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HomeMy WebLinkAboutPTS Contractors, Inc BondsPAYMENT BOND lIl Contract Number 20-05 i L is WORKS Date Bond Executed (Date of Contract or Later) E�I�Iiir, 2 PRINCIPAL/CONTRACTOR (Legal Name and Business Address) PTS CONTRACTORS, INC. 4075 Eaton Road Green Bay, WI 54311 SURETY(IES) (Legal Name(s) and Business Address(es)) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston, MA 02116 OWNER (Legal Name and Business Address) CITY OF OSHKOSH 215 Church Avenue PO Box 1130 Oshkosh, Wisconsin 54903-1130 OBLIGATION CITY OF OSHKOSH Bond No. 354224324 Type of Organization _ Individual _ Partnersliip .�L Corporation State of Incorporation Wisconsin Penal Sum of Bond $11,561,617.97 The Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to the Owner to pay for labor, materials and equipment Turnished for use in the performance of the Contract identified above, which is incorporated herein by reference, subject to he following term d holds If the Contractor promptly makes payment of all sums due to claimants, and entity seekingindemnifies paymentafor labor, harmless the owner from all claims, demands, liens or suits by any person or materials or equipment furnished for use in the performance of the Contract, then the Surety and the Contractor shall have no obligation under this Bond. r the Contract for work performed or to If there is no Owner Default to pay the Contractor as require Surete ies) obligati n under this Bond shall arise perform or complete any material term of the Contract, then they( r suits against the after the Owner has promptly notified the Contractor and the Surety of claims, for labor, matens rials or equipment Owner or the Owner's property by any person or entity seeking payment furnished for use in the performance of the Contract and tendered defense of such claims, demands, liens or suits to the Contractor and the Surety. Amounts owed by the Owner to Contractor under the Contract shall be used for performance Owner accepting the the sfy to satisfy claims, if any, under any Performance Bond. B n the performance erformance of the Contract are dedicatedfunds forthe Bond, they agree that all funds earned by the Contractor obligations of the Contractor and Surety under this Bond, subject to the Owner's priority to use the completion of the work. claims as specified above, the Surety shall promptly and at Surety's expen Upon notice and tendering of se defend, nif and hold harmless the Owner against such claim, demand, lien or suit. e date of the claim, stating the indemnify y 60 days of th with a copy to Owner, within sixty ( ) Y or arrange for Surety shall answer claimants, amount that is disputed or pay amount that are disputed and the specific basis for challenging any Bond payment of any undisputed amount he Surety shall not be obligated to the owner, claimants or others for obligatio nttof any costsooru xp nses of any li ation to make payments to, or give notice on behalf of claimants, that are unrelated to the Contract. The Ownoeb shall not be liable fort e pay claimant under this Bond and shall have no S or otherwise have any obligation to claimants under this Bond. give (i) upon delivery to an officer or person ii two (2) business days following deposit in the United States°m( V) Notice to the Contractor or Surety shall edbor (' )med to have been g date and time of delivery; entitled to such notice, if hand deli (iii) upon delivery by a commercial carrier that will certify the rovi o the postage prepaid; r other form of electronic transmission. Notices shall be pemalep tother upon transmission if by facsimile, emailo o the other party to be used for this purpose. Surety and/or Contractor at their address t s specified on this Bon °T ° Owner, Y electronic address that has been provided in writing this Bond. all govern the interpretation and construction this Bona that mayconflict