HomeMy WebLinkAboutRC-2 & MC-2 Asphalt Road Materials 6•
AGREEMENT made this 8th day of May 1990, between
PAUL CORAZZINI & SONS INC.
with its principal office and place of business at 33 Madison Street, 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 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 .28 per gallon.
This contract shall be for a period of one (1) year from the 3rd day of
June 1990.
IN WITNESS WHEREOF, the parties hereto have set their hands and seals
the day and year first above written.
TOWN OF SOUTHO
By
Scott Loui Harris, p rvisor
CONT TOR
By
Pau Corazzini, PrAodent
STATE OF NEW YORK)
ss:
COUNTY OF SUFFOLK)
On the
c,? :w day of G�� ,1990, before me personally came
Paul Corazzini to me know, who being by me duly sworn, did
depose and say that he resides at 33 Madison Street, Greenport, N.Y. 11944 ,
and 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 so affixed by order of the Board of Directors
of said corporation, and that he signed his name thereto by like order.
N jF I i c
"°tary No 52-0344 II--State eJN.w NMII
Queltfied in Suffolk
Cenunl IM Expire:Mel►st,f L
STATE OF NEW YORK)
ss:
COUNTY OF SUFFOLK)
On the 8th of May 1990, 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
JUDITH T.TERRY
Yak
No'52-003448��
Qualified in Suffolk County
Commission Expires May 31,194
DATE BOND EXECUTED (Must be same or
JUNE 1167 EDITION
STANDARD FORM ZS p�� later than date of contract)
i r*/ V
GENERAL SERVICES ADMINISTRATION
FED. PROC. REG. (4) CFR( 1-16.801 (Mart I' L7101M 40 reverse):
F
PRINCIPAL (Legal name and business address) ? TYPE Of ORGANIZATION ("X"one)
411 I
INDIV
❑JOINTDUAI. ❑ PARTNERSHIP
❑ VENTURE CORPORATION
4�7STATE Of INCORPORATION
SURETY(IES) (Name($) and business address(es)) _ PENAL SUM Of BOND
MILLION(S) THOUSAND(S) HUNDREDS) CENT(S)
�C/ e CONTRACT DATE CONTRACT NO.
,''�'
a,.
KNOW ALL MEN BY THESE PRE"N Ikat w*,,the.1?rincipai;and Surety(ies) hereto, are firmly bound to the
United States of America (hereinafter'Call w Government) in the above penal sum for the payment of which we
bind ourselves, our heirs, executors, administrators, and successors, jointly and severally: Provided, That, where the
Sureties are corporations acting as c"uretleg; 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, and for all
other purposes each Surety binds itself, jointly, and severally with the Principal, for the payment of such sum only as
is set forth opposite the name of such°Surety;"but if no"llmit of liability is indicated, the limit of liability shall be the
full amount of the penal sum.
THE CONDITION OF THIS OBuGA''1<'IC)k,',lH'BUCH, that-whereas the Principal entered into the contract identified
above; 3
,F
NOW, THEREFORE, if the Principal Phallt^ ,r
(a) Perform and fulfill all the undertalt`lpgs, covenants,terms, conditions, and agreements of said contract during
the original term of said contract and aey eirttnsions thereof that may be granted by the Government,with or without
notice to the Surety(ies), and during the h6t aa any guaranty required under the contract, and shall also perform and
fulfill all the undertakings, covenants,:_Win �;pgditjons,and agreements of any and all duly authorized modifications
of said contract that may hereafter be toads flee'of which modifications to the Surety(ies) being:hereby waived; and
(b) If the said contract is subjeet`to thilbWer.'Act, as amended (40 U.S.C. 270a-270e), pay to the Government
the full amount of the taxes imposed by the d*erttmefit!'*hkh are collected, deducted, or withheld from wages paid
by the Principal in carrying out the cons contract+lvlith"respect to which this bond is furnished; then the above
obligation shall be void and of no A. �� � ._l
IN WITNESS WHEREOF, the PrinClexecuted this performance bond and have affixed their
seals on the date set forth above.
PRINCIPAL
2
Signature(s)
vrsGG//� Ssrl) (Seai) Goresorale
Na me(sI 8 IPQG 2 ! �'ea(
Title($) ,`
(Typed) y�-C t1�`"7f►' _
t`"'INWIDUAL SURETY(IES)
2.
