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Home My WebLink AboutSand for Ice ControlELIZABETH A. NEVILLE, RMC, CMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork, net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 15, 2010 Diane Schroeder Sound Shorn Excavating Corp PO Box 119 Peconic, NY 11958 Dear Mrs. Schroeder: Congratulations. At the regular Town Board meeting held on December 14, 2010, the Town Board accepted the bid of Sound Shore Excavating Corp. for supplying bulk sand for ice control for the 2011 calendar year. A certified copy o£the resolution is enclosed. The bid deposit will be returned to you at the end of the contract. Thank you for your bid. Very truly yours, Lynda M Rudder Deputy Town Clerk Ens. C~AL USE [~] Street, Apt. ~o.; [ .................... or Po,x ~o. 5~....Lg.....L,~..~.~ ...................... 1 ...... ii~h .............. · Complete items 1, 2, a~fd 3..~lso complete - item 4 if ~estHcted Delivery is desired. · Print your name and address on the reverse so that we can_~/turn the card to you. ~, i Attach this cardS0 the back of the mai!piece, or on th'~'fl'ont if space permits. · ',. Article Addressed to: O. Is deliver If YES, enter ter~ 17 i-lyes l-1 No ~'C_,~lifle:l Mall [] Registered [] Insured Mail [] Retum Receipt for Merchandise [3 C.O.D. Restricted Deliver? (Ex~a Fee) I~ yes 2. A~icle Number PS Form 3811, February 2004 7009 0820 0001 7820 6729 C AL USE · Complete Items 1, 2, and 3. AJso ~omplete item 4 if Restricted Delivery Is desired. · Print your name and address on the reverse so that we can retum the card to you. · Attach this card to the back of the mallplece, or on the front if space permits. D, Isdeliv~yaddmasdllfematffomlteml? r-lYee If YES, e~ter d~lve~ address below: [] No [] Retum Recelp~ for Memhandise [] C.O.D. 4. Restn~'ted D~h/a3,? ~.xtra F~e) O~ I 2. Article Numbe~ i ~~ 7009 0820 0001 7820 6743 I PS Form 3811, February 2004 Postage Cedified Fee I~l Return Receipt Fee r--i (Endorsement Required) Restricted Delively Fee (Endorsement Required) Total Postage & Fees D · Complete items 1, 2, and 3. AJso complete item 4 if Restricted Deliver,/is desired. · Pdnt your name and address on the reveme so that we can return the card to you. · Attach this card to the back of the mailpiece, or on the fTont if space permits, C. Date of ~lNe~ Is deliv~y addrees dh'ferent f~om [] Yes If YES, enter deliver7 ed~imss below: []No El/Ce~ifted Mall [] F. xpr~s Mall [] Registered [] Return Receipt for Merchandise [] Insured Mail [] C.O.D. Restricted Delive~ (Ex~a Fee) [] Yes ' 2. Article Number ~ PS Form 3811, February 2004 .7009 0820 0001 7820 6736 February 5, 2010 Robert Schroeder, Jr Bayberry Enterprises POBox 119 Peconic, NY 11958 Dear Sir: Congratulations. At the regular Town Board meeting held on December 15, 2009, the Town Board accepted the bid of Bayberry Enterprises for Sand for Ice Control A certified copy of the resolution is enclosed. The bid deposit for this year's bid will be returned to you at the end of the contract. Thank you for your bid. Very truly yours, Lynda M Rudder Deputy Town Clerk Ens. February 5, 2010 Rosemar Construction 56 Pine Street East Moriches, NY 11940 Dear Sir: At the regular Town Board meeting held on December 15, 2009, the Town Board accepted the bid of Bayberry Enterprises for Sand for Ice Control. A certified copy of the resolution is enclosed. Your bid deposit is being returned to you. Thank you for your bid. Very truly yours, Lynda M Rudder Deputy Town Clerk Ens. February5,2010 Barbato Nursery Corp. 1600 Railroad Avenue Holbrook, NY 11741 Dear Sir: At the regular Town Board meeting held on December 15, 2009, the Town Board accepted the bid of Bayberry Enterprises for Sand for Ice Control. A certified copy of the resolution is enclosed. Your bid deposit is being returned to you. Thank you for your bid. Very truly yours, Lynda M Rudder Deputy Town Clerk Ens. February 5, 2010 Custom Golf Materials P O Box 8 Old Bethpage, NY 11804 Dear Sir: At the regular Town Board meeting held on December 15, 2009, the Town Board accepted the bid of Bayberry Enterprises for Sand for Ice Control. A certified copy of the resolution is enclosed. Your bid deposit is being returned to you(no bid deposit received). Thank you for your bid. Very truly yours, Lynda M Rudder Deputy Town Clerk Ens. February 5, 2010 Watral Brothers, Inc. 45 South 4th Street North Bay Shore, NY 11706 Dear Sir: At the regular Town Board meeting held on December 15, 2009, the Town Board accepted the bid of Bayberry Enterprises for Sand for Ice Control. A certified copy of the resolution is enclosed. Your bid deposit is being returned to you. Thank you for your bid. Very truly yours, Lynda M Rudder Deputy Town Clerk Ens. Southold Town Board ~ Letter Board Meeting of December 15, 2009 RESOLUTION 2009-962 ADOPTED Item # 5.19 DOC ID: 5544 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2009-962 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON DECEMBER 15, 2009: RESOLVED that the Town Board of the Town of Southold hereby accepts the bid of Bayberry Enterprises~ in the amount of $13.45 per cubic yard~ for supplying Bulk Screened Sand for Ice Control and Highway Maintenance to the Highway Department for the 2010 calendar year~ 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 Generated December 16, 2009 Page 26 ELIZABETH A. NEVILLE, RMC, CMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.north fork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Bayberry Enterprises POBox 119 Peconic, NY 11958 (631 )765-4175 Rosemar Construction 56 Pine Street East Moriches, NY 11940 (631)878-2323 Watral Brothers, Inc. 45 South 4th Street North Bay Shore, NY 11706 (631)586-8300 Custom Golf Materials P O Box 8 Old Bethpage, NY 11804 (631)249-7471 Barbalo Nursery Corp. 1600 Railroad Avenue Holbrook, NY 11741 (631)285-6767 BID OPENING 2010 Bulk Ice Control Sand Bid Opening 11/12/09 10:00 A.M. $13.45 per Cubic Yard $14.90 per Cubic Yard $19.23 per Cubic Yard $21.95 per Cubic Yard NO BID CHECK RECEIVED $22.85 per Cubic Yard SO~;THOLD TO~F CLERK ~002 PROPOSAL FORM BIDDER: TO: ME,MB~R~ OF THE BOARD: SOUTHOLD TOWN BOARD TOWN HALL - 53095 MAIN ROAD SOUTHOLD, NEW YORK 1197] NOV 1 2 2009 The undemigned ~ bidder, deolare~ that the only persons, coml~y, or patties interested itl th s be]ow; that this proposal is made withogt any connection, directly or indirectly with any other bidder f~Jq,~'~50~l-,, ~'in all respects fair and without collusion or Fraud, and that no person acting for or employed by the aforementioned owner ~ Or will be interested