HomeMy WebLinkAboutAsphalt Road Material.�• M r. W ♦ RSI•. •4 ry'_,
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JUDITH T. TERRY
TOWN CLERK
REGISTRAR or VITAL STA -1 ISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. BOX 728
Southold, New York 11971
TELEPHONE
(516) 765-1801
Date June 13, 1983
Mr. Eugene M. Martino, Vice -President
Lansdell Asphalt & Bituminous Corp.
Old Northport Road, P. 0. Box 697
Kings Park, New York 11754
Dear Mr. Martino:
I am in receipt of your performance bond in the
amount of $187,125.00, therefore your bid deposit check
in the amount of $5,000.00 is returned herewith to you.
Very truly yours,
Judith T. Terry
Southold Town Clerk
Enclosure
TH LANSDELL COMPANY
-
FIDELITY UNION BANK
AND SUBSIDIARIES a�
=, , ==HACKENSACK, NEW JERSEY 07601
HACKENSACK. N -J.
_
< R. Lalisdell ituminous Cor
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PAY TO _
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55-32
212
CHECK NO.
62862
AMOUNT OF CHECK
5,000.00
THE T'' -i ,'� +`_ '1 THE LANSDELL COMPANY
J Ci-- •�_ AND SUBSIDIARIES
RDER OF �, I"f9
Fidel Union Bin C)
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' THORIZED SIGNATOR!
CERTIFICATION CODE
1100 6 28 9 2110 1:0 2 L 200 3 ' 200 3 4 3008 311' 311,
DO NOT REtdOVE THIS LABEL
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JUDITH T. TERRY
TOWN CLERK
REGISTRAR or VITAL STA FISTiCS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Mr. Raymond 0. Welch
R. 0. Welch Asphalt Co.
1064 Woodcrest Avenue
Riverhead, New York 11901
Dear Mr. Welch:
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
TELEPHONE
(516) 765-1801
Date June 13, 1983
Returned herewith is your bid deposit check in
the amount of $4,500.00 placed with your bid for supply-
ing the Town of Southold with 150,000 gallons, more or
less, of Grades RC -2 and MC -2 Asphalt Road Materials.
Very truly yours,
Judith T. Terry
Southold Town Clerk
Enclosure
•
HACKENSACK. N.J.
\
KINGSTON, N.Y. \\'
BALTIMORE, MD.
KINGS PARK, N.Y.
LAFAYETTE, N.J.
ROAD MAINTENANCE AND PAVEMENT SEALING MATERIALS FURNISHED AND APPLIED
LANSDELL ASPHALT a BITUMINOUS CORP.
R. LANSDELL BITUMINOUS DIVISION
OLD NORTHPORT ROAD
P. O. BOX
KINGS PARK, NEW YORK 11754
516/269-9111
'JUN
O ry MQ3 516/482-8303 OUTSIDE OF SUFFOLK
Tom cm Do* June 6,1983
Office of the Town Clerk
Town of Southold
Town Hall
PO Box 728
Southold, New York 11971
Attn; Judith T. Terry
Southold Town Clerk
Dear Judith T. Terry,
Enclosed please find Performance and Payment
Bond for Liquid Asphalt Road Materials Contract.
In accordance with the Specifications, our
bid deposit check for S 5,000.00 will be returned upon your
receiving the Performance and Payment Bond.
Ver truly yours,
M. Martino
Vice -President
EMM/rb
0
The Hanover Insurance Company
PERFORMANCE AND PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS, That,....Lansdell.Asphalt.&_Bituminous._Cnrporation
----------------------------------------------------------
(hereinafter called the Principal), as Principal, and THE HANOVER INSURANCE COMPANY, a
corporation organized and existing under the laws of the State of New Hampshire, having its Executive Offices
in the City of Worcester, Massachusetts (hereinafter called the Surety), as Surety, are held and firmly bound unto
.....................................................................................................................................................................................................
_-------------------- TQ_W_n._QL5Q_UthD1dq_X..y ...................................................................... ------------
(hereinafter called the Owner), and to all persons who furnish labor or material directly to the Principal
for use in the prosecution of the work hereinafter named, in the just and full sum of --- One- Hundre0--------
Eighty-Seven
-----__
Ei ht -Seven T ($187,125 00)
.___ _____ g_ y _ Thousand One Hundred Twenty -Five . Fiye_an.. 00 . 00 --------- ----
y- - ........................................-- ----------Dollars,
to the payment of which sum, well and truly to be made, the said Principal and Surety bind themselves,
and their respective heirs, administrators, executors, successors and assigns, jointly and severally, firmly
by these presents.
WHEREAS, the Principal has entered into a certain written contract with the Owner, dated the
..--••------•------- 2.4 ----_----day of ---------- �Y---------------------------- 19._83.., to .... .£tirnish..and.apply.aslzhalx
......................
road material
-------------------------------------•-------...._....--•------•-----------------------------•-----------•----•------•-------------••-------------•---•--•-------------------------------..
which contract is hereby referred to and made a part hereof as fully and to the same extent as if copied
at length herein.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the said
Principal shall fully indemnify the Owner from and against any failure on his part faithfully to perform
the obligations imposed upon him under the terms of said contract free and clear of all liens arising
out of claims for labor and material entering into the work, and if the said Principal shall pay all persons
who shall have furnished labor or material directly to the Principal for use in the prosecution of the
aforesaid work, each of which said persons shall have a direct right of action on this instrument in his
own name and for his own benefit, subject, however, to the Owner's priority, then, this obligation to be
void, otherwise to remain in full force and effect;
PROVIDED, HOWEVER, that no action, suit or proceeding shall be had or maintained against the
Surety on this instrument unless the same be brought or instituted and process served upon the Surety
within one year after completion of the work mentioned in said contract, whether such work be completed
by the Principal, Surety or Owner; but if there is any maintenance period provided in the contract for
which said Surety is liable, an action for maintenance may be brought within three months from the
expiration of the maintenance period, but not afterwards.
