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HomeMy WebLinkAboutVehicle Lease RESOLUTION 2007-486 ADOPTED DOC ID: 2909 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2007-486 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 22, 2007: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott A. Russell to execute Al!:reement No. 525-CAP-CAP-1749.518.09 between Suffolk County Office for the Al!:inl!: and the Town of Southold for aCQuisition of a 2007 Chevrolet Express 1500 8 passenl!:er van. Vehicle Identification No. IGNFGI5T171184102, subject to the approval of the Town Attorney. ~Cl.r;,~t'tJ.. Elizabeth A. Neville South old Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Thomas H. Wickham, Councilman SECONDER: Louisa P. Evans, Justice AYES: Krupski Jr., Edwards, Ross, Wickham, Evans, Russell " I ' ~ Law No. AG023M/00SQ -17N Vehicle Lease Agreement No. 525-CAP-CAP-1749.518-09 Lease Agreement This Agreement of Lease is between the County of Suffolk (Lessor), a municipal corporation of the State of New York, having its principal office at the County Center, Riverhead, New York 11901, acting through its duly constituted Office for the Aging (Aging), located at H. Lee Dennison Building, 100 Veterans Memorial Highway, P. O. Box 6100, Hauppauge, New York 11788-0099; and Town of Southold (Lessee), a New York municipal corporation, having its principal place of business at 53095 Main Road, PO Box 1179, Southold, NY 11971-0959. The parties hereto desire to provide transportation for elderly residents of Suffolk County to enable them to participate in County, State and/or Federal programs for the elderly. Term of Agreement: Shall be from the Commencement Date (as defined in Exhibit A) in 2007 through December 31,2017, unless terminated or extended as provided in Exhibit A. No Cost to County Shall be as set forth in Exhibit A attached. Total Cost of Agreement: Terms and Conditions: In Witness Whereof, the parties hereto have executed this Agreement as of the latest date written below. Town of Southold By ;j /J 4l~- ~II' Supervisor Fed. Taxpayer ID# 11-6001939 Date: S-;;/t>? County of Suffolk <?~~~ Paul Sabatino II Chief Deputy County Executive Date: ~ By: Approved: Approved as to Form, Legality: By ,d . Holly S. Rhodes-Teague Director, Office for the Aging Samantha McE Assistant County Attorney Date: ee{,5i()7 I I Recommended: By: L 10v'-7'~ ~nna Prencipe Food Service Supervisor tti,~7 ate AG23 (02/00) southold vehicle lease 2007 . ,e Law No. AG023M/00 -17N Vehicle Lease Exhibit A 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 28. 29. 30. EXHIBIT B AG23 (02/00) Agreement No. 525-CAP-CAP-1749.518-09 TABLE OF CONTENTS Purpose of Lease; Use of Vehicle Governing Law Term Rent Title and Registration Condition and Maintenance Alterations and Additions Sole Responsibility of Lessee Operational Information and Inspections Compliance With Requirements Contact Persons Risk Of Loss; Insurance and Indemnification Accident Notification Addresses For Notices, Claims And Reports Damage To Or Destruction Of Vehicle Application of Insurance Proceeds Nondiscrimination and Affirmative Action in Employment Assurance of Compliance With Civil Rights Laws Offset of Arrears or Default No Gratuities Termination of Lease Extension of Lease End Of Term; Rental Charges Independent Contractor Assignability Publications Force Majeure Entire Agreement No Oral Changes 1 1 1 1 1 2 2 2 2 2 3 3 4 5 7 7 7 7 8 8 8 8 8 8 9 9 9 9 9 soulhold vehicle lease 2007 , Law No. AG023M/00_-17N Vehicle Lease Agreement No. 525-CAP-CAP-1749.518-09 Exhibit A 1. Purpose of Lease; Use of Vehicle The purpose of this Lease is to assist the Lessee in providing services to elderly residents of Suffolk County under contract(s) between the Lessor and the Lessee by the leasing to the Lessee of a Lessor-owned vehicle more particularly described in Exhibit B to this Agreement (the "Vehicle"), and Lessee hereby leases the Vehicle from Lessor solely for the purpose of furnishing transportation or other services (such as meals to the homebound) for elderly residents of Suffolk County under such separate contract or contracts as may be in effect from time to time during the term of this Agreement between the Lessor, acting through Aging (or such other Lessor office, department or instrumentality as may succeed to the functions of Aging), and the Lessee; provided however, that Lessee shall not use the Vehicle for any other purpose whatsoever without the prior written consent of the Director of the Suffolk County Office for the Aging (or other Lessor official designated to succeed to such Director's functions). Under no circumstances shall the Lessee use the Vehicle in any way contrary to applicable laws, regulations or insurance requirements. 