(Seal)
Name(s) %"
"CORPORATE SURETY(IES)
Name 8 STATE OF INC.. LIABILITY LIMIT
Address p `
Q
t. rk, 2.
Signature(%) Corporate
Oe Seal
'n
Name(s)6 L a !?n w.� 2.
Title(s)
(Typed)
2s-los
1
1
Y
CORPORATE SURETY(IES) (Contiavad).,
Name b STATE'- INC. LIABILITY LIMM
Address2.
- , • - -na"*. d ,;tir' _
�m
iu Signature(,) 1 or COJp0J'r/!e
ul
.Seal
ul
Nome(s)6 1.
Z. -
Title(s)
(I yped)
Name b STATE QP INC LIABILITY LIMIT
Address
U
1. 2.
Signatore(s) Corporate
rr
Sea/
'n Nome(s)b L 2
Titles)
(typed/ ,
Nama b STATE LIABILITY LIMIT
Address •'r` `
D �
w
Si
gnature(s) t � - ['(IYpOrr/te
> t :. Seal
Nam.(*)6 1. 2
Title(.)
(Typed) d� q* a r
Name 8 LIABILITY LIMIT
Address
L
w Signature($) Corporate
Seal
Name(,)b 1. '
Title(s) -
(%'sped)
Name 6 STATEttiIF�BVt:, LIABILITY LIMIT
Address "y
aL
> l
2
Signature(s)ud "
Corporate
.Seal
Names)8 .�
Titles)
Name b VAT ,"' I +s LIABILITY LIMIT
Address
w Signature(,) Corporate
r
Seal
Na me(s) b 1
Tille(s)
(Typed) ` .;.,
BOND RATE PER THOUSAND TOTAL
PREMIUM ► S 4 ,. _.,...,;.....-.�..�..v ..
INSTRUCTIONS
1. This form is authorized for use in Connection with '!(Sgtety Sttrety.8, etc.) headed "CORPORA"TE SURE.
contractsfor construction work or the furnishing of TY(IES)'", and in the space designated "SURETY(IES)"
supplies or services. There shall be no deviation from on the face of this form only the letter identification of
this form without approval by the Administrator of the Suiedes shall be inserted.
General Services.
2. The full legal name and business address of the (b)=W)ere individual sureties execute the bond, they
Principal shall be inserted in the space designated "Prin. shall be-Two or more responsible persons. A completed
cipal" on the face of this form. The bond shall be Affidavit of Individual Surety (Standard Form 28), for
signed by an authorized person. Where such person is each individual surety, shall accompany the bond. Such
signing in a representative capacity (e.g., an attorney-in- sureties may be required to furnish additional substantiat-
fact), but is not a member of the firm,partnership,or joint ing information concerning their assets and financial
venture, or an officer of the corporation involved,evidence " ' Capabtlitybas,the.Government may require.
of his authority must be furnished. '4' "
4. (OioratiOtls"'executing the bond shall affix their
3. (a) Corporations executing the bond as sureties rt eorpor rat seals. Individuals shall execute the bond op-
must be among those appearing on the Treasury Depart- posite t4'iirord;"Seal"; and, if executed in. Maine or New
ment's list of approved sureties and must be acting within HampshTt,shall also affix an adhesive seal.
the limitations set forth therein. Where more than a 771
single corporate surety is involved, their names Lind ad- 5. Tbit,natpe.,gf each person signing this performance
dresses (city and State) shall be inserted in the spaces bond should be typed in the space provided.
i ILL tWYUMMBMTMlaTlaa 4l7KL:.sM7Q �.