IN WITNESS WHEREOF, the said Principal and Surety have signed and sealed this instrument
this............. 2nd .................. day of ..... lune ................................. 9 19---8�
WI ESS:
t� Lansdell Asphalt & Bituminous Corporation
............C^ a._.-(Sealal))---------••-•---------------------------•-•-----...--••----....--•--------------•--------------------------------
...............................•---------...---------...----------------........------..... ----
(Se
Fora 141-0598B
............... -............................................ ...................... (Seal)
ATHHANOVER INSURANCE COMPANY
B
....... 66
--•.--- ��----------
Attorney-in-fact
Brenda L. Davis
MBERS OFTMC
The Hanover Insurance Company
--s aTHE
_ftEP
POWER OF ATTORNEY
CERTIFIED COPY
KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY, a corporation organized
and existing under the laws of the State of New Hampshire, does hereby constitute and appoint
- William Go Franey, Debby Bair, James J. Nevins,
W. Braxton Godbey, Jr., Ronald E. Parr and/or Brenda L. Davis -
of Capitol Heights, Maryland, and each is its true and lawful Attorney(s) -in-fact
to sign, execute, seal, acknowledge and deliver for, and on its behalf, and as its act and deed, at any place within the United
States, or, if the following line be filled in, only within the area therein designated
any and all bonds, recognizances, undertakings, contracts of indemnity or other writings obligatory in the nature thereof,
as follows:
Any such obligations in the United States, in any amount. - - - - -
And said Company hereby ratifies and confirms all and whatsoever said Attorney(s) -in-fact may lawfully do in the premises
by virtue of these presents.
This appointment is made under and by authority of the following Resolution passed by the Board of Directors of
said Company at a meeting held on the thirteenth day of December, 1972, a quorum being present and voting, which
resolution is still in effect:
"Resolved, that the President or any Vice President, in conjunction with any Secretary or Assistant Secretary,
be and they are hereby authorized and empowered to appoint Attorneys -in -fact of the Company, in its name
and as its acts, to execute and acknowledge for and on its behalf as Surety any and all bonds, recognizances, con-
tracts of indemnity, waivers of citation and all other writings obligatory in the nature thereof, with power to at-
tach thereto the seal of the Company. Any such writings so executed by such Attorneys -in -fact shall be as bind-
ing upon the Company as if they had been duly executed and acknowledged by the regularly elected Officers of
the Company in their own proper persons."
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY has caused these presents to be sealed with its
corporate seal, duly attested by its Vice President and its Secretary, this 3 0th
day of December 1980
(Seal)
THE HANOV,-P IZANCE COMPANY
�) Vice President
.............
Secretary
THE COMMONWEALTH OF MASSACHUSETTS
COUNTY OF WORCESTER ss.
On this 30th day of December 1980 , before me came the above named
Vice President and Secretary of The Hanover Insurance Company, to me personally known to be the individuals and officers
describ WI81 5ttd. cknowled ed that the seal affixed to the preceding instrument is the corporate seal of The Hanover
q r
e,Eb � g
Insugaliic��o pafiy aiPf at the said corporate seal and their signatures as officers were duly affixed and subscribed to said
insfrymenf. . the autfigrity,and direction of said Corporation.
(Seal) Notary Public
My Commission Expires May 31, 1985
I, the undersigned Secretary of The Hanover Insurance Company, hereby certify that the above and foregoing is a full,
true and correct .co}iy'of the Original Power of Attorney issued by said Company, and do hereby further certify that the
said Power of Attorney is still in force and effect.
This Certificate may be signed by fascimile under and by authority of the following resolution of the Board of Directors of
The Hanover Insurance Company at a meeting held on the 13th day of December, 1972
"RESOLVED, That any and all Powers of Attorney, and Certified Copies of such Powers of Attorney and
certification in respect thereto, granted and executed by the President or any Vice President in conjunction with
any Secretary or Assistant Secretary of the Company shall be binding on the Company to the same extent as if
all signatures thereon were manually affixed even though one or more of any such signatures thereon may be
facsimile".
GIVEN under my hand and the seal of said Company, at Worcester, Massachusetts, this 2nd
i
day of June 19 83 '
............................. . ....................
FORM 111-0402 NS
Jecret r
May 26, 1983
Mr. Eugene M. Martino, Vice -President
Lansdell Asphalt & Bituminous Corp.
Old Northport Road, P. 0. Box 697
Kings Park, New York 11754
Dear Mr. Martino:
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
TELEPHONE
(516)765-1801
The Southold Town Board at a meeting held on May
24, 1983 accepted your bid in the amount of $/.2475 for
supplying the Town of Southold Highway Department with
150,000, 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 $187,125.00, your $5,000.00 bid deposit check
will be returned to you.
Very truly yours,
Judith T. Terry
Southold Town Clerk
May 26,. 1983
Mr. Raymond 0. Welch
R. 0. Welch Asphalt Co.
1064 Woodcrest Avenue
Riverhead, New York 11901
Dear Mr. Welch:
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
TELEPHONE
(516) 765-1801
The Southold Town Board at a regular meeting held on
May 24, 1983 accepted the bod of Lansdell Asphalt and
Bituminous Corp. for supplying the Town of Southold with
150,000 gallons, more or less, of Grades RC -2 and MC -2
of Asphalt Road Materials at the bid price of $1.2475.
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 Lansdell is signed.
