HomeMy WebLinkAboutSC Office for the Aging - Vehicle LeaseRESOLUTION 2008-926
ADOPTED
DOC ID: 4292
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2008-926 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
OCTOBER 7, 2008:
RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs
Supervisor Scott A. Russell to execute the Lease Agreement {Agreement No. 525-CAP-
CAP-1749.518-02) between Suffolk County Office for the Aging and the Town of Southold
for acquisition of a 1998 Ford Taurus Station Wagon~ Vehicle Identification No.
1FAFP57U2WA146369, for a term commencing on April 22, 2008 through April 21, 2013,
subject to the approval of the Town Attorney.
Elizabeth A. Neville
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: William Ruland, Councilman
SECONDER: Vincent Orlando, Councilman
AYES: Ruland, Orlando, Krupski Jr., Wickham, Evans, Russell
Law No.I~__-AG-
Vehicle Lease
Agreement No. 525-CAP-CAP-1749.518-02
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 the Town of Southold (Lessee), a New York municipal corporation, having its
principal place of business at 53095 Main Road, P.O. Box 1179, Southold, NY 11971-0959.
The parties hereto desire to make a vehicle available to be used to transport elderly residents of
Suffolk County to enable them to participate in County, State and/or Federal programs for the
elderly and sufficient funding exists pursuant to Resolution No. 628-1997.
Term of Agreement: Shall be from April 22, 2008 through April 21,2013, unless
Total Cost of Agreement:
Terms and Conditions:
terminated or extended as provided in Exhibit A.
No Cost to County
Shall be as set forth in Exhibit A attached.
In Witness Whereof, the parties hereto have executed this Agreement as of the latest date
written below.
Town of ~~.~_4.~~
By
Scott A. Russell
Supervisor
Fed. Taxpayer ID# 11-6001939
Date: !_fa -- ((~ 0 ~'
Approved as to Form, Legality:
Christine Malafi
Suffolk County Attorney
By:
Jacqueline
Assistant County Attorney
Date:
!
County of Suffolk
Name:C~_.~,&
Deputy Cour)~ F_zecutive
Date:
Approved:
Holly ~ Rhodes-Teague (~ Da{e
Director, Office for the Aging
Recomn~inded:
//~ nna Prencipe ~'
Food Service Supervisor
Date
AG23 (02/00)
Law No.
Vehicle Lease
Agreement No. 525-CAP-CAP-1749.518-02
TABLE OF CONTENTS
Exhibit A
1. Purpose of Lease; Use of Vehicle
2. Term
3. Termination of Lease
4. Extension of Lease
5. Rent
6. End of Term; Rental Charges
7. Title and Registration
8. Condition and Maintenance
9. Alterations and Additions
10. Sole Responsibility of Lessee
11. Operational Information and Inspections
12. Compliance With Requirements
13. Lessee's Rights and Obligations
14. Risk of Loss; Insurance and Indemnification
15. Accident Notification
16. Notices and Contact Persons
17. Damage To or Destruction of Vehicle
18. Application of Insurance Proceeds
19. Non-Discrimination in Services
20, Arrears or Default
21. No Gratuities
22. Independent Contractor
23. Assignability
24. Publications
25. No Intended Third Party Beneficiaries
26. Cooperation on Claims
27. Governing Law
28. Severability; No Implied Waiver
29. Entire Agreement
30. No Oral Changes
EXHIBIT B
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Law No. __-AG-
Vehicle Lease
Agreement No. 525-CAP-CAP-1749.518-02
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 separate contract(s) entered into 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"). Lessor hereby leases the Vehicle to Lessee 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(s) 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. 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 officer of Lessor designated to succeed
to such Director's functions). Under no circumstances shall the Lessee use or allow the use of the
Vehicle in any way contrary to applicable laws, regulations or insurance requirements.
2. Term
This Lease shall cover the period provided on the first page hereof, unless sooner terminated
or extended as provided under this Agreement.
