HomeMy WebLinkAbout24-14 Northeast Asphalt IncContract Number 24-14
Date Bond Executed (Date of Contract or Later) 4/15/2024
PRINCIPAL/CONTRACTOR (Legal Name and Business Address)
NORTHEAST ASPHALT, INC.
W6380 Design Drive
Greenville, WI 54942
SURETY(IES) (Legal Name(s) and Business-Address(es)).
WESTERN SURETY COMPANY
151 N. Franklin Street
Chicago, IL 60606
OWNER (Legal Name.and Business Address)
CITY OF OSHKOSH
215 Church Avenue
PO Box 1130
Oshkosh, Wisconsin 54903-1130
CITY OF OSHKOSH
Type of Organization
_Individual _Partnership
x Corporation
State of Incorporation
WI
Penal Sum of Bond
5% of Amount Bid
--------------
OBLIGATION
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 sum identified above if the Owner accepts the bid of this
Contractor within the time specified in the Bid documents or within such time 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 Owner's intent to make a claim upon this Bond.
The Surety hereby waives arty 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 faithful performance of the Contract and for the
prompt payment of labor, materials, and supplies furnished for the purpose thereof; or pays to the Owner the
difference between the amount specified 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.
Page 1 of 2
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,
postage prepaid; (iii) upon delivery by a commercial carrier that will certify the date and time of delivery; or (iv)
upon transmission if by facsimile, e-mail, or other form of electronic transmission. Notices shall be provided to the
Owner, Surety, and/or Contractor at their address as specified on this Bond or to a facsimile, e-mail or other
electronic address that has been provided in writing to the other party to be used for this purpose.
The laws of the State of Wisconsin shall govern the interpretation and construction of. this Bond. Winnebago
County shall be the venue for all disputes axising under this Bond. Any provision in this Bond that may conflict
with statutory or other legal requirement shall be deemed deleted herefrom and provisions conforming to the
statutory or other legal requirement shall be deemed incorporated herein.
NORTHEAST ASPHALT, INC. WESTEM SURETY COMPANY
Name of Principal/Contractor
Corporate Seal not required
/ ,/ pursuant to § 180.0120 3(o)
4TAlTake Brucker, Agent
Name of Surety
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(';o'ON. -A'_
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Title
Kelly Cody, Attorney in Fact
Page 2 of 2
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
IEnow All Men. By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized -and existing corporation
having its principal office in the City of Sioux Pails; and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make,
constitute and appoint
Kelly Cody, Roxanne Jensen, Marc Sacia, Individually of Green Bay, Wisconsin
Trudy A. Szalewski, Brian Krause, Individually of Milwaukee;, Wisconsin
its true and lawful Attorneys) -in -Fact with full power and authority hereby conferred to sign, seat and execute for and on its behalf bonds, undertakings and
other obligatory instruments of similar nature
In Unlimited Amounts -
and to bind it thereby as fully and to the same.extent as if such instruments were signed by duly authorized officer of the- corporation and all the acts of said
Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By -Law and Resolutions printed on. the reverse hereof, duly adopted,
as indicated; by the shareholders of the corporation.
In Witness Whereof; WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto
affixed on this 23rd day of May, 2023.
WESTERN SURETY COMPANY
Larry Kasten, Vicet'resident
State of South Dakota ss
County, ofMinnehaha
On this 23rd day of May, 2623, before me personally came Larry. Kasten, to me known, who, being by me duly sworn, did depose and say: that he
resides in the Citylof'Sioux Falls, State of South Dakota; that he is a Vice President of WESTERN SURETY COMPANY described in and which executed
the above "instrument; thathe knows the seal of said corporation,, that the seal affixedtothe said instrument is such corporate seal; thatitwas so affutcd pursuant
to authority given by the Board of Directors of said corporation and that he signed his name thereto: pursuanhto like authority, and acknowledges same to be
the act and deed of said corporation.
My commission expires M. BENT ,
i HOrAnr PUBLIC SFAL
l_ c SOUTH DAHOTA(R3.
March 2, 2026 ........ t
IvL Bent, Notary Public
CERTIFICATE
I, L. Nelson, Assistant Secretary of)AIESTERN SURETY COMPANY do hereby certify that the Power of Attorney here inabove set forth is still in force,
and further certify that the By -Law and Resolutions of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto
subscribed my name and affixed the seal of the said corporation this�j 11" day of 'rj'\et, , �
�?
&�;aEr ca WESTERN SURETY COMPANY
g'ti Q.QORq�\q
� ►'' SE'AA.��t
�"'ri,IwwY
L. Nelson, AssiStantSeeretary
Fonn F42804-2023
Go to °' : > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity.
