HomeMy WebLinkAboutLueck's Home Improvement 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: Lvt C(1k S I4 I U w L ►(' 4 p 1 D V lJ L/t V! Type of organization:
� Ap r n ® ��p individual _partnership
E-MAIL: l V V l (,S 1 Y l / c t - ►'l/t )(corporation
ADDRESS: -7 b V Katy)
' ' ) (,f. ,ten J- State of Incorporation WI
kO ) v1 1)7. •
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: c -1 Li- 1 G
EXPIRATION: j - 3 ( - 19
BOND TERM: b /1 L(/3-o i q - i�.13 I/ l 9
INSURANCE TERM: R-1 -ZO(S - a - t ` Zo 19
DATE: C? - � ' `20 ICI
Applicant's Signature
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Telephone Number
I:\Engineering\ROW Permits\Annual ROW Obstruction Bond do License_1-8-19.doc
ANNUAL RIGHT-OF-WAY OBSTRUCTION BOND
PRINCIPAL(S)(Legal name(s)and business address(es)) 'Type of organization:
Lueck's Home improvements, Inc. DBA Lueck's, Inc. _
p Individual Partnership
706 S. Main St., Oshkosh, WI 54901 7-Corporation
Surety(ies)(Name(s)and business address(es))
State of Incorporation W 1
Granite Re, Inc.
14001 Quailbrook Drive, Oklahoma City, OK 73134
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 14, 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: Lueck's Home Improvements,
For th,Princi al: Inc. DBA Lueck's, Inc. Fort tirety: Granite , In .
Signature Signature
Ue—c{. \/ S , Lv e.e,1( Connie Smith
Name Name
C- QYe S i �� Attorney-in-Fact
Title Title
14001 Quailbrook Drive, Oklahoma City, OK 73134
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.
I.l Enginenng\ROW 14nniUlAnnual ROW Obstruction Bond k Lksnx_i4-19.duc
GRANITE RE, INC.
GENERAL POWER OF ATTORNEY
Know all Men by these Presents:
That GRANITE RE, INC., a corporation organized and existing under the laws of the State of OKLAHOMA and having its principal office at the City of
OKLAHOMA CITY in the State of OKLAHOMA does hereby constitute and appoint:
MICHAEL J. DOUGLAS; CHRIS STEINAGEL; CHRISTOPHER M. KEMP; KARLA HEFFRON; ROBERT DOWNEY; CONNIE SMITH; KORY MORTEL its true
and lawful Attorney-in-Fact(s)for the following purposes,to wit:
To sign its name as surety to, and to execute, seal and acknowledge any and all bonds,and to respectively do and perform any and all acts and things
set forth in the resolution of the Board of Directors of the said GRANITE RE, INC. a certified copy of which is hereto annexed and made a part of this Power of
Attorney;and the said GRANITE RE,INC.through us,its Board of Directors,hereby ratifies and confirms all and whatsoever the said:
MICHAEL J. DOUGLAS; CHRIS STEINAGEL; CHRISTOPHER M. KEMP; KARLA HEFFRON; ROBERT DOWNEY; CONNIE SMITH; KORY MORTEL may
lawfully do in the premises by virtue of these presents.
In Witness Whereof, the said GRANITE RE, INC. has caused this instrument to be sealed with its corporate seal, duly attested by the signatures of its
President and Secretary/Treasurer,this 27th day of June,2018.
�errays. C
SEAL Kenneth D.Whittington, President
STATE OF OKLAHOMA ) ,,/ / /��
SS:
COUNTY OF OKLAHOMA ) Kyle P. McDonald,Treasurer
On this 27th day of June, 2018, before me personally came Kenneth D.Whittington, President of the GRANITE RE, INC. Company and Kyle P. McDonald,
Secretary/Treasurer of said Company,with both of whom I am personally acquainted,who being by me severally duly sworn,said,that they,the said Kenneth D.
Whittington and Kyle P. McDonald were respectively the President and the Secretary/Treasurer of GRANITE RE, INC., the corporation described in and which
executed the foregoing Power of Attorney; that they each knew the seal of said corporation;that the seal affixed to said Power of Attorney was such corporate
seal, that it was so fixed by order of the Board of Directors of said corporation, and that they signed their name thereto by like order as President and
Secretary/Treasurer,respectively,of the Company.
tos
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My Commission Expires:
4
August 8, 2021 1?oPON«` Notary Public
Commission#: 0101 3257
GRANITE RE, INC.
Certificate
THE UNDERSIGNED, being the duly elected and acting Secretary/Treasurer of Granite Re, Inc., an Oklahoma Corporation, HEREBY CERTIFIES that the following
resolution is a true and correct excerpt from the July 15, 1987, minutes of the meeting of the Board of Directors of Granite Re, Inc. and that said Power of
Attorney has not been revoked and is now in full force and effect.
"RESOLVED, that the President, any Vice President, the Secretary, and any Assistant Vice President shall each have authority to appoint individuals as
attorneys-in-fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of
similar character issued by the Company in the course of its business. On any instrument making or evidencing such appointment, the signatures may
be affixed by facsimile. On any instrument conferring such authority or on any bond or undertaking of the Company,the seal, or a facsimile thereof,
may be impressed or affixed or in any other manner reproduced; provided, however, that the seal shall not be necessary to the validity of any such
instrument or undertaking."
IN WITNESS WHEREOF,,"undersigned has subscribed this Certificate and affixed the corporate seal of the Corporation this
day of �1/ Ql--- , 2O��_ tot E RE,, / �/J/J
SEAL YL
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Kyle P. McDonald,Secretary/Treasurer
GR0800-1