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Home My WebLink AboutWaas Boring & Cable 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: acts go(-11 04,41 /n ADDRESS: ,&P 0 9,3 u" S fed „orairk , k) I i5-3Oy? 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: &11A) c t" hl j 02 0 1 " , 1 EXPIRATION: p c/411,601. 3 ) v1�'2� BOND TERM: ( 1 i ( 2 v — /`2` S//o 0"8 INSURANCE TERM: 7 / / c2 1 / 90 / r 1vEn DATE: ( ! b"/ .7 oig DEC 13 2017 -- CITY CLERK'S_OFFICE tiqf OAS 6eLit-1/ Applicant's Signature gao erf — gist' Telephone Number Street/Sidewalk Annual Obstruction License 11-27-02 r 1 ' ANNUAL EXCAVATION/WORK IN RIGHT-OF-WAY BOND 55-166246 PRINCIPAL(S)(Legal name(s) and business address(es)) T e of organization: WAAS BORING &CABLE, INC. individual ❑ partnership N10483 WAAS RD. ✓ corporation LOMIRA,Wl. 53048 Surety(ies) (Name(s) and business address(es)) State of Incorporation WISCONSIN UNITED FIRE&CASUALTY COMPANY 118 2ND AVE SE PO BOX 73909 CEDAR RAPIDS, IOWA 52407-3909 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$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 : For the Surety: UNITED FIB€-8�CASUALT COM NY WA BORING BORING &CABLE, INC. Name Ld Name • U . Pres- Title Title 11 Av ear i I 524 7- 909 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 Excavation/VVork in the Right-of-Way 4/15/05 UNITED FIRE&CASUALTY COn1PANY,CEDAR RAPIDS,IA UNITED FIRE&INDEMNITY COMPANY,WEBSTER,TX Inquiries: Surety Department FINANCIAL PACIFIC INSURANCE COMPANY,ROCKLIN,CA 118 Second Ave SE CERTIFIED COPY OF POWER OF A I"TORNEY Cedar Rapids,IA 52401 (original on file at Home Office of Company—See Certification) KNOW ALL PERSONS BY THESE PRESENTS,That UNITED FIRE&CASUALTY COMPANY,a corporation duly organized and existing under the laws of the State of Iowa;UNITED FIRE& INDEMNITY COMPANY,a corporation duly organized and existing under the laws of the State of Texas, and FINANCIAL PACIFIC INSURANCE COMPANY, a corporation duly organized and existing under the laws of the State of California (herein collectively called the Companies),and having their corporate headquarters in Cedar Rapids State of Iowa,does make,constitute and appoint DAVID A. LANGE, DENNIS J. RICHMANN, ARTHUR J. FEARN, BRAD HANCE, MICHAEL D. MAY, D. MICHAEL HAYS, JUDITH A. DAVIS, MARY BERTSCH, KYANNA SAYLOR, JEREMY LEWIS, PATRICIA WIEBEL, PHILIP E. MORGETTE, ALLISON NISSEN, STUART D. FRANCIS, TRENT MILLER, ROB FLEMING, STEVEN KINNEY, JORDAN FELTMAN, ADAM STAHLE, DREW GESELL, MORGAN THOMAS, PATTI WADDELL, PATRICIA L. NIEBES, EMILY JACKSON, GARY D. DILL, RAMONA SEIDMAN, STEPHEN MOORE, EACH INDIVIDUALLY their true and lawful Attorneys)-in-Fact with power and authority hereby conferred to sign,seal and execute in its behalf all lawful bonds,undertakings and other obligatory instruments of similar nature provided that no single obligation shall exceed $ 100,000,000.00 and to bind the Companies thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Companies and all of the acts of said Attorney,pursuant to the authority hereby given and hereby ratified and confirmed. The Authority hereby granted is continuous and shall remain in full force and effect until revoked by UNITED FIRE&CASUALTY COMPANY, UNITED FIRE&INDEMNITY COMPANY,AND FINANCIAL PACIFIC INSURANCE COMPANY. This Power of Attorney is made and executed pursuant to and by authority of the following bylaw duly adopted on May 15,2013,by the Boards of Directors of UNITED FIRE & CASUALTY COMPANY, UNITED FIRE & INDEMNITY COMPANY, and FINANCIAL PACIFIC INSURANCE COMPANY. "Article VI—Surety Bonds and Undertakings" Section 2,Appointment of