Loading...
HomeMy WebLinkAboutAsphalt Road Materials CC t O O O K ac JUDITH T.TERRY , Q TELEPHONE TowN CLERK l/ (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 April 20, 1981 Mir. Raymond 0. Welch, Owner R. 0. Welch Asphalt Company 1064 Woodcrest Avenue Riverhead, New York 11901 Dear Mr. Welch: Returned herewith is your bid deposit check in the amount of $5000. 00 submitted with your bid for RC-2 and MC-2 Asphalt Road Materials. Very truly yours, Judith T. Terry Southold Town Clerk Enclosure 0 0 K JUDITH T.TERRY TELEPHONE TOWN CLERK FV (516) 765-1801 STRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 April 20, 1981 Mr. Paul Corazzini, President Paul Corazzini & Sons, Inc. 235 Sixth Avenue Greenport, New York 11944 Dear Mr. Corazzini: Returned herewith is your bid deposit check in the amount of $3, 000. 00 submitted with your bid for RC-2 and MC-2 Asphalt Road Materials. Very truly yours, Judith T. Terry Southold Town Clerk Enclosure �' 0 l•. K JUDITH T.TERRY TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 April 20, 1981 Received of Judith T. Terry, Town Clerk, this date certified bid check in the amount of $5, 200. 00, placed in connection with bid for Grades RC-2 and MC-2 Asphalt Road Materials. zo-ZA��6� Euge e M. Martino, Vice-President R. Lansdell Bituminous Corp. gLir OFFICE#OF OF, ;, O K TO K O ,SOUT (rL JUDITH T.TERRY S 1 F�LK�C I T^ TELEPHONE Town CLERK ri (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. L, N. Y. 11971 April 20, 1981 Received of Eugene M. Martino, Price President , R. Lansdell Bituminous Corp. , Performance and Payment Bond in the amount of $222, 750. 00 in connection with bid for Grades RC-2 and MC-2 Asphalt Road Materials''. d th T. Terry Southold Town Clerk .• ty • fe The 1knover Insurance Compan oo RECEIVED PERFORMANCE AND PAYMENT BOND Tagil KNOW ALL MEN BY THESE PRESENTS, That,...R--.IMsdell._Bi to adn.Q a....................------------ CorDoration _.__...- .....................................-.............................--•-----•--------•••-•--------------..- ------... _._.........................................----------•----------........------------•-----------._........_......----------...----....._.....--------••---•----......_......... (hereinafter called the Principal), as Principal, and THE HANOVER INSURANCE COMPANY, a corporation organized and existing under the laws of the State of New Hampshire, having its Executive Offices in the City of Worcester, Massachusetts (hereinafter called the Surety), as Surety, are held and firmly bound unto ....................113e..T.Mm-of..Soutbald,...Scout] old...New.York................................................................................... ------------------------------------------------------------------------------------------------...---------...----------------•-------------------------------------------....-----------------.------. ------------------------------------------------------------...............................................-...............................................................................--.--------- (hereinafter called the Owner), and to all persons who furnish labor or material directly to the Principal for use in the prosecution of the work hereinafter named, in the just and full sum ofM--Hundred-------.--- Itaenty-Two Thousand•_Seven_Hundred_Ffiry_.atlsl.. -----Dollars, to the payment of which sum, well and truly to be made, the said Principal and Surety bind themselves, and their respective heirs, administrators, executors, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has entered into a certain written contract with the Owner, dated the ......................................day of•------•April _, 1951....... to.lLumi.sh-_&-d_,6pp-ly-.Aspbalt-..Road---- Materials: ----------------------•--------•---------•--------.....--------------............----------------••---------------------------- ----- ...............................................................-...................-------------------------------•---------------------------------------------•----•----------------------------------- which contract is hereby referred to and made a part hereof as fully and to the same extent as if copied at length herein. