DJ Heating and Air ConditioningII -PROPOSAL FORM
TO: The Town Board of the Town of Wappinger.
In compliance with your Notice to Contractors, published in the
~a~r~ s ~s5 oc,~n~eS~ al_.1.G dated (b~-28~-2L~ t 3 ,the
undersigned ~st~1~-;~r,~?~n1tiiYCr_r7~~~,~~ proposes and agrees as follows:
To furnish all the equipment, and incidentals, and to furnish labor and do all the
work required, to construct, furnish, and complete the TOWN OF WAPPINGER
TOWN HALL SERVER ROOM AIR CONDITIONING and associated work in
accordance with the prices so named in this Proposal in a worker like manner,
in accordance with the "REQUEST FOR PROPOSAL TOWN OF WAPPINGER
TOWN HALL SERVER ROOM AIR CONDITIONING" documents, all of which
are a part of the contract hereto annexed.
2. To complete all the work as specified, on which this Proposal is based, within
Thirty (30) days after the starting date specified in the Town's Notice to
Proceed.
[The Notice to Proceed shall be issued by the Town Supervisor. It is
anticipated that this .will occur on or about one week after Proposal opening
date.
3. To furnish the Town within five (5) calendar days from the date of the request, if
identified as the apparent low bidder and if requested by the Town, a statement
of qualifications.
4. To enter into a contract within ten (10) calendar days from the date of
acceptance of this Proposal.
5. To comply with the Davis-Bacon Act and other federal labor standards or
provisions and to pay New York State prevailing wage rates applicable to this
contract.
In compliance with the Instructions to Bidders, the undersigned declares that he/she has
examined the site of the work and informed himself/herself fully in regard to all conditions
pertaining to the place where the work is to be done. He/she has examined the plans and
specifications for the work and the contract documents relating thereto, has read all
addenda furnished prior to the opening of Proposals, and has satisfied himself/herself
relative to the work to be performed.
~~Q~~®
NOV 2 b 2013
TOWN OF WAPPINGERS
T~~~IN ~'~.E~.~
ADDENDA:
Receipt of the following addenda (if any) is hereby acknowledged:
DATE
ADDENDUM NO. 1
ADDENDUM NO. 2 t~
ADDENDUM NO. 3 _~~,`
SIGNATURE
The bidder proposes to perform the work required for the Base Proposal in
accordance with the Contract Documents for the sum of:
c~c~~~ ~-1-inc~,:,~~~c-~ c~c'ti l 1QiS CAS ZC"N C'Pr~rcS $ ~ ~ 1 ~~ ~ C~
(in writing) (and figures)
Dated:
SIGN PROPOSAL HERE
Authorized Signature
Title
print Name
Legal Company Name 1~`~~{~~~ °4- r~ir ~cYY~,,~~"tC~'1,1.1'1C~r _~'n~-
Address ~y(~~i (~O~~e ~~l/
City, State, Zip ~ '~
Telephone No. ~r~-
Federal I.D. # 1~~ I~~-~~q~~
a~c~~o~~D i
NOV 2 b 2013
TO TORN LERK ER
6
==AIA Document A310T"" - 2010
Bid Band
CONTRACTOR:
(Nance, tegal status and address}
D. J. Heating & Air Conditioning, Inc.
1409 Route 9W, Marlboro, NY 12542
OWNER:
(Name, legal status and addres.~~
Town of Wappinger
20 Mlddlebush Road, WappingeB Falls, NY 12590
SURETY:
{Name, legal status and principal place
t?,/'lI1rS1r7CSS~
North American Specialty Insurance Company
160 Gould Street • Suite 208, Needham, MA 02494 Tftts document has important legal
consequences. Consokation with
State of New Hampshire an attorney is encouraged with
respect to its completion or
modification.
BOND AtNOUNT: *** Five Percent (5%) of the Amount Bid'""'''
~Ra,IECT:
{Name, lacaiian ar address, and Project rcurnber, if any
Town of Wappinger Town Hall Server Room Air Conditioning
Any singular reference to
Contractor, Surety, Owner or
other party shah be considered
plural where applicable.
