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HomeMy WebLinkAboutRoad Treatment - Sand 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 March 25,2011 Bayberry Enterprises POBox 119 Peconic, NY 11958 Dear Sir: Enclosed please find your bid bond/check no. 7000034609 dated 12/1/2010. Thank you for your bid. Very truly yours, Lynda M Rudder Deputy Town Clerk Encs. I ~ (Endorsement Required) Here I~] (Endorsement Required) Fa · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print 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, ~on the front If space permits. D. Isdellve~yaddressdiffem~tflomlteml? r-lyes If YES, enter deli~,~y address below: [] No [] Express Mall [] Return R~c~lpt for Merchandise [] C.O.D. 4. Restricted Deliver/? {F.~ra Fat) [] Yes 2. Article Number (Tmnsfer from sen/ce/abe0 7009 0820 0001 7820 9171 PS Form 3811, February 2004 Domestic Return Receipt 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.northfork, net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 15, 2010 Richard DeLea DeLea Landscaping Supply 444 Elwood Road East Northport, NY 11731 Dear Mr. DeLea: 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 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 mBS. · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery Is dsolred. · Print your name and address on the reveme so that we can retum the card to you. · Attach this card to the back of the mailplece, or on the front if space permits. 2. Article Number [] ~gent D. Is delrve~y address different ~om Rem 17 [] Yes If YES, ente~ dellvely address below: [] No [] C.O.D, 4. Restricted Delive~J? (Extra Fee) [] Yes 7009 0820 0001 7820 9478 PS Form 3811, February 2004 Domestlo Retum Rece~ 10'ZSgS-C2-M-IS40 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 sout holdtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 15, 2010 James Warrell Guillo Contracting Corp PO Box 229 Calverton, NY 11940 Dear Mr. Warrell: 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 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 mas. Postage Cerafied Fee ~ Retum Receipt Fee D (Endorsement Required) Restricted Dellve~ ru i.~ or PO Box No. · Complete items 1,2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card tb the back of the mailpiece, or on the front if space permits. O Agent [] Addressee C. Date of Delive~ 3. Service Type ~ m Certified Mall [] Express Mall [] Registered [] Return Receipt for Merchandise [] Insured MaLl [] C.O.D. 4. Restrict~:l Deliver,j? (Extra Fee) [] Yes 2. AdlcleNumber 7009 0820 0001 7820 9447 (Transfer from service/abe/) PS Form 3811, February 2004 Domestic Return Receipt 1025~-~02-M-1540 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.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 15, 2010 Greg DeRosa Custom Golf Materials PO Box 8 Old Bethpage, NY 11804 Dear Mr. DeRosa: 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 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 EliS. · Complete items 1,2, and 3. Also complet~ item 4 if Restricted Delivery Is desired. · Print your name and address on the reverse so th~,t ~e can return the card to you. · attac~his card to the back of the mailpiece, =Y ( or onj~e front if space permits. D. Is deliver ?.o. 8 2. Article Number 7 0 0 ~ [] Agent I-lyes 3. Service Type [~3'Cerflfled Mall [] Registered [] Insured Mail [] Express Mall [] Return Receipt for Memhandlse rl C.O.D. 4. Restdcted Delivery? (Extra Fee) [] Yes 0820 0001 7820 9454 PS Form 3811, February 2004 Dome~ic Return Receipt 102595-02-M-1540 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 Southo]d, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.nor thfor k. net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 15, 2010 Michael Murphy Mur-Cor, Inc. 11220 Soundview Avenue Southold, NY 11971 Dear Mr. Murphy: 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 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. ~-postmark (Endomement R / 'Hem Restncted Dellvep (Endorsement R ~ ', Total F or PO BOX No, · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the mveme so that we can return the card to you. · Attach this card to the back of the rnailplece, .pr on the front if space permits. 2. Article Number (Transfer f/om service [] Agent [] Addressee C. Date of Delivery D. Isdeliv~yaddressdiffemnt 17 [] Yes ff YES, enter delivery address below: I-I No [] Registered [] Express Mall [] Retum Receipt for Memhandise [] C.O.D. 4. Res~dctsd Deliver/? (Extra Fee) [] Yes 7009 0820 0001 7820 9461 PS Form 3811, February 2004 i ~ i 10~595-(~-M-1540 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 December 15, 2010 Diane Schroeder Sound Shore 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 of 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. Postage Certified Fee · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the mailpieca, or on the f~ont If space permits. 