HomeMy WebLinkAboutEmcor Facilities Services 2019 FEE: $20.00
ANNUAL RIGHT-OF-WAY OBSTRUCTION LICENSE
Application is made for a license to maintain street/sidewalk obstruction:
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NAME: (7 C -4.-44 �" `�'^ �/ �V��SI I P(C. Type of organization:
0 _individual _partnership
E-MAIL: 50 N 67_ wilt'GUY , ne-, X corporation
ADDRESS: 7('r) State of Incorporation OK
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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: (51 114 I zc51°t
EXPIRATION: 17.131 120.1`
BOND TERM: Co 151 zOlg lb 12,43I 2olc't
INSURANCE TERM: 1611 I?am b TG Loh 201
DATE: Ce 11?s�I�
ant's Sign re
09,10 5-7-3 —u yj
Telephone Number
I:\Engineering\ROW Permits\Annual ROW Obstruction Bond&License_1-8-19.doc
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Bond Number: 107077613
ANNUAL RIGHT-OF-WAY OBSTRUCTION BOND
PRINCIPAL(S)(Legal name(s)and business address(es)) Type of organization;
EMCOR FACILITIES SERVICES, INC. Individual Partnership
9655 Reading Road X Corporation
Cincinnati,OH 45215
Surety(ies)(Name(s)and business address(es)) State of Incorporation OH
Travelers Casualty and Surety Company of America
One Tower Square
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 June 5,2019 (Date of Issuance) to December 31, 20 19 (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: Signed Sealed and Dated June 4,2019
For the Pri dpal: EM OR FACILITIES SERVICES,INC. For the Surety:T elers Casualty and Surety Company of America
Signa Signature
Rita Losquadro
Name n Name
I/ Attorney-In-Fact
Title Title
One Tower Square, Hartford, CT 06183
Address
Any person signing in a representative capacity(e.g.,an attorney-in-fact)must furnish evidence of authority if that representative is not
a member of the firm or partnership or an officer of the corporation involved.
1:\Engineering\ROW Permits\Annual ROW Obstruction Bond&License_7-8-19.doc
Travelers Casualty and Surety Company of America
IOW Travelers Casualty and Surety Company
TRAVELERS J 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 Rita Losquadro of UNIONDALE
New York , 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 17th day of January.
2019.
iffARTIORA ;YHARTFOR)
0011118
State of Connecticut
By:
City of Hartford ss. Robert L. Rane , enior Vice President
On this the 17th day of January. 2019. 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 said
Companies by himself as a duly authorized officer.
ratep+,
IN WITNESS WHEREOF,I hereunto set my hand and official seal. r3" ,` �
Noma), '/G��L, �//
r�/`G/My Commission expires the 30th day of June, 2021 * + * JVc+�► fG
P Anna P. Nowik.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 4th day of June , 2019
• *+
1WrI M 0 1K r/1 so
-,-
Kevin E. Hughes.Assistant Secretary
To verify the authenticity of this Power of Attorney,please call us at 1-800-421-3880.
P/ease refer to the above-named Attorney-in-Fact and the details of the bond to which this Power of Attorney is attached.
•
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TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
HARTFORD,CT 06183
PRINCIPAL'S ACKNOWLEDGMENT
State of ,County of }ss.
On this day of in the year 20 , before me, the undersigned, personally appeared
,personally known to me or proved to me on the basis of satisfactory evidence to be the individual
whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her capacity,and that by his/her signature
on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument,
Notary Public
SURETY COMPANY'S ACKNOWLEDGMENT
State of New York ,County of Nassau }ss.
On this 4th day of June in the year 2019 , before me, the undersigned, personally appeared
Rita Losquadro ,personally known to me, and who, being by me duly sworn, did depose and say: That he/she
resides in _ Nassau County, New York ; that he/she is Attorney-in-Fact of TRAVELERS CASUALTY AND
SURETY COMPANY OF ANIERICA,the corporation described in and which executed the within instrument;that he/she knows the corporate seal of
said Company;that the seal affixed to said instrument is such corporate seal;and that he/she signed said instrument as Attorney-in-Fact by authority of
the Board of Directors of said Company;and affiant did further depose and say that the Superintendent of the State of New York Department of Financial
Services has, pursuant to Section 1111 of the New York Insurance Law, issued to TRAVELERS CASUALTY AND SURETY COMPANY OF
AMERICA his/her certificate that said Company is qualified to become and be accepted as surety or guarantor on all bonds,and ings,recognizances,
guaranties,and other obligations required or permitted by law;and that such certificate has not been revoked.
