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RECEIVED
'JUL Z 2024
Contract Number 24-10 DEPT OF PUBLIC WORKS
OSHKOSH, W►SCONSIN
Date Bond Executed (Date of Contract or Later) July 1, 2024
PRINCIPAL/CONTRACTOR (Legal Name and Business Address)
Vinton Construction Company
1322 33rd Street
Two Rivers, WI 54241
SURETY(IES) (Legal Name(s) and Business Address(es))
Travelers Casually and Surety Company of America
One Tower Square
Hartford, CT 06183
OWNER (Legal Name and Business Address)
CITY OF OSHKOSH
215 Church Avenue
PO Box 1130
Oshkosh, Wisconsin 54903-1130
OBLIGATION
CITY OF OSHKOSH
Type of Organization
Individual _ Parhtersltip
-L Corporation
State of hicorporatiott
Wisconsin
Penal Sum of Bond
Five Percent of the Amount Bid (5%)
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 un 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 un 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 commercialcarrier 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 thus pui pose.
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.
Vinton Construction Company
Name of Principal/Contractqa��`"`"""'t""''n,,
Gr �Rp p RqT
F,
Lin c o , , >
Title Richard P. Lamers /M10- sjde r
Travelers Casualty and Surety Company of America
Name of Surety
Title Kathryn A. Weidner, Attorney -In -Fact
Page 2 of 2
Travelers Casualty and Surety Company of America
TRAVELERSAdlikk � Travelers Casualty and Surety Company
St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St.
Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the
"Companies"), and that the Companies do hereby make, constitute and appoint Kathryn A. Weidner of MADISON .
Wisconsin , their true and lawful Attorney -in -Fact to sign, execute, seal and acknowledge any and all bonds, recognizances,
conditional undertakings and other writings obligatory 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.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 17th day of January,
2019.
u
Wfct�` ewa�,n�
y C
.�
State of Connecticut
By:
City of Hartford ss. Robert L. Rane , enior Vice President
On this the 17th day of January, 2019, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President
of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, and
that he, as such, being authorized so to do, executed the foregoing Instrument for the purposes therein contained by signing on behalf of said
Companies by himself as a duly authorized officer.
,. N
,P,f
iN WITNESS WHEREOF, I hereunto set my hand and official seal. • / I�
U11011AIMMy Commission expires the 30th day of June, 2021 * Anna P. NoWk, Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Travelers Casualty and
Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company, which resolutions are now In full
force and effect, reading as follows:
RESOLVED, that the Chairman, the President, any Mee Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any
Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and
Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign
with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a
bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke
the power given him or her; and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such
delegation Is in writing and a copy thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional
undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any
Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any
Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, If
required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one
or more Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice
President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of
Attorney or to any certificate relating theretoappointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of
executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing
such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile
signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety
Company, and St. Paul Fire and Marine Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of the Power of
Attorney executed by said Companies, which remains in full force and effect.
Dated this 1st day of July 2024
01(s
Kevin E. Hughes, Assi tant Secretary
To verify the authenticity of this Power ofAttorney, please calf us at 1-800-421-3880.
Please refer to the above -named Attorney-ln-Fact and the details of the bond to which this Power of Attorney is attached
TO:
FROM:
SUBJECT:
CIfof
RECEIVED
Oshkosh JUL -1 Z024
ALL CONTRACTORS
ENGINEERING DIVISION OF
CITY OF OSHKOSH DEPARTMENT OF PUBLIC WORKS
DISCLOSURE OF OWNERSHIP FORM
DEPT OF PUBLIC WORKS
OSHKOSH, WISCONSIN
Please review the attached Department of Workforce Development Disclostre of Ozonerslrip 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 Ozonersltip 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,Atem 3 of the attached Disclosure of Ownership form does NOT apply to my
firm, or a shareholder, office��,RR ftr6 *,Y firm,
41
I.
