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Route 82 Sand and Gravel 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. Crushed Stone: ~/4„ 3/8" ~/2„ 5/8" 3~ ~~ 1 ~/Y' 2 '/s', Tailings Quarry Item 4 R.O.B. Gravel Snow /Ice (Grits) Aggregate Delivered $23.25 per ton $23.25 per ton Washed Gravel: ~/4" 3/8" ,/„ 5/8" 3/„ 4 1 '/z" 2 '/2„ Tailings $23.25 per ton $23.25 p_gr ton $23.25 per ton $23.25 per ton $23.25 per ton $23.25 per ton $23.25 per ton $23.25 per ton BIDDER: Route 82 Sand & Gravel, Inc. G°~C~C~C~OMC~D MAR 1 0 2014 TOWN OF WAPPINGER TOWN CLERK DATE: 3/03/14 ADDRESS: i ~ Canoe Hill Road. Millbrook. N.Y. 12545 Phone: (845)266-3433 Fax (845)266-4693 E-Mail: route82sand@verizon.net Please sign Non-Collusive Certificate BIDDING FORM NAME OF BIDDER: Route 82 Sand & Gravel, Inc. ADDRESS: 17 Canoe Hill -Road, Millbrook, NY 12545 PHONE: (845) 266-3433 DATE SUBMITTED: March 3, 2014 SIGNATURE: ~~ ~%/r~~~~ David E. Petrovits, President G°~LC~G~M~D MAR 1 0 2014 1 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: March 3, 2014 David E. Petrovits President TITLE ~ f~~C~~~dL~~~ MAR 1 0 2014 I TOWN OF WgppINGER __TOWN CLERK