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HomeMy WebLinkAboutContract #: 1166 - From: 07-01-2018 To: 06-30-2020 - Downer Brothers Landscaping - DPW i TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 Osgood Street, North Andover 01845 978-685-0950 Specifications and 2 Year Contract for Snow Plowing and Removal Services Covering the following Snow Seasons 2018-2019 2019-2020 OCTOBER 2018 TOWN OF NORTH ANDOVER - DIVISION OF PUBLIC WORKS Instructions to Contractors for Applying to provide Snow Plowing and/or Snow Removal Services For processing time, please submit completed contracts NO LATER THAN OCTOBER 29, 201 Please completely fill out the information and sign where indicated on the following pages. 1. Complete and sign the application for Snow Plowing and Removal Services (page 3) 2. Complete the "Contractor" information (page 10). DO NOT DATE THE CONTRACT. 3. Sign the contract (page 16) 4. Sign Supplement "S" of the contract (page 18) 5. Complete and sign the Clerk Certificate of Vote (corporations only) (page19) 6. Complete and sign the Non-Collusion and Tax Compliance Certifications (page 20) 7. Complete and sign the Alcohol and Controlled Substance Waiver (page 21) 8. Complete and sign the Worker's Compensation Statement, if applicable (page 21) 9. When submitting the contract, provide a copy of the current registrations for each vehicle listed on the application page (pages 3 and4) 10.Provide the Insurance Certificate(s) as required in Supplement "S" (pages 17 & 18, Section 5). The Town of North Andover is to be listed as an Additional Insured in the description portion of the certificate. 11.Complete the enclosed W-9 form (even if one was provided for a previous year) 12. At the beginning of each new snow season provide a new vehicle list, with current registrations and updated insurance certificate(s) as stated above in items 9 and 10. Snow Plowing and Removal Services-revised September 2018 Page 2 TOWN OF NORTH ANDOVER - DIVISION OF PUBLIC WORK 384 Osgood Street, North Andover MA 01845 978-685-0950 APPLICATION FOR SNOW PLOWING AND REMOVAL SERVICES PLEASE PRINT LEGIBLY IN BLUEBLACK INK OR TYPE Name - T SSN or I I ° tb[L- Address: g Day Telephone: j .a 4 / City: nd y #: 07-K-TTSI06 State; L i Night: - ' na Night The undersigned hereby makes application to use the following equipment to perform and carry out in satisfactory and proper manner, as determined fairly reasonably, by the Town of North Andover, snow plowing and removal services in accordance with the attached specifications and contract for Snow Plowing and Removal Services and the rate listed for the term of this contract, THIS FORM IS TO BE COMPLETED PRIOR TO THE BEG G OF EACH CONTRACTED SNOW PLOWING SEASON (see page 2 item 12). f Signature of Contractor EQUIPMENT INFORMATION - CONTINUED ON NEXT PAGE IF NECESSARY Truck Plowing/ Blade Bucket Make Model Year Color width Plate#/State size } Driver's dame I Removal/Both { I a - g o Snow Plowing and Removal Services-updated September 2018 Page Page 3 emu- Name: I)LUL-- EQUIMPENT INFORMATION — CONTINUED SS N or FID- Truck Plowing! Make Model Year Color Blade Plate#/State Bucket Driver's Name # Removal/Both I width size 5 7C-1 6 W4 11 ivy If it, rl 7 L OV" 8 9 10 12 13 14 15 Snow Plowing and Removal Services-revised September 2018 Page 4 mass TCERTIFICATE OF REGISTRATION •�IdtRMVDivision M.G.L. Chapter 90 Section 24B makes it a crime to alter this Certificate PLATE TYPE REGISTRATION NUMBER I REGISTRATION TYPE EFFECTIVE DATE EXPIRES MONTH YEAR TRANSACTION NUMBER CON SR646N COMMERCIAL 10/26/18 uasroavoF 09 19 02829901293575 MFRS MODEL YEAR. MAKE MODEL BODY STYL6TYPE COLOR Not valid without official IF'J EHICLE TOTAL REGISTERED 2010 CAT WHEEL LOADR YELLOW signature of Registrar PASSENGERS ING WEIGHT FOR VEHICLE FOR HIRE: OR TRAILER. VEHICLE IDENTIFICATION NUMBER INSURANCE COMPANY TITLE NUMBER REGISTRAR MAXIMUM NUMBER OF CAT0924HTPED00958 TRAVELERS IND CO BN138557 PASSENGERS THAT CAN BE RESIDENTIAL ADDRESS (IF DIFFERENT) �L/�/� SEATED. 024000 NAMES)OF OWNER(S)AND MAILING ADDRESS FEES 'llllllil lllllll'1�1�1I�Alll�'lll 11 11 ll�'llltllll llll111111'l1�ll r REGISTRATION 480.00 000124 ******AUTO**MIMED AADC 028 a TITLE �,00 `. CATERPILLAR FINANCIAL SERVICES CORP + L SPECIAL PLATES 0. 00 2120 WEST END AVE NASHVILLE TN 37203-5251 fr SALES TAX 0. 00 TOTAL 480. 00 MASSACHUSETTS DEPARTMENT OF TRANSPORTATION REGISTRY OF MOTOR VEHICLES DIVISION The records of the RMV database constitute the official status of the vehicle registration. SPECIALMESSAGE IF THIS VEHICLE IS NEWLY ACQUIRED, IT CHANGE OF ADDRESS MUST BE INSPECTED WITHIN SEVEN (7) DAYS OF REGISTRATION. STREET ADDRESS CITY,STATE,ZIP CODE Important Information for Vehicle Owners •Every person operating a motor vehicle shall have the Certificate of Registration for the motor vehicle and for the trailer,if any,and his/her license to operate,upon his/her person or in the vehicle,in some easily accessible place. •By law,you must report any change of address to the RMV within 30 days in writing.Address changes can be made on the RMV website:www.mass.gov/rmv.Once you have reported the address change to the RMV,please write corrected address in box provided above. •Cancel the registration plates if: , -The vehicle has been sold or junked and the registration is not going to be transferred to another vehicle.Keep a copy of the Bill of Sale,Title,and completed Reassignment of Title for your records to document the transfer. -You move to another state and you register the vehicle in that state. -The insurance policy is not renewed or is cancelled and there is no plan to obtain a new policy. •No Insurance Card Required:Massachusetts's law does not require an Insurance card.The law,M.G..L.Chapter 90,Section 34A and Chapter 175,Section 113A requires the vehicle's owner to maintain a compulsory motor vehicle insurance policy or bond for bodily injury coverage and property damage insurance.An insurer is required by law to electronically notify the RMV if coverage lapses.The vehicle owner is then notified by the RMV to obtain new insurance within 10 days or the registration will be revoked. „ Bonds are filed with the State Treasurer's Office. •Transferring Your Plates:Massachusetts law(M.G.L.Chapter 90,Section 2)allows you to transfer valid registration plates from this vehicle to a newly acquired new or used motor vehicle or trailer while you obtain insurance and a new registration.See the Transferring a Registration section on the RMV's website at www.mass.gov/rmv for more information. PLATE DECAL APPLICATION INSTRUCTIONS 1.Gently peel the decal from the form. 2.Place the decal on the rear plate in the top right corner next to the word Massachusetts. 3.Firmly rub the decal to adhere it to the plate. For best results,bring decal to room temperature before affixing to the plate. The best way to renew your registration is online at www.mass.gov/rmv 0 w CERTIFICATE OF REGISTRATIOM!!� : k wr Reyuuy of Maeae VntNeta M.C.I..Chapter ao segtiop4H rrrakes it crrme to sitar this Ceirtiri -q,ET'?E .Ee.��fii.wlLduEfi fxa.9Q..i:P.TfPE :,_: EFFc�fi't'ELL9TL• , ;,rrc4Tr! y'" TFiAtP>?.(.7tUk MLA!FiEF CON SREr57 COMMERCIAL 11,(15/19 :. . p9 19 C1231944120701 N) AtJJe VEil rrKE;' , �_: E'�5v rrrLSr'(GE c w�, va n TT()F."1.AWTEaEG 21)07: CAT SY.TD ,V aurO � t c c - CA TFNLErI .. :Jig E6LArlr"C+Lny`:OF.rrFk .. ..;SUfiRh;E!:JbTN�' .. ._. 17`.kUtiia7..i ReGfSTF+h: !N:r1@lN. �PEEFSX 531:116654 TRAtrELERS IND CO BG414191 r FraEr FEJ Ei Tl;u.x i SStr Ca(/EcEtf .. : EC 00 k!Aitir taSYtEIY.n RS ul.Ra:, LLiI " ,. , FEES DOWNER EROTl'LANDSCAPING INC FEG,TfLaTmp 120.a4 3 3 4:.CLARK STREET is : 4_at3 . pi- DW '°iR,: Ms3,,::o1g4rJ—Lza a.00 . METkX O,00 TOTAL 1 2 0.0 a SSACHUSETTS DEPARTMENT OF::TRANSPORTATION. EfI T TVEHICLESDIVISID The records a theRM. V6atabzsecxstttute#ebf{icals1aLs 1tha'vehiaieteg.traiioii. IF THIS VEHICLE IS NEWLY ACQUIRED, IT MUST BE INSPECTED WITHIN SEVEN (7) DAYS MEET e4.DF.Ew OF REGISTRATION important Information for Vehicle Owners I vciy person iiperatinga mot(w:vehicle shall have the Cee trft- :Return the registration.plates to the l2MV[rnrrtedlately If:I cate of Registration for the motor vehicle and for the trailer,IT � afiN,and his/het,license to operate,upon:hrsAer person orin The vehicle has been sold or junked arid.the re9lstratlan r9 ri It G) the vehicle,in some easily accessible ptace. gaitig to be transferred to anotherveh(ele.Keep a Co ,of the Bi}t' I trfsate,Tfrle, and Completetl Reas�grsincnc o,j'Ttrts ❑r your w Bylaw,you must report anF change of address to the RIVIV within recartls to document the transfer a 10 cinvs in.vrlting..Address changes can be made on the li f� websrte www.mass go-, rmy yr by mail to Rhin';! Yau move to another State and you register e veYticl fin that skate P.O.Bsx 55889 &ratan; VT.t 022115-5989.:,Once you have reported The insurance polity Is hat renewed or is canee[tetl and the► iS G) the address cbange to.the RNIV,pieuse trite corrected address77 no j31an to obtain a new poircy in boil provided above:. Tr nsferring Your Plaees: Massachusett5law (M.G.L Chapters®, section.� allows1.You to transfer vatld r ' ration es llthis vehicle to a newiq acquired new or used mocar vehicle or trailer While. ou:obtain,insurance.and a new registrarlorr.Alt 4f the•fRllowl6g must be met:.