HomeMy WebLinkAbout24-14 MCC IncBID BOND
Contract Number 24-14
Date Bond. Executed (Date of Contract or Later) 4/15/2024
PRINCIPAL/CONTRACTOR (Legal Name and Business Address)
MCC, INC.
2600 N. Roemer Rd.
Appleton, WI 54912-1137
SURETY(IFS) (Legal Name(q) and. Business Address(es))
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston, MA 02116
QWNBR (Legal Name and Business Address)
CITY OF OSHKOSH
215 Church Avenue
PO Box 1130
Oshkosh, Wisconsin 54903-1.130
OBLIGATION
.�.CITY OF OSHKOSH
Type of Organization
_ Individual _ Partnership
x Corporation
State of Incorporation
WI
Penal Sum of Bond
5% 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 sure 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 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 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, a -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 arising 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 shalt be deemed incorporated herein,
MCC, INC.
Name of Principal/Contractor
Title
. � ,eS1 �''`'•
LIBERTY MUTUAL INSURANCE COMPANY
Name of Surety
'Title ellY YC d> Y At me in Fact
Page 2 of 2
This Power of Attorney limits the acts of those named herein, and they have no authority to
bind the Company except in the manner and to the extent herein stated,
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
West American Insurance Company
SURETY
POWER OF ATTORNEY
Certificate No: $209723-354019
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is'a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana (herein collectively called the 'Companies), pursuant to and by authority herein set forth, does hereby name, oonstitute and appoint, Brian
Krauss Kelly Cody Marc Sacia Roxanne Jensen 'Trudy A. Szalewskf
all of the city of Milwaukee state of WI each individually if there be more than one named, its true and lawful attorney -in -fact to make,
execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF, this Power of Attomey has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 3rd day of April , 2023 .
Liberty Mutuai insurance Company
1Ns& vTY INS& N INS UR The Ohio Casualty Insurance Company
�J °004sT'!t ya �oarRZy �C, '100�+4r911 West American Insurance Company
1912 0 1919 s 1991
: ma /C<r
Y�V1�/BACHU6b yQ�yv��.� �A� By,
*
David M. Carey, Assistant Secretary
State of PENNSYLVANIA
County ofMONTGOMERY ss
On this 3rd day of April , 2023 before me personally appeared David M, Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance
Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes
} therein contained by signing on behalf of the corporations by himself as a duly authorized officer,
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year first above written.
Q�i�'y;oHy T�f Commonwealth of Pennsyhanla-NatarySosl
a tW <Y p Toress Pastella, Notary P00r. Q1 0P Nsion ex eres Marc
� My «rmrnrss sn expires Marcr, 2a, 2D25 By; Te!v
f0 q �a- Corm,issnn rwmbar 1128044
Ngp_VPa ICJ Mcemter, Pennsylvanla Acscciatton of Notnnes Teresa Pastaila, Notary Public
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual
•5 Insurance Company; and West American Insurance Company which resolutions are now in full force and effect reading as follows:
a? ARTICLE IV— OFFICERS: Section 12. Power of Attorney.
Any officer or other official of the Corporation authorized for that purpose In writing by the Chairman or the President, and subject to such limitation as the Chairman or the
v President may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall
t have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such
instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under the
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings,
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings,
bonds, recognizanom and other surety obligations. Such attomeys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the
Company by their signature and execution of any such Instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary,
Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys-fn-
fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety
obligations.
Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and
has not been revoked. JJ( y
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this L day of
Jpo°N'o$'P�1i72
1912 n o 1919 n 2 1991 0
�jlgsagCHVBe�.da� yQy �LO '!s By:
vkMAW' as Renee C. Llewellyn,Assistant
Secretary
LMS42873 LMIC OCIC WAIC Multi Co 02r21
O
pp
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04
3
t ,ity
Of
Oshkosh
To: ALL CONTRACTORS
FROM: ENGINEERING DIVISION OF
CITY OF OSHKOSI I DEPARTMENT OF PUBLIC WORKS
SUBJECT: DISCLOSURE OF OWNERSHIP FORM
Please review the attached Department of Workforce Development Disclosure c f Ownersliip form. If Item 3 on this
Disclosure of Ownership form applies to your company, you must complete the Disclosure of Ozonersliip 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 uny firm.
Name
Printed Name
ce ^ resiJen+
Title
MCC, Inc,
Company Name
A D r '1 115
Dat_I
i:\Engiiacring\'Crnac'I'nylorll'rblic WMksContnctv�Miaxtlancoia:�Diuloxun ofOwncrsh[pNorm 2d- Page I of I
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Ciiy Hall, 215 Church Avenue P.O. Box 1130 Oshkosh, w1 54903-1130 http://rvww,cl.oshkosh.wi.us
CONTRACT 24-14 a,
ATTACHMENT A
'�SIHKOIISH MA
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 perforated 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 Crl'Y.
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
{ �C b- nc
kf;r.bc t Inc,
Mq de I I constTu r)
4
LOr rn C
CLASS OR ITEMS OF WORK
_ fscci ir��
Llcar Inc, ad6bwq
liz- i c. Un+Y-01
PERCENT OF
CONTRACT AMOUNT
0,9o`l,
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),
t . Jt iot
Signature of Bidder
Page 8 of 11 (Devised Jig)
Wj
CONTRACT 24-14
PROPOSAL
Si WMICONSM
The tuldersig7led 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
MCC, Inc,.
(Name of Corporation, Partnership, or Person Submitting Rid)
a corporation organized and existing under the laws of the State of V i .sam')) n
a Partnership consisting of
an individual trading as
the City of State of
or
of
That f 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.
Signatu e
V i ct pres i devi+
(Title, if airy)
Subscribed and sworn to before ine this day of _ A f)Y 1 20 14
0,,1111N ,`
Notary public, or other authorized to administer
C'
(Bidder should not add any conditions or qualifying statementslif`osal 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 tc} % of the total amount of. the Rid, as
called for in the Official Notice to Contractors.
Page I of I 1 (Revised N2)