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Home My WebLink AboutMJ Electric 2019 FEE: $20.00 RECEIVED ' - ANNUAL RIGHT-OF-WAY EXCAVATION LICENSE APR 1 5 2019 )1 P t or PI!HNC WORKS ) ,11 I, AV ISCONSIN Application is made for a license to work within the Right-of-Way: NAME: M.J. Electric, LLC Type of organization: _individual _partnership E-MAIL: kbeauchamp@mjelectric.com _Xcorporation 200 W. Frank Pi Drive State of Incorporation DE ADDRESS: pp Iron Mountain, MI 49801 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: &j /IS J 2.6I EXPIRATION: 12/31/ZOI BOND TERM:y/IM to 12/31/19 INSURANCE TERM: 5/1/19 -6 S/1 I I°1 DATE: 4/1/19 Applica is Si ature (906) 774-8000 Telephone Number I:\Engineering\ROW Permits\Annual ROW Excavation Bond&License_1-8-19.doc Bond #82523237 ANNUAL RIGHT-OF-WAY EXCAVATION BOND PRINCIPAL(S)(Legal name(s)and business address(es)) Type of organization: M.J. Electric, LLC individual _partnership 200 West Frank Pipp Drive `corporation x LLC Iron Mountain, MI 49801 Surety(ies)(Name(s)and business address(es)) RECEIVED State of Incorporation Federal Insurance Company 202E Hall's Mill Road 20t9 Whitehouse Station, NJ 08889 APR 1 0 Penal Sum of Bond: $25,000.00 DLt' Lit. NLl)3LtC WORKS OBLIGATION: OSIlh )Q,11. 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 April 2, 2019 (Date of Issuance) to December 31, 2019 (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. SIGN ATURES/SEALS: For the r cipal: '. rety: Si na a ,nature Tho as H. Nagy Cheryl M. Husted Name Name Sr. Vice President Attorney-In-Fact Title Title 2000 S. Colorado Blvd., Tower II, Ste. 900, Denver, CO 80222 Address Phone: 303-765-1537 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 Pennils\Annual ROW Excavation Bond&Licvnee_1-B-19 doe • • CHUBB' Power of Attorney Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company 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 Cheryl M.Hunted,Jessica J.Rini and J.R.Trojan of Denver,Colorado 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 23r1 day of February,2017. / - tv2.. •f3tEL Dawn NI.Chior s,Assistant Secretary Stephen NI.ILtncy.Vice President (4) ®EiI/A,�,is� - 4wb STATE OF NEW JERSEY County ofHunterdon s' On this 234 day of February,2017 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 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 Stephen M. Haney,and knows him to be Vice President of said Companies;and that the signature of Stephen M.Haney,subscribed to said Power of Attorney is in the genuine handwriting of Stephen M.Haney,and was thereto subscribed by authority of said Companies and in deponent's presence Notarial Seal '40. KATHERINE J. JERSEY ANE H6TAR}� NOTARY PUBL OIC OF NEWJE •••.+ y No.2316085 4Pt18L10� Commission Euplres Jury 16,2019 Nolary Public JEH5t CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,2016: 'RESOLVED,that the following authorizations relate to the execution,for and on behalf of the Company,of bonds,undertakings,recognizances,contracts and other written commitments of the Company entered into in the ordinary course of business(each a'Written Commitment`): (I) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal of the Company or otherwise. (2) Each duly appointed attorney-in-fact of the Company is hereby authorized to execute arty Written Commitment for and on behalf of the Company,under the seal of the Conrpany or otherwise,to the extent that such action Ls authorized by the grant of powers provided for in such persons written appointment as such attorney-tn-fact. (3) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized for and on behalf of the Company.to appoint In writing any person the attorney- in-fact of the Company with full power and authority to execute,for and on behalf of the Company,under the seal of the Company or otherwise,such Written Commitments of the Company as maybe specified in such written appontment,which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments. (4) Each of are Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalf of the Company.to delegate in writing to any other officer of the Company The authority to execute,for and on behalf of the Company.under the Company's seal or otherwise,such Written Commitments of the Company as are specified in such written delegation,which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments. (5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution,and the seal of the Company.maybe affixed by facsimile on such Written Commitment or written appointment or delegation. FURTHER RESOLVED,that the foregoing Resolution shall not be deemed to bean exclusive statement of the powers and authority of officers.employees and other persons to act for and on behalf of the Company,and such Resolution shall not limit or otherwise affect the exercise of any such power or authority otherwise validly granted or vested.' 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 Resolutions adopted by the Board of Directors of the Companies are true,correct and in full force and effect. (it) the Companies are duly licensed and authorized to transact surety business In all SO of the United States of America and the District of Columbia and are authorized by the C.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 tinder my hand and seals of said Companies at Whitehouse Station,NJ,this April 2, 2019 j,,,au+,V E let i.) D-1 0 1. l.X -lSA1iLA7� A� Rival NI.Chlorcr Assistant Sccrctaf f LN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM.VERIFY THE.AUTHENTICITY OF THIS BOND OR NOTIFY IS OF AN1'OTHER MATTER,PLEASE CONTACT US AT: Telephone(908)903.3493 Fax(908)903-3656 e-mail:surety@chubb.com Form 15-10-0225B-U GEN CONSENT(rev.12-16)