1, Articie Addressed to: 2. Article Number PS Form 381 1, February 2004 7009 0820 0001 7820 9430 ,," ~,"' / t719634611 i:O0000~OO 2m: RESOLUTION 2010-995 ADOPTED DOC ID: 6461 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2010-995 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON DECEMBER 14, 2010: RESOLVED that the Town Board of the Town of Southold hereby accepts the bid of Sound Shore Excavating Corp., in the amount of $13.35 per cubic yard, for supplying Bulk Screened Sand for Ice Control and Highway Maintenance to the Highway Department for the 2011 calendar year, subject to the approval of the Town Attorney, and be it further RESOLVED that Supervisor Scott A. Russell be authorized and directed to execute an agreement with Sound Shore Excavating Corp., all in accordance with the Town Attorney. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Albert Kmpski Jr., Councilman SECONDER: William Ruland, Councilman AYES: Ruland, Talbot, Krupski Jr., Evans, Russell Page 1 of 1 Rudder, Lynda From: Richter, Jamie Sent: Monday, December 13, 2010 11:14 AM To: Rudder, Lynda Cc: Harris, Peter Lynda Peter Harris has requested that I send you this E-Mail requesting two Town Board Resolutions. 1. Accept the bid of Sound Shore Excavating for the supply of Screened Sand. 2. Authorize the Supervisor to execute the agreement with Sound Shore Excavating. Thank you for your attention to this matter! Jamie 12/13/2010 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.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Sound Shore Excavating Corp PO Box 119 Peconic, NY 11958 Diane Schroeder 631-765-4175 Guillo Contracting Corp PO Box 229 Calverton, NY 11940 James Warrell 631-727-5702 Custom Golf Materials P O Box 8 Old Bethpage, NY 11804 Greg DeRosa (631)249-7471 Mur-Cor Inc 11220 Soundview Ave Southold, NY 11971 Michael Murphy 516-375-8688 DeLea Landscape Supply 444 Elwood Road E Northport NY 11731 Richard DeLea 516-885-5952 BID OPENING 2011 Bulk Ice Control Sand Bid Opening 12/2/10 10:00 A.M. $13.35 per cy $14.00 per cy $19.00 per cy $19.70 per cy $15.75 per ton $23.75 per cy PROPOSAL FORM NAMEof BIDDER: TO: t SOUTHOLD TOWN BOARD TOWN HALL - 53095 MAIN ROAD SOUTHOLD, NEW YORK 11971 Souihoid Town Clerk 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: November 4, 2010, 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 cepted he will contract to furnish all materials: Purchase and Delivery of Screened Sand Highway Dept. Peconic 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 # h 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) t ' (written in/aun~ber~) 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 stract pursuant to such proposal and to the requirements of the Town and shall fail to give the required security within the ten (10) al~er notice of the acceptance of said proposal, Shall have beefi 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 &the following addenda: Signature /'~ / Numbe?/707-S70& 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, December 2, 2010, 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: November 4, 2010 ELIZABETH A. NEVILLE SOUTHOLD TOWN CLERK PLEASE PUBLISH ON November 18, 2010, 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 l~tdder) In accordance with Section 103-d General Municipal Law, effective September 1, 1966, every bid or proposal hereal~er 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 affn'med by such bidder as true under the penalties of porjmy; 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 ajoint 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 corporatign 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 int~ormed 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 troth thereof, such penalties being applicable to the bidder, as well as the person signing in its behalf. That attached hereto (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 of the corporate bidder. 1.esolved that .~'~X ~,~t"f Ell (Name of signatory) RESOLUTION of the _f%.-o Jt ~tb (3t~t~,tJ~' Go ti~. be authorized to sign and submit the bid (Name of Corp0m~h}n) ~ ~r proposal of this corporation for the following Project: Purchase and Delivery of Screened Sand Peconic Lane, Peconic, New York 11958 tnd 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 dunicipal Law as the act and deed of such corporation, and for any inaccuracies or miss-statements in such certificate this corporate ~iO shall bo liable under the penalties of perjury. ?he foregoing is tree and correct copy of the resolution adopted by_ Co,'l t ~ ~ ,.,,d'-~e_dlLr,,.,~' _corporation at a neetingoftheBoardofDirectors, heldonthe /,~ dayof~l~ff~,20 [0. ~ SEAL OF THE CORPORATION) ,aws of New York, 1965 2h. 751, Sec. 103-d, as amended & =ffective on September 1, 1965. / Signature NON-COLLUSIVE BID CERTIFICATE The undersigned bidder certifies that this bid has been arrived at by the bidder independently and has been submitted without collusion with any other vendor of materials, supplies or equipment of the type described in the invitation for bids, and the contents of this bid have not been communicated by the bidder, nor, to its best knowledge and belief, by any of its employees or agents, to any person not an employee or agent of the bidder or its surety on any bond furnished herewith prior to the official opening of the bid. Signed: (~-?