directly or indire¢,tl¥, in the pe~ormance of'the contract, or the supplies rnlatit~g :o it, or in any portion of the profit thereof; that he has car=fully exam/ned the contract documents dated: October 20, 2~D9. McludJng bidding requirements, contract, general and special condit oas, sp~c fications, tha. he has satisfied himself by persona] examination or the proposed work, and by such other m~an$ aa hc may have chosen, as to the conditions and requirements of the work; and lie pr.oposed and agrees ~hat if his proposal be accepted lie wi]l contxact to famish all mamriaJa: Purchase and Delivery of Set.ned Sa nd Highway Dept Peeonic Lane, Peconie, New York 11 and all other work in cotmection threw/th, in acco;dance with the cooTxaet documents, if any t:repa~d by Pc/er Supezimendent of Highways Southold Town Highway Dupe, Pe¢onie. Lane, Peccmie, New York, 11958, and shah comply with all the $t3pulations contained therein and will s~ar~ the work aa directed by the Town, h~ will acgep*, in full payment thereof as listed below: II'EM/t h Purchase and Delivery of $creenetd Sand The purchase ors,000 cubic yards of screened sand, more, or tess, as may be needed, Sbt Ice Control and Highway Maintenance for tho Highway. The above referenoed activities will b~ completed for the stipulated per Cubic Yard price (written In word~) (written in numbers) And he Fur~er a~¢es ~mt if ~Js proposal s~all ~ acc~ed ~ ~e To~ ~d that if he shall re~s¢, fail or neglect :o enter into a Con~c~ purs~t to such propo~ ~ 1o ~e requkemen~ of the Town ~ shall fail to ~ve the required ~car~ w~h/n the lea ti0) d~s e~ez notice of ~e aacep[~c~ of said proposal, shall have boon deposited in the mail ~dress~ ~o him at the'address given proposal, ~at h~ ~all be considered to ha~¢ abandoned thc con~ ~ld the ~m rep~acmted by ~e eeai~ed check accemp~,~n$ ~oposa] shall ~ forfeited to the To~ as L!q~ida~d dNl:ag~s; othe~i~ tha ce~t~ check ~haII ~ rct~ed to ~he bi.er wi~ fo~-five (45) days after the date of receiving the bids, We ~o ~derslgned, fu~ber ague tha: this pr~sai is a l~a) b;d and shall ~main in effect fo: a p~rJod & fully-five Town will ~ept os' rej~t thin pr~aal or ~ mu~a] agreement m~ e~end ~is t~e [m~od. ~e unde~ignod hereby acknowledges rec~t of ~e f0~ing addenda: / 10/il '09 ~I~E 10:51 FAX 63] 76§ 614§ $OUTHOLD TOWN CLERK ~ATElVI~NT OF NON-COLLUSION ~ accor~e w~ Selden 103~ G~n~I ~icipal ~w, effective Se~b~r 1, 1966, eve~, bid or ~o~sa~ herea~er made to a political sub~v~ion of~e S~c of~ public ~p~m~t, agency, or official ~emof or to a ~o~ distrim or ~y asen~, or o~ thereof for wo~t or ~x~i~s ~fo~ or ~ b~ pctfo~ed or goo~ sold or to ~ ~ ~ · . . . . soJ~ shall c~ta n ~he foiJowmg ;~mm~t sub;cfi~ tobv~ b~dd~d~edb) ~achb~ddCraa~emtder thepenak~ofpeomMnon.collnaivebiddingce~cat~on' ~ submission of this bid, each bJ~der and e~h pe~n signing ~ b~half ofa~W bidder c~i~es, ~d in ~e case of a joint bid, each pa~ the:eta ce~/fms as ~ i~ own otganiza~o:x undgr pcaal~ of perjaG, O~a[ to ~e b~t of ~owledge ~d belief; (I) The pric~ in th~ bid have ~m~ a~ived at independently Mtho~ cellusi~, ccnsulrmi~, communication, or a~em~L far the pu~oae of res~ic[ing competi6on, as to a.y m~ rel~ng to such prices ~h any other bidder or any competitar (2) Un]ess othenv/sc r~quircd by law~ tl~e pric~s w~icb have ~en qu~ed in this bid i~ave not been ~ow~y dt/cl~ed by ~e bider ~d Mil not k~owing~ be db~lo~ by the b~dde~ prior to o~ntng~ directly or i~dir~tly, co ~y otheJ bidder or ~ any competker~ No a~mpt h~ b~ m~e or ~Jl be m~e b~ ~e bidd~ :o induce a~y other ~rson, ~e~ip, or co.ore,on to su~nit or oat re submk i bid for ~e ~ose of testriming comp~tkm. ~e per~ si~teg this bid or priori certifies that ~e has h~l]y info.ed h~mself rest-ding thc accuracy of ~c s~me~ts contained in this certification, and under ~c statements conteined In ~is certification, and under ~e penalties ot'perju~, a~s th~ ~uth ~e~of, such penlites 0eing ~plic~le to ~e b~dder, as well as ~e ~rson ~t~ng in its behalf. C 'l.hat a~ached hereto (if a eo~orate bidder) is a ~n~fi~d copy o~rcsolution authorizing the cx~u:ion of this gertifir.~v by ~e s~gna~re o~ thi~ bid or rro~l on behalf of~h~: ~rporalc bidder, RESOLUTION Re~olv~ that: ~-~, ~ o' t~ame ors~p~ato~,? (Name oI Colorlon) o~ propos~ of~ co~on for ~c foil~g · be authorized t~ sig~ and submit Se bid Project: Purchase and Delive~ oF Screened Sand ?econic Lane, Peconic, New YC~ ) 1958 ~md to ~ciude in such bid or proposal ~e c~ifi~a;e e~ to non-collusion ~qu~red by ~ecth)n ont-hundmd-thm~-d (1O3-d) cf the General Muoiclp~l Law as thc act and deed of such co~tion, ~d f~ any bidder sha[~ be J ~1~ ~r ~ pena]~c~ of per~u~ '~ f°r~g°~ i~ ~ ~d co.c: copy of ~e ~olmicn adored by. ~/~/~e~l~ ~ata ~neering of the Bo~d of D~tor~, held or. fl'~e .. [~ day vf~ WW ..... 20.~,~ (SEAL OF THE CORPORATION) Laws of New York 1965 Ch. 75~, Sec. 103.d, as amended & ~£fecfivc on September 1, 1965. PROPOSAL FORM Date: t i I In-l°' ~ NAME of BIDDER: Telephone: TO: SOUTHOLD TOWN BOARD TOWN HALL - 53095 MAIN ROAD SOUTHOLD, NEW YORK 11971 2009 MEMBERS OF THE BOARD: The undersigned as bidder, declares that the only persons, company, or parties interested in this p~l~s'~il~ge named below; that this proposal is made without any connection, directly or indirectly with any other bidder for the same work; that it is in all respects fair and without collusion or fraud, and that no person acting for or employed by the aforementioned owner is or will be interested directly or indirectly, in the performance &the contract, or the supplies relating to it, or in any portion of the profit thereof; that he has carefully examined the contract documents dated: October 20, 2009, including bidding requirements, contract, general and special conditions, specifications, that he has satisfied himself by personal examination of the proposed work, and by such other ~eans as he may have chosen, as to the conditions and requirements of the work; and he proposed and agrees that if his proposal be cepted he will contract to furnish all materials: Purchase and Delivery of Screened Sand Highway Dept. Peconic Lane, Peconie, New York 1 ! 