HomeMy WebLinkAboutCulvert at Brushes Creek Bridge `AC-QR , CERTIFICATE OF LIABILITY INSURANCE oiioi20o
PRODUCER (914)381-5511 FAX (914)381-1134 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Keevily Spero-Whitelaw Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
550 Mamaroneck Avenue HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Harrison, NY 10528
INSURERS AFFORDING COVERAGE NAIC#
INSURED Chesterfield Associates Inc. INSURERA: St. Paul Fire & Marine Ins. Co.
56 South Country Road INSURERS: St. Paul Mercury
P.O. Box 1229 INSURERC: State Insurance Fund
West Hampton Beach, NY 11978 INSURER D:
INSURER E:
OVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONtc DATE W=Dffla LIMITS
GENERALLIASILmr 369FA0025 02/13/2005 02/13/2006 EACHOCCURRENCE $ 1'000,00
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED,ca $ S0,000
CLAIMS MADE FX]OCCUR MED EXP(Arty one person) $ S,00
A X Vessel P & I PERSONAL&ADV INJURY $ 1,000,000
X Pollution Liab GENERAL AGGREGATE $ 2,000,000
GENT.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
POLICY X JE<T LOC
AtnomosaE LIABILITY RENEWAL OF CK01800331 02/13/2005 02/13/2006 COMBINED SINGLE LIMIT $
X ANY AUTO (Ea aunt) 1,000,000
ALL OWNED AUTOS BODILY INJURY
B $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Peraccident) $
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO EA ACC $
OTHER THAN
AUTO ONLY: AGG $
EXCESSAIMBRELLA LIABILITY 369FA0026 02/13/2005 02/13/2006 EACH OCCURRENCE $ 5,000,000
X OCCUR FICLAIMS MADE AGGREGATE $ 5,000,000
A $
DEDUCTIBLE $
X RETENTION $ 2S,000 $
WOMMSCOMPENSATION AND 13801790 12/01/2004 12/01/2005 X I WCSTATU OTH-
EMPLOYERS'LIABLITY ER
C ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ Statutory
OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE $ Statutory
K describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ Statutor
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
is certificate voids and supersedes previous certificate dated 2/10/04 (amended address)
rushes Creek Bridge Replacement at Peconic Bay Blvd. , Laurel , NY H2M Project No. SOMT 99-02 Foregoing
er policy form. Additional Insured status encompasses General Liability; Automobile Liability
pplies to anyone other than the named insured whild using with permission a covered "auto" owned, hire
r borrowed with exceptions as outlined in Form CA 00 01 (1/87) lb. (1-5)-Town of Southold
ERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
RECEIVED EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Town of Southold 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Town Hall BUT FAILURE TO MNL SUCH NOTICE SHALL IMPOSE NO 013UGATION OR LIABILITY
53095 Main road OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.
Southold, NY 11971 F E 0 2 2 2005 AUTHOMMD REPRESENTATIVE
Renee Palushevic BAC (� •G�4i8.�
ACORD 25(2001/08) Southold Town Clea ®ACORD CORPORATION 1988
IMPORTANT
If th a certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If S BIROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may
require an endorsement.A statement on this certificate does not confer rights to the certificate
hol er in lieu of such endorsement(s).
DISCLAIMER
The Czr lficatb of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s),authorized representative or producer,and the certificate holder,nor does it
affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon.
ACORD 25(2001/08)
SUFFO(,��oG
Town Hall, 53095 Main Road
JUDITH T.TERRY <
TOWN CLERK P.O. Box 1179
1 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �y • O�� Fax(516) 765-1823
MARRIAGE OFFICER CJD
RECORDS MANAGEMENT OFFICER Telephone (516) 765-1800
1 J�[ �`
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
February 2, 1996
Robert H. Owen
Capitol Highway Materials, Inc.
P.O. Box 216, Route Six
Baldwin Place, New York 10505
Dear Mr. Owen:
Returned herewith is your $100.00 bid check with regard to the plate
box culvert materials you supplied to the Southold Town Highway
Department.
Very truly yours,
Judith T. Terry
Southold Town Clerk
Enclosure
O
JUDITH T.TERRY Town Hall, 53095 Main Road
o
TOWN CLERK cn P.O. Box 1179
r
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
u � � ��,� Fax(516)765-1823
MARRIAGE OFFICER V O :j
RECORDS MANAGEMENT OFFICER a �� �,a,1;' Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER -
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 8, 1995
Robert H. Owen
Capitol Highway Materials, Inc.