The Contractor and Stirety are hound to the Owner in the amount set forth above, for the payment of which the
Contractor and Sunny bind themselves, their heirs, executors, administrators, successors and assigns, jointly and
severalty, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor
within the ximt: specified in the bid documents, or within such time period as may be agreed to by the Owner and
Contractor, and the Contractor either (t}enters into a contract with the Owner in accordance with the terms of such
bid, and. gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted
in the. jurisdiction of the Froject and otherwise acceptable to the Owner,. for the faithful performance of such Contract
and for the prompt. payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the
difference, not to exceed'the amount of this Bond, between the amount specified in said bid and such larger amount
for which the (3wner may-in good faith contract with another party to perform the work cevered by said bid, then this
obligation shall be null and void, otherwise to remain in ful I force and effect. The Surety hereby waives any notice of
an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of
notice by'the Surety shalt not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for
an extension beyond sixty (6(}) days.
If this Bnnd is issued-in connection with a subcontractor's bid to a Contractor, the term Contractor in this Band shall
be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.
When this Band has been furnished to comply with a statutory or other legs! requirement its the location of the Project,
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and
provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so
furnished, the intent is that this Bond shalt be construed as a statutory bond and not as a common law bond. _..
Signed and seated this 25th day of November 2013 _ - ,
D & Air Conditioning, Inc, __...~,, ___ __~
Corrtractar __ ut~•r _ (Seal) -
- _ ~...
...(witness).. _.... ___ _._~.~..... .._....__.....
~ North A e al I om an
w~. _ .. ~! _ _,~~._W.~. y ...~_.__
_.. ____
(~~ {Sure (S'ea13
(Witness) ~ _ _. .. ~ --
~~~'itle) ~ ~ .._. __.. ~ _ _ .
Diana ~"oledo, At<orreyin-Fact
init. AIA Document A310TM - 2010 (rev, 1012010}. Copyright Si 1963, 1970 and 2010 by The American Institute of ArChitecis. All ri~idsroaervai:i WA~"itlNG:
This AiA Document fs protected by U.3. Copyright Law and international Treaties. Unauthorized reproduction o. distriiaufian afitks 1t;SA°° hocument,
or any portion of it, may reauit in sewers civil and criminal penalties, and wtil be prosecuted to the maximum extant ~nssibte untl+er ttie.l2~t.
t Purchasers are permitted to reproduce tan (10} copies of this document when completed. Ta report copyright violatrons of AIA act lY~~%menis, a-mail
The American institute ofArdiitects' legal counsel, copyright~ala,orq. AC°"DT~tQ
NAS SURETY GROUP
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
WASHINGTON INTERNATIONAL INSURANCE COMPANY
GENERAL POWER OF ATTORNEY
KNO W ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organised and existing under
laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington International
Insurance Company, a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of
Schaumburg, Illinois, each does hereby make, constitute and appoint:
JEFFREY P. DELDIN, SCOTT HAINEY,
DIANA TOLEDO, CHRISTOPHER GREENE and RAEGAN GUGLIELMO
JOINTLY OR SEVERALLY
Its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for aad on its behalf and as its act and deed, bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by
law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the
amount of: FIFTY MILLION (550,000,000.00) DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held
on the 9`s of May, 2012:
"RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President, any Assistant Vice President,
the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named
in the given Power of Attorney to execute an behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them
hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is
FURTHER RESOLVED, that the signature of such oi~ccrs and the seal of the Company may be affixed to any such Power of Attorney or to any
certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be
binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached."
g1t1UWNpryN~
a i , S~ : ~ e Steven P. Aaderwa, Scalar Vke Preeldeot d Waohla~len lateraalbaal lamraoeo Cemyaay g j 8~-r+ ~ t
~y 1 ~'1a ~= rj t senior Vke PrerWeot at Wirth Amnieao SpedaNy Imanace Gmpuy t7=
~f1111NN~~ ~ ~ ~
David M. t+Ymo4 Vice P~eideat or Wnhia=taa Iateraetlooat larareace Gmpeay
k Vke PwWwt orNerth America Syetiolq tosaraase Ce`paey
IN WITNESS WHEREOF, North American Specialty Insurance Company and Washingtan International Insurance Company have caused their
official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 5th day of Jae , 2012 .
North American Specialty Insurance Company
Washington Interactional Insuacnce Company
State of Illinois
County of Cook ss:
On this 5th day of June , 2012 ,before mc, a Notary Public personally appeared Steven P. Anderson ,Senior Vice President of
Washington International Insurance Company and Senior Vice President ofNorth American Specialty Insurance Company and David M. Layman ,
Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company,
personally known to me, who being by me duly swam, acknowledged that they signed the above Power of Attorney as officers of and
acknowledged said instrument to be the voluntary act and deed of their respective companies.
