HomeMy WebLinkAboutElizabeth Field Airport Apron ELIZABETH A. NEVILLE
TOWN' CLERK
REGISTRAR OF VITAL STATISTICS
iYrARRIAGE OFFICER
RECORDS ~AGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 253 OF 2005
WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD
ON APRIL 26, 2005:
RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs
Suoervisor Joshua Y. Horton to execute the necessary forms with reuard to the Elizabeth
Field Airoort Aoron and Taxiwav FAA AlP No. 3-36-0029-11-04; NYS PIN 0913.09
Project for the Partial Payment Request No. TWO (Form 271), all in accordance with the
approval of the Town Attorney.
Elizabeth A. Neville
Southold Town Clerk
ENGINEERS
DESIGN BUILD
TECHNICAL RESOURCES
OPERATIONS
CbS Engineers, Inc.
499 Col. Eileen Collins Boulevard
Syracuse, NY 13212
phone 315-455-2000
fax 315-455-9667
www. cscos.com
April 21, 2005
Mr. Joshua Y. Horton
Town of Southold
Town Hall
P.O. Box 1179
Southotd, NY 11971
Re:
Elizabeth Field Airport
Apron and Taxiway Stub (Construction)
FAA AlP No. 3-36-0029-11-04
NYS PIN 0913.11
File: 211.008.003
Enclosed please find the following:
Four copies of Partial Payment Request No. TWO (Form 271), with attached backup
documentation, for your review and appropriate signature.
Remarks:
Please sign three copies of Form 271 and retum them to me for distribution. Keep one copy
with backup documentation for your files.
If you have any questions or need additional information, please do not hesitate to contact us.
Very truly yours,
C&S ENGINEERS, INC.
Kelli R. Walters
Grants Administrator
Enclosures
CC:
Thomas I. Doherty
John Cushman (w/encl.)
OUTLAY REPORT AND REQUES'I' FOR
REIMBURSEMENT FOR CONSTRUCTION PROGRAM~
Name: Town of Soutt~d
To~m Hall
Addres~ PO Box 1 t 79
Soulhold, NY 11971
3.36-0029-11-04
PAYEE:
Name:
PAGE I OF I PAGES
2. BASTS OF REQUEST:
[] CASH
TWO
FI;(Monlh, day, y~r)ll/1M)4 jTo: (~,.=,,,,,)04/13~5
CLASSIFICA~I1ON
TaxJ~,ay Stub
b. R~mtlve
certifying to line
TELEPHONE NO.:
(631) 765-1889
DATE REPORT SUBMrFTED:
TYPED OR PRINTI~ NAME AND TITLE:
KELU R. WALTER8
GRANTS ADMINISTRATOR
C&$ ENGINEERS, INC.
TELEPHONE NO.:
(315) 455.20~0
Thomas M. Greenfield
Regional Vice President
Home Office
generol cosuolty
One General Drive
Sun Prairie, WI 53596
Phone (608) 837-4440
Fax (608) 837~0583
www.generalcasualty.com
TOWN OF SOUTHHOLD, C&S ENDGINE
ADMIN., & THE NEW YOP~K STATE DEPT O
P 0 BOX 1179
SOUTHHOLD, NY 11971
Date: 12/02/2004
Important Information Regarding Your Insurance Policy
Attached is a conditional renewal notice from your insurance company. Blue Ridge, telling you that your
policy is being conditionally renewed.
What does this mean to you?
Most importantly, this means that your policy will be renewed with General Casualty.
Who Is General Casualty?
General Casualty has been writing insurance for individuals and businesses~nce~l 9_~5. Both Bb~e Ridge and
General Casualty are subsidiaries of Winterthur Swiss Insurance Company. The Company believes in the
regional approach to doing business, which means living and working among our agents and policyholders.
As the Eastern Region of General Casualty, we will continue to be responsive, dependable, and accessible to
you and your agent. You can find detailed information about General Casualty at www.generalcasualty.com.
What should you do now?