~ /~/~~ Print name ~'~-"~0 FIO e,l [J.)tCI Corporate Title (if any) l'{Jd er' Mailing Address C ,}oe,'/oo Phone Number BID ONShnd 2011 MUR-COR Inc. Mur-Cor Inc. 11220 Soundview ave Southold NY 11971 December 1, 2010 Southold Town Clerk Southold Town Hail P.O.Box 1179 53095 Main rd Southold NY, 11971 Dear Sir or Madam: I am submitting a bid for Screened Sand for the Highway Department. OPTION #1 $19.70/cuyd OPTION $15.75/TON RECEIVED DEC " Southold Town Clerk If you buy the sand by the ton Them is no guess work. You get a weight ticket and know exactly What you paid for. I am looking forward to doing business with you. Thank you for your time. Sincerely, Michael Murphy President Mur-Cor Inc. LEGAL NOTICE NOTICE TO BIDDERS NOTICE IS HEREBY GIVEN, in accordance with the provisions of Sec lion 103 of the General Municipal Law. that sealed bids are sought and request- ed for the purchase and delivery of 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,Peeonic Lane. conic. New York, between the hours of 7:00 a.m. and 3:30 p.m., Monday through ~4=riday. excluding holidays, with prior nob lification 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 bc 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., Thm3day, December 2. 2010, at which time the), 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 informa[ifies in any hid 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 an), tax. federal, state, or local, from which the Town of Southold IS exempt. Dated: November 4.2010 EI,IZABETH A. NEVILLE Soull $OUTHOLD TOWN CLERK 'Dmr, NON-COLLUSIVE AFFIDAVIT By submission of this bid or proposal, the bidder certifies that: a) This bid or proposal has been independently arrived at without collusion with any other bidder or with any competitor or potential competitor; b) This bid or proposal has not been knowingly disclosed and will not be knowingly disclosed, prior to the opening of bids or proposals for this project, to any other bidder, competitor, or potential competitor; c) No at, erupt has been or will be made to induce any other person, partnership, or corporation to submit or not to submit a bid or proposal or to fix overhead, profit, or cost element of said bid price, or that of any other or to secure any advantage against the Housing Authority; d) The person, signing this bid or proposal certifies that he has fully informed himself regarding the accuracy oftbe 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 to the person signing in its behalf; e) That artached hereto (if a corporate bidder) is a certified copy of the resolution authorizing the execution of this certificate by the signator of j id or proposal in behalf oftbe corporate bidder. /£/~..~/ /t/~ ~t ~ ?]~ .'g deposes and says that he is /~l~- (.-0R /~¢. the party making the foregoing proposal or bid for ~ ~ · ~. 1~ eJ 5 r4' t~ (4/ (Project description), that such proposal or bid is genuine and not collusive and that all stats herein are true. s an Individual Partner ( if the bidder is a Partnership) Officer (if the bidders is a Corporation) Subscribed and sworn to before me this (Seal) / PROPOSAL FORM RECEIVED SOUTHOLD TOWN BOARD TOWN HALL - 53095 MAIN ROAD SOUTHOLD, NEW YORK 11971 Telephone: 5-[~ f~0~)~-'"~)~--- TO: DEC - ? 20]0 MEMBERS OF THE BOARD: The undersigned as bidder, declares that the only persons, company, or parties interested in this prol~.osal.,as,0ri,.ncipal}.,ar~i.named below; that this proposal is made without any connection, directly or indirectly with any other bidder for :~ ~;~l~l~8~,rltl~t~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: November 4, 2010, 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 ~cepted he will contract to furnish all materials: Purchase and Delivery of Screened Sand Highway Dept. Peconic 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 ystract pursuant to such proposal and to the requirements of the To.wa and shall fail to give the required security within the ten (10) after notice of the acceptance of said proposal, Shall have beeti 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 mm 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: ~ Telephone Number: 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 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, December 2, 2010, 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: November 4, 2010 ELIZABETH A. NEVILLE SOUTHOLD TOWN CLERK PLEASE PUBLISH