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Rockingham Farms-Section I&II Concrete Curb Replacement (f) I- Z W ~ :J () o Cl Cl co Jj u.. ~ o ~ a.. Cl 0::: o () w 0::: <F7 'w - ---- ~ ~ " ~ ro <:) -0 z+ -0- t5 t5 V ~ .~ .~~ S ~ e.('\ E a.. a.. 'v j <( lD ~ o w ::::> (/) ~ <( o z w o o <( (/) 0:: (/) I-W I- wCO z (/)::2: W ::::> ::2: z ::::> () o o .(/) 01- ZW (/) wO ~tu 00:: l- ii) UJO 9 !;('-' w O~ o 0:: o W W LL I- Z :J o :;; <( <.) co (/).,C U..emu..::.:: ::2: ...J 0:: ::2: <( i:i: (j) 0:: ::::> LL<1>i:i: Q>I-01lLL _Z '()O oWzo roo:: zc:: ~W ~<:5W<(CO OW~<1>::2: WO::I'3::::> ::2: a..<3Z <( WE~ Z uJ~LL I- (j) Ul ~ -0 (/) -0 (/) <( W Q) 0:: I- ~ Oz- owU: <(C::E 06 <:5 .: WwLL ::2:0::'0 <(LLUl ZOUl ::2: ~ Q; :g LL <( <i'i OJ Q) ~ wO I-W <(::::> o~ ..". en C') co N r- ~ (0 - ~ '^ ~ ~ 1f r ~ - "' --..... --- - ~ ~f:() - ~~ -J2 0 F I~ ~ 'OJ ~ "t;2 ~~ '> ~ ~ ~ ~ ":) '. :6 cC r{ U ~ ~ ~.o ~ 'f") '.or <) ~ 2 ~\O ~~~ "9 ~ ~ ~ 1l) ~ a ~ -::(~ ..... o -~ '0 <0'; ~') ~ bo 0 ~ ';; g _~~,~ r0 ~ -.. 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I - l'f) l.n (J ~ ('() f'- '..., I \ ~~ ;)- t"n , \ n ~I 10 ~ .;.. .~ \<) cO \r) '1\ ::; ~;:,.. > ~ f' ~ ~ 1:: .......... -- -.......... ~ ~ - '" ~ ..) ~ -L ~1t~ ~ S --- cf ~ t/) ~ iO I() ')- '0 '.0 ~ '> \ ~" ',..,s) \ ~~~\Q ~~ \ '~.,JJ ~~ 0 ']-~~'S I \~~ If) I{) L. ,_ ~ >- ':>-' :;:'-:1- 00 ~ 1 ~ I( ~~. ~ r1 j~ if) ~c-~ ?i ~ ~~ ~t~"i~ ?A ~ I:).. ~.'~ ~.,., ~ ~... ~ ~ ~~.'Q l'i~ ~ .~ ~ "<) ~ ~_~ s~,1~lO ~ ~~~A~>-~t~~a~;C1~'~~~ -~~~ ~3 ~~~ ~ 'Q-~~ ~ ~~] i~1:~~ ~-1~ u~ ~ ~ <;:.~ ~ Eti sJ ~ ~~ , ~ \l cK3Ai:t:o ~s ~ ~ 4 ~ ~ t! 6 :J.~~I {~ ~I~ ':;. ~'.o ~'~ ~~ 3 ~e ~& ~ ~f ~:r0-~~ ~~ ~~ j ~~~~~~~~ r-~'~~#~?~ '--~ i . ~J_~J ~ ~~-TA-~ () o -0 ci co o 0:: o () W 0:: u; E 5 LL u; C <1> E :J () o ~ W ~ ROCKINGHAM CURB REPLACEMENT MANDATORY PRE-BID MEETING JUL Y 13, 2009 NAME COMPANY TELEPHONE # FAX # Brian Harrand B&K Excavators 635-9934 635-2316 Mark Sicheri Ben Ciccone 462-2800 462-0358 Sean Force Force 562-0562 565-7620 Craig Burke BTM 471-8700 471-8138 Steven Lilly Marquise 914-747-6426 914-747-6427 John Komsa Metzger Const Corp 221-9412 226-3033 Mark White Wiltse &Clove 452-0344 452-9670 Brian Nealy T. Gleason Inc. 454-3730 454-4556 Robert Sherwood, Jr. Corewood Ventures 473-6946 473-1837 Dave Serino Sun-Up Enterprises, 462-1800 463-8375 Inc Roger Humeston RGH Construction 656-5013 297 -8599 Gary Joseph Joseph's Const. 416-1898 831-8026 JUL-23-2009(THU) 10:51 '" CONSTRUCTION DATA CORP SYRACUSE (FAX)888 232 9941 P.OOl/OOl ((news RECEIVED JUL 2 3 2009 TOWN CLERK Construction Data Company Nicholas Clarke Public Reporter 251 Salina Meadows Parkway Syracuse. NY 13212 Suite 180 Phone 888-232-9940 Ext" 2013 FAX 888-232-9941 nelorke@cdc:news.com Town of Wappinger Dole: 07J23109 Fox: (845)298-1418 o uRGeNt o FOR REVIEW 0 PLEASE COMMENT X PLEASE REPLY FOIL ~EQUEST Plan Holders List Good Morning, Per the NYS Freedom of Information Law. could you please Fax or Email over a copy of the Current list of Contractors who have obtained bidding documents for the following project Rockingham Farms Curb Replacement Due July 27, 2009 Thank You Very Muchlll Nicholas Clarke. Public Reporter ;X Jt5o.oo \~oslr ~aoV) J; l~ ~lh-.. {r.eAAlJNe ~ c#€fllNbj -'#= ,..FlRW'\ ADMt~<> ~ fflt->( I 5Jn uprnterposes J 01 (uxlit3]LtJ W~ ~~/6( 4ft8-'"6515 2 hi W l..t Old. ::L...;-Ie9 - qJ L/ .~({!JU)~ 'A-VUp -rhornwo()(;:) IJY . C{-J 3 (61o.d-~ m~un1~e -J &mrnUCA' 7~ ~..gj1. '~"2 ~o() 'l~~'81 ~~ 4 ~i(Y!(:;rJe.~. l.!l./ ~1V- ll~~- -4~2-- ~ ~~. ?Q'<Jh, r Po~~. /~o3 d&.JO D3!5 g. 6 KEI~c... ~?r.. bf~~ lR~611f' DE n..) Yo'l- Y' 5-5 (p ') 1If;. W f):L 8r~~ ~kh ,:. Ilk d(JVl( f{~~~ 'SRgi.~'''' 0 tr;v~~ ~~...,#\> ~(3 ib-i'i Cj /0 / ) /Z /3 IV '7 /../.... ~ '.'\, .... J.' / 'cJ..' ~..! --Iv. 9- 15- ()<l --i:J ~' I< ..:1.:;-0 cJe1l- /'14.:5..:2- !IcY-it /036{(? ISO /..- CaP.. . ) 111 CHANGE ORDER OWNER ARCHITECT CONTRACTOR FIELD OTHER AlA DOCUMENT em)} II 1iI !i\J o o PROJECT: TCMIl of Wappinger (name, address) Rockingham Farms Curb Rep1acelrent TO CONTRACTOR: 'Ihcm3s Gleason, Inc. (name. address) 42 M:K:inley lane Poughkeepsie, NY 12601 CHANGE ORDER NUMBER: 1 DATE: 9-17-09 ARCHITECT'S PROJECT NO: W2cro3 CONTRACT DATE: CONTRACT FOR: The Contract is changed as follows: OJange to specifications for concrete curb at. three intersections with Co1.lIlty roads. Curbs shall be constructed to Ireet Dutchess County Dap:3I1:IIEnt of Public Works standards. Olange is for 218 Linear feet pfcurb. See attached dOCUIIEIlt frem'Iharns Gleason, Inc. Not valid until signed by the Owner, Architect and Contractor. The original (Comract Sum)~) was. . . . . . . . . . . . . . . . . . . . . . . . $ Net change by previously authorized Change Orders . . . . . . . . . . . . , . , . . . , . . . , , . . , . . . . S The(ContractSum)(~priortothisChangeOrderwas......... .J. The (Comract Sum) (C~) will be (increased) (decreased) (unchanged) by this Change Order in the amount of . . . , . , . , . , . . . . . . . . , . . . . . . . . . $ The new (Cammct Sum) (Guaranteed Maximum Price) including this Change Order will be .. $ The Contract Time will be (M~) (~) (unchanged) by The dale of Substantial Completion as of the date of this Change Order therefore is 123,::ro.OJ o 123,::ro .OJ 3,270.00 126,770.00 ( -) days. NOTE: Thi~ summary doe:s not reflect changes in the Contracl Sum, Contract Time or Guarallleed Maximul1l Price: which h;I'.'C:' hC(:'1) ;lUlhori7.cd Ill' Construction Change Directive. 'IhCllBS Gleason. Inc. CONTRACTOR 42 M:::K:inley lane Address Poughkeepsie, NY 12601 MJrris Associates ~ 9 Elks lane Addres~ Poughkeepsie, NY 12601 B~bf~j DA TE Y. -' .CJf Tawn of Wapp:inger O\~2Cfmdd1ebush Rd. Ad(Wtippingers Falls, Ni-l259J- -.---- BY~,,~~~Q DAn~-d-~-C8 _ BY DATI' ____.__ ..... _.... AlA DOCUMENT G701 . CHANGE ORDER · 1987 EDITION . AlAI!> . @1987 . nu: AMERICAN INSTITUTE OF ARCIJITECTS, J'7.'~ NEW YORK AVE, N.W., \VASIifNGTON, D,C. 2000(, G701-1987 Sent By: MORRIS ASSOCIATES; 8454731962; Jul-15-09 2:51PM; Page 3/8 . . TOWN OF WAPPINGER . ROCKINGHAMFA.RMS- SECTION 1& II CONCRETE CURB REPLACEMENT :PROJECT CONTRACT NO. 01 B'DFOR~ RECEIVED JUl 2 7 2009 TOV'/N ClER!'\ E TOWN RESERVE;S THE RIGHT TO REJECT ANY OR ALL BIDS. EACH BID FORM ALL BE ACCOMPANIED BY BID SECURITY (AS DESCRIBED IN THE INSTRUCTION BIDDERS). THE TOWN BOARD, TOWN OF WAPPINGER, NEW YORK suant to and in compliance with your invitation to bid contained in the Notice to ntractors dated (month) (day) (year) . th undersigned hereby .proposes to furnish aU labor, machinery, equipment, facilities, to Is, transportaticm, supplies, materials;.. insurarices, permits, certificates,tests, gu rantees, protection of equipment and property and life during construction; as Well as co patent and qualified supervision for aU phases of the work, and other facilities and . thi gs necessary or proper for or incidental to, the Rockingham Farms Section I & " C crete Curb Replacement Project, Town o.f Wappinger, as required by and in strict · a rdance with the plans, specifications and all other documents relating to Contract No. 01 for the prices stipulated and as shown on this bid form. e of Bidder: . G tR'PlSo;v I A.tC ._ (Individual, Partnershi Corporatio or LLC)" * Circle applicab e word . Th undersigned d$clares that the bidding and contract documents have been carefully .. ex mined and that all things necessary for the completion of the work shall be provided. eipt of the following addenda is hereby acknowledged: ENDUM NO.1 ENDUM NO.2 ENDUM NO.3.. ENDUM NO.4 DATE ?f 3j()q 1//5/dl 1!//;ltfl. , , -16 - Sent By: MORRIS ASSOCIATES; 8454731962; Jul-15-09 2:51PM; Page 4/8 .. In nsideration of,dandto induce the award of this contract to him/her. the bidder . re resents and warrants that: (a) (b) (c) (d) (e) Ifthis bid is accepted by the Town Board, Town of Wappinger, as evi.denced by issuance of a Notice of Award by the Owner,.andmailed by registered ma'il withretum receipt requested to the address of the bidder as indicated on hislher bid I the bidder will execute a contrad on the form of agreement herein provided and will comply with aU provisions of said Notice of Award. 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. He/She has carefully examined and fully understands all of the parts of the cOntract documents, and thatheJshe will execute the contract and will completely perform it in strict accordance with the provisions thereof for the sum set forth on the bid. 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 performance of the contractor in the supplies, materials or equipment, orto work or labor to which it relates,or in any portion ofthe profits thereof. He/She is riot in arrears to the Town Board upon debtor contract and is not a defaulterss surety, contractor, or otherwise upon any obligation to the Town Board, Town of Wappinger. (f) All work shall be completed within the time allotted,from the date specified in the N()tice. to Proceed or set by the contract documents, mailed to the undersigned by. registered .n1aU.with return receipt requested to the legal address.ofthe 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. (h) Each and every provision of any law and clause required by law to be inserted inthe bid documents shall be deemed to be inserted hereira and the bid documents shall be read and enforced as though.it were included herein; and if through mistake or otherwise any such provi$ion is not inserted or is not correctly inserted, then Lipon the application of either party, the bid documents shall forthwith.be physically amended to make such insertion. -17 - Sent By: MORRIS ASSOCIATES; 8454731962; Jul-15-09 2:51PM; (i) That h~/sheisfinancially solventand sufficiently experienced and competent to perform the wotk. . . 0) The work can be performed as caUed for by thep!i>posal and that the. plans and specifications are in allrespec1s suitable and adequate for the work. (m) In the event of a lawsuit, the bidder agrees that said suit shall be filed in the same federal district or county as the location of the project. FOR CONTRACT WORK: Bidder proposes to perform the work required in accordance with the contract uments forlhe lump sum of: $ .\\ U IT PRICE BID: T e Bidder proposes to perform the work required in acoordance with the contract d cuments for the unit price bid per lineal foot of: $~ o ,.. $ (Figures) N te: The UnifPriceBidwiU be used to adjust the Base Bid price up or down as a result. t the actual lineal footage of concrete curb replaced. . -18- Page 5/8 No~C()-- Sent By: MORRIS ASSOCIATES; 8454731962; Jul-15-09 2:51PM; Page 6/8 .. Th Bidder p roposes to install asphalt paving (Base and Top course) within the areas of .. th water service trenctie~ in accordance with the contract documents for the unit price . bi per square foot of: $ o ~ $ 'i\, (d,. 60 (WOrds) ~P. (Figures) AI 0 made a part oHhis bid is the attached document tion per Division 100, Article C.3. Sign Bid Here Print Name lo..~\O... ~(\f::J!sr'~~0 \ \ Title ('O~.S&.. Official Company Name Company MamngAddress fo U(; IIl<ffPSlc CITY .. L/~ N~ K(t.JL~ tA-~ J }v STREEt (VI I d-WI STATE ZIP CODE Federal Employer Identification No. / tf - 1l..f3 g 7 Cj 3 l/N- 373c llSv- ~)Sb 8z-/j - M\-. Telephone No. Fax No. -19 - Sent By: MORRIS ASSOCIATES; 8454731962; . (If idder is a cOrporation; fill in the following..blanks.) Jul-15-09 2:52PM; Or anized under the laws of the State of: MEt.J ~IU( Na e and Address of President: L, Gu~.sojV A1Y eandAddressofSecretary: LAulllJ GLcJq~ON- K:AJULt. fho~ IJ Y N e and Addre.ss UJtJn;9 r; Uc-rJ50JJ- /~,.;()U- of idder is a Limited Liability Company, fill in the following blanks.) anized under the laws of the State of: me of Manager or Managing Member: . nt for Service of Process: . A dress for Service of Process: - 20- Page 7/8 Treasurer: Sent By: MORRIS ASSOCIATES; 8454731962; Jul-15-09 2:52PM; Page 8/8 .. S TE OF NEW YORK C UNTYOF~" ) ss: On the ;)1.. . day of -==s- \.) \ \....l , before me, the , , , '.' \.. . ersigned, a Notary Public in and for.said State, personally appeared LctuvCl- L~() (\ tMl \ sonally known to maar proved to me on th~ basis of satisfactory evidence to be the ividual whose name is subscribed to the within instrument and acknowledged to me that executed the same in his capacity, and that by his signature on the . instrument, the ividual, or the person upon behalf of which the individual acted, executed the 71 Jl ( Oq . ,----- -- -" ImTARYPtJBIjc STATE &. NEWYORK No. 0lNE6081072 CERl'.lFICATE FILED DUTCHEss COUNTY COMMISSION EXPIRES 9-30-20.l 0 NOTARY PUBLIC ~ 21 ~ MORRIS ASSOCIATES ENGINEERING CONSULTANTS, PLLC .9 Elks Lane, Poughkeepsie, New York 12601 Tel: (845) 454-3411 Fax: (845) 473-1962 o 389 Fairview Avenue. Hudson, New York 12534 Tel: (518) 828-2300 Fax: (518) 828-3963 E-Mail: morrisassociates@aol.com J"" September 18, 2009 Town of Wappinger Town Board Town Hall 20 Middlebush Road Wappingers Falls, NY 12590 Attn: Hon. Christopher Colsey, Supervisor RE: Rockingham Farms - Section I & II Curb Replacement Project Change Order #1 ~E.CE.NE.O .,~nn #..... rl ~ ; ,,;\.l::J Dear Mr. Colsey and Town Board Members: ,c-r)\I\IN ClEP; Enclosed please find a copy of the AlA Document G701 entitled Change Order. The purpose of this change order is as a result of discussions with the Dutchess County Department of Public Works relative to the replacement of curbs at three intersections; Regency Drive and All Angels Hill Rd, Carroll Drive and All Angels Hill Road and Scott Drive and Old Hopewell Road. The difference in construction of the Town curb and County curb is the inclusion of steel reinforcing rod and a slight increase in the width of the curb (9" at the bottom, a" at the top. Town is a" bottom and 6" top). It should be noted that these curbs are not within the County Right-of-way as measured by Mr. Graham Foster and myself. The County is requiring that their concrete curb specification be installed at these intersections for a distance of 40 feet back from the white line. We requested a cost from the contractor, Thomas Gleason, Inc., for this change and they submitted an additional cost per lineal foot of $15.00. The amount of curb involved is 218 lineal feet for a total adjustment to the contract price of $3,270.00. Please place this on the agenda for the September 28,2009 Town Board Meeting for approval of Change Order #1. Please call me at (914) 475-5749 (cell) or (845) 454-3411 Ext. 30 (office) to discuss this matter prior to the meeting. Very truly yours, RJG/met Enc. Cc Albert Roberts, Town Attorney John Masterson, Town Clerk >\ MORRIS ASSOCIATES ENGINEERING CONSULTANTS, PLLC uk 9 Elks Lane, Poughkeepsie, New York 12601 Tel: (845) 454-3411 Fax: (845) 473-1962 Ei 389 Fairview Avenue, Hudson, New York 12534 Tel: (518) 828-2300 Fax: (518) 828-3963 E-Mail: morrisassociates@aol.com j~ September 18, 2009 T own of Wappinger Town Board Town Hall 20 Middlebush Road Wappingers Falls, NY 12590 tiECEIVELJ SEP 2 1 2009 ;OWN CLER'~ Attn: Hon. Christopher Colsey, Supervisor RE: Rockingham Farms - Section I & II Curb Replacement Project Application and Certificate for Payment #1 Dear Mr. Colsey and Town Board Members: Enclosed please find the Application and Certificate for Payment #1 in the amount of $23,465.00 which reflects 5% retainage in the amount of $1 ,235.00 for a total completed and stored to date of $24,700.00 as submitted by Thomas Gleason, Inc. Also, attached are the Town of Wappinger Purchase Order & Voucher form and copies of Certified Payrolls. Please place this on the agenda for the September 28, 2009 Town Board Meeting for approval of a resolution to disburse the amount certified. Please call me at (914) 475-5749 (cell) or (845) 454-3411 Ext. 30 (office) to discuss this matter prior to the meeting. Very truly yours, RIS ASSOCIATE ineering Consulta '~obert J. Gray, Engineer to the RJG/met Ene. 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'" (J) en "0 ~ RO 01 ,:. ~ s _ !l '" ~ ,:. 01 -..J -..J Co )> :J)> -..J '" 6 '" ~ '" ~ =:i 3 lD~ '" '" 0 '" '" '" '" ~ :Jc- '" 01 '" '" ",r 3 g !!! ~ ~ ... ~ ... ... " 0 ~ '" ~ ~ * ~ '", '", :.. Ow -... ~ -0 ,:. ~ ~ (J) ~ ! )> '" w w w I -..J .... Co Co w '" (J) w w '" ,:. '" ... ... ... ... ~ ... (/l en ~ '" CD '" CD ,:. ,:. 01 W '" 01 0 0 ~ w (J) !:i 0 :t- '" w :t- '" ~ 0 -..J 0 ~: 0 W '" (J) CD 0- C ... ... ... ... ... ... ~ .." U w W 01 ,:. :c CD 6 '" ~ '" ,:. '" 0 0- ::J (J) 01 ~ '" CD 0: CD (f) '" '" 6 01 '" 01 5 ~ )> '" (J) w '" 01 0 0- lD ~ 6 ~ :J ... ~ ... ... ~ ... (f) ~ 01 (J) ,:. :c en 0 ~ CD .... ,:. CD 0 Iii 01 :t- en '" 0: Co '" :t- -..J en -..J '" ,:. 5 -..J '" '" lD - ... ... ... ... ... ... 0 0 0 0 0 0 0 ~ '" (J) '" '" (J) (J) fii" 0 0 0 0 0 0 '" 0 Cl 0 0 ~ '" '" '" 0 ~ N 5'" v;' 0> :; '" <; '" w 0 ~ ~ E !:! E tJ '" ~ ,:. -t 0 <5 '" ~ iil * 0 0 < c- o 0 ^ ~ E E ... ~ ... ... ... ... ~ ~ :I> '" '" -..J CD 0,:. (J) "U 3 '" '" '" Z -..J '" W W -..J (J) '" 0 ~ w '" 01 01 CD 0 c: c CD CD '" ,:. '" ,:. ~ '" -..J ~ m m ^ r- -< "U :I> -< ;0 o r- r- . Statement Of Compliance Date: 9/14/09 I, Laura Gleason-Knull do hereby state: 1. That I payor supervise the payment of the persons employed by THOMAS GLEASON INC. on the Rockingham project; that during the payroll period commencing on the 6th day of September and ending on the 12th day of September., all persons employed on said project have been paid the full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person, other than permissible deductions as defined in Regulations, Part 3(29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 D.S.C. 276c), and described below: 2. That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work performed. 