958 and all other work in connection therewith, in accordance with the contract documents, if any, prepared by Peter Harris, Superintendent of Highways Santhold Town Highway Dept, Peeonic Lane, Peconic, New York, 11958, and shall comply with all thc stipulations contained therein and will start the work as directed by the Town, he will accept, in full payment thereof as listed below: ITEM # I: Purchase and Delivery of Screened Sand The purchase of 5,000 cubic yards &screened sand, more, or less, as may be needed, for Ice Control and Highway Maintenance for the Highway. The above referenced activities will be completed for the stipulated per Cubic Yard price of: (written in words) (written in numbers) . ~ond he further agrees that if this proposal shall be accepted by the Town and that if be shall refuse, fail or neglect to enter into a ffact pursuant to such proposal and to the requirements of the Town and shall fail to give the required security within the ten (10) days after notice of the acceptance of said proposal, shall have been deposited in the mail addressed to him at the address given in the proposal, that he shall be considered to have abandoned the contract and the sum represented by the certified check accompanying this proposal shall be forfeited to the Town as Liquidated damages; otherwise the certified check shall be returned to the bidder within forty-five (45) days after the date of receiving the bids, We the undersigned, further..:~'~'"~'~c Town will accept or rejec~is~flafgfo~ receipt of the f01l~g"~f./~//~ of Bidder: ~ ~ Telephone Number: nd shall remain in effect for a period of furry-five (45) days, the :sltend thil tlml,plrlodlq~e u.~...~__vndersigned hereby acknowledges Date: LEGAL NOTICE NOTICE TO BIDDERS NOTICE IS HEREBY GIVEN, in accordance with the provisions of Section 103 of the General Municipal Law, that sealed bids are sought and requested for the purchase and delivery of 5,000 cubic yards of screened sand, more, or less, as may be' needed, for Ice Control and Highway Maintenance for the Highway Department. Sand must be delivered to the Highway Department yard, Peconic Lane, Peconic, New York, between the hours of 7:00 A.M. and 3:30 P.M., Monday through Friday, excluding holidays, with prior notification to the Highway Department (631-734-5211 or 631-765-3140). The sealed bids, together with a Non-Collusive Bid Certificate and bank draft or certified check in the mount of $100.00, will be received by the Town Clerk of the Town of Southold, at the Southold Town Hall, PO Box 1179, 53095 Main Road, Southold, New York, until 10:00 A.M., Thursday, November 12, 2009 at which time they will be opened and read aloud in public. The Town Board of the Town of Southold reserves the right to reject any and all bids and waive any and all informalities in any bid should it be deemed in the best interest of the Town of Southold to do so. All bids must be signed and sealed in envelopes plainly marked "Bid on Screened Sand", and submitted to the Office of the Town Clerk. The bid price shall not include any tax, federal, state, or local, from which the Town of Southold is exempt. Dated: October 20, 2009 ELIZABETH A. NEVILLE SOUTHOLD TOWN CLERK PLEASE PUBLISH ON OCTOBER 29, 2009, AND FORWARD ONE (1) AFFIDAVIT OF PUBLICATION TO ELIZABETH NEVILLE, TOWN CLERK, TOWN HALL, PO BOX 1179, SOUTHOLD, NY 11971. Copies to the following: Suffolk Times Super of Highways Brown's Letters Town Board Members Data Construction Burrelle's Info Services Town Attorney Dodge Reports Town Clerk's Bulletin Board STATEMENT OF NON-COLLUSION (To be completed Oy each Uidder) In accordance with Section 103-d General Municipal Law, effective September 1, 1966, every bid or proposal hereafter made to a political subdivision of thc State of any public department, agency, or official thereof or to a fore district or any agency or official thereof for work or services performed or to be performed or goods sold or to be sold, shall contain the following statement subscribed to by the bidder and affirmed by such bidder as true under the penalties of perjury; non-collusive bidding certification. By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and in thc case of a joint bid, each party thereto certifies as to its own organization, under penalty of perjury, that to the best of knowledge and belief: (1) The prices in this bid have been arrived at independently without collusion, consultation, communication, or agreement, for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or any competitor. (2) Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to opening, directly or indirectly, to any other bidder or to any competitor. (3) No attempt has been made or will be made by the bidder to induce any other person, parmership, or corporation to submit or not to submit a bid for the purpose of restricting competition. The person signing this bid or proposal certifies that he has fully informed himself regarding the accuracy of the statements contained in this certification, and under the statements contained in this certification, and under the penalties of perjury, affirms the truth thereof, such penalties being applicable to the bidder, as well as the person signing in its behalf. That attached hereto (ifa corporate bidder) is a certified copy of resolution authorizing the execution of this certificate by the signature of this bid or proposal on behalf of the corporate bidder. RESOLUTION Resolved that ~,~B~.It'x ro^*roa'4- oftbe 'R~,~e~A~,. (,,or'~e~,,~.,:ix,... (Nme of signatory) (Name of Corporation) be authorized to sign and submit thc bid or proposal of this corporation for the following Project: Purchase and Delivery of Screened Sand Peconic Lane, Peconic, New York 11958 ni~l~ include in such bid or proposal the certificate as to non-collusion required by section one-hundred-three-d (103-d) of the General ipal Law as thc act and deed of such corporation, and for any inaccuracies or miss-statements in such certificate this corporate shall be liable under the penalties of perjury. The foregoing is true and correct copy of the resolution adopted by meeting of the Board of Directors, held on thc ~-c~. day of (SEAL OF THE CORPORATION) Laws of New York, 1965 Ch. 751, Sec. 103-d, as amended & effective on September 1, 1965. ,20 o~,. .corporation at a BID OPENING 2009 Bulk Ice Control Sand Bid Opening 11/13/08 10:00 A.M. Sound Shore Excavating POBox 119 Peconic, NY 11958 (631)765-4175 East Coast Mines & Materials Rt 2 Lewis Road East Quogue, NY 11942 (631)653-5445 R F Paving Corp. P O Box 545 Holbrook, NY 11741 (631)289-3414 Watral Brothers, Inc. 45 South 4th Street North Bay Shore, NY 11706 (631)586-8300 Barbato Nursery Corp. 1600 Railroad Avenue Holbrook, NY 11741 (631)285-6767 $14.20 per Cubic Yard $14.95 per Cubic Yard $17.00 per Cubic Yard $20.94 per Cubic Yard $29.50 per Cubic Yard *Exception: Minimum order of 35 Yards Required for Delivery ORIGIN,XL ~' ROPOSAL FORM NAME of BIDDER: elt~phone: 631-586-8300 2009 Wa~ral Brothers, Inc. 45 South 4th Str. eet Bay Shore, NY 11706 $OUTHOIJ)TOWNBOARD TOWN HALL-.