3. 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 in
accordance with the provisions of paragraph 15 of this Agreement.
(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 in accordance with
Paragraph 15 of this Agreement.
4. 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.
5. 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. For
any other use of the vehicle, either within the time periods of a lease year or outside of the time
period of a lease year, Lessee shall pay rental charges as provided in paragraph 6 below until return
Page 3 of 12
Law No. __-AG-.__
Vehicle Lease
Agreement No. 525-CAP-CAP-1749.518-02
return of the Vehicle to the Lessor.
6. 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 or instance of use of the vehicle for a
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.
7. 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.
8. 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. Lessee shall maintain records of all
repairs and maintenance performed and the records shall be available to Aging.
9. Alterations and Additions
If Lessee is not in default under this Lease, Lessee, at its sole expense, may make
reasonable alterations 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.
10. Sole Responsibility of Lessee
Nothing in this Lease or in any approval under the foregoing paragraph 8 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.
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Law No. __-AG-
Vehicle Lease
Agreement No. 525-CAP-CAP-1749.518-02
11. 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.
12. 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.
13. Lessee's Rights and Obligations
(a) Lessee will expend whatever funds are necessary to insure that the Vehicle is
properly maintained in operable condition.
(b) Lessee will return the Vehicle to the Lessor in the same condition as when
received except for normal wear and tear and mileage.
(c) In lieu of making necessary repairs to the Vehicle and returning it upon the expiration
or termination of this Lease, the Lessee may at its option elect to pay the Lessor the fair
market value of the Vehicle and obtain title to the vehicle.
14.
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".
Page 5 of 12
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Vehicle Lease
Agreement No. 525-CAP-CAP-1749.518-02
(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 furnish to the
Lessor prior to execution of this 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 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 Lessee shall furnish to the Lessor 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
commemial general liability insurance, the County of Suffolk shall be named as an
additional insured and Lessee shall furnish a Declaration Page and endorsement page
evidencing the Lessor's status as an additional insured on said policy.
(e) Furthermore, to the extent permitted by law, the Lessee agrees that it shall protect,
indemnify and hold harmless the Lessor, 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 attorneys' 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 Lessee, 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 Lessee shall defend the Lessor and its officers, officials, employees,
contractors, agents and other persons in any suit, including appeals, or at the Lessor's
option, pay reasonable attorneys' fees for defense of any such suit arising out of the acts or
omissions or negligence of the Lessee, its officers, officials, employees, subcontractors or
agents, if any, in connection with its use of the vehicle, or in connection with services
described or referred to in this Agreement.
15. Accident Notification
The Lessee shall notify its insurance carrier, and Aging, verbally and in writing within twenty-
four (24) hours after any accident involving the vehicle. 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.
16. Notices and Contact Persons
1. Operational Notices
Any communication, notice, claim for payment, reports, insurance, or other submission
Page 6 of 12
Law No. __-AG-__
Vehicle Lease
Agreement No. 525-CAP-CAP-1749.518-02
necessary or required to be made by the parties regarding this Agreement shall be in writing
and shall be given to the Lessor or the Lessee 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 the Department:
By Regular or Certified Mail in Postpaid Envelope or by
Courier Service or by Fax or by Email
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
For the Lessee:
By Regular or Certified Mail in Postpaid Envelope or by
Courier Service or by Fax or by Email
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 Relating to Termination and/or Litigation
e
In the event the Lessee 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 Lessee shall immediately deliver to the
County Attorney, at the address set forth below, copies of all papers filed by or against the
Lessee.