4'
r \ _
—�C�i.L i Z
Name
Richard P. Lamers
Printed Name
Vice President
Title
Vinton Construction Company
Company Name
7/01/2024
Date
L\Engineering\Tracy Taylor\Public Worls Contracts\Miscellaneous\Disclosure of Ownership Fomi_2-1- Page 1 of 1
17.doa
City Hall, 215 Church Avenue P.O, Box 1130 Oshkosh, WI 54903-1 130 hitp://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>I 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 26% 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
N/A
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,par4liju,that the information, contained in this document, is true and
accurate qrrnrr1inq to mv kA&W6dtf"Nd belief.
Print the Name of Authorized '
••O�f ,r-'""``•.�'t�
Richard P. Lamers = V'' 01P 0 Rq ', =.
Authorize Off�Signatur$ a- s-�
Date Signed
7/01/2024
t R 1
Corporation, Partnership or %o`t'e P.rVrietor ij3fie
�••�:S�Q`�S
Vinton Construction Company,,
'
Street Address or P O Box ,,��11�
City
State
Zip Code
1j1,`,
11111161
1322 33rd Street P.O. Box 137
Two Rivers
I WI
154241
If you have any questions call (608) 266-6861
ERD-7777 (R. 01/2011)
CONTRACT 24-10 F
RECEIVED
ATTACHMENT A
JUL —1 2024
LIST OF PROPOSED SUBCONTRACTORS DEPT OF PUBLIC WORKS
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 proposed 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 perforin 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 from the Subcontractors 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.
NAME OF PROPOSED
SUBCONTRACTOR
..LIM I I M10
CLASS OR ITEMS OF WORK
PERCENT OF
CONTRACT AMOUNT
I hereby certify that the use of the name(s) of the above Subcontractor(s) was with the knowledge and
consent of the said Subcor�tt���'up
p�,•'"""`', pip ,
G�✓�-- `�' r G�RPORAT��'Or�
,
Signature of Bidder
, , U
;a 7'A erg .'u'ice President
Page 13 of 16
RECEIVER
CONTRACT 24-10
PROPOSAL 'JUL — 1 2024
The undersigned will begin work as specified after award of the Contract and �9p�Sf#�tt 1�3s•
OSHKOSH, WISCONSIN
I hereby certify that all statements are made in behalf of
Vinton Construction Company
(Name of Corporation, Partnership, or Person Submitting Bid)
a corporation organized and existing under the laws of the State of Wisconsin
a Partnership consisting of ; or
an individual trading as ; of
the City of Two Rivers ; State of Wisconsin
That I have examined and carefully prepared this Proposal from the Plans and Specifications a�ve
Y
checked the same in detail before submitting this Proposal; that I have full authoritycs```�k
statements and submit this Proposal in (its) (their) behalf; and that said statements are trl�co e•; Ci
GOR�'0 �qT � U
Si atfi
,,`p111g11N1fp///j�,,, rr4r,�r ``�� `
�" 0 J• BUR/f ���� Richard P. Lamers / Vi&gresi nt
� o'ei�R y � 10. (Title, if any)
\G
PUBS
2:
to before me this 1st
day of Jul
Notary PuVic, or other authorized to administerCP� �� ��i O• �7i�
20 24
(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 Biel Bond in the amount of 5 % of the total amount of the Bid, as
called for in the Official Notice to Contractors.
Page 16 of 16
cito�
Oshkosh
TO: ALL CONTRACTORS
FROM: ENGINEERING DIVISION OF
CITY OF OSHKOSH DEPARTMENT OF PUBLIC WORKS
SUBJECT: SOIL AND GROUND WATER MANAGEMENT PLAN
CERTIFICATION
RECEIVED
'JUL - Y 2024
DEPT OF PUBLIC WORKS
OSHKOSH, WISCONSIN
I certify by my signature below that our firm has read the Soil altd Ground Water Maltagenlertt Plan
included in the Specifications and will comply with the requirements of the Plan.
`,`t"pfn'it 'Ploo
r� GO RTF`'r 2
Name �
Per -
` SE
AL
Richard P. Lamers
Printed Name r=`rrnttunu;rT
Vice President
Title
Vinton Construction Company
Company Name
7/01/2024
Date
l:\Engineering\Tracy Taylor\ Publfi:Works Contracts\Miscellaneous\Soil&Groundwater Page 1 of 1
Management Plan Certif1catlon_2-1-17.doo:
City Hall, 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1 130 http://www.ci.oshkosh.wi.us
r RECEIVED
I.1 up] ROOM 91
Contract Number City Contract 24-10
Date Bond Executed (Date of Contract or Later) June 26, 2024
PRINCIPAL/CONTRACTOR (Legal Name and Business Address)
Michels Road & Stone, Inc.
