HomeMy WebLinkAboutPW CNT 04-07/Vinton Const
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CONSTRUCTION CONTRACT
THIS AGREEMENT, made on the 12th day of May, 2004, by and between the CITY
OF OSHKOSH, party of the first part, hereinafter referred to as CITY, and VINTON
CONSTRUCTION CORP., PO Box 1987, Manitowoc, WI 54221, party of the second part,
hereinafter referred to as the CONTRACTOR,
WITNESSETH:
That the City and the Contractor, for the consideration hereinafter named, agree
as follows:
ARTICLE I. SCOPE OF WORK
The Contractor hereby agrees to furnish all of the materials and all of the equipment
and labor necessary, and to perform all of the work shown on the plans and described in
the specifications for the project entitled or described as follows:
Public Works Contract No. 04-07
for utility work, pursuant to Resolution 04-151 adopted by the Common Council of the City
of Oshkosh on the 11th day of May, 2004,
all in accordance and in strict compliance with the Contractor's proposal and the other
contract documents referred to in ARTICLE V of this contract.
ARTICLE II. TIME OF COMPLETION
The work to be performed under this contract shall be commenced and the work
completed within the time limits specified in the General Conditions and/or Contractor's
proposal.
ARTICLE III.
PAYMENT
(a) The Contract Sum.
The City shall pay to the Contractor for the performance of the contract the sum of
$3,557,795.84, adjusted by any changes as provided in the General Conditions, or any
changes hereafter mutually agreed upon in writing by the parties hereto, provided,
however, in the event the proposal and contract documents are on a "Unit Price" basis, the
above mentioned figure is an estimated figure, and the City shall, in such cases, pay to
the Contractor for the performance of the contract the amounts determined for the total
number of each of the units of work as set forth in the Contractor's proposal; the number
of units therein contained is approximate only, and the final payment shall be made for the
actual number of units that are incorporated in or made necessary by the work covered
by the contract.
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IN WITNESS WHEREOF, the City of Oshkosh, Wisconsin, has caused this contract
to be sealed with its corporate seal and to be subscribed to by its City Manager and City
Clerk and countersigned by the Comptroller of said City, and the party of the second part
hereunto set its, his or their hand and seal the day and year first above written.
In the Presence of: CONTRACTOR
. ~~ VIN. TO. N CONSTRUCTION CORP.
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(Seál coT Contractor (Specify Title)
. ¡fa Ccfrpofation.) By: ~ ~~
y'u.JE P/R&s/p&,vr
(Specify Title)
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ity Att Y
ü
I hereby certify that the necess-
ary provisions have been made to
pay the liability which will accrue
under this contract.
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City Comptroller
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Bond No. TD 8608
Executed in Four Copies
WISCONSIN
OF
ARCHITECTS
SOCIETY
THE
INSTITUTE
ARCHITECTS
AMERICAN
OF
WIS. AlA DOCUMENT
JULY 1980 ED.
WIS. A312
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PUBLIC IMPROVEMENT
PERFORMANCE/LABOR AND MATERIAL
PAYMENT BOND
THIS BOND IS TO BE USED ON PUBLIC IMPROVEMENT CONTRACTS PURSUANT
TO SECTION 779.14 WISCONSIN STATUTES.
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KNOW ALL MEN BY THESE PRESENTS: that (He" I..." n=e and ad""" 0' legal <ide of tho Con""'o,,
tef",ed ,° in S",. 779.14 Wi""n,in Statu,.. as tbe prime ,on"a"o,)
Vinton Construction Company,.2705 North Rapids Road-P,O. Box 1987, Manitowoc, Wisconsin
54221-1987
as Principal, hereinafter called Principal, and, (H"e in"" 'he legal title ",d add".. of SU<Oty)
ST. PAUL FIRE AND MARINE INSURANCE COMPANY, 20800 Swenson Drive-Suite 300, Waukesha,
Wisconsin 53186-4057
duly authorized and licensed to do business in the State of Wisconsin, as Surety, hereinafter called Surety,
are held and finnly bound unto (N"", and ad""', '" legal title nf Own,,)
The City of Oshkosh, P.O. Box 1130, Oshkosh, Wisconsin
54903-1130
as Obligee, hereinafter called Owner, for the use and benefit of claimants as hereinafter provided in the
amount of Three Million Five Hundred Fifty-Seven Thousand Seven Hundred Ninety-Five
and 84/ 100s -----------------:----------------------------- Dollars ($ 3,557, 795 .)~4
(H", ,n,," a ,= a' I~t equal to the ,nnlne' onu)
for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, suc-
cessors and assigns, jointly and severally, firmly by these. pres<mts.