Any communication or notice regarding termination shall be in writing and shall be given to
the Lessor or the Lessee 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 Lessor:
By Regular and Certified Mail in Postpaid Envelope or by
Nationally Recognized Courier Service or Personally and by First Class Mail
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
Hauppauge, New York 11788
Page 7 of 12
Law No. __-AG-
Vehicle Lease
Agreement No. 525-CAP-CAP-1749.518-02
For Lessee:
By Regular and Certified Mail in Postpaid Envelope or by
Nationally Recognized Courier Service or Personally and by First Class Mail
At the address set forth on page one of this Agreement, attention to the person who
executed this Agreement or such other designee as the parties may agree in writing.
3. Notices shall be deemed to have been duty delivered (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; or (iii) if personally, pursuant to New York Civil Practice Law and Rules
Section 311; or (iv) if by fax or email, upon the transmittal thereof. "Business Day" shall be
defined as any day except a Saturday, a Sunday, or any day in which commercial banks are
required or authorized to close in Suffolk County, New York.
4. 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).
17. 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.
18. 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.
19. Non-Discrimination in Services
During the performance of this Agreement:
(a) The Lessee shall not, on the grounds of race, creed, color, national origin, sex, age,
disability, sexual orientation, military status or marital status:
i. deny any individual any services or other benefits provided pursuant to this
Agreement; or
ii. provide any services or other benefits to an individual that are different, or are
provided in a different manner, from those provided to others pursuant to this
Agreement; or
iii. subject an individual to segregation or separate treatment in any matter related
to the individual's receipt of any service(s) or other benefits provided pursuant
Page 8 of 12
Law No. -AG-
Vehicle Lease
Agreement No. 525-CAP-CAP-1749.518-02
pursuant to this Agreement; or
iv. restrict an individual in any way in the enjoyment of any advantage or privilege
enjoyed by others receiving any services or other benefits provided pursuant to
this Agreement; or
v. treat an individual differently from others in determining whether or not the
individual satisfies any eligibility or other requirements or condition which
individuals must meet in order to receive any aid, care, service(s) or other
benefits provided pursuant to this Agreement.
(b) The Lessee shall not utilize criteria or methods of administration which have the effect
of subjecting individuals to discrimination because of their race, creed, color, national origin,
sex, age, disability, sexual orientation, military status or marital status, or have the effect of
defeating or substantially impairing accomplishment of the objectives of this Agreement in
respect to individuals of a particular race, creed, color, national origin, sex, age, disability,
sexual orientation, military status or marital status, in determining:
i. the types of service(s) or other benefits to be provided, or
ii. the class of individuals to whom, or the situations in which, such service(s) or
other benefits will be provided; or
iii. the class of individuals to be afforded an opportunity to receive services.
20. Arrears or Default
The Lessee warrants that it is not, and shall not be during the term of this Agreement, in
arrears to the LESSOR for taxes or upon debt or contract and is not, and shall not be during
the term of this Agreement, in default as surety, Lessee or otherwise on any obligation to the
LESSOR.
21. 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).
22. 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.
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Law No. __-AG-
Vehicle Lease
Agreement No. 525-CAP-CAP-1749.518-02
23.
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.
24.
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
25. No Intended Third Party Beneficiaries
This Agreement is entered into solely for the benefit of Lessor and Lessee. No third party
shall be deemed a beneficiary of this Agreement, and no third party shall have the right to
make any claim or assert any right under this Agreement.
26. Cooperation on Claims
The Lessee hereto agrees to render diligently to the Lessor, without compensation, any and
all cooperation, that may be required to defend the Lessor, its employees and
designated representatives against any claim, demand or action that may be brought against
the Lessor, its employees or designated representatives in connection with this Agreement.
27.
28.
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
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
cimumstances 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.
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Vehicle Lease
Agreement No. 525-CAP-CAP-1749.518-02
29.
30.
(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.
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.
