Loading...
HomeMy WebLinkAboutStone Materials , fa, RESOLUTION 2015-671 %ib 1*. ADOPTED DOC ID: 11041 _� THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2015-671 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JULY 28,2015: RESOLVED that the Town Board of the Town of Southold hereby accepts the bids of East Coast Mines&Materials and A&R Materials to supply and deliver to the town Stone Materials, all in accordance with the Town Attorney, as follows: o`asi Iii O8 'Maii ri+a1 Item #i Fine Aggregate $ 45.95/ton Item#2 Coarse Aggregate $ 43.95/ton Item#3 River Gravel $ 41.95/ton A&R Materials Item#4 Bedding Stone $ 48.00/ton Item#5 Armor Stone $ 55.00/ton And be it further RESOLVED that Supervisor Scott A. Russell is authroized and directed to enter into an agreement with East Coast Mines &Materials and A&R Materials. aid44462461°24u Elizabeth A.Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER:Robert Ghosio, Councilman AYES: Ghosio, Dinizio Jr, Ruland, Doherty, Evans, Russell k ORIGINAL AGREEMENT THIS AGREEMENT entered into thisday of lK S1 , 2015, by and between the Town of Southold, a municipal corporation organized and exist g under the laws of the State of New York with offices at 53095 Main Road, Southold, New York 11971-0959, party of the first part (hereinafter called the "Town") and East Coast Mines & Materials Corporation, with an address at 48 Lewis Road, East Quogue, New York 11942, party of the second part (hereinafter called the "Contractor"). WITNESSETH : That for and in consideration of the premises and the agreements herein contained, and the payments herein provided to be made, the parties hereto agree as follows FiRST. The Contractor shall supply all stone materials specified within a Town Purchase Order and shall coordinate the deliveries with the Town Engineering Department at 631-765-1560. AS DESCRIBED IN THE Contract Documents made and prepared by the Town of Southold, and East Coast Mines & Materials Corporation and as set forth in the Contractor's Bid dated June 16, 2015, and in strict and entire conformity and in accordance with the Notice to Bidders, Instructions to Bidders, Proposal Form (Bid), Equipment Specifications, Addenda, and this Agreement, hereto annexed and made a part hereof, and hereinafter collectively referred to as "Contract Documents", Fine Aggregate $45.95/ton; Coarse Aggregate $43.95/ton, and River Gravel $41.95/ton. SECOND: In payment for the services to be performed hereunder by Contractor, the Town shall make payments to Contractor upon receipt from the Contractor of a Purchase Order and signed voucher for such compensation evidencing the construction equipment and services provided in connection with dredging and other services within the Town of Southold. Payment will be completed provided Town has received said Purchase Order and voucher and has audited and approved same for payment. The Town Board shall process any vouchers received from Contractor as expeditiously as possible. In the event that the Town disputes or objects to any portion of any voucher submitted by Contractor pursuant to this paragraph, the Town shall, within 30 days of receipt of such voucher, notify Contractor in writing of such dispute or objection. Contractor acknowledges that Contractor is familiar with the requirements of Section 118 of the Town Law which, in effect, prohibit payment of any of Contractor's claims against the Town unless an itemized voucher therefore shall have been presented to the Town Board or Town Comptroller and shall have been audited and allowed by the Town Board or Town Comptroller. THiRD: The Contractor covenants and agrees that, anything in this Contract or in the Contract Documents to the contrary notwithstanding, or regardless of any matter, thing, contingency of condition unforeseen or otherwise, present or future, the Contractor shall not be entitled to receive any additional or further sums of money other than the amounts in said Contract Documents provided; and the failure of the Town or its agents to insist upon strict performance of any of the terms, covenants, agreements, provisions or conditions in this Agreement or in the Contract Documents, on any one or more instances, shall not be construed as a waiver or relinquishment for -1- a the future of any such terms, covenants, agreements, provisions and conditions and the same shall be and remain in full force and effect with power and authority on the part of the Town to enforce the same or cause the same to be enforced at any time, without prejudice to any other rights which the Town may have against the Contractor under this Agreement or the Contract Documents. FOURTH• The Contractor covenants and agrees that this Contract shall remain in full force and effect for a period of two years from the date of this Contract with a provision for a one year extension upon mutual agreement by both Town and Contractor. FIFTH: Any and all notices and payments required hereunder shall be addressed as follows, or to such other address as may hereafter be designated in writing by either party hereto: To Town: Elizabeth A. Neville, RMC, CMC Southold Town Clerk P.O. Box 1179 Southold,NY 11971-0959 With a copy to: Engineering Department Town of Southold P.O. Box i 179 Southold, NY 11971-0959 To Contractor: Mr. John Tintle East Coast Mines & Materials Corporation 48 Lewis Road East Quogue,NY 11942 SIXTH• The Contractor shall not commence work under this Contract until it has obtained all insurance required under this paragraph and such insurance has been approved by the Town (a) Compensation Insurance: The Contractor shall take out and maintain during the life of this Contract Workers' Compensation Insurance for its employees to be assigned to the work hereunder. (b) Insurance: The Contractor shall take out and maintain during the life of this Contract such general liability, property damage, and commercial auto liability insurance as shall protect it from claims for damages for personal injury, including accidental death, as well as from claims for property damage which may arise from operations under this Contract. The amounts of such insurance shall be as follows: General liability insurance in an amount not less than $1,000,000 for injuries, including wrongful death to any one person and subject to the same limit for each person, in an amount not less than $2,000,000 on account of any one occurrence. Property damage insurance in an amount not less than $100,000 for damage on account of all occurrences -2- Commercial auto liability insurance in an amount not less than $500,000 for damage on account of all occurrences. The Contractor shall furnish the above insurance certificates to the Town and shall also name the Town as an additional named insured in said policies. SEVENTH: The Contractor agrees to indemnify and save the Town, its officers, agents and employees harmless from any liability imposed upon the Town, its officers, agents and/or employees arising from the negligence, active or passive, of the Contractor or the Contractor's Subcontractors and from and against any damages, claims, or expenses, including reasonable attorney's fees, arising out of Contractor's breach of the Agreement or from Contractor's or Contractor's Subcontractors acts or omissions outside the scope of the Agreement or arising out of claims or actions by third parties against Contractor by virtue of his performance of this Agreement. EIGHTH: Neither Town nor Contractor shall, without the prior written consent of the other, assign or sublet in whole or in part its interest under any of the Contract Documents, and, specifically, Contractor shall not assign any monies due or to become due without the prior written consent of the Town. NINTH: Town and Contractor each bind themselves, their partners, successors, assigns and legal representatives of the other party hereto in respect to all covenants, agreements and obligations contained in the Contract Documents. TENTH: The Contract Documents constitute the entire agreement between Town and Contractor and may only be altered, amended or repealed by a duly executed written instrument signed by both parties. ELEVENTH• The Town shall have the right to stop work or terminate the Contract if: (a) The Contractor is adjudged bankrupt or makes an assignment for the benefit of creditors; or (b) A receiver or liquidator is appointed for the Contractor or for any of its property and is not dismissed within 20 days after such appointment or the proceedings in connection therewith are not stayed on appeal within the said 20 days; or (c) The Contractor refuses or fails to prosecute the work or any part thereof with due diligence; or (d) The Contractor fails to make prompt payment to persons supplying labor for the work; or (e) The Contractor fails or refuses to comply with all applicable laws or ordinances; or (f) The Contractor is guilty of a substantial violation of any provision of this Contract; (g) The Town's execution and participation in this contract is found to be in violation of an existing collective bargaining agreement. -3- (h) In any event, the Town, without prejudice to any other rights or remedy it may have, may, with our without cause, by seven (7) days' notice to the Contractor, terminate the employment of the Contractor and its right to proceed as to the work. In such case, the Contractor shall not be entitled to receive any further payment beyond what owed in quantum meruit. TWELVETH: It is hereby mutually covenanted and agreed that the relation of the Contractor to the work to be performed by it under this Contract shall be that of an independent contractor. As an independent contractor, it will be responsible for all damage, loss or injury to persons or property that may arise in or be incurred during the conduct and progress of said work, whether or not the Contractor, its agents, or employees have been negligent. The Contractor shall hold and keep the Town free and discharged of and from any and all responsibility and liability of any sort or kind. The Contractor shall assume all responsibility for risks or casualties of every description, for loss or injury to persons or property arising out of the nature of the work, from the action of the elements, or from any unforeseen or unusual difficulty. The Contractor shall make good any damages that may occur in consequence of the work or any part of it. The Contractor shall assume all blame, loss and responsibility of any nature by reason of neglect or violation of any federal, state, county or local laws, regulations or ordinances. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year first above written. Town of Sou d By: eche —.— Scott A. Russell, Supervisor East Coast Mines &Materials Corporation By: STATE OF NEW YORK ) ) ss.: COUNTY OF SUFFOLK) -4- On the*ay ofu51' in the year 2015 before me personally appeared Scott A. Russell, personally known to me orlroved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity and that by his signature on the instrument, the individual or the person upon whose behalf of which the individual acted, executed the instrument. Notary Public LAUREN M.STANDISH STATE OF NEW YORK ) Notary Public,State of New York No.01ST6164008 ) ss.: Qualified in Suffolk County COUNTY OF SUFFOLK) Commission Expires April 8,2019 On the /11day of / in the year 2015 before me personally appeared 1.40, Zre , personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her capacity and that by his/her signature on the instrument, the individual or the person upon whose behalf of which the individual acted, ex uted the instrument. Adigill;;;; N -.ryPubli� RNADETTE DeANGELIS NOTARY PUBLIC,STATE OF NEW YORK No.01 DE4750311 SUFFOLK COUN Commission Expires June 30,20 -5- I�1\14°iDFf6dd,4- ELIZABETH A.NEVILLE,MMC , „,,',i s > ' Town Hall,53095 Main Road W :; TON CLERK ? ;':' 'r' P.O Box 1179 :, as :fit ` g Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 0 Fax(631)765-6145 MARRIAGE OFFICER \061, ' t �� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER _�®� �,-„.