After receiving your conditional renewal from Blue Ridge, your agent will deliver to you your new insurance
policies through General Casualty.
We are very excited about working hard to deliver the quality insurance products and services that will make us
your insurance provider of choice. If you have any questions about this process, please contact your agent who
is listed below:
ROY H P~EEVE AGENCY INC
PO BOX 1422
MATTITUCK, NY 11952
0310761
Sincerely,
Thomas M. Greenfield
Regional Vice President
ADDITIONAL INTEREST COPY
General Casualty Company of Wisconsin Hoosier Insurance Company A Member of the
General Casualty Company of Illinois Regent Insurance Company 'Winter thur' 5wiss Insurance Group
OUTLAY REPORT AND REQUEST FOR
REIMBURSEMENT FOR CONSTRUCTION PROGRAMS
3. FEDERAL SPONSORING AGENCY AND ORGANIZA'FIONAL ELEMENT
TO WHICH TH~S REPORT IS SUBMITTED:
Federal Aviation Administration - NYADO
6. EMPLOYER IDENTIFICATION NO.: 17. RECIPIENT ACCOUNT OR
I
OTHER IDENTIFYING NUMBER:
11-6003307 ~ N/A
9, RECIPIENT ORGANIZATION:
Name: Town of Southold
Town Hall
Address PO Box 1179
Southold, NY 11971
Approved by Office of Management
and Budget No. 80-R0181
1. TYPE OF REQUEST:
~'] P/~TIAL
r-1 FINAL
4. FEDERAL GRANT OR OTHER IDENTIFYING
NUMBER ASSIGNED BY FEDERAL AGENCY:
3-36-0029-11-04
PAYEE:
PAGE 1 OF I PAGES
2. BASIS OF REQUEST:
~]CASH
[~ACCRUAL
5. PARTIAL PAYMENT REQUEST NO.:
TWO
8. PERIOD COVERED BY THIS REPORT
FI; (Month, day, year) I TO: (Month, day, year)
11/18/04 ~ 04/13/05
(VVhere check should be sent if different than item s)
Name:
Address:
CLASSIFICATION
STATUS OF FUND8
PROGRAMS - FUNCTIONS - ACTIVITIES
(b) (c)
Taxiway Stub
a. Administrative expense SO.CO
b. Preliminary expense $0.00
c. Land, structures, right-of-way $0.00
d. Architectural engineering basic fees 50.00
e. Other architectural engineering fees $0.(30
f. Project inspection fees $23,296.67
g. Land development SO.CO
h. Retocation expense $0.00
i. Relocation payments to individuals and businesses 50.00
j. Demolition and removal $0.00
k. Construction and project improvement cost $41,153.70
I. Equipment SO.CO
m. Miscellaneous cost 50.00
n. Total cumulative to date (sum of lines a thru m) 564,450.37
o, Deductions for program income $0.00
p. Net cumulative to date (Line n minus line o) $64,450.37
q. Federal share to date 561,227.85
r. Rehabilitation grants (100% reimbumement) SO.CO
s. Tota~ Federal share (sum of lines q and r) $61,227.85
t. Federal payments previously requested $49,674.70
u. Amount requested for reimbursement $11,553
v. Percent of physical completion of project 12.81%
12. CERTIFICATION:
I certify that to the best of my knowledge
and belief the billed costs or disburse-
ments are in accordance with the terms
of the project and that the reimbursement
represents the Federal share due which
has not been previously requested and
that an inspection has been performed
and all work is in accordance with the
terms of the award.
TOTAL
a. RECIPIENT
b. Representstive
certifying to line
11v.
