HomeMy WebLinkAboutCharter Communications 2018 •
FEE: $20.00
.ACCOUNT#100-0050-4972-00000
ANNUAL STREET/SIDEWALK OBSTRUCTION LICENSE '' n�y \
LQ
Application is made for a license to maintain street/sidewalk obstruction:
NAME: ()'4.-,r4rr- C()mindrlf(,
ADDRESS: 3500 E iviti DP%
WZ SY9 1 S
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.
DATE ISSUED: \ ' ' \c3
EXPIRATION: 2' 31
BOND TERM: 11. 3\ ' 1Q
INSURANCE TERM: 1' RECEIVED_
JAN 2 2 2018
1
DATE: l' t (A ' 0 Cff CLEWS ONCE
Applica Signature
3 ?o- 9.2
Telephone Number
Street/Sidewalk Annual Obstruction License
11-27-02
ANNUAL STREET/SIDEWALK OBSTRUCTION BOND
PRINCIPAL(S)(Legal name(s) and business address(es))
Charter Communications, Inc. Type of organization:
400 Atlantic Street individual partnership
Stamford, CT 06901 X corporation
Surety(ies) (Name(s) and business address(es)) State of Incorporation DE
Travelers Casualty and Surety Company of America
One Tower Square, 5PB
Hartford, CT 06183
Bond No. 106638088
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, 20 18 (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:
l rt e Principal : For the Surety:
Chart Conunulicati ns, c' veers Casu ty a S rety Comp ny of America
Nam : Jessica M. Fischner Na : Debra C. eider
GVP, eputy Treasurer Attorney-In-Fact
Title Title
One Tower Square, 5PB, Hartford, CT 06183
Address
Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence or 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
ACKNOWLEDGMENT BY SURETY
STATE
OF Missouri
City of St. Louis ss.
On this 1 6 t h day of November , 2 01 7 ,before me personally
appeared Debra C. Schneider ,known to me to be the Attorney-in-Fact of
Travelers Casualty and Surety Company of America
,the corporation
that executed the within instrument,and acknowledged to me that such corporation executed the same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, at my office in the aforesaid
County,the day and year in this certificate first above written.
My Commission Expires: December 03,2019 K seyJones
_-'� Notary Public in the State of Missouri
KLSEYJO ENES i
(Seal) I Notary Public, Notary Seal I City of St. Louis
State of Missouri Commission Number: 15973646
St. Louis City
Commission # 15973646
My Commission Expires December 03, 2019
S-0230/GEEF 2/98
Amok
TRAVELERS
POWER OF ATTORNEY
Farmington Casualty Company St. Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America
St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St. Paul Guardian Insurance Company
Attorney-In-Fact No. 230490
Surety Bond No. or Project Description: Principal: Charter Communications, Inc.
106638088 Obligee:9 City of Oshkosh
KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian
Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of
America,and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and
Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance
Underwriters, Inc. is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the
Companies do hereby make,constitute and appoint Debra C.Schneider of the City of St.Louis
State of Missouri , their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named
above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the
nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and
executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 20th day of
September, 2016.
Farmington Casualty Company St. Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America
St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St. Paul Guardian Insurance Company
a,r1 6 0 .,..� • 4Cr yw[ 0.
b� ��'' y�'
„AL
State of Connecticut
By:
City of Hartford ss.
Robert L. Raney,Senior Vice President
On this the 20th day of September, 2016, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice
President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters, Inc.,St. Paul Fire
and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company,Travelers Casualty and Surety Company,
Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such, being authorized so to do,
executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
In Witness Whereof, I hereunto set my hand and official seal. g�p.1fl7
My Commission expires the 30th day of June, 2021. a1 L C .tuTALALLIA-
*9*4.. Marie C.Tetreault, Notary Public
•
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington
Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters,Inc., St. Paul Fire and Marine
Insurance Company, St. Paul Guardian Insurance Company,St. Paul Mercury Insurance Company,Travelers Casualty and Surety Company,
Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, which resolutions are now in full force
and effect, reading as follows:
RESOLVED,that the Chairman,the President, any Vice Chairman,any Executive Vice President,any Senior Vice President, any Vice President,
any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint
Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of
authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances,contracts of indemnity, and
other writings obligatory in the nature of a bond, recognizance,or conditional undertaking,and any of said officers or the Board of Directors at
any time may remove any such appointee and revoke the power given him or her; and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any
Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that
each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or
conditional undertaking shall be valid and binding upon the Company when (a)signed by the President,any Vice Chairman, any Executive Vice
President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate
Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly
executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or
their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the following officers: President,any Executive Vice President, any Senior Vice President,
any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by
facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or
Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and
any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and
any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the
future with respect to any bond or understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary, of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity
and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury
Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and
Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said
Companies, which is in full force and effect and has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 16th day of
November 2017
Kevin E. Hughes, Assistant Secretary
�� 1951 e AL4 Of '� • a� 1s f W s
6` „
To verify the authenticity of this Power of Attorney, call 1-800-421-3880 or contact us at www.travelersbond.com.P/ease refer to the
Attorney-In-Fact number,the above-named individuals and the details of the bond to which the power is attached.
