HomeMy WebLinkAboutNYS DOT Contract C006789 Appendix XRESOLUTION (ID # 5677)
SUBMITTED
DOC ID: 5677
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. (ID # 5677) WAS
SUBMITTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD
ON FEBRUARY 2, 2010:
RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs
Supervisor Scott A. Russell to execute Appendix X to Contract #C006789 between the
Town of Southold and the New York State Department of State, in connection with the
planning and development of Southold Town Code revisions, which document extends the
funding for said Agreement to December 31,2010, subject to the approval of the Town Attorney.
Elizabeth A. Neville
Southold Town Clerk
APPENDIX X
Agency Code: 19000
Contract Period: 01/01/07 to 12/31/10
Contract No.: C006789
Funding for Period: $150,846
This is an AGREEMENT between THE STATE OF NEW YORK, acting by and through the New York State Department of
State, having its principal office at 99 Washington Avenue, Albany, New York, 12231 (hereinafter referred to as the STATE),
and Town of Southold (hereinafter referred to as the CONTRACTOR), for modification of Contract Number C006789, as
amended above.
Terms and conditions of this amendment are subject to continued availability of funds for this contract.
All other provisions of said AGREEMENT shall remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this AGREEMENT as of the dates appearing under their
signatures.
CONTRACTOR NATURE NEW YORK STATE
DEPARTMENT OF STATE
By: .~ By:
~c'o~'~' A. _Russell
(print name) (print name)
Title: Supervisor Title:
Date: / - C~-%~ [ 0 Date:
State Agency Certification: "In addition to the acceptance of this contract, I also certify that original copies
of this signature page will be atlached to all other exact copies of this contract."
ACKNOWLEDGEMENT
State of New York )
County of Suffolk )ss:
On this o~,~_ day of
._Scott A, Russell
..... =~r¥ ,20 1 ~ before me personally came
to me known, who, being by me duly sworn, did depose and say that he/r,h~
reside(s) in {2utc~hOqtl~: NY (if the place of resident is in a city,
include the street and street number, if any, thereof); that he/sl~is(ar-~) the Superv± sot (title of officer
or employee) of the Town of Southc!d (name of municipal corporation), described in and which
executed the above instrument; and that heks~ signed hi~ nameOs) thereto by authority of the governing body of
said municipal corporation.
Approved:
Thomas P. DiNapoli
State Comptroller
RY PUBL{~
LINDA J COOPER
NOTARY PUBLIC, State of New Yo~k
NO. 01 CO4822563, Suffolk Cou{~g.~)
Term Expires December 31, 20 '~"'
By:
Date:
h APPENDIX X
MODIFICATION AGREEMENT FORM
Agency Code: 19000/DOS01 Contract No.: C006789
Contract Period:01/01/07 to 12/31113 Funding for Period: $0.00
This is an AGREEMENT between THE STATE OF NEW YORK,acting by and through the New York State Department of State,
having its principal office in Albany,New York(hereinafter referred to as the STATE),and Town of Southold(hereinafter referred to
as the CONTRACTOR),for modification of the contract number noted above,as amended herein and noted below.
Type of contract modification:
❑ Renewal: Revised total contract value: $—_ (renewals only)
® No cost time extension
❑ Amendment: _
❑ Attached Appendices:
All other provisions of said AGREEMENT shall remain in full force and effect.
IN WITNESS WHEREOF,the parties hereto have executed this AGREEMENT as of the dates appearing under their signatures.
CONT CTOR SIGNATURE NYS DEPARTMENT OF STATE
(print name) (pr t name)
< DIRECTOR OF FINANCIAL ADMINISTRATION
Title: —J ° _ S o— _ Title:
Date: 91314 - Date: / u (Z 3 /f L
State Agency Certification: "In addition to the acceptance of this contract,I also certify that original copies of this signature page will be attached to all
other exact copies of this contract."
State of New York )
County of_,.�c.t. �" (_(S )ss:
On this_�a day/off_ #"e4 in the year 20_t 4Z ,before me personally appeared
to me known and known to me to be the person who is the o 46T
�.- (± >the organization described in and which executed the above above i d that he/"
has the authority to sign on behalf of said organization;and that he/sl+e executed the foregoing agreement for and on behalf of said
organization.
LAUREN M.BTANQISH
Notary Public,State of New York
No.01ST6164008
Qualified in Suffolk County
Commission Exp ip 19,>,0
NOTARY PUBLIC ComiS7
ATTORNEY GENERAL'S SIGNATURE: STATE COMPTROLLER'S SIGNATURE:
By: �_.......... _....._ By: A P P RO V E
Epr nr,Al)DtT a.r,omol. _..
Bate: _ Date:
FNOV0 61201h
FOR THE STATE COMPTROLLER