~0~SMAINROAD SOUTHOLD, NEWYORK ll~l Southold Town Clerk , Et*iBEi~ OF THE BOARD: c~ndersigned az bidder, declar~ that the only p~aon*, oompnay, or pattie~ interested in this propmal as principals m'c nmnad : :,; that this proposal is made without nay oonn~tion, directly or indirectly with any other bidder for the .~me work; that h Is in all ~,:,:ts fair and without collusion or fraud, nad that no person Iwting for or employed by the aforementioned owner is Or will be ~ csted directly or indirectly, in the p~rformance of the contract, or the mpplie~ relating to it, Or in any portion of the profit the~o/~, ~: ~ he has cnrafully examined the conWact documnal~ dated: October 20, 2009, including bidding requimmnats, contrae~ general ~ d special coodffions, specifications, that he has ~ntisfied himself by per~enal examination of the proposed work, and by such other , sans as he may have chosen as to the conditions and requirements of the woflq and he proposed and agrees that il'hi, proposal be :.cp.'.ed he will contract to furnish all materials: Pnr~=haae and Delivery of Screened Sand Highway I~pt Peeonk I~ne, Peeonic, New York 11958 · : ~11 other work in connection therewith, in accordance with tho corm'act docummts, if any, prepared by Pet~ Harris, ?erintendent of Highways Southold Town Highway Dept, Poconic Lime.. Peconic, Hew York. 11958, nad shall comply with all the ?~ lations contained therein and will start the work az directed by ~ Town. he will accept, in full payment thereof as listed below: 'EM # l: Purchase and Delivery of Screened Sand purchase of 5,000 cubic yards of ~r~nad ~and. more, or I~% az nay be .~led, for Ice Conml nad Highway Muintenanoe for 1 lighway. The above referenced activities will be c. omp~lcted for the st',q~[ted per {:ubic Yard price of; written in words) ~'p-~<- ('l~"t~ in numbers) ~e nu ne ~ agrees mat ,t m~s proposal Sb~ll I~ ~ ~ ~e T~ ~d ~ ffhe xh~l m~, ~l ~ ~ m ~t~ ~ a ~mmct pu~ ~ ~ pm~l ~d ~ ~e ~ of~ T~ ~ ~1 ~1 ~o ~ ~e ~ ~ ~ ~ ~ (~0) d: ys aRer n~ of~e a~ep~ce of ~id p~ ~all ~e ~ ~ ~ ~e ~H ~ ~ h~ ~ ~ ~ ~ ~ ~ p: ,posal, ~at h~ ~1 ~ ~nsi~cd to have ab~ ~ ~,0~ ~d ~ ~ ~t~ bY ~e ~ ~ ~ ~ ?. p,,sal shall ~ f~eit~ to the To~ ~ Liqui~ ~; ~ ~e ~if~ ch~ ~all ~ ~ ~ ~ b~ ~ ~ [y-five (45) da~ a~ ~c date of~eiv~g ~e b~. roe undersigned, further agree that this proposal is a formal bid ~md shall remain in effeet for a period of for~-flve (45) alaS, s, th~ ~'n Mil accept or r~ject this proposal or by mutual agr~emnat may ex.nd Ibis time p~'dod. The undcmi~nad hereby ncimowladgas - .;eip~ of the followirig addenda: .:'phone Addt~s: 45, So. 4th St.~ , - .... ~ ~.,: Ba~ Shore, NY 11706 ~2,'~1 '09 MON 10:41 FAX 631 765 6145 S0[ri'BOLD TOWN CLERK I, EGAL NOTICE NOT CE TO BWDERS ~002 NOTICE IS HEREBY GIVEN, in accordance with the provisions of Section 103 of,be General Municipal Law, thai sealed bids are sought and requested for the purchase and delivery of 5,000 cubic yards of screened sand, more, or less, as ma)' be'needed, for Ice Control and Highway Maintenance for the Highway Department. Sand must be delivered to thc Highway Dcpmtmant yard, Pcconic Lane, Peconic, · v,~ u,~ hours of 7:00 ,~.M. and 3:30 P.M., Monday through Friday, excluding holidays, with prior notification to the Highway Depamuent (631-734-5211 or 631-765-3140. The sealed bids, together with a Non-Collusive Bid Certificate and bank dralt or cc-trifled check in the amount of $100.00, will be received by the Town Clerk of th~ Town of Southold, at the Sou,hold Town Hall, PO Box 1179. 53095 Main Road, Southol~ New Yori~ until 10;00 A.M., Thm'~hy~ November 11, ~0~ ~t which time they will be opened and read aloud in public. The Town Board of the Town of Sou, hOld reserves the fight to reject any and all bids and waive any and all inforraalitics in any bid should it be d~med in the b~t interest of the Town of Southold to do so. All bids must be signed and seakxi in envelopes plainly marked "Bid on Softened Sand", and submitted to the Office of the Town Clerk. The bid price ~h~!l not include any tax, federal, state, or local, from which the Town of Sou,hold is exempt. Dated: October 20, 2009 ELIZABETH A. NEVILLE SOUTHOLD TOWN CLERK PLEASE PUBLISH ON OCTOBER 29, :~09, AND FORWARD ONE (1) AFFIDAVIT OF PUBLICATION TO I~.IJZAJ~ETI! NEVILLE, TOWN CLERK, TOWN HALL, PO BOX 1179, , KY 11971. Copies to the following: Suffolk Times Super of Highways Brown's Letters Town Board Data Burrelle's Info Scrviccs Town Attorney Town Clerk's Bull~in Board ,*~2/11 '09 M0N 10:-12 FAX 631 765 6.145 SOIJTItOLD TOWN CLERK ~]001 STATEMENT OF NON-COLLUSION ~ 1o be completed bY each l~idder} In aecordunce with Section 103-d General Municipal Law, effective September 1, 1966. every bid or proposal hereafter made to a political subdivi*ion of the Slate of any public department, agency, or official thettof or to a fore dis~ot or any ag,~ucy or official thereof for work or services performed or to be performed or goods ~old or to be sold. mall contain the following statement sul~,cm'l~d to by the bidder and affirmed by such bidder as l~uc unde~ the penalties ofp~ury; non.collusive bidding certification. By submission oft. his bid, each bidder and each person signing on behalf of a~y bidder certifies, and in the case of a joint bid. each party thereto certifie, as to its own organization, under penally of perjury, lhat to the best of knowledge and belie~ (1) The prices in this bid have been arrived at independently withoet collusion, consultation, communication, or agreement, for thc purpose of restricting competition, a~ to uny matter relating to such prices with any other b~da-r or any competitor. (2) Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to opening, directly or indirectly, to any other bidder or to any competitor. (3) 'No al'~mpt has been made or will be made by the bidder to induce ~my other person, partnership, or corporation to *ubmit or not to submit a bid for the purpose of restrietln$ competition. The person signing this bid or proposal certifies that he has fully informed himself regarding the accuracy of the smmaunts contained in this certification, and under the slatement~ contained in this cettificailon, and under thc pcnalti~ of perjury. affirms the truth thereof., such penalties being applkablc to the bidder, as well as the person signing in io hehaff. That a~aehed hereto (if a corporate bidder) ia a certified copy of resolution a~thorizing ~ exec~ion of this cenifi~tte by the signature of this bid or proposal on behalf of thc corporate bidder~ RESOLUTION .olvedthat Johrt Watral ofthe Watral Brothers t I I~uathor/zed to sign and anbmit the bid (Name of signatory) (Name of Corporation) p:opos.'d of this corporation for the following Project: Porchase and l~livery of,Screened Sand Peconic Lane. Pcconic. New York { 1958 '~ cl lo include in such bid or proposal the certificate as to non-collusion required by section one-hundr~.thme-d (103-d) of the General micipal Law as the act and deed of such corporation, and for any inaccuracies or miss-statemunts in such certificate this emporate . ~de~ shall be liable under the penalties o£perjury, : i;~,rcgoing is ~.c and correct copy of the re. sol.ion adopted by .ting of the Board of Dfl'ectors, held on thc __ day of corpor~ton nta l ~,.