HomeMy WebLinkAboutCharter Communication 2019 FEE: $20.00
ANNUAL RIGHT-OF-WAY OBSTRUCTION LICENSE
Application is made for a license to maintain street/sidewalk obstruction:
NAME: f 1it4r tie Cei►MtJtMLea; L. Type of organization:
,, _individual _partnership
.E-MAIL: rAJ• Er3C�1 1eZr Cov^'t ycorporation
ADDRESS: .3S�.0 E L ,5 f N artI el", Ili �' State of Incorporation "Be
"tY Iti!oh c.../T S`{`t 1 S^
I (We) further agree to provide the City of Oshkosh with a surety bond issued by a company licensed in the State of
Wisconsin in the amount of Five Thousand Dollars($5,000.00).
I(we)further agree to secure a Commercial General Liability Policy with limits of:
(a) $500,000 each occurrence
(b) $500,000 personal liability and advertising injury
(c) $500,000 general aggregate
(d) $500,000 products—completed operations aggregate
and shall name the City of Oshkosh, its officers, council members, agents, employees, and authorized volunteers as an
additional insured thereon. Proof of said coverage in the form of an insurance certificate shall be submitted to the City of
Oshkosh prior to issuance of any permit for street or sidewalk obstruction.
Each individual project/address at which an obstruction will be placed requires a separate permit which may be obtained
from the City of Oshkosh Department of Public Works-Engineering Division.
DATE ISSUED: Z 12512019
EXPIRATION: \2.(31 V2e2,te%
BOND TERM: .6 12-31-2017
INSURANCE TERM:
DATE: ZIZ‘1201°1
Applicant's Signature
�LD
Telephone Number
I:\Engineering\ROW Permits\Annual ROW Obstruction Bond&License_I-8-19.doc
ANNUAL RIGHT-OF-WAY OBSTRUCTION BOND Bond#106638088
PRINCIPAL(S)(Legal name(s)and business address(es)) Type of organization:
Charter Communications, Inc. Individual Partnership
400 Atlantic Street
Stamford,CT 06901 Corporation
Surety(ies)(Name(s)and business address(es)) State of Incorporation DE
Travelers Casualty and Surety Company of America
One Tower Square,5PB
Hartford,CT 06183
Penal Sum of Bond: $5,000.00
OBLIGATION:
We, the Principal(s)and Surety(ies),are firmly bound to the City of Oshkosh in the above penal sum. For payment of the penal sum,
we bind ourselves,our heirs,executors,administrators,and successors,jointly and severally.
CONDITIONS:
The Principal contemplates placing an obstruction within right-of-way area(s)within the City of Oshkosh from time to time during the
calendar year shown below. The Principal desires that all of those projects be covered by a single bond rather than a separate bond for
each contract.
The Principal shall faithfully perform all work done in the City of Oshkosh with proper care and skill; obey all laws of the State of
Wisconsin and ordinances of the City of Oshkosh in connection with such work performed and with the employment of labor;properly
replace and restore any street, sidewalk, terrace, or other public right-of-way, vacated right-of-way, or City easement areas in
accordance with the current edition of the Standard Specifications for City of Oshkosh, Wisconsin; and pay to the City of Oshkosh any
amounts due for services or materials furnished in connection therewith within one(1)month of invoice.
The Principal shall for a period beginning on the date of issuance of this bond through a two(2)year period from the expiration date of
the annual license save, defend, and hold harmless the City of Oshkosh from and against any and all claims, damages, costs, and
expenses of any kind or character arising out of or resulting, however remotely, from the work performed by the Principal under the
attached license,including but not limited to, all accidents and damages caused by any failure to erect and maintain sufficient barriers
or lights at the place where licensee has placed obstruction or performed work,or by failure to guard against injury to persons passing
upon the street or sidewalk, or by failure to promptly remove all tools, implements, refuse, and unused materials from said right-of-
way. The Principal shall indemnify and refund to the City of Oshkosh all sums which it may become obligated to pay, including
damages,punitive damages,attorney fees,and court costs,within thirty(30)days of written demand for payment;however,the penal
sum of this bond shall not exceed$5,000.
