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RC-2 & MC-2 Asphalt Road Materials
1 AGREEMENT made this 4th day of June, 1991, between PAUL CORAZZINI & SONS INC., with its principal office and place of business at NYS Route 25, Greenport, New York 11944, hereinafter called the Contractor, and the TOWN OF SOUTHOLD, a municipal corporation of the State of New York with offices at 53095 Main Road, Southold, Suffolk County, New York, hereinafter called the Town. WITNESSETH, that the Contractor has agreed to provide ali necessary labor, materials, equipment and incidentals required to furnish and apply 150,000 gallons, more or less as may be needed, of Grades RC-2 and MC-2 Asphalt Road Materials for the Town of Southold for $1.24 per gallon. This contract shall be for a period of one (1) year from the 4th day of June, 1991. IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day and year first above written. TOWN OF SOUTHO D By'--� /Z' Scott Loins ftrris, Su icor PAUL CORAZZINI & SONS INC. By 9- J,- Paul Cbrazzinyiisident -1- STATE OF NEW YORK) ss: COUNTY OF SUFFOLK) On the 4th day of June, 1991 , before me personally came Scott Louis Harris, to me known, who, being by me duly sworn, did depose and say that he resides at 37800 Main Road, Orient, New York; that he is the Supervisor of the Town of Southold, the corporation described in and which executed the foregoing instrument; that he knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affized by order of the Town Board of the Town of Southold, and that he signed his name thereto by like order. Notary Public C11- JUDITH T.TERRY Notary Public,State of New York No.62-0344963 Oualified in Suffolk Courtty 3 Commission Expires May 31,i9� STATE OF NEW YORK) ss: COUNTY OF SUFFOLK) On the 3� day of , 1991, before me personally came Paul Corazzini, to me known, who being by me duly sworn, did depose and say that he resides at 33 Madison Street, Greenport, New York 11911, that he is the President of Paul Corazzini & Sons Inc., the corporation described in and which executed the foregoing instrument; that he knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was affixed by order of the Board of Directors of said corporation, and that he signed his name thereto by like order. Notary Public (57 JUDITH T.TERRY Notary Public,State of New York No.62-0344963 auaiified in Suffolk county_Q A commission Expires May,' 1 —2— OISSUE DATE IN!M'DOrYYj PRODUCER THCE IS RTIFICATE IS ISSUED AS A MATTER OF iNFORMATION ONLY AND j CONFERS NO FlIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE SEE N E E F U S INC . DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P . 0. BOY, 2340 Po�ICIE5 r A Q U E B O G U E , NY 11931 COMPANIES AFFORDING COVERAGE CCMP4 LLTTER"YA INDEMNITY INSURANCE COMPANY INSURED LETTER"Y B CIGNA FIRE UNDER14RI TERS CO . PAUL CORAllINI & SONS , INC . COTiea"YC INSURANCE CO. OF NORTH AMERICA P . O. BOX 36 GREENPORT , NY 11944 COMPANYD iETTLR 1 j COMPANY LETTER , COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE:POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMFNT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CI_RTIF',CATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS 1'R _ DATE(MMrUU/YY) -DATE(MMtDD%v Y) I GI-NERAI_LIABILITY GENERA- AGGREGATE $ 2 , 000 000 . $ 2 , 000 , 000 CO•NMERC�AL GENERAL LIARILIIY PROD:1CTo-COMPIOP AGG CLAIMS MADE X occ:uH. M I- C D 2 0 5 3 2 7 7 4 11 / 15/90 11 / 15/91 PERSONAL&ADV.INJURY $ 1 ' 000 ' 00 0 OWNER'5&CONTRACTOR'S P801. EACH OCCURRENCE $ 1 , 000 , 000 FIRE DAMAGF(Any one fire) $ 50 , 000 MED..11 EXPENSE(Any One person) $ 5 .000 AUTOMOBILE LIABILITY COMBINED S!VGLE ANY AU TO LIMIT $ 1 , 000 , 000 0 ALI OWNED AUTOS5 5 11 / 15/90 H 0 1 - 14 4 J J 11 / 15/91 BODILY INJURY $ SCHEDULED AUTOS (Per parson) HIFED AUTOS BODILY INJURY NONOWNEDAUTOS (Per acC+den!) $ GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM _ C WORKER'S COMPENSATION X C STATUTORY LIMITS f AND 036775130 4/ 16 /91 4/ 16/92 EACH ACCIDENT $ 100 , 000 DISEASE—POLICY LIMIT $ 55 00 , 000 EMPLOYERS'LIABILITY DISEASE—EACH EMPLOYEE $ 100 , 000 OTHER DESCRIPTfOlI OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS PAVING CONTRACTOR - SUFFOLK COUNTY NEW YORK CERTIFICATE HOLDER CANCELLATION TOWN OF S O U T H O L D SHOUT D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE A T I N JUDITH TERRY , TOWN CLERK EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO TOWN HALL MAIL 1� DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE S O U T H O L D , NY 1 1 9 7 1 LES 1, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REP ENTATI . ACO;RD 25-S(7190C9ACORD CORPORATION 1990 PAitT 53—FORMS 53.301-25 DATE BOND EXECUTED(Must be some or tarer t.on PERFORMANCE BOND date Of contra``) (See Instructions on reverse) PRINCIPAL (Cepa`name and Oust.....dar—, TYPEOF ORGANIZATION("a"one) � v/ ev)-w j Zf r// G �ev, �yJ L INDIVIDUAL LI PARTNERSHIP JOINT VENTURE `(LE{JpPORATIOh STATE OF INCORPORATION SURETY(IES)(tia ts!and Dust s. d rnr es); PENAL SUM OF BOND MILLION(S) THOUSAND(s) HUNDRED($) CENTS CONTRACT DATE lCONTRACT NO. G2FE�Po r2.c', AJ, Y_ // 9Yc( OBLIGATION We, the Principal and Surety(ies),are firmly bound to the United States of America Thereinafter called the Government)in the above penal sum. nor payment of the penal sum, we bind ourselves,our heirs,executors,administrators,and successors,jointly and severally. However, where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum "jointly and severally" as well as "severally" only for the purpose of allowing a joint action or actions against any or all of US. For all other purposes,each Surety binds itself, iolntly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit of liability is indi- cated,the limn of liability is the full amount of the penal sum. CONDITIONS. The Principal has entered into the contract ioentified above. TH=REFORE The above obllcavon is void if the Principal — i (a)l1) Performs and fulfills al; the undertakings, covenants,terms,conoitions,and agreements of the contract during the original term of the ccrivact and any extensions thereof that are granted by the Government, with or witnout notice to the Surety(ies),ano during in hie of any guaranty required under the contract, anc (2) perform and fulfills all the undertakings,covenants,terms conditions,and agreements of any and all duly authonzea modifications c' the contract that hereafter are made. Notice of ;nose modifications to the Suretv(test are waived. i (bi Pays to the Government the full amount of the taxes imposed by the Government, if the said contract is subiec;to the Miller Act. i ICO U.S.C. 270a-270e),which are collected,deducieo,or withheld from wages paid by the Principal in carrying out the construction con- j Tact with respect to which this bond is furnished (` WITNESS. The Principal and Surety(ies)executed this performance bond and affixed their seals on the above date. PRINCIPAL Stonature(sl 7 l t �i (Sea!) i (Sect!i 0rp✓rate Il. i / 12. .r+,fQi Names)& ' �•, ,• �•� ) Titlels) (Typed! 