Very truly yours,
Judith T. Terry
Southold Town Clerk
BID FORE
FOR ASPHALT ROAD PATERIALS FOR
DELTI,'ERY TO THE TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
ITEP:1 NO. 1
TO THE TOIVN BOARD
TOWN OF SOUTHOLD
SOUTHOLD, NEW YORK
1. The undersigned hereby propose to furnish. and apply 150,000
gallons, more or less as may be needed, of Grades RC -2 and PSC -2 Asphalt
Road Materials to the Town of Southold, Suffolk County, New York, all
in accordance with the Specifications of the Superintendent of Highways
of said Town dated April 19, 1983.
A. Delivered t,Q 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 Heated stel-1 storage tanks.
Old Northport Road
B. Location of Storage Facilities Kings Park, New York
C. Capacity of Storage Facilities 195,000 gallons
3. The undersigned further states that the type, capacity and
number of heated tank trucks and transports that he will utilize are
Etnyre hauling units, International tractors,International trucks
as follows: with Etnyre Road Oilers. A total of 13 units ranging in capacity
from 1500 gallons 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 undersigned further declares that he has
or they have carefully examined the specifications and this form of bid
and has or have satisfied himself or themselves as to all the terms and
conditions and understand that in si;ning this proposal he or they waive
all right to plead any misunderstanding regarding the same.
-1-
5. Accompanying this proposal is cash, a bank check or certified
check in the amount of S 5000.00 In case this proposal shall
be accepted by the Town of Southold, and the undersigned shall fail to
execute the contract and in all respects comply with the specifications
and this form of bid, the monies represented by such cash or check shall
be regarded as liquidated damages and shall be forfeited and become the
property of the Town of Southold; otherwise to be returned to the bidder
as provided in the above said provisions.
6. On acceptance of this bid the undersigned does or do hereby
bind himself or themselves to enter into a written contract within ten
days of the date of notice of the award of the bid with the said Town
of Southold, and to comply in all respects with the provisions of the
specifications in relation to the security for the faithful performance
of the terms of said contract.
7. In submitting this bid the undersigned understands that the
Town of Southold will only pay for such road materials as actually
ordered and used in any calendar year.
DATED: / /Ot' 19 k-3 .
Langdel l Aa= hal t & Bi tumi nnua Cnrp-
Legal name of person, firm or corporation
BY:
The P. 0. Address of the Bidder is:
Old Northport Road, Box 697 Street
Kings Park, New York 11754 City and State
0
IF A CORPORATION
NAME ADDRESS
Clairemont Road
Robert H. Lansdell 111 President Ridgewood, New Jersey 0460
Asst. 23 Biscayne Drive
Mark TA nrdP11 Secretary Ramsey 9 New Jersey 07556
Prospect St.,
Carroll DeG. Lansdell Treasurer Ramsey, New Jersey 07556
IF A FIRM
NAME OF MaMBERS
ADDRESS
r
•
NON -COLLUSIVE BIDDING CERTIFICATE
BY SUBMISSION OF THIS BID OR PROPOSAL, THE BIDDER CERTIFICATES THAT:
(a) THIS BID OR PROPOSAL HAS BEEN INDEPENDENTLY ARRIVED AT WITHOUT
COLLUSION; (b) THIS BID OR OROPOSAL HAS NOT BEEN KNOWINGLY DISCLOSED,
PRIOR TO THE OPENING_OF BIDS OR PROPOSALS FOR THIS PROJECT, To ANY
OTHER BIDDER, CO?IPETITOR OR POTENTIAL COMPETER: (c) NO ATTEMPT HAS OR
WILL BE I--iADE TO INDUCE ANY OTHER PERSON, PARTNERSHIP OR CORPORATION
TO SUB`iIT OR NOT TO SUBMIT A BID OR PROPOSA: (d) THE PEP.SON SIGNING
THE BID OR PROPOSAL CERTIFIES THAT HE HAS FULLY INFORM?ED HIMSELF
REGARDING THE ACCURACY OF THE STATEMENTS CONTAINED IN THIS CERTIFICATION?
AND UNDER THE PENALTIES OF PERJURY AFFIRMS THE TRUTH THEREOF, SUCH
PENALTIES BEING APPLICABLE TO THE BIDDER AS WELL AS TO THE PERSON
SIGNING IN ITS BEHALF: (e) THAT ATTACHED HERETO (IF A CORPORATE BIDDER)
IS A CERTIFIED COPY OF THE RESOLUTION AUTHORIZING THE EXECUTION OF THE
CERTIFICATE BY THE SIGNATOR OF THIS BID OR PROPOSAL IN BEHALF OF THE
CORPORATE BIDDER.
RESOLVED THAT: 1jugene M. Mart__no, Vice -President
Name of Officer
AUTHORIZED TO SIGN AND SUBMIT THE BID OR PROPOSAL OF THIS CORPORATION
FOR THE FOLLOWING PROJECT.
!'-$id for- As=hnit Rnad Materialn" 156000 more or leas of
r-radlem Rn -250 juld MC -250 in gallons.
escri ed project
AND TO INCLUDE IN SUCH BID OR PROPOSAL THE CERTIFICATE AS TO NON-
COLLUSION REQUIRED BY SECTION 103-d OF THE GENERAL t4IINICIPAL LAW
AS THE ACT AND DEED OF SUCH CORPORATION AND FOR ANY INACCURACIES
OR �MISSTATETIiEN+TS 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 Corp.I CORPORATION AT A 1.1EETING
OF ITS BOARD OF DIRECTORS HELD ON THE 6 DAY OF May
19 83
BIDDER'S CERTIFICATE
Fo r
ASPHALT CUTBACK
This.is to certify that the undersigned proposes to furnish Cutback
Asnhalt which will comply with the requirements for type NYS Item 702-12
GradeRC_pSo send MC_250 NYS Item 702-22
The Cutback Asphalt is manufactured by Exxon, U.S.A.
whose plant is located at foot of 22nd St., Bayonne, New Jersey
The plant has a capacity of 200,000 gallons per 3 hour day and
has regularly manufactured Cutback Asphalt for the past_ 51
years.
