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(D g � m rv�l. n "� � Ti M y. tD g o-^t' nil C. fD .� � m tlM yj � a � m H R, R p (�D w9: �, w n fo �w m 7 Aiya� CJ' 7 p' fD w w io 00 y tl7 y OG n n n o v o ry m y o „ o d g d d p Fn m 5' o m v d 5' o fo y N � N O C+7 h7 H r N r r r m m rl Crf m [sf 1 Cif C 10 0 0 o 0 b 0 b 0 b 0 o 0 ZA 0 0 o 0 b 0 b 0 O o 0 b 0 o 0 0 0 C b (A o O 4LA �VaI O �,pP O O w o (OTI (~ll O O O O O O O O O VIV O O O O O O O O O O O O O to O r 5 n w o bn w 7. N C O O O O p O O G O O O O O O O V Vt O O O O O O O O O O O O C O O O o O W V "A fA W N O O 46A O O O in T O O V�1 (II O y3 tP (T O W N O N (11 O N t+ O y3 V O n VI O VI O (l� C O C O O O O O C O O O O O O O O C 0 o m Vl N Vt O O W V VI O O O� O O O O O O O O O O O O O O O O O O O fA H V VI O O O O O O O O O O VI O O O O O O O O O O O O O O O O O O O O O 0 7 0 N w g, ° A ❑ n ¢• y .w. r- o � T. w ., `J`. °n. �, d N a y ro �' q �y R• y m 7 P� o o � m �+ a y m O a, SPS. w 7 pp P. m eme 'd R• 'd m a m� W P. n �a A' w�� A. � O ry y y av W C� m mi m y n d w a n w w o ry o m m p O p O O O O O O p o O o o O p C b � O N FA FA � O N {fl O N O p0 O O O O VOI VI O Ory N 5 � x r m y 0 O O O O O O O O O O O o O o o 0 D w y 5. p O y N a Q W H W � � m o �9Oy M � cn cni y 'O m pCpd w o b S o 5' r .b n H R - m % " 9 O 0 0 0 0 0 0 0 0 N 46A w O W O w O O O O N 5 d, V b O O ffl W O fH O O �p N O N O G C n n N O N O 0 V O 0 Iq N n 0 (A N V iz M H Re H O O m p 5 n W n �O to N &3 V [fl f9 y V O 8 o 18 o 18 O O CONTRACT 26-03 CERTIFICATION "10 J _ I hereby certify that all statements are made in behalf of ,rl � z,rrtil PTS Contractors 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 ' or an individual doing business as • of the City of • State of That I have examined and carefully prepared this Bid Proposal from the Plans and Specifications and have checked the same in detail before submitting this Bid Proposal; that the Bidder will begin work as specified after award of the Contract and complete as specified; that I have full autho 'ty to make such statements and submit this Bid Proposal in (its) (their) behalf; and that said statement e true and correct. c Signature President (Title, if any) Subscribed and sworn to before me this 3 day of Nov. 2025 �4*0$6000�� per • Not ry Public, or other authorized to administer �;• NQ'TAR)e % Accompanying this Bid Proposal is a Bid Bond in the amot�ldtJof /O 4ii3 total amount of the Bid, as called for in the Official Notice to Contractors. 9lF''••••••'�GO •' '�. OF WAS .•' (Bidder shall not add any conditions or qualifying statements to this Bid Proposal. The addition or alteration of any statement in this certification shall result in the Bid being rejected as non -responsive.) Page 22 of 22 CONTRACT 26-03 ATTACHMENT A NOV LIST OF PROPOSED SUBCONTRACTORS������ Pursuant to Section 66.0901 (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 below 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 retaunage to the CONTRACTOR. If a Subcontractor and the class of work to be performed are not listed below, the Bidder will perform the work themselves or shall submit appropriate documentation to CITY for approval of any additional subcontractor. NAME OF PROPOSED SUBCONTRACTOR CLASS OR ITEM OF WORK I hereby certify that the use of the name(s) of the knowledge and consent of the said Subcontractor(s). Signature of Bidder PERCENT OF CONTRACT AMOUNT (�� 1 above Proposed Subcontractor(s) was with the Page 19 of 22 ei'is`1 ��f,r'g DINN M•► It Contract Number 26-03 Bond Number NA Date Bond Executed (Date of Contract or Later) November 3, 2025 PRINCIPAL/CONTRA.CTOR (Legal Name and Business Address) PTS CONTRACTORS, INC. 4075 Eaton Road Green Bay, Wl 54311 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 CITY OIL OSHKOSH Type of Organization _, Individual _, Partnership X Co)poration State of Incorporation Wisconsin Penal Sum of Bond (596 of amount bid) Five Percent 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 maybe 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. PTS CONTRACTORS, INC. Name of Principal/Contractor I1 Title Steve C. Horn, Presi111l1� ��,� I � T as SEAL 't?"111(111 W0 LIBERTY MUTUAL INSURANCE COMPANY Name of Surety tNSU JPaoaPo`z°yn� a rs1912y0 ('"Z� �GCc.t'�t'� ��/�1�Q, t YssACNUm��L Title Roxanne Jensen, Attorney -in -Fact Seal No. 6096 Page 2 of 2 Liberty POWER OF ATTORNEY Mutual. Liberty Mutual Insurance Company Certificate No: 8213390-354019 SURETY The Ohio Casually Insurance Company West American Insurance Company KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casually Insurance Company Is a corporation duly organized under the laws of the State of New Hampshire, trial 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, Brian Krause; Kelly Cody, Mare Sacia• Roxanne Jensen Trudy A Szalewski all of the city of Milwaukee state of WI each individually if there be more than one named, its true and lawful attorney -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 [his 18th day of March , 2025 . Liberty Mutual Insurance Company P� 1Nsu� P�qY INS& 1NsuRq The Ohio Casualty Insurance Company ti° 4°NP0'��� �o tiJ o°NPO�r�y MCP 4°NPDjLaTF�p West American insurance Company J3 otss Q3 on �3 o s� _, Y�1912y1919AI0 4 1991 0 '� HAMPS��,a3 '�S1� rN°IANP�,da3 B / d*> M*► y: Nathan J 7�nnarla Aeciclanl Canmlary Slate of PENNSYLVANIA County of MONTGOMERY ss ' S On this 18th day of March , 2025 before me personally appeared Nathan J. Zangerle, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance as Company, 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 (herein contained by signing on behalf of the corporations by himself as a duly authorized officer, i� j0 I )N �c 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, gp PA&r Q� R�oNv �� Commonwealth of Pennsylvania - NotarySeal Teresa PastMontgomery Counry ty is OF Montgomery Count' My commission cores March 29, 2029 Commission number 1126044 �y � .15yl;4 �� Member, PennsylvantoAssociation ofNotaries Teresa Pastella,Notary Public Arty P This Power of Attomey 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 full force and effect reading as follows: Liberty Mutual 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 attomeys-in-fact, as may be necessary to act In behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations, Such attomeys-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 allomey-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. Surety 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, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys-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 Nathan J. Zangerle, Assistant Secretary to appoint such attomeys-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, reoognizances and other surety obligations. Authorization — By unanimous consent of the Company's 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 surely bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed, i, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casually 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 2 Aday of �, 2025 . P� 1NS(rgq P�qY INSU � 1NSU,gq �J o°N°°fir yC+ yS 4°Nro�r eyy VP °Nroryr Zo 1912 c) o y 1919 0 4 1991 d.��sSA0NU9 ,aL y0 �yfUP9� L� `e �ti'OIANP a By: M *�d Renee C. Llewellyn, Assistant Secretary LMS•12873 LMIC OCIC WAIC MNIII Cc 02r24 0 Qd. N M 00 r3 c`—o 9 City of� Oshkosh TO: ALL CONTRACTORS FROM: ENGINEERING DIVISION OF CITY OF OSHKOSH DEPARTMENT OF PUBLIC WORKS SUBJECT: SOIL AND GROUND WATER MANAGEMENT PLANS CERTIFICATION I certify by my signature below that our firm has read the Soil and Ground Water Management Plans included in the Specifications and will comply with the requirements of the Plan. Name Steve C. Horn Printed Name PrPRidPn1' Title PTS Contractors, Inc. Company Name Nov. 3- 2025 Date IAEngineering\2021- 2030 Contrads\2026 CONTRACTS\26.03 Ohio St & W 16th Ave\Administrative\Contract Information\26-03 Soil & Groundwater Management Plans Certification 10.14.25.doca Page 1 of 1 City Hall, 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1130 hitp://www.cl.oshkosh.wl.us BID BOND � va --CITY OF OSHKOSH Contract Number 26-03 Bond Number FD03415 Date Bond Executed (Date of Contract or Later) 10/28/2026 PRINCIPAL/CONTRACTOR (Legal Name and Business Address) DORNER, INC. E506 Luxemburg Road Luxemburg, WI 54217 SURETY(IES) (Legal Name(s) and Business Address(es)) Fidelity And Deposit Company Of Maryland 1299 Zurich Way, 5th Floor Schaumburg, IL 60196-1056 OWNER (Legal Name and Business Address) CITY OF OSHKOSH 215 Church Avenue PO Box 1130 Oshkosh, Wisconsin 54903-1130 OBLIGATION Type of Organization Individual ❑Partnership ✓ Corporation State of Incorporation I Penal Sum of Bond Five Percent 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. 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; (ill) upon delivery by a commercial carrier that will certify the date and time of delivery, or (iv) upon transmission if by facsimile, email 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, email 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 leQx-�� legal requirement shall be deemed incorporated herein, (AAck� `�,.�1 E DORNER, INC. O'� RPo wity And Deposit Company Of Maryland Name of Principal/Contractor s EAL of Surety ' 1973 Title ��►► t �'t �'�` Title Connie Smith, Attomey-in-fact 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 Now 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 Christopher Nolan, 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 Michael J. DOUGLAS, Connie SMITH, Chris STEINAGEL, Christopher M, KEW, Robert DOWNEY, Kory MORTEL, of Hudson, 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 nil 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 bad 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. 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 June, A.D. 2025. eM - f � w.....• '"""' .. �• ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Christopher Nolan Vice President By; Dawn: E, Brown Secretary State of Maryland County of Baltimore On this 18°i day of June, A.D. 2025, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Christopher Nolan, Vice President and Dawn E. Brown, Secretary of the Companies, to me personally known to be Ilia individuals and officers described in and who executed die preceding instrument, and acknowledged the execution of same, and being by me duly swom, dcposeth and with, that he/she is the said officer of the Company aforesaid, and that the seats affixed to ilia preceding Instrument are the Corporate Seals of said Companies, and that die said Corporate Seats and the signature as such officer were duly affixed and subscribed to the sold Instrument by the authority and direction of tho sold Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal die day and year feat above written. '.i rAluc iU.1l�ItrSn-- a tiwtirp Genevieve M. Malson Notary Public My Comndsslon Expire January 27, 2020 Authenticity of this bond can be confirmed at bondvalidator.zuriehna.com or 410-559-8790 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attomoys-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 attornoy-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, flit 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 die 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 28t day of October , 2025. „ • \ �.WIIiMy .