WHEREAS,
PrincipBl has by written agreement dated May 12 .200~ entered into a contract with Owner for
Public Works Contract No. 04-07 - 2004 Concrete Paving and Underground Work
f,f'i.~Êá'J¡aÆ~ fv~ffi. åfMn~ a<6âhJþ~~i:aii~;scpr.,~~¥ed by (He" ¡"", fun n""" tid. and add"..)
which contract is by reference made a part hereof and is required by Section 779.14, Wisconsin Statutes,
The said written agreement, drawings, specifications and amendments
are hereinafter referred to as the Contract.
PUBLIC IMPROVEMENT
PERFORMANCE/LABOR-MATERIAL BOND
WIS. AlA DOC. WIS. AJ12AUGUST. 1989ED.
Cop,. 1969 Wisoon,in Society of M,hile"s/ AlA
321 S. H""llton St.
Madisou, Wis. 53703
TWO PAGES
PAGE 1
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POWER OF ATTORNEY
Seaboard Surety Cnmpauy
SI. Paul Fire and Marine Iusurance Compauy
SI. Paul Guardian Insurance Company
SI. Paul Mercr..y In,urauor Company
United States Fidelity and Guaranty Cnmpany
Fidelity and Guaranty Insurance Compauy
Fidelity and Guaranty Insurance Underwriters, Iuc.
Pnwer nf Attorney Nn.
20471
CertifimleNo. 1984232
KNOW ALL MEN BY THESE PRESENTS: That Seaboard SUtety Company is a corporation duly o'ganized unde, tbe law, of tbe State of New Ymk, and tbat
St. Paul Fite and Marine Insmanor Company, St. Paul Guardian Insmanor Company and St. Paul Me"ury Insurance Company ate cotpotations duly otganized under
the laws of tbe State of Minnesota, and tbat United States Fidelity and Guaranty Company is a cotpotation duly organized unde< tbe laws of tbe State of Maryland, and
that Fidelity and Guaranty Insmanœ Company is a ootpotation duly mganized unde, tbe laws of the State of Iowa, and tbat Fidelity and Guaranty Insutanœ
Underwriters, Inc. is a cotporation duly organized unde< tbe laws of tbe State of Wi,consin (herein collectively called the" Companies"), and that the Companie, do
bereby make, oon,titute and appoint
Joseph L. Vigna, Elizabeth M. Fedyn, Dennis M. Barton and Charlene Bohhnan
Milwaukee
Wisconsin
of the City of . State . thei, true and lawful Attorney(s)-in-Fact.
eacb in thei, separate capacity if more than one is named above. to sign its name as surety to. and to execute, seal and acknowledge any and aJ! bonds. undertakings.
contra"s and other wrirten instruments in tbe natute tbereof on bebalf of tbe Companies in . business of guaranleeing the fidelity of petSons. guaranteeing the
perlonnanor of oontra"s and exeouting m guaranteeing bonds and undert . . actions 0' ptûceeding, allowed by law.
10th March
day of
2003
IN WITNESS WHEREOF, the Companies baye caused this ins
4
State of Maryland
City of Baltimote
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THOMAS E. HUIBREGTSE. A"¡"",, Seoretary
On this lOth day of March . ~ , befote me, the undetSigned officer. personally appeated Pete< W. Cannan and
Thomas E. Huibtegtse, wbo "knowledged themselyes to be the Vice Ptesident and Assistant Sectetary, tespe"ively, of Seaboard SUtety Company. St. Paul Fire and
Marine tnsmanœ Company, St. Paul Guardian Insuranor Company. St. Paul Mercury Insmance Company, United State, Fidelity and Guaranty Company, Fidelity and
Guaranty Insmanœ Company, and Fidelity and Guatanty Insmanor UnderwritetS, Inc.; and that the seais affixed to the fotegoing inSt<ument ate tbe ootpotate seals of
said Companies; and that tbey. as suob, being autborized so to do, exeouted the fotegoing instrument fo, the putposes thetein contained by signing the names of the
wtpmation, by ,hemselves ., duly authmized offioetS.
