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HomeMy WebLinkAboutAsphalt Road Material oS�fFLn ot��® GI` Town Hall, 53095 Main Road O,� '-1 �'� P.O. Box 728 `fitt "►�� Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 17, 1985 Mr. John Welch R. O. Welch Asphalt Co. 1064 Woodcrest Avenue. Riverhead, New York 11901 Dear Mr. Welch: I am in receipt of your performance bond and labor and material payment bond in the amounts of $183,00.0.'00 for the faithful performance of the contract for supplying the Town of Southold with 150,000 gallons, mor or less, of Grades RC-2 and MC-2 Asphalt Road Material's. I am now returning herewith your bid'deposit check in the amount of $3,660. 00. Very truly your Judith T. Terry Southold. Town Clerk Enclosure cc: R. Dean, Supt. of Highways T-14 ---- — - -- .- DO NOT DESTROY R. O. `VELCH �—�� HALT CONTRACTING CO. 4752 This c eh ck nes been charged to your account 1064 WOODCREST AVENUE Deposit if not used RIVERHEAD, N.Y. 11901 50-546 D 214 THE SUFFOLK COUNTY NATIONAL BANK _I9 S OF RIVERHEAD. NF" 'F RK _ `mss✓ S7o c-1 T14 01 P rn s oisc�uNr SQ 9,/^ _�s./tl/L/��,.�_._�I�[T� �'le� --����� �j m N � r'a't'`' t ��s �.s' T/-Gc ✓;,,��L1 <�j�( .� , f-i-_ 3 O I,L:1R S t�� n �a r �;Z:— O � —�__ THE SUFFOLK COUNTY NATIONAL BANK ��•k } �y AOtlr/: ;1FCK 0-_� O OF RIVERHEAD,N.Y. ••// O } N n• �;>. 14054641: 1 i 003B05� ? �" C= — Bond No....9.1.._.9-.-35.x`'-. v Fidelityd Deposit Company an HOME OFFICE OF MARYLAND BALTIMORE, MD. 21203 Performance Bond # 97 96 352 KNOW ALL MEN BY THESE PRESENTS: That........ - -0. Welch asphalt Company ------------------------- ---------- ---------------------- (Her insert the name and address or legal title of the Contractor) 106 . �v_oodcrest Avenue,__ �iverhead,-_ New-.York 11 �----------------------------- as Principal, hereinafter called Contractor, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corpora- tion of the State of Maryland, with its home office in the City of Baltimore, Maryland, U. S. A., as Surety, hereinafter called Surety, are held and firmly bound unto........................................................................................ ................io�fr�---o�__Southold� N�---------- -------------------------------------------------------------------------------------..---------------- (Here insert the name and address or legal title of the Owner) as Obligee, hereinafter called Owner, in the amount of...........One Hundred Eighty_ Three Thousand and-_-_-----.-._--__---------------------- -- -- -- -- - --- - - ---------------no/ -00---------------- ----------------------------- ----------------- ---------- ------ ---------------- ------------------------- Dollars ($...1 3.t.000- �0--------------------), for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, Contractor has by written agreement dated---------------...........__-...._.-_.--__----- .- -------....19....-__, Furnish and a 1 li u�d as halt entered Into a contract with Owner for- ------- ----------------- PP---y------- �- ------------ p -------------------- ----------------------------------------------_.------------- --------- ------------------------------------------------------------------------------- ---------------------------- in accordance with drawings and specifications prepared by-------------------------_----------------------------------------.._---_._-.._._ ...----------------------------- ------------------------------------------- ------------------------------------------------------ ------------------- -------------------------------- (Here insert full name,title and address) which contract is by,,reference made a part hereof, and is hereinafter referred to as the Contract. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Contractor shall promptly and faithfully perform said contract, then this obligation shall be null and void; otherwise it shall remain in full force and effect. The Surety hereby waives notice of any alteration or extension of time made by the Owner. Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the Owner having performed Owner's obligations thereunder, the Surety may promptly remedy the default, or shall promptly (1) Complete the Contract in accordance with its terms and conditions, or (2) Obtain a bid or bids for completing the Contract in accordance with its terms and condi- tions, and upon determination by Surety of the lowest responsible bidder, or, if the Owner elects, upon determination by the Owner and Surety jointly of the lowest responsible bidder, arrange for a contract between such bidder and Owner, and make available as work progresses (even though there should be a default or a succession of defaults under the contract or contracts of completion arranged under this paragraph) sufficient funds to pay the cost of completion less the balance of the contract price; but not exceeding, including other costs and damages for which the Surety may be liable hereunder, the amount set forth in the first paragraph hereof. The term "balance of the contract price," as used in this para- graph, shall mean the total amount payable by Owner to Contractor under the Contract and any amendments thereto, less the amount properly paid by Owner to Contractor. Any suit under this bond must be instituted before the expiraLion of two (2) years from the date on which final payment under the contract falls due. No right of action shall accrue on this bond to or for the use of any person or corporation other than the Owner named herein or the heirs, executors, administrators or successors of Owner. Signed and sealed this-------------------10th------------ -----------------day of------------------=MaU----------- ---------A.D. 19..85 In the presence of: R. 0. ' ELCH ASPHr.LT COMPANY - ---- - ---- -------------------------------- --------- ---------------(SEAL) Principal ----------.---------------------------------------------------------- -- - -C�.•.l�l. •..., !?�'77'.-"! Title FIDELITY AND EPOSIT COMPANY OF MARYLAND Ae'lr-�t­ -------(SEAL) RoTynan Title Attorney-in-fact C309f— Approved by The American Institute of Architects,A.I.A.Document No.A-311 February 1970 Edition. . z y Fidelity and Deposit Company NOME OFFICE OF MARYLAND BALTIMORE Performanee Bond i No.------------------------------------ -------------------------------- ON BEHALF OF ------------------ TO ---------------------------------------------------------------- ---------------------------------------------------------------- ---------------------------------------------------------------- STATE OF NEW YORK ) ) ss . . COUNTY OF SUFFOLK) �Oo On the 13th day of May, 1985 before me came JOHN C. a � WELCH, to me known and known to me to be the individual j3u6 described herein and who executed the foregoing instrument Z ' and known to me to be the attorney-in-fact of RAYMOND 0. Z 0 , c WELCH, the individual described herein and by said attorney- in-fact ttorney- in-fact executed the same and acknowledged that he executed said instrument as the act and deed of said RAYMOND 0. WELCH, a doing business as R.O. WELCH ASPHALT COMPANY, by virtue of a .oma w Power of Attorney dated March 19 , 1985 opy of which is � N .� a N o annexed hereto. �L ■ p Z NOTARY PUBLIC STATE OF...._......-._. New York_ Nassau �ss: COUNTYOF................• ..................••-•••.. On this--------------------------------------- of------------------•-------•------- _ 7 .�`#---.19-- before me personally Robert G. Tynan U appeared---------------- — ---------- --- ----------------...-•----••- ------------------------------------------------- - with whom I am personally acquainted,who,being by me duly sworn,did depose and say: That he resides at----Garden City _N• _Y•_______________________-- ---------_-- that he is the__--Attorney—in—fact - -- - -- --.- Fidelity and Deposit Company of Maryland of the..................... ............................................ _.......... the corporation described in and which executed the foregoing instrument; that he knows the corporate seal of said corporation; that the seal thereto affixed is such corporate seal; that it is so affixed by order of the Board of Directors,and that he signed his name thereto by like order. EDITH M. PUTLAN_D , NOTARY PUBLIC. Notary Public No. 30-4739,75 County BR(112)23 214241 Qualified in Nm.-,au County Commission Exp=es Malch 30, 198 Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND HOME OFFICE,BALTIMORE,MD. KNOB" ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,a corporation of the State of Marvland, by C. M. FECOT, JR. Vice-President,and L. C. WAYMAN, JR. Assistant Secretary,in pursuance of authority granted by Article VI,Section 2,of the By-Laws of said Company,which reads as follows: "The Chairman of the Board,or the President,or any Executive Vice-President,or any of the Senior Vice-Presidents or Vice-Presidents specially authorized so to do by the Board of Directors or by the Executive Committee,shall have power,by and with the concurrence of the Secretary or any one of the Assistant Secretaries,to appoint Resident Vice-Presidents..Assistant Vice-Presidents and Attornevs-in-Fact as the business ofthe Company may require, or to authorize any person or persons to execute on behalf of the Companv any bonds. undertakings, recognizances, stipulations,policies,contracts,agreements,deeds,and releases and assignments of judgements,decrees,mortgages and instruments in the nature of mortgages.... and to affix the seal of the Company thereto.