A
25-201 DATE BOND EXECUTED (.\tint he .inir r,r
: IA JJJERD FORM ON PAYMENT BOND letter than dale of ronlract)
1!i'� 1964 EDITION
FEDP/.L SF RVI, (AlADMINISTRATION (Set IJJJ�rIIY/roJlJ oil "ITrseJ �,t��f�
FCD. PAL REG. ( CFR) 1-16IO `f y fJ
PPI11CIPAL (I rga/ name and business address) '^ TYPE OF ORGANIZATION ('. "' erre)
Wlk toRAZZIMl t�So0S i (�
Paso �� � INDIVIDUAL l� PARTNERSHIP
JOINT
"C tufOr
•, VENTURE _CORPORATION
J ' STATE OF INC RP RATION
SURETY(IFS) (Nanif(s) and bn ainrst address(es)) PENAL SUM OF BOND
�� $) THOUSAND(S) HUNDRED(S) CENTS
�.. oo ______
C- MILLION(s) _I______
CONTRACT DATE CONTRACT NO
IVY
KNOW ALL Is1EN BY "FHESE PRESENTS, That we, the Principal and Surety(ies) hereto, are firmly hound to the
I'nited States of America (hereinafter called the Government) in the above penal sum for the payment of which «e
hind ourselves, our heirs, executors, administrators, and successors, jointly and severally: Prorided, "That, where the
Sureties are corporations acting as co•sureties;'we, the Sureties, bind ourselves in such sum "jointly and severally
as n'ell as "severally" only for the purpose of allowing a joint action or actions against any or all of us, and for all
other purposes each Surety binds itself, jointly and severally with the Principal, for the payment of such sum only as
is set forth opposite the name of such Surety,but if no limit of liability is indicated, the limit of liability, shall he the
full amount of the penal sum.
THE (-ONU17'ION OF T141S OBLIGATION IS'SUCH, that whereas the Principal entered into the contract identified
abos'e;
NOW, THEREFORE, if the Principal shall promptly make payment to all persons supplying labor and macerial in the
prosecution of the work provided for in satd`,iontraet, and any and all duly authorized modifications of said contract
that may hereafter be made, notice of vrhteb''tnodifttations to the Surety(ies) being hereby waived, then the above
obligation shall be void and of no effect.
IN WITNESS WHEREOF, the Principal andSurety(ies) have executed this payment bond and have affixed their seals
on the date set forth above.
s
PRINCIPAL —
2.
F t7 ''� (seal)
/9Vtl �ieR I Ser"
A , �, „�?'"
Ltie(sl .'
(I rpo/) .PIR
�
1 IVIDUAL SURETY(IES)
40F 2.
10 a
Syn ature(s)
ell) tr,
--- ——
N elsl— 1 2.
CORPORATE SURETY(IES)
STATE OF INC.7LITY LIMIT
Add,,,,
y I. 2. t of w"ralt
� Sono+�re(s)
D __...-------
tJo"� B 1 2,
Tillcdsj
•
CORPORATE . (IES) (Continued) _
Name a STATE Of INC. LIABILITY LIMIT
Address 1
r;
—— I 2. Corporate
Signature(,) r'
Seal
N Nome(s)3 1. 2.
Title(s)
s� rw:ar
(-t:vped?
Nome a STATE OF INC. LIABILITY LIMIT
Address
V -
1. 2.
Corporate
oL Seal
D
Nome(,)a 1. 2,
Title(,)
(T)ped,)
Name a STATE OF INC. LIABILITY LIMIT
Address
A
> , 2. Corporate
t5 Signoture(s) Seal
Nome(s)a 1. 2.
Title(,)
(7:vped)
Nome a tgy t;� STATE OF'IVC. LIABILITY LIMIT
Address ,
w
Corporate
Signature(,)
Seal_.
N Nome(,)a 1.
Title(,) _
(7'),ped)
Name a ' STATE Of INC. LIABILITY LIMIT
Address '
LL
r 1 4• Corporate
r j Signoture(s) r
r x. �� Seal
'n Name(,)a I. '' s ;4
Title(s)
(Typed)
Name a th1E ;pVCa:,` LLASILITY LIMIT
v
L Address
Corporate
ut Signoture(s) ti Seal
OC reel; - y
7
N-0 (sI a 1 `€. Q,
Title(,) ��; %` •
(Tipedl
BOND RATE PER$ TOTAL::
d(rz f . ....,
PREMIUM ► 'ra�rx
INVTt A CTIONS
1. This form is authorized for use in connection_wntlt „;,,.,{$usety A,,Surety B, etc.) headed "CORPORATE SURE
orfor construction work or the futntahiit o - TY,�IIiS)", and in the space designated "SURETY(IES)"
supplies or services. There shall be no deviation on the face of this form only the letter identification of
01
this form without approval by the Administrator the Sureties shall be inserted.
