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HomeMy WebLinkAboutHighway Maintenance Bldg FOL '•ELIZABETH A.NEVILLE,MMC ®� Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER ,j� ® ®`p Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ®,( �`� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 6, 2018 Ben Benediktsson Ice Electric Inc 1655 Evergreen Drive Cutchogue,NY 11935 Dear Mr. Benediktsson: This office has been informed that the maintenance bond can be released that you supplied for the Electric - Highway Maintenance Garage. Enclosed please find your maintenance bond no. 015049490M dated October 17, 2017. Thank you. Very truly yours Lynda M Rudder Deputy Town Clerk Encs. lk s SCOTT A. RUSSELL ® G� JAMES A. RICHTER, R.A. SUPERVISOR x MICHAEL M. COLLINS, P.E. TOWN HALL - 53095 MAIN ROADTOWN OF SOUTHOLD,NEW YORK 11971 Tel (631)-765—1560 �/�® ®@ Fax (631)-765—9015 MICHAEL COLLINSgTOWN SOUTHOLD NY US 1 JAMIE RICHTERgTOWN SOUTHOLD NY US OFFICE OF THE ENGINEER TOWN OF SOUTHOLD November 26, 2018 Bill Duffy Southold Town Hall PO Box 1179 Southold, NY 11971 RE: Highway Maintenance Building - Release of ICE Electric, Inc. Maintenance Bond Dear Mr. Duffy: The Town of Southold contracted with ICE Electric, Inc. to complete the electrical work for the new Southold Town Highway Maintenance Building located at 275 Peconic Lane. The one-year maintenance period has now elapsed and there are no known defects that require repair or replacement due to faulty material or workmanship. Therefore, the Maintenance Bond provided by ICE Electric, Inc. for the electrical contract should be released at this time. Should you have any questions or require further information, please do not hesitate to contact me at (631) 765-1560. Very truly yours, Atjw� uiP Michael M. Collins, P.E. Town Engineer V Southold Town Board- Letter Board Meeting of December 4, 2018 ��pFFOl, RESOLUTION 2018-1023 Item# 5.7 X'. ADOPTED DOC ID: 14670 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2018-1023 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON DECEMBER 4, 2018: RESOLVED that the Town Board of the Town of Southold hereby releases the Maintenance Bond'supplied by ICE Electric, Inc. and Ohio Casualty Insurance Company, Bond No. 015049490M in the amount of$193,898.00, as recommended by the Town Engineer, subject to the approval of the Town Attorney. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: James Dinizio Jr, Councilman SECONDER:William P. Ruland, Councilman AYES: Dinizio Jr, Ruland, Ghosio, Evans, Russell ABSENT: Jill Doherty Generated December 4, 2018 Page 21 TOWN OF SOUTHOLD PROCUREMENT POLICY PUBLIC CONTRACT CHANGE ORDER APPROVAL FORM. This form must be completed when a Public Contract Change Order increase is: a) $1,000 or more b) It is a minimum of 10% over the .original contract award FAX FORM TO TOWN ATTORNEY'S OFFICE * 631/765-6639 DEPARTMENT: rn Q i.1 eel--lel A DATE: TOWN BOARD RESOL. #/DATE: ` 35- WO 15" VENDOR NAME: Conlr-yd o-1 C015+44-11S �L ilk, ORIGINAL CONTRACT AMOUNT:' q 71,507,DD INS CREASE AMOUNT: $ I q j,70 REASON FOR INCREASE:f'- 1d1 re aIAn I 5,ee Coi�eA l ariic'�//1?a� t-�1-� �T=7�jy►SG1('�J DEPARTMENT HEAD SIGNATURE: Town Attorney Authorization Notes: � Approved Date 0,c ,,1 ❑ Denied Date Reason for Denial Rebid: ❑Yes ❑ No Town Attorney Authorizaifily, Date J Comptroller Approval 6 C p roller Signature Date Rec'd by Comptroller Sent to Town Attorney Rec'd Back From TA 5/12/16 Y cci PCO #003 Construction Consultants LI,Inc. Project:Contract A-General Construction-Town of Southold Highway 36 East 2nd Street Maintenance Garage Riverhead,New York 11901 275 Peconic Lane Phone (631)727-6604 Peconic,New York 11958 Fax.(631)727-6605 Prime Contract Potential Change Order #003: Fire Extinguishers TO: Town of Southold FROM: Construction Consultants LI,Inc. 53095 Main Road,PO Box 1179 36 East 2nd Street Southold New York,11971 Riverhead New York, 11901 PCO NUMBERIREVISION: 003/0 CONTRACT: 1-Town of Southold Highway Maintenance Garage REQUEST RECEIVED FROM: Matt Jedlicka(LK McLean Associates,PC) CREATED BY: Eric Baumack(Construction Consultants LI, Inc.) STATUS: Pending-In Review CREATED DATE: 5/2/2016 REFERENCE: PRIME CONTRACT None CHANGE ORDER: FIELD CHANGE: No LOCATION: ACCOUNTING Amount Based(G702/G703) METHOD: SCHEDULE IMPACT: PAID IN FULL: No TOTAL AMOUNT $794.70 POTENTIAL CHANGE ORDER TITLE:Fire Extinguishers CHANGE REASON:Design Development POTENTIAL CHANGE ORDER DESCRIPTION:(The Contract Is Changed As Follows) Upgrade(5)5#fire extinguishers to 10#units and furnish and Install only an additional(7)10#fire extinguishers as per Fire Marshall requirements. ATTACHMENTS: Highway Maintenance Building-Fire Extinguisher Placement.pdf # Cost Code Description Type Amount 1 Furnish and deliver(7)10#ABC fire extinguishers @$66 60 each Materials $46620 2 Install(7)10#fire extinguishers/1 carpenter 1 hour @$121 00 per hour Labor $12100 3 Upgrade(5)5#fire extinguishers to 10#units Increase of$20 50 each Materials $10250 Subtotal: $68970 GC Overhead and Profit 10.00%on all line Item types $6897 Bonds and Insurance:4.75%on all line item types $3603 Grand Total: $794.70 Construction Consultants LI,Inc page 1 of 1 Printed On-5/2/2016 0128 PM TOWN OF SO UTHOLD PROCUREMENT POLICY PUBLIC CONTRACT CHANGE ORDER APPROVAL FORM This form must be completed when a Public Contract Change Order ---------------increase_is:--------------------- -------- --------------------------------------- a) $1,000 or more b) It is a minimum of 10% over the original contract award FAX FORM TO TOWN ATTORNEY'S OFFICE * 631/765-6639 186 DEPARTMENT: �1 °'➢ E e'Y_! '1 DATE: 1 TOWN BOARD RESOL. #/DATE: TJ i7 1� VENDOR NAME: C OVI$I rvC�i'`) CI-07 S V I7 u ld3 ORIGINAL CONTRACT AMOUNT: *�`��.00 INCREASE AMOUNT: J � 5qt,30 REASON FOR INCREASE: �W'r'° �r cam`?f 9",'4 a ej q y m d e r 4nd 614 slee a bol)4-4 DEPARTMENT HEAD SIGNATURE: , Town Attorney Authorization Notes: pApproved Date G ✓❑i Denied Date Reason for Denial Rebid: ❑ Yes j No Town Attorney AlltborlzatiA Date Comptroller Approval Cot olle Signature Date Rec'd by Comptroller Sent to Town Attorney Rec'd Back From TA 7/18/16 I TOWN OF SOUTHOLD PROCUREMENT POLICY "- , PUBLIC CONTRACT CHANGE ORDER APPROVAL FORM This form must be completed when a Public Contract Change Orde increase is: ,p x�.�' a) $1,000 or more b) It is a minimum of 10% over the original contract award FAX FORM TO TOWN ATTORNEY'S OFFICE * 631/765-6639 DEPARTMENT: &e ,-i e " r d1 ' DATE: 1 TOWN BOARD RESOL. #/DATE:"f3 S"VENDOR NAME: Okl I-,JC=/a O") CDOS ��-A aj��DC, ORIGINAL CONTRACT AMOUNTi/1171i , INCREASE AMOUNT: $1 �39ti,00 REASON FOR INCREASE:Cc lr " A,-, it wl� fl di4,* h of , -i Ccs- 'rt?°fie Qe7 DEPARTMENT HEAD SIGNATURE: '! Town Attorney Authorization Notes: Approved Date o Denied Date Reason for Denial Rebid: o Yes No A ) A— I i� Town A t rney Authoriz ion Date Comptroller Approval 1011,2 o ptroller Signature Date Rec'd by Comptroller Sent to,Town Attorney Recd Back From TA 1/3/17 i PCO #006 cc N Construction Consultants LI,Inc. Project:Contract A-General Construction-Town of Southold Highway 36 East 2nd Street Maintenance Garage Riverhead,New York 11901 275 Peconic Lane Phone:(631)727-6604 Peconic,New York 11958 Fax:(631)727-6605 Prime Contract Potential Change Order #006: Core Drill for Drainage TO: Town of Southold FROM: Construction Consultants LI,Inc. 53095 Main Road,PO Box 1179 36 East 2nd Street Southold New York,11971 Riverhead New York,11901 PCO NUMBER/REVISION: 006/0 CONTRACT: 1-Town of Southold Highway Maintenance Garage REQUEST RECEIVED FROM: Michael Collins,PE (Town of Southold) _ CREATED BY: Eric Baumack (Construction Consultants LI, Inc.) STATUS: Pending-In Review w CREATED DATE: 12/30/2016 REFERENCE: � PRIME CONTRACT None CHANGE ORDER: FIELD CHANGE: - NO a.�...�.._..._._�...._._..__.._____..._._ --i _�- LOCATION: ACCOUNTING Amount Based(G702/G703) METHOD: SCHEDULE IMPACT: PAID IN FULL: No TOTAL AMOUNT. $1,386.00 POTENTIAL CHANGE ORDER TITLE:Core Drill for Drainage CHANGE REASON:No Change Reason POTENTIAL CHANGE ORDER DESCRIPTION:(The Contract Is Changed As Follows) Mobilize and core-drill(2)8"diameter holes in exterior concrete for roof leader piping to be installed by others. ATTACHMENTS: # Cost Code Description Type Amount 1 Mobilrce and core-dnll(2)8"diameter holes Other $1,20000 Subtotal: $1,20000 Overhead&Profit:10.00%on all line item types $120.00 Bonds&Insurance:5.00%on all line item types $66 00 Grand Total: $1,386.00 i I I I Construction Consultants LI,Inc. page 1 of 1 Printed On- 12/30/2016 12:39 PM 1 TOWN OF SOUTHOLD PROCUREMENT POLICY PUBLIC CONTRACT CHANGE ORDER APPROVAL FORM This form must be completed when a Public Contract Change Orde increase is: C C00%, Py a) $1,000 or more b) It is a minimum of 10% over the original contract award FAX FORM TO TOWN ATTORNEY'S OFFICE * 631/765-6639 a DEPARTMENT: 6A C :,I v1 A DATE: III I TOWN BOARD RESOL. #/DATE: "/ a I S� VENDOR NAME: ORIGINAL CONTRACT AMOUNT: i, INCREASE AMOUNT: . 