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the said Principal shall fully indemnify the Owner from and against any failure on his part faithfully to perform the obligations imposed upon him under the terms of said contract free and clear of all liens arising out of claims for labor and material entering into the work,and if the said Principal shall pay all persons who shall have furnished labor or material directly to the Principal for use in the prosecution of the aforesaid work, each of which said persons shall have a direct right of action on this instrument in his own name and for his own benefit, subject, however, to the Owner's priority, then, this obligation to be void, otherwise to remain in full force and effect; PROVIDED, HOWEVER, that no action, suit or proceeding shall be had or maintained against the Surety on this instrument unless the same be brought or instituted and process served upon the Surety within one year after completion of the work mentioned in said contract, whether such work be completed by the Principal, Surety or Owner; but if there is any maintenance period provided in the contract for which said Surety is liable, an action for maintenance may be brought within three months from the expiration of the maintenance period, but not afterwards. IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this instrument this............. 3th--------------day of--------4ril---------------------------- 19.$1-.--. WI SS: R. Lansdell BituminousCorporation (Seal) -- ..............-..........-............................. ----•--•••------••------••----•--....----•----------•-------•--•--------------------(Seal) - _.... -........................................................ ...................................................................................(Seal) TH HANOVER INSUR.A E OMPANY . .. . --- .. •--- Attorney-in-fact Brenda L. Davis mEEEaBBEEAsoF7HE Foy 141-05986 ERIrA SURETY ACI t State of County o On the 13th day of April 19 81 before me personally appeared Brenda L. Davi to me known, who being by me dully swam, did depose and say: that she resides in Capitol Heights, Ma "Yd that she is the Attorney -Fact of the Hanover Insurance Company the corporation -&scribed in and.wMch ewcuted the fo igSMR instrument; that she 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 she signed her name thereto by like order. Notary Public Commission Expires - 7/1/82. t , ir The Hanover Insurance Company ppw,wa,�aTHE �GEROU�P POWER OF ATTORNEY CERTIFIED COPY KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY,a corporation organized and existing under the laws of the State of New Hampshire,does hereby constitute and appoint — William G. Franey, Debby Bair, James J. Nevins, W. Braxton Godbey, Jr. , Ronald E. Parr and/or Brenda L. Davis — of Capitol Heights, Maryland, and each is its true and lawful Attorney(s)-in-fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed,at any place within the United States,or,if the following line be filled in,only within the area therein designated any and all bonds, recognizances,undertakings, contracts of indemnity or other writings obligatory in the nature thereof, as follows: Any such obligations in the United States, in any amount. - - - - - And said Company hereby ratifies and confirms all and whatsoever said Attorney(s)-in-fact may lawfully do in the premises by virtue of these presents. This appointment is made under and by authority of the following Resolution passed by the Board of Directors of said Company at a meeting held on the thirteenth day of December, 1972,a quorum being present and voting, which resolution is still in effect: "Resolved, that the President or any Vice President,in conjunction with any Secretary or Assistant Secretary, be and they are hereby authorized and empowered to appoint Attorneys-in-fact of the Company, in its name and as its acts,to execuie and acknowledge for and on its behalf as Surety any and all bonds,recognizances,con- tracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to at- tach thereto the seal of the Company. Any such writings so executed by such Attorneys-in-fact shall be as bind- ing upon the Company as if they had been duly executed and acknowledged by the regularly elected Officers of the Company in their own proper persons." IN WITNESS WHEREOF, THE HANOVXR INSURANCE COMPANY has caused these presents to be sealed with its corporate seal,duly attested by its Vice President and its Secretary,this 3 0th day of December 1980 THE RANCECOMPANY .. . ..... ......................... Vice President (Seal) ........Ur �. ` ......— �--/ Secretary ,. Y THE COMMONWEALTH OF MASSACHUSETTS COUNTY OF WORCESTER On this -3 0th day of December 1980 , before me came the above named Vice Ptgit dift+dkc fetary of The Hanover Insurance Company,to me personally known to be the individuals and officers de..pij _ _ � ' ktlowledged that the seal affixed to the preceding instrument is the corporate seal of The Hanover at the said corporate seal and their signatures as officers were duly affixed and subscribed to said C bV the rand direction of said Corporation. �•%�jtSeal)�``"•��/r,, * Notary Public �Olt My Commission Expires May 31, 1985 Y Cf ecrefary of The Hanover Insurance Company,hereby certify that the above and foregoing is a full, nd true acorrtct.