My Commission expites the 1st day of July, 2006.
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In Wilness Whereof, I beteunto set my band and offidal seal.
REBECCA EASLEY-ONOKALA. Notary Puhlio
86203 Rev. 7-2002 Printed in U.S.A.
Aon Corp
5(13/04 11:18
PAGE
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RightFAX
PRODUCER
AOn Risk services, Inc. of wisconsin
701 cherry street
P. O. Box 23004
Green Bay WI 54305-3004
PHONE. (920) 437-7123
INSURED
vinton construction company
2705 North Rapids Road
POBox 1987
Manitowoc WI 54220 USA
FAX. (920) 431-6345
COMPANY
A
zuri ch Ameri can Ins Co
COMPANY
B
Insurance company of the State of PA
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COMPANY
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTW1THSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANcE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH PQLlCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYrEOFrn&J1t,,"CE
rouc,"UMBER
LIMITS
PERSONAL &A!JV INJURY
EACH OCCURRENCE
S2,000,
S2,OOO,OO
$1,000,0
$1,000,
1100,00
$$,0
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CLAIMS MADE DOCCUR
OWNE"'S & CONTRACTOR'S PROT
GL09378J98-00
GENERAL LJABILrrv
01/01/04
01/01/05
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGe
FIRE oAMAGE(Anvone fiIBI
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$1,000,000 ~
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MED EXP (Any 000 penon)
A AUTOMOBILELIABIUTY
X ANYAUTO
BAP9378199-00
BUSINESS AUT<MOBILE
01/01/04
01/01/05
COMBINED SINGLE LIMIT
,ocL OWNED AUTOS
SCHEDULED AUTOS
X HlREOAUTOS
X NO"",,WNEOAUTOS
80DILY INJURY
(P"p,,"o,)
80DILY INJURY
(P" 000"001)
PROPERTY OAMAGE
GARAGE UABILI1Y
ANYAUTO
AUTO ONL.,. - EA ACCIDENT
OTHER THAN AUTO ONLY,
EACH ACCIOENT
OTHER THAN UM8RELLA FORM
4604-9998 01/01/04 01/01/05
UMBRELLA
WC9378200-00 01/01/04 01/01/05
WORKERS CQoIPENSAn<>c
AGGREGAT
EACH OCCURRENCE
S.OOO,OO
S5,OOO,OO
AGGREGATE
A WORKER"S COMPENSATION AND
EMPLOYERS'LIABIUTY
THE PROPRIETORI INCL
PARTNERSlEXECUTIVE
OFFICERSARE, EXCL
EL DISEASE.EA EMPLOYEE
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11F:"¡!.'I1ò'/!b~f"'l!!NIO¿g¡w~CIP"~'7L'Cì\'jf'é~hri!'A'V:rNG AND UNDERGROUND WORK, ADDITIONAL INSURED ON THE GENERAL LIABILITY, ?Æ
AUTO, AND UMBRELLA POLICIES THE CITY OF OSHKOSH, THE CITY OF OSHKOSH'S ELEcrED OR APPOINTED OFFICIALS, AND -.