"dFPIC7AL'EAL"
DONNA D. SKI.ENS
Notary Pablic, Suns of Illisoltt
M Cotmmisriaa$!t Itll06r2D13
~~~ ~ ~~
Doma D, Sklens, Notary Public
I, lgffrev Goldber¢ he duly elected Assistant 5ecretarv of North American Specialty Insurance Company and Washington
Intcmational insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Alt®r_ntp g!'v~n by said North
American Specialty Insurance Company and Washington International Insurance Company, which is still in full force sea e;'ioct
IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 25th day of Novemtzer , ~Q ~ 3 .._
-~/~ ~-
/~~~ ~-
)other cel~erS, Vito Ptesidaa tt ~ Sw+aaa+Y of
WaeTilat;wa Imemetlan~ (anumiu Camp~agdc Norsk 3~titlty Inmrsnca Ctonpmy
NAS suRErr GROUP
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
An New Hampshire Corporation
BALANCE SHEET AS OF DECEMBER 3i, 2012
(Statutory Basis)
Valuation of securities en National Association of Insurance Commissioner Basis
ASSETS LIABILITIES
Cash 142,058,227 Reserve tar Unearned Premiums
Bonds 228,583.216 Reserve for Losses and Loss Adjustment
Other Invested Assets 69,412,903 Funds Withheld
Other Admitted Assets 63,474,921 Taxes and Other Liabilities
Surplus
TOTAL ADMITTED ASSETS 503,529.267 TOTAL LIABILITIES &
POLICYHOLDERS' SURPLUS
a,583,174
Expenses 26,841,818
12,298,621
96,080,147
363,,725,507
503, 529,267
The undersigned, being duly sworn, says: That he is Savior Vica President of North American Specialty Insurance Company, Schaumburg,
Illinois and that said company is a corporation duty organized, existing by virtue the Laws of the State of New Hampshire and that said
Company has also complied with and is duly qualified to act as ty uncle e A of Congress approved; Juty 1 &tl 6 t-I.B.C. se;c. fr,-13; end
that to the tsest of his knowledge and belief the above statem i full, a and rrect statement of the financial condition of the said
Company on the 31st day of December, 2012.
TY INSURANCE COMPAtJY
Subscribed and sworn before ma,
this 07th day of May, 2013
,. ~
' J NOTARY PUBLIC - $TA1E aF ItLN~OIS
. , („~~ ,,~ MY COAMWSt310N B~S:Oft09fl6
Notary Public
A MEMBER OF THE BWISS ~ +;3R011P
a
State of
ss.
w County of ~ n
a
$ Un this day of before me peraonaltjr camep ~-
:'~ ~ C
i ~ to ma known, g o
'~ and known to me tv be the individual described in and who executed the foregoing instrument and acknowledged tame that he executed ~
the tame, x~ t'
H
My commission expires
vtary Pubnc
State of
ss. n
County of Q byy
~ On this day of „before ms personally came ~ y
E •.~
• to me known and known tv ms ~ N
y ~
to be a member of the firm of
described in and who executed the foregoing instrument, and he thereupon acknowledged to me that he executed the soma as and for tfis
act and dead of said Tirm,
My eommisslon expires
Notary Public
state or New York
Ulster ~ `:'
County of '
on this ~-th day of 1\~W~+I I IC3~ ~ ~~ ~, before me personally came
Stephen Corte , to me known,
t who being by n+e duly sworn, did depose and say that he is the Vice President
of D.J. Heating & Air Conditioning, Inc.
the corporation described in and which executed the obove instrument; that he knows the seal of said corporation; that the seal affixed to
said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation, and that he signed his
name thereto by like order, ~ r /-l ~ n
My commission expires t/~Z~' ~ (~
sate of NeteeY rk Cou~HEYf~Ei~~1
Mary Rba4 ataM b New Yak
No.01DE828219s
Ss. ~NtlAaMrOpnty
County of Putnam ~,~,,,,,~,,,,~,,~,~,~
On this 25th day of November 13 ~efors me personally came
Diana Toledo
to me known, who, being by me duly sworn, did depose and say that
he is an attorney•in•fact of North American Specialty Insurance Company
the corporation described in and wfiicfi executed the within instrument; that he knows the corporate seal of said Corporation; that the seal
affixed to the within instru+nent is ruch corporate seal, and that he signed the taidinserument and affixed the said seat as Attorney•in•t'aet
by authority of the fjoard of Directors of said corporation and by authority of this office under the 5tandinq Resolutions thereof,
My commission expires
N ary P ie
~t p ~ 3
RAEGAN A. GUGLIELMO
Notary Public, State of New York
No, 0 i GU6207380
Qualified in Putnam County
Term Expires June 15, 2017
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