P.O. Box 216, Route Six
Baldwin Place, New York 10505
Dear Mr. Owen:
The Southold Town board, at a regular meeting held on September
5, 1995, accepted your bid in the amount of $38, 147.50-, for fabricating and
furnishing all parts and materials required for the complete assembly of
an aluminum structural plate box culvert for the Southold Town Highway
Department.
Please contact Superintendent of Highways Jacobs concerning this
project. Your $100.00 bid check will be returned upon completion of the
job.
Very truly yours,
Judith T. Terry
Southold Town Clerk
cc: Supt. of Highays Jacobs
JUDITH T.TERRY G��t
Town Hall, 53095 Main Road
Cz
TOWN CLERK CA P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Oy � Southold,New York 11971
MARRIAGE OFFICER Fax(516)765-1823
�0 �� (516 one h
Tele
RECORDS MANAGEMENT OFFICER 1 p ) 765-1800
FREEDOM OF INFORMATION OFFICER
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 SEPTEMBER 5, 1995:
RESOLVED that the Town Board of the Town of Southold hereby accepts
the bid of Capitol Highway Materials, Inc. , in the amount of $38, 147.50
for fabricating and furnishing all parts and materials required for the
complete assembly of an aluminum structural plate box culvert for the
replacement of the Brushes Creek Bridge, Peconic Bay Boulevard, Laurel,
all in accordance with the bid specifications.
Judith T. Terry
Southold Town Clerk
September 6, 1995
��,��>L,N�Gy� • QUOTATION Q 1530
Capitol Highway Materials, c.
OFFICE—SHOWROOM—WAREHOUSE
P.O.Box 216
ROUTE 6,BALDWIN PLACE,NEW YORK 10505
TELEPHONE(914)628-8535
TELEX 646690
Date August 31 , 1995
TO:
• Town of Southold
• Town Clerk
• 53095 Main Rd . , Southold , N .Y. 11971
ATTENTION: Judith Terry
We are pleased to quote your requirements as follows:
30 ft . Aluminum Box Culvert 817 . 50 24 525 . 00
#44C 19 ' 5" wide by 6 ' 11" high by 30 ft . Per ft .
long w/ full" Invert & Toewall ' s
2 BasewalI ' s for strueture #44C 1 , 588 . 75 each 3 , 177 . 50
4 C 2 , 995 . 00
12 Win 597 . 50 each 7 , 170 . 00
16 Extra Wale Beams17 . 50 each 280 . 00
All Aluminum & Hardware as Per specification
Installed by others Total 38 , 147 . 50
Thanking you for the privilege of quoting and hoping to be of service to
TERMS: 30 day ' s you,we remain, Very truly yours,
DELIVERY: 21 to 30 day ' s CAPIpq R Ina
by
ORIGINAL COPY
L '
NON-COLLUSIVE BID CERTIFICATE
The undersigned bidder certifies that this bid has been arrived at
,
by the bidder independently and has been submitted without collusion
with any other vendor of materials, supplies or equipment of the type
described in the invitation for bids, and the contents of this bid have
not been communicated by the bidder, nor, to its best knowledge and
belief, by any of its employees or agents, to any person not an employee
or agent of the bidder or its surety on any bond furnished herewith
prior to the official opening of the bid.
(Signed)
(Corporate Title)
(if any)
Bid on CULVERT
CAPITOL HIGHWAY MATERIALS
ROUTE SIX
BALDWIN PLACE, N.Y. 10505
BID - CULVERT
BID OPENING: 11 :00 A.M., Thursday, AUGUST 31, 1995.
1. Capitol Highway Materials, Inc. , Route 6N. wen BOPI, NY 10505-628-8535
ber2. Torino Industrial, 8-13 Old Field Rd. , Setauket, NY 11733-Attn: Keith - 718-523-2406
3.
4.
5.
6.
7.
8.
9.
10.
