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Home My WebLink AboutJones Sign Company Inc 2018 • FEE: $20.00 ACCOUNT# 100-0050-4972-00000 ANNUAL STREET/SIDEWALK OBSTRUCTION LICENSE Application is made for a license to maintain street/sidewalk obstruction: NAME: -JO fl 'S S utr.i'14, /11 d. ADDRESS: Il I? '3 JYUI'1 flr �cL De Poet wi i/fi5 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: i ' \ (U EXPIRATION: 12731-1 ?) p NOV 162017 BOND TERM: �-/` I,� �i? /vim-3/1U CCTV CLERK'S OFFICE $INSURANCE TERM: I -/7 to 1//t DATE: /F/' -/7 Applicant's Signature (q l / '5- 9,5'5Z) Telephone Number Street/Sidewalk Annual Obstruction License 11-27-02 ANNUAL STREET/SIDEWALK OBSTRUCTION BOND Bond No. SUR0022520 PRINCIPAL(S)(Legal name(s) and business address(es)) Jones Sign Company, Inc. Type of organisation: 1711 Scheuring Road _individual partnership De Pere, WI 54115 x_corporation Surety(ies) (Name(s) and business address(es)) State of Incorporation ,1 Argonaut Insurance Company 225 W.Washington, 6`h Floor Chicago, IL 60606 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: For the Principal : Jones Sign Company, Inc. For rety:Argo n ance Company Name N e aurie Pflug, 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 - N + , Argonaut Insurance Company AS-0050461 Deliveries Only: 225 W. Washington, 6th Floor Chicago, IL 60606 United States Postal Service: P.O. Box 469011, San Antonio, TX 78246 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the Argonaut Insurance Company,a Corporation duly organized and existing under the laws of the State of Illinois and having its principal office in the County of Cook,Illinois does hereby nominate,constitute and appoint: Laurie Pflue.Nina E.Werstein.Barbara L.Raedeke.Nicole Laneer.Jill Swanson - 1(1.1. Their true and lawful agent(s)and attorney(s)-in-fact,each in their separate capacity if more than one is named above,to make,execute,seal_ d d de ever for and on its behalf as surety,and as its act and deed any and all bonds,contracts,agreements of indemnity and other undertakings in sure p vids4 however,that the penal sum of any one such instrument executed hereunder shall not exceed the sum of: $25.000.000.00 rilliN This Power of Attorney is granted and is signed and sealed under and by the authority of the following Resolution adopted by the Board of Directors of Argonaut Insurance Company: Alf "RESOLVED,That the President,Senior Vice President,Vice President,Assistant Vice President,Secretary,reasurer and each of them hereby is authorized to execute powers of attorney,and such authority can be executed by use of facsimile signature,wh h may be attested or acknowledged by any officer or attorney,of the Company,qualifying the attorney or attorneys named in the given power of attorney,to execute in behalf of,and acknowledge as the act and deed of the Argonaut Insurance Company,all bond undertakings and contracts of suretip.and to affix the corporate seal thereto." IN WITNESS WHEREOF,Argonaut Insurance Company has caused its official seal to be eunto trilifd and these presents to be signed by its duly authorized officer on the 15th day of June,2012. Argonaut Insurance Company na14. _ ad'7!i— (</4 by: Michael E.Arledge president STATE OF TEXAS COUNTY OF HARRIS SS: Zit\ . On this 15th day of June,2012 A.D.,before me,a Nota Publ' f the State of Texas,in and for the County of Harris,duly commissioned and qualified, came THE ABOVE OFFICER OF THE COMBANY,to , rsonally known to be the individual and officer described in,and who executed the preceding instrument,and he acknowledged the execution of eme,and being by me duly sworn,deposed and said that he is the officer of the said Company aforesaid, and that the seal affixed to the piece g instrument the Corporate Seal of said Company,and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the s> instrument by the authority and direction of the said corporation,and that Resolution adopted by the Board of Directors of said Company, a o'in*he preceding instrument is now in force. IN TESTIMONY a hereunto set my hand,and affixed my Official Seal at the County of Harris,the day and year first above written. Ictiv. . *ellimb •,„„ps.. !!..040 = 1. ti . c fLa.! ,,11111101\o, (Notary Public) I,the undersigned Officer of the Argonaut Insurance Company,Illinois Corporation,do hereby certify that the original POWER OF ATTORNEY of which the foregoing is a full,true and correct copy is still in full force and effect and has not been revoked. 2 Aid q ) IN WITNESS WHEREOF,I have hereunto set my hand,and affixed the Seal of said Company,on the 3 day of lie vski..(/ G. , d /.3 Joshua C.Betz Vice President THIS DOCUMENT IS NOT VALID UNLESS PRINTED ON SHADED BACKGROUND WITH BLUE SERIAL NUMBER IN THE UPPER RIGHT HAND CORNER.IF YOU HAVE QUESTIONS ON AUTHENTICITY OF THIS DOCUMENT CALL(210)321-8400.