City of Oneonta

CONTRACT 2025-013-G

SANITARY SEWER REPLACEMENT

UNION STREET, SPRUCE STREET, YAGER AVENUE

AND CENTER STREET

DANIEL BUTTERMANN

Mayor

ELAYNE MOSHER CAMPOLI LEN CARSON

1st Ward Council Member 5th Ward Council Member

CECELIA WALSH-RUSSO SCOTT HARRINGTON

2nd Ward Council Member 6th Ward Council Member

SHANNON McHUGH CAROLYN MARKS 3rd Ward Council Member 7th Ward Council Member

KAYTEE LIPARI SHUE DON MATHISEN

4th Ward Council Member 8TH Ward Council Member

GREG MATTICE, P.E.

City Administrator

CHRIS YACOBUCCI

Public Works Director

GINO HUGGINS

Project Engineer

DAVID MERZIG

City Attorney

JULY 2026

MAP# 3168 SET #

THIS PAGE INTENTIONALLY LEFT BLANK

CONTRACT NO. 2025-013-G

SECTION I - TABLE OF CONTENTS

SECTION I - TABLE OF CONTENTS

SECTION II – BID NOTICE & INSTRUCTION TO BIDDERS

INVITATION FOR BIDS

INSTRUCTION TO BIDDERS

1. BIDDERS ARE NOT TO INCLUDE

2. INTERPRETATIONS OF ADDENDA

3. INSPECTION OF SITE

4. ALTERNATE BIDS

5. BIDS

6. BID GUARANTY

7. COLLUSIVE AGREEMENTS

8. STATEMENT OF BIDDER'S QUALIFICATIONS

9. UNIT PRICES

10. CORRECTIONS

11. TIME FOR RECEIVING BIDS

12. OPENING OF BIDS

13. WITHDRAWAL OF BIDS

14. AWARD OF CONTRACT: REJECTION OF BIDS

15. EXECUTION OF AGREEMENT: PERFORMANCE BOND, LABOR AND MATERIAL PAYMENT BOND

16. WAGES AND SALARIES

17. EQUAL EMPLOYMENT OPPORTUNITY

DRAWING SHEET NUMBERS

CONTRACT DESCRIPTION

BID ITEM DESCRIPTIONS

FORMS

BID PROPOSAL FORM

BASIS OF AWARD

CERTIFICATION OF NONSEGREGATED FACILITIES

RECEIPT OF ADDENDA

NON-COLLUSION AFFIDAVIT OF PRIME BIDDER

NON-COLLUSION AFFIDAVIT OF SUBCONTRACTOR

NON-COLLUSIVE BIDDING CERTIFICATION

HOLD HARMLESS

CERTIFICATION OF COMPLIANCE WITH THE IRAN DIVESTMENT ACT

BID BOND

CERTIFICATE AS TO CORPORATE PRINCIPAL

FORM OF SURETY GUARANTY

STATEMENT OF BIDDER'S QUALIFICATIONS

CONTRACT AGREEMENT

REPRESENTATIVE CERTIFICATION

PERFORMANCE BOND

LABOR AND MATERIAL PAYMENT BOND

NOTICE OF AWARD

NOTICE TO PROCEED

CONTRACTORS CERTIFICATIONS FROM DEBARRED CONTRACTORS LIST

EQUAL OPPORTUNITY CLAUSE

COMPLIANCE WITH AIR AND WATER ACTS

SECTION III - GENERAL SPECIFICATIONS - GENERAL CONDITIONS

101. DEFINITIONS

102. SUPERINTENDENCE BY CONTRACTOR

103. SUBCONTRACTS

104. OTHER CONTRACTS

105. FITTING AND COORDINATION OF THE WORK

106. MUTUAL RESPONSIBILITY OF CONTRACTOR

107. PROGRESS SCHEDULE

108. PAYMENT TO CONTRACTOR

109. CHANGES IN THE WORK

110. CHANGES IN SUBSURFACE CONDITIONS

111. CLAIMS FOR EXTRA COST

112. TERMINATION; DELAYS AND EXTENSION; LIQUIDATED DAMAGES

113. ASSIGNMENT OR NOVATION

114. ENGINEER'S AUTHORITY

115. TECHNICAL SPECIFICATIONS AND CONTRACT DRAWINGS

116. SHOP DRAWINGS

117. REQUESTS FOR SUPPLEMENTARY INFORMATION

118. MATERIALS AND WORKMANSHIP

119. SAMPLES, CERTIFICATIONS, AND TESTS

120. PERMITS AND CODES

121. CARE OF WORK

122. ACCIDENT PREVENTION

123. SANITARY FACILITIES

124. USE OF PREMISES

125. REMOVAL OF DEBRIS, CLEANING, ETC

126. INSPECTION/ACCEPTANCE OF THE WORK

127. REVIEW BY OWNER

128. FINAL INSPECTION

129. DEDUCTIONS FOR UNCORRECTED WORK

130. INSURANCE

131. PATENTS

132. WARRANTY OF TITLE

133. GENERAL GUARANTY

134. ARBITRATION AND LITIGATION

135. RISK OF LOSS

136. REQUIRED PROVISIONS DEEMED INSERTED

137. CORRECTIONS

138. SAFETY PROVISIONS

138.1 PUBLIC CONVENIENCE AND SAFETY

138.2 BARRICADES, DANGER, WARNING AND DETOUR SIGNS

139. NIGHT WORK, SUNDAYS AND HOLIDAYS

140. OBSTRUCTIONS ENCOUNTERED

141. EXISTING UTILITIES, STRUCTURES AND FIXTURES

142. CONTROL OF EXISTING FLOWS

143. SEWAGE, SURFACE WATER, GROUNDWATER, AND FLOOD FLOWS

144. CONNECTING TO EXISTING WORK

145. EXISTING IMPROVEMENTS

146. ACCESS TO SITE

147. ACCESS TO ADJACENT PROPERTIES

148. USE OF ROADWAYS

149. SNOW REMOVAL

150. WEATHER CONDITIONS/WORK IN FREEZING WEATHER

151. INTOXICATING LIQUORS

152. BLASTING (NOT IN CONTRACT)

153. INDEMNITY CLAUSE

154. DISPUTES

GENERAL SPECIFICATIONS - GENERAL CONDITIONS PART II

201. APPLICABILITY

202. MINIMUM WAGE RATES FOR LABORERS AND MECHANICS

203. UNDERPAYMENTS OF WAGES OR SALARIES

204. ANTICIPATED COSTS OF FRINGE BENEFITS

205. OVERTIME COMPENSATION REQUIRED BY CONTRACT WORK HOURS SAFETY