14, INDIVIDUAL SURETY(IES) 1 12. Signaturels) (Seal) D (Seat) Names) ./ ! ,(/J�1r ,,�,s'/l 2. (Typed) U Cil /✓- / /' � �[/ CORPORATE SURETY(IES) Name& STATE OF INC. LIABILITY LIMIT i C l Address 1. 2. is I Corporate w ISianature(s) Seal w Namets)& 1. 2. i T, leis) I 'T,Dee, NSN 7540-01-152-8060 25.106 STANDARD FORM 25(REV. 10-83) PREVIOUS EDITION USABLE Presrrtbed DY GSA _. FAR(48 CFR 53.228(b)) { SJ-1] i { t 3.301_25 FEDERAL ACQU[SITION REGULATION (FAR) CORPORATE SURETY0ES)Xanrinued) :STATE OF INC. LIABILITY LIMIT 1 , = Accrlss S 12• Corporate w S,g�dL'Jf�lsl I I Sea! h' Namelsl& 2' Tit:elslI' I i Typed! Name& 57AT1_OF INC• L�•IABI LITY LIMIT U aggress S >i 1. I2• Corporate ' W Signatwels)I Seal w I Name(s)& 1• - 2. I I Ti;:elsI ITypedP Name 'STATE OF INC. 'LIABILITY LIMIT i OAddress I S I > Corporate w j Signature(s) Seal I y r Nameis)& 1• I2. ITLietsl !Typed! dame& STATE OF INC. CIABI LITY LIMIT t w I Address I d f > 1. 2. Corporate- w Signaturelsl Seal L,) Namets)& Tmets) !Typed! iName& ISTATE OF INC. J LIABILITY LIMIT address U. 1. 2• iCorporate w I Signature(s)I Seal l i I Namelsl 2+ 11• 2.Tirteiso I (Typed! <•' - i ISTATE OF INC. I LIABILITY LIMIT Nam?& (--_ - - ;. v Acdress �1• 12. Corporate w i Signature(s)I Seal Namelsl& 11• I2. Tttetsl I (Typed) I _ , 111 uiuy�1j i u \(�` I L /� BOND � is PER THOUSAND TOTAL , !1 PREMIUM S <1 t INSTRUCTIONS _ t f ` t. T¢is.form is zuthOr!* for;use in Connection with Government SURE T Y(IES)". In the space designated "SURETY(IES)"on the ( Contracts.,Any de 166 jop'hrorr this form will require the written face of the form insert only the letter identification of the sureties. approval crkh�,AO(ctiFlistiaipf of General Services. l ! : (b) Where individual sureties are involved, two or more respon- IfHju . Insert'1hpr qa !,,mune and business address of the Princioal in sicite Persons shall execute the bond. :. completed Affidavit of 2 .4. the space designated "Principal" on the face of the form. An Individual Surety (Standard Form 28). for each individual surety, authorization Person shall sign the bond. Any person signing in a shall accompany the Pond. The Government may require these representative capacity (e.g., an attorney-In-fact) must furnish evi- sureties 1:0 furnish additional substantiating information concerning dente of authority ;f hat representative is not a member of the their financial capability. firm, partnersnip, or joint venture, or an officer of the corpora- tion Invo!ved. 4. Corporations executing the bond snail affix their corporate seals. Individuals shall execute the bond Opposite the Nord "Cordo- 3. (a) Coroorations executing the bond as sureties must appear on rate Seal", and shall affix an adhesive seat if executed in Maine, the Department of the Treasury's list of approved sureties and New Hampshire•or any other jurisdiction requiring adhesive seats. j must act within the limitation listed therein.Where more than one corporate surety is involved,their names and addresses shall appear 5. Type the name and title of each person signing this bond in the ` in the scaces (Surety A, Surety B. etc.) headed "CORPORATE space provided. i i STANDARD FORM 25 BACK IREV.10.83) /1 53-12 i 53.301-28 FEDERAL .ACQUISITION REGULATION (FAR) FORM APPROVED OMB NO. AFFIDAVIT OF INDIVIDUAL SURETY ISN Instructions on reser/ 3090.0005 L) vele tc STATE OF t� 1=r—1-11" u, COUNTY OF I, the unpersigned, being ouly sworn,depose and say that I am: (1) one of the sureties to the attached bond: (2) a citizen of the United States for a permanent resident of the place where the contract and bond are executed as provided in paragraph 3 of the instructions on reverse: (3) of full age and legally competent:and (4)not a partner in any business of the principal on the bond or bonds on which I appear as surety. The information fumished below is true and comolete to the test of my knowledge.This affidavit is made to induce the United States of America to accept me as surety on the attached bond. 1.NAME(Firer,mwdle..ost)(Type or print) Z.HOME AOOR S(Nu—bor.Street,City,State. Coat) r—U661GI& & /0i*f2_ 1':r-42y 046 C/I/t s7' �2CCti�u�2 f IU ll9Y 3.TYPE AND DURATION OF OCCUPATION A.NAME OF EMPLOYER(it seU<mptoyed,so state) Y(A t2- 5.BUSINESS ADDRESS(Number,Sheet.City,State.Z IP Coda) 7E"P"ONE NO. ME— x/77--,��'fSINESS— 7.THE FOLLOWING IS A TRUE REPRESENTATION OF MY PRESENT ASSETS LIABILITIES.AND NET WORTH AND DOES NOT INCLUDE ANY FINANCIAL INTEREST 1 HAVE IN THE ASSETS OF THE PRINCIPAL ON THk ATTACHED BOND. ��_�//�� • a. Fair value of solely-owned real estate` S 22Z b. All mortgages or other encumbranches on the real estate included in Line a _ c. veal estate equity (subtract Line b from Line a) d. Fair value of all solely-owned property other than real estate' e. i oral of the amounts on Lines c and d ( f. Ail other liabilities owing or incurred not included in Line b g. Net worth (subtract Line f from Line e) S 7 (t0 -- `Do not include PrOpertY exempt/rpm execution and sale/or any reason Including homestead exemption.Su"rY*s interest in community Property may be Included if not exempted. 6.LOCATION AND DESCRIPTION OF REAL ESTATE OF WHICH I AM SOLE OWNER,THE VALUE OF WHICH IS INCLUDED IN LINE s,ITEM 7 ABOVE le L,/f lcC ST S?q MAC)12L �-�� O�cc ST G�2c-c•�Aoi2T� Pv. �. Amount of assessed valtsaHon o/above nai utaN/or taxation Durposet: .J 9.DESCRIPTION OF PROPERTY INCLUDED IN LINE a,ITEM 7 ABOVE(List the valet or each category or property separately) CASA IVUC STI 16FFN7 S .Q )a 1,2, rc-,cc S S 10.ALL OTHER BONDS ON WHICH I AM SURETY(State character and amount or each bond:i/none,so state) 1 IG ATURF Ili.BOND AND CONTRACT TO WHICH THIS AFFIDAVIT RELATES s (Where apDroO rats) � 1 UBSCRIBED AND SWORN TO BEFORE ME AS FOLLOWS: '41a.DATE OATH ADMINISTERED a.CITY AND STATE(Or ornrr Jurudutaon/ MONTH DAY YEAR 1 / /� �_// �/�!/ Official �y�; lyi-r'c'f"7 �'� T 3S L NAME AND TITLE OF OFFICIAL AOMINIS• a,SIGNATUR L:tff , "b1�'�t YolkSere! TERING OATH(Type or pnntl 702tJ00 ALI ' , a Calin sma CA-01 NSN 7510-01-1S2-3063 ; REV.10-63) �/ f ta-tOS i/Ns^•' '7iiurlDao oY GSA `...�,.� PREVIOUS EDITION USABLE FAR(e6 CFR 53.221161) ��—]8 PART 53—FORMS 53.-;�l-29 14.CERTIFICATE OF SUFFICIENCY I Hereby Certify, That the surety named herein is personally known to me; that, in my judgment, said surety is responsible, and qualified to act as such; and that, to the best of my knowledge, the facts stated by said surety in the foregoing affidavit are true. A.NAME(4ypeumtten) o.SEGNATORE c.OFFICIAL TITLE a.ADDRESS(Numoer,Street.City.State.ZZF CO") INSTRUCTIONS 1. Individual sureties on bonds executed in connection with Government contracts,shall complete and submit this form with the bond. (See 46 CFR 28.202-2, 53.228(e).) Any deviation from this form will require the written approval o` the Administrator of General Services. 