� V 11W{%.IbV : +A llp.y� 9. SIM Mary Jean Pethick 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 retnortsfclaims c0zurichna,com 800-6264577 Authenticity of this bond can be confirmed at bondvalidator.zurlehna.com or 410-559-8790 CityOw Oshkosh TO: ALL CONTRACTORS FROM: ENGINEERING DIVISION OF CITY OF OSHKOSH DEPARTMENT OF PUBLIC WORKS SUBJECT: SOIL AND GROUND WATER MANAGEMENT PLANS CERTIFICATION I certify by my signature below that our firm has read the Soil and Ground Water Management Plans included in the Specifications and will comply with the requirements of the Plan, Name Danel Dorner Printed Name President Title Dorner Inc. Company Name 11 /3/25 Date 1;\ 6ngLteering\2021 - 2030 Contracts\2026 CONTRAC17S\26-03 Ohio St & W l6th Page 1 of 1 Ave\ Adminlstrative\Contract Information\26.03 Soil & Groundwater Management Plans Corti fica tloit_10-14.25,clocx Clty Hall, 215 Church Avenue P.O. Box 1 130 Oshkosh, WI 54903-1130 htlp://www.Cl.oshkosh.wl.us CONTRACT 26-03 ATTACHMENT A LIST OF PROPOSED SUBCONTRACTORS Pursuant to Section 66.0901(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 below 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. If a Subcontractor and the class of work to be performed are not listed below, the Bidder will perform the work themselves or shall submit appropriate documentation to CITY for approval of any additional subcontractor. NAME OF PROPOSED SUBCONTRACTOR I/.Z'iy ro ni / �L bsk MCC- 73o D19t,T CLASS OR ITEMS OF WORK �Nc. L�TtaJa2/,( 45pNq� r ���J�Fse (�onrrRo�. PERCENT OF CONTRACT AMOUNT t 7/,, 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). a (I" � A Q Signature of Bidder Page 19 of 22 CONTRACT 26-03 CERTIFICATIONr{ I hereby certify that all statements are made in behalf of Dorner 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 doing business as the City of ; State of or of That I have examined and carefully prepared this Bid Proposal from the Plans and Specifications and have checked the same in detail before submitting this Bid Proposal; that the Bidder will begin work as specified after award of the Contract and complete as specified; that I have full authority to make such statements and submit this Bid Proposal in (its) (their) behalf, and that said statements are true and correct. � /l 01 President Signature (Title, if any) Subscribed and sworn to before me this 3 day of MD�14�� 20 S (-- �(QA (Is4a, QjA L�Q�,k 0-,(- Notary Public, or other authorized to administer Accompanying this Bid 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. (Bidder shall not add any conditions or qualifying statements to this Bid Proposal. The addition or alteration of any statement in this certification shall result in the Bid being rejected as non -responsive.) Page 22 of 22 Bond Number: 2661209 t 8 g Document A310"' - 2010 "F '5 J, j Bid Bond CONTRACTOR: (Nanie, legal status and address) David Tenor Corporation 2759 Dewey Decker Dr Green Bay, WI 54313-9545 OWNER: (Name, legal status and address) City of Oshkosh 215 Church Ave. Oshkosh, WI 54903-1130 BOND AMOUNT: $ SURETY: (Name, legal status and principal place of business) West Bend Insurance Company 1900 S 18th Ave West Bend, WI 53095-8796 Five Percent of the Amount Bid PROJECT: (Name, location or address, and Project number, if an)) Ohio Street & West 16th Ave Reconstruction The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner 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. 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. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shalt be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted lterefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so Runished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. ADDITIONS AND DELETIONS: The author of this document has added information needed for its completion. The author may also have revised the text of the original AIA standard form. An Additions and Deletions Report that notes added Information as well as revisions to the standard form text is available from the author and should be reviewed. A vertical line in the left margin of this document indicates where the author has added necessary information and where the author has added to or deleted from the original AIA text. This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. (nit. AIA Document A310TM — 2010. Copyright ©1963, 1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This AIA" Document is protected by U.S, Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA' Document, or any portion of it, may 1 result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA / software at 06:17:00 ET on 02/21/2026 under Order No. 4104260026 which expires on 02/2012026, and Is not for resale. (1496601206) User Notes: Signed and sealed this 3 day of November 2025 (Witness) (Witness) David Tenor Corporation (Title David Tenor President Vest Bend Insurance Compar (Surety) (Title) SUSAN L (Seal) , AIA Document A310TN —2010. Copyright @ 1963,1970 and 2010 by The American Institute of Architects. All rights reserved. WARNING: This AIAII Document Init. Is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIM Document, or any portion of it, may 2 result In severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This document was produced by AIA software at 08:17:0o ET on 02121/2025 under Order NO. 4104260026 