206. EMPLOYMENT OF APPRENTICES/TRAINEES

207. EMPLOYMENT OF CERTAIN PERSONS PROHIBITED

208. REGULATIONS PURSUANT TO SO-CALLED "ANTI-KICKBACK ACT"

209. EMPLOYMENT OF LABORERS OR MECHANICS NOT LISTED IN AFORESAID WAGE

DETERMINATION DECISION

210. FRINGE BENEFITS NOT EXPRESSED AS HOURLY WAGE RATES

211. POSTING WAGE DETERMINATION DECISIONS AND AUTHORIZED WAGE

DEDUCTIONS

212. COMPLAINTS, PROCEEDINGS, OR TESTIMONY BY EMPLOYEES

213. CLAIMS AND DISPUTES PERTAINING TO WAGE RATES

214. QUESTIONS CONCERNING CERTAIN FEDERAL STATUTES AND REGULATIONS

215. PAYROLLS AND BASIC PAYROLL RECORDS OF CONTRACTOR AND

SUBCONTRACTORS

216. SPECIFIC COVERAGE OF CERTAIN TYPE OF WORK BY EMPLOYEES

217. INELIGIBLE SUBCONTRACTORS

218. PROVISIONS TO BE INCLUDED IN CERTAIN SUBCONTRACTS

219. BREACH OF FOREGOING FEDERAL LABOR STANDARDS PROVISIONS

ATTACHMENT TO PART II OF GENERAL CONDITIONS

SEC. 3.1 PURPOSE AND SCOPE

SEC. 3.2 DEFINITIONS

SEC. 3.3 WEEKLY STATEMENT WITH RESPECT TO PAYMENT OF WAGES

WEEKLY STATEMENT OF COMPLIANCE

SEC. 3.4 SUBMISSION OF WEEKLY STATEMENTS AND THE PRESERVATION AND INSPECTION OF

WEEKLY PAYROLL RECORDS

SEC. 3.5 PAYROLL DEDUCTIONS PERMISSIBLE WITHOUT APPLICATION TO OR APPROVAL OF THE

SECRETARY OF LABOR

SEC. 3.6 PAYROLL DEDUCTIONS PERMISSIBLE WITH THE APPROVAL OF THE SECRETARY OF

LABOR

SEC. 3.7 APPLICATIONS FOR THE APPROVAL OF THE SECRETARY OF LABOR

SEC. 3.9 PROHIBITED PAYROLL DEDUCTIONS

SEC. 3.10 METHODS OF PAYMENT OF WAGES

SEC. 3.11 REGULATIONS PART OF CONTRACT

GENERAL SPECIFICATIONS - GENERAL CONDITIONS PART III

301. GENERAL PROVISIONS

302. OTHER STIPULATIONS

303. SCHEDULE OF SALARIES AND WAGES

304. CERTIFIED PAYROLLS

SECTION IV - GENERAL SPECIFICATIONS - SPECIAL CONDITIONS

401. PROJECT SITE

402. TIME FOR COMPLETION/NOTICE TO PROCEED

403. LIQUIDATED DAMAGES

404. RESPONSIBILITIES OF CONTRACTOR

405. COMMUNICATIONS

406. SIGNS

407. CONTRACT DOCUMENTS AND DRAWINGS

408. PARTIAL USE OF IMPROVEMENTS

409. PROJECT PHOTOGRAPHS (NOT IN CONTRACT)

410. INSURANCE

411. LAYOUT OF WORK

412. WORK BY OTHERS

413. SUBSURFACE INFORMATION (N.I.C.)

414. RECORD DRAWINGS

415. TEMPORARY WATER MAIN SHUTDOWN

416. "OR EQUAL" CLAUSE

417. USE OF MANUFACTURED EQUIPMENT

418. GENERAL MUNICIPAL LAWS OF NEW YORK STATE

419. AVAILABILITY OF SITE

420. CONSTRUCTION, EXCAVATION AND DEMOLITION OPERATIONS AT OR NEAR

UNDERGROUND FACILITIES

421. SHOP DRAWING SCHEDULE

422. PERMITS

423. RESIDENT ENGINEER

424. SEQUENCE OF CONSTRUCTION

425. TEMPORARY POWER

SECTION V – TECHNICAL SPECIFICATIONS

SECTION 000 - INTRODUCTION TO THE TECHNICAL SPECIFICATIONS

SECTION 100 - DEFINITIONS OF TERMS

SECTION 101 – MOBILIZATION, TRAFFIC CONTROL AND MISCELLANEOUS

SECTION 102 – SITEWORK & RESTORATION

SECTION 107-10 - RESTORATION OF DISTURBED AREAS OUTSIDE THE RIGHT-OF-WAY

SECTION 107-11 - RESTORATION OF DISTURBED AREAS WITHIN THE RIGHT-OF-WAY

SECTION 107-13 - OPENING HIGHWAY TO TRAFFIC PRIOR TO ACCEPTANCE

SECTION 108 - CONSTRUCTION SEQUENCING

SECTION 109 – SUBMITTALS

SECTION 206 - TRENCH EXCAVATION AND BACKFILL

SECTION 207 - PREPARATION OF SUBGRADE/FINE GRADE

SECTION 209 - TEMPORARY SOIL EROSION AND SEDIMENT CONTROL

SECTION 403 - HOT MIX ASPHALT (HMA) PAVEMENTS FOR MUNICIPALITIES

SECTION 407 - TACK COAT

SECTION 550 – PORTLAND CEMENT CONCRETE SIDEWALK, DRIVEWAYS, ENTRANCE WALKS,

RAMPS, DRIVEWAY APRONS

SECTION 600 - SANITARY LINE

SECTION 601 - SANITARY MANHOLES

SECTION 609 – CURBING AND GUTTERS

SECTION 610 - ESTABLISHING TURF

SECTION 619 - MAINTENANCE AND PROTECTION OF TRAFFIC

SECTION 663 - WATER SUPPLY UTILITIES

SECTION 663.400 - PVC PRESSURE DISTRIBUTION PIPE C900 & C909

SECTION 663.500 - PIPELINE INSTALLATION

SECTION 663.800 - FLEXIBLE PIPE COUPLINGS

SECTION 663.900 - GATE VALVES THREE INCHES AND LARGER

SECTION 664 - LEAKAGE TESTS

SECTION 665 – DISINFECTION OF WATER UTILITY DISTRIBUTION

SECTION 703 – AGGREGATES

`APPENDIX A – TAP CARDS

APPENDIX B – NYSDOT WORK ZONE TRAFFIC CONTROL STANDARD SHEETS

SECTION II – BID NOTICE & INSTRUCTION TO BIDDERS

INVITATION FOR BIDS

NOTICE IS HEREBY GIVEN, pursuant to Article 5A of the General Municipal Law of the State of New York that sealed bids are sought by

