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Clove ExcavatorsPROPOSAL AND BID FORM Pursuant to your request and in compliance with "Information to Bidders" dated February 6, 2002, the undersigned hereby offers to furnish Crushed Stone which will meet the requirements as specified in the specifications of the New York State Department of Transportation, dated January 2, 1973. R.O.B. Gravel and Washed Gravel will be clean and well graded and subject to the approval of the Town Superintendent of Highways. Snow /Ice Aggregate, aka Grits, will be of the type capable of feeding through an auger-type spreader. Prices are to be submitted per ton delivered. Length of haul, quality and availability of product will be considered in awarding this bid and the right is reserved to reject any or all bids. Crushed Stone: '/4' 3/8" '/z" 518" 3~>~ 1 '~" 2 '/z" Tailings Quarry Item 4 R.O.B. Gravel Snow !Ice (Grits) Aggregate Washed Gravel: ~4" 3/8" '/z" 5/8" 3~" 1 '/" 2 ~/» Tailings BIDDER: Clove Excavators, Inc. Delivered No Bid No Bid No Bid _No Bid No Bid min Rirl No Bid No Bid No Bid G°,~~C~L~ObC~D MAR 1 0 2014 $16.25 No Bid ~o Bid 1~1o Rid _Nn Bid ~Tn Rirl No Bid _ No Bid No Bid TOWN OF WAPpjNGE TOWN CLERK R DATE: 03/10/2014 ADDRESS: 11 Raymond Avenue Suite 23 Poughkeepsie, NY 12603 Please sign Non-Collusive Certificate BIDDING FORM NAME OF BIDDER: Clove Excavators, Inc. ADDRESS: 11 Raymond Avenue Suite 23 Poughkeepsie, NY 12603 PHONE: 845-452-5030 DATE SUBMITTED: 03/10/2014 SIGNATURE: Marc Vu co, President G°~CC~D~~D MAR 1 0 2014 TOWN OF WAPPINGER TOWN CLERK NON-COLLUSIVE BIDDING CERTIFICATE The bidder certifies that: a) the bid has been arrived at by the bidder independently and has been submitted without collusion with any other vendor of materials, supplies or equipment of the type described in the invitation for bids, and b) the contents of the bid have not been communicated by the bidder, nor to the best of his knowledge and belief, by any of his employees or agents, to any person not an employee or agent of the bidder to its surety on any bond furnished herewith prior to the official opening of the bid. The signature of the contractor to this bid shall be deemed a specific subscription to the certificate required pursuant to Section 139-d of the State Finance Law and the contractor affirms that the statements therein contained are true under the penalty of perjury. DATE: 03/10/2014 BY: Marc Vu ico President TITLE [~L ~f~~N1~D MAR 1 0 2014 TOWN OF WAPPINGER TOUVN CLER'~ l~'~1 OP ID: MBLA A~~RL7" CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDNYYY) 03H 0114 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S~ AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certfficate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endoreemerrt(sl. PRODUCER 84rJ-454-0800 CONTACT Marshall 8~ Sterling, Inc. PNHM~: Marva Blackmar 845-485-7804 .84554-0800 A~ N, ;645-454-0880 110 Main Street AooAri~ss: mblackmar marshallsterling.com Poughkeepsie, NY 12601 HBWIL~ Specialty Risk Department CUSTOM RIDi: INSURER(S) AFFORDING COVERAGE NAIC f INSURED Clove Excavators Inc INSURERA:American Alternative Ins. 11 Raymond Avenue Suite 23 INSURERS: Merchants Mutual Ins. Co. Poughkeepsie, NY 12803 INSURERC:O Insurance Brokers a Inc. INSURER D CAVFROr:RS revTrc~rerr w ruero. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWfrHSTANDING ANY REQUIREMENT, TERM OR CONDffION OF ANY CONTRACT OR OTHER DOCUMENT WIT}i RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS , EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY F MMIDDNYW POI EIfP MMIDDIYYW LIMfT3 GENERAL LIAB~ITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 88A2GL0001224 08111113 08/11/14 PREMISES Ea occurrence $ 100,00 CLAIMS-MADE a OCCUR MED EXP (Any one person) $ 6,00 PERSONAL & ADV IN,AJRY $ 1,000 00 , GENERAL AGGREGATE $ 2,000,00 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 2,000,00 POLICY X PRO LOC $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT 000 00 $ 1 A X ANY AUTO 88A2CA0000237 08111/13 08N1/14 (Eaacddenq , , ALL OWNED AUTOS BODILYIN,ILIRY(PerpersonJ $ SCHEDULED AUTOS BODILY INJURY (Per ecadent) $ PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-0 WNED AUTOS $ X UMBRELLA LU18 X OCCUR EACH OCCURRENCE $ 5,000,00 B EIfCESSLUB CLAIMS-MADE AGGREGATE $ 5 000 00 CUP0000353 08111!13 08/11/14 , , DEDUCTIBLE X RETENTION $ 10,000 $ V10RKER3 COMPENSATION WC STATU- OTH- AND EMPLOYERS' LUIBILITY Y ~ N TORY LIMITS ER C ANY PROPRIETORIPARTNERlEXECUTIVE OFFICER~vtEMBEREXCLUDED? ~ NIA TWC3354209 04101/13 04/01/14 E.L. EACH ACCIDENT $ 1,000 OO (Mandatory In NH) If es describe under E.L. DISEASE-EA EMPLOYEE $ 1,000,00 y , DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHCLES (Attach ACDRD 7M, Addltlonal Remarks 8ehsdule, If mon space la nqulnd) PI-3 MAR 1 0 2 OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE OELNERED IN Town of Wappinge WgppI,NGE ~F ACCORDANCE WITH THE POLICY PROVISIONS. 20 Middlebush Rd TaWN Wappingers Falis, Y 1259C'r'OW N CLERK ___ __-_. A~"D~zEDREPRESENrATIVE ~ iatsu-zuua AcoKV co1ZPVRATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo aro registered marks of ACORD