Notary u c
TRAVELERS CASUALTY AND SURETY COMPANY OF AM ERICA DONNA ARIE SPIELMAN
HARTFORD,CONNECTICUT 06183 Notary Public, State of New York
No. 01SP6248741
FINANCIAL STATEMENT AS OF DECBVEER31,2018 Qualified in Nassau County
AS FLED IN THE STATE OF NEW YORK Commission Expires 09/19/2019
CAPITAL STOCK$6.480,000
ASSETS LIABLITES&SURPLUS
CASH AND',NESTED CASH $ 36.728.596 UNEARNED PRBv1UMS $ 979.007,378
BONDS 3,507,432,239 LOSSES 750,995,504
STOCKS 294,199,598 LOSS ADJUSTMENT EXPB'SES 166,673,871
INVESTMENT INCOME DUE AND ACCRUED 38,287,129 CONTASSIONS 45,868.584
OTHER is/VESTED ASSETS 3,507,839 TAXES,LICENSES AND FEES 14.584.663
PREMIUM BALANCES 250,478,792 OP-ER EXPENSES 43.858,534
NET CEFERRED TAX ASSET 48.781,239 CURRENT FEERAL AND FORBGN INCOME TAXES 10.143,037
REINSURANCE RECOV ERA BLE 29,278,755 VITFANCES AND ITBSIS NOT ALLOCATED 21,277,153
SECURITIES LENDING RBIWESTED COLLATERAL ASSETS 14.277,262 AMOUNTS WTT1+ELD/RETAINED BY COMPANY FOR OTHERS 30,289,553
RECEIVABLES FROM PARENT.SUBSICIARES AND AFFLIA TES 27,813,266 RETROACTIVE RBNSUANCE RESERVE ASSUMED 810,360
ASSUMED RBNSURANCERECBVABLE AND PAYABLE 626,488 POLICYHOLDERDNIDBNDS 10,410,755
OTHER ASSETS 4.936,229 PROVISION FOR REINSURANCE 7,641,356
ADVANCE PRBVIUM 1,608,777
REINSURANCE PAYABLE ON PAID LOSSES&LOSS ADJ.EXPENSES 868,002
PAYABLE FOR SECURITIES LENDING 14,277,262
CEDED RBNSURANCE NET PREMIUMS PAYABLE 46,469.976
OTHER ACCRUED D(PENSES AND LIABILITIES 335,489
TOTAL LIABILITIES $ 2,145.120,254
CAPITAL STOCK $ 6.480,000
PAID N SURPLUS 433,803,760
OTHER SURPLUS 1,670,943,418
TOTAL SURPLUS TO PDLICYHOL OFRS $ 2,111,227.178
TOTAL ASSETS $ 4,256,347.432 TOTAL LIABLITIES&SURPLUS $ 4,256,347,432
Bond Number: 107077613 CO1
ANNUAL RIGHT-OF-WAY OBSTRUCTION BOND s..
PRINCIPAL(S)(Legal name(s)and business address(es)) Type of organization:
EMCOR FACILITIES SERVICES, INC. _Individual _Partnership
9655 Reading Road X Corporation
Cincinnati, OH 45215
Surety(ies)(Name(s)and business address(es)) State of Incorporation OH
Travelers Casualty and Surety Company of America
One Tower Square
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 June 5, 2019 (Date of Issuance) to December 31, 20 19 (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: Signed Sealed and Dated June 4,2019
For the Principal: EMCOR FACILITIES SERVICES,INC. For the Surety:Travelers Casualty and Surety Company of America
Signature Signature
Rita Losquadro
Name Name
Attorney-In-Fact
Title Title
One Tower Square, Hartford,CT 06183
Address
Any person signing in a representative capacity(e.g.,an attorney-in-fact)must furnish evidence of authority if that representative is not
a member of the firm or partnership or an officer of the corporation involved.
r.\Engineering\ROW Permits lArnual ROW Obstruction Bond&Licrre_1-8-19.doc