It is understood and agreed by the Principal(s)and Surety(ies)that this bond supplements,but does not take the place of,any liability
insurance required to be carried by said Principal(s)herein by the City of Oshkosh policies or ordinances.
TERM OF BOND:
This bond shall cover work performed from January 1,2019 (Date of Issuance) to December 31, 2019 (the annual license
period). This bond shall cover claims made for work performed during this annual license period and for an additional two(2)year
maintenance period beyond the expiration of this annual license period. The principal agrees to correct all maintenance issues brought
to the attention of the Principal(s)upon receiving notice from the City of Oshkosh within the two(2)year maintenance period.
SIGNATURES/SEALS:
For the Princi al: Charter Communications,Inc. For urety: Tra 1 asu ty and Surety Company of America
Signature Sign ture
Jessica M.Fischer Karen L.Roider
Name Name
SVP,Finance&Corp.Treasurer Attorney-in-Fact
Title Title
One Tower Square,Hartford,CT 06183-6014
Address
Any person signing in a representative capacity(e.g.,an attorney-in-fact)must furnish evidence of authority it that representative is not
a member of the firm or partnership or an officer of the corporation involved.
L\Engineering\ROW Perrnits\Annual ROW Obstruction Bond&License_1-8-19.doc
Travelers Casualty and Surety Company of America
Travelers Casualty and Surety Company
TRAVELERS St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:That Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company,and St.
Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the
"Companies"),and that the Companies do hereby make,constitute and appoint Karen L.Roider
of St.Louis Missouri ,their true and lawful Attorney-in-Fact to sign,execute,seal and acknowledge any and all
bonds,recognizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of
guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted
in any actions or proceedings allowed by law.
IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 3rd day of February,
2017.
e.bria •J,,r Ayo•y ‘
sG �
e a
NARTFOrb,
COre� ^
State of Connecticut
By: �.
City of Hartford ss. Robert L.Raney,Senior r Vice President
On this the 3rd day of February, 2017,before me personally appeared Robert L. Raney,who acknowledged himself to be the Senior Vice President of
Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, and
that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations
by himself as a duly authorized officer.
In Witness Whereof, I hereunto set my hand and official seal. Of")
My Commission expires the 30th day of June,2021 Mane C.Tetreault, Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and
Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company,which resolutions are now in
full force and effect,reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any
Second Vice President,the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and
Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with
the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a
bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke
the power given him or her:and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation
is in writing and a copy thereof is filed in the office of the Secretary;and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional
undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior
Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant
Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or(b)duly executed (under seal, if required)by
one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more
Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED,that the signature of each of the following officers: President,any Executive Vice President,any Senior Vice President,any Vice
President,any Assistant Vice President, any Secretary,any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power
of Attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for purposes only
of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing
such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile
signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety
Company, and St. Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of the Power of
Attorney executed by said Companies,which remains in full force and effect.
Dated this 8th day of February 2019
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is .0,o,°+o r
HARTFORD C n 140
Kevin E Hughes,,,,ssi tad ntSecretary
To verily the authenticity of this Power of Attorney,please call us at 1-800-421-3880.
Please refer to the above-named Attorney-in-Fact and the details of the bond to which the power is attached.
Marsh
ACKNOWLEDGMENT BY SURETY
STATE
OF Missouri
City of St. Louis S .
On this 8 th day of February , 201 9 ,before me personally
appeared Karen L. Ro i d e r ,known to me to be the Attorney-in-Fact of
Travelers Casualty and Surety Company of America
,the corporation
that executed the within instrument,and acknowledged to inc that such corporation executed the same.
IN `DTI iNESS WHEREOF, I have hereunto set my hand and affixed my official seal, at my office in the aforesaid
County,the day and year in this certificate first above written.
Sa � .1��
e
Jo i R. Frank
My Commission Expires: June 20,2022 Notary Public in the State of Missouri
(Seal) City of St. Louis
Conunission#1 1393672 •
ILJOANN R. FRANK
Notary Public, Notary Seal
State of Missouri
St. Louis City
Commission # 14395672
My Commission Expires 06-20-2022
S-0230/GEEF 2/98