Authorizing By -Laws and Resolutions
ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY
This Power of Attorney is made and executed pursuant to and. by authority of the following By -Law duly adopted by the shareholders
of the Company.
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other
officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may
The
appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company,
corporate seal is notneeessary forthe.validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation.
The signature of any such officer and the corporate seal may be printed by facsimile.
This Power of Attorney is signed by Larry Kasten, Vice President, who has been authorized pursuant to the above Bylaw to execute power
of attorneys on behalf of Western Surety Company.
This Power of Attorney May signed by digital signature and sealed by a digital or otherwise electronic-formattedcorporate seal under and
by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 27th
day of April, 2022:
"RESOLVED: That it is in the best interest of the Company to periodically ratify and confirm any corporate documents signed by digital
signatures and to ratify and confirm the use of a digital or otherwise electronic -formatted corporate seat, each to be considered the act
and deed of the Company,"
CERTIFICATE OF CORPORATE RESOLUTION
PART OF THE MINUTES OF MEETING OF DIRECTORS
RESOLVED, that Kurt Bechthold, Mark E. Filmanowicz, Brian Endres,
Brian Enders, Monica Elles, Andrew Schmidt, David L. Bechthold, Charles E.
Bechthold, Jon Leach, Taylor Tauer, Nicholas Ebert, Christopher Urech, Cecilia
McCormack, Bridget Kraus, Peter Kozak, Ric Szalewski, John C. Bartoszek,
Jon Wurzer, Steve Higgins, Jake Brucker, and Christopher J. Winiecki shall
have the authority to sign all contracts for and within the State of Wisconsin and
on behalf of Northeast Asphalt, Inc.
I, Mark E. Filmanowicz, do hereby certify that I am the duly elected and
qualified Secretary and the custodian of the records of Northeast Asphalt, Inc., a
corporation organized and existing under and by virtue of the laws of the State
of Wisconsin; that the foregoing is a true and correct copy of a certain resolution
duly adopted at a meeting of the Board of Directors of said corporation
convened and held in accordance with the law and the bylaws of said
corporation on the 19' day of March 2024, and that such resolution is now in
full force and effect.
IN WITNESS WHEREOF, I have signed my name this 15th day
of April 2024
Murk E. Filmano icz, Secretary
inc\crm\CorpResolution NEA WI,doc
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.
Name
Jake Brucker
Printed Name
Agent
Title
Northeast Asphalt
Company Name
4/15/2024
Date
1:\Enginvring\TracyTaylur\Public Works Contracts \Miscullarwous\oisclosureofOwnership iorm_2-1- Page of I
17.docx
City Hall, 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1130 hiip://www.ci.osf)kosti.wl.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 O Box
City
State
Zip Code
Business Name
Street Address or P O Box
City
State
Zip Code
Business Name
Street Address or P O Box 771City
State.
Zip Code
Business Name
Street Address or P O Box
City
State
Zip Code
I 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
N/A
Authorized Officer Signature
Date Signed
Corporation, Partnership or Sole Proprietorship Name
Street Address or P O Box
City
State
Zip Code
If you have any questions call (608) 266-6861
ERD-7777 (R. 01/2011)
CONTRACT24-14
ATTACHMENT A� { ,,j� ,)
E� ,
j"K .
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.
NAME OF SUBCONTRACTOR
Martell Construction, Inc.
Fox River Landscape
Meltz Industries
Storm Companies
PERCENT OF
CLASS OR ITEMS OF WORK CONTRACT AMOUNT
Concrete
8%
Landscape
2%
Sewer
18%
Traffic Control
1%
I hereby certify that the use of the name(s) of the above Subcontractor(s) was with the knowledge and
consent of the said Subcontractor(s).
Signature of Bidder J"13rudw,Ao t
Page 8 of 11 (Revised n2)
CONTRACT 24-14
PROPOSAL
The undersigned will begin work as specified after award of the Contract and complete as specified.
I hereby certify that all statements are made in behalf of
Northeast Asphalt
(Name of Corporation, Partnership, or Person Submitting Bid)
a corporation organized and existing under the laws of the State of Wisconsin
a Partnership consisting of or
an individual trading as : of
the City of ; State of
That 1 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 are true and correct.
Signature
Subscribed and sworn to before me this 1�" day of
• NOTAR
(P PLIBLtG ' 2
.A • y�
� _---
Notary Public, or o Or authorized to administer
My Commission Expires March 15, 2026
Agent
(Title, if any)
20 .
(Bidder should not add any conditions 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 Bid Bond in the amount of 5 % of the total amount of the Bid, as
called for in the Official Notice to Contractors.
Page 11 of 11 (Revised 42)