3. That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training, united States Department of Labor, or ifno such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, united States Department of Labor. 4. That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as noted in Section 4 (c)below. X (b) WHERE FRINGE BENEFITS ARE PAID IN CASH Each Laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as noted in Section 4 (c)below. EXCEPTIONS (Craft) EXCEPTION EXPLANATION David Cole $1.60 hr Health Ins paid by employer - Single $1.60 hr Health Ins paid by employer - Single Alfonso Giunta $2.50 hr Health Ins paid by employer - Family $2.50 hr Health Ins paid by employer - Family David Janukajtis $1.60 hr Health Ins paid by employer - Single $2.50 hr Health Ins paid by employer - Family $2.50 hr Health Ins paid by employer - Family Name and Title: Laura Gleason-Knull Corp Sect'y Signature:~ ~ C\l'In~ IA"A/ -:-.l\ (\ ~ T THE WILFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE " ~ '- (J) " > (J) Ql ~ 8: c 0 g 3 0 $ g, iO ~ CD 'j; z Ii: a th 0 r ~ 0 ~ "TO (J) !" (l 0 s: m m ~ " ~ g 0 ~ 0 0 ..... Ql " c 0 i 0 0 Q ;u ;u 15 .... U) ~ " is '" m - .f3 '" CD m z (J) ~ r - '< m c > I!. - .. i:: ~ ,- i 9 OJ z - !.ll -< ~ ~ " 0 :;- r > 1- 0 Ql '" '" ~ - g 'ii (l ~ Q ; " g ::! .... 0 " - .- - i (l z en 0 Co> 0 0> Co> ~ ~ C 0> -I ?< ~ ~ ~ C N ~ -I m Co> I\) ." .. en VI - % a 0> ~ ~ ... ~~ I\) ;u ~ -l ii !l _:E - ~ <Ill 3..- ... i ~!l' > c.> I 5" c;! R c.> ... > : <P :L ii ..... i ~ .. 0 " . c ~ ;t" f " i .. a~ .2. .. _a I\) ~ :>> 0, . !1 .... cgil. 0> ~ g a ~[ ... G) g - ~ ~ u. " 01 .2. ~ 0> ~ ! c a ~ en en - g 8 01 ;., :J. ~ 0 0> '< ~ . c ~ ~ ." Sl I\) :I: <Il c'- ~ 0 a. :> a: <Il ~ - !!. -l :,. a. (Q g: ci" ~ :J ... '" 0> :I: en !>> 0 S- O> a: ii" 0 5. (Q - '" 0 0 i>> ~. :E 0 t ~ ~ :; ~ 3 > ~. ~ I~ !I' z 0 ~ .. -I 0 !!l g; ~ iil ~ < ~ ~ <Il '" ~ If " Z -l OJ 0 !a i:o a: c: 0> ;a. ~ m ~ ~ ;0 o .- .- . Statement Of Compliance Date: 9/8/09 I, Laura Gleason-Knull do hereby state: 1. That I payor supervise the payment of the persons employed by THOMAS GLEASON INe. on the Rockingham project; that during the payroll period commencing on the 30th day of August and ending on the 5th day of September., all persons employed on said project have been paid the full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person, other than permissible deductions as defined in Regulations, Part 3(29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described below: 2. That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work performed. 3. That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training, united States Department of Labor, or ifno such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, united States Department of Labor. 4. That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as noted in Section 4 (c)below. X (b) WHERE FRINGE BENEFITS ARE PAID IN CASH Each Laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as noted in Section 4 (c)below. EXCEPTIONS (Craft) EXCEPTION EXPLANATION $1.60 hr Health Ins paid by employer - Single $1.60 hr Health Ins paid by employer - Single $2.50 hr Health Ins paid by employer - Family $2.50 hr Health Ins paid by employer - Family $1.60 hr Health Ins paid by employer - Single $2.50 hr Health Ins paid by employer - Family $2.50 hr Health Ins paid by employer - Family Name and Title: Laura Gleason-Knull Corp Sect'y Signature:~ ~Qs\ ~o f\ ) THE WILFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACrOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION. 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I! lit ..:- -. .-. - -. . 87/82/2887 13:48 8452977214 COHPTROLLER P;;GE 81/131 TOWN OF WAPPCNQIA. NY ~.o. Box 324, Mlddrebueh Road Wapplngers Falls. N.Y. 12590 ~urctl&u Orde, No, DO NOT W~/rc'N THIS SOX I C/.A1MANT'S NAME Il.ND Il.DO~e!lS THOMAS GLEASON, INC. 42 ;',;c,~::iLEY lANE POUGHKEEPSIE, NEW YORK 1260' -, DAII VCI\IcIlar ~el'w,d I FUND. APPROF'RIATfON AMOU~T : I I I I I I I TOTAL I I ABSTRACT NO. I I PURCHASE OROER Be VOUCHER r L -1 TE~M8 t--J€\ 30 lleNOOi=i'S Ror" . "'" '-"'- \ "'-'<..> l-+ A "--\. ~eF.NO, :tl., I DAres QUANTITY DESCFUFTION OF MATe~IALS OR seRVICES UNIT PRice i AMOUNT Or/tiel ~ KoelL \~Gl-1AIl--\ r:- AD- N ::> APP L \ c.. A, l O,..J #- ( d311(ro~ (jJ ~ I I I L TOTAL ), I ~3, LIG:SCC -- , .. - I, lfu ,)\\..A G\..-e.~..J- 'C,\-...)uv......- Cl!lr!/fylhatlhllsb<weeceounllnll>elllflOunlors ,Q31 '-f~S_Oc..) Is; lP\n end ~: IMlIhe llema. stM::mI, en~ dl'~"",,",PlIl: Ci'lal'\lOd .....l'lll'8tld.~ lQ Q( for fhe rnunlclPIIllly 01\ 1M dll," Metod: lhal nQ pari hM tl&01\ ~Id C1r OSdBO!ld: lhet Ul~. tn;>m wI1lM 11'11' -"~;::~~"__'..h~~.~ r~~ OATE j- SIG~':AT"';R; flTLE I AP~ROVAL FOR FA YMS/{i inlc ~I~IM i~ apl'1'OVQcl pole! f...:>1'!'\ lno QPP"'PriQtl"!'I~ ;...c1lost..d ~bove I (S~ACe 8El~ FOR MUNIC'~AL USE) OEPARTMgt'H A-PPROVAf. The above services or materials we~ rendered, or furnished to the municipality on the dates stated and the oharges are correct DATE A.UTHORIZED OFFICIAL LiAn:: ""'r-\.! '''''''_~....., I ~_ JM\. MORRIS ASSOCIATES ENGINEERING CONSULTANTS, PLLC /.~~ ~. r;=~ \;,,17 / ~ ((I \. " \ , 1 .' -' .' I , .9 Elks Lane, Poughkeepsie, New York 12601 Tel: (845) 454-3411 Fax: (845) 473-1962 0187 Church Street. Poughkeepsie, New York 12601 Tel: (845) 471-7900 Fax: (845) 471-7901 0389 Falrview Avenue, Hudson, New York 12534 Tel: (518) 828-2300 Fax: (518) 828-3963 E-Mail: morrisassoclates@aol.com ROCKINGHAM FARMS - SECTION I & II CONCRETE CURB REPLACEMENT PROJECT TOWN OF WAPPINGER Notice to Proceed To: Thomas Gleason, Inc. 42 McKinley Lane Poughkeepsie, New York 12601 HECEIVEU AUG 2 5 2009 i"1'J\!N CU~p" Notice to proceed for the above referenced contract is hereby given. The date of the notice is: AUQust 26. 2009 . Contract time is 45 days from the notice to proceed. The required date of completion is, therefore: October 11. 2009 Signed by: . Robert J. Gray En' r to the Town DATE (~ CC. Christopher Colsey, Supervisor ./ John C. Masterson, Town Clerk Albert Roberts, Esq., Town Attorney E:\documenls\TWappinger\a W2009\w20903 Rockingham Sect I & lI\Nolice to Proceed 8-21-09.doc _' _.___ AUG- 2 4 - 20~~ M.~N 1~: 1 ~}M-'y'ERG I LI S, STENGER I ROBERTS FAX NO. 8452982842 P. 01/01 GP..RALD A. VBROlLlS. KENNETH M. STeNGER. ALBERT P. ROBERTS THOMAS R. DAVIS STEPHEN E. DIAMONO..... JOA-N Po GARRETT" VERGIUS, S1'ENGER, ROBERTS, DAVIS & DIAMOND, LLP ATTORNEYS AND COUNSELORS AT LAW 1136 ROUTE 9 WAPPINGERS FALLS, NEW yoRK 12590 (845) 298-2000 FAX (845) 29'-2842 www.vsrp.com e.mail: info@vsrp.com OF COUNSEL; KAREN MacNlSH LEGAL ASSlSTANrS: AMY E. DECARLO MARIA L. JONES SA-NORA A. OAKLEY C\..OSINCi COORDlNATOR: SUSAN E. eAff-INP. KEVIN T. McDERMOTT ANGl~L I. FALCON ANTHONY M. OHAl.IO". JAMBS P. HORAN". LISA M. COBa M. El,.LEN O'SUL\..IVAN '/lDMITl1ID TO PRAcnCR IN NY &. FLA. "APMITfIm TO l'ltACl'ICE Il'lWY&CONN. ... ADMlITf.P TO pj{ACTICE IN NY & I'll .... ^1~MITTl'iCl TO PltACI'ICE lNNY.I'~&M^ POUGHKEf-PSIE OFFICE 276 MAIN MAI.1... pOUGHKEEPSlE, NY 12601 (MS'l452-1046 NEWBUROl-lOFfICE 199 N. pl.ANK ROAD. SUITE 106 NEWBURGH. NY 12550 (845) 561-3783 Aug'l1st 24, 2009 Via Facsimile 454-4556 Thomas Gleason, Inc. 42 McKinley Lane poughkeepsie, New York 12601 Attention: Patrick Gleason RECElVEU AUG 2 ~ 2009 Re: Town of Wappinger Rockingham Farms - Section I & II Curb Replacement project VSRDD File No, 12951.0484 TOV'!N CU~p'\ Dear Mr. Gleason: In cormection with the above matter; would you kindly have your insurance carrier provide a copy of the original endorsement naming the Town of Wappinger as additional insured? Very 1rul y yours, VERGILIS, STENGER, ROBERTS. DAVIS & DIAMOND, LLP U1.bL\L+ p- L(9 bLLL I (j?tea ALBERT P. ROBERTS APRlso cc: Town Board Town Clerk Marshall & Sterling o:\Wappinger\Town Board\RockiJ\ghlQl\\rnl7.409 k:\lU to Gleasoo.doc DICTATED BUT NOT PROOF READ BY APR. tient ~y: MORAIS ASSOCIATES; 8454731962; Jul-15.09 2:37PM; Page 3/8 . TOWN OF:,WAPPfNGER .ROCKfNGHAM:FARMs'.....SECTiOftt 1'& IJ CONCRETE CURB'REPJ.;AC'EMENT :PR()jeCT . .. CONTRACT NO. 01 BJD.-FORM RECEIVED JUt 2 7 2009 TOWN ClER~~ . ! T E TOWN RESEAveSTHE RIGHT TO REJ'ECT ANY OR ALL BIDS. EACH BID FORM : S ALL Be ACCOMPANieD BY BID SeCURITY (AS DESCRIBED IN THE INSTRUCTION i T BIDDERS). THE TOWN BOARD, TOWN OF WAPPINGER, NEW YORK suant to and in compliance with your invitation to bid contained in the Notice to tractors dated . (month) (day) (year) ! th undersigned. hereby:proposes to. tumlsh aU labor, machine~1 equipment, facilities, : to~, transpoltatiOn, '.sUppfies, materials;." insurances, permits,: certificates., .tests, i gu rantees, prOtection .of. equipment and prop8rty and life during: COnstruction; a~ WSiI as : co petent and quallfMMfsu'pervision for aU'phases of the work,. and other facilities. and ( thl gs ne~ or .proper for or incidental to, the Rockingham' Fai'mS Section I & II t C crete Curb';'Repfacement P.roject, Town.o.~ WappinGer, as required by and in strict ~ a dance with the;:plana. speclfications.and'.".o~erdoouments retatlngto Contract No. ; 01 for the prices stipulated and as shown on this bid tonn. eofBidder.: .s ~ e:Xc..Qvo.Tr.' . (Individual, Partneishi Corporation LLC)- · C~rcle applies . : undersig.n8d di;Clares that the bidding and contract docu~nts have been carefully : ex mined and that all things necessary for the completion of the work shal' be provided. ipt of the following' addenda is hereby acknOWledged: EN DUM NO. 1 ENOUM NO. 2 ENDUM NO.. 3.. ENOUM NO.4 DATE . -, \ J'S/O'; J J/510~ 111\&{~ SIGNATURE ~~ "\~ ~ .s;;::::.:> --- c:: ::> --r ..16 - Sent By: MORRIS ASSOCIATES; 8454731962; Jul-15-09 2:38PM; Page 4/8 ; In nslderati~ of;:and.to induce the award of this contract to hm/her, the bidder : re resents and! warrants:that: (g) (h) (a) IUhis bKt.isjlccepted by the TOWn Board:, ToWn of Wappinger. as evi.denceq by .issuance of a.Notice of Award by the Owner..and.mal1ed by registered. mai' With' ~tum receipt req~sted to the addtess. of lhe bidder as indicated on hislher bid, the bidder will"execute a contract on the form of agreement herein pro1Jided and wi" compfVwith all'provisions'ofsaid..Notice of Award. (b) This bid.is made without any' understanding, agreement or connection with aily othet. pe~n, firm or COrP~"ation making a bid for the same work, and that it is in a~1 respect fair and.Without collusion or fraud. tielShe has carefully examined and fuUy understands all of the parts of the cOntract dOcuments. an~ that '~e ~II execute the contract and will" comp~eIy:perform It in strict accordance with the provisions 'thereof for the sum s8t forth on the bid. No officer or employee ~ .the Town Board. Town of Wappinger, or any person whose salary is payable in who'le or in part. by. the Town Board is, she" be, Of shatto become' interested directly or indirectly as. a contracting' party;:. partner. ,stockhold8r,.' surety or othefWt&e in this bid or in. the perfon-nanee of the rontra~ 'or in the supplies, matetials or.equ'ipment; arto work or labor to which it relates. or in any portion of.the profits thereof. He/She Is not in arrears to.the Town Board upon debt or contract and is 'not a d8faulteras surety.. contractor, .or otherwise upon any obligation to the Town EJoardt Town of Wappinger. (c) (d) (e) ef) AU work Shall be completed, wiItrin the time allotted. "from the'date specified. in the NbtiOtf to Proceed or. set by the contract d.ocuments, mailed to, the u.ntjersignect by' fegistered . mail. with return receipt reqo8sted to the legal addreSs'.af.the bidder as indicated on hlsJher bid. I{ the :bid. dOcuments contain. any unlawful provisiot:' 'not an essential ,;aFt of . the bid. and which shaN not appear to have been a controlling or material inducemertt"to the making' thereof, the same shaH be deemed'of no effect and. will' upOn notice by ..ther. the Owner or the bidder be. deemed stricken from the bid documents'without affecting the binding force 'of the remainder. Each :and :every provision' of any law and clause' requi~ by law to be inserted m:the bid documents.shall.be deem.ed tQ be irnserted herein and the bid documents shall be read and. enforced 8S though.it were included herein; and if throtlgh mistake or otherwise any such pr.qVi~ion is not inserted. or is riot correctly inserted, then 'lipon. the 'app"cation' of" .either party, the bid doCumenti shall forthwith be. physically amended to make such inSertion. ..: 17- Sent By: MORRIS ASSOCIATES; 8454731962; Jul-15-09 2:38PM; Page 5/8 (i) That ~1sti8.is financially solvent-and sufficiently. experienced and competent to. perform tht 'Work. 0) . . The wO~ 'can.be performed as.catled for by the'pfQpc)salafl(l.that the.prans and specmeations are in all.respeds sultable and adequa.te for the work. That the fatts stated i:n hisiher.bid and the information given by himlher .are true and correct in all fes.pects. . That h8Jshe is.fulty mformett-t.siarding an the condition. a~lng the wofkto ' be done and labor and matenats. to be 'furnished .foi the .completion of. this oontract, .and.that hislher information was secured bY'Personallnvestigation ' and research. . (k) (I) (m) In the:ev.ent. of a lawsuit. th.' bidder agrees that said suit shall. be filed in the seme' federal district or county as the location of the' project. FOR CONTRACT WORK: Bidder prf)f).o8es'''to perform the work required in accordance with the contract uments for the lump sum of: $ O.1f - V)(;1VJdrfc:! ~ nd .. Se vI", '-f ~Qi.'1~",cJ - ~V1V1drf d 'S',xf ,/:FitJ~ (Words) '. ~\,~ $ \LP 2 (oS 00 , (Figures) T e Bidder pre:,Pos8$'.to per(orm the wdi1<...required in accordance with the contract, d uments for the 'ur.'Iit price bid per lineal fOot of: $ ~ ~ "1 e.... ~\\~ (Words) $ o L00 (Figures) N te: The UnifPrice'Bjd..wiH be used to adjUstthe Base Bid price up or down as a resurt . t the actual lineal footage of concrete curb replaced. . - 18- . '. ". . '.:.' " '.. '".. ........ .M_......... _..... , . "........ .,_:._~~"...~.~.~.~..,: ....:.,.{.;..,.,.;...,.., ........;:.::....;.,.:,.:..:.~ ',. Sent By: MORRIS ASSOCIATES; 8454731962; Jul.15.09 2:38PM; T PRICE SID: ! Th Bidder proPoses.to:iristall asphalt paYing '(Base and Top. course) wittlin the areas of. : th water serviCe trencti. in accordance With 1he contract doCuments for the unit priCe ; bi per square foot of: :$ S~Jfv'1 ~ \ \ti\ (Words) 0\.) :$ (Figures) : AI 0 made a pan of-this bid is the attachecHfocumentation per DMsion 100. Article C.3. Sign sid. Here ~ - ::..-.~ AuTHOAIZED'~GNATURf Print Name D \ Q V1 V\..f \-\a ,. ~ V'\ oj Title . V \ I!.--! ~re~, ~V\+ Official CQmpany,Name LC)* laJbTf- 1J',vL STReEt NY J2S"&~ . 'STATE ZIP CODE J Lj , I J 26 '-IU<. Compa~y MaiQng:Address Lf f/~:'C1~"'1-f- Jo.J/-/1/ './ CITY . ' / ' FederaLEm~oyer IdentifICation NO. Telephone No., . 035 .-9 c;:.s5/ Fax No. b 3.5 - 2 3 J.b - 19- Page 6/8 Sent By MORRIS ASSO~lAltti; a....'-J...''"'lwU'", (If idder Is a cOrpot8tiOn:. fdl in the follOWing',blanks.) Or aoized under the taws of the State of: N Q~ YiJr~ N e and Address Of President: lSr; t1V) WcA yt" o~ d I i ---r; I btJi- 'br 'J vie, ~)cw.~a..--.,-t Va,lh 125'(;; N eandAddressOfSecretary: ~,aY'~ \-\0 rvo~c\ , (( 7; Jb\:sf ~\ve/ \=1W~~T Va' L,,- N e 'and Address of Treasurer. idder is a Umited, Liability Company, tiff in the following blanks.) anized under the lawS of the State of: N me of Manager Of Managing Mem~r: ' A nt for SeNice of Process: ress for SeMoe' of Process: - 20- Sent By MORRIS ASSOCIATES; 8454731962; Jul-15-09 2:39PM; page tJ/tJ S TE OF NEW YORK' ) ~_ I ss: C UNTY O~.;..Ltfc..,t,<,..s-S ) On the. . ~i . dey 01 ~ .!J?YJ9 ,before me,the. . . U efSigned, a:Notli'Y Public in and forsaid~- te, personally eppeared }),~" 'lAle ~.eR~ onally known to me 'or proved to me on tt1~ ba$is of satisfactory evidence to be the in ividual whose name'l.s$ubsCribed to the.wi:th1n instrument and acknowledged-to me that h executed the same in rns capacity, and that by his signature on .the . instrument.. the in ividual, or the person - upon behalf of which the individual acted., executed' the in trument. C~0'J / ~z. ~ NOTARY.PUBlIC . . . . DEBORAH BJORKMAN NOTARY PUBLIC, State of New York Reg# 01BJ5011947 Qualified ill Dutchess County J I Commission Expires 6/15/20-i+ - 21 - I I I I i II I I II I I I I I I I II I I 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 by law, 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. (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 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 Town Clerk of the Municipality to which the bid is made, or his/her designee, determines that such disclosure was not made for the purpose of restricting competition. (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 or 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 - 26- II' I . ill I I Ii I I I I I I I , 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 under penalty of perjury, .-;;:I' BIDDER'S SIGNATURE: L-~ ,~ ~ DATE: '71 '2 (p Ia1 - 27- RECEIVED JUl 2 1 20C~: TOWN CLERI" BID BONO KNOW ALL MEN BY THESE PRESENTS: that B&K EXCAVATION, INC. . 4 TALBOT DRIVE. PLEASANT VALLEY. NY 12569 TRAVELERS CASUALTY & SURETY COMPANY OF AMERICA ** 900 WATERVLIET-SHAKER ROAD, ALBANY, NY 12205 as Principal; and as Surety, are hereby held and firmly bound unto the Town Board, Town of Wappinger, New York in the amount of: FIVE PERCENT OF THE ATTACHED BIO--------~~kl~x~ ( 5% OF BI0---------------:--------------1 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 27TH day of JULY 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 Rockingham Fanns Section I & II Concrete Curb Replacement Project for the Town of Wappinger, New York, as shown and specified in Contract No. 01. 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. - 23- (SEAL) ~ --Insert Bidder's Name **Insert Surety's Name PRINCIPAL .&K EXCAVATION~C~ By zi-e'~ '_ BRIAN HARRAND, PRESIDENT ' Signed, sealed and delivered in the presence of ~ .--'-~ """.~ (Corporate seal of Contractor if a corporation) B&K EXCAVATION, INC. 4 TALBOT DRIVE PLEASANT VALLEY. NY 12569 Contractor By "7~ ~. BR I Atr HARRAND, PRES I DENT TRAVELERS CASUALTY & SURETY COMPANY OF AMERICA (Corporate seal of Surety) (Title of Officer) ATTORNEY-I N-FACT Attest - 24- - .. .' STATE OF NEW YORK ) ) S8: COUNTY OF DUTCHESS ) On the 27TH day of JULY, 2009 ' before me, the undersigned. a Notary Public in and for said State, personally appeared BRIAN HARRAND 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 s.ignature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. '. STEFANtE M. PULVER Notary Public State of New Vor' Oualifie~ in Dutch!3S~~[~7.~ 0 Commission Expires l' , Cert No Q1PU60 UBLlC .. " STATE OF } ss: COUNTY OF On this _ day of _, _ before me personally appeared _ with whom I am personally acquainted, who, being by me duly sworn, did depose and say: That (s)he resides at _ that (s)he is the _ ofthe _ the corporation described in and which executed the foregoing instrument; that he knows the corporate seal of said corporation; that the seal thereto affixed is such corporate seal; that it is so affixed by order of the Board of Directors, and that he signed his name thereto by like order. Notary Public County COUNTY OF Dutchess } SS: STATE OF New York On this 27th day of July, 2009 , before me personally appeared Frank S. Maranto Jr. with whom I am personally acquainted, who, being by me duly sworn, did depose and say: That (s)he resides at Hyde Park. NY that (s)he is the Attorney-In-Fact of the Travelers Casualty and Surety Company of America the corporation described in and which executed the foregoing instrument; that he knows the corporate seal of said corporation; that the seal thereto affixed is such corporate seal; that it is so affixed by order of the Board of Directors, and that he signed his name thereto by like order. STEFANIE M. PULVER Notary Public State of New Yorl. Qualified in Dutches~:ntr Commission Expires en,,, Ii) Cart. No 01PU60 Notary Public County ~ TRAVELERSJ POWER OF ATTORNEY WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. Seaboard Surety Company St. Paul Fire and Marine Insurance Company Attorney-In Fact No. 218380 St. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company Certificate No. 0 0 2 3 4 2 9 7 8 KNOW ALL MEN BY THESE PRESENTS: That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York, that St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota, that Farmington Casualty Company, Travelers Casualty and Surety Company, and Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut, that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc. is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint John P. O'Shea, Frank S. Maranto Jr., Kevin A. Viana, Mary Ann Szczypca, Timothy Rychcik, Susan Provost, Kathleen A. Brown, Carmella M. Grassi, and Eleanor Menges of the City of Poughkeepsie , State of New Yark , their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in of,guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or al1f~ons allowed by law. *""....' IN WITN~rWHEREOF, the Comp~~ave caused this ins day of ij: Farmington Casualty CQI{I.P~~ ., (" Fidelity and Guaranty(~br~!"f\~ pa..~;.:~."'~ Fidelity and Guaranty Insu~e Underwriters, Inc. Seaboard Surety Company St. Paul Fire and Marine Insurance Company ~ ~~ '~.f ~ o ~ State of Connecticut City of Hartford ss. 25th St. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company I!':~~' vv...... ......1-('1\ :/~,,'OR~1"i\ (f\ \ f3i --- igi \~~..~:EJI.L/ ~ ~.~.,."~~,,b By: 25th April 2008 On this the day of , before me personally appeared George W. Thompson, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof, I hereunto set my hand and official seal. My Commission expires the 30th day of June, 2011. 58440-5-07 Printed in U.S.A. '<<\~ c. j~ '- Marie C. Tetreault, Notary Public WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER WARNING: THIS POWER OF ATTORNEY IS rNVALlD WITHOUT THE RED BORDER This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kori M. Johanson, the undersigned, Assistant Secretary, of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company ofAmericu,<!I1d United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of saidCoInpanies this 27TH day of JULY ,20~. Kori M. Johans B ~~ o ~ ~~~~~~,. /;,..... .....V' f S/~o'#.PDrMr~\ I'" \ I'"' -.- '0; ~... ~ .: 0 \""i;:.~.EA.%~ "-:..ti'....;...-,..+- To verify the authenticity of this Power of Attorney, call 1-800-421-3880 or contact us at www.travelersbond.com. Please refer to the Attorney-In-Fact number, the above-named individuals and the details of the bond to which the power is attached. WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER , -. " -- ASS CASH &. INVESTED CASH BONDS STOCK INVESlMENT INCOME DUE AND ACCRUED PREMIUM BALANCES NET DEFERRED TAX ASSET REINSURANCE RECOVERABLE OTHER ASSETS TOTAL ASSETS STATE OF CONNEC11CUT COUNTY OF HAATf'ORD CITY OF HARTFORD )Ss. TRAVELERS CASUALTY AND SU~ COMPANY OF AMERICA HARTFORD. CONNEC11C01' 06163 FINANCIAL STATEMENT AS OF DECEMBER 31. 2008 CAPITAL STOCK $ 8,000,000 $ 146,779.723 MS2,929,381 7.686,626 46.&60,631 303,562,195 40,013,233 12.426,353 86.225,430 $ 4.096.243.572 UNEARNED PREMIUMS LOSSES LOSS AOJUSlMENT EXPENSES COMMISSIONS TAXES, LICENSES AND FEES OTHER I!XPeNSES FUNDS HELD UNDER REINSURANCE TREA llES CURRENT FEDERAL AND FOREIGN INCOME TAXES REMITTANCES AND ITEMS NOT ALlOCATED AMOUNTS WITHHELD I RETAINED BY COMPANY FOR OTHERS RETROACTIVE REINSURANCE RESERVE POlICYHOlDER DIVIDENDS PROVISION FOR REINSURANCE CEDED REINSURANCE NET PREMIUMS PA VABlE OTHER ACCRUED EXPENSES AND L1ABILrl1ES TOTAL lIABILITIES CAPITAL STOCK PAID IN SURPLUS OTHER SURPLUS TOTAL SURPLUS TO POLICYHOLDERS TOTAL LIABILITIES & SURPlUS $ 346,309,219 822.955,804 278,222,182 52,167,066 43,371.400 29.247,064 105,982,816 104,16U80 57,573,235 31,564,808 11,097 ,864 9,605.141 5.452.296 (45,467,530) 11 021928 $ 2.361 :2117:253 S 8.000,000 303,297.402 1425678916 $1l34:976:318 $ 4,(IQl$,243.572 ERIC B. BRUDER, BEING DULY SWORN, SAYS THAT HE IS CHIeF' FINANCIAL OFFICER - TRAVELERS BONO & FINANCIAL PRODUCTS, OF TRAVELERS CASUALTY AND SURl:TY COMPANY OF AMERICA, AND THAT TO THE BEST OF HIS KNOWLEOGE: AND BELIEF, THE FOREGOING IS A TRUE.,., CORRECT'TA""''''T Of tHE FW_W. COM>moN Of "10 "_AllY AS Of tHE '~B CHIEF FINANCIAL OFFICER- BOND & FlNANCIAL PRODUCTS SUBSCRIBED AND SWORN TO BEFORE ME THIS 17th DAY OflAPRIL, 21>09 MARIE ('. TETREAULT Notary PlIMlc "'fl' CII/IIl1Ill.\'illlt txpirt'.\' .Il/ft<' .if). 2()1/ JUL/22/2009/WED 07:20 AM FAX No, p, 003 I I ~ , I I , , ~ , ~ ~ ~ - BID BOND KNOW ALL MEN BY THESE PRESENTS: that REGE\VEu JUL 2 7 2009 If)'NN CLEP,~( ~ H.B. WILTSE EXCAVATING, INC. . as Principal; and ** INTENRATIONAL FIDELITY INSURANCE COMPANY as Surety, are hereby held and firmly bound unto the Town Board. Town of Wappinger, New York in the amount of: ---5% OF THE ATTACHED BID------ 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 27TH day of JULY 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 Rockingham Farms Section I & \I Concrete Curb Replacement Project for the Town of Wappinger, New York. as shown and specified In Contract No. 01 . 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 i1nd seals, and such of them as are Corporations have caused their Corporate seals tu LJ6 hereto affixed and these presents to be signed by their proper officers, the day and year first set forth above. - 23 w JUL/22/2009/WED 07:20 AM I l ij ~ ~ ~ ~ ~ \ ~ ~ ~ , , , , I , (S EAL) FAX No. *lnsert Bidder's Name **Insert Surety's Name By Sjg~ed, sealed and deliver~ \... rY\ '\\ \. _ In the presence of ~"'(j ~~ (Corporate seal of Contractor if a corporation) (Corporate seal of Surety) . H.B. WILTSE EXCAVATING, By (Title of Officer) ROSEMARIE A. MISENAR ATTORNEY-IN-FACT Attest p, 004 (Title of Officer) - 24- JUL/22/2009/WED 07:20 AM FAX No. p, 005 STATE OF NEW YORK COUNTY OF l)_Y\L~E"S5 ) ) ss: ) On the a'l~ day of J(\L.~ L ')...Cd; , before me, the undersigned, a Notary Public in and for said State, personally appeared mAV't~~Orn~ICD 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. ~~G6~ NOTARY PUBLIC LAURA J. MILLUS Notary Public, State of New York No. 4862327 ......gua1l1fed In Dutchess County ~~ ...,.'""*" Expirea Dec. 11, 19~ I INTERNATIONAL FIDELITY INSURANCE COMPANY ONE NEW ARK CENTER, 20m FLOOR, NEW ARK, NEW JERSEY 07102-5207 STATEMENT OF ASSETS, LIABILITIES, SURPLUS AND OTHER FUNDS AT DECEMBER 31, 2007 ASSETS Bonds (Amortized Value). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Common Stocks (Market Value) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mortgage Loans on Real Estate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash & Bank Deposits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Short Term Investments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Unpaid Premiums & Assumed Balances . . . . . . . . . . . . . . . . . . . . . . . . Reinsurance Recoverable from Reinsurers. . . . . . . . . . . . . . . . . . . . . . . Electronic Data Processing Equipment ...... . . . . . . . . . . . . . . . . . . . InvestmentIncome Due and Accrued . . . . . . . . . . . . . . . . . . . . . . . . . . Net Deferred Tax Assets ................................... Other Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOT AL ASSETS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LIABILmES, SURPLUS & OTHER FUNDS Losses (Reported Losses Net as to Reinsurance Ceded and Incurred But Not Reported Losses) . . . . . . . . . . . . . . . . . . . . . . . . . . . . Loss Adjustment Expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contingent Commissions & Other Similar Charges . . . . . . . . . . . . . . . . Other Expenses (Excluding Taxes, Licenses and Fees) .............. Taxes, Licenses & Fees (Excluding Federal Income Tax) . . . . . . . . . . . . . Current Federal & Foreign Income Taxes ....................... Unearned Premiums . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ceded Reinsurance Premiums Payable . . . . . . . . . . . . . . . . . . . . . . . . . Funds Held by Company under Reinsurance Treaties . . . . . . . . . . . . . . Amounts Withheld by Company for Account of Others. . . . . . . . . . . . . Provisions for Reinsurance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL LIABILmES .. . . . . . . . . . . . . . . . . . . . . . . . . Common Capital Stock .................................... Gross Paid-in & Contributed Surplus ..... . . . . . . . . . . . . . . . . . . . . . Surplus Note. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Unassigned Funds (Surplus) ................................ Surplus as Regards Policyholders ... . . . . . . . . . . . . . . TOTAL LIABILmES, SURPLUS & OTHER FUNDS. . . . $88,913,221 18,170,832 1,111,500 46,453,412 4,039,006 4,488,967 631,946 135,990 1,253,680 3,250,000 2,245,354 $170.693.907 $15,493,530 4,242,428 116,728 4,960,927 1,252,929 645,000 29,522,449 1,931,511 5,068 26,183,176 7,409 $84.361.155 $1,500,000 374,600 16,000,000 68.458.153 $86,332,752 $170.693.907 I, Francis L. Mitterhoff, President of INTERNATIONAL FIDELITY INSURANCE CaMP ANY, certify that the foregoing is a fair statement of Assets, Liabilities, Surplus and Other Funds of this Company, at the close of business, December 31, 2007, as reflected by its books and records and as reported in its statement on file with the Insurance Department of the State of New Jersey. IN TESTIMONY WHEREOF, I have set my hand and affixed the seal of the Company, this 26th day of February 2008. INTERNATIONAL FIDELITY INSURANCE COMPANY ~~ . . ...,'...., ....'. ',' .. "'.. . .........,.... .-......"..-, . "..... ... . ... . .. .... ... ''''''. ..... . . . ..- ,,- . .." . . ,. .. ... -- - '. .., -- -. . .." . ." - .., .- " , ,-" .., . .. ,.. . . ........ "," ".."--' ".. .. .. .- -. -. ..... .. ," ........................................ .................................: ."...................... ...................... .................... ..................... '- ' -. , ... " - .".' -", . , --,.., ".,',"" .'. ....'. -".',''',.','' ... .. ,.. .. ,. ",'.-- ':'.... -.",.---.' "":,".-.. ....,:':. . ... ,. ..". - . ,,", . - - ... -- ". . --- . ,. ".. ,.- ... ...... ...., --- ,.. ,... - ." .", -- ,.-. - ". .. ... ..... ......... ........J:9~Jlq'~rrf~~f......... INT~BNAr}'E(QNAE IYll);ELI"YIN~l.JRAN.C~ COMPANY KNOW' ALL MJj1NBY nq;SEPRE~EN"rS:<'I'hat INTERNA~lONA1..FIDELI1YINSlJRA1I1.cECOMJ;>ANv'>acorporationorgll1lized and existing lawso.fJhe State ofNllw Jersey,andhaving its principal officeintheCio/ of Newark, New Jersey, does hereby constj~teandappoint ,.,-................" .~,,+.....i,.,.............'_;..,..._._..... ........._....H............,........'............u......'H" MARYE.BRINCKERHOFF, JAN1CE;X.BALLr}RD. ~OSEMARIE A. MISENA.R Fishkill, NY. .......... ..............................,'........ ..,..........,'.,.- ..." ......."... "."",.............. ....... ...... its true and lawful attorney(s)-in-factto execute,seill and deliv~r for and on its behalf as surety , anY and all bonds and undertakin~, contracts of indemnity and other WTI. .tings obligatory In the natUre th.ereof, which are or may be allqwed, re. .quired . or. 'pe. nnined by I.aw ,stature. ' rule,.. regulation, contract or otherwise, and the execution of such instrUment(s) in pursuance of these presents~ shall be as binding upon the said INTERNATIONAL FIDELITY INSURANCE COMPANY, as fully and amply, to all intents and purposes. as if the same had been duly executed and acknowledged by its regularly elected officers at its principal office. This Power of Anorney)s executed, and may jle revoked , pursuant to an. d by authority of Article 3-Section 3, of the By-Laws adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting called and held on thll 7th day of February , 1974. The President Or any Vice President. Executive Vice President, Secretary or Assistant Secretary, shall have power and authority (1) To appoint AttOrneys-in-fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds and undertakings, contracts of indemnity and other writings obllgatory In the natUre thereof and, (2) To remove, at any time, any such attorney-in-fact and revoke the authority given. Further, this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of said Company adopted at a meeting duly called and held on the 29th day of April, 1982 of which the following is a trUe excerpt: Now therefore the signatUres of such officers and the seal of the Company may be affixed to any such rower of attorney or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatUres or facsimile sea shall be valid and binding Ul'on the Company and any such power so executed and certified by facsimile signatUres and facsimile seal shall be valid and binding upon the Company in the futUre with respect to any bond or undertaking to which it is attachlld. IN TESTIMONY WHEREOF. INTERNATIONAL FIDELITY INSURANCE COMPANY has caused this instrument to be signed and its corporate seal to be affixed by its authorized officer, this 16th day of October, A.D. 2007. INTERNATIONAL FIDELITY INSURANCE COMPANY STATE OF NEW JERSEY County of Essex ~~~ Secretary On this 16th day of October 2007, before me came the individual who executed the preceding instrument, to me JJersonally known, and, being by me duly sworn, said the he IS the therein described and authorized officer of the INTERNATIONAL FIDELITY INSURANCE COMPANY; that the seal affixed to said Instrument is the Corporate Seal of said Company; that the said Corporate Seal and his signature were duly affixed by order of the Board of Directors of said Company.. CERTIFICA nON 1,.. the undersigned offICer of INTER,N:Al'IONA..FIDELI'"I'YINSUlQ\NCECO~ANY do hereby certify .thatlhave comparedihe foregoing copy of the Power of Attorney and affidavit. and the copy of lbeSection of the By-Laws ofsai9 Goropanyasset foith in said power of AttornllY, withthCl.ORIGINALSON IN THE HOMEOFFICE OFSAIpCOMPANY,and that the samllarecorrect ~nscriptsthereof.~ndof the Wb~leof the said originals,>attd that the said Power of Attorney has nolbeen revoked and is nowin full force and effect . . IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, at the City of Newark, New Jersey the day and year first above written. ~,~~ A NQTARY PUBLIC OF NEW JERSEY MyCollWlission Expires Nov. 21, 2010 IN TEStIMONy WHEREOF; Ihavel1ereuJltOse~my~ahdthis > 27TH day 2009 k#'~~ It ,,;. H R q - II . I 11. .~ I I I I I ....\ I I - I I I I , ,. ~ TOWN OF WAPPINGER ROCKINGHAM FARMS - SECTION I & 1/ CONCRETE CURB REPLACEMENT PROJECT RECEIVELJ JUl 2 7 2009 TO'N~,' ClEP'<' CONTRACT NO. 01 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 July 2009 (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, the Rockingham Farms Section J & II Concrete Curb Replacement Project, Town of Wappinger, as required by and in strict accordance with the plans, specifications and all other documents relati ng to Contract No. 01, for the prices stipulated and as shown on this bid form. Name of Bidder: H. B. wiltse Excavating Inc. (Individual, Partnership, Corporation or LLC)* '" Circle applicable 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 ADDENDUM NO.1 ADDENDUM NO.2 ADDENDUM NO.3 ADDENDUM NO. 4 7/13/2009 7/15/2009 7/] 6/2009. - 16 - I I I \ I I I I I I I I I I I I I I I I 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 mail with return receipt requested to the address of the bidder as indicated 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) He/She has carefully examined and fully understands all of the parts of the contract documents, and that he/she will execute the contract and will completely perform it in strict accordance with the provisions thereof for the sum set forth on the bid. (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 performance of the contract or in the supplies, materials or equipment, or to work or labor to which jt relates, or in any portion of the profits thereof. (e) He/She 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. (f) 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. (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. - 17 - (i) That he/she is financially solvent and sufficiently experienced and competent to perform the work. U) The work can be performed as called far by the proposal and that the plans and specifications are in all respects suitable and adequate for the work. (k) That the facts stated in his/her bid and the information given by him/her are true and correct in all respects. (I) That he/she 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 federal district or county as the location of the project. BID FOR CONTRACT WORK: BASE BID: The Bidder proposes to perform the work required in accordance with the contract documents for the lump sum of: $ Onehundredthirtysixthousand. ninehundred dollars and no cents (Words) $ 136,900.00 (Figures) UNIT PRICE BID: The Bidder proposes to perform the work required in accordance with the contract documents for the unit price bid per lineal foot of: $ Thirty dollars and no cents per linear foot (Words) $ 30.00/LF (Figures) Note: The Unit Price Bid will be used to adjust the Base Bid price up or down as a result to the actual lineal footage of concrete curb replaced. - 18 - Sent By: MORRIS ASSOCIATES; 8454731962; Jul-15-09 2:49PM; Page 6/8 Th Bidder proposes to install asphalt paving (Base and Top course) within the areas of th water service trenches in accordance with the contract documents for the unit price bi per square foot of: uareLJoot (WOrds) $ 5.00 /SF (Figures) AI 0 made a part oHhis bid is the attac Sign Bid Here Print Name Marc Vumbico Title Vice-President Official Company Name H.B. Wiltse Excavating Inc. (Individual, Partnership, Corporation. LlC)* * Circle applicable word Company Mailing.Address 907 Dutchess Turnpike STREEt Poughkeepsie CITY New York STATE 14-167581 12570 ZIP CODE Telephone No. Fax No. 845-452-9670 -19 - I I ~ I I , J. I I ~ I '.' Ii .., R ~ a , ~ m p. d (If bidder is a corporation, fill in the following blanks.) Organized under the laws of the State of: New York Name and Address of President: Celeste wiltse 15 Barnes Drive poughkeepsie, New York 12603 Name and Address of Secretary: Name and Add ress of Treasurer: (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: - 20- STATE OF NEW YORK ss: COUNTY OF Dutchess On the 27th day of July,2009 , before me, the undersigned, a Notary Public in and for said State, personally appeared Marc vumbico 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 ..jOU.p.1, ~~.. \ U~CLQ ~ instrument. NOTARY PUBLIC N LAURA J. MILLUS otary Public. State of II/ew York Qu No. 4862327 com allfJeeI In Dutchess County mlalon Expires Dec. 11, 19~9 - 21 - I I m I E 0- I U U ~ & e m I m I I II Ii ri CERT1FICATION 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 by law, 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 orto any competitor, before the time of the bid opening 0 (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 forthe purpose of restricting 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 Town Clerk of the Municipality to which the bid is made, or his/her designee, determines that such disclosure was not made for the purpose of restricting competition. (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 or 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 ~ 26- I I I I . .", I ", I I I 11 I I Ij I 11 I I I I . 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 under pe BIDDER'S SIGNATURE: Marc DATE: 7/27 - 27- TOWN OF WAPPINGER TOWN CLERK CHRIS MASTERSON SUPERVISOR CHRISTOPHER J. COLSEY July 30, 2009 TOWN CLERK'S OFFICE 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590 (845) 297-5771 FAX: (845) 298-1478 TOWN COUNCIL WILLIAM H. BEALE VINCENT BETTINA MAUREEN McCARTHY JOSEPH P. PAOLONI Ben Ciccone, Inc. 151 Daley Rd. Poughkeepsie, NY 12603 Attn: Mark Sicheri Re: Rockingham Farms - Section I & II Concrete Curb Replacement Project Contract No. 01 Dear Mark: Pursuant to the Advertisement for Bids for the above referenced project, your $50.00 deposit is being returned. Weare enclosing your deposit check #29974 for full refund on this project. Sincerely, w~ J C. Masterson Town Clerk JCM/cf -------- I I j. I I I I I - - I I I I I III * ~ .. .1'" BID BOND RECEIVED JUL 2 7 2009 T~'ft1N CLERj": KNOW ALL MEN BY THESE PRESENTS: that * Ben Ciccone, Inc. as Principal; and _ Hartford Accident & Indemnity Company as Surety I are hereby held and farmly bound unto the Town Board, Town of Wappinger, New York in the amount of: 5% of Amount Bid Dollars S (51.: of Amt Bid) 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 27 th day of July 20.....Q2... . 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 Rockingham Farms Section I & II Concrete Curb Replacement Project for the Town of Wappinger. New Yor1<, as shown and specified in Contract No. 01. 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 shan in aU: respects perform the agreement created by the acceptance of said Bid, then this obligation shall be void. Otherwise. the same shan 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 Principaf 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. - 23- - - - - - - ~ I ~ ~ - ~ ~ I ~ W - , Iir (SEAl) .Insert Bidders Name -Insert Surety's Name PRINCIPAL BEN CICCONE. INC. By Brandon A. Ciccone. President Signed. sealed and dellve~ ~ In the presence of ~~ /A.1t1A4~'-4.~ (Corporate seal of Contractor if a corporation) (Corporate seal of Surety) By MANDDP A. I!:t:UNL, 13f1&'4EPI HARTFORD ACCIDENT & INDEMNITY cmlPANY By 0 . .:J l1}ij~ David M. warrace (Title of Officer) Attorney-In-Fact (Title of Officer) Attorney-In-Fact - 24- - I I I I I I I i I I I I I I I I I STATE OF NEW YORK ) ) ss: ) COUNTY OF ,AJl'rl#NS On the ../lJr day of JUt, y ~~9 , before me, the undersigned. a Notary Public In and for said Slate. personally appeared .ItA" I'MI ;ftCtbNl 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. Carla VIgna Notary Public. State of New York No.01V16200380 Qualified in Dutchess County CommissiOn Expirel FebN8IY 02. 2OJZ. .. " Direct InqulrlesIC/a/ms to: THE HARTFORD BONO. T'" 690 ASYLUM AVENUE HARTFORD, CONNECTICUT 06115 calf: 888-266-3488 or fax: 860-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Code: 01.111001 [!] Hartford Fire Insurance Company. II c:orporation duly orpnized uader the laws of the SllIte of Connecticut [Ll Hartford Casualty Insurance Company, 8 COI'JlOI'lIlion duly organized 1It1der the laws of the SllIte oflndiana [Ll Hartford Accident and Indemnity Company, II c:orpontIioa dulyorpnized under the laws ofdle State of Connecticut D Hartford Underwriters Insurance Company, II cmporatiOll duly organized under the laws of the Slate of Connecticut D Twin City fire Insurance Company, II cuTpOnltion duly orpnizcd IIIIdcr the laws of tile Slate of Indian II D Hartford Insuram:e Company of illinois, II COIJlOflIlion duly organized under the laws of the State of Illinois c:J Hartford Insur&nee Company of the MidWest, a corporation duly orpnized under the laws of the State ofJndiana CJ Hartford Insurance Company of the Southeast, II corporation duty cq.aaized under !be laws of the Slate of Florida haYing their home office in Hartford, Connecticut, (hereinafter collectively referred to as the .Companies") do hereby make, constitute and appoint, up to the amount of unlimited: John L Champagne, Thomas F. Wallace. Sr., Paul J. Wallace, Samara WaHace, Thomas F. Wallace, Jr. of Albany, NY their true and lawful Attomey(s)-in-Fact, each in their separate capacity it more than one is named above, to sign its name as surety(ies) only as delineated above by ~. and to execute. seal and ad<nowtedge any and aft bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted ill any actions or proceedings a\lowed by law. In Witness Whereof, and as authorized by 8 Resolution of the Board of Directors of the Companies on July 21, 2003 the Companies have caused these presents to be signed by its Assistant VICe President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution ofthe Board of Directors ofthe Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanicaHy applied signatures applied to this Power of Attorney. 0,..." ....... . 'POWER OF ATTORNEY e~.. "... ~-.'" ~ ..... . i 1.." I ~-:"~ : . . .~~~;:: fJ Ct. ~ ()~ Paul A. BergenhoRz, Assistant Secretary STATE OF CONNECTICUT} ss. Hartford COUNTY OF HARTFORD On this 4th day of August, 2004. before me personally came 08vid T. Akers, to me known. who being by me duly sworn, did depose and say: that he resides in the County of Hampden, Commonwealth of Massachusetts; that he is the Assistant VICe President of !he Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. David T. Akers. Assistant VICe President SaMt E. PaIcka NclIIIy I'lIbIic CERTH:ATE My CommiMioIl &,ires Oct.... 31. 2001 I. the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Aflomey executed by said Companies. which is still ill futl force effective as of Ju-ly 27. 2009 Signed and sealed at the City of Hartford. @ ~~?g e.. o ~f;./~t. L ' U Gary W. Stumper, Assistant Vice President POA lOO4 ACKNOWLEDGMENT OF PRINCIPAL -IF A CORPORATION STATE OF IItw6A);;.....} ss COUNTY OFJJ/l.1M'/J.s...... .J>n this ....~.1..7.. "7'~'''''' day of ...J:u.~ .r............... ..........2 ~ ().'I.. befora ma perso~allY appearad ..c,O~lfMIJIJ.Ii.....a.:.J..I...~Jl.i<...................... to be known. who, beinp>y me duly sworn. dId depose and say; that he/&he-resides at ..9!.L~A~1.4A~..}J(.#IIN41A1.../At.tri,.)/.'i................... that he/she.. is the .... ...... ... ..................... President of .....:4.€t1....lI}.t~.(,....2N,................................................... the corporation described in and which executed the within insurance instrument. that heJshe knows the seat of said corporation; that the seal affixed to said instrument is such corporate seal; that is was so affIXed by the Board of Directors of said corporation; and that he/she signed his/her name thereto by like order.... ~ FIRM Carla VI;jna Notary Public. State of New York No.01V16200380 Qualified in Dutchess CO~I(NOWLEDGMENT OF PRINCIPAL. IF INDIVID Commilalon Expires February ~.u:::- STATE OF ........................} ss COLJ~TY OF ..................... On this ................................. day of ..........................................., ......... before me personally appeared ..................................................................................... to me know to be (the individual) (one of the firm) of .w ........................................... ......................................:. described in and who executed the within instrument and he/she thereupon acknowledged to me that he/she executed the same (as the act and deed of saki fmn). .............................................................................................. ACKNOWLEOGMENTOFSURETYCOMPANY STATE OF ..N~~.X~}:~..........} ss COUNTY OF .~~~.~1;~~.~........ . 27th Day of July 2009 David M. Wallace On thiS .......... ........ ........ ......................, before me personally came ....... ......... ........... ....... ............... ............ to me known. who, being by me duly sworn, did depose and say: that helshe resides in ..R~P.?JEi.~E~..?~~.~.l?............................ State of ..~~~..yRr.Jf........... ..... that he/she is the Attorney-in-Fact of the ..~~r.~~.<;>~~..~~~~~~~.~..~..~.~~~~.~1..~P.~?1..................... the corporation described in which executed the above instrument; that he/she knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that is was so affixed by the Board of Directors of said corporation; and that he/she signed his/her name thereto by like order; and the affiant did further depose and )say that the Superintendent of Insurance of the State of New York, has. pursuant to Section 1111 of the Insurance law of the State of New York. issued to ...~r.~~.~:;~..~~.r;;i;~~?L~..~IJ.~~~.~..~~~~~y........................ (Surety) hislher certificate of qualification evidencing the qualification of said Company and its sufficiency under any law of the State of New York as surety and guarantor, and the propriety of accepting and approving it as such; and that such certificate has not been revoked. NY acknowledgement Carla Vigna NotarY Public. State of New York No. 01V16200380 Qualified in Dutchess County CommissiOn Expires FebruarY 02. 2O.a .... Hartford Accident and Indemnity Company Hartford, Connecticut Financial Statement, June 30, 2008 (Statutory Basis) ASSETS U.S. Government Bonds ................ S Bonds of Other Governments...... ..... State, County, Municipal and Miscellaneous Bonds ......... Stocks.. .... .............. ...... Short Tenn Investments ................ Real Estate .... ........ ... ... ......... .... $ Cash ....................................... Agents' Balances (Under 90 Oa)....... Other Invested Assets ................... Miscellaneous...... .............. ........ Total Admitted Assets ...............- $ STATE OF CONNECTICUT COUNTY OF HARTFORD CITY OF HARTFORD } 79.226,632 229.843,952 s 8.143,373.432 2,115,548,310 478,751.041 11,046.7.0.367 LIABILITIES Reserve for Claims $ :md Claim Expense......... Reserve lor Uneamed Premiums ..... Reserve for Taxes. License and Fees ...................... Miscellaneous Liabilities............. 5.557,375,445 1.645,6\0,428 50.715,28\ 1,091.798,708 8.3~6.499,862 4,251,478 ) 6,878,533 473,428,425 789,151,081 t 2,330,452,884 ss. Total Liubilities ...................... S Capital Paid In $ Surplus .......... 40,000,000 3,943,953.022 Surplus as regards Policyholders... S 3,983,953.022 Total Liabilities, Capital and Surplus ................. S 12.330,452,884 M. Ross Fisher. Assistant Vice President, and Patricia A. Murrone, Assistant Secretary of the Hartford Accident and Indemnity Company, being duly sworn, each deposes and says that the foregoing is a true and correct statement of the said compan)"s financial condition as of June 30. 2008. Subscribed and sworn to before me this \2" day of September. 2008. /11, ...~ ~~1 q't:.; l~ ~. ~ j.,\ Thcn:sc M FOfJ- NoIaI) Public My Comnussron c.~pi,,'S Augvst) 1.:!tIt) Form CS-J9-37IiA&1 PrilllcdinUSA fCf!- M. Ross fishl.'f, Assistant Vice Presidl."flt Pczt.-~<A it ~"-\.('~ . Patricia A. Murrone, Assistant Secretary ~j 8454731962j Jul-15-09 2:40PMj Page 3/8 . l' jI<- , ,'" " , TOWN ,Off'W~PINGE~, ROCKlNGHAM ,FARMS '...., SECTIQN 1'& IJ C.ONCRETE CURS'REPLACEMENT 'PROjECT ... , " CONTRACT NO. 01 tllDFORNf : T E TOWN RESERVES THE RIGHT TO REJECT ANY OR ALL BIDS. EACH BID FORM i S ALL BE ACCOMPANiED BY BID SECURITY (AS DESCRIBED IN THE INSTRUCTION j T BIDDERS). : T THE TOWN BOARD. TOWN OF WAPPINGER, NEW YORK, : P suant to arid in, compliance with your invitation to bid conta'ined' in the Notice to ~ C ntractors dated ~7lJ L Y I ~ ,2~ ' :, (month) (day) (year , ' \ th undersigned, he,reby:proposes to, furnish aU labor, machineryl equip:ment, facilities, ; to Is, transportation,' ,supplies, materia'lsi," insuran'cas, permits,: certificates" tests, i gu rantees, protectfon ,01 equipment and property and life during: construction; a$ Wen as : co petent and qualified ':su'pervision for air phases of the' work" and other facilities, and ~ thi gs necessary otproper for or incid:~ntat to, the Rockingham' Farms Section I & II \ C crete Curb':Rep)a'cement Project, T~,o,f. Wappinger, as required by and in strict : a ' rdance with the::,plans. specifications, an:d ~U,otber documents relating to Contract No. ! 01 for the prices stipulated and as shown on this, bid form. \ eofBidder: :ZEAl ~ec"..A/A he. , (Individual. Partnership, Corporation or LlCf' * Circle applicable word \ Th undersigned d~ctares that the bidding ,and contract docu~ents have ,been carefully ~ ex mined and that all things necessary for the completion of the work shall be provided. eipt of the following' addenda is hereby acknowledged: DATE EN DUM NO. 1 EN DUM NO.2 ENDUM NO,. 3.. ENDUM NO.4 ,:rilLY I.i ~,<9 JU L 'I /~ 2<<>9 :Jut.. 