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Home My WebLink AboutWisconsin Technology Networking 2019 (2) FEE: $20.00 RECEIVED ANNUAL RIGHT-OF-WAY OBSTRUCTION LICENSE SUN 0 3 2019 DEPT or pLIBL,c Application is made for a license to maintain street/sidewalk obstruction: OSIiKosii, WISCO WN RKS NAME: Wisconsin Technology Networking, LLC Type of organization: individual _partnership E-MAIL: kalpana.sabapathy@mobilitie.com x corporation State of Incorporation DE ADDRESS: 120 S Riverside_P_la7a Suite 1800 Chicago, IL 60606 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: G(3(209 EXPIRATION: (Z(&(2p1 t BOND TERM: g//S11"1 m IL/3//?oIel INSURANCE TERM: 00018 TO 1111ll ZOL9 DATE: (0t3(2140I Applicant's Sign ure 312-638-5342 Telephone Number [:\Engineering\ROW Pemuts\Annual ROW Obstruction Bond&Lioense_1.8-19.doc r • ANNUAL RIGHT-OF-WAY OBSTRUCTION BOND Bond No. 1075788 PRINCIPAL(S)(Legal name(s)and business address(es)) Type of organization: Wisconsin Technology Networking, LLC Individual _Partnership 660 Newport Center Drive, Suite 200 X Corporation Newport Beach, CA 92660 Surety(ies)(Name(s)and business address(es)) State of Incorporation Delaware The Hanover Insurance Company 440 Lincoln Street Worcester, MA 01653 RECEIVED Penal Sum of Bond: $5,000.00 OBLIGATION: OF:Pr MAY 1 3 2019 We,the r we bind ourselves,oal(s)ur heirsd eexeles),cutorseadministrators,ly ound and successors,o the City of shkosh in the jointly and severally.e penal sum TQ' )' 1/, 4 lofc,(th ' ,Sum, N CONDMONS: 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 April 15th, 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: For the Principal: F r the Sure Wisconsin Technoj Networking,LLC T Hanover ck ance Company r — Signature/ /. L Signa re j Daniel Huckabay Nam 1 - Name Attorney-in-Fact Titl f' Title 440 Lincoln Street,Worcester,MA 01653 Address Any person signing in a representative capacity(e.g.,an attorney-in-fad)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_1-8-19.doc ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On May 8, 2019 before me, Sarah C. Brown, Notary Public (insert name and title of the officer) personally appeared Dessislava Sarabosing who proved to me on the basis of satisfactory evidence to be the person.(. Gvhose name,(sr) isLare subscribed to the within instrument and acknowledged to me that_he/she/tbeyexecuted the same in h+sfher/tbair authorized capacity(iee), and that by his/her/heir signatures) on the instrument the person(s), or the entity upon behalf of which the person($acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. SARAH C.BROWN .++ ::!.. Comm.N2223226 WITNESS my hand and official seal. ._ Notary Public•California tql ;. ' Orange County i i! Comm.Expires Nov 24,2021 Signatur �'� (Seal) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy. or validity of that document. State of California County of Orange ) On May 7, 2019 before me, Adrian Benkert-Langrell, Notary Public (insert name and title of the officer) personally appeared Daniel Huckabay , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ADRIAN BENKERT-LANGRELL WITNESS my hand and official seal. - ; COMM.COMM.#2214263 N =4`41 ! = Notary Public-California C ORANGE COUNTY II- My Comm.Expires Sep 15,2021 Signature a (Seal) Adri enke angrell V . Bond No. 1075788 THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWER OF ATTORNEY THIS Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. KNOW ALL PERSONS BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations organized and existing under the laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing under the laws of the State of Michigan,(hereinafter individually and collectively the"Company")does hereby constitute and appoint, Daniel Huckabay,Arturo Ayala, Dwight Reilly, Frank Morones and/or Shaunna Rozelle Ostrom Of Commercial Surety Bond&Insurance Agency Inc.,of Orange,CA each individually, if there be more than one named,as its true and lawful attorney(s)-in-fact to sign, execute, seal, acknowledge and deliver for, and on its behalf, and as its act and deed any place within the United States,any and all surety bonds,recognizances. undertakings.or other surety obligations.The execution of such surety bonds. recognizances, undertakings or surety obligations, in pursuance of these presents,shall be as binding upon the Company as if they had been duly signed by the president and attested by the secretary of the Company, in their own proper persons. Provided however,that this power of attorney limits the acts of those named herein: and they have no authority to bind the Company except in the manner stated and to the extent of any limitation stated below: Any such obligations in the United States, not to exceed Twenty Five Million and No/100 ($25,000,000) in any single instance That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said Company, and said Resolutions remain in full force and effect: RESOLVED: That the President or any Vice President, in conjunction with any Vice President, be and they hereby are authorized and empowered to appoint Attorneys-in-fact of the Company,in its name and as it acts,to execute and acknowledge for and on its behalf as surety, any and all bonds,recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the Company.Any such writings so executed by such Attorneys-in-fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons. RESOLVED:That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed by the President or Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all signatures therein were manually affixed, even though one or more of any such signatures thereon may be facsimile. (Adopted October 7, 1981 —The Hanover Insurance Company:Adopted April 14, 1982—Massachusetts Bay Insurance Company:Adopted September 7,2001 —Citizens Insurance Company of America) IN WITNESS WHEREOF,THE HANOVER INSURANCE COMPANY.MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents, this 16th day of August, 2018. THE HANOVER INSURANCE COMPANY 44*-'111.4 6:,,,'S. ,d'' cCiy� MASSACHUSETTS BAY INSURANCE COMPANY h-, a4'r,f CITIZENS uRANCE OMPANY OF AMERICA iter) ;p `•-!_��' Rata Ihoma n i,Vice Plcsident THE HANOVER INSURANCE COMPANY MA SA HUSE BAY 1 RA Cr COMPANY CIT EN ! SU ICE OF AMERICA THE COMMONWEALTH OF MASSACHUSETTS ) COUNTY OF WORCESTER )ss. J I I • snt On this 16th day of August, 2018 before me came the above named Vice Presidents o The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein, and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporations. OIANE J. AMINO I NOW,PrOND . , ` ago a W CommisolM Seim Diane J..Jr ,Maury Public My Commission Expires March J.2022 I,the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies, and do hereby further certify that the said Powers of Attorney are still in force and effect. GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this 7th day of May, 2019 CERTIFIED COPY f Theodore G.Martinez,Vice President