ON November 18, 2010, 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 by each Bidder) In accordance with Section 103-d General Municipal Law, effective September 1, 1966, every bid or proposal hereafter 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 paW/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 reslricting competition. The person signing this bid or proposal certifies that he has fully int~ormed 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, afl-ms the troth 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. (Name of signatory) RESOLU*1OU ci. tc of the ~'~ ]" be*authorized to (Name of Corporation) sign and submit the bid ~r 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-handred-three-d (103-d) of the General d~ipal Law as the act and deed of such corporation, and for any inaccuracies or miss-statements in such certificate this corporate ~i~ shall be liable under the penalties of perjury. /. foregoing and co.ct copy of the resointion adopted by at a neetingofthe oardof, ectors, beldonthe , OtO . Signature NON-COLLUSIVE BID CERTIFICATE The undersigned bidder certifies that this bid has been arrived at by the bidder independently and has been submitted without collusion with any other vendor of materials, supplies or equipment of the type described in the invitation for bids, and the contents of this bid have not been communicated by the bidder, nor, to its best knowledge and belief, by any of its employees or agents, to any person not an employee or agent of the bidder or its surety on any bond furnished herewith prior to the official opening of the bid. Signed: Corporate Title (if any) Mailing Address I Phone Number ~-"t/6 - ~'g BID ON Shnd 2011 PROPOSAL FORM BIDDER: ' TO: SO~OLD TOWN BOARD TOWN HALL - $3~ MAIN ROAD SOUTHO~, NEW YO~ 11971 DEC Or vaE BOA ,: pSr t /gr The undersigned as bidder, declares that ~e only ~rsons, ~mp~y, or pani~ ~st~ in ~is ~c~ nam~ below; ~at ~is pmpo~l is made wi&oat any ~io~ d~ctly or ~recfly wi~ any o~er bidd~ for the s~e we&; &at it is ia ail ~specm ~ ~d wi&out collusion ~ ~ud, ~d ~at no pemon acting for or employed by ~e a~r~entioned own~ is or will be ~tem~ d~ly or ~d~ectly, ~ ~e p~fo~ of ~e ~n~g or ~e mpplies rel~g m it, or in ~y poniun of ~e profit thor; ~at be has c~lly ex~ed ~e mn~t d~ummm dat~: Novem~r 4, 2010, ~clu~g bi~g requir~enm, conmcL general and s~cial ~nditions, sp~ifi~fions, ~at he h~ satisfied himseffby ~son~ exam~afion oftbe proposed work, ~d by such o~er me~s as he may have chosen, as ~ ~e condi~ons ~d ~ukemants of~e wo~; ~d he pro~d ~d ~rees ~at if his proposal be ~ep~ be will con.ct ~ ~ish all m~er~ls: Purchase and ~livery of Screen~ Sand Highway Dep~ Peconic ~n~ P~oni~ New York !19~8 and all o~ wo~ ~ colorlon ~e~wi~, ~ ~o~ with ~e con. act doc~, if ~y, ~p~d by Peter H~s, Supe~t~d~t of Highways Sou&old To~ Hi.way Dept, Pgonig L~o, Peconic, New Yor~ 11958. and shall comply with ail ~e ~ipulations ~nm~ed ~eg~ ~d ~11 s~ ~e wo~ ~ di~d ~ &e Town, be will a~ept, ~ ~11 ~ent th~f~ lis~ 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 Main~nance for the Highway. The above referenced activities will be complated for the stipulated per Cubic Yard price of: (written in words) (written in numbers) a;d he further agree~ ltmt if this proposal shall be a~epted by the Town and that if be shall refuse, fait or neglect to enter into a tract pursuant to such proposal and to the requirements of the' To,wn and shall fail to give the required security within the ten ( I O) s after notice of the acceptance of said pwposal, ~haI1 havb bee~i deposited in the mail addressed to him at tho address given in the proposal, that he shall be considered to have abandoned the conltact and the sum represented by the certified check accompanying this proposal shatl be forfeited to the Town as Liquidated damages; otherwise the certified check shall be returned to the bidder within forty-five (45) days after thu 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: ~fBiddari . ' STATEMENT OF NON-COLLUSION (TO Oe eompletea by each Bidder) In accordance with Section 103-d General Municipal Law, effective Sept~nber 1, 1966, every bid or proposal hereafter made to a political subdivision of the State of any public department, agency, or official thereof or to a fore, disuict 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 subscribe~ to by the bidder and affirmed by such bidder es ~rue under the penalties of perjury; non-collusive bidding certification. By submission of this bid, each bidder and each person signing on b~half of any bidder certifies, and in the cas~ of a joint bid, each party thereto c, ertifies as to its own organization, under penalty of perjury, that to the best of knowledge and belief: (I) Thc prices in this bid have bec'n arrived at independently without collusion, consultation, communication, or agreement, for the purpose of reslricting