2. Governing Law This Agreement shall be governed by and construed in accordance with the laws of the State of New York, without regard to conflict of laws. Venues shall be designated in Suffolk County, New York or the United States District Court for the Eastern District of New York. 3. Term This Lease shall cover the period provided on the first page thereof, unless sooner terminated as provided in paragraph 19 or extended as provided in paragraph 20 below. "Commencement Date" shall mean the date of delivery of the Vehicle to the Lessee, and "Lease Year" shall mean the 12-month period commencing on the Commencement Date or any anniversary thereof and ending on the day before the next ensuing anniversary thereof, both inclusive. Promptly after delivery, Aging and the Lessee shall sign a memorandum confirming the Commencement Date. 4. Rent The Lessee shall pay the Lessor one dollar ($1.00) per Lease Year, receipt waived, so long as the Lessee shall use the Vehicle for the purposes specified in paragraph 1 of this Lease, and thereafter rental charges as provided in paragraph 21 below until return of the Vehicle to the Lessor. 5. Title and Registration Title to the Vehicle and to all replacements, alterations and additions thereto shall be and remain in the name of the Lessor, but the Lessee shall register the Vehicle in its name as lessee, and the Lessor shall cooperate with the Lessee by temporarily entrusting the certificate of title to the Lessee and otherwise as may be appropriate to procure and maintain such registration. AG23 (02/00) Page 1 of 9 of Exhibit A southold vehicle lease 2007 Law No. AG023M/00_-17N Vehicle Lease Agreement No. 525-CAP-CAP-1749.518-09 6. Condition and Maintenance Since the Vehicle is a new vehicle, all manufacturers' warranties are hereby assigned by the Lessor to the Lessee, and the Lessor shall cooperate with Lessee in obtaining warranty period labor and parts. Lessee has reviewed the purchase specifications for the Vehicle and represents that it is familiar therewith and with the owner's and service manuals. Lessee, at Lessee's sole cost and expense, shall perform or cause to be performed all work, ordinary and necessary, foreseen and unforeseen, to maintain the Vehicle in good working order and appearance and in accordance with the manufacturer's manuals and recommended practices. 7. Alterations and Additions If Lessee is not in default under this Lease, Lessee, at its sole expense, may make reasonable alterations of and additions to the Vehicle with the written approval of Aging; provided that any such alterations or additions (a) Shall not change the general character of the Vehicle, reduce its fair market value below such value immediately before such alterations or additions or impair its usefulness for the purpose provided in paragraph 1 of this Lease; (b) Are effected with due diligence, in a good and workmanlike manner and in compliance with applicable laws, regulations and insurance requirements; and (c) Are promptly and fully paid for by Lessee. 8. Sole Responsibility of Lessee Nothing in this Lease or in any approval under the foregoing paragraph 6 shall constitute any consent or request by the Lessor, express or implied, for the performance of any labor or services or the furnishing of any materials or other property in connection with the Vehicle or any part or equipment thereof, and nothing in this Lease shall give Lessee any right or authority to contract for or permit the performance of any labor or services or the furnishing of any materials or other property for the account of or as a liability or obligation of the Lessor. 9. Operational Information and Inspections Lessee shall provide such information relating to the use and operation of the Vehicle as may be requested from time to time by the Lessor. Upon written notification from Aging, Lessee shall make the Vehicle available for inspection at reasonable times and locations. The Lessor shall not have any duty to make any such inspection and shall not incur any liability or obligation for not making such inspection. 10. Compliance With Requirements Lessee, at its sole expense, shall promptly (a) Comply with all legal requirements, whether or not such compliance shall require structural changes in the Vehicle or interfere with its use, and (b) Procure, maintain and comply with all permits, licenses or other authorizations and comply with all applicable Federal, State, County and local laws, regulations or rulings, applicable to the Vehicle or to Lessee's use thereof. AG23 (02/00) Page 2 of 9 of Exhibit A southold vehicle lease 2007 Law No. AG023M/00 -17N Vehicle Lease Agreement No. 525-CAP-CAP-1749.518-09 11. Contact Persons. The contact persons for the parties to this Lease shall be: for the Lessor, the Director of the Office for the Aging; for the Lessee, the signer of this Agreement on behalf of its behalf; or such other person of whose name and title either party shall give prompt written notice to the other party. 