2. No corporation, partnership, or other unincorporated associations or firms,as such, are acceptable as individual sure- ties. Likewise members of a partnership are not acceptable as sureties on bonds which partnership or associations,or any co-partner or member thereof is the principal obligor,. However, stockholders of corporate principal is acceptable oro vided la) 'heir qualifications are independent of their stockholdings or financial interest therein,and (b) that the fact is expressed in the affidavit of justification. In determining the net worth (Item 7g) on the face of this form,an individual surety will not include any financial interest in assets connected with the principal on the bond whit` this affidavit supports. 3. A United States citizenship is a requirement for individual sureties. However,only a permanent resident of the place of execution of the contract and bond is required for inns rvidual sureties in the following locations—any foreign coun- try; the Commonwealth of Puerto Rico; the Virgin Islands; the CanaN Zone;Guam;or any other territory or possession of the United States. 4. The individual surety shall show a net worth not less than the penal amount of the bond by supplying information required on this form. The surety shall have the completed form notarized. 5. The certificate of sufficiency shall be signed by an officer of a bank or trust company, a judge or clerk of a court of record, a United States district attorney or commissioner, a postmaster, a collector or deputy collector of internal revenue, or any other officer of the United States acceptable to the department or establishment concerned. Further certificates showing additional assets, or a new surety, may be required to assure protection of the Government's in- terest. Such certificates must be based on the personal investigation of the certifying officer at the time of the making tnereof,and not upon prior certifications. 6. All signatures on the affidavit submitted must be originals. Affidavits bearing reproduced signatures are not acceptable. STANDARD FORM 28 BACK(REV.10-83) 53-19 JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Fax (516) 765-1823 Telephone (516) 765-1801 i OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD June 6, 1991 - k l I Paul Corazzini, President Paul Corazzini & Sons Inc. P. O. Box 36 Greenport, New York 11944 Dear Paul: i`- The Southold Town Board, at their regular meeting held on June 4, 1991, accepted your bid in the amount of $1 .24 per gallon for delivering and applying 150,000 gallons, more or less as may be needed, of Grades RC-2 and MC-2 Asphalt Road Materials. In accordance with the Specifications, upon receipt of the Labor and Material Payment Bond and Performance Bond for the faithful performance of the contract, each in the amount of $186,000.00, and the execution of the contract agreement, your $3,720.00 biddeposit check will be returned to you. Very truly yours, Judith T. Terry Southold Town Clerk cc: Supt, of Hwys. Jacobs a I. 4' i I �oc��FFOLK��Gy JUDITH T. TERRY < Town Hall, 53095 Main Road TOWN CLERK v T P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON JUNE 4, 1991 : RESOLVED that the Town Board of the Town of Southold hereby accepts the bid of Paul Corazzini & Sons Inc. , in the amount of $1 .24 per gallon, more or less as may be needed, of Grades RC-2 and MC-2 Asphalt Road Materials, delivered to the Town of Southold Highway Department and applied, in accordance with the bid specifications; and be it further RESOLVED that Supervisor Scott L. Harris be and he hereby is authorized and directed to execute a contract between Paul Corazzini & Sons Inc. and the Town of Southold to provide all the necessary labor, materials, equipment and incidentals required to furnish and apply 150,000 gallons, more or less as may be needed, of Grades RC-2 and MC-2 Asphalt Road Materials for the Town of Southold for $1 .24 per gallon, for a period of one (1) year from the 3rd day of June, 1991 . Judith T. Terry Southold Town Clerk June 5, 1991 BID FORM `1 FOR ASPHALT ROAD MATERIALS FOR DELIVERY TO THE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK TEM NO. 1 TO THE TOWN BOARD TOWN OF SOUTHOLD I SOUTHOLD, NEW YORK 1. The undersigned hereby proposes to furnish and apply 150,000 gallons, more or less as may be needed, of Grades RC-2 and MC--2 Asphalt Road Materials to the Town of Southold, Suffolk County, New York, all in accordance with the Specifications of the Superintendent of Highways of said Town dated May 7, 199"1-, A. Delivered to the Town of Southold and applied �, 'Z# per gallon. 2. The undersigned further states that the location, type and capacity of the storage facilities in' the Town of Southold are as follows: A. Type of Storage Facilities dzapl B. Location of Storage Facilities C. Capacity of Storage Facilities p 3. The undersigned further states that the type, ca city and number of heated tank trucks and transports /that he will utilize are as follows: 40,4e eC42eZ 4. In submitting thiY bid the undersig ed declares that he is or they are the only person or persons interested in the said bid and that it is made without any connection with any person making another bid for the same contract. The under- signed further declares that he has or they have carefully examined the specifications and this form of bid and has or have satisfied himself or themselves as to all the terms and conditions and understand that in signing this proposal he or they waive all right to pead any misunderstanding regarding the same. 5. Accompanying' this proposal is cash, a bank check or certified check in the amount of $ 7�p, ©% In case this proposal shall be accepted by the Town of Southold, and the undersigned shall fail to execute the contract and in all respects comply with the specifications and this form of bid, the moneys represented by such cash or check shall be regarded as liquidated damages and shall be forfeited and become the property of the Town of Southold; otherwise to be returned to the bidder as provided in the above said provisions. 6. On acceptance of this bid the undersigned does or do hereby bind himself or themselves to enter into a written contract within ten days of the date of notice of theaward of the bid with the said Town of Southold, and to comply in all respects with the provisions of the specifications in relation to the security for the faithful performance of the terms of said contract. 