HomeMy WebLinkAboutBid Opening and Bonds - 25-16oy
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Contract Number 25-16
Bond Number Bid Bond
Date Bond Executed (Date of Contract or Later) May 5, 2025
PRINCIPAL/CONTRACTOR (Legal Name and Business Address)
Fahrner Asphalt Sealers, L.L.C.
316 Raemisch Road
Waunakee, WI 53597
SURETY(IES) (Legal Name(s) and Business Address(es))
Western Surety Company
151 North Franklin Street
Chicago, IL 60606
OWNER (Legal Name and Business Address)
CITY OF OSHKOSH
215 Church Avenue
PO Box 1130
Oshkosh, Wisconsin 54903-1130
OBLIGATION
CITY 0KOSH
F EPT OF PUBLIC WORKS
OSHKOSHI WISCOIaSChx
Type of Organization
— Individual _ Partnership
X Corporation
State of Incorporation
1uy
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.
`
Fahrner Asphalt Sealers, L.L.C. NO CO;�isRPORAROfiATE
Western Surety Company
Name of Principal/Contractor Name of Surety
��e�
Title Ben Linzmeier, Vice President
+�""s M T
Title Haley Pflug, Attorn y-in-Fact
s�TH 9p
NYY111
Page 2 of 2
Surety Acknowledgment
State of Minnesota }
} ss.
County of Hennepin }
On this 5th day of May 2025 , before me personally came Haley Pflug, to me
known, who being by me duly sworn, did depose and say that she is the Attorney -in -Fact of
Western Surety Company described in and which executed the above instrument; that she knows the seal
of said corporation; that the seal affixed to said instruments is such corporate seal, that it was so affixed
by order of the Board of Directors of said corporation, and that she signed her name to it by like order.
— % 0� � �q kg L(-L(
Notary Public
MICHELLE DIANE HALTER
Notary Public
State of Minnesota
My Commission Expires
January 31, 2D28
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY -IN -FACT
Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its
principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint
Nicole Langer, Laurie Pflug, Brian D. Carpenter, Jessica Hoff, Craig Olmstead, Blake S. Bohlig, Heather R. Goedtel, Kelly
Nicole Enghauser, Haley Pflug, Katie Rooney, Trisha Kasper, Michelle Halter, Individually
of Bloomington, MN, its true and lawful Attorny(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings
and other obligatory instruments of similar nature
- In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney,
pursuant to the authority hereby given, are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the Authorizing By -Laws and Resolutions printed at the bottom of this page, duly
adopted, as indicated, by the shareholders of the corporation.
In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on
this 20th day of November, 2024.
'0010ETY WESTERN SURETY COMPANY
*. S�A�'
s��Y/ DAMP
Larry Kasten, Vice President
State of South Dakota l
ss
County of Minnehaha
J
On this 20th day of November, 2024, before me personally came Larry Kasten, to me known, who, being by me duly sworn, did depose and say: that he resides in
the City of Sioux Falls, State of South Dakota; that he is a Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that
he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of
Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation.
}444444yh4\bh44h4h4444h4Y}
My commission expires i M. BENT
i e L NOTARY PUBLIC SEAL i
March 2, 2026 J�souTN oAKOTA�J
}., 4..g444.44440444..4444h4 } �
M. Bent, Notary Public
CERTIFICATE
I, Paula Kolsrud, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and
further certify that the By -Law and Resolutions of the corporation printed below this certificate are still in force. In testimony whereof I have hereunto subscribed my name
and affixed the seal of the said corporation this 5th day of May 2025 •
F�VTr"'"s�
.aE.... WESTERN SURETY COMPANY
ewV FZ
Paula Kolsrud, Assistant Secretary
"�µTHiw A
Authorizing By -Laws and Resolutions
ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY
This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders of the Company.
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by
the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any
Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings
in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the
corporation. The signature of any such officer and the corporate seal may be printed by facsimile.