12. Risk Of Loss; Insurance and Indemnification (a) The Lessee assumes responsibility for all risks of loss through physical damage, including without limitation collision and comprehensive losses, to the Vehicle and to any part or equipment thereof. (b) The Lessee agrees to procure, pay the entire premium for and maintain throughout the term of this Agreement insurance in amounts and types specified by the Lessor. Unless otherwise specified by the Lessor and agreed to by the Lessee, in writing, such insurance will be as follows: (i) COMMERCIAL GENERAL LIABILITY INSURANCE, insurance, including contractual liability coverage, in an amount not less than Two Million Dollars ($2,000,000.00) per occurrence for bodily injury and Two Million Dollars ($2,000,000.00) per occurrence for property damage. (ii) AUTOMOBILE LIABILITY INSURANCE 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 ($100,000.00) for property damage per occurrence and PHYSICAL DAMAGE COVERAGE in an amount equal to the value of the vehicle as described in the paragraph below headed, "Damage to or Destruction of Vehicle". (iii) WORKERS' 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 and shall have furnished to the Lessor prior to its execution of this Agreement the documentation required by the State of New York Workers' Compensation Board of coverage or exemption from coverage pursuant to SS 57 and 220 of the Workers' Compensation Law. In accordance with General Municipal Law S 108, this Agreement shall be void and of no effect unless the Lessee 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. (c) All policies providing such coverage shall be issued by insurance companies with an A.M. Best rating of A- or better. (d) The Contractor shall furnish to the County Declaration Pages 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 Contractor shall furnish a Declaration Page and endorsement page evidencing the County's status as an additional insured on said policy. AG23 (02/00) Page 3 of 9 of Exhibit A southold vehicle lease 2007 Law No. AG023M/00_-17N Vehicle Lease Agreement No. 525-CAP-CAP-1749.518-09 (e) Furthermore, to the extent permitted by law, the Contractor agrees that it shall protect, indemnify and hold harmless the County, its consultant (if any), officers, officials, employees, contractors, agents and other persons from and against all liabilities, fines, penalties, actions, damages, demands, losses, claims, costs, judgments, liens, encumbrances and expenses, suits or actions and reasonable attorney's fees, by reason of liability imposed by law for damage because of bodily injury, including death at any time resulting therefrom, sustained by any person or persons, or on account of damage to property, arising out of the acts or omissions or negligence of the Contractor, its agents, employees or subcontractors or of other persons, in connection with the use of the vehicle described or referred to in this Agreement. The Contractor shall defend the County and its officers, officials, employees, contractors, agents and other persons 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 Contractor, its officers, officials, employees, subcontractors or agents, if any, in connection with the services described or referred to in this Agreement. (f) It is further agreed that the Lessee will expend whatever funds are necessary to insure that the Vehicle is properly maintained in operable condition. (g) It is also agreed that the Lessee will return the Vehicle to the Lessor in the same condition as when received except for normal wear and tear and mileage. (h) Furthermore, in lieu of making necessary repairs to the Vehicle and returning it upon the expiration or termination of this Lease as provided in paragraph 21 below, the Lessee may at its option elect to pay the Lessor the fair market value of the Vehicle. 