Grant Street} 1
~.
PROPOSAL FOR
TOWN OF WAPPINGER
UNITED WAPPINGER WATER DISTRICT
WATER MAIN EXTENSION TO CHELSEA HAMLET
CONTRACT NO. 13-006
~.
DIVISION 200 -
BID FORM
PREPARED BY:
MORRIS ASSOCIATES
ENGINEERING CONSULTANTS, PLLC
9 ELKS LANE
POUGHKEEPSIE, NEW YORK 12601
SEPTEMBER 2013
REVISED FEBRUARY 2014
MA#: W21215.11
2QQ Q 1
„~
TOWN OF WAPPINGER
UNITED WAPPINGER WATER DISTRICT
WATER MAIN EXTENSION TO CHELSEA HAMLET
CONTRACT NO. 13-006
BID FORM
THE TOWN RESERVES THE RIGHT TO REJE AS DE O R BED IN THE INSTRUCOON
SHALL BE A000~IIIPANIED BY BID SECURITY
TO BIDDERS).
TO THE TOWN BOARD, TOWN OF WAPPINGER, NEW YORK
Pursuant to and in compliance with yo~~ invitation to id contained in the Notice to
d v 3 ,
Contractors date
(month) (day) (year)
the undersigned hereby proposes to furnish all labor, machinery, equipment, facilities,
insurances, permits, certificates, tests,
tools, transportation, supplies, materials,
guarantees, protection of equipment and property and life during construction; as well as
competent and qualified supervision for all phases- of the work, and other facilities and
things necessary or proper for or incidental to, Town of Wappinger Water Main Extension
to Chelsea Hamlet Project, Town of Wappinger, as required by and in strict accordance
with the plans, specifications and all other documents relating to Contract No. 13-006, for
.the prices stipulated and as shown on~this bid foi ='
Name of Bidder: ~ ' ` -
(Individual, Partnership, poration or LC)*
* Circle applicab
The undersigned declares that the bidding and contract documents have been carefully
examined and that all things necessary for the completion of the work shall be provided.
Receipt of the following addenda is hereby acknowledged:
DATE SIGNATURE
ADDENDUM NO. 1 /~ ~
ADDENDUM NO. 2 ~
ADDENDUM NO. 3
ADDENDUM N0.4
i~.
200 02
j
In consideration of, and to induce the award of this contract to him/her, the bidder
represents and warrants that:
(a) If this bid is accepted by the Town Board, Town of Wappinger, as evidenced
by issuance of a Notice of Award by the Owner, and mailed by registered
ma+I with return receipt requested to the address of the bidder as ~rTdicated
~- on his/her bid, the bidder will execute a contract on the form of agreement
herein provided and will comply with all provisions of said Notice of Award.
(b) This bid is made without any understanding, agreement or connection with
any other person, firm or corporation making a bid for the same work, and
that it is in all respect fair and without collusion or fraud.
(c) The bidder has carefully examined and fully understands all of the parts of
the contract documents, and that the bidder will execute the contract and will
completely perform it in strict accordance with the provisions thereof for the
sum set forth on the bid. Unit Prices have been computed in accordance with
the Contract Documents. Bidder acknowledges that estimated quantities are
not guaranteed, and are solely for the purpose of comparison of Bids, and
final payment for all Unit Price Bid items will be based on actual quantities,
determined as provided in the Contract Documents.
(d) No officer or employee of the Town Board, Town of Wappinger, or any
person whose salary is payable in whole or in part by the Town Board is,
shall be, or shall become interested directly or indirectly as a contracting
party, partner, stockholder, surety or otherwise in this bid or in the
pe~ormance of the con{ relatesnor nsany (portion ofrthe profgs'the eof.or to
work or labor to which ,
(e) The bidder is not in arrears to the Town Board upon debt or contract and is
not a defaulter as surety, contractor, or otherwise upon any obligation to the
Town Board, Town of Wappinger.
(fl .All work shall be completed within the time allotted, from the date specified in
the Notice to Proceed or set by the contract documents, mailed to the
undersigned by registered mail with return receipt requested to the legal
address of the bidder as indicated on his/her bid.