General Services. (b) .Where individual sureties execute the bond, they
2. The full legal name and business address otl”<th
Principal shall be inserted in the space designated`"Prin, shall be two or more responsible persons. A completed
cipal" on the face of this form. The bond shall bur°' Affidavit of Individual Surety (Standard Form 28), for
each individual surety, shall accompany the bond. Such
signed by an authorized person. Where such person
n, „ sureties may be required to furnish additional substantiat-
signing in a representative capacity (e.g., an attorney-i
ins information concerning their assets and financial
fact), but is not a member of the firm, partnership.or�otnt t capdbiU as.the,Government may require.
venture, or an officer of the corporation involved,eviden -
of his authority must be furnished. '4 `-Corporations executing the bond shall affix their
3. (a) Corporations executing the bond at auittrtfeB� corporate seals. `Individuals shall execute the bond op-
must be among those appearing on the Treasury Depart posim the word"Seal"; and, if executed in Maine or New
merit's list of approved sureties and must be actingrovithitt' z, Hampshire, shall also affix an adhesive seal.
the limitations set forth therein. Where more than
single corporate surety is involved, their names andsd�, ;,, 5. .The_ name of each person signing this performance
dresses (city and State) shall be inserted in the spaces bond should be typed in the space provided.
o U.3.GawgaMarr6YL
r ee
STANDARD FORM se AF�IGAV��
JUNE 1906 EDITION OF INDIVIDUAL SURETY
GENRAL
VI
IS
rE D.EPROCf RE 0e 141 CFR) RATION1 . :.( fnsbvdfons on Reverse)
STATE OF
COUNTY OF r ��
I,the undersigned, being duly sworn, depose and may that I am one of the sureties to the attached bond;that 1 am a citizen of the United States
(or a permanent resident of the place when the contract and bond are executed as provided in paragraph 3 of the Instructions on reverse),and
Of full age and legally competprt;that 1 am no a partner in any business of the principal on the bored or bonds on which I appear as surety;
that the information herein below furnished is true and complete to the bed of my knowledge. This affidavit is made to Induce the United States
of America to accept me as surety on the attached bend.
1. NAME (First,griddle,tart) (Type or Print) Z. HOME ADDRESS (Number, Street, City,Stair, ZIP Code)
3. TYPE AND DURATION OF OCCUPATION 4. NAME OF EMPLOYER(If self-employed, so state) - —
S. BUSINESS ADDRESS(Number,Street, City,SAW*,ZIP toe) 6. TELEPHONE NO,
HOME—
BUSINESS-
7.
l t,!
BUSINESS-
7. THE FOLLOWING IS A TRUE REPRESENTATION OF MY PRESENT ASSETS,LIABILITIES, AND NET WORTH AND DOES NOT INCLUDE ANY
FINANCIAL INTEREST I HAVE IN THE ASSETS`"Of-THE PRINCIPAL ON THE ATTACHED BOND,
a. Fair value of solely owned real testate"
b. All mortgages or other encumbrances on the real estate included in linea
c. Real estate equity (subtract line b from Line a)
d. Fair value of all solely owned property other than real estate'
e. Total of the amounts on lines c and df __
f. All other liabilities owing or Int:utiliad not included,in line b
g. Net worth (subtract Line f from Line'e) $ ��-
*Do not include property exempt five e>rMcsttioa and salt for any reason. Surety's interest in community property may be
included if not so exempt.
B. LOCATION AND DESCRIPTION OF REAL ESTATE Of WNW!AM SOLE OWNER,, AMIE OF WHICH IS INCLUDED IN LME(a),ITEM 7 ABOVE
674C S7— /Tv.
k.4 C S T S 74
Amount of asseised valootim ofaiwIr reel toast fw h wtian prr)wts:
9. DESCRIPTION Of PROPERTY INCLUDED IN LINE(A},ITEM y ABOVE(lid the twist of each tategoy of property separately)
10. ALL OTHER BONDS ON WHICH I AM SURETY(Siak sharrrae►and a,.,t of each bond,if rove,so mate) —- —
11• ATURE 14, BOND AND CONTRACT TO WHICH THIS AFFIDAVIT RELAVES -
(Where appropriate) t 11
L `
SUBSCRIBED AND SWORN TO BEFORE ME AS FOLLOWS:
DATE OATH ADMINISTERED CRY STATE(Or other jurisdic/ior)
MONTH DAY' YEAR
T— /t" dal l
NAME AND TITLE OF OFFICIAL ADMINISTERING OATH TUBE MY COMMISSION
(Type or print) r EXPIRES
28-103 77NANCY T. FUSCO
NOTARY PUBLIC, State of New York
- 493247'3
Qualified In Suffoik uaunty
Commission Expires Jan. 20, 19G l
CERTIFICATE.OF SUFFICIENCY
I Hereby Certify, That the surety ng,'. ttereltt �a"r'personally known to me; that, in my judgment, said surety is
responsible, and qualified to act as such; and that, fo',the best of my knowledge, the facts stated by said surety in the
foregoing affidavit are true.
y,«n'.tars u,tagcg:h« ,.