• Fax FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD August 20,2015 John Tintle East Coast Mines&Minerals Route 2 Lewis Road East Quogue,NY 11942 Dear Mr Tintle: Congratulations. At the regular Town Board meeting held on July 28, 2015, the Town Board accepted the bid of East Coast Mines& Materials and A&R Materials for supplying and delivering Stone Materials. A certified copy of the resolution is enclosed. Thank you for your bid. Very truly yours, Lynda M Rudder Deputy Town Clerk Ens. BIDDER'S CHECK LIST Your response to our above referenced bid will be considered unresponsive and will be rejected if the following forms are not included at the time of the hid opening. Notarized Affidavit of Non-Collusion as required by NYS Law. Vendor Information Sheet and Address Record Form. As per specifications,the Town of Southold requires a current insurance certificate,with the Town of Southold listed as additional insured,to be on file in the Purchasing Department. You will be given ten(10)business days :from notice of award to supply this form or the bid will be rescinded. VENDOR NAME: 44J, (-oar/ lit el. ,c. Hite/ a is VENDOR INFORMATION SHEET TYPE OF ENTITY:CORP. V PARTNERSHIP INDIVIDUAL FEDERAL EMPLOYEE ID#: // - 31 z ,8'1 OR SOCIAL SECURITY#: DATE OF ORGANIZATION: /99 z IF APPLICABLE: DATE FILED: STATE FILED: ivy If a non-publicly owned Corporation: CORPORATION NAME: 4"414'1 eoa.f/ /41tnICI I la-ke-ia 6- LIST LIST PRINCIPAL STOCKHOLDERS: (5%of outstanding shares) LIST OFFICERS AND DIRECTORS: NAME TITLE ./o X. 7«2.jlj _. Pie i��•�/�. Proposal Package 2 of Ill If a partnership: PARTNERSHIP NAME: LIST PARTNERS NAMES: . _ ADDRESS RECORD FORM MAIL BID TO: VENDOR NAME:_ 4-47S_A.eoate /Y/r; .1 icidt&C/;4 ADDRESS: _ Ed. eeAlLY //f ei2 CONTACT: Jo 4e7 77Z-fie _ TELEPHONE: (4 39 43-3- SVYf FAX: ( .v) E-MAIL: Act me)1 •e. ONLY if different- MAIL PURCHASE ORDER TO: ADDRESS: CONTACT: TELEPHONE: FAX: E-MAIL: ONLY if different- MAIL PAYMENT TO: ADDRESS: = _ TELEPHONE: FAX:_ _ CONTACT: _ E-MAIL: Proposal Package 3 of 10 VENDOR NAME: Ea,r,' ('&s.j/ Alines ASSUMED NAME CERTIFICATION *If the business is conducted under an assumed name, a copy of the certificate required to be filed under the New York general business law must be attached. ASSUMED NAME: If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, by au officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership, by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid or previously filed with the Purchasing Agent. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that individuals working for the Town of Southold or other municipality bid on contracts only that such interest be revealed when they do bid.) INSURANCE STATEMENT Bidder agrees as follows please mark appropriate box: Insurance Certificate as requested is attached I certify that I can supply insurance as specified if awarded the bid Insurance Certificate filed on r � DATE �-^-- FAILURE TO PROVIDE SPECIFIED INSURANCE SHALL DISQUALIFY BIDDER. AUTHORIZED SIGNATURE Proposal Package 4 of 10 AFFIDAVIT OF NON-COLLUSION I hereby attest that I am the person responsible within my firm for the final decision as to the prices(s) and amount of this bid or, if not,that I have written authorization, enclosed herewith,:from that person to make the statements set out below on his or her behalf and on behalf of my firm. I I further attest that: 1. The price(s) and amount of this bid have been arrived at independently, without consultation, communication or agreement for the purpose of restricting competition with any other contractor,bidder or potential bidder. 2. Neither the pricc(s), nor the amount of this bid, have been disclosed to any other firm or person who is a bidder or potential bidder on this project, and will not be so disclosed prior to bid opening. 3. No attempt has been made or will be made to solicit, cause or induce any firm or person to refrain from bidding on this project, or to submit a bid higher than the bid of this firm, or any intentionally high or non-competitive bid or other form of complementary bid. 4. The bid of my firm is made in good faith and not pursuant to any agreement or discussion with, • or inducement from any firm or person to submit a complementary bid. 5. My firm has not offered or entered into a subcontract or agreement regarding the purchase of materials or services from any other firm or person, or offered, promised or paid cash or , anything of value to any firm or person, whether in connection with this or any other project, in consideration for an agreerient or promise by an firm or person to refrain from bidding or to submit a complementary bid on this project. 6. My firm has not accepted or been promised any subcontract or agreement regarding the sale of materials or services to any firm or person, and has not been promised or paid cash or anything of value by any firm or person, whether in connection with this or any project, in consideration for my firm's submitting a Complementary hid,or agreeing to do so,on this project. 7. I have made a diligent inquiry of all members, officers, employees, and agents of my firm with responsibilities relating to the preparation, approval or submission of my firm's bid on this project and have been advised by each of them that he or she has not participated in any communication, consultation, discussion, agreement,collusion, act or other conduct inconsistent with any of the statements and representations made in this affidavit. The person signing this bid,under the penalties of perjury, affirms the truth thereof. os SWORN TO BEFORE ME THIS J6y 1%_1#nater//e&Company Position / ,_ o ham_ a 4I .. _Pce'st __._ /Nr--- DAY OF 20 ,/J Typc Namc&Company Position ; Eehrf /e �4& Company Name NOT S-0,' CLIC 714-(6- BER ‘-ii DeANGEUS Dare Signet NOTARY PUBLIC,STATE OF NEW YORK No.010E4750311 SUFFOLK COUNTX 3/Z 07,Y _ _ _ Commission Expires June 30,204.. I,edcnd 1 1).Number Proposal Package 5 of 10 THE PROPOSAL FORM Supply &Delivery of Stone Materials VENDOR NAME: VENDOR ADDRESS: £ • 2. LewZ. Za< Cvotgvr 4/y/19Y2 TELEPHONE NUMBER: 6'3) GS-7--Sifter FAX: ay)6J ? -3 7'13 The undersigned bidder has carefully examined the Bid Specifications and will supply all necessary labor, equipment and incidentals as necessary to supply and deliver stone materials as called for in the said Bid Specifications in the manner prescribed therein, and in accordance with the requirements of the Engineer,at the prices listed on the attached Bid Proposal Form. If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, the bid must be signed by an officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership, by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid documents. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that such individuals working for the Town of Southold or other municipalities bid on contracts,but only that such interest be revealed when they do bid.) The undersigned hereby acknowledges receipt of the following Addenda (if none were issued please write N/A below): Aciciencium No. Dated Proposal Package 6 of .10 TRE PROPOSAL FORM FOR THE SUPPLY & DELIVERY OF ARMOR STONE, BEDDING STONE AND GRANULAR FILL MATERIALS TO THE TOWN OF SOUTHOLD: UNIT PRICE QUOTES (COST/TON)FOR SUPPLY& DELIVERY OF STONE MATERIALS TO THE TOWN OF SOUTHOLD. ALL PURCHASE ORDERS FOR STONE MATERIALS SHALL BE FOR A FULL TRACTOR TRAILER LOAD OF$TONE MATERIALS. ITEM#1 FINE AGGREGATE: FURNISH AND DELIVER FINE AGGREGATE TO THE TOWN OF SOUTHOLD TO MEET THE REQUIREMENTS OF THE SPECIFICATIONS WRITTEN HEREIN. THE ABOVE REFERENCED ACTIVITIES WILL BE COMPLETED FOR THE STIPULATED"UNIT COST"OF: Foy Fide0/0/%r d 9J/mss *qr. 9r,,00 (writttln In words) COST PER TON (written in numbers) COST PER TON Max# of Days for Delivery After Purchase Order Is Issued by T.O.S. ITEM#2 COARSE AGGREGATE:; FURNISH AND DELIVER COARSE AGGREGATE TO THE TOWN OF SOUTHOLD TO MEET THE REQUIREMENTS OF THE SPECIFICATIONS WRITTEN HEREIN. THE ABOVE REFERENCED ACTIVITIES WILL BE COMPLETED FOR THE STIPULATED"UNIT COST"OF: f,r Vere Gee//a if 954o 4 /3. (writ ti in words) COST PER TON (written In numbers) COST PER TON Max# of Days for Delivery After Purchase Order Is Issued by T.O.S. ITEM#3 RIVER GRAVEL: FURNISH AND DELIVER RIVER GRAVEL TO THE TOWN OF SOUTHOLD TO MEET THE REQUIREMENTS OF THE SPECIFICATIONS WRITTEN HEREIN. THE ABOVE REFERENCED ACTIVITIES WILL BE COMPLETED FOR THE STIPULATED"UNIT COST"OF* roei y One do Ad" a 947"v vi. 9-5.4( d (writteff In words) COST PER TON (written In numbers) COST PER TON Max# of Days for Delivery After Purchase Order Is Issued by T.O.S. ITEM#4 BEDDING STONE: FURNISH AND DELIVER BEDDING STONE TO THE TOWN OF SOUTHOLD TO MEET THE REQUIREMENTS OF THE SPECIFICATIONS WRITTEN HEREIN. THE ABOVE REFERENCED ACTIVITIES WILL BE COMPLETED FOR THE STIPULATED"UNIT COST"OF: O v✓all/ Lle 9 ein° *'Sif. 9 rhoo (written words) COST PER TON (written In numbers) COST PER TON Max# of Days for Delivery After Purchase Order Is Issued by T.O.S. Proposal Package 9 of JO PROPOSAL FORM CONTINUED: ITEM#5 ARMOR STONE: FURNISH AND DELIVER ARMOR STONE TO THE TOWN OF SOUTHOLD TO MEET THE REQUIREMENTS OF THE SPECIFICATIONS WRITTEN HEREIN. THE ABOVE REFERENCED ACTIVITIES WILL BE COMPLETED FOR THE STIPULATED"UNIT COST"OF: /oA(s >r °��� ' 75-4 "An) (writ In words) COST PER TON (written In numbers) COST PER TON Max# of Days for l Delivery After Purchase Order Is Issued by T.O.S. AUTHORIZED SIGNATURE PRINT NAME N/0' n 7-el X/10 • TITLE _..._..._.. ___'e«rilpir f _______ DATE DATE 74� /r ACKNOWLEDGMENT STATE OF NEW YORK, COUNTY OF<!A-64. _ .)ss.: On the I day of j7v13.4 in the year 2015 before me, the undersigned, personally appeared, I personally known �.�,`.,. a�.TL.�_.�._. .,..___.__.. • P y to me or proved to me on the basis of satisfactory evidence to bel the individuals) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their eapacity(ies), and that by his/het/their signature(s) on the instrument,the individual(s), or the person upon behalf of which the indivi'dual(s)acted,executed the instrument. NC) RY PUBLIC BERNADETTE DeANGEL1S NOTARY PUBLIC,STATE OF NEW YORK' No.01 DE4750311 SUFFOLK COUNTY Commission Expires June 30,20 Proposal Package 10 of 10 Southold Town Board -Letter Board Meeting of June 30, 2015 ` RESOLUTION 2015-607 Item# 5.27 2. f"' ADOPTED DOC ID: 10980 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO.2015-607 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JUNE 30,2015: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs the Town Clerk to advertise for bids for the following items for 2015: Armor Stone Rip-rap Filter Cloth e'142144Qa2egjad' Elizabeth A.Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Robert Ghosio, Councilman SECONDER:Louisa P. Evans,Justice AYES: Ghosio,Dinizio Jr,Ruland,Doherty,Evans,Russell Generated July 1, 2015 Page 48 Rudder, Lynda From: Collins, Michael Sent: Monday,July 20, 2015 10:32 AM To: Rudder, Lynda Cc: Duffy, Bill; Krauza, Lynne; Richter,Jamie Subject: RE: Emailing:bid results-stone materi_20150716143945 Please prepare a resolution awarding the bids for Items 1, 2&3 to East Coast Mines and Materials and awarding the bids for Items 4&5 to A&Materials. Thank you. Michael Original Message From: Doroski, Bonnie Sent:Thursday,July 16,2015 4:09 PM To:Collins, Michael; Dinizio,James; Doherty,Jill;Ghosio, Bob; Louisa Evans; Russell,Scott; Standish, Lauren; Tomaszewski, Michelle;William Ruland Subject: Emailing: bid results-stone materi_20150716143945 Bid Results 7/16/15 Bonnie J. Doroskl Deputy Town Clerk Your message is ready to be sent with the following file or link attachments: bid results-stone materi_20150716143945 Note:To protect against computer viruses,e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 1 OEFGILT ELIZABETH A.NEVILLE,MMC sA'; Town Hall,53095 Main Road TOWN CLERK ;- P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS r $ Fax(631)765-6145 MARRIAGE OFFICER ` � • Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER : 4 `D www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER _ -- ,,, OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Bid Opening on Supply and Delivery of Stone Materials July 16, 2015 2:00 PM Eco-Logical Organics LLC East Coast Mines & Minerals 956 W.Jericho Tpke. Route 2 Lewis Road Smithtown,NY 11787 East Quogue,NY 11942 (631)831-0200 (631)653-5445 Item# 1 $61.25/ton 15 days Item# 1 $45.95/ton no delivery date Item#2 $63.00/ton 15 days Item#2 $43.95/ton no delivery date Item#3 $60.50/ton 15 days Item# 3 $41.95/ton no delivery date Item#4$54.00/ton 15 days Item#4 $54.95/ton