(g) If the bid documents contain any unlawful provision not an essential part of
the bid and which shall not appear to have been a controlling or material
inducement to the making thereof, the same shall be deemed of no effect
and will upon notice by either the Owner or the bidder be deemed stricken
from the bid documents without affecting the binding force of the remainder.
204 03
J
i
~.
(h) Each and every provision of any law and clause required by law to be
inserted in the bid documents shall be deemed to be inserted herein and the
bid documents shall be read and enforced as though it were included herein;
and if through mistake or otherwise any such provision is not inserted or is
not correctly inserted, then upon the application of either party, the bid
documents shall forthwith be physically amended to make such insertion.
(i) The bidder is financially solvent and sufficiently experienced and competent
to perform the work.
(j) The work can be performed as called for by the proposal and that the plans
and specifications are in all respects suitable and adequate for the work.
(k) The facts stated in his/her bid and the information given by him/her are true
and correct in all respects.
(I) The bidder is fully informed regarding all the conditions affecting the work to
be done and labor and materials to be furnished for the completion of this
contract, and that his/her information was secured by personal investigation
and research.
(m) In the event of a lawsuit, the bidder agrees that said suit shall be filed in the
same county as the location of the project.
BID FOR CONTRACT WORK:
Base Bid
Install water distribution improvements and related items in accordance with the Contract
Documents, not including Bid Alternate 1. The signatory to this bid, for all work proposed,-
. items furnished and strict compliancea tees t paccept (unless mod f d puesuant to the
`~ Document relating to Contract 13-006, g
terms of the General Conditions) a total, final and fixed contract price not to exceed:
' (Words)'
figures lN~~~
MAR 31 2014
TGW N pF W APPI(~G~R
_ TOWN CLERK
200 04
Add Alternate 1 Bid
For Add Alternate 1: Overlay paving of Entire Stenger Court, the signatory to this bid, for
i~' all work proposed, items furnished and strict compliance with all provisions of each and
every Contract Document relating to Contract 13-006, agrees to accept (unless modified
pursuant to the terms of the General Conditions) a total, final and fixed contract price not to
~" exceeds. ~ / /
$ `(
(Words)
~ ~ O, O~
(Figures)
Add Alternate 2 Bid
For Add Alternate 2: Electrical Service for Pressure Reducing Vault, the signatory to this
bid, for all work proposed, items furnished and strict compliance with all provisions of each
and every Contract Document relating to Contract 13-006, agrees to accept (unless
modified pursuant to the terms of the General Conditions) a total, final and fixed contract
price not to exceed: /J
tw ~ _ (Words)
(Figures)
Also made a part of this bid ' th ttached documen 'on per Division 100, Article C.3.
Sign Bid Here
W ~~~D~r~~me
MAR 31 2T)~de
TOWN OF WA~C~n
TOWN CLERK
THORIZED IGNATURE
~~4k
~pany Name~l/unc~~dt~ ~! • ~~•
(Individual, Partnersh' orporatio , LLC)'~
" Circle applicable
Company v s~~~~~f-
Mailing Address
STREET D~
CITY STATE ZIP CODE
Federal Employer ~ / _ I /~ ~ $~~
Identification No. (~ ~f
Telephone No. ~~" N~~ ~..~.~2g
,~.
200 05
..
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(If bidder is a orporation ill in the following blanks.) U J
Organized under the laws of the State of: Y~.i / ~'k/tc
Name and Address of President: ~~
~~~ ~r-~~~~~~ ,~~ ~ ~ ~~l
~ . ,~/~re~- ~Se~l e ~a ~ %r~
Name and Address of Secretary: G/~ Ss~
,~o~ ~y ~~ ~ a~-~ ry(~ ~~~~ ~~~ ~~~03
Name and Address of Treasurer:
~~ ~ ~r ,~f ~~/
~~l ss~ ~, ~/~~~
(If bidder is a Limited Liability Company, fill in the following blanks.)