3, J I r t7 REASON FOR INCREASE: -i rA,,SVi a•'► In ��i�� ovlelpe4 ow— w1r i,i o,Id c,,,,j4,-J S.NEf retj 0' y DEPARTMENT HEAD SIGNATURE: �( Town Attorney Authorization Notes: .a Approved Date ❑ Denied Date Reason for Denial Rebid: ❑ Yes ❑ No �,�.� ,✓J. O // /J Town Attorney Autho 'zatio Date Comptroller Approval r Comptroller Signature D to Rec'd by Comptroller Sent to Town Attorney Rec'd Back From TA 8/10/17 Saw PCO #007 Construction Consultants LI,Inc. Project:Contract A-General Construction-Town of Southold Highway 36 East 2nd Street Maintenance Garage Riverhead,New York 11901 275 Peconic Lane Phone.(631)727-6604 Peconic, New York 11958 Fax:(631)727-6605 Prime Contract Potential Change Order #007: Overhead Doors TO: Town of Southold FROM: Construction Consultants LI,Inc. 53095 Main Road,PO Box 1179 36 East 2nd Street Southold New York, 11971 Riverhead New York, 11901 PCO NUMBER/REVISION: -_ 007/0 M~ __. CONTRACT: _ 1-Town of Southold Highway Maintenance Garage REQUEST RECEIVED FROM:-_____� CREATED BY: _ Eric Baumack (Construction Consultants LI, Inc.) STATUS: Pending-In Review CREATED DATE: 3/9/2017 REFERENCE: PRIME CONTRACT None CHANGE ORDER: FIELD CHANGE: — No��___..._____ LOCATION: ^�- � -�~~ .___..~ V_- ACCOUNTING M Amount Based(G702/G703) METHOD: SCHEDULE IMPACT: PAID IN FULL: No .____.r...._.....-_.....,...�_.._._��..,....w_,..,.___�_—.r_.._........_w.M...__...._..�_..__.. TOTAL AMOUNT: m$3,551.68 POTENTIAL CHANGE ORDER TITLE:Overhead Doors CHANGE REASON:No Change Reason POTENTIAL CHANGE ORDER DESCRIPTION:(The Contract Is Changed As Follows) Furnish and install wiring for 3 button control stations and sensors at overhead doors as directed by LKMA.This work was not included in CCLI's General Construction bid as this is an electrical item. ATTACHMENTS: # Cost Code Description Type Amount 1 (2)electricians for 1 5 days @129 32/hour Other $3,10368 2 Misc material including conduit and wire Other $448 00 Subtotal: $3,55168 Grand Total: $3.551.68 Construction Consultants LI,Inc. page 1 of 1 Printed On-3/9/2017 10 40 AM TOWN OF SOUTHOLD PROCUREMENT POLICY PUBLIC CONTRACT CHANGE ORDER APPROVAL FORM This form must be completed when a Public Contract Change Order increase is: a) $1,000 or more b) It is a minimum of 10% over the original contract award FAX FORM TO TOWN ATTORNEY'S OFFICE * 631/765-6639 DEPARTMENT: fl e r ✓1 a DATE:Ili Ili I 6 TOWN BOARD RESOL. #/DATE] 17 15 VENDOR NAME: Cons+rye ioel cotlsvlTalli L�1Ti�C, ORIGINAL CONTRACT AMOUNTh 5la,00 INCREASE AMOUNT411 L 3� REASON FOR INCREASE:S�eetVoCK 4'Y :14 }t dlavl-c lo-,.In Ce liA '3 s4ee I bollivds DEPARTMENT HEAD SIGNATURE: Town Attorney Authorization Notes: /- Approved Date L Z ❑ Denied Date Reason for Denial Rebid: ❑ Yes ❑ No Town Attorney Authorizatio Gr Date Comptroller Approval mptroller Signature Date Rec'd by Comptroller Sent to Town Attorney —r% pv Recd Back From TA ly—C U 12/8/16 PCO #005 C1 Construction Consultants LI,Inc. Project:Contract A-General Construction-Town of Southold Highway 36 East 2nd Street Maintenance Garage Riverhead,New York 11901 275 Peconic Lane Phone:(631)727-6604 Peconic,New York 11958 Fax:(631)727-6605 Prime Contract Potential Change Order #005: Hydraulic Rm/ Bollards TO: Town of Southold FROM: Construction Consultants LI,Inc. 53095 Main Road,PO Box 1179 36 East 2nd Street Southold New York,11971 Riverhead New York,11901 PCO NUMBER/REVISION: 005/0 CONTRACT: _ 1-Town of Southold Highway Maintenance _ Garage REQUEST RECEIVED FROM: -- CREATED BY: Eric Baumack (Construction Consultants LI, Inc.) STATUS: Pending-In ReviewCREATED DATE: 10/27/2016 REFERENCE: ~PRIME CONTRACT None w CHANGE ORDER: FIELD CHANGE: No LOCATION: �~^ ACCOUNTING Amount Based(G702/G703) � METHOD: SCHEDULE IMPACTPAID IN FULL: No ....v_._._..._...._-,..__...�.._.�w__..._......,__._ TOTAL AMOUNT: $6,921.35 POTENTIAL CHANGE ORDER TITLE:Hydraulic Rm/Bollards CHANGE REASON:Client Request POTENTIAL CHANGE ORDER DESCRIPTION:(The Contract Is Changed As Follows) F/I a gypsum board ceiling and joist blocking around the room perimeter.Also included is spackling and painting of the ceiling. ATTACHMENTS: # Cost Code Description Type Amount 1 F/I gypsum board,spackle and F/I perimeter blocking-2 carpenter/2 days @ Other $1,99600 $968 001 day+$60.00/material 2 Furnish and deliver(3)4'diameter bollards @$196 56/ea Other $589 68 3 Excavation,concrete footings&fill for(3)bollards @$850 00/ea Other $2,55000 4 Paint Hydraulic Rm ceiling and(3)bollards-1 painter/1 day @$896.00/day Other $8 96 00 Subtotal: $6,03168 Overhead&Profit:10.00%on all line item types $603 17 Bonds and Insurance:4.76%on all line item types $286 50 Grand Total: $6,921.35 Construction Consultants LI,Inc. page 1 of 1 Printed On:121212016 07:34 PM TOWN.OF SOUTHOLD PROCUREMENT POLICY PUBLIC CONTRACT CHANGE ORDER APPROVAL FORM This form must be completed when a Public 1,Contract Change Orde COPY increase is: a) $1,000 or more b) It is a minimum of 10% over the original contract award FAX FORM TO TOWN ATTORNEY'S OFFICE * 631/765-6639 r �f DEPARTMENT: � : �' ���0 � DATE: 16 TOWN BOARD RESOL. #/DATE:1T 93 iI J7 K VENDOR NAME: ORIGINAL CONTRACT AMOUNT: A oco,00 INCREASE AMOUNT: � $ ��e oo REASON FOR INCREASE:Ajj I a j i •""l� �� ® ��' r'3 4���(" S DEPARTMENT HEAD SIGNATURE: Town Attorney Authorization Notes: ,-Approved Date f C7 ❑ Denied Date Reason for Denial Rebid: ❑Yes ❑ No Town Attorney Authorization Date Comptroller Approval � I C In troller Signature Date Rec'd by Comptroller Sent to Town Attorney Rec'd Back From TA 10/6/16 S'+•� _ I -„)_` •y' _:l,(T I” _at � � A t - ., •. ��e .�.�..'� _,•�.�y-.•_;,r 'l�m�.�:' rs ' ' + - 1v: 393�. ..'®•-=r4e�:^,a" -`i�_.t• �.,a;y.:':._. -:w�,,a%' _ -" - -- -=•sem=moi •� ZM_��p',s._a,F {.. =fix ,, -,.Y,�, VP rs� -_ ^✓y'- ..�..:ao' :vsRa.:.:«.�,o ^�4j^:,.��:�:.:a�,�,;f.x=_.�,:a..a:;:..;:s::.�'-' �..:.. :s•-_:;�'..:�;..».?:;..y'-`-�...�....�.�,.-.c::.�=�."__ - "-- - _ i6 C aid 'w:.i lea ;� _ , . ¢u:L`a`�n - __�w..�w.....ss=W.:.-:=Gw:,.`. _ :«',�r,.'�:Wa.1. -,.w_aa_w;ci'':,'- .x2„s..e.s_.>..u.-,�-�..a._r_^._a,�� - .,.�.......,..,-.._<_...� .s.� ��.,. .r.:.,r_:.,+�• ss....�.w._..,s . fr hOij ' p � 4 ' m ' tt'? r " ,•-_ '�x �4" az�g,r 'Cimera'!'� Ei f , a r;p�WC;Zi �`.=95 i�°ff�a'x `_ � .............�,»..a.®.....,...,...a,..a,..,-...,...-•.«...,r�..,,».,_.,.m,�,._..,.,..,..... ...,. ... ... .._>...,.,"...o._.....,r...,, ,,,._«F......�.-..n_..,, �...a..,,.,,,.....m...... .. .. __ _ _.. _- ,._ -.- _. ,err^,; - ;�3'iY'i"':r"3` mama��•ter;?a�:.t7 ;,� .*�.se�s�.Jz� r �.>.s- I�„�`�8�°';8 ,-� Sae„a�f�'u:.ra� _ ,i:�s�s�: E:i.8'^'"tSkv, ylR T -v P4.'. f,-�„y�.,�4c�, a�'� may.�� - q 7 S,S• �''b`: a`:�r}ea:djr s c� ::a.i `!,is"= v'�ss -,"'! in, 2—m 1^:—z ws :1 T `" _IIIr4" ',s%J."y'''C. ..."�'•e ��,iii"`"' ..- id z: ��":'�; '-C'z�r' 7��`s4 Ei�o'er :�d}c,�:'e3'=�aTr^.�.Eers'•^"a rs9�;fi�t�,v s��o'sa.�'a":�::ts�°�. . `C�;�at�•S�,e§.`� .-�+...',' - - - - -- - - ..�-�vA`m^3a'�' - - �.�.,.n.a.ay...A,...n.,..m-- ,...,..m,. .. . Collins, Michael Y v From: Matthew Jedlicka <mjedlicka@lkma.com> Sent: Thursday, October 06,2016 12:56 PM To: Collins, Michael Cc: Richter,Jamie; Chris Dwyer Subject: Southold Maintenance Garage, EC Change order 1 Attachments: EC C01 revised 2.pdf Michael, Attached please find a scan of ICE Electric's change order proposal#1: We find it to be fair and reasonable. The email string below confirms the scope of this change order. Please let me know if you want us to obtain a better copy of the proposal or if we need to write a letter recommending the change. Best regards, Matt Jedlicka LKMA (631) 286-8668 From: Ben Benediktsson [mailto:ice02@optonline.net] Sent: Wednesday, October 05, 2016 6:27 PM To: Matthew Jedlicka Subject: Re: Town of Southold Maintenance Garage HI Matt That includes everything for the outlet change . I will get you a credit on the blacktop thank you Ben On Oct 5, 2016, at 3:30 PM, Matthew Jedlicka wrote: Thank you Ben. Does this proposal include everything involved in the outlet changes proposed by the Town? Also, can you send another proposal for a proposed credit for the cost of restoring the utility trenches so that the Town can take on that responsibility? Thanks, Matt From: Ben Benediktsson [mailto:ice02C@optonline.net] Sent: Tuesday, October 04, 2016 7:35 PM 1 . j �ggF�O�,�►C' ELIZABETH A. NEVILLE,MMC �O Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 0 Fax(631)765-6145 MARRIAGE OFFICER ,y ® ��. Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �0,( �`� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 23, 2017 Donald O'Hanlon Carter-Melence Inc PO Box 907 Sound Beach NY 11789 Dear Mr. O'Hanlon: This-office has been informed that the performance bond can be released that you supplied for the Highway Maintenance Building. Enclosed please find your performance bond no. NRIFSU0654688, in the amount of$238,000.00 dated December 2, 2015. Thank you for your bid. Very truly yours, Lynda M Rudder Deputy Town Clerk Encs. Southold Town Board - Letter Board Meeting of March 21, 2017 RESOLUTION 2017-244 Item # 5.14 ADOPTED DOC ID: 12850 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2017-244 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MARCH 21, 2017: RESOLVED that the Town Board of the Town of Southold hereby releases the Performance Bonds supplied by Carter-Melence, Inc and International Fidelity Insurance Company, Bond No. NRIFSU0654688 in the amount of$238,000.00, as recommended by the Town Engineer, subject to the approval of the Town Attorney, and be it further RESOLVED that the Town Board of the Town of Southold hereby accepts the Maintenance Bond supplied by Carter-Melence, Inc and International Fidelity Insurance Company, Bond No. NRIFSU0654688 in the amount of$227,800.00, as recommended by the Town Engineer, subject to the approval of the Town Attorney Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: William P. Ruland, Councilman SECONDER:Louisa P. Evans, Justice AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Evans, Russell Generated March 22, 2017 Page 24 i = T RECEIVED CARTER-MLENC INC. 'JAN 0 4 2016 CONMCFORS TeW14 Al Y'Spp E 104 New York Avenue, P.O. Box 907, Sound Beach, NY 11 (631) 744-0127 Fax: (631) 744-0528 Email: 4cmi@optonline.net LETTER OF TRANSMITTAL Date: December 31, 2015 To: Town of Southold Town Hall Annex Re: Plumbing Contract 54375 Route 25 New Highway Maintenance Building P.O. Box 1179 275 Peconic Lane, Peconic, NY Southold,NY 11971 Attn: Ms. Mary Selleck Secretary to the Town Attorney ENCLOSED PLEASE FIND THE FOLLOWING: (1) Performance Bond and Payment Bond No. NRIFSU0654688 Signed: May WMicfiriJ, Office Manager v 12/\15,;?015 WED 9: 20 FAX 12002/017 CARTER-MELENCE IlNC. CONTRACTORS 104 New York Avenue,P.O. Box 907, Sound Beach, NY 11789 (631) 744-0127 Fax: (631)744-0528 Email: 4emi@optonline.net optonline.net i LETTER OF TRANSMITTAL Date: December 3, 2015 7015 1520 0000 0637 7578 I To: Town of Southold Re: Plumbing Contract 53095 Main Road New Highway Maintenance Building Southold,NY 11971 275 Peconic Lane, Peconic, NY Attn: Ms. Elizabeth A. Neville, MMC Town Clerk ENCLOSED PLEASE FIND THE FOLLOWING: (1) Certificate of Liability Insurance (1) Certificate of Workers' Compensation Insurance (1) Certificate of Insurance for Disability Benefits (1) Performance Bond andTPayment Bond No. NRIFSU0654688 Signed: Ma�Michne, Office Manager 12/165(.2015 WED 9: 21 FAX 0007/017 ' t C� THE AMERICAN INSTITUTE OF ARCHITECTS Premium Amount Based on Final Contract Amount Bond No. NRIFSU0664688 AIA Document A312 Performance Bond Any SMyular reference to Contractor.Surety.Owner or other pally shall be considered pknW where applicable. CONTRACTOR(Name and Address): SURETY(Name and Principle Place of Business): CARTER-MELENCE,INC. International Fidelity Insurance Company 104 New York Ave. One Newark Center Sound Beach, NY 11789 Newark, NJ 07102 OWNER(Name and Address): Town Of Southold 53095 Main Road Southold, NY 11971 CONSTRUCTION-CONTRACT Date: / / Amount: $238,000.00 (Two Hundred Thirty Eight Thousand Dollars and 00/100). Description(Name and Location): Southold Highway Maintenance Building, 27.5 Peconic Lane, Peconic, NY 11958, Contract C-Plumbing. BOND Date(Not earlier than Construction Contract Date): December 2nd, 2015 Amount: $238,000.00(Two Hundred Thirty Eight Thousand Dollars and 00/100). Modifications to this Bond: [X]None []See Page 3 CONTRACTOR AS PRINCIPAL SURETY COMPANY- (Co ate Seal) COMPANY: (Corporate Seal) CARTER-I< CE,INC. International Fidelity ce C y Signature. Signature: Name and Title:yonaid J. 0'Ha on Name and Title. . resident Edmund J. Bergassi,Attorney-in-Fact (Any additional signatures appear on page 3) 7OR INFORMATION ONLY-Name,Address and Telephone OWNER'S REPRESENTATIVE(Architect, %GENT OR BROKER: or Engineer'or other party) 3ERGASSI GROUP LLC 15 Portman Road 4ew Rochelle,NY 10801 The Contractor and the Surety,jointly and severally, reasonable promptness under the circumstances: JA DOCUMENTX312 PERFORMANCE BOND AND PAYMENT BOND DECEMBER 1984 ED.,AIA A 312-1984 j HE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.,WASHINGTON D.C.20006 HIRD PRINTING-MARCH 1987 12/1642015 WED 9: 21 FAX 0008/017 r i bind themselves,their heirs,executors,administrators, .1 After investigation,determine the amount for which it may be successors,and assigns to the Owner for the performance liable to the Owner and,as soon as practicable after the amount is of the Construction Contract,which is incorporated herein determined,tender payment therefor to the by reference. Owner;or .2 Deny liability in whole or in part and notify the Owner citing reasons therefor. 2. If the Contractor performs the Construction Contract, the Surety and the Contractor shall have no obligation 5. If the Surety does not proceed as provided in Paragraph under this Bond,except to participate in conferences as 4 with reasonable promptness,the Surety shall be deemed provided in Subparagraph 3.1. to be in default on this Bond fifteen days after receipt of an additional written notice from the Owner to the Surety 3. If there is no Owner Default,the Surety's obligation demanding that the Surety perform its obligations under under this Bond shall arise after. this Bond,and the Owner shall be entitled to enforce any remedy available to the Owner. If the Surety proceeds as 3.1 The Owner has notified the Contractor and the provided in Subparagraph 4.4,and the Owner refuses the Surety at its address described in Paragraph 10 below payment tendered or the Surety has denied liability,in that the Owner is considering declaring'a Contractor whole or in part,without further notice the Owner shall be Default and has requested and attempted to arrange a entitled to enforce any remedy available to the Owner. conference with the Contractor and the Surety to be held not later than fifteen days after receipt of such 6. After the Owner has terminated the Contractor's right notice to discuss methods of performing the Construc- to complete the Construction Contract,and if the Surety tion Contract. If the Owner,the Contractor and the elects to act under Subparagraph 4.1,4.2,or 4.3 above, Surety agree,the Contractor shall be allowed a reason- then the responsibilities of the Surety to the Owner shall able time to perform the Construction Contract, but not be greater than those of the Contractor under the such an agreement shall not waive the Owners right,if Construction Contract,and the responsibilities of the any,subsequently to declare a Contractor Default;and Owner to the Surety shall not be greater than those of the Owner under the Construction Contract. To the limit of the 3.2 The Owner has declared a Contractor Default and amount of this Bond,but subject to commitment by the formally terminated the Contractors right to complete Owner of the Balance of the Contract Price to mitigation of the contract. Such Contractor Default shall not be de- costs and damages on the Construction Contract,the Sure- clared earlier than twenty days after the'Contractor and ty is obligated without duplication for the Surety have received notice as provided in Sub- paragraph 3.1;and 6.1 The responsibilities of the Contractor for correc- tion of defective work and completion of the Construo- 3.3 The Owner has agreed to pay the Balance of the tion Contract; Contract Price to the Surety in accordance with the terms of the Construction Contract or to a contractor 6.2 Additional legal,design professional and delay selected to perform the Construction Contract in accor- costs resulting from the Contractors Default,and re- dance with the terms of the contract with;the Owner suiting from the actions or failure to act of the Surety under Paragraph 4,and When the Owner has satisfied the conditions of Para- 6.3 Liquidated damages,or if no liquidated damages raph 3,the Surety shall promptly and at the,Surety's ex- are specified in the Construction Contract,actual dam- ense take one of the following actions: ages caused by delayed performance or non-perfor- mance of the Contractor 4.1. Arrange for the Contractor,with consent of the Owner,to perform and complete the Construction 7. The Surety shall not be liable to the Owner or others for Contract;or obligations of the Contractor that are unrelated to the Con- struction Contract,and the Balance of the Contract Price 4.2 Undertake to perform and complete the Construc- shall not be reduced or set off on account of any such tion Contract itself,through its agents or through inde- unrelated obligations. No right of action shall accrue on pendent contractors;or ! this Bond to any person or entity other than the Owner or its heirs,executors,administrators,or successors. 