SO.CO $o,oo $o.oo
SO.CO $0.oo So. CO
SO,CO $0.00 SO.CO
$o.oo $o.oo $o.oo
50.00 $0.00 SO.CO
SO.CO $0.00 523,296.67
50.00 50.00 $0.00
;O.CO $0.00 SO.CO
;0.00 $0.00 $0.00
~0.00 $0.00 50.00
t0.00 50.00 $41,153.70
I0.00 SO.CO $0.00
10.00 $0.00 $0.00
$0,00 $0.00 564,450.37
$0.00 $0.00 $0.00
SO.CO $0.00 $64,450.37
SO.CO SO.CO $61,227.85
$0.00 $0.00 $0.00
$0.00 $0,00 $61,227.85
$0.00 SO.CO $49,674.70
$0.00 $0.00 $1 i ,553
0.00% 0.00% 12.81%
SI ~E~D (URE OF AUTHORIZED CERTI~IN¢ DATE REPORT SUBMITTED:
TITLE
~Y~ED OR PRINTED NAME AND : TELEPHONE NO.:
I JOSHUA Y. HORTON
TOWN SUPERVISOR (631) 765-1889
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL: DATE REPORT SUBMITTED:
TYPED OR PRINTED NAME AND TITLE:
KELLI R. WALTERS
GRANTS ADMINISTRATOR
C&S ENGINEERS, INC.
TELEPHONE NO,:
(315) 455-2000
271-102 STANDARD FROM 271 (7-76) Prescribed by Office of Management end Budget Ctr. A-Il0
OUTLAY REPORT AND REQUEST FOR
REIMBURSEMENT FOR CONSTRUCTION PROGRAMS
3 FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMENT
TO WHICH THiS REPORT IS SUBMIT['ED:
Federal Aviation Administration - NYADO
6. EMPLOYER IDENTiFiCATION NO.: 17. RECIPIENTACCOUNTOR
I
OTHER IDENTIFYING NUMBER:
11-6003307 I N/A
9. RECIPIENT ORGANIZATION:
Name: Town of Southold
Town Hall
Address PO Sox 1179
Southold, NY 11971
Approved by Office of Management
and Budget No. 80-RO181
1. TYPE OF REQUEST:
~] PARTIAL
D FINAL
4. FEDERAL GF~T OR OTHER IDEN~IFYING
NUMBER ASSIGNED BY FEDERAL AGENCY:
3-36-0029-11-04
PAYEE:
PAGE 1 OF 1 PAGES
2. BASIS OF REQUEST:
F~CASH
D ACCRUAL
5, PARTIAL PAYMENT REQUEST NO.:
TWO
8. PERIOD COVERED BY THIS REPORT
FF (Month, day, year) I TO: (Month, day, year)
11/18/04 ~ 04/13/05
(Where check should be sent if different than item 9)
Name:
Address:
CLASSIFICATION
STATUS OF FUNDS
PROGRAMS - FUNCTIONS - ACTIVITIES
(b) (c)
Apron and
Taxiway Stub
a. Administrative expense $0.00
b, Preliminary expense $0.00
c. Land, structures, right-of-way $0.00
d. Architectural engineering basic fees $0.00
e. Other architectural engineering fees $0.00
f, Project inspection fees $23,296.67
g. Land development $0.00
h. Relocation expense $0.00
i Relocation payments to individuals and businesses $0.00
j. Demolition and removal $0.00
k. Construction and project improvement cost $41,153.70
L Equipment $0.00
m. Miscellaneous cost $0.00
n. Total cumulative to date (sum of lines a thru m) $64,450.37
o. Deductions for program income $0.00
p. Net cumulative to date (Line n minus line o) $64,450.37
q. Federal share to date $51,227.85
r. Rehabilitation grants (100% reimbumement) $0.00
s. Total Federal share (sum of lines q and r) $61,227.85
t, Federal payments previously requested $49,674.70
u, Amount requested for reimbursement $11,553
v. Percent of physical completion of project 12.81%
12. CERTIFICATION:
I certify that to the pest of my knowledge
and belief the billed costs or disburse-
ments are in accordance with the terms
of the project end that the reimbumement
represents the Federal share due which
has not been previously requested and
that an inspection has been performed
and all work is in accordance with the
terms of the award.