- does hereby nominate constitute and appoint William. F. Tynan, III.and Robert G. Tynan, both of Garden City, New York, EACH........................................ its true and lawfulagent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings....................... ....... n t e execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Company,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the 4 regularly elected officers of the Company at its office in Baltimore, Md., in their own proper persons. This power of attorney revokes that issued on behalf of William F. Tynan, III and Robert G. Tynan, dated, March 11 , 1981 . The said Assistant Secretary does hereby certify that the aforegoing is a true copy of Article VI,Section 2,of the By-Laws of said Company,and is WW in force. IN WITNESS WHEREOF,the said Vice-President and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this .........10th --day of..............g.must------...............-----,A.D. 19.83---. FIDELITY AND DEPOSIT COMPANY OF MARYLAND sa• r ATTEST: SEAL MISS � � By ••----••-•••••••••....... • -- -....`. A Secretary Vice-Precedent STATE OF MARYLAND SS: CRY OF BALTIMORE On this 10th day of August A.D. 19 83 ,before the subscriber,a Notary Public of the State of Maryland,in and for the City of Baltimore,duly commissioned and qualified,came the above-named Vice-President and Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,to we personally known to be the individuals and officers described in and who executed the preceding instrument, and the each acknowledged the execution of the same,and being by me duly sworn,severally and each for himself deposeth and saith,that they are the sa 121cers of the Company aforesaid,and that the seal affixed to the preceding instrument is the Corporate Seal of said Company,and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the amid Corporation. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed by Official Seal,at the City of Baltimo ay a dear first above written. Q7- Notary Publi Commissiotres..slAlly1CERTIFICATE I,the uncle ad,Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,do hereby certify that the original Power of Attorney of which foregoing is a full,true and correct copy,is in full force and effect on the date of this certificate;and I do further certify that the Vice-President who executed the said Power of Attorney was one of the additional Vice-Presidents specially authorized by the Board of Directors to appoint any Attorney-in-Fact as provided in Article VI,Section 2 of the By-Laws of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 16th day of July,1969. RESOLVED:"That the facsimile or mechanically reproduced signature of any Assistant Secretary of the Company,whether made heretofore or hereafter,wherever appearing upon a certified cory of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed." IV TESTIMONY WHEREOF.I have hereunto subbed my name and affixed the corporate seal of the said Company,this...../Q........... day of. .f�.L 19. . ..................... ............••• • ••• • -- •---............... 1.1428.-01'. 093-2764 Assistant Secretary . FOR YOUR PROTECTION LOOK FORT HE F&D WATERMARK l L1458a-45M, 1-85 221468 FIDELITY AND DEPOSIT COMPANY OF MARYLAND Statement of Financial Condition AS OF DECEMBER 31, 1984 The U Companies ASSETS *Bonds . .. ....... .. .. ..... .... .. ......... ...... ........ .. .... .. $90,839,302 *Stocks .... .. ..... ... ...... .. ...... ... ...... ........ ........ ... 158,977,776 RealEstate .. .. .. .. .... ... ... ......... .. ...... ...... .. .. .... .. .. 3,114,796 Cash in Banks and Offices and Short Term Investments .. ..... .. ..... . .. 9,818,994 Premiums in Course of Collection (less than 90 days old) .... „....... ... 13,248,726 Reinsurance and Other Accounts Receivable . ... ...... ..... . .. ...... . 7,174,368 TOTAL ADMITTED ASSETS .. ... .. .... ... .. ...... .. ...... .. . ... .. .. $283,173,962 LIABILITIES, SURPLUS AND OTHER FUNDS Reserve for Unearned Premiums ... .. .. .. .......... .... .. ........ .. $88,542,360 Reserve for Claims and Claim Expenses .. . .. ...... .. ...... ........ .. 49,428,651 Reservefor Taxes and Expenses..... ...... .. .. .... .. ..... ... .... .. . 3,783,423 Miscellaneous Reserves and other Liabilities .. . .. .. ...... .. .. .... .. .. 4,041,894 TOTAL LIABILITIES .. .. .. .... .. .... .. ........ ......... .......... 145,796,328 Capital Stock, Paid Up ... .. .... .... ..... .... .. .. ... $5,000,000 Surplus .... ... .. ........ ....... .. ...... .. ...... .. 132,377,634 Surplus as Regards Policyholders.. .. .... ... ..... ... ..... ... ...... .. 137,377,634 TOTAL . .. ..... .. .. .. . ..... . ..... ... .. .... .. .... .. . . .... .. .. . $283,173,962 Securities carried at $5,039,708.in the above statement are deposited as required by law. *Securities carried on the basis prescribed by the National Association of Insurance Commissioners. On the basis of December 31,1984 market quotations for all bonds and stocks owned,this Company's total admitted assets would be $282,722,496. and surplus as regards policyholders$136,926,168. I, WILLIAM R. Amos, Treasurer of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing statement is a correct exhibit of the assets and liabilities of the said Company,on the 31st day of December, 1984,according to the best of my information, knowledge and belief. William R. Amos ---------------------------------------------------------------------------- Treasurer STATE OF MARYLAND SS. CITY OF BALTIMORE Subscribed and sworn to,before me,a Notary Public of the State of Maryland in the City of Baltimore,this 31st day of January, 1985. Stephanie A. Mason Notarial ....................................4.....------........................... Seal Notary Public My commission expires July 1, 1986 « Standard N.II.e.t.U.Form$038 General Power of Attorney.Statutory short Form CONSULT YOUR LAWYER 51MM SIONWO THIS INSTRUMENT — THiS INSTRUMENT SHOULD RE USED BY LAWYERS ONLY Notice: The powers granted by this document arebroad and sections 5-1502A epi trough ey re de, which ned in New York General Obligations Law,Article 5,Title , expressly permits the use of any other or different form of power of attorney desired by the parties concerned. KNOW ALL MEN B THESE 5,PRESENTS, ES N5 of which are intended to con New York General Obligations LawGENERAL POWER OF ATTORNEY pursuant to That i, RAYMOND 0. WELCH, d/b/a R.O. WELCH ASPHALT CO. residing at No. 294 Newton Avenue, Riverhead, N.Y. do hereby appoint JOHN C. WELCH residing at,No.-- my o. -my aftorney(s)-in-fact TO ACT(a)a�snt wishes each a alone to be able to exertion the ice'pOD i°t°rt m 1R man than aro F V dedsoated and the prtndPv the,r •y�dy"�{p require the stern W act iointlf. �Umik 6i wad"MvWallir". rallum to make say insertion or the insertion of FIRST: in my name, place and stead in any way which I In If could do, if I were personally present, with respect to the following matters as each of them is defined in Title 15 of Article 5 of the New York "'C,enieral Obligations Law to the extent that I am permitted by law to act through an agent: �pa1 does NOT desire to t��stent (Stow out and f1mal In dw opposite box any one or more of the subdivisions as ental]which the Ccally constitute an elimiaatlon also of sub- dtrldao (1S� tl� a� one or more of subdivisions (A) to (>t). To strike out any subdivision the principal must draw a line through the text of that subdivision AND write his initials in the box opposite. (A) real estate transactions; l (B) chattel and goods transactions; (C) bond, share and commodity transactions; [ l (D) banking transactions; (E)` business operating transactions; (F) insurance transactions; (G) estate transactions; (H) claims and litigation; (1) personal relationships and affairs; (j) benefits from military service; (g) records, reports and statements; (L) all other matters; sad Umitatlona ma beincluded in the statutory short foam power of attorney only if they conform to the requirements d aaatlotos 6�-1� d the New Yort General Oblltations Iaw.] The powers granted under (A) or (B) above are enlarged so that all fixtures and articles of personal property which at the time of such transaction are or which may.thereafter be attache and anto or used other in connection with the real property may be included in the deeds, mortgages, agreements instruments to be executed and delivered in connection with real estate transactions and which may be described in said instruments with more particularity. I will not question the sufficiency of any instrument executed by my said attorney s)-in-fact pursuant yyto this power notwithstanding that the instrument fails to recite matter consideration instrument or or t may recites do c too ase f merely a nominal consideration; an person dealing with the subject ll consideration therefor had been expressed therein. SECOND: with full and unqualified authority to delegate any or all of the foregoing powers to any person or persons whom my attorney(s)-in-fact shall select. Strike out If THIRD: this power of attorney shall not be affected by the subsequent disability or incompetence of the not intended principal. to apply IN WITNESS WHEREOF I have hereunto signed my name and affixed my seal this "day of MARCH 19 $5 .........(Seal) ...... ..... .....��a�Wcsmr«i'rfocipv) R.O. WELCH - Raymond 0. Welch Noes: 7%e statute requires flat tMt Mwtrumerw be duly aolmowled8ed by dur p►I°wipal• No exp.m pronl+lon io made for tri by s ^e witness. (See ever for admawledg.w 1) STATE OF NEWORK, COUNTY OF SUFFOLK On the / day of MARCH , nineteen hundred and eighty-f ive before me personally came RAYMOND 0, WELCH to me known to be the individual described in and who executed o g instrument, and acknowledged that he executed the same. "JOHN R:-'-MccNULTY' Notary Public, State of New York - No. 52-2637425, Suffolk County Cgmmisslon Explreq Marsh 30, .1Q&9 0eneral J)obner of 2ttaniq SECTION STATtrmBy SHORT Foitm BLOCK TITLF NO. -- LOT COUNTY OR TOWN TO Recorded at Request of CHICAGO TITLE INSURANCE COMPANY STANOARR FORA OF NEW TRRR ROAN OF TITLE RNRERINNITERS Return by Mail to Distributed by CHICAGO TITLE INSUHANCR COMPANY Zip No. W V O O Z �c O V W W O .. ,.