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 --
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Vehicle Lease
Agreement No. 525-CAP-CAP-1749,518-02
Exhibit B
Vehicle Specifications for Lease Between
The County Of Suffolk and
Town of Southold
Manufacturer:
Type of Vehicle:
Year and Make:
Model No.:
Ford Motor Company
Mid-Size Station Wagon
1998 Taurus
3008418
Vehicle Identification Number: 1FAFP57U2WA146369
Color: White
Other Identifying Features and Special Equipment:
Page 12 of 12
Exhibit
Suffolk County Legislative Requirements
1. Contractor's/Vendor's Public Disclosure Statement
The Contractor represents and warrants that it has filed with the Comptroller of Suffolk County the
verified public disclosure statement required by Suffolk County Administrative Code Article V, Section A5-
7 and shall file an update of such statement with the said Comptroller on or before the 31st day of
January in each year of this Agreement's duration. The Contractor 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.
Required Form:
Suffolk County Form SCEX 22; entitled "Contractor's/Vendor's Public Disclosure
Statement"
2. Living Wage Law
This Agreement is subject to the Living Wage Law of the County of Suffolk. The law requires that, unless
specific exemptions apply all employers (as defined) under service contracts and recipients of County
financial assistance, (as defined) shall provide payment of a minimum 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.
The Contractor represents and warrants that it has read and shall comply with the requirements of
Suffolk County Code Chapter 347, Suffolk County Local Law No. 12-2001, the Living Wage Law.
Required Forms:
Suffolk County Living Wage Form LW-1; entitled "Suffolk County Department of
Labor - Living Wage Unit Notice of Application for County Compensation
(Contract)"
Suffolk County Living Wage Form LW-38; entitled "Suffolk County Department of
Labor - Living Wage Unit Living Wage Certification/Declaration - Subject To
Audit"
3. 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 Chapter
466, Article 1 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.
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.
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.
I of 4 pages
If Contractor services are performed on County property the Contractor must adopt a reasonable
access agreement, a neutrality agreement, fair communication agreement, nonintimidation agreement
and a majority authorization card agreement.
If Contractor services are for the provision of human services and such services are not to be per[ormed
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.
Required Form:
Suffolk County Labor Law Form DOL-LO1; entitled "Suffolk County Department of
Labor - Labor Mediation Unit Union Organizing Certification/Declaration -
Subject to Audit"
4. Lawful Hiring of Employees Law
This Agreement is subject to the Lawful Hiring of Employees Law of the County of Suffolk (Local Law
52-2006). It provides that all covered employers, (as defined), and the owners thereof, as the case may
be, that are recipients of compensation from the County through any grant, loan, subsidy, funding,
appropriation, payment, tax incentive, contract, subcontract, license agreement, lease or other financial
compensation agreement issued by the County or an awarding agency, where such compensation is
one hundred percent (100%) funded by the County, shall submit a completed sworn affidavit (under
penalty of perjury), the form of which is attached, certifying that they have complied, in good faith, with
the requirements of Title 8 of the United States Code Section 1324a with respect to the hiring of
covered employees (as defined) and with respect to the alien and nationality status of the owners
thereof. The affidavit shall be executed by an authorized representative of the covered employer or
owner, as the case may be; shall be part of any executed contract, subcontract, license agreement,
lease or other financial compensation agreement with the County; and shall be made available to the
public upon request.
All contractors and subcontractors (as defined) of covered employers, and the owners thereof, as the
case may be, that are assigned to perform work in connection with a County contract, subcontract,
license agreement, lease or other financial compensation agreement issued by the County or awarding
agency, where such compensation is one hundred percent (100%) funded by the County, shall submit
to the covered employer a completed sworn affidavit (under penalty of perjury), the form of which is
attached, certifying that they have complied, in good faith, with the requirements of Title 8 of the United
States Code Section 1324a with respect to the hiring of covered employees and with respect to the
alien and nationality status of the owners thereof, as the case may be. The affidavit shall be executed
by an authorized representative of the contractor, subcontractor, or owner, as the case may be; shall be
part of any executed contract, subcontract, license agreement, lease or other financial compensation
agreement between the covered employer and the County; and shall be made available to the public
upon request.