7. In submitting this bid the undersigned understands that the Town of Southold will only pay for such road materials as actually ordered and used in any calendar year. DATED: u 30 1991 . Legal n e of persiM, fiem or corporation. BY. The P. O. Address of the Bidder is: Street City, State, Zip -2- IF A CORPORATION NAME ADDRESS President tea,-s a6 Secretary �3 /�� a� _l�1Q0� /(ITZiYJ/ Treasurer Cjp �- IF A FIRM NAME OF MEMBERS ADDRESS -3- FROM: EXXON COMPANY, U.S.A. TO: Z21z 1ffl. SUPPLY CERTIFICATION PAVING CUTBACKS RC/MC GRADES (INCLUDING RC-250/MC-250) Exxon Company, U.S.A. manufactures these Asphalt Products in Bayonne, NJ. An adequate on demand inventory is maintained in order to supply normal demand for all grades except MC/RC-800 which require 3 day advance notice. Bayonne' s operations hours permit adequate access for our customers. Availability of these grades will be maintained during 1987. T. E. Williams BIDDER'S CERTIFICATE FOR ASPHALT CUTBACK This is to certify that the undersigned proposed to furnish Cutback Asphalt which will comply with the requirements for type ej C' rade The Cutback Asphalt is manufactured by _�y�,, LZI52`216—S whose plant is located at �J� /�1 ( The plant has a capacity of t' gallons per 8 hour day and has regularly manufactured Cut Back Asphalt for the past oZ 0 years. it The specific `source of the Asphaltic Base is selected Gulf Coast and Venezuelian Crudes. If we receive an award of order or contract on any of the item(s) bid upon we will begin delivery of Cutback Asphalt within 2 ours of notice to deliver. We agree to furnish Cutback Asphalt at the rate ordered to maximum rate of gallons per 8 hour day. Company BY :� j(Y f7 al Title Date: If the bidder is an authorized agent of the manufacturer, the following authorization must be executed by the manufacturer: This is to certify that ,Tay/l - rfl 2 Zi�/ � �rJ Name of Bidder Street City fi7 Zone Alo. State Zio Code is our authorized agent and is capable of making deliveries in compliance with the above certificate. Name of Manufacturer BY: Official Title Date: NON-COLLUSIVE BIDDING CERTIFICATE BY SUBMISSION OF THIS BID OR PROPOSAL, THE BIDDER CERTIFIES THAT: (a) THIS BID OR PROPOSAL HAS BEEN INDEPENDENTLY ARRIVED AT WITHOUT COLLUSION : (b) THIS BID OR PROPOSAL HAS NOT BEEN KNOWINGLY DISCLOSED, PRIOR TO THE OPENING OF BIDS OR PROPOSALS FOR THIS PROJECT, TO ANY OTHER BIDDER, COMPETITOR OR POTENTIAL COMPETITOR: (c) NO ATTEMPT HAS OR WILL BE MADE TO INDUCE ANY OTHER PERSON, PARTNERSHIP OR CORPORATION TO SUBMIT OR NOT TO SUBMIT A BID OR PROPOSAL: (d) THE PERSON SIGNING THE BID OR PROPOSAL CERTIFIES THAT HE HAS FULLY INFORMED HIMSELF REGARD- ING THE ACCURACY OF 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 TO THE PERSON SIGNING IN ITS BEHALF: (e) THAT ATTACHED HERETO (IF A CORPORATE BIDDER) IS A CERTIFIED COPY OF THE RESOLUTION AUTHORIZING THE EXECUTION OF THE CERTIFICATE BY THE SIGNATOR OF THIS BID OR PROPOSAL IN BEHALF OF THE CORPORATE BIDDER. RESOLVED THAT : I� ,il ��,.� 7 -,-Name of Officer AUTHORIZED TO SIGN AND SUBMIT THE BID OR PROPOSAL OF THIS CORPORATION FOR THE FOLLOWING PROJECT: 4 Described Project AND TO INCLUDE IN SUCH BID OR PROPOSAL THE CERTIFICATE AS TO NON- COLLUSION REQUIRED BY SECTION 103-d OF THE GENERAL MUNICIPAL LAW AS THE ACT AND DEED OF SUCH CORPORATION AND FOR ANY INACCURACIES OR MISSTATEMENTS IN SUCH CERTIFICATE THIS CORPORATE BIDDER SHALL BE LIABLE UNDER THE PENALTIES OF PERJURY. THE FOREGOING IS A TRUE AND CORRECT COPY OF THE RESOLUTION ADOPTED BY CORPORATION AT A MEETING OF ITS BOARD OF DIR CTORS HELD ON THE /p DAY OF � ,� 19 . Secret AGREEMENT made this day of 1991, between with its principal office and place of business at �r �G��a,�- hereinafter called the Contractor, and the TOWN OF SOUTHOLD, a municipal corporation of the State of New York with offices at 53095 Main Road, Southold, Suffolk County, New York, hereinafter called the Town. WITNESSETH, that the Contractor has agreed to provide all necessary labor, materials, equipment and incidentals required to furnish and apply 150,000 gallons, more or less as may be needed, of Grades RC-2 and MC-2 Asphalt Road Materials for the Town of Southold for $ 1,_2,y per gallon. This contract shall be for a period of one (1) year from the day of 1991 . IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day and year first above written. TOWN OF SOUTHOLD By Scott Louis Harris CONTRACTOR STATE OF Nrr1N`�v21c,) ss: COUNTY OF SuFFaLkj On the _day of , 1991 before me personally came ' to me know, who being by me duly sworn, did depose and say that he resides at �3� and that he is the TS of ,�) _ ,�O ;v S-60-k-6 2, L , the corporation described in and which executed the foregoing instrument; that he knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation, and that he signed his name thereto by like order. a (L N ry Public IRIS EGORA Notary Public,State of New York No.4844751 Qualified in Suffolk Countyd... Commission Expires Jan.31,191 STATE OF NEW YORK) ss: COUNTY OF SUFFOLK) On the of 1991 before me personally came Scott Louis Harris to me known, who, being by me duly sworn, did depose and say that he resides at 37800 Main Road, Orient, New York; that he is the Supervisor of the TOWN OF SOUT HO LD, the corporation described in and which executed the foregoing instrument; that he knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Town Board of said corporation, and that he signed his name thereto by like order. Notary Public 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 application of 150,000 gallons, more or less as may be needed, of Grades RC-2 and MC-2 Asphalt Road Materials, delivered to the Town of Southold and applied. Specifications for the above may be obtained at the Office of the Town Clerk, Town of Southold, Town Hall, Main Road, Southold, New York 11971 . The sealed bids, together with a Non-Collusive Bid Certificate, bank draft or certified check in the amount equal to 2% of the amount of the bid, Bid Form, and Bidder's Certificate will be received by the Town Clerk of the Town of Southold, at the Southold Town Hall, Main Road, Southold, New York, until 11 :00 A.M., Thursday, May 30, 1991, 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 informality 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 Asphalt Road Materials", 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: May 7, 1991 . JUDITH T. TERRY SOUTHOLD TOWN CLERK PLEASE PUBLISH ONCE, MAY 16, 1991, AND FORWARD ONE (1) AFFIDAVIT OF PUBLICATION TO JUDITH TERRY, TOWN CLERK, TOWN HALL, MAIN ROAD, SOUTHOLD, NEW YORK 11971 . Copies to the following: The Suffolk Times The Traveler-Watchman Town Board. Members Town Attorneys Superintendent of Highways Jacobs Dodge Reports Brown's Letters Town Clerk's Bulletin Board SPECIFICATIONS FOR THE PURCHASE AND APPLICATION OF ASPHALT ROAD MATERIALS TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK Under the specifications, bids are sought for the purchase and application of Asphalt Road Material for use by the Southold Town Highway Department in the repair and maintenance of Town Highways. Each bid must be submitted in a sealed envelope clearly endorsed with the. name of the person, firm or corporation presenting it. Each bid must be marked "Bid on Asphalt Road Materials." Bid forms and Bidders Certificate may .be obtained at the Office of the Town Clerk of the Town of Southold, Town Hall, Main Road, Southold, New York 11971. Bids will be received at the Office of r the Town Clerk of the Town of Southold, Town Hall, Main Road, Southold, New York until 11 :00 o'clock A.M. on May 30, 1991, as set forth in the published Notice to Bidders published in The Long Island Traveler-Watchman and The Suffolk Times. Each bid must be accompanied by a bank draft or certified check made payable to the "Town of Southold" in an amount equal to 2% of the amount of the bid. All bid deposit checks except that of the lowest responsible bidder will be returned within five (5) days after signing the contract. The bid check of the lowest