HomeMy WebLinkAbout24-20 The Hanover InsuranceRECEIVED
BID BOND
Contract Number 24-20
Date Bond Executed (Date of Contract or Later) June 17, 2024
PRINCIPAL/CONTRACTOR (Legal Name and Business Address)
HIGHWAY LANDSCAPERS, INC.
1650 E. Elm Drive
Little Chute, WI 54140
SURETY(IES) (Legal Name(s) and Business Address(es))
THE HANOVER INSURANCE COMPANY
440 Lincoln Street
Worcester, MA 01653
OWNER (Legal Name and Business Address)
CITY OF OSHKOSH
215 Church Avenue
PO Box 1130
Oshkosh, Wisconsin 54903-1130
OBLIGATION
JUN 17 2024
DEFT of PUBLIC WpS
CITY OF CJ�S ScoNS N
Type of Organization
_ Individual Partnership
X Corporation
State of Incorporation
Wisconsin
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 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 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, 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 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 shall be deemed incorporated herein.
HIGHWAY LANDSCAPERS, INC.
Name of Principal/Contractor
THE HANOVER INSURANCE COMPANY
Name of Surety
Title Roxanne Jensen, Attorney -in -Fact
Page 2 of 2
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWER OF ATTORNEY
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.
KNOW ALL PERSONS BY THESE PRESENTS:
That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations organized and existing under the
laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing under the laws of the State of
Michigan, (hereinafter Individually and collectively the "Company") does hereby constitute and appoint,
Roxanne Jensen, Kelly Cody, Brian Krause, Trudy A. Szalewski, and Marc Sacia
Of AON Risk Solutions of Milwaukee, WI each individually, if there be more than one named, as its true and lawful attorneys) -in -fact to sign, execute, seal,
acknowledge and deliver for, and on its behalf, and as Its act and deed any place within the United Stales, any and all surety bonds, recognizances, undertakings, or
other surety obligations. The execution of such surety bonds, recognizances, undertakings or surety obligations, in pursuance of these presents, shall be as binding
upon the Company as if they had been duly signed by the president and attested by the secretary ofthe Company, in their own proper persons. Provided however,
that this power of attorney limits the acts of those named herein; and they have no authority to bind the Company except in the manner stated and to the extent of
any limitation stated below:
Any such obligations in the United States, not to exceed Fifty Million and Nof100 ($60,000,000) in any single Instance
That this power is made and executed pursuant to the authority ofthe following Resolutions passed by the Board of Directors of said Company, and said Resolutions
remain in full force and effect:
RESOLVED: That the President or any Vice President, in conjunction with any Vice President, be and they hereby are authorized and empowered to
appoint Attorneys -in -fact of the Company, in its name and as it acts, to execute and acknowledge for and on its behalf as surety, any and all bonds,
recognizances, contracts of indemnity, waivers of citation and all otherwritings obligatory in the nature thereof, with powertoattach thereto the seal ofthe
Company. Any such writings so executed by such Attorneys -in -fact shall be binding upon the Company as if they had been duly executed and
acknowledged by the regularly elected officers of the Company In their own proper persons.
RESOLVED: That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto, granted and
executed by the President or Vice President in conjunction with any Vice President of the Company, shall be binding on the Company to the same extent
as if all signatures therein were manually affixed, even though one or more of any such signatures thereon may be facsimile. (Adopted October7, 1981 —
The Hanover Insurance Company; Adopted April 14,1982 —Massachusetts Bay Insurance Company; Adopted September7, 2001 — Citizens Insurance
Company of America and affirmed by each Company on March 24, 2014)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY
OF AMERICA have caused these presents to be sealed with their respective corporate seals, duly attested by two Vice Presidents, this 161h day of September,
2023
The Hanover Insurance Compaq
Massachusetts Bay Insurance Company
Citizens Insurance CemponyorAmerks
34%Y4 4 1
Jtp H. Kawieckl, Vice President
STATE OF CONNECTICUT )
COUNTY OF HARTFORD ) ss.
The Ilanovcr Ineuraocc Company
h chusetts Bay lnsarance Company
t as insu nce Company of Amerka
do, 4
Icon M, Mendoza, Vlco Prosldont
On this 161h day of September 2023 before me came the above named Executive Vice President and Vice President of The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company ofAmerica, to me personally known to be the individuals and officers described herein,
and acknowledged that the seals affixed to the preceding Instrument are the corporate seals of The Hanover Insurance Company, Massachusetts Bay Insurance
Company and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and
40scribed to said Instrumente uthori at d dtrectlop of said Corporations.
Wendy LatoumeS
ASK NOWY Public. %tedi►MrirmUcut y
Mira y Latou es, otofy ubfic
MY Ctrs SW EX*8Jui 31. 2025 My commii�si n ex Tres July 31, 2025
I, the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America,
hereby certify that the above and foregoing is a full, true and correct copy of the Original Power of Attorney Issued by said Companies, and do hereby further certify
that the said Powers of Attorney are still in force and effect.
GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, thist ?tkday of 2024
CERTIFIED COPY
The on a I%ursnee ompa
CC fs Bay Int ray
i n ura ce A
ohn Rowelder, Vice President
RECEIVED
JUN 17 2024
DEPT OF PUBLIC WORKS
OSHKOSH, WISCONSIN
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.
d .—
Name
� Gk W 114C.4-
Printed Name
-
T
Company Name
�aw< 17 2oty
Date
1:\F-ngineering\Tracy Taylor\ Public Works Contracts\Miscellaneous\ Disclosure of ownership Form-2-1- Pagel of I
17.docx
City Hall, 215 Church Avenue P.O. Box 1 130 Oshkosh, WI 54903-1 130 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
/U D NC..
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
City
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 knowled a and belief.
Print the Name of ut rized Officer
Author' d ice Signatu
Date Signed
J OA*,
Corp ion, Partnershi r So e Proprietorship Name
Ht,' hW AIL.
Street Address or P O Box
I
City
State
Zip Code
/ (*"
6. Elm Dr tll�
Lt L1w?a
wr
I SDI q o
If you have any questions call (608) 266-6861
ERD-7777 (R. 01/2011)
RECEIVED
CONTRACT 24-20 JUN 17 2024
ATTACHMENT A DEPT OF PUBLIC WORKS
OSHKOSH WISCONSFN
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
Ng4kc,trt APate t^9
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).
�2zud-
Signature of Bid r
Page 9 of 12
RECEIVED
CONTRACT 24-20
PROPOSAL
JuN 17 2024
I)EPT OF
OS11KOSI, 1 13�ONORKS
nv
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
rq/�way LandS� aP.crs ync.,
(Name of Corporation, Partnership, or Person Submitting Bid)
a corporation organized and existing under the laws of the State of W iSc b h ii rN
a Partnership consisting of ; or
an individual trading as ; of
the City of ; State 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 are true and correct.
PIAF,- Iit
A";i�2z .oL
(Title, if & )
Subscribed and sworn to before me this day of r�""111ILA P%'''��, 20�.
J.
; NpTAR y
.<
Notary Public, or other authorized to administer N PUBOG
% �A ' .' -0
(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 12 of 12