-copy"df`tI..i iginal Power of Attorney issued by said Company,and do hereby further certify that the said Power of Attorney is stili in force and effect. This Certificate may be signed by fascimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company at a meeting held on the 13th day of December, 1972 "RESOLVED, That any and all Powers of Attorney, and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed by the President or any Vice President in conjunction with any Secretary or Assistant Secretary of the Company shall be binding on the Company to the same extent as if ail signatures thereon were manually affixed even though one or more of any such signatures thereon may be facsimile". GIVEN under my hand and the seal of said Company,at Worcester,Massachusetts,this 13th day of April 19 81 ......................... ... . . .... . ............... FORM 111-0402 NS Secret r) OFFICE OF' 01MNT, K TOWN O OUT JUDITH T.TERRY DUFF L TELEPHONE TOWN CLERK "'"d off: „� (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. L, N. Y. 11971 April 8, 1981 Mr. Eugene M. Martino, Vice-President R. Lansdell Bituminous Corp. Old Northport Road, P. O. Box 697 Kings Park, New York 11754 Dear Mr. Martino: The Southold Town Board at a regular meeting held on April 7, 1981 awarded you the bid for supplying the Town of Southold Highway Department with 150, 000 gallons, more or less, of Grades RC-2 and MC-2 Asphalt Road Materials at a bid price of $1. 485. In accordance with the Specifications, upon receipt of a bond for the faithful performance of the contract in the amount of $222, 750, 00, your $5, 200. 00 bid deposit will be returned to you. Very truly yours, Judith T. Terry Southold Town Clerk FULIr OFFICE OF'' 01NN 1; K TOWN JUDITH T.TERRY S :FFY TELEPHONE TowN CLERK ` t� (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 April 8, 1981 Mr. Raymond 0. Welch R. 0. Welch Asphalt Company 1064 Woodcrest Avenue Riverhead, New York 11901 Dear Mr. Welch: The Southold Town Board at a regular meeting held on April 7, 1981 awarded the bid for 'supplying the Southold Town Highway Department with 150, 000 gallons, more or less, of Grades RC-2 and MC-2 Aspahlt Road Materials to R. Lansdell Bituminous Corp. at a bid price of $1. 485 per gallon. Your certified check in the amount of $5000. 00 placed as a bid deposit will be returned to you as soon as the contract with Lansdell is signed. Very truly yours, Judith T. Terry f" k Southold Town Cler OFFICE T O. O Q. JUDITH T.TERRY SUFFT� TELEPHONE TOWN CLERK , � (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 April 8, 1981 Mr. Paul Corazzini Paul Corazzini & Sons, Inc. 235 6th Avenue Greenport, New York 11944 Dear Mr. Corazzini: f The Southold Town Board at a regular meeting held on April 7, 1981 awarded the bid for supplying the Southold Town Highway Department with 150, 000 gallons, more or less, of Grades RC-2 and MC-2 Asphalt Road Materials to R. Lansdell Bituminous_ Corp. at a bid price of $1. 485 per gallon. Your certified check in the amount of $3,000. 00 placed as a bid deposit will be returned to you as soon as the contract with Lansdell is signed. Very truly yours, ��� Judith . T. Terry 'Southold Town Clerk r , BID FORM FOR ASPHALT ROAD MATERIALS FOR DELTVERY 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 propose 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 March 10, 1981. A. Delivered to the Town of Southold and applied /d �f{S� 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 Heated steel storage tanks. 01d Northport Road, B. Location of Storage Facilities Kings Park,' New York C. Capacity of Storage Facilities 195,000 gallons 3. The undersigned further states that the type, capacity and number of heated tank trucks and transports that he will utilize are Etynre hauling units,International tractors,.I.nternational, trucks with as follows : Etyn Road i l Prr_ A tatgl of l? "nits rangi.ngin C,3�75LCltF' from 4550 gallons to 6,700 gallons., 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 undersigned further declares that he has or they have carefully examined the specifications and this form of bid y 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 plead any misunderstanding regarding the same. 5. Accompanying this proposal is cash, a bank check or certified check in the amount of $ 5.2oo.00 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 monies 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 the award 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: March 26 19 81 R. Lansdell Bituminous Corp. . Legal name of person, firm or corporation BY: xe The P. O. Address of the Bidder is: Old Northport Road, PO Box 697 Street Kings Park, New York 11754 City and State -2- IF A CORPORATION NAME ADDRESS Clarem7nt—RSNd Robert H. Lansdell 111 President' Ridgewood, New Jersey 07460- - . Asst. 23 Biscayne Drive Mark Lansdell Secretary Ramsey, New Jersey 075.56 Prospect St.9 Carroll DeG. Lansdell Treasurer Ramsey.9 . New .Jer.s.ey. . 