[.You are at(east is years,®f age and you own the matbr vehicle or trailer Identifled on this:I{eg3scrut;o�r,Gereio"4 ,2 sis fratisfef ownership of this vehicle to;another person or permanently lose possession of it(Such as through repossession ett 1,3 fhe rkQttYly acquired vehicle is of the same vehicle type(pas senger,vehlcle:to.passen9er vehflele.trailer t6 trailer,etwA the$acne rt ipassengerto passenger,cnn7merciatta commercial); and.has th2xama number of vaheeis;and,4.TIla 1ler silt(b pro , cemplete the Assignment of the Certificate of Title(for the newly acq 1.uired used"vehicle)or Certifltote of arlgin{if a llJftw of the.above are met,you may operate the newly acquired vehicle with the transferred plates up t :5 OQ prq:of t� the date of transfer(or loss of possession]. The day of transfer ar loss,ls day l7 bueing those 7 days;fou tar th \\ , . dealer's ('t mhnse C6n1ract)for the newly acquired vehicle anki this)Mgistrattrnr Cer't ta6;"-l6n ljeratin�the Veh]GI 6,� Seven-Day Ifeg'istratrrFn Transfer Lcaiv Ot7 the RMVrs WMSlte at www mass_ .;y. No tnsiirance Card'R.egulred;M85saehutetts's law does'not require an insurance care. The law M G.t.Ch Rter e \� 14 Chapter 17S section 713A requires the vehicle's owner to maintain a comp motor ulsory V811rc1e t[abltlty 1rtSurattge coverage and property dart�age insurance. If all insurer is identified on tfie face•of'this k-gistrcatmrr er�afaeare electronically notify the ow Mesistry of h7otor vehicles)If coverage lapses.The vehrcle nwher rs them notsfle�l} insurance within 10days oe_the registration Will be revclked.Bonds are filed wtth(fie State reasurer off( .. Schedule a Road'Test Request a'Dupllcate Titi pw Renew Your Drlver'sLicense Request, Duplicate Reglstrati♦ari Renew:Your Registration Change,:.Your Address '•� ,: ' Pay Citations/Court Hearrng> e�; Cancel arty platelfegistrakll�n Replace Your Driver°s L_fc>unke Order a special Plate � . VISIT OUR'6'@F IT FOR..A'I`[`Li,I19T.- EA 70001832 A SsD0 . R CERTIFICATE.�p y qnryofMAO?VeMclec RMV Division M.G.L.Chapter 90 Section 24B makes it a crime to alter this Certificate PLATE TYPE REdSTRA'RON NU516ER REGISTRATION TYPE EFFEC'ITVE DATE ,®, MONTH YEAR rSACVON NUMBER CON K77571 COMMERCIAL 01/O1/1$ '' 12 1892732600115015 MFRSMODELYEAR MAKE MODEL BODY STYLErrYPE COLOR Not valid without official IFVEHICLE OTALREGISTERED CARRMNG WEIGHT FORA 1999 I NTL 40OS E R DUMP GREEN signature of Registrar PASSENGERS ERCIALVE111CLE FOR HIRE: OR TRAILER. VEHICLEIDENT1TiCFY1ON NUMBER INSURANCE COMPANY TTTLENUMBER REdSTRAR MAXIMUM 1HTSCAAM5XH660217 QUINCY MUTUAL FIRE BB791784 NUMBER OF PASSENGERS y�� THAT CAN BE RESIDENTIAL ADDRESS(IF UFFERENT) ! SEATED. �I µ 21000 NAME(S)OF OWNERS)AND MAILING ADDRESS FEES DOWNER BROTHERS LANDSCAPING. I NC REdSTRATION 420.00 334 CLARK STREET TITLE 0.00 N ANDOVER, MA 01845-1020 ---- SPEaALPIATES 0.00 SALES TAX 0.00 TOTAL +20.00 MASSACHUSETTS DEPARTMENT OF TRANSPORTATION REGISTRY OF MOTOR VEHICLES DIVISION The records of the RMV database constitute the official status of the vehicle registration. SPECIAL MESSAGE CHANGE OF ADDRESS IF THIS VEHICLE IS NEWLY ACQUIRED, IT . MUST BE INSPECTED WITHIN SEVEN (7) STREET ADDRESS DAYS OF REGISTRATION., CITY,STATE,ZIP CODE Important I Every person operating a motor vehicle shall have the Certificate •Return the registration plates to the RMV immediately if: of Registration for the motor vehicle and for the trailer,if any,and his/her license to operate,upon his/her person or in the vehicle,in — The vehicle has been sold or junked and the registration is not some easily accessible place. going to be transferred to another vehicle.Keep a cop of the Bill of Sale,Title,and completed Reassignment of Title By law,you must report any change of address to the RMV within for your records to document the transfer. 30 days in writing.Address changes can be made on the RMV website:www.mass.gov/rm®or by mail to:RMV,P.O.Box 55889, You move to another state and you register the vehicle in that Boston,MA 02205-5889.Once you have reported the address state. change to the RMV,please write corrected address in box — The insurance policy not renewed or is cancelled and there is no plan to obtain a new policy. provided above. Transferriinp Your ur Plates:Massachusetts law(G.L.Chapter 90,Section 2)allows you to transfer valid registration plates from this vehicle to a newly acquired new or used motor vehicle or trailer while you obtain insurance and a new registration.AU of the following must be met: 1.You are at least 18 years of age and you own the motor vehicle or trailer identified on this Registration Certificate.2.You transfer ownership of this vehicle to another person or permanently lose possession of it(such as through repossession,etc.) 3.The newly acquired vehicle is of the same vehicle type(passenger vehicle to passenger vehicle,trailer to trailer,etc.);the same registration type(passenger to passenger, commercial to commercial);and has the same number of wheels,and,4.The seller and buyer properly complete the Assignment of the Certificate of Title(for the newly acquired"used"vehicle)or Certificate of Origin(if a"new"vehicle). IfAa of the above are met,you may operate the newly acquired vehicle with the transferred plates up to 5:00 pm of the 7th calendar day following the date of transfer(or loss of possession).The day of transfer or loss is day#1.During those 7 days,you must carry the Bill of Sale(or the dealer's Purchase Contract)for the newly acquired vehicle and this Registration Certificate when operating the vehicle.See FAQs About the Seven-Day Registration Transfer Law on the RMV's website at 3yww.mass4aXb3W- No Insurance Card ganired: Massachusetts's law does not require an insurance card.The law,M.G.L.Chapter 90,Section 34A and Chapter 175,Section 113A requires the vehicle's owner to maintain a compulsory motor vehicle liability insurance policy or bond for bodily injury coverage and property damage insurance.If an insurer is identified on the face of this Registration Certificate, it is required by lave'to electronically notify the RMV(Registry of Motor Vehicles)if coverage lapses.The vehicle owner is then notified by the RMV to obtain new insurance within 10 days or the registration will be revoked.Bonds are filed with the State Treasurer's Office. BE FIRST IN LINE Y GOING ONLINE / V hv. Sc edule a Road Test 0d Request a Duplicate Title 9 C w u 'v License Rene Your Driver's s L nse Request Duplicate 1rcate Registration ra g on Renew Your Registration d Change Your Address Pay Citations/Court urt Heating Fee P Cr Ca H Cancel MPlate/Registration Y g Y ',•L�L � Al Replace Your Driver's License Order Special Plates VISIT OUR WEBSITE FOR A FULL LIST OF AVAILABLE TRANSACTIONS meveca�rr�m9c - - 70001833 ass i k w Regtruyel Metor VehWes M.G.L.Chapter 90 Section 24B makes it a crime to alter this Certificate PLATE TYPE JREQSTRArON NUMBER REGISTRATION TYPE EFFECRVE DATE ,r, MONTH YEAR SACTION NUMBER CON K87452 COMMERCIAL O1/O1/18 ''110 12 18 92732600115016 MFRSMOOELYEAR MAKE MODEL BODY STYLErTYPE COLOR Not valid without official IFVEHICLE OTALREOISTERED CARRYING 2004 C H E V S I L V E R P U GREEN signature of Registrar PASSENGERS °ERpALAVEHICLE FOR HIRE: ORTRAJLEPL VEHICLE ID04TIKCATION NUMBER INSURANCE COMPANY TITLE NUMBER REGISTRAR MAXIMUM NUMBER OF 1 GCHK29U34E305287 QU I NCY MUTUAL FIRE BA973843 PASSTHATS�RS BE RESIDFMnAL ADDRESS QF DIFFERENr) SEATED, 7000 NAMES)OF OWNER(S)AND MAIIJNG ADDRESS FEES DOWNER BROTHERS LANDSCAPING INC r' ' } REGISTRATION 140.00 334 CLARK STREET TITLE 0.00 N ANDOVER, MA 01845-1020 SPECIAL PLATES 0.00 ` SALES TAX 0.00 TOTAL 140.00 MASSACHUSETTS DEPARTMENT OF TRANSPORTATION REGISTRY OF MOTOR VEHICLES DIVISION The records of the RMV database constitute the official status of the vehicle registration. SPECIAL MESSAGE CHANGE OF ADDRESS IF THIS VEHICLE IS NEWLY ACQUIRED, IT MUST BE INSPECTED WITHIN SEVEN (7) DAYS OF REGISTRATION. STREET ADDRESS CITY,STATE,ZIP CODE Important1 Every person operating a motor vehicle shall have the Certificate Return the registration plates to the RMV immediately if: of Registration for the motor vehicle and for the trailer,if any,and his/her license to operate,upon his/her person or in the vehicle,in _ The vehicle has been sold or junked and the registration is not some easily accessible place. going to be transferred to another vehicle.Keep a c=of the Bill of Sale,Title,and completed Reassignment of Title By law,you must report any change of address to the RMV within for your records to document the transfer. 30 days in writing.Address changes can be made on the RMV website•www.mass.gov/rmv or by mail to:RMV,P.O.Box 55889, ' You move to another state and you register the vehicle in that state. Boston,MA 02205-5889.Once you have reported the address change to the RMV,please write corrected address in box The insurance policy not renewed or is cancelled and there is no plan to obtain a new policy. provided above. Transferring Your Plates:Massachusetts law(C,.L.Chapter 90,Section 2)allows you to transfer valid registration plates from this vehicle to a newly acquired new or used motor vehicle or trailer while you obtain insurance and a new registration.Al of the following must be met: 1.You are at least 18 years of age and you own the motor vehicle or trailer identified on this Registration Certificate.2.You transfer ownership of this vehicle to another person or permanently lose possession of it(such as through repossession,etc.) 3.The newly acquired vehicle is of the same vehicle type(passenger vehicle to passenger vehicle,trailer to trailer,etc.);the same registration type(passenger to passenger, commercial to commercial);and has the same number of wheels;and,4.The seller and buyer properly complete the Assignment of the Certificate of Title(for the newly acquired"used"vehicle)or Certificate of Origin(if a"new"vehicle). lf_all of the above are met,you may operate the newly acquired vehicle with the transferred plates up to 5:00 pm of the 7th calendar day following the date of transfer(or loss of possession).The day of transfer or loss is day#l.During those 7 days,you must carry the Bill o f Sale(or the dealer's Purchase