Anyprovision in The laws of the State of Wisconsin s g provisions conforming to the Count shall be the venue for all disputes arising ll be deemed deleted heref om and Y with statutory or other legal requirement shall statutory or other legal requirement shall be deemed incorporated herein. PTS Contractors, Inc. Name of Principal/Contractor ­4Title Marl. C. SChleis, President Libert Mutual Insurance Compan Name of Surety r Title Roxanne Jensen, Attorney -in -Fact 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. r %, Liberty Mutual Insurance Company Certificate No: 8201176-354019 _ The Ohio Casualty Insurance Company Mllfticll West American Insurance Company GtJi"t`f`( POKIER OF ATTORNEY ;Ualpshire, that KNOWN ALL PERSONS BY m anE sEacorporation N:dThat The uly organized under the lahio CWrwsiof the State ofrance nMassachuy is a setis, and West Americanoration duly a lInsurder ance Company sws of the tatcorporation de of New u y organized Liberty Mutual Insurance Company under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, I:cllY Cody. Christopher i lovden. Roxannc .Icnscn, Brian I.. Krausc.'I'rudy \. Sialeaski y-in-fact to make, ore ne all of the- city of C;rccn t3a�' state of Wisconsin act and deedcany aNnld all lundehrtakieie bgsmbondsa eeognizances and other dsu ey obligations, in pursuance execute, seal, acknowledge and deliver, for and on its behalf as surety and as its 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 Attorney has ibeen subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this I st day of _ MaY Liberty Mutual Insurance Company t INgQ \Nsu p The Ohio Casualty Insurance Company P� \ Po u�'4y JP�pRPORq� 9 OP�pRP0 1 West American Insurance Company cn J g o f N 1912 0 1919 Q 1991 N c V"A*US��a o yHA*Paa� �s�Mo*NR�aa By. :3 David M. Carey, Assistant Secretary .Q c c ro State of PENNSYLVANIA � v County of MONTGOMERY ss O °� 2019 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance M 1 this Ist dayof� Nia>' w 1 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 King of Prussia, Pennsylvania, on the day and year fist above written. o 0 Q� COMMONWEALTH OF PENNSYLVANIA O00 -a-y O-h" =" lereca t aslella, tvntary Puhiir, /� 13y: � E Qj O Upper Alen nhrP , xAontgomery County o a> 6qy Commission expires A7arch 2a, z°z' Teresa Pastelia, Notary Public O M C MRSemb2r. Penns��lvania Association of Notaries O N O 0 N oM (1)t,✓ 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 o This T p .>= Insurance Company, and West Am erian Insurance Company which resolutions are now in full force and effect reading as follows: E 0i ARTICLE IV - OFFICERS: Section 12. Power of Attorney. the e in om Any officer or other official of the Corporation authorized for that purpos e necessawriting act by in behalf of the e Chairman rCorporation to make, execute, seal, acknowledge ledge and deliver as surety > O -a > President may prescribe, shall appoint such attorneys -in -fact, as may b ry orney, shall N any and all undertakings, bonds, recognizantheirsid Wafer ture andyexec9iion of anyhsuchrinstruments andlt tto the attach limitations set the sealdofithe Corporation. Whenrs of so execcued, such to > have full power to bind the Corporation by 900 O instruments shall be as binding as if signed by the President and aft Chairman, ny the he President or by the officer oriofficerggrant ng such power ortauithoolattorney-in-fact ttorney in fact under the IZ provisions of this article may be revoked at any time by the Board, the o ARTICLE XID -0 to Execution of Contracts: Section 5. Surety Bonds and Undertakings. Any officer of the Company authorized for thatpurpose urpos sa writing ingt bn behalf fir a Compan or theny to ma, and subject seal, acknoto such wledge and delver as surety any anndnall undertakings, ~ T the shall appoint such attorneys -in -fact, as may b necessary bonds, ny by their signature and other and executions ofiany such