no delivery date Item# 5 None Given Item# 5 $95.00/ton no delivery date A& R Materials 72 Union Avenue Ronkonkoma,NY 11779 (631) 585-5736 Item# 1 $56.00/ton no delivery date Item#2$57.00/ton no delivery date Item#3 $54.00/ton no delivery date Item#4$48.00/ton no delivery date Item#5 $55.00/ton no delivery date #12328 STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) Karen Kine of Mattituck, in said county, being duly sworn, says that she is Principal Clerk of THE SUFFOLK TIMES, a weekly newspaper, published at Mattituck, in the Town of Southold, County of Suffolk and State of New York, and that the Notice of which the annexed is a printed copy, has been regularly published in said Newspaper once each week for 1 week(s), successfully commencing on the 2nd day of July, 2015. �iC Principal Clerk Sworn to before me this - day of 1 2015. • _ • VENDORS. MUST SUBMIT BIDS IN / SEALED ENVELOPES — — PLEASE PRINT ON THE FACE OF LEGAL NOTICE ENVELOPE INVITATION TOBID 1)NAME&ADDRESS OFBIDDER CHRISTINA VOLINSKI NOTICE IS HEREBY GIVEN THAT 2)BID NAME SEALED PROPOSALS ARE SOUGHT It is the bidder's NOTARY PUBLIC-STATE OF NEW YORK responsibility to read AND REQUESTED FOR THE FOL. the attached Bid-Specifications, Instruc- No, 01 V06105050 LONG: tions to Bidders,and General Conditions, Qualified In Suffolk County BID NAME: "SUPPLY & DELIV- which outline bidding rules of the Town of ERY OF STONE MATERIALS" Southold.Upon submission of bid,it is un- My GOmmission Expires February 28, 2016 Definite specifications may be ob- derstood that the bidder has read,fully un- tamed-at the Southold Town Clerk's Of- derstands and will comply with said GEN- 6ce beginning July 2,2015 ERAL CONDITIONS and specification PLACE OF OPENINGS: requirements TOWN OF SOUTItIOLD The lbwn of Southold requires that this TOWN CLERKS OFFICE document be returned intact and that it 53095 MAIN ROAD be filled out completely.Please do not re- SOUTHOLD,NY 11971 move any pages from this bid package,and DA1T OF OPENINGS: make a copy(tithe bid document for your July records. TIME OF OPENINGS; The Town of Southold welcomes and 2.00 PM encourages minority and women-owned CONTACT PERSON: - businesses to participate in the bidding Michael Collins,RE. process lbwn of Southold,631-765-1560 12328-1T 7/2 'Rudder, Lynda From: Reisenberg, Lloyd Sent: Friday,June 26, 2015 8:52 AM To: Rudder, Lynda Subject: RE:Stone Materials Bid 2015.doc for publication Posted Lloyd H.Reisenberg Network and Systems Administrator Town of Southold,New York www.southoldtownny.aov llovdr(aJsoutholdtownny.Qov 0: 631-765-1891 M:631-879-1554 I F:631-765-5178 • CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication From: Rudder, Lynda Sent: Friday,June 26, 2015 8:08 AM To:Collins, Michael; Richter,Jamie;Jim Dinizio; Beltz, Phillip;Cushman,John; Doherty,Jill; Duffy, Bill;Ghosio, Bob; Kiely, Stephen; Krauza, Lynne; Louisa Evans; Michaelis,Jessica; Reisenberg, Lloyd; Russell,Scott;Standish, Lauren; Tomaszewski, Michelle;Tracey Doubrava(tdoubravac timesreview.com);William Ruland Subject:Stone Materials Bid 2015.doc for publication Please publish in the July 2 edition of the Suffolk times and the Town Website 1 STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) ELIZABETH A.NEVILLE,Town Clerk of the Town of Southold,New York being duly sworn, says that on the 26th day of June , 2015, she affixed a notice of which the annexed printed notice is a true copy, in a proper and substantial manner, in a most public place in the Town of Southold, Suffolk County,New York,to wit: Town Clerk's Bulletin Board, 53095 Main Road, Southold,New York. Rebid of Stone Materials - pQ . eL�tivt-fes. 0 lizabet A.Neville Southold Town Clerk Sworn before me this 26th day of Jun , 2015. %I-144*—yblic tLYNDA AA.RUDDER � 01�R State of 32If®d8 ®ualified in Suffolk Caen Commission Expires March 5,2.0_4J TOWN OF SOUTHOLD 53095 MAIN ROAD, SOUTHOLD, NEW YORK 11971 PHONE: 631-765-1560 /FAX: 631-765-9015 INVITATION TO BID NOTICE IS HEREBY GIVEN THAT SEALED PROPOSALS ARE SOUGHT AND REQUESTED FOR THE FOLLOWING: BID NAME: "SUPPLY & DELIVERY OF STONE MATERIALS" Definite specifications may be obtained at the Southold Town Clerk's Office beginning July 2,2015 PLACE OF OPENINGS: DATE OF OPENINGS: TIME OF OPENINGS: TOWN OF SOUTHOLD July 16,2015 2:00 PM TOWN CLERKS OFFICE 53095 MAIN ROAD SOUTHOLD,NY 11971 CONTACT PERSON: Michael Collins, P.E. Town of Southold, 631-765-1560 VENDORS MUST SUBMIT BIDS IN SEALED ENVELOPES. PLEASE PRINT ON THE FACE OF ENVELOPE: 1)NAME&ADDRESS OF BIDDER 2)BID NAME It is the bidder's responsibility to read the attached Bid Specifications, Instructions to Bidders, and General Conditions, which outline bidding rules of the Town of Southold. Upon submission of bid, it is understood that the bidder has read, fully understands and will comply with said GENERAL CONDITIONS and specification requirements. The Town of Southold requires that this document be returned intact and that it be filled out completely. Please do not remove any pages from this bid package, and make a copy of the bid document for your records. The Town of Southold welcomes and encourages minority and women-owned businesses to participate in the bidding process. fi rI . AJ r J FOR THE SUPPLY & DELIVERY OF STONE MATERIALS TO THE TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK July 2, 2015 ' Vt .0, ., •• TOV%IN ©F SOUTHOLD Scott A. Russell, Supervisor HIGHWAY DEPARTMENT Vincent Orlando, Highwa; Superintendent ENG9NEERINo DEPARTMENT Michael Collins, Town Engineer TABLE OF CONTENTS TOWN OF SOUT}OLD SUPPLY & DELIVERY OF STONE MATERIALS Title Page Table of Contents Invitation to Bid Instructions to Bidders 1B-1 thru IB-3 Standard Insurance Requirements 71Z 1 thru SIR 2 Proposal Form Package Proposal Form Package Pages 1 thru 10 Contract Agreement A-1 thru A-3 TOWN OF SOUT)gOLD 53095 MAIN ROAD, SOUTHOLID, NEW YORK 11971 PHONE: 631-765-1560 /FAX: 631-765-9015 INVITATION TO BID NOTICE IS HEREBY GIVEN THAT SEALED PROPOSALS ARE SOUGHT AND REQUESTED FOR THE FOLLOWING: BID NAME: "SUPPLY& DELIVERY OF STONE MATERIALS" Definite specifications may be obtained at the Southold Town Clerk's Office beginning July 2,2015 PLACE OF OPENINGS: DATE OF OPENINGS: TIME OF OPENINGS: TOWN OF SOUTHOLD July 16,2015 2:00 PM TOWN CLERKS OFFICE 53095 MAIN ROAD SOUTHOLD,NY 11971 CONTACT PERSON: Michael Collins,P.E. Town of Southold,631-765-1560 VENDORS MUST SUBMIT BIDS IN SEALED ENVELOPES. PLEASE PRINT ON THE FACE OF ENVELOPE: 1)NAME&ADDRESS OF BIDDER 2)BID NAME It is the bidder's responsibility to read the attached Bid Specifications, Instructions to Bidders, and General Conditions,which outline bidding rules of the Town of Southold. Upon submission of bid, it is understood that the bidder has read, fully understands and will comply with said GENERAL CONDITIONS and specification requirements. The Town of Southold requires that this document be returned intact and that it be filled out completely. Please do not remove any pages from this bici package, and make a copy of the bid document for your records. • The Town of Southold welcomes and encourages minority and women-owned businesses to participate in the bidding process. INSTRUCTIONS TO BIDDERS INDEX 1. Receipt and Opening of Bids 2. Form,Preparation and Presentation of Proposal 3. Rejection of Bids 4. Bidders Responsibility 5. Bid Reservations 6. Non-Collusive Statement 7. Addenda and Interpretations 8. Method of Award 9. Single Price Bid Analysis 10. Municipal Exempt Status 11. Insurance Required by the Town of Southold 12. Quantities 1. RECEIPT AND OPENING OF BIDS The Town of Southold invites bids on the forms herein provided to supply and deliver stone materials to the Town of Southold,New York. Sealed bids shall be received by the office of the Southold Town Clerk, 53095 Route 25 Southold, New York 11971, no later than 2:00 PM prevailing time on July 16,2015,at which time they will be opened and publicly read aloud. All bids received after the time stated for the opening in the Notice to Bidders may not be considered and will be returned unopened to the bidder. The bidder assumes the risk of any delay in the mail or in the handling of the mail by employees of the Town. Whether sent by mail or by means of personal delivery, the bidder assumes responsibility for having his bid deposited on time at the place specified.Faxed bids will not be accepted. 2. FORM,PREPARATION AND PRESENTATION OF PROPOSAL The Proposal Form as issued by the Town shall be completely filled in,in black ink or typed on - the original bid form.No photocopies will be accepted. All blank spaces for bid prices must be filled in, in both words and figures, with a unit cost per ton for which the bid is made. All lines must have an indication of the bidder's response whether it be "0", "N/A", "No Charge", or a dollar figure. All lines must be filled in to indicate bidder's acknowledgement of the request. Bids that do not have all applicable lines filled in on the bid proposal form may be disqualified as a non-responsive bid. We cannot assume there is "no charge"when lines are left empty. aids that contain any omission, erasure,alteration, addition or items not called for in the itemized bid form or that contain irregularities of any kind will not be accepted. In case of discrepancy between the unit price and total amount bid for any item, the unit price, as expressed in words, shall govern. IB - 1 INSTRUCTIONS TO BIDDERS 3. REJECTION OF BIDS (a) The TOWN BOARD reserves the right to reject any bid if unfavorable evidence comes to light or is submitted to the Town or if an investigation of such bidder fails to satisfy the TOWN BOARD that such bidder is properly qualified to cavy out the obligations of the Contract and to complete the work contemplated therein. Conditional bids will be considered informal and will be rejected. (b) The TOWN BOARD reserves the right to reject any and all bids, in whole or in part, to waive any informality in any or all bids, and to accept the bid or part thereof which it deems most favorable to the Town after all bids have been examined and/or checked. 4. BIDDERS RESPONSIBILITY (a) Bidders are cautioned not to submit bids until after having fully examined the bidding requirements for the delivery of stone materials and having made themselves familiar with local conditions. (b)The submission of a bid will be construed to mean that the bidder is fully informed as to the extent, cost, and character of the materials to be supplied and delivered in accordance with the Bidding Requirements,including all other expenses incidental thereto. 5. BID RESERVATIONS Bids submitted shall remain in effect for forty-five (45) days past the date of bid opening. This period may be extended, for the benefit of the Town, by mutual agreement between the Bidder and the Purchasing Agent. 6. NON-COLLUSIVE STATEMENT The form of non-collusion bidding certification contained in the proposal package must be executed by the Bidder and submitted with the proposal. The submission of this statement certifies that the prices in this bid have been arrived at independently without collusion, consultation, communication, or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor. 7. ADDENDA AND INTERPRETATIONS Every request for information or interpretation of the Bidding Requirements must be addressed in writing to the Town Engineering Department of Southold - 53095 Route 25, P.O. Box 1179, Southold, New York 11971 or fax 631-765-9015, and to be given any consideration, must be received at least five (5) days prior to the date fixed for the opening of bids. Any such interpretations or supplemental instructions will be in the form of written addenda, and will be mailed or faxed to all prospective bidders. The failure of any bidder to receive any such addenda will not relieve the bidder of any obligation under his bid as submitted. Any addenda so issued shall become part of the Contract Documents. IB-2 INSTRUCTIONS TO BIDDERS 8. METHOD OF AWARD The bid will be awarded to the lowest responsive, responsible bidder, as will best promote the public interest,taking into consideration the reliability of the bidder,the quality of the materials, and conformity with the specifications. 9.SINGLE PRICE BID ANALYSIS In the event a single bid is received,the Town will conduct a price analysis of the bid price prior to the award of the contract. 