Organized under the laws of the State of:
Name of Manager or Managing Member:
Agent for Service of Process:
Address for Service of Process
G3[~C~C~ML~D
MAR 31 2014
TOWN OF WAppINGER
TOWN CLERK
l emu
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STATE OF NEW YORK )
~I ss:
COUNTY OF Cc~ r~Ha ~ )
'~` On the S~
.~1 day of _ ~'(4 ; L-~t ~~/ 7 ,before me, the
undersigned, a Notary Public in and for said State ersonall a eared ~ ~>~
p Y pp ~t ~ ~yupa~h ~
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 executed the same in his capacity, and that by his signature on the instrument, the
J individual, or the person upon behalf of which the individual acted, executed the
instrument.
~ ~~.~~-
a ~
MELISSA L ELDRED
Notary Public, State of New York
No. 01 EL6221586
Qualified in Cortland County _ / NOTARY PUBLIC
Commission Expires Mav 3, 20 / h`
BID BOND
KNOW ALL MEN BY THESE PRESENTS: that
as Principal; and
*~:
as Surety, are hereby
r. held and firmly bound unto the Town Board, Town of Wappinger, New York in the amount
of: Dollars $
for the payment whereof Principal and Surety bind ourselves, our heirs, executors,
~• administrators, successors and assigns, jointly and severally, firmly by these presents.
Signed this
day of
20
WHEREAS, the condition of the above obligation is such that, whereas the Principal has
submitted to the Town Board a certain bid, attached hereto and hereby made a part hereof,
to enter into a contract in writing for the Water Main Extension to Chelsea Hamlet for the
Town of Wappinger, New York, as shown and specified in Contract No. 13-006.
NOW THEREFORE,
(a) If said Bid shall be rejected, or in the alternate
(b) If said Bid shall be accepted and the Principal shall execute and deliver a
contract in the Form of an Agreement attached hereto (properly completed in
accordance with said Bid) and shall in all respects perform the agreement
created by the acceptance of said Bid, then this obligation shall be void.
Otherwise, the same shall remain in force and effect, it being expressly
understood and agreed that the liability of the Surety for any and all claims
hereunder shall, in no event, exceed the amount of this obligation as herein
stated.
~ The Surety, for value received, hereby stipulates and agrees that the obligations of said
Surety and its bond shall in no way be impaired or affected by any extension of the time
within which the Principal may accept such bid; and said Surety does hereby waive notice
~, of any such extension.
IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and
seals, and such of them as are Corporations have caused their Corporate seals to be
hereto affixed and these presents to be signed by their proper officers, the day and year
first set forth above.
~,. (SEAL)
PRINCIPAL
'`Insert Bidder's Name
**Insert Surety's Name By
200 09
STATE OF NEW YORK )
ss:
COUNTY OF C~ r~a
On the .= day of X14; L'~ ~~~ ,before me, the
~. ~~
undersigned, a Notary Public in and for said State, personally appeared ~~~~~~
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 executed the same in his capacity, and that by his signature on the instrument, the
individual, or the person upon behalf of which the individual acted, executed the
instrument.
~ ~~
MELISSA L ELDRED
Notary Public, State of New York
No. 01 EL6221586
Qualified in Cortland County ,/ NOTARY PUBLIC
Commission Expires Mav 3.20 /
200 07
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BID BOND
KNOW ALL MEN BY THESE PRESENTS: that
as Principal; and
r
as Surety, are hereby
** -
held and firmly bound unto the Town BoDoltars ~ of Wappinger, New York in the amount
of.
for the payment whereof Principal and Surety bind ourselves, our heirs, executors,
administrators, successors and assigns, jointly and severally, firmly by these presents.
Signed this day of 20
WHEREAS, the condition of the above obligation is such that, whereas the Principal has
submitted to the Town Board a certain bid, attached hereto and hereby made a part hereof,
to enter into a contract in writing for the Water Main Extension to Chelsea Hamlet for the
Town of Wappinger, New York, as shown and specified in Contract No. 13-006.