which expires on 02/20/2026, and is not for resale. User Notes: (1496601206) WEST BEND" POWER OF ATTORNEY Bond No. 2661209 Know all men by these Presents, that West Bend Insurance Company (formerly known as West Bend Mutual Insurance Company prior to 11112024), a corporation having its principal office in the City of West Bend, Wisconsin does make, constitute and appoint: SUSANLAMBERT lawful Attorney(s)-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, undertakings and contracts of suretyship, provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in amount the sum of: Thirty Million Dollars ($30,000,000) This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of West Bend Insurance Company by unanimous consent resolution effective the 1 It day of January 2024, Appointment ofAttorney-In-Fact The president or any vice president or any other officer of West Bend Insurance Company may appoint by written certificate Attorneys -In -Fact to act on behalf of the company in the execution of and attesting of bonds and undertakings and other written obligatory instruments of like nature. The signature of any officer authorized hereby and the corporate seal maybe affixed by facsimile to any such power of attorney or to any certificate relating therefore and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the company, and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the company in the future with respect to any bond or undertaking or other writing obligatory in nature to which it is attached. Any such appointment may be revoked, for cause, or without cause, by any said officer at any time. Any reference to West Bend Mutual Insurance Company in any Bond and all continuations thereof shall be considered a reference to West Bend Insurance Company. In witness whereof, West Bend Insurance Company has caused these presents to be signed by its president undersigned and its corporate seal to be hereto duly attested by its secretary this 1st day of January 2024. Attest i':4'L1t�`tvt fit "i 'r. Christo her C. Z` art : m ?Q = xr SLAL - Robert J. Jacques Secretary r tii s � �y� �j a President Qrom State of Wisconsin County of Washington On the 1st day of January 2024, before me personally came Robert Jacques, to me known being by duly sworn, did depose and say that he is the President of West Bend Insurance Company, the corporation described in and which executed the above instrument; that he knows the seal of the said corporation; that the seal affixed to said Instrument is such corporate seal; that is was so affixed by order of the board of directors of said corporation and that he signed his name thereto by like order. "BEti'"`'� �.� 0J�.........FOG'o,. ao7ARy' 'OUBLtG : ead . orate Attorney Nbtafy Public, Washington Co., WI 41,1 F11yVj$ My Commission is Permanent The undersigned, duly elected to the office stated below, now the incumbent in West Bend Insurance Company, a Wisconsin corporation authorized to make this certificate, Do Hereby Certify that the foregoing attached Power of Attorney remains in full force effect and has not been revoked and that the Resolution of the Board of Directors, set forth in the Power of Attorney is now in force. Signed and sealed at West Bend, Wisconsin this 3rd day of November , 2025 vtt Christop er C. Zxvyatt Secretary 1900 S 18th Avenue I West Bend, WI 53095 1 Phone: (800) 236-5010 1 Fax: (877) 674-2663 1 www.thesilverlining.com crty of Oshkosh TO: ALL CONTRACTORS FROM: ENGINEERING DIVISION OF CITY OF OSHKOSH DEPARTMENT OF PUBLIC WORKS SUBJECT: SOIL AND GROUND WATER MANAGEMENT PLANS CERTIFICATION �1RF 1 OTO's I certify by my signature below that our firm has read the Soil and Ground Water Management Plans included in the Specifications and will comply with the requirements of the Plan. ame Printed Name /� �e Title —a"41 �' ) 4 CCV ;e�-7 Company Name Date 1: \ Engineering \ 2021 - 2030 Contracts\2026 CONTRACTS\26.03Ohio St & W l6lh Ave\Administrative\Contract Information\26.03 Soil & Groundwater Management Plans Certification 10-14-25.docx Page i of 1 City Hall, 215 Church Avenue P.O, Box 1 130 Oshkosh, WI 54903-1 130 http://www.cl.oshkosh.wi.us CONTRACT 26-03 ATTACHMENT A,€ ; LIST OF PROPOSED SUBCONTRACTORS "� �` �� �� Pursuant to Section 66.0901 (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 below 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. If a Subcontractor and the class of work to be performed are not listed below, the Bidder will perform the work themselves or shall submit appropriate documentation to CITY for approval of any additional subcontractor. NAME OF PROPOSED SUBCONTRACTOR a /a,-� �—/&,l�r.c CLASS OR ITEMS OF WORK G"le t.4i-i L 41cvee1,.6r"Z"" c�,l,� 4.�/ 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). Sig ature of Bidder Page 19 of 22 CONTRACT 26-03 CERTIFICATION I hereby certify that all statements are made in behalf off, oavl) (Name of Corporation, Partnership, or Person Submitting Bid) r a corporation organized and existing under the laws of the State of -SC /" 'J' � a Partnership consisting of • or an individual doing business as of the City of State of — That I have examined and carefully prepared this Bid Proposal from the Plans and Specifications and have checked the same in detail before submitting this Bid Proposal; that the Bidder will begin work as specified after award of the Contract and complete as specified; that I have full authority to make such statements and submit this Bid Proposal in (its) (their) behalf; and that said statements are true and correct. Subscribed and sworn to before me this day of l` MA y �Ay' ��••MM•�� V. •j. Np ''•, Notary Public, or of er uthorized to administer —Dal yi ? T9 % G /l-- d- % Accompanying this Bid Proposal is a Bid Bond in th called for in the Official Notice to Contractors. ��''���•.