4.3 Obtain bids or negotiated proposals from qualified contractors acceptable to the Owner for a 8. The Surety hereby waives notice of any change,includ- contract for performance and completion of the Con- ing changes of time,to the Construction Contract or to struction Contract,arrange for a contract to be pre- related subcontracts,purchase orders and other obiiga- pared for execution by the Owner and the contractor tions. selected with the Owners concurrence,to be secured with performance and payment bonds executed by a 9. Any proceeding,legal or equitable,under this Bond qualified surety equivalent to the bonds issued on the may be instituted in any court of competent jurisdiction in Construction Contract, and pay to the Owner the the location in which the work or part of the work is located. amount of damages as described in Paragraph 6 in ex- and shall be instituted within two years after Contractor cess of the Balance of the Contract Price incurred by the Default or Within two years after the Contractor ceased Owner resulting from the Contractors default;or working or within two years aftter the Surety refuses or fails to perform its obligations under this Bond,whichever oc- 4.4 Waive its rights to perform and complete,arrange curs first. If the provisions of this Paragraph are void or for completion,or obtain a new contractor and with prohibited by law,the minimum period of limitation avail- A DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND DECEMBER 1984 ED.,AIA A 312-1984 2 IE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.,WASHINGTON D.C.20006 IIRD PRINTING-MARCH 1987 t 12/16)?015 WED 9: 22 FAX 0009/017 able to sureties as a defense in the jurisdiction of the suit tractor of any amounts received or to be received by shall be applicable. the Owner in settlement of insurance or other claims for damages to which the Contractor is entitled, re- 10. Notice to the Surety,the Owner or the Contractor shall duced by all valid and proper payments made to or on be mailed or delivered to the address shown on the sig- behalf of the Contractor under the Construction Corr nature page. tract. 11. When this Bond has been furnished to comply with a 12,2 Construction Contract: The agreement between statutory or other legal requirement in the location where the Owner and the Contractor identified on the sig- the construction'was to be performed,any provision in this nature page, including all Contract Documents and Bond conflicting with said statutory or legal requirement changes thereto. shall be deemed deleted herefrom and provisions con- forming to such statutory or other legal requirement shall 12.3 Contractor Default: Failure of the Contractor, be deemed incorporated herein. The intent is that this which has neither been remedied nor waived,to per- Bond shall be construed as a statutory bond and not as a form or otherwise to comply with the terms of the common law bond. Construction Contract 12 DEFINITIONS 12.4 Owner Default- Failure of the Owner,which has neither been remedied nor waived,to pay the Con- 12.1 Balance o1 the Contract Price: The total amount tractor as required by the Construction Contract or to payable by the Owner to the Contractor under the perform and complete or comply with the other terms Construction Contract after all proper adjustments- thereof. have been made,including allowance to the Con- MODIFICATIONS TO THIS BOND ARE AS FOLLOWS: apace is provided below for additional signatures of added parties,other than those appearing on the cover page.) :ONTRACTOR AS PRINCIPAL SURETY :ompany: (Corporate Seal) Company- (Corporate Seal) signature: Signature: Name and Title. Name and Titje Adress Address: A DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND DECEMBER 1984 ED.,AIA A 312-1984 3 IE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE,N.W.,WASHINGTON D.C.20006 IIRD PRINTING-MARCH 1987 - 12/16'l2015 WED 9: 22 FAX 0010/017 THE AMERICAN INSTITUTE OF ARCHITECTS I Bond No. NRIFSU0654688 AIA Document A312 j Payment Bond Any singular reference to Contractor,Surety,Owner or otherp uty sh4 be considered plural where applicable. CONTRACTOR(Name and Address): SURETY(Name and Principle Place of Business): CARTER-MELENCE,INC. International Fidelity Insurance Company 104 New York Ave. One Newark.Center Sound Beach,NY 11789 Newark, NJ 07102 OWNER(Name and Address): Town Of Southold 53095 Main Road Southold,NY 11971 CONSTRUCTION CONTRACT Date: / / Amount: $238,000.00(Two Hundred Thirty Eight Thousand Dollars and 00/100). Description (Name and Location). Southold Highway Maintenance Building, 275 Peconic Lane, Peconic, NY 11958, Contract C-Plumbing. BOND Date(Not earlier than Construction Contract Date). December 2nd,2015 Amount:$238,000.00(Two Hundred Thirty Eight Thousand Dollars and 00/100). Modifications to this Bond: x None See Page 6 CONTRACTOR AS PRINCIPAL SURETY COMPANY: (Corporate '>eal) COMPANY* (Corporate Seal CARTER-M C.E,INC. International Fid ra Comp Signature- Signature: Name and Title. Donald J. O'Ha lo_n Name and Title: President Edmund J. Bergassi,Attorney-in-Fact (Any additional signatures appear on page 6)- FOR INFORMATION ONLY-Name,Address and Telephone OWNER'S REPRESENTATIVE(Architect, AGENT OR BROKER: Engineer or other party): BERGASSI GROUP LLC 35 Portman Road New Rochelle,NY 10801 1. The Contractor and the Surety,jointly and severally, 6. When the Claimant has satisfied the conditions of 41A DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND DECEMBER 1984 ED.,AIA A 312-1984 4 rHE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.,WASHINGTON D.C.20006 THIRD PRINTING-MARCH 1987 12/16,/2015 WED 9: 22 FAX 0011/017 bind themselves,their heirs,executors,administrators, Paragraph 4,the Surety shall promptly and at the successors,and assigns to the Owner to pay for labor, Surety's expense take the following actions: materials and equipment furnished for use in the perfor- 6.1 Send an answer to the Claimant,with a copy to mance of the Construction Contract,which is incorpo- the Owner,within 45 days after receipt of the claim, rated herein by reference. 2. With respect to the Owner,this obligation shall be stating the amounts that are undisputed and the basis null and void if the Contractor* for challenging any amounts that are disputed. 2.1 Promptly makes payment,directly,or indirectly, 6.2 Pay or arrange for payment of any undisputed for all sums due Claimants,and amounts. 7. The Surety's total obligation shall not exceed the 2.2 Defends,indemnifies and holds harmless the amount of this Bond, and the amount of this Bond shall be Owner from claims,demands,liens or suits by any credited for any payments made in good faith by the Surety. person or entity whose claim,demand,lien or suit is 8. Amounts owed by the Owner to the Contractor under for the payment for labor,materials,or equipment fur- the Construction Contract shall be used for the perfor- nished for use in the performance of the Construction mance of the Construction Contract and to satisfy claims, Contract,provided the Owner has promptly notified if any,under any Construction Performance Bond. By the Contractor and the Surety(at the address the Contractor furnishing and the Owner accepting this described in Paragraph 12)of any claims,demands,. Bond,they agree that all funds earned by the Contractor liens,or suits and tendered defense of such claims, in the performance of the Construction Contract are demands,liens or suits to the Contractor and the dedicated to satisfy obligations of the Contractor and Surety,and provided there is no Owner Default. the Surety under this Bond,subject to the Owner's prior- 3. With respect to Claimants,this obligation shall be iy to use the funds for the completion of the work. null and void if the Contractor promptly makes pay- 9. The Surety shall not be liable to the Owner,Claimants ment,direly or indirectly,for all sums due. or others for obligations of the Contractor that are unrelat- ed to the Construction Contract The Owner shall not be 4. The Surety shall have no obligation to Claimants liable for payment of any costs or expenses of any Claim- inder this Bond until: ant under this Bond,and shall have under this Bond no obli- 4.1 Claimants who are employed by or have a direct gations to make payments to,give notices on behalf of,or contract with the Contractor have given notice to the otherwise have obligations to Claimants under this Bond. Surety(at the address described in Paragraph 12)and 10. The Surety hereby waives notice of any change, sent a,copy,or notice thereof,to the Owner,stating including changes of time,to the Construction Contract that a claim is being made under this Bond and,with or to related subcontracts,purchase orders and other obligations. substantial accuracy,the amount of the claim. 