instrumentsuch iand to subject tachttheretlo limitations seal of the Company. Whentiso exxecutedfsutchiinstruments shalll have ibeoas binding wer to idas f Company by their signature signed by the president and attested by the secretary. Certificate ofb necessary nrbehalf of the Company, acting make, execute, t to the seal, acknowledge and deliver ylaws of the Company, ashorizes surety anyDavid and allCarey, undertaki undertakings,Assistant rrecogn'iizances and theres attorneys -in - fact fact as may be necessary obligations. a Company's the Authorization - By unanimous coons a certified copy of any power oof f iattorney issued by the Companyrectors, the Company consents hn connection w th sat facsimile or u ety bondsprshall be vafd Land bind in upon the Comp nynt secretary fwith Company, wherever appearing up , the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Seretary,ch the foregoing is a full, io Vue anInsurdicorrct copy of the Power ce Company, Liberty lof Attorney executed by said Como n es, ival Insurance Company, and West ssin full force and effect and hereby certify that the original power Y has not been revoked. }-�, IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this day of r_c INgV \NSu � \NSU�, P�,'\V Q� RPOR Ryy �JA`oRPORgT�2n yJ opavoRq>�2 .�' 2�° grFo c� w 1 � �. Y�1912y0 1919 1991 By. Yd 1A'OIANP 9sSacHoe`�da yO �y HAMpS� �a �s ds Renee C. Llewellyn, Assistant Secretary RECEIVED PERFORMANCE BOND .6-°2.%l�rl9 it' Zj'.-j3..4 WE\41 Contract Number 20-05 C3Si-il<tJSii;J1 Ct.illi and Executed (Date of Contract or Later) March 30, 2020 Date f CIPALICONTRACTOR (Legal Name and Business Address) PRIN PTS CONTRACTORS, INC. 4075 Eaton Road 4311 Green Bays SURETY(IES) (Lega1 Name(s) and Business Address(es)) LIBERTY MUTUAL INSURANCE COMPANY 175 Berlc�eAy Street 02116 Boston, OWNER (Legal Name and Business Address) CITY OF OSHKOS14 215 Church Avenue PO Box 1130 isconsin 54903-1130 Oshkosh, W CITY OF OSHKOSH Bond No. 354224324 Type of Organization Individual Partnersliip x Corporation State of Incorporation Wisconsin Penal Sum of Bond $11,561,617.97 OBLIGATION admin� binuccessors d themselves, their heirs, executors, of he1Contract s identified jointly and severally, performance The Contractor and Surety, j Y ' ns to the Owner for payment of the sum shown above or the and assigns the initial construction and any warranty period required by above, which is incorporated herein by reference. This Bond shall cover any work performed during performedntract for work or to Contract. the Contractor as required undereoblogat on under this Bond shall arise If there is no owner Default toPay lete any material term of the Contract, then the Surety(ies perform or complete after: e Contractor and Surety that the Owner e cOwne es notice, ring e the the 5 business days of th 1, The Owner provides notice to the Contractor in default of the Contract. Within five () to take place at on a conference with the Owner to discuss such default and the C re uest Contractor or the Surety may q the conference shall be scheduled5 business days of remedy therefor. If a conference is requested,on location within five ( ) Owner's principal place of business or another agreed up Contractor and Surety agree, the Contractor may be allowed request for conference. If the Owner, ct but such agreement shall not waive the Owner's right, i the q perform the Contra a reasonable time to any, to subsequently declare the Contractor in default; de the terms of the Contract Y in default and notifies the Surety of the declaration of defau t; an 2, The Owner declares the Contractor d to perform the Contract. ith Owner agrees to pay the balance of the Contract price in accordance 3• The Own g from its to the Surety or to a qualified Contractor selected Failure of the Owner to comply with the no tice requirement specified above shall not release the Surety Surety shall promptl Upon