Contract)for the newly acquired vehicle and this Registration Certificate when operating the vehicle.See FAQs About the Seuen-Day Registration Transfer Lam on the RMV's website at cvww.mass.guyd: y. No Insurance Card Required:Massachusetts's law does not require an insurance card.The law,M.G.L.Chapter 90,Section 34A and Chapter 175,Section 113A requires the vehicle's owner to maintain a compulsory motor vehicle Iiability insurance policy or bond for bodily injury coverage and property damage insurance.If an insurer is identified on the face of this Registration Certificate,it is required by law to electronically notify the RMV(Registry of Motor Vehicles)if coverage lapses.The vehicle owner is then notified by the RMV to obtain new insurance within 10 days or the registration will be revoked.Bonds are filed with the State Treasurer's Office. E FIRST IN LINE BY GOING ONLINE ATWWWAASS.GOV/RMV Road T a Schedule a Ro Request a Duplicate Title >..' W V u = n ersL'Rene Yo r D License Duplicate D hcate Request P u e 'strati Renew Your n R o Changed Your Address a ' e Pay He nn e P F I late R strati YC ance M P e on g Y Replace Your Driver's Licens e Order Special Plates ....... P late VISIT OUR WEBSITE FOR A FULL LIST OF AVAILABLE TRANSACTIONS raavunnrumns CERTIFICATE .OF REGISTRATION RMVDIvision JIM EY22 M.G.L.Chapter 90 Section 24EI makes it a crime to after this Certl0cate P, E TYFE E CTIVE 09M H YEA1 CON T57586 CO RCIAL 01/16/18 12 18 02801669060108 YFRS VUE Y_trl c0 1-L SDDYSTYLEITVFE %!F eklICLE a T -,ALFEC!STER X- LOR CARRMS 'MCHTFORA 2001 FORD SRWISUP PU GREEN GREEN signature of Reosgar A&M-11C.ERS COMOCAL V.4',CLE FOR it Re Ct.;TFWLER VSHOCLE 10EHT;KAT,'0N WhISER NSUIVINOE-comw MLEN"W-Ea rMSTRAR 1FTSF31F81ED5626,-1. 1"Z�UINCY MUTUAL FIRE AW276615 RESMCIN AM-RM ff VFFEREN M _L _ - e e THAT CAN 1-2 EATO. [_ 008000 nAf:nslef RS)MID MAILMIG ACORESS FEES -- DOWNER, CHRISTOPHER S 160.00 122 CHESTNUT ST TJT--, 0.00 N ANDOVER, MA 01845-5235 s-E0AiFATN 0.00 S.A,--S TAX 0.00 TOTAL 160.00 MASSACHUSETTS DEPARTMENT OF TRANSPORTATION REGISTRY OF MOTOR VEHICLES DIVISION The records of the RMV dlmbn­e constitute fte dIlidal states of ft vehicle regist-abion. IF THIS VEHICLE IS NEWLY ACQUIRED, IT MUST BE INSPECTED WITHIN SEVEN (7) DAYS ST,=,.ADDRESS OF REGISTRATION. 7 .STATE Important Information for Vehicle Owners Every person operating a motor vehicle shall have the Certifi- Return the registration plates to the RMV immediately if: cate of Registration for the motor vehicle and for the trailer,if any,and his/her license to operate,upon his/her person or in The vehicle has been sold or junked and the registration is not the vehicle,in some easily accessible place. going to be transferred to another vehicle.Keep a copy of the Bill of sale,Tide, and completed Reassignment of Title If Z-r your By law,you must report any change of address to the RMVwithin records to document the transfer. 30 days in writing.Address changes can be made on the RNIV You move to another state and you register the vehicle in that state. website:-arww.massrmv.com or by mail to.RMV,P.O.Box 55889, Boston,MA 02205-5989.Once you have reported the address The insurance policy is not renewed or is cancelled and there is change to the RMV,please write corrected address in box no plan to obtain a new policy. provided above. Transferrins Your Plates: Massachusetts law (M.G.L. Chapter 90, Section 2) allows you to transfer valid registration plates from this vehicle to a newly acquired now or used motor vdWe or traffer while you obtain insurance and a new registration.All of the following must be met: I.You are at least IS years of age and you own the motor vehicle or trailer identified on this Registration Certificate;2.You transfer ownership of this vehicle to another person or permanently lose possession of it(such as through•repossession,etc.);3.The newly acquired vehicle is of the same vehicle tM(passenger vehicle to passenger vehicle,trailer to trailer,etc.),the same registration type (passenger to passenger,commercial to commercial); and has the same number of wheds;and,4.The Mqy And bum properly complete the Assignment of the Certificate of Title(for the newly acquired'used"vehicle)or Certificate of Origin(if a new,vehicle). if all of the above are met,you may operate the newly acquired vehicle with the transferred plates up to S.-OO put of the 7th calendar day following the date of transfer(or loss of possession). The day of transfer or loss is day#I. During those 7 days,you must carry the Bill of Sale (or the dealer's Purchase Contract)for the newly acquired vehicle and this Registration Certificate when operating the vehicle. See FAQs About the Seven-Day Registration Transfer Law on the RMV's website at www.nuswm.com. No Insurance Card geq!ked:Massachusetts's law does not require an insurance card. The law,M.G.L.Chapter 90, Section 34A and Chapter 175, Section 113A requires the vehicle's owner to maintain a compulsory motor vehicle liability insurance policy or bond for bodily injury coverage and property damage insurance. If an insurer is identified on the face of this Registration Certificate, it is required by law to electronically notify the RMV(Regis"of Motor Vehicles)if coverage lapses.The vehicle owner is then notified by the RMV to obtain new insurance within 10 days or the registration will be revoked.Bonds are filed with the State Treasurer 9 office. Be first in line by going online at www.massrmv.com Schedule a Road;Test Request a Duplicate Title NEED TO VISIT AN RMV OFFICE? Renew Your Driver's License Request a Duplicate Registration Renew Your Registration Change Your Address SAVE TIM:E Pay Citations/Court Hearing Fee Cancel My Plate/R, ration Complete Your -`�:;' Replace Your Driver's License Order a Special U e Application Online! VISIT OURVNTBSITE FOR A FLTLLL2 S�T OF AVAILABLE TRANSACTIONS s' • Town of North Andover Division of Public Works Specifications for Snow Plowing and Removal Services 2 Year Contract - Fiscal year 2019 through Fiscal year 2020 1. General. 1.1. The Town of North Andover intends to enter into contracts, with responsive and responsible CONTRACTOR(S), to perform snow plowing services on several of the Town of North Andover's routes in the manner described herein. 1.2. The CONTRACTOR(S) must supply trucks and plows to clear, in a timely manner, each route that they are assigned 1.3. In the performance of the work under this Contract the CONTRACTOR(S) shall be deemed to be independent contractors, and not agents or employees of the Town. 2. Term of Contract. 2.1. The term of this Contract(s) shall be for TWO (2) YEARS from the date of contract execution. If for any fiscal year or any part thereof during the term of this Agreement, funds for the discharge of the Town's obligations under this Agreement are not appropriated and authorized, or funds so appropriated and authorized are reduced or withdrawn, then this Agreement shall terminate. This Contract does not guarantee any work or any minimum amount of work to the CONTRACTOR(S). Work will be assigned to the CONTRACTOR(S) at the sole discretion of the Town. 3. Basis of Selection. 3.1. Plow routes will be assigned at the discretion of the Town. 3.2. The CONTRACTOR(S) will be selected based upon previous experience, type and amount of equipment available. 4. Rejection of Contractor Application. 4.1. Proper snow plowing is important to public safety and welfare. Therefore, the Town reserves the right, at its sole discretion, to reject any application if it is determined to be in the best interest of the Town. 4.2. In addition, the Town may reject an application from any contractor who: a) Has a history of failing to provide timely, quality, and complete service on snow plowing, or other contracts with the Town of North Andover or with any other municipality or agency; Snow Plowing and Removal Services-updated September 2018 Page 5 Page 5 b) Proposes the use of equipment which the Town considers to be substandard, or proposes to use a subcontractor(s), with a history of failing to meet the Town's request for service, or to perform in a satisfactory manner of snow plowing, or other contracts. 5. Responsibilities of the CONTRACTOR(S). 5.1. The contractor shall provide fuel and operate the equipment listed on the Application for Snow Plowing and Removal when and as so directed by the Town of North Andover Division of Public Works at the rates shown in the chart entitled Town of North Andover Plow rates winter season which are hereby incorporated into and made part of this Agreement. 5.2. The CONTRACTOR(S) accepts responsibility to become completely familiarized with plow routes assigned to them. 5.3. The CONTRACTOR(S) application shall include: 5.3.1. A copy of the current vehicle registration for each vehicle listed on the application page. 5.3.2. Current certificates of insurance as stated on Supplement"S" of the contract documents. 5.3.3. A yearly Update of forms at the start of each new snow season (on or about October 15th); Forms to include: Application for Snow Plowing and Removal Services (page 3/4), registrations copies for each vehicle being used for the upcoming season, an updated insurance certificate and a W-9 form (see items 9,10,& 11 on page 2). 5.4. Responsibilities for Vehicles, Plows, Equipment and Operators. 5.4.1. The CONTRACTOR(S) must provide and properly maintain, in good working condition, the vehicles, plows and equipment for the entire contract term. They must meet all conditions set forth in this contract. Vehicles, equipment and operators must meet licensing, registration and safety and emissions requirements. The CONTRACTOR(S) must, at any time upon the request of the Town, provide proof of operator licensing and motor vehicle registration. 