THE CITY OF ONEONTA, NEW YORK

For:

UNION STREET, SPRUCE STREET, YAGER AVENUE AND CENTER STREET

Contract 2025-013-G

Sealed bids will be received by the Purchasing Agent, John Janitz, at his office at City Hall, 258 Main Street, Oneonta, New York, until 2:00 p.m., August 6th, 2026 at which time bids will be publicly opened, and read.

Contract Documents and Specifications, are on file at 258 Main Street, Oneonta, New York 13820, Office of the Purchasing Agent. Copies of the Contract Documents may be obtained from the Purchasing Department during regular office hours or will be mailed to bidders on request. A $5 non-refundable fee to be charged for mailing each set when mailing is requested. All checks, money orders, etc., shall be made payable to the City of Oneonta.

Specifications are also available on the Internet at www.govbids.com under Empire State Purchasing Group.

A voluntary pre-bid meeting is scheduled for Thursday, July 30th, 2026 at 10:00 a.m. at City Hall, 258 Main Street, Oneonta, New York 13820.

Addenda, if any, will be issued to only those persons whose name and address are on record with the Owner as having obtained the Contract Documents.

At the bid opening the Contractor must supply a BID GUARANTEE of 5 percent of the TOTAL AMOUNT of the bid submitted. See Item 6 in Instructions to Bidders.

Attention is called to the fact that not less than the minimum salaries and wages set forth in the Contract Documents (see Exhibits) must be paid on this project; that the Contractor must insure that employees and applicants for employment are not discriminated against because of their race, creed, color, religion, sex or national origin. The Contractor must also be aware that he must comply with the State wage rates under New York State Department of Labor PRC# 2025011596, as well as Labor Law 220, section 220-h, which requires that on all public work projects of at least $250,000.00, all laborers, workers and mechanics on the site be certified as having successfully completed the OSHA 10-hour construction safety and health course.

The Contractor must also be aware that in conformance with Workers’ Compensation Law §57, contractor must provide either form CE-200 (Certificate of Attestation of Exemption from NYS Workers’ Compensation and/or Disability Benefits Coverage), or form C-105.2 (Certificate of Workers’ Compensation Insurance), or form SI-12 (Certificate of Workers’ Compensation Self- Insurance) http://www.wcb.state.ny.us/content/main/Employers/IM.pdf before Notice to Proceed can be issued.

http://www.govbids.com/ https://apps.labor.ny.gov/wpp/showFindProject.do?method=showIt https://apps.labor.ny.gov/wpp/showFindProject.do?method=showIt http://www.wcb.state.ny.us/content/main/Employers/IM.pdf

Bidders are responsible for the timely delivery of their Bid proposal to the proper department as indicated in this "Invitation to Bid".

Bid proposals received after the date and time specified in the Invitation shall be considered unresponsive and will be returned to the Bidder unopened. The City of Oneonta does not accept bids by Email or Fax.

Bidders are advised not to rely on the Postal Service or any other mail delivery service for the timely and proper delivery of their bid proposals. In the event of a tie bid, the winning bid will be determined by a coin toss, as stated in the City of Oneonta’s Purchasing Policy.

The City of Oneonta encourages the submission of bids by companies that are certified as Minority-owned, Women-owned and Disadvantaged Business Enterprises.

The Owner reserves the right to reject any and all Bids or waive any informality in the Bidding.

Bids may be held by the Owner for a period not to exceed forty-five (45) days from the date of the openings of Bids for the purpose of reviewing the Bids and investigate the qualifications of the Bidders, prior to awarding the Contract.

This Contract is subject to New York State wage rate schedules.

Date: July 18, 2026

John Janitz Purchasing Agent City of Oneonta, New York

INSTRUCTION TO BIDDERS

1. BIDDERS ARE NOT TO INCLUDE

…in their bid price, sales and compensating use taxes of the State of New York and of counties or cities, on all materials, equipment and supplies incorporated in this project.

2. INTERPRETATIONS OF ADDENDA

No oral interpretation will be made to any Bidder as to the meaning of the Contract Documents or any part thereof. Every request for such an interpretation shall be made in writing to the Owner. Any inquiry received seven or more days prior to the date fixed for opening of Bids will be given consideration. Every interpretation made to a Bidder will be in the form of an Addendum to the Contract Documents, and when issued, will be on file in the office of the Owner and the office of the Engineer at least five days before Bids are opened. In addition, all Addenda will be mailed to each person obtaining Contract Documents and whose name and address are on record with the Owner; however, it shall be each Bidder's responsibility to make inquiry as to the Addenda issued and all such Addenda shall become part of the Contract and all Bidders shall be bound by such Addenda, whether or not received by the Bidders.

3. INSPECTION OF SITE

Each Bidder shall visit the site of the proposed work and fully acquaint himself with the existing conditions there relating to the work and labor, and shall fully inform himself as to the facilities involved, the difficulties and restrictions attending the performance of the Contract. The Bidder shall thoroughly examine and familiarize himself with the Drawings, Technical Specifications, and all other Contract Documents. The Contractor by the execution of the Contract shall in no way be relieved of any obligation under it due to his failure to receive or examine any form or legal instrument or to visit the site and acquaint himself with the conditions there existing, and the Owner will be justified in rejecting any claim based on facts regarding which the Contractor should have been on notice as a result thereof.

4. ALTERNATE BIDS

No Alternative or Supplementary Bids will be considered unless such Bids are specifically requested in the Special Conditions and shown on the Bid Proposal Form.