11. No suit or action shall be commenced by a Claimant 4.2 Claimants who do not have a-direct contract under this Bond other than in a court of competent juris- with the Contractor diction in the location in which the work or part of the .1 Have furnished written notice to'the Con- work is located or after the expiration of one year from the tractor and sent a copy;or notice thereof,to date(1)on which the Claimant gave the notice required by the Owner,within 90 days after having last performed labor or last furnished•materials or Subparagraph 4.1 or Clause 4.2.3,or(2)on which the last equipment included in the claim stating,with labor or service was performed by anyone or the last mate- substantial accuracy,the amount of the claim rials or equipment were furnished by anyone under the Con- and the name of the party to whom the struction Contract,whichever of(1)or(2)first occurs. If the materials were furnished or supplied or for provisions of this Paragraph are void or prohibited by law, whom the labor was done or performed;and the minimum period of limitation available to sureties as a .2 Have either received a rejection in whole or defense in the jurisdiction of the suit shall be applicable. in part from the Contractor,or not received 12. Notice to the Surety,the Owner or the Contractor within 30 days of furnishing the above no- shall be mailed or delivered to the address shown on the Lice any communication from the Contractor signature page. Actual receipt of notice by Surety,the by which the Contractor has indicated the Owner or the Contractor,however accomplished,shall claim will be paid directly or indirectly;and be sufficient compliance as of the date received at the .3 Not having been paid within the above 30 address shown on the signature page. days,have sent a written notice to the Surety 13. When this Bond has been furnished to comply with a (at the address described in Paragraph 12)and statutory or other legal requirement in the location where sent a copy,or notice thereof,to the Owner, the construction was to be performed, any provision in this stating that a claim is being made under this Bond conflicting with said statutory or legal requirement Bond and enclosing a copy of the previous shall be deemed deleted herefrom and provisions con- written notice furnished to the Contractor forming to such statutory or other legal requirement shall be deemed incorporated herein The intent is that this If a notice required by Paragraph 4 is gven by the Owner to the ontractor or to the Surety,that is sufficient compliance: end shall be construed as a statutory bond and not as a Construction Contract,architectural and engineering mmon law bond. services required for performance of the work of the %DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND DECEMBER 1984 ED.,AIA A 312-1984 5 E AMERICAN INSTITUTE OF ARCHITECTS,173S NEW YORK AVE.,N.W.,WASHINGTON D.C.20006 IRO PRINTING.MARCH 1987 12/16,!2015 WED 9: 22 FAX U012/017 Contractor and the Contractor's subcontractors,and 14. Upon request by any person or entity appearing to be a all other items for which a mechanic's Gen may be potential beneficiary of this Bond,the Contractor shall asserted in the jurisdiction where the labor,materials promptly furnish a copy of this Bond or shall permit a copy or equipment were furnished. ! to be made_ 15.2 Construction Contract: The agreement between 1 15. DEFINITIONS the Owner and the Contractor identified on the sig- nature page,including all Contract Documents and 15.1 Claimant: An individual or entity having a direct changes thereto. contract with the Contractor or with a subcontractor of ! the Contractor to furnish labor,materials or equip- 15.3 Owner Default: Failure of the Owner,which has , ment for use in the performance of the Contract. The neither been remedied nor waived,to pay the Con- intent of this Bond shall be to include without limita- tractor as required by the Construction Contract or to tion in the terms"labor,materials or equipment"that perform and complete or comply with the other terms ! part of water,gas,power,light,heat,oil,gasoline, thereof. telephone service or rental equipment used in the MODIFICATIONS TO THIS BOND ARE AS FOLLOWS: 1 Amend paragraphs 4.1 and 4.2.3 dealing with notice to the surety by adding at the end of each paragraph"and fumished to surety an explanation of the claim and copies of documents on which the Claimant relies to support the claim." 2. Amend paragraph 5 by changing"or"to"and'so it reads: 5. If a notice required by paragraph 4 is given by the Owner to the Contractor and to the Surety that is sufficient compliance. 3. Paragraph 6 above is deleted in its entirety and the following is substituted in its place: 6. When the claimant has satisfied the conditions of paragraph 4 and has submitted any additional supporting documentation,and any swom )roof of claim, requested by the Surety,the Surety shall,within a reasonable period of time,which shall not be less than 45 days, respond too he Claimant and offer to pay or arrange for payment of any undisputed amount;provided,however,that the failure of the Surety to fully and/or imely discharge its obligations under this paragraph or to dispute or identify any specific defense to all or part of a claim shall not be deemed an ldmission of liability by the Surety or otherwise constitute a waiver of any rights or defenses the Contractor and/or Surety may have or acquire Is to such claim, including,without limitation,any right to dispute such claim. In no event shall the Surety liability to any claimant under this Bond :xceed the sum properly due such claimant. Space is provided below for additional signatures of added parties, other than those appearing on the cover page.) ;ONTRACTOR AS PRINCIPAL SURETY :ompany, (Corporate Seal) Company: (Corporate Seal) ;ignature: Signature: lame and Title: Name and Title: Adress: Address. A DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND DECEMBER 1984 ED.,AIA A 312-1984 6 IE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,N.W.,WASHINGTON D.C.20006 IIRD PRINTING-MARCH 1907 12/1$'/,2015 WED 9: 23 FAX [x013/017 ACKNOWLEDGEMENT OF PRINCIPAL,IF A CORPORATION STATE OF NEW YORK )ss: COUNTY OF SUFFOLK ) On the 3rd day of DeC• in the year 2015 ,before me personally came Donald J. O'Hanlon to me known, who, being by me duly sworn, did depose and say that(s)he resides at Miller Place, NY that he/she is the President of CARTER- MELENCE,INC. , the corporation described in and which executed the above instrument;and that he/she signed her/his name thereto by order of the Board of Directors of said corporation. Notary Public ACKNOWLEDGEMENT OF PRINCIPAL,IF A PARTNERSHIP STATE OF )ss: COUNTY OF ) On the day of in the year , before me personally came to me known and known to me to be a member of the firm , described in and who executed the foregoing instrument, and he/she duly acknowledged to me that he/she executed the same for and in behalf of said firm for the uses and purpose mentioned therein. Notary Public ACKNOWLEDGEITNT OF PRINCIPAL,IF AN INDIVIDUAL STATE OF ) ss: COUNTY OF ) On the day of in the year , before me personally came to me known and known to me to be the person described in and who executed the foregoing instrument, and he/she duly acknowledged to me that he/she executed the same. Notary Public 12/1'6J2015 WED 9: 23 FAX 0014/017 ACKNOWLEDGEMENT OF SURETY STATE OF NEW YORK ) COUNTY OF WESTCHESTER)ss; On the 2nd day of December in the year 2015 , before me personally came Edmund J.Bergassi tome known,who,being by me duly sworn,did depose and say that he/she resides at Eastchester,NY ,that he/she is the Attorney-in-Fact of International Fidelity Insurance Company ,the corporation described in and which executed the above instrument; and that he/she signed her/his name thereto by order of the Board-of Directors of said corporation. Notary Public ? PATRICIA A Y� J_ �> \otary PuMG State of t%,ewYork, '- ; " Nd.01,MA6 i 54561 =° <" Djaiified in Westchester Comity ' �` Commission Expires October'23,20— 12/16{2015 WED 9: 23 FAX 0015/017 INTERNATIONAL FIDELITY INSURANCE, COMPANY ONE NEWARK CENTER.,20TH FLOOR,NLWARK,NEW JERSEY 07102-5207 STATEMENT OF ASSETS,LIABILITIES,SURPLUS AND OTHER.FUNDS AT DECENdBER 31,2014 ASSETS Bonds.(Ainortized Value) ....... . . . .. . ...... . .. ... .. ... . $75,811,012 Common Stocks(Marketvalue) .. ...... ........ .. .... ...... .... 30,956,237 - Mortgage Loans on Real Estate ......................... ..... .. 3,638,103 Cash,Bank Deposits&Short Term Inveshnents ........... .... . . .. . 