An updated affidavit shall be submitted by each such employer, owner, contractor and subcontractor no
later than January 1 of each year for the duration of any contract and upon the renewal or amendment
of the contract, and whenever a new contractor or subcontractor is hired under the terms of the contract.
The Contractor acknowledges that such filings are a material, contractual and statutory duty and that
the failure to file any such statement shall constitute a material breach of this agreement.
Under the provisions of the Lawful Hiring of Employees Law, the County shall have the authority to
terminate this Agreement for violations of this Law and to seek other remedies available under the law.
2 of 4 pages
This Agreement is subject to the Lawful Hiring of Employees Law of the County of Suffolk, Suffolk
County Code Chapter 234, as more fully set forth in the Exhibit collectively referred to as the "Suffolk
County Legislative Requirements." In accordance with this law, Contractor or employer, as the case
may be, and any subcontractor or owner, as the case may be, agree to maintain the documentation
mandated to be kept by this law on site at all times. Contractor or employer, as the case may be, and
any subcontractor or owner, as the case may be, further agree that employee sign-in sheets and
register/log books shall be kept on site at all times during working hours and all covered employees, as
defined in the law, shall be required to sign such sign in sheets/register/log books to indicate their
presence on the site during such working hours.
The Contractor represents and warrants that it has read, is in compliance with, and shall comply with the
requirements of Suffolk County Code Chapter 234, Suffolk County Local Law No. 52-2006, the Lawful
Hiring of Employees Law.
Required Forms:
Suffolk County Lawful Hiring of Employees Law Form LHE-1; entitled "Suffolk
County Department of Labor -"Notice Of Application To Certify Compliance With
Federal Law (8 U.S.C. SECTION 1324a) With Respect To Lawful Hiring of
Employees"
"Affidavit Of Compliance With The Requirements Of 8 U.S.C. Section 1324a
With Respect To Lawful Hiring Of Employees" Form LHE-2.
Gratuities
The Contractor 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 Agreement has read and is familiar with the provisions of Local
Law No. 32-1980 of Suffolk County (Chapter 386 of the Suffolk County Code).
6. Prohibition Against Contracting with Corporations that Reincorporate Overseas
The Contractor represents that it is in compliance with Suffolk County Administrative Code Article IV,
§§A4-13 and A4-14, found in Suffolk County Local Law No. 20-2004, entitled "A Local Law To Amend
Local Law No. 5-1993, To Prohibit The County of Suffolk From Contracting With Corporations That
Reincorporate Overseas." Such law provides that no contract for consulting services or goods and
services shall be awarded by the County to a business previously incorporated within the USA. that
has reincorporated outside the U.S.A.
7. Child Sexual Abuse Reporting Policy
The Contractor agrees to comply with Chapter 577, Article IV, of the Suffolk 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.
8. Non Responsible Bidder
The Contractor represents and warrants that it has read and is familiar with the provisions of Suffolk
County Code Chapter 143, Article II, §§143-5 through 143-9. Upon signing this Agreement the
Contractor certifies that he, she, it, or they have not been convicted of a criminal offense within the last
ten (10) years. The term "conviction" shall mean a finding of guilty after a trial or a plea of guilty to an
offense covered under the provision of Section 143-5 of the Suffolk County Code under
"Nonresponsible Bidder."
3 of 4 pages
9. Use of Funds in Prosecution of Civil Actions Prohibited
Pursuant to the Suffolk County Code Section §590-3, the Contractor represents that it shall not use any
of the moneys received under this Agreement, either directly or indirectly, in connection with the
prosecution of any civil action against the County of Suffolk or any of its programs, funded by the
County, in part or in whole, in any jurisdiction or any judicial or administrative forum.
