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Home My WebLink AboutSuburban Electric/Bond . c:i UJ 0- 00 0- ,.: Vl ::J o ::J < ~ M < '" ~ U o Cl <( <( ~ ~ .,~ Bond No. 0100743 Executed in Three Copies WISCONSIN SOCIETY OF THE AMERICAN INSTITUTE OF ARCHITECTS ARCHITECTS WIS. AlA DOCUMENT JULY 1980 ED. WIS. A312 PUBUC IMPROVEMENT PERFORMANCE/LABOR AND MATERIAL PAYMENT BOND THIS BOND IS TO BE USED ON PUBLIC IMPROVEMENT CONTRACTS PURSUANT TO SECTION 779.14 WISCONSIN STATUTES. KNOW ALL MEN BY THESE PRESENTS: that (Here insert name and address or legal title of the Contractor, referred to in Sec. 779.14 Wisconsin Statutes as the prime contractor) Suburban Electrical Engineers/Contractors, Inc., 709 Hickory Farm Lane, Appleton, Wisconsin 54914-3074 as Principal, hereinafter called Principal, and, (Here insert the legal title and address of Surety) CAROLINA CASUALTY INSURANCE COMPANY, 6410 Enterprise Lane-Suite 130, Madison, Wisconsin 53719 duly authorized and licensed to do business in the State of Wisconsin, as Surety, hereinafter called Surety, are held and firmly bound unto (Name and address or legal title of Owner) The City of Oshkosh, 215 Church Avenue-P.O. Box 1130, Oshkosh, Wisconsin 54903-1130 as Obligee, hereinafter called Owner, for the use and benefit of claimants as hereinafter provided in th,e amount of One Hundred Thirteen Thousand Six Hundred and NO/I00s (Here insert a sum at lea.t equal to the contract price) Dollars ($ 113,600. oq, for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, suc- cessors and assigns, jointly and severally, firmly by these.. presel\ts. WHEREAS~ Principal has- by written agreement dated Sept. 28 .200;> entered into a contract with Owner for Police Department Renovation and City Hall & Water Treatment Facility Access ~ontrol Syst~~ Upg~ades tn t4~ City of Oshkosh, Wisconsin . ill accordance WIth drawillgs and speCllICatIons prepared by (Here insert fuU name, title and address) Potter Lawson, Inc., 15 Ellis Potter Court, Madison, Wisconsin 53711 which contract is by reference made a part hereof and is required by Section 719.14, Wisconsin Statutes., :E ~ ;I> ;; i:I o () :E Ui The said written agreement, drawings, specifications and amendments ;I> '" ;::; are hereinafter referred to as the Contract. ;I> C o C '" .0-1 ~ 00 .., tr1 ~ PUBLIC IMPROVEMENT PERFORMANCE / LABOR-MATERIAL BOND WIS. AlA DOC. WIS. A312AUGUST. 1989ED. Copr. 1969 Wisconsin Society of Architects / AlA 321 S. Hamilton St. Madison, Wis. 53703 TWO PAGES PAGE I r '" NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION, as required by Section 779.14, Wisconsin Statutes, is such that, if the' Principal shall faithfully perform the said contract and pay every person entitled thereto for all the claims for labor performed and materials Curnishedunder the Contract, to be used or consumed in making the public improvement or performing the public work as provided in the Contract, then this obligation shall be null and void; otherwise it shall remain in Cull Corce and effect, subject, however, to the following conditions: 1) No assignment, modification or change of the Contract, or change in the work covered thereby, or any extension of time for the completion of the Con- tract shall release the sureties on the bond. Principal and the Surety upon this bond for the recovery of any damages he may have sustained by reason of the failure of the Principal to comply with the Contract or with the Contract between the Prin- cipal and his subcontractors. If the amount realized 2) Not later than one year after the completion of on this bond is insufficient to satisfy all claims of work under the Contract, any party in interest may the parties in full, it shall be distributed among the maintain an action in his own name against the parties pro rata. Terrorism Rider attached is included under this Bond. Signed and sealed this 5th October s .200.? day of IN THE PRESENCE OF: ~~ /t(~ ltneu SUBURBAN ELECTRICAL ENGINEERS/CONTRAc:T9RS'; _'INC. Prind,* BT:~ ~..