NAME (Typeu"ritlen)
NANCY T. FUSCO
OFFICIAL TITLE
�,; t
ASSISTANT BRANCH OFFICER, &-;TRUST CO.
ADDRESS(Number,Strtet,City,Stale,ZIP Code)
.i:
230 MAIN STREET, GREENPORT, 144 tM4
INSTRUCTIONS
1. This form shall be used whenever sureties,on' nent resident of the place of execution of the contract
bonds to be executed in connection with Government and bond.
contracts are individual sureties, as provided in gov.
erning regulations (see 41 CFR 1-10.203, 1--16.801,`' 4:NThe•individual surety shall show net worth in a
101-45.3). There shall be no deviation from this fbmt` sum not less than the penalty of tine bond by supply-
except as so authorized (see 41 CFR 11-11.009,", Ing the information required on the face hereof,
101-1.1 10). under oath before a United States commissioner, a
clerk of a United States Court, or notary public, or
2. A corporation, partnership, or other.bus►ntss some other officer having authority to administer oaths
association or firm, as such, will not be accepted !#tf Y`generally. If the officer has an official seal, it shall
surety, nor will a partner be accepted as a surety dot - be affixed,`otherwise the proper certificate as to his
co-partners or for a firm of which he is a'Me t. official character shall be furnished.
Stockholders of a corporate principal may beciccco fed
as sureties provided their qualifications assuc 1; & The certificate of sufficiency shall be signed by
independent of their stockholdings therein `In a an officer of a bank or trust company, a judge or
ing at the net worth figure in Item 7 on the;<faet�e}f�$ clerk of'* court of record, a United Stores district at
this affidavit an individual surety will not inclyde gnX -.�=forneyVr-e►Coiiitnissioner, a postmaster, a collector or
financial interest he may have in the oss,64. deputy collector of internal revenue, or any other of-
principal on the bond which this affidavit support ,',64cer of the United States acceptable to the depart
t moment or establishment concerned. Further certificates
h p4 +0 s'showing additional assets, or a new surety, may be
3. An individual surety shall be a cititel
United States, except that if the contract and required to assure protection of the Government's
are executed in any foreign country, the Corn tfbn� interest. Such certificates must be based on the
wealth of Puerto Rico, the Virgin Islands, tha`C# ul tk_ personal in of the certifying officer at the
Zone, Guam, or any other territory or possess►on"Of time of the making thereof, and not upon prior
the United States, such surety need only be a pertna- `certifications.
e :
'(Bac04f SF 28 June 66) -
+sro i tft�or—as-L�s Ilo-61
a
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
I
FAX(516)765-1823
JUDITH T.TERRY TELEPHONE(516)765-1801
TOWN CLERK
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 14, 1990
Paul Corazzini, President
Paul Corazzini 6 Sons Inc.
P. O. Box 36
Greenport, New York 11944
Dear Paul:
The Southold Town Board, at their regular meeting held on May 8,
1990, accepted your bid in the amount of $1 .28 •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 $192,000.00, and the execution of
the contract agreement, your $3,840.00 bid deposit check will be returned
to you.
Very truly yours,
Judith T. Terry
Southold Town Clerk
cc: Supt. of Hwys. Jacobs
�oc��FFOII��OGy
o
Town Hall, 53095 Main Road
P.O. Box 1 179
Southold, New York 11971
JUDITH T.TERRY 1 FAX(516)765-1823
TOWN CLERK TELEPHONE(516) 765-1801
REGISTRAR OF VITAL STATISTICS 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 8, 1990:
RESOLVED that the Town Board of the Town of Southold hereby accepts
the bid of Paul Corazzini 8 Sons Inc. , in the amount of $1 .28 per gallon,
for furnishing and applying 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, all 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 8 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 .28 per gallon, for a period of
one (1) year from the 3rd day of June, 1990.