NOW THEREFORE,
(a) If said Bid shall be rejected, or in the alternate
(b) If said Bid shall be accepted and the Principa
contract in the Form of an Agreement attached
accordance with said Bid) and shall in all res
created by the acceptance of said Bid, then
Otherwise, the
understood and
hereunder shall,
stated .
same shall remain in force
agreed that the liability of the
in no event, exceed the
I shall execute and deliver a
hereto (properly completed in
pects perform the agreement
this obligation shall be void.
nd effect, it being expressly
Surety for any and all claims
amount of this obligation as herein
The Surety, for value received, hereby stipulates and agrees that the obligations of said
Surety and its bond shall in no way be impaired or affected by any extension of the time
a within which the Principal may accept such bid; and said Surety does hereby waive notice
~ of any such extension.
IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and
seals, and such of them as are Corporations have caused their Corporate seals to be
hereto affixed and these presents to be signed by their proper officers, the day and year
first set forth above.
(SEAL) PRINCIPAL
'`Insert Bidder's Name
"'~ **Insert Surety's Name BY
i
200 09
J
sealed and delivered
Signed,
in the presence of
(Corporate seal of Contractor
if a corporation)
Contractor
By
By
(Title of Officer)
(Corporate seal of
Surety) Attest
~.
(Title of Officer)
200 010
J
c~
V
~' STATE OF NEW YORK )
ss:
COUNTY OF
On the day of ,before me, the
undersigned, a Notary Public in and for said State, personally appeared
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 executed the same in his capacity, and that by his signature on the instrument, the
individual, or the person upon behalf of which the individual acted, executed the
instrument.
20Q 11
NOTARY PUBLIC
J
CERTIFICATION OF NON-COLLUSION BY BIDDER
No bid will be considered unless this Certification remains attached to and is submitted with the Bid
By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and
in the case of a joint bid each party thereto certifies as to its own organization, under penalty of
perjury, that to the best of his knowledge and belief:
- (1) 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.
(2) Unless otherwise required bylaw the prices which have been quoted in this bid have not
knowingly been disclosed by the bidder and will not knowingly be disclosed by the
~,,, bidder, directly or indirectly, to any other bidder or to any competitor, before the time of
the bid opening.
Ir. (3) No attempt has been made or will be made by the bidder to induce any other person,
partnership or corporation to submit or not to submit a bid for the purpose of restricting
t, competition.
A bid shall not be considered for award nor shall any award be made where (1) (2) and
(3) above have not been complied with; provided however, that if in any case the bidder
cannot make the foregoing certification, the bidder shall so state and shall furnish with
the bid a signed statement which sets forth in detail the reasons therefore. Where (1) (2)
and (3) above have not been complied with, the bid shall not be considered for award
nor shall any award be made unless the head of the purchasing unit of the State, public
department or agency to which the bid is made, or his designee, determines that such
disclosure was not made for the purpose of restricting competition.
i
3.
(4) The fact that a bidder (a) has published price lists, rates, or tariffs, covering items being
procured, (b) has informed prospective customers of proposed or pending publication of
new or revised price lists for such items, or (c) has sold the same items to other
customers at the same prices being bid, does not constitute, without more, a disclosure
within the meaning of subparagraph (1).
(5) Any bid hereafter made to any public authority or to any official of any public authority
created by the State or any political subdivision, by a corporate bidder for work of
services performed or to be performed or goods sold or to be sold where competitive
bidding is required by statute, rule, regulation, or local law, and where such bid contains
the certification referred to in the lead paragraph of this section, shall be deemed to have
been authorized by the board of directors of the bidder and such authorization shall be
deemed to include the signing and submission of the bid and the inclusion therein of the
certificate as to non-collusion as the act and deed of the corporation.
I affirm these statements
BIDDER'S SIGNATURE:
penalty of perjury.
;VDU lt. ,~'n!c_~ DATE
I ~~~
IY
2.01'2
.~
BID BOND
KNOW ALL MEN BY THESE PRESENTS: that
Grant Street Construction Inc. as Principal; and
~` Fidelity & Deposit Company of Maryland as Surety, are hereby
held and firmly bound unto the Town Board, Town of Wappinger, New York in the amount
of. Five (5%) PeroentofAttached Proposal Dollars $
for the payment whereof Principal and Surety bind ourselves, our heirs, executors,
administrators, successors and assigns, jointly and severally, firmly by these presents.
