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HomeMy WebLinkAboutSand for Ice Control=O Postage $ C] Return Receipt Fee (Endorsement Required} r-I Res cted Delivery Fee C3 (Endorsement Required Total Postage & Fees · 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 ratum the card to you. · At,ch this card to the back of the mailplece. o~ the front if space pen-nits. 1. A~'Addressed to: D. Is ddlive~ address cliff, mt from item I ? if YES. enter belive~y address below:. [] No ~'~ Mall 0 Ex,press Mall [] Registered [] Return Receipt for Membendise r'l Insured Mall i'-1 C.O.D. Res~tcted Delivery? ~ Fee) [] Yes 2. Article Number 7009 0820 0001 7820 9881 ffr~r trom ~ce lzl~) . PS Form 3811, February 2004 Domeeifc Re,uti3 ~ 1095~5-~-Nl-1540 · Complnte Items 1, 2, and 3. Also complate item 4 If Restflcted Delivery is deslrad. · Print your name end address on the reveme so that we can ratum the card to you. · Attach this card to the back of the mailplece, or on the tYont If space permits. 1. A~ticle Addressed to: B~:_Received by ( Pr/nted/~ne) C. Date of D~ive~y D. Isdellve~yeddmssd,~,~,tfromltem I? I'lYe If YES, enter delivery addresa below; ENo 3. Se~i=e Type ~ Il [] ~ M~I I"t Reglatemd [] Betum Receipt for Merchandise [] Insured Mell [] C.O.D. 4. Restffcted Dellveey? (Extra Fee) DYes 2. Article Number 7009 0820 0001 7820 9898 PS Form 3811, February 2004 Domeeac Re~um i I~2~0s~.~.~4o ELIZABETH A. NEVILLE, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS OF MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, NewYork 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 13,2011 John Watral Watral Brothers Inc 45 South 4th Street Bay Shore, NY 11706 Dear Mr Watral: At the regular Town Board meeting held on December 6, 2011, the Town Board accepted the bid of East Coast Mines for supplying Screened Sand for the Town of Southold for the 2012 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. ELIZABETH A. NEVILLE, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS OF MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, NewYork 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.nor thfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 13,2011 John Tintle East Coast Mines Route 2, Lewis Road East Quogue, NY 11942 Dear Mr. Tintle: Congratulations. At the regular Town Board meeting held on December 6, 2011, the Town Board accepted thc bid of East Coast Mines for supplying Screened Sand for the Town of Southold for the 2012 calendar year. A certified copy of the resolution is enclosed. The 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 6, 2011 RESOLUTION 2011-810 ADOPTED Item # 5.12 DOC ID: 7378 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2011-810 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON DECEMBER 6, 2011: RESOLVED that the Town Board of the Town of Southold hereby accepts the bid of East Coast Mines~ in the amount of $14.20 per cubic yard~ for supplying Bulk Screened Sand for Ice Control and Highway Maintenance to the Highway Department for the 2012 calendar year~ subiect to the approval of the Town Attorney. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Vincent Orlando, Councilman SECONDER: Albert Krupski Jr., Councilman AYES: Ruland, Orlando, Krupski Jr., Evans, Russell ABSENT: Christopher Talbot Generated December 12, .2011 P~e25 ELIZABETH A. NEVILLE, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS OF 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 BID OPENING 2012 Bulk Ice Control Sand Bid Opening 11/17/11 10:00 A.M. Two (2) bids received East Coast Mines Rte. 2, Lewis Road East Quogue, NY 11942 John Tintle 631/653-5445 Watral Brothers Inc 45 South 4th Street Bay Shore, NY 11706 John Watral 631/586-8300 $14.20/c.y $18.44/cy #10444 STATE OF NEW YORK) ) SS: COUNTY OF SUFFOLK) Candice Schott 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 3rd day of November, 2011. Principal Clerk Sworn to before me this day of 011. NOTARy PUBLIC.STATE OF NEW YORK No. 01-V06105050 Qua~lfled In SUffolk County LEGAL NOTICE NOTICE TO BIDDERS NOTICE IS HEREBY GIVEN, in accordance vfith the provisions of Sec- tion 103 of th~ General Municipal Law, ~ m may be needed, for Ice Control Saml must be delivered to tbe High- way Delmr tment yard, Peconic La~e, Pe; ¢onic, New York, between the hoars 0f 7~10 A.M. and 3:30 P.M, Monday through Friday, excluding holidays, with prior no- tification to thc Highway Department (631-734-52il oz 631-765-3140) ..... Board of t~ Town of ~ ~ The Seal~ bid~ togemer with ~ thcrighttoro~tanymdlltM/S~ ~ ~ ~ ~ ~ / ,.. · ~-~ ~ · ~ ~ ~ ..