The URL can be used to link to this page

Home My WebLink AboutMiron Construction Co Inc 2018 • • FEE: $20.00 :-3 ACCOUNT#100-0050-4972-00000 ANNUAL EXCAVATION/WORK IN THE RIGHT-OF-WAY LICENSE Application is made for a license to work within the Right-of-Way: NAME: Miron Construction Co., Inc. Type of organization: individual `partnership X corporation ADDRESS: 1471 McMahon Drive State of Incorporation Wisconsin Neenah, WI 54956 I (We) further agree to provide the City 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 for Bodily Injury and Property Damage Liability (b) $500,000 personal injury (c) $500,000 general aggregate (d) $500,000 products/completed operation aggregate and shall name the City of Oshkosh, its employees and officers, as an additional insured thereon. Proof of said coverage in the form of an insurance certificate shall be submitted to the City 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 Public Works Department. DATE ISSUED: EXPIRATION: a-3\ Iv BOND TERM: \ I.� J1 1Cg Y �:FIVED INSURANCE TERM: L.,), I DEC 1 1 2017 `` CITY CLit::R1 S OFFICE DATE: 11A1 \�l App icant's Signature Dean J. Ba Secretary/Treasurer 920.969.7000 Telephone Number Annual Work in the Right-of-Way License 4/19/05 ORIGINAL • ANNUAL EXCAVATION/WORK IN RIGHT-OF-WAY BOND Bond No. 0909310'7 PRINCIPAL(S)(Legal name(s) and business address(es)) Type of organization: Miron Construction Co., Inc. individual _partnership 1471 McMahon Drive corporation Neenah, WI 54956 State of Incorporation Wisconsin Surety(ies) (Name(s)and business address(es)) FIDELITY AND DEPOSIT COMPANY OF MARYLAND 1400 American Lane, Tower II, 18th Floor Schaumburg, IL 60196-1056 Penal Sum of Bond: $5000.00 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 area within the right-of-way to as good a condition as it was in prior to Principal's activities; and pay to the City of Oshkosh any amounts due for services or materials furnished in connection therewith within one week 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 30 days of written demand for payment, however the penal sum of this bond shall not exceed 55000. It is understood arid 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 Principals)herein by the City of Oshkosh policies or ordinances. TERM OF BOND: This bond shall cover work performed from 12/31/17 (Date of Issuance)to December 31,20 16 (The annual license period). This bond shall cover claims made for work performed during this annual license period and for an additional two-year maintenance period beyond the expiration of this annual license period. SIGNATURES/SEALS: For the Principal Miron Construction Co., Inc. For the Surety: F?DFL�T" EPOSIT COMPANY OF MARYLAND Name e r J. Basten Na�elly Cody, ttorn .y-in--Fact Title Title 1400 American Lane, Tower I, 18th Floor Address Schaumburg, IL 60196-1056 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. Annual ExcavationNVork in the Right-of-Way 4/15/05 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Maryland,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by MICHAEL BOND,Vice President, in pursuance of authority granted by Article V, Section 8, of the By-Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Kelly CODY,Roxanne JENSEN,Trudy A. SZALEWSKI,Christopher H. KONDRICK, Brian KRAUSE and Christopher K. HOYDEN, all of Green Bay,Wisconsin, EACH its true and lawful agent and Attorney-in-Fact, to make, execute, seal and deliver,for, and on its behalf as surety,and as its act and deed:any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills,Maryland.,and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 30th day of May,A.D.2017. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND ,cg SEAL —" ` i t .— 'os Ws.44M\ `�� ......t...... (14-1)ami, 4 dlitifiK — AlS D Assistant Secretary Vice President Dawn E. Brown Michael Bond State of Maryland County of Baltimore On this 30th day of May,A.D. 2017,before the subscriber, a Notary Public of the State of Maryland,duly commissioned and qualified, MICHAEL BOND, Vice President, and DAWN E. BROWN,Assistant Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. it;; ......-ri`. Constance A.Dunn,Notary Public My Commission Expires:July 9,2019 POA-F 184-3544