HomeMy WebLinkAbout24-12 Jossart Brothers IncCITY, QVWVJ 1KOJH
ContractNumlber 24-12
Date Bond Executed (Date of Contract or Later)
3/1612024
PRINCIPAL/CONTRACTOR (Legal Name and Business Address)
JOSSART BROTHERS, INC.
1682 Swan load
De Pere, WI 54116
SURETY(IRS) (Legal Name(s) and Business Addsess(es))
Merchants National Bonding Company
6700 Westown Pkwy
West Des Moines, IA $0766
OWNER (Legal Name and Business Address)
CITY OF OSHKOSH
215 Chwch Avenue
PO Box 113o
Oshkosh, Wisconsin 54903-1130
OBLIGATION
Type of Organization
H�Ve
Xndividual Partnership
Corporation
State of Incorporation
WI
Penal Sum of Bond
Five Percent Of amount Bid
The Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors
and assigns to the Owner for the amount of the penal stun identified above if the Owner accepts the bid of this
Contractor within the time specified in the bid documents or within such tinge period as may be agreed upon
between the Owner and the Contractor, and the Contractor shall fail to execute the Contract within five (5) business
days of written notice to the Contractor and Surety of Owners intent to make a claim upon this Bond.
The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in
which the Owner may accept the bid.
If the Contractor either enters into a contract with Owner in accordance with the terms of the bid and gives such
bond(s) that may be specified in the bidding documents for the fail-dul performance of the Contract and for the
prompt payment of labor, materials and supplies furnished for the purpose thereof; or paps to the Owner the
difference between the amount spedfled in the bid and such larger amount for which the Owner may in good faith
contract with another party to perform the work covered in such bid, then the Surety and the Contractor shall have
no obligation under this Bond.
Notice to the Contractor or Surety shall be deemed to have been given. (i) upon delivery to an officer or person
entitled to such notice, if hand delivered; or (ii) two (2) business days following deposit in the United States mail,
hostage prepaid; (iii) upon delivery by a commercial carrier that will certify the date and time of delivery; or (iv)
upon transmission if by facsizx Ue, email or other form of electronic transmission. Notices aball be provided to the
Owner, Surety and/or Contractor at their address as specified on thin Bond or to a facsimile, email or ' other
electronic address that has been provided in writing to the other party to be -used for this purpose.
The lags of the State of 'Wisconsin shall govern the interpretation and construction of this Bond. 'Winnebago
County shall be the venue for all disputes arising under this Bond. Any provision in this bond that may conflict
withstatutory or oilier legal requirement skull be deemed deleted herefrow and providons conforming to the
statutoxy or other legal requirement shall be deemed incorporated herein.
JOSSART BROTHFRS, INC. Merchants National Bonding Company
Name of Princi�al(Coz actor Name of Surety
Jossart, VP/Secretary
Title Samuel Duchow, Attomey-in-faft
BONDING COMPANY.
POWER OF ATTORNEY
Know All Persons By These Presents,.that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.,
both being corporations of the State of Iowa, d/b/a Merchants National Indemnity Company (In California only) (herein collectively tailed the
"Companies") do hereby make, constitute and appoint, individually,
Chris Steinagel; Christopher M Kemp; Connie Smith; Ellot Motu; Julia Douglas; Kory Mortal; Michael J Douglas; Rupert Downey; Samuel Duchow
their true and lawful Attorney(s)-in-Fact, to sign Its name as surety(ies) and to execute, seat and acknowledge any and all bonds, undertakings,
contrads and other written instruments 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 bylaw,
This Power -of -Attorney is ranted and Is signed and seated by facsimile under and by authority of the following By -Laws adopted by the Board
of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2016 and adopted by the Board of Directors of
Merchants National Bonding, Ino., on October 16, 2015.
"The 'President, Secretary. Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shalt have power and
authority to appoint AKomays-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seat of the Company thereto;
bonds and undertakings, recognixances, contracts of Indemnity and other writings obligatory in the nature thereof."
"The, signature of any authorized officer and the seal of the Qompany may be affixed by facsimile or electronic transmission to any Power of Attorney
or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the
Company, and such signature and seat when so used shall have the same force and effect as though manually fixed,"
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut horny hereby given to the
Attpmey4n-Fact. Includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction
contracts required by the State of Flodda Department.df Transportation, It is fully understood that consenting to the State of Florida Department
of Transportation making payment of the final estimate to the Contractor and/or Its assignee, shall not relieve this surety company of any of
Its obligations under Its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, It Is agreed that the power and authority hereby given
to the Attorney -In -Fact cannot be modified or revoked union prior writton personal notice of such intent has been given to the Commissioner-
bepoftent of Highways of the Commonwealth of Kontucliy at least thirty (30) days prior to the modification or revocation.