5.4.2. The CONTRACTORS) must provide fully qualified, licensed and responsible operators for each vehicle and piece of equipment. The CONTRACTOR(S) must supply a list of the names of the operators for each vehicle, or piece of equipment, to the Division of Public Works on the attached form and every time that there is a change in the list of operators. 5.4.3. The owner or lessee represents and warrants that each of the operators listed has a valid and currently issued operator's license issued by the duly authorized governmental entity and for breach of such requirement it being a condition of the agreement will automatically terminate such agreement as it relates to the specific equipment being operated as such. 5.4.4. The CONTRACTOR(S) further agrees to keep the specified equipment legally registered during the term of the contract.The CONTRACTOR(S) agrees to promptly forward a copy of any new registration of said equipment, particularly after December 31 to the Division of Public Works. Failure to keep the equipment so registered will terminate the contract relative to that unregistered equipment. 5.5. Responsibilities during Snow Season. Between October 15 and May 1 of the contract period, the CONTRACTOR(S) shall: 5.5.1. Maintain a system whereby the Town can contact the contractor(s) at a specified telephone number for 24 hours, 7 days a week, inclusive of holidays. During snow emergencies, the contractor(s) will provide the Division of Public Works with a means of communication to be used to provide direct contact between the contractor(s)'s supervisor and the Highway Garage. 5.5.2. Notify the Town if any equipment is out of service. Equipment must be returned to service as soon as possible. Snow Plowing and Removal Services-revised September 2018 Page 6 5.5.3. Keep, activate and properly charge the GPS tracking system in the vehicle/equipment while said vehicle/equipment is working under the terms of this agreement. 5.6. Responsibilities during a Snow Plowing Operation. 5.6.1. Once the Town has called a snow plowing operation, the CONTRACTOR(S) shall: A. Arrive at the Highway Garage no later than 1 hour from time of notice. B. Arrive with vehicles, plow and equipment in good working condition, prepared to plow, loaded with appropriated ballast and having chains available for use if needed (as determined by the Director of Public Works, or his/her Designee). C. Sign IN - Each Truck must Sign In with the timekeeper in the office at the Highway Garage as well as activate the GPS unit used in the vehicle/equipment, regardless of prior practice. The drivers are solely responsible to keep an accurate record of their time. D. Sign OUT - When the driver feels that the route(s) have been properly cleared of snow, he will meet with his route supervisor (chaser) at a pre-determined location to make sure the chaser is satisfied with the route. If the chaser is satisfied with the route the driver must return to the Highway Garage to Sign Out and deactivate the above mentioned GPS unit. If you cannot locate your chaser, return to the Highway Garage, deactivate the above mentioned GPS unit, and the chaser will then be notified. E. Down Time - Repairs to the vehicles, refueling vehicles and lunch breaks are considered down time and should not be submitted for payment. This must be reported to the chaser or Highway Garage in real time before or while off the clock. F. Leave Route- No plow shall leave its assigned route unless specifically ordered to do so by the chaser or the Highway Garage dispatcher. G. Plow to the standards set forth in Section 9. 5.6.2. In the event that the CONTRACTOR(S)'s equipment fails during a plowing operation, the CONTRACTOR(S), or his representative, must notify the Highway Garage. 5.7. Responsibilities to Receive Payment. 5.7.1. To receive payment for a snowplow operation, the CONTRACTOR(S) must submit all completed forms to the Town of North Andover within two weeks of a snow storm. 5.7.2. The Town will not pay for any work that has not been authorized by the appropriate Town officials and signed off as complete by a Town Snow Inspector of the Control Center. 5.8. Responsibilities for Damages. 5.8.1. The CONTRACTOR(S) is liable for damages including, but not limited to, damages to sod, shrubbery, trees, and structures that result from his operations. The CONTRACTOR(S) shall repair all damages prior to May 1 of the contract year. 5.8.2. The CONTRACTOR(S)shall make immediate, temporary repairs to damages that cause a safety hazard. Permanent repairs of such damages shall be made within 72 hours of when the damage occurred, or later if requested in writing to the Director of Public Works, and approved in writing by the Director. 5.8.3. If repairs are not completed in a satisfactory and timely manner, the Town may cause the repairs to be made at the expense of the CONTRACTOR. 6. Rights of the Town. 6.1. The contract may be terminated for the convenience of the Town at the Towns sole discretion, upon the recommendation of the Director of Public Works, or when the Director, or their Designee, has determined that the CONTRACTOR(S) has: Snow Plowing and Removal Services-revised September 2018 Page 7 6.1.1. Abandoned the work to be performed under this contract; 6.1.2. Assigned their route to another without Town consent; 6.1.3. Unnecessarily, or unreasonably, delayed any of the work to be performed under this contract; 6.1.4. Failed to furnish sufficient, properly skilled workmen, or sufficient vehicles or equipment to perform the work; 6.1.5. Disregarded the instructions of the Director of Public Works, a Town Chaser, or other Town Official including tampering with the GPS unit required under this contract; 6.1.6. Failed to perform properly on any route, as determined by a Town Official; 6.1.7. Substantially violated a requirement of the contract. 6.2. All services provided under this contract shall be performed in accordance with the terms of these Instructions and the Contract executed between the Town and the Contractor in the form attached hereto as authorized by the Director of Public Works or his/her designee. The CONTRACTOR(S) shall only be paid for services authorized by, and performed to the satisfaction of, the Director of Public Works. 6.3. The Town has an absolute right to verify the time and quality/quantity of contractor work under this contract and to verify conformance with the contract documents through inspections and use of GPS tracking devices. 6.4. The decision of the Director of Public Works as to the suitability of CONTRACTOR(S) equipment and employees is final. 6.5. The decision as to when to call for snowplowing to begin rests entirely with the Town. The Director of Public Works or their designee shall determine, on a case-by-case basis for each snow fall event, when conditions warrant a snow plow operation by the CONTRACTOR(S), and which CONTRACTOR(S) will be assigned the work. 7. Responsibilities of the Town. 7.1. The Town shall: maintain a center of operation at the Highway Garage at all times during snowplowing operations; and maintain a log of all calls between CONTROL CENTER and the CONTRACTOR(S) and their assigned supervisors. Promote smooth snowplowing operations by having the CONTROL CENTER place calls for service, coordinate with Town Inspectors and perform any other necessary tasks as quickly as possible. 7.2. The Town shall also make the best effort to make payments within 30 days of receipt of a proper invoice. If there is a dispute about the amount owed, the Town will approve payment of the amount not in dispute within 30 days and withhold any disputed amount until resolution of the dispute. 7.3. The Town shall provide the contractor a GPS unit with power cord for each vehicle/equipment under this contract. 8. Equipment Specifications. 8.1. The equipment furnished under this contract must meet all contract specifications and fully comply with all applicable laws and regulations of the Commonwealth of Massachusetts. 8.2. All equipment must be in good condition, smooth running at operating levels, clean inside and out, and under the hood, with evidence of proper maintenance and inspection. 8.3. The electrical and mechanical systems of each vehicle and piece of equipment shall be in good operating condition. 9. Snowplowing Specifications. 9.1. The CONTRACTOR(S) shall plow snow from curb to curb, or edge of street to edge of street, leaving no windrows in intersections. Snow Plowing and Removal Services-revised September 2018 Page 8 9.2. The CONTRACTOR(S) shall plow all Town streets, roads and avenues, including private ways, within the routes listed, and shown on the maps. 9.3. Plowing Requirements—The CONTRACTOR(S) SHALL: 9.3.1. Plow streets from the centerline to each curb, or to the edges of pavement. 9.3.2. NOT turn around in private driveways. 9.3.3. Plow at a speed which is sufficient to move snow, but not excessive. Avoid, to the maximum extent possible, depositing snow onto sidewalks. 9.3.4. Plow all streets the full width of pavement leaving bare pavement prior to sanding/salting operations. 9.3.5. To the maximum extent possible, avoid depositing plowed snow in front of, or in, driveways and onto sidewalks, or on street corners. These areas should not have more snow than the rest of the street edge. 9.4. Report to Highway Garage dispatch. 9.4.1. If you cannot start plowing at appointed time. 9.4.2. If equipment breaks down while plowing. 9.4.3. If any street cannot be plowed and the reason why. 9.4.4. If any damage is done to other vehicles or property. 9.5. Special Plowing Requirements. 