07446 . . . . IF A FIRM NAME OF MEMBERS ADDRESS -3- BIDDER''S CERTIFICATE For ASPHALT CUTBACK This is to certify that the undersigned proposes to furnish Cutback Asphalt which will comply with the requirements for type NYS Item 702-12 Grade Rn25,0 and mn_250 NYS Item 702-22 The Cutback Asphalt is manufactured by Exxon Company, U.S.A. whose plant is located at Foot of 22nd St. Bayonne, ew ersey The plant has a capacity of p009000 gallons per 8 hour day and has regularly manufactured Cutback Asphalt for the past 50 years years. The specific source of the Asphaltic Base is selected Gulf Coast and Venezuelian Crudes. If we receive and award of order or contract on any of the item(s) bid upon we will begin delivery of Cutback Asphalt within 24 hours of notice to deliver. We agree to furnish Cutback Asphalt at the rate ordered to maximum rate of .50i000 gallons per 8 hour day. R. T.anrdP11 R;tuminous--tura• Company BY: Vice-President Official Title Date March 24,1981 If the bidder is an authorized agent of the manufacturer, the following authorization must be executed by the manufacturer: This is to certify that R. Lansdell Bituminous Corp., Name of Bidder Old Northport Road, Box 6975 Kings Park, New York 11754 Street City & Zone No. State 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 CERTIFICATES THAT: (a) THIS BID OR PROPOSAL HAS BEEN INDEPENDENTLY ARRIVED AT WITHOUT COLLUSION; (b) THIS BID OR OROPOSAL HAS NOT BEEN KNOWINGLY DISCLOSED, PRIOR TO THE OPENING OF BIDS OR PROPOSALS FOR THIS PROJECT, TO ANY OTHER BIDDER, COMPETITOR OR POTENTIAL COMPETER: ( c) NO ATTER?T HAS OR WILL BE MADE TO INDUCE ANY OTHER PERSON, PARTNERSHIP OR CORPORATION TO SUBMIT OR NOT TO SUBMIT A BID OR PROPOSA: (d) THE PERSON SIGNING THE BID OR PROPOSAL CERTIFIES THAT HE HAS FULLY INFOR"ED HIMSELF REGARDING THE AC CT THE STATEMENTS CONTAITED 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: Eugene M. Martino, Vice-President Name of Officer AUTHORIZED TO SIGN AND SUBMIT THE BID OR PROPOSAL OF THIS CO'_?PORATION FOR THE FOLLOWING PROJECT. " Bid for Asphalt Road Materials" 150,000 gallons, more ar less Cf grades RC-2 and MC-2 Described project AND TO INCLUDE IN SUCH BID OR PROPOSAL THE CERTIFICATE AS TO NON- COLLUSION REQUIRED BY SECTION 103-d OF THE GENERAL 11UNICInAL 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 R. Lansdell Bituminous Corp., CORPORATION AT A MEETING OF ITS BOARD OF DIRECTORS HELD ON THE 23 DAY OF March 19 $1 �sssiQAIT Secr ary Resolved that R. Lansdell Bituminous Corp, be ( Name of the Corporation ) authorized to sign and submit the bid or proposal of this corporation for the following project rr Bid for Asphalt Road Matefials" 150.000 gallonst more or less of aradesRC-2 and MC-2 ( Describe Project ) and to include in such bid or proposal the certificate as to non-collusion required by section one hundred three-d of the general municipal law as the act and deed of such corporation, and for any inaccuracies or mis- statements in such certificate this corporate bidder shall be liable under the penalties of perjury. a The foregoing is a true and correct copy of resolution adopted by R. Lansdell Bituminous Corp., corporation at a meeting of its board of directors held on the day of M,,rrh 19 ( SEAL OF THE CORPORATION ) Secret " Non-collusive bidding certification. By submission of this bid or proposal, the bidder certifies that : (a) This bid or proposal has been independently arrived at without collusion with any other bidder or with any competitor or potential competitor; (b) This bid or proposal has not been knowingly disclosed and will not be knowingly disclosed, prior to the opening of bids or proposals for this project, to any other bidder, compet- itor or potential. competitor; (c) No attempt has been or will be made to induce any other person, partnership of corporation to Submit or riot -to submit a bid or proposal; (d) �h° pct'sUn sigiding this bid or proposal ccrti.fi.cs that he has fully informed himself regarding 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 resolution authorizing the execution of this certificate by the signator of this bid or proposal in behalf of the corporate bidder. " BID FOH1 FOR ASPHALT ROAD VATERIALS FOR DELjl ERY TO THE TOWN Or SOUTHOLD SUFFOLK COUNTY, NEVI YORK ITEM NO . 1 TO THE TOWN BOARD TOWN OF SOUTHOLD SOUTHOLD, NEW YORK 1 . The undersigned hereby propose to furnish and apply 150, 000 gallons, more or less as may be needed, of Grades RC-2 and AC-2 Asphalt Load 14aterials to the Town of Southold, Suffolk County, New York, all in accordance with the Specifications of the Superintendent of Highways AACW /0 /98/ of said Town datedINOM 0. A. Delivered t*jho Town of Southold and applied •�w 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 /Oi B. Location of Storage Facilities aARM— k, C. Capacity of Storage Facilities 3. The undersigned further states that the type, capacity and number of heat - d tank trucks and transports that he will utilize are 45-M 44ALOW 7000 GAA40. as follaws: 6 � a 6A4 1800 6:A4,. .