•••....... ' �SCONg� , - O e — Signature (Title, if any) 20 --"-) total amount of the Bid, as (Bidder shall not add any conditions or qualifying statements to this Bid Proposal. The addition or alteration of any statement in this certification shall result in the Bid being rejected as non -responsive.) Page 22 of 22 BID BOND:,01,TQTY OF OSHKOSH Contract Number 26-03 Bond Number 111 Date Bond Executed (Date of Contract or Later) October 28, 2025 PRINCIPAL/CONTRACTOR (Legal Name and Business Address) Advance Construction, Inc. 2141 Woodale Ave Green Bay, WI 54313 SURETY(IES) (Legal Name(s) and Business Address(es)) Great American Insurance Company 301 E. Fourth St., Cincinnati, OH 45202 OWNER (Legal Name and Business Address) CITY OF OSHKOSH 215 Church Avenue PO Box 1130 Oshkosh, Wisconsin 54903-1130 OBLIGATION ., S, r - S. Type of Organization Individual — Partnersliip 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 t 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. Advance Construction, Inc. Name of Principal/Contractor Title - �Y S•t C� �� Great American Insurance Company Name of Surety 0. fl- — Title Candi Schmidt, Attorney -In -Fact Page 2 of 2 GREAT AMERICAN INSURANCE COMPANY® Administrative Office: 301 E 4TH STREET • CINCINNATI, OHIO 45202 • 513-369-SM • FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than TWELVE No.0 22545 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the GREATAMERICAN INSURANCE COMPANY, a corporation organized and existing under and by virtue of the laws of the State of Ohio, does hereby nominate, constitute and appoint the person or persons named below, each individually if more than one is named, its true and lawful attorney -in -fact, for it and in its name, place and stead to execute on behalf of the said Company, as surety, any and all bonds, undertakings and contracts of suretyship, or other written obligations in the nature thereof; provided that the liability of the said Company on any such bond, undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. Name KIMBERLYASCHENBACH BRIAN REIMER DEBORAH KNAPP DILLON HOLEWINSKI RHONDAKLUESSENDORF ZACHARY KAISER ANNEMARIE WILLBANKS CHRISTEEN CARNEY SHELLEY RADATZ CHRISTINA YAMAMOTO ANDREW WEISHEIPL CANDI SCHMIDT Address Limit of Power ALL ALL OF MENASHA, WISCONSIN $100,000,000 This Power of Attorney revokes all previous powers issued on behalf of the attorneys) -in -fact named above. IN WITNESS WHEREOF the GREATAMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 21ST day of APRIL 1 2025 Attest GREAT AMERICAN INSURANCE COMPANY is Assistant Smviarr L Divisional Senior tree President STATE OF OHIO, COUNTY OF HAMILTON - ss: JOHN K. WEBSTER (87/-377.2405) On this 21ST day of APRIL 2025 , before me personally appeared JOHN K. WEBSTER, to me known, being duly sworn, deposes and says that he resides in Cincinnati, Ohio, that he is a Divisional Senior Vice President of the Bond Division of Great American Insurance Company, the Company described in and which executed the above instrument; that he knows the seal of the said Company; that the seal affixed to the said instrument is such corporate seal; that it was so affixed by authority of his office under the By -Laws of said Company, and that he signed his name thereto by like authority. SUSAN A KOHORST �.n Notary Public State of Ohio ,t o ~` My Comm. Expires May 18, 2030 This Power ofAttomey is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company by unanimous written consent dated June 9, 2008. RESOLVED: That the Divisional President, the several Divisional Senior Vice Presidents, Divisional Vice Presidents and Divisonal Assistant Pice Presidents, or anv one of them, be and herefiy is authorized, from time to time, to appoint one or more Attorneys -in -Fact to execute on behalf of the Company, as surety, any and all bonds, undertakings and contracts ofsuretyship, or other ivritlen obligations in the nature thereof- to prescribe their respective duties and the respective limits of their authority; and to revoke any such appointment at any time. RESOLVED FUR77JER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the Company inay be affixed by,facsimile to any power of attorney or certificale of either given for the execution of any bond undertaking, contract of suretyship, at, other written obligation in the nature thereof, such signature and seal when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION I, STEPHEN C. BERAHA, Assistant Secretary of Great American Insurance Company, do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of June 9, 2008 have not been revoked and are now in full force and effect. Signed and scaled this 28th day of October 2025 Assistant Secrelaq 3—'. 