- ~ , .... ,. ... .... ': 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 enbie yards of screened sand, more, or less, as may be needed, for lee 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 thc Town of Southold, at thc Southold Town Hall, PO Box 1179, 53095 Main Road, Southold, New York, until 10:00 A.M., Thursday, November 17, 2011, at wbAch time they will be opened and read aloud in public. The Town Board of the Town of Southold reserves thc 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, s~atc, or local, from which the Town of Southold is exempt. Dated: October 25, 2011 ELIZABETH A. NEVILLE SOUTHOLD TOWN CLERK PLEASE PUBLISH ON November 3, 2011, AND FORWARD ONE (I) 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 Conslruction Burrelle's Info Services Town Attorney Dodge Reports Town Clerk's Bulletin Board PROPOSALFORM Date: November 17, 2011 NAME of BIDDER: Watral Brothers Inc 45 South 4th Street Telephone: (631)586-8300 Fax: (6310586-8335Bay Shore, NY 11706 .~.~C,_c.!%./.cD TO: SOUTHOLD TOWN BOARD TOWN HALL - 53095 MAIN ROAD SotrrHOtm, NZWVORK NOV ] 7 2011 MEMBERS OF THE BOARD: The undersigned as bidder, declares that the only persons, company, or parties interested in tt~istll~p0h~t~als 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, end that no person acting for or employed by the aforementioned owner is or will be interested directly or indirectly, in the performence of the conU'act, or the supplies relating to it, or in any portion of the profit thereof; that he has carefully examined the contract documents dated: , including bidding requirements, con~act, 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, Peconle, New York 119~8 end all other work in connection therewith, in accordance with the conlract documents, if eny, prepared by Peter Harris, Superintendent of Highways $onthold Town Highway Dept, Peconic Lane, Peconic, New York, I 1958, end shall comply with all 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 Sercened Sand The purchase of 5,000 cubic yards of sereened sand, more, or less, as may be needed, for Ice Control end Highway Maintenance for the Highway. The above referenced activities will be completed for the stipulated per Cubic Yard price of: l./ /8, And he further agrees that if this proposal shall be accepted by the Town and that if he shall refuse, fail or neglect to ente~ into a Contract pursuant to such proposal and to the requirements of the Town end shall fail to give the required secori%, within the ten (10) days after notice of the acceptance of said propgsal, 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 conWact and the ~m~ represented by the certified check accompanying this proposal shall be forfeited to the Town as Liquidated damages; otherwise the certified check shall be remroed to the bidder within forty-five (45) days aRer the date of receiving the bids. We thc undersigned, fui~her agree that this proposal is a formal bid and sh~ll remain in effect for a period of forty-five (45) days, the Town will accept or reject this proposal or by mutoal agreement may extend this time period. The undersigned hereby acknowledges receipt of the following addenda: Signature of Bidder: John Watral President Address:45 South 4th Street Telephone Number: Date: 631-586-8300 FAX: 631-586-8335 November 17, 2011 STATEMENT OF NON-COLLUSION (To De completed I~y 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 oftbe 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 thc 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 *,he 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 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, affh'ms 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 John Watral/President of the Watral Brothers Inc (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 c~tificete as to non-collusion required by section one-hundred-thse¢-d (103-d) of the General Municipal Law as the act and deed of such corporation, and for any inaccuracies or miss-statements in such certificate this corporate bidder shall be liable under the penalties of perjury. The foregoing is l~ue and cor~ct copy of the resolution adopted by Watral Brothers Inc meetingoftheBoardofDirectors, heldontbe I I of .corporation at a (SEAL OF THE CORPORATION) Laws of New York, 1965 Ch. 751, Sec. 103-d, as amended & effective on September I, 1965. 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 materiais, 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: ~ w ~x~" Print name oo Corporate Title (if any) President Company Name Watral Brothers Inc Mailing Address 45 South 4th Street Bay Shore, NY 11706 PhonoNumber631-556-8300 FAX: 6319586-8335 BID ON 2012 Sand 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 cubi~: 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. 