® 9.T 'Gly P- .0A4/;6 /3 od GAC. /ff� are -i7ao � 4 . In submitting this bid he undersigned declat he s.s or they are the only person or persons interested in the said bid and that it is made without any connection with any person malting another bid for the same contract . The undersigned 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 Nl,aiv€ all right to plead any misunderstanding regarding the same. 5. Accompanying this p ropo�;al is cash, a bank check or certified check in the amount of �(1W,f 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 monies 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 the award 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;----- ,/ C ��; 19 O/ . (%- Legal "f rc.r; onor coga_ oron r;'-)Z , a(,,�� BY: r The P. 0 . ddress of the Bidder is : Street /f&/)/City and State _2_ t , If a Corporation NAME ADDRESS President Secretary Treasurer If a Firm (commny) NAME OF MEMBERS ADDRESS � N�f _ 3 _ BIDDERS CERTIFICATE FOR CUTBACK ASPHALT This is to certify that the andrsigned proposes to furnish CUTBACK ASPHALT which will comply ) with the requirements for Type � fid ► 0. The CUTBACK ASPHALT is manufactured by EXXON COMPANY, U.S.A. whose plant is located at Foot of East 22nd Street, Bayonne, New Jersey. The plant has a capacity of 200,000 gallons per eight (8) hour day, and has regularly manu- factured CUTBACK ASPHALT for more than fifty years. The specific source of the asphaltic base is selected domestic and imported crudes. if we t4ceive an award of order or contract on any of the item(a) bid upon, we will begin delivery of CUTBACK ASPHALT at the rate ordered to a maximum r to of 50, 00 gallons per eight hour day. Compan By: i �(OOfficial Title) qe) / Date: e' /�f5— // Of/ If the bidder is an authorized customer of the manufacturer, the following authorization must be executed by the manufacturer. This is to certify that: 1 ' (Name of Bidder) 10 � S " r' v //49 (street) (City) (state) (Zip Code) is our customer and considered capable of making deliveries in compliance with the above certificate, provided the volume specified in this bid is covered by our contract EXXON COMPANY, U.S.A. By: Date: i a • ` For ASPHALT CUTBACK � r This is to certify that the undersigned proposes to furnish f i Cutbac,t Asphalt which will Q7piy with the requirements for ; type C- S� *We /1!�-� Grade 6�.4► . ./V.3�•�kpr������ �✓.� Yt �' ! , The Cutback Asphalt is manufactu: d b whose plant is located at �'at ' The plant Uas a capacity ofMutback gai8ons per 8-hour day and-h s regularly manufacture As?halt for the . past Q 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 itcn(s) �+ bid upon we will 73egin delivery of Cutback Asphalt v;ithin—"RkF hours of notice to delver. We agrec .to f nish. Cutback Asphalt at the rate ordered to maximum rate of koae allons per 8•-dour day. r • Comp any IM BY _ Official title- 441f itle'-- - v/ 41 € Date 7/ /! if the bidder is an authorized went o the r:cnufacturer, the following authorization r.-us e d by the manufacturer This is to certify that �. Na a of Bidder l/>D Street C ty & Zone A'o. State is ;Q-,�- ad our authorczed agent and is capable ofmaking deliveries in compliance with the• aboev cer "f'* ta. Name of M- ,ufa urer BY Off' '.121 title x Date: • - ..f a+�► �X X e N Cee t�.s.�►� ' • t 1\nN--COLLUSIVE BIDDING CERTIFICATE BY SUBMISSION OF THIS BID OR PROPOSALS THE BIDDER CERTIFIES THATt _ (a) THIS BID OR PROPOSAL HAS BEEN INDEPENDENTLY ARRIVED AT WITHOUT COLLUSION; (b) THIS BID OR PROPOSAL HAS NOT BEEN KNOWINGLY DISCLOSED9 PRIOR TO THE OPENING OF BIDS OR PROPOSALS FOR THIS PROJBCTv TO ANY , OTHER BIDDERS COlTF-TITOR OR POTENTIAL oamPE'TER; (c) NO ATTEMPT HAS OR • . WILL BE MADE TO INDUCE ANY OTHER PERSONS 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 REGARDING THE ACCURACY OF THE STATEMENTS CO-WHINED IN THIS CERTIFICATION AND UNDER THE PENALTIES OF PERJURY AFFIRMS THE TRUTH THEREOFt SUCH PENALTIES BEING APPLICABLI� TO THE BIDDER AS WELL AS TO THE PERSON SIGNING IN ITS BEHALF; (e) THAT PL'TTACHED 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 PROPO IN EHALF OA THE CORD' RATE BID ER. RESOLVED THAT: "• (Name of icer) �W/y.3�`fd►�. AUTHORIZED TO SIGN AND SUBMIT THE BID OR PROPOSAL OF THI CO RATION FOR THE FOLLOWING PROJECT. ✓,,"��j (Described pxojec - AND TO INCLUDE IN SUCH BID OR PROPOSAL THE CERTIFICATE AS TO NON-COLLUSION 1 R.BQUIRED BY SECTION-103-d OF THE GENERAL MUNICIPAL LAW AS THE ACT AND DEED OF SUCH -CORPORATION AND-FOR-ANY -Is'IACCIRACIES-OR MISSTATEMENTS IN SUCH CERTI-• - - FICATE-THIS CORPORATE BIDDER.SHALL BE LIABLE UNDER:THE PENALTIES OR PERJURY: • RF�OI G IS TRUE CD Y OP RES99 ADOPT BY CORP'OfMION AT MEETIN P I OF DI D ON D F 19 . t • . .. � owyu� 3��fir N BID FOPM FOR ASPHALT ROAD VATERIALS 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 propose 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 March 10, 1981. A. Delivered to?he Town of Southold and applied � , Q 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 yP g B. Location of Storage Facilities C. Capacity of Storage Facilities 000 . . 