responsible bidder will be retained until said bidder has executed and delivered to the Town Clerk the contract, bonds and all other documents required by these specifications. Should the lowest responsible bidder fail to execute the contract and furnish the bond and other documents required, his bid deposit shall be for- feited to the Town of Southold as liquidated damages and shall be deposited by an officer or employee of the Town of Southold to the credit of the proper Town fund, and the Town Board may award the contract to the second lowest bidder or may reject all bids and readvertise for bids; whichever is deemed in the best interest of the Town. In the event all bids are rejected, all bid checks will be returned immediately upon such rejection. The Town Board reserves the right to reject any and all bids. The successful bidder shall furnish and maintain in effect at his expense, during the term of the contract, a bond for the faithful performance of the contract, the amount of which shall be 1000 of the total bid price. The form of the required performance bond, the sufficiency of sureties and the manner of execution shall be approved by the Town Board. ITEM NO. 1 Under this Item No. 1, bids are requested for the purchase of 150, 000 gallons, more or less as may be needed, for the use in repair and maintenance of the town highways, for the calendar year 1991, of Grades RC-2 and MC-2 Asphalt Road Materials, which materials shall comply with the specifications set forth below. The attention of the bidder is specifically called to the fact that the quantity of 150,000 gallons specified herein is an estimate only of the quantity of asphalt material which will be actually required by the Town for its requirements for the 1991 calendar year. The bidder will be paid for only such quantities as are ordered by the Town and delivered and applied by the bidder. Said materials must be delivered and applied in the Town of Southold. Page 2 - Specifications for the Purchase and Application of Asphalt Road Materials The bidder must have not less than 30,000 gallons of Grade RC-2 material and not less than 30,000 gallons of Grade MC-2 material in heated storage tanks located in the Town of Southold, or delivered to and applied in locations in the Town of Southold designated by the Superintendent of Highways, heated to a temperature of not less than 150 degrees Farenheit, as and when required by the Superintendent of Highways for the calendar year 1991 . The bidder must specify the facilities which he will maintain in the Town of Southold for storage of the above materials as well as the location of said. storage facilities in the Town of Southold, or the heated tank trucks to be utilized in the performance of the contract. The successful bidder will be required to deliver and apply such asphalt materials in quantities of approximately 8, 000 gallons within three (3) hours of notification by the Highway Department. The successful bidder's trucks must be equipped with a wheel calibrated instrument for accuracy of application. Each bid must be accompanied by a "Bidder Certificate" for Asphalt Cut Back, showing the supplier of this material and the location of the plant, and authorizing the Bidder to act as agency for the supplier in the Town of Southold. The Town will only pay for such road materials as actually ordered and used in any calendar year. DATED : May 7, 1991 . TOWN OF SOUTHOLD BY: RAYMOND L. J ACO BS SUPERINTENDENT OF HIGHWAYS Page 3 SPECIFICATIONS FOR RC-2 AND MC-2 ASPHALT MATERIALS GRADE RC-2 MC-2 GR API 17. 3 15. 7 Spec. Gravity @ 77°F 0. 95 0. 96 Flash Teg CC°F 87. 170 f Vis SSF 140°F 152 - 149 Distillation % Rec. @ 374°F 14 @ 437°F 19 @ 500°F 21 8 @ 600°F 23 18 @ 680°F 24 23 Distiiiate a to 680°F % @ 374°F 57 @ 4370 78 0 @ 500°F 86 35 @ 600°F 98 78 Residue by diff. % Vol. 76 77 Test on Residue from distial Pen at 77°F 96 187 Ductility at 77°F 110 f 110 f 1/0 Sol in CC 14 99. 9 99. 9 Spot Test OLIENSIS Reg. Reg. DATED : May 7, 1991 . TOWN OF SOUTHOLD BY : RAYMOND L. JACOBS SUPERINTENDENT OF HIGHWAYS BID - ASPHALT ROAD MATERIALS BID OPENING: 11 :00 A.M., Thursday, May 30, 1991 1. Paul Corazzini Jr. 8 Sons Inc. , 3120 Albertson Lane, Greenport, NY 11944 2. Pavetec Industries Inc. , P.O. Box 997, Hauppauge, NY 11788 3. Oakdale Asphalt Inc. , 950-8 Old Medford Ave. , Medford, NY 11763 (Mailed 5/21 /91) Attn: Mr. Maher 4. S. 6. r LEGAL NOTICE STATE OF NEW YORRj NOTICE TO BIDDERS NOTICE IS HEREBY GIVEN in SS: accordance with the provisions of COUNTY OF SUFFOLK) Section 103 of the General Municipal Law,that sealed bids are sought and requested for the purchase and apply �,1 Y� of Mattituck, In cation of 150,000 gallons,more or less as may be needed,of Grades said County, being duly sworn,says that he/she Is Principal and MC-2 Asphalt Road materials,delivered to the Town of Clerk of THE SUFFOLK TIMES, a Weekly Newspaper, mate Southold and applied.Specifications published at Mattltuck, in the Town of Southold, County of for the above may be obtained at the Office of the Town Clerk, Town of Suffolk and State of New York,and that the Notice of which Southold,Town Hall, Main Road, the annexed is a printed copy,has been regularly published in Southold, sealed York bids,11get said Newspaper once each week for weeks The sealed bids, together with a ` Non-Collusive Bid Certificate,bank successively, commonIng on the day of draft or certified check in the amount 1 �. equal to 2%of the amount of the bid, / Bid Form,and Bidder's Certificate will be received by the Town Clerk of the Town of Southold,at the Southold Town Hall, Main Road, Southold, yu New York,until 11:00 A.M.,Thurs. day, May 30, 1991,at which time �` they will be opened and read aloud in Principal Clerk public The Town Board of the Town of Southold reserves the right to reject any and all bids and waive any and all informality in any bid should it be deemed in the best interest of the Sworn to before we this—�– Town of Southold to do so. All bids must be signed and sealed day of 17,4 19 / in envelopes plainly marked"Bid onIS Asphalt Road Materials",and sub- E FULRam mitted to the Office of the Town CPQ,$ 5�of Nft VWj Clerk.The bid price shall not include St(//pJk any tax,federal, state or local,from & `^�+rAJ► which the Town of Southold is P�eaAAn7sp'18�� exempt. DATED:May 7,1991. JUDITH T.TERRY SOUTHOLD TOWN CLERK 7051-ITM16 a COUNTY OF SUFFOI " ss: S'1'A'1'1-- 01= NEW YOk LEGAL NOTICE Patricia Wood,- being duly sworn, says that she is the NOTICE TO BIDDERS Editor, of THE LONG ISLAND TRAVELER-WATCHMAN, NOTICE IS HEREBY GIV- EN a public newspaper printed at Southold, in Suffolk County; EN in accordance with the pro-, and that the notice of which the annexed is a printed copy, visions of Section 103 of the has hecn rublishcd in said Long Islind I'ravrler-Watchman General Municipal Law, that sealed bids are sought and re- once each week for . . . . . . . . . . . . . . . . . . . . .j. . . . . weeks quested for the application of �- 150,000gallons,more orless as successively, commencing on the may be needed,of Grades RC-2 and MC-2 Asphalt Road Materials,delivered to the Town da y o 1 . . . . . . . . . . , . ., 19 ? . of Southold and applied. Specifications for the above may be obtained at the Office of the i" Town Clerk,Town of Southold, T Town Hall, Main Road, [; Southold, New York 11971. The sealed bids,together with / a Non-Collusive Bid Certificate, Sworn to before m /�?.e this . . . . . . . . . . . . . . . . . da y o f bank draft or certified check in the amount equal to 2%of the amount of the bid, Bid Form, 19 9 , and Bidder's Certificate will be . . . . . . . . . . . . . received by the Town Clerk at the Southold Town Hall, Main Road,Southold,New York,un- til 11:00 A.M., Thursday, May 30,1991,at which time they will /4� �s.