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Red Wingti_ PROPOSAL 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. Tailings Crushed Stone: ,/„ 4 3/8" '/2" 5/8" 3~ ~~ 1 '/zn 2 '/z" Delivered G~L~C~L~OMC~D Quarry Item 4 R.O.B. Gravel Snow /Ice (Grits) Aggregate Washed Gravel: ~a~ 3/8" ~» 5/8" s/4 1 '/2„ 2 '/z" Tailings o?a, Do ~, ~o ~a , 0 D ;,ti , o v ~vv iS:~ /~ a ~?,~d ~a, oD Via, oc ~1~ 0 ~ MAR 1 0 2014 I TOWN OF WAppINGER ~_ TOWN__CLERK BIDDER: /[ ~ d ~y~n ~' ~,~a~ ~~ ~/ ~S ;n. c DATE: a la 7 /~ `~ ADDRESS: /"c7 ~ r~x ~}0 8 Please sign Non-Collusive Certificate S former ~, ~/r ~ v~ ~a ~~, BIDDING FORM NAME OF BIDDER: ~~d ~/i.~ ~ rt f /o/''-'/~ 8/ ~l ~S /~c e ADDRESS: ~ C> ~U x ~f0 ~ S~/~~ ~~ ~~~ /U'!/. ~d 5~~~ PHONE: ~~~~"- ~ ~. ~ - o~=~ 3 `~ DATE SUBMITTED: ~. ~~ 71 / 5/ SIGNATURE: ~ ~`~ MAR 1 0 2010. TOWN OF WAPPINGER i 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: ~ ~~? 7 // ~} J~r~s~ d~~. ;~ TITLE ~~~~~ V ~Q MAR 1 0 2014 TOWN OF WAPPINGER TOV1lN CLERK