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 undersigned 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 broposal he or they waive all right to plead 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 monies 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 the award 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: 19 d,-A 2 zJyl� Legal name of rson, firm or corporation BY: J S The P. O. Address of the Bidder is: 1 3 �� /ayL Street /Y L City and State -2- J IF A CORPORATION NAME "ADDRESS President 3� •�e'�S a�. . . � , i �i Gl�_ ,• d Ley,� 1h i Secretary Treasurer on /Jv � o P. . . . IF A FIRM NAME OF MEMBERS ADDRESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -3- BIDDER' S CERTIFICATE For ASPHALT CUTBACK This is to certify that the undersigned proposes to furnish Cutback Asphalt which will comply with the requirements for type .2310 Grade l C Z b p The Cutback Asphalt is manufactured by ,� whose plant is located at �l �znd ,S<}, ,�� L& ,2a;2?_,- 7 The plant has a capacity of A oo oe D gallons per 8 hour day and has regularly manufactured Cutback Asphalt for the past years. The specific source of the Asphaltic Base is selected Gulf Coast and Venezuelian Crudes. If we receive and award of order or contract on any of the item(s ) bid upon we will begin delivery of Cutback Asphalt within -3 hr S hours of notice to deliver. We agree to furnish Cutback Asphalt at the rate ordered to maximum rate of ";1'9049 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 is our authorized agent and is capable of making deliveries in compliance with the above certificate. Name of 111-anuf acturer BY Official Title Date NON-COLLUSIVE BIDDING CERTIFICATE BY SUBMISSION OF THIS BID OR PROPOSAL, THE BIDDER CERTIFICATES THAT: (a) THIS BID OR PROPOSAL HAS BEEN INDEPENDENTLY ARRIVED AT WITHOUT COLLUSION; (b) THIS BID OR OROPOSAL HAS NOT BEEN KNOWINGLY DISCLOSED, PRIOR TO THE OPENING OF BIDS OR PROPOSALS FOR THIS PROJECT, TO ANY OTHER BIDDER, COMPETITOR OR POTENTIAL COMPETER: ( c) NO ATTEITT HAS OR WILL BE MADE TO INDUCE ANY OTHER PERSON, PARTNERSHIP OR CORPORATION TO SUBMIT OR NOT TO SUBMIT A BID OR PROPOSA: (d) THE PERSON SIGNING THE BID OR PROPOSAL CERTIFIES THAT HE HAS FULLY INFORIED HIMSELF REGARDING 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: _ go �� :4 , Name of 0 f ' r AUTHORIZED TO SIGN AND SUBMIT THE BID OR PROPOSAL OF THIS CORPORATION FOR THE FOLLOWING PROJECT. )?P a- 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 IIEETINC OF ITS BOARD OF DIRECTORS HELD ON THE -,'2 5- DAY OF 19 Secretary BIDDER'S CERTIFICATE .� FOR CUTBACK ASPHALT This is to certify. that'the undersigned proposes to furnish CUTBACK ASPHALT which will comply with the requirements for Type Me _ The CUTBACK ASPHALT is manufactured by EXXON COMPANY, U.S.A. whose plant is located at Foot of East 22nd Street, Bayonne, New Jersey. The plant has a capacity of 200,000 gallons per eight -(8) hour day, and has regularly manu- factured CUTBACK ASPHALT for more than fifty years. The specific source of the asphaltic base is selected domestic and imported 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 at the rate ordered to -a maximum rate of 50,000 gallons per eight hour day. Pit- 1 C- O J-C Company By: ` �Y (Official Title) Date: .T If the bidder is an authorized customer of the manufacturer, the following authorization must be executed by the manufacturer. • This is to certify that: /mit.V/ S (Name of Bidder) 0235 (Street) (city) (State) (Zip Code) is our customer and considered capable of making deliveries in compliance with the above certificate, provided the volume specified in this bid is covered by our contract a EXXON COMPANY, U.S.A. By: Date: �� LEGAL NOTICE NOTICE TO BIDDERS NOTICE IS HEREBY GIVEN, in accordance with the provisions of Section 103 of the General Municipal Law, sealed bids are sougnt and requested for the pur- chase and application of COUNTY OF SUFFOLK, 150,000 gallons,more or less as j may be needed, of Grades STATE OF NEW YORK, ss RC-2 and MC-2 Asphalt Road Materials, delivered to the David H. Walker Town of Southold and applied. . . . . . . . a . . . . . . . . . . . . . . . . . being duly Sworn. Specifications for the above may be obtained at the Office says that he. . . . . is Printer and Publisher of the SUFFOLK of the Town Clerk, Town of Southold, Town Hall, Main WEEKLY