HomeMy WebLinkAboutTown Code Revisions RESOLUTION 2012-696
ADOPTED DOC ID: 8120
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2012-696 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
SEPTEMBER 11, 2012:
RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs
Supervisor Scott A. Russell to execute the Modification Agreement Form between the
Town of Southold and the New York State Department of State in connection with a no-cost
extension of time extending the term of Contract #C006789 (Planning and Development of
Southold Town Code Revisions) to December 31, 2013, subject to the approval of the Town
Attorney.
Elizabeth A. Neville
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: Louisa P. Evans, Justice
SECONDER: Christopher Talbot, Councilman
AYES: Ruland, Talbot, Doherty, Krupski Jr., Evans, Russell
APPENDIX X
MODIFICATION AGREEMENT FORM
Agency Code: 19000/DOS01 Contract No.: C006789
Contract Period: 0t/01/07 to 12/31/13 Funding for Period: $0.00
This is an AGREEMENT between THE STATE OF NEW YORK, acting by and through the New York State Department of State,
having its principal office in Albany, New York (hereinafter referred to as the STATE), and Town of Southold (hereinafter referred to
as the CONTRACTOR), for modification of the contract number noted above, as amended herein and noted below.
Type of contract modification:
~ Renewal: Revised total contract value: $ .(renewals only)
a No cost time extension
o Amendment:
[] Attached Appendices:
Ail other provisions of said AGREEMENT shall remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this AGREEMENT as of the dates appearing under their signatures.
CONTRACTOR SIGNATURE NYS DEPARTMENT OF STATE
By: By:
(print name)
Title: '~/--x-~ff~.~'t/l',~ E> ~ Title:
Date: Date:
(print name)
State Agency Certification: "In addition to the acceptance of this contract, I also cem~y that original copies of this signature page will be atmcbed to all
other exact copies of this contract~
State of New York )
County of 5c-~ '~-'1~O I ~ )ss:
On this ____ day of ._5 ~'~'~'~/~ e,~, in the year 20 [ a7x , before me personally appeared
~' O~r>"l~ ./~, t~t.~,_~(t~: [/, to me known and known to me to be the person who is the
~rxJr~ o~ ~ootT~ t~, the organization described in and which execuWat the above i~stmment; and that heJsl~
has the authority to sign on behalf of said organization; and that he/~executed the foregoing agreement for and on behalf of said
organization.
NOTARYPUBLIC
ATTORNEY GENERAL'S SIGNATURE:
STATE COMPTROLLER'S SIGNATURE:
By: By:
Date: Date:
APPENDIX X
MODIFICATION AGREEMENT FORM
Agency Code: 19000/DOS01
Contract Period: 01/01/07 to 12/31/13
Contract No.: C006789
Funding for Period: $0.00
This is an AGREEMENT between THE STATE OF NEW YORK, acting by and through the New York State Department of State,
having its principal office in Albany, New York (hereinafter referred to as the STATE), and Town of Southold (hereinafter referred to
as the CONTRACTOR), for modification of the contract number noted above, as amended herein and noted below.
Type of contract modification:
[3 Renewal: Revised total contract value: $
No cost time extension
Amendment:
Attached Appendices:
(renewals only)
All other provisions of said AGREEMENT shall remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this AGREEMENT as of the dates appearing under their signatures.
CONT CTOR SIGNATURE
(print name)
NYS DEPARTMENT OF STATE
(print name)
Date:
Title: ---~-/~6v~t~b/ {'J- E> ~r~ Title:
g 9/[3,/t'o]' Date:
State Agency Certification: "in addition to the acceptance of this contract, I also certify that original copies of this signature page will be attached to all
other exact copies of this contract"
State of New York )
County of 5~t~ ~-~O t ~<~ )ss:
On th~
's /3-- day..a'v°f ~ ~~ ~in ~e year 20 ( ~ , ~fore me ~r~nally ap~
.~. ~g(~ [/, m me knom ~d known to me to ~ the ~rmn who is the _ ~~>o
~rM~ ~ ~ ~ ~ ~ the org~imtion descried in and which execut~ ~e a~ve i~s~ment; ~d ~at hd~
has the authority to sign on ~half of said org~imtion; ~d that he/~executed the foregoing agreement for and on ~hflfof ~id
org~i~tion.
~UREN M. STANDISH
~4 ~, ~~ N0~,~blic. S~ofNow~
No. 01ST61~008
Oualifi~ in Suffolk
~ I NOTARY ~UBL[C ~mmission ~pires A[ dl ~,
ATTORNEY GENERAL'S SIGNATURE:
STATE COMPTROLLER'S SIGNATURE:
By: By:
Date: Date: