2000 Gallon Tank
May 071201 :19p Graham Foster
EQUIPMENT:
NAME OF BIDDER:
ADDRESS:
PHONE:
AMOUNT OF BID:
DATE SUBMITTED:
SIGNATURE:
8452980524
pA
[Ri~(C~~~~~
MAY 08 nlZ
TOWN OF WAPPINGER
TOWN CLERK
BIDDING FORM
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May 071201 :19p
Graham Foster
8452980524
p.5
NON-COLLUSIVE BIDDING CERTIFICATE
The bidder certifies that:
a) the bid has been arrived at by the bidder independently and has been
submitted without collusion with any other vendor of materials, supplies or
equipment of the type described in the invitation for bids, and
b) the contents of the bid have not been communicated by the bidder, nor to the
best of his knowledge and belief, by any of his employees or agents, to any
person not an employee or agent of the bidder to its surety on any bond
furnished herewith prior to the official opening of the bid.
The signature of the contractor to this bid shall be deemed a specific
subscription to the certificate required pursuant to Section 139-<:1 of the State
Finance Law and the contractor affirms that the statements therein contained are
true under the penalty of pe~ury.
DATE: -4PV
BY:
:tJ~
~~~
TITLE
~~((;~~W~[Q)
MAY 08 2012
TOWN OF WAPPINGER
TOWN CLERK
May0712Q1:18p
Graham Foster
8452980524
p.3
TOWN OF WAPPINGER
SUPERINTE~DENT
Graham Foster
SUl'ERVISOR
Barbara A. Gutzler .
~ rO$ter"dS,~\~rl~~f!!ill]li n ~.~c:rs .!1~
(845) 297-9451 - Ofticc
l84Sj 656-5031 -Cell
(845) 2911-0524 - Fa...
TOWN BOARD
William H. Beale
Vincent Betdna
Ismay Czamiecki
Mkhael Kuzmicz
I-lIGHWA'( DEPARTMENT
10 HIGHWAY DRIVE
WAPPINGERS FALLS. NY 12590
Scope of Work supply 2 - 2000 gal above ground fuel storage tanks @
the town garage
2 - 2000 GALLON RECTANGULAR DESIGN FIREGUARD TANK "OP"
Application: ABOVE GROUND
Type: DOUBLE WALL
Material: Mild Carbon Steel
Width: 6'10" Height: 5'1" Length: 12'4"
X" Shell ~"Head 1.4" Outer Shell %" Outer Head
Fittings: Standard
Exterior Coating: FIREGUARD WHITE
UL-2085
E-VENTS INCLUDED
PAINTED WHITE
WELDED BOTTOM SUPPORTS
30 YR. WARRANTY
** INCLUDES 20% OP CHAMBER
** REVISED 4-9-12
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NIY f'OIlII fl\t'HOUI' 1H[ 'II'M'IErt
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IlOlID. C\lSTGIItlO IS ~ rOIl
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STRIICDI PLAl[5 AAE NOT ~UPflU{D ON
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SHIP LOOSE
(2} S" nANGrIl ElIE!lG(NCY '<!NTS
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2,000 GAL REC. FIREGUARO~ OP
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May071-~ 01 :18p
Graham Foster
8452980524
p.1
TOWN OF WAPPINGER
SUPERINTENDK...T
CRAHAM FOSTER
SUPERVISOR
BARBARA A. GUTZLER
~.,,~, '.\ .gi~~:)l~r'Jf ~(] i:,-n~I\\'.;Ip"pj ng\.,':~s.,.~s
(845) 297-9451 - Ol1icc
(845) 656-5031 - Cd I
.:845) 298-0524 - Fa"\
Office of the Town Superintendent
TOWl\- BOARD
William H. Bcale
VincCI1t Bettina
Jsmay Czarniccki
Michael Kuzmicz
10 HIGHWAY DRIVE
WAPPINGERS FALLS, NY 12590
NOTICE TO BIDDERS
NOTICE IS HEREBY given that sealed proposals will be received at the office of the
Town Clerk of the Town of Wappinger, 20 Middlebusb Rd., Wappinger Falls, New York, and
opened at ] :OOpm EST. on 8th day of May 2012 for the following:
2 - 2000 GALLON RECTANGULAR ABOVE GROUND DESIGN
FJREGUARD TANK "OP"
AU bids must be upon and in conformity with the bidding form and specifications which will
be available each working day between the hours of 8:30am and 3:30pm at the office of the
Highway Superintendent of the Town of Wappinger, to Highway Dr., Wappingers Falls, New York.