-/^JU-(Seal) ~ . CAROLINA CASUALTY INSURANCE COMPANY y\:(<1\- 6. ~ Witneoo APPROVED BY* IN THE PRESENCE OF: Owsser By: Title : ($eon Witneu *This bond shall be approved in the case of the state by the state official authorized to enter into such con- tract, of a county by its district attorney, of a city by its mayor, of a village by its president, of a town by iits chairman, of a school district by the director or president and of any other public board or body by tlle presiding officer thereof. PUBLIC IMPROVEMENT PERFORMANCE / LABOR-MATERIAL BOND WIS. AlA DOC. WIS. A312 AUGUST 1989 ED. TWO PAGES PAGE 2 .... POWER OF ATTORNEY CAROLINA CASUALTY INSURANCE COMPANY JACKSONVILLE, FLORIDA No. 145 ..... KNOW ALL MEN BY THESE PRESENTS: that CAROLINA CASUALTY INSURANCE COMPANY ("Company") a corporation duly organized and existing under the laws of the State of Florida, having its principal office in Jacksonville, Florida, has made, constituted and appointed, and does by these presents make, constitute and appoint: Joseph L. Vigna or Dennis M. Barton or Elizabeth M. Fedyn of Midwest Surety Services of Brookfield, WI its true and lawful Agent and Attomey-in-Fact, with the power and authority hereby conferred in its name, place and stead, to execute, seal, acknowledge and deliver: any and all bonds and undertakings providing that no single obligation shall exceed Fifteen Million and 00/100 Dollars ($15,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own proper persons. This Power of Attorney is granted pursuant to the Minutes of the Special Meeting of the Board of Directors of Carolina Casualty Insurance Company held on March 30,1966, to wit: RESOLVED: "That the following Officers of the Carolina Casualty Insurance Company, Chairman of the Board, President, Se:cretary and Treasurer, or either of them, are hereby authorized to execute on behalf of Carolina Casualty Insurance Company, Powers of Attomey authorizing and qualifying the Attomey-in-Fact named therein to execute bonds on behalf of the Carolina Casualty Insurance Company, and further, that the said Officers of the Company mentioned, are hereby authorized to affix the corporate seal of the said Company to Powers of Attomey executed pursuant hereto". RESOLVED FURTHER, this Power of Attorney limits the acts of those named therein to the bonds and undertakings specifically named therein, and they have no authority to bind the company except in the manner and to the extent therein stated. RESOLVED FURTHER, this Power of Attorney revokes all previous powers issued in behalf of the Attorney-in-Fact named above. RESOLVED FURTHER, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company; and such signature and seal when so used shall have the same force and effect as though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have ceased to be such at the time when such instruments shall be issued. IN WITNESS WHEREOF the Carolina Casualty Insurance Company has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 24th. day of .11]1 y ,2003. Att~~ By' . Betty C therland Vice President and Secretary Carolina Casualty Insurance Company By, '---"--..... 