10.MUNICIPAL EXEMPT STATUS The Town is exempt from the payment of Federal, State and local taxes. Taxes must not be included in proposal prices. 11. INSURANCE REQUIRED BY THE TOWN OF SOUTHOLD The successful bidder will be required to procure and pay for the following types of insurance,as set forth in more detail herein following the Instructions to Bidders in the Standard Insurance requirements Section. (a)Comprehensive Automobile Policy (b)Comprehensive General Liability (c)Excess/Umbrella Insurance (d)Owner's and Contractor's Protective Liability (e)Workmen's Compensation Insurance (f)Disability Insurance and Unemployment Insurance 12. QUANTITIES Any quantities referenced, discussed or set forth in the bid specifications are approximations only. No guarantee is made for any quantities stated. Payment shall be on the basis of actual quantities supplied at the unit prices quoted. lB - 3 STANDARD INSURANCE REQUIREMENTS TOWN OF SOUTHOLD CONTRACT INSURANCE REQUIREMENTS INSURANCE IDENTIFICATION• THE BID NUMBER IS TO APPEAR ON ALL INSURANCE CERTIFICATES INI)EPENJ)EN'l' CONTRACTOR: The Corporation/Contractor/Agency/Consultant, is an independent contractor and covenants and agrees that it, its agents, servants and/or employees will neither hold itself/themselves out as, nor claim to be an employee, servant or agent of the TOWN OF SOUTHOLD, and that it, its agents and employees will not make claim, demand or application to or for any right or privilege applicable to an officer or employee of the TOWN OF SOUTHOLD including, but not limited to Worker's Compensation coverage, Unemployment Insurance benefits, Social Security coverage or retirement membership or credit. INSURANCE: Contractor/vendor shall not commence work under this contract until he has obtained all insurance required under the following paragraphs, and the Town of Southold has approved such insurance. WORKERS'CQIVIPENSATION; Contractor/vendor shall take out and maintain during the life of this contract, such insurance as will protect both the owner and the contractor from claims under worker's compensation acts and amendments thereto and from any other claims for property damage and for personal injury including death, which may arise from operations under this contract, whether such operations by contractor or by any other party directly or indirectly employed by the contractor. Copy of Certificate to be provided to the Town of Southold. DISABILITY INSURANCE &UNEMPLOYMENT INSURANCE: Contractor/vendor shall take out and maintain during the entire term of the contract any disability benefits and unemployment insurance as required by law. Copy of Certificate to be provided to the Town of Southold. GENERAL LIABILITY INSURANCE: The contractor/vendor shall take out and maintain during the life of the contract,such bodily injury liability and property damage liability insurance as shall protect him and the Town from claims for damages for bodily injury including accidental death, as well as from claims for property damage which may arise from operations under this contract,whether such operations be by himself or by any subcontractor or by anyone directly or indirectly employed by either of them. It shall be the responsibility of the contractor/vendor to maintain such insurance in amounts sufficient to fully protect himself and the Town, but in no instance shall amounts be less than those set forth below. These amounts are specified only to establish the minimum coverage acceptable. Bodily injury liability and property damage liability insurance in an amount not less than $1,000,000 (one million dollars) for damages on account of any one accident, and in an amount of not less than$2,000,000(two million dollars)on account of all accidents(general aggregate). OTHER CONDITIONS OF COMMERCIAL GENERAL LIABILITY INSURANCE: 1. Coverage shall be written on commercial general liability form. 2. Coverage shall include: A. Contractual liability 13. Independent contractors C. Products and completed operations SIR- 1 STANDARD INSURANCE REQUIREMENTS AUTOMOBILE LIABILITY INSURANCE: Automobile bodily injury liability and property damage liability insurance shall be provided by the contractor/vendor with a minimum combined single limit(CSL) of$1,000,000(one million dollars). OTHER CONDITIONS OF AUTOMOBILE LIABILITY INSURANCE: 1. Coverage shall include: A. All owned vehicles B. Hired car and non-ownership liability coverage C. Statutory no-fault coverage ADDITIONAL CONDITIONS OF INSURANCE: I. Contractor/vendor shall submit copies of any or all required insurance policies as and when requested by the Town. 2. If any of the contractor's/vendor's policies of insurance are cancelled or not renewed during the life of the contract, immediate notice of cancellation of non-renewal shall be delivered to the Town no less than 10 days prior to the date and time of cancellation or non-renewal. CERTIFICATE OF INSURANCE: The contractor/vendor shall file with the Town of Southold prior to commencing work under this contract,a certificate of insurance. 1. Certificate of insurance shall include: A. Name and address of insured B. Issue date of certificate C. Insurance company name D. Type of coverage in effect E. Policy number F. Inception and expiration dates of policies included G. Limits of liability for all policies on certificate. included on certificate Description of operations/locations/etc. Box must include the statement: "THE TOWN OF SOUTHOLD IS LISTED AS ADDITIONAL INSURED" CERTIFICATE HOLDER SHALL BE LISTED AS: TOWN OF SOUTHOLD 53095 ROUTE 25,P.O.BOX 1179 SOUTHOLD,NY 11971 2. If the contractor's/vendor's insurance policies should be non-renewed, cancelled or expire during the life of the contact,the Town shall be provided with a new certificate indicating the replacement policy information as requested above. Thirty days (30) prior written notice to the Town of Southold for cancellation is applicable. SIR-2 Town of Southold "Supply &Delivery of Stone Materials" PROP It SAL PACKAGE TM OPENS: June 18, 2015 REMINDER NOTE!!! VENDORS MUST RETURN THIS DOCUMENT INTACT AND FILLED OUT COMPLETELY! ! All line items on the Proposal Form must be filled in! All lines must have an indication of the bidder's response whether it is a dollar figure of No Bid. Please DO NOT remove any pages from this bid package! ! ! Thank you! Proposal Package 1 of 10 BIDDER'S CHECK LIST Your response to our above referenced bid will be considered unresponsive and will be rejected if the following forms are not included at the time of the bid opening. ❑ Notarized Affidavit of Non-Collusion as required by NYS Law. ❑ Vendor Information Sheet and Address Record Form. As per specifications,the Town of Southold requires a current insurance certificate,with the Town of Southold listed as additional insured,to be on file in the Purchasing Department. You will be given ten(10)business days from notice of award to supply this form or the bid will be rescinded. VENDOR NAME: VENDOR INFORMATION SHEET TYPE OF ENTITY:CORP. _T. __PARTNERSHIP INDIVIDUAL FEDERAL EMPLOYEE ID#: OR SOCIAL SECURITY#: DATE OF ORGANIZATION: IF APPLICABLE: DATE FILED: STATE FILED: If a non-publicly owned Corporation: CORPORATION NAME: LIST PRINCIPAL STOCKHOLDERS: (5%of outstanding shares) LIST OFFICERS AND DIRECTORS: NAME TITLE Proposal Package 2 of 10 If a partnership: PARTNERSHIP NAME: LIST PARTNERS NAMES: ADDRESS RECORD FORM MAIL SID TO: VENDOR NAME: _ ADDRESS: CONTACT: TELEPHONE: FAX: E-MAIL: ONLY if different- MAIL PURCHASE ORDER TO: ADDRESS: CONTACT: TELEPHONE: FAX: E-MAIL: ONLY if different- MAIL PAYMENT TO: ADDRESS: TELEPHONE: FAX: CONTACT: E-MAIL: Proposal Package 3 of 10 VENDOR NAME: ASSUMED NAME CERTIFICATION *If the business is conducted under an assumed name, a copy of the certificate required to be filed under the New York general business law must be attached. ASSUMED NAME: If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, by an officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership, by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid or previously filed with the Purchasing Agent. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that individuals working for the Town of Southold or other municipality bid on contracts only that such interest be revealed when they do bid.) INSURANCE STATEMENT Bidder agrees as follows-please mark appropriate box: Insurance Certificate as requested is attached I certify that I can supply insurance as specified if awarded the bid Insurance Certificate filed on DATE FAILURE TO PROVIDE SPECIFIED INSURANCE SHALL DISQUALIFY BIDDER. AUTHORIZED SIGNATURE Proposal Package 4 of 10 AFFIDAVIT OF NON-COLLUSION I hereby attest that I am the person responsible within my firm for the final decision as to the prices(s) and amount of this bid or, if not,that I have written authorization,enclosed herewith,from that person to make the statements set out below on his or her behalf and on behalf of my firm. I further attest that: 1. The price(s) and amount of this bid have been arrived at independently, without consultation, communication or agreement for the purpose of restricting competition with any other contractor,bidder or potential bidder. 2. Neither the price(s), nor the amount of this bid,have been disclosed to any other firm or person who is a bidder or potential bidder on this project, and will not be so disclosed prior to bid opening. 3. No attempt has been made or will be made to solicit, cause or induce any firm or person to refrain from bidding on this project, or to submit a bid higher than the bid of this firm, or any intentionally high or non-competitive bid or other form of complementary bid. 4. The bid of my firm is made in good faith and not pursuant to any agreement or discussion with, or inducement from any firm or person to submit a complementary bid. 5. My firm has not offered or entered into a subcontract or agreement regarding the purchase of materials or services from any other firm or person, or offered, promised or paid cash or anything of value to any firm or person,whether in connection with this or any other project, in consideration for an agreement or promise by an firm or person to refrain from bidding or to submit a complementary bid on this project. 6. My firm has not accepted or been promised any subcontract or agreement regarding the sale of materials or services to any firm or person, and has not been promised or paid cash or anything of value by any firm or person, whether in connection with this or any project, in consideration for my firm's submitting a complementary bid,or agreeing to do so,on this project. 7. I have made a diligent inquiry of all members, officers, employees, and agents of my firm with responsibilities relating to the preparation, approval or submission of my firm's bid on this project and have been advised by each of them that he or she has not participated in any communication,consultation,discussion, agreement,collusion, act or other conduct inconsistent with any of the statements and representations made in this affidavit. The person signing this bid,under the penalties of perjury, affirms the truth thereof. SWORN TO BEFORE ME THIS Signature&Company Position Type Name&Company Position _ DAY OF 20_ ,_ Company Name NOTARY PUBLIC Date Signed Federal 1.D,Number Proposal Package 5 of 10 THF PROPOSAL FORM Supply &Delivery of Stone Materials VENDOR NAME: VENDOR ADDRESS: TELEPHONE NUMBER: FAX: The undersigned bidder has carefully examined the Bid Specifications and will supply all necessary labor, equipment and incidentals as necessary to supply and deliver stone materials as called for in the said Bid Specifications in the manner prescribed therein, and in accordance with the requirements of the Engineer,at the prices listed on the attached Bid Proposal Form. If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, the bid must be signed by an officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership, by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid documents. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that such individuals working for the Town of Southold or other municipalities bid on contracts,but only that such interest be revealed when they do bid.) The undersigned hereby acknowledges receipt of the following Addenda(if none were issued please write N/A below): Addendum No. Dated Proposal Package 6 of 10 RIDDING R EQUIREM'I'ENTS FOR THE SUPPLY& DELIVERY OF ARMOR STONE, BEDDING STONE AND GRANULAR FILL MATERIALS TO THE TOWN OF SOUTHOLD: BID SPECIFICATIONS Under this Item, the Contractor shall furnish and place clean stone and/or granular fill material in accordance with the Bid specifications and/or as directed by the Town Engineer. Contractor may bid on any one or all bid items listed herein. MATERIALS Under this item, clean stone materials shall consist of; Fine & Coarse Stone Aggregates, Bedding Stone and Armor Stone. All material shall be sound, hard, durable bank run gravel, field stone and/or rough unhewn quarry stone. The stone shall be sound, tough, dense, and resistant to the action of air and water. Gradation shall be as follows: #1 FINE AGGREGATE Fine aggregate shall consist of natural gravel having clean, durable, hard, uncoated particles, free from dirt, wood, paper, fiber and all other foreign material. Sieve Size Percent Passing by Weight 3/8-inch 100% 1/4-inch 0% #2 RIVER GRAVEL River Gravel shall consist of natural gravel having clean, durable, hard, uncoated particles, free from dirt, wood, paper, fiber and all other foreign material. Sieve Size Percent Passing by Weight 1.0-inch 100% 3/4-inch 0% #3 COARSE AGGREGATE Coarse aggregate shall consist of crushed stone, natural gravel or other inert materials of similar characteristics having clean, durable, hard, uncoated particles, washed to remove clay, loam and dust. The aggregate shall be free from dirt, wood, paper, fiber and all other foreign materials. Sieve Size Percent Passing by Weight 3.0—inch 100% 2-1/2-inch 0% #4 BEDDING STONE Bedding stone shall range from 8"to 12"of hard natural stone material. The stone shall consist of field stone or rough unhewn quarry stone. The stone shall be sound, tough, dense, and resistant to the action of air and water. Not more than 10 percent of the total weight of the riprap may be in individual pieces weighing less than twenty (20#'s) pounds each. Proposal Package 7 of 10 BIDDING REQUIREMVITENTS CONT, FOR THE SUPPLY & DELIVERY OF ARMOR STONE, BEDDING STONE AND GRANULAR FILL MATERIALS TO THE TOWN OF SOUTHOLD: #5 ARMOR STONE Armor stone shall range from One (1) Ton to Five (5) Tons in size and consist of a hard natural stone material. The Armor stone shall consist of field stone or rough unhewn quarry stone. The stone shall be sound, tough, dense, and resistant to the action of air and water. The Town Engineer reserves the right to randomly test for conformance any material that arrives at the site. DELIVERY DETAILS The Contractor shall furnish and place all Stone Material referenced herein as directed by the Town Engineer. The stone materials shall be, ordered and delivered, based on a full Tractor Trailer Load consisting of approximately 38 Tons per Trailer Load. The final location and placement of stone materials delivered to the Town of Southold shall be specified under a Town Purchase Order and shall be specified as a single location for each Trailer Load. Locations may vary from; the Town Highway Department yard on Peconic Lane, individual Town Road Ends and/or any other location in the Town where the material is required. METHOD OF MEASUREMENT The Contractor shall receive payment for the cost of furnishing clean stone and/or granular fill material based on delivery weight tickets for each Trailer load delivered to the Town. Prior notification of delivery, at least 24 hours in advance, must be given to the Town Engineering Department at 631-765-1560 to coordinate the delivery & placement of all stone materials. PROCEDURES FOR SUBMISSION AND PAYMENT The Contractor shall deliver his request for payment by submission of a proper invoice to the office of the Engineer. A proper invoice shall include a numbered &dated contractor's invoice including a copy of all weight tickets to be processed for payment. The submission for payment shall also include a completed / signed Town Voucher. LENGTH OF AGREEMENT This unit price bid will be in effect for a period of Two (2) years from the date of acceptance by the Town. Upon mutual agreement, this contract agreement may be extended for a period of one (1) year. END OF SECTION: Proposal Package 8 of 10 • THE PROPOSAL FORM FOR THE SUPPLY &DELIVERY OF ARMOR STONE, BEDDING STONE AND GRANULAR FILL MATERIALS TO THE TOWN OF SOUTHOLD: UNIT PRICE QUOTES(COST I TON)FOR SUPPLY& DELIVERY OF STONE MATERIALS TO THE TOWN OF SOUTHOLD. ALL PURCHASE ORDERS FOR STONE MATERIALS SHALL BE FOR A FULL TRACTOR TRAILER LOAD OF STONE MATERIALS. ITEM#1 FINE AGGREGATE: FURNISH AND DELIVER FINE AGGREGATE TO THE TOWN OF SOUTHOLD TO MEET THE REQUIREMENTS OF THE SPECIFICATIONS WRITTEN HEREIN. THE ABOVE REFERENCED ACTIVITIES WILL BE COMPLETED FOR THE STIPULATED"UNIT COST"OF: (written In words) COST PER TON (written In numbers) COST PER TON Max P of Days for Delivery After Purchase Order Is Issued by T.O.S. ITEM#2 COARSE AGGREGATE: FURNISH AND DELIVER COARSE AGGREGATE TO THE TOWN OF SOUTHOLD TO MEET THE REQUIREMENTS OF THE SPECIFICATIONS WRITTEN HEREIN. THE ABOVE REFERENCED ACTIVITIES WILL BE COMPLETED FOR THE STIPULATED"UNIT COST"OE (written In words) COST PER TON (written in numbers) COST PER TON Max P of Days for Delivery After Purchase Order Is Issued by T.O.S. ITEM#3 RIVER GRAVEL: FURNISH AND DELIVER RIVER GRAVEL TO THE TOWN OF SOUTHOLD TO MEET THE REQUIREMENTS OF THE SPECIFICATIONS WRITTEN HEREIN THE ABOVE REFERENCED ACTIVITIES WILL BE COMPLETED FOR THE STIPULATED"UNIT COST"OF' (written in words) COST PER TON (written in numbers) COST PER TON Max# of Days for Delivery After Purchase Order Is issued by T.O.S. ITEM#4 BEDDING STONE: FURNISH AND DELIVER BEDDING STONE TO THE TOWN OF SOUTHOLD TO MEET THE REQUIREMENTS OF THE SPECIFICATIONS WRITTEN HEREIN. THE ABOVE REFERENCED ACTIVITIES WILL BE COMPLETED FOR THE STIPULATED"UNIT COST"OF: (written In words) COST PER TON (written in numbers) COST PER TON Max# of Days for Delivery After Purchase Order Is Issued by T.O.S. Proposal Package 9 of 10 PROPOSAL FORM CONTINUED: ITEM#5 ARMOR STONE: FURNISH AND DELIVER ARMOR STONE TO THE TOWN OF SOUTHOLD TO MEET THE REQUIREMENTS OF THE SPECIFICATIONS WRITTEN HEREIN. THE ABOVE REFERENCED ACTIVITIES WILL BE COMPLETED FOR THE STIPULATED"UNIT COST"OF: (written in words) COST PER TON (written In numbers) COST PER TON Max# of Days for Delivery After Purchase Order Is Issued by T.O.S. AUTHORIZED SIGNATURE PRAT NAME TITLE _.. .... _ --- - -- .._.. - - ______._. - -DATE ACKNOWLEDGMENT STATE OF NEW YORK,COUNTY OF _ _ _)ss.: On the day of__ _in the year 2015 before me, the undersigned, personally appeared, . personally known to me or proved to me on the basis of satisfactory evidence to 1-;e the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),and that by his/her/their signature(s) on the instrument,the individual(s), or the person upon behalf of which the individual(s)acted, executed the instrument. NOTARY PUBLIC Proposal Package 10 of 10 CONTRACT AGREEMENT THIS AGREEMENT made this _ day of AD Two Thousand and Fifteen by and between the Town of Southold, party of the first part (hereinafter called the Owner), and —. , party of the second part(hereinafter called Contractor). WITNESSETH: That for and in consideration of the premises and the agreements herein contained, and the payments herein provided to be made, the parties hereto agree as follows: FIRST: The Contractor shall furnish all the materials specified by within a Town Purchase Order for the "Supply and Delivery of Stone Materials" and shall coordinate the deliveries with the Town Engineering Department at 631-765-1560. AS DESCRIBED IN THE Contract Documents made and prepared by the Town of Southold, and (FILL IN FIRM NAME) , the project engineers, and as set forth in the Contractor's Bid dated , and in strict and entire conformity and in accordance with the Notice to Bidders, Instructions to Bidders, Proposal Form (Bid), Material Specifications, Addenda, and this Agreement, hereto annexed and made a part hereof, and hereinafter collectively referred to as "Contract Documents". SECOND: In Consideration of the Contractor performing this Contract in the manner herein stated and as stated in the Contract Documents, the Owner promises and agrees to pay or cause to be paid to the Contractor the sums of money mentioned in said Contract Documents in the manner and under the conditions therein provided. THIRD: The Contractor covenants and agrees that, anything in this Contract or in the Contract Documents to be contrary notwithstanding, or regardless of any matter, thing, contingency of condition unforeseen or otherwise, present or future, the Contractor shall not be entitled to receive any additional or further sums of money than the amounts in said Contract Documents provided; and the failure of the Owner or its agents to insist upon strict performance of any of the terms, covenants, agreements, provisions or conditions in this Agreement or in the Contract Documents, on any one or more instances, shall not be construed as a waiver or relinquishment for the future of any such terms, covenants, agreements, provisions and conditions and the same shall be and remain in full force and effect with power and authority on the part of the Owner to enforce the same or cause the same to be enforced at any time, without prejudice to any other rights which the Owner may have against the Contactor under this Agreement or the Contract Documents. A-1 Neither Owner nor Contractor shall, without the prior written consent of the other, assign or sublet in whole or part his interest under any of the Contact Documents; and, specifically, Contractor shall not assign any monies due or to become due without the prior written consent of the Owner. Owner and Contractor each binds himself, his partners, successors, assigns and legal representatives of the other party hereto in respect to all covenants, agreements and obligations contained in the Contract Documents. The Contract Documents constitute the entire agreement between Owner and Contractor and may only be altered, amended or repealed by a duly executed written instrument signed by both parties. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year first above written. Total Bid _ _ _ _ Dollars Written in Words Written in Figures TOWN OF SOUTHOLD CONTRACTOR BY BY Scott A.Russell, Supervisor - -^ TITLE BY William Duffy,Town Attorney (CORPORATE SEAL) A-2 ACKNOWLEDGMENT STATE OF NEW YORK, COUNTY OF )ss.: On the day of in the year 2015 before me, the undersigned, personally appeared, — , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted,executed the instrument. NOTARY PUBLIC STATE OF NEW YORK,COUNTY OF )ss.: On the day of in the year 2015 before me,the undersigned, personally appeared, _ , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted,executed the instrument. NOTARY PUBLIC A-3 ELIZABETH A.NEVILLE,MMC 1�,���� Qs®�� Town Hall,53095 Main Road TOWN CLERK . : P.O.Box 1179 n ; Southold,New York 11971 REGISTRAR OF VITAL STATISTICSilv Fax Fax(631)7E5-6145 MARRIAGE OFFICER _ ,� ,'� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICERi1 '�,,,� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER _,,,,,,,0 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD BID OPENING 2015 Stone Materials Bid Opening 6/18/15 2:00 P.M. No bids received #12273 STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) Karen Kine of Mattituck, in said county, being duly sworn, says that she is Principal Clerk of THE SUFFOLK TIMES, a weekly newspaper, published at Mattituck, in the Town of Southold, County of Suffolk and State of New York, and that the Notice of which the annexed is a printed copy, has been regularly published in said Newspaper once each week for 1 week(s), successfully commencing on the 4th day of June, 2015. ceta.--r----9e14,2 Principal Clerk Sworn to before me this day of 15. LEGAL NOTICE TOWN OFSOUTHOLD ' 53095 MAIN ROAD,SOUTHOLD, NEW YORK 11971 PHONE:631-765-1560/FAX:631-765- • V_.........../e'A VOLINSKI 9015 I1NVTW1ON TO BID filOYAkv PUBLIC-STATE OF NEW YORK NOTICE IS HEREBY GIVEN . No. 01V06105050 THAT SEALED PROPOSALS ARE tli;ttlifled In Suffolk County SOUGHT AND REQUESTED FOR THE FOLLOWfNG: f41W E0lflrni4DlOn Euplres February 28,2016 BID NAME:"SUPPLY&DELIVERY • OF STONE MATERIALS" Definite specifications may be ob- tained at the Southold Town Clerk's Of- fice beginning June 4,2015 PLACE OF OPENINGS: TOWN OF SOUTHOLD TOWN CLERIC'S OFFICE 53095 MAIN ROAD SOUI'HOLD,NY 11971 DATE OF OPENING& June 18,2015 TIME OF OPENINGS: 2.00 PM CONTACT PERSON: Michael Collins,P.E. 