Article 1, Chapter 466 of the Suffolk County Local Laws, "Use of County Resources to Interfere with Collective Bargaining Activities". County Contractors (as defined) shall comply with all requirements of Local Law No. 26-2003 including the following prohibitions: a. The Contractor shall not use County funds to assist, promote, or deter union organizing. b. No County funds shall be used to reimburse the Contractor for any costs incurred to assist, promote, or deter union organizing, c. The County of Suffolk shall not use County funds to assist, promote, or deter union organizing. d. No employer shall use County property to hold a meeting with employees or supervisors if the purpose of such meeting is to assist, promote, or deter union organizing. If Contractor services are performed on County property the Contractor must adopt a reasonable access agreement, a neutrality agreement, fair communication agreement, non-intimidation agreement and a majority authorization card agreement. If Contractor services are for the provision of human services and such services are not to be performed on County property, the Contractor must adopt, at the least, a neutrality agreement. Under the provisions of Local Law No. 26-2003, the County shall have the authority, under appropriate circumstances, to terminate this Agreement and to seek other remedies as set forth therein, for violations of this Law. Page 6 End of Text Suffolk County Living Wage Requirements Exhibit As Last Revised by the Suffolk County Department of Labor on 9/26/02 Suffolk County Department of Labor - Living Wage Unit Declaration of Compliance - Subject to Audit Form LW-33 (consists of 1 page) Note: Pursuant to Section 7 of Local Law No. -2002, "A Local Law to Implement Living Wage Policy for County of Suffolk", all employers subject to the provisions of the Living Wage Law shall submit a completed and sworn (under +penalty of perjury) Certification of Compliance Subject to Audit form, signed by an authorized representative, as part of an executed contract with the County of Suffolk. The complete Declaration of Compliance form shall be made a part of any executed contract or project agreement and made available to the public upon request. · To certify Living Wage compliance: Return Form LW-1, Form LW-222 and Form LW-33. Or · To certify non-applicability of Living Wage law: Return Form LW-3. Or · To request and document a general living wage exemption: Return Form LW-, LW-2 and Form LW-4 Or · To request and document a specific living wage exemption: Return Form LW-1, LW-2 and Form LW-5. In the event that there is a change in circumstances, it is the Contractor's responsibility of submit to the County additional Living Wage forms which either replace or supplement prior submissions of Living Wage forms. Living Wage Law Information Fact Sheet, text of the Local Law, Frequently Asked Questions, Forms, and Rules and Regulations can be found on the Suffolk County web site at www.co.suffolk, nv.us Click Department Directory Labor Living Wage Law Info Suffolk County Department of Labor Living Wage Unit Tel. (631) 853-3808 End of Text for Suffolk County Living Wage Requirements Exhibit As Last Revised by the Suffolk County Department of Labor on 9/26/02 2 of 2 pages SUFFOLK COUNTY DEPARTMENT OF LABOR -LIVING WAGE UNIT CERTIFICATION OF THE NON-APPLICABILITY OF THE LIVING WAGE LAW Living Wage Law, Suffolk County Code, Chapter 347 (2001) To Be Completed by Applicant (Employer) 1) EMPLOYER NAME: Town of Southold 2) ADDRESS: Southold Town Hall, PO Box 1179, Southold~ NY, 11971 3) CONTACT: SuoervisorJoshuaY. Horton 4) TELEPHONE#: 765-1889 5) PROJECT NAME: (IF DIFFERENT FROM #1) 6) ORIGIN OF ASSISTANCE SOUGHT: (E.G., State of County assistance program and contracting Department). 7) AMOUNT OF CONTRACT: 9) BRIEF DESCRIPTION OF PROJECT OR SERVICE: 8: TERMS OF CONTRACT: N/A Traffic Signal Agreement for: CR 48, Middle Road ~ Cox Neck Road, Mattituck 10) PROJECTED EMPLOYMENT NEEDS: (attach a statement of projected needs by job classification, under the prospective assistance, including calculation of estimated net increase or decrease in jobs as a result of assistance). Reason Living Wage Law is not applicable: No Money Involved I hereby attest that the provisions of Suffolk County Local Law No. 12-2001, the Suffolk County Living Wage Law, are not applicable to this agency, organization, employer, contract or assistance applied for. I declare under penalty of perjury under the Laws of the State of New York that the undersigned is authorized to provide this certification, and that the above attestation 'is true and Date Ac°RDT. CERTIFICATE OF LIABILITY INSURANCE ROY H REEVE AGENCY, INC. PO BOX $4 MATTITUCK NY 11952 INSUREO TOWN OF SOUTHOLD C/OSOUTHOLDTOWNHALL P.O. BOX 1179 SOUT~OLD NY t1971 p.2 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTW~'HSTRNOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER ~OCDMENT WITH RESPECT TOVVHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFPGROBD eY 'rile POLICIES OBSCRIBEO HEREIN IS SUJ~JBCT TO ALL THE TERMS, EXCLUSIONS ANID CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY II.qVE SEEN REOUCED BY PAID CL~RIMS. O1 -A2*RL-0000022-00 O1 lO1105 0tl01/05 0'1 -A2-RL-0000022*00 01101/06 0i101/06 01/01105 60A2UB000057701 01/01/05 c ix SSOOtlO SELF INS RETENTION ; X CDNTRACTUAL ~S N'L AGGREGATE LIMIT APPLIES PER: POLICY ~ I JECT )---LOC ~ X RETENTJON * 10,000 WORKERS COMPENSATION AND ~ OTHER: DESCRIPTION OF OPERATIONSILOCATIONSIVEHJCLESlEXCLUSIONS ADDED ElY ENDORSEMENT! SPECIAL PROVISIONS AGREEMENT LOCATION: CR48, MIDDLE ROAD ~ COX NECK ROAD, HAMLET OF MATTITUCK SUFFOLK COUNTY INSTALLING TRAFFIC SIGNALS AT ABOVE LOCATIONS. TURNS OWNERSHIP & MAINTENANCE TO TOWN AFTER INSTALLATION IS COMPLETE. CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURE~ UNDER GENERAL LIABILITY WITH RESPECT TO THE ABOVE, CERTIFICATE HOLDER COUNTY OFSUFFOLK DEPARTMENT OF PUBLIC WORKS ~$$YAPHANKAVENUE YAPHANK. N¥ I1980-9744 Attention: ACORD 25 (2001/08) Certificate # 6777 CANCELLATION SHOULD ANY OF THE A~OVE DESCRIBED POLICIES BE CANCELLED BEFORETHE WRrTIEN NOTICE TO THE CERTIFICATE HOLOER NAMED TO THE LEFT. BUTFAILURE ©AGORD CORPORATION 1988 D~ O? 05 l~:~lp Ro~ FI R~eve G31~883850 p.3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. A statement on this certificate does no[ confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poJicies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s}. DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (2001/08) Certii~cate #6777 ELIZABETH NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road PO Box 1179 Southold, NY 11971 Fax (631) 765-6145 Telephone: (631) 765-1800 southoldtown.northfork.net RESOLUTION # (ID # 1084) Resolution ID: 1084 Meeting: 08/30/05 07:30 PM Department: Town Attorney Category: Contracts, Lease & Agreements THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. (ID # 1084) OF 2005 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON August 30, 2005: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Joshua Y, Horton to execute the Traffic Siclnal A(~reements between the County of Suffolk and the Town of Southold for the installation and maintenance of traffic signals at CR 48, Middle Road @ Cox Neck Road, Mattituck, subject to the approval of the Town Attorney. Elizabeth A, Neville Southold Town Clerk