This Power of Attorney is signed by Larry Kasten, Vice President, who has been authorized pursuant to the above Bylaw to execute power of attorneys on behalf of Western
Surety Company.
This Power of Attorney may be signed by digital signature and sealed by a digital or otherwise electronic -formatted corporate seal under and by the authority of the following
Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 27" day of April, 2022:
"RESOLVED: That it is in the best interest of the Company to periodically ratify and confirm any corporate documents signed by digital signatures and to ratify and
confirm the use of a digital or otherwise electronic -formatted corporate seal, each to be considered the act and deed of the Company."
Go to www.cnasurety.com > Owner / Obligee Services > Validate Bond Coverage, if you want to verify bond authenticity.
Form F4280-6-2023
CONTRACT 25-16 MAY - 4 2025
PROPOSAL DEFT OF PUBLIC WORKS
OSHKOSH, WI,SC'ONSIN
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
Fahrner Asphalt Sealers, LLC
(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 : 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 menu; are true and correct.
Signature
Ben_ Unzmeier. Vice Resident
(Title, if any)
Subscribed and sworn to before me this' day of
Notary Public, or other authorized to a minister
(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 7 of 7 (Revised)
RESOLUTIONS OF THE BOARD OF DIRECTORS
OF FAHRNER ASPHALT SEALERS, L.L.C.
Pursuant to Section 183.0404 of the Wisconsin Statutes, the undersigned, being all of the
Directors of Fahrner Asphalt Sealers, L.L.C., a Wisconsin limited liability company, hereby
consent to the following actions in lieu of a special meeting of the Members, with the express
intention that the actions have the same effect as though adopted by vote at such a special meeting.
RESOLVED, that effective January 1, 2024, Jeffrey Schuh is hereby removed as a Vice
President of Fahrner Asphalt Sealers, L.L.C.
RESOLVED, that effective June 1, 2024, James Rozumialski is hereby removed as a Vice
President of Fahrner Asphalt Sealers, L.L.C.
RESOLVED, that effective January 1, 2024, Brent Berg is hereby appointed as a Vice
President of Fahrner Asphalt Sealers, L.L.C.
RESOLVED, that effective January 1, 2024, any one of the following named persons are
hereby authorized for and on behalf of the Corporation to make, sign, enter into and execute any
bids, contracts, subcontracts, bonds or other documents and instruments in connection with work
to be performed by the Corporation or for the purchase of materials or property on behalf of the
Corporation.
Name
Kevin M. Kruekow
Michael S. Frodl
Troy Carlson
Jeff Sheehan
Ben Linzmeier
James Rozumialski
Brent Berg
John Crowley
Tyler Cass
Jeff Salewske
Title
Co -President
Co -President
Vice President
Vice President
Vice President
Vice President (until June 1, 2024)
Vice President
Secretary and Treasurer
Assistant Secretary
Assistant Secretary ,
Dated this 1 st day of January, 2024.
Steven C. Mathy; lei .(;tor
By:
Scott P. Mathy, Dir60i
CONTRACT 25-16 M--
ATTACHMENT A DEFT Oh
PUBLIC WORKIS,
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 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 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
Sweep -All, LLC
CLASS OR ITEMS OF WORK
Sweeping
PERCENT OF
CONTRACT AMOUNT
I hereby certify that the use of the name(s) of the above Proposed Subcontractor(s) was with the
knowledge and consent of the said Subcontractor(s).
Signat a of IU'dt r,,'Ben Linzmeier, Vice President
Page 4 of 7 (Revised)
BID BOND w j,017 OSHKOSH
Contract Number 25-16, Asphalt Preservation Program Bond Number N/A
Date Bond Executed (Date of Contract or Later) May 5, 2025
PRINCIPAL/CONTRACTOR (Legal Name and Business Address)
Scott Construction, Inc.