The specific source of the Asphaltic Base is selected Gulf Coast and
Venezuelian Crudes.
If we receive and award of order or contract on any of the item(s)
bid upon we will begin delivery of Cutback Asphalt within 3
hours of notice to deliver. We agree to furnish Cutback Asphalt at
the rate ordered to maximum rate of 50,000 gallons per 8 hour day.
Lansdell Asphalt & Bituminous Corn.
Company
BY:
Vice -President
Official Title > G
Date
customer
If the bidder is an authorized ft of the manufacturer, the following
authorization must be executed by the manufacturer:
This is to certify that Lansdell Asphalt & BituminousCorp.,
Name of Bidder
Old Northport Road, Box 697, Kings Park, New York 11754
Street City &. Zone No. State
cu*bmmer
is our #i XV*=dxX;pMt and is capable of making deliveries in compliance
with the above certificate.
Exxon Company,-U.S.A.
Name of .I-anufacturer
BID FOM?
FOR ASPHALT ROAD MATERIALS FOR
DELT `, ERY TO THE TOWN OF SOL"T'HOLD
SUFFOLK COUNTY, NEW YORK
-ITEM NO. 1
TO THE TOFU N BOARD
TOWN OF SOUTHOLD
SOUTHOLD , NEW YORK
1. The undersigned hereby propose to furnish and apply 150,000
gallons, more or less as may be needed, of Grades RC -2 and VC -2 Asphalt
Road Materials to the Town of Southold, Suffolk County, New York, all
in accordance with the Specifications of the Superintendent of Highways
of said Town dated April 19, 1983.
A. Delivered t t T vn of outhold and
applied per gallon.
.
2. The undersigned further st�es that the location, type and
capacity of the storage facilities in the Town of Southold are as
follows: �/
A. Type of Storage Facilities / G'
B. Location of Storage Facilities �
C. Capacity of Storage Facilities �!(// /V 1
3. The undersigned further states that the type, capacity and
number of hexa/ted tank trucks ,aLndtransports that he will utilize are
as follows: ? ¢� U&P A0I; 0c,&4LA-- APS
a
r
they are the only person or persons interested in the said bid and that
it is made without any connection with any person making another bid
for the same contract. The undersigned further declares that he has
or they have carefully examined the specifications and this form of bid
and has or have satisfied himself or themselves as to all the terms and
conditions and understand that in signing this proposal he or they waive
all right to plead any misunderstanding regarding the same.
-1-
0
•
5. Accompanying this proposal is cash, a bank check or certified
!,
y e J
check in the amount of Q►� In case this proposal shall
be accepted by the Town of Southold, and the undersigned shall fail to
execute the contract and in all respects comply with the specifications
and this form of bid, the monies represented by such cash or check shall
be regarded as liquidated damages and shall be forfeited and become the
property of the Town of Southold; otherwise to be returned to the bidder
as provided in the above said provisions.
6. On acceptance of this bid the undersigned does or do hereby
bind himself or themselves to enter into a written contract within ten
days of the date of notice of the award of the bid with the said Town
of Southold, and to comply in all respects with the provisions of the
specifications in relation to the security for the faithful performance
of the terms of said contract.
4
7. In submitting this bid the undersigned understands that the
Town of Southold will only pay for such road materials as actually
ordered and used in any calendar year.
DATED: 19�.
/' al r, .
Legal _e of person, fir corp ration
BY:
The P. 0 Address of the Bidder is:
! �a/ Street
D
City and State
-2-
NAME
IF A CORPORATION
ADDRESS
President
Secretary
. .. ... ...... ....
Treasurer
IF A FIRM
NAIME OF UBEIIS ADDRESS
J
BIDDER'S CERTIFICATE
Fo r
ASPHALT CUTBACK
This. is to certify that the undersigned proposes to furnish Cutback
Asphalt which will comply with the requirements for type
Grade
The Cutback Asphalt is manufactured by
whose plant is located at
The plant has a capacity of gallons per_3 hour day and
has regularly manufactured Cutback Asphalt for the past
years
The specific source of the Asphaltic Base is selected Gulf Coast and
Venezuelian Crudes.
If we receive and award of order or contract on any of the item(s)
bid upon we will begin delivery of Cutback Asphalt within
hours of notice to deliver. We agree to furnish Cutback Asphalt at
the rate ordered to maximum rate of gallons per 8 hour day.
Company
BY:
Official Title
Date
If the bidder is an authorized agent of the manufacturer, the following
authorization must be executed by the manufacturer:
This is to certify that
Name of Bidder
Street City & Zone No. State
is our authorized agent and is capable of making deliveries in compliance
with the above certificate.
Name of "{anuf acturer
BY
Official Title
Date
BIDDER'S CERTIFICATE 10
FOR
CUTBACK ASPHALT
This is to certify that the unde si n; pr po es o furnish CUTBACK AS�L�ich will comply
with the requirements for Type �, ,G—�..
The CUTBACK ASPHALT is manufactured by EXXON COMPANY, U.S.A. whose plant is located at Foot
of East 22nd Street, Bayonne, New Jersey.
i
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
r,ceive 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 to of SO 0 gallons per eight hour day.
r
Company T r
f
By:
(Official Title)
Date: /�a�
T
If the bidder is an authorized customer of the manufacturer, the following authorization must
be executed by the manufacturer.
This is to certify that:
(Name of Bidder)
14m,o Lt/o oaf T&A/dr *
(Street) (City)
(St
(Zip Code)
is our customer and considered capable of making deliveries in compliance with the above
certificate, p
rovided the volume specified in this bid is covered by our contract with
A- EA Cit/ a. )
EXXON COMPANY, U.S.A. 3,
r.