9.5.1. "BUMP OUTS"—Due to road and sidewalk reconstruction in some areas, there are now "Bump outs" that have been created to facilitate better parking designation. Caution is to be taken within the areas of these "bump outs" so as to not disrupt or cause damage to these areas. 9.5.2. One Way Streets — One way streets shall be plowed to each curb. That is the operator shall plow the left side of the centerline of the street to the left side and plow the right side of the centerline to the right side, and at no time shall the contractor(s)'s operator plow a one way street the wrong way against traffic pattern. 9.5.3. Blocked Streets—If a street is blocked, the CONTRACTOR(S) shall make every attempt to bypass the blockage. If unable to bypass the blockage, the CONTACTOR(S) shall immediately inform the Highway Garage dispatch, of the blockage. The CONTRACTOR(S) will plow the street as soon as the blockage is removed. 9.5.4. Intersections—The CONTRACTOR(S) shall ensure that intersections and curb radii are properly cleared, with no residual snow left in the intersections. 9.5.5. Snow Pack — It is not acceptable to leave snow pack of any depth along Town streets after the passing of a CONRACTOR(S) plow. 10. Fuel Adjustment. 10.1 Fuel adjustments shall be determined by the Town and made for each contracted year in the first week of September, for each year the contract is in force. The adjustment will be made based on the diesel price as established by the United States Energy Information Administration. The established base price for this contract when it began: $2.767/gallon. Adjusted rate for year two is $3.270/gal as of the first week in September 2018. 10.2 Hourly Rates for the remaining contracted years shall be adjusted up or down based upon the percentage of difference between the first year's base price and the diesel fuel price established by the US Energy Information Administration for the first week in September of each subsequent year. End of Section — Please continue to Contract Snow Plowing and Removal Services-revised September 2018 Page 9 TOWN OF NORTH ANDOVER Contract Date: To be dated by the Town Manager upon execution This Contract is entered into on, or as of, this date and between the Town of North Andover(the "Town"), and W Contractor: Address: AJA Telephone Number: f Fax: C1 "( q 1. This is a Contract for the procurement of the following: Snow Plowing and Removal Services in accordance with the specifications attached hereto and made a part hereof. 2. The Contract price to be paid to the Contractor by the Town of North Andover is: Per the hourly rates established for this Contract(see Plow Rate Attachment). 3. Payment will be made as follow: Within thirty (30) days of receipt of approved invoice. 4. Definitions: 4.1. Acceptance: All Contracts require proper acceptance of the described good or services by the Town of North Andover. Proper acceptance shall be understood to include inspection of goods and certification of acceptable performance for services by authorized representatives of the Town to insure that the goods or services are complete and are as specified in the Contract. 4.2. Contract Documents: All documents relative to the Contract including (where used) Instructions to Bidders, Proposal Form, General Conditions, Supplementary General Conditions, General Specifications, Other Specifications included in Project Manual, Drawings, and all Addenda issued during the bidding period. The Contract documents are complementary, and what is called for by any one shall be as binding as if material, equipment and transportation necessary for the proper performance of the Contract. 4.3. The Contractor: The "other party" to any Contract with the Town. This term shall (as the sense and particular Contract so require) include Vendor, Contractor, Engineer, or other label used to identify the other party in the particular Contract. Use of the term "Contractor"shall be understood to refer to any other such label used. 4.4. Date of Substantial Performance: The date when the work is sufficiently complete, the services are performed, or the goods delivered, in accordance with Contract Documents, as modified by approved Amendments and Change Orders. Snow Plowing and Removal Services-revised September 2018 Page 10 4.5. Goods: Goods, Supplies or Materials. 4.6. Sub-Contactor: Those having a direct Contract with the Contractor. The term includes one who furnished material worked to a special design according to the Drawings for Specifications of this work, but does not include on who merely furnished material not so worked. 4.7. Work: The services or materials contracted for, or both. 4.8. GPS: Global Positioning System and/or related equipment including charger and accessories used for tracking contracted vehicles and equipment. 5. Term of Contract and Time of Performance: This Contract shall be fully performed by the Contractor in accordance with the provisions of the Contract Documents on or before THREE YEARS FROM THE DATE OF CONTRACT EXECUTION, unless extended pursuant to the provision for extension contained in the Contract documents at the sole discretion of the Town, and not subject to assent by the Contractor, and subject to the availability and appropriation of funds as certified by the Town Accountant. The time limits stated in the Contract Documents are of the essence of the Contract. 5.1. At the start of each new snow season, on or about October 15th, the Contractor(s) must update and turn in the following: the application for Snow Plowing and Removal Services, registration copies for each vehicle being used for the upcoming season, an updated insurance certificate, a W-9 form. All completed forms and updated documents shall be turned into the Division of Public Works. Also at this time the determination for fuel adjustment will be made. 6. Subject to Appropriation: Notwithstanding anything in the Contract Documents to the contrary, any and all payments which the Town is required to make under this Contract shall be subject to appropriation or other availability of funds as certified by the Town Accountant. In the absence of appropriation, the Contract shall be immediately terminated without liability for damages, penalties or other charges. 7. Permits and Approvals: Permits, Licenses, Approvals and all other legal or administrative prerequisites to its performance of the Contract shall be secured and paid for by the Contractor. 8. Termination and Default: 8.1. Without Cause—The Town may terminate this Contract on seven (7) calendar days notice when in the best interests of the Town by providing notice to the Contractor, which shall be in writing and shall be deemed delivered and received when given in person to the Contractor, or when received by fax, express mail, certified mail-return receipt requested, regular mail postage prepaid or delivered by any other appropriate method evidencing actual receipt by the Contractor. Upon termination without cause, Contractor will be paid for services rendered to the date of termination. 8.2. For Cause— If the Contractor is determined by the Town to be in default of any term or condition of this Contract, the Town may terminate this Contract on seven (7) days notice by providing notice to the Contractor, which shall be in writing and shall be deemed delivered and received when given in person to the Contractor, or when received by fax, express mail, certified mail- return receipt requested, regular mail postage prepaid or delivered by any other appropriate method evidencing actual receipt by the Contractor. 8.3. Default —The following shall constitute events of a default under the Contract: 8.3.1. Any material misrepresentation made by the Contractor to the Town; Snow Plowing and Removal Services-revised September 2018 Page 11 8.3.2. Any failure to perform any of its obligations under this Contract including, but not limited to the following: (i)failure to commence performance of this Contract at the time specified in this Contract due to a reason or circumstance within the Contractor's reasonable control, (ii)failure to perform this Contract with sufficient personnel and equipment or with sufficient material to ensure the completion of this Contract within the specified time due to a reason or circumstance within the Contractor's reasonable control, (iii) failure to perform this Contract in a manner reasonably satisfactory to the Town, (iv) failure to promptly re-perform within a reasonable time the services that were rejected by the Town as unsatisfactory, or erroneous, (v) discontinuance of the services for reasons not beyond the Contractor's reasonable control, (vi) failure to comply with a material term of this Contract, including, but not limited to, the provisions of insurance and non-discrimination, (vii) any other acts specifically and expressly stated in this Contract as constituting a basis for termination of this Contract, and (vii) failure to comply with any and all requirements of state law and/or regulations, and Town bylaw and or regulations. 9. The Contractor's Breach and the Town's Remedies: Failure of the Contractor to comply with any of the terms or conditions of this Contract shall be deemed a material breach of this Contract, and the Town of North Andover shall have all the rights and remedies provided in the Contract Documents, the right to cancel, terminate, or suspend the Contractor in whole or in part, the right to maintain any and all actions at law or in equity or other proceedings with respect to a breach of this Contract, including damages and specific performance, and the right to select among the remedies available to it by all of the above. From any sums due to the Contractor for services, the Town may keep the whole or any part of the amount for expenses, losses and damages incurred by the Town as a consequence of procuring services as a result of any failure, omission or mistake of the Contractor in providing services as provided in this Contract. 