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AGREEMENT
WHEREAS, the City of Oshkosh has granted to the undersigned a privilege to piace an obstruction
within the street right-of-way as foiiows:
Placing communication conduit and fiber optic lines within the right-of-way of
W. Irving Avenue and Elmwood Avenue, adjacent to 717 W. Irving Avenue, Oshkosh, WI
WHEREAS, State law provides that by its acceptance of this privilege the undersigned shaii become
primarily responsible for damages to person or property by reason of the granting of the privilege;
NOW, THEREFORE, in consideration of the City of Oshkosh, a Municipal Corporation granting
permission to the undersigned to place an obstruction within the street right-of-way, the undersigned agrees
that he/shelit is solely responsible for his/her/its activities under this agreement. The undersigned hereby
releases the City of Oshkosh from aii debt, ciaims, demands, damages, actions and causes of action
whatsoever which may result from the placement of an obstruction in the street right-of-way by the
undersigned. Further, the undersigned agrees to protect and hoid the City of Oshkosh harmless against aii
actions, claims and demands of any kind or character whatsoever which may in any way be caused by the
activities under this privilege by the undersigned or agents. or empioyees. Further, the undersigned agrees
to indemnify and refund to the City aii such sums which the City may be obligated or adjudged to pay,
including the City's attorney fees and costs, on such actions, claims or demands within 30 days after written
request for such indemnification. The undersigned agrees that this paragraph is to be liberaiiy construed in
favor of the City of Oshkosh, in consideration of the privilege granted by the City under this agreement.
This agreement and the privilege cannot be assigned without the written consent of the City of Oshkosh. The
privilege is subject to aii terms and conditions contained in any authorizing resolution adopted by the City of
Oshkosh Common Council, which is incorporated by reference as if fuiiy recited within this document. By
executing this agreement and by using the privilege, the undersigned agrees to fuiiy abide by such terms and
conditions, including revocation upon written notice for noncompliance with the authorizing resolution and this
agreement.
Dated thiS~ day of L--, 2004.
UNIVERSITY OF WIS~OSH FOUNDATION
STATE OF WISCONSIN)
WINNEBAGO COUNTY )
) SS.
Pe~so~lally came before me this $.<;!¡ day of --k I1tM')I , 2004, the above-named Thomas
Keefe, President tö me known to be the person and officer who executed the foregoing document on behalf
of sai:)-UN'I~ÈR~T'to..~ WISCONSIN OSHKOSH F1!,=ON ~~~)wledged the same.
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Notary Public, /Ù/I1h",M44 Co., Wisconsin
My Commission: ¿"'I'll"":, /",;;,.~¡';>.¿"".v
Attachment:
Resol. #04-14 and attachments dated 1/27/04 of the Oshkosh Common Council
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DIOCESE OF GREEN BAYITJWO INTERCONNECT
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JANUARY 27,2004
04-14
RESOLUTION
(CARRIED
LOST
LAID OVER
WITHDRAWN
7-0
PURPOSE:
GRANT PRIVILEGE IN STREET / W. IRVING AVENUE &
ELMWOOD AVENUE, ADJACENT TO 717 W, IRVING AVENUE
INITIATED BY:
GABE'S CONSTRUCTION & UW-OSHKOSH, PETITIONERS;
DIOCESE OF GREEN BAY, OWNER
PLAN COMMISSION RECOMMENDATION: Approved w/conditions
WHEREAS, Gabe's Construction has requested the Common Council to grant
them the privilege of placing communication conduit and fiber optic lines within the right-
of-way of W. Irving Avenue. and Elmwood Avenue, adjacent to 717 W. Irving Avenue;
and
WHEREAS, Section 66.0425, Wis. Stats., provides for the granting of a privilege
in a right-of-way; and
WHEREAS, the Plan Commission has approved of this request with conditions.
NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of
Oshkosh that the proper City officials are hereby authorized and directed to grant
Gabe's Construction privilege of placing communication conduit and fiber optic lines
within the right-of-way of W. Irving Avenue and Elmwood Avenue, adjacent to 717 W.
Irving Avenue, per the attached, contingent upon the following:
1 )
2)
The conduit and line be installed in a manner that is approved by the Dept. of Public
Works.