Judith T. Terry
Southold Town Clerk
May 10, 1990
BID FORM
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
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 April 10,
1990.
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 dP a-f&j
B. Location of Storage Facilities R®izie-
C. Capacity of Storage Facilities 60 ,9,90
3. The undersigned further states that the type, capacity and number of
heated 1tank trucks and
transports that he will utilize are as follows:
l- —n-��
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.
S. Accompanying this proposal is cash, a bank check or certified check in the
amount of $ ? $r yO,P0' 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.
-1-
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 : 1 1990.
Legal name of pmon, firm or corporation
B Y:
The P. O. Address of the Bidder is:
Street
V If lL yy City, State, Zip
-2-
IF A CORPORATION
NAME ADDRESS
r�_1�c2 �rn� President
Secretary42
Treasurer
IF A FIRM
NAME OF MEMBERS ADDRESS
i
-3-
- F
r
C
r
r
FROM: EXXON COMPANY, U.S.A.
T0:
SUPPLY CERTIFICATION
PAVING CUTBACKS
RC/MC GRADES
(INCLUDING RC-250/MC-250)
f
Exxon Company, U.S.A. manufactures these Asphalt Products in Bayonne, NJ. f
f
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.
JT. E. Williams
i
k
r
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F
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 F
The Cutback Asphalt is manufactured by
whose plant is located at
The plant has a capacity of gallonser 8 hour da '
A y 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 f
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
E
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 F
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 F
z
UNDER THE PENALTIES OF PERJURY AFFIRMS THE TRUTH THEREOF, SUCH PENALTIE.
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.
t
RESOLVED THAT : J �19y,
N e of Officer
AUTHORIZED TO SIGN AND SUBMIT THE BID OR PROPOSAL OF THIS CORPORATION
FOR THE FOLLOWING PROJECT:` 11
_ 7y171�1t.1 {-,1G 1 S•D)lL'J Fv✓ G �h ,mf- s'gy liDf�
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 0F1
19 D
Secret
I
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j!s
BID - ASPHALT ROAD MATERIALS
Bid Opening: 11 :00 A.M., Thursday, May 3, 1990.
1. ASCON Dist. Corp., P O Box 629, Bay Shore NY 11706 Attn: Karen
2.
I[
3.
4.
5. f^
6.
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i
COUNTY OF SUFFOLK
ss:
STATE OF NEW YORK
LEGAL NOTICE
NOTICE TO BIDDERS Patricia Wood, being duly sworn, says that she is the
Editor, of THE LONG ISLAND TRAVELER-WATCHMAN,
NOTICE IS HEREBY a public newspaper printed at Southold, in Suffolk County;
GIVEN in accordance with the and that the notice of which the annexed is a printed copy,
provisions of Section 103 of the
General Municipal Law, that has been published in said Long Island Traveler-Watchman
sealed bids are sought and re once each week for . . . . . . . . . . . . . . . . . . . . . . .l. . . weeks
quired for the purchase and ap-
plication of 150,000 gallons,
more or less as may be needed, successively, commencing on the . . . . . . . . . . .�! .
of Grades RC2 and MC-2 As-
phalt Road Materials,delivered
to the Town of Southold and ap- day o 1._. . . . . . . .�L��. . . ., 19
plied. Specifications for the
above may be obtained at the
Office of the Town Clerk,Town L/. • • • • • • • • • • •
of Southold, Town Hall, Main
Road, Southold, New York
11971.
The sealed bids,together with -17'
allon-Collusive Bid Certificate, Sworn to before me this . . . . . . . . . . . .. . . . . . . . . day of
bank draft or certified check in
the amount equal to 2% of the
amount of the bid, Bid Form, )9
and Bidder's Certificate will be l
received by the Town Clerk of
the Town of Southold, at the
Southold Town Hall, Main
Road,Southold,New York,un-
til 11:00 A.M.,Thursday,May 3, . . . . . . . . . . . . . . . .�-�" . . . . r=.':'. . . . . . . . . . . . . . . . . . . . . .
1990,at which time they will be Notary Public
opened and read aloud in
public. The Town Board of the 13,11R,3AnA A. SCHNEIDER
Town of Southold reserves the P:JTP,^Y P;.li3Li,. tate of New `fork
right to reject any and all bids �,;�. ,;066 46
and waive any and all informali- + _ ''=;.,�j iJfioist CC my
ty in any bid should it be deem-
ed 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: April 10, 1990.