competition, ~s to any matter relating to such prices with any other bidder or any competitor. (2) Unless otherwise r~quired by law, the pri~s which have been quoted in this bid have not be~n knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to opening, directly or indin~ctiy, to any other bidder or to any competitor. (3) No attempt has bgn made or will be made by the bidder to induce any other person, partnership, or co~poration to submit or not to submit a bid for the purpose of re~'icting competition. The person signing this bid or proposal corlifies that he has fully intonned himself r~garding the accuracy of tho statements contain~i in this certification, and under the statements contained in this c~rtification, and under the penalties of perjury, affirms the ~n~h thief, such penalties being applicable to the bidder, as well as the person signing in its behalf. Co That allacbed hereto (ifa corporate bidder) is a certified copy of resolution authorizing the ex~cotion of this certificate by the signator~ of this bid or proposal on behalf of the corporate bidder. ~.esolved that me of signeted) RESOLUTION C~ame of Corlboration) submit the bid ~r proposal of this corporation for the following Project: Purchase and Deliv~y of Sercened Sand Peconic Lane, Peconic, New York 11958 md to include in such bid or proposal the certificate as to non-COllusion required by section one-hundred-thrce-d (103-d) of the General glunicipal Law as the act and deed of such corporation, and for any inaccuracies or miss-stetements in such certificate this corporate ' shall be liable under the penalties of perjury. i-hefor~goingisUueandcerrectcopyoftheresoluti0n,doptedby 0 .~, CH)~aG~ ~.~L,.OO~ l~/~. corporation at a neetingoftheBoa~dofDirectors, heldonthe c~l'Ol dayof.~6~Ot~(' ,20 lC) · SEAL OF THE COgPORATION) ,aws~of New Y~ork, q.965 .'h. 751, Sec. 103-cl, as amended & ~ffactive on September I, 1965. Si~alure NON-COLLUSIVE BID CERTIFICATE The undersigned bidder certifies that this bid has been arrived at by the bidder independently and has been submitted without collusion with any other vendor of materials, supplies or equipment of the type described in the invitation for bids, and the contents of this bid have not been communicated by the bidder, nor, to its best knowledge and belief, by any of its employees or agents, to any person not an employee or agent of the bidder or its surety on any bond furnished herewith prior to the official opening of the bid. Signed: Print name Corporate Title (if any) Company Name BID ONShnd 2011 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, Peconlc 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, December 2, 2010, at which time they wilt 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 Southotd 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: November 4, 2010 ELIZABETH A. NEVILLE SOUTHOLD TOWN CLERK PLEASE PUBLISH ON November 18, 2010, 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 Town Board Members Iown Attorney Super of Highways Data Construction Dodge Reports Brown's Letters Burrelle's Info Services Town Clerk's Bulletin Board PROPOSAL FORM TO: SOUTHOLD TOWN BOARD TOWN HALL - 53095 MAIN ROAD SOUTHOLD, NEW YORK 11971 MEMBERS OFTHE BOARD: Sou/hold Tow~ Clerk 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: November 4, 2010, 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 ~l~ans as he may have chosen, as to the conditions and requh'ements of the work; and he proposed and agrees that if his proposal be eptod he will contract to furnish all materials: Purchase and Delivery of Screened Sand Highway DepL Peconie Lane, Peconie, 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, Peeonic Lane, Pecanic, 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 g 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) Ind 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 tract pursuant to such proposal and to the requirements of the Town and shall fail to give the required security within the ten (10) days alter notice of the acceptance of said proposal, sliall 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 Address: of Bidder: Telephone {~ 0[) '?~,.~- ~ ~-'"" ~/(~ q Number: ~t,/ 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 heraaRer 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. A. 