'r It" ~ifI -16- r- 1-" : By: MORRIS ASSOCIATES; 8454731962; Jul-15-09 2:40PM; Page 3/8 '. "\ , TOWN ,O,fWAPPINGER , ROCK1NGHAMFARNiS '.... SECTIQN 1& IJ CONCRETE CURSftep,LAC'EMENT 'PROjECT , " CONTRACT NO. 01 Blt'tFORNf RECEIVED JUL 2 7 2009 TOV'!N ClER:< T E TOWN RE;SERVI;S THE RIGHT TO REJECT ANY OR ALL BIDS. EACH BID FORM S ALL BE ACCOMPANIED BY BID SECURITY (AS DESCRIBED IN THE INSTRUCTION T BIDDERS). T THE TOWN BOARD, TOWN OF WAPPINGER, NEW YORK P suant to and in compliance with your invitation to bid contained in the Notice to C ntractors dated :TiJ L Y I ~ ,2~r ' (month) (day) (year th undersigned hereby 'proposes to. furnish aU labor, machinerY, equip:rnent, facilities, to Is, transportation," s:upplles, materialsj," insurartees, permits,: certificates. tests, gu rantees, protecti:on ,of equipment and property and life during' construction; 3$ Wen as co petent and qualifled':su'pervision for alJ'ptlases of the' work" and other facilities, and thi gs necessary otproper fOf or incid:~ntal to, the Rockinghani' Fa,rms Section I & II C crete Curb:'Rep)a'cement Project, Town, o,f, Wappinger, as required by and in strict a rdance with the.plans, specifications. and ~'lI',otner documents relating to Contract No. 01 for the prices stipulated and as shown on this bid form. eofBidder: ZEAl ~ect:J..A/~ 2#e.. (Individual, Partnership 0 oratia r LLC)ll .. Circle applicable wor Th undersigned d~clares that the bidding ,and contract documents have been carefully ex mined and that an things necessary for the completion of the work shall be provided. eipt of the following' addenda is hereby acknowledged: ENDUM NO.1 ENDUM NO.2 ENDUM NO,. 3" ENDUM NO.4 DATE :rJLLY I..i. ~~9 JU L 'I /~ 2/;09 :TtA.I.. r I r,! 'bJifI -16 - ... I . : By: MORRIS ASSOCIATES; J 8454731962; ... Jul-15-09 2:40PM; Page 4/8 . ., . ~ In nsideration of;,and~o induce the award of this contraot to him/her, the bidder : re resents and: warrants'that: (a) (b) (c) (d) Ifthis bid,is'>accepted by the ToWn Board, Town ofWa:ppinger, as evidenceq by issuance of a, Notice of Awa'rd by the Owner,' and 'm~iled by registered, mail withrt;tum receipt requested to the address of the bidder as indicated on his/her bid, the bidder will'execute a contract on the farm of agreement herein provided and wilt comply, with all 'provisions of said "Notice of Award. This bid is made without any'understanding, agreement or connection with aiw 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. He/She has carefully examined and fuUy understands all of the parts of the cOntract documents, ami that ,he/she will execute tOe contract and ,Will' compt~telyperform it in strict accordance with the provtsionsthereof for the sum set forth on the bid. (e) No officer or employee of.the Town Board, Town of Wappinger, or any person whose salary is payable in who'le 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 perforiilance of the contract'o~ in the supplies. mat&tials or,equipment; orto work or labor to which it relates, or in any portion ofthe profits thereof. He/She is riot 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. All work shall be' completed within the time aUotted,Jrom 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 :ofthe bidder as indicated on his/her bid. (f) (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 deem.ed. of noeffact and. will 'Upon notice by ~ither, the OWner or the bidder be'deemed st(jcken from the bid documents'without affecting the binding forceofthe remainder: Each ,and :every provision' of any law and clause' requir~d by law to be inserted in ,the bid documents ,shall ,be deemed to be ins.erted herein and the bid documents shall be read and'anforced as though it were included herein; and if throjJgh mistake Qr otherwise any such provi$ion is not inserted or is riot C()rrectly inserted, then 'upon, the 'application of either party, the bid documehts shall forthwith be physically amended to make such insertion. (h) .' ,.. .: 17- t By: MORRIS ASSOCIATES; 8454731962; Jul-15-09 2:41PM; Page 5/8 (i) G) (k) (I) (m) That h~Jsheisfinancially solvent and sufficiently. experienced and competent to perform the 'Work. The workc&iJn .be. performed as' 'called for by the "pr'QPQsal sndthat the.plan's and specifications are in all respects suitable and adequate for the work. That the faCts stated In hisiherbid and the information given by hlrn/her are true and correct in all resp'acts. . That he/she is fully informed~gardingaU the condition,s affe,c:;ting the workto . be done and labor and materials, to be 'furnished ,for the completion of this contract,snd that his/her infonnation was secured by personal investigation' and research. In the:event of a lawsuit, th$'pidder agrees that said suit shall.befHed in the same federal district or county as the location of the project. FOR CONtRACT WORK: Bidder prpposes"to perform the work required in accordance with the contract uments for the lump sum of: $. p/J (Words) II /13 '-19 .~ .' (Figures) IT PRICE BID: . T e Bidder proposes .tQ perform the work-required in accordance with the contract', d cuments for'the 'unit price bid per lineal foot of: $ $ VI (Figures) N te: The Unit'PriceBidwiU be used to adjustthe Base Bid price up or down as a result. t the actuallh1eal footage of concrete curb replaced. . -18- i/./}fJS~EI() C 1,(/1$ : By: MORRIS ASSOCIATES; 8454731962; Jul-15-09 2:41PM; Page 6/8 ~ . U T PRICE BID: : Th Bidder proposes to j,ristall asphalt paving (Base and Top, course) within the areas of 'th water serviCe trenches in accordance with the contract documents for the unit price : bi per square foot of: :$ .... lit I'L)JT$ :$ (WOrds) , ' ' ed'documentation per Division 100, Article C.3. Sign Bid Here Official Company ',Name AutHO IZED SIGNA TUR.E 3f.4A/At7# ~ ~cc~.A/L }?eg/tJ'u/ jJ6f/ ;:CCtJN~ JPc (Individual, Partnership, Corporation. lLC)lII * Cirds applicable word Print Name Title CompaliyMaUing:Address /5/ AAdr' g~ ~tI?/I~tfl)S/~}/'W ffA'/<:, STREEf /~jtJ3 erN ' ' STATE ZIP CODE FederaLEmployer Identification No,., /3 - / fll3f@ Telephone No. ffs--1!P2. ~gtf)t? ffj-: fj2. Pis-$ Fax No.', -19 - t By: MORRIS ASSOCIATES; 8454731962; Jul-15-09 2:41PM; Page 7/8 : (If idder is a cOrporation:. fill in the following',blanks.) : Or anized underth~ Jaws of the State of: j/ Mrw /~~/.{ : Na e and Address Of President: ~,(A1 ~t1A1"/' /; L C,t) /V L .J W1-)A :i~/2J /2jf~ ; N e and Address ofSeCfetary: lL/IItJ~ L ./I (;C (tJA/ L ~J/#LlES/l 31 /J.J MljJjJ/~#Lf ~Alr/ /LJft) : N e 'and J Addre,s~ /J of L f;1/tJ,tL /f: ,L/CUJ/VL. ?hAltfIlJIAtd}/1 /2Sfl) Treasurer: ') 1?I/1EfA , ' idder is a Limited Liability Company, fin in the following blanks.) : 0 anized under the laws of the State of: : N me of Manager o'rMatlaging Member: ' . A nt for SelVice of Process: .' A dress for Se:rvice of Process: - 20- ,. : By MORRI~ ASSOCIATES; 8454731962; Jul-15-09 2:41PM; Page 8/8 '. , ' S TE OF NEW YORK, UNTY OF ~WtYLLr ) ) 55: On the: ;;1'/11 'day of .filL.' y .b&7 9 I before me, the . . un ersigned, aNotllry PUblic in and forsaidSlale, personally appeared g.t~'vkll!)' ;;et:JYE sonally known to me 'or proved to me Oil th~ ba$is of satisfactory evidence to be the ividual whose name'issubscribed to the within instrument and acknowledged ,to me that' executed the same in his capacity, and that by his signature on 'the'instrument, the ividual, or the person' upon behalf of which the individual acted, exacuted the : in trument. CarlaVlgna Notary Public. State of New Vol<< , 'No.01V16200380 Qualified in Dutchess County Commission Expires February 02..JCU:t. ~ .... - 21 - I I I I I - I I I I I I I ~ I I I I I STATE OF NEW YORK COUNTY OF lJun/l/L! ) ) ss: ) On the l1c.rA day of -:r:u... t{ .2007 , before me, the undersigned, a Notary Public in and for said State, personally appeared~J1~.t'.AI Jlt: (UM/L 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. Carla Viqna r. ""n". of New York , ',olj NOTARY PUBLIC c.. _0 '. ''';'0 County COmmiSSion Expires February 02, 20,- Carla Vigna Notary Public, State of New York No. 01 V16200380 Qualified in Dutchess County Commiuion Expires February 02. 2O.J.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 by law, 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. (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 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 Town Clerk of the Municipality to which the bid is made, or his/her designee, determines that such disclosure was not made for the purpose of restricting competition. (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 or 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 - 26 - I I I I I I I I I I I I I I I l I \ such authorization shall be deemed to include the signing and submission of the bid and the inclusion therein of the certificat as to non-collusion as the act and deed of the corporation. BIDDER'S SIGNATURE: I affirm these statements under p DATE: - 27 - Sent By: MORRIS ASSOCIATES; ~ 8454731962; Jul-16-09 10:54AM; Page 2/8 AD,DE:NDUM NO.2 CONSTRUCTION, BID..AND CONTRACT FOR , TOWN, OF 'WAPPINGER ROCKINGHAM'F'arms - Section 1&'11 , CONCftETE CURB REPLACEMENT PROJECT JULY,15,2009 N,TE: this Addendum forms a part of the contract documents. Acknowledge receipt of this addendum in the appropriate, location on the bid. T e followinginformaUon or modifications to the Construction Bid and Contract for the Rckingham Farms - Section I & II Concrete Curb Replacement Project is being supplied by the E gineer as a result of questions raised by contractors or consultants. Q estion: Add,endum #1- - Part 4 water Services. Based on addendum the contractor is to have 1he asphalt restoration for CAMO in the base bid. How many services and what size is the excavation? There is no indication on plans as to the approx. square footage what would be necessary to restore. R sponse: The contractor/bidder shall proVide a square foot price for the, placement of the asphalt (base and top to match details) in the areas of the water service trenches. Attached to this Addendum is a revised Bid Form to be used in lieu of the form contained within the Bid Contract. E: ocuments\T Wappioger\a W2009\w20003 Rockingham Sect 1& II\AODENDUM",2 7-15-09.doc Sent By: MORRIS ASSOCIATESj 8454731962j Jul-16-09 10:54AMj Page 3/8 -: TOWN, OF.. WAPPINGER ROCKtNGHAM ,FARMS.... SECnON I & II CONCRETE CURB REPLACEMENT'PRoJECT CONTRACT NO. 01 SID'FORM T E TOWN RESERVES THE RIOHT TO REJECT ANY OR ALL BIDS. EACH B.lD FORM S ALL BE ACCOMPAN:1ED BY BID SECURITY (AS DESCRIBED IN THE INSTRUCTION T BIDDERS). T THE TOWN BOARD, TOWN OF WAPPINGER, NEW YORK P rsuant to and in compliance with your invitation to bid contained in the Notice to C ntractors dated (month) (day) , (year) th undersigned hereby proposes to furnish aU labor, machinery, equipment. facilities, to Is, transportation, supplies, materials, insurances, permits, certificates, tests, 9 arantees, protection, of equipment and property and life during construction; as well as c mpetent and qualified supervision for an phases of the work, and other facilities and th ngs necessary or prQper for or incidental to, the Rockingham Farms Section I & II C ncrete Curb Re.p:lacement Project, Town 'of Wappinger, as ,.required by and in strict a cordance with the plans, specifications and an. other documents relating to 'Contrad No. D ,for the prices stipulated and as shown on this bid form. N me of Bidder: Blacktop Maintenance Corp. (Individual, Partnership,~rporation)>r LlC)* * Circle applicable word T e undersigned declares that the pidding ,and contract documents have been carefully e amined and that all things necessary for the completion of the work shall be provided. R ceipt of the following addenda is hereby acknowledged: . DENDUM NO.1 DENDUM NO.2 DENDUM NO.3 DENDUM NO.4 DATE 7/13/09 7/15/09 7/16/09 SIGNATURE (Do l)a _ LJ I; L ~llfYL. 1.Jli L- r;j)aJ1O.-- LJ il 4 IL.. - 16- Sent By: MORRIS ASSOCIATES; 8454731962; Jul-16-09 10:55AM; Page 4/8 tn consideration of, and to induce the award of this contract to him/her, the bidder ra resents and warrants that: (a) (b) (c) (d) (e) (f) (9) (h) 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 regjstered mail with return receipt requested to the address ofthe bidder as indicated on his/her bid, the bidder will e~ecute a contract on the form of agreement herein provided and will comply with aU provisions of said Notice of Award. This bid is made without any understanding, agreement or connection with any other person, firm or c'otporation making a bid for the same Work, and that it is inatl respect fair and without coltus'ion or fraud. He/She lias carefully examihedand fuUy understands all. of the parts of the contract documents, and. that he/she will execute the contract and. will completely perform it In strict accordance with the provisions thereof for the sum set forth on the bid. 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 performance of the contract .or in the supplies, materials or equipment, or to work or labor to which it retates, or in any portion of the profits thereof. He/She 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. All work shall be completed within the time allotted, from the date specified in the Notice to Proceed or set by the contract documents, maiJed to the undersigned' by registered mail with return receipt requested to the legal address of the bidder as indicated on his/her bid. If the. bid documents contain any unlawful provision not an esSential part of the bid and which shalt not appear to have been- a controlling or material inducement to the making: thereof, the sameshaU be deemed of no effect and will upon notice by either the OWner or the .bidder be deemed strick~n from the bid documents without affecting the binding force of the remainder. 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. -17 - Sent By: MORRIS ASSOCIATES; 8454731962; Jul-16-09 10:55AM; Page 5/8 (i) That he/she is finaneiaUy solVent and sufficiently'experienced and competent to perform the work. (j) The work can be performed a$, called for by the prQPosal and that the plans and specifications are in all.respects suitable and adequate for the work. (k) That the facts stated in his/her bid and the information given by himlher are true a:nd correct in aU respects. (I) That ne/she is fully informed"reg.arding all the condition~ affecting the work to be done and labor and materials to be furnished for the completjon 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' federal district or county as,th.a location of the project. B 0 FOR CONTRACT WORK: B lSE BID: TI e Bidder propose$" to perform the work required in accordance with the contract de cumentsforthe lump sum of: $ Dne hundred thirty seven thousand seven hundred sixty two dollars fifty cen (Words) $ 137,762.50 , (Figures) U lilT PRICE BID: Tt e Bidder proposes to perform the wo.rk required in accordance with the contract de cuments for the unit price bid per lineal foot of: $ Fifty two dollars and eighty eight cents per l.f. (Words) $ 52.88 1.f. (Figures) N te: The UnifPrice Bid will be used toadjustthe Base Bid price up or down as a resutt to the actual lineal footage of concrete curb'replaced. - 18 - Sent By: MORRIS ASSOCIATES; 8454731962; Jul-16-09 10:55AM; Page 6/8 T e Bidder proposes to install asphalt paving (Base and Top course) within the areas of th water service trenches in accordance with the contract documents for the unit price bi per square 'foot ,of: $ Fifteen dollars no cents per S.F. (Words) $ 15.00 per S.F. (Figures) AI 0 made a part of this bid is the attached documentation per Division 100. Article C.3. Sign Bid Here 01J.J1n.... fA) L;~ ' AUTHORIZED SIGNATURE Print Name Dana Wiehe, Secretary /Treasurer Title Secretary /Treasurer Official Company Name LLC)* CITY 27 Commerce St. Poughkeepsie, NY r!~~~T STATE 14-1552157 ZIP CODE Company Mailing Address Federal Employer Identification No. Telephone No. 845-471-8700 Fax No. 845-471-8138 - 19- Sent By: MORRIS ASSOCIATES; 8454731962; Jul-16-09 10:56AM; Page 7/8 (If bidder isa corpoff,ltion, fill in the following blanks.) o ganized under the laws ofthe State of: New York N me and Address of President: David Petrovits, Poughkeepsie, NY N me and Address of Secretary: Dan a Wi e he, PIe a san t Va 11 e y, NY /Treasurer Ncme and Addre.ss of Treasurer: <If bidder is a Limited Liabifity Company, fill in the following blanks.) o ganized undi9r the laws of the State of: Ni me of Manager or Managing Member: Al ent for Service of Process~ Ac dress for Service at-Process: - 20- Sent By: MORRIS ASSOCIATES; 8454731962; Jul-16-09 10:56AM; Page 8/8 5 ATE OF NEW YORK C UNTY OF Du tchess ) ) ss: On the. 27th day of July , before me, the u dersigned, a Notary Public in and for said Statel personally appeared Dan a Wi e h e p rsonally known to me or proved to me on the basis of satisfactory evidence to be the ividual who$e name is subscribed to the within instrument and acknowledged to me that h executed the same in his capacity, and that by his signature on the instrument, the in ividual, or the person upon behaff of which the individual acted, executed. the in trument. NOTARY PUBLIC ~.~ Dawn Fernandez awn FeInIndII of.. YOlk lotalJ"*' .. Jo.01FE1ON1. ~In ~CCM.IItY ~.Ii.. ............ a., ao I L - 21 - abtwne=t nWl lhoY .. to .,.,2 .:Mtduc:t t'Bto, 8atteOU'=fto ,0; yinuoo 8MrbfuQ nI beitHeU{ ~ .S enuL "1iQI3 noiI.l1nmo~ - l II. CERTIFICATION OF NON-COLLUSION BY BIDDER .. No bid will be considered unless this Certification remains attached to and is submitted with the Bid Blacktop Maintenance Corp. ... 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: l Ii. " ~ II. (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. l (2) Unless otherwise required by law, 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. I~ .. ~ '- (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 forthe purpose of restricting competition. i .. 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 Town Clerk of the Municipality to which the bid is made, or his/her designee, determines that such disclosure was not made for the purpose of restricting competition. L ti Ii. ~ , (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 or 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 - 26- - t J J j J f I J J J J I j J j , l ..Ii 1 , ~ ill \ ! .. ~ .. l L ~, .. L L J .. L l ~ .. L L L k .. ~ .. I> L tii .. ", ." 