� . . . . . . . be opened and read aloud in public. The Town Board of the Notary Public Town of Southold reserves the BARBARA A. SCHNEIDER right to reject any and all bids NOTARY PUBLIC, Stnte of New York and waive any and all informali- No. 4806846 ty in any bid should it be deem- Qualified in Suffolk Co my ed in the best interest of the Commission Expires� 3i�2_ Town of Southold to do so. All bids must be signed and sealed in envelopes plainly marked "Bid on Asphalt Road Materials,"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: May 7, 1991 JUDITH T. TERRY SOUTHOLD TOWN CLERK 1X-5/16/91(103) IL i f STATE OF NEW YORK) SS : COUNTY OF SUFFOLK) JUDITH T. TERRY, Town Clerk of the Town of Southold, New York, being duly sworn, says that on the loth day of May 1991 she affixed a notice of which the annexed printed notice is a true copy, in a proper and substantial manner, in a most public place in the Town of Southold, Suffolk County, New York, to wit: Town Clerk's Bulletin Board, Southold Town Hall, Main Road, Southold, New York 11971. Legal Notice, Notice to Bidders: Grades RC-2 and MC-2 Asphalt Road Materials. Bid Opening: 11 :00 A.M. , Thursday, May 30, 1991 , Southold Town Hall. Judith T. Terry Southold Town Clerk Sworn to before me this 10th day of May 19 91 7' ' Notary Public JOYCE M.WILKINS Notary Public,State of New York No.4952246,Suffolk Count, Term Expires June 12, 19�1 J I I'I LEGAL NOTICE i NOTICE TO BIDDERS II NOTICE IS HEREBY GIVEN in accordance with the provisions of Section 103 of the General Municipal Law, that sealed bids are sought and requested I for the purchase and application of 111,110 gallons, more or less as may be needed, of Grades RC-2 and MC-2 Asphalt Road Materials, delivered to the Town of Southold and applied. Specifications for the above may be obtained i at the Office of the Town Clerk, Town of Southold, Town Hall, Main Road, Southold, New York 11971 . The sealed bids, together with a Non-Collusive Bid Certificate, bank i draft or certified check in the amount equal to 2% of the amount of the bid, i Bid Form, and Bidder's Certificate will be received by the Town Clerk of the I; Town of Southold, at the Southold Town Hall, Main Road, Southold, New York, until 11 :00 A.M., Thursday, May 30, 1991, 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 informalit I in any bid should it be deemed in the best interest of the Town of Southold iI i to do so. ,I All bids must be signed and sealed in envelopes plainly marked "Bid on Asphalt Road Materials", and submitted to the Office of the Town Clerk. Thd �II f bid price shall not include any tax, federal, state or local, from which the Town of Southold is exempt. j DATED: May 7, 1991 . I JUDITH T. TERRY SOUTHOLD TOWN CLERK i i I I) PLEASE PUBLISH ONCE, MAY 16, 1991, AND FORWARD ONE (1) AFFIDAVIT I� OF PUBLICATION TO JUDITH TERRY, TOWN CLERK, TOWN HALL, MAIN ' ROAD, SOUTHOLD, NEW YORK 11971 . Copies to the following: i The Suffolk Times j The Traveler-Watchman Town Board Members Town Attorneys Superintendent of Highways Jacobs Dodge Reports Brown's Letters Town Clerk's Bulletin Board i 1 i it I /J�./`,,•e,Y.-L�G� :,,.,�j • –"—..'� __. � / �;:' f /'t:.>Jam. `/ � .r �,,...-. s ;40 IV4LEGAL 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 application of 150,000 gallons, more or less as:may be , needed, of Grades RC-2 and MC-2 Asphalt Road Materials, delivered to the Town of Southold and applied. Specifications for the above may be obtained at the Office of the Town Clerk, Town of Southold, Town Hall, Main Road, Southold, New York 11971 . i The sealed bids, together with a Non-Collusive Bid Certificate, bank draft or certified check in the amount equal to 20 of the amount of the bid, Bid Form, and Bidder's Certificate will be received by the Town Clerk of the Town of Southold, at the Southold Town Hall, Main Road, Southold, New York, until 11 :00 A.M.,- Thursday, May 30, 1991, 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 informality 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 Asphalt Road Materials", 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: May 7, 1991 . JUDITH T. TERRY SOUTHOLD TOWN CLERK PLEASE PUBLISH ONCE, MAY 16, 1991, AND FORWARD ONE (1) AFFIDAVIT OF PUBLICATION TO JUDITH TERRY, TOWN CLERK, TOWN HALL, MAIN ROAD, SOUTHOLD, NEW YORK 11971 . Copies to the following: The Suffolk Times The Traveler-Watchman Town Board Members Town Attorneys Superintendent of Highways Jacobs Dodge Reports Brown's Letters Town Clerk's Bulletin Board tom, 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 application of 150,000 gallons, more or less as may be needed, of Grades RC-2 and MC-2 Asphalt Road Materials, delivered to the Town of Southold and applied. Specifications for the above may be obtained at the Office of the Town Clerk, Town of Southold, Town Hall, Main Road, Southold, New York 11971 . The sealed bids, together with a Non-Collusive Bid Certificate, bank draft or certified check in the amount equal to 20 of the amount of the bid, Bid Form, and Bidder's Certificate will be received by the Town Clerk of the Town of Southold, at the Southold Town Hall, Main Road, Southold, New York, until 11 :00 A.M., Thursday, May 30, 1991, 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 informality 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 Asphalt Road Materials", 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: May 7, 1991 . JUDITH T. TERRY SOUTHOLD TOWN CLERK PLEASE PUBLISH ONCE, MAY 16, 1991, AND FORWARD ONE (1) AFFIDAVIT OF PUBLICATION TO JUDITH TERRY, TOWN CLERK, TOWN HALL, MAIN ROAD, SOUTHOLD, NEW YORK 11971 . Copies to the following: The Suffolk Times The Traveler-Watchman Town Board Members Town Attorneys Superintendent of Highways Jacobs Dodge Reports Brown's Letters Town Clerk's Bulletin Board � 0 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 application of 150,000 gallons, more or less as may be needed, of Grades RC-2 and MC-2 Asphalt Road Materials, delivered to the Town of Southold and applied. Specifications for the above may be obtained at the Office of the Town Clerk, Town of Southold, Town Hall, Main Road, Southold, New York 11971 . The sealed bids, together with a Non-Collusive Bid Certificate, bank draft or certified check in the amount equal to 2% of the amount of the bid, Bid Form, and Bidder's Certificate will be