5. BIDS

a. All Bids must be submitted on forms supplied by the Owner and shall be subject to all requirements of the Contract Documents, including the Drawings, and these INSTRUCTIONS TO BIDDERS. All Bids must be regular in every respect and no interlineations, excisions or special conditions shall be made or included in the Bid Forms by the Bidder.

b. The following items must be included in the Bid package: The Bid, the Bid Guaranty (Bid Bond), the Certification Regarding Equal Employment Opportunity, Form of Surety Guaranty, the Non-Collusion Affidavits (2), and Statement of Compliance shall be enclosed in envelopes (outer and inner), both of which shall be sealed and clearly labeled with the words "Bid Documents", project number, name of Bidder and date and time of Bid opening in order to guard against premature opening of the Bid.

c. The Owner may consider as irregular any Bid on which there is an alteration of or departure from the Bid Forms thereto attached and at its option may reject the same.

d. Each Bidder SHALL include in his Bid the following information:

Principals:

Names Home addresses, including City, State, and Zip Codes Telephone Number Firm:

Name Treasury Number Address City, State and Zip Code

6. BID GUARANTY

a. The Bid must be accompanied by a Bid Guaranty which shall not be less than five percent (5%) of the amount of the total Bid as stated in the Invitation for Bids. At the option of the Bidder, the guaranty may be a certified check, bank draft, cash, negotiable U.S.

Government Bonds (at par value), or a Bid Bond in the form attached provided such guaranty is accompanied by a Certificate of Surety evidencing sufficient bonding capacity. The Bid Bond shall be secured by a Guaranty or a Surety Company listed in the latest issue of the U.S.

Treasury Circular 570. The amount of such Bid Bond shall be within the maximum amount specified for such Company in said Circular 570. (NO BID WILL BE CONSIDERED UNLESS IT IS ACCOMPANIED BY THE REQUIRED GUARANTY.) Certified check or bank draft must be made payable as stated in the Invitation for Bids. The Bid Guaranty shall insure the execution of the Agreement and the furnishing of the Surety Bond or Bonds by the successful Bidder, all as required by the Contract Documents.

b. Revised Bids submitted before the opening of Bids, whether forwarded by mail or telegram, if representing an increase in excess of two percent (2%) of the original Bid, must have the Bid Guaranty adjusted accordingly; otherwise, the Bid will not be considered.

c. Certified checks or bank drafts, or the amount thereof, Bid Bonds and negotiable U.S. Government Bonds of unsuccessful Bidders will be returned but in accordance with the Invitation for Bids.

7. COLLUSIVE AGREEMENTS

a. Each Bidder submitting a Bid to the Owner for the work contemplated by the Documents on which bidding is based shall execute and attach thereto, the Non-Collusion Affidavit(s) on the form(s) herein provided, to the effect that he has not colluded with any other person, firm or corporation in regard to any Bid submitted.

b. Before executing any Subcontract, the successful Bidder shall submit the name of any proposed Subcontractor for prior approval and an affidavit in the form provided herein.

8. STATEMENT OF BIDDER'S QUALIFICATIONS

a. Each bidder shall, upon request of the Owner, submit on the form furnished for that purpose (a copy of which is included in the Contract Documents), a statement of the Bidder's qualifications, his experience record in the type of work embraced in the Contract and his organization and equipment available for the work contemplated; and other pertinent information so contained on said form, and, when specifically requested, the Owner shall have the right to take such steps as it deems necessary to determine the ability of the Bidder to perform his obligations under the Contract and the Bidder shall furnish the owner all such information and data for this purpose as it may request. The right is reserved to reject any Bid where an investigation of the available evidence or information does not satisfy the Owner that the Bidder is qualified to carry out properly the terms of the Contract.

b. The Owner also reserves the right to consider as not responsible any Bidder who does not habitually perform with his own forces at least fifty (50%) percent of the dollar value of the work involved in the Contract.

c. At the option of the Owner, a pre-award conference may be scheduled provided one week's advance notice of the time and place of the same shall be given to the Contractor.

In the event of such a conference, the Owner may in its notice to the Contractor require the submission of the Progress Schedule mentioned in the General Conditions. In the event such a schedule is required, the Contractor will submit the same to the Engineer at least three (3) full working days before the date of the conference.

9. UNIT PRICES

a. The Unit Price for each of the items in the Bid of each Bidder shall include its prorate share of overhead and profit so that the sum of the products obtained by multiplying the quantity shown for each item by the Unit Price Bid represents the Total Bid. The quantities shown in the Bid are approximate estimated quantities only and are given only as a basis of calculation upon which the Award of the Contract is to be made. The Owner does not assume any responsibility that these quantities shall remain unchanged in the actual construction, and the Contractor shall not plead misunderstanding or deception because of any variation between estimated and final quantities. The Unit Price Bid shall also include an allowance for increased prices due to changed market conditions during the period of the Contract. Any Bid not conforming to these requirements may be rejected. The special attention of all Bidders is called to these provisions, for should conditions make it necessary to revise the quantities, no limit will be fixed for such increased or decreased quantities nor extra compensation allowed, except for work not covered in the Drawings and Technical Specifications as provided for in the Section 109 Changes in the Work under General Conditions, Part I.

b. Bids in which the prices obviously are unbalanced may be rejected. Unbalanced prices shall be interpreted to mean that the unit price for any item is such that it is unreasonable for that particular item when considered by itself and not considered in connection with the bid submitted on any other item or items.

c. All unit price work will include the cost of performing any incidental work, not specifically covered by the unit description, but necessary and/or convenient for the completion of the unit price work. (i.e., Any excavation will include any necessary pumping and/or sheeting/shoring unless there are separate contract unit prices for pumping and/or sheeting/shoring.)

10. CORRECTIONS

Erasures or other changes in the Bid must be initialed by the Bidder.

11. TIME FOR RECEIVING BIDS

a. Bids received prior to the advertised hour of opening will be securely kept, sealed. The officer whose duty it is to open them will decide when the specified time has arrived, and no Bid received thereafter will be considered.

b. Bidders are cautioned that, while telegraphic modifications of Bids may be received as provided above, such modifications, if not explicit and if in any sense subject to misinterpretation, shall make the Bid so modified or amended, subject to rejection.

12. OPENING OF BIDS

At the time and place fixed for the opening of Bids, the Owner will cause to be opened and publicly read aloud every Bid received within the time set for receiving Bids, irrespective of any irregularities therein. Bidders and other persons properly interested may be present, in person or by representative.

13. WITHDRAWAL OF BIDS

Bids may be withdrawn on written or telegraphic request dispatched by the Bidder in time for delivery in the normal course of business to the time fixed for opening; provided, that written confirmation of any telegraphic withdrawal over the signature of the Bidder is placed in the mail and postmarked prior to the time set for Bid opening. The Bid Guaranty of any Bidder withdrawing his Bid in accordance with the foregoing conditions will be returned promptly.