13. Accident Notification (a) The Lessee shall notify the County in writing within twenty-four (24) hours after any accident involving the vehicle. All such notifications, copies of claims and other communications with regard to possible claims of liability shall be delivered as follows: For Aaina: By Registered or Certified Mail in Postpaid Envelope or by Nationally Recognized Courier Service County of Suffolk Division of Risk Management and Benefit H. Lee Dennison Building, 100 Veterans Memorial Highway, P.O. Box 6100, Hauppauge, New York 11788-0099 with a copy to Aging. Without limitation, such communications shall include a copy of any accident report and the names and addresses of any persons alleging personal injury or property damage in connection with such accident. (b) Any communication or notice regarding termination or litigation shall also be sent to the following addresses or at such other addresses that may be specified in writing by the Lessor or the County Attorney: Suffolk County Department of Law H. Lee Dennison Building - 6th Floor 100 Veterans Memorial Highway, P.O. Box 6100 AG23 (02/00) Page 4 of 9 of Exhibit A southoldvehicJelease2007 Law No. AG023M/00_-17N Vehicle Lease Agreement No. 525-CAP-CAP-1749.518-09 Hauppauge, New York 11788 Attn: Christine Malafi, County Attorney 14. Addresses For Notices, Claims And Reports (a) Notices, Relating to Payments, Reports or Other Submissions. Any communication, notice, claim for payment, report, or other submission necessary or required to be made by the parties regarding this Agreement shall be in writing and shall be given to the County or the Contractor or their designated representative at the following addresses or at such other address that may be specified in writing by the parties and must be delivered as follows: For Aaina: By Registered or Certified Mail in Postpaid Envelope or by Nationally Recognized Courier Service Holly S. Rhodes-Teague, Director Suffolk County Office for the Aging H. Lee Dennison Building 100 Veterans Memorial Highway, P.O. Box 6100 Hauppauge, New York 11788-0099 and For the Contractor: By Registered or Certified Mail in Postpaid Envelope or by Nationally Recognized Courier Service At the address set forth on page one of this Agreement, attention of the person who executed this Agreement or such other designee as the parties may agree in writing. (b) Notices Relating to Insurance Any communication, notice or other submission regarding insurance requirements under this Agreement shall be in writing and shall be given to the County or the Contractor or their designated representative at the following addresses or at such other addresses that may be specified in writing by the parties and must be delivered as follows: For AClina: By Registered or Certified Mail in Postpaid Envelope or by Nationally Recognized Courier Service Holly S. Rhodes-Teague, Director Suffolk County Office for the Aging H. Lee Dennison Building 100 Veterans Memorial Highway, P.O. Box 6100 Hauppauge, New York 11788-0099 and Christine Malafi, County Attorney Suffolk County Department of Law H. Lee Dennison Building AG23 (02/00) Page 5 of 9 of Exhibit A southold vehicle lease 2007 Law No. AG023M/00 -17N Vehicle Lease Agreement No. 525-CAP-CAP-1749.518-09 100 Veterans Memorial Highway, P.O. Box 6100 Hauppauge, New York 11788-0099 and For the Contractor: By Registered or Certified Mail in Postpaid Envelope or by Nationally Recognized Courier Service At the address set forth on page one of this Agreement, attention of the person who executed this Agreement or such other designee as the parties may agree in writing. (c) Notices Relating to Indemnification and Termination Any communication or notice regarding indemnification or termination shall be in writing and shall be given to the County or the Contractor or their designated representative at the following addresses or at such other addresses that may be specified in writing by the parties and must be delivered as follows: For the County: By Registered or Certified Mail in Postpaid Envelope or by Nationally Recognized Courier Service Holly S. Rhodes-Teague, Director Suffolk County Office for the Aging H. Lee Dennison Building 100 Veterans Memorial Highway, P.O. Box 6100 Hauppauge, New York 11788-0099 and Christine Malafi, County Attorney Suffolk County Department of Law H. Lee Dennison Building 100 Veterans Memorial Highway, P.O. Box 6100 Hauppauge, New York 11788-0099 and For the Contractor: By Registered or Certified Mail in Postpaid Envelope or by Nationally Recognized Courier Service At the address set forth on page one of this Agreement, attention of the person who executed this Agreement or such other designee as the parties may agree in writing. Notices sent under paragraphs a, b, and, c above shall be deemed to have been duly given (i) if mailed by registered or certified mail, upon the seventh business day after the mailing thereof; or (ii) if by nationally recognized overnight courier service, upon the first business day subsequent to the transmittal thereof. Each party shall give prompt written notice to the other party of the appointment of successor(s) to the designated contact person(s) or his or her designated successor(s). AG23 (02/00) Page 6 of 9 of Exhibit A soulhold vehicle lease 2007 Law No. AG023M/00_-17N Vehicle Lease Agreement No. 525-CAP-CAP-1749.518-09 (d) Notices Relating to Litigation i. Any notice by either party to the other with respect to the commencement of any lawsuit or legal proceeding against the other, shall be effected pursuant to and governed by the New York State Civil Practice Law and Rules or the Federal Rules of Civil Procedure, as applicable. ii. In the event the Contractor receives a notice or claim or becomes a party (plaintiff, petitioner, defendant, respondent, third party complainant, third party defendant) to a lawsuit or any legal proceeding related to this Agreement, the Contractor shall immediately forward to the County Attorney, at the addresses set forth in sub-paragraph b above, copies of all papers filed by or against the Contractor. Notices shall be as provided in paragraph (c) above. 