EMPLOYEES AS RESPEcrs THE. PROJECT NAMED ABOVE PER BLANKET ADDITIONAL INSURED ENDORSEMENT. ~
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SHOULD ANY OF THE ABOVE DESCRI8ED POLICIES 8E CANCELLED 8EFORETHE
CITY OF OSHKOSH
CITY CLERK, CITY HALL
P.O. BOX 1130
OSHKOSH WI 54903-1130 USA
EXPIRATION DATE THEREOF, THE ISSUING COMPANY IMLL - MAIL
" OAYS WRITTEN NOTICE TO THE CERTIFICATE HCLDER NAMED TO THE LEFT,
.tJ:rr~W"E TO "", 0001l'<>I10"H""""0" "0 COLlC'TICI! OR ""'ILOY
AUTHORIZEOREPQESENTATIVE ~- =--~~-
Bond No. TD 8608
Executed in Four Copies
WISCONSIN
SOCIETY
ARCHITECTS
OF
THE
AMERICAN
ARCHITECTS
INSTITUTE
OF
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WIS. AlA DOCUMENT
JULY 1980 ED.
WIS. A312
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PUBLIC IMPROVEMENT
PERFORMANCE/LABOR AND MATERIAL
PAYMENT BOND
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THIS BOND IS TO BE USED ON PUBLIC IMPROVEMENT CONTRACTS PURSUANT
TO SECTION 779.14 WISCONSIN STATUTES.
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KNOW ALL MEN BY THESE PRESENTS: that (H", In.." name and add,= °' I'gal ,;", of the Cont""".
tefmed '° in s",. 779.14 Wiscon,ln S'a'utes as 'he prime wn"a"otl
Vinton Construction Company, 2705 North Rapids Road-P.O. Box 1987, Manitowoc, Wisconsin
54221-1987
as Principal, hereinafter called Principal, and, (Hm in~" 'ho legal ';do and add"" of S~ty)
ST. PAUL FIRE AND MARINE INSURANCE COMPANY, 20800 Swenson Drive-Suite 300, Waukesha,
Wisconsin 53186-4057
duly authorized and licensed to do business in the State of Wisconsin, as Surety, hereinafter called Surety,
are held and firmly bound unto (Name and addn., '" Iogal ,;tie of Own..)
The City of Oshkosh, P.O. Box 1130, Oshkosh, Wisconsin
54903-1130
as Obligee, hereinafter called Owner, for the use and benefit of claimants as. hereinafter provided in the
amount of Three Million Five Hundred Fifty-Seven Thousand Seven Hundred Ninety-Five
and 84/l00s -----------------.----------------------------- Dollars ($3,557,795.)~4
(Hm ...." a >om at 1=, eqnal '° the oonlne' pn«)
for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, suc-
cessors and assigns, jointly and severally, firmly by these presef\ts.
WHEREAS,
PrincipBl has by written agreement dated May 12 .200~ entered into a contract with Owner for
Public Works Contract No. 04-07 - 2004 Concrete Paving and Underground Work
f,f'i.~Êo%aÆ~ @£ åhVin~ a<6âh~~~!:aii~;,cp;::'~;::'d by (He" i..." fnll n=o, titi, and add,,",
which contract is by reference made a part hereof and is required by Section 779.14, Wisconsin Statutes,
The said written agreement, drawings, specifications and amendments
are hereinafter referred to as the Contract.
PUBLIC IMPROVEMENT
PERFORMANCE/LABOR-MATERIAL BOND
WIS. AlA DOc. WIS. AJI2AUGUST. 1989ED.
Cop,- 1969 Wi"on,in Sod", of Atohi"",; AlA
J2I S. Hamiltnn St.
Madi,on, Wi,. 53703
TWO PAGES
PAGE I
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NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION, as required by Section 779.14,
Wisconsin Statutes, is such that, if the' Principal shall faithfully perfonn the said contract and pay every
person entitled thereto for all the claims for labor perfonned and materials furnished under the Contract,
to be used or consumed in making the public improvement or perfonning the public work as provided in
the CÒntract, then this obligation shall be null and void; otherwise it shall remain in full force and effect,
subject, however, to the following conditions:
Principal and the Surety upon this bond for the
recovery of any damages he may have su.stained by
reason of the failure of the PrincipBl to comply with
the Contract or with the Contract between the Prin-
cipal and his subcontractors. If the amount realized
2) Not later than one year after the completion of on this bond is insufficient to satisfy all claims of
work under the Contract, any party in interest may the parties in full, it shall be distributed among the
maintain an action in his own name against the parties pro rata.