Date:
'/ ` f13
a
NON -COLLUSIVE BID CERTIFICATE
11
The undersigned bidder certifies that this bid has been arrived
at by the bidder independently and has been submitted without collusion
with any other vendor of materials, supplies or equipment of the type
dsecribed in the invitation for bids, and the contents of this bid
have not been communicated by the bidder, nor, to its best knowledge
-and belief, by any of its employees or agents, to any person not' an
1 employee or agent of the bidder or its surety on any bond furnished
a
herewith prior to the official opening of the bid.
(Signed)
(Corporate Title)
(if any) "00�
Bid on
r
•
NON-COLLUSI?TE BIDDING CERTIFICATE
4
BY SUBMISSION OF THIS BID OR PROPOSAL, THE BIDDER CERTIFICATES THAT:
(a) THIS BID OR PROPOSAL HAS BEEN INDEPENDENTLY ARRIVED AT WITHOUT
COLLUSION; (b) THIS BID OR OROPOSAL HAS NOT BEEN KNOWINGLY DISCLOSED,
PRIOR TO THE OPENING_OF BIDS OR PROPOSALS FOR THIS PROJECT, TO ANY
OTHER BIDDER, CMMETITOR OR POTENTIAL COIIPETER: (c) NO ATTEI.TT HAS OR
WILL BE I.4ADE TO INDUCE ANY OTHER PERSON, PARTNERSHIP OR CORPORATION
TO SUB`IIT OR NOT TO SUBI'IT A BID OR PROPOSA: (d) THE PEPSON SIGNING
THE BID OR PROPOSAL CERTIFIES THAT HE HAS FULLY INFORIIED =1,1SELF
REGARDING THE ACCURACY OF THE STATEMENTS CONTAINED IN THIS CERTIFICATION
AND UNDER THE PENALTIES OF PERJURY AFFIRMS THE TRUTH THEREOF, SUCH
PENALTIES BEING APPLICABLE TO THE BIDDER AS WELL AS TO THE PERSON
SIGNING IN ITS BEHALF: (e) THAT ATTACHED HERETO (IF A CORPORATE BIDDER)
IS A CERTIFIED COPY OF THE RESOLUTION AUTHORIZING THE EXECUTION OF THE
CERTIFICATE BY THE SIGNATOR OF THIS BID OR. PROPOSAL IN BEHALF OF THE
CORPORATE BIDDER. %
RESOLVED THAT:
Name of Officer
AUTHORIZED TO SIGN AND SUBhIIT 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 t'IUNICIDAL 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
OF ITS BOARD OF DIRECTORS HELD ON THE DAY
19
Secretary
I/x`
A MEETING
OF
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 percent of the
amount of the bid, Bid Form,
STATE OF NEW FORK
COUNTY OF SUF1=OL37, }
X3...'r........ a.U.S.1,4Vs.9,4................... of Greenport, in said County,
says*►/she is a repro apIrita['V,se of TUE SUFFOLK TIDES, a weekly
newspaper, pubfished at Greenport, in the Town of Southold, County
of Suffolk, State of Ne—w Voi,k, and annexed is a printed copy that has
been regularly published in said newspaper once in each week
for..... one......... week(s) s xcessively, commencing the... L81t 1 day
of.... ... LD.Z11.,...,....... .. I i; "Q3, __ .... ....
Sworn to P,efore rr.i.,. 2p8th......
day of.....k 1. ,,,... o._.53_ ........
.......... - .................................
HELEN K. DE VOE
NOTARY PUWLIC, State of New York
No. 470781878, Suffolk County
1TA28-4229 Term Expires March 30. 19,19)
and Bidder's Certificate will
-be received by the Town Clerk
of the Town of Southold at the
Town Hall, Main Road,
Southold, New York until 10:00
A.M., May 12, 1983, at which
time they will be opened and
read aloud in public. The
Town Board of the Town of
Southold reserves the right to
reject any and all bids and
waive any and all informality
in any bid, should it be deemed
to be in the best interest of the
Town of Southold to do so.
All bids must be signed and
sealed io, envelopes plainly
marked "Bid forAsphalt
Road Materials" and
submitted to the Office of the
Town Clerk. The bid price
shall not include any tax,
federal, state or, local, from
which the Town of Southold is
exempt.
DATED. April 19,1983.
JUDITH T. TERRY
SOUTHOLD TOWN CLERK
ITA28-4229
....:TQ. x3.,.'sr,�..... 41.5. . Y. ,.On.,.w................ of Greenp�art, in said County,
says*►/she is a representatl%�e of THE SUFFOLK TIMES, a weekly
newspaper, published at tireenport, in the Town of Southold, County
of Suffolk, State of Ne -w 'Yoek, and annexed is a printed copy that has
been regularly published in said newspaper once in each week
for..... one......... week(s) &icc"ssively, comm, encing the .... !.1hday
of....... ILPX .l ................ Y .,,. . ..,....d,..,....
Sworn to before; i� , fhi�. 2, 8th_s,............
day of...,..�., ....,.. 1i..3 ...............
HELEN K. DE VOE
N01ARY "LIG Sfafe of New York
No. 47078787878, Suffolk County
Term Expires March 30. ly
STATE OF NEW YORK )
) SS:
COUNTY OF SUFFOLK )
.... J-0-a.....W&....U=&-aY.-QA.................... of Greenport, in said County,
says*Wshe is a representative of THE SUFFOLK TIMES, a weekly
newspaper, published at Greenport, in the Town of Southold, County
of Suffolk, State of New York, and annexed is a printed copy that has
been regularly published in said newspaper once in each week
for ..... 2ne......... week(s) successively, commencing the ... 28 Ml day
of ...... 1=12 ................. 19....Q.3...............