In Witness Whereof, the Companies have caused this Instrument to be signed and sealed this 6th day of December , 2022 .
.0-
2003
MERCHANTS BONDING COMPANY (MUTUAL.)
MERCHANTS NATIONAL BONDING, INC.
d/ble MERCHANTS NATIONAL INDEMNITY COMPANY
By 67 f'u@sidettt 779?�__
STATE OF IOWA '+i««r 14-Vr ++ ++• A-*, � ! � � . •+
COUNTY OF DALLAS ss.
On this 8th day of December 2022 before me appeared Larry Taylor, to me personally known, who being by me duly swam
did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the
seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf
of the Companies by authority of their respeotive Boards of Directors.
4. 1933
R�.
ilomrnissianffmNurftx702737
Ap»1n 14,207A
a
Notary Public
(Expiration of notary's commisslon does not invalidate this instrument)
1, William Warner, Jr., Secretary of MiRCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby
cortify that the above and foregoing Is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which Is still In full
force and effect and hass not bean amended or revoked_
Wtftnm Whereof, I hay9 'hete'u twsbt my band and affixed the seal of the Companies on this
POA 0018 (10/22) «.... ...+�' .. �"
16th day of March , 2024 ,
5eomtery
City
ofw
Oshkosh
TO: ALL CONTRACTORS
FROM: ENGINEERING DIVISION OF
CITY OF OSHKOSH DEPARTMENT OF PUBLIC WORKS
SUBJECT: DISCLOSURE OF OWNERSHIP FORM
Please review the attached Department of Workforce Development Disclosure of Ownership form. If Item 3 on this
Disclosure of Ownership form applies to your company, you must complete the Disclosure of Ownership form and
upload in the appropriate location on Quest V-Bid.
If Item 3 on the Disclosure of Ownership form does NOT apply to your company, you must complete the
information below and upload this page in the appropriate location on Quest V-Bid.
CERTIFICATION
I certify by my signature below that Item 3 of the attached Disclosure of Ownership form does NOT apply to my
firm, or a shareholder, officer, or partner of my firm.
NAI
Jesse Jossart
Printed Name
VP/Secretary
Title
Jossart Brothers, Inc.
Company Name
April 1, 2024
Date
is\Engineering \Tracy Taylor\Public Works Contracts \miscellaneous\Disclosure of Ownership ForuC2-1- Page 1 of 1
17.docx
City Hall, 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1130 http://www.ci.oshkosh.wi.us
State of Wisconsin
Department of Workforce Development
Equal Rights Division
Disclosure of Ownership
The statutory authority for the use of this form is prescribed in Sections 66.0903(12)(d), 66.0904(10)(d) and 103.49(7)(d), Wisconsin
Statutes.
The use of this form is mandatory. The penalty for failing to complete this form is prescribed in Section 103.005(12), Wisconsin
Statutes.
Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04(1) (m), Wisconsin Statutes],
(1) On the date a contractor submits a bid to or completes negotiations with a state agency, local governmental unit, or
developer, investor or owner on a project subject to Section 66.0903, 66.0904 or 103.49, Wisconsin Statutes, the
contractor shall disclose to such state agency, local governmental unit, or developer, investor or owner, the name of
any `other construction business," which the contractor, or a shareholder, officer or partner of the contractor, owns or
has owned within the preceding three (3) years.
(2) The term `other construction business" means any business engaged in the erection, construction, remodeling,
repairing, demolition, altering or painting and decorating of buildings, structures or facilities. It also means any
business engaged in supplying mineral aggregate, or hauling excavated material or spoil as provided by Sections
66.0903(3), 66.0904(2), 103.49(2) and 103.50(2), Wisconsin Statutes.
(3) This form must ONLY be filed, with the state agency project owner, local governmental unit project owner, or
developer, investor or owner of a publicly funded private construction project that will be awarding the contract, if both
(A) and (B) are met.
(A) The contractor, or a shareholder, officer or partner of the contractor:
(1) Owns at least a 25% interest in the "other construction business," indicated below, on the date the contractor
submits a bid or completes negotiations; or
(2) Has owned at least a 25% interest in the 'other construction business" at any time within the preceding three
(3) years.
(B) The Wisconsin Department of Workforce Development (DWD) has determined that the "other construction
business" has failed to pay the prevailing wage rate or time and one-half the required hourly basic rate of pay, for
hours worked in excess of the prevailing hours of labor, to any employee at any time within the preceding three (3)
years.