Signed this 13th day of March 20 14
WHEREAS, the condition of the above obligation is such that, whereas the Principal has
submitted to the Town Board a certain bid, attached hereto and hereby made a part hereof,
to enter into a contract in writing for the Water Main Extension to Chelsea Hamlet for the
Town of Wappinger, New York, as shown and specked in Contract No. 13-006.
NOW THEREFORE,
(a) If said Bid shall be rejected, or in the alternate
(b) If said Bid shall be accepted and the Principal shall execute and deliver a
contract in the Form of an Agreement attached hereto (properly completed in
accordance with said Bid) and shall in all respects perform the agreement
created by the acceptance of said Bid, then this obligation shall be void.
Otherwise, the same shall remain in force and effect, it being expressly
understood and agreed that the liability of the Surety for any and all claims
hereunder shall, in no event, exceed the amount of this obligation as herein
stated .
The Surety, for value received, hereby stipulates and agrees that the obligations of said
Surety and its bond shall in no way be impaired or affected by any extension of the time
within which the Principal may accept such bid; and said Surety does hereby waive notice
of any such extension.
IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and
seals, and such of them as are Corporations have caused their Corporate seals to be
hereto affixed and these presents to be signed by their proper officers, the day and year
first set forth above.
(SEAL) Grant Street Construction Inc.
PRINCIPAL
*Insert Bidder's Name David Compagni President
**Insert Surety's Name By Robert T Lacey Attorney-In-Fact
200 09
Signed, sealed and delivered in the presence of a-
(Corporate seal of Contractor if a corporation) Grant Street Construction Inc.
Contractor
BY David Compagni Presdient
1
(Corporate seal of Surety) Attest
Fidelifir & Deposit Company of Maryland
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, Attorneys-in-Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies,
recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attorney-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any
time."
CERTIFICATE
I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the
foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of
the By-Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attomey...Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the 10th day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies,
this 1 3 day of 'f~( {~C 1r1 , 20 1 ~- .
,y~ ( ~~133 q7, Li
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James M. Carroll, Vice President
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by
THOMAS O. MCCLELLAN, Vice President, in pursuance of authority granted by Article V, Section 8, of the By-Laws of said
Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby
nominate, constitute, and appoint Lawrence P. BROOKS, Robert T. LACEY, Thomas H. HARDING and Colleen HARDING, all of
Vestal, New York, EACH its true and lawful agent and Attorney-in-Fact, to make, execute, seal and deliver, for, and on its behalf as
surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these
presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and
acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY" at its office in New York, New
York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings
Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings
Mills, Maryland., in their own proper persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By-Laws of said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 18th day of October, A.D. 2012.
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
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Assistant Secretary Vice President
Eric D. Barnes Thomas O. McClellan
State of Maryland
City of Baltimore
On this 18th day of October, A.D. 2012, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, THOMAS O.
MCCLELLAN, Vice President, and ERIC D. BARNES, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers
described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly swum, deposeth and saith, that
he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that
the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said
Corporations.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written.
`~~,511~I~'''v.
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Constance A. Dunn, Notary Public
My Commission Expires: July 14, 2015
POA-F 132-0008A
(Individual or Partnership)
STATE OF NEW YORK
County of
On this day
20 before me personally came
to me known to be the person...described in and who executed the foregoing instrument as Principle...., and acknowledged that
...he.. executed the same
Notary Public
(Corporation)
STATE OF NEW YORK
County of Broome .
On this 13th day of March 20 14 ,before me personally came
David J Comoa~ni to me known and known to me to be President
of Grant Street Construction Inc. the corporation described in and which executed the foregoing instrum that he
Principle, who being by me duly sworn, did depose and say: That he resides Town of Tully
is President of the said Grant Street Construction Inc. and knows the corporate seal
thereof; that the seal affixed to the foregoing instrument is the corporate seal of said Company and was affixed thereto by authority
of the Board of Directors of said Company, and that he signed his name thereto by the like authority as President of
said Company.