54,886,371 Other Invested Assets .. .... .......... .. ... .... .......... .... 276,378 Unpaid Premiums&Assumed Balances .. .. .. .. .....: ... .. ... ... 17,470,6I1 Reinsurance Recoverable from.Reinsurers . ....... ........... .. ... . 4,296,604 Electronic Data Processing Equipment....... .. ........ .... .. .... 262,511 Investment Income Due and Accrued ............ .......... ...... 397,349 Current federal&foreign income tax recoverable&interest thereon ..... . 2,449,803 Net Deferred Tax Assets ...... ..................... ........... 2,545,153 Health Care and Other Amounts Receivable ... ......... ... . ... 59,790 Receivables from Parent,Subsidiaries&Affiliates ..... .............. 329,806 Other Assets . ....... ... ......... .. ....... ..... ... ...... 18,732,118 TOTAL ASSETS . . .......... ......... ... .......... . %210.141.849 LJLABj_iTIES,SUR FLUS&OT I-MR IM NDS Losses(Reported Losses Net as to Reinsurance Ceded and incurred But Not Reported Losses) ........... .... . .... ... ... . .. $84S,550 Reinsurance Payable on Paid Losses and Loss Adjushnent Expenses ...... 2,139,569 Loss Adjustment Expenses ............ ...... .................. 3,932,838 Commissions Payable,Contingent Commissions&Other Similar Charges.. 233,356 Other Expenses(Excluding Taxes,Licenses and Fees) ........ ......... 4,274,654 Taxes,Licenses&Fees(Excluding Federal Income Tax) .. ........ :.... 393,950 Unearned Premiums ...... ................. ... .. ... ........ 33,758,516 Dividends Declared&Unpaid:Policyholders.......... ... ......... 800,000 Ceded Reinsurance Premiums Payable .... ............ . ....... .. 4,027,833 Funds Held by Company under Reinsurance Treaties ..... ........ . . . 1,031 Amounts Withheld by Company for Account of Others ............ ... 69,720,057 Provision for Reinsurance.. .. ..... ... ... 1,186 Payable to Parent,Subsidiaries and Affiliates.. ... ............ ... 101,528 Other Liabilities ..... . .. .... ....... . .............. .... ..... 6,004,649 TOTAL LIABI'ITIES ....... ....... .... ... ..... $1�6 X34737 Common Capital Stock_..... . ............ ............ ... ..!.. . $1,500,000 Gross Paid-in&Contributed Surplus..... ........................ 374,600 Surplus Notes .......... ......... 16,000,000 Unassigned Funds(Surplus)_. . .. ...... . . . ...... .. . . .... ..... 69,649,027 Less:Treasury Stock at cost(83,880 shares common)(value incl.$45) . .. 3,616515 Surplus as Regards Policyholders ..... .......... ... . $83,907,112 TOTAL LIABILITIES,SURPLUS&OTHER FUNDS. ... . . $27 0.14LL49 1,Francis L.Mitterhoff,President of INTERNATIONAL FIDELITY INSURANCE COMPANY,certify that the foregoing is a fair statement of Assets, Liabilities,Surplus and Oder Funds of this Company,at die close of business,December 31,2014, as reflected by its books and records and as reported in its statement on file with die Insurance Department of the State of New Jersey. 4\oE�ITYlyf�.p 1N TESTIMONY WHEREOF,I have set my hand and affixed the > VAO wM seal of the Company,this 23rd day of February,2015. 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Peniisylyariia;haying.their principal office to:itie C'ty of Newark;New Jersey;db hereby consptule and appoint -;Nevu;Rochelle,.NY:. tfieir;tiiie ari�''favvtu):attorne, s .n-fact to;execu;e seat.:and-delNer+forand:gnats:f�ehalfas.surety;3ny.and aU:bonds and�ridertakings;'coiiiracts•.of:inderrinity.` :...: , . YC:)�.:.. and-;other Wrifi s obligatory m the;natu"re;tliereof;`,:wh'6h'- .or may be>6116.r`vea;required or�perrmtted by;lave! statute rule:.regulabon;coritract or othi�iyfise>_. ;and the::ex onof:sdtz ins. entjs),'n suance of fhese,presents shall:;be.:as:.bindmg".upon.the said tN�EF2NATiONAEFIDELITYINSUFtANC . CQtviPANY and:.ALLEGHL Y.CA$.UAL;FY" 1VIPANY,:as fully and amply;:to a!1 Intents aiid: purposes;.as:.if`tne`same tial been:duly,ezi�,cuted ani3 '.. acknowledged:by:theirregularlyele&.:officers.at their principal>:o ices, <, . .,.. . Th's::,Power of.;Attorneyy::Js:ezeciited'.ai3,d:mayy;_be:i$yoked;spa suaiit"to,Arid-br.iy.autl,Qr�tyy of:fheaByy:=L'.aws:of INTERNATJONAL.FIDEL:fTI!1NSURANC COMPANY and:AILECN.ENY,GASI/ALTY C.. NY.aq�I'is.graoted under and 'y authonly of,the foflow'ng resolut'on adopted tiy..the I3oa.[d-0f D'reCtofs of IWER..ATIONAL.FbEtll.; Ij�fSURA1JeE COMPANY at`a meebng:.dg .held on the 20th,day bF July;2010 and by the Board.of Dmeetors_of ALLEGHERY CASUAtiY`GOMPAN'Y6lfa meetirig duff l ieli)oh ttte.)5th day.of August; Ow., ...< ;° , :. ratori'shalr:haveahe ower..to a" .oint :andai:reyole.,: - ..RE5 M",ED',j ((1x1) e.President,Vice:Pres)dentt Execubye ce.Presidentor.8 Uetaij?ofahe:Cvrpo:-fi all p the aPpointinerits.of, 4ttorneys'ri=)act or:agents vyith;powei and aUthattY as di fined or I'm'ted''n;<ttee'r respecbv_e:powers:o€attorney.ori Q ezecutitiOnsbehalf. 4f itie..Corpora6orrand:affix:.the:Cdrporation"s:seal thereto,::bonds;-Undettak'trigs;.;recognizances;-'cQntracfs.of:,.indemni�y.and offer,written 4bltgaborts m the: nature thereof or related;,ttierato a'jd(2)`any such;Officers of the Co ton may appoint and.;(evoketFie app p,o.it) pn£s.of;jan€control.custbdians;,ag9ants for:acce lance of process,:and Atloli�eys m fact.w'th•autfi6%ityYo execuaa'vers and.consents'on behalf ofi::itie Co ration and.:3)tfie s'gnature;:6f:any „ pp . _ such Q#ficer°of ttie CorPoration'arrd Uie.Co pr'ahon;s'.;seal:may be affiited'by;farsxnile'ln•ariy pe r of attorney xsr cecatlon;gfveii: ori e,-a xdecuhoq- -any tiorid:undertaking,.reetignizance :cSintracto 'ndemnity iirothet .tiiriftenpbl'gatignr5n'ttie.'natur, reof , reJafed` thereto,.suc 'sign2 re p. ::sea[g" soused whether_heretofore or:iereafter':;betng;hereby,.adoppted_by.ane,,��oiPoration;as ttie:origlnal:siggnature ofsucti<officer arid;the originat•aeal:of the' Corporator to be>:yalid acid binding upon tfie Corpora4on w'thahe same;force and effectas though-marruatlg affixed:" , 1N 1NtTNESS'WHEREOF, tNTERNATIOTVAL::FIDEUTY,INP.SURANCE".COMPANY"and:ALLE6kENY CASt1i4LTY COMPANY>have..eacfi:ezecufed antl aftestedahese:presenY on this°:12th day of Mardi 2012_. ��yt(ll All :....; ,: STATE-STA+' Gori of Es5ez '. Q ` : . : �`► <. " -SEAL - 19 RQBERT:W MIN- 'ER • "�.; = ; ,. a�cecutive::Ui`c•,e'President%Chief�Q'zeatin:Offreei> f,nteRiabbna�Fidelity�tnsuranee;;:'or`npany):. -`- ' and:;Presiderit(AtlegtienyEasualty>-p 0,ariy). On_:.this 12th:°da of�Aarch20.12, :before:nig=catrie;the;'igdividuatwho.ezecuted ane.p[ecedirag:insVu rent;time{ie>sonally'known;,arid;,lieirig,•by me defy Y sworn;'saitl 'he°is 64 th2rein described and•auttronzed officer of INTERNATIONAL FID LIl Y INSURAIJCE .COtNRANY and:.AL".LEGHENY CASUALTY COMPP IJY; that•tfle'$eals affixed to sad;irish unierit.:are the:Corpotafe Seals_of saiii Ciirrijianies;ifiat :tfie'.saitl Gorporafe Seals<and'his:signaftire':wer'e<, .duly affixed by order of"tlie Boards of;Duectors;of sa'd Companies::. �. _. •' ,' - � < , :IN TESTIMONY WHEREOF;-- have tiereuh, set rri y`hand affixed my=bffic'at:Seg. at.fhe,City of N.eWark,New Je(sey�the daybq ..year first above written, :NOT;A.R Y.: •. TO P USult: * * ' :N TARYP,*U -OF E. ... ..... ..Y -L N' Commissio BEz fres NovV2 E 20 5. p. . 'CERTIFICATION I,the.updersighed:officer of.1NTERNATIQN_L FIDEUT.1NSURANCEi.GOMPANY and�ALLEGHENY CASUALI'Y.COMP:.AN.Y do hereby certijithatl have cotmpared the foregoing copyof the:Powe.of.Attorney and affidavit,and the copy'of the Sections of the By.-taws.of.-said-Companies ascset•forth:in said Row,"er of Attorney,.wifh the originals on fl'e.:in atie.horiie gffice"of said'coinpanies, and tfiaf:the'same:are correct transcripts thefeof and of the gihoie Of-the.said originals,and thatthe said:Power of Attorney tias not been::revoked grid is'now-in:full(Orbe and effect: K TESTIMONY -WHEREOF;. 1 have hereunto_set.my,harid :this 2tid day"of., December, :2015 i f:-aeciet 's. _ MA I& 12ANCO�Ass start.S - ^:r.cr, . 12/1'6-/,2015 WED 9: 24 FAX 2017/017 Pf ,., III Complete items 1,2,and 3.Also complete A Signature item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return tho card to you. B. by(Prfnte ane) C.Date of Delivery i Attach this card to the back of the mailpiece, or on the front if space permits. D.Is delivery iffere t from item 1? ❑Yes 1 Article Addressed to: If YES,enter delivery address below. ❑No - oar 0.�7 Sago\� �3��5 �+Y, � - illl�llllIIIIIIII�III�IIIIII�IIIIIII�III 3.Service Type \_ 2v l`1� �Cettified Mall' IJ Priority Mail Express' ❑Registered ❑Return Recept for Merchandise:, ❑Insured Mail ❑;Collect on Delivery 4. Restricted Delivery?