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Corwood Ventura Inc~r SECTION 00310 -BID FORM it CONTRACT NO. 12-012 GENERAL CONSTRUCTION BID FORM TO: The Town Board of the Town of Wappinger. In compliance with your Advertisement for Bids, publishe in the ?CwCr~~~r~?s~~ ''~~Q-nfr~` dated a~'aK ~~~ ~~~ ~r3 ,the $„ undersigned, Co~.~Wo~t~ V~~cP.~i , Sn-c . having carefully examined the Contract ,~ Documents and any Addenda thereto, proposes and agrees as follows: 1. To furnish all the equipment, and incidentals, and to furnish labor and do all ..~ the work required, to construct, furnish, and complete the Contract No. 12- 012, Roberts Road Sewer Improvements -General Construction and associated work in accordance with the prices so named in this bid in a worker like manner, in accordance with the plans and specifications, all of which are a part of the contract hereto annexed. ~..• 2. To complete all the work as shown and specified, on which this bid is based, within the timeframe(s) specified in these Contract Documents and any Addendum thereto. 3. To furnish the Town within five (5) calendar days from the date of the request, if identified as the apparent low bidder and if requested by the "~"' Town, a Statement of Qualifications. 4. To enter into a contract and to furnish, with suitable surety to be approved by "' the Town Board, performance and labor and material payment bonds, the amount of each of the bonds to be the full amount of the awarded bid price as it appears in this proposal, within thirty (30) calendar days from the date '''"' of acceptance of this bid 5. To comply with the Davis-Bacon Act and other federal labor standards or provisions and to pay New York State prevailing wage rates applicable to this contract. In compliance with the Instructions to Bidders, the undersigned declares that he/she has examined the site of the work and informed himself/herself fully in regard to all conditions pertaining to the place where the work is to be done. He/she has examined the plans and specifications for the work and the contract documents relating BID FORM ;~"~" E:\documents\T Wappinger\a W2012\W21205 Roberts Rd Pump Station\Spec~cations\00310_General.doc 00310-1 thereto, has read all addenda furnished prior t etdhe opening of bids, and has satisfied himself/herself relative to the work to be perform If the undersigned fails to perform any of the promises made herein, the certified check, which is herewith deposited with the Town Clerk, will be paid to the Town of Wappinger or payment of the bond herewith deposited will be enforced for the benefit of the Town of Wappinger as liquidated damages for such default; otherwise the check or bond will be returned to the undersigned. _` ADDENDA: Receipt of the following addenda (if any) is hereby acknowledged and the _ provision(s) thereof is (are) included in this bid: DAT SIGNATURE ADDENDUM NO. ~ 2s 13 __ 2 ~ Z '~ The bidder proposes to perform the work required in accordance with the Contract ~ Documents for the sum of: BASE BID (GENERAL CONSTRUCTION) ua ~v~E~ ~ ~ 6 8 , 2 ~ ~ , Iwo ~aNpr~v ,fi,rrY - ~r~-~~~r `Th~~ ITH~ D~c~l (and figures) (in venting) T t~ Dated: (~ ~Y ~' , 20~ SIGN BID HERE Legal Company Name Address City, State, Zip Telephone No. Federal I.D. # 00310-2 BID FORM E:\documents\T Wappinger\a W2012\W21205 Roberts Rd Pump Station\Spec~cations\00310_General.doc ~.. MAY C ~ ~~;3 SEGTiON 00410-B1D E30ND ~-~x~ ~ ~~6 ,-~ h+.., ~~ BID BOND FORM KNOW ALL PERSONS BY THESE PRESENTS; that * Corewood Ventures, Inc., 240 Van Wagner Road, Poughkeepsie, NY 12603 as Principal; and Travelers Casualty and Surety Company of America, One Tower Square, Hartford, CT 06183 #t as Surety, are hereby held and firmly bound unto the Town Board, Town of Wappinger, New York in the amount of: **Five Percent (5%) of the Amount Bid*" Dollars ($ *"5% of 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 1st day of May ZC 13 