TIMES, a newspaper published gat Greenport, in said Road, Southold, New York. The sealed bids, together county; and that the notice. of which the annexed is a printed with a Non-collusive Certif- icate, bank draft or certified copy, has been published in the said Suffolk Weekly Times check in an amount equal to 2% of the amount of the bid, once in each week, for one weeks Bid Form, and Bidder's Cert- " " " " " " " " " " " " if owwill be received the successively commencing on the . . �2tt l . Town n Clerk of the Town of • • • • • • • • • • • • • • • • • Southold at the Town Hall, Main Road, Southold, New day of . . . . March 19 81 York until 3:00 P.M., March 26, 1981, at which time they • • • • • • • • " d�[ [�/. . . . . . . . . . . . . . . will be opened and read aloud Sworn to before me this . . .12Y1. in public. The Town Board of • • j the Town of Southold reserves the right to reject any and all day of . . March . . . . . . . . . 19. i1. ) // bids and waive any and all , ��Ute_ informality in any bid, should • • • • • • • • • • • • • • • • • • • • • • • • • • • • it be deemed to be in the best interest of the Town of South- " ' • • • • • • • • ' ' ' • " " " " • ' " " " " " " " old to do so. All bids must be signed and HELEN K DE VOE sealed in envelopes plainly NOTARY PUBLIC. State of New York marked"Bid for Asphalt Road No.4707878, Suffolk Count Materials" and submitted to Term Expires March 30, 193 the Office of the Town Clerk. The bid price shall not include any tax,federal,state or local, from which the Town of South- old is exempt. DATED: March 10, 1981 JUDITH T.TERRY SOUTHOLD TOWN CLERK lTM12-3641 COUNTY OF SUFFOLK ss: STATE OF NEW YORK Patricia Wood, being duly sworn, says that she is the LEGAL NOTICE Editor, of THE LONG ISLAND TRAVELER-WATCHMAN, NOTICE TO BIDDERS a public newspaper printed at Southold, in Suffolk County; NOTICE IS HEREBY and that the notice of which the annexed is a printed copy, GIVEN,in accordance with the provisions of Section 103 of the has been published in said Long Island Traveler-Watch- General Municipal Law, seal- k,.,,,•,,,,,,, , , ,,,weeks ed bids are sought and re- man once each week for .................. quested for the purchase and \\ application of 150,000 gallons, successively, commencing on the ......�.c)........................ more or less as may be needed, of Grades RC-2 and do -of ......... ` .............. 19.`' , MC-2 Asphalt Road Materials, delivered to the Town of . . .... ................................ Southold and applied. Speci- fications for the above may be obtained at the Office of the Town Clerk,Town of Southold, Town Hall, Main Road, South- old, New York. The sealed bids, together Sworn to before me this .......`.3................... day of with a Non-collusive Certi- ficate, bank draft or certified .... -r .•....•.. 19• •.1 check in an amount equal to 2% of the amount of the bid, Bid Form, and Bidder's Cer- tificate will be received by the Town Clerk of,the Town of C� f�S' '............. i ............. . ......... ... u Southold at the Town Hall, Notaryblic Main Road, Southold, New York until 3:00 P.M., March 26, 1981, 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 allZ- bids and waive any and ail informality in any bid, should it be deemed to be in the best interest of the Town of South- old to do so. All bids must be signed and sealed in envelopes plainly -marked"Bid for 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: March 10, 1981 JUDITH T.TERRY SOUTHOLD TOWN CLERK 1T,3/12/81(46) 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 she is over the age of twenty-one years; that` on-'_the .9th . day of -march 19.81 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 Rork, to wit: - Town Clerk BulletinBoard, Town Clerk Office,' ?!Rain Road, Southold, New York 11971 Notice to Bidders -- -Grades RC-2 and MC-2 Asphalt Road Materials. Bid opening - 3: 00 P. M. - March 26, 1981, Judith T. Terry Southold Town Cler Sworn to before me this 9th _day of March 19 81 Notary Public ELIZABETH ANN NEVICLZ NOTARY PUBLIC, State of New yore N0, 52.8125850, Suffolk Cou ty Tarm EKI)Ires March 30, 19, 2 1 LEGAL NOTICE NOT:hCE .TO BIDDERS NOTICE IS HEREBY GIVEN' ` n "accordance with the provisions of Section, 103 fo the General 'Municipal Law, sealed bids are sought and regtteoted`. for 'th6 0,jxrF hksh.,an Ipplioation of 150, 000 gallons, more or leass as may beY neeei, fof Grades RC-2 "and MC-2 Asphalt Road Materials; •delivered to` the mown of Southold knd applied. SpebificAtions for,,"tce iala&ib Ay be obtained at the Office of the Town Clerk, Town of Southold, . Town Hall, Main Road, $,outbold, New . York. The sealed 'bids, together with a Non-collusive Certificate, bank draft or certified _check in an amount equal to 27o 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 Town Hall, Main