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
10.00 $0.00
~0.00 $0.00
~0.00 $0.00
~0.00 $0.00
~0.00 $0.00
~0,00 $0.00
~0.00 $0.00
~0.00 $0.00
~0.00 $0.00
;0.00 $0.00
;0.00 $0.00
$0.00 $0.00
$0.00 $0.00
0.00% 0,00%
SIGNATURE OF/~UTHORIZED CERTIFYIN(
/3~fP OR RINTED ME AND TITLE:
,. JOSHUA Y. HORTON
TOWN SUPERVISOR
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL:
a. RECIPIENT
b. Representative
certifying to tine
11v.
TOTAL
TYPED OR PRINTED NAME AND TITLE:
KELLI R. WALTERS
GRANTS ADMINISTRATOR
C&S ENGINEERS, INC.
$0.00
$0.00
$0,00
$0.00
$0.00
$23,296.67
$0.00
$0.00
$0.00
$0.00
$41,153.70
$0.00
$0.00
$64,450.37
$0.00
$64,450.37
$61,227.85
$0.00
$61,227.85
$49,674.70
$11,553
12.81%
DATE REPORT SUBMITTED:
TELEPHONE NO.:
(631) 765-1889
DATE REPORT SUBMI'CrED:
TELEPHONE NO.:
(315) 455-2000
271-102 STANDARD FROM 271 (7*76) Prescribed by Office of Management and Budget Cir. A-110
OUTLAY REPORT AND REQUEST FOR
REIMBURSEMENT FOR CONSTRUCTION PROGRAMS
3. FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMENT
TO WHICH THIS REPORT IS SUBMI"CFED:
Federal Aviation Administration - NYADO
6. EMPLOYER IDENTIFICATION NO.: 17. RECIPIENTACCOUNTOR
I
OTHER IDENTIFYING NUMBER:
11-6003307 NIA
9. RECIPIENT ORGANIZATION:
Name: Town of Southold
Town Hall
Address PO Box 1179
Southold, NY 11971
Approved by Office of Management
and Budget No. 80-RO181
1. TYPE OF REQUEST:
~1 PARTIAL
I--]FINAL
4. FEDERAL GRANT OR OTHER IDENTIFYING
NUMBER ASSIGNED EY FEDERAL AGENCY:
3-364)029-114)4
PAYEE:
PAGE I OF 1 PAGES
2. BASIS OF REQUEST:
r~CASH
D ACCRUAL
5. PART~L PAYMENT REQUE~ NO.:
'nNO
8. PERIOD COVERED BY THIS REPORT
FI; (Month, day, year) [ TO: (Month, day, year)
11/18/04~ 04/13/05
(~Nbere check should be sent if different then item s)
Name:
Address:
CLASSIFICATION
STATUS OF FUNDS
PROGRAMS - FUNCTIONS - ACTIVITIES
(bi (c)
Apron and
Taxiway Stub
a. Administrative expense $0.00
b. PreliminanJ expense $0.00
c. Land, structures, right-of-way $0.00
d. Architectural engineering basic fees $0,00
e, Other architectural engineering fees $0.00
f. Project inspection fees 423,296,67
g. Land development $0,00
h, Relocation expense $0.00
i. Relocation payments to individuals and businesses 40.00
j. Demolition and removal $0.00
k. Construction and project improvement cost $41,153.70
I. Equipment $0.00
m. Miscellaneous cost $0.00
n. Total cumulative to date (sum of lines a thru m) $64,450.37
o. Deductions for program income $0.00
p. Net cumulative to date (Line n minus line o) 464,450.37
q. Federal share to date $61,227.85
r. Rehabilitation grants (100% reimbumement) 40.00
s. Total Federal share (sum of lines q and r) $61,227.85
t. Federal payments previously requested $49,674,70
u. Amount requested for reimbursement $11,553
v. Percent of physical completion of project 12.81%
12. CERTIFICATION:
a. RECIPIENT
b. Representative
certifying to line
11v.