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 Roberts Road Sewer Improvements in the Town of Wappinger, New York, as shown and specified in the contract, plans and specifications. NUW THEREFORE, Project No. 12.012 (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 the Contract Agreement in the farm attached hereto (properly completed in accordance with said Bid) and furnish such performance bond and labor and material payment bond as required, Ihc:n this obligation shall be void. Otherwise, the same shall remain in force and effect, i1 being expressly understood and agreed that the liability of the Surety far any and all c:l~aims hereunder shall, in no event, exceed the amount of this obligation as herein ~:trated. 1 ho Surety, for value received, hereby stipulates and agrees that the obligations of said ~t.+rr+ty and its bond shall in na way be impaired or affected by any extension of the time within which the Principal may accept such bid; and said Surety does trereby waive nc?tice of any such extensian. "Insert Bidder's Name "I+isert Surety's Name i~l© ROND Q0410-1 1` VlanumentelT Wapp+ngeria wZ0121VY2t205 Rpberts Rd Pump Statipnl5padfipCronsW0410.doc IN WETNESS WNEREO`f=, the Principal and the Surety have I~ereunto 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 afficers, the day and year first set forth above. Corewood Ventures, Inc. /~ (Seat of Principal if a Corporation) ~ ~ ~/~ / IPAL ay; of America Diana Toledo, Attorney-in-Fact (Corporate Seal of Surety Co.) - Gc~' Uffr r'slPart r`s In ' ( drvrduals) srgna ure .~~~ ~ ~ (Officer's/Pa ner'sllndividual's) name printed (Carporation/PartnershipJlndividual) name printed STATE of ~~ y6~PK ~ - (:OUNTY of J[~T~~35 ) ss: On this 3~ day of Q~ L , 20 13 , uefore me personally came ,~~~ ~~ to me known and known fo me to be the person described in and who executed the tc~regoing instrument, and hetshe duly acknowledged that he/she executed the Same. r~ ;~ ' ,~ \ blic, No. D W. L~ ew Yo~K Gounty b1ic, state °f GourtY ~~ Nota~Yd ~~ in Dutch PS ~~ 3U, 20~- Term Expires r~Rmissi~n ~plres P - -.r m - END QF SECTION- I.+II~ FSt7ND 004'f 0-2 t. vJcxnm~untslT Wappingerla W20t21W2120$ Roberts Rd Pump Statlonl5pocficardon5~od470.do~ TRAVELERS J~ POwER OF ATTORNEY Farmington Casualty Company St. Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St. Paul Guardian Insurance Company Attnrney_In Faet Nn. 0 0 5 4 2 5 3 4 5 224438 Certificate No. KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Mazine 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 are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guazanty 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 Jeffrey P. Deldin, Raegan Guglielmo, Diana Toledo, Christopher Greene, Scott Hainey, and Stephen M. Cronin of the City of l~r~\ySt~r ,State of each in their separate capacity if more than one is named above, to sign, execute, seal and~acknowledge any and all bonds, recognizancesan, onditionaltundertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guazanteeing 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, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this day of March 2013 Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company 26th St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company O? rL g '_ ty Q'.y' ~\~'M..~,y`SGB ;p+INSU9 JPl1V AN0 y~~ ~a St `1977 ~ n . _ m '`i00.FNgq~f PO:'~aNORA '4nti OP a09 [~AMO_'.`~'~ s~y~ Z 'NUECr~ t ~n; $ Wrao rfr~ ~ ~'` ~' 195 ~' D~~ W NARTFCRp, ~wwrro ~ bey . ~~a ~! 1~ N~. ~ o. ~:SE ALlo" ~' o CONN. n \ OONN~~' ~ 1O s c o~S$ALir e m 896 ~y }.......- l~ L• W O ja,........ *~ l ~ pM wMiNi~m~ d ANt~ State of Connecticut City of Hartford ss. By: Robert L. Raney, enior Vice President On this the 26th day of March 2013 ,before me personally appeazed Robert L. Raney, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guazanty Insurance Underwriters, Inc., 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 Guazanty 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. ~p,TtT In Witness Whereof, I hereunto set my hand and official seal. Tlw ~~ C My Commission expires the 30th day of June, 2016. ~ ~"G~ Marie C. Tetreault, Notary Public 58440-8-12 Printed in U.S.A. WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER TRAVELERS GASUAt,TY ANp SURETY CUMPANY OF AMERICA HRRTFORD, CONNECTICUT O8f83 FINANCIAL STATEMENT AS OF DECEMBER 31, 2012 CAPITAL STOCK $ 8,480,000 CASH ANp INVESTED CASH S 15 936 791 BONDS INVESTMENT INCOME DUE AND ACCRUED , , 3,7f3,f7i,015 OTHER INVESTED ASSETS 50 798 732 280,730 697 PREMIUM BALANCES , 764,942 5(}8 Nti UEI-tKRtU IAX.ASSFT , 63,274,378 REINSURANCE KECOVE:RASLE 12 410 524 SECURITIES LENDING REINWE57ED COLLATERAL ASSETS , , 7 768 155 RECEIVABLESFROMPARENT,SUBSIpIARIESANDAFFILIATES , , i1,(J80,47p UNG15TRIBUTED PAYMENTS (1,439,585y OTHER ASSETS 8Bd 093 TOTAL ASSETS '$ 4 33 UNEARNED PREMfUMS $ 783 409 892 LOSSES REINSURANCE PAYABLE ON PAIp LOSSES 8 LOSS ADJ EXPENSES , , 9{11,058.770 f 4 . LOSS ADJUSTMENT EXPENSES , 48,02t 534 370 880 COMMYSSION3 TAXES, LtCENS'cS AND FEES , , 2&,281. T79 OTHER EXPENSES 85.762,894 FUNDS MELD UNDER REINSURANCE TREATIES 35,588.987 94 449 544 CURRENT FEpERAL AND FOREIGN INCOME TAXES , . 80,675 573 REMITTANCES AND ITEMS NOT At.t OGAT'Ep , 75 770 931 AMOUNTS WITHHELp !RETAINED BY COMPANY f UR OTHERS , , 79 [784 8(Xi RCTROACTIVE ft!`.7N5URhNCC RG9CRe'C A33UMGD , . J t0.: f OS POLICYHOLDER DIVIDENDS , . 6 730 12' PROVISION FOR REINSURANCE 5 314 325 ADVANCE PREMIUM , , 7281388 PAYABLE FOR SECURITIES t.FNDING 7 789 755 CEDED REINSURANCE NET PREMIUMS PAYABLE , , i70.803 744j BSCfaE.c.T LtGBf LITY , 575 340 OTHER ACCRUED EXPENSES AND L1ABiLIT1E5 , 282;082 TOTALLIABIIiTiES $ 2.559.706.957 CAPITAL STOCK S 8 480 000 PAID IN SURPLUS OTHER SURPLUS , 433.803.780 TOTAL SURPLUS TO PULICYHOt..DERS 1 340 768 087 _$ 7,780.451.821 T07AL LUkBiLOT1ES & SURPLUS $ 339.558 T78 STATE OF CONNECTICUT CUUNTY OF HAR'i FORD ) S5. CITY OF HARTFORD ; MICHAEL J. DOODY. BEING DUt_Y SWORN. SAYS THAT HE IS SECOND VICE PRESIDENT, OF TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, A!iD TI IAT Tp Ti iz. UCCT Ot' i Iip KNpWL.CDOC AlQD DGLICF, TlRC f"pORCOOiNi3 13 A 7R.UC AtJD CORfteCT $TATCMCNT pr' THL' f INhNCV4L CONOtTipN pP JAIp COMPANY AS OF THE 31ST DAY OF DECEMBER, 2072, SUBSGRIBEG AND SWORN TO BEFORE ME TH;S 20TH GAY C;F MARCH, 2tl13 ~ 4V~ ~kAe„^~ ~~ fY l JC~.ViYV YI(.C YIttJILRNT „A ~, S 4i ~ NOTARYPUBLiC ~..._~- --.~-_.__.___.._.._______.__ r.---. _..._._ .....__ ..,.__.- S1 ti~1VA4 1~I ISSi l l>F:I2 :~~ellGlT f~bhllC' t/r!?rmnvixun» l:.r/rirov 1,orrrnhvr 3/! '{)! State of } ss, ~ County of J ~. • M' Cm this day of • 1A before ma persossalty came a• -~ ~c g to me knovm,~ a and known to me to be the individual described in and who executed the foregoing instrument,and acknprnladged tome that ha extCUtssd~ b the same, ~-+ My commission expires Notary vblic $tatE t7t SS. ~ r C County of ~ On this day of 19 ,.before me personally came ~ ~ 3 • to me known and known to me ~ x e to be a member of the f irm of N ~ "o H described In rnd who executed the fongoinq instrumanr, and he thereupon eaknowledged to me that he executed the same es and for the act and deed of said litter. My eammissivn expires A/~],O ,Q// Notary public State of "~~"" ~D'``` /~~~7 County of ~--r/t ~~4~1G J5 ss. On this- ~~ day at_~}PR/~ 7~/3 /~~ , >~ before me Personalty came ~C G 's , to me known, ~~~~~! ~ who being by me duly sworn, did depose and ray that he is the ,, q 1~0,2~~~ i/~~7u~2~S, .TAG the corporation describer! in and which executed the above tnsaument; that he knows the seal of said corporation; thaS the seal affixed t0 said instrument is such corporate seal; that i s so affixed by order of the BoarrJ DIr etort of Ed ea potation, and that h~ signed his name thereto by like orde~gtC}-BARD W. LE State of New York Notary Public, ~ PAy commission expit~i in Dutchess County ~,~pmmi&SIQ11 ` ~ ~ _ ^ _ _ _ _ ~ Notary u lic state or New York ss. covnry of Putnam on tfiis 1St day of MaY 2013 ~efora me personally came Diana Toledo to mr known, who, being by me du{y sworn, did depose and seY that he is an attprney•in-tact at Travelers Casualty and Surety Company of America the corporation described in and which rxecuted the within instrument; that he knows the corporate seat of said corporation; that the seal altixed to the within instrument is such corporate seat, and that he signed the saidinstrvmant andattixad the said seal as Attgrney•in-Fact by authority of the Board of directors of salts corporation and by authority of this otfitir, under the Stan~inq Flesolutians thefeof, My commission expires ftM 9 13 N tary c ~,. -~ e ` ~' ~~ ~~ ~~ z H x 0 c~ d ~~ ;~ v: ~~'~ ire i~t SECTION 00410-BID BOND BID BOND FORM KNOW ALL PERSONS BY THESE PRESENTS: that as Principal; and **_ hereby h le d and firmly bound unto the Town Board, as Surety, are Town of Wappinger, New York in the amount of: Dollars ($ ~ for the payment whereof Principal and Surety dlseverallel femly by these presentsrs, administrators, successors and assigns, ~omtly an Y day of 20 _ Signed this WHEREAS, The condition of the above obligation is such that, wh a herebe made al part hebeof, to to the Town Board a certain bid, attached hereto an Y - enter into a contract in writing for the Roberts Road Se ntractpr~ans and spec'rfications.f Wappinger, New York, as shown and specified m the co , p ,~ - NOW THEREFORE, (a) If said Bid shall be rejected, or in the alternate (b) If said Bid shall be accepted and the Principal shall exeauee a completed hn Contract Agreement in the d furnish such performance bond and labor and accordance with said Bid) an "'"` material payment bond as required, ~-- the same shall remain in force and effect, _ then this obligation shall be void. Otherwise, for any and all it being expressly understood and a9rexdeedt he almountooftthis obligation as herein claims hereunder shall, in no even , stated . - Suret ,for value received, hereby stipulates and agredeb than t extent sons of the time The Y Surety and its bond shall ~I ma wac ept sP chebid r andcsaid Surety does hereby waive within which the Principa Y notice of any such extension. *Insert Bidder's Name **Insert Surety's Name 00410-1 -'''~„ BID BOND Station\Spec~cations\00410.doc E:\documents\T Wapp~n9er\a W2012\W21205 Roberts Rd Pump IYr. 4 ~ ~~ ~ MAY ~ '' ~ :; ~`~ SECTION 00480-CERTIFICATION OF NON-COLLUSIO~ CERTIFICATION OF NON-COLLUSION BY BIDDER The undersigned represents that pursuant to Sections 103-a and 103-b of the General Municipal Law of the State of New York, no person referred to in the attached proposal - who is the bidder or who is or was a member, partner, director or officer of the bidding firm or entity under this proposal has refused to sign a waiver of immunity or to answer ~ ~'' any relevant questions relating to any transaction or contract with the State of New `~ York, any political subdivision thereof, or any public authority, during the period of five years prior to the date hereof. The undersigned agrees that any contract awarded as a result of this bid may be canceled without penalty upon the grounds set forth in Sections - 103-a and 103-b of the said General Municipal Law of the State of New York. The names and addresses of all persons and parties interested in the foregoing bid are as follows: ~c~~ l . ~I ~ /~~G~ 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 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 been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to opening, directly or indirectly, to any other bidder or to any competitor; and 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 CERTIFICATION OF NON-COLLUSION 00480-1 E:\documents\T Wappinger\a W2012\W21205 Roberts Rd Pump Station\Specifications\00480.doc