10. Work Experience Participation
If the Contractor is a nonprofit or governmental agency or institution, each of the Contractor's locations
in Suffolk County at which services are provided under this Agreement shall be a work site for public-
assistance clients of Suffolk County pursuant to Local Law No. 15-1993 at all times during the term of
this Agreement. If no Memorandum of Understanding ("MOU") with the Suffolk County Department of
Labor for work experience is in effect at the beginning of the term of this Agreement, the Contractor, if it
is a nonprofit or governmental agency or institution, shall enter into such MOU as soon as possible after
the execution of this Agreement and failure to enter into or to perform in accordance with such MOU
shall be deemed to be a failure to perform in accordance with this Agreement, for which the County may
withhold payment, terminate this Agreement or exercise such other remedies as may be appropriate in
the circumstances.
11. Suffolk County Local Laws Website Address
Suffolk County Local Laws, Rules and Regulations can be found on the Suffolk County web site at
www.co.suffolk<http://www.co.suffolk.ny.us>. Click on "Laws of Suffolk County" under "Suffolk County
Links."
End of Text for Exhibit II
4 of 4 pages
Suffolk County Form 22
Contractor's/Vendor'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 1 through 11 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.
gm
5.b
Contractor's/Vendor'sName "'['O I,VD 0 ~' ,5o~"t'h o l d
Address .ff':30C1_6'' /Vloin t5o~d Iz'.O, ~× 11'7c]
City and State ...~O~"~OIC~ /V~t¥
Contracting Department's Name ~Je~n Jo~'
Address '-[o~0 I'"OC.I , Ir` ,~cr~e...~
Payee Identification or Social Security No.
Type of Business__Corporation Partnership Sole Proprietorship VDther
Is contractor/vendor entering into or has contractor/vendor entered into a contract with Suffolk
County in excess of $1,0007 Yes No.
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
$1,0007 Yes No.
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.)
e
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).
10.
Does contractor/vendor derive 50% or more of its total revenues from its contractual or vendor
relationship with Suffolk County?.__Yes__ No.
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.)
The undersigned shall include this Contractor's/Vendor's Public Disclosure Statement with the
contract. (Describe general nature of the contract.)
Page 1 of 3 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 1 through 11 herein:
a) 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.
Dated:
Printed Name of Signer:
Title of Signer:
Name of Contractor/Vendor:
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, ~tat he/she has read and understood the
foregoing statements and that they are, to his/her own/~fiowled~
/d>~/~" O ~ Signed: ,~~
506t4-tTOld Totn~,n 5aperv'/5o r
.5o a-l-h o l d
UNIFORM CERTIFICATE OF ACKNOWLEDGMENT
(Within New York State)
STATE OF NEW YORK)
COUNTY OF .StAffffx:/-4~ ss.:
On the /~. day,,of~ in the year 2008 before me, the undersigned, personally appeared
_~_x~/'4- .,4/..~_a Wd( personally known to me or proved to me on the basis of satisfactory evidence
to be the individual(a) whose name(~) is (ar.~) subscribed to the within instrument and acknowledged to
me that hefl, la~tO~ executed the same in hisn~'''~'u°~' capacity(.i~.) and that by his-n'.er!Lhe'-'r, signature(~)
on the instrument, the individual(i), or the person upon behalf of which the individual(~) acted, executed
the instrument.
(signature unfl o~fice of~ndividual tfiking acknowledgement)
LIND~-~ . .
NOTARY PUBLIC, S~ ...... ~Jw York
NO. 01CO4822563, Suffolk County
Term Expires December al~ ~04'~
Page 2 of 3 Public Disclosure Form
UNIFORM CERTIFICATE OF ACKNOWLEDGEMENT
(Without New York State)
STATE OF )
)SS.:
COUNTY OF )
On the day of in the year 2008 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's/Vendor's Public Disclosure Statement Form (Rev. 3/04)
Page 3 of 3 Public Disclosure Form
H:\TBlumenauer~master forms, labels\pub disc form22.doc
Suffolk County, New York
Department of Labor
SUFFOLK COUNTY DEPARTMENT OF LABOR - LABOR MEDIATION UNIT
UNION ORGANIZING CERTIFICATION/DECLARATION - SUBJECT TO AUDIT
If the following definition of "County Contractor" (Union Organizing Law Chapter 466-2) applies to the
contractor's/beneficiary's business or transaction with Suffolk County, the contractor/beneficiary must complete Sections l,
111, and IV below. If the following definitions do not apply, the contractor/beneficiary must complete Sections II, 1II and 1V
below. Completed forms must be submitted to the awarding agency.