I ce~fy that to the best of my knowledge
and belief the billed costs or disburse-
ments are in accerdance with the terms
of the project and that the reimbursement
represents the Federal share due which
has not been previously requested and
that an inspection has been performed
and all work is in accordance with the
terms of the award.
$0.00
40.00
40.00
40,00
40.00
40.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
40.00
40.00
40.00
$0.00
40.00
$0.00
40.00
$0.00
40.00
0.00%
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
[0.00
~9.00
~0.00
~0.00
~0.00
;0.00
;0.00
iO.O0
~0.00
;0.00
0.00%
TOTAL
$0.00
$0.00
$0.00
$0.00
$0.00
$23,296.67
$0.00
$0.00
$0.00
$0.00
$41,153.70
$0.00
$0.00
$64,450.37
$0.00
$64,450.37
461,227.85
$0,00
$61,227.85
$49,674.70
411,553
12.81%
SIGNATURE OF AUTHORIZED CERTIFYIN( DATE REPORT SUBMI'CI'ED:
~P~ED O~P~RINTED NAME AND TITLE: TELEPHONE NO.:
JOSHUA Y. HORTON
TOWN SUPERVISOR
SIGNATURE OF AUTHORIZED CER~FIFYING OFFICIAL:
TYPED OR PRINTED NAME AND TITLE:
KELLI R. WALTERS
GRANTS ADMINISTRATOR
C&S ENGINEERS, INC.
(631 ) ~6~-1889
DATE REPORT SUBMITTED:
TELEPHONE NO.:
(315) 455-2000
271-102 STANDARD FROM 271 (7-76) Prescfi~l by Office of Management and Budget Cir. A~110
OU fLAY REPORT AND REQUEST FOR
REIMBURSEMENT FOR CONSTRUCTION PROGRAMS
3 FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMENT
TO WHICH THIS REPORT IS SUBMI3~'ED:
Federal Aviation Administration - NYADO
6, EMPLOYER IDENTIFICATION NO,: 17. RECIPIENTACCOUNT OR
I
OTHER IDENTIFYING NUMBER:
9. REClP(ENT ORGANIZATION:
Name,: Town of Southold
Town Hall
Address PO Box 1179
Southeld, NY 11971
Approved by Office of Management
and Budget No. 80-RO181
1. TYPE OF REQUEST:
~-~ PARTIAL
..~ FINAL
4. FEDERAL GRANT OR OTHER IDENTIFYING
NUMBER ASSIGNE[D BY FEDBRAL AGENCY:
3'36-0029'11-04
PAYEE:
PAGE I OF I PAGES
2. BASIS OF REQUEST:
~]CASH
D ACCRUAL
5. ~RTIAL PAYMENT REQUEST NO.:
'nNO
8. PERIOD COVERED BY THIS REPORT
FI; (Month, day, year) I TO: (Month, day, year)
11/18/04 ~ 04/13/05
(Where check sbeuld be sent if different than item 9)
Name:
Address:
CLASSIFICATION
:BTA'RJ8 OF FUND8
PROGRAMS - FUNCTIONS - ACTIVITIES
(b) (C)
Apron and
Taxiway Stub
a. Administrative expense $0.00
b. Preliminary expense SO.CO
c. Lard, structures, right-of-way $0.00
d. Architecturel engineering basic fees $0.00
e. Ot~er architectural engineering tees SO.CO
f. Project inspection fees $23.296.67
g. Lard development SO.CO
h. Rell)cation expense $0.00
Relocation payments to individuals and businesses $0.00
j. Demolition and removal SO.CO
k. Cor~stmction and project improvement cost $41,153.70
I. Equipment SO.CO
m, Mit~cellaneous cost $0,00
n. To[~l cumulative to date (sum of lines a thru m) $64,450.37
o. Deductions for program income $0,00
p. Net cumulative to date (Line n minus line o) $64,450.37
q. Federal share to date $51,227.85
r. Rehabilitation grants (100% reimbursement) $0.00
s. Total Federal share (sum of lines q and r) $61,227.85
t. Federal payments previously requested $49,674.70
u, Amount requested for reimbursement $11,553
v. Pen;ent of physical completion of project 12.81%
12. CERTIFICATION:
a. RECIPIENT
b. Representative
certifying to line
11v.