~,AL OF THE CORPORATION) ~ ~ of New York, 1965 ~ 51, Sec. 103q:i, as amended & ~ive on September 1, 1965. Signature 04/11 '09 WED 11:30 FAX 6:)1 765 6145 SOUTHOLD TOWN CLERK ~002 PROPOSP~L FOR]VI TO: SO~HO~ TO~ BOARD TO~ HALL - ~309~ MAIN ROAD SOUTHO~. NEW YO~ 11~1 NOV 1 2 2009 MEMBERS OF THE BOARD: Tho undersigned as bidder, declares that the only parsons, company, or patties intm'es~d in this proposal~jf~tdpl~v~e LI~ItIL~ below; that this proposal is made without any connection, directly or indirectly with any other bidder for the same woflc; that it is in all respects fair end without collusion or fraud, and that no person actin& for or cmplo)'ed by the aforememioned owner is or will be interested directl~ or indirectly, in the perfomtance of the contract, or thc supplies relating to it, or in any portion of the profit thereof', that he h~s carefully examined the cone'act documents dated: October 20, 2009, including bidding require'menlo, contract, general and special conditions, specifications, that he has satisfied himself by personal examination of thc proposed work, and by such other means as hc may have chosen, as to the conditions and requirements of the work; and he proposed and agrees that if his proposal be accepted he will con~'~ct to fi~rnish all materials: Purchase and Delivery of Screened Sand Highway Dept. Petunia Lane, Peconic, New York 11958 and all other work in connection therewith, in accordance with tho oomract documant~, if any, prepared by Pet~ Harris, Superintendent of Highways Sonthold Town Highway Dept, Peconic Lane, Peconic, New York. 11958, and shall comply with a~ the stipulations contained therein and will start the work as directed by thc Town, he will accept, in full payment thereof as listed below: ITEM # 1: Purchase and Delivery of Screened Sand The purchase of 5,000 cubic yards of screened sand, mote, or less, as may be nccded, fbr [ce Conu'o[ and 1-1ighway Maintenance far the Hig.~.__bway. The above referenced activ~es~ will be completed for thc stipulated per ~.~bic Yard price of; (written in wolrds) I I (written in numbers) And lie further a~'ees that if this propasal shall be accepted by the Town and that if be shall refuse, fail or neslcct to enter into a Cone'act pursuant to such proposal and to the requirements of the Town and shall fail to give the required securi~ within tho ten (10) days after notice of the acceptance of said proposal, shall have been deposited in the m~tll addressed to him az the addrees given ia the proposal, that he shall be considered to bare abandoned the contract and the sum represented by the certified check accompanying this proposal shall be forfeited to the Town as Liquiclaicd damages; otherwise the certified check shall be returned to the bidder within forty-five (45) days after the date o,r receivin§ the bids. We the undersigned, further agree that this proposal is a formal bid and shall remain in effect for a period of forty-five (45) days, the Town will accept or reject Otis proposal or by mutual agreement may extend this time period. Th~ undersigned hereby acknowledges receipt of the following addenda: 0l/ll "09 WED 11:32 FA~ 631 765 6145 $O[TTHOLO TOWN CLERK ~003 STATEMENT OF NON-COLLUSION (To be completed I~y ceca Bidder) In accordance with Section 103-d General Munidpul Law, effective September 1, 1966, event bid or proposal hereafter made to a political subdivision of tht~ State of any public departmcm, agency, or official themot* or to a fore dis~i~ or any agency or official thereof for work or snrvices performed or to be pcrformod or goods sold or to bo sold, shall contain thc following statement subscribed to by t~c bidder and affirmed by such bidder as true under the pennllics of pcr.~ury; non-collusive bidding certification. By submission of this bid, each bidder and each person signing on behalfof,'my bidder certifies, and in the case of a joint bid. each party thereto ear, ties as to its own organization, under penalty of perjmT, that to the best of knowledge and belief: (1) The prices in this bid have been attired at independently witho,t coUusion, consultation, communication, or agreement, for the purpose of res~'icting competition, as to any mat~ur relating to such prices with any other bidder or any competitor. (2) Unless othenvise required by I~'w. the prices which have been quoteo in this bid have not bcco knowin~y disclosed by the bidder and will not knowingly be disclosed by the bidder prior to opening, directly ut indirectly, to any other biddy' or to any cotopefitor. (3) No attempt has been made or will be toade by the bidder to induce any other person, patmers~ip, or ¢oq~oration to submk or not to submit a bid for the purpose of restricting competition. The p~rson signing this bid or proposal certifies that he has fully informed himself regarding the accuracy of the ~'ntem~ts contained in t~is certification, and under the statements contained in this c~rtification, and under thc p~naltins of perjur/, affirr~s the truth thereof, such penalties being applicable to t~e bidder, as well as thc person signin§ in its behalf. That attached h~reto (if a corporate bidder) is a certified copy of resolution authorizing the execution of this certificate by the signature of this bid or proposal on behalf oi' the corporate bidder. or proposal of this corporation for t~¢ following Project; Purchase and Delivery of Screened Sand Peconic Lane Peconic, New York 11958 and to include in such bid or proposal the certificate as :o non-collusion rcqulred by section ane-hundred-thrae-d 0 03-d) o~'the General Muni~pal Law a~ thc act and de~ of such co~oration, and for ~y innccuracies or m~-~tatemen~ in such ~rtificate this ~r~e ~dcr shall ~ liable under ~e penalti~ of perju~. ~ ~ , ~.forego,,sis,uc~d~one~o~of~c,csolutionedop,edb, ~S~¢/~ ~~J~ ~co~orationata mec~gof~eBo~ofDir~lon, heldon~e ~ dayof ~~ , ~0 ~. (SEAL OF THE C~KPORATION) Laws of New York, 1965 Ch. 751, Sec. 103-d, as amended & effective on Seplembcr I, 1965. 