JUDITH T. TERRY
SOUTHOLD TOWN CLERK
1X-4/19/90(12)
LEGAL NOTICE
NOTICE TO BIDDERS STATE OF NEW YORK)
NOTICE IS HEREBY GIVEN in )SS:
accordance with the provisions of
Section 103 of the General Munici- COUNTY OF SUFFOLK)
Pal Law,that sealed bids are sought
and required for the purchase and ''--"--
aPPlication of 150,000 gallons,more of Mattituck, In
or less as may be needed,of Grades
RC-2 and MC-2 Asphalt Road said Co , being duly sworn, s at he/she is Principal
Materials,delivered to the Town of
Southold and applied.Specifications Clerk THE SUFFOLK TIMES, a Weekly Newspaper,
for the above may be obtained at the published at Mattituck, in the Town of Southold, County of
Office of the Town Clerk,Town of Suffolk and State of New York, and that the Notice of which
Southold, Town Hall, Main Road,
11
Southold,New York 971. the annexed is a printed copy,has been regularly published in
The sealed bids, together with a said Newspaper once each week for / weeks
successively, commencing
cion the � _ day of
Non-Collusive Bid Certificate,bank \ 191 r
draft or certified check in the
amount equal to 2%of the amount /7 _____�---------
of the bid,Bid Form,and Bidder's
Certificate will be received by the
Town Clerk of the Town of // r
(.-
Southold, at the Southold Town
Hall, Main Road,Southold, New i Principal Clerk
York,until 11:00 A.M., Thursday,
May 3,1990,at which time they will
be'opened and read aloud in public.
The Town Board of the Town of
Southold reserves the right to rejectSWOrr1 t0 or me this
any and all bids and waive any and n 7�
all formality in any bid should it day of "^rk
19
be deemed in the best interest of the
Town of Southold toso.
All bids must be
signed and //
sealed in envelopes plainly marked /-/f/;;�--
"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 lo-
cal, from which the Town of
Southold is exempt.
DATED:April 10,1990.
JUDITH T.TERRy
SOUTHOLD TOWN CLERK
f -�L-1TA19
a
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 13th day of April ,1990
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 3, 1990,
Southold Town Hall.
Judith T. Terry
Southold Town Clerk
Sworn to before me this
1 th day of Al2ril 1990 .
Notary Public
No artryy Public,S&te of Now York
No•52-8125850,Suffolk Cou
ntv
Term Expires October 31, 19 ,
I
LEGAL NOTICE
i
i
NOTICE TO BIDDERS
NOTICE IS HEREBY GIVEN in accordance with the provisions of Section
I
103 of the General Municipal Law, that sealed bids are sought and required
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 3, 1990, 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: April 10, 1990.
JUDITH T. TERRY
SOUTHOLD TOWN CLERK
PLEASE PUBLISH ONCE, APRIL 19, 1990, AND FORWARD ONE (1)
AFFIDAVIT OF PUBLICATION TO JUDITH T. TERRY, TOWN CLERK,
TOWN HALL, MAIN ROAD, SOUTHOLD, NEW YORK 11971 .
Copies to the following:
The Long Island Traveler-Watchman
The Suffolk Times
Town Board Members
Superintendent of Highways Jacobs
Dodge Reports
Town Clerk's Bulletin Board
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 required
for the purchase and application of 150,000 gallons, more or less as may be
needed, of Grades RD-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 3, 1990, 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: April 10, 1990.
JUDITH T. TERRY
SOUTHOLD TOWN CLERK
PLEASE PUBLISH ONCE, APRIL 19, 1990, AND FORWARD ONE (1)
AFFIDAVIT OF AINB ROAD! SOU ON TO
HOLDiTNEW. YORK 11971 .WN CLERK,
TOWN HALL,
Copies to the following:
The Long Island Traveler-Watchman
The Suffolk Times
Town Board Members
Superintendent of Highways Jacobs
Dodge Reports
Town Clerk's Bulletin Board
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 required
for the purchase and application of 150,000 gallons, more or less as may be
needed, of Grades RD-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 3, 1990, 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 "laid 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: April 10, 1990.