County Contractor: "Any employer that receives more than $50,000 in County funds for supplying goods or services pursuant to a
written contract with the County of Suffolk or any of its agencies; pursuant to a Suffolk County grant; pursuant to a Suffolk County
program; pursuant to a Suffolk County reimbursement for services provided in any calendar year; or pursuant to a subcontract with
an~, of the above."
Section I
The Union Organizing Law applies to this contract. I/we hereby agree to comply with all the provisions of Suffolk
County Local Law No. 26-2003, the Suffolk County Union Organizing Law (the law) and, as to the goods and/or
services that are the subject of the contract with the County of Suffolk shall not use County funds to assist, promote,
Check if or deter union organizing (Chapter 466-3 A), nor seek reimbursement from the County for costs incurred to assist,
Applicable promote, or deter union organizing. (Chapter 466-3 B)
I/we further agree to take all action necessary to ensure that County funds are not used to assist, promote, or deter
union organizing. (Chapter 466-3 H)
I/we f~rther agree that I/we will not use County property to hold meetings to assist, promote, or
deter union organizing. (Chapter 466-3E)
I/we further agree that if any expenditures or costs incurred to assist, promote, or deter union organizing are made,
I/we shall maintain records sufficient to show that no County funds were used for those expenditures and, as
applicable, that no reimbursement from County funds has been sought for such costs. I/we agree that such records
shall be made available to the pertinent County agency or authority, the County Comptroller, or the County
Department of Law upon request. (Chapter 466-3 I)
l/we further affirm to the following as to the goods and/or services that are the subject of the contract with the
County of Suffolk:
· I/we will not express to employees any false or misleading information that is intended to influence the
determination of employee preferences regarding union representation;
· I/we will not coerce or intimidate employees, explicitly or implicitly, in selecting or not selecting a bargaining
representative;
· I/we will not require an employee, individually or in a group, to attend a meeting or an event that is intended to
influence his or her decision in selecting or not selecting a bargaining representative;
· I/we understand my/our obligation to limit disruptions caused by prerecognition labor disputes through the
adoption of nonconfrontational procedures for the resolution of prerecognition labor disputes with employees
engaged in the production of goods or the rendering of services for the County; and
· I/we have or will adopt any or all of the above-referenced procedures, or their functional equivalent, to ensure
the efficient, timely, and quality provision of goods and services to the County. I/we shall include a list of said
procedures in such certification.
Section 11
The Union Organizing Law does not apply to this contract for the following reason(s):
vehicle lease - $0 contract
Check if
Applicable
DOL-LO 1 (3/5/08)
Suffolk County, New York
Department of Labor
Section III
Contractor Name:
Contractor Address:
Contractor Phone #:
Description ofproject or service: Cao-/-/~/x/I/,i~-/~)_ ~ l/chicle 1lease:
i//'~i /ti/F,4 FPS7 bi 21~rA l q-6 3 6 q
Section IV
In the event any part of the Union Organizing Law, Chapter 466 of the Laws of Suffolk County, is found by a court of competent
jurisdiction to be preempted by federal and/or state law, this certification/declaration shall be void ab initio.