Tracy Lynn Schmerder
Notary Public, State of New York
No. O15C6281647
Residing in Broome County .~
i+nv r'~~+missian Expires May 13, ~.
(Notary lurats)
STATE OF NEW YORK
County of Broome
_~~V`~a~y_ LQ 3. ~ (L~
Notary Public
On this 13th day of March , in the year 2014
Before me personally came Robert T Lacey to me known, who, being by me duly Sworn, did depose and say,
the he resides in the Town of Chenan~o :that he was the Attorney-in Fact of the Fidelity and Deposit company of Maryland, the
Corporation named in and which executed the within instrument; that he knows the seal of said corporation; that the seal affixed to
said instrument is such corporate seal; that is was so affixed by order of the board of Directors of said corporation, and that he
signed his name thereto by like order. And that the liabilities of said Company do not exceed its assets as ascertained in the manner
provided in Section 183 of the Insurance Law, constituting Chapter 33 of the Consolidated Laws of the State of New York.
TYacy Lynn ~~rder
Notary N bt015~2 ~ ~ York
Residing In Broome County 1r1
Nly Commission Expires May 13, ~_
~ xn~0 ~~Q~
Notary Public
FIDELITY AND DEPOSIT COMPANY
OF MARYLAND
600 Red Brook Blvd., Suite 600, Owings Mills, MD 21117
Statement of Financial Condition
As Of December 31, 2012
ASSETS
Bonds ............................................................................................................................................... $ 157,177,826
Stocks ............................................................................................................................................... 23,000,311
Cash and Short Term Investraents .................................................................................................... l 19,155
Reinsurance Recoverable ................................................................................................................. 17,923,564
Other Accounts Receivable .............................................................................................................. 35,473,ZSb
TOTAL ADMITTED AssETS ........................................................................................................ $ 233,694,113
LIABILITIES, SURPLUS AND OTHER FUI~IDS
Reserve for Taxes and Bxpenses ...................................................................................................... $ 74,782
Ceded Reinsurance Premiums Payable ............................................................................................ 48,323,524
Securities Lending Collateral Liability ............................................................................................ 1,716,240
TOTALLIA131LlTIES .................................................................................................................... $ 50,114,546
Capital Stock, Paid Up ........................................................................................ $ 5,000,000
Sutplus ................................................................................................................ 178,579,567
Surplus as regards Policyholders ...................................................................................................... ] 83,579,567
Tt7fAL ............................................................................................................................ ....... $ 233,694,113
Securities carried at $59,468,OD2 in the above statement are deposited as required by law.
Securities carried on the basis prescribed by the National Association of Insurance Commissioners. On the basis of
December 31, 2012 market quotations for all bonds and stocks owned, the Company's total admitted assets would be
$243,518,971 and surplus as regards policyholders $193,404,425.
1, DENNIS F. KERRIGAN, Corporate Secretary of the F1DLLITY AND DEPOSIT COMPANY OF MARYLAND, do hereby
certify that the foregoing statement is a correct exhibit of the assets and liabilities of the said Company on the 31st
day of December, 2012.
State of Illinois
City of Schaumburg SS:
Subscribed and s~~rorn lo, before me, a Notary Public of the State of Illinois, u~ the City of Schaumburg, this 15t1t day of March, 2013.
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OFFICIAL SEAL.
OARRYL JOINER
Notary Public -Stale of Illinois
My Commission Expires May 3, 2014
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BID BOND
If a bond is used, the form bound in this manual should be used. No other form
may be used except with prior approval by the Owner after review by the Town
Attorney which approval may be granted or withheld, in the Owner's discretion.