02/11 '09 HON 10:44 FAX 6~1 76~ $14§ $OUrHOLD TOWN CLERK ~001 PROPOSAL FORM NAME of BIDDER: TO: SOUTHOLD TOWN BOARD TOWN HALL - 53095 MAIN ROAD SOUTHOLD, NEW YORK 11971 NOV 1 2 2009 Soulhold Town Clerk ~MBERS OF THE BOARD: The undersigned as bidder, declares that the only persons, company, or parties interested in this proposal as principals are nam~ below; that this proposal is made withou~ any connection, directly or indirectly with any other bidder for the same work; that i~ is in all respects fair and without collusion or fraud, and that no person acting for or employed by the aforementioned owner is or will be inte, re, sted directly or indirectly, in the performance of the contract, or the supplies relating to it, or in any portion of the profit thereof; that he has carefully examined the contract documents dated: October 20, 2009, including bidding requirements, contract, general and special conditions, specifications, that he has satisfied himself by personal examination of the proposed work, and by such other means as he may have chosen, as m the conc~fions and requirements of the work; and he proposed and agrees that if his proposal be accepted he will contract to furnish all mat~cials: Purchase and Delivery of Screened Sand Highway Dept. Peconic Lane~ P~onie, New York 11958 and all other work in conaa~on therewith, in accordance with the contract doonmenta, if any, prepared by Peter Harris, Super/ntendent of Highways Southold Town Highway Dept, Peconic Lane, Peconic, New York, 11958, and shall comply with all the stipulations contained therein and will start the work as directed by the Town, he will accept, in full payment thereof aa l~ed below: ITEM # 1: Purchase and Delivery of Screened Sand The purl:base of 5,000 cubic yards ut'Screened sand. more, or less, as may be needed, for Ice Control and Highway Maintenance for the Highway. The above referenced activities will be completed for the stipolat~ per Cubic Yard price of: (~itten ~ words) - J I (written in numbe~) And he further agrees that if this proposal shall be accepted by the Town and that if he shall refuse, fail or neglect to enter into a Contract pUrSuant to such proposal and to the requirements of the Town and shall fail to give the required security within the ten (10) days after notice of the acceptance of said prOpOsal, shall have been deposited in the mail addressed to him at the address given in the proposal, that he shall be eonsldered to have abandoned the contract and the mm r,presented by the certified check accompanying this proposal shall be forfeited to the Town as Liquidated damagea; othap,vise the certified ch~k shall be returned to the bidder within forty-five (45) days after the date of receiving the bids. We thc undersigned, further agree that this proposal is a formal bid and shall remain in effect for a period of forty-five (45) days, the Tow~ will accept or reject this proposal or by mutual agreement may *xl¢nd this time period. The undersigned hereby acknowledges 02/11 '09 M0N 10:44 FAX 631 765 6145 SOUTHOLD TOWN CLERK ~003 STATEMENT OF NON-COLLUSION (To lac complete~ by each Bidder) In a~ordance wi& Section 103-d General M~ic~al ~w, effective September 1, 1966, cvo~ bid or ~o~sal h~e~r made to a poli~c~ sub&~ion of ~ S~o of ~y public d~ent, agency, or offi~al ~oF or to a fore dis~ict or ~y ~ncy or offi~al ~f f~ w~ ~ s~ice$ pa~o~ed or to ~ peffo~ed or goods sold or to be sold, $h~l contaM tho follo~ng ~temcnt subs~i~d to by ~e biddar ~d affixed by such bidder ~ ~e und~ ~e ~n~ti~ of ~0~; non-colI~ive bidding c~fica~on. A. By submission of~i~ bid, ~ach bidder and each per~n si~ing on ~halfof ~y bidder cg~fiva, ~d in ~e c~ of ajoMt Md, each p~ thor~o c~fi~ as to i~ own org~on, und~ penalW of pe~u~, ~at to ~e baa of ~ow]edge ~d ~licE (1) ~e prices i~ ~is bid have ~n ~ved m indepandantly without collusion, consultation, comm~icatio~ or ~eem~t, for the p~ose of reacting competition, as to ~y roarer ~latMg to such pfic~ wi~ any o~or bMder or ~y competitor. (2) Unless o~s¢ required by law, ~c prices which have ~ quo~d in ~is bid have not been ~o~gly disclosed by the bidder ~d will n~ ~o~ng]y be disclosed by the bidder prior to opening, dire~ly ~ indirectly, ~ my o~ biddgr or to ~y c~p~itor. (3) No ~pt h~ be~ mdc or ~1 b~ made by ~ bidder to ~lc~ ~y other p~on, p~c~hip, or co.on, on to submit or not to ~bmit a bid f~ the p~so of res~i~Mg competition. B. The paten signing this bid or p~po~] ce~fics that he h~ fully info.ed himself receding the accu~ of ~e sta~B contained in ~is codification, and under the stateman~ confined in ~is ce~ifi~ation, and under th~ p~aM~s of ~. a~s the troth th~oL ~ch penaRi~ being applkable to ~e bidder, as well ~ ~e person signing in i~ behalf. C. ~at a~ched h~reto (ifa ~o~o~te biddy) is a ee~ified copy of ~solution authodfing ~e execution of this ~e~fig~e by thc si~aturc of ~i$ bid or propo~l on b~half of the eo~ora;e bidder, RESOLUTION of~e~ ~1 ~'bo a~lhoNzed to si~ ~d s~bmil ~e bid (N~o of Go~orafi~ l~osolvcd that V~ll'lWv~ ' ~amh ofsi~u~atory) or proposal of this corporation for thc following Purchase and Delivery of Screened Sand Peconic Lane, Peconic, New York 11958 and to include in such bid or proposal the certificate as to non-collusion required by section one-hundrcd-three-d (103-d) of the General Municipal Law ~ thc act and deed of such corporation, and for any inaccuracies or miss-statements in such certificate this corporate ,idder shall be liable under the penalties of perjury. The foregoing i~ ~rue aud con'ect copy ofthe resolution adopted by ~)(LlJ~O-~ {N.~LL~.r~ C.o~, .¢orporat. ionma meeting of the Board Of Directors, hold on the Z.O day of C> G~oY',t-~ ,20 0 ~ . (SEAl, OF THE CORPORATION) Laws of New York, 1965 Ch. 75t, Sec. 103-d, as amended & effectiw on September 1, 1965. Signatura -- 02/11 '09 M0N 1~'44 FAX 631 765 6145 $0UTHOLD TOWN CLERK ~002 LEGAL NOTICE NOTICE TO BIDDERS NOTICE IS Iq'F. REBY GIVEN, in accordance with ~he provisions of Section 103 of the G~neral Municipal Law, that sealed bids are sought and requested for the purchase and delivery of 5,000 cubic yards of screened sand, more, or le~s, as may be needed, for Ice Control and Highway Maintenance for the Highway Deparhacnt. Sand must be delivered to the Highway Department yard, Peconic Lane, Peconic, New York, between +~,,,~ ~-,,,,,~o .... of 7:00 A.M. and 3.