10. Statutory Compliance: 10.1. This Contract will be construed and governed by the provisions of applicable federal, state and local laws and regulations; and wherever any provision of the Contract or Contract Documents shall conflict with any provision or requirement of federal, state or local law or regulation, then the provisions of law and regulation shall control. Where applicable to the Contract, the provisions of the General laws are incorporated by reference into this Contract, including but not limited to, the following: I. General Laws Chapter 30B — Procurement of Goods and Services. II. General Laws Chapter 30, Sec. 39, et seq: Public Works Contracts. III. General Laws Chapter 149, Section 44A, et seq: Public Buildings Contracts. 10.2. Wherever applicable law mandates the inclusion of any term and provision into a municipal contract, this Section shall be understood to import such term or provision into this Contract. To whatever extent any provision of this Contract shall be inconsistent with any law or regulation limiting the power or liability of cities and towns, such law or regulation shall control. 10.3. The Contractor shall give all notices and comply with all laws and regulations bearing on the performance of the Contract. If the Contractor performs the Contract in violation of any applicable law or regulation, the Contractor shall bear all costs arising therefrom. 10.4. The Contractor shall keep itself fully informed of all existing and future State and National Laws and Municipal By-Laws and Regulations and of all orders and decrees of any bodies or tribunal having jurisdiction in any manner affecting those engaged or employed in the work, of the materials used in the work or in any way affecting the conduct of the work. If any discrepancy Snow Plowing and Removal Services-revised September 2018 Page 12 or inconsistency is discovered in the Drawing, Specifications or Contract for this work in violation of any such law, by-law, regulation, order or decree, it shall forthwith report the same in writing to the Town. It shall, at all times, itself observe and comply with all such existing and future laws, by-laws, regulation, orders and decrees; and shall protect and indemnify the Town of North Andover, and its duly appointed agents against any claim or liability arising from or based on any violation whether by him or its agents, employees or sub-contractors of any such law, by- law, regulation or decree. 11. Conflict of Interest: Both the Town and the Contractor acknowledge the provisions of the State Conflict of Interest Law (General Laws Chapter 268A), and this Contract expressly prohibits any activity which shall constitute a violation of that law. The Contractor shall be deemed to have investigated the application of M.G.L.c.268A to the performance of this Contract; and by executing the Contract Documents the Contractor certifies to the Town that neither it nor its agents, employees, or sub-contractors are thereby in violation of General Laws Chapter 268A. 12. Certification of Tax Compliance: This Contract must include a certification of tax compliance by the Contractor, as required by General Laws Chapter 62C, Section 49A (Requirement of Tax Compliance by all Contractors Providing Goods, Services, or Real Estate Space to the Commonwealth or Subdivision). 13. Discrimination: The Contractor will carry out the obligation of this Contract in full compliance with all of the requirements imposed by or pursuant to General Laws Chapter 151 B (Law Against Discrimination) and any executive orders, rules, regulations and requirements of the Commonwealth of Massachusetts as they may from time to time be amended. 14. Assignment: Assignment of this Contract is prohibited, unless and only to the extent that assignment is provided for expressly in the Contract Documents, 15. Condition of Enforceability Against the Town: This Contract is only binding upon, and enforceable against, the Town if: (1) the Contract is signed by the Town Manager or its designee; and (2) endorsed with approval by the Town Accountant as to appropriation or availability of funds; and (3) endorsed with approval by the Town Counsel as to form. 16. Corporate Contractor: If the Contractor is a corporation, it shall endorse upon this Contract (or attach hereto) its Clerk's Certificate certifying the corporate capacity and authority of the party signing this Contract for the corporation. Such certificate shall be accompanied by a letter or other instrument stating that such authority continues in full force and effect as of the date the Contract is executed by the Contractor. This Contract shall not be enforceable against the Town of North Andover unless and until the Contractor complies with this section. The Contractor, if a foreign corporation, shall comply with the provisions of the General Laws, Chapter 181, Section 3 and 5, and any Acts and Amendments thereof, and in addition thereto, relating to the Commissioner of Corporations as its attorney, shall file with the Commissioner of Corporations a Power of Attorney and duly authenticated copies of its Charter or Certificate of Incorporation; and said Contractor shall comply with all the laws of the Commonwealth. 17. Liability of Public Officials: To the full extent permitted by law, no official, employee, agent or representative of the Town of North Andover shall be individually or personally liable on any obligation of the Town under this Contract. Snow Plowing and Removal Services-revised September 2018 Page 13 18. Indemnification: The Contractor shall indemnify, defend and save harmless the Town, its officers, agents and employees, from and against any and all damages, liabilities, actions, suits, proceedings, claims, demands, losses, costs, expenses, recoveries and judgments of every nature and description (including reasonable attorney's fees) brought or recovered against them that may arise in whole or in part out of or in connection with the work being performed or to be performed, or out of any act or omission by the Contractor, its employees, agents, sub-contractors, material men, and anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, regardless of whether or not it is caused in part by any party indemnified hereunder. The Contractor, further agrees to reimburse the Town for damage to its property caused by the Contractor, its employees, agents, sub-contractors or material men and anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including damages caused by his, its or their use of faulty, defective, or unsuitable material or equipment, unless the damage is caused by the Town's gross negligence or willful misconduct. The existence of insurance shall in no way limit the scope of the Contractor's indemnification under this contract. 19. Worker's Compensation Insurance: The Contractor shall provide by insurance for the payment of compensation and the furnishing of other benefits under Chapter 152 of the General Laws of Massachusetts (The Worker's Compensation Act) to all employees of the Contractor who are subject to the provisions of Chapter 152 of the General Laws of Massachusetts. Failure to provide and continue in force such insurance during the period of this Contract shall be deemed a material breach of this Contract, shall operate as an immediate termination thereof and Contractor shall indemnify the Town for all losses, claims and actions resulting from the failure to provide the insurance required by this Article. The Contractor shall furnish to the Town evidence of such insurance prior to the execution of this Contract before the same shall be binding on the parties thereto, except if specifically waived by the Town. 20. Documents, Materials, Etc.: Any materials, reports, information, data, etc. given to or prepared or assembled by the Contractor under this Contract are to be kept confidential and shall not be made available to any individual or organization by the Contractor (except agents, servants, or employees of the Contractor) without the prior written approval of the Town, except as otherwise required by law. The Contractor shall comply with the provisions Chapter 66A of the General Laws of Massachusetts as it relates to public documents, and all other state and federal laws and regulations relating to confidentiality, security, privacy and use of confidential data. Any materials produced in whole or in part under this Contract shall not be subject to copyright, except by the Town, in the United States or any other country. The Town shall have unrestricted authority to, without payment of any royalty, commission, or additional fee of any type or nature, publicly disclose, reproduce, distribute and otherwise use, and authorize other to use, in whole or in part, any report, data or other materials prepared under this Contract. All data, reports, programs, software, equipment, furnishings, and any other documentation or product paid for by the Town shall vest in the Town at the termination of this Contract. The Contractor shall at all times, during or after termination of this Contract, obtain the prior written approval of the Town before making any statement bearing on the work performed or data collected under this Contract to the press or issues any material for publication through any medium. Snow Plowing and Removal Services-revised September 2018 Page 14 21. Audit, Inspection and Recordkeeping: At any time during normal business hours, and as often as the Town may deem it reasonably necessary, there shall be available in the off of the Contractor for the purpose of audit, examination, and/or to make excerpts or transcript all records, contracts, invoices, materials, payrolls, records of personnel, conditions of employment and other data relating to all matters covered by this Agreement including verification of time and performance by inspection and/or use of GPS. 22. Payment: The Town agrees to make all reasonable efforts to pay the Contractor the sum set forth in the Contractor's bid or proposal within thirty(30) days of receipt of an invoice detailing the work completed and acceptance from the Town of the work completed. 