14. AWARD OF CONTRACT: REJECTION OF BIDS

a. If the Contract is awarded, it will be awarded to the most responsive, responsible Bidder submitting the lowest Bid complying with the conditions of the Invitation for Bids and Instructions to Bidders. The Bidder to whom the award is made will be notified at the earliest possible date. The Owner, however, reserves the right to reject any and all Bids and to waive any informality in Bids received whenever such rejection or waiver is in its interest.

15. EXECUTION OF AGREEMENT: PERFORMANCE BOND, LABOR AND

MATERIAL PAYMENT BOND

a. Subsequent to the award and within ten (10) days after the prescribed forms are presented for signature, the successful Bidder shall execute and deliver to the Owner, an

Agreement in the form included in the Contract Documents in such number of copies as the Owner may require.

b. Having satisfied all conditions of award as set forth elsewhere in these Documents, the successful Bidder shall, within the period specified in paragraph "a" above, furnish a Performance Bond in a penal sum of not less than one hundred percent (100%) of the Contract as awarded, as security for the faithful performance of the Contract, and for the payment of all persons, firms or corporations to whom the Contractor may become legally indebted for labor, materials, tools, equipment, or services of any nature including utility and transportation services, employed or used by him in performing the work. Such bonds shall be in the same form as that included in the Contract Documents and shall bear the same date as, or a date subsequent to that of the Agreement. The current power of attorney for the person who signs for any surety company shall be attached to such bonds. These bonds shall be signed by a Guaranty or Surety Company listed in the latest issue of the U.S. Treasury Circular 570 and the penal sum shall be within the maximum specified for such Company in said Circular 570.

c. Only if required by local or state law, the Contractor shall submit a "Contract Bond" in lieu of the "Performance Bond" and "Labor and Material Payment Bond". Said Contract Bond, if required, shall be in the form contained herein.

d. Notwithstanding the foregoing, all bonds required by law shall be in accordance with the form and substance so required by law.

e. The failure of the successful Bidder to execute such Agreement and to supply the required bonds within ten (10) days after the prescribed forms are presented for signature, or within such extended period as the Owner may grant based upon reasons determined sufficient by the Owner, shall constitute a default, and the Owner may either award the Contract to the next lowest responsible Bidder or re-advertise for Bids. In the event of such default, the Bidder shall be obligated to the Owner in the amount of the Bid Guaranty as liquidated damages for such default.

f. Upon receipt of the Contract and Contract bond or bonds that have been executed by the successful bidder, the Owner shall complete the execution of the Contract in accordance with local laws or ordinances and return the fully executed Contract to the Contractor. Delivery of the fully executed Contract to the Contractor shall constitute the Owner's approval to be bound by the successful bidder's proposal and the terms of the Contract.

g. The Owner reserves the right to cancel the award without liability to the bidder, except return of the proposal guaranty, at any time before a Contract has been fully executed by all parties and is approved by the Owner in accordance with the above.

16. WAGES AND SALARIES

a. This public work contract which may involve the employment of laborers, workers, or mechanics, is subject to and shall comply with the requirements of Article 8 (Sections 220-223) of the New York State Labor Law. (See attached New York State Prevailing Wage Schedule.)

b. Each weekly certified payroll statement shall be submitted to the City of Oneonta Engineering Department for review prior to any payments being made to the Contractor. The City of Oneonta also reserves the right to conduct wage rate interviews during this contract.

c. Attention of Bidders is particularly called to the requirements concerning the payment of not less than the prevailing wage and salary rates specified in the Contract Documents and the conditions of employment with respect to certain categories and classifications of employees. See also the Labor Standard Provisions of the General Conditions.

d. The rates of pay set forth within the Contract Documents are the minima to be paid during the life of the Contract. It is therefore the responsibility of Bidders to inform themselves as to local labor conditions, such as the length of work day and work week, overtime compensation, health and welfare contributions, labor supply and prospective changes or adjustment of rates.

17. EQUAL EMPLOYMENT OPPORTUNITY

Attention of Bidders is particularly called to the requirements for insuring that employees and applicants for employment are not discriminated against because of their race, color, religion, sex or national origin.

DRAWING SHEET NUMBERS

INDEX OF DRAWINGS

SHEET NO. DESCRIPTION DRAWING NO.

01 COVER G-000

02 NOTES AND CONTACT INFO G-010

03 OVERALL PLAN G-020

04,05 & 07 SANITARY SEWER PLAN PROFILE C-110, C120, C-130

06 ADD ALT #1 WATERMAIN REPLACEMENT C-121

08 -10 STANDARD WASTEWATER DETAILS D-100- D-102

11 -13 STANDARD WATER DETAILS D-103- D-105

14 -15 STREET RESTORATION DETAILS D-106- D-107

16 EROSION & SEDIMENT CONTROL DETAILS D-108

CONTRACT DESCRIPTION

CITY OF ONEONTA

GENERAL

This project is located in the City of Oneonta From Olin Avenue and Union Street to Center and East Streets.

The project is summarized as follows:

Base Bid – The Base Bid will include all labor, material, equipment, trucking, installation and miscellaneous costs for replacement of the existing sanitary sewer main as shown on the Contract Drawings and Specifications. Work to be done will include replacing existing sanitary sewer mains, manholes, and laterals, replacing existing road sub-base and installing a 4.0“ thick Type 3 Binder (two lifts) or 7” thick (Spruce Street) Type 3 Binder (three lifts) hot mix asphalt in all pipe trenches on, mobilization, site work, and restoration related thereto, as indicated on the Contract Drawings and in these Specifications. Note: The Base Bid shall also include cutting and capping the existing sewer main at each end on Yager Avenue where shown on the drawings if Alternate #1 is not awarded.

Alternate #1 – Alternate #1 will include all labor, material, equipment, mobilization, trucking, installation and miscellaneous costs for replacing the water main on Yager Avenue with new PVC C900 pipe, a new gate valve and a new fire hydrant, water service laterals including tracer wire and test stations, replacing existing road sub-base and installing a 4.0“ thick Type 3 Binder (two lifts) hot mix asphalt in pipe trenches, mobilization, site work, and restoration related thereto as indicated in the Contract Drawings and in these Specifications.