~,,, , .,~,., ,,,,,,,u~ through Friday, excluding holidays, with prior notification to the Highway Department (631-734-5211 or 631-765-3140). The sealed bids, together with a Non-Collusive Bid Certificate and bank dra~ or certified check in the amount of $100.00, will be received by the Town Clerk of the Town of Southold, at the Southold Town Hall, PO Box 1179, $3095 Main Road, Southold, New York, matil 10:00 A.M,, Thursday, November 12, 2009 at which time they will be opened and read aloud in public. The Town Board of the Town of Southold reserves the fight to reject any and all bids and waive any and all intbrrnalit/es in any bid should it be deemed in the best interest of the Town of Southold to do so~ All bids must be signed and sealed in envelopes plainly marked "Bid on Screened Sand", and submitted to the Office of the Town Clerk. The bid price shall not include any tax, federal, state, or local, from which the Town of Southold is exempt. Dated: October 20 2009 ELIZABETH A. NEVILLE SOUTHOLD TOWN CLERK PLEASE PUBLISH ON OCTOBER 29, 2009, AND FORWARD ONE (1) AFFIDAVIT OF PUBLICATION TO ELIZABETIt NEVILLE, TOWN CLERK, TOWN HALL, PO BOX 1179, SOl. ri'HOLD, NY 11971. Copies to the following: Suffolk Times Super of Highways Brown's Letters Town Board Members Data Construction Burrelle's Info Services Town Attorney Dodge Reports Town Clerk's Bulletin Board ,.,/, 00521360 'eank CASHIER'S CHECK DATE 214 ~ ~ BRANCH~ld COSTCE~ER ~ ISSUING REGION ~ pA~To T~ ~, ~ ~ ~ ~m' ' ~ / ~UNT~StGNA~RE~ ~ reissuen~ of t0st, dest~yed, or stolen ~shier s che~. ~~ .~ ~ ' Read the reverse side for implant informatio~ on the ~ PAY One Hundred Onilars and Zero Cents S $100.00 OFFICIAL CHECK OOO I. 2 3 Void Over $100,00 I~NO sit~4ATURES?EQUIRED OVER ~'10,~O~,00 ~ ' 2000 #9518 STATE OF NEW YORK) ) SS: COUNTY OF SUFFOLK) Karen Kine of Mattituck, in said county, being duly sworn, says that she is Principal Clerk of THE SUFFOLK TIMES, a weekly newspaper, published at Mattituck, in the Town of Southold, County of Suffolk and State of New York, and that the Notice of which the annexed is a printed copy, has been regularly published in said Newspaper once each week for 1__ week(s), successively, commencing on the 29th day of October, 2009. Principal Clerk Sworn to before me this day of }/~ h IL'~( 2009. LEGAL NOTICE NOTICE TO BIDDERS NOTICE IS HEREBY GIVEN, in accordance with the provisions of Sec- tion 103 of the General Municipal Law, that sealed bids are sought and requesl- ed for the purchase and delivery of 5,000 cubic yards of screened sand, more, or less, as may be needed, for Ice Control and Highway Maintenance for the High- way Department. Sand must be delivered to the High- way Department yard, Peconic Lane, Pe- conic, New York, between the hours of 7:00 A.M. and 3:30 EM., Monday through Friday. excluding holidays, with prior no- tification to the Highway Department (631-734-5211 or 631-765-3140). The sealed bids, together with a Non-Callus(ye Bid Certificate and bank draft or certified check in the amount of $100.00, will be received by the Town Clerk of the Town of Southold, at the Southold Town Hall, PO Box 1179, 53095 Main Road. Southold~ New York. until 10:00 A.M., Thursday, November 12, 2559 at which time they will be opened and read aloud in public. The Town Board of the Town of Southold reserves the right to reject any and all bids and waive any ami all informalities in any bid should it be deemed.in the beat interest of the Town of SoiJthold to do so. All bids must be signed and sealed in envelopes plainly marked "Bid on Screened Sand", and submitted to the Office of the Town Clerk. The bid price shall not include any tax, federal, state, or local, from which the Town of Southold is exempt. Dated: October 20, 2009 ELIZABETH A. NEVILLE SOUTHOLD TOWN CLERK _9518-1T 10/29 NOTARy PUBLIC-STATE OF NEW YORK No. 01-Va6105050 Quollfieo in Suftolk County My Con, mission Explre~ FebrUary 28, 2012 LEGAL NOTICE NOTICE TO BIDDERS NOTICE IS HEREBY GIVEN, in accordance with the provisions of Section 103 of the General Municipal Law, that sealed bids are sought and requested for the purchase and delivery of 5,000 cubic yards of screened sand, more, or less, as may be needed, for Ice Control and Highway Maintenance for the Highway Department. Sand must be delivered to the Highway Department yard, Peconic Lane, Peconic, New York, between the hours of 7:00 A.M. and 3:30 P.M., Monday through Friday, excluding holidays, with prior notification to the Highway Department (631-734-5211 or 631-765-3140). The sealed bids, together with a Non-Collusive Bid Certificate and bank draft or certified check in the amount of $100.00, will be received by the Town Clerk of the Town of Southold, at the Southold Town Hall, PO Box 1179, 53095 Main Road, Southold, New York, until 10:00 A.M., Thursday, November 12, 2009 at which time they will be opened and read aloud in public. The Town Board of the Town of Southold reserves the right to reject any and all bids and waive any and all informalities in any bid should it be deemed in the best interest of the Town of Southold to do so. All bids must be signed and sealed in envelopes plainly marked "Bid on Screened Sand", and submitted to the Office of the Town Clerk. The bid price shall not include any tax, federal, state, or local, from which the Town of Southold is exempt. Dated: October 20, 2009 ELIZABETH A. NEVILLE SOUTHOLD TOWN CLERK PLEASE PUBLISH ON OCTOBER 29, 2009, AND FORWARD ONE (1) AFFIDAVIT OF PUBLICATION TO ELIZABETH NEVILLE, TOWN CLERK, TOWN HALL, PO BOX 1179, SOUTHOLD, NY 11971. Copies to the following: Suffolk Times Super of Highways Brown's Letters Town Board Members Data Construction Burrelle's Info Services Town Attorney Dodge Reports Town Clerk's Bulletin Board STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) ELIZABETH A. NEVILLE, Town Clerk of the Town of Southold, New York being duly sworn, says that on the c~ ~ day of ~_~c._dr-o ~ ,2009, she affixed a notice of which the annexed printed notice is a true copy, in a proper and substantial manner, in a most public place in the Town of Southold, Suffolk County, New York, to wit: Town Clerk's Bulletin Board, 53095 Main Road, Southold, New York. 2010 Bid on Screened Sand for Ice Control l~abeth A. Neville Southold Town Clerk Sworn before mc this ~ day of~, 2009. Notary Public NOTARY PUBLIC, State of New York No. 01~3~6020932 Qualified in Suffolk County Term Expires March 8, 20 IL. PROPOSAL FORM Date: NAME of BIDDER: Telephone: TO: SOUTHOLD TOWN BOARD TOWN HALL - 53095 MAIN ROAD SOUTHOLD, NEW YORK 11971 MEMBERS OF THE BOARD: The undersigned as bidder, declares that the only persons, company, or