200 08
~r~er~can.E,~~g~n
PROPOSAL FOR
TOWN OF WAPPINGER
UNITED WAPPINGER WATER DISTRICT
WATER MAIN EXTENSION TO CHELSEA HAMLET
CONTRACT NO. 13-006
DIVISION 200
BID FORM
PREPARED BY:
MORRIS ASSOCIATES
ENGINEERING CONSULTANTS, PLLC
9 ELKS LANE
POUGHKEEPSIE, NEW YORK 12601
SEPTEMBER 2013
REVISED FEBRUARY 2014
MA#: W21215.11
2QR 0'I
J
TOWN OF WAPPINGER
UNITED WAPPINGER WATER DISTRICT
WATER MAIN EXTENSION TO CHELSEA HAMLET
CONTRACT NO. 13-006
BID FORM
~ THE TOWN RESERVES THE RIGHT TO REJECT ANY OR ALL BIDS. EACH BID FORM
SHALL BE ACCOMPANIED BY BID SECURITY (AS DESCRIBED IN THE INSTRUCTION
TO BIDDERS).
TO THE TOWN BOARD, TOWN OF WAPPINGER, NEW YORK
Pursuant to and in compliance with your invitation to bid contained in the Notice to
Contractors dated ivra r< < ~~ ~U- ~~--'
(month) (day) (year)
the undersigned hereby proposes to furnish all labor, machinery, equipment, facilities,
tools, transportation, supplies, materials, insurances, permits, certificates, tests,
guarantees, protection of equipment and property and life during construction; as well as
competent and qualified supervision for all phases of the work, and other facilities and
things necessary or proper for or incidental to, Town of Wappinger Water Main Extension
to Chelsea Hamlet Project, Town of Wappinger, as required by and in strict accordance
with the plans, specifications and all other documents relating to Contract No. 13-006, for
the prices stipulated and as shown on this bid form.
Name of Bidder: - Nt /'r'C~-'~ c /~ce '~ C.,
(Individual, Partnership,~Corporation r LLC)'`
* Circle applicab a word
The undersigned declares that the bidding and contract documents have been carefully
examined and that all things necessary for the completion of the work shall be provided.
~,
~ Receipt of the following addenda is hereby acknowledged:
DATE SIGNATURE
~..
+ ADDENDUM NO. 1 ~~a~ ~~y
ADDENDUM NO. 2 3" °t 5 r`Y ~
ADDENDUM NO. 3
ADDENDUM NO. 4
200 02
i
TOWN OF WAPPINGER
UNITED WAPPINGER WATER DISTRICT
WATER MAIN EXTENSION TO CHELSEA HAMLET
CONTRACT NO. 13-006
BID FORM
THE TOWN RESERVES THE RIGHT TOtRETYCAS DESOCR BED IN THE INSTRUCTOION
SHALL BE ACCOMPANIED BY BID SEC
TO BIDDERS).
TO THE TOWN BOARD, TOWN OF WAPPINGER, NEW YORK
Pursuant to and in compliance with your invitation to bid contained in the Notice to
Z U%/ _,
Contractors dated ,v~a r< < '3/
(month) (day) (year)
the undersigned hereby proposes to furnish all labor, machinery, equipment, facilities,
tools, transportation, supplies, materials, insurances, permits, certificates, tests,
guarantees, protection of equipment and property and life during construction; as well as
competent and qualified supervision for all phases of the work, and other facilities and
things necessary or proper for or incidental to, Town of Wappinger Water Main Extension
to Chelsea Hamlet Project, Town of Wappinger, as required by and in strict accordance
with the plans, specifications and all other documents relating to Contract No. 13-006, for
the prices stipulated and as shown on this bid form.
Name of Bidder: - /h 1'r~C:~~ c r'ce '~ G'
(Individual, Partnership,I~Corporation r LLC)*
* Circle applicab a word
The undersigned declares that the bidding and contract documents have been carefully
examined and that all things necessary for the completion of the work shall be provided.
Receipt of the following addenda is hereby acknowledged:
DATE SIGNATURE
~~
ADDENDUM NO. 1 ~~a~ ~~y
ADDENDUM NO. 2 3- dS "~Y
ADDENDUM NO. 3
ADDENDUM NO. 4
s 200 02