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Home My WebLink AboutSigma Group Inc 2019 FEE: $20.00 RECEIVED SINGLE-SITE RIGHT-OF-WAY EXCAVATION LICENSE SEP 10 2019 DEPT OF PUBLIC WORKS Application is made for a license to work within the Right-of-Way: OSHKOSH, W'ISCONSIN NAME: The _1l►Mf~ Gii�1. '&ter Type of organization: V individual _partnership E-MAIL: S kl if-kLrk `' corporation v State of Tnromoration w T ADDRESS: 13vo L Cunu,X SH 1lJuttlCeP1 JJL S 2-33 Right-of-Way Permit#: Z01105136 (To Be Completed by City Staff) I(We)further agree to provide the City of Oshkosh 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 (b) $500,000 personal liability and advertising injury (c) $500,000 general aggregate (d) $500,000 products—completed operations aggregate and shall name the City of Oshkosh,its officers,council members,agents,employees,and authorized volunteers as an additional insured thereon. Proof of said coverage in the form of an insurance certificate shall be submitted to the City of Oshkosh prior to issuance of any permit to perform work within the right-of-way. Each individual project/address at which work will be performed requires a separate permit which may be obtained from the City of Oshkosh Public Works Department-Engineering Division. DATE ISSUED: ,Seektii 5 1.43, 7,001 EXPIRATION: tec,zaie6.t1- 31, 3otq BOND TERM: StQk z R tee_.3t ,2z2. INSURANCE TERM: 1 ql 12,0.5 to 1 e1 117,5 V) DATE: . (o, Zo tc /Xi / %A1 Applicant's Signature ri- 693 - 21)0 Telephone Number 1:\Engineering\ROW Pernrits\Single-Site ROW Excavation Bond&License-1-8-19.doc SINGLE-SITE RIGHT-OF-WAY EXCAVATION BOND BOND NUMBER:9265907 PRINCIPAL(S)(Legal name(s)and business address(es)) Type of organization: The Sigma Group,Inc. RECEIVED _individual _partnership 1300 W.Canal Street 7{ corporation Milwaukee,WI 53233 SEP 1 0 2019 Surety(ies)(Name(s)and business address(es)) State of Incorporation Wisconsin Fidelity and Deposit Company of Maryland DEPT OF PUBLIC WORKS P.O.Box 1227 OSHKOSHI, WISCONSIN Baltimore,MD 21203 Penal Sum of Bond: $5,000.00 Right-of-Way Permit#: 2.019OEINS (To Be Completed by City Staff) 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 pursuant to the right-of-way permit specified above. 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 right-of-way, vacated right-of-way, or City easement areas in accordance with the current edition of the Standard Specifications for City of Oshkosh, Wisconsin; and pay to the City of Oshkosh any amounts due for services or materials furnished in connection therewith within one(1)month 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 thirty(30)days of written demand for payment;however,the penal sum of this bond shall not exceed$5,000. 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 in accordance with the approved right-of-way permit from September 10,2019(Date of Issuance) to December 31, 20 19 (Date of Expiration) for the specified right-of-way permit number listed on this form. This bond shall cover claims made for work performed under the license and corresponding right-of-way permit and for an additional two (2) year maintenance period beyond the above expiration date. The principal agrees to correct all maintenance issues brought to the attention of the Principal(s)upon receiving notice from the City of Oshkosh within the two(2)year maintenance period. SIGNATURES/SEALS: For the Principal:The Sigma Group,Inc. For the Surety: Fidelity and Deposit Company of Maryland Craa 2, A..04- 2/....„, Signature Signature l'tS C,7PCAt'c Sarah E.DeYoung Name Name fV4S Vflt( Attorney-in-Fact Title " Title P.O.Box 1227,Baltimore,MD 21203 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. I:\Engineering\ROW Permits\Single-Site ROW Excavation Bond&License_1-8-19.duc • 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 Daniel J.SAPIRO,Daniel J.KWIECINSKI,Wendy S.MILLER,Kathleen A.CRARY,Cathy HUTSON,Lisa M. SLAKES, Sarah E. DEYOUNG and Lucy A. HANTZSCH, all of Milwaukee, 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 25th day of September,A.D.2017. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND SEAL II*A ti� tt>oa• ;` r= i ,N o •71._._... as cr.10aMIL, (6,„, _ Assistant Secretary Vice President Dawn E.Brown Michael Bond State of Maryland County of Baltimore On this 25th day of September, 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. : ij.\.46y Y:. 1 ;L .w�mrn.�• :▪a 1�111y �� Constance A.Dunn,Notary Public My Commission Expires:July 9,2019 POA-F 184-6514C