If no longer needed, the conduit and line be properly abandoned and removed in
accordance with City standards and under the direction of the Dept. of Public Works.
Any problem which may arise as a result of the conduit and line, or the placement of the
conduit and line, be the responsibility of the petitioner/owner to correct in coordination
with the Dept. of Public Works.
All appropriate permits be obtained prior to the start of boring or excavation work.
The conduit and line be modified or removed immediately upon the request of the City.
The petitioner/owner secures and submits to the City Clerk a separate insurance policy
which names the City as an additional insured with a minimum coverage of $200,000 per
person and $500,000 in general aggregate.
It is the responsibility of the petitioner/owner to file in a timely manner a new insurance
certificate with the City Clerk upon expiration of an existing certificate. Failure to do so
will result in the revocation of the privilege in street upon 10 days notice.
The petitioner/owner execute a hold harmless agreement with the City.
3)
4)
5)
6)
7)
8)
ACORD. CERTIFICATE OF LIABILITY INSURANCE CSR LD I DATE IMMIDOIYYYYI
UNIVE-2 02/02/04
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
McClone Agency, Inc-Oshkosh ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
505 North Westfield Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 2743 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Oshkosh WI 54903
Phone: 920-233-4000 Fax:920-233-2728 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A' Cincinnati Insurance Compan
INSURER B'
University of Wisconsin- INSURERC,
% Foundat1on Office
g~~k~~goW~ ~i9g1 INSURER D,
INSURER E'
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEcnOWHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECnO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
LTR NSR TYPE OF INSURANCE POLICY NUMBER ';,'iW¡.:'~rJ',j'~' P~kfl,~~~ LIMITS
~NERAL LIABILITY EACH OCCURRENCE , 1000000
A ~ ÔMERCIAL GENERAL LIABILITY CPP0742719 04/21/03 04/21/04 I ~~~~~~~YE~~~::;~ocel , 100000
c- CLAIMS MADE ŒJ OCCUR MED EXP (Aoy ooe pe1Sool '5000
Ix Hired & Nonowned PERSONAL & ADV INJURY $ 1000000
GENERALAGGREGATE ,2000000
ñ'L AGG~EñE ;~~~ APñS PER PRODUCTS. COMPIOP AGG 82000000
POLICY JECT LOC
~UTOMOBILE LIABILITY COMBINEO SINGLE LIMIT ,
ANY AUTO (E, ",,;deoll
e-
e- ALL OWNED AUTOS BODILY INJURY
,
SCHEDULED AUTOS IPe'pe1Soo)
-
- MIRED AUTOS BODILY INJURY $
I NON.OWNED AUTOS (Pe, ""ldeot)
-
I PROPERTY DAMAGE "
(Pe, ,,"deot)
~~GE LIABILITY AUTO ONLY. EA ACCIDENT S
ANY AUTO Zii~õ'ò~~~~ EAACC 8
AGG ,
:=J~SSJUMBRELLA LIABILITY 1£ II; If: ~ \W ~ I4CH OCCURRENCE ,
OCCUR D CLAIMS MADE [ GGREGATE '
$
==1 ~EDUCTIBLE FEB 0 ~ 2004 $
RETENTION , S
WORKERS COMPENSATION AND I CITY CLERf ,TTORYLIMITS I luE~-
I EMPLOYERS' LIABILITY elL. EACH ACCIDENT $
ANY PROPRIETOR/PARTNERIEXECUTIVE 'S OFFICE
OFFICER/MEMBER EXCLUDED? E L. DISEASE. EA EMPLOYEE $
Ify"" de,,"be ""eo E,L. DISEASE.POLICYLlMIT,'
SPECIAL PROVISIONS below
OTMER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
City of Oshkosh is listed as an additional insured RE: Project at 717 W.
Irving St. Oshkosh, Wisconsin 54901
CERTIFICATE HOLDER
CANCELLATION
OSHKOSl
SMOULe ANY OF TME ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
CITY OF OSHKOSH
City Attorney
P.O. BOX 1130
OSHKOSH WI 54902-1130
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TME INSURER. ITS AGENTS OR
REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE
John Holdorf
ACORD 25 (2001/08)