029AJ (04/26) City o� Oshkosh TO: ALL CONTRACTORS FROM: ENGINEERING DIVISION OF CITY OF OSHKOSH DEPARTMENT OF PUBLIC WORKS SUBJECT: SOIL AND GROUND WATER MANAGEMENT PLANS CERTIFICATION it ` { .ii' b UB IC k5 "r"s A "l3 VISf � ")IN'SIN I certify by my signature below that our firm has read the Soil and Ground Water Management Plans included in the Specifications and will comply with the requirements of the Plan. Glenn Joski Printed Name President Title Advance Construction, Inc. Company Name November 3, 2025 Date l:\ Engineering\2021- 2030 Contracts\2026 CONTRAC175\26.03 Ohio St & W 16th Ave\Administrative\Contract Information\26.03 Sell & Groundwater Management Plans Certificatiun_10-14-25.docs Page 1 of 1 City Hall, 215 Church Avenue P.O. Box 1 130 Oshkosh, WI 54903-1130 http://www.ci.oshkosh.wi,us CONTRACT 26-03 ATTACHMENT A LIST OF PROPOSED SUBCONTRACTORS Pursuant to Section 66.0901(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 below 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. If a Subcontractor and the class of work to be performed are not listed below, the Bidder will perform the work themselves or shall submit appropriate documentation to CITY for approval of any additional subcontractor. NAME OF PROPOSED SUBCONTRACTOR V�✓l�ot'i ���h�i -�cJ`�'`7 41�':Y' CLASS OR ITEMS OF WORK PERCENT OF CONTCT 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). Signature of M4 Page 19 of 22 CONTRACT 26-03 € CERTIFICATION I hereby certify that all statements are made in behalf of Advance 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 doing business as the City of ; State of or of That I have examined and carefully prepared this Bid Proposal from the Plans and Specifications and have checked the same in detail before submitting this Bid Proposal; that the Bidder will begin work as specified after award of the Contract and complete as specified; that I have full authority to make such statements and submit this Bid Proposal in (its) (their) behalf; and that said statements are true and correct. President Si kfiture (Title, if any) Subscribed and sworn to before me this 3rd day of November 20 25 p-ARY Pccompuan'ying aryPbicorother authorized to administer3,,1-�,PUSoc this Bid Proposal is a Bid Bond in the amoui}{�'% 5 % of.t dtal amount of the Bid, as called for in the Official Notice to Contractors. "1111111 fit It��"'`, (Bidder shall not add any conditions or qualifying statements to this Bid Proposal. The addition or alteration of any statement in this certification shall result in the Bid being rejected as non -responsive.) Page 22 of 22 ''CITY OF Q$HKOSH Contract Number 26-03 Date Bond Executed (Date of Couttact or Later) 10/30/2025 >; t PRINCIPAL(CONTR.A.CTOR (Legal Name and Business Address) JOSSART BROTHERS, INC. 1682 Swan Road pe Pere, WI 64116 SURBTYPS) (Legal Name(s) and Business Address(es)) ..Merchants National Bonding, Inc. 6760 Westown pkwy West Des Moines, IA 60266 OWNER (Legal Name and Business Address) CITY OF OSBKOSH 215 Church Avenue PO -Box 1130 Oshkosh, Wisconsin 54903-1130 OBUCATION Type of Organization llzdividuat ❑Partnership Corporation State of Incorporation Penal Sum of Bond Five Percent Of Amount Bid The Contractor and Surety, jointly and severally, bind theawelves, 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, f£ 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. 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; (iaii) upon delivery by a commercial carrier that will certify the date and time of delivery; or (iv) upon transmission if by facsimile, email 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, email or other electronic address that has been provided in wrlHng 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 conIIict with statutory or other legal requirement shall be deemed deleted here£rom and provisions conforming to the statutory or other legal, requirement shall be deemed incorporated herein, JOSSART BROTHERS, INC. Name of Principal/ContrActor Merchants National Bonding, Inc. Name of Surety Title Samuel Duchow, Attorney -In -fact MIERCHAN BONDING COMPANY. POWER OF ATTORNEY KfiowA I gelsrans By soPo6onts, that MERCHANTS BONDING COMPANY (MUTUAL and MERCHANTP NATIONAL BONDING, INC,, being co protlo:e ortle, both � I - State of Iowa, d/b/a Merchants. National Indernnity Compaq (in California only) (herein odb(%voly called the do hereby make, constitute and appoint, IndIvIdu6ily, Chris SWInagel; Christopher M* Kemp; ConnieSmith, Eliot Moto-, Julia Douglas; Kory Model; Michael J Douglas; Robert Downey; Samuel Duchow their true and lawful Attotnoyffl-In-Facti to sign Its name as, surely(lea) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other vMbh Instruments In the ,nature thereof, on behalf of the Cornponles In their business Of guaranteeing the 111delity of persons, guaranteeing the . perrormance of contracts and executing or guaranteeing bonds and undertakings required. or permitted In any actions or proceedings. allowed by law. This Power-of-Attomey is granted and Is signed and seated by facsimile under and by authority of the following Sy -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 Board of Directors of Merchants National Bonding, Ind., on October 10, 2016. "The President, Secrataryj Treasurer, or any Assistant Treasurer or any Assistant 9ecretaiy or any \ri . oa President shall have power and authority to appoini AttntridyeAn ' -Ftick and to authorize, them to execute on behalf of the Company, and attach the seat of the Company thereto; and undedoidrigsi, tacbgnizanceg, contracts of iridemnity and otherwritirij;ls alldatbry In the nature thereof! "The Mature of any authorized.officer and the seat of the Company may be affixed by f000lmne or electronic transmission to any Power of Attorney or Ce -fication thereof outh'orizing the execution and delivery of any bond, undertaking'm6onizance or oilier suretyship obligations of the Companyt and such signature and seat when soused shall have the some force and ofteot as manually fixod.,, In connection with obligations . In favor of the Florida Depeftent-of Transportation only, it is agf",d tha t the power and put hority hereby given lo the AttOney4n-OAct includes any and all consent t6: j66 � rot * of Transportation percej s r release total , only,, Irifte final esffiyiaW onainglasering'and constmotion contracts required by the State of Florida Department of Tronapottation. It is fully understood that consenting to the State of Florida Department orTransportation making payment of the final estimate to the Contractor and/or 4 assignee, shall not rollovs. this surely company of any of Its obligations under its bond. In connection with obligations in favor of. the Kentucky 0opartmantof Highways only, 111:14 agreed that the power and authority hereby given to the Aftome7-in-FOot cannot bw modiffed or reVoked unless prior written personal notice. of such Intent has been given to the Commissioner - Department I - .. 