� W N v _N W W N W Bond No.......97 96...352 Fidelityd Deposit Can HOME OFFICE OF MARYLAND BALTIMORE, MD. 21203 Labor and Material Payment Bond # 97 96 352 Note: This bond is issued simultaneously with Performance Bond in favor of the owner conditioned on the full and faithful performance of the contract. KNOW ALL MEN BY THESE PRESENTS: R 0, velch Asphalt Company That - -- ----- -- ------------- -- ----------- -- ---- 1064 fit' Her insert the name address r le al itle he Co ctor loodcres Avenue �.�iver�leac�, ew '�or 11901 -------------------------------- -----•-------------------------------------t as Principal, hereinafter called Principal, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corpora- tion of the State of Maryland, with its home office in the City of Baltimore, Maryland, U. S. A., as Surety, hereinafter called Surety, are held and firmly bound unto------ ------- ------.____.------------------------------------------------------ ._._. Town of Southold,N . _.Y..... ---------------- --------------- -------------- ---------- ----- (Here insert the name and address or legal title of the Owner) as Obligee, hereinafter called Owner, for the use and benefit of claimants as hereinbelow defined, in the amount ofThree Thousand and .-.-_._..One Hundred Eighty ----------------------------------- 0- I------------------------------------------- no/10 ---- --------- -- --------------------------------- ----------------------- ------------------ --------------------------- --------------- 18 3 OOO 00 (Here insert a sum equal to at least one-half of the contract price) Dollars (�6_._....... ..-______..._-.-- _. ....-----), or the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, Principal has by written agreement dated----------._.-.._..__.------------.------------_--- -----------------19____.___, entered into a contract with Owner for.-F-urnisb---and---apply._J.1.4jUd...a_aPhalt--------------------------- -------------- ------------------------------------------------------- ....------------------------------ --------------------------------------------------------------------------------------------- in accordance with drawings and specifications prepared by-------------------------- -------------------------------------.------------------- ------------------ ---------------------------------- ----------------- ----------- ------------- ----------------------------------- .--------- (Here insert full name,title and address) which contract is by reference made a part hereof, and is hereinafter referred to as the Contract. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Principal shall promptly make pay- ment to all claimants as hereinafter defined, for all labor and material used or reasonably required for use in the performance of the Contract,then this obligation shall be void;otherwise it shall remain in full force and effect,subject,however, to the following conditions: 1. A claimant is defined as one having a direct contract with the Principal or with a sub-contractor of the Principal for labor, material, or both, used or reasonably required for use in the performance of the contract, labor and material being construed to include that part of water,gas, power, light, heat,oil,gasoline, telephone service or rental of equipment directly applicable to the Contract. 2. The above named Principal and Surety hereby jointly and severally agree with the Owner that every claimant as herein defined,who has not been paid in full before the expiration of a period of ninety (90)days after the date on which the last of such claimant's work or labor was done or performed,or materials were furnished by such claimant, may sue on this bond for the use of such claimant, prosecute the suit to final judgment for such sum or sums as may be justly due claimant, and have execution thereon. The Owner shall not be liable for the payment of any costs or expenses of any such suit. 3. No suit or action shall be commenced hereunder by any claimant: (a) Unless claimant,other than one having a direct contract with the Principal, shall have given written notice to any two of the following:The Principal, the Owner,or the Surety above named,within ninety (90) days after such claimant did or performed the last of the work or labor, or furnished the last of the materials for which said claim is made, stating with substantial accuracy the amount claimed and the name of the party to whom the materials were furnished,or for whom the work or labor was done or performed. Such notice shall be served by mailing the same by registered mail or certified mail, postage prepaid, in an envelope addressed to the Principal, Owner or Surety, at any place where an office is regularly main- tained for the transaction of business,or served in any manner in which legal process may be served in the state in which the aforesaid project is located, save that such service need not be made by a public officer. (b) After the expiration of one (1) year following the date on which Principal ceased work on said Contract, it being understood,however,that if any limitation embodied in this bond is prohibited by any law controlling the construction hereof such limitation shall be deemed to be amended so as to be equal to the minimum period of limitation permitted by such law. (c) Other than in a state court of competent jurisdiction in and for the county or other political subdivision of the state in which the project,or any part thereof,is situated,or in the United States District Court for the district in which the project, or any part thereof, is situated, and not elsewhere. 4. The amount of this bond shall be reduced by and to the extent of any payment or payments made in good faith here- under, inclusive of the payment by Surety of mechanics' liens which may be filed of record against said improvement,whether or not claim for the amount of such lien be presented under and against this bond. Signed and sealed this 10th. day of -------- --------Ma------------ --------A.D. 19------- In the presence of: R{.0. Yr'ELCH ASPHALT COMPANY ---- -- -- -- ------ -- ---------- -- ---- (SEAL) Principal �x: - �-IN -------------------------------------------------------------------------- .. Title FIDELITY AND DEPOSIT COMPANY OF MARYLAND -•-----------•-------------------------- B -LGS/-------------------------•---------(SEAL) Bober . Tynan Title Attorney-in-fact C309e36— Approved by The American Institute of Architects,A.I.A.Document No.A-311 February 1970 Edition. ti Fidelity and Deposit Company HOME OFFICE OF MARYLAND BALTIMORE Labor and Material Payment Bond No------------------------------------- -------------------------------- ON BEHALF OF ---------------------------------------------------------------- • TO ---------------------------------------------------------------- ---------------------------------------------------------------- ---------------------------------------------------------------- S i • L145&-45M, 1.85 221468 FIDELITY AND DEPOSIT COMPANY OF MARYLAND Statement of Financial Condition AS OF DECEMBER 31, 1984 The we Companies ASSETS *Bonds . .. .... .. ..... . .. .... ......... ........... .......... .. ... $90,839,302 *Stocks .... .. ........ .. .... .. . .. .... .. ......... .. ... ... .. ... ... 158,977,776 RealEstate ... . .... .. .. .. . ............ ... .. .... .. .. .. .... .. .. . .. 3,114,796 Cash in Banks and Offices and Short Term Investments ........ .. ... ... 9,818,994 Premiums in Course of Collection (less than 90 days old) . .... .... .. .. .. 13,248,726 Reinsurance and Other Accounts Receivable .. .. .. .... .... . . .. ....... 7,174,368 TOTAL ADMITTED ASSETS..... .. .. .. .. . .. ...... .. . .... . .. . .. ..... $283,173,962 LIABILITIES, SURPLUS AND OTHER FUNDS Reservefor Unearned Premiums .... .... ...... .. .. ...... ........ . .. $88,542,360 Reserve for Claims and Claim Expenses 49,428,651 Reservefor Taxes and Expenses... .. .. ............ ... ... ........ . .. 3,783,423 Miscellaneous Reserves and other Liabilities .. ........ ...... .. .... ... 4,041,894 TOTAL LIABILITIES ...... .... .. ...... . .. ...... .. .. .. ... .. .... .. . . 145,796,328 Capital Stock, Paid Up ... .. .... ...... ... .... .. .. ... $5,000,000 Surplus .. .. ... .. .. .... .. .... ... ........ .. ...... .. 132,377,634 Surplus as Regards Policyholders.. ..... . .. ...... ... ..... . ...... .. .. 137,377,634 TOTAL ..... .. .. .... ......... .... .. . ...... .. .... .. . ..... .. ... $283,173,962 Securities carried at $5,039,708.in the above statement are deposited as required by law. *Securities carried on the basis prescribed by the National Association of Insurance Commissioners. On the basis of December 31,1984 market quotations for all bonds and stocks owned,this Company's total admitted assets would be $282,722,496. and surplus as regards policyholders $136,926,168. 1, WILLIAM R. Amos, Treasurer of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing statement is a correct exhibit of the assets and liabilities of the said Company,on the 31st day of December, 1984, according to the best of my information, knowledge and belief. William R. Amos ............................................................................ Treasurer STATE OF MARYLAND i SS. CITY OF BALTIMORE ) Subscribed and sworn to,before me,a Notary Public of the State of Maryland in the City of Baltimore,this 31st day of January, 1985. Stephanie A. Mason Notarial ............................................... ..... Seal Notary Public My commission expires July 1, 1986 e • i Standard N.Y.S.T.U.form 8038 asnarol Power of Attorrey.Statutory Short Form CONSULT YoUR LAWYER Up= Sn"We THIS INSTRUMENT — TNIS INSTRUMENT SNOUW RE USED BY LAWYERS ONLY Notice: The powers granted by this document are broad and sweeping. They are defined in New York General Obligations Law,Article 5,Title 15, sections 5-1502A through 5-1503, which expressly permits the use of any other or different form of power of attorney desired by the parties concerned. ± KNOW ALL MEN BY THESE PRESENTS which are intended to constitute a GENERAL POWER OF ATTORNEY pursuant to Article 5, Title 15 of the New York General Obligations Law: That 1, RAYMOND 0. WELCH, d/b/a R.O. WELCH ASPHALT CO. residing at No- 294 Newton Avenue , Riverhead, N.Y. do hereby 40001nt JOHN C. WELCH my attorneys)-in-fact TO ACT(•> onfermL mase.thsn ow atosnt f, deds•sted and the p*�dDv wbhe. he dent aloha to be able to emrelso the Power ,i•1°�i° db'Ifi k Ai vwsd"aweeanr"- an"to make say insertion or the In,ertlon of the word"1c�tb"w�require the sten FIRST:in my name, place and stead in any way which I myself could do,if I were personally present, of • with respect to the following matters as each of them is definedin Title 15 o Article 5ugh an agenn the New York permitted b law to act throt: t',dni�ral Obligations Law to the extent that I am per y to box any one or more ofsubdivisionsas to whkh the opal does NOT desire to Siathe scent _.. [StelW artR liwl-MNfal in the oppod hsubdivisions shall antomatfcally constitute an eliminatlon also of sub- .W6oelty. Such elimiastlon of shy am or more of subdivisions (A) to (L), dMdao (L).] To strike out any subdivision the principal must draw a line through the text of that subdivision AND write his initials in the box opposite. (A) real estate transactions; ( l (B) chattel and goods transactions; (C) bond, share and commodity transactions; (D) banking transactions; [ ) (E)'; business operating transactions; (F) insurance transactions; ( ) (G) estate transactions; (H) claims and litigation; (1) personal relationships and affairs; (j) benefits from military service; (K) records, reports and statements; (L) all other matters; and limitations ma be included in the statutory short form power of attorney only if they conform to the requirements of Mt0.5_i of the New York General�liiations Law.) The powers granted under (A) or (B) above are enlarged so that all fixtures and articles of personal property which at the time of such transaction are or which may.thereafter be attached ttachagreements or used her in connection with he real property may be included in the deeds, mortgages, instruments to be executed and delivered in connection with real estate transactions and which may be described in said instruments with more particularity. I will not question he sufficiency of any instrument executed by my said attorneys)-in-fact pursuant yyto his power notwithstanding person dealln h hesto subjecttmattter ofhe suchinstrumention theret may door or tes o asif lfull nominal consideration; an pe consideration therefor had been express therein. SECOND: with full and unqualified authority to delegate any or all of the foregoing powers to any person or persons whom my attomey(s)-in-fact shall select. Strike out If THIRD: this power of attorney shall not be affected by the subsequent disability or incompetence of the not intended principal. to apply IN WITNESS WHEREOF I have hereunto signed my name and affixed my seal this / i11iy of MARCH 19 85 J ,J �. �.........(Seal) �� of Principa) R.O. WELCH �--- -- Raymond 0. Welch Naisi rw stattde requWm flat I% Inrmmem be dual wimowledged by the Principal. No esp►ea vf0Oki0^ Lr made for goof bn«bser6ft u>itttess. (See over foro00MIedI{IlMnf) STATE OF NEW YORK, COUNTY OF SUFFOLK On the day of MARCH , nineteen hundred and eighty-five before me personally came RAYMOND 0. WELCH to me known to be the individual described in and who executed o g instrument, and .' acknowledged that he executed the same. "JOHN R.AkNULTIr /NotaryPublic, State of New York.,. No. 52-2637425, Suffolk County ('gmmisslon Expired Mprph 30, 14 x Genera[ J)oWer of 2ttornep SECTION STATUTORY SHORT FORM TITLE NO. BLOCK LOT COUNTY OR TOWN TO Recorded at Requnt of CHICAGO TITLE INSURANCE COMPANY STAMOARN F0/01 OF NEW TM /OA//V TITLE 010111MITERS Return by Mail to, Distributed by CHICAGO TITLE _ INSURANCE COMPANY Zip No. W u W - O O Z p v O ,. W N (�7 U N_ Ask W W N W STATE OF NEW YORK) ) ss. . ' COUN'T'Y OF SUFFOLK) On the 13th day of May, 1985 before me came JOHN C. Do WELCH, to me known and known to me to be the individual 3 0 c described herein and who executed the foregoing instrument and known to me to be the attorney-in-fact of RAYMOND 0. a z w WELCH, the individual described herein and by said attorney- _ d = 0 in-fact executed the same and acknowledged that he executed Zg '" H said instrument as the act and deed of said RAYMOND 0. WELCH, c2 "' (4 ,- doing business as R.O. WELCH ASPHALT COMPANY, by virtue of a Z `2'; W Power of Attorney dated March 19, 1985 , a copy of which is o N c annexed hereto. 0 t-Ln .Z Z E t NOTARY PUBLIT N.e.w----Moxx--------- STATE OF.......... ------------- ss: COUNTY OF-----------------Nass.au-- - , --19before me personally .... ................. Onthis------------------------------- .............................day of-------------•-------------- ------------ Rber. t G. Tynan —1..................................................... 0......... ...............Tynan appea ---------------- red----------------------�­luainted,who,being by me duly sworn,did depose and say: with whom I am personally acquainted, AttOrney.7in-fact -1----UlY ... y ..........................................that he is the--------------...... - ---------------------------- That he resides at------Q�ar!je.i -# ....•---•--•-------._..._•- -- Fidelity and Deposit company of Maryland ...................... ......................... .......... -------------------- knows the corporate seal of said corporation; of the--------------------------------*--------------------- foregoing instrument; that he he signed his the corporation described in and which executed the f by order of the Board of Directors,and that that the seal thereto affixed is such corporate seal; that it is so affixed name thereto by like order. EDITH M. pUTLANDv.. .... Public -.6f W�`v or Notary NOTARY PU13LIC 'i County No. 30-4769"7 Qualified in No,-sau COL- UR(112)23 214241 Commission Expires Maxch 30, 1999 Power of Attorney • FIDELITY AND DEPOSIT COMPANY OF MARYLAND HOME OFFICE,BALTIMORE,MD. KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,a corporation of the State of Maryland, by C. M. FECOT, JR. Vice-President, and L. C. WAYMAN, JR. Assistant Secretary,in pursuance of authority granted by Article VI,Section 2,of the By-Laws of said Company,which reads as follows: "The Chairman of the Board,or the President,or anv Executive Vice-President,or any of the Senior Vice-Presidents or Vice-Presidents specially authorized so to do by the Board of Directors or by the Executive Committee,shall have power,by and with the concurrence of the Secretary or any one of the Assistant Secretaries,to appoint Resident Vice-Presidents,Assistant Vice-Presidents and Attornevs-in-Fact as the business of the Company may require,or to authorize any person or persons to execute on behalf of the Company any bonds, undertakings, recognizances, stipulations,policies,contracts,agreements,deeds,and releases and assignments of judgements,decrees,mortgages and instruments in the nature of mortgages,... and to affix the seal of the Company thereto." s does hereby nominate constitute and appoint William F. Tynan, III and Robert G. Tynan, both of Garden City, New York, EACH........................................ its true and lawfulagent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings.............. ........ .. ... n t e execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Company,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the Company at its office in Baltimore, Md., in their own proper persons. This power of attorney revokes that issued on behalf of William F. Tynan, III and t Robert G. Tynan, dated, March 11 , 1981 . The said Assistant Secretary does hereby certify that the aforegoing is a true copy of Article VI,Section 2,of the By-taws of said Company,and is sow in force. IN WITNESS WHEREOF,the said Vice-President and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this ........-10th _day of..............August..........................,A.D. 1983.... FIDELITY AND DEPOSIT COMPANY OF MARYLAND • ATTEST: i SEAL +ti•.�� .... ..................... .•••••.••....••.•.•. ....••-••-.-•--••• By •-----••.••...--••..•...• -... .......... A , t Secretary Vice-president STATE OF MARYLAND SS: CITY OF BALTIMORE On this 10th day of August A.D.19 83 ,before the subscriber,a Notary Public of the State of Maryland,in and for the City of Baltimore,duly commissioned and qualified,came the above-named Vice-President and Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,to me personally known to be the individuals and officers described in and who executed the preceding instrument, and tber each acknowledged the execution of the same,and being by me duly sworn,severally and each for himself deposeth and saith,that they are the said Officers of the Company aforesaid,and that the seal affixed to the preceding instrument is the Corporate Seal of said Company,and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed by Official Seal,at the City of Baltimo sy a d ear first above written. ee ....