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 under penalty of perjury, BIDDER'S SIGNATURE: (j)11 1111- IJJI~1L lr~na Wiehe, Secretary/Treasurer DATE: July 27, 2009 - 27- " f J' ;, I J j d J J J j J J j J J J J J J j 07/13/2009 12:45 FAX 8454718138 141 002 RECEIVED JUL 2 7 2009 BID BOND KNOW ALL MEN BY THESE PRESENTS: that TOWN CLERK * BLACKTOP MAINTENANCE CORP. as Principal; and ** INTERNATIONAL FIDELITY INSURANCE COMPANY as Surety, are hereby held and firmly bound unto the Town Board, Town of Wappinger, New York in the amount of: ---5% OF THE ATTACHED BID----- Dollars $ ~\ ~8g . i 2... 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 27TH day of JULY 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 Rockingham Farms Section I & II Concrete Curb Replacement Project for the Town of Wappinger, New York. as shown and specified in Contract No. 01. 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 WITN ESS 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. - 23- 07/13/2009 12:45 FAX 8454718138 141003 (SEAL) *Insert Bidder's Name PRINCIPAL BLACKTOP MAINTENANCE CORP. BY'J)(Ulo... ,.0 ti lL Dana Wiehe, Secretary/Treasurer Sig~edt sealed and delivered ~" ~~ In the presence of, '. _ ~ ~ \::J i\-\tJ ~ 'Hlnsert Surety's Name (Corporate seal of Contractor if a corporation) BLACKTOP MAINTENANCE CORP. Contractor By rJ)/.U)o... JJ,;.L- Dana Wiehe, Secretary/Treasurer ~~ (Title of Officer) ROSEMARIE A. MISENAR ATTORNEY-IN-FACT (Corporate seal of Surety) Attest (Title of Officer) - 24- 07/13/2009 12:45 FAX 8454718138 l4J 004 COUNTY OF Dutchess ) ) 5S: ) STATE OF NEW YORK On the 27th day of July , before me, the undersigned, a Notary Public in and for said State, personally appeared Dana Wiehe 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. NRT ARY PUBLIC ~~~ Dawn Fernandez J6 awn FIIMNIII I.,..... .... 01 New Volle Jo. OtFElOll188 )~ In ~ CcMIdY :ommI8Ilon EJcpIreI Junia. 20' I S8bn1me=l nw) )h(..y \WM to &r~ .~IGA "SIc a&tteo&3=trO .~j '(lnuoo ~~"""fUO ni beftllsu( OS .S &nUt. ae,iQJt3 noi<:!,::.mmr INTERNATIONAL FIDELITY INSURANCE COMPANY ONE NEW ARK CENTER, 20TH FLOOR, NEW ARK, NEW JERSEY 07102-5207 ST A TEMENT OF ASSETS, LIABILITIES, SURPLUS AND OTHER FUNDS AT DECEMBER 31, 2007 ASSETS Bonds (Amortized Value) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Common Stocks (Market Value) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cash & Bank Deposits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Short Term Investments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Unpaid Premiums & Assumed Balances . . . . . . . . . . . . . . . . . . . . . . . . Reinsurance Recoverable from Reinsurers. . . . . . . . . . . . . . . . . . . . . . . Electronic Data Processing Equipment ......................... Investment Income Due and Accrued . . . . . . . . . . . . . . . . . . . . . . . . . . Net Deferred Tax Assets ................................... Other Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL ASSETS ................................. LIABILmES, SURPLUS & OTHER FUNDS Losses (Reported Losses Net as to Reinsurance Ceded and Incurred But Not Reported Losses) . . . . . . . . . . . . . . . . . . . . . . . . . . . . Loss Adjustment Expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contingent Commissions & Other Similar Charges . . . . . . . . . . . . . . . . Other Expenses (Excluding Taxes, Licenses and Fees) .............. Taxes, Licenses & Fees (Excluding Federal Income Tax) . . . . . . . . . . . . . Current Federal & Foreign Income Taxes ....................... Unearned Premiums ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ceded Reinsurance Premiums Payable . . . . . . . . . . . . . . . . . . . . . . . . . Funds Held by Company under Reinsurance Treaties ..... . . . . . . . . . Amounts Withheld by Company for Account of Others. . . . . . . . . . . . . Provisions for Reinsurance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL LIABILmES ... . . . . . . . . . . . . . . . . . . . . . . . Common Capital Stock .................................... Gross Paid-in & Contributed Surplus ... . . . . . . . . . . . . . . . . . . . . . . . Surplus Note. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Unassigned Funds (Surplus) ................................ Surplus as Regards Policyholders . . . . . . . . . . . . . . . . . TOTAL LIABILmES, SURPLUS & OTHER FUNDS. . . . $88,913,221 18,170,832 1,111,500 46,453,412 4,039,006 4,488,%7 631,946 135,990 1,253,680 3,250,000 2,245.354 $170,693.907 $15,493,530 4,242,428 116,728 4,960,927 1,252,929 645,000 29,522,449 1,931,511 5,068 26,183,176 7,409 $84.361,155 $1,500,000 374,600 16,000,000 68,458,153 $86,332,752 $170.693.907 I, Francis L. Mitterhoff, President of INTERNATIONAL FIDELITY INSURANCE COMPANY, certify that the foregoing is a fair statement of Assets, Liabilities, Surplus and Other Funds of this Company, at the close of business, December 31, 2007, as reflected by its books and records and as reported in its statement on file with the Insurance Department of the State of New Jersey. IN TESTIMONY WHEREOF, I have set my hand and affixed the seal of the Company, this 26th day of February 2008. INTERNATIONAL FIDELITY INSURANCE COMPANY ~~ .-'........ ,"'.' . ',"',"" "-'--'"", ,,',"._".. ., ,-",,' ." - .:..'.'........' ......,...,".:. .. -....,...--.-.. ."":.' .,.,..:'................. ...............::.............. . "",,'-'.- -." ,',' ... . . ..,',,-'---- --.. ","... . , - .... '" ..." " ..... .. ....-' -. .' ','- .,'--. . . , . ,. " .' - -- ." . .. - , ,. .". . .. -"-","'-:, .::. -.--.... -..........."..--.-.. .-.._-, ............",,'.......... ., ,---" -. . . - . .... ......'._ _...' ''''__'. . .d." . . ...' .' . . ',' ,', ,",,".-, .:.::....., -.,.-_:. .".."- .:...:' .'>:::-.: ", .'","'-. . '-": ".'-,,---' ....,.., - '-',": '::.'- ..-:','. .. ' ....,. -.".... ',":-.-' :'.....' --'.:'"".'.,' .:',"- ".'.:'. .. ...... ......... ........-- "...... ......... . .....-..........'.-.... .......-.- ........ . POWERp'~n~~V INTEllNATIQNAE F1DEfiIIYINSllRANCE CQMPANY . '" '-.,,',' -,-- . -'. "-'.-: _.." - :','" ". '.:',' . -", - ,'" HOME OFFICE: ONENEWA~C~NtliR,~tII FI..OOR NEWAR~,NEW JERSEY0710Z-5207 KNOW ALL MEN BY THESE~RESENT~:That INTERNA1'lONAL~ELI1'VINSURANCl1:COMPANY. a corpprationorganized and existing laws of the State of N~w Jersey ,and having i~piincipal office inth~ City of ~ewark, New Jer$ey .does!lereby constitute and appoint ....."'. .. .. ..,... , "," . .". ......., ','" .-....-.... .., .-... .-.; ~,~.....,.. ..."...................... .', ".;..... .-.-........"....... MARY E. BRINCKERHOFF. JANICEA. BALLARD; ROSEMARIEA. MISENAR Fishkin, NY. ....................... .................... .........,. ................ ......... its true and lawful attQrney(sHn-factlo execute, seal and deliver for and on its behalf as surety, any and all bonds an<:l undertakin.gS,contracts of indemnitY and other writings obligatory In the nature thereof, which are or may be allowed....re.quired orpe.. rmitted. . by law, statu.re, rule, regula.tion, contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said INTERNATIONAL FIDELITY INSURANCE COMPANY, as fully and amply, to al1 intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at its principal office. This Power of Attorney is executed, and may be revoked, pyrsuant to and by authoritY of Articie 3-Section 3, of the By-Laws adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting Called and held on the 7th day of February, 1974. The President or any Vice President, Executive Vice President, Secretary or Assistant Secretary, shall have power and authoritY (1) To appoint Attorneys-in-fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds and undertakings, contracts of indemnitY and other writings obligatory in the nature thereof and, (2) To remove, at any time, any such attorney-in-fact and revoke the authority given. Further, this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of said Company adopted at a meeting duly called and held on the 29th day of April, 1982 of which the following is a true excerpt: Now therefore the signatures of such officers and the seal of the Company may be affixed to any such power of attorney or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and bindmg uRon the Company and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, INTERNATIONAL FIDELITY INSURANCE COMPANY has caused this instrument to be signed and its corpprate seal to be affixed by its authorized officer, this 16th day of October, A.D. 2007. INTERNATIONAL FIDELITY INSURANCE COMPANY STATE OF NEW JERSEY County of Essex ~~ Secretary On this 16th day of October 2007, before me came the individual who executed th~precedingJ!1strUment, to me J?ersonally known, and, being by me duly sworn, said the he IS the therein described and authorized officer of the INTERNATIONAL FIDELITY INSURANCE COMPANY; that the seal affIXed to said instrument is the Corporate Seal of said Company; that the said Corporate Seal and his signature were duly affixed by order of the Board of Directors of said Company. A NOTARY PUBLIC OF NEW JERSEY CERTIFICATION My (:;ommission Expires Nov.. 21,2010 l,the undersigned officer of IN'l'ERNATIpNAl,FIDELl'f)' IN~CIilC()lWPANYdo hereby certifythatlhave compared the fgregoing copy of the Power of Attorney.and affidavit, and the copy of the Section ofthel~y-~aws of said COlllpanyasset fo@ in said rower of Attorney, with the ORIGINALS ON IN THE HOME OFFICE OPSAl]) COMPANY, and that the Satne are correct tratlscrip~thereof.and. of the wh91e of the said originals, and that the said Power of Attorney has not been revoked and is now in full force and effect IN TESTIMONY WHEREOF, I have hereunto set my hand this 27TH day of JULY 2009 . ~#~~ IN TESTIMONY WHEREOF, I have hereunto set my hand affIXed my Official Seal, at the CitY of Newark, New Jersey the day and year first above written. ~'--~~ TOWN OF WAPPINGER TOWN CLERK CHRIS MASTERSON SUPERVISOR CHRISTOPHER J. COLSEY July 30, 2009 TOWN CLERK'S OFFICE 20 MIDDLE BUSH ROAD WAPPINGERS FALLS, NY 12590 (845) 297-5771 FAX: (845) 298-1478 TOWN COUNCIL WILLIAM H. BEALE VINCENT BETTINA MAUREEN McCARTHY JOSEPH P. PAOLONI Sun Up Enterprises 1607 Route 376 Wappingers Falls, New York 12590 Attn: Dave Serino Re: Rockingham Farms - Section I & II Concrete Curb Replacement Proj ect Contract No. 01 Dear Dave: Pursuant to the Advertisement for Bids for the above referenced project, your $50.00 deposit is being returned. We are enclosing your deposit check #17993 for full refund on this project. Sincerely, ~~ J C. Masterson T own Clerk JCM/cf BID BOND REce'VEU JUL 2 7 2009 10'J'It\Q~~!tpal; and KNOW ALL MEN BY THESE PRESENTS: that * Sun Up Enterprises, Inc. ** Travelers Casualty and Surety Company of America as Surety, are hereby held and firmly bound unto the Town Board, Town of Wappinger, New York in the amount of: FIVE PERCENT oom $C 5% 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 9th day of July 2009 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 Rockingham Farms Section I & II Concrete Curb Replacement Project for the Town of Wappinger, New York, as shown and specified in Contract No. 01. 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 ev~nt, 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. - 23 - (SEAL) Sun Up Enterprises, Inc. */nsert Bidder's Name **Insert Surety's Name /IPAL BYHaro Signed, sealed and delivered in the presence of ~~s~ (Corporate seal of Contractor if a corporation) Contractor Travelers Casualty and Surety Company of America By ~lJ.A-rL. ~o-wJn Camille M. Donato, (Title of Officer) Attorney-In-Fact (Corporate seal of Surety) Attest ~~ Rachel Y. Minholz, Attorney-In-Fact ~~ ( Itle of Officer) - 24- STATE OF NEW YORK COUNTY OF V V ~~ ) ) ss: ) On the 9th day of July. 2009 , before me, the undersigned, a Notary Public in and for said State, personally appeared Harold Buchner, President 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. ~~~~ NOTARY PUBLIC LEIGH ANN Notary PUblic St StClRBONA N . a e of NC','J York . . o. 4684970 Quallfkd in Put ."."" Commission Ex- p' n~.". County Ires Dec. 3 '/, 20 \ () - TRA YELERS CASUALTY AND SURETY COMl' ANY OF AMERJCA HARTFORD, CT. 06183 '\'nORNJ;;Y-IN-FACT ,JliSTlFICATION I'RINCIPAL'S ACKNOWLKDGI\n:NT - n: ;\ CORPORATION State of New York. Counly of \ 55, I On this day of ,20, before lIle personally appeared (0 lIle kn(,wn. who. being by me duly swom, depllses and says: Thnl heJshe resides in the City of that he/she is Ihe of ; the corporntion described ill and which cxecutcd the within instrument: that he/she knows the seal of said wrporation: thntthe seal ailixed (0 said insti'1.lIncm is such corp<ml(e seal; :hat it was so al1ixed by order of the Bilnrd of Directors llf said corporation, and that he/she signed hi;Jhcr nHlIle then,'lo by like order. }'RINCn'AL'S ACKNOWU:I}(;ME1\T -IF INnIVlJ)VAl OR FIRM State or New York, Counly of I 55, On Ihis d.1Y of . 20 , before me personally aPIJCared (0 me klli'\\'n to he (the individual) (one oflhe non of ) described in and who excwted Ihe within instrumem, and he/she IhefCUpl)1l duly acknowledged In l11e Ihat he/she executed the same (as Ihe acl and deed of said fiml), SURETY COMPANY'S ACKNOWLEDGMENT State of New York, County of Dutchess } ss, ()nthis 9th duyofJuly ,20 09 ,before me personally appeared Camille M. l?onato me known. who, being hy me dulyswllfl1, did deposc 1Il1d say; That hc/l1e resides in Ihe City of Hopewell Junct~on, New York , that heJsl1e is Attomey-in-I'uL1 of TRA VELER."i CASUALTY AND SURETY COJ\'IPANY OF Al\fEIUCA. the corporation described in and which executed the willlin instrument: tll.ll he/she knows the corporate sea) of said Company; that the seal aflixcd to said instrument is stIch corporate seal; and thm he/she signed snid instrument as Attorney-in-Fact by Duthority orthe Board of Directors of said Company; Dnd aflianl did further depose and say thm the Superintendent of Insurance of (he Stale orNew Vmk has, p\lrSUlU11 to Chapter 882 of the Laws of the State of New York for the year] 939, constituting chapter 28 of the Consolidating Laws of the Slate (If New York as lhe Insur:mc<: Law llS amended, issued to TRAVELERS CASUALTY AND SURETY COM.PANY OF M..IERICA his/hcr certificate lImt said Company is 'lunliticd \() become and be accepted as surety or guarantor on all bonds, undertakings, recognizances, guaranties, and other obligatiolls required or permitted by law; and that such ""m~I'h~'MI""..",,,,,. ~~ ~ <"1,,~ /I.' . ~ PATRICIA A. SCHEPPV NOTARY PUBLIC - STATE OF NEW YORK NO. 01-80050390 QUALIFIED IN ORANGE COUNTY MY COMMISSION EXPIRES 04-24-2011- tn TRAVELERS CASUAL TV AND SURETY COMPANY OF AMERICA Hartford, Connecticut 06183 FINANCIAL STATEMENT AS OF DECEMBER 31. 2007 AS FILED WITH THE INSURANCE DEPT. OF THE STATE OF NEW YORK CAPITAL STOCK $ 6.000,000 ASSETS LIABILITIES Cash & Invested Cash $ 74,575,111 Unearned Premiums S 830,096,152 Bonds 3,171,426.610 Losses 907,184,263 Stock 14,356.947 Loss Adjustment Expenses 153,320,025 Investment Income Due Commissions 34,054,809 and Accrued 42,220.864 Taxes, Licenses and Fees 19.747.911 Premium Balances 198,657,602 Other Expenses 34,494,038 Reinsurance Recoverable 7,619,102 Current Federal and Foreign Net Deferred Tax Asset 43,369,888 Income Taxes 27,676,126 Other Assets 3,744.962 Payable to Parent, Subsidiaries & Affiliates 58,232,804 Other Accrued Expenses and Liabilities 200,547,980 Total Liabilities S 2,265,354;108 Capital Stock S 6,000,000 Paid in Surplus 303,297.402 Other Surplus 981,319,576 Total Surplus to Policyholders S 1,290.616,978 Total Assets $ 3,55521,O~6_ Total liabilities & Surplus $ 3,555,971,086 Securities <:<:lrried at $7.996,639 in the above statement are deposited with public authorities, as required by law POWER OF ATTORNEY . ' WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER ~ TRAVELERSJ Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. Seaboard Surety Company S1. Paul Fire and Marine Insurance Company Attorney-In Fact No. 220461 S1. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company Certificate No. 0 0 2 8 6 0 0 6 3 KNOW ALL MEN BY THESE PRESENTS: That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York, that St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota, that Farmington Casualty Company, Travelers Casualty and Surety Company, and Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut, that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc. is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Timothy Dean, Dawn Dorien, Stephanie A. Payne, Rachel Y. Minholz, and Camille M. Donato of the City of W>lrrinePf F>ll1!': , State of Npw Y nrk , their true and lawful Attomey(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or pennitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instnll~ent to be signed and their corporate seals to be hereto affixed, this day of March 2009 4th Farmington Casualty Company Fidelity and Guaranty lnsurane~ Company Fidelity and Guaranty Insurance Underwriters, Inc. Seaboard Surety Company St. Paul Fire and Marine Insurance Company o ~ ~ ~~ State of Connecticut City of Hartford ss. S1. Paul Guardian Insurance Company S1. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company By: On this the 4th day of March 2009 ,before me personally appeared George W. Thompson, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof, I hereunto set my hand and official seal. My Commission expires the 30th day of June, 2011. 