TIME FOR COMPLETION/NOTICE TO PROCEED

The work which the Contractor is required to perform under this Contract shall be commenced at the time stipulated by the Owner in the Notice to Proceed to the Contractor and shall be fully completed within seventy-five (75) days for Base Bid or one-hundred (100) days for Base Bid + Alternate #1 from the issuance of the Notice to Proceed or as modified in accordance with the GENERAL CONDITIONS.

The Contractor will be bound to the performance of the Contract within ten (10) days from the issuance of the Notice to Proceed (weather permitting).

When the Contractor is not given a Notice to Proceed with the work on or before August 31, 2026, the Contractor may elect to void the Contract by giving unequivocal and unconditional written notice of such avoidance to the Owner. Such avoidance shall be effective upon actual receipt by the Owner, prior to the mailing or actual delivery of any Notice to Proceed. In the event of the Owner's failure to issue a Notice to Proceed, the Contractor's sole remedy shall be the avoidance of the Contract as set forth and the Owner will not be liable to the Contractor and monies expended in anticipation of performance under the Contract.

CONSTRUCTION SEQUENCING

The Contractor is encouraged to pay special attention to Section 108 – Construction Sequencing of the Technical Specifications.

BID ITEM DESCRIPTIONS

CITY OF ONEONTA

WORK ITEM #101 MOBILIZATION, TRAFFIC CONTROL AND MISCELLANEOUS – LUMP

SUM BASIS

Under this work item, the Contractor shall:

• Mobilize and demobilize as many times as necessary during the project

• Provide project bonds

• Provide insurance certificates and maintain insurances

• Provide site work security [e.g., fencing, barricades, etc.]

• Provide signage and traffic control in accordance with the New York State Department of

Transportation’s Manual of Uniform Traffic Control Devices. The contractor shall post the Road Work Zone and place signs as necessary, also provide the City with a traffic protection plan outlining the locations and type of signs and barricades for approval prior to starting work.

• Provide project schedules

• Perform construction field surveying/stakeout

• Coordinate roadway shutdowns and bypasses with the Owner and residents.

• Provide continuous access to impacted driveways and sidewalks.

• Residents SHALL be notified when they will not have access to their driveways.

• Maintain and submit As-Built Record Drawing notes and sketches, and Daily Log Books to Engineer in accordance with Article 414 of Section IV General Specifications – Special Conditions

• All provisions in Section 107-13 of Section V - Technical Specifications

Payment for this work item will be as follows:

• 35% after issuance of Notice to Proceed

• Additional 15% [total of 50%] after completion of 25% of the work

• Additional 40% [total of 90%] after issuance of Substantial Completion

• Remaining 10% [total of 100%] following Engineer’s receipt and satisfactory acceptance of as-built information.

NOTE: Total lump sum for this work item shall not exceed 7.00% of the total base bid price (similarly, the additional lump sum to be included in Alternate #1 shall not exceed 7.00% of the total Alternate #1 bid price)

WORK ITEM #102 SITEWORK & RESTORATION – LUMP SUM BASIS

Under this work item, the Contractor shall:

• Notify UDig NY by calling 811. Note: All contractors will be required to submit to the Engineer prior to starting any on site excavation work copies of completion certificates through the Certified Excavator Program for all employees working on the site. Visit udigny.org for further details.

• Perform clearance of, protect, repair and relocate utilities as required

• Remove and dispose of materials, within the work area as necessary to complete the work, and which are unsuitable for reuse, at acceptable disposal locations, in accordance with applicable regulations [Note: No material is to be placed in State or Federal designated wetlands] http://www.digsafelynewyork.com/

• Remove existing items (e.g., fences, embankments, mailboxes, signs, etc.) as necessary to access and complete the work [Note: No buildings shall be impacted and impacts to property (e.g., walks, lawns, patios, etc.) shall be minimized]

• Mailboxes shall be accessible at all times to allow USPS postal delivery

• Relocation of materials suitable for reuse within the work sites

• Load and haul material to and from work sites and stockpiles

• Provide erosion and sediment control measures, as required

• Perform regular clean-up of work areas

• Perform dust-control measures including but not limited to periodic application of water, calcium chloride, and sweeping.

• Provide temporary pavement wedges of compacted millings or asphalt concrete around drainage structures, manholes, valve boxes, bridge abutments and beginning and ends of milled pavement, and maintain suitable access to driveways, businesses, etc. (including maximum 12% slope between adjacent driving surfaces)

• Millings to be used for this purpose may be taken from the City’s Public Works Complex on Silas

Lane, or from the resultant millings produced under Item 490.10

• Protect and maintain property pins

• Adjust all utility covers to within ¼” below finish pavement grade, +/- ¼”, using grade adjustment rings

• Restore brick entry walks

• Perform final clean-up of all areas impacted by the work to pre-work or new conditions

• All provisions in Sections 107-10, 107-11, & 209 of Section V - Technical Specifications

STAGING AREAS

The following material stockpiling/equipment staging area(s) may be made available near the project.

Contractor is solely responsible for confirming availability of these spaces, and any additional space as may be necessary.

• Olin Ave dead end (City) – City may post temporary no parking signs, where parking spaces exist

• At the end of Spruce St and Albert Morris Drive (City) – City may post temporary no parking signs, where parking spaces exist. Contractor to utilize an approximately 40’ x 100’ area to the south of the parking area at the entrance of Wilber Park

• Catella Park (City) – an approximately 80’ x 240’ area located off-site in a public park

WORK ITEM #206.01 UNCLASSFIED EXCAVATION - PER CUBIC YARD BASIS

The work under this item shall consist of the excavation and disposal of all materials, of any description, encountered in the course of construction, unless otherwise specified in the contract. Estimated limits and descriptions of subsurface deposits and formations which may be shown in the contract documents are supplied as a part of Base Line Data.

This work shall be paid for in a per square yard basis.

• 206.01 – Unclassified Excavation

WORK ITEM #600.1xx SANITARY LINE - PER LINEAR FOOT BASIS Work under this item shall consist of furnishing and installing new sanitary pipes of the type and size specified, including coatings, joint sealant or gaskets, coupling bands, fittings (wyes, tees, etc.) and all materials, equipment, tools, labor and work incidental to/and necessary for the completion of the item, as shown on the Contract Drawings, or as directed by the Engineer, and in conformity with these specifications. This item also shall include all compacted crusher run trench backfill, geotextile, an 8” lift of crusher run subbase and 4.0“ thick Type 3 Binder hot mix asphalt (two lifts). Note: new sanitary sewer work between SMH 501B and SMH 501 plus all other work on Spruce Street shall receive 7” Type 3 Binder hot mix asphalt (three lifts)

● 600.100 – Install 8” SDR-35 Sewer Pipe

● 600.101 – Install 10” SDR-35 Sewer Pipe

● 600.102 – Install 12” SDR-35 Sewer Pipe

● 600.105 – Install 24” SDR-35 Sewer Pipe

● 600.200 – Install 10” Wye Cleanout

*Reestablishment of turf which is disturbed by these work items shall be done in accordance with Section 610, with payment to be included in these work items.