parties interested in this proposal as principals are named below; that this proposal is made without any connection, directly or indirectly with any other bidder for the same work; that it is in all respects fair and without collusion or fraud, and that no person acting for or employed by the aforementioned owner is or will be interested directly or indirectly, in the performance of the contract, or the supplies relating to it, or in any portion of the profit thereof; that he has carefully examined the contract documents dated: October 20, 2009, including bidding requirements, contract, general and special conditions, specifications, that he has satisfied himself by personal examination of the proposed work, and by such other means as he may have chosen, as to the conditions and requirements of the work; and he proposed and agrees that if his proposal be accepted he will contract to furnish all materials: Purchase and Delivery of Screened Sand Highway Dept. Peeonic Lane, Peconic, New York 11958 and all other work in connection therewith, in accordance with the contract documents, if any, prepared by Peter Harris, Superintendent of Highways Southold Town Highway Dept, Peconic Lane, Peconic, New York, 11958, and shall comply with all the stipulations contained therein and will start the work as directed by the Town, he will accept, in full payment thereof as listed below: ITEM # 1: Purchase and Delivery of Screened Sand The purchase of 5,000 cubic yards of screened sand, more, or less, as may be needed, for Ice Control and Highway Maintenance for the Highway. The above referenced activities will be completed for the stipulated per Cubic Yard price of: (written in words) (written in numbers) And he further agrees that if this proposal shall be accepted by the Town and that if he shall refuse, fail or neglect to enter into a Contract pursuant to such proposal and to the requirements of the Town and shall fail to give the required security within the ten (10) days after notice of the acceptance of said proposal, shall have been deposited in the mail addressed to him at the address given in the proposal, that he shall be considered to have abandoned the contract and the sum represented by the certified check accompanying this proposal shall be forfeited to the Town as Liquidated damages; otherwise the certified check shall be returned to the bidder within forty-five (45) days after the date of receiving the bids. We the undersigned, further agree that this proposal is a formal bid and shall remain in effect for a period of forty-five (45) days, the Town will accept or reject this proposal or by mutual agreement may extend this time period. The undersigned hereby acknowledges receipt of the following addenda: Signature of Bidder: Address: Telephone Number: Date: STATEMENT OF NON-COLLUSION (To be completed by each Bidder) In accordance with Section 103-d General Municipal Law, effective September 1, 1966, every bid or proposal hereai%r made to a political subdivision of the State of any public department, agency, or official thereof or to a fore district or any agency or official thereof for work or services performed or to be performed or goods sold or to be sold, shall contain the following statement subscribed to by the bidder and affirmed by such bidder as true under the penalties of perjury; non-collusive bidding certification. By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and in the case of a joint bid, each party thereto certifies as to its own organization, under penalty of perjury, that to the best of knowledge and belief: (1) The prices in this bid have been arrived at independently without collusion, consultation, communication, or agreement, for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or any competitor. (2) Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to opening, directly or indirectly, to any other bidder or to any competitor. (3) No attempt has been made or will be made by the bidder to induce any other person, partnership, or corporation to submit or not to submit a bid for the purpose of restricting competition. The person signing this bid or proposal certifies that he has fully informed himself regarding the accuracy of the statements contained in this certification, and under the statements contained in this certification, and under the penalties of perjury, affirms the truth thereof, such penalties being applicable to the bidder, as well as the person signing in its behalf. That attached hereto (ifa corporate bidder) is a certified copy of resolution authorizing the execution of this certificate by the signature of this bid or proposal on behalf of the corporate bidder. RESOLUTION Resolved that of the (Name of signatory) (Name of Corporation) be authorized to sign and submit the bid or proposal of this corporation for the following Project: Purchase and Delivery of Screened Sand Peconic Lane, Peconic, New York 11958 and to include in such bid or proposal the certificate as to non-collusion required by section one-hundred-three-d (103-d) of the General d nicipal Law as the act and deed of such corporation, and for any inaccuracies or miss-statements in such certificate this corporate er shall be liable under the penalties of perjury. The foregoing is true and correct copy of the resolution adopted by _corporation at a meeting of the Board of Directors, held on the day of ,20 . (SEAL OF THE CORPORATION) Laws of New York, 1965 Ch. 751, Sec. 103-d, as amended & effective on September 1, 1965. Signature Southold Town Board - Letter Board Meeting of October 20, 2009 RESOLUTION 2009-853 ADOPTED Item # 5.20 DOC ID: 5374 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2009-853 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON OCTOBER 20, 2009: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs the Town Clerk to advertise for bids for the following items for 2010: Milk for the Human Resource Center Pumhase of Police Department Uniform Clothing Cleaning of Police Department Uniform Clothing Gasoline for Town Vehicles Heating Fuel Oil for Town Buildings Diesel Fuel Oil for Highway Department and Transfer Station Bulk Ice Control Sand for the Highway Department Removal of Scrap Tires from the Transfer Station Town Brown Leaf Bags Town Yellow Garbage Bags Motor Oil and Grease Removal of Electronic Waste (E-Waste) Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANZMOUS] MOVER: Thomas Iq. Wickham, Councilman SECONDER: Louisa P. Evans, Justice AYES: Ruland, Orlando, Krupski Jr., Wickham, Evans, Russell Generated October 26, 2009 Page 23