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Adams Power Equipment- Bid-MowerPJ3AM POWER �ms EQUIPMENT 741 DUTCHESS TPK„ POUGHKEEPSIE, NY 12603 (845) 454-0307 To1vCk RECEIVED APR 2 2 2003 TOWN CLERK PROPOSAL FOR THE PURCHASE OF A COMMERCIAL MOWER THE TOWN OF W/72" COMMERCIAL ROTARY SIDE DISCHARGE FRONT MOWER DECK FOR THE TOWN OF WAPPINGER RECREATION. BID $ 17 Lit S9 .9 DO NAME OF COMPANYAMRS & uz T ADDRESS -74 2 1)VT04eZ (&)6axEcp8)E /Vy,- /� SIGNED L TITLE Az lqk i e RECEIVED ApR 2 2 2003 NOON CLERK AJ3AM IS POWER E[1UIPMENT 741 DUTCHESS TPK., POUGHKEEPSIE, NY 12603 (845) 454-0307 FAX (645) 454-Ub/1 /�O7�-: 0 /1jA71E;(1I L CDU.ECT1 Dp S YSTEiG! FOR Jp4li D66ec lqq5 fenvr 9061AIT 1-7 O US NU, CAP, CLAM 314eLL- DES16/i HYL)RA'Ut-t.c-- Dump, (,:2 OLA DE 601-r1-4 6RCM L B L6 0j J06 Hl,<oz-iq YSlO.lti RECEIVEI'; :. APR 2.. k 't' , TOWN CLERi- STATEMENT #I 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 a bidder or who is or was a member, partner, director or officer of the bidding firth or entity under this proposal has refused to sign a waiver of immunity or to answer any revelant 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. The names and addresses of all persons and parties interested in the foregoing bid are as follows: 14PARS &LIPI-16V i 741 D0704� , 09N PIKE' Av6HKE'E5FSIIF Illy 12603 STATEMENT #2 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 the opening, directly or indirectly, to any 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 submit a bid for the purpose of restricting competition. �r Me AA _ _ ► _� �.._..a.. ff NON -COLLUSIVE BIDDING CERTIFICATION 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. Dated: .9 -2&2003 2003 - P ffiffl, W A