15. Damage To Or Destruction Of Vehicle In case of any material damage to or loss or destruction of the vehicle or of its equipment, the Lessee shall give notice as provided in the foregoing paragraph headed, "Accident Notification", generally describing the nature and extent of such damage, loss or destruction, and the time, place and circumstances thereof, and shall promptly replace or repair the vehicle and/or its equipment at least to the condition that it was in immediately prior to the damage, loss or destruction. 16. Application of Insurance Proceeds In the event of damage to or loss or destruction of the Vehicle or any part or equipment thereof, Lessee shall use any proceeds of insurance solely to repair or replace the Vehicle or its equipment and for no other purpose, and, if not so used, such proceeds and the Vehicle shall be forthwith turned over to the Lessor. 17. Nondiscrimination and Affirmative Action in Employment The Lessee agrees in connection with the performance of this Agreement as follows: (a) The Lessee shall not discriminate against employees or applicants for employment because of race, creed, color, national origin, sex, age, disability, Vietnam Era Veteran status or marital status, and will undertake or continue existing programs of affirmative action to ensure that women and minority group members are afforded equal employment opportunities without discrimination. Affirmative action shall mean recruitment, employment, job assignment, promotion, upgradings, demotion, transfer, layoff, or termination and rates of payor other forms of compensation. (b) The Lessee shall state, in all solicitations or advertisements for employees, that, in the performance of this Agreement, all qualified applicants will be afforded equal employment opportunities without discrimination because of race, creed, color, national origin, sex, age, disability, Vietnam Era Veteran status or marital status. 18. Assurance of Compliance With Civil Rights Laws The Lessee hereby assures that it will comply with Subchapter VI of the Civil Rights Act of 1964,42 USC Sections 2000e through 2000e(17), to the end that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the AG23 (02/00) Page 7 of 9 of Exhibit A $OuthoId velicle lease 2007 Law No. AG023M/00 -17N Vehicle Lease Agreement No. 525-CAP-CAP-1749.518-09 benefits of, or be otherwise subjected to discrimination under this Lease or under any project, program, or activity supported by this Lease. 19. Offset of Arrears or Default The Lessee 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 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. 20. No Gratuities The Lessee represents and warrants that it has not offered or given any gratuity to any official, employee or agent of Suffolk County or New York State or of 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 the signer of this Lease has read and is familiar with the provisions of Local Law No. 32-1980 of Suffolk County (Chapter 386 of the Suffolk County Code). 21. Termination of Lease (a) This Lease may be terminated by the Lessor in the event of failure by the Lessee to fulfill its obligations under this Lease or in the event of the termination or expiration without renewal of one or more of the contracts between the Lessor and the Lessee for services to the elderly referred in paragraph 1 of this Agreement; provided that no such termination shall be effective unless the Lessee is given three (3) calendar days' written notice of intent to terminate, delivered personally or by certified mail, return receipt requested, and an opportunity for consultation with the Lessor prior to termination. (b) If either party shall deem it in its best interest to terminate this Lease, it shall have the right to do so by giving not less than thirty (30) days prior written notice by registered or certified mail, return receipt requested, specifying the date of termination. 