6 Highways of {he ''Co mrnonwealth- ofkeniticky, 4 least thirty (3-0) days *prior to the modificaton or revocation. Witness line$$Whereof, he CoMpanle $ have causledihis-insttord6nitto WaIgned and seated this 3rd day of POMOrY .2024 - $TATE OF IOWA COUNTY OF DALLAS ss, can this 3rd day of did say that he Is Preside seals affixed to the foregi of the Companies by auth MORCHANTS BQNDIKQ COMPANY (MUTUAL) MERCRANT$ NATIONAL BONDING, INC. dVbja MIERCHANT37 NAT(omt. iNbrmlmy comPANY BY pm-st7ae-it February 2024 , before me appeared Larry Taylor, tome personally known, who being by me duly Sworn of MERCKANTS BONDING* ' COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., and that the 9 Instrument are the Corporate Seals of the Companies; and that the said Instrument was signed and sealed In behalf ty of their respective Boards -of Directors, penni Miller Commission Number 7$7952 My Commission Expires lom January 20, 2927 (Expiration of notary's commission does notinvalidate this Instrument) 1, William Warner, Jr.. Seorataryof MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and f6regotng Is a ttue, and correct copy of the POWER -OF -ATTORNEY executed by sold Companies, which Is still I - n full force and effect and has not been amended or revoked. In Witness Whereof., I have hereunto set my hand and affixed the seat of the Companies on this 3oth day of October 2025 Af A P6 jgQ • -0. 0%.00.. , 9*; X 4 4tt �o -0- "000 secretary 1933 4�V A ....... . ...... . 04 POA 0018 (1124) City O fW Oshkosh TO: ALL CONTRACTORS FROM: ENGINEERING DIVISION OF CITY OF OSHKOSH DEPARTMENT OF PUBLIC WORKS i i J SUBJECT: SOIL AND GROUND WATER MANAGEMENT PLANS CERTIFICATION I certify by my signature below that our firm has read the Soil and Ground Water Management Plans included in the Specifica�s and will comply with the requirements of the Plan. Naj Jesse Jossart Printed Name VP/Secretary Title Jossart Brothers, Inc. Company Name 10/30/2025 Date L•\Engineering\2021- 2030 Contracts\2026 CONTRACTS\26-03 Ohio St & W 16th Page 1 of 1 Ave\Administrative\Contract Information\26-03 Soil & Groundwater Management Plans Certification 10-14-25.docx City Hall, 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1130 hftp://WWW.Cl.oShkoSh.wi,us CONTRACT 26-03 ATTACHMENT A LIST OF PROPOSED SUBCONTRACTORS Pursuant to Section 66.0901 (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 below 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. If a Subcontractor and the class of work to be performed are not listed below, the Bidder will perform the work themselves or shall submit appropriate documentation to CITY for approval of any additional subcontractor. NAME OF PROPOSED SUBCONTRACTOR PERCENT OF CLASS OR ITEMS OF WORK CONTRACT AMOUNT Storm Companies Traffic Control 1 WI Land Surveying Surveying 1 % Bodart Electric Service Electrical 1 MCC Asphalt 1 % Al Dix Concrete Concrete 8% Vinton Construction Excavation & Conc. Paving 24% I hereby certify that the of the name(s) of the above Proposed Subcontractor(s) was with the knowledge andAconsent the said Subcontractor(s). Bidder Page 19 of 22 CONTRACT 26-03 CERTIFICATION I hereby certify that all statements are made in behalf of Jossart Brothers, 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 • or an individual doing business as • of the City of • State of That I have examined and carefully prepared this Bid Proposal from the Plans and Specifications and have checked the same in detail before submitting this Bid Proposal; that the Bidder will begin ork as specified after award of the Contract and complete as specified; that I have full authority to ma such sta eats and submit this Bid Proposal in (its) (their) behalf; and that said statements are true cor Signature Jesse Jossart, VP/Secretary (Title, if any) Subscribed and sworn to beforg® f' pp# 3 day of November 20 25 No y Public, or other auftjr� d sto E ires: April 12, 2027 Accompanying this Bid Proposfdin the amount of 5 /o of the total amount of the Bid, as called for in the Official Notice to'eonirae'rs. (Bidder shall not add any conditions or qualifying statements to this Bid Proposal. The addition or alteration of any statement in this certification shall result in the Bid being rejected as non -responsive.) Page 22 of 22 Contract Number 26-03 il'V/ qI`t OF OSHKOSH 1 OW d t,r,r.F Bond Number 512978 E 3W'�OS, ' �'V Date Bond Executed (Date of Contract or Later) 11/3/2025 PRINCIPAL/CONTRACTOR (Legal Name and Business Address) CARL BOWERS & SONS CONSTRUCTION CO INC N1844 Maloney Rd Kaukauna, WI 54130 SURETY(IES) (Legal Name(s) and Business Address(es)) MERCHANTS BONDING COMPANY (MUTUAL) PO Box 14498 Des Moines, IA 50306-3498 OWNER (Legal Name and Business Address) CITY OF OSHKOS14 215 Church Avenue PO Box 1130 Oshkosh, Wisconsin 54903-1130 OBLIGATION Type of Organization —Individual —Partnership _K Corporation State of Incorporation Wisconsin Penal Sum of Bond 5% of bid amount The Contractor and Surety, jointly and severally, bind thernselves, 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. CARL BOWERS & SONS CONSTRUCTION CO INC Name of principal/Contractor MERCHANTS BONDING COMPANY (MUTUAU Name of Surety Title (Attomey-In-Fact) Page 2 of 2 Bond #t 512978 MEXRAC]HANT7-s!