Terrorism Rider attached is included under this Bond.
I) No assignment, modification or change of the
Contract, or change in the work covered thereby, or
any extension of time for the completion of the Con-
tract shall release the sureties on the bond.
Signed and sealed this
13th
IN THE PRESENCE OF:
~~/~~
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Witn..
IN THE PRESENCE OF:
~~
. WI'n..
day of
May
, . 200~
VINTON CONSTRUCTION COMPANY
PriDcipol
~~~
11, /ES/ ~
ST. PAUL FIRE AND MARINE INSURANCE
N_m~c¿
Fedyn, Attorney-
(Seal)
COMPANY
APPROVED BY*
r;;Ø /R
/ Ownu
By,
TItle,
t? /"-Ý /1/ AW4'-,çøe
(Seal)
"This bond shall be approved in the case of the state by the sta,te official authorized to enter into such con-
tract, of a county by its district attorney, of a city by its mayor, of a village by its president, of a town by its
chainnan, of a school district by the director or president and of any other public board or body by the
presiding officer thereof.
PUBLIC IMPROVEMENT
PERFORMANCE / LABOR-MATERIAL BOND
WIS. AlA DOC. WIS. A312 AUGUST 19S9 ED.
TWO PAGES
PAGE 2
The Sf RIO I
POWER OF ATTORNEY
Seaboard Surety Compauy
St. Paul Fire and Marine Insurance Company
51. Paul Guantian Insnrance Company
St. Paul Mercury Insnrance Company
United State, Fidelity and Guaranty Company
Fidelity and Guaranty Insurance Cnmpany
Fidelity and Guaranty Insurance Underwriters, Inc.
Power of Altorney Nn.
20471
Certificate No. 1984230
KNOW ALL MEN BY THESE PRESENTS, Tbat Seaboatd Smety Company is a ootpo,ation duly o'ganized unde, tbe laws of the State of New York. and tbat
5,. Paul Fire and Marine Insmauoe Company, 51. Paul Guardian Insurauoe Company and 51. Paul Me"ury In,uranoe Company are ootpomtion, duly organized unde,
the laws oftbe State of Minnesota, and tbat United States Fidelity and GUatauty Company is a ootpotation duly organized unde, tbe laws of tbe State of Marylaud, and
that Fidelity and Guarauty Insmauoe Company is a cotpotation duly mganized unde, the laws of tbe State of Iowa, and tbat Fidelity and Guaranty Insmanoe
UndetWritetS. Ino. is a cotpotation duly mgauized unde, the laws of the Srate of Wisoonsin (herein collectively called the "Companies"), and that ,be Companies do
beteby make. oonstitute and appoint
Joseph L. Vigna, Elizabeth M. Fedyn, Dennis M. Barton and Charlene Bohlman
Milwaukee
Wisconsin
of the City of . State , tbei, true and lawful Attomey(s)-in-Fa",
eaob in thei, sepatate capaci,y if mote tban one is named above, to sign its name as smety to, and to exeoute, seal and "knowledge any and all bonds, undertakings,
oontt"ts and other w,itten instruments in the nalUte theteof on bebaIf of the ColJIPau;"s in t!J~ir business of guatauteeing the fidelity of petSons, guaranteeing tbe
perfo,,"anoe of contta"s and exeouting 0' guarauteeing bond, and unde . "tions m pmceedings allowed by law.
IN WITNESS WHEREOF. the Companies bave ,"used this ins
day of
March
2003
State of Marylaud
City of BaItimote
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THOMAS E. HUIBREGTSE, Assi,"'" Se""",
On this lOth day of March . 2003, befote me, the undetSigned offim, petSonally appeared Pete, W. Cannan and
Thomas E. Huibregtse, wbo admow1edged themselves to be the Vke Ptesident and Assistant Seotetary, tespe"ively, of Seaboard SUtety Company, 51. Paul Fite and
Marine Insuranoe Company, 51. Paul Guardiau Insmauce Company, 51. Paul Me"ury Insmauoe Company. United States Fidelity and GUatauty Company, Fidelity and
Guaranty Insmauoe Company, and Fidelity and Guaranty In,urance Unde,writetS, Ino.; and that the seaIs affixed to the fotegoing instrument are the cotpomte seaIs of
said Companies; and that they, as suob, being authotized so to do, exeou,ed the foregoing ins"ument fo, tbe putposes tbetein contained by signing tbe uames of tbe
ootpotations by themselves as duly autborized offioetS.