Attorney-in-Fact. "The President or any Vice President,or any other officer of the Companies may, from time to time, appoint by written certificates attorneys-in-fact to act in behalf of the Companies in the execution of policies of insurance, bonds, undertakings and other obligatory instruments of like nature. The signature of any officer authorized hereby,and the Corporate seal,may be affixed by facsimile to any power of attorney or special power of attorney or certification of either authorized hereby;such signature and seal, when so used,being adopted by the Companies as the original signature of such officer and the original seal of the Companies,to be valid and binding upon the Companies with the same force and effect as though manually affixed. Such attorneys-in-fact,subject to the limitations set forth in their respective certificates of authority shall have full power to bind the Companies by their signature and execution of any such instruments and to attach the seal of the Companies thereto. The President or any Vice President,the Board of Directors or any other officer of the Companies may at any time revoke all power and authority previously given to any attorney-in-fact. 'Iglus"` •,,� o""0,N° ti,�, ,��,,,, IN ,, IN WITNESS WHEREOF,the COMPANIES have each caused these presents to be signed by its °Ilnul,y, ,,,111,11,1,l, �>.. IFNC...S(/q to ,,,.``�c..PPo .+tip- vice president and its corporate seal to be hereto affixed this 28t h day of August, 2017 $ CORPORATE V. Sv CORPORATE °' _q'4D 4lF'%�' Z �1ILYZ� UNITED FIRE&CASUALTY COMPANY 1. SEAL 7 Y V' o a' UNITED FIRE&INDEMNITY COMPANY , °�,; ' 4 SEAL g`1,* '/988�`��2' FINANCIAL PACIFIC INSURANCE COMPANY ,',,$4011NPII� ''%;1:pN�llll ''.�.r'..LlF04:' I�� ''''"„ry,IIR„I,,,,I�� By: r� -r►w State of Iowa,County of Linn,ss: Vice President On 28th day of August, 2017, before me personally came Dennis J. Richmann to me known,who being by me duly sworn,did depose and say;that he resides in Cedar Rapids,State of Iowa; that he is a Vice President of UNITED FIRE&CASUALTY COMPANY, a Vice President of UNITED FIRE& INDEMNITY COMPANY,and a Vice President of FINANCIAL PACIFIC INSURANCE COMPANY the corporations described in and which executed the above instrument;that he knows the seal of said corporations;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 corporations and that he signed his name thereto pursuant to like authority,and acknowledges same to be the act and deed of said corporations. Judith A.Davis , ` o`* i Iowa Notarial Seal _ Commission number 173041 ' A ' !"� Notary Public Oil s My Commission Expires 04/23/2018 My commission expires:04/23/2018 I, David A. Lange, Secretary of UNITED FIRE&CASUALTY COMPANY and Assistant Secretary off ITED FIRE& INDEMNITY COMPANY, and Assistant Secretary of FINANCIAL PACIFIC INSURANCE COMPANY,do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit,and the copy of the Section of the bylaws and resolutions of said Corporations as set forth in said Power of Attorney,with the ORIGINALS ON FILE IN THE HOME OFFICE OF SAID CORPORATIONS,and that the same are correct transcripts thereof,and of the whole of the said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect. In testimony whereof I have hereunto subscribed my name and affixed the corporate seal of the said Corporations this 2nd day of October ,2017 ``I�I:puge SZt �i Idl rv°! "4 OGsFol\G INSUgq ,,+"y �Y pinmuy� ,yam C ?oO�' I co ` ^� QP:GpPPO ggl�i a CORPORATE °% = �' _ CORPORATE ;a 'Y':� IVLY 2z O SEAL Y SEAL °s` 190 ,,,,Rq 1111 `I`II` '� 11 '�'4, ,gip` Secretary,UF&C 1111111„�� Assistant Secretary,OF&I/FPIC BPOA0049 0115