(Extra fee) ❑Yes 1 2.Article Number . ( (rransier lirom sentice IaW 7oV5' r sao 0000 0(037 -757-9 Ps Form 3811 July 2013 Domestic Return Receipt USPS.com®-USPS Tracking® Page I English Customer Service USPS Mobile _ Register r Sign In OUSPSCOM CustoUSPS Tracking® Havequ tions?We'r _ Have questions We're here to help. Get Easy Tracking Updates> Sign up for My USPS. Tracking Number:7016152000DO06377578 7015 1520 0000 0637 75 No N N A � XN e- o�❑oaa�❑�a a � - . Product & Tracking InformationN � r� Postal Product: Features: O O a $lit First-Class Mair' Certified Mail" Return Receipt .3�rh g 3 R , See tracking for related item: p _ 9590952106150217705550 w DATE 8 TIME STATUS OF ITEM LOCATION December 7,2015, Delivered SOUTHOLD,NY 11971 N s 3:47 pm Your item eras aelivered at 3:47 pm on December 7 2015 in SOUTHOLD,NY 11971 � ly December 7,2015 10:05 am Available for Pickup SOUTHOLD,NY 11971 Y F. y. December 6,2015 7:06 Departed USPS Facility MID ISLAND NY pm December 6,2015, Arrived at USPS Facility MID ISLAND,NY 11:51 am December 5,2015,7:06 Arrived at USPS Origin NEW YORK,NY 10199 pm Facility December 4,2015. Departed USPS Facility BROOKLYN,NY 11256 10:00 pm December 4,2015, ' Arrived at USPS Origin BROOKLYN,NY 11256 12:24 pm Facility December 3,2015 2:17 Departed Post Office SOUND prn BEACH.NY 11789 December 3,2015 Acceptance SOUND 11.21 am BEACH.NY 11789 Track Another Package Manage Incoming Packages mber ___._T,raA.klOq_(or rl C"lgo_nu ___ Southold Town Board -Letter Board Meeting of January 31, 2017 Pi RESOLUTION 2017-134 Item# 5.8ADOPTEDDOC ID: 12717 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2017-134 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JANUARY 31,2017: RESOLVED that the Town Board of the Town of Southold hereby approves Change Order#1 to the contract for Engineering Design and Construction Support for the Highway Maintenance Facilities with L.K. McLean Associates, P.C. in the net amount of$7,035.00,pursuant to their proposal dated January 16, 2017, subject to the approval of the Town Engineer and Town Attorney. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: James Dinizio Jr, Councilman SECONDER:William P. Ruland, Councilman AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Evans, Russell Generated February 1, 2017 Page 22 TOWN OF SOUTHOLD PROCUREMENT POLICY PUBLIC CONTRACT CHANGE ORDER APPROVAL FORM This form must be completed when a Public Contract Change Order increase is: a) $1,000 or more b) It is a minimum of 10% over the original contract award FAX FORM TO TOWN ATTORNEY'S OFFICE * 631/765-6639 DEPARTMENT: e r;A DATE• La?7 TOWN BOARD RESOL. #/DATE: 01 -751 Io cV/13 VENDOR NAME: K. Mt L PA,1 i4ssoc;,q ORIGINAL CONTRACT AMOUNT:41M, 5-70 INCREASE AMOUNT: 7e03,S 00 T �f � REASON FOR INCREASE:SP✓V;Ce f g5$bC%4id w'A Ca-' S71✓vd;- -i C Lia-7tie o✓cue✓J DEPARTMENT HEAD SIGNATURE: Town Attorney Authorization Notes: eat Approved Date / c ❑ Denied Date Reason for Denial Rebid: ❑Yes ❑ No l Town Attorney Authoriza ion Date Comptroller Approval C mptroller Signature Date Rec'd by Comptroller Sent to Town Attorney Rec'd Back From TA 1/20/17 L11AA L. K. McLean Associates P C. 437 South Country Road • Brookhaven • New York • 11719 CONSUL"LING ENGINEERS (631)286-8668 • FAX(631)286-6314 Associates EUGENE F DALY,P.E.,P T.O.E.-,PRESIDENT and C E O. CHRISTOPHER F DWYER RAYMOND G DiSIASE,P E.,P T.O.E.111,PTPTm,EXECUTIVE VICE PRESIDENT ROBERT A.STEELE,P E. DANIEL P.JEDLICKA,P.L S,VICE PRESIDENT JAMES L.DeKONING,P.E. STEVEN W.EISENBERG,P.E. ANDREW B SPEISER January 16, 2017 MATTHEW C JEDLICKA,LEED AP Town of Southold Engineering Department 53095 Route 25 P.O. Box 1179 Southold,N.Y. 11971 ORIGINAL ATT: Michael Collins P.E., Civil Engineer Re: "Highway Maintenance Garage"Construction Project Proposal for Additional Construction Administrative & Inspection Services Dear Mr. Collins: In accordance with your request and based upon the extended construction schedule, L.K. McLean Associates, P.C. (LKMA) has prepared the following proposal for professional services relative to the additional construction related services for the above referenced capital improvements"prof ect ;in_'Peconic. Based upon the anticipated construction schedule we understand the,additional'services,required to administer the;project closeout required for the project. ; We understand our scope of additional construction services to include the following: SCOPE OF SERVICES TASK A - CONSTR UCTION INSPECTION&ADMINISTRATION LKMA will provide additional construction inspection and administration services during the next month to assist in the project closeout phase for this project. We estimate the work to require approximately 16 hours of construction administration time and 24 hours of time for punch list compliance (including permit compliance) and other project closeout procedures. TASK B-FIELD SUR VEYING &MAPPING Provide surveying & mapping services associated with preparing a post-construction survey of the improvements made under this contract. LKMA's as-built survey of the improved area would-include the sanitary system installed under this capital improvement project and would include any permit,compliance/closeout'with the'Silffolk County'Department 6f Healtlr­Servi&s Office'of'Wa'stewater,Mainagenient: FEE AND PAYMENT Our fee estimate for the above services is broken down by task as follows: .Founded in 1950 LK Al A L. K. McLean Associates P.C. TASK A CONSTRUCTION INSPECTION &ADMINISTRATION $ 4,160.00 'TASK B FIELD SURVEY & MAPPING $ 2,875.00 ENGINEERING TOTAL: $ 7,035.00 The above referenced lump sum costs include all time, materials and transportation costs associated with the assignment. It is proposed that any additional authorized work be negotiated with the Town if and when necessary. No additional work will be performed without prior authorization. L.K. McLean Associates looks forward to working with you on this assignment. Thank you for the opportunity to provide this proposal for professional services, should you have any questions or comments regarding this proposal,please do not hesitate in contacting this office. Very truly yours, CFD:cfd Christopher F. Dwyer,Associate CC: LKMA File Copy F Anne White, LKMA Comptroller LKMA Proposal-Additional CA&CM Services for Maintenance Garage Page 2 of 2 TOWN OF SOUTHOLD PROCUREMENT POLICY PUBLIC CONTRACT CHANGE ORDER APPROVAL FORM This form must be completed when a Public Contract Change Order increase is: a) $1,000 or more b) It is a minimum of 10% over the original contract award FAX FORM TO TOWN ATTORNEY'S OFFICE * 631/765-6639 DEPARTMENT: Er)A i �► ✓1 DATE: 115/17 TOWN BOARD RESOL. #/DATE: ;" 3"11i h5r-VENDOR NAME:(.,Orlsiryd,1©`1 coyisy ORIGINAL CONTRACT AMOUNTII ,Q�INCREASE AMOUNT: ®® REASON FOR INCREASE: � 11 JW® S il Cjd'Ab*e4e,-- -�v 100 DEPARTMENT HEAD SIGNATURE: ' - Town Attorney Authorization Notes: Approved Date L� ❑ Denied Date Reason for Denial Rebid: ❑ Yes c1 No I A ) A— —%��" (I k I Town Aliiffrney Authoriz@Wion Date Comptroller Approval o ptroller Signature Date ,!-, � Rec'd by Comptroller Sent to Town Attorney Recd Back From TA 1/3/17 � PCO #006 CCE Construction Consultants LI,Inc. Project:Contract A-General Construction-Town of Southold Highway 36 East 2nd Street Maintenance Garage Riverhead,New York 11901 275 Peconic Lane Phone:(631)727-6604 Peconic,New York 11958 Fax.(631)727-6605 Prime Contract Potential Change Order #006: Core Drill for Drainage TO: Town of Southold FROM: Construction Consultants LI,Inc. 53095 Main Road,PO Box 1179 36 East 2nd Street Southold New York,11971 Riverhead New York,11901 PCO NUMBERIREVISION: 006/0 CONTRACT: 1-Town of Southold Highway Maintenance Garage REQUEST RECEIVED FROM: Michael Collins,PE (Town of Southold) CREATED BY: Eric Baumack (Construction Consultants LI, Inc.) STATUS: Pending-In Review CREATED DATE: 12/30/2016 REFERENCE: PRIME CONTRACT None CHANGE ORDER: FIELD CHANGE: No LOCATION: ACCOUNTING Amount Based(G702/G703) METHOD: SCHEDULE IMPACT. PAID IN FULL: No TOTAL AMOUNT: $1,386.00 POTENTIAL CHANGE ORDER TITLE:Core Drill for Drainage CHANGE REASON:No Change Reason POTENTIAL CHANGE ORDER DESCRIPTION: (The Contract Is Changed As Follows) Mobilize and core-drill(2)8"diameter holes in exterior concrete for roof leader piping to be installed by others. ATTACHMENTS: # Cost Code Description Type Amount 1 Mobilize and core-dnll(2)8"diameter holes Other $1.20000 Subtotal: $1,20000 Overhead&Profit:10.00%on all line item,types $120 00 Bonds&Insurance:6.00%on all line item types $66 00 Grand Total: $1,366.00 Construction Consultants LI,Inc page 1 of 1 Printed On,12/30/2016 12:39 PM Southold Town Board - Letter Board Meeting of December 20, 2016 RESOLUTION 2016-1109 Item# 5.5 ADOPTED DOC ID: 12586 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2016-1109 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON DECEMBER 20, 2016: RESOLVED that the Town Board of the Town of Southold hereby approves Change Order#5 to the Town of Southold Highway Maintenance Building Project Contract with Construction Consultants/LI, Inc. in the net amount of$6,921.35, pursuant to their Proposed Change Order dated October 27, 2016, subject to the approval of the Town Engineer and Town Attorney. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:William P. Ruland, Councilman AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Evans, Russell Generated December 20, 2016 Page 14 TOWN OF SOUTHOLD PROCUREMENT POLICY PUBLIC CONTRACT CHANGE ORDER APPROVAL FORM This form must be completed when a Public Contract Change Order increase is: a) $1,000 or more b) It is a minimum of 10% over the original contract award FAX FORM TO TOWN ATTORNEY'S OFFICE * 631/765-6639 DEPARTMENT: Coe6neer I'V)a DATE: b TOWN BOARD RESOL. #/DATE:IJ6 3S 11 17 IS VENDOR NAME: 0.1 CaF15vifanf$ILT1TOIr, ORIGINAL CONTRACT AMOUNTkYlZOR.00 INCREASE AMOUNT: $�� 1��a Jjr REASON FOR INCREASE:'%eeivocK 4' q;.J dP-av I.c, l orn Ce;Ian 4' ,1 IQ '3 s4ee I b.olk,-ds DEPARTMENT HEAD SIGNATURE: A"Zag;n. Town Attorney Authorization Notes: /Approved Date Z ') ❑ Denied Date Reason for Denial Rebid: ❑ Yes ❑ No ,-� Town Attorney Authorizatio Date Comptroller Approval Z��Mptroller Signature Date Rec'd by Comptroller Sent to Town Attorney Rec'd Back From TA 12/8/16 PCO #005 CC1 Construction Consultants LI,Inc. Project:Contract A-General Construction-Town of Southold Highway 36 East 2nd Street Maintenance Garage Riverhead,New York 11901 275 Peconlc Lane Phone:(631)727-6604 Peconic,New York 11958 Fax.(631)727-6605 Prime Contract Potential Change Order #005: Hydraulic Rm/ Bollards TO: Town of Southold FROM: Construction Consultants LI,Inc. 53095 Main Road,PO Box 1179 36 East 2nd Street Southold New York,11971 Riverhead New York,11901 PCO NUMBERIREVISION: 005/0 CONTRACT: 1-Town of Southold Highway Maintenance Garage REQUEST RECEIVED FROM: CREATED BY: Eric Baumack (Construction Consultants LI, Inc.) STATUS: Pending-In Review CREATED DATE: 10/27/2016 ( REFERENCE: PRIME CONTRACT None CHANGE ORDER: FIELD CHANGE: No LOCATION: ACCOUNTING Amount Based(G702/G703) METHOD: SCHEDULE IMPACT: PAID IN FULL: No TOTAL AMOUNT: $6,921.35 POTENTIAL CHANGE ORDER TITLE:Hydraulic Rm/Bollards CHANGE REASON:Client Request POTENTIAL CHANGE ORDER DESCRIPTION:(The Contract Is Changed As Follows) F/I a gypsum board ceiling and joist blocking around the room perimeter.Also included is spackling and painting of the ceiling. ATTACHMENTS: # Cost Code Description Type Amount 1 F/I gypsum board,spackle and F/1 perimeter blocking-2 carpenter/2 days @ Other $1,99600 $968.00/day+$60.00/material 2 Furnish and deliver(3)4'diameter bollards @$196 56/as Other $589 68 3 Excavation,concrete footings&fill for(3)bollards @$850 00/ea Other $2,55000 4 Paint Hydraulic Rm ceiling and(3)bollards-1 painter/1 day @$896 00/day Other $8 9600 Subtotal: $6,03168 Overhead&Profit:10.00%on all line Item types $603 17 Bonds and Insurance:4.75%on all line item types $286 50 Grand Total. $6,921.35 Construction Consultants LI,Inc. page 1 of 1 Printed On 12/2/2016 07:34 PM Southold Town Board - Letter Board Meeting of July 26, 2016 RESOLUTION 2016-692 Item# 5.7 ADOPTED DOC ID: 12120 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2016-692 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JULY 26, 2016: RESOLVED that the Town Board of the Town of Southold hereby approves Change Order#4 to the Town of Southold Highway Maintenance Building Project Contract with Construction Consultants/LI, Inc. in the net amount of$5,546.30, pursuant to their Proposed Change Order dated July 18, 2016, subject to the approval of the Town Engineer and Town Attorney. .�� zf'� Elizabeth A.Neville Southold Town Clerk RESULT: , ADOPTED [UNANIMOUS] MOVER: Louisa P. Evans, Justice SECONDER:Robert Ghosio, Councilman AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Evans, Russell Generated July 27, 2016 Page 16 TOWN OF SOUTHOLD PROCUREMENT POLICY PUBLIC CONTRACT CHANGE ORDER APPROVAL FORM This form must be completed when a Public Contract Change Order increase is: a) $1,000 or more b) It is a minimum of 10% over the original contract award FAX FORM TO TOWN ATTORNEY'S OFFICE * 631/765-6639 DEPARTMENT: rel of+ "1 L DATE: -77// 8)1 TOWN BOARD RESOL. #/DATE:15135 !f r7 f!r VENDOR NAME: Caf01 sf1-.,C l 01 ORIGINAL CONTRACT AMOUNT:f� q MR.00 INCREASE AMOUNT: � 5 6 6 3 REASON FOR INCREASE: dj'`r'"I d`T Co-7co'd P i ' m der j R,)d - ,j4ee bo 1)of o S DEPARTMENT HEAD SIGNATURE: Town Attorney Authorization Notes: ry Approved Date LzG ✓❑� Denied Date Reason for Denial Rebid: ❑Yes K No Town Attorney Authorizati Date Comptroller Approval abll,erSi�g"n-'�'a>ure- Date Recd by Comptroller Sent to Town Attorney Rec'd Back From TA 7/18/16 Southold Town Board - Letter Board Meeting of May 17, 2016 Oit RESOLUTION 2016-503 Item # 5.34 ®i `a ' ADOPTED DOC ID: 11934 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2016-503 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 17, 2016: RESOLVED that the Town Board of the Town of Southold hereby approves Change Order#3 to the Town of Southold Highway Maintenance Building Project Contract with Construction Consultants/LI, Inc. in the net amount of$794.70, pursuant to their Proposed Change Order dated May 2, 2016, subject to the approval of the Town Engineer and Town Attorney. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER:William P. Ruland, Councilman AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Evans, Russell Generated May 17, 2016 Page 48 Southold Town Board - Letter Board Meeting of May 3, 2016 RESOLUTION 2016-451 Item # 5.32 boa ADOPTED DOC ID: 11880 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2016-451 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 3, 2016: RESOLVED that the Town Board of the Town of Southold hereby approves Change Order#2 to the Town of Southold Highway Maintenance Building Project Contract with Construction Consultants/LI, Inc. in the net amount of$2,765.40, pursuant to their Proposed Change Order dated May 2, 2016, subject to the approval of the Town Engineer and Town Attorney. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Robert Ghosio, Councilman SECONDER:Louisa P. Evans, Justice AYES: Dinizio Jr, Ruland, Doherty, Ghosio, Evans, Russell Generated May 4, 2016 Page 46 I TOWN OF SOUTHOLD PROCUREMENT POLICY PUBLIC CONTRACT CHANGE ORDER APPROVAL FORM 1 RECEIVED This form must be completed when a Public Contract Change Order increase isl: MAY 1 6 2016 a) $11,000 or more b) It is a minimum of 10% over the original contract award Southold Town Clerk FAX FORM TO TOWN ATTORNEY'S OFFICE * 631/765-6639 DEPARTMENT: 15n A,'o @ e r-✓1(A DATE: 5112 I TOWN BOARD RESOL.I#/DATE: - 55 /J/17 0r VENDOR NAME: CDn S1✓Vd 0'1 C0.15,/If'o-liS �TyiC, ORIGINAL CONTRACT AMOUNT:1 4 71,5W.DD INCREASE AMOUNT: $ I !q ,-7D REASON FOR INCREASE: ;r a AR/All e c;4 'I ar MD ttC r d!i V o$ PFJ DEPARTMENT HEAD SIGNATURE: Town Attorney Authorization Notes: /- Approved Date 6 f ❑ Denied Date Reason for Denial Rebid: ❑ Yes ❑ No wt, --all , w S/A 5-/A<- Town Attorney Authorizati Date Comptroller Approval Cp roller Signature Date I I Rec'd by Comptroller Sent to Town Attorney Rec'd Back From TA 5/12/16 CC1 PCO #003 Construction Consultants LI,Inc. Project:Contract A-General Construction-Town of Southold Highway 36 East 2nd Street Maintenance Garage Riverhead,New York 11901 275 Peconic Lane Phone (631)727-6604 Peconic,New York 11958 Fax:(631)727-6605 Prime Contract Potential Change Order #003: Fire Extinguishers TO: Town of Southold FROM: Construction Consultants LI,Inc. 53095 Main Road,PO Box 1179 36 East 2nd Street Southold New York,11971 Riverhead New York,11901 PCO NUMBERIREVISION: 003/0 CONTRACT 1-Town of Southold Highway Maintenance Garage REQUEST RECEIVED FROM: Matt Jedlicka(LK McLean Associates,PC) CREATED BY: Eric Baumack(Construction Consultants LI, Inc.) STATUS: Pending-In Review CREATED DATE: 5/2/2016 REFERENCE: PRIME CONTRACT None CHANGE ORDER: FIELD CHANGE: No LOCATION: ACCOUNTING Amount Based(G702/G703) METHOD: SCHEDULE IMPACT: PAID IN FULL: No TOTAL AMOUNT: $794.70 POTENTIAL CHANGE ORDER TITLE:Fire Extinguishers CHANGE REASON:Design Development POTENTIAL CHANGE ORDER DESCRIPTION:(The Contract Is Changed As Follows) Upgrade(5)5#fire extinguishers to 10#units and furnish and install only an additional(7)10#fire extinguishers as per Fire Marshall requirements. ATTACHMENTS: Highway Maintenance Building-Fire Extinguisher Placement.pdf # Cost Code Description Type Amount 1 Furnish and deliver(7)10#ABC fire extinguishers @$66 60 each Materials $46620 2 Install(7)10#fire exLnguishers/1 carpenter 1 hour @$12100 per hour Labor $121.00 3 Upgrade(5)5#fire exhngushers to 10#units Increase of$20 50 each Matenals $10250 Subtotal: $68970 GC Overhead and Profit:10.00%on all line item types $6897 Bonds and Insurance:4.76%on all line item types $3603 Grand Total: $794.70 Construction Consultants LI,Inc. page 1 of 1 Printed On:5/2/2016 01:28 PM