In WiIDess Whereof, I beteunto set my baud and offioiaI seal.
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My Commission expites tbe 1st day of July, 2006.
REBECCA EASLEY-ONOKALA, No'"" P,blio
86203 Rev. 7-2002 Prinled in U.S.A.
Aon Corp
5/13/04 11: 18
PAGE
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RightFAX
PRODUCER
Aon Risk services, Inc. of wisconsin
701 cherry Street
P, O. Box 23004
Green Bay WI 54305-3004
ATE(MM/DD/YY)
05 3 04
HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON "!HE CERTIFICATE
HOLDER. "!HIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
PHONE. (920) 437-7123
INSURED
Vinton construction company
2705 North Rapids Road
POBOX 1987
Manitowoc WI 54220 USA
FAX. (920) 431-6345
COMPANY
A
zuri ch Arneri can Ins Co
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COMPANY
B
Insurance company of the State of PA
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDmONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CI-"IMS.
TIUOFmSU1W<CE
POLICY"tJMÐER
X COMM,",CIAL GONERAL LIABILITY
CLAJMSMAOE DOCCUR
OWNER'S' COHTRACTDIrS PROT
GL0937BI9B-OO
GENERAL LIABILITY
01/01/04
01/01/05
A AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
BAP937BI99-00
BUSINESS AUT<><OBILE
01/01/04
01/01/05
SCHEDULED AUTOS
X HIREOAUTOS
X NDN-<>WNED AUTOS
4604-9998 01/01/04 01/01/05
UMBRELLA
WC9378200-00 01/01/04 01/01/05
WORKERS C<><PENSATI'"
OTHER THAN UMBRELLA PORM
A WORKER'S COMPENSATION ANO
EMPLOYERS'LIABIUTY
THE PROPRIETOR! INCL
PARTNERSlEXECUTIVE
OFFICERS ARE, EXCL
LIMITS
GENERAL AGGREGATE
PRODUCTS - COMPJOP AGG
PERSONALS_INJURY
EACH OCCURRENCE
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$2,000,000 :::
$2,000,000 ~
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$1,000,000 ~
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FIRE DAMAGE(Anv one fi19)
MEO EXP ,Any one ponnn)
$1.000,000
$1, 000,
5100,00
55,0
COMBINED SINGLELIMIT
BODILY INJURY
,P""""",,)
BODILY INJURY
(PO' 0"""01)
PROPERTY DAMAGE
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY,
EACHACCIOENT
AGGREGAT
CH OCCURRENCE
AGGREGATE
5,000,00
$5,000,00
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RF:"¡!J¡¡I>'iIb%"ÞÎwDe~p?N~t=ì\'IJ'~r'l!'ÃilING AND UNDERGROUND WORK, ADDITIONAL INSuRED ON THE GENERAL LIABILITY, ~
AUTO, AND UMBRELLA POLICES THE cITY OF OSHKOSH, THE CITY OF OSHKOSH'S ELECTED OR APPOINrED OFFICIALS, AND ~.
EMPLOYEES AS RESPECTS THE PROJECT NAMED ABOVE PER BLANKET ADDITIONAL INSURED ENDORSEMENT, Æ
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE
CITY OF OSHKOSH
~:r. ~Õ~R~i3ÕITY HALL
OSHKOSH WI 54903-1130 USA
EXPIRATION DATE THEREOP, THE ISSUING COMPANY WILL ~ MAIL
" DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMEO TO THE LEFT,
OUH~"'RE "'" IIAIL EYOW """'GO SH'IbL "'PCEE "0 gO""HID" OR LI,"IUN
1\UTH0RtZECREl'<'ESENTATIVE ~- a:::-_~""'"