817 Main Street
Brownsville, WI 53006
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
JUL m 1 20211
CITY OF OSHKOSH
DEPT OF PUBLIC WORKS
OSHKOSH, WISCONSIN
Type of Organization
_ Individual _ Partnership
X Corporation
State of Incorporation
DE
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 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.
Michels Road & Stone, Inc. Liberty Mutual Insurance Company
Name of Principal/Contractor Name, of Surety
Un M- �
Title 05"' i u Y C S ICE G(_i Title Heather R. Goedtel, Attorney -in -Fact
QppD & STO'}V
tv `
I ,
'�Ig1111/I11N11/,
Page 2 of 2
Acknowlediament of Corporate Surety
STATE OF Minnesota
COUNTY OF Hennepin
On this 26th day of June
) ss
)
2024
Heather R. Goedtel
who being by me duly sworn did say that she is the aforesaid Attorney -in -Fact of the
before me appeared
, to be known,
Liberty, Mutual Insurance Company
a corporation; that the seal affixed to the foregoing instrument is the corporate seal of said corporation, and
that said instrument was signed and sealed on behalf of said corporation by the aforesaid officer, by
authority of its Board of Directors; and the aforesaid officer acknowledged said instrument to be the free act
and deed of said corporation.
Notary Public Signature
(Notary Seal)
MICHELLE DIANE HALTER
a'' a Notary Public
State of Minnesota
My Commission Expires
January 31, 2028
N >
a_Z
c.N
o�
>v
do
O N
C RYf
m
M
1= d
0.
E�
0�Liberty
mutua.
SURETY
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.
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
West American Insurance Company
POWER OF ATTORNEY
Certificate No: 8212026-190003
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is 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 State of Indiana (herein collectively called the "Companies*), pursuant to and by authority herein set forth, does hereby name, constitute and appoint; Blake S
Bohlig; Brian D Carpenter; Charles Draper, Craig_ Olmstead; Erik T. Gunk -el- I laley PfluE; f leather R. Goedtek Jessica Flecker, Kelly Nicole [nghauser: Laurie
Michelle Ilalter: Michelle Ward, Nicole Laneer; Sara Whitlieid
all of the city of Bloomington state of MN each individually if there be more than one named, its true and lawful atoomey-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 by the president and attested by the secretary of the Companies in their own proper
persons,
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 25th day of June 1 2024 .
Liberty Mutual Insurance Company
P".1Nst/ P01 INS& a 1NSUga The Ohio Casualty Insurance Company
�J ace"oQ"r y0 gJ 4oaPaa,r'Pyy \�P4oavo�r Ln West American Insurance Company
6 dNO >n
Y;1912�0 0 1919� rn 1991 0
a w o a
rd�� °Acltue�da y0 NAM?�T7� v, 'NDIANF y:
aa� B
n-w 6A r.-v A-itrnnt Sarrohry
State of PENNSYLVANIA
County of MONTGOMERY
this 25th day of June 1 2024 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance
npany, 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
-ein 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 Plymouth Meeting, Pennsylvania, on the day and year first above written
y-
tor`
0F
Commonwealth or PennsMna - Notary Seal
Teresa Pastella, Notary Public
Montgomery County
Mycomm"onexOesMa1ch28,2025 B
y
Ir
Commission number 1126044
rye
RY t�
Teresa Pastella, Notary Public
Mcrt+ber. PennsyNarra Assaciativn or Noiarias ry
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,
Insurance Company, and West American Insurance Company which resolutions are now in hill force and effect reading as follows:
Liberty
ARTICLE IV— OFFICERS: Section 12, Power of Attorney.
Any officer or 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 attorneys -in -fact, as may be necessary to actin behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall
have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation, When so executed, such
instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under the
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE XIII — Execution of Contracts: Section 5. Surely Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, sea[, acknowledge and deliver as surety any and all undertakings,
bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, 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 of the 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, recognizances and other surety
obligations.