•
FEE: $20.00
ACCOUNT#100-0050-4972-00000
ANNUAL STREET/SIDEWALK OBSTRUCTION LICENSE
Application is made for a license to maintain street/sidewalk obstruction: sefY\
NAME: ( atap , -Bfos 1 9(1 L tr1 TIC
ADDRESS: 253 N. \-1,c1CO Ct, Sh"
fund d Lac , I,b l 5103
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.
DATE ISSUED: a‘*O . \9)
EXPIRATION: 1�' •\L)
BOND TERM: /a-3 I-J7 -o /2-3/-ie
R CEIVIED
INSURANCE TERM: O/ C1 ie ' °1-6/-) FEB 01 2018
DATE: I-- 2 3- 1 CITY maws OFFICE
Applicant's Signature
9b0 i- 2 3C
Telephone Number
Street/Sidewalk Annual Obstruction License
11-27-02
• ANNUAL STREET/SIDEWALK OBSTRUCTION BOND
PRINCIPAL(S)(Legal name(s)and business address(es)) Type of organization:
Capelle Brothers&Diedrich,Inc. individual partnership
259 N Hickory St Fond Du Lac,WI 54935-3238 corporation
Surety(ies)(Name(s)and business address(es)) State of Incorporation WI
West Bend Mutual Insurance Company
PO Box 620976 Middleton,WI 53562
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 December 31,2017 (Date of Issuance)to December 31,20 18 (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.
SIGNATURE ALS:
F - Principal : For the Surety: West Bend Mutual Insurance Company
Attorney-in-fact
Title Title
PO Box 620976 Middleton,WI 53562
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
2318596
WEST BEND
A MUTUAL INSURANCE COMPANY'
Power of Attorney
Know all men by these Presents, That West Bend Mutual Insurance Company, a corporation having its principal office in
the City of West Bend, Wisconsin does make, constitute and appoint:
MICHAEL FOLEY
lawful Attorney(s)-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, undertakings and contracts of suretyship, provided that no bond or undertaking or contract of suretyship
executed under this authority shall exceed in amount the sum of: Five Thousand Dollars($5,000.00)
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following
Resolution adopted by the Board of Directors of West Bend Mutual Insurance Company at a meeting duly called and held
on the 21st day of December, 1999.
Appointment of Attorney-In-Fact. The president or any vice president, or any other officer of West Bend Mutual Insurance
Company may appoint by written certificate Attorneys-in-Fact to act on behalf of the company in the execution of and
attesting of bonds and undertakings and other written obligatory instruments of like nature. The signature of any officer
authorized hereby and the corporate seal may be affixed by facsimile to any such power of attorney or to any certificate
relating therefore and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall
be valid and binding upon the company, and any such power so executed and certified by facsimile signatures and
facsimile seal shall be valid and binding upon the company in the future with respect to any bond or undertaking or other
writing obligatory in nature to which it is attached. Any such appointment may be revoked, for cause, or without cause,
by any said officer at any time.
In witness whereof, the West Bend Mutual Insurance Company has caused these presents to be signed by its president
undersigned and its corporate;al to be hereto duly attested by its secretary th• 1st day parch, 2009.
Attest OA? I c.�
i r - t/r
Ja J. Pa "°RAr
co F'.2;": Kevin A. Steiner
Se •tary t SEAL1I Chief Executive Officer/President
State of Wisconsin
County of Washington •••••••
On the 1st day of March, 2009 before me personally came Kevin A. Steiner, to me known being by duly sworn,did
depose and say that he resides in the County of Washington, State of Wisconsin; that he is the President of West Bend
Mutual Insurance Company, the corporation described in and which executed the above instrument; that he knows the
seal of the said corporation; that the seal affixed to said instrument is such corporate seal; that is was so affixed by order
of the board of directors of said corporation and that he signed his name thereto by like order.
* NOTARY `:* : John`F.D6well
c.f.V. PUBLIC ? Executive Vice President-Chief Legal Officer
yam ....................- '�?y` Notary Public,Washington Co.WI
�F yytSG:` My Commission is Permanent
The undersigned, duly elected to the office stated below, now the incumbent in West Bend Mutual Insurance Company, a
Wisconsin corporation authorized to make this certificate, Do Hereby Certify that the foregoing attached Power of
Attorney remains in full force effect and has not been revoked and that the Resolution of the Board of Directors, set forth
in the Power of Attorney is now in force.
Signed and sealed at West Bend, Wisconsin this �!>`G1 day of 6eC A b0c , / 7
s
SEAT" 'is Dale J. Kent
`A' trioti Executive Vice President-
Chief Financial Officer
Notice: Any questions concerning this Power of Attorney maybe directed to the Bond Manager at NSI, a division of
West Bend Mutual Insurance Company.
8401 Grcenway Blvd. Suite 1100 I P.O. Box 620976 I Middleton, WI 53562 I ph (608) 410-3410 I www.thcsilvcrlining.com