received by the Town Clerk of the Town of Southold, at the Southold Town Hall, Main Road, Southold, New York, until 11 :00 A.M., Thursday, May 30, 1991, 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 informality 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 Asphalt Road Materials", 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: May 7, 1991 . JUDITH T. TERRY SOUTHOLD TOWN CLERK PLEASE PUBLISH ONCE, MAY 16, 1991, AND FORWARD ONE (1) AFFIDAVIT OF PUBLICATION TO JUDITH TERRY, TOWN CLERK, TOWN HALL, MAIN ROAD, SOUTHOLD, NEW YORK 11971 . Copies to the following: The Suffolk Times The Traveler-Watchman Town Board Members Town Attorneys Superintendent of Highways Jacobs Dodge Reports Brown's Letters Town Clerk's Bulletin Board BID FORM FOR ASPHALT ROAD MATERIALS FOR DELIVERY TO THE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK ITEM NO. l TO THE TOWN BOARD TOWN OF SOUTHOLD SOUTHOLD, NEW YORK 1. The undersigned hereby proposes to furnish and apply 150,000 gallons, more or less as may be needed, of Grades RC-2 and MC--2 Asphalt Road Materials to the Town of Southold, Suffolk County, New York, all in accordance with the Specifications of the Superintendent of Highways of said Town dated May 7, 1991-. A. Delivered to the Town of Southold and applied per gallon. 2. The undersigned further states that the location, type and capacity of the storage facilities in' the Town of Southold are as follows: A. Type of Storage Facilities B. Location of Storage Facilities C. Capacity of Storage Facilities 3. The undersigned further states that the type, capacity and number of heated tank trucks and transports that he will utilize are as follows: 4. In submitting this bid the undersigned declares that he is or they are the only person or persons interested in the said bid and that it is made without any connection with any person making another bid for the same contract. The under- signed further declares that he has or they have carefully examined the specifications and this form of bid and has or have satisfied himself or themselves as to all the terms and conditions and understand that in signing this 'proposal he or they waive all right to pead any misunderstanding regarding the same. 5. Accompanying this proposal is cash, a bank check or certified check in the amount of $ In case this proposal shall be accepted by the Town of Southold, and the undersigned shall fail to execute the contract and in all respects comply with the specifications and this form of bid, the moneys represented by such cash or check shall be regarded as liquidated damages and shall be forfeited and become the property of the Town of Southold; otherwise to be returned to the bidder as provided in the above said provisions. 6. On acceptance of this bid the undersigned does or do hereby bind himself or themselves to enter into a written contract within ten days of the date of notice of theaward of the bid' with the said Town of Southold, and to comply in all respects with the provisions of the specifications in relation to the security for the faithful performance of the terms of said contract. 7. In submitting this bid the undersigned understands that the Town of Southold will only pay for such road materials as actually ordered and used in any calendar year. DATED : 1991 . Legal name of person, firm or corporation BY: The P. O. Address of the Bidder is: Street City, State, Zip 2- t IF A CORPORATION ADDRESS NAME President Secretary Treasurer IF A FIRM NAME OF MEMBERS ADDRESS -3- SPECIFICATIONS FOR THE PURCHASE AND APPLICATION OF ASPHALT ROAD MATERIALS TOWN OF SOUTHOLD, SUFFOLK COUNTY , NEW YORK Under the specifications, bids are sought for the purchase and application of Asphalt Road Material for use by the Southold Town Highway Department in the repair and maintenance of Town Highways. Each bid must be submitted in a sealed envelope clearly endorsed with the: name of the person, firm or corporation presenting it. Each bid must be marked "Bid on Asphalt Road Materials." Bid forms and Bidders Certificate may be obtained at the Office of the Town Clerk of the Town of Southold, Town Hall, Main Road, Southold, New York 11971. Bids will be received at the Office of the Town Clerk of the Town of Southold, Town Hall, Main Road, Southold, New York until 11 :00 o'clock A.M. on May 30, 1991, as set forth in the published Notice to Bidders published in The Long Island Traveler-Watchman and The Suffolk Times. Each bid must be accompanied by a bank draft or certified check made payable to the "Town of Southold" in an amount equal to 2% of the amount of the bid. All bid deposit checks except that of the lowest responsible bidder will be returned within five (5) days after signing the contract. The bid check of the lowest responsible bidder will be retained until said bidder has executed and delivered to the Town Clerk the contract, bonds and all other documents required by these specifications. Should the lowest responsible bidder fail to execute the contract and furnish the bond and other documents required, his bid deposit shall be for- feited to the Town of Southold as liquidated damages and shall be deposited by an officer or employee of the Town of Southold to the credit of the proper Town fund, and the Town Board may award the contract to the second lowest bidder or may reject all bids and readvertise for bids; whichever is deemed in the best interest of the Town. In the event all bids are rejected, all bid checks will be returned immediately upon such rejection. The Town Board reserves the right to reject any and all bids. The successful bidder shall furnish and maintain in effect at his expense, during the term of the contract, a bond for the faithful performance of the contract, the amount of which shall be 1000 of the total bid price. The form of the required performance bond, the sufficiency of sureties and the manner of execution shall be approved by the Town Board. ITEM NO. 1 Under this Item No. 1, bids are requested for the purchase of 150, 000 gallons, more or less as may be needed, for the use in repair and maintenance of the town highways, for the calendar year 1991 , of Grades RC-2 and MC-2 Asphalt Road Materials, which materials shall comply with the specifications set forth below. The attention of the bidder is specifically called to the fact that the quantity of 150,000 gallons specified herein is an estimate only of the quantity of asphalt material which will be actually required by the Town for its requirements for the 1991 calendar year. The bidder will be paid for only such quantities as are ordered by the Town and delivered and applied by the bidder. Said materials must be delivered and applied in the Town of Southold. Page 2 - Specifications for the Purchase and Application of Asphalt Road Materials The bidder must have not less than 30, 000 gallons of Grade RC-2 material and not less than 30,000 gallons of Grade MC-2 material in heated storage tanks located in the Town of Southold, or delivered to and applied in locations in the Town of Southold designated by the Superintendent