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Home My WebLink AboutMiron Construction Co Inc 2018P FEE: $20.00 4.v ACCOUNT#100-0050-4972-00000 \2„. ANNUAL STREET/SIDEWALK OBSTRUCTION LICENSE Application is made for a license to maintain street/sidewalk obstruction: NAME: Miron Construction Co., Inc. ADDRESS: 1471 McMahon Drive 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 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: EXPIRATION: `t'�1 I'p (p), BOND TERM: l`2-31 - Prr"�--L` INSURANCE TERM: M.r 1 U DEC 112017 CITYCLLttlk z:%t iei DATE: 1 :d 11-1 .-- PrtA4347 Applicant's Signature Dean J. Basten Secretary/Treasurer 920.969.7000 Telephone Number Street/Sidewalk Annual Obstruction License 11-27-02 (1 R I G I ICI AL ANNUAL STREET/SIDEWALK OBSTRUCTION BOND Bond No. 09093110 PRINCIPAL(S)(Legal name(s)and business address(es)) Type of organization: Miron Construction Co., Inc. individual !partnership 1471 McMahon Drive Y corporation Neenah, WI 54956 Surety(ies)(Name(s)and business address(es)) State of Incorporation Wisconsin FIDELITY AND DEPOSIT COMPANY OF MARYLAND 1900 American Lane, Tower I, 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 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 arty 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 12/31/17 (Date of Issuance to December 31, 20 la (The annual This bond shall cover work performed from ) 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 :MiroConstruction Co., Inc. For the Surety. FTDELI Y AND DEPOSIT COMPANY OF MARYLAND m N e a aStell Nally Co , At rney-in-Fact S�ecretar /Treasurer 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 Street/Sidewalk Obstruction bond 4/15/05 0 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. HOVDEN, 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 {l G° ur v o 4'�'3( \i. 8EALfib z.` @ t toy Om u,Li tie ifi ri)-- MA'4 ilititi K- — ALO I) 8K 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. C(T ..,tai„u-a ZTi ,r-r - . U•r., ,l, '.,''i' ;';i`'. Constance A.Dunn,Notary Public My Commission Expires:July 9,2019 POA-F 184-3544