1q I
STATE OF NEW YP"K)
LEG 7RMWy ) SS:
NOTICE TO BIDDERS COUNTY OF SUFFOLK )
NOTICE IS HEREBY GIVEN, in
accordance with the provisions of �
Section 103 of the General.Municipal Of Mattituek,
Law,that sealed bids are sought and
requested for fabricating and fumish- In said County, being duly sworn, says that he/she is
ing all parts and materials required for Principal Clerk of THE SUFFOLK TIMES, a Weekly
the complete assembly of an alu-
minum structural plate box culvert. Newspaper, published at Mattituck, in the Town of
Specifications may be obtained at the Southold, County of Suffolk and State of New York,
Office of the Town Clerk, Town of
Southold, Town Hail, 53095 Main and that the Notice of which the annexed is a
Road, N.Y.11971.
sealed
The sealed bids, together with a printed copy, has been regularly published in said
Non-Collusive Bid-Certificate and Newspaper once each week for _� weeks
bank draft or certified check in the
amount of$100.00,will be received successively, commencing on the �_ day of j
by the Town Clerk, at the Southold 1
Town Hall, 53095 Main Road,
Southold, New York, until 11:00
A.M.,Thursday,August 31,1995,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 CHRISTINA VOLINSKI Principal Clerk
any and all bids and waive any and all Notary Public,State of New York P
informality in any bid should it be No.5004884
deemed in the best interest of the Qualified in Suffolk County
Town of Southold to do so. Commission Expires November 23, 19-90(
_..
All bids must be signed and sealed
in envelopes plainly marked"Bid on Notary Public
Culvert",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 Sworn to before me this 2.2.
Southold is exempt.
Dated:August 8,1995. day of 19
JUDITH T.TERRY
SOUTHOLD TOWN CLERK
8448-1TAul7
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 10th day of August 1995,
'.i
she affixed a notice of which the annexed printed notice is a true copy,
� i
j� 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, Aluminum structural plate box culvert for
replace of the Brushes Creek Bridge. Bid opening: 11 :00 A.M. ,
Thursday, August 31, 1995, Southold Town Clerk's Office.
I
i
i
'1
i!
%i
II
Judith T. Terry
Southold Town Clerk
Sworn to before me this
10th day of August 1995.
C
Notary Public
,JOYCE M.WILKINS
Notary Public,State of New York
No.4852246,Suffolk Cou 7
Term Expires June 12,1
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 fabricating and furnishing all parts and materials required
for the complete assembly of an aluminum structural plate box culvert.
Specifications may be obtained at the Office of the Town Clerk, Town of
Southold, Town Hall, 53095 Main Road, Southold, N.Y. 11971 .
The sealed bids, together with a Non-Collusive Bid Certificate and
bank draft or certified check in the amount of $100.00, will be received
by the Town Clerk, at the Southold Town Hall, 53095 Main Road, Southold,
New York, until 11 :00 A.M., Thursday, August 31, 1995, 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 Culvert", 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: August 8, 1995.
JUDITH T. TERRY
SOUTHOLD TOWN CLERK
PLEASE PUBLISH ON AUGUST 17, 1995, AND FORWARD ONE (1)
AFFIDAVIT OF PUBLICATION TO JUDITH TERRY, TOWN CLERK, TOWN
1 HALL, PO BOX 1179, SOUTHOLD, NY 11971 .
Copies to the following:
The Suffolk Times
Town Board Members
Town Attorney
Supt. of Highways Jacobs
Dodge Reports
Brown's Letters
Burrelle's Information Services
Town Clerk's Bulletin Board
BID
SPECIFICATIONS
ALUMINUM STRUCTURAL PLATE
BOX CULVERT
1. GENERAL DESCRIPTION:
This item shall consist of fabricating and furnishing all
parts and materials required for the complete assembly of an
aluminum structural plate box culvert . The box culvert shall
be delivered to the Southold Town Highway complex with an
inventory list indicating all items shipped and shall be
accompanied by all necessary instructions required for
assembly.
2. MATERIAL :
The Aluminum box culvert shall be structure # 44C as
manufactured by CONTECH or approved equal. The dimensions of
the box culvert shall be 19 ' -5" wide by 6 ' -11" high by 30 ' -0"
long. The haunch gage plates shall be 0 . 150" thick and the
crown gage plates shall be 0 . 200" thick. The complete culvert
shall include a full invert with toewalls, two (2 ) basewalls,
four (4 ) corner panels, twelve ( 12 ) wing panels and all anchor
rods, deadman, anchors, double whale beams and miscellaneous
hardware necessary for a complete installation.