The Town Board reserves the right to reject any or all bids, to waive any informalities in any
such bids, to contract with other than the lowest bidder as provided by law, or to write new proposals.
Bids being submitted should be in a sealed envelope, clearly marked "BID" and item and
addressed to the Town Clerk of Wappinger, 20 Middlebush Rd., Wappingers Falls, New York 12590.
By Order of the Town Board
Christine Fulton, Town Clerk
Dated: April 26, 2012
{R1~~~U~~[]
MAY (\ 8 2:H2
TOWN OF WAPPINGER
TOWN ~~K
May031203:57p
Graham Foster
8452980524
p.4
\R1~~~n~~ITd)
BIDDING FORM
MA'( 08 20i2
TOWN OF WAPPINGER
TO\f\!.~__~~~~K
--------.... - -.",
EQUIPMENT: TWO (2) 2000 GAL ABOVE GROUND FUEL STORAGE TANKS
DELIVERED TO TOWN GARAGE SCOPE OF WORK ON REA~
NAME OF BIDDER: STEVE KALKA, LLC
ADDRESS: 427 MAIN STREET, HURLEYVILLE, NY 12747
PHONE:
845-434-3509 VOICE & FAX skalka@hvc.rr.com
AMOUNT OF BID: $45,091. 00 DELIVERED CUSTOMER UNLOADS PAYMENT IS NET 30
FROM DELIVERY
DATE SUBMITTED: MAY 4, 2012 EXPRESS MAILED TO TOWN CLERK
SIGNATURE:
4
"
fk, J,
Attached is a drawing for the tanks specified in your scope of work. Please note there are
differences between dimensions in your scope and the drawing. Also drawing may be changed
slightly if order is placed with Highland Tank. My bid is for a tank of the approximate
dimensions illustrated on the shop drawing. One hour is allowed for unloading by customer
before supplier changes demurrage which will be customer's responsibility.
We will furnish weight and date and time of delivery so crane be scheduled.
May 03 12 03:58p
Graham Foster
8452980524
p.5
fR1~[;~llW~fD)
MAY 0 8 2012
TOWN OF WAPPINGER
TO_~_"!_~_~ERK
NON-COLLUSIVE BIDDING CERTIFICATE
..-..-------
The bidder certifies that:
a} the bid has been arrived at by the bidder independently and has been
submitted without collusion with any other vendor of materials, supplies or
equipment of the type described in the invitation for bids, and
b} the contents of the bid have not been communicated by the bidder, nor to the
best of his knowledge and belief, by any of his employees or agents, to any
person not an employee or agent of the bidder to its surety on any bond
furnished herewith prior to the official opening of the bid.
The signature of the contractor to this bid shall be deemed a specific
subscription to the certificate required pursuant to Section 139-d of the State
Finance law and the contractor affirms that the statements therein contained are
true under the penalty of pe~ury.
DATE:
S-/V//H [2--
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BY: .
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MAY 08 2012
TOWN CLERK
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2000 GALlON PRIMARY
CONPAR1\4ENT
5'-8"
5'-8"
12'-10. INNER
13'-5" OUTER
J" LIGHT V/ElCHT IN$ULAllCN MAlERlAL I/IITHIfl 1NTERS1lCE ON eOlTOIol
AND SlOES r;XCEPT MONITOR PIPE E~l TOP AND t,lOHITOR EPlO TO BE .."
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I.Jo8EL- Ul 2085 AND FlREOUAflDlP ~ stl
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May 0312 09:16a
Graham Foster
8452980524
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MAY 082012
TOWN OF
TO WN WAPPINGER
CLERK
BIDDING FORM
EQUIPMENT: (2) 2,000 Gallon Firequard OP Tank
NAME OF BIDDER: S&O Construction Services Inc.
11 Charles Street / PO Box 1379
ADDRESS: Pleasant Valley, New York 12569
PHONE: 845-635-2916
AMOUNT OF BID: $46,000.00
DATE SUBMITTED: 5/8/1 2
SIGNATURE:
May031209:16a
Graham Foster
8452980524
"
.;>
[Ri~CC~~~~[Q)
MAY 0 8 2012
TOWN OF WAPPINGER
TOWN CLERK
NON-COLLUSIVE BIDDING CERTIFICATE
The bidder certifies that:
a) the bid has been arrived at by the bidder independently and has been
submitted without collusion with any other vendor of materials, supplies or
equipment of the type described in the invitation for bids, and
b) the contents of the bid have not been communicated by the bidder, nor to the
best of his knowledge and belief, by any of his employees or agents. to any
person not an employee or agent of the bidder to its surety on any bond
furnished herewith prior to the official opening of the bid.