22. Extension of Lease Upon written notification by Aging to the Lessee, the term of this Lease may be extended for one or more successive periods not in excess of five years per extension on the same terms and conditions; provided, however, that the Lessee does not notify Aging within 30 days after the receipt of such notification of its desire to terminate this Lease at an earlier date, in which event it shall terminate at such earlier date. 23. End Of Term; Rental Charges Upon the expiration of this Lease, or within 24 hours after other termination of this Lease, Lessee shall surrender the Vehicle to Lessor at a facility of Lessor as designated by Aging. If the Lessee fails to surrender the Vehicle, or for any period of use not authorized by this Lease, the Lessee shall pay to the Lessor as rental for the use of the Vehicle $150 per day until the Vehicle is surrendered to Lessor. 24. Independent Contractor It is expressly agreed that the Lessee's status hereunder is that of an independent contractor. Neither the Lessee nor any person hired by the Lessee shall be considered employees of the Lessor for any purpose whatsoever. AG23 (02/00) Page 8 of 9 of Exhibit A sOl/\hold vehicle lease 2007 , , . Law No. AG023M/00_-17N Vehicle Lease Agreement No. 525-CAP-CAP-1749.518-09 25. Assignability The Lessee shall not assign, transfer, convey, sublet or otherwise dispose of this Lease, or any of its right, title or interest therein, or its power to execute this Lease, or assign all or any portion of the monies that may be due or become due to the Lessee under the terms of this Lease, to any other person or corporation, without the prior consent in writing of the Lessor, and any attempt to do any of the foregoing without such consent shall be of no effect. 26. Publications (a) The Lessee shall not issue or publish any book, article, announcement, report, radio, television, data communication or other publication or publicity relating to the use of the vehicle without prior written permission from the Lessor. Any such publication shall bear a statement acknowledging the cooperation and/or funding by the County of Suffolk - Steve Levy, County Executive. (b) The Lessee shall maintain the following identifying text conspicuously on the vehicle: Funding Provided by Suffolk County through the Suffolk County Office for the Aging 27. Severability; No Implied Waiver (a) It is expressly agreed that if any term or provision of this Agreement, or the application thereof to any person or circumstance, shall, to any extent, be held invalid or unenforceable, the remainder of this Agreement, or the application of such term or provision to persons or circumstances other than those as to which it is held invalid or unenforceable, shall not be affected thereby; and every other term and provision of this Agreement shall be valid and shall be enforced to the fullest extent permitted by law. (b) No waiver shall be inferred from any failure or forbearance of the Lessor to enforce any provision of this Agreement in any particular instance or instances, but the same shall otherwise remain in full force and effect notwithstanding any such failure or forbearance. 28. Force Majeure Neither party shall be held responsible for any delay or failure in performance hereunder to the extent such delay or failure is caused by fire, flood, explosion, war, strike, embargo, civil or military authority, act of God, act or omission of carriers, power failure or similar causes beyond its control ("force majeure conditions"). If any force majeure condition occurs, the party delayed or unable to perform shall give immediate notice to the other party. 29. Entire Agreement It is expressly agreed that this instrument represents the entire agreement of the parties and that all previous understandings are merged in this Lease. 30. No Oral Changes No modification of this Lease shall be valid unless written in the form of an Addendum or Amendment signed by both parties. - End of Text- AG23 (02/00) Page 9 of 9 of Exhibit A soulhold vehicle lease 2007 " Law No. AG023M/00 -17N Vehicle Lease Agreement No. 525-CAP-CAP-1749.518-09 Exhibit B Vehicle Specifications for Lease Between Town of Southold Manufacturer: Tvpe of Vehicle: Year and Make: General Motors 8 Passenger Van 2007 Chevrolet Model No.: Express 1500 Vehicle Identification Number: 1 GNFG15T1711841 02 Color: White AG23 (02/00) southold vehicle lease 2007 '. ,~ Suffolk County Form 22 Contractor'sNendor's Public Disclosure Statement Pursuant to Section A5-7 of the Suffolk County Administrative Code, this Public Disclosure Statement must be completed by all contractors/vendors that have a contract with Suffolk County. In the event contractor/vendor is exempt from completing paragraphs numbered I through I I below, so indicate at paragraph number 12 below setting forth the reason for such exemption. Notwithstanding such exempt status, you must execute this form below before a notary public. 