Sworn to before me this.......... 28th, ...
dayof .... UXil............................ 19...U.............................
HELEN K. DE Vf
N01ARY PUNLIC,7878, State
uffo of New York
No. 4707878, Suffolk Count
Term Expires March 30, 19
COUNTY OF SUFFOLK
ss
STATE OF N EW YOR K
LEGAL NOTICE
NOTICE TO BIDDERS
NOTICE IS HEREBY GIV-
EN, in accordance with the
Patricia Wood, being du'y sworn, says that she is the
provisions of Section 103 of the
Editor, of THE LONG ISLAND TRAVELER -WATCHMAN,
General Municipal Law, seal-
ed bids are sought and re-
a public newspaper printed at Southold, in Suffolk County;
quested for the purchase and
and that the notice of which the annexed is a printed copy,
application of 150,000 gallons,
more or less as may be
has been published in said Long Island Traveler -Watch -
needed, of Grades RC -2 and
MC -2 Asphalt Road Materials,
man once each week for ..................... .................weeks
delivered to the Town of
Southold and applied. Specifi-
successively, commencing on the .............A., .................
cations for the above may be
obtained at the Office of the
day �........ • • .......... .19..'�
Town Clerk, Town of Southold,
Town Hall, Main Road, South-
...
old, New York 11971.
The sealed bids, together
with a Non -Collusive Certifi-
cate, bank draft or certified
check in the amount equal to
2% of the amount of the bid,
Bid Form, and Bidder's Certi-
Sworn to before me this ................................ day of
ficate will be received by the
Town Clerk of the- Town of
................ :'r ................
Southold at the Irown Hall,
Main Road, Sjothold, New
York until 10:06"A.M., May
12, 1983, at whijh; time they
be and�read aloud
,
will opened
in The Town Board of
Lam.....................
.....................Not
public.
Public
the Town of Southold reserves
the right to reject any and all
bids and waive any and all
informality in any bid, should
it be deemed to be in the best
interest of the Town of South-
old to do so.
All bids must be signed and
sealed in envelopes plainly
marked "Bid for Asphalt Road
Materials" and submitted to
the Office of the Town Clerk.
The bid price shall not include
any tax, federal, state or local,
from which the Town of
Southold is exempt.
Dated: April 19, 1983.
JUDITH T. TERRY
SOUTHOLD TOWN CLERK
1T-4/28/83(62)
COUNTY OF SUFFOLK
STATE OF NEW YORK ss.
Patricia Wood, being duly sworn, says that she is the
Editor, of THE LONG ISLAND TRAVELER -WATCHMAN,
a public newspaper printed at Southold, in, Suffolk County;
and that the notice of which the annexed is a printed copy,
has been published in said Long Island Traveler -Watch-
man once each week for ...................... .................weeks
successively, commencing on the ..........................
day o .....................
19....�
Sworn to before me this ............ a.0............. day of
...............
19 iF3
................ . ..............
:...��' ..4��.. ...................
... . ... ...........
Not Public
CLEMENT J. TNOMPSON
NOTARY POBLIC, State of New York
V,,,1, 52-9321725
Residing in StOoik CGuV _ /
Commission Expires Wrr.,, 3R,1�T
STATE OF NEW YORK:
SS:
COUNTY OF SUFFOLK:
f
JUDITH T. TERRY, Town Clerk of the Town of Southold,
New York, being duly sworn, says that she is over the age of
i'
i
twenty-one years; that on the 20th day of April 1983 !
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, Town Clerk Office, 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: May 12, 1983 - 10 A.M.
,+ ZZ
Jud�
I
ith T�. Te��rry
Southold Town Clerk
i
Sworn to be before me this
20th day of April 1983 .
Notary Public
ELIZABETH ANN NEVILLE
i' NOTARY PUBLIC, State of New York
j' No. 52-8125850, Suffolk Come
Term Expires March 30, 19.x,7 i
I' 1
I
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
Clerk, Town of Southold, Town Hall, ruin Road, Southold, New
ork 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 Town
Hall, Main Road, Southold, New York until 10:00 A.M., May 12, 1983,
at which time they will be opened and read aloud in public. The
Town Board of the Town of Southold reserves the right to reject
any and all bids and waive any and all informality in any bid,
should it be deemed to be in the best interest of the Town of
Southold to do so.
All bids must be signed and sealed in envelopes plainly
ked "Bid for Asphalt Road Materials" and submitted to the
Office of the Town Clerk. The bid price shall not include any
tax, federal, state or local, from which the Town of Southold is
exempt.
DATED: April 19, 1983.
JUDITH T. TERRY
SOUTHOLD TOWN CLERK
PLEASE PUBLISH ONCE, APRIL 28, 1983, AND FORWARD ONE 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
Superintendent of Highways Dean
Town Clerk's Bulletin Board
�-
0
LEGAL NOTICE
?i NOTICE TO BIDDERS
i
s
3
i
NOTICE IS HEREBY GIVEN, in accordance with the provisions of
i
lZection 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 j
i
;Road Materials, delivered to the Town of Southold and applied.
j;Specifications for the above may be obtained at the Office of the
!Town Clerk, Town of Southold, Town Hall, Main Road, Southold, New
f+
!York 11971.
It The sealed bids, together with a Non -Collusive Certificate,
jl o
!'.bank draft or certified check in the amount equal to 2% of the
�iamount of the bid, Bid Form, and Bidder's Certificate will be
Ireceived by the Town Clerk of the Town of Southold � o d at the Town
'Hall, Main Road, Southold, New York until 10:00 A.M., May 12, 1983,'
at which time they will be opened and read aloud in public. The ?
jl
f
;Town Board of the Town of Southold reserves the right to reject
jj
,,any and all bids and waive any and all informality in any bid,
'i
'!should it be deemed to be in the best interest of the Town of
.Southold to do so.