The signature of the contractor to this bid shall be deemed a specific
subscription to the certificate required pursuant to Section 139-d of the State
Finance Law and the contractor affirms that the statements therein contained are
true under the penalty of perjury.
DA TE: 6-8.- d-O , ")..
Jeffre
President
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May 0312 09:15a
Graham Foster 8452980524
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TOWN O:F WAPPINGER
SUPERINTENOI::NT
GRAHAI'I'J fOSTER
SlJPERVlSOR
BARBARA A. GlJTZLER
(1145) 297-9451 - Ortice
(:{45)656-503/-Cdl
(845) 298-(J524 - Fu:-;
Office of the Town Superintendent
TOWN BOARD
William II. Ikale
Vincent Bellina
Isma) Czarnit:c.:ki
Michael Kuzmicz
~ ~y~ ~~).~. g, t.t ~;~ :.~xjLb.l"~~})! ~ 1\ ~.~JPP.i. (l J.;.;.:r :~.. ~.J.:~
10 HIGHWAY DRIVE
WAPPINGERS FALLS, NY 12590
NOTICE TO BIDDERS
NOTICE IS HEREBY given that sealed proposals will be received at the office of the
Town Clerk of the Town of Wappinger, 20 Middlebush Rd., Wappinger Falls, New York, and
opened at I :OOpm EST. on 8th day of May 20 I 2 for the following:
2 - 2000 GALLON RECTANGULAR ABOVE GROUND DESIGN
FIREGUARD TANK "OP"
All bids must be upon and in conformity with the bidding form and specifications which will
be available each working day between the hours of 8:30am and 3:30pm at the office of the
Highway Superintendent of the Town of Wappinger, 10 Highway Dr., Wappingers Falls, New York.
The Town Board reserves the right to reject any or all bids, to waive any informalities in any
such bids, to contract with other than the lowest bidder as provided by law, or to write new proposals.
Bids being submitted should be in a sealed envelope, clearly marked "BID" and item and
addressed to the Town Clerk of Wappinger, 20 Middlebush Rd., Wappingers Falls, New York 12590.
By Order of the Town Board
Christine Fulton, Town Clerk
Dated: April 26, 2012
lFD~(Q;~UW'~{Q)
MAY 0820:2
TOWN OF
TO ~VAPPINGER
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: COMPARTMENT 'I OVERFILL ~ I' :
1 , PROTEcnON: ~ :1 J
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12'-10" INNER
5'-8"
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DESIGN DA T A
CAPACITY : 2.000 GALLONS
TYPE: FIREGUAROOl RECTANGULAR OP
cIRECU~..~~ A TRADEMARK 0, WITH THt. ::i1t.t.L
TANK IN'iTlTuTt.
NO. REO. - TWO
OPERATING PRESSURE - ATMOSPHERIC
SPECifiC GRAVITY a 1.0
lANK MATERiAl - MILO CARBON STEEL
THICKNESS - INNER - 1/4"
THICKNESS - OUlER - 1/4"
MIN. GAUGE OR THICKNESS (PER U.L. 2085)
CONSTRUCTION - INNER - lAP WELD OUTSIDE ONLY F
CONSTRUCTION - OUTER - LAP WELD OUTSIDE ONL
TANK lEST - PER UL 2085
INT, f"NISH - NONE
EXl. fiNISH - SP-6 BlAST. FINISH PAINT WHITE
v.llEL- UL 2085 AND F'REGUAROOl PCR sli
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\.. .. IA" GROUNDING HOU' IN
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1J'-5" OUTER
J" LIGHT WEIGHT INSULATION MATERIAL WITHIN INTERSTICE ON BOTTOM
AND SlOES EXCEPT MONITOR PIPE END; TOP AND MONITOR END TO BE 4"
MAY 0 8 2012
TOWN OF WAPPINGER
TOWN CLERK
A 2" FEMALE F"REGUARO COUPLING
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B 4" FEMALE FlREGUARO COUPLING
C &" FFSO 1508 FLANGE - PRIMARY EMERGENCY
VENT USE ONL Y
o 6' rrso 15011 FLANGE THROUGH OUTER SHELL
ONLY, MARK WITH SPECIAL WARNING LABEL
INTERSTITIAL EMERGENCY VENT USE ONLY
E 2" mnNG THROUGH OUTER SHELL ONLY ....1TH
CAST IRON PLUG - F'OR MfG USE ONL Y
2" INTERSTITIAL MONITOR PIPE -, MALE NPT
Nn .