WORK ITEM #600.200 4” SANITARY LATERAL CONNECTION - PER EACH BASIS

Work under this item shall consist of all labor, materials, tools and equipment necessary to complete the installation of everything required to provide a connection from a main to a customer at the highway boundary, including service pipe, coatings, joint sealant or gaskets, coupling bands, fittings (wyes, tees, etc.), excavation, tracer wire, test stations, as shown on the Contract Drawings, or as directed by the Engineer, and in conformity with these specifications. This item also shall include all compacted crusher run trench backfill (reuse existing material if approved by Engineer), geotextile, an 8” lift of compacted crusher run subbase and 4.0“ thick Type 3 Binder hot mix asphalt (two lifts). Note: new sanitary sewer work between SMH 501B and SMH 501 plus all other work on Spruce Street shall receive 7” Type 3 Binder hot mix asphalt (three lifts). Reestablishment of turf which is disturbed by these work items shall be done in accordance with Section 610, with payment to be included in these work items.

WORK ITEM #601.04 SANITARY MANHOLE - PER EACH BASIS

The Contractor shall install new sanitary manholes as shown on the Contract Drawings and specified herein. The work shall include all material, labor and equipment necessary to install the manhole, including connection to existing sanitary lines, excavation, and backfilling. New Frames and covers are to be paid under Item # 604.0501

WORK ITEM #601.0501 SANITARY MANHOLE FRAME & COVER - PER EACH BASIS

The Contractor shall install new sanitary manhole frames & covers as shown on the Contract Drawings and specified herein. The work shall include all material, labor and equipment necessary to install the frame and cover, including any risers and miscellaneous materials required for attaching frame to existing or new manhole.

WORK ITEM #601.08 REMOVING SANITARY MANHOLES & CLEANOUTS – PER EACH

BASIS

The work shall include all material, labor and equipment, including all necessary excavation & backfilling to remove existing sanitary sewer manholes and cleanouts as called for on the Contract Drawings and specified herein. This work is to be done in conjunction with the installation of new sanitary pipe and structures, which shall be paid for under separate item(s).

*Reestablishment of turf which is disturbed by these work items shall be done in accordance with Section 610, with payment to be included in this work item.

WORK ITEM #601.10 CONNECTION TO EXISTING SANITARY MANHOLE– PER EACH

BASIS

The work shall include all material, labor and equipment, including all necessary excavation & backfilling to connect new sanitary sewer main to existing sanitary sewer manholes as called for on the Contract Drawings and specified herein. This work is to be done in conjunction with the installation of new sanitary pipe, which shall be paid for under separate item(s).

WORK ITEM # 663.04xx2 C900 DR-18 PVC WATER PIPE – PER LINEAR FOOT BASIS The Contractor shall furnish and install C900 PVC DR-18 Water Pipe as shown on the Contract Drawings and specified herein. The work shall include all labor, materials, tools, and equipment necessary to connect the new pipe to new and existing water pipe and structures. All fittings, couplings, restrained joints and flange kits (e.g., Megalug retainers, etc.), valves, valve boxes, tracer wire and test stations, specials and appurtenances as required for a complete waterline system. Note, valves shall be provided under work item 663.12xx. Work under these items will also include all material and placement of required backfilling and final restoration required for a complete job.

• Includes all bedding and backfill – stone bedding 6” below to 12” above pipe, detectable warning tape, compacted crusher run trench backfill (reuse existing material if approved by Engineer), geotextile, an 8” lift of compacted crusher run subbase and 4.0“ thick Type 3 Binder hot mix asphalt (two lifts); also includes replacement of curb and sidewalks disturbed as part of water main installation

• Provide sheeting and shoring as required

• Provide steel plating over excavations as required by the City

• Maintain, as required, continuous water service to all existing service connection except for the short time period required to reconnect the existing customer’s service to their new water service

• Conduct dewatering, as required

• Perform pressure and leakage testing and provide results to site Engineer and City. Test to be supervised and approved by the City

• Furnish and install concrete thrust blocks where required

• Perform disinfection test (i.e., provide suitable water bottles, collect water samples, submit to

NYSELAP certified laboratory for testing as many times as is required to demonstrate compliance, etc.) and provide test results to the site Engineer and City. Test to be supervised and approved by the City. Disinfection results will be submitted to the NYSDOH – by the City for their approval.

• Record as-built information (i.e., location and elevation of new facilities as well as existing facilities encountered during the work) on Contract Drawings and in supplemental notebooks as required to document the information and provide to the City

*Reestablishment of turf which is disturbed by these work items shall be done in accordance with Section 610, with payment to be included in these work items.

WORK ITEM #663.xxxxxx WATER SUPPLY UTILITIES – PER EACH (or as noted) BASIS This work shall consist of the construction or reconstruction of water supply utilities in accordance with these specifications, the contract documents and the standard sheets.

• 663.1206 – 6” Gate Valve

• 663.1208 – 8” Gate Valve

• 663.13 – Hydrant, Valve & Service

• 663.1612xx – 12” Tapping Sleeve & Valve o The contractor who is to perform the wet tapping procedure shall provide submittal documenting a minimum of ten (10) prior successful installations, with a list of references.

• 663.25xx – Water Service Connection.

• 663.31 - Relocate Existing Hydrant

• 663.40 – Disconnect & Cap Existing Water Main

• 663.44 – Remove and Dispose of Existing Water Service Connection

• 663.45 – Remove and Store Existing Water Valve & Valve Box

• 663.41xx - Remove and Dispose of Existing Water Main

• 663.45 - Remove and Store Existing Water Valve & Valve Box

• 663.46 - Remove and Store Existing Hydrant

• 663.47 - Remove and Store Existing Curb Stop & Curb Box

• 663.50 - Water Main Concrete Encasement

• Restoration for these items includes all bedding and backfill – stone bedding 6” below to 12” above pipe, detectable warning tape, tracer wire, tracer wire, test stations, compacted crusher run backfill (reuse existing material if approved by Engineer) an 8” lift of compacted crusher run subbase and 4.0“ thick Type 3 Binder course hot mix asphalt (two lifts). Also includes replacement of curb and sidewalk disturbed as part of water main installation.