I certify that to the best of my knowledge
and belief the billed costs or disburse-
ments are in accordance with the terms
of the project and that the reimbursement
represents the Federal share due which
has n¢,t been previously requested and
that ar~ inspection has been performed
and all work is in accordance with the
terms of the award.
TOTAL
10.CO SO.CO $0.00
~0.00 SO.CO $0.00
~0.00 $0.00 $0.00
~0.00 $0.00 $0.00
;O.CO $0.00 $0.00
10.00 SO.CO $23,296.67
~0.00 SO.CO $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
SO.CO $0.00 $0.00
$0.00 SO.CO $41,t53.70
$0.00 $0,00 $0.00
$0.00 $0.00 SO.CO
SO.CO $0.00 $64,450.37
$0.00 $0.00 $0.00
$0.00 SO.CO $64,450.37
$0.00 SO.CO $61,227.85
SO.CO $0.00 $0.00
$0.00 SO.CO $61,227.85
SO.CO $0.00 $49,674.70
SO.CO $0.00 $11,553
0.00% 0.00% 12.8t%
SIGNATURE OF AUTHORIZED CERTIFYIN( DATE REPORT SUSMI'I-rED:
'~~ TELEPHONE NO.:
TOWN SUPERVISOR
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL:
TYPED OR PRINTED NAME AND TITLE:
KELLI R. WALTERS
GRANTS ADMINISTRATOR
C&S ENGINEERS, INC.
(631) 765-1889
DATE REPORT SUBMITTED:
TELEPHONE NO,:
(315) 455-20O0
271-102 STANDARD FROM 271 (7-76) P~escnbed by Office of Mar~ageme~l and Budget Cir. A-110
Elizabeth Field Airport
Apron and Taxiway Stub (Construction)
Town of Southold
F.A.A. AlP PROJECT NO. 3-36-0029-11-04
N.Y.S.D.O.T. PROJECT NO. 0913.11
04/18/05
211.008.003
SUMMARY OF FEDERAL ELIGIBLE PROJECT COSTS
PROGRAM NO. 1
FEDERAL GRANT
AGREEMENT
PROJECT PHASE AMOUNTS
a. ADMINISTRATIVE EXPENSE ................... $3,934.00
b. PRELIMINARY EXPENSE ....................... $0,00
c. LAND, STRUCTURES, RIGHT-OF-WAY ...... $0.00
d. ARCH. ENGINEERING BASIC FEES .......... $0.00
e. OTHER ARCH. ENGINEERING FEES .......... $0.00
f. PROJECT INSPECTION FEES .................... $79,539.00
g. LAND DEVELOPMENT .......................... $0.00
h. RELOCATION EXPENSE ........................ $0.00
i. RELOC. PAYMENTS TO INDIV. AND BUS .... $0.00
j. DEMOLITION AND REMOVAL .................. $0.00
k, CONST. AND PROJECT IMP. COST ............ $419,527.00
I. EQUIPMENT ......................................... $0.00
m. MISCELLANEOUS COST ........................ $0.00
TOTAL FEDERAL COSTS $503,000.00
EST. TOTAL INCURRED COST
COST FEDERAL FEDERAL NON-
ELIGIBLE ELIGIBLE PARTICIPATING
$3,934.00 $0.00 $0.00
$o.oo $o.oo $o.oo
$o.oo $o.oo $o.oo
$o.oo $o.oo $o.oo
$o.oo $o.oo $o.oo
$79,539.00 $23,296.67 $0.00
$o.oo $o.oo $o.oo
$o.oo $o.oo $o.oo
$o.oo $o.oo $o.oo
$o.oo $o.oo $o.oo
$419,527.00 $41,153.70 $0.00
$o.oo $o.oo $o.oo
$o.oo $o.oo $o.oo
$503,000.00 $64,450.37 $0.00
Elizabeth Field Airport
Apron and Taxiway Stub (Construction)
Town of Southold
PROJECT INSPECTION FEES
PROGRAM NO. 1
DATE ELIGIBLE RETAINAGE
AMOUNT WITHHELD
10/12/04 $3,976.95
11/10/04 $7,158.51
12/16/04 $6,887.94
04/13/05 $5,273.27
NON-
PARTICIPATING
AMOUNT
FAA
REIMB.
