HomeMy WebLinkAbout24-20 Donald Hietpas & SonsTHE AMERICAN INSTITUTE OF ARCHITECTS r�zcE,vRo
jUN 17 2024
0NKOAPUBLIC W
OSH, """NO
INK
S
AIA Document A310
Bid Bond Bond No.: 470595
KNOW ALL MEN BY THESE PRESENTS, that We Donald Hietpas & Sons, Inc
PO Box 166, Little Chute, WI 54I40
as Principal, hereinafter call the Principal, and Merchants Bonding Company (Mutual)
P.O. Box 14498, Des Moines, Iowa 50306-3498
a corporation duly organized under the laws of the State of Iowa
as Surety, hereinafter called the Surety, are held and firmly bound untc City of Oshkosh
215 Church Ave, Oshkosh WI 54901
as Obligee, hereinafter called the Obligee, in the sum of Five Percent cf Bid Amount
Dollars ($ 5 % ),
for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind
ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these
presents.
WHEREAS, the Principal has submitted a bid for Contract 20-24
NOW THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with
the Obligee in accordance with the terms of such bid, and give such bond o- bonds as may be specified in the b dding
or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt
payment of labor and materials furnished in the prosecution thereof, or in the event of the failure of the Principal to enter
such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the
penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith
contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise
to remain in full force and effect.
Signed and sealed this 14th day of June 2024 X'�`��(PAS ` SO��
/f Donald I-Iietpas & Sons, Inc
00 REAL
(T'do
(JllC• ..
Michael L Tieet Attorney-m-lFact
AIA DOCUMENT A310 •BID BOND-AIA®O FEBRUARY 197C ED.•THE AMERICAN
INSTITUTE OF ARCHITECTS, 1735 N.Y. AVE., N.W., WASH NGTON D.C. 20006
MERCHANBond P: 470595
T
BONDING COMPANY,.
POWER OF ATTORNEY
Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONCiNG, INC.,
both being corporations of the State of Iowa, d/b/a Merchants National Indemnity Company (in California only) (herein collectively called the
"Companies") do hereby make, constitute and appoint, individually,
Michael L Tiedt
their true and lawful Attorney(s)-in-Fact, to sign Its name as surety(ies) and to execute, seal and acknowledge any anc all bonds, urdertakings,
contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of
persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted In any actions
or proceedings allowed by law.
This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board
of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Boarc of Directors of
Merchants National Bonding, Inc., on October 16, 2015.
"The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or ary Vice President shal have power and
authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Ccmpany thereto,
bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof "
"The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney
or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other -uretyship obligat.ons of the
Company, and such signature and seal when so used shall have the same force and effect as though manually fixed."
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut nority hereby given to the
Attorney -in -Fact includes any and all consents for the release of retained percentages andlor final estimates on eng neering and construction
contracts required by the State of Florida Department of Transportation. It is fully understood that consent!N to the State of Florda Department
of Transportation making payment of the final estimate to the Contractor and/or Its assignee, shall not reieve this surety company of any of
its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given
to the Attorney -In -Fact cannot be modified or revoked unless prior written personal notice of such intent has been giver to the Ccmrrissioner-
Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocatior.
In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 14th day of Jure 2024 .
`P00N,44.,��' .'• 1l1G C MERCHANTS BONDING COMPANY;MUTUAL)
O....... MERCHANTS NATIONAL BONDING, INC,
�.• e .. A .
r �C-j ,�0'(�pafT,4�, 02 � � �4. OKPOR,�.,9y � dlb/a MERCHANTS NATIONAL INDEMNITY COMPANY
v M 2003 10 : y� 1933 'e:
d. .r,,. B
STATE OF IOWA •r••`r""'• •' •"' •• President
COUNTY OF DALLAS ss.
On this 14th day of June 2024 , before me appeared Larry Taylor, to me personally known, who being by -ne duly sworn
did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; a-ld teat the
seals affixed to the foregoing Instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf
of the Companies by authority of their respective Boards of Directors.
'QpSt;A(S Penni Miller
z Commission Number 787952
• • My Commission Expires
IOWP January 20, 2027 otary Pcyh/ic i
(Expiration of notary's commission
does not Invalidate this Instrument)
I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby
certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by saic Companies, which Is still In full
force and effect and has not been amended or revoked.
In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 14th day of June 2024 .
+,ruunr,r ••• •••
x ' 2003 ; `� y 1933 secretary
POA 00 18 (1/24) •••`•.#.... sow •'••...••�
RECEMD
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.
S+UAJ-
Printed Name
rV�j
c=
Title
Company Name '
&LI z4aaa,
Date 01
h\ [nginceringWracy Taylor\ Public Works Contracts\Miscellaneous\ Disclosure or Ownership Form-24- Page I of 1
17.docx
City Hall, 215 Church Avenue P.O. Box 1 130 Oshkosh, WI 54903-1 130 http://www.ci.oshkosh.wi.us
RECEIVED
CONTRACT 24-20 JUN 17 2024
ATTACHMENT A
DEPT OF PUBLIC WopKS
LIST OF PROPOSED SUBCONTRACTORS OSHKOSH, WISCONSIN
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 wdl 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 he 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
�r�'�ara� �-a.Mdeseo�g�.er
A O�KCov�cro� :-nC,
lVea, /-6. ea t - -
Z0
Z e*o
370
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
Page 9 of 12
RECEIVED
CONTRACT 24-20 JUN 17 2024
PROPOSAL
DEPT OF PUBLIC WORKS
The undersigned will begin work as specified after award of the Contract and
I hereby certify that all statements are made in behalf of
(Name of Corporation,
or Person Submitting Bid)
i
a corporation organized and existing under the laws of the State of 60G C'-0M 5/ ihj
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 foil authority to make such
statements and submit this Proposal in (its) (their) behalf, and that said statements are true and correct.
(Title. if any)
Subscribed and sworn to before me this 7�. dwer11"" " ----------- 2013), V
oTAIQ
r
Notary Public, or other authorized to administer c
'OUB
0
OF�G?�,�`,
(Bidder should not add any conditions or qualifying stafLttlLli' to this Proposa.' as other --vise the Proposal
may be declared irregular as not being responsive to the Advertisement.)
Accompanying this Proposal is a Bid Bond in the amount of 6 % of the total amour.: of the Bid, as
called for in the Official Notice to Contractors.
Page 12 of 12