of Highways, heated to a temperature of not less than 150 degrees Farenheit, as and when required by the Superintendent of Highways for the calendar year 1991 . The bidder must specify the facilities which he will maintain in the Town of Southold for storage of the above materials as well as the location of said storage facilities in the Town of Southold, or the heated tank trucks to be utilized in the performance of the contract. "! The successful bidder will be required to deliver and apply such asphalt materials in quantities of approximately 8,000 gallons within three (3) hours of notification by the Highway Department. The successful bidder's trucks must be equipped with a wheel calibrated instrument for accuracy of application. Each bid must be accompanied by a "Bidder Certificate" for Asphalt Cut Back, showing the supplier of this material and the location of the plant, and authorizing the Bidder to act as agency for the supplier in the Town of Southold. The Town will only pay for such road materials as actually ordered and used in any calendar year. DATED : May 7, 1991 . TOWN OF SOUTHOLD BY: RAYMOND L. J ACO BS SUPERINTENDENT OF HIGHWAYS Page 3 SPECIFICATIONS FOR RC-2 AND MC-2 ASPHALT MATERIALS GRADE RC-2 MC-2 GR API 17. 3 15. 7 Spec. Gravity @ 77°F 0.95 0. 96 Flash Teg CC°F 87. 170 f Vis SSF 140°F 152 149 Distillation % Rec. @ 374°F 14 @ 437°F 19 @ 500°F 21 8 @ 600°F 23 18 @ 680°F 24 23 Distillate o to 680°F % @ 374°F 57 @ 4370 78 0 @ 500°F 86 35 @ 600°F 98 78 Residue by diff. % Vol. 76 77 Test on Residue from distial Pen at 77°F 96 187 Ductility at 77°F 110 f 110 f 1/0 Sol in CC 14 99. 9 99. 9 Spot Test OLIENSIS Reg. Reg. DATED : May 7, 1991 . TOWN OF SOUTHOLD BY: RAYMOND L. JACOBS SUPERINTENDENT OF HIGHWAYS BIDDER'S CERTIFICATE FOR ASPHALT CUTBACK This is to certify that the undersigned proposed to furnish Cutback Asphalt which will comply with the requirements for type Grade The Cutback Asphalt is manufactured by whose plant is located at The plant has a capacity of gallons per 8 hour day and has regularly manufactured Cut Back Asphalt for the past years. The specific source of the Asphaltic Base is selected Gulf Coast and Venezuelian Crudes. If we receive an award of order or contract on any of the item(s) bid upon we will begin delivery of Cutback Asphalt within hours of notice to deliver. We agree to furnish Cutback Asphalt at the rate ordered to maximum rate of gallons per 8 hour day. Company BY: Official Title Date• If the bidder is an authorized agent of the manufacturer, the following authorization must be executed by the manufacturer: This is to certify that Name of Bidder Street City & Zone No. State Zip Code is our authorized agent and is capable of making deliveries in compliance with the above certificate. Name of Manufacturer BY: Official Title Date: NON-COLLUSIVE BIDDING CERTIFICATE BY SUBMISSION OF THIS BID OR PROPOSAL, THE BIDDER CERTIFIES THAT: (a) THIS BID OR PROPOSAL HAS BEEN INDEPENDENTLY ARRIVED AT WITHOUT COLLUSION : (b) THIS BID OR PROPOSAL HAS NOT BEEN KNOWINGLY DISCLOSED, PRIOR TO THE OPENING OF BIDS OR PROPOSALS FOR THIS PROJECT, TO ANY OTHER BIDDER, COMPETITOR OR POTENTIAL COMPETITOR: (c) NO ATTEMPT HAS OR WILL BE MADE TO INDUCE ANY OTHER PERSON, PARTNERSHIP OR CORPORATION TO SUBMIT OR NOT TO SUBMIT A BID OR PROPOSAL: (d) THE PERSON SIGNING THE BID OR PROPOSAL CERTIFIES THAT HE HAS FULLY INFORMED HIMSELF REGARD- ING THE ACCURACY OF 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 TO THE PERSON SIGNING IN ITS BEHALF: (e) THAT ATTACHED HERETO (IF A CORPORATE BIDDER) IS A CERTIFIED COPY OF THE RESOLUTION AUTHORIZING THE EXECUTION OF THE CERTIFICATE BY THE SIGNATOR OF THIS BID OR PROPOSAL IN BEHALF OF THE CORPORATE BIDDER. RESOLVED THAT : Name of Officer AUTHORIZED TO SIGN AND SUBMIT THE BID OR PROPOSAL OF THIS CORPORATION FOR THE FOLLOWING PROJECT: Described Project AND TO INCLUDE IN SUCH BID OR PROPOSAL THE CERTIFICATE AS TO NON- COLLUSION REQUIRED BY SECTION 103-d OF THE GENERAL MUNICIPAL LAW AS THE ACT AND DEED OF SUCH CORPORATION AND FOR ANY INACCURACIES OR MISSTATEMENTS IN SUCH CERTIFICATE THIS CORPORATE BIDDER SHALL BE LIABLE UNDER THE PENALTIES OF PERJURY. THE FOREGOING IS A TRUE AND CORRECT COPY OF THE RESOLUTION ADOPTED BY CORPORATION AT A MEETING OF ITS BOARD OF DIRECTORS HELD ON THE DAY OF 19 Secretary AGREEMENT made this day of 1991, between with its principal office and place of business at hereinafter called the Contractor, and the TOWN OF SOUTHOLD, a municipal corporation of the State of New York with offices at 53095 Main Road, Southold, Suffolk County, New York, hereinafter called the Town. WITNESSETH, that the Contractor has agreed to provide all necessary labor, materials, equipment and incidentals required to furnish and apply 150,000 gallons, more or less as may be needed, of Grades RC-2 and MC-2 Asphalt Road Materials for the Town of Southold for $ per gallon. This contract shall be for a period of one (1) year from the day of 1991 . IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day and year first above written. TOWN OF SO UT HOLD By Scott Louis Harris CONTRACTOR By y' STATE OF ) ss: COUNTY OF ) On the day of , 1991 before me personally came to me know, who being by me duly sworn, did depose and say that he resides at , and that he is the of , the corporation described in and which executed the foregoing instrument; that he knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation, and that he signed his name thereto by like order. Notary Public STATE OF NEW YORK) ss: COUNTY OF SUFFOLK) O n the of 1991 before me personally came Scott Louis Harris to me known, who, being by me duly sworn, did depose and say that he resides at 37800 Main Road, Orient, New York; that he is the Supervisor of the TOWN OF SOUTHOLD, the corporation described in and which executed the foregoing instrument; that he knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Town Board of said corporation, and that he signed his name thereto by like order. Notary Public �oc��FF OIk�OGy JUDITH T. TERRY iC Town Hall, 53095 Main Road TOWN CLERK = Z P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS tr1 Southold, New York 11971 MARRIAGE OFFICER Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON MAY 7, 1991 : RESOLVED that the Town Board of the Town of Southold hereby rejects the bids of Pavetec Industries Inc. and Paul Corazzini Jr. & Sons Inc. with respect to supplying the Highway Department with Grades RC-2 and MC-2 Asphalt Road Materials for the following reasons: Pavetec stated in the Bidder's Certificate that they will deliver the product within 24 hours of notice to deliver by the Highway Department, and Corazzini failed to complete the Bidder's Certificate at all; and be it further RESOLVED that the Town Board hereby authorizes and directs the Town Clerk to readvertise for bids for the purchase and application of 150,000 gallons, more or less as may be needed by the Superintendent of Highways, of Grades RC-2 and MC-2 Asphalt Road Materials, deliver to the Town and applied. Judith T. Terry Southold Town Cie May 9, 1991