REQ. NO.
ONE
ONE
TWO
TWO
04/18/05
211.008.003
NYSDOT
REIMB.
REQ. NO.
ONE
ONE
TOTALS $23,296.67 $0.00 $0.00
COMPANIES
ENGINEERS
DESIGN BUILD
TECHNICAL RESOURCES
OPERATIC)NS
C&S Engineers, Inc.
499 Col. Eileen Collins Boulevard
Syracuse, NY 13212
phone 315-455-2000
fax 315-455-9667
TOM DOHERTY
TOWN OF SOUTHOLD
FISHERS ISLAND FERRY DISTRICT
P.O. BOX H
FISHER'S ISLAND, NY 06390
Invoice #: 412176
Project: 211008003
Invoice Date: 12/16/2004
Est. Cost: 70,084.00
Fixed Fee: 9,455.00
Total: 79,539.00
For Professional Services Rendered from 11/6/2004 through 12/1012004
APRON & ACCESS TAXIWAY
Analysis of Costs
Direct Salaries
Overhead % 145.00
Total Direct Personnel
Total Other Direct Charges
Total G & A % 0.00
Total Costs
Fixed Fee
Total This Invoice
Amount Due This Invoice **
This Invoice
1,581.40
2,293.03
3,874.43
2,115.08
0.00
5,989.51
898.43
6,887.94
6,887.94
Contact Person: Susan Loewer, Account Manager
Telephone: (315) 455-2000 Ext. No. 422
Net 30 Days
I 1/2% Interest per Month
COMPANIES
ENGINEERS
DESIGN BUILD
TECHNICAL RESOURC. ES
OPERATIONS
Project: 211008003 -- APRON & ACCESS TAXIWAY
Multiplier Labor
Class / Employee Name Hours Cost
ASSISTANT GRANTS ADMINISTRATOR
SWEET. ELIZABETH K. 1.50 15.50
Total: ASSISTANT GRANTS 1.50
CHIEF INSPECTOR
HOWE, STEVEN 46.00 25.20
Total: CHIEF INSPECTOR 46.00
CONST. RECORDS SPECIALIST
REGAN, BARBARA E. 3.00 20.50
Total: CONST. RECORDS SPECIALIST 3,00
ENGINEER
BRUBACH, CHRISTOPHE 1,00 22,75
Total: ENGINEER 1.00
GRANTS ADMINISTRATOR
WALTERS, KELLI R. * 1.00 23.00
Total: GRANTS ADMINISTRATOR 1.00
INSPECTION SUPERVISOR
CERRETANI, LAWRENCE 2.00 44.60
Total: INSPECTION SUPERVISOR 2.00
MANAGING ENGINEER
CLARK, BRUCE W. 5.00 40.50
Total: MANAGING ENGINEER 5,00
Multiplier Labor
Regular Expenses
Vendor Name
MILEAGE
HOWE, STEVEN
Total: MILEAGE
TRAVEL & SUBSISTENCE
CERRETANI, LAWRENCE
HOWE, STEVEN
TotaL: TRAVEL & SUBSISTENCE
MISCELLANEOUS OTHER DIRECT EXPENSE
HOWE, STEVEN
Total: MISCELLANEOUS OTHER DIRECT
C&S Engineers, Inc.