58440-5-07 Printed in U.S.A. '<<\w C. j~ "- Marie C. Tetreault, Notary Public WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER :ent By:. MORRIS ASSOCIATES; 8454731962; JtJl-16-09 11 :01AM; Page 3/8 TOWN OFWAPPINGER ,ROCKING HAM FARMS .... SECTION I, & II CONCRETE CURB REPLACEMENT'PROJ'ECT CONTRACT NO. 01 BID FORM T ,E TOWN RESERVI;S THE RIGHT TO REJECT ANY OR ALL BIDS. EACH 8,ID FORM S ALL BE ACCOMPANIED BY BID SECURITY (AS DESCRIBED IN THE INSTRUCTION T BIDDERS). T THE TOWN BOARD, TOWN OF WAPPINGER, NEW YORK rsuant to and in compliance with your invitation to bid contained in the Notice to ntractors dated (month) (day) (year) th undersigned hereby proposes to furnish aU labor, machinery, equipment, facilities, to Is, transportation, supplies, materials, insurances, permits, certificates,' tests, 9 arantees, protection of equipment and property and life during construction; as well as c mpetent and qualified supervision foral1 phases of the work, and other facilities and th ngs necessary or proper for or incid~ntal to, the Rockingham Farms Section I & \I C ncrete Curb Replacement Project, Town of Wappinger, as required by and in strict a cordance with the plans, specifications and all other documents relating to 'Contract No. D ,for the prices stipulated and as shown on this bid form. SUN UP ENTERPRISES, INC. (Individual, Partnership, Corporation or LLC)* * Circle applicable word Tie undersigned declares that the bidding .and contract documents have been carefully e amined and:thata'll things necessary for the completi.on of the work shall be provided. ceipt of the following addenda is hereby acknowledged: ADENDUM NO.1 A DENDUM NO.2 A DEN DUM NO.3 A DENDUM NO.4 DATE 1\ \~ \O~ QDURE - 16 - .., , ent By: MqRRIS ASSOCIATES; 8454731962; -Jul-16-09 11 :02AM; Page 4/8 In consideration of,and to induce the award of this contract to him/her, the bidder ra resents and warrants.that: (a) (b) (c) Itthis 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 mail with return receipt requested to the address ofthe bidder as indicated 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. 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 inali respect fair and without collusion or fraud. He/She has carefully examined and fully understands all. of the parts of the contract documents, and that he/she will execute the contract and. will completely perform it In strict accordance with the provisions thereof for the sum set forth on the bid. (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 performance of the contract orin the supplies, materials or equipment, or to work or labor to which it relates, or in any portion of the profits thereof. (e) He/She is not in arrears to the Town Board upon debt or contract and is not a defau'lter a's surety, contractor, or otherwise upon any obligation to the Town Board, Town of Wappinger. (f) All work shall be completed within the time allotted, 'from the date specified in the Notioe to Proceed or set by the oontract 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. (9) 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 h"ldu~nient 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 witt'toutaffecting the binding force ofthe remainder. (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 andthe 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. - 17 - lent By:. MORRIS ASSOCIATES i (i) m (k) (I) 8454731962j . Jul-.16-09 11 :O;~AMj Page 5/8 That he/she is financially solvent and sufficiently'experienced and competent to perform the work. The work can be performed a$ called for by the prqposal and that tne plans and specifications are in all respects suitable and adequate for the work. That the facts stated in his/her bid and the information given by him/her are true and correct in all respects. That he/she is fully informed regarding all the condition$ affecting the work to be done and labor and materials to be furnished for the completion of this contract, ahd 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 federal district or county as the location of the project. FOR CON,TRACT WORK: T e Bidder pr:opoSe~' to perform the work required in accordance with the contract d cuments for:the lump ,sum of: $ $ IT PRICE 1310: T e Bidder proposes to perform the wQrk required in accordance with the contract d cuments for the unit price bid per lineal foot of: $ $ t- d.D { \ ub (Figures) N te: The Uni{Price'Bidwtll,be used toadjust'the Base Bid price up or down as a result to the actual lineal footage of concrete curb replaced. - 18 - --- -- ------~..,-~, U.......J'"+/vf~U.::., .'-'LLL-ID-U~ 11:U~AIVI; 1-'8ge 6/8 U T PRICE BID: T e Bidder proposes to install asphalt paving (Base and Top course) within the areas of th water service trenches in accordance with the contract documents for the unit price bi per square/foot -of: $ ~ 00(\ \J6 $ (Figures) Print Name AI 0 made a part of this bid is the etta Sign Bid Here :i. Title ~~ Official Company Name Company Mailing. Address \ ~ q 0 '\ R1\l) \f -!> l.S.J r. '\l_ srrEfT CITY ~,~ I (\1))\ tv\: ~ STATE ~ Federal Employer Identification No. \ ti - \lo tLJ 3 q] Telephone No. L-\.(Q J,. I \<60 ~ Fax No. ~ ~o..' ~315 \ ~Cjcb ZIP CODE - 19 - .. --) ~U..l..-IU-V::::::1 II.Ut::.fo\IVI, ..... ...... . . .... , >,J....'- J (I bidder is a corporation, fill in the following blanks.) N me and Address of President: o ganized under the laws of the State of: N me and Address Of Secretary: c~~~(/ C~~ N me and Addre.ss of (If bidder is a Limited Liability Company, fill in the following blanks.) o anized under the laws of the State of: N me of Manager or Managing Member: A ent for SeNice of Process: dress for Service of Process: - 20- .. rd\:J~ 110 Treasurer: ;ent 8y~ MORRIS ASSOCIATES; 8454731962; " J ul- 1 6 - 09 11: O;~AM; Page 8/8 s ATE OF NEW YORK C UNTY OF .. Q ij~ l'o.___ ) ) 55: On the. ~ "\ day of j\l\~ . (}..D"J ~ , before me, the u dersigned, a Notary Public in and for said State, personally appeared ~,,{~ ~nP)\ rsonally known to me.or proved to mean the basis of satisfactory evidence to be the ividual whose name is subscribed to the within instrument and acknowledged to me that h executed the same in his capacity, ahd that by his signature on the instrument, the ividual, or the person upon behalf of which the individual acted, executed. the in trument. ~ GMh~ NOTARY PUBLIC LEIGH ANN SCIRBONA Notary Public, State of New York No. 4684970 Qualified in Putnam County Commissicn Expires Dec. 31, 20ID - 21 - 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 by law, 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. (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 forthe purpose of restricting 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 Town Clerk of the Municipality to which the bid is made, or his/her designee, determines that such disclosure was not made for the purpose of restricting competition. (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 pendin;' publication of new or revised price lists for such items, or (c) has sold the same items or 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 - 26 - I I I I I I I I I I I I I I I I I I . 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 under penalty of perj BIDDER'S SIGNATURE: DATE: 1 - 27 - .... TOWN OF WAPPINGER TOWN CLERK CHRIS MASTERSON SUPERVISOR CHRISTOPHER J. COLSEY TOWN CLERK'S OFFICE 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590 (845) 297-5771 FAX: (845) 298-1478 TOWN COUNCIL WILLIAM H. BEALE VINCENT BETTINA MAUREEN McCARTHY JOSEPH P. PAOLONI October 21, 2009 H. B Wiltse Excavating rnc 907 Dutchess Turnpike Poughkeepsie, NY 12603 Re: Rockingham Farms -Section I&II Concrete Curb Replacement Project Contract No. 01 Dear Mark: Pursuant to the Advertisement for Bids for the above referenced project, your $50.00 deposit is being returned. We are enclosing your check #10320 for $50.00. Sincerely, 8'-c. ~ John C. Masterson Town Clerk ~ '*",~ ==.:::::...-=_-::-~:::_::..:=.:::::::==--;-'::-.'::::-::7-=::::-;C;":::':,::::":':::":;:::::--""'::-_-;:=':'::-~-=--:-':'=:::::;:---=----=--=::::.:: FOR SECURITY PURPOSES, THE BORDER OF THIS DOCUMENT CONTAINS MICAOPRINTING 50-1139/219 10320 H.B. WILTSE EXCAVATING, INC. 907 Dutchess Turnpike Poughkeepsie, NY 12603 P~;;::OF . JC?iAh oJ MIJ/~r 'Ai$ ..;.A ;1---------' - . MAHOPAL NATIONAL BANK A TOMPKINS COMMUNITY BANK FOR R.v~)c. J-,,: Vi .itA '/ M III 0 .0 3 20111 ':02.g..3gB': THIS DOCUMENT INCLUDES A SECURITY SCREEN ON BACK OF THE CHECK DATE "/ __ /6 -- d) R/~ --- $ S;O..Ot) --DOllARS ~ Socur;'I' Foot"'.. o.tH'Dn 6... M' AUTHORIZED SIGNATURE TOWN OF WAPPINGER TOWN CLERK CHRIS MASTERSON SUPERVISOR CHRISTOPHER J. COLSEY September 16, 2009 TOWN CLERK'S OFFICE 20 MIDDLEBUSH ROAD WAPPINGERS FALLS, NY 12590 (845) 297.5771 FAX: (845) 298-1478 TOWN COUNCIL WILLIAM H. BEALE VINCENT BETTINA MAUREEN McCARTHY JOSEPH P. PAOLONI B&K Excavation, Inc. 4 Talbot Dr Pleasant Valley, NY 12569 Re: Rockingham Farms - Section I & II Concrete Curb Replacement Project Contract No. 01 Dear Diane: Pursuant to the Advertisement for Bids for the above referenced project, your $50.00 deposit is being returned. We are enclosing your deposit check #9856 for full refund on this proj ect. S incerel y, C. Masterson own Clerk JCM/cf THOMAS GLEASON INCORPORATED Water/Sewer Repair - Utility Installation - Rock Removal- Excavating _ Trenching 42 McKinley Lane Poughkeepsie, NY 12601 Phone: 845-454-3730 Fax: 845-454-4556 Email: \;!Ieasonestimatin\;!(a)choiceonemail.com Family Owned and Operated Since 1948 Comments: Company: mOrr',S CU50U~' To: ~0 l~- Re:fuXj\~ h&lII fl)fJ1 S; I<I:r- /JJJJM rk t?1 LUtA /-e /' c0 U I u..Jj - Date: "7 /15 I () 0; . Phone: Fax: 473 ~ 19~2 . AfD! l?Vf 1 I baJfJf 0'/1 /0 hAu IN );(0--[ b I~d- L-Iuu ~ (WUICeJ f/u -6t- Wu./ak t) Yl _7 Ti--u<-'J ~ ;A.fl6u./.tCU{ 0/1 JJ~' f).l /0 ~ . alf/O.k. 6gutU'< k~' t/caj t<>>ul.d Ix il UfJ~ 4 hJ)oY--f? /~-k ~;~ . fA JpIOJUlu/J1 (J/J apkJ/ t1M!ora/lt)'~ CJU~t2eh/ I J ~~ O/;t{() I A Ii{ cueI wM 61ze (.1 If you have any questions please call the Estimating Department: From: Ed Lamando x-I02 -g Brian Nealy x-I 08 Thank you. ~ This transmittal has a total of -L pages excluding cover sheet. ~ent By: MORRIS ASSOCIATES; 8454731962; Jul-15-09 1 :32PM; Page 1/1 ADDENDUM NO.1 CONSTRUCTION BID AND CONTRACT FOR TOWN OF WAPPINGER ROCKlNGHAMFarms - Section I & II CONCRETE CURB REPLACEMENT PROJECT JULY 13, 2009 OTE: This Addendum forms a part of the contrad documents. Acknowledge receipt of this addendum in the appropriate location on the bid. he following. information or modifications to the Construction Bid and Contract for the ockingham Farms - Section I & /I Concrete Curb Replacement Project is being supplied by the ngineer as a resutt of questions raised by contractors or consultants. The Contractor shall be responsible to provide home owners one (1) full days notice when work will cross their driveways. Thereby allowing them time to remove their vehicles from their driveways, prior to the start of construction. In conversation with the Dutchess County Department of Public Works, a Highway Work Permit will be r&quired for this project as the contractor will probably be occupying the right-of~way, if only temporarily to complete this project. Therefore, it wiJIbe the responsibility for the contractor awarded the bid to obtain the necessary permit{s). The locations of the curb to be replaced has been marked out in the field with white paint. The contractor awal'ded the bid will be required to coordinate with CAMO Poilution Control as CAMO will be replacing water services in the areas of the curb replacement. CAMO. will work ahead of the contractor. Upon completlon of CAMO's work they will backfill their trench. but it will be the responsibility of the contractor to install the asphalt as part of their work. :\documents\T Wappinger\a W2009\w20903 Rockingham Sec:ll & IIIADOENDUM #1 7.13.o9,doc Sent By: MORRIS ASSOCIATES; 8454731962; Jul-15-09 2:50PM; Page 2/8 ADDENDUM NO.2 CONSTRUCTION BID AND CONTRACT FOR TOWN OF WAPPINGER ROCKINGHAM.Farms - Section I & II . CONCREiE CURS R.EPLACEMENT PROJECT JULY 15, 2009 Thi.s Addet'ldum forms a part of the contract documents. Acknowledge receipt of this addendum In the appropriate location on the bid. following information or modifications to the Construction Bid and Contract for the kingham Farms...;; Section 1& " Concrete Curb Replacement Project is being supplied by the ineer as a result of questions raised by contractors or consultants. astian: Addendum #1 ..~ Part 4 water Services. Based on addehdum the contractor is to have the asphaftr'~storation for CAMOin the base bid. How many services and what size is the excavation? . There is no indication on plans as to the approx. square footage what would be necessary to restore. R ponse: The contractor/bidder shall provide a square foot price for the placement of the asphalt (base and top to match details) in the areas of the water service trenches. Attached to this Addendum is a revised Bid Form to be used in lieu of the form contained within the Bid Contract. E:\ ocuments\T WapplngerlaW2009\w:20903 Rocklngham SectJ& II\ADDENDUM #2 7-15-09.doc ~t By: MORRIS ASSOCIATES; MiA MORRIS ASSOCIATES 8454731962; Jul-15-09 2:50PM; Page 1/8 ENGINEERING CONSULTANTS, PLLC . 9 Elks. Lane, Poughkeepsie. New York 12601 Tel:(846)454-3411 Fax: (845) 473-1962 . FAcSIMILE COVER SHEeT From: Mike Takacs ........-'-'.~N"'~'....'... . Ext 53 Date: 2-;s,af Phone Number: Urgent o Reply ASAP o Please Comment Please Review ~For Your Information o As Requested al pages, including cover sheet Wl MMENTS: .' c. E: ouments\Forms\faxmeMo,doC Sent By: MORRIS ASSOCIATES; 8454731962; Jul-16-09 12:57PM; Page 1/1 ADDENDUM NO.3 CONSTRUCTIQNBIDAND CONTRACT FOR TOWN OF WAPPINGER . ROC KfN.G HAM FARMS - SECTIQNI& II CONCRETE CURB REPLACEMENT PROJECT JUL Y16, 2009 This Addendum forms a part of the contract documents_ Acknowledge receipt of this addendum in the appropriate location on the bid. a following . information or modifications to the Construction Bid and Contract for the ckingham Farms - Section I & " Concrete Curb Replacement Project is being supplied by the gineer as a result of questions raised by contractors or consultants. uestion: Who saw cuts the trench? If contractor does saw cut please provide footage. (this refers to trench for water service replacement) ponse: CAMO will saw cut their own trench. uestion: WiII.CAMO backfill with 1-4 and contractor to scratch out 6" to install new binder and top? sponse: Yas. uestion: What square footage of Asphalt Replacement is the contractor supposed to figure for replacement? sponse: The was handled in Addendum #2 where the contractor will provide a square foot cost. \docume1'lts\T WapplngeNl W2009\w20903 Rocki!'lghl'lm $act I & "\ADDENDUM #3 7-16.Q9.doc l L (If bidder is a corporation, fill in the following blanks.) 'a L Organized under the laws of the State of: l Name and Address of President: L h Name and Address of Secretary: L L. L L l l l L L L L L l', ~.. .. l Name and Address of Treasurer: (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: - 20- l l L L L L L L L L L l L L l L l , , II. 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. NOTARY PUBLIC - 21 - .. ~\ .. L f .. , .. .. TOWN OF WAPPINGER ROCKINGHAM FARMS - SECTION I & " CONCRETE CURB REPLACEMENT PROJECT CONTRACT NO. 01 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 j'i L. Pursuant to and in compliance with your invitation to bid contained in the Notice to Contractors dated II. ! .. .. l L L l l w, i. L ~ ... l (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, the Rockingham Farms Section I & " Concrete Curb Replacement Project, Town of Wappinger, as required by and in strict accordance with the plans, specifications and all other documents relating to Contract No. 01, for the prices stipulated and as shown on this bid form. Name of Bidder: (Individual, Partnership, Corporation or LLC)* * Circle applicable 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 ADDENDUM NO.2 ADDENDUM NO.3 ADDENDUM NO.4 } - 16 - RECEIVED JUl 2 7 2009 BID BONQ KNOW ALL MEN BY THESE PRESENTS: that ""'"0''''''1 c.l ~p~.. * Thomas Gleason Inc as Principal; and ** Hartford Fire Insurance Company as Surety, are hereby held and firmly bound unto the Town Board, Town of Wappinger, New York in the amount of: .5% of ~tached bid Dollars $ 5% of attached bid 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 21st day of July 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 Rockingham Farms Section I & II Concrete Curb Replacement Project for the Town of Wappinger, New York, as shown and specified in Contract No. 01. , NOW THEREFORE, (a) If said Sid 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. - 23- (SEAL) "Insert Bidder's Name """Insert Surety's Name PRINCIPAL Th-;~eason ~ By 1/ ~ Patrick Gleason, Vice-Presidnet Signed, sealed and delivered in the presence of (Corporate seal of Contractor if a corporation) Thomas Gleason Inc Contractor ;/--4 ~ By_ Patrick Gleason, Vice President Hartford Fire Insurance Company By Carmella K Grassi (Corporate seal of Surety) Attest.~ R.~ (Title of Officer) - 24- . .""""-"""::'>-;"-':""">"""~-""":">"-"'"""..",.,:"....... STATE OF NEW YORK COUNTY OF ) ) 5S; ) ***SEE ATI'ACHED ACKNOWLEDGMENT*** On the day of I 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. NOTARY PUBLIC ACKNOWLEDGMENT OF PRINCIPAL -IF A CORPORATION STATE OF NEW YORK COUNTY OF Ulster } ss On this ........2.1at..................................day of ....:.J:\\l,y................, .Z009before me personally appeared ....f.lil.t.rJ.c;:.