notice from the Owner as and at Surety's expense take one of the obligations. provided above, the Y e Contract; following actions: to perform and complete th ith e Contract itself, through qualified agents or independent 1. Arrange for the Contractors co consent f the Owner, th 2. Undertake to perform an enter into a contractors; from qualified contractors acceptable to ract owner be toecured with performance and completion of the Con 3, Obtain bids or hgoOw e p fo °p is q es any amount in excess of the contract with t a to the Owner as damages g professional, performance and payment bonds, and top y additional legal, desi n p from any delay in the completion of the Contract; and ny the original contract amount for the completion of the Contract; any from any delay architect, or consultant fees resulting from within the Contract resulting applicable liquidated dam determined P completion of completion of the Contract, er, as soon as practicable after an amount is determined for 4, Make payment to the Own the reasons for such the Contract; or hole or in part and notify the Owner, citing with specificity 5. Deny liability in �^' denial. five notice to the Surety and the Surety Proceed with reasonable promptness, Owner may g business days after notice by the Owner demanding the Surety If the Surety does not p available to Owner upon under this Bond Owner shall be entitled to enforce any remedy shall be deemed In default on this Bond five (5) perform its obligations and default. o perform or complete the Contract itself under Paragraph 2 ety's election Except for default of the Surety e; m d to the amount of his Bond. o an officer or person above, Surety's liability shall b ivem (1) upon delivery t deposit in the united Statesmail, 2 business days following p (' ) been g ll e deerne Notice to the Contractor or Surety veredbor (ii) two ( )d to have certify the date and time of delivery; o the provided t entitled to such notice, p hand de i a commercial carrier that will ce Y email or other (III) upon delivery by l be postage prepaid; ail ox other form of electronic transmission. ransmiBsori� •oNotices facsilmile,p upon transmission if by facsimile, em ritin to the other party to be used for this purpose. Surety and�or Contractor at their address as specified on is Owner, S Y provided in w g Winnebago electronic address that has been p Provision in this Bond that may conflict govern the interpretation and construction of this on 1 in all arising under this Bond. Any p xovision conforming to the The laws a the he venue for al di p all g deemed deleted herefrom and p County shall be the v requirement shall be with statutory or other legal statutory or other legal requirement shall be deemed incorporated herein. conditions and agreements of the in the term if the original Contract and any extensions thereof The above obligat. ion is void if the Contractor performs and fulfills all the term , is waived for any modifications agreed upon by Owner and Contractor. Contract and any authorized modifications u Notice to the Surety PTS Contractors, Inc. Name of Principal/Contractor Schleis, President Title Mark C - Liberty Mutual Insurance Com an Name of Surety Title Roxanne Jensen, Attorney -in -Fact PTSCONT-01 DATE (MMIDDIYYYY) 41212020 gCORI79 CERTIFICATE OF LIABILITY INSURANCE END EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES OLDER. THIS THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION AM ONLY AND CONFERS NO RIGHTS UPON ISSUING ORDE INSURER( CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY BELOW. THIS CERTIFICATE F INSU T ECCERTTIF CERE DOES TIFICATE HOLDER. TUTE A CONTRACT BETWEENADDITIONAL INSURED provisions or be endorsed. REPRESENTATIVE OR PRO olic les must haverequire an endorsement. A statement on IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the p Y( ) If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may req °Onr"nE