P 0 Box 340
Lake Delton, WI 53940
SURETY(IES) (Legal Name(s) and Business Address(es))
Fidelity and Deposit Company of Maryland
1299 Zurich Way
Schaumburg, IL 60196-1056
OWNER (Legal Name and Business Address)
CITY OF OSHKOSH
215 Church Avenue
PO Box 1130
Oshkosh, Wisconsin 54903-1130
OBLIGATION
DElyr OF PUBLIC WORKS
OSHKOSH, WISCONSIN
Type of Organization
_ Individual _ Partnership
X Corporation
State of Incorporation
Wisconsin
Penal Sum of Bond
Five Percent (5%) of the 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
Scott Construction, Inc.
Name of
e, V®
r i960 .
Title JqbffA. Scott, Vice President
herein. S'0%j 11111
� Og%t cojq �O
c svo No,
Fidelity and Deposit Company of Maryland = s SEAL 3
Name of Surety1890
Title VJenny L. Hirth, Attorney -in -Fact
Page 2 of 2
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert
D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth
on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and
appoint Lynn E. POTTER, Jenny L. HIRTH, Kathryn A. WEIDNER, Patrick A. MCKENNA, Jay A. ZAHN of Madison, Wisconsin, its
true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any
and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon
said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected
officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected
officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper
persons,
f
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By -Laws of said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 18th day of March, A.D. 2024.
``o: cGa4uattya'-w NU INSU nq, O tW co rgggi
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0�,''. 8pe POI,.,. 4
a SEAL 3 cc EALm � OSEALm L
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By: Robert D. Murray
Vice President
By: Dawn E. Brown
Secretary
State of Maryland
County of Baltimore
On this 18th day of March, A.D. 2024, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D.
Murray, Vice President and Dawn E. Brown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who
executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of
the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and
the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written.
Genevieve M. Maison
GENEVIEVE M. MAISON
NOTARYPUBUO
BALTIMORE COUNTY, MD
14 Commission Etokes JANUARY 21, 2025
Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, Attorneys -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies,
recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any
time."
CERTIFICATE
I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the
foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of
the By -Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney ... Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the 10th day of May, 1990,
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies,
this 5th day of May , 2025 .
1��011
•�`� OS%t co/?�A
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SEAL
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awrnm,rgr ,�,arurorn„q,,
�a` �a9ualtye� rii .`� PN INN§U 0SA COryrp 64i
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s SEAL o = ' SEAL _ SEAL
�'.�°�''+«.....•••'b . -�'o; � w.7g::...•` �'` ',,�o'a .•..peso � .
Thomas O. McClellan
Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION
OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT
INFORMATION TO:
Zurich Surety Claims
1299 Zurich Way
Schaumburg, IL 60196-1056
renortsfcla ims0.zurichna. com
800-626-4577
Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790
CONTRACT 25-16
PROPOSAL MAY ` a°
The undersigned will begin work as specified after award of the Contract and ���it t ed.
1-1, WF,sCOMWN
I hereby certify that all statements are made in behalf of
Scott Construction, Inc.
(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
an individual trading as
the City of Lake Delton
State of Wisconsin
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 state is r ue and correct.
Pj
HAS "A# -- W.�
Signature
'ARk
7
pUso
OF 05,,•�`.
Vice President
(Title, if any)
Subscribed and sworn to before me this 5t1i day of May 20 25
Notary Public, or other authorized to administer
commision expires 06/19/2027
(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 7 of 7 (Revised)
"ZR
CL
MAY -w
CONTRACT 25-16
ATTACHMENT A
SCONSJ'N
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 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 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
CLASS OR ITEMS OF WORK
S4'QQ y� `� Axe. Crack�ll
w
PERCENT OF
CONTRACT AMOUNT
_P7 006
y.831
I hereby certify that the use of the name(s) of the above Proposed Subcontractor(s) was with the
knowledge and consej) yof the said Subcontractor(s).
ure of Bidder
Page 4 of 7 (Revised)