1. Contractor' sNendor' s Name ~ullll IJ~ ,s..U71-kH_^ Address fo309S" M/fIlJ ROAl> f?o f,{))( /171 City and State So Zip Code /1 q 7/ 2. Contracting Department's Name S.o.rl Address () ,qSJ)... 3. Payee Identification or Socia Security No. 4. Type of Business_Corporation_Partnership_Sole Proprietorship v6ther 5.a Is contractor/vendor entering into or has contractor/vendor entered into a contract with Suffolk County in excess of$I,OOO? _Yes_No. 5.b Has contractor/vendor entered into three or more contracts, including the one for which you are now completing this form, with Suffolk County, any three of which, when combined, exceed $I,OOO? _Yes_No. 6. Table of Organization. List names and addresses of all principals; that is, all individuals serving on the Board of Directors or comparable body, names and addresses of all partners, and names and addresses of all corporate officers. Conspicuously identify any person in this table of organization who is also an officer or an employee of Suffolk County. (Attach additional sheet if necessary. ) 7. List all names and addresses of those individual shareholders holding more than five percent (5%) interest in the contractor/vendor. Conspicuously identify any shareholder who is also an officer or an employee of Suffolk County. (Attach additional sheet if necessary). 8. Does contractor/vendor derive 50% or more of its total revenues from its contractual or vendor relationship with Suffolk County? _Yes_No. 9. If you answered yes to 8 above, you must submit with this disclosure statement, a complete financial statement listing all assets and liabilities as well as a profit and loss statement. These statements must be certified by a Certified Public Accountant. (Strike this out if not applicable.) 10. The undersigned shall include this Contractor'sNendor's Public Disclosure Statement with the contract. (Describe general nature of the contract.) Page I of3 Public Disclosure Form .. ). : ~ 11. Remedies. The failure to file a verified public disclosure statement as required under local law shall constitute a material breach of contract. Suffolk County may resort, use or employ any remedies contained in Article II of the Uniform Commercial Code of the State of New York. In addition to all legal remedies, Suffolk County shall be entitled, upon a determination that a breach has occurred, to damages equal to fifteen percent (15%) of the amount of the contract. 12. If you are one of the entities listed below at a) through c) or you qualify under d) below, you are exempt from completing paragraphs numbered I through 1 I herein: ------/') Hospital ~ b) Educational or governmental entities _ c) Not-for-profit corporations _ d) Contracts providing for foster care, family day-care providers or child protective services Please check to the left side of the appropriate exemption. 13. Verification. This section must be signed by an officer or principal of the contractor/vendor authorized to sign for the company for the purpose of executing contracts. The undersigned being sworn, affirms under the penalties of perjury, that he/she has read and understood the foregoing statements and that they are, to hislher o'}) knowledge, true. Dated: ~ b? Signed: .~ Printed Name of Signer: /;"I'tl-rJ A "l(u <;<;FLi- Title of Signer: Sou:n+oili 7(jllJAJ 6t.tffRJI7.'XJ1< Name of ContractorN endor: f(jw AI nf' , k1U71Mi ~ UNIFORM CERTIFICATE OF ACKNOWLEDGMENT (Within New York State) STATE OF NE~ ,\\PW) COUNTY OF~) ss.: On the ~ay of ('I\~ ~ in the year 2007 before me, the undersigned, personally appeared c:y,rr\\- ' .A~ rsonally known to me or proved to me on the basis of satisfactory evidence to be the individual(~) whose name{f) is (a~) subscribed to the within instrument and acknowledged to me that he/sl:llil/tkey executed the same in his/~ir capacity~) and that by his/l:ler/tkeir signatureW on t~e instrument, the individual<y'>, or the person upon behalf of which the individua~ acted, executed the mstru nt. office of individual taking acknowledgement) LYNDA M. BOHN ~OTARY PUBLIC, State of New Yorlc No, 01 B06020932 Qualified in Suffolk County Term Expires March 8, 20.4.. Page 2 of3 Public Disclosure Form ~. f' .. UNIFORM CERTIFICATE OF ACKNOWLEDGEMENT (Without New York State) STATE OF ) )SS.: ) COUNTY OF On the day of in the year 2007 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, and that such individual(s) made such appearance before the undersigned in (Insert the city or other political subdivision and the state or country or other place the acknowledgement was taken) (signature and office of individual taking acknowledgement) Contractor'sNendor's Public Disclosure Statement Form (Rev. 3/04) Page 3 of 3 Public Disclosure Form H:\TBlumenauer\master forms,labels\pub disc form22.doc