CT Courtney Stelter 920 725-3233 this certificate does not confer rights to the certificate holder in lieu of such endorsements . aJc, Net:( ) License IF 100197661 � PHONE 800 236A034 6620 �� PRODUCER ECE��/ED (AIL, No, Ext). -MA , courtneystelter mcclone.com The McClone Agency, Inc. ENAlca PO BOX 389 INSURERS AFFORDING COVERAGE 23434 Menasha, WI 54952 2 202� ApR IrIsuRERA:Middlesex Insurance Co tual Co 24988 PUBLIC WORDS INSURERB:Sent Insurance a Mu36940 INSURED PT OF CONSIN INsuRERc:lndian Harbor Ins Coan PTS Contractors Inc �0SHI{QSH � w IS INSURER Corn Eaton Road ER REE : Green Bay, WI 64311 INSUINSURR : AVERAGES CERTIFICATE NUMBER: SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, M OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS THIS IS TO CERTIF Y THAT THE POLICIES OF INSURAN ER LISTED BELOW HAVE BEEN ISSUED TOS HE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY POLICYDEFFC MM�DpYEXP LIMITS 1,000,1 EXCLUSIONS AND CONDITIONS OF SUCH ADDL SUBRLIMITS SH oY NUMBER _ EMM DD D BY PAID CLAIMS, u nrrl IRRENCE $ TYPE OF INSURANCE N U w° COMMERCIAL GENERAL LIABILITY A0083395005-3 CLAIMS -MADE F OCCUR X AGGREGATE LIMIT APPLIES PER: PRO- El LOC POLICY � JECT A AUTOMOBILE LIABILITY A0083395001-3 X ANY AUTO S4EDX OWNED A AIUTOSONLY N gURTOS ONLY AA X UMBRELLA LIAR X A0083396007-3EXCESS LIAB X ncn X RETENTION 7110'/2019 1 7/1012020 7/1012019 17/1012020 7110/2019 1 711012020 7110/2019 17/10/2020 IAUvao������ F i _ DISEASE NIA ASE - DESCRIPTION OF OI't w i lulu v re ale C PollutionlProfession X PEC004788503 7110/2019 711012020 gg Sidewalk, Driveway, and Utilities 1 Oregon Street Reconstruction written Contract 20-05 - Paving, and non-contributory if required by s agents, employees and authorized volunteers are additional insureds under the Commercial General DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 10'I, Additional Remarks Schedule, maybe attached •rf more space is required) Project: City policy language. Coverage provided is primary The City of Oshkosh and iYs officers, council members, 9 Liability, Auto Day Noticeioi Cancellat Capollution nability cellation applies. Umbrella per p Y rs Risk Policy No.: A0083339015 TTACHED ACORD 101 CITY OF OSHKOSH Attn: City Clerk 215 Church Avenue PO Box 1130 OSHKOSH, WI 54903-1130 THEE EXP RATIONHEDABTEV THEREOF, NOTICE WILL S BE C BE DELIVERED BEFOREELLED AOE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �r ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: PTSCONT-01 STELTCO LOC #: 1 Page 1 of 1 ACORDt ADDITIONAL REMARKS SCHEDULE `� License # 100197661 PNAMEDINSURED TS Contractors Inc AGENCY 4076 Eaton Road The McClone Agency, Inc. Green Bay, WI 54311 POLICY NUMBER 7 EE PAGE 1 NAIL CODE CARRIER SEE P 1 EFFECTIVE DATE: SEE PAGE 1 EE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCCE Dfica a of L ab�ORD SORMe FORM NUMBER: ACORD 25 FORM TITLE: Description of OperationslLocationsNehicles: Effective Dates. 416120 - 416121 Carrier: Middlesex Insurance Company Limit: $11,000,000 Railroad Protective Liability Policy No.: A0083395016 Insurance Carrier: Sentry Insurance, A Mutual Company Effective Dates: 416120 .416121 Policy Limit: $ 5,000,000 Per Occurrence I $10,000,000 Aggregate g Canadian National Railway is included as a named insured. © 2008 ACORD CORPORATION. All rights reserved. ACORD 101 (2008101) The ACORD name and logo are registered marks of ACORD 43 Sentry POLICY NUMBER: A0083396005 ADDITIONAL INSURED - SUPPLEMENTAL DECLARATIONS The following persons or organizations are included as Additional Insureds, but only to the extent provided in the listed endorsement: village of Menomonee Falls The person or organization indicated above is included as an additional insured under the following endorsernent(s): CG 20 37 10 01 Additional Insured - Owners, Lessees Or Contractors - Completed Operations Location and Description of Completed Operations: Scope: 1800 If - 8" water