All bids must be signed and sealed in envelopes plainly
;`marked "Bid for Asphalt Road Materials" and submitted to the '
Office of the Town Clerk. The bid price shall not include any
'tax, federal, state or local, from which the Town of Southold is
i
exempt.
DATED: April 19, 1983.
i
JUDITH T. TERRY
SOUTHOLD TOWN CLERK
i
PLEASE PUBLISH ONCE, APRIL 28, 1983, AND FORWARD ONE AFFIDAVIT OF
PUBLICATION TO JUDITH T. TERRY, TOWN CLERK, TOWN HALL, MAIN ROAD,
SOUTHOLD, NEW YORK 11971.
Copies to the following:
The Suffolk Times I
The Long Island Traveler -Watchman
Town Board Members '
Superintendent of Highways Dean
Town Clerk's Bulletin Board
n
i�{ LEGAL NOTICE
.
NOTICE TO BIDDERS
NOTICE IS HEREBY GIVEN, in accordance with the provisions of
tSection 103 of the General Municipal Law, sealed bids are sought
ii
11and requested for the purchase and application of 150,000 gallons,
11
'.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.
ii
topecifications 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 Town
Hall; Main Road, Southold, New York until 10:00 A.M., May 12, 1983,'
fiat which time they will be opened and read aloud in public. The
ij
`;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,
11should it be deemed to be in the best interest of the Town of
.Southoldto do so.
All bids must be signed and sealed in envelopes plainly
.marked "Bid for Asphalt Road Materials" and submitted to the
Office of the Town Clerk. The bidp rice shall not include any
.'tax, federal, state or local, from which the Town of Southold is
exempt.
DATED: April 19, 1983.
JUDITH T. TERRY
SOUTHOLD TOWN CLERK
PLEASE PUBLISH ONCE, APRIL 28, 1983, AND FORWARD ONE 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
Superintendent of Highways Dean
Town Clerk's Bulletin Board
l_.r. f • •
SPECIFICATIONS FOR THE PURCHASE AND
APPLICATION OF ASPHALT ROAD MATERIALS
TOWN OF SOUTHOLD. SUFFOLK COUNTY. NEW YORK
Under these specifications, bids are sought for the purchase and
application of Asphalt Road Material for the use by the Southold Town
Highway Department in the repair and maintenance of Town Highways.
Each bid must be submitted in a sealed envelope clearly endorsed
with the name of the person, firm or corporation presenting it. Each
bid must be marked "Bid for Asphalt Road Materials". Bid forms and
Bidders Certificate may be obtained at the Office of the Town Clerk
of the Town of Southold, Main Road, Town Hall, Southold, New York.
Bids will be received at the Office of the Town Clerk of the Town of
Southold, Main Road, Southold, New York until 10:00 o'clock A.M. on
May 12, 1983 as set forth in the published notice to bidders published
in the Long Island Traveler -Watchman or The Suffolk Times.
Each bid must be accompanied by a bank draft or certified check
made payable to the "Town of Southold" in an amount equal to 2% of the
amount of the bid. All bid deposit checks except those of the lowest
responsible bidder will be returned within 5 days after the signing
of the contract. The bid check'of the lowest responsible bidder will
be retained until said bidder has executed and delivered to the Super-
intendent of Highways the contract, bonds and all other documents
required by these specifications. Should the lowest responsible bidder
fail to execute the contract and furnish the bond and other documents
required, his bid deposit shall be forfeited to the Town of Southold
as liquidated damages and shall be deposited by an officer or employee
of the Town of Southold to the credit of the proper Town fund, and the
Town Board may award the contract to the second lowest bidder or may
reject all bids and readvertise for bids; whichever is deemed in the
best interest of the Town. In the event all bids are rejected, all
bid checks will be returned immediately upon such rejection.
The Town Board reserves the right to reject any and all bids.
The successful bidder shall furnish and maintain in effect at his
expense, during the term of the contract, a bond for the faithful
performance of the contract, the amount of which shall be 100% of the
total bid price. The form of the required performance bond, 'the
Page 2 - 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 1983, 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 bythe Superintendent of
Highways for the calendar year 1983.
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:. April 19, 1983.
DATED: April 19, 1983. TOWN OF SOUTHOLD
BY: RAYMOND C. DEAN
Superintendent of Highways
SPECIFICATIONS
FOR
RC -2 and MC -2 ASPHALT
MATERIALS
GRADE
RC -2
MC -2
GR API
17.3
15.7
Spec. Gravity @ 770F
0.95
0.96
Flash Tem CC°F
87.
170f
Vis SSF 140OF
152
149
Distillation o Rec. @ 3740F
14
@ 437oF
19
@ 500OF
21
8
@ 600OF
23
18
@ 680OF
24
23
Distillate % to 680OF
o @ 374oF
57
@ 4370F
78
0
@ 500OF
86
35
@ 6000F
98
78
Residue by diff. o Vol.
76
77
Test on Residue from
distial Den at 770F
96
187
Ductility at 770F
110f
110f
1/0 Sol in CC 1.4
99.9
99.9
Spot test OLIENSIS
Reg.
Rem.
DATED: April 19, 1983. TOWN OF SOUTHOLD
BY: RAYMOND C. DEAN
Superintendent of Highways
BID FORF
FOR ASPHALT ROAD MATERIALS FOR
DEL T I, ERY TO THE TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
ITEM NO. 1
TO THE TOWN BOARD
TOWN OF SOUTHOLD
SOUTHOLD, NEW YORK
1. The undersigned hereby propose to furnish. and apply 150,000
gallons, more or less as may be needed, of Grades RC -2 and 111 -IC -2 Asphalt
Road Materials to the Town of Southold, Suffolk County, New York, all
in accordance with the Specifications of the Superintendent of Highways
of said Town dated April 19, 1983.