*Reestablishment of turf which is disturbed by these work items shall be done in accordance with Section 610, with payment to be included in these work items.

The City of Oneonta water treatment plant laboratory, located at 110 East Street, will accept samples for bacteriological testing, Monday through Wednesday, 8:00 a.m. to 11:30 a.m. The Contractor shall pay all associated fees, including $50 fee per test, plus an additional $300 fee if testing is requested outside normal business hours.

WORK ITEM #699A.1 ALLOWANCE FOR SANITARY SEWER CUT AND CAPS – TIME AND

MATERIAL PER ALLOWANCE

This work shall consist of the all work necessary to cut and cap both ends of the existing sanitary sewer main on Yager Avenue including all required backfilling, subbase and asphalt placement if Additive Alternate #1 is not chosen.

WORK ITEM #699A.2 ALLOWANCE FOR TEST PITS & RE-ROUTING EXISTING MAINS –

TIME, EQUIPMENT AND MATERIAL PER ALLOWANCE

This work shall consist of the all work necessary to re-route existing water mains as necessary to maintain minimum 1.5’ vertical separation including all required backfilling, subbase and asphalt placement.

FORMS

BID PROPOSAL FORM

FOR:

TO:

1. BASE BID having familiarized (himself, themselves, itself) with the existing conditions of the project area affecting the cost of the work and in compliance with the Invitation to Bid and Instruction to Bidders relating thereto, the undersigned hereby offers to furnish all plant, labor, materials, supplies, equipment and other including all trades as required to complete the reconstruction of the designated streets, as per these specifications and project drawings.

BASE BID

ITEM # APPROX.

QTY/UNIT

ITEMS W/ UNIT BID PRICES

IN WORDS UNIT PRICE EXTENDED

TOTAL

Base Bid 2025-013-G

Lump Sum

Mobilization, Traffic Control & Miscellaneous

Dollars Cents

Base Bid 2025-013-G

Lump Sum

Sitework & Restoration

206.01

2025-013-G

CY

Unclassified Excavation

600.100

2025-013-G

LF

8” SDR-35 Sewer Pipe

600.102

1,184

LF

12” SDR-35 Sewer Pipe

600.200

Each

4” Sewer Lateral Connection

601.044

4’ I.D. Sanitary Manhole

601.06501

2025-013-G

Each

Sanitary Sewer Manhole Frame & Cover

601.08

2025-013-G

Each

Remove Existing Sanitary Manhole

601.10

Connection to Existing Sanitary Manholes

699A .1

Lump Sum

Allowance for Sanitary Sewer Cut and Caps on Yager Ave Eight Thousand Dollars No Cents

$8,000.00 $8,000.00

699A .2

Lump Sum

Allowance for Test Pits & Water Mains Re-Routing Eight Thousand Dollars No Cents

$8,000.00 $8,000.00

Submitted by:

BASE BID:

(Write Amount)

(Print Amount)

2. ALTERNATE #1. Having familiarized (himself, themselves, itself) with the existing conditions of the project area affecting the cost of the work and in compliance with the Invitation to Bid and Instruction to Bidders relating thereto, the undersigned hereby offers to furnish all plant, labor, materials, supplies, equipment and other including all trades as required to complete the reconstruction of the designated streets, as per these specifications and project drawings.

Instructions: Provide unit prices for each item listed below and the total Alternate #1 bid price to be added to the project Base Bid listed above if the alternate is chosen. If awarded by Owner the Time for Completion will be changed from one-hundred (100) days to one-hundred-thirty

(130) days.

ALTERNATE #1

ITEM # APPROX.

QTY/UNIT

ITEMS W/ UNIT BID PRICES

IN WORDS UNIT PRICE EXTENDED

TOTAL

Alt. #1 2025-013-G

Lump Sum

Mobilization, Traffic Control & Miscellaneous

Alt. #1 2025-013-G

Lump Sum

Sitework & Restoration

206.01 Alt. #1 2025-013-G

CY

Unclassified Excavation

663.04082

2025-013-G

LF

8" C900 DR-18 PVC Water Pipe

663.13

2025-013-G

Each

8" Gate Valve

663.13 Base Bid 2025-013-G

Each

Hydrant Valve & Service

663.2501L

2025-013-G

Each

1” Water Service Connection (Long Side)

663.2501S

2025-013-G

Each

1” Water Service Connection (Short Side)

663.40

2025-013-G

Each

Disconnect & Cap Existing Water Main

663.45.a

Abandon Existing Water Valve & Valve Box in Place

Submitted by:

ALTERNATE #1:

(Write Amount)

BASE BID

+ ALTERNATE #1:

(Write Amount)

ADDRESS: ________________________________________

PHONE #: ____________________________

DATE: ____________________________

BASIS OF AWARD

1. Award will be made based on the lowest responsible, responsive bid for the Base Bid, or for the Base Bid plus Alternate #1, as determined to be in the best interest of the City.

2. In submitting this Bid, the bidder understands that the right is reserved by the Owner to reject any or all Bids. If written notice of the acceptance of this Bid is mailed, telegraphed or delivered to the undersigned within the time limit specified for holding of the Bids for review in the "Invitation for bids" after the opening thereof, or at any time thereafter before this Bid is withdrawn, the undersigned agrees to execute and deliver an Agreement to the prescribed form and furnish the required bonds within ten (10) days after the Agreement is presented to him for signature.

3. Security in the sum of $ in the form of is submitted herewith in accordance with the instruction to Bidders.

4. Attached hereto is:

a. Affidavit(s) in proof that the undersigned has not colluded with any person in respect to this Bid or any other Bid or the submitting of Bids for the Contract for which this Bid is submitted.

b. Certification(s) regarding Equal Employment Opportunity.

5. The Bidder is prepared to submit a financial and experience statement upon request.

SUBMITTED BY: __________________________________________________________

SIGNATURE: __________________________________________________________

TREASURY NUMBER: __________________________________________________________

ADDRESS: _________________________________________________________

PHONE: _________________________________________________________

FAX: _________________________________________________________

E-MAIL ADDRESS: _________________________________________________________

DATE: __________________________________________________________

CERTIFICAT…