G 29" LONG. 14' WIDE. 4" HIGH CLOSED TOP
STEEL ENCLOSURE WELDED TO OUTER TANK
H &" FEMALE FIRECUARD COUPLING OR PIPE
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/JHY f'ORN _11Hour fttt "'"","EN
PDl~lSSIlIII 01' H1CHWlQ ,........
-......0 ''''109 SHolL BE AU_IIIllE
lINl.Y fOR 1TtII& "D1CA'EO ON THIS
U8AICIl1lON llRA_c UNUU 0_
NOlCl, CIIST"'OI 0& Rt5l'Gl<SG.E rOR
\'DlJn'ING COIIRtCTMSS or Slle _
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.O\IIICD I' INS'.....L"'IOrt
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NOTtSl
SfRMU fIlAllS All[ NO' SUPPu(O ON
'RtGUMDSIo UfttLtSS SPCCI'ltO
SHIP LOOSE
(2) &" rlANCED EMERCENtY VENTS
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CUSTOMER,
PROJECT,
QUOTE NQ. 296038 ItHl'D Ir'
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May031209:15a
Graham Foster
8452980524
p.4
, ~
~
TOWN OF WAPPINGER
SUPERINTENDENT
Graham Foster
SLJPERVISOI~
Bllrbara A. Gutzler
~Y.~l~\.\::gF ~~.~ ~r:fU ~~_~\:.iJ!.~b~..m.:J~!'..g.I.;:~~.~~':~
(845) :297-9~51 - Onicc
(845)656-5031 -Cdl
(8-15) :291l-(J524.. I'll:>;
TOWN BOARD
William H. [kale
Vincent I.ktrinH
Ismay Cwmiccki
ivlichad Kuzmicz
HIGHWAY DEPARTMENT
10 HIGHWAY DRIVE
WAPPINGERS FALLS, NY 12590
Scope of Work supply 2 - 2000 gal above ground fuel storage tanks @
the town garage
I
2 - 2000 GALLON RECTANGULAR DESIGN FIREGUARD TANK ClOP"
Application: ABOVE GROUND
Type: DOUBLE WALL
Material: Mild Carbon Steel
Width: 6'10" Height: 5'1" Length: 12'4"
%" Shell %" Head %" Outer Shell %" Outer Head
Fittings: Standard
Exterior Coating: FIREGUARD WHITE
UL-2085
E-VENTS INCLUDED
PAINTED WHITE
WELDED BOTTOM SUPPORTS
30 YR. WARRANTY
** INCLUDES 20% OP CHAMBER
** REVISED 4-9-12
fRi~CC~~W~[D)
MAY 0 8 20':2
TOWN OF WAPPINGER
_,IO_~N CLERK
. ,
BIDDING FORM
EQUIPMENT: ~E/1, 1I,ikw.4 '1j* ..t,()Qf)t#/~ ;::z*~ t~ Ji1;:e.
NAME OF BIDDER: /l4f.ejeI;:"'/'I'7RtJ/~4f -JQfJ. .t d4/sr. t! . .zwC.
I /
ADDRESS: 63 aR~~ #~ 41~L.I1/~~ ~ /Zr5J>1,
PHONE: J'Jj5 77!-67/t?
AMOUNT OF BID: ! 30{ (pJ.jj: q2
DATE SUBMITTED: ~~ I,ll .t&~
SIGNATURE:
[R1~(G~~'W~[Q)
MAY,.. 8 ?01?
T0'vVl\J OF VVA1)1:!f.NGER I
I TO\dN CL.ERK i
TOWN OF WAPPINGER
SUPERINTENDENT
Graham Foster
SUPERVISOR
Barbara A. Gutzler
(845) 297-9451 - Office
(845) 656-5031 - Cell
(845) 298-0524 - Fax
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czarniecki
Michael Kuzmicz
www.gfosterlaltownofwappingers.us
HIGHWAY DEPARTMENT
10 HIGHWAY DRIVE
WAPPINGERS FALLS, NY 12590
[Pd~((;~~\w~[Q)
MAY 0 8 2012
TOWN OF WAPPINGER
TOWN CLERK
Scope of Work supply 2 - 2000 gal above ground fuel storage tanks @
the town garage
2 - 2000 GALLON RECTANGULAR DESIGN FIREGUARD TANK "OP"
Application: ABOVE GROUND
Type: DOUBLE WALL
Material: Mild Carbon Steel
Width: 6'10" Height: 5'1" Length: 12'4"
~"Shell ~"Head ~"Outer Shell %" Outer Head
Fittings: Standard
Exterior Coating: FIREGUARD WHITE
UL-2085
E-VENTS INCLUDED
PAINTED WHITE
WELDED BOTTOM SUPPORTS
30 YR. WARRANTY
** INCLUDES 20% OP CHAMBER
** REVISED 4-9-12
. .