main, 2 services, valves & hydrants, 2,000 if - 8" sanitary sewer, 6" laterals & manholes, 770 If - 18" RCP storm sewer, inlets, manholes, Size: $600,000.00 Location: Coleman Start Date: Sept. 2017 End Date: Nov. 17, 20 CG 20 10 10 01 Additional Ensured - Owners, Lessees Or Contractors - Scheduled Person Or Organization Location of Covered Operations: Scope: 1800 If - 8" water main, 2" services, valves & hydrants, 2,000 If - 8" sanitary sewer, 6" laterals & manholes, 770 If - 18" RCP storm 1 sewer, inlets, manholes, Size: $600,000.00 Location: Coleman Start Date: Sept. 2017 End Date: Nov Job Description: itary sewer, 6" rals & Scope: 1800 If - 8" water main, 2"services, nl 'inlets, manholes, Sizeves & hydrants, : $600 000.00 (Location: Coleman Start manholes, 770 If - 18 RCP storm Date: Sept. 2017 End Date: Nov. 17, 20 IL 70 60 08 15 Notice Of Cancellation To Others Number of Days Notice 31 Any Additional Insured where required by written contract executed prior to a loss Endorsement CG 24 04 05 09, Waiver Of Transfer Of Rights Of Recovery Against Others To Us, applies to this additional insured. The person or organization indicated above is included as an additional insured under the following endorsement(s): CG 20 37 04 13 Additional Insured - Owners, Lessees Or Contractors - Completed Operations Page 1 of 5 CG 89 05 10 14 07/03/2019 A0083395 Middlesex Insurance Company 0021020044350920114954311934075 11 o0o19 0000002263 19195 0 N 992F5B0E•F99B-4A5G8B1T-f87D9DF919F8 POLICY NUMBER: A0083396005 Location and Description of Completed Operations: All Jobsites - Work Performed by Narned Insured CG 20 10 0413 Additional Insured - Owners, Lessees Or Contractors - Scheduled Person Or Organization Location of Covered Operations: All Jobsites - Work Performed by Named Insured Job Description: All Jobsites - Work Performed by Named Insured City of Brookfield Engineering Division The person or organization indicated above is included as an additional insured under the following endorsement(s): IL 70 60 08 15 Notice Of Cancellation To Others Number of Days Notice 30 City of Green Bay The person or organization indicated above is included as an additional insured under the following endorsement(s): 1L 70 60 08 15 Notice Of Cancellation To Others Number of Days Notice 30 City of New London The person or organization indicated above is included as an additional insured under the following endorsement(s): IL 70 60 08 15 Notice Of Cancellation To Others Number of Days Notice 30 City of Omro The person or organization indicated above is included as an additional insured under the following endorsement(s): IL 70 60 08 15 Notice Of Cancellation To Others Number of Days Notice 30 Page 2 of 6 CG 89 07032 19 A0083395 Middlesex Insurance Company RECEIVED MAR - 9 2020 BID BOND DOSHK� H BWLISCONS NS CITY OF OSHKOSH Contract Numbex 20�05 Date Bond Executed (Date of Contract: or Later) March 9, 2020 PRINCIPAL%CONTRACTOR (Legal Name and. Business Address) Type of Organization PTS CONTRACTORS, INC. 4075 Eaton Road Green Bay, W1. 54-311 SURETY(IES)'(Legal Name(s) and Business Address(es)) LIBERTY MUTUAL. INSURANCE COMPANY L75 Berkeley Street Boston, MA 02116 OWNER:(Legal Name and.Business Address) C= OF OSHKOSH 215. Church.Avenue. PO Box 1130 Oshkosh, Wisconsin 54903-1130 OBLIGATION Individudl _Partnership X Corporation State of hicorporatibit Wisconsin Penal Sum of Bond Five Percent.of Amount Bid (5%) The Contractor and Surety;. jointly and severally, bind .themselves, their heirs, executors, administrators, successors and assighs to the'Owner for :the amount of the penal sum identified above if the Ov\7ier 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 Contractwithin'.