23. Waiver and Amendment: Amendments, or waivers of any additional term, condition, covenant, duty or obligation contained in this Contract may be made only by written amendment executed by all signatories to the original Agreement, prior to the effective date of the amendment. To the extent allowed by law, any conditions, duties, and obligations contained in this Contract may be waived only by written Agreement by both parties. Forbearance or indulgence in any form or manner by a party shall not be construed as a waiver, not in any manner limit the legal or equitable remedies available to that party. No waiver by either party or any default or breach shall constitute a waiver of any subsequent default or breach of a similar or different matter. 24. Forum and Choice of Law: This Contract and any performance herein shall be governed by and be construed in accordance with the laws of the Commonwealth. Any and all proceeding or actions relating to subject matter herein shall be brought and maintained in the courts of the Commonwealth or federal district court sitting in the Commonwealth, which shall have exclusive jurisdiction thereof. This paragraph shall not be construed to limit any other legal rights of the parties. 25. Notices: Any notice permitted or required under the provisions of this Contract to be given or served by either of the parties hereto upon the other party hereto shall be in writing and signed in the name or on the behalf of the party giving or serving the same. Notice shall be deemed to have been received at the time of actual service or three (3) business days after the date of a certified or registered mailing properly addressed. Notice to the Contractor shall be deemed sufficient if sent to the address set for the in the Contractor and to the Town of North Andover by being sent to the Town Manager, Town Hall, 120 Main Street, North Andover MA 01845. 26. Binding on Successors: This Contract shall be binding upon the Contractor, its assigns, transferees, and/or successors in interest (and where not corporate, the heirs and estate of the Contractor). 27. Complete Contract: This instrument, together with its endorsed supplements, and the other components of the Contract Documents, constitutes the entire contract between the parties, with no agreements other than those incorporated herein. 28. Supplemental Conditions: The foregoing provisions apply to all contracts to which the Town of North Andover shall be a party. One of the following "Supplements" must be "checked" as applicable to this Contract, shall be attached hereto, and shall in any event apply as the nature of the Contract requires. The Supplement contains additional terms governing the Contract: Snow Plowing and Removal Services-revised September 2018 Page 1S [ ] GOODS SUPPLEMENT "G" —Applicable to Contracts for the procurement of Goods (governed by the provisions of General Laws Chapter 30B) [ X] SERVICES SUPPLEMENT "S" —Applicable to Contract for the procurement of Services (governed by the provisions of General Laws Chapter 30B) [ ] CONSTRUCTION SUPPLEMENT "C" —Applicable to Contracts for Construction IN WITNESS WHEREOF the parties have hereto and to two other identical instruments set forth their hands the day and year first above written. THE TOWN THE CONTRACTOR D vi ion/Department Head Company Name Contract Manager Town Manager Date Signature Date Print Name & Title APPROVED AS TO FORM: own Counsel Date CERTIFICATION AS TO AVAILABILITY OF FUNDS: ink bl � -)rIA' c T n A ountant Date Snow Plowing and Removal Services-revised September 2018 Page 16 SUPPLEMENT "S" 1. This form supplements the general provisions of the Contract between the Town of North Andover, and 'e ! lU'lr��r T ° . , which Contract is a contract for the procurement of services. 2. "Services": Services shall mean furnishing of labor, time or effort by the Contractor. This term shall not include employment agreements, collective bargaining agreements, or grant agreements. 3. Change Orders: Change orders for contracts subject to Massachusetts General Laws Chapter 30B may not increase the quantity of services by more than twenty-five percent (25%), in compliance with General Laws Chapter 30B, § 13. 4. Minimum Wage/Prevailing Wage: The Contractor will carry out the obligations of this Contract in full compliance with all of the requirements imposed by or pursuant to General Laws Chapter 151, § 1, et esq. (Minimum Wage Law) and any executive orders, rules, regulations, and requirements of the Commonwealth of Massachusetts as they may from time to time be amended. The Contractor will at all times comply with the wage rates as determined by the Commissioner of the Department of Labor and Industries, under the provision of General Laws Chapter 149, 26 to 27D (Prevailing Wage), as shall be in force and as amended. 5. Insurance: The Contractor shall obtain and maintain the following insurance: 5.1.Workers Compensation Insurance of the scope and amount required by the laws of the Commonwealth of Massachusetts. 5.2. Broad Form Commercial General Liability coverage with limits of at least $1 Million per occurrence and $2 Million aggregate, and which shall cover bodily injury, death, or property damage arising out of the work. 5.3.Automobile Liability Coverage, including coverage for owned, hired, or borrowed vehicles with limits of at least $250,000 per person, and $500,000 per accident. 5.4.The intent of the Specifications regarding insurance is to specify minimum coverage and minimum limits of liability acceptable under the Contract. However, it shall be the Contractor's responsibility to purchase and maintain insurance of such character and in such amounts as will adequately protect it and the Town from and against all claims, damages, losses and expenses resulting from exposure to any casualty liability in the performance of the work. Snow Plowing and Removal Services-revised September 2018 Page 17 5.5.All required insurance shall be certified by a duly authorized representative of the insurers on the "MIIA" or "ACORD" Certificate of Insurance form incorporated into and made a part of this Agreement. Properly executed certificates signifying adequate coverage in effect for the duration of the contract with renewal certificates issued not less than 30 days prior to expiration of a policy period, must be submitted to the Town prior to commencement of the Agreement. 5.6.The Town shall be named as an additional insured on the above referenced liability policies, and the Contractor's insurance shall be the primary coverage. The cost of such insurance, including required endorsements or amendments, shall be the sole responsibility of the Contractor. 6. Indemnification: The Contractor shall indemnify, defined and save harmless the Town, its officers, agents and employees, from and against any and all damages, liabilities, action, suits, proceedings, claim, demands, losses, costs, expenses, recoveries and judgments of every nature and description (including reasonable attorneys' fees) brought or recovered against them that may rise in whole or in part out of or in connection with the work being performed or to be performed, or out of any act or omission by the Contractor, its employees, agents, subcontractors, material men, and anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, regardless of wither or not it is caused in part by any party indemnified hereunder. The Contractor further agrees to reimburse the Town for damage to its property caused by the Contractor, its employees, agents, subcontractors or material men, and anyone directly or indirectly employed by any of them or anyone for whose acts may be liable, including damages caused by his, its or their use of faulty, defective, or unsuitable material or equipment, unless the damage is caused by the Town's gross negligence or willful misconduct. The existence of insurance shall in no way limit the scope of this indemnification. APPROVED AS TO FORM ONLY: TOWN OF NORTH ANDOVER z6 , awn Counsel Town Manger I CERTIFY THAT FUNDS ARE AVAILABLE IN ACCOUNT NO. De art ent/Division Head LA . v r Town Acc untant The CONTRACTOR.- Date: i a,�(?��1� Snow Plowing and Removal Services-revised September 2018 Page 18 CERTIFICATE OF VOTE (to be filed if Contractor is a Corporation) At a duly authorized meeting, the Board of Directors of the (Company Name) held on � � �� , it was (Date of"Meeting) VOTED THAT (Name of Appointee) (Title) of Fr .be and herby is authorized to execute contracts and bonds in the (Company Name) name and on behalf of said ,hand affix its corporate seal hereto; and (Company Name) such execution of any contract or obligation in the name of N'WAJV on its (Company Name) behalf by such officer under seal of fr(,, shall be valid and binding (Company Name) upon 06 'j'41 to'A' .My (Company Name) I herby certify that I am the Clerk of the above named t-)jw'4U P~ Zf A�jS L� ,, and (Company Name) ` that ((/]'� [1ww'v" is the duly elected officer as above of said (Name of Appointee) flr ', ✓�,� � � Ll"Jct"4ry (;, and that the above vote has not been amended or rescinded and (Company Name) remains in full force and effect as of the date of this c tra t. (Date) of Com y) Snow Plowing and Removal Services-revised September 2018 Page 19 CERTIFICATIONS CERTIFICATE OF NON-COLLUSION The undersigned certifies under penalties of perjury that this bid or proposal has been made and submitted in good faith and without collusion or fraud with any other person. As used in this certification, the word "person" shall mean natural person, business, partnership, corporation, committee, union, club, or other organization, entity, or group of individuals. r� Signa ire Date Print Name & Title Company Name CERTIFICATE OF TAX COMPLIANCE Pursuant to Chapter 62C of the Massachusetts General Laws, Section 49A (b), I n lc�' ✓s.,r' , authorized signatory for Printed name of Individual Name of Contractor do hereby certify under the pains and penalties of perjury that said Contractor has complied with all laws of the Commonwealth of Massachusetts, and the Town of North Andover, relating to taxes, permit or other fees, reporting of employees and contractors and withholding and remitting child support. ....