"
NON-COLLUSIVE BIDDING CERTIFICATE
The bidder certifies that:
a) the bid has been arrived at by the bidder independently and has been
submitted without collusion with any other vendor of materials, supplies or
equipment of the type described in the invitation for bids, and
b) the contents of the bid have not been communicated by the bidder, nor to the
best of his knowledge and belief, by any of his employees or agents, to any
person not an employee or agent of the bidder to its surety on any bond
furnished herewith prior to the official opening of the bid.
The signature of the contractor to this bid shall be deemed a specific
subscription to the certificate required pursuant to Section 139-d of the State
Finance Law and the contractor affirms that the statements therein contained are
true under the penalty of pe~ury.
DATE:
s: 7, d///~
BY: -d/j(Jf,sS /),~4-/
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TITLE
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TOWN CLERK
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49"
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i 2000 GALLON PRIMARY i 20X "cp"! I
I COMPARTMENT I' OVERFILL ~ I
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5'-8"
5'-8"
12'-10" INNER
13'-5" OUTER
3' UGHT WEIGHT INSULATION MATERIAL WITHIN INTERSTICE ON BOTTOM
AND SlOES EXCEPT MONITOR PIPE END; TOP AND MONITOR END TO BE 4'
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NO. REO. - TWO
OPERATING PRESSURE - ATMOSPHERIC
SPECIFIC GRAVITY . 1.0
TANK MATERIAL - MILO CARBON STEEL
THICKNESS - INNER 1/4'
THICKNESS - OUTER - 1/4'
MIN. GAUGE OR THICKNESS PER U.L. 2085
CONSTRUCTION - INNER - LAP WELD OUTSIDE ONLY
CONSTRUCTION - OUTER - LAP WELO OUTSIDE ONt:
TANK TEST - PER UL 2085
INT. FINISH - NONE
EXl. FINISH - SP-6 BLAST, FINISH PAINT WHITE
LABEL- UL 2085 AND FIREGUARDe PER sti
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FITTINGS ~OT SHOVotol :
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5/8' GROUNDING HOLE IN SUPPORT
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TOWN OF WAPPINGER
TOWN CLERK
A 2' FEMALE FIREGUARD CQUPUNG
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SIIlIlCEIl I'I.A1U _ NOT SUPPUED ON
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SHIP LOOSE
(2) 6. fUNGED EMERGENCY VENTS
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2,000 GAL REC. FIREGUARD~ OP
PATINT: ~ 69~ 089 PATENT: ~.809 6!>O
CUSTDMER'
PROJECT,
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TOWN OF WAPPINGER
SUPERINTENDENT
GRAHAM FOSTER
SUPERVISOR
BARBARA A. GUTZLER
(845) 297-9451 - Office
(845) 656-5031 - Cell
(845) 298-0524 - Fax
Office of the Town Superintendent
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czarniecki
Michael Kuzmicz
www.gfoster@.townofwapoingers.us
10 HIGHWAY DRIVE
WAPPINGERS FALLS. NY 12590
NOTICE TO BIDDERS
NOTICE IS HEREBY given that sealed proposals will be received at the office ofthe
Town Clerk of the Town of Wappinger, 20 Middlebush Rd., Wappinger Falls, New York, and
opened at 1:00pm EST. on 8th day of May 2012 for the following:
2 - 2000 GALLON RECTANGULAR ABOVE GROUND DESIGN
FIREGUARD TANK "OP"
All bids must be upon and in conformity with the bidding form and specifications which will
be available each working day between the hours of 8:30am and 3 :3Opm at the office of the
Highway Superintendent of the Town of Wappinger, 10 Highway Dr., Wappingers Falls, New York.
The Town Board reserves the right to reject any or all bids, to waive any informalities in any
such bids, to contract with other than the lowest bidder as provided by law, or to write new proposals.
Bids being submitted should be in a sealed envelope, clearly marked "BID" and item and
addressed to the Town Clerk of Wappinger, 20 Middlebush Rd., Wappingers Falls, New York 12590.