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. protnpt 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 amountfor which the Owner may -in good faith contractwith 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 (d) two (2) business days following deposit in the United States mail, postage prepaid; •(iu) upon delivery by a xominercial carrier that will certify the date and time of delivery; or (iv). upon transinission.if by facsimile,'email 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, .email or other electronicaddress that has beeri provided iriwriting to the other party to betised 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 statutoy or, other legal requirement shall be deemed deleted. herefiom and provisions conforming to the: statutory or other legal requirement. shall be deemed incorporated herein. .PTS' Contractors, Inc', Liberty Mptual Insurance Company Name of Principal/Contractor Name of Surety Title Mark C. Schleis, President Title Roxannejensen;Attorney-in-Fact Ui a) C: c ry lac ;v o: 0� o:m ro > .-o O 41. L !U 0 O c .� N E This Rower 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, iberty. Liberty Mutual Insurance Company .���€.��.ual The-Ohfo Casualty Insurance Company Certificate No:8201176 354019 -------- SURETY WestAmerican Insurarice.Cornpany POWER OF ATTORNEY KNOWN ALL, PERSONS BY THESE. PRESENTS: That The Ohio Casualty Insurance Company ts'a-corporation drily organized under the laws of be Stale of New Hampshire, that Liberty Mutuat.lnsurance Cornoanyis 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 Slate of tndiana (herein collectively called the "Compan1es')i pursuant to and by authority herein set forth, does hereby name,,conslilute and *appoint, Kelly Cody, Christopher f foWlen, R6mul a Ainscn; Brian L. Kradse; Trtidy & Szalewski all of the city of. Gncn Bay state of Wismisin each individually if there. be more than one, named, its We and lawfulallorney-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 bythe'presidenl and attested' by the secretary of the Companies in their own prop persons, IN WITNESS'WHEREOF, this Power of Attorney has been subscribed by an authorized tifficer•orbIficial ofthe Companies and the corporate seals of the Companies have been afrNed thereto this 1s( ,day of May 2019 , Liberty. Mutual Insurance Company 4 tNSUR ,-tY INs& ANSU,p4 The -Ohio Casually Insurance Company `JPooRP°Rq �%p g`�P� aPORvey emu?°RPO7qrFy� West -American Insurance Company z 1912 0 0 1919. o 1991 , o d� ,'rACHUSF' -dD D HAkiPs� aaS� '!s �H°IANP da :By:� David M, Carey,.Assistani Secretary mty of MONTWMERY ss this Ixt day -of May 2019 before me personally appeared David.M, Carey, who acknowledged.himsejf to be the Assistant Secretary of Liberty Mutual Insurance npany, The:Ohio Ca'suafly .C.ompany, an8 WestAmerican Insurance Company; and that, he; as such, being authorized so to do, execute -the foregoing instrument forthe,purposes e(n contained by signing ombehalf of;the corporations by himself as a duly authorized officer. WITNESS WHEREOF, (have hereunto subscribed,my name and affixed my notarial sealat King of Prussia, Pennsyiv..ania,.on.lhe day and year first above -written; COMMONWEALTH or PENNSYLVANIA Noi ^ Teresa Pastella, N°lary Public ! I ! Upper IrlerionTv!p., Montgomery Gounly $y: 1 kiy commission Expiresl iar°h 28;znzi ' eresa Pastella, Notary. Public Member. PennwivaniaAa miallon of Wlarfos V- 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 Z Insurance Company, and West•Amed6an Insurance Company which resolutions are now In full force and effect reading as follows: o. amci ARTICLE IV -OFFICERS: Section 12: Powefof Attorney. Any officeror 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 ) President may -prescribe, shall appoint such allomeys-in-facl, as may be necessary to act in behalf of the Corporation to'make, execute, seal, acknowledge and deliver as.surety > o any and all undertakings, bonds, recognizances and other surely.obligatons. Such attomeys-in4acl, subject to the limitations set forth in their respective powers of attorney, shall a) N have full