499 Col. Eileen Collins Boulevard
Syracuse, NY 13212
phone 313-455-2000
fax 315-455-9667
www. cscos.com
Invoice # :412176
Amount
23.25
23.25
1,159,20
1,159.20
61.50
61.50
22.75
22.75
23.00
23.00
89.20
89.20
202.50
202.50
1,581.40
Amount
516.00
516.00
289.43
1,299.98
1,589,41
9.67
9.67
Page 1
COMPANIES
ENGINEERS
DESIGN BUILD
TECHNICAL RESOURCES
OPERATIONS
C&S Engineers, Inc.
499 Col. Eileen Collins Boulevard
Syracuse, NY 13212
phone 315-455-2000
fax 315-455-9667
www. cscos.com
Project: 211008003 -- APRON & ACCESS TAXIWAY
Regular Expenses
Invoice # :412176
2,1115.08
Page 2
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ENGINEERS
DESIGN BUILD
TECHNICAL RESOURCES
OPERATIONS
C&S Engineers, Inc.
499 Col. Eileen Collins Boulevard
Syracuse, NY 13212
phone 315-455-2000
fax 315-4.55-9667
www. cscos.com
TOM DOHERTY
TOWN OF SOUTHOLD
FISHERS ISLAND FERRY DISTRICT
P,O. BOX H
FISHER'S ISLAND, NY 06390
Invoice #: 504104
Project: 211008003
Invoice Date: 4/13/2005
Est. Cost: 70,084.00
Fixed Fee: 9,455.00
Total: 79,539.00
For Professional Services Rendered from 12/11/2004 through 4/812005
APRON & ACCESS TAXlWAY
Analysis of Costs
Direct Salaries
Overhead % 145.00
Total Direct Personnel
Total Other Direct Charges
Total G & A % 0.00
Total Costs
Fixed Fee
Total This Invoice
Amount Due This Invoice **
This Invoice
1,871.61
2,713.84
4,585.45
0.00
0.00
4,585.45
687.82
5,273.27
5,273.27
Contact Person: Susan Loewer, Account Manager
Telephone: (315) 455-2000 Ext. No. 422
Net 30 Days
I 112 Ye Interest I~er Month
COMPANIES
ENGINEERS
DESIGN BUILD
TECHNICAL RESOURCES
OPERATIONS
Project: 211008003 -- APRON & ACCESS TAXIWAY
Multiplier Labor
Class / Employee Name Hours
CHIEF INSPECTOR
HOWE, STEVEN 3.00
HOWE, STEVEN 48.00
SOPP, GEORGE M. 4.00
Total: CHIEF INSPECTOR 55.00
ENGINEER
BRUBACH, CHRISTOPHE 4.00
Total: ENGINEER 4.00
GRANTS ADMINISTRATOR
WALTERS, KELLI R. * 1.00
SWEET, ELIZABETH K. 1.00
SWEET, ELIZABETH K. 1.00
Total: GRANTS ADMINISTRATOR 3.00
SR CONSTRUCTION SUPERVISOR
CERRETANI, LAWRENCE
Total: SR CONSTRUCTION SUPERVISOR
7.00
7.00
Multiplier Labor
Cost
25.20
25.70
25.70
22.75
24.10
15.50
16.80
44.60
C&S Engineers, Inc.
499 Col. Eileen Collins Boulevard
Syracuse, NY 13212
phone 315-455-2000
fax 315-455-9667
www. cscos.com
Invoice # :504104
Amount
75.60
1,233.60
102.80
1,412.00
91.01
91.01
24.10
15.50
16.80
56.40
312.20
312.20
1,871.61
Page I
Elizabeth Field Airport
Apron and Taxiway Stub (Construction)
Town of Southold
CONSTRUCTION AND PROJECT IMPROVEMENT COST
PROGRAM NO. 1
DATE ELIGIBLE NON-
AMOUNT PARTICIPATING
AMOUNT
11/18/04 $41,153.70
CONTRACTOR
Corazzini Asphalt, Inc.
FAA
REIMB.
REQ. NO.
ONE
04/18~05
211.008.003
NYSDOT
REIMB.
REQ. NO.
ONE
TOTALS $41,153.70 $0,00