'Dawn of Southold,631-765-1560 VENDORS MUST SUBMIT BIDS IN SEALED ENVELOPES. PLEASE PRINT ON THE FACE OF ENVELOPE. 1) NAME & ADDRESS OF BID- DER 2)BID NAME • It is the bidder's responsibility to read the attached Bid Specifications,Instruc- •tions to Bidders,and General Conditions, which outline bidding rules of the'Ibwn of Southold.Upon submission of bid,it is understood that the bidder has read,fully understands and will comply with said GENERAL CONDITIONS and specifi- , cation requirements. The Town of Southold requires that this document be returned intact and that tem it be filled out completely.Please do not , remove any pages from this bid package, s: -- ."'..,"Mt-{_ and make a copy of the bid document for •• '+: your records. I �E The Town of Southold welcomes and n- encourages minority and women-owned :- businesses to participate in the bidding ;ii` process. , -4- r__. ELIZABETH A.NEVILLE SOUT TOLD TOWN CLERK 12273-1T 6/4 TOWN OF SOUTHOLD 53095 MAIN ROAD, SOUTHOLD, NEW YORK 11971 PHONE: 631-765-1560 / FAX: 631-765-9015 INVITATION TO BID NOTICE IS HEREBY GIVEN THAT SEALED PROPOSALS ARE SOUGHT AND REQUESTED FOR THE FOLLOWING: BID NAME: "SUPPLY & DELIVERY OF STONE MATERIALS" Definite specifications may be obtained at the Southold Town Clerk's Office beginning June 4,2015 PLACE OF OPENINGS: DATE OF OPENINGS: TIME OF OPENINGS: TOWN OF SOUTHOLD June 18,2015 2:00 PM TOWN CLERKS OFFICE 53095 MAIN ROAD SOUTHOLD,NY 11971 CONTACT PERSON: Michael Collins, P.E. Town of Southold, 631-765-1560 VENDORS MUST SUBMIT BIDS IN SEALED ENVELOPES. PLEASE PRINT ON THE FACE OF ENVELOPE: 1)NAME&ADDRESS OF BIDDER 2)BID NAME It is the bidder's responsibility to read the attached Bid Specifications, Instructions to Bidders, and General Conditions, which outline bidding rules of the Town of Southold. Upon submission of bid, it is understood that the bidder has read, fully understands and will comply with said GENERAL CONDITIONS and specification requirements. The Town of Southold requires that this document be returned intact and that it be filled out completely. Please do not remove any pages from this bid package, and make a copy of the bid document for your records. The Town of Southold welcomes and encourages minority and women-owned businesses to participate in the bidding process. ELIZABETH A. NEVILLE SOUTHOLD TOWN CLERK * * * PLEASE PUBLISH ON June 4,2015 AND FORWARD ONE (1) AFFIDAVIT OF PUBLICATION TO ELIZABETH NEVILLE,TOWN CLERK,TOWN HALL,PO BOX 1179, SOUTHOLD,NY 11971. Copies to the following: The Suffolk Times Town Board Members Town Attorney Dodge Reports Brown's Letters Burrelle's Information Services Town Clerk's Bulletin Board Engineering RESOLUTION 2015-185 `°,+ ADOPTED DOC ID: 10563 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2015-185 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON FEBRUARY 10,2015: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs the Town Clerk to advertise for bids for the following items for 2015: Armor Stone Rip-rap Filter Cloth Heavy Equipment with Operator e'144844Q (44.14' Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Robert Ghosio, Councilman SECONDER:Louisa P. Evans,Justice AYES: Ghosio,Dinizio Jr,Ruland,Doherty,Evans, Russell Rudder, Lynda From: Cerria Torres <ctorres@timesreview.com> Sent: Wednesday, May 27,2015 1:16 PM To: Rudder, Lynda;Jim Dinizio; Beltz, Phillip;Cushman,John; Doherty,Jill; Duffy, Bill; Ghosio, Bob; Kiely, Stephen; Krauza, Lynne; Louisa Evans; Michaelis,Jessica; Reisenberg, Lloyd; Russell,Scott;Standish, Lauren;Tomaszewski, Michelle;Tracey Doubrava,William Ruland Cc: Richter,Jamie;Collins, Michael Subject: Re:for publication I have scheduled the two notices to publish in the Suffolk Times on 6/4/2015. Thank you { TIMES REVIEW �N� MEDIA OROUP Cerria Orientale Torres Display Ad Coordinator 631.354.8011 (D) ctorres( timesreview.com Iega lsAtimes revi ew.com www.timesreview.com From:<Rudder>, Lynda Rudder<Ivnda.rudder@town.southold.nv.us> Date:Wednesday, May 27,2015 1:13 PM To:Jim Dinizio<Jimt iamesdinizio.com>, "Beltz, Phillip"<Phillip.Beltz@town.southold.nv.us>, "Cushman,John" <John.Cushman@town.southold.ny.us>, "Doherty,Jill"<jilt.dohertv@town.southold.ny.us>, "Duffy, Bill" <bilid@southoldtownnv.gov>,"Ghosio, Bob"<bob.l;hosio@town.southold.nv.us>,"Kiely,Stephen" <stephen.kielv@town.southold.nv.us>, "Krauza, Lynne"<Ivnne.krauza@town.southold.nv.us>, Louisa Evans <Ipevans06390@email.com>,"Michaelis,Jessica"<iessicam@southoldtownnv.gov>, "Reisenberg, Lloyd" <Llovd.Reisenbertz@town.southold.ny.us>, "Russell,Scott"<Scott.Russell@town.southold.nv.us>, "Standish, Lauren" <Lauren.Standish@town.southold.nv.us>, "Tomaszewski, Michelle"<michelletc town.southold.nv.us>,Times Review <tdoubrava@timesreview.com>,William Ruland<rulandfarm@'ahoo.com> Cc:"Richter,Jamie"<Jamie.Richterptown.southold.nv.us>,"Collins, Michael"<michael.collins@town.southold.nv.us> Subject:for publication Please publish in the 6/4/15 edition of the Suffolk times and the town website 1 BiD � P FOR THE SUPPLY & DELIVERY OF STONE MATERIALS TO THE TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK June 18, 2015 %gUFFOL e;IT SA\ 401 ex 13 TOWN OF SOUTHOLD Scott A. Russell, Supervisor HIGHWAY DEPARTMENT Vincent Orlando, Highway Superintendent ENGINEERING DEPARTMENT Michael Collins, Town Engineer TABLE OF CONTENTS TOWN OF SOUTHOLD - SUPPLY & DELIVERY OF STONE MATERIALS Title Page Table of Contents Invitation to Bid Instructions to Bidders IB-1 thru IB-3 Standard Insurance Requirements SIR 1 thru SIR 2 Proposal Form Package Proposal Form Package Pages 1 thru 10 Contract Agreement A-1 thru A-3 TOWN OF SOUTHOLD 53095 MAIN ROAD, SOUTHOLD, NEW YORK 11971 PHONE: 631-765-1560 /FAX: 631-765-9015 INVITATION TO BID NOTICE IS HEREBY GIVEN THAT SEALED PROPOSALS ARE SOUGHT AND REQUESTED FOR THE FOLLOWING: BID NAME: "SUPPLY & DELIVERY OF STONE MATERIALS" Definite specifications may be obtained at the Southold Town Clerk's Office beginning June 4,2015 PLACE OF OPENINGS: DATE OF OPENINGS: TIME OF OPENINGS: TOWN OF SOUTHOLD June 18,2015 2:00 PM TOWN CLERKS OFFICE 53095 MAIN ROAD SOUTHOLD,NY 11971 CONTACT PERSON: Michael Collins,P.E. Town of Southold,631-765-1560 VENDORS MUST SUBMIT BIDS IN SEALED ENVELOPES. PLEASE PRINT ON THE FACE OF ENVELOPE: 1)NAME&ADDRESS OF BIDDER 2)BID NAME It is the bidder's responsibility to read the attached Bid Specifications, Instructions to Bidders, and General Conditions, which outline bidding rules of the Town of Southold. Upon submission of bid, it is understood that the bidder has read, fully understands and will comply with said GENERAL CONDITIONS and specification requirements. The Town of Southold requires that this document be returned intact and that it be filled out completely. Please do not remove any pages from this bid package, and make a copy of the bid document for your records. The Town of Southold welcomes and encourages minority and women-owned businesses to participate in the bidding process. INSTRUCTIONS TO BIDDERS INDEX 1. Receipt and Opening of Bids 2. Form,Preparation and Presentation of Proposal 3. Rejection of Bids 4. Bidders Responsibility 5. Bid Reservations 6. Non-Collusive Statement 7. Addenda and Interpretations 8. Method of Award 9. Single Price Bid Analysis 10. Municipal Exempt Status 11. Insurance Required by the Town of Southold 12. Quantities 1. RECEIPT AND OPENING OF BIDS The Town of Southold invites bids on the forms herein provided to supply and deliver stone materials to the Town of Southold,New York. Sealed bids shall be received by the office of the Southold Town Clerk, 53095 Route 25 Southold, New York 11971, no later than 2:00 PM prevailing time on May 18,2015,at which time they will be opened and publicly read aloud. All bids received after the time stated for the opening in the Notice to Bidders may not be considered and will be returned unopened to the bidder.The bidder assumes the risk of any delay in the mail or in the handling of the mail by employees of the Town. Whether sent by mail or by means of personal delivery, the bidder assumes responsibility for having his bid deposited on time at the place specified.Faxed bids will not be accepted. 2. FORM,PREPARATION AND PRESENTATION OF PROPOSAL The Proposal Form as issued by the Town shall be completely filled in, in black ink or typed on the original bid form. No photocopies will be accepted. All blank spaces for bid prices must be filled in, in both words and figures, with a unit cost per ton for which the bid is made. All lines must have an indication of the bidder's response whether it be "0", "N/A", "No Charge", or a dollar figure. All lines must be filled in to indicate bidder's acknowledgement of the request. Bids that do not have all applicable lines filled in on the bid proposal form may be disqualified as a non-responsive bid. We cannot assume there is"no charge"when lines are left empty. Bids that contain any omission, erasure, alteration, addition or items not called for in the itemized bid form or that contain irregularities of any kind will not be accepted. In case of discrepancy between the unit price and total amount bid for any item, the unit price, as expressed in words, shall govern. IB - 1 INSTRUCTIONS TO BIDDERS 3. REJECTION OF BIDS (a) The TOWN BOARD reserves the right to reject any bid if unfavorable evidence comes to light or is submitted to the Town or if an investigation of such bidder fails to satisfy the TOWN BOARD that such bidder is properly qualified to carry out the obligations of the Contract and to complete the work contemplated therein. Conditional bids will be considered informal and will be rejected. (b) The TOWN BOARD reserves the right to reject any and all bids, in whole or in part, to waive any informality in any or all bids, and to accept the bid or part thereof which it deems most favorable to the Town after all bids have been examined and/or checked. 4. BIDDERS RESPONSIBILITY (a) Bidders are cautioned not to submit bids until after having fully examined the bidding requirements for the delivery of stone materials and having made themselves familiar with local conditions. (b) The submission of a bid will be construed to mean that the bidder is fully informed as to the extent, cost, and character of the materials to be supplied and delivered in accordance with the Bidding Requirements,including all other expenses incidental thereto. 5. BID RESERVATIONS Bids submitted shall remain in effect for forty-five (45) days past the date of bid opening. This period may be extended, for the benefit of the Town, by mutual agreement between the Bidder and the Purchasing Agent. 6. NON-COLLUSIVE STATEMENT The form of non-collusion bidding certification contained in the proposal package must be executed by the Bidder and submitted with the proposal. The submission of this statement certifies that the prices in this bid have been arrived at independently without collusion, consultation, communication, or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor. • 7. ADDENDA AND INTERPRETATIONS Every request for information or interpretation of the Bidding Requirements must be addressed in writing to the Town Engineering Department of Southold - 53095 Route 25, P.O. Box 1179, Southold, New York 11971 or fax 631-765-9015, and to be given any consideration, must be received at least five (5) days prior to the date fixed for the opening of bids. Any such interpretations or supplemental instructions will be in the form of written addenda, and will be mailed or faxed to all prospective bidders. The failure of any bidder to receive any such addenda will not relieve the bidder of any obligation under his bid as submitted. Any addenda so issued shall become part of the Contract Documents. IB-2 INSTRUCTIONS TO BIDDERS 8. METHOD OF AWARD The bid will be awarded to the lowest responsive, responsible bidder, as will best promote the public interest, taking into consideration the reliability of the bidder,the quality of the materials, and conformity with the specifications. 