Section V
I declare under penalty of perjury~/~nder the Laws of the State of New York that the undersigned is authorized to provide this
certification, and that the ~nd~ l (2) --~ (t9 ~C)
Authorized Signature Date
Print Name and Title of Authorized Representative
DOL-LOI (3/5/08)
SUFFOLK COUNTY I)EPARTMENT OF LABOR- LIVING WAGE UNIT
LIVING WAGE CERTIFICATION~DECLARATION- SUBJECT TO AUDIT
I f either of the following definitions of 'co~npensation' (Li*ing Wage Law Chapter 347 - 2) applies to the contractor's/recipient's
business or transaction with Suffolk County, the contractor/recipient must complete Sections 1, 3, 4 below; and Form LW-I (Notice
of Application for County Compensation). If the following definitions do not apply, the contractor/recipient must complete Sections
2, 3 and 4 below. Completed forms must be submitted to the awarding agency.
"Any gram, loan, t,~x incentive or abatement, bond financing subsidy or other form of compensafion of more that $50,000 which is realized
by or provided to an employer of at least ten (I 0) employees by or through the authority or approval of the County of Suffolk," or
"Any service contract or subcontract let to a contractor with ten (10) or more employees by the County of Suflblk lbr the furnishing of
services to or for the County of Suftblk (except contracts where services me incidental to the delivery of products, equipment or commodities)
which involve an expenditure equal to or greater than $10,000. For the purposes of this definition, the amount of expenditure for inore than
one contract for the same service shall be aggregated A contract for the purchase or lease of goods, products, equipment, supplies or other
property is not 'compensation' for the purposes of this definition."
Section I
Check if
applicable
The Living Wage Law applies to this contract, I/we hereby agree to comply with all the provisions of Suffolk County Local Law
No. 12-2001, the Suffolk County Livh~g Wage Law (the Law) m~d, as such, will provide to all falI, part-fime or temporary
exnployed persons who perform work or render services on or for a project, matter, contract or subcontract where this company
has received compensation, from the County of Suffolk as defined in the Law (compensation) a wage rate of no less than $1069
($925 for child care providers) per hour worked w/th health benefits, as described in the Law, or
other~vise $12.17 ($ I 0 50 fbr child care providers) per hour or the rates as inay be adjusted am~ually in accordance with the Law
(Chapter 347-3 B)
l/we further agree that any tenant or leaseholder of this company that employs at least ten (10) persons and occupies property or
uses equipment or property that is hnproved or developed as a result of compensafion or any contractor or subcontractor of this
company that einploys at least ten (10) persons in producing or providing goods or services to this company that are used in the
project or matter tbr which this company has received compensation shall comply xvith all the provisions of the Law, including
those specified above (Cbapter 347-2)
lave further agree to permit access to work sites and relevant payroll records by authorized County representatives for the
purpose of monitoring compliance with regulations under this Chapter of the Suffolk County Code, investigating employee
complaints of noncomplimlce and evaluating the operation and effects of this Chapter, including thc production for inspection &
copying of payroll records for m~y or all employees for the term of the contract or for five (5) years, whichever period of
compliance is longer All payroll and benefit records required by the County will be inaimalned for inspection tbr a similar
period of time. (Chapter 347-7 D)
'Dm County Department of Labor shall review the records of any Covered Employer at least once every three years to verify
compliance with the provisions of the Law (Chapter 347-4 C)
Section I1 The Li~ing Wage Law does not apply to this contract for the tbllowing reason(s):
vehicle lease - no cost to Coun~
Check if
applicable
Section II1
Contractor Name:
Contractor Address:
Contractor Phone #:
Town of Southold
53095 Main Road/PO Box 1179
Southold, NY 11971
Federal Employer ID#: ~'1-6001939
Amount of Assistance: $0
Vendor #: n/a
Description of project or service: vehicle lease (VIN 1FAFP57U2WA'I46369)
~Cetcil~rneIuVnder penalty o f per'3~under the Laws of the State of New York that the undersigned is authorized to provide this certification, and
that the above~
Print Nme md Title of Authorized Representative
LW 38 (revised 4-05, replaces forms LW2, LW3, and LW33)