HomeMy WebLinkAboutDowling Construction 2019 FEE: $20.00
RECEIVED
ANNUAL RIGHT-OF-WAY EXCAVATION LICENSE
MAR - 7 ?019
Application is made for a license to work within the Right-of-Way: DLP< O1 lit l� 0IRKS
PP g y: OSHKOSH, WISC:ONSIN
NAME: DOWLING CONSTRUCTION, INC. _ Type of organization:
_individual _partnership
X
E-MAIL: nicoledc[c�northnet.net corporation
ADDRESS: 3596 STEARNS DRIVE, OSHKOSH State of Incorporation WI
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 Twenty Five Thousand Dollars($25,000.00).
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 to perform work within the right-of-way.
Each individual project/address at which work will be performed requires a separate permit which may be obtained from
the City of Oshkosh Public Works Department-Engineering Division.
DATE ISSUED: 3-ly-701
EXPIRATION: IZ-31-7.ret
BOND TERM: OZ-Li -ZC 9 +0 tL-31 7 t`[
INSURANCE TERM: j 23—(c1 it, l-Z3-ZO
DATE: 3--14--20 1
n r
Applicant's Signature
920-235-8021
Telephone Number
1:\Engineering\ROW Permits\Annual ROW Excavation Bond&License-1-8-19.doc
• ANNUAL RIGHT-OF-WAY EXCAVATION BOND #Q96 8162941
PRINCIPAL(S)(Legal name(s)and business address(es)) Type of organization:
Dowling Construction Inc. individual _partnership
3596 Stearns Dr. X corporation
Oshkosh,WI 54904
State of Incorporation I1
Surety(ies)(Name(s)and business address(es))
Erie Insurance Company
100 Erie Insurance Place MAR ' 2019
Erie,PA 16530 DEP"I' -
Penal Sum of Bond: $25,000.00 1 Ll l3 L 1 C W U fl K S
OSHKOSH 1%'I,SCONS/N
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 performing work within the 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$25,000.
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 February 13, 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 rincipal: ^ For the Su _<.(e./04.._,0
Sin(aturel Signature
DON t OW I(f0 Edward A Mazzeo
N me Name
1J I C. . Attorney-In-Fact
Title Title
100 Erie Insurance PI, Erie PA 16530
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:\Engineering\ROW Permits\Annual ROW Excavation Bond&License_1-8-19.doc
h Erie LIMITED POWER OF ATTORNEY
�.. Insurance®
KNOW ALL MEN BY THESE PRESENTS: That ERIE INSURANCE COMPANY, a corporation of the
Commonwealth of Pennsylvania,having its principal office in the City of Erie,Pennsylvania, does hereby make,
constitute and appoint Marc Cipriani, Senior Vice President; Leo Heintz, Vice President; Edward A. Mazzeo;
Katherine D. Pawlak; and Darlene Kujawa, its true and lawful Attorney(s)-in-Fact, in their separate capacity
if more than one is named above, to make, execute, seal and deliver for and on its behalf as surety, any and all
bonds which are or may be allowed,required or permitted by law,statute,rule regulation,contract or otherwise,
provided, however, that the penal sum of any one such instrument executed hereunder shall not exceed FIVE
MILLION DOLLARS ($5,000,000) and that the execution of such instrument shall be binding upon ERIE
INSURANCE COMPANY.
This Power of Attorney is signed and sealed by facsimiles under and by the authority of the following Resolu-
tion adopted by the Board of Directors of ERIE INSURANCE COMPANY at a meeting duly called and held
on the 2nd day of September, 2016, and said resolution has not been amended or repealed:
RESOLVED,that the signature of Timothy G.NeCastro,as Chief Executive Officer of the Company.and the Seal of the Company may be
affixed by the following facsimiles on any Limited Power of Attorney for the execution of bonds,undertakings.recognizances,contracts and
other writings in the nature thereof,and the signature of Brian W.Bolash,as Secretary of the Company,the Seal of the Company,the signature
of Sheila M.Hirsch,as Notary Public.and her notarial seal,may also be affixed by the following facsimiles to any certificate or acknowledg-
ment of any such Limited Power of Attorney,and only under such circumstances shall said facsimiles be valid and binding on the Company.
IN WITNESS WHEREOF,ERIE INSURANCE COMPANY has caused these presents to be signed by its Chief
Executive Officer,and its corporate seal to be hereto affixed this 2nd day of September,2016.
sx,'``apNl:�c''•
'•Z'' ••• (,?y RPogg ..°7
T. O
w' 1972 'v- by
c>= imothy G.NeC tro
=cr.l. :2 c Chief Executive Officer
FAIE, PP',."
STATE OF PENNSYLVANIA
COUNTY OF ERIE ss.
On this 18th day of October,2016,before me personally came Timothy G.NeCastro,Chief Executive Officer,to me known,who being by me duly
sworn,did depose and say:that he is Chief Executive Officer of ERIE INSURANCE COMPANY,the corporation described in and which executed
the above instrument:that he knows the Seal of said corporation:that the Seal affixed to the said instrument is such corporate Seal:that it was so
affixed by order of the Board of Directors of said corporation and that he signed his name thereto by like order.
'zl OF ,c'>_
=cni iZ=
,;yOvr.V:. My commission expires June 27,2020 Notary Public
TgHY•PU��.,,•
CERTIFICATE
I,Brian W.Bolash,Secretary of ERIE INSURANCE COMPANY,do hereby certify that the original LIMITED POWER OF ATTORNEY,of
which the foregoing is a full,true and correct copy and is in full force and effect.
In witness whereof,I have hereunto subscribed my name and affixed the corporate Seal of the Company by facsimiles pursuant to the action of the
Board of Directors of the Company,this 13th day of February 2019
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s5 aPoirFo COS'"-s 6141f/A/w: 1972 a_ /39'641k
i
c tL. :2 Brian W.Bolash,Secretary
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