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Home My WebLink AboutBoldt Company 2018 A FEE: $20.00 ACCOUNT# 100-0050-4972-00000 44- ANNUAL STREET/SIDEWALK OBSTRUCTION LICENSE Application is made for a license to maintain street/sidewalk obstruction: NAME: The Boldt Company ADDRESS: 2525 N. Roemer Rd, P.O. Box 419 Appleton, WI 54912 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) $500,000 products/completed operation aggregate and shall name the City of Oshkosh, its employees and officers, as an additional insured thereon. Proof of said coverage in the form of an insurance certificate shall be submitted to the City prior to issuance of any permit for street or sidewalk obstruction. Each individual project/address at which an obstruction will be placed requires a separate permit which may be obtained from the office of the City Clerk. 1� DATE ISSUED: U EXPIRATION: lZ- 3c- 1$ 401 -& 1/1/2018 - 12/31/2018 BOND TERM: INSURANCE TERM: 1/1/2017 - 1/1/2018 NOV 21 2017 CITY CLEW s 0''FICE DATE: 11/15/2017 Assistant Secretary Applicant's Signature 920-739-6321 Telephone Number Street/Sidewalk Annual Obstruction License 11-27-02 4 . � Bond No. 929599810 ANNUAL STREET/SIDEWALK OBSTRUCTION BOND PRINCIPAL(S)(Legal name(s)and business address(es)) The Boldt Company Type of organization: P y individual partnership 2525 North Roemer Road,P.O. Box 419 X corporation Appleton,WI 54912 Surety(ies)(Name(s) and business address(es)) State of Incorporation Wisconsin Western Surety Company • P.O. Box 5077 Sioux Falls,SD 57117 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 placing an obstruction within street or sidewalk 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 area to as good a condition as it was in before excavation or obstruction; 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$5000. 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 January 1,2018 (Date of Issuance)to December 31,2018 (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:The Boldt Company For the Surety:Western Surety Compa y cpa fly 2J a e f S r c re t a c�, Heather R. Goedtel,Attorney-in-Fact Title Title 1600 Utica Ave. S.,Suite 600,Minneapolis,MN 55416 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. Annual Street/Sidewalk Obstruction bond 4/15/05 i Surety Acknowledgment State of Minnesota } } ss. County of Hennepin } On this lst day of January 2018, before me personally came Heather R. Goedtel, to me known,who being by me duly sworn, did depose and say that she is the Attorney-in-Fact of Western Surety Company described in and which executed the above instrument; that she/he knows the seal of said corporation; that the seal affixed to said instruments is such corporate seal, that it was so affixed by order of the Board of Directors of said corporation, and that she/he signed her/she/his name to it by like order. .110,31(LiVairr Notary Public c• i MICHELLE DIANE HALTER �. Notary Public Minnesota _„% My Commission Expires Jan 31,2023 1 o Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and existing corporation having its principal office in the City of Sioux Falls,and State of South Dakota,and that it does by virtue of the signature and seal herein affixed hereby make,constitute and appoint Laurie Pflug, Jill N. Swanson, Brian D. Carpenter, Nicole Langer, Craig Olmstead, Jessica Hoff,Heather R. Goedtel,Michelle Halter, Individually of Minneapolis,MN,its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf bonds,undertakings and other obligatory instruments of similar nature -In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instnunents were signed by a duly authorized officer of the corporation and all the acts of said Attorney,pursuant to the authority hereby given,are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof,duty adopted,as indicated,by the shareholders of the corporation. In 'Vitness 'Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 17th day of February,2017. ��_ WESTERN SURETY COMPANY 'S�Af_rf.›. �x 0 A,.CQ 2 Iz °ys SfAx!a aul T.Bruflat,Vice President State of South Dakota ss County of Minnehalta On this 17th day of February,2017,before me personally came Paul T.Bruflat,to me known,who,being by me duly sworn,did depose and say: that he resides in the City of Sioux Falls,State of South Dakota;that he is the Vice President of WESTERN SURETY COMPANY 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 pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to he the act and deed of said corporation. My commission expires J.MOHR NOTARY rrut /I)9 June 23,2021 `�rd5017H°"Ot"`b XfIA- 1.Mohr,Notary Public CERTIFICATE I. L.Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force,and further certify that the By-Law of the corporation printed on the reverse hereof is still in force. In testimony whereof i have hereunto subscribed my name and affixed the seal of the said corporation this 1 St day of January , 2018 . WESTERN SURETY COMPANY 43r2P,P0R4l�ot i Zz pa L.Nelson,Assistant Secretary Fenn F4280.7-2012