JUDITH T. TERRY
SOUTHOLD TOWN CLERK
PLEASE PUBLISH ONCE, APRIL 19, 1990, AND FORWARD ONE (1)
AFFIDAVIT OF PUBLICATION
SOUTOHOLD!TNEW. YORK 11971 .WN CLERK,
TOWN HALL, MAIN ROAD,
Copies to the following:
The Long Islr,nd Traveler-Watchman
The Suffolk Times
Town Board Members
Superintendent of Highways Jacobs
Dodge Reports
Town Clerk's Bulletin Board
�oc��FFOlKcoGy
o
Z
Town Hall, 53095 Main Road
v'0 Off- P.O. Box 1179
Southold, New York 11971
JUDITH T.TERRY 1 FAX(516)765-1823
TOWN CLERK TELEPHONE(516)765-1801
REGISTRAR OF VITAL STATISTICS 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 APRIL 10, 1990:
RESOLVED that the Town Board of the Town of Southold hereby
authorizes and directs the Town Clerk to advertise for bids 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 and applied.
�Judit . erT ry
Southold Town Cler
April 12, 1990
RECEIVED Highway Department
Town of Southold
APR 9 1990 Peconic Lane
Peconic, N.Y. 11958
RAYMOND L.JACOBSSOU1hold T,,•,^ i"l.rk
Tel.765-3140
Superintendent 734-5211
RESOLUTION BY :
SECONDED BY :
RESOLVED : That the Town Board of the Town of Southold
hereby authorizes the Town Clerk to advertise for bids
for the Superintendent of Highways for the purchase
and application of 150 , 000 gallons , more or less as may
needed , of Grades RC-2 and MC-2 Asphalt Road Materials ,
delivered to the Town of Southold and applied .
VOTE OF THE TOWN BOARD
Supervisor Scott L . Harris (Yes) (No)
Justice Raymond W . Edwards (Yes) (No)
Councilman George L . Penny IV (Yes) (No)
Councilwoman Ruth D . Oliva (Yes) (No)
Councilwoman Ellen M . Larsen (Yes) (No)
Councilman Thomas H . Wickham (Yes) (No)
Town Clerk , Town of Southold
Dated : April 10 , 1990
0 0
AGREEMENT made this day of 1990, 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
1990.
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
By
STATE OF )
ss:
COUNTY OF )
On the day of ,1990 , 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)
On the of 1990, 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
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 3, 1990, 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 20 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 1990, 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
1990 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 fo 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 1990.
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 : April 10, 1990.
TOWN OF SOUTHOLD
BY: RAYMOND L. J ACOBS
SUPERINTENDENT OF HIGHWAYS
Page 3 0 0
SPECIFICATIONS FOR
RC-2 AND MC-2 ASPHALT MATERIALS
GRADE RC-2 MC-2
GR API 17. 3 15. 7
Spec. Gravity @ 770F 0.95 0. 96
Flash Teg CC°F 87. 170 f
Vis SS F 140'OF 152 149
Distillation o Rec. @ 3740F 14
@ 4370F 19
@ 500017 21 8
@ 600OF 23 18
@ 680OF 24 23
Distillate % to 680°F
@ 3740F 57
@ 4370 78 0
@ 500°F 86 35
@ 600OF 98 78
Residue by diff. % Vol. 76 77
Test on Residue from
distial Pen at 770F 96 187
Ductility at 770F 110 f 110
1/0 Sol in CC 14 99. 9 99. 9
Spot Test OLIENSIS Reg. Reg.
DATED : April 10, 1990.
TOWN OF SOUTHOLD
BY : RAYMOND L. JACOBS
SUPERINTENDENT OF HIGHWAYS
BID FORM
FOR ASPHALT ROAD MATERIALS FOR
DELIVERY TO THE TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
ITEM NO. 1
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 April 10,
1990;
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.
-1-
that the Town of
understands in
South
undersigned un ordered and used
7. In submitting this bid the actually
Southold will only pay for such road materials as
any calendar year.
1990.
DATED
Lename of person,
firm
gal or corporation
BY :
The P. O. Address of the Bidder is
Street
(city, State, Zip
-2-
IF A CORPORATION
ADDRESS
NAME
President
Secretary
Treasurer
IF A FIRM
NAME OF MEMBERS ADDRESS
-3-
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 8 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:
• M
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 PENALTIE
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
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Secretary