A. Delivered to the Town of Southold and
applied per gallon.
2. The undersigned further states that the location, type and
capacity of the storage facilities in the Town of Southold are as
follows:
A. Type of Storage Facilities
B. Location of Storage Facilities
C. Capacity of Storage Facilities
3. The undersigned further states that the type, capacity and
number of heated tank trucks and transports that he will utilize are
as follows:
4. In submitting this bid the undersigned declares that he is or
they are the only person or persons interested in the said bid and that
it is made without any connection with any person making another bid
for the same contract. The undersigned further declares that he has
or they have carefully examined the specifications and this form of bid
and has or have satisfied himself or themselves as to all the terms and
conditions and understand that in signing this proposal he or they waive
all right to plead any misunderstanding regarding the same.
-1-
5. Accompanying this proposal is cash, a bank check or certified
check in the amount of In case this proposal shall
be accepted by the Town of Southold, and the undersigned shall fail to
execute the contract and in all respects comply with the specifications
and this form of bid, the monies represented by such cash or check shall
be regarded as liquidated damages and shall be forfeited and become the -
property of the Town of Southold; otherwise to be returned to the bidder
as provided in the above said provisions.
6. On acceptance of this bid the undersigned does or do hereby
bind himself or themselves to enter into a written contract within ten
days of the date of notice of the award of the bid with the said Town
of Southold, and to comply in all respects with the provisions of the
specifications in relation to the security for the faithful performance
of the terms of said contract.
7. In submitting this bid the undersigned understands that the
Town of Southold will only pay for such road materials as actually
ordered and used in any calendar year.
DATED: 19
.. ..............
Legal name of person, firm or corporation
BY:
The P. 0. Address of the Bidder is:
Street
City and State
-2-
lk.
NAME
NAYIE OF ME23BERS
IF A CORPORATION
ADDRESS
President
Secretary
Treasurer ........ ....
IF A FIRM
_q_
ADDRESS
BIDDER'S CERTIFICATE
For
ASPHALT CUTBACK
This is to certify that the undersigned proposes to furnish Cutback
Asnhalt which will comely 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 3 hour day and
has regularly manufactured Cutback Asphalt for the past
years.
The specific source of the Asphaltic Base is selected Gulf Coast and
Venezuelian Crudes.
If we receive and award of order or contract on any of the item(s)
bid upon we will begin delivery of Cutback Asphalt within
hours of notice to deliver. We agree to furnish Cutback Asphalt at
the rate ordered to maximum rate of gallons per 8 hour day.
Company
BY:
Official Title
Date
If the bidder is an authorized agent of the manufacturer, the following
authorization must be executed by the manufacturer:
This is to certify that
Name of Bidder
Street City & Zone No. State
is our authorized agent and is capable of making deliveries in compliance
with the above certificate.
Name of "If-anuf acturer
M.
Official Title
Date
NON -COLLUSIVE BIDDING CERTIFICATE
BY SUBIiISSION OF THIS BID OR PROPOSAL, THE BIDDER CERTIFICATES THAT:
(a) THIS BID OR PROPOSAL HAS BEEN INDEPENDENTLY ARRIVED AT WITHOUT
COLLUSION; (b) THIS BID OR OROPOSAL HAS NOT BEEN KNOWINGLY DISCLOSED,
PRIOR TO THE OPEN'ING_OF BIDS OR PROPOSALS FOR THIS PROJECT, TC ANY
OTHER BIDDER, =METITOR OR POTENTIAL COMPETER: (c) NO ATTEMPT HAS OR
WILL BE MADE TO INDUCE ANY OTHER PERSON, PAR.TNER.SHIP OR CORPORATION
TO SUBMIT OR NOT TO SUBMIT A BID OR PROPOSA: (d) THE PEPSON SIGNING
THE BID OR. PROPOSAL CERTIFIES THAT HE HAS FULLY INFORMED HIMSELF
REGARDING THE ACCURACY OF THE STATEMENTS CONTAINED IN THIS CERTIFICATION
AND UNDER THE PENALTIES OF PERJURY AFFIRMS THE TRUTH THEREOF, SUCH
PENALTIES BEING APPLICABLE TO THE BIDDER AS WELL AS TO THE PERSON
SIGNING IN ITS BEHALF: (e) THAT ATTACHED HERETO (IF A CORPORATE BIDDER)
IS A CERTIFIED COPY OF 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 SUB11IT 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 19JNICIDAL LAW
AS THE ACT AND DEED OF SUCH CORPORATION AND FOR ANY INACCURACIES
OR �1IISSTATEMENiTS 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
OF ITS BOARD OF DIRECTORS HELD ON THE DAY
19
Secretary
A 11EET I NG
OF
RAYMOND C. DEAN
SuperintwndeM
fnM 1 �r xr#tarn#
Zofun of jlmitholb
ptrouir, �K. la. 11.958
RE90LUTIM BY:
RESMVED: That the Superintendent of Highways of the
Town of Southold, be authorized to advertise for bids
for the following:
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 William R. Pell III
Councilman John J. Nickles
Councilman Lawrence Murdock, Jr.
Councilman Francis J. Murphy
Councilman Joseph L. Townsend, Jr.
Justice Raymond W. Edwards, Jr.
Dated: April 19, 1983
(Yes) (No)
(Yes) (No)
(Yes) (No)
(Yes) (No)
(Yes) (No)
(Yes) (No)
Town Clerk
Town of Southold
Tei. 765-3140
734-5211