By Order of the Town Board
Christine Fulton, Town Clerk
Dated: April 26, 2012
~~~~n~~[Q)
MAY 08 2Q;2
TOWN OF WAPPINGER
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5'-8"
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12'-10" INNER
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5/8" GROUNDING HOLE IN SUPPORT
~~~
WN OF WAPPINGER
'TO 'uN CLERJ5
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A 2" FEMALE FIREGUARD COUPLING
J 2" FEMALE FIREGUARD COUPLING
: oIU. _ RE5Dl\IED- THIS
_ llUST HCI'l lIE Al:PROIlUCtD ..
_ fOllN _our lHE WMlEN
~ 01 HIGlt.AHD T_.
__ T_ SIWJ. lIE IlCIPDHSI8lL
ClNl.V FOR IIEIoIS INDIC:ATED ClH THIS
,__ __ lDII.ES$ OlttEJlWlSE
_CUS'IllIIlIlIS~'DR
_~OIS1lE_
L_ 01 nTTIHCS, lOCCESSDRIES. ...D
Cllo\IINGS _ ClN THIS DIlAIOING.
... HIKD AIN IS
IlEGUIIlED IT IHS'fIol.l.ATllI'I
ClIIITIlACTIJR, TIkICH ... 'AIHT SHIPPED
IoIITH T-.
NDTES:
STAIICER PLATES AIlE IIOT IUPf'Ul:D OM
~ UHLE5S SPECIREIl
SHIP LOOSE
(2) 6' FLANGED EMERGENCY VENTS
6-
@ HI..'lIk~
2,000 GAL REC. FIREGUARO$ OP
PATENT: S 69S
CUSTOMER'
PATENT: S.809 SSO
PROJECT,
TOWN OF WAPPINGER
SUPERINTENDENT
Graham Foster
www.gfoster@townofwaopingers.us
(845) 297-9451 - Office
(845) 656-5031 - Cell
(845) 298-0524 - Fax
HIGHWAY DEPARTMENT
10 HIGHWAY DRIVE
WAPPINGERS FALLS, NY 12590
SUPERVISOR
Barbara A. Gutzler
TOWN BOARD
William H. Beale
Vincent Bettina
Ismay Czarniecki
Michael Kuzmicz
Scope of Work supply 2 - 2000 gal above ground fuel storage tanks @
the town garage
2 - 2000 GALLON RECTANGULAR DESIGN FIREGUARD TANK "OP"
Application: ABOVE GROUND
Type: DOUBLE WALL
Material: Mild Carbon Steel
Width: 6'10" Height: 5'1" Length: 12'4"
%" Shell %" Head %" Outer Shell %" Outer Head
Fittings: Standard
Exterior Coating: FIREGUARD WHITE
UL-2085
E-VENTS INCLUDED
PAINTED WHITE
WELDED BOTTOM SUPPORTS
30 YR. WARRANTY
** INCLUDES 20% OP CHAMBER
** REVISED 4-9-12
~~
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BIDDING FORM
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EQUIPMENT: ~ - d...6(Jf: ~ I tit.. ~o~.s 0.,,1::.11. WA[{ C" ~ f ~ ",". '1
n r'l. t? V4 _ c:!. I 4... k $ (kO ~ @ p
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NAME OF BIDDER: S-;s.s H;,ks Z/wtrc L.l ~n ~"JII-;r;- ~ S()~ Ll.S
DATE SUBMITTED:
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ADDRESS:
PHONE:
AMOUNT OF BID:
SIGNATURE:
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10vJ;O~N _C\-~R~--
NON-COLLUSIVE BIDDING CERTIFICATE
The bidder certifies that:
a) the bid has been arrived at by the bidder independently and has been
submitted without collusion with any other vendor of materials, supplies or
equipment of the type described in the invitation for bids, and
b) the contents of the bid have not been communicated by the bidder, nor to the
best of his knowledge and belief, by any of his employees or agents, to any
person not an employee or agent of the bidder to its surety on any bond
furnished herewith prior to the official opening of the bid.
The signature of the contractor to this bid shall be deemed a specific
subscription to the certificate required pursuant to Section 139-d of the State
Finance Law and the contractor affirms that the statements therein contained are
true under the penalty of pe~ury.
DATE: 5 - ?? - , d--..
c?- )Yl-
BY: ::J;s 5 I-I,' Co k s
?"c;('S- rvlAN,4j f r
TITLE
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\N ~~PINGER
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