�k BONDING COMPANY. Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa, and MERCHANTS NATIONAL INDEMNITY COMPANY, an assumed name of Merchants National Bonding, Inc., (herein collectively called the "Companies') do hereby make, constitute and appoint, individually, Kristin Boevers their true and lawful Aftomey(s)-in-Fact, to sign Its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, 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•Attomey is granted and is signed and sealed by facsimile under and by authority of the By -Laws adopted by the Board of Directors of the Companies. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall 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 Company 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 suretyship o obligations 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 authority hereby given to the Attorney -in -Fact Includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. it is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve 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 given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 3rd day of November 2025 °feffaaa aaanq°°j rrrrr °• 0Ot+:la G®*•®® •aoa,�^� 0N4 °ad°® ®®pLtJ�r® �® MERCHANTS BONDING COMPANY (MUTUAL) o'�®: '' pe "': ® '�pG"' •. a ��>�. % MERCHANTS NATIONAL BONDING INC. R��h% A*� 4 VQ��FOR i :y ® MERCHANTS NATIONAL INDEMNITY COMPANY 6ca'^ 1933 r c: Pam: 2063 t too By ••®®�•®fs ®ai0a°°tr,aaataaa OdOprtl•®m♦a STATE OF IOWA v President COUNTY OF DALLAS as. On this 3rd day of November 2026 before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he Is President of MERCHANTS BONDING COMPANY (MUTUAL), MERCHANTS NATIONAL BONDING, INC., and MERCHANTS NATIONAL INDEMNITY COMPANY; and that 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 ards of Directors. ,�PVA40 Penni Miller r O Commission Number 787952 2- a ® My Commission Expires IUWA January 20, 2027 (Expiration of notary's commission Notary Public does not invalidate this Instrument) I, Elisabeth Sandersfeld, Secretary of MERCHANTS BONDING COMPANY (MUTUAL), MERCHANTS NATIONAL BONDING, INC., and MERCHANTS NATIONAL INDEMNITY 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 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 Companie$, on this 3rd _af Off •. _.aa{UN•h._ rrrrgA 1933 -f a ®®•ffaf®® POA 0018 (5125) day of November t , 2b25; . ;p . flyQ a4 P0R,y��¢. a ag e • � f• Secretary 9•rr®rre City Oshkosh TO: ALL CONTRACTORS FROM: ENGINEERING DIVISION OF CITY OF OSHKOSH DEPARTMENT OF PUBLIC WORKS SUBJECT: SOIL AND GROUND WATER MANAGEMENT PLANS CERTIFICATION tr1,TIT 0i4 t:JBs Ac' (A. , , iS I certify by my signature below that our firm has read the Soil and Ground Witter Managetnent Plans included in the Specifications and will comply with the requirements of the Plan. ame Printed Name Title Company Name )/ 1:5 P1 � Date 1AEngineering\2021.2030Contracts\2026CONTRACYS\ &O3Ohio St& W 16th Ave\ Administrative\Contract Information\2&M Solt & Groundwater Management Plana Certittcatton_10-14.25Axx Page 1 of 1 City Hall, 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1130 http://www.ci.oshkosh.wi.us CONTRACT 26-03 ATTACHMENT A LIST OF PROPOSED SUBCONTRACTORS x 11 ; TM Pursuant to Section 66.0901 (7), Wisconsin Statutes, the Bidder, as part of this Po'posal;" sci'im6`ihis 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 below 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. If a Subcontractor and the class of work to be performed are not listed below, the Bidder will perform the work themselves or shall submit appropriate documentation to CITY for approval of any additional subcontractor. NAME OF PROPOSED SUBCONTRACTOR EGG aLV4 ,41 d; X 0 del r CLASS OR ITEMS OF WORK 60ne'Me' PERCENT OF CONTRACT AMOUNT `v 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). Signature of Bidder Page 19 of 22 CONTRACT 26-03 CERTIFICATION` ; r I hereby certify that all statements are made in behalf of °' s, [rf 7 M A `")!Z (Name of Corporation, Partnership, or Person Submitting Bid) r a corporation organized and existing under the laws of the State of a Partnership consisting of • or an individual doing business as ; of the City of ; State of That I have examined and carefully prepared this Bid Proposal from the Plans and Specifications and have checked the same in detail before submitting this Bid Proposal; that the Bidder will begin work as specified after award of the Contract and complete as specified; that I have full authority to make such statements and submit this Bid Proposal in (its) (their) behalf, and that said statements are true and correct. e Signature ft'itle, if any) TcA �/ Subscribed and sworn to before me thNO day of O 20 80 BOWERS Notary Public Notar ublic, or other authorized to administer State of Wisconsin Accompanying this Bid Proposal is a Bid Bond in the amount of % of the total amount of the Bid, as called for in the Official Notice to Contractors. (Bidder shall not add any conditions or qualifying statements to this Bid Proposal. The addition or alteration of any statement in this certification shall result in the Bid being rejected as non -responsive.) Page 22 of 22