--••---•------•. .................•- •- - ••�•-•- -- •-• f • — Notary Publics Commission ires..3jdly...,..19a6. K , CERTIFICATE 1,the uude ad,Assistant Secretary of the FIDELITY AND DEPOsrr COMPANY OF MARYLAND,do hereby certify that the original Power of Attorney of which foregoing is a full,true and correct copy,is in full force and effect on the date of this certificate;and I do further certify that the Vice-President who executed the said Power of Attorney was one of the additional Vice-Presidents specially authorised by the Board of Directors to appoint any Attorney-in-Fact as provided in Article VI,Section 2 of the By-laws of the FIDELITY AND DEPOs1T COMPANY OF MARYLAND. This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY of MARYLAND at a meeting duly called and held on the 16th day of July,1969. RESOLVED:"That the facsimile or mechanically reproduced signature of any Assistant Secretary of the Company,whether made heretofore or hereafter,wherever appearing upon a certified copv of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed." /� IN TESTIMONY WHER�oF,I have hereunto ssuubscri ed my name and affixed the corporate seal of the said Company,this...../t ............ day ........................... ......._ ........................... 1,1428a—Cif. 093-2764 ....... . ... Assistant Secretary ' FOR YOUR PROTECTION LOOK FOR THE F&D WATERMARK Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 JUDITH T.TERRY TELEPHONE Town CLERK (516)765-1801 REGISTRAR of VITAL S 1A I-IS ICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLI) April 29, 1985 Mr. John C. Welch R. O. Welch Asphalt Co. 1064 Woodcrest Avenue Riverhead, New York 11901 Dear Mr. Welch: The Southold Town Board at a regular meeting held on April '23, 1985 accepted your bid in the amount of $1.22 per gallon for delivering and applying 150,"000 gallons, more or less, of Grades RC-2 and MC-2 Asphalt Road Materials. In accordance with the Specifications, upon receipt of a bond for the faithful performance of the contract in the amount of $183,000. 00, your $3, 660.00 bid deposit check will be returned to you. Very truly yours, Judith T. Terry Southold Town Clerk cc: R. Dean Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR Or VITAL S"I Al ISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLI) April 29, 1985 Mr. Eugene M. Martino, Vice-President Lansdell Asphalt S Bituminous Corp. Old Northport Road, Box 697 Kings Park, New York 11754 Dear Mr. Martino: The Southold Town Board at their regular meeting held on April 23, 1985 accepted the bid of R. O. Welch Asphalt Co., Riverhead, for supplying the Town with 150,000 gallons, more or less, of Grades RC-2 and MC-2 Asphalt Road Materials. Your certified check in the amount of $4,500.00 placed as a bid deposit will be returned to you as soon as the contract with R. O. Welch is signed. Very truly yours, Judith T. Terry Southold. Town Clerk Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR or VITAL S I \I ISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April '29, 1985 Mr. Thomas H. Gannon, President Thomas H. Gannon & Sons, Inc. P. O. Box 505 Middle Island, New York 1.1953 Dear Mr. Gannon: The Southold Town Board at a regular meeting held on April 23, 1985 accepted the bid of R. O. Welch Asphalt Co. , Riverhead, for supply- ing the Town with 150,000 gallons, more or less, of Grades RC-2 and MC-2 Asphalt Road Materials. Your certified check in the amount of $3,660.00 placed as a bid deposit will be returned to you as soon as the contract with R. O. Welch is signed. Very truly yours, j61' Judith T. Terry Southold Town Clerk Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 JUDITH T.TERRY TELEPHONE Town CLERK (516)765-1801 REGISTRAR Or VITAL S'rn nSTiCS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 29, 1985 Paul Corazzini Paul Corazzini E Sons, Inc. Route #25 Greenport, New York 11944 Dear Paul: The Southold Town Board at their 'regular meeting held on April 23, -1985 accepted the bid of R. O. Welch Asphalt Co., Riverhead, for supplying the Town with 150,000 gallons, more or less, of Grades RC-2 and MC-2 Asphalt Road Materials. Your certified check in the amount of $3,900.00 placed as a bid deposit will be returned to you as soon as the contract with R. O. Welch is signed. Very truly yours, Judith T. Terry Southold Town Clerk • T 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 Material's to the Town of Southold, Suffolk County, New York, all in accordance with the Specifcatio6s of the Superintendent of Highways of said Town dated February 26, 1985. A. Delivered to the Town of Southold and applied/, 9-g_ 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 tH,¢]-L® B. Location of Storage Facilities p & y u/„ C. Capacity of Storage Facilities_ -2 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 $ L� 4 4 o , -0 . In case this proposal shall be accepted by the Town of Southold, and the undersigned shall fail 'to execute the contract and in' all respAects,,,,,,,__ comply with the specifications and this form of bid, the moneys represented by suchw-- 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 ward 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. -i- ; t 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:—'a/)L p 1985. Ufjal 65-me"of person, firm or corporation BY: The P. O. Address of the Bidder is: /0 t./ I Al eP ed P.12 l;S/ t reet h City, State, Zip C � qo � -2- IF A CORPORATION NAME ADDRESS 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 's The Cutback Asphalt is manufactured by � �. whose plant is located at:-do-o Pd s�T,,&,u lj 4j A , The plant has a- capacity ofS p p ,fid 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'/!I hours of notice to deliver. We agree to furnish Cutback Asphalt at the rate ordered to maximum rate of gallons per 8 hour day. 1---gmpany BY Official Title Date: �` 1 °l— &� 5— If the bidder is an authorized agent of the manufacturer, the following authorization must be executed by the manufacturer: This is to certify that L-0 4LG Name of Bidder �3 Street City E Zone No. St to Zip Code is our authorized agent and is capable of making deliveries in compliance with the above certificate. A� Name oM a lufacture�r BY:- _.2a- *1z Official Qitle Date: 3 -- � CT t, NON-COLLUSIVE BIDDING CERTIFICATE BY SUBMISSION OF THIS BID OR PROPOSAL, THE BIDDER CERTIFIES THAT: (a) THIS BID OR PROPOSAL HAS BEEN INDEPENDENTLY ARRIVED AT WITHOUT COLLUSION : (b) THIS BID OR PROPOSAL HAS NOT BEEN KNOWINGLY DISCLOSED, PRIOR TO THE OPENING OF BIDS OR PROPOSALS FOR THIS PROJECT, TO ANY OTHER BIDDER, COMPETITOR OR POTENTIAL COMPETITOR: -(c) NO ATTEMPT HAS OR WILL BE MADE TO INDUCE ANY OTHER PERSON, PARTNERSHIP OR CORPORATION TO SUBMIT OR NOT TO SUBMIT A BID OR PROPOSAL: (d) THE PERSON SIGNING THE BID OR PROPOSAL CERTIFIES THAT HE HAS FULLY INFORMED HIMSELF REGARD- ING THE ACCURACY OF THE STATEMENTS CONTAINED IN THIS CERTIFICATION AND UNDER THE PENALTIES OF PERJURY AFFIRMS THE TRUTH THEREOF, SUCH PENALTIES BEING APPLICABLE TO THE BIDDER AS WELL AS TO THE PERSON SIGNING IN ITS BEHALF: (e) THAT ATTACHED HERETO (IF A CORPORATE BIDDER) IS A CERTIFIED COPY OF THE RESOLUTION AUTHORIZING THE EXECUTION OF THE CERTIFICATE BY THE SIGNATOR OF THIS BID OR PROPOSAL IN BEHALF OF THE CORPORATE BIDDER. RESOLVED THAT: Name of Officer AUTHORIZED TO SIGN AN SUBMIT THE BID OR PROPOSAL OF THIS CORPORATION FOR THE FOLLOWING PROJECT: Described Project AND TO INCLUDE IN SUCH BID OR PROPOSAL THE CERTIFICATE AS TO NON- COLLUSION REQUIRED BY SECTION 103-d OF THE GENERAL MUNICIPAL LAW AS THE ACT AND DEED OF SUCH CORPORATION AND FOR ANY INACCURACIES OR MISSTATEMENTS IN SUCH CERTIFICATE THIS CORPORATE BIDDER SHALL BE LIABLE UNDER THE PENALTIES OF PERJURY. THE FOREGOING IS A TRUE AND CORRECT COPY OF THE RESOLUTION ADOPTED BY CORPORATION AT A MEETING OF ITS BOARD OF DIRECTORS HELD ON THE DAY OF 19 Secretary BID FORM FOR ASPHALT ROAD MATERIALS FOR DELIVERY TO THE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEIN 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 Material's .to the Town of Southold, Suffolk County, New York, all in accordance with the Specifications of the Superintendent of Highways of said Town dated February 26, 1985. A. Delivered to the Town of Southold and applied S 1.26 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 XjjgQa B. Location of Storage Facilities orporoa K3ags park,—Heir 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 as follows: Etnyre hauling units, International tractors, International trucks with Etnyre Road Oils. A—total of 13 Units ranging in ca aA city from 1500 to 6800 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 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 $ 4.500.00 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 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 the ward of the bid'with the said'Town of Southold, and to comply in all respects i with the provisions of the specifications in relation to the security for the faithful performance of the terms of said contract. -i- 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 21 1985. Lausdell Asphalt & Bituminous Corp., R. Lansdell Bituminous Division Legal name of person, firm or, corporation BY: Vice-President The P. O. Address of the Bidder is: Old Northport Road, Box 697 Street Kings Park, New York 11754 City, State, Zip -2- r N NON-COLLUSIVE BIDDING CERTIFICATE BY SUBMISSION OF THIS BID OR PROPOSAL, THE BIDDER CERTIFIES THAT: (a) THIS BID OR PROPOSAL HAS BEEN INDEPENDENTLY