power to bind the Corporation by their signature and execution of any "such instruments and, to attach therelo'the seal of the. Corporation. When so. executed, such " cO 9 9 Y Y ry• Any tyg Y P y EN instruments shall be as binding as its( ned. b the.Presidenf andattested to h the Secrets An power or aulhori ranted to -any re resenlatve or aitome -in-fact under the 00 provisions of thiarticle may be revoked stony time ;e by.the Boardthe Chairman; .the President or by the officer or officers granting such power or authority, o 0 s. ARTICLE Xlil — Execution of Contracts: Section 5. Surety Bonds and Undertakings. o to Any officer of the Company aulhorized,for that purpose fin writing by the chairman or the president, and subject to -such limitations as the chairman or the president may prescribe, H snail appoint such atlomeps-in-fadt; as may be necessaryio actin behalf of the Company to make, execute, seal, acknowledge' and deliver surely'any and all undertakings,. bonds, recognizances:and. other surety obligatons; Such at(omeys-in-fact-subject to the limitations set forth in their respective powers of allomRy, 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 ofthe Company, acting pursuant to the Bylaws of the Company, authorizes David M; Carey, Assistant Secretary to appoint -such attorneys -in- -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, recdgnizances. and other -surely obligations, Authorization — By.unanimous consent:ofthe Company's board of Directors, the Company consents that facsimile or mechanicallyreproduced signalureof any assistant secretary of the Company, wherever appearing upon a certffed 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 some force and effect as #hough manually affixed, 1, 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'infuft force and effect•and has notbeen'revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the:seals of said Companies this( 4�k) P� INsUR �SY INS& \NSIJ �J coRv.°Raroy� Q p°�RPoa�'�yo . ` e�aro�rRy�n -LU r�1912.y.o a�1919�c Q 1991 0 rd Ts e� 3 9 ryAMrs? L Y rND1ANP b BY: �g 4CHU5 �•dD _ 0� . ,a s a3 y • Renee.C. Llewellyn,. Assistant Secretary 9. BID SUBMITTAL 9. t, This Bid submitted by: If Bidder is: An Individual Name (typed or printed) By (signature): Doing business as.: — RECEIVED MAR - 9 2020 DEPT OF PUBLIC WoaKS OSHKOSH, WISCONSIN A'PartnEft Partnership Name:*(SEAL) By: (Signature of general partner — attach evidence of authority to sign) Name (typed or printed): A Corporation Corporation Naive: PTS- Contractorsi Inc. (SEAL) State ofl�icorporation: Wisconsin Type (General Business., Professional, Service, Limited Liability)-. General Business By; aet4-- r'K-'4f --f' A� - (Signature — attach evidence of authority to sign) Name (typed or printed): Mark *C.Schleis Title,. President.2* (CORPORATE SEAL) Attest: (7-- (Signature ofCorporate Secretarv) Date of Qualification to do business is: 9120/1972 PW\DEN003\.CIX37700 BID FORM MARCH 4,2020 00 4111 - 21 ©COPYRIGHT 2020 JACOBS A ,point Venture Joint. Venturer Name: (SEAL) (Signature of joint venture partner— attach evidence of authority to sign) .Name (typed or printed): Title: (Each. joint venturer must sign. The manner of signing for each individual, partnership, and corporation that is a party to the joint venture should be in the mariner indicated above.) Bidder's Business Address: 4075 Eaton Road Green Rav, WL 54 .11 Phone No, 920-468-5217 FAX No.: 920-468-4087 BID SUBMITTED on. March 9 „ 20_20_ Wisconsin Contractor's License No.: 224743 Contractor's License Class (where applicable): 10.. SUPPLEMENT'S A. The supplements listed below, following "End of Section', are part of this specification. 1. List of Proposed Subcontractors. 2. Disclosure of Ownership. 3. Certification of .Receipt of Soil and Ground Water Management Plan. END OF SECTION BID FORM' PWIDEN0.031C.1.X37700 00 4113 - 22 MARCH 4, 2.020 ©COPYRIGHT M20 JACOBS