HomeMy WebLinkAboutMeade 2019 FEE: $20.00
RECEIVED
ANNUAL RIGHT-OF-WAY EXCAVATION LICENSE
MAY 162019
Application is made for a license to work within the Right-of-Way: DEPT OF PUBLIC WORKS
OSHKOSH. WISCONSIN
NAME: Meade Electric Company Inc. Charles E Anderson Type of organization:
individual _partnership
cea@meade100.com xX corporation
E-MAIL:
625 Willowbrook Center Parkway State of Incorporation Illinois
ADDRESS:
Willowbrook,II 60527
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: 05/7/19
05/25/19
EXPIRATION:
5/7/19-12/31/19
BOND TERM:
INSURANCE TERM:
DATE: 05/15/19
Applicant's Signature
708-588-2500
Telephone Number
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ANNUAL RIGHT-OF-WAY EXCAVATION BOND Bond # 8245-86-47
PRINCIPAL(S)(Legal name(s)and business address(es)) Type of organization:
Meade Electric Company, Inc.
individual partnership
625 Willowbrook Center Parkway x% _
corporation
Willowbrook, II 60527
Surety(ies)(Name(s)and business address(es)) State of Incorporation Illinois
RECEIVED
Penal Sum of Bond: $25,000.00
MAY 162019
OBLIGATION: DEPT OF PUBLIC WORKS
OSHKOSH_ WISCONSIN
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 May 7th, 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 P ' p l: For the Surety:
Signature Signature
Charles E Anderson Maureen C. McDonald
Name Name
Vice President Attorney-in-Fact
Title Title
111 W. Jackson #1134, Chicago, IL 60604
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.
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Chubb POWER Federal Insurance Company Attn: Surety Department
OF Vigilant Insurance Company 15 Mountain View Road
Surety ATTORNEY Pacific Indemnify Company Warren, NJ 07059
tCFRIMRs
Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE
COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and
appoint Maureen C McDonald and Brian T McManus of Chicago, Illinois
each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any
instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations.
In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested
these presents and affixed their corporate seals on this 31 day of March, 2016.
i k)-4(\nOilCj3/ 4)( C ./' .,,..,,,,...„,,/,, , r
Dawn M.Chloros,Assistant Secretary vid B.Norris,Jr.,Vice Pre • nt
.F I� ..) } .41-101 i .ik,-,,-.416 1 /l }
Wit..: •�� �, r.o*�
STATE OF NEW JERSEY
ss.
County of Somerset
On this 31 st day or March, 2016 before me,a Notary Public of New Jersey,personally came Dawn M.Chloros,to me known to be Assistant Secretary of FEDERAL
INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY,the companies which executed the foregoing Power of Attorney.and the
said Dawn M. Chloros. being by me duly sworn, did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE
COMPANY,and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals
and were thereto affixed by authority of the By-Laws of said Companies;and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority;
and that she is acquainted with David B. Norris,Jr.,and knows him to be Vice President of said Companies;and that the signature of David B.Norris,Jr.,subscribed to said
Power of Attorney is in the genuine handwriting of David B.Norris,Jr.,and was thereto subscribed by authority of said By-Laws and in deponent's presence.
Notarial Seal . --.t
1/4Q` F
� KATHERINE J.ADEUAR
NOTARY . NOTARY PUBLIC OF NEW JERSEY s•- `G�
12 . No.2318685
.,.PUBLIC , . Commission Expires July 16,2019 Notary Public
'•Waft CERTIFICATION
Extract from the By-Laws of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY:
'Except as otherwise provided in these By-Laws or by law or as otherwise directed by the Board of Directors,the President or any Vice President shall be authorized to
execute and deliver,in the name and on behalf of the Corporation,all agreements,bonds,contracts,deeds,mortgages,and other instruments,either for the Corporation's
own account or in a fiduciary or other capacity,and the seal of the Corporation,if appropriate,shall be affixed thereto by any of such officers or the Secretary or an Assistant
Secretary. The Board of Directors,the President or any Vice President designated by the Board of Directors may authorize any other officer,employee or agent to execute
and deliver, in the name and on behalf of the Corporation, agreements, bonds, contracts, deeds, mortgages, and other instruments, either for the Corporation's own
account or in a fiduciary or other capacity,and,if appropriate,to affix the seal of the Corporation thereto. The grant of such authority by the Board or any such officer may
be general or confined to specific instances.'
I,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY(the'Companies')
do hereby certify that
(i) the foregoing extract of the By-Laws of the Companies is true and correct,
(ii) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are
authorized by the U.S.Treasury Department;further,Federal and Vigilant are licensed in the U.S.Virgin Islands,and Federal is licensed in Guam,Puerto
Rico,and each of the Provinces of Canada except Prince Edward Island;and
(iii) the foregoing Power of Attorney is true,correct and in full force and effect.
Given under my hand and seals of said Companies at Warren,NJ this
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Dawn M.Chloros,Assistant Secr tary
IN THE EVENT YOU WISH TO NOTIFY uS OF A CLAIM,VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER.PLEASE CONTACT US AT ADDRESS
LISTED ABOVE,OR BY Telephone(908)903-3493 Fax(908)903-3656 e-mail: surety{r chubb.com
Form 15-10-0225B-U GEN CONSENT(rev.07-15)
STATE OF: ILLINOIS
COUNTY OF: COOK
On this 7th day of May, 2019, before me personally appeared Maureen C. McDonald to
me known, who, being duly sworn, did depose and say: that she resides at Illinoisi that she is the
Attorney-in-Fact of Federal Insurance Company, the corporation described in and
which executed the annexed instrument;that she knows the corporate seal of said corporation;that the
seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of
Directors of said corporation; that she signed her name thereto by like order;and that the liabilities of
said corporation do not exceed its assets as ascertained in the manner provided by law.
712tyjuL
KATFIERINE MARY CASEY Notary Public in and for the above County an tate
NOTARY PUBLIC-STATE OF IL NOIS
MY COMMISSION EWIRES:OW1&21 My commission expires: 1 / /9-1