ARRIVED AT WITHOUT COLLUSION : (b) THIS BID OR PROPOSAL HAS NOT BEEN KNOWINGLY DISCLOSED, PRIOR TO THE OPENING OF BIDS OR PROPOSALS FOR THIS PROJECT, TO ANY OTHER BIDDER, COMPETITOR OR POTENTIAL COMPETITOR: (c) NO ATTEMPT HAS OR WILL BE MADE TO INDUCE ANY OTHER PERSON, PARTNERSHIP OR CORPORATION TO SUBMIT OR NOT TO SUBMIT A BID OR PROPOSAL: (d) THE PERSON SIGNING THE BID OR PROPOSAL CERTIFIES THAT HE HAS FULLY INFORMED HIMSELF REGARD- ING THE ACCURACY OF THE STATEMENTS CONTAINED IN THIS CERTIFICATION AND UNDER THE PENALTIES OF PERJURY AFFIRMS THE TRUTH THEREOF, SUCH PENALTIES BEING APPLICABLE TO THE BIDDER AS WELL AS TO THE PERSON SIGNING IN ITS BEHALF: (e). THAT ATTACHED HERETO (IF A CORPORATE BIDDER) IS A CERTIFIED COPY OF THE RESOLUTION AUTHORIZING THE EXECUTION OF THE CERTIFICATE BY THE SIGNATOR OF THIS BID OR PROPOSAL IN BEHALF OF THE CORPORATE BIDDER. RESOLVED THAT: Eugene M. Martino Name of Officer AUTHORIZED TO SIGN AND SUBMIT THE BID OR PROPOSAL OF THIS CORPORATION FOR THE FOLLOWING PROJECT: Furnish and apply 1501000 gallonsg more or leas as may be needed, of Grades RC-2 and MC-2 Asphalt Road Materials to The Town of Sopthold, New York 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 Lansdell Asphalt & Bituminous CORPORATION AT A MEETING OF ITS BOARD OF DIRECTORS HELD ON THE 18 DAY OF March 1985 Seca ary •' IF A CORPORATION NAME ADDRESS Clairemont Road Robert H. Lansdell 111 President Ridgewood, New Jersey 07560 13726 Princess Ann Way Mark Lansdell Secretary Pheonix, Maryland 21131 Prospect Street Carroll DeG.Lansdell Treasurer. Ramsey New Jersey 07556 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 Cutback Asphalt NY State items will comply with the requirements for type RC-250.x, MC-250 Grade 702-12 & 70,2-22 The Cutback Asphalt is manufactured by Exxon Company, U.S.A. whose plant is located at rent of Esat 22nd Street, Bayonne, New Jersey The plant has a capacity of 200-000 gallons per 8 hour day and has regularly manufactured Cut Back Asphalt for the past g0 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 509000 gallons per 8 hour day. Lansdell Asphalt & Bituminous Corp., Company BY Vice-President Official Title Date: March 19,1985 C4-Z4b;"U� If the bidder is an authorized agent of the manufacturer, the following authorization must be executed by the manufacturer: This is to certify that Lansdell Asphalt & Bituminous Corp. , Name of Bidder Old Northport Road, Box 697, Kings Park, New York 11754 Street City E Zone No. State Zip Code is our authorized % and is capable of making deliveries in, compliance with the above certificate. Name of Manufacturer BY: Axlz Official T' Date: lar 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 15G,000 gallons, more or less as may be needed, of Grades RC-2 and MC-2 Asphalt Road Material's to the Town of Southold, Suffolk County, New York, all in accordance with the Specifications of the Superintendent of Highways of said Town dated February 26, 1985. e A. Delivered to the Town of Southold and applied �) Z2• 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 Facilitie§�" &e_4ygk-r -rR204e,024 7 0 be B. Location of Storage Facilities .4 a eaT�i A7' T,d Si TSS C. Capacity of Storage Facilities la, pod %&As, 3. The undersigned further states that the type, capacity and number of heated tank trucks and transports that he will utilize are as follows: /J S o U r/.(/3e►., j toe&cras f A i S R 1'AU!-Ox, /6, 00 9a4g 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 specificatioRepow- 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 $ .�6�Q. L10 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 money's 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 Aen days of the date of notice of the ward 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_ 1 r 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:— X,9" a j 1985. 1 0�. 6;09h/go h q S' O /7 xx rA , Legal name of person, firm or corporation BY: The P. O. Address of the Bidder is: P d )o O X 5-0 S— Street /y!/,0jD SLA #--10 , /S/ City, State, Zip -2 IF A CORPORATION NAME ADDRESS IH 0/ns GJ�tI/7 G r► J/L 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 R�' Grade The Cutback Asphalt is manufactured byylm14_4c c) �Ln C__ whose plant is located at c2Vd- 1?j9, ,ao j)Rf✓ L, The plant has a capacity of �Q+ O O O 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^ „3 hours of notice to deliver. We agree to furnish Cutback Asphalt at the rate ordered to maximum rate of / 00 gallons per 8 hour day. 771-1-as. /V �!q 124 o•1 ,4 So n S' J-/1 L Company BY: Official Title Date: ,?—,-2 ( —? 1' 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 E Zone No. State Zip Code is our authorized agent and is capable of making deliveries in compliance with the above certificate. Name of Manufacturer BY: Official Title Date: NON-COLLUSIVE BIDDING CERTIFICATE BY SUBMISSION OF THIS BID OR PROPOSAL, THE BIDDER CERTIFIES THAT: (a) THIS BID OR PROPOSAL HAS BEEN INDEPENDENTLY ARRIVED AT WITHOUT COLLUSION : (b) THIS BID OR PROPOSAL HAS NOT BEEN KNOWINGLY DISCLOSED, PRIOR TO THE OPENING OF BIDS OR PROPOSALS FOR THIS PROJECT, TO ANY OTHER BIDDER, COMPETITOR OR POTENTIAL COMPETITOR: (c) NO ATTEMPT HAS OR WILL BE MADE TO INDUCE ANY OTHER PERSON, PARTNERSHIP OR CORPORATION TO SUBMIT OR NOT TO SUBMIT A BID OR PROPOSAL: (d) THE PERSON SIGNING THE BID OR PROPOSAL CERTIFIES THAT HE HAS FULLY INFORMED HIMSELF REGARD- ING THE ACCURACY OF THE STATEMENTS CONTAINED IN THIS CERTIFICATION AND UNDER THE PENALTIES OF PERJURY AFFIRMS THE TRUTH THEREOF, SUCH PENALTIES BEING APPLICABLE TO THE BIDDER AS WELL AS TO THE PERSON SIGNING IN ITS BEHALF: (e) THAT ATTACHED HERETO (IF A CORPORATE BIDDER) IS A CERTIFIED COPY OF THE RESOLUTION AUTHORIZING THE EXECUTION OF THE CERTIFICATE BY THE SIGNATOR OF THIS BID OR PROPOSAL IN BEHALF OF THE CORPORATE BIDDER. RESOLVED THAT: /;fdn-) d '04 <5;q/-)hon T2 Name of Officer AUTHORIZED TO SIGN AND SUBMIT THE BID OR PROPOSAL OF THIS CORPORATION FOR THE FOLLOWING PROJECT: -- ASP/,IA,c T f2o A U 7-" �f+�S A70 To 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 "77 _ g, 6i9^14,q cy sorvS Tie.-CORPORATION AT A MEETING OF ITS BOARD OF DIRECTORS HELD ON THE a0 DAY OF �l1i 2-GIS 19 Sec etary r , t 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 sought and requested for the purchase and application of 150,000 gallons, more or less as may be needed, of Grades RC-2 and MC-2 Asphalt Road Materials, delivered to the Town of Southold and applied. Specifications for the above may be obtained at the Office of the Town Clerk, Town of Southold, Town Hall, Main Road, Southold, New York 11971. The sealed bids, together with a Non-Collusive 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 10:00 A.M. , Thursday, March 21, 1985, 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: February 26, 1985. JUDITH T. TERRY SOUTHOLD TOWN CLERK PLEASE PUBLISH ONCE, MARCH 7, 1985, 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 Suffolk Times The Long Island Traveler-Watchman Town Board Members Town Clerk's Bulletin Board Superintendent of Highways Dean 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 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, 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 10:00 o'clock A.M. on March 21, 1985, as set forth in the published Notice to Bidders published in The Suffolk Times and The Long Island Traveler- Watchman. Each bid must be accompanied by a bank draft or certified check made payable to the "Town of Southold" in'an amount equal to 2% of the amount of the bid. All bid deposit checks except that of the lowest responsible bidder will be returned within five (5) days after the 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 property 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 1OOo of the total bidprice. 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 ,1985, of Grades RC-2 and MC-2 Asphalt Road Materials, which materials shall comply with the specificastions 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 1985 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 - S ecifications or the Purchase and Application* g P PP 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 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 by the Superintendent of Highways for the calendar year 1985. 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. The sufficessful 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 : February 26, :1985. TOWN OF SOUTHOLD BY: RAYMOND C. DEAN SUPERINTENDENT OF HIGHWAYS Page 3 SPECIFICATIONS FOR RC-2 AND MC-2 ASPHALT MATERIALS GRADE RC-2 MC-2 GR API 17. 3 15.7 Spec. Gravity @ 77°F 0..95 0. 96 Flash Teg CC°F 87. 1701 Vis SSF 140°F 152 149 Distillation % Rec. @ 374°F 14 @ 437°F 19 @ 500°F 21 8 @ 600°F 23 18 @ 680°F 24 23 Distillate % to 680°F @ 374°F 57 @ 437°F 78 0 @ 500°F 86 35 @ 600°F 98 78 Residue by diff. % Vol . 76 77 Test on Residue from distial Pen at 77°F 96 187 Ductility at 77°F 1101 110f 1/0 Sol in CC 14 99.9 99. 