17, 2011, 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 25, 2011 ELIZABETH A. NEVILLE SOUTHOLD TOWN CLERK PLEASE PUBLISH ON November 3, 2011, 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 PROPOSAL FORM NAMEof ~'O(,S'/~ ~::n~,,~ /t~l~e BIDDER: TO: SOUTHOLD TOWN BOARD TOWN HALL - 53095 MAIN ROAD SOUTHOLD, NEW YORK 11971 MEMBERS OF THE BOARD: $outhald Town .t'[~r[re The undersigned as bidder, declares that the only persons, company, or parties interested in this proposal as prmc~ffa 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 &the profit thereof; that he has carefully examined the contract documents datcd: , 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 there&as listed below: ITEM # I: 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 woi'ds) U (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 o£ 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: Telephone Number: Date: STATEMENT OF NON-COLLUSION (To be completed by each Bidder) In accordance with Section 103-d General Municipal Law, effective September I, 1966, every bid or proposal hereaRer 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 (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. Resolved that x/O r~ (Name of signatory) RESOLUTION of the ~a£/~oa.s"f/Oe,~'¢~ f)q~tl~l~e authorized to sign and submit the bid (Name of Corporation) 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 Municipal Law as the act and deed of such corporation, and for any inaccuracies or miss-statements in such certificate this corporate bidder shall be liable under the penalties of perjury. The foregoing is true and correct copy of the resolution adopted by_ E,q...cJ,L C~o,~..c/ /'~,~'~,J- ~/~t~'t~t .corporation at a meeting of the Board of Directors, held on the [/.M__ day of /x/cn~,,~,~n ~'~-- ,20 ~/I . (SEAL OF THE CORPORATION) Laws of New York, i965 Ch. 75 l, Sec. 103~d, as amended & effective on September 1, 1965. 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 hid 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 ~/t~r~ '77/~ ~/t Corporate Title (if any) Company Name Mailing Address Phone Number BID ON 2012 Sand Page I of 1 Rudder, Lynda From: Candice Schott [cschott@timesreview.com] Sent: Monday, October 31,2011 2:25 PM To: Rudder, Lynda Subject: RE: For publication in the 11/3/11 edition Thanks, Candice From: Rudder, Lynda [mailto:lynda.rudder@town.southold.ny.us] ~ent: t4onday, October 31, 2011 1:50 PH To: alkrupskitown@yahoo.com; Andaloro, .~ennifer; Beltz, Phillip; Cushman, John; Finnegan, MarLin; Krauza, Lynne; Candice Schott; Ipevans@fishersisland.net; Orlando, Vincent; Russell, Scott; Talbot, Christopher; William Ruland Subject: For publication in the 11/3/11 edition Importance: High For publication in the 11/3/11 edition 10/31/2011 ..: .... 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, 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 17, 2011, 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 25,2011 ELIZABETH A. NEVILLE SOUTHOLD TOWN CLERK PLEASE PUBLISH ON November 3, 2011, 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 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: , 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 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 thc 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 herea~er 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 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 beliefi (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 behal[ 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 (Name of signatory) ofthe (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 Municipal Law as the act and deed of such corporation, and for any inaccuracies or miss-statements in such certificate this corporate bidder 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 the day of ,20__ _corporation at a (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 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 ON 2012 Sand STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK) ELIZABETH A. NEVILLE, Town Clerk of the Town of Southold, New York being dulyswom, says that on the 3[ dayof ~)c.:'l~c~[e,,e'r~- ,2011, 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. 2012 Sand -- -~}zabeth A. Neville Southold Town Clerk Sworn before me this ~ t day of ~e-q-o l~v-' , 2011. - ' /14otary Public LYNDA M ~ NOTARY PUBLIC, State o{ New No. Qualified in SuffoLk County Term Expires March 8 20 ~ Southold Town Board - Letter Board Meeting of October 25,2011 RESOLUTION 2011-706 ADOPTED Item # 5.3 DOC ID: 7173 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2011-706 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON OCTOBER 25, 2011: 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 2012: 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 Household Hazardous Waste Removal Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: William Ruland, Councilman SEC:ONDER: Louisa P, Evans, .~ustice AYES: Ruland, Orlando, Talbot, Krupski Jr., Evans, Russell Generated October 31, 2011 Page 13