9.SINGLE PRICE BID ANALYSIS In the event a single bid is received, the Town will conduct a price analysis of the bid price prior to the award of the contract. 10.MUNICIPAL EXEMPT STATUS The Town is exempt from the payment of Federal, State and local taxes. Taxes must not be included in proposal prices. 11. INSURANCE REQUIRED BY THE TOWN OF SOUTHOLD The successful bidder will be required to procure and pay for the following types of insurance,as set forth in more detail herein following the Instructions to Bidders in the Standard Insurance requirements Section. (a)Comprehensive Automobile Policy (b)Comprehensive General Liability (c)Excess/Umbrella Insurance (d)Owner's and Contractor's Protective Liability (e)Workmen's Compensation Insurance (f)Disability Insurance and Unemployment Insurance 12. QUANTITIES Any quantities referenced, discussed or set forth in the bid specifications are approximations only. No guarantee is made for any quantities stated. Payment shall be on the basis of actual quantities supplied at the unit prices quoted. • IB -3 STANDARD INSURANCE REQUIREMENTS TOWN OF SOUTHOLD CONTRACT INSURANCE REQUIREMENTS INSURANCE IDENTIFICATION: THE BID NUMBER IS TO APPEAR ON ALL INSURANCE CERTIFICATES INDEPENDENT CONTRACTOR: The Corporation/Contractor/Agency/Consultant, is an independent contractor and covenants and agrees that it, its agents, servants and/or employees will neither hold itself/themselves out as, nor claim to be an employee, servant or agent of the TOWN OF SOUTHOLD, and that it, its agents and employees will not make claim, demand or application to or for any right or privilege applicable to an officer or employee of the TOWN OF SOUTHOLD including,but not limited to Worker's Compensation coverage, Unemployment Insurance benefits, Social Securiy coverage or retirement membership or credit. INSURANCE: Contractor/vendor shall not commence work under this contract until he has obtained all insurance required under the following paragraphs, and the Town of Southold has approved such insurance. WORKERS' COMPENSATION: Contractor/vendor shall take out and maintain during the life of this contract, such insurance as will protect both the owner and the contractor from claims under worker's compensation acts and amendments thereto and from any other claims for property damage and for personal injury including death, which may arise from operations under this contract, whether such operations by contractor or by any other party directly or indirectly employed by the contractor. Copy of Certificate to be provided to the Town of Southold. DISABILITY INSURANCE &UNEMPLOYMENT INSURANCE: Contractor/vendor shall take out and maintain during the entire term of the contract any disability benefits and unemployment insurance as required by law.Copy of Certificate to be provided to the Town of Southold. GENERAL LIABILITY INSURANCE: The contractor/vendor shall take out and maintain during the life of the contract, such bodily injury liability and property damage liability insurance as shall protect him and the Town from claims for damages for bodily injury including accidental death, as well as from claims for property damage which may arise from operations under this contract,whether such operations be by himself or by any subcontractor or by anyone directly or indirectly employed by either of them. It shall be the responsibility of the contractor/vendor to maintain such insurance in amounts sufficient to fully protect himself and the Town, but in no instance shall amounts be less than those set forth below. These amounts are specified only to establish the minimum coverage acceptable. Bodily injury liability and property damage liability insurance in an amount not less than $1,000,000 (one million dollars) for damages on account of any one accident, and in an amount of not less than $2,000,000 (two million dollars)on account of all accidents(general aggregate). OTHER CONDITIONS OF COMMERCIAL GENERAL LIABILITY INSURANCE: 1. Coverage shall be written on commercial general liability form. 2. Coverage shall include: A. Contractual liability B. Independent contractors C. Products and completed operations SIR- 1 STANDARD INSURANCE REQUIREMENTS AUTOMOBILE LIABILITY INSURANCE: Automobile bodily injury liability and property damage liability insurance shall be provided by the contractor/vendor with a minimum combined single limit(CSL) of$1,000,000(one million dollars). OTHER CONDITIONS OF AUTOMOBILE LIABILITY INSURANCE: 1. Coverage shall include: A. All owned vehicles B. Hired car and non-ownership liability coverage C. Statutory no-fault coverage ADDITIONAL CONDITIONS OF INSURANCE: 1. Contractor/vendor shall submit copies of any or all required insurance policies as and when requested by the Town. 2. If any of the contractor's/vendor's policies of insurance are cancelled or not renewed during the life of the contract, immediate notice of cancellation of non-renewal shall be delivered to the Town no less than 10 days prior to the date and time of cancellation or non-renewal. CERTIFICATE OF INSURANCE: The contractor/vendor shall file with the Town of Southold prior to commencing work under this contract,a certificate of insurance. 1. Certificate of insurance shall include: A. Name and address of insured B. Issue date of certificate C. Insurance company name D. Type of coverage in effect E. Policy number F. Inception and expiration dates of policies included G. Limits of liability for all policies on certificate. included on certificate Description of operations/locations/etc.Box must include the statement: "THE TOWN OF SOUTHOLD IS LISTED AS ADDITIONAL INSURED" CERTIFICATE HOLDER SHALL BE LISTED AS: TOWN OF SOUTHOLD 53095 ROUTE 25,P.O.BOX 1179 SOUTHOLD,NY 11971 2. If the contractor's/vendor's insurance policies should be non-renewed, cancelled or expire during the life of the contact, the Town shall be provided with a new certificate indicating the replacement policy information as requested above. Thirty days (30) prior written notice to the Town of Southold for cancellation is applicable. SIR-2 Town of Southold "Supply &Delivery of Stone Materials" PROPOSAL PACKAGE • BID OPENS: June 18, 2015 REMINDER NOTE!!!: VENDORS MUST RETURN THIS DOCUMENT INTACT AND FILLED OUT COMPLETELY! ! • All line items on the Proposal Form must be filled in! All lines must have an indication of the bidder's response whether it is a dollar figure of No Bid. Please DO NOT remove any pages from this bid package! ! ! Thank you! Proposal Package 1 of 10 BIDDER'S CHECK LIST Your response to our above referenced bid will be considered unresponsive and will be rejected if the following forms are not included at the time of the bid opening. ❑ Notarized Affidavit of Non-Collusion as required by NYS Law. ❑ Vendor Information Sheet and Address Record Form. ❑ As per specifications,the Town of Southold requires a current insurance certificate,with the Town of Southold listed as additional insured,to be on file in the Purchasing Department. You will be given ten(10)business days from notice of award to supply this form or the bid will be rescinded. VENDOR NAME: VENDOR INFORMATION SHEET TYPE OF ENTITY:CORP. PARTNERSHIP INDIVIDUAL FEDERAL EMPLOYEE ID#: OR SOCIAL SECURITY#: DATE OF ORGANIZATION: IF APPLICABLE: DATE FILED: STATE FILED: If a non-publicly owned Corporation: CORPORATION NAME: LIST PRINCIPAL STOCKHOLDERS: (5% of outstanding shares) LIST OFFICERS AND DIRECTORS: NAME TITLE J Proposal Package 2 of 10 If a partnership: PARTNERSHIP NAME: LIST PARTNERS NAMES: ADDRESS RECORD FORM MAIL BID TO: VENDOR NAME: ADDRESS: CONTACT: TELEPHONE: FAX: E-MAIL: ONLY if different- MAIL PURCHASE ORDER TO: ADDRESS: CONTACT: TELEPHONE: FAX: E-MAIL: ONLY if different- MAIL PAYMENT TO: ADDRESS: TELEPHONE: FAX: CONTACT: E-MAIL: Proposal Package 3 of 10 VENDOR NAME: ASSUMED NAME CERTIFICATION *If the business is conducted under an assumed name, a copy of the certificate required to be filed under the New York general business law must be attached. ASSUMED NAME: If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, by an officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership, by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid or previously filed with the Purchasing Agent. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that individuals working for the Town of Southold or other municipality bid on contracts only that such interest be revealed when they do bid.) INSUR A,NCE STATEMENT Bidder agrees as follows-please mark appropriate box: Insurance Certificate as requested is attached I certify that I can supply insurance as specified if awarded the bid ❑ Insurance Certificate filed on DATE FAILURE TO PROVIDE SPECIFIED INSURANCE SHALL DISQUALIFY BIDDER. AUTHORIZED SIGNATURE Proposal Package 4 of 10 AFFIDAVIT OF NON-COLLUSION I hereby attest that I am the person responsible within my firm for the final decision as to the prices(s) and amount of this bid or, if not,that I have written authorization, enclosed herewith, from that person to make the statements set out below on his or her behalf and on behalf of my firm. I further attest that: 1. The price(s) and amount of this bid have been arrived at independently, without consultation, communication or agreement for the purpose of restricting competition with any other contractor,bidder or potential bidder. 2. Neither the price(s), nor the amount of this bid,have been disclosed to any other firm or person who is a bidder or potential bidder on this project, and will not be so disclosed prior to bid opening. 3. No attempt has been made or will be made to solicit, cause or induce any firm or person to refrain from bidding on this project, or to submit a bid higher than the bid of this firm, or any intentionally high or non-competitive bid or other form of complementary bid. 4. The bid of my firm is made in good faith and not pursuant to any agreement or discussion with, or inducement from any firm or person to submit a complementary bid. 5. My firm has not offered or entered into a subcontract or agreement regarding the purchase of materials or services from any other firm or person, or offered, promised or paid cash or anything of value to any firm or person, whether in connection with this or any other project, in consideration for an agreement or promise by an firm or person to refrain from bidding or to submit a complementary bid on this project. 6. My firm has not accepted or been promised any subcontract or agreement regarding the sale of materials or services to any firm or person, and has not been promised or paid cash or anything of value by any firm or person, whether in connection with this or any project, in consideration for my firm's submitting a complementary bid, or agreeing to do so, on this project. 