Other Construction Business
Business Name
N/A
Street Address or P 0 Box
City
State
Zip Code
Business Name
Street Address or P 0 Box
City
State
Zip Code
Business Name
Street Address or P 0 Box
City
State
Zip Code
Business Name
Street Address or P 0 Box
City
State
Zip Code
hereby state under penalty of perjury that the Information, contained in this document, is true and
accurate according to my knowledge and belief.
Print the Name of Authorized Officer
Jesse Jossart
Authorized Officer r
TDate Signed
April 1, 2024
Corporatio a ship or Sole Proprietorship Name
Jossart Broth rs, Inc.
Street Address or P 0 Box
City
State
Zip Code
1682 Swan Road
De Pere
WI
54115
If you have any questions call (608) 266.6861
ERD-7777 (R. 01/2011)
City o�
Oshkosh
TO: ALL CONTRACTORS
FROM: ENGINEERING DIVISION OF
CITY OF OSHKOSH DEPARTMENT OF PUBLIC WORKS
SUBJECT: SOIL AND GROUND WATER MANAGEMENT PLAN
CERTIFICATION
I certify by my signature below that our firm has read the Soil and Ground Water Management Plan
included in the.Speciocations and will comply with the requirements of the Plan.
Jesse Jossart
Printed Name
VP/Secretary
Title
Jossart Brothers, Inc.
Company Name
April 1, 2024
Date
I:\6ngineering\Tracy Taylor\Public Works Contracts\Miscellaneous\Soil & Groundwater Page 1 of 1
Management Plan Certificatlork_2-1-17.docx
City Nall, 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1130 http://www.cl.oshkosh.wi.us
CONTRACT 24-12
ATTACHMENT A
LIST OF PROPOSED SUBCONTRACTORS
Pursuant to Section 66.29(7), Wisconsin Statutes, the Bidder, as part of this Proposal, submits this full and
complete list of all the Subcontractors and the class of work to be performed by each. The
CONTRACTOR will be permitted to sublet a portion of the Contract, but shall perform with their
organization work amounting to at least thirty percent (30%) of the original Contract amount.
Work performed by the CONTRACTOR for any Bid Item that had been subcontracted will not be
included towards the thirty percent (30%) calculation.
If the CONTRACTOR shall sublet any part of this Contract, the CONTRACTOR shall be as fully
responsible to the CITY for the acts and omissions of their Subcontractor and of the persons either directly
or indirectly employed by their Subcontractor as they are by acts or omissions of persons directly
employed by themselves. All Subcontractors, if any, shall be listed in the spaces provided on the
Proposal Form and said list shall not be added to or altered without the written consent of the CITY.
Signed, final waivers of lien will need to be provided to the CITY prior to the release of the final retainage
to the CONTRACTOR.
When a Subcontractor and the class of work to be performed are not listed, it shall be considered that the
Bidder will perform the work themselves.
PERCENT OF
NAME OF SUBCONTRACTOR CLASS OR ITEMS OF WORK CONTRACT AMOUNT
i
Vinton
MCC
Al Dix
Storm Company
Fox River Landscaping
Bodart Electric
Excavating & Grading
Asphalt Paving
Concrete
Traffic Control
Landscaping
Electrical
25%
I hereby certify that the use of the name(s) of the above Subcontractor(s) was with the knowledge and
consent of the said S4contractor(s).
Jesse
- _ge 19 of 22 (Revised)
S
CONTRACT 24-12,.
PROPOSAL
The undersigned will begin work as specified after award of the Contract and comptete as specifiec.
I hereby certify that all statements are made in behalf of
Jossart Brothers, Inc.
(Name of Corporation, Pa.rtriership, or Persozi Submitting Bid)
a corporation organized and existing under the laws of the State of Wisconsin
a Partnership consisting of
an individual trading as
the City of
State of
or
of
That I have examined and carefully prepared this Proposal from the Plans and Specifications and have
checked the same in detail before submitting this Proposal; that I have full authority to make such
statements and submit this Proposal in (its) (their) behalf; and that said statements, tru�.arC correct.
Signature
Jesse Jossart, VP/Secretary
----��-------(Title, if any)
Subscribed and sworn to before giv ,thrs �) clay of A ri I T 20 24
°�Y1E�MS
4' a
W
N ary Public, or other a�thoh tic; j�krninister „
pulav
�.i
v ,
OF
(Bidder should not add any co'Mtitit*'s or qualifying statements to this Proposal as otherwise the Proposal
may be declared irregular as not being responsive to the Advertisement.)
Accompanying this Proposal is a Biel Bond in the amount of 5 % of the total amount of the Bid, as
called for ul the Official Notice to Contractors,
Page 22 of 22 (Revised)