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. B. The person signing this bid or proposal certifies that he has fidly informed himself regarding the accuracy of the statements contained in this certification, and under the statements contained {n this certification, and under the penalties of perjury, aWn'ms the truth thereof, such penalties being applicable to the bidder, as well as the person signing in its behalf. C. That attached hereto (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 of the corporate bidder. RESOLUTION of the ~'Ob/~/~ ~'~" ~(/_~l/PrT~e authorized to sign and submit the bid (Name of Corporation) 1.esolved that '~l~'~ (Name of signatory) ~r proposal of this corporation for thc following Project: Purchase and Delivery of Screened Sand Peconic Lane, Peconic, New York 11958 mdto include in such bid or proposal the certificate as to non-collusian required by section one-handred-three-d (103-d) of the General ~iv~ipal Law as the 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. I'he foregoing is true and correct copy of the resolution adopted by .corporation at a neeting of the Board of Directors, held on the day of ,20 . SEAL OF THE CORPORATION) .aws of New York, 1965 2h. 751, Sec. 103-d, as amended & ~ffective on September 1, 1965. Signature NON-COLLUSIVE BID CERTIFICATE The undersigned bidder certifies that this bid has been arrived at by the bidder independently and has been submitted without collusion with any other vendor of materials, supplies or equipment of the type described in the invitation for bids, and the contents of this bid have not been communicated by the bidder, nor, to its best knowledge and belief, by any of its employees or agents, to any person not an employee or agent of the bidder or its surety on any bond furnished herewith prior to the official opening of the bid. Signed: Print name Corporate Title (if any) Company Name Mailing Address Phone Number BID ONSand 2011 10019 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 18th dayof November1 2010. Sworn to before me this C7Q~)~ day of 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 request- ed for the purchase and de#vel~ of $,0~0 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, Pc- conic, New York, between the hours of 7:00 a.m. and 3:30 p.m., Monday through Friday, excluding holidays, with prior no- tification to the Highway Department (631-734-5211 or 631-765-3140). 'l~e sealed bids, together with a Non-Collusive Bid Certificate and bank draft or certified check in the amount of $i00.00, will be received by the Town Clerk of the Town of Southold, at the Southold Town Hall, Ea. Box 1179, 5~3095 Main Road, Southold, New York, until 10:00 am. Thursday, December 2, '~10, 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 a0 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: November 4, 2010 ELIZABETH A. NEVILLE SOUTHOLD TOWN CLERK ! 0,019-IT 11/18 Principal Clerk  /~ 2010. CHRISTINA ~/OLINSKI NOTARY PUBLIC-STATE OF NEW YORK No. 01-VO6f 05050 Qualified In Suffolk County My Commbslon Exphel February 2g, 2012 LEGALNOTICE 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, December 2, 2010, 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: November 4, 2010 ELIZABETH A. NEVILLE SOUTHOLD TOWN CLERK PLEASE PUBLISH ON November 18, 2010, 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 15th day of November ,2010, she affixed a notice of which the annexed printed notice is a tree 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. Bid on: Sand for Ice Control 2011 ~ Elizabeth A. Neville Southold Town Clerk Sworn before me this 15th day of November , 2010. Notlary Public LYNDA M ~ NOTARY PUBLIC, State of New York NO. 01BO6020932, Suffolk County 'l'erm Expires March 8, 20_LL 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: November 4, 2010, 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. Peconic 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 I 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 at, er 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: 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 hereafter 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 thc 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 (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 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 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 NON-COLLUSIVE BID CERTIFICATE The undersigned bidder certifies that this bid has been arrived at by the bidder independently and has been submitted without collusion with any other vendor of materials, supplies or equipment of the type described in the invitation for bids, and the contents of this bid have not been conununicated by the bidder, nor, to its best knowledge and belief, by any of its employees or agents, to any person not an employee or agent of the bidder or its surety on any bond furnished herewith prior to the official opening of the bid. Signed: Print name Corporate Title (if any) Company Name Mailing Address Phone Number BID ON Sand 2011 RESOLUTION 2010-874 SCHEDULED DOC ID: 6333 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2010-874 WAS SCHEDULED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON NOVEMBER 4, 2010: 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 2011: Milk for the Human Resource Center Purchase 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 Elizabeth A. Neville Southold Town Clerk