7. I have made a diligent inquiry of all members, officers, employees, and agents of my firm with responsibilities relating to the preparation, approval or submission of my firm's bid on this project and have been advised by each of them that he or she has not participated in any communication, consultation, discussion,agreement, collusion, act or other conduct inconsistent with any of the statements and representations made in this affidavit. The person signing this bid,under the penalties of perjury, affirms the truth thereof. SWORN TO BEFORE 14]E THIS Signature&Company Position DAY OF 20 Type Name&Company Position Company Name NOTARY PUBLIC Date Signed Federal I.D.Number Proposal Package 5 of 10 THE PROPOSAL FORM Supply &Delivery of Stone Materials VENDOR NAME: VENDOR ADDRESS: TELEPHONE NUMBER: FAX: The undersigned bidder has carefully examined the Bid Specifications and will supply all necessary labor, equipment and incidentals as necessary to supply and deliver stone materials as called for in the said Bid Specifications in the manner prescribed therein, and in accordance with the requirements of the Engineer,at the prices listed on the attached Bid Proposal Form. If the bidder is an individual, the bid must be signed by that individual; if the bidder is a corporation, the bid must be signed by an officer of the corporation, or other person authorized by resolution of the board of directors, and in such case a copy of the resolution must be attached; if a partnership, by one of the partners or other person authorized by a writing signed by at least one general partner and submitted with the bid documents. The submission of this constitutes a certification that no Town Officer has any interest therein. (Note: In the event that any Town Officer has any such interest, the full nature thereof should be disclosed below. It is not forbidden that such individuals working for the Town of Southold or other municipalities bid on contracts, but only that such interest be revealed when they do bid.) The undersigned hereby acknowledges receipt of the following Addenda(if none were issued please write N/A below): Addendum No. Dated Proposal Package 6 of 10 BIDDING REQUIREMTENTS FOR THE SUPPLY& DELIVERY OF ARMOR STONE, BEDDING STONE AND GRANULAR FILL MATERIALS TO THE TOWN OF SOUTHOLD: BID SPECIFICATIONS Under this Item, the Contractor shall furnish and place clean stone and/or granular fill material in accordance with the Bid specifications and/or as directed by the Town Engineer. Contractor may bid on any one or all bid items listed herein. MATERIALS Under this item, clean stone materials shall consist of; Fine & Coarse Stone Aggregates, Bedding Stone and Armor Stone. All material shall be sound, hard, durable bank run gravel, field stone and/or rough unhewn quarry stone. The stone shall be sound, tough, dense, and resistant to the action of air and water. Gradation shall be as follows: #1 FINE AGGREGATE Fine aggregate shall consist of natural gravel having clean, durable, hard, uncoated particles, free from dirt, wood, paper, fiber and all other foreign material. Sieve Size Percent Passing by Weight 3/8-inch 100% 1/4-inch 0% #2 RIVER GRAVEL River Gravel shall consist of natural gravel having clean, durable, hard, uncoated particles, free from dirt, wood, paper, fiber and all other foreign material. Sieve Size Percent Passing by Weight 1.0-inch 100% 3/4-inch 0% #3 COARSE AGGREGATE Coarse aggregate shall consist of crushed stone, natural gravel or other inert materials of similar characteristics having clean, durable, hard, uncoated particles, washed to remove clay, loam and dust. The aggregate shall be free from dirt, wood, paper, fiber and all other foreign materials. Sieve Size Percent Passing by Weight 3.0— inch 100% 2-1/2-inch 0% #4 BEDDING STONE Bedding stone shall range from 8" to 12" of hard natural stone material. The stone shall consist of field stone or rough unhewn quarry stone. The stone shall be sound, tough, dense, and resistant to the action of air and water. Not more than 10 percent of the total weight of the riprap may be in individual pieces weighing less than twenty (20#'s) pounds each. Proposal Package 7 of 10 BIDDING REQUIREMTENTS CONT. FOR THE SUPPLY&DELIVERY OF ARMOR STONE, BEDDING STONE AND GRANULAR FILL MATERIALS TO THE TOWN OF SOUTHOLD: #5 ARMOR STONE Armor stone shall range from One (1) Ton to Five (5) Tons in size and consist of a hard natural stone material. The Armor stone shall consist of field stone or rough unhewn quarry stone. The stone shall be sound, tough, dense, and resistant to the action of air and water. • The Town Engineer reserves the right to randomly test for conformance any material that arrives at the site. DELIVERY DETAILS • The Contractor shall furnish and place all Stone Material referenced herein as directed by the Town Engineer. The stone materials shall be, ordered and delivered, based on a full Tractor Trailer Load consisting of approximately 38 Tons per Trailer Load. The final location and placement of stone materials delivered to the Town of Southold shall be specified under a Town Purchase Order and shall be specified as a single location for each Trailer Load. Locations may vary from; the Town Highway Department yard on Peconic Lane, individual Town Road Ends and/or any other location in the Town where the material is required. METHOD OF MEASUREMENT The Contractor shall receive payment for the cost of furnishing clean stone and/or granular fill material based on delivery weight tickets for each Trailer load delivered to the Town. Prior notification of delivery, at least 24 hours in advance, must be given to the Town Engineering Department at 631-765-1560 to coordinate the delivery & placement of all stone materials. PROCEDURES FOR SUBMISSION AND PAYMENT The Contractor shall deliver his request for payment by submission of a proper invoice to the office of the Engineer. A proper invoice shall include a numbered & dated contractor's invoice including a copy of all weight tickets to be processed for payment. The submission for payment shall also include a completed /signed Town Voucher. LENGTH OF AGREEMENT This unit price bid will be in effect for a period of Two (2) years from the date of acceptance by the Town. Upon mutual agreement, this contract agreement may be extended for a period of one (1) year. END OF SECTION: Proposal Package 8 of 10 THE PROPOSAL FORM FOR THE SUPPLY & DELIVERY OF ARMOR STONE, BEDDING STONE AND GRANULAR FILL MATERIALS TO THE TOWN OF SOUTHOLD: UNIT PRICE QUOTES (COST/TON) FOR SUPPLY&DELIVERY OF STONE MATERIALS TO THE TOWN OF SOUTHOLD. ALL PURCHASE ORDERS FOR STONE MATERIALS SHALL BE FOR A FULL TRACTOR TRAILER LOAD OF STONE MATERIALS. ITEM#1 FINE AGGREGATE: FURNISH AND DELIVER FINE AGGREGATE TO THE TOWN OF SOUTHOLD TO MEET THE REQUIREMENTS OF THE SPECIFICATIONS WRITTEN HEREIN. THE ABOVE REFERENCED ACTIVITIES WILL BE COMPLETED FOR THE STIPULATED"UNIT COST"OF. (written in words) COST PER TON (written in numbers) COST PER TON Max# of Days for Delivery After Purchase Order is Issued by T.O.S. ITEM#2 COARSE AGGREGATE: FURNISH AND DELIVER COARSE AGGREGATE TO THE TOWN OF SOUTHOLD TO MEET THE REQUIREMENTS OF THE SPECIFICATIONS WRITTEN HEREIN. THE ABOVE REFERENCED ACTIVITIES WILL BE COMPLETED FOR THE STIPULATED"UNIT COST'OF: (written in words) COST PER TON (written in numbers) COST PER TON Max# of Days for Delivery After Purchase Order Is Issued by T.O.S. ITEM#3 RIVER GRAVEL: FURNISH AND DELIVER RIVER GRAVEL TO THE TOWN OF SOUTHOLD TO MEET THE REQUIREMENTS OF THE SPECIFICATIONS WRITTEN HEREIN. THE ABOVE REFERENCED ACTIVITIES WILL BE COMPLETED FOR THE STIPULATED"UNIT COST'OF: (written In words) COST PER TON (written in numbers) COST PER TON Max# of Days for Delivery After Purchase Order Is Issued by T.O.S. ITEM#4 BEDDING STONE: FURNISH AND DELIVER BEDDING STONE TO THE TOWN OF SOUTHOLD TO MEET THE REQUIREMENTS OF THE SPECIFICATIONS WRITTEN HEREIN. THE ABOVE REFERENCED ACTIVITIES WILL BE COMPLETED FOR THE STIPULATED"UNIT COST"OF. (written in words) COST PER TON (written in numbers) COST PER TON Max M of Days for Delivery After Purchase Order Is Issued by T.O.S. Proposal Package 9 of 10 PROPOSAL FORM CONTINUED: ITEM#5 ARMOR STONE: FURNISH AND DELIVER ARMOR STONE TO THE TOWN OF SOUTHOLD TO MEET THE REQUIREMENTS OF THE SPECIFICATIONS WRITTEN HEREIN. THE ABOVE REFERENCED ACTIVITIES WILL BE COMPLETED FOR THE STIPULATED"UNIT COST'OF: (written in words) COST PER TON (written In numbers) COST PER TON Max# of Days for Delivery After Purchase Order Is Issued by T.Q.S. AUTHORIZED SIGNATURE PRINT NAME TITLE DATE ACKNOWLEDGMENT STATE OF NEW YORK, COUNTY OF )ss.: On the day of in the year 2015 before me, the undersigned,personally appeared, ,personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument,the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. NOTARY PUBLIC Proposal Package 10 of 10 CONTRACT AGREEMENT THIS AGREEMENT made this day of AD Two Thousand and Fifteen by and between the Town of Southold, party of the first part (hereinafter called the Owner), and , party of the second part(hereinafter called Contractor). WITNESSETH: That for and in consideration of the premises and the agreements herein contained, and the payments herein provided to be made, the parties hereto agree as follows: FIRST: The Contractor shall furnish all the materials specified by within a Town Purchase Order for the "Supply and Delivery of Stone Materials" and shall coordinate the deliveries with the Town Engineering Department at 631-765-1560. AS DESCRIBED IN THE Contract Documents made and prepared by the Town of Southold, and (FILL IN FIRM NAME) , the project engineers, and as set forth in the Contractor's Bid dated , and in strict and entire conformity and in accordance with the Notice to Bidders, Instructions to Bidders, Proposal Form (Bid), Material Specifications, Addenda, and this Agreement, hereto annexed and made a part hereof, and hereinafter collectively referred to as "Contract Documents". SECOND: In Consideration of the Contractor performing this Contract in the manner herein stated and as stated in the Contract Documents, the Owner promises and agrees to pay or cause to be paid to the Contractor the sums of money mentioned in said Contract Documents in the manner and under the conditions therein provided. THIRD: The Contractor covenants and agrees that, anything in this Contract or in the Contract Documents to be contrary notwithstanding, or regardless of any matter, thing, contingency of condition unforeseen or otherwise, present or future, the Contractor shall not be entitled to receive any additional or further sums of money than the amounts in said Contract Documents provided; and the failure of the Owner or its agents to insist upon strict performance of any of the terms, covenants, agreements, provisions or conditions in this Agreement or in the Contract Documents, on any one or more instances, shall not be construed as a waiver or relinquishment for the future of any such terms, covenants, agreements, provisions and conditions and the same shall be and remain in full force and effect with power and authority on the part of the Owner to enforce the same or cause the same to be enforced at any time, without prejudize to any other rights which the Owner may have against the Contactor under this Agreement or the Contract Documents. A-1 Neither Owner nor Contractor shall, without the prior written consent of the other, assign or sublet in whole or part his interest under any of the Contact Documents; and, specifically, Contractor shall not assign any monies due or to become due without the prior written consent of the Owner. Owner and Contractor each binds himself, his partners, successors, assigns and legal representatives of the other party hereto in respect to all covenants, agreements and obligations contained in the Contract Documents. The Contract Documents constitute the entire agreement between Owner and Contractor and may only be altered, amended or repealed by a duly executed written instrument signed by both parties. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year first above written. Total Bid Dollars Written in Words Written in Figures TOWN OF SOUTHOLD CONTRACTOR BY BY Scott A.Russell, Supervisor TITLE BY William Duffy,Town Attorney (CORPORATE SEAL) A-2 ACKNOWLEDGMENT STATE OF NEW YORK, COUNTY OF ) ss.: On the day of in the year 2015 before me, the undersigned, personally appeared, , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted,executed the instrument. NOTARY PUBLIC STATE OF NEW YORK, COUNTY OF )ss.: On the day of in the year 2015 before me, the undersigned, personally appeared, , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted,executed the instrument. NOTARY PUBLIC • A-3 Krauza, Lynne From: Krauza, Lynne Sent: Wednesday,August 26, 2015 3:52 PM To: lcozzetto@networkadjusters.com' Cc: Kiely, Stephen; Neville, Elizabeth; Blasko, Regina; Hydell, Carol Subject: Emailing: 7_20150731130857 Attachments: 7_20150731130857.pdf Hi Mr. Cozzetto, Pursuant to your FOIL request dated 8/25/15, attached please find the Police Accident Report from the limousine accident that occurred on 7/18/15. However, please note that the referenced accident reconstruction diagram has yet to be completed by the New York State Police. Once received, it will be forwarded forthwith under separate cover. With respect to the remaining documents requested, please be advised that we are searching our records for any documents responsive and expect to issue a response to you on or before 9/25/15. Thank you. Lynne Krauza Secretary to the Town Attorney Town of Southold (631) 765-1939 Your message is ready to be sent with the following file or link attachments: 7_20150731130857 Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 1