Authorization — By unanimous consent of the Companys Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certified 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 same force and effect as though 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 in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 26th day of June , 2024 .
Pv 1NSU� �jV INS& � VNSU4
9
°oavoagrcoy�i+� �J ooaPo�>��c+ `VProavoRyroyc'ca
1912 o Z 1919 co o 6 1991' e
rd�g�/ Z4-14-d�
-4, ugeaaas y°, 'rAUQs� aa� '<p 'Ho,ANi" A By. -Renee C. Llewellyn, Assistant Secretary
LMS-12873 LMIC OCIC WAIL Multi Co 02/21
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City
of
Oshkosh
TO: ALL CONTRACTORS
FROM: ENGINEERING DIVISION OF
CITY OF OSHKOSH DEPARTMENT OF PUBLIC WORKS
SUBJECT: DISCLOSURE OF OWNERSHIP FORM
RECEIVED
JUL - 12024
OE!IiIC; OF PUBLIC WORKS
OSOSK WISCONSIN
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.
Otto J Ramthun, Jr
Printed Name
Sr. Vice President
Title
Michels Road & Stone, Inc
Company Name
Date
L\engineering\Tracy Taylor\ Public Works Contracts\6liscellanews\Disclosure ofOwnershipForn_2-1- Page I of I
17.doa
City Hall, 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1 130 http://www.cl.oshkosh.wl.us
CONTRACT 24-10
ATTACHMENT A
f
RECEIVED
JUL — Y 2024
LIST OF PROPOSED SUBCONTRACTORS DEPTOFPUBLIC WORKS
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 proposed 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 from the Subcontractors 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.
NAME OF PROPOSED
SUBCONTRACTOR
NC(j%-,(`aS"- 6 1
CLASS OR ITEMS OF WORK
AspVIA (�
Loy,& N't
conskv�.h� Cor�Akw^ Po�«\A- Mallon
PERCENT OF
CONTRACT AMOUNT
(D • 91 °lo
IS.03°/u
oz. 716,010
c0q)- CDC CyYy'a".mA . ZNC • Jaw M!� . y 0I o
fwn loVr�Oer► cS .�l`� �TVA�1-►�- Cor% Jo
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).
446%.q.ZooF�A04 —
Signatur f Bidder Rarnthun, Jr Sr. vice President
Page 13 of 16
RECEIVED
CONTRACT 24-10 JUL - 12024
PROPOSAL
DEPT OF PUB L[C W 012 h;
7SHKOSr-1
The undersigned will begin work as specified after award of the Contract and complete as spe�Ci�e�i:
I hereby certify that all statements are made in behalf of
Michels Road & Stone, Inc
(Name of Corporation, Partnership, or Person Submitting Bid)
a corporation organized and existing under the laws of the State of Delaware
a Partnership consisting of
an individual trading as
the City of
State of
or
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 statement are true correct.
O Q R ro'L,��= tun, Jr Sign
Otto J R
U o� q�ti
,Lu
Subscribed and sworn to before me this day of
Notary Public, or other authorized to administer
Sr. Vice President
(Title, if any)
.•�i°��P� SAF„'''�.
20.
(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 16 of 16
RECEIVED
City
of JUL -1 2024
Oshkosh DEPT OF PUBL
IC WORKS
OSHKOSH, WISCONSIN
TO: ALL CONTRACTORS
FROM: ENGINEERING DIVISION OF
CITY OF OSHKOSH DEPARTMENT OF PUBLIC WORKS
SUBJECT: SOIL AND GROUND WATER MANAGEMENT PLAN
CERTIFICATION
I certify by my signature below that our firm has read the Soil and Ground Water Management Plan
included in the Specifications and will comply with the requirements of the Plan.
Otto J Ramthun, Jr
Printed Name
Sr. Vice President, Highway
Title
Michels Road & Stone, Inc
Company Name
--7-1
Date
h Engineering\ Tracy Taylor \ Public Works Contracts\ Miscellaneous \Soil &Groundwater Page 1 of 1
Management Plan Certification_2-1-17,docx
City Hall, 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1130 http://www.cl.oshkosh.wi.us