�. � F Signa Date Snow Plowing and Removal Services-revised September 2018 Page 20 STANDARD FORM WAIVER GOVERNING ALCOHOL AND CONTROLLED SUBSTANCE USE AND TESTING POLICY FOR SAFETY SENSITIVE DRIVERS AND INDEPENDENT CONTRACTORS AND SUBCONTRACTORS The undersigned herby agrees, as condition precedent to engaging in Snow Plowing Services for the Town of North Andover (the "Town"), to indemnify, defend and hold harmless the Town, its agents, servants and employees, from and against any claim, loss, damage, liability or expense of any kind of nature arising from or resulting from or related to the alleged failure to comply with the alcohol and controlled substance use and testing requirements of the Commercial Motor Vehicle Safety Act of 1986, as enacted, and the Omnibus Transportation Employee Testing Act of 1991, as enacted and regulations promulgated there under (collectively "the Acts"). Further the undersigned hereby agrees to undertake full compliance with the Acts and shall reimburse the Town for any damage resulting from a failure to comply with the Acts. Printed Name of Contractor Address of Contractor f Signature of Contractor WORKER'S COMPENSATION STATEMENT (only if applicable) the owner and operator of 6 (Printed Name of Owner) (Company Name) located in ./ �pl `�K � ��� have no employees and am thus not required to (City where Co. is located) maintain Worker's Compensation Insurance. I accept full medical responsibility for any injury I sustain while performing work for the Town of North Andover as an independent contractor during the term of this Contract. Signature Title f L P, Snow Plowing and Removal Services-revised September 2018 Page 21 For office Use ONLY TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS Event# 384 Osgood Street, North Andover MA 01845 storm Dates: 978-685-0950 INVOICE SUBMITTAL FORM PLEASE PRINT LEGIBLY IN BLUE OR BLACK INK OR TYPE Make several copies to complete as needed Name: Address: DATE OF STORM: City: State Zip SSN or FID: Truck SIZE OF RATE PER HOURS # TYPE OF TRUCK PLATE# PLOW HOUR WORKED TOTAL DUE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 TOTAL DUE FOR THIS INVOICE Snow Plowing and Removal Services-revised September 2018 Page 23 (RESERVED) Snow Plowing and Removal Services-revised September 2018 Page 24 DOWNE-3 OP ID:JO ACCJR© CERTIFICATE OF LIABILITY INSURANCE DATE(M6/20 10/2 /20 8 MIDDNYM 18 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 978-686-2266 CONTACT Lisa Lariviere Foster Sullivan Insurance NAME: 163 Main St. (AIC,No,Ext):978-686-2266 (aC No):978-686-6410 North Andover,MA 01845 aoMORIEss:certi icates ostersul ivangroup.com Foster Sullivan Insurance LLC INSURERS AFFORDING COVERAGE NAIC# INSURER A:TRAVELERS INSURANCE CO 19046 INSURED Downer Brothers Landscaping INSURER B:Travelers Indemnity Co 25682 Inc 334 Clark St INSURER C: North Andover,MA 01845 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR I SD WVD MIDD/YY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 680-6K700983 05/01/2018 05/01/2019 DAMAGE TO RENT 300,000 X PREMISES Ea occurrrr ence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY Ea acciden $ ANY AUTO X BA-5J315290 03/21/2018 03/21/2019 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY Per accident $ X AUTOS ONLY X NON-OWNED ONLY PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE X CUP-6K701390 05/01/2018 05/01/2019 AGGREGATE $ 2,000,000 DED I X I RETENTION$ 5000 $ A WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE ERH YIN UB-7K626936 03/31/2018 03/31/2019 11000,000 ANY PROPRIETOR/P /EXECUTIVE � NIA E.L.EACH ACCIDENT $ 1 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ ,000,000 If yes,describe under 11000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ pESCRIPTfA OF pP TONS!LOCATIONS 1 HICL�S ACORD 101 Additional Remarks Scoedu'a may be attached if more space is required) I own of IVortrl n over are aQQI tonal in�ureds bn a primary and nol�- contributory basis, including ongoing and completed operations on the General Liability policy as required by written contract and are additional insureds on a primary and non-contributory basis on the Auto Liability and Umbrella Liability policies as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. 384 Osgood Street North Andover, MA 01845 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Form W-9 N Request for Taxpayer Give form to the (Rev.October2007) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service Name(as shown on your income tax return) cV �, ���.,, sc�,8- �`�" �,�,� I'✓�,. ,,gyp aBusiness name,if different from above C O o a Check appropriate box: ElIndividual/Sole proprietor Corporation El Partnership Exempt .41--- ❑ Limited liability company.Enter the tax classification(D=disregarded entity,C=corporation,P=partnership)► ....... ❑ payee o i ❑ Other(see instructions) ► LAddress(number,street,and apt.or suite no.) Requester's name and address(optional) City,state, yy and ZIP code q pp Cn a) List account number(s)here((optional) to Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on Line 1 to avoid Social security number backup withholding. For individuals,this is your social security number(SSN). However, for a resident alien, sole proprietor, or disregarded entity,see the Part 1 instructions on page 3. For other entities, it is your employer identification number(EIN). If you do not have a number,see How to get a TIN on page 3. or Note,if the account is in more than one name,see the chart on page 4 for guidelines on whose loyer identification number Emp number to enter. Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me), and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or(b) I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends, or(c)the IRS has notified me that I am no longer subject to backup withholding, and 3. 1 am a U.S. citizen or other U.S. person(defined below). Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement(IRA), and generally, payments other than interest and dividends,you are not required to sign the Certification, but you must provide your correct TIN. See the instructions P�061e 4. Sin 9 Signature of U.S.person ► r' err ... Date ► Here g �.���� General Instructions Definition of a U.S. person. For federal tax purposes, you are considered a U.S.person if you are: Section references are to the Internal Revenue Code unless otherwise noted. • An individual who is a U.S.citizen or U.S. resident alien, • A partnership, corporation, company, or association created or Purpose of Form organized in the United States or under the laws of the United A person who is required to file an information return with the States, IRS must obtain your correct taxpayer identification number(TIN) • An estate(other than a foreign estate), or to report, for example, income paid to you, real estate • A domestic trust(as defined in Regulations section transactions, mortgage interest you paid, acquisition or 301.7701-7). abandonment of secured property, cancellation of debt, or Special rules for partnerships. Partnerships that conduct a contributions you made to an IRA. trade or business in the United States are generally required to Use Form W-9 only if you are a U.S. person (including a pay a withholding tax on any foreign partners' share of income resident alien), to provide your correct TIN to the person from such business. Further, in certain cases where a Form W-9 requesting it(the requester) and, when applicable,to: has not been received, a partnership is required to presume that 1. Certify that the TIN you are giving is correct(or you are a partner is a foreign person, and pay the withholding tax. waiting for a number to be issued), Therefore, if you are a U.S,person that is a partner in a 2. Certify that you are not subject to backup withholding,or partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. 3. Claim exemption from backup withholding if you are a U.S, status and avoid withholding on your share of partnership exempt payee. If applicable, you are also certifying that as a income. U.S. person, your allocable share of any partnership income from The person who gives Form W-9 to the partnership for a U.S.trade or business is not subject to the withholding tax on purposes of establishing its U.S. status and avoiding withholding foreign partners' share of effectively connected income. on its allocable share of net income from the partnership Note. If a requester gives you a form other than Form W-9 to conducting a trade or business in the United States is in the request your TIN, you must use the requester's form if it is following cases: substantially similar to this Form W-9. • The U.S. owner of a disregarded entity and not the entity, Cat.No.10231X Form W-9 (Rev.10-2007)