Road, Southold, New York until 3:00 P.M. , March 26, 19811 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 to be in the best interest of the Town of Southold to do so. All bids must be signed and sealed in envelopes plainly marked "Bid for 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: March 10, 1981 JUDITH T. TERRY SOUTHOLD TOWN CLERK PLEASE PUBLISH ONCE, MARCH /a,, 1981, AND. FORWARD ONE AFFIDAVIT. ;OF PUBLICATION TO JUDITH T. TERRY, TOWN CLERK, TOWN HALL, MAIN ROAD,: SOUTHOLD, NEW YORK 11971. Copies to the following on March 9, 1981: The Suffolk Times The Long Island Traveler-Watchman Towh Board Members j Highway.Superintendent Dean Town Clerk Bullet in 'Board BID FOPM FOR ASPHALT ROAD MATERIALS FOR DELTVERY 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 propose 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 March 10, 1981. 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 undersigned 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 plead any misunderstanding regarding the same. -1- 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 monies 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 the award 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: 19 Legal name of person, firm or corporation BY: The P. 0. Address of the Bidder is: Street City and State -2- IF A CORPORATION NAME ADDRESS . . . . . . . . . . . . . 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 these specifications, bids are sought for the purchase and application of Asphalt Road Material for the 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 for Asphalt Road Materials" . Bid forms and Bidders Certificate may be obtained at the Office of the Town Clerk of the Town of Southold, Main Road, Town Hall, Southold, New York. Bids will be received at the Office of the Town Clerk of the Town of Southold, Main Road, Southold, New York until 3: 00 o' clock P.M. on March 10, 1981, as set forth in the published notice to bidders published in the Long Island Traveler-Watchman or 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 those of the lowest responsible bidder will be returned within 5 days after the signing of the contract . The bid check of the lowest responsible bidder will be retained until said bidder has executed and delivered to the Super- intendent of Highways 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 forfeited 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 100% of the total bid price. The form of the required performance bond, the Page 2 - Specificatie for the Purchase and Apocation of Asphalt Road Materials sufficiency of sureties and the manner of execution shall be approved by the Town Board. ITEM N0. 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 1981, 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 require- ments for the 1981 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. 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 deliver 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 byihe Superintendent of Highways for the calendar year 1981. 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) hour of notification by the Highway Department. 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: March 10, 1981 . BIDDER' S CERTIFICATE For ASPHALT CUTBACK This is to certify that the undersigned proposes 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 Cutback Asphalt for the past years. The specific source of the Asphaltic Base is selected Gulf Coast and Venezuelian Crudes. If we receive and 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 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 CERTIFICATES THAT: ( a) THIS BID OR PROPOSAL HAS BEEN INDEPENDENTLY ARRIVED AT WITHOUT COLLUSION; (b) THIS BID OR OROPOSAL HAS NOT BEEN KNOWINGLY DISCLOSED, PRIOR TO THE OPENING OF BIDS OR PROPOSALS FOR THIS PROJECT, TO ANY OTHER BIDDER, COMPETITOR OR POTENTIAL COMPETER: ( c) NO ATTEATT HAS OR WILL BE MADE TO INDUCE ANY OTHER PERSON, PARTNERSHIP OR CORPORATION TO SUBMIT OR NOT TO SUBMIT A BID OR PROPOSA: (d) THE PERSON SIGNING THE BID OR PROPOSAL CERTIFIES THAT HE HAS FULLY INFORIMED HIMSELF REGARDING 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 11UNICIPAL 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 0 f SPECIFICATIONS FOR RC-2 and MC-2 ASPHALT MATERIALS GRADE RC-2 PRC-2 GR API 17. 3 15. 7 Spec . Gravity @ 77OF0. 95 0.96 Flash Teg CCoF 87. 1704 Vis SSF 140OF 152 149 Distillation o Rec. @ 3740F 14 @ 437oF 19 @ 500OF 21 8 @ 600OF 23 18 @ 680OF 24 23 Distillate % to 680 OF % @ 3740F 57 @ 4370F 78 0 @ 500OF 86 35 @ 6000F 98 78 Residue by diff . % Vol . 76 77 Test on Residue from distial Pen at 77OF96 187 Ductility at 770F 110f 110 1/0 Sol in CC 1.4 99.9 99 . 9 Spot test OLIENSIS Reg. Reg. DATED: March 10, 1981. TOWN OF SOUTHOLD BY: RAYMOND C. DEAN Superintendent of Highways