HomeMy WebLinkAboutWisconsin Technology Networking 2019 FEE: $20.00
RECEIVED
ANNUAL RIGHT-OF-WAY EXCAVATION LICENSE
JUN 0 3 2019
DEPT Application is made for a license to work within the Right-of-Way: OSH Or PUBLIC WORKS
SH. WISCONSIN
NAME: Wisconsin Technology Networking, LLC Type of organization:
individual _partnership
x corporation
E-MAIL: kalpana.sabapathyO nobilitie.com
State of Incorporation DE
ADDRESS: 120 S Riverside_P_Iaza 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 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: CP I3(2011
EXPIRATION: al Si I2011
BOND TERM: I r 1/W9 'IIQ 17/31 t
INSURANCE TERM: illlitaMes Tin I(bb(,701
DATE: G'3 t2aq
]i P.
Applicant's Sign ure f
312-639-5342
Telephone Number
I:\Engineering\ROW Permits\Annual ROW Excavation Bond dr License_14-19.doc
•
•
ANNUAL RIGHT-OF-WAY EXCAVATION BOND
Bond No. 1849568
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 RECEIVED
440 Lincoln Street
Worcester, MA 01653 MAY Y 3 2fl19
Penal Sum of Bond: $25,000.00 DE1'T OF PUf3L�
OBLIGATION: OSHK0s W/SC WORKS
ON.S/N
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, induding
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 December 31st, 2018(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: or the Su .;:
Wisconsin Tech ology Networking, LLC he Nano nsurance Company
Signature , Signature
Daniel Huckabay
Name / / Name
/ !!!! Attorney-in-Fact
Title Title
440 Lincoln Street,Worcester, MA 01653
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_I-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„s.) whose name(e) is/ase-
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 Ns/her/their signature4s) on the instrument the
person), 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.
SARAN C.BROWN
� � Comm./2223226
WITNESS my hand and official seal. - Notary Public•California PI
Orange County
Comm.E • res Nov 24,2021
Signature (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.
WITNESS my hand and official seal. ERT-LANGRELL#2214263 lic-California E1111111111111
E COUNTY ires Sep 15,2021
Signature 7,UL (Seal)Adria nngre
Bond No, 1849568
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
m. MASSACHUSETTS BAY INSURANCE COMPANY
., �'.,:q, CITIZENS, URANCE COMPANY OF AMERICA
r( REAL // J
!B'r'J k q 1974
A �j , �I
i Roh4rt Thuma>,,Vice Prc>ident
THE HANOVER WSURANCE COMPANY
frLM ! __
THE COMMONWEALTH OF MASSACHUSETTS )) ss.On this 161h day of August, 2018 before me came the above named Vice Presidents e 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.
• DIME J. MMIINO
Na•rr nllo
• flume J.. r u.Noon:r Public
\1r Ccm m,,un E.plres Mluch 4,2021_
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
Theodore G.Martinet Vice President,,