4?L- -=e= Armin W. Blumberg President and Chief Executive Officer WARNING: THIS POWER OF ATTORNEY INVALID IF NOT PRINTED ON GREEN "MONITOR" SECURITY PAPER. STATE OF FLORIDA) ss COUNTY OF DUVAL) On this -.2A:thday of .11]1 y , 2003, before me personally came Betty C. Sutherland to me known, who, being by me duly sworn, did depose and say: that she is Secretarv of Carolina Casualty Insurance Company, the Corporation described in and which executed the above instrument; and that ~she knows the seal of said Corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said Corporation and that:R;tshe signed hislher name thereto by like order. IN WITNESS li,.L~re herp'mtoset.... and ad affixed my official seal; the day a <,!>-I<Y Pu OFRCIALNOTMV!;;r,jJ\j~ o 6'~ PATSY W CMMIGriAfi16 ~ OOMMl~1GN NfJM9~ ~ 001s~~ MV OOMM~ IDi:fJlliliiSi ~!J.IZ~~~._, CERTIFICATE I, the undersigned, Secretary of CAROLINA CASUALTY INSURANCE COMPANY, DO HEREBY CERTIFY that theforegoi~g isajust, true, correct and complete copy of original Power of Attomey; that the said Power of Attorney has not been revoked or rescinded arii;l that the autnoritjof the Attomey-in-Fact set forth therein, who executed the bond to which th~ Power of Attorn?: is jLttached, is in full force an4efii.ect aiL9-fthis 'dare.. . Given under my hand and the seal of the Company, this 5th day of Uc:t:.t2brr ,~t).s .___' _, -__ ~}~!!~o9.t+. y'j....;.,'~,.f"........(\ J{"''4 \~ ~\ s~..\. 10 4.\ ~ /1 ..1o....~~~.!~~~+.-; ltv:l . ACORQM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY) 10/03/2005 PRODUCER (9~0)722-7531 FAX (920)722-0834 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Babbitt-Sholund Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1524 South Commercial Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES IBELOW. P. O. Box 745 Neenah, WI 54957-0745 INSURERS AFFORDING COVERAGE NAIC# INSURED SUBURBAN ELECTRICAL. ENGINEERS/CONTRACTORS, IN( INSURER A: Integrity Mutual 14303 709 HICKORY FARM LN INSURER B: APPLETON, WI 54914 INSURER C: FAX# (920)739-4767 INSURER D INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEF{tbD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . II~~: ~R,~~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY CT122629600 09/01/2005 - X COMMERCIAL GENERAL LIABILITY I CLAIMS MADE m OCCUR A X INClUDES X,C & U f-- f-- GEN'L AGGREGATE LIMIT APPLIES PER: !xl POLICY m ~~2T n LOC AUTOMOBILE LIABILITY I-- X ANY AUTO I-- 09/01/2006 EACH OCCURRENCE $ 500,000 DAMAGE TO RENTED $ 300,000 MED EXP (Anyone person) $ 5,000 PERSONAL & ADV INJURY $ 500,000 GENERAL AGGREGATE $ 1,000,000 PRODUCTS. COM PlOP AGG $ 1,000,000 CA122629700 09/01/2005 09/01/2006 COMBINED SINGLE LIMIT (Ea accident) 500,000 ALL OWNED AUTOS A SCHEDULED AUTOS BODILY INJURY (Per person) I-- I-- X HIRED AUTOS I-- X NON-OWNED AUTOS - BODILY INJURY (Per accident) - PROPERTY DAMAGE (Per accident) ~AGE LIABILITY I ANY AUTO AUTO ONLY - EA ACCIDENT $ A EXCESS/UMBRELLA LIABILITY ~ OCCUR 0 CLAIMS MADE 'I DEDUCTIBLE --xi RETENTION $ 10 , ooe WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE .QEE1CERIMEMElEB.EXC2.LUDED? If yes, describe under SPECIAL PROVISIONS below OTHER OE122629300 09/01/2005 09/01/2006 EACH OCCURRENCE EA ACC $ AGG $ $ 5,000,000 5,000,000 OTHER THAN AUTO ONLY: AGGREGATE $ $ $ $ '--.-" 09/01/2006 X I ~~J!~I~;, I OJ~' E L EACH ACCIDENT $ ..!=.L: pl~EASE. EA EMPLOYE $ EL DISEASE. POLICY LIMIT $ 100,000 100,000 500,000 WCP122629400 09/01/2005 CERTIFICATE HOLDER .... ~ fP.>. (i;;; n ~n ~ ~ " E":~:SU A:E :, ~] r OCT ~ 2005 I~ ~ITY CI FRK1S OFF\CE .~7": AL INSURED ,~ESCRIPTION OF OPERATIO.NS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIA JOB: CITY OF OSHKOSH RENOVATION HE CITY OF OSHKOSH, THE CITY OF OSHKOSH'S ELECTED OFFICIAL ~ CANCEL CITY OF OSHKOSH 215 CHURCH AVENUE P.O. BOX 1130 OSHKOSH, WI 54903-1130 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ..JL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE LORI BUSTAMANTE ACORD 25 (2001/08) ~-- lout 0L @ACORb CORPORATION 1981