~..c;,l.~.~~.9.~.............................................to be known, who, being by me duly sworn, did depose and say; that he/she resides at...........f.9.~g~~~.~P.~J~.,...~..................................., that he/she is the ....y.~~~::......... President of ..........Th~~..~;I..~~~~~..X~H~.............................................the corporation described in and which executed the within insurance instrument; that he/she knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that is was so affixed by the Board of Directors of said corporation; and th~1il!lSiiNsAJ~c:rriCame thereto by like o~rer; Nota pubDc,-Stiffe(ofN'&VII'V61 Q~.~~~~ lro~~iM3'\"nly 10 ... .. 'fl. .. . .... . ....d.....~.................. Commission Expires Dee. 31, 20_ ACKNOWLEDGMENT OF PRINCIPAL - IF INDIVIDUAL OR FIRM STATE OF NEW YORK COUNTY OF } ss On this ....................................................day of .........................., ......... before me personally appeared ................................................................................................to me know to be (the individual) (one of the firm of.................................................................). described in and who executed the within instrument and he/she thereupon acknowledged to me that he/she executed the same (as the act and deed of said firm). ............................................................................................ ACKNOWLEDGMENT OF SURETY COMPANY STATE OF COUNTY OF Ulster } ss On this ...J~ly...~l,...?:9.9.?................., before me personally came ......~~~~;J;.;J;.~..~..~.~~.~.~J..................... to me known, who, being by me duly sworn, did depose and say; that he/she resides in .. ..... ~.:J.~&~.t.Q~.,...~....................... ....... ...................; that he/she is the Attorney-in-Fact of the . Jkl.:f~t.Q.J;~. 'K"J..:r:.~. . ;I;J;l.~H:r:.~~~.. ~P.J!lP!'W'Y.... .. . " ........... .. . ................ ..... the corporation described in which executed the above instrument; that he/she knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that is was so affixed by the Board of Directors of said corporation; and that he/she signed his/her name thereto by like order; and the affiant did further depose and say that the Superintendent of Insurance of the State of New York, has, pursuant to Section 1111 of the Insurance Law of the State of New York, issued to .... .~.~~~~!:~.. ~~~~..~~~~.~~~~.~..~~~~r.................................... his/her certificate of qualification evidencing the qualification of said Company and its sufficiency under any law of the State of New York as surety and guarantor, and the propriety of accepting and approving it as such; and that such ce:;~;;~~;.:;;:. .....~~.f2.~................... Qualified In Ulster County (./"N~tary Public Reg. No. 4719731 /0 Commission Expires Dec. 31, 20~ -- -.-- -- - -"-- - - ---- - -.-.- -- Direct Inquiries/Claims to: PO WER OF A TTO RNEY P.O.B::2~oF~t~~~:~VENUE HARTFORD, CONNECTICUT 06115 call: 888-266-3488 or fax: 860-757-5835) KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Code: 16 510418 DC] Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut D Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State ofIndiana o Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut D Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut D Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana D Hartford Insurance Company of Illinois, a corporation duly organized under the laws of tile State of1\1inois D Hartford Insurance Company of the Midwest, a corporation duly organized under the laws oftbe State ofIodiana o Hartford Insurance Company of the Southeast, a corporation duly organize;<! under the laws of the State ofFlorida having their home office in Hartford, Connecticut (hereinafter collectively referred to as the 'Companies") do hereby make, constitute and appoint, up to the amount of UNLIMITED JOHN P. O'SHEA, FRANK S. MARANTO, JR., KEVIN A. VIANA, MARY ANN SZCZYPCA, TIMOTHY RYCHCIK, KATHLEEN A. BROWN, JOHN R. PELUSE, CARMELLA M. GRASSI, ELEANOR MENGES OF POUGHKEEPSIE, NEW YORK their true and lawful Attomey(s)-In-Fact. each in their separate capacity if more than one Is named above, to sign its name as surety(ies) only as delineated above by 181. and to execute, seal and acknowledge any and all bonds, undertakings. contracts and other written instruments in lhe nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on July 21,2003, the Companies have caused these presents to be signed by Its Assistant Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. Paul A. Bergenholtz, Assistant Secretary ?~ STATE OF CONNECTICUT} ss. Hartford COUNlY OF HARTFORD On this 4th day of August, 2004, before me personally came David T. Akers, to me known. who being by me duly sworn, did depose and say: that he resides in the County of Hampden, Commonwealth of Massachusetts; that he Is the Assistant Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; lhat the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. Scott E. Paseks NOlary Public CERTIFICATE My Commission Expires October 3\,2007 1, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attomey executed by said Companies. which Is stillln full force effective as of 01/21/-69 . Signed and sealed at the City of Hartford. A ~ '!)~?B~ . €> fu0~{--- Gary W. Stumper, Assistant Vice President , POA 2005 Hartford Fire Insurance Company Hartford, Connecticut Financial Statement, December 31,2008 (Statutory Basis) ASSETS U.S. Government Bonds ................ $ Bonds of Other Governments........ ... State, County, Municipal and Miscellaneous Bonds......... Stocks .......................... Short Term Investments...... .......... Real Estate ............................... $ Cash................................. ...... Agents' Balances (Under 90 Day...... Other Invested Assets................... Miscellaneous.................... ........ Total Admitted Assets ................. $ STATE OF CONNECTICUT COUNTY OF HARTFORD CITY OF HARTFORD } $ LIABILITIES 117,910,785 Reserve for Claims $ 237,203,342 and Claim Expense......... 7,020,232,322 Reserve for Unearned Premiums ..... 2,056,346,836 12,049,123,830 Reserve for Taxes, License 5,795,780,851 and Fees ...................... 68,618,203 264,042,242 Miscellaneous Liabilities............. 2,816,958,276 18,464,061,050 Total Liabilities...... ... ...... ....... $ 11,962,155,637 112,146,840 Capital Paid In $ 54,740,000 117,780,180 Surplus........ .. 12,436,717,229 2,740,719,641 581,187,308 Surplus as regards Policyholders... $ 12,491,457,229 2,437,717,847 Total Liabilities, Capital 24,453,612,866 and Surplus ................. $ 24,453,612,866 ss. M. Ross Fisher, Assistant Vice President, and Patricia A. Murrone, Assistant Secretary of the Hartford Fire Insurance Company, being duly sworn, each deposes and says that the foregoing is a true and correct statement of the said company's financial condition as of December 31, 2008. Subscribed and sworn to before me this 30th day of March. 2009. '/$t-- 'A /~)-6 Nora M. Stranko Notary Public My Commission Expires March 31. 2013 Form CS-19-37 HF Printed in U.S.A. fCf2- M. Ross Fisher, Assistant Vice President A-zt~~ A-. (tAAA~ Patricia A. Murrone, Assistant Secretary i i. l L. BID BOND , I. 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. ~ .. l t .. L \ L L L \ i. 1r 1. L , 1. l l l - 22 - , L L L , L. L it .. 1. L !It.. .. l l , ... ... L L \ I ... L L L 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 by law, 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. (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 forthe purpose of restricting 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 Town Clerk of the Municipality to which the bid is made, or his/her designee, determines that such disclosure was not made for the purpose of restricting competition. (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 or 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 - 26- ~ L f~ k III 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. I affirm these statements under penalty of perjury. ~: L. DATE: ~~~~~ L. BIDDER'S SIGNATURE: ... \ L. &. ~ .. . l L l ./, 1) .. l L l l - 27- L ~: L. L L L l L L L DIVISION 300 CONTRACT k .. ~ .. , L l L L l II. l l l La - 28- ~ ~ l l .. L l L 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 mail with return receipt requested to the address of the bidder as indicated 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. i L. (b) .. (c) L. L (d) ~ Ii. L L L (e) (f) L L (g) ~ (h) 1,' l.. ~ ;' .. i L 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. He/She has carefully examined and fully understands all of the parts of the contract documents, and that he/she will execute the contract and will completely perform it in strict accordance with the provisions thereof for the sum set forth on the bid. 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 performance of the contract or in the supplies, materials or equipment, or to work or labor to which it relates, or in any portion of the profits thereof. He/She 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. 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. 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. 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. - 17 - I .. l L k L k ~ ..' L k L. l L I .. l l l L L ~, i. j\ ijc II. L L l (i) That he/she 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) That the facts stated in his/her bid and the information given by him/her are true and correct in all respects. (I) That he/she 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 federal district or county as the location of the project. BID FOR CONTRACT WORK: BASE BID: The Bidder proposes to perform the work required in accordance with the contract documents for the lump sum of: $ (Words) $ (Figures) UNIT PRICE BID: The Bidder proposes to perform the work required in accordance with the contract documents for the unit price bid per lineal foot of: $ (Words) $ (Figures) Note: The Unit Price Bid will be used to adjust the Base Bid price up or down as a result to the actual lineal footage of concrete curb replaced. - 18 - L I Also made a part of this bid is the attached documentation per Division 100, Article C.3. .. ~ It. Sign Bid Here AUTHORIZED SIGNATURE Print Name , It. 1 I.. Title L Official Company Name (Individual, Partnership, Corporation, LLC)* * Circle applicable word 1. Company Mailing Address STREET ~; ~ .. CITY STATE ZIP CODE L Federal Employer Identification No. Telephone No. 1. Fax No. g .. i L ~ .. ~. .. t: .. L L L - 19 - J~ MORRIS ASSOCIATES ENGINEERING CONSULTANTS, PLLC .9 Elks Lane, Poughkeepsie, New York 12601 Tel: (845) 454-3411 Fax: (845) 473-1962 o 64 Green Street. Suite 1, Hudson, New York 12534 Tel: (518) 828-2300 Fax: (518) 828-3963 May 5, 2011 Town of Wappinger Town Board Town Hall 20 Middlebush Road Wappingers Falls, NY 12590 [0I1C' ,r':-~'. - :< I i:=:J \ . J U ,_!~:-:! \-:':-> f]'- !! .'---3 [5) i..! \\III~ 0 i; \'1 L=:._., MAY 0 5 2011 Attn: Hon. Christopher Colsey, Supervisor TOV'Jf\l TO (= Vv' f\ f\lGER I r~ CH( '~"'" ~_,. 1 "t' RE: Rockingham Farms, Section I & II Curb Replacement Project Application and Certificate for Payment #4 Dear Mr. Colsey: Enclosed please find the Application and Certificate for Payment #4 in the amount of $6,869.17 which reflects 5% retainage held by the Town on this project. We conducted a final inspection of the project and find that the curbs are in excellent condition and therefore recommend that the Town release the retainage. Also, attached is the Town of Wappinger Purchase Order & Voucher form. Please call me at (914) 475-5749 (cell) or (845) 454-3411 Ext. 30 (office) to discuss this matter prior to the meeting. Very truly yours, Wappinger Ene. Cc Albert Roberts, Attorney to the Town (bye-mail w/enc) John Masterson, Town Clerk (bye-mail w/enc) Frederick Awino, Town Accountant (bye-mail wI enc) Graham Foster, Town Highway Superintendent (bye-mail wI enc) E:\documentsl T Wappingerla W20081W20852 Rockingham Subd - Blacktop & Curb Replacement\Payment Request #4 Itr to Colsey 5-5-11.docx APPLICATION AND CERTIFICATE FOR PAYMENT TO (Owner): PROJECT: Town of Wappinger Rockingham Farms 20 Middlebush Road Section I & II Wappingers Falls, NY 12590 FROt.! CONTRACT FOR: THOMAS GLEASON INe 42 MCKINLEY LANE POUGHKEEPSIE, NY 12601 CONTRACTOR'S APPLICATION FOR PAYMENT PAGE ONE OF FOUR PAGES APPLICATION NO: 4 Distribution to: o OWNER PERIOD FROM: 10/23/2009 CJ ARCHITECT TO: o CONTRACTOR o o ARCHITECT'S PROJECT NO: MA W20903.OO CONTRACT DATE: 8/2112009 ..,"1'";- ..<<;;....ij.;-..n--.'v;-.li:; f':: ". iJ' l .~~~_.~~!._~r..:...\L.._~L.. '~""1 , l !" j! i~ :' I I ~ . r', ,.... ~ 'Ul >' '," ..' ,'''~1 !' U L";! ,oj; (:~.J ."'_......,..~-"'~~ I\nl,-""r,;{' !,F('(\01!\T!:S l\f~;J~~'\f\~,-) J"\0....)~J\.Jl.t.i \ I- ~---- CHANGE ORDER SUMMARY Change Orders approved ADDITIONS DEDUCTIONS in previOUS months by owner TOTAL $ - Approved this Month $ - $ - Numbs Date AllPI'oved $ - $ - 1 10116/2009 $ 3,270.00 $ - 2 10/29/2009 $ 10,613.50 $ - $ - $ - $ . $ - $ 13,883.50 $ - TOTALS $ - Net change by Change Orders The understanding Contractor certifies that to the belt of his knowledge, Information and bellef the war1\. covered by thll Appllcation for Payment has been completed in aocordanee with the Conlnlct Qoeu- ments, that all amoums have been paid by him for Work for whk:l1 previous Cartlflcatas for Payment were issued and payments received from the Owner, and that current payment shown herein ill now ckle. Dete: 5- 3- \ , ARCHITECTS CERTIFICATE FOR PAYMENT In accordance with the Contract Documents, based on on-site obser- vation and the data comprising the above application; the Architect certifies to the Owner that Work has progressed to the point indicated; that to the best of his knowledge, information and belief, the quality of the Work is in accordance with the Contract Docu. ments; and that the Contractor is entitled to payment of the AMOUNT Certified. Application Is made for payment, 88 shown below, In connection with the ConInlct. Continuation Sheet. AlA Document G703, is attached. The present status of account for this Contract Is as foHows: 1 ORIGINAL CONTRACT SUM........................................ $ $ $ 123,500.00 13,883.50 137,383.50 3 CONTRACT SUM TO DATE....................................... $137,383.50 I 137,383.50 130,514.33 6,869.17 9 BALANCE TO FINISH, INCLUDING RETAINAGE............. $ 2 Net change by Change Order...... ...... ............ ............ '" 4 TOTAL COMPLETED & STORED TO DATE................... (Column G on G703) 5 RETAiNAGE 0 %...................................................... $ or total in Column I on G703 6 TOTAL EARNED LESS RETAINAGE............,................ $ 7 LESS PREVIOUS CERTIFICATES FOR PAYMENT......... ... $ $ 8 CURRENT PAYMENT DUE...,..................................... County of. ~~.J,~~ 1IIrANNlAtT '''"1'C .. .' dayo~20 'I 'tmrAlft'POBLICSTAmOFNEWYOR No. 01NBl1081012 ~JCA'lE I'ILED DU:rom;SS CqVN. N EXPIBES 9-3()'20.t~ $ 6,869.17 3 /" Date: ;) IFIED is payable on to the Contractor payment are wft/lOut prejudioe to any CONTINUATION SHEET In tollulallon Ilelow, amounto _ SI8lad 1ll1ha n..rest_. PROJECT NAME Rockingham Farms Secion I & II APPLICATION NO: APPLICATION DATE: PERIOD TO: ARCHITECTS PROJECT NO: 4 5/3/2011 APPliCATION AND CERTIFICA1'E FOR PAYMENT, conI.lnlng Conlnld.... 5Ignod ~Ion ,. atta<:l1ed. Use Column 1 on CG1llrms ""'""' varlable reloln81l0 for line KOIl\!l "'a~ apply. Work Completed ITEM DESCRIPTION OF WORK SCHEDULED LS FROM THIS PERIOD MATERIALS TOTAL % 0% NO. VALUE Each PREVIOUS PRESENTLY COMPLETED Compelete Retalnage Or APPLICATION STORED AND STORED Foot TO DATE 1 Lumo Sum Base Bid $ 123,500.00 LS $123,500.00 $ - $ - $ 123,500.00 100% $ - 00#1 218 If of Curb $ 3,270.00 LS $ 3.270.00 $ - $ - $ 3.270.00 100% $ - co #2 additional curb/asohalt $ 10,613.50 LS $ 10613.50 $ - $ - $ 10.613.50 100% $ - '. TOTALS: $ 137,383.50 $137,383.50 $ - $ - $ 137,383.50 $ - am: .:- .. .-. .a. . 07/02/2007 13:40 8452977214 COHPTROLLER PAGE 131/01 TOWN OF WAPP&NQ!A, NY P.O. Box 324, Mldd/ebush Road Wapplngers Falls. N. Y. 12590 i=>urCM>e Old.! No, DO NO T W~JrE fN THIS eox I r- I -, O~lll VQ\lM.t ~=81~ed , FUND. APPP:OPR1ATION AMOUNT : I , I I I I I , I TOTAL i I A15STRACTNO. I I F'URCHASE ORDER & VOUCHER CLAIMANT'S NAMe ANO AOO~EiSS THOMAS GlEASON, INC, 42 :1,;lc:<iNLEY LANE POUGHKEEPSIE, NEW YORK 12601 L ..J n~MS ~3D VCNOOR'S FtEFNO I DAiES QUANTiTY DEsCFtIFilON or: MA"~IAI.S OR SEtwlCES UNIT FRICE i AMOUNT S(?4 { I R CGt (...:r, HAM. t-AUl-t? t'2 E""\" A. { 1J?\ (i,E <:, ('be; \'\ 'I J TOTAL I ~~(,q.r)..I ... .. .... I,LN\} ~ GL€t\:~o...:.- ~t0L)<--... lll'l!1lf)ilhDI~II~efle(;OunllnlheJjlMunlo:S I hli ~.nd~; Ii'll! "'" IlllPM,~, 11M lllablJrMlfllInlll e~'\!O<i _ Nnlllll'lOll IQ or frJr fhe. n'WnlclP!llfly 0fI11'If, (I.IM Ileled: lnal nQ pari hM been Plllct Of Da<<an~: Ihlll14~', fn:><Tl w!1~ 1M -_.b~:I~~""_"_'__._~"~ toJp '* OA~ ~~~ FE IS PACE SEL.~ FOR MUNICI;:OAI. lJSi:) i APPROVAL FOR FA YM5Nr Thill <".I11lrn i~ &;l!ml\lQll pOle! fl'O"" I!oID OI'I'",priCltlo"b i"dlost"d elx>ve I j I I I CEPARTMENT A.P'PROVAL. The above services or materials we~ rendered, or furnished to the municipality on the. dates st!ted and the oliarges are correct DATE ~ 11"1oI,...r:>t~~1'\ r-oc:c:,,",.,