9 Spot Test OLIENSIS Reg. Reg. DATED: February 26, -1985. TOWN OF SOUTHOLD BY: RAYMOND C. DEAN SUPERINTENDENT OF HIGHWAYS BID FORM FOR ASPHALT ROAD MATERIALS FOR DELIVERY TO THE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK 1 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 Material's to the Town of Southold, Suffolk County, New York, all in accordance with the Specifications of the Superintendent of Highways of said Town dated February 26, 1985. A. Delivered to the Town of Southold and applied /, ,,9 9 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 utiljze 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 pwoposal is cash, a bank check or certified check in the amount of $ foo, 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 the ward 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: � fcr_� 0 1985. Legal name of peilslon, firm or corporation BY: The P. O. Address of the Bidder is: 'eOvt'4 �.z�' Street k- e- 62 Rt �l�y`f City, State, Zip -2- IF A CORPORATION 1 NAME ADDRESS President Secretary Treasurer / J 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 ,�� /bfG Grade �� The Cutback Asphalt is manufactured by ,�xx oyJ whose plant is located at iE s f- g1 �' � ,��f qua rJyJG. �f�,�T�«�• The plant has a capacity of_2e9Bad gallons per 8 hour day and has regularly manufactured Cut Back Asphalt for the past slo 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 /-Z oeo gallons per 8 hour day. JLLt�� �i>v�_��2J7iJ �Jort _L,. L ompany BY: ` P Official Title Date: d yv al- /g k5 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 E Zone No. State Zip Code is our authorized agent and is capable of making deliveries in compliance with the above certificate. Name of Manufacturer BY: Official Title Date: NON-COLLUSIVE BIDDING CERTIFICATE BY SUBMISSION OF THIS BID OR PROPOSAL, THE BIDDER CERTIFIES THAT: (a) THIS BID OR PROPOSAL HAS BEEN INDEPENDENTLY ARRIVED AT WITHOUT COLLUSION : (b) THIS BID OR PROPOSAL HAS NOT BEEN KNOWINGLY DISCLOSED, PRIOR TO THE OPENING OF BIDS OR PROPOSALS FOR THIS PROJECT, TO ANY OTHER BIDDER, COMPETITOR OR POTENTIAL COMPETITOR: (c) NO ATTEMPT HAS OR WILL BE MADE TO INDUCE ANY OTHER PERSON, PARTNERSHIP OR CORPORATION TO SUBMIT OR NOT TO SUBMIT A BID OR PROPOSAL: (d) THE PERSON SIGNING THE BID OR PROPOSAL CERTIFIES THAT HE HAS FULLY INFORMED HIMSELF REGARD- ING THE ACCURACY OF THE STATEMENTS CONTAINED IN THIS CERTIFICATION AND UNDER THE PENALTIES OF PERJURY AFFIRMS THE TRUTH THEREOF, SUCH PENALTIES BEING APPLICABLE TO THE BIDDER AS WELL AS TO THE PERSON SIGNING IN ITS BEHALF: (e) THAT ATTACHED HERETO (IF A CORPORATE BIDDER) IS A CERTIFIED COPY OF THE .RESOLUTION AUTHORIZING THE EXECUTION OF THE CERTIFICATE BY THE SIGNATOR OF THIS BID OR PROPOSAL IN BEHALF OF THE CORPORATE BIDDER. RESOLVED THAT: 'aa / �,,,,, ,` Name�� ficer 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 L ?t a-Sony, CORPORATION AT A MEETING OF .ITS BOARD OF DIRECTORS HELD ON THE DAY OF /d�1 19 �' Secretary l 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 JC-0, A142- The 42,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 Company By: (Official Title) Date: If the bidder is an authorized customer of the manufacturer, the following authorization must be executed by the manufacturer. This is toJ certify that: (Name of Bidder) rC,e, nPa-- '/V (Street) (City) (State) (Zip Code) is our cu"sccmer and considered capable vi making deli"veraes In complilanee with the above certificate, provided the volume specified in this bid is covered by our contract EKKON COMPANY, U.S.A. By: .�( E'�° Lc Date: /91-',,ALl,�S1� ' i010 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 sought and requested for the purchase and application of 150,000 gallons, more or less as may be needed, of Grades RC-2 and MC-2 Asphalt Road Materials, delivered to the Town of Southold and applied. Specifications for the above may be obtained at the Office of the Town Clerk, Town of Southold, Town Hall, Main Road, Southold, New York 11971. The sealed bids, together with a Non-Collusive Certificate, bank draft or certified check in the amount equal to 20 of the amount of the bid, Bid Form, and Bidder's Certificate will be received by the Town Clerk of the Town of Southold at the Southold Town Hall, Main Road, Southold, New York until 10:00 A.M. , Thursday, March 21, 1985, 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: February 26, 1985. JUDITH T. TERRY SOUTHOLD TOWN CLERK PLEASE PUBLISH ONCE, MARCH 7, 1985, 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 Suffolk Times The Long Island Traveler-Watchman Town Board Members Town Clerk's Bulletin Board Superintendent of Highways Dean t 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 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, 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 10:00 o'clock A.M. on March 21, -1985', as set forth in the published Notice to Bidders published in The Suffolk Times and The Long Island Traveler- Watchman. Each bid must be accompanied by a bank draft or certified check made payable to the "Town of Southold" in'an amount equal to 2% of the amount of the bid. All bid'deposit checks except that of the lowest responsible bidder will be returned within five (5) days after the 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 property 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' ineffect at his expense, during the term of the contract, a bond for the faithful performance of the contract, the amount of which shall be 1OOo 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 -1985, of Grades RC-2 and MC-2 Asphalt Road Materials, which materials shall comply with the specificastions 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 :1985 calendar year. The bidder will' be paid' for only such quantities as are ordered by the Town and delivered and applied by the bidder. Said materials must be delivered and applied in the Town of Southold. Page 2 - Specifications for the Purchase and Application of Asphalt Road Materials The bidder must have not less than 30, 000 gallons of Grade RC-2 material and not less than 30,000 gallons of Grade MC-2 material in heated storage tanks located in the Town of Southold, or 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 by the Superintendent of Highways for the calendar year -1985. 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. The sufficessful 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 : February 26, .1985. TOWN OF SOUTHOLD BY: RAYMOND C. DEAN SUPERINTENDENT OF HIGHWAYS Page 3 SPECIFICATIONS FOR RC-2 AND MC-2 ASPHALT MATERIALS GRADE RC-2 MC-2 GR API 17.3 15.7 Spec. Gravity @ 77°F 01. 95 0. 96 Flash Teg CC°F 87. 170 f Vis SSF 140°F 152 149 Distillation % Rec. @ 374°F 14 @ 437°F 19 @ 500°F 21 8 @ 600°F 23 18 @ 680°F 24 23 Distillate % to 680°F @ 374°F 57 @ 437°F 78 0 @ 500°F 86 35 @ 600°F 98 78 Residue by diff. % uol . 76 77 Test on Residue from distial Pen at 77°F 96 187 Ductility at 77°F 1101 1101 1/0 Sol in CC 14 99.9 99. 9 Spot Test OLIENSIS Reg. Reg. DATED : February 26, ,1985. TOWN OF SOUTHOLD BY: RAYMOND C. DEAN SUPERINTENDENT OF HIGHWAYS SPECIFICATIONS FOR ASPHALT ROAD I MATERIALS.SENT TOM PICKED UP BY THE FOLLOWING: 1. Landsdell Asphalt & Bituminous Corp. , Old Northport Road, P.O. Box 697, 3/7/85 Kings Park, N.Y. 11754 R.o, �. We-le 9�sjo�►�c/�`C� '4 vvooclrres`/ 4e �� � ertiec�' 3 ']'/jomgS 9Qnn0AI*6ow37, /a5 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 sought and requested for the pur- chase and application of 150,000 STATE OF NEW YORK ) gallons,more or less as may be SS- needed,of Grades RC-2 and MC- 2 Asphalt Road Materials,deliv- COUNTY OF SUFFOLK ered to the Town,of Southold and applied. Specifications for the above may be obtained at the Of- ANNA l gxxAg of Greenport, in fice of the Town Clerk,Town of Southold,Town Hall,Main Road, said County, being duly sworn,says that he/she is Southold,New York 11971. Principal Clerk of THE SUFFOLK TIMES, a Weekly The sealed bids,together with a Non-Collusive Certificate, Newspaper, published at Greenport, in the Town bank draft or certified check in of Southold, County of Suffolk and State of New the amount equal to 2 percent of the amount of the bid,Bid Form, York, and that the Notice of which the annexed is and Bidder's Certificate will be arinted c0 receivedbythe Town Clerk ofthe p copy, has been regularly published in Town of Southold at the Southold said Newspaper once each week for one Town Hall,Main Road,Southold, New York, until 10:00 a.m., weeks successively, commencing on the 7 Thursday, March 21, 1985, at day of March 19 85 which time they will he opened and read aloud in public. The Town Board of the Town of Southold reserves the right to re- ject any and all bids and waive any and all informality in any Principal Clerk bid, should it be deemed in the best interest of the Town of Southold to do so. Sworn to before me this 7 All bids must be signed and sealed in envelopes plainly da Of March 198 r, iiiFs %1. ABATE marked "Bid on Asphalt Road ^� �r Pl'•�L C t!oft -ti ',`oc4 Materials,"and submitted to the ( , ��,.I C, U tv Office of the Town Clerk.The bid price shall not include any tax, %�'{�'✓f 1 federal,state or local,from which the Town of Southold is exempt. DATED:February 26,1985- JUDITH 6,1985.JUDITH T.TERRY SOUTHOLD TOWN CLERK 1TM7--4813 COUNTY OF SUFFOLK STATE OF NEW YORK ss: NOTICE NOTICE TO BIDDERS ' Patricia .Wood, being duly sworn, says that she is the NOTICE IS HEREBY GIV- Editor, of THE LONG ISLAND TRAVELER-WATCHMAN, EN in accordance `with the a public newspaper printed at Southold, in Suffolk County; provisions of Municipal 103 Law,s al- and that the notice of which the annexed is a printed copy, General Municipal Law, seal- ed bids are sought and re- has been published in said Long Island Traveler-Watchman quested for the purchase and once each week for . . . . . . . . . . . . . . . . . `. . . . . . . . weeks application of 150,000 gallons, more or less as may. be 7 needed, of Grades RC-2 and successively, commencing on the MC-2 Asphalt Road Materials, delivered to the Town of day of. . . . . . .. c'.