Corrugated aluminum box culvert shall be fabricated from Alloy
5052-H141 and shall meet the requirements of AASHTO M219. All
of the Aluminum extruded shapes shall be fabricated from Alloy
6061-T6 meeting the requirements of ASTM B-221 . The plates
and ribs shall be fastened by hot-dipped galvanized steel nuts
and bolts as found in the current ASTM A307 specification.
The shell thickness and rib spacing in the box culvert shall
be as required by the manufacturer based on the minimum cover
and wheel load requirements in accordance with AASHTO Section
12 . 8.
3 . ASSEMBLY:
The box culvert shall be constructed and assembled by others .
The manufacturer/supplier shall be responsible for reviewing
the construction requirements with the contractor prior to and
during assembly.
�o�Y.l�wy
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NOT REQAL UIRED SOUTH ELEVATION 42'-0" ADDITIONAL PANELS 7
NOT REQUIRED
WING CORNER CORNER WING
PANEL PANEL PANEL PANEL HEADWALL CAP
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FULL INVERT H
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19'-5" FINAL GRADE w w 04
6" 6" m x
5 WING PANELS @ 4'-6" = 22'-6" 4'-9" 11 BASEWALL 22'-6" TYPICAL 4'-9" 5 WING PANELS @ 4'-6" = 22'-6" A
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NORTH ELEVATION 78'-0" cn
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•
NON-COLLUSIVE BID CERTIFICATE
The undersigned bidder certifies that this bid has been arrived at
by the bidder independently and has been submitted without collusion
with any other vendor of materials, supplies or equipment of the type
described in the invitation for bids, and the contents of this bid have
not been communicated by the bidder, nor, to its best knowledge and
belief, by any of its employees or agents, to any person not an employee
or agent of the bidder or its surety on any bond furnished herewith
prior to the official opening of the bid.
(Signed)
(Corporate Title)
(if any)
Bid on CULVERT
JUDITH T.TERRY .�< Town Hall,53095 Main Road
TOWN CLERK y Z P.O. Box 1179
v- Southold,New York 11971
REGISTRAR OF VITAL STATISTICS � !� Fax(516)765-1823
MARRIAGE OFFICER �� a� Telephone(516)765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
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 AUGUST 8, 1995:
RESOLVED that the Town Board of the Town of Southold hereby authorizes
and directs the Town Clerk to advertise for bids for an aluminum structural
plate box culvert, #44C as manufactured by CONTECH or approved equal,
for the replacement of the Brushes Creek Bridge, Peconic Bay Boulevard,
Laurel.
Judith T. Terry
Southold Town Clerk
August 9, 1995
o��StilFFO�,�cOG
JUDITH T.TERRY Town Hall, 53095 Main Road
TOWN CLERK W P.O.Box 1179
� Southold,New York 11971
'
REGISTRAR OF VITAL STATISTICS `Oy � �� Fax(516)765-1823
MARRIAGE OFFICER l 5one h
ele
RECORDS MANAGEMENT OFFICER .( �► Telephone( 16)765-1800
FREEDOM OF INFORMATION OFFICER
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 AUGUST 8, 1995:
RESOLVED that the Town Board of the Town of Southold hereby authorizes
and directs the Town Clerk to advertise for bids for an aluminum structural
plate box culvert, #44C as manufactured by CONTECH or approved equal,
for the replacement of the Brushes Creek Bridge, Peconic Bay Boulevard,
Laurel.
AJudit�h—T�!T
Southold Town Clerk
August 9, 1995
,1;4SkJFFO(�-����
JAMES C. WMAHON �� �'�,N Town Hall, 53095 Main Road
Administrator ti P.O. Box 1179
�. Southold,New York 11971
Telephone (516) 765-1892
Fax (516) 765-3136
TOWN OF SOUTHOLD
COMMUNITY DEVELOPMENT OFFICE
RESOLVED the Town Board of the Town of Southold hereby authorizes and directs
the Town Clerk to advertise for bids for an aluminum structural plate box culvert,
444C, as manufactured by CONTECH or approved equal, for the replacement of the
Brushes Creek Bridge, Peconic Bay Boulevard, Laurel.
This project is funded by the Suburban Highway Improvement Program, in the amount
of $100,000.
If you have any questions on the above, please contact Jim McMahon