� . . . ., 19 Southold and applied. Specifi- cations for the above may be obtained at the Office of the Town Clerk,Town of Southold, Town Hall,Main Road,South- old, New York 11971. The sealed bids, together`' with a Non-Collusive Cern- -? ficate, bank draft or certified Sworn to before me this . . . . . . . . . . . . . . . . . . . . . day of check in the amount equal to 2% of the amount of the bid, , 19 r . Bid form, and Bidder's Certi- . . . . . . . . . . . . . . . . . . . . . . . ficate will be received by the Town Clerk of the Town`of SouthQld at the Southold Town , Hall, Main Road, Southold, ze�- New York until 10:00 A.M.;.:: . . . . . . . . . . . �L . . . . . . . . . . . . . . Thursday, March 21, 1985, at Notary Public which time they will be opened.' BARBARA FORBES and read aloud in public. The Notary Public, State of New York Town Board of the Town of., No. 4806646 Southold reserves the tight to Qualified in Suffolk County, reject any and all bids and Commission Expires March 30, 19 F6 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: February 26, 19M. JUDITH T:TERRY SOUTHOLD TOWN CLERK s 1T-3/7!85(13)• s IIS i s STATE OF NEW YORK: COUNTY OF SUFFOLK:SS: 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 1st day of March 1985 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 Bulletin Board, Southold Town Hall, Main Road, Southold, New York 11971. Notice to Bidders: 150,000 gallons, more or less as may be needed, of Grades RC-2 and MC-2 Asphalt Road Materials. Bid Opening: 10:00 A.M., Thursday, March 21, :1985, Southold Town Hall. Judith T. Terry Southold Town Clerk Sworn to before me this 1st day of March 19.85 Notary Public ELIZA"ANN NEVILLE NARY PUBLIC,M&of New York Ngo.524125850,Suffolk ,, TeTomUph"Much A 19fi�rr6 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 sought and requested for the purchase and application of 150,000 gallons, more or less as may be needed of Grades RC-2 and MC-2 Asphalt Road Materials, delivered to the Town of Southold and applied. Specifications for the above may be obtained at the Office of the Town Clerk, Town of Southold, Town Hall, Main Road, Southold, New York 11971. The sealed bids, together with a Non-Collusive 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 10:00 A.M. , Thursday, March 21, 1985, 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: February 26, 1985. JUDITH T. TERRY SOUTHOLD TOWN CLERK PLEASE PUBLISH ONCE, MARCH 7, 1985, 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 Suffolk Times The Long Island Traveler-Watchman Town Board Members Town Clerk's Bulletin Board Superintendent of Highways Dean 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 sought and requested for the purchase and application of 150,000 gallons, more or less as may be needed, of Grades RC-2 and MC-2 Asphalt Road Materials, delivered to the Town of Southold and applied. Specifications for the above may be obtained at the it Office of the Town Clerk, Town of Southold, Town Hall, Main Road, Southold, New York 11971. The sealed bids, together with a Non-Collusive 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 Towne of Southold at the Southold Town Hall, Main Road, Southold, New York until fl 10:00 A.M. , Thursday, March 21 1985, 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: February 26, 1985. JUDITH T. TERRY SOUTHOLD TOWN CLERK PLEASE PUBLISH ONCE, MARCH 7, 1985, 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 Suffolk Times The Long Island Traveler-Watchman Town Board Members Town Clerk's Bulletin Board Superintendent of Highways Dean 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 sought and requested for the purchase and application of 150,000 gallons, more or less as may be needed, of Grades RC-2 and MC-2 Asphalt Road Materials, delivered to the Town of Southold and applied. Specifications for the above may be obtained at the Office of the Town Clerk, Town of Southold, Town Hall, Main Road, Southold, New York 11971. t; The sealed bids, together with a Non-Collusive 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 s 10:00 A.M., Thursday, March 21, 1985, 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: February 26, 1985. JUDITH T. TERRY SOUTHOLD TOWN CLERK PLEASE PUBLISH ONCE, MARCH 7, 1985, 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 Suffolk Times The Long Island Traveler-Watchman Town Board Members Town Clerk's Bulletin Board Superintendent of Highways Dean 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 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, 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 10:00 o'clock A.M. on March 21, -1985', as set forth in the published Notice to Bidders published in The Suffolk Times and The Long Island Traveler- Watchman. Each bid must be accompanied by a bank draft or certified check made payable to the "Town of Southold" in'an amount equal to 2% of the amount of the bid. All bid deposit checks except that of the lowest responsible bidder will be returned within five (5) days after the 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 property 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' ineffect 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 ,1985, of Grades RC-2 and MC-2 Asphalt Road Materials, which materials shall comply with the specificastions 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 :1985 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. 1 Page 2 - Specifications Or 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 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 by the Superintendent of Highways for the calendar year 1985. 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. The sufficessful 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 : February 26, :1985. TOWN OF SOUTHOLD BY: RAYMOND C. DEAN SUPERINTENDENT OF HIGHWAYS Page 3 SPECIFICATIONS FOR RC-2 AND MC-2 ASPHALT MATERIALS GRADE RC-2 MC-2 GR API 17. 3 15.7 Spec. Gravity @ 77°F 01. 95 0. 96 Flash Teg CC°F 87. 170 f Vis SSF 140°F 152 149 Distillation % Rec. @ 374°F 14 @ 437°F 19 @ 500°F 21 8 @ 600°F 23 18 @ 680°F 24 23 Distillate % to 680°F @ 374°F 57 @ 437°F 78 0 @ 500°F 86 35 @ 600°F 98 78 Residue by diff. o Vol . 76 77 Test on Residue from distial Pen at 77°F 96 187 Ductility at 77°F 1101 1101 1/0 Sol in CC 14 99.9 .99. 9 Spot Test OLIENSIS Reg. Reg. DATED: February 26, -1985. TOWN OF SOUTHOLD BY: RAYMOND C. DEAN 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 February 26, 1985. 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 the ward 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 : 1985. Legal name of person, firm or corporation BY: The P. O. Address of the Bidder is: Street City, State, Zip -2- IF A CORPORATION NAME ADDRESS 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 E Zone No. State Zip Code is our authorized agent and is capable of making deliveries in compliance with the above certificate. Name of Manufacturer BY: Official Title Date: NON-COLLUSIVE BIDDING CERTIFICATE BY SUBMISSION OF THIS BID OR PROPOSAL, THE BIDDER CERTIFIES THAT: (a) THIS BID OR PROPOSAL HAS BEEN INDEPENDENTLY ARRIVED AT WITHOUT COLLUSION : (b) THIS BID OR PROPOSAL HAS NOT BEEN KNOWINGLY DISCLOSED, PRIOR TO THE OPENING OF BIDS OR PROPOSALS FOR THIS PROJECT, TO ANY OTHER BIDDER, COMPETITOR OR POTENTIAL COMPETITOR: (c) NO ATTEMPT HAS OR WILL BE MADE TO INDUCE ANY OTHER PERSON, PARTNERSHIP OR CORPORATION TO SUBMIT OR NOT TO SUBMIT A BID OR PROPOSAL: (d) THE PERSON SIGNING THE BID OR PROPOSAL CERTIFIES THAT HE HAS FULLY INFORMED HIMSELF REGARD- ING THE ACCURACY OF THE STATEMENTS CONTAINED IN THIS CERTIFICATION AND UNDER THE PENALTIES OF PERJURY AFFIRMS THE TRUTH THEREOF, SUCH PENALTIES BEING APPLICABLE TO THE BIDDER AS WELL AS TO THE PERSON SIGNING IN ITS BEHALF: (e) THAT ATTACHED HERETO (IF A CORPORATE BIDDER) IS A CERTIFIED COPY OF THE RESOLUTION AUTHORIZING THE EXECUTION OF THE CERTIFICATE BY THE SIGNATOR OF THIS BID OR PROPOSAL IN BEHALF OF THE CORPORATE BIDDER. RESOLVED THAT: Name of Officer AUTHORIZED TO SIGN AND SUBMIT THE BID OR PROPOSAL OF THIS CORPORATION FOR THE FOLLOWING PROJECT: Described Project AND TO INCLUDE IN SUCH BID OR PROPOSAL THE CERTIFICATE AS TO NON- COLLUSION REQUIRED BY SECTION 103-d OF THE GENERAL MUNICIPAL LAW AS THE ACT AND DEED OF SUCH CORPORATION AND FOR ANY INACCURACIES OR MISSTATEMENTS IN SUCH CERTIFICATE THIS CORPORATE BIDDER SHALL BE LIABLE UNDER THE PENALTIES OF PERJURY. THE FOREGOING IS A TRUE AND CORRECT COPY OF THE RESOLUTION ADOPTED BY CORPORATION AT A MEETING OF ITS BOARD OF DIRECTORS HELD ON THE DAY OF 19 Secretary THE SUCCESSFUL BIDDER'S TRUCKS MUST BE EQUIPPED WITH A WHEEL CALIBRATED INSTRUMENT FOR ACCURACY OF APPLICATION. Judy: Please make the insertion on Item I. between the fourth and fifth paragraphs. Page 2 - Thanks-Judy. 1 Page 2 - Specifications for the Purchase and Application of Asphalt Road Materials 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 1,984 ,,, 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 1983 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 by -be Superintendent of 0 - Highways for the calendar year 1,984. 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 27 , 1984. !, i#4way 13epartmrnt Lown of #00401b reronir, N.J. 11958 RAYMOND C. DEAN TEL.765-3140 SUPERINTENDENT 734-5211 RESOLUTION BY: SECONDED BY: RESOLVED: That the Superintendent of Highways of the Town of Southold is requesting the Town Clerk to advertise for bids for the following Highway item: PURCHASE AND APPLICATION OF 150, 000 GALLONS, MORE OR LESS AS MAY BE NEEDED, OF GRADES RC-2 and MC-2 ASPHALT ROAD MATERIALS. VOTE OF THE TOWN BOARD Supervisor Francis J. Murphy (Yes) (NO) Justice Raymond W. Edwards (Yes) (NO) Councilman Joseph L. Townsend, Jr. (Yes) (NO) Councilman Paul Stoutenburah (Yes) (NO) Councilman James A. Schondebare (Yes) (NO) Councilwoman Jean W. Cochran (Yes) (NO) Dated: February 26, 1985