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HomeMy WebLinkAboutMETCO-monitoring well W Irving Ave City Attorney's Office Phone: (920) 236-5115 Fax: (920) 236-5106 http;//www.ci.oshkosh.wi.us August 18, 2010 Metco Environmental Consulting 1421 State Road 16 LaCrosse, WI 54601 Re: Privilege in Street/ City of Oshkosh Sec. 66.045, Wis. Stats. Installation of Monitoring Well - West Irving Avenue Gentlemen: On December 14, 2010,by resolution#10-380, the City of Oshkosh Common Council approved your request for a privilege in street permit subject to certain conditions that are made a part of the approval resolution. In order for the permit(which much be obtained at the Public Works Department)to be valid, each one of these conditions must be satisfied. To that end, please find enclosed for your signature an Agreement releasing, and holding the City harmless, from all liability arising from your use of the permit. This, along with the insurance filing requirements ($200,000/$500,000 limits)are part of state law that enables the City to allow you this use. Kindly return to this office the signed Agreement along with your proof of insurance, either a separate policy, or naming the City as an additional insured on your policy. If you include the City as an additional insured, please use the following language: "City of Oshkosh, and its officers, council members, agent, employees and authorized volunteers as additional insured." These conditions of approval must be met before you exercise the privilege in street. Direct any questions about insurance and liability releases to this office. Any other questions concerning the remaining conditions should be directed to the Public Works Department at 236-5065. Thank you for your cooperation. Sincerely, CITY OF OSHKOSH Lynn A. Lorenson City, Attorney ! cc: Pamela R. Ubrig - City Clerk Steve Gohde, Engineering Darryn Burich, Com. Dev. DECEMBER 14, 2010 10-380 RESOLUTION (CARRIED 7-0 LOST LAID OVER WITHDRAWN ) PURPOSE: APPROVE GRANTING PRIVILEGE IN STREET TO METCO ENVIRONMNETAL CONSULTING TO INSTALL A MONITORING WELL WITHIN THE RIGHT-OF-WAY OF WEST IRVING AVENUE, WEST OF NORTH MAIN STREET INITIATED BY: METCO ENVIRONMENTAL CONSULTING, PETITIONER PLAN COMMISSION RECOMMENDATION: Approved w/conditions WHEREAS, METCO Environmental Consulting, petitioner, representing Kiser Trust, owner of the property at 694 North Main Street, requests the Common Council grant a privilege in street to METCO Environmental Consulting, general contractor and other subcontractors as may be required to install a monitoring well within the right-of- way of West Irving Avenue, west of North Main Street; and WHEREAS, Section 66.0425, Wis. Stats., provides for the granting of a privilege in a right-of-way; and WHEREAS, the Plan Commission approved of this request with conditions. NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that the proper City officials are hereby authorized and directed to grant METCO Environmental Consulting, general contractor and other subcontractors as may be required to install a monitoring well within the right-of-way of West Irving Avenue, west of North Main Street, per the attached, contingent upon the following: 1) The monitoring well be installed in a manner that is approved by the Department of Public Works with no modifications or changes in construction procedure without prior approval by the Department of Public Works. 2) If no longer needed, the monitoring well be properly abandoned and removed in accordance with City standards and under the direction of the Department of Public Works. 3) Any problem which may arise as a result of the placement of the monitoring well be the responsibility of the contractors and owner to correct in coordination with the Department of Public Works. 4) All appropriate permits be obtained prior to the start of placement of the monitoring well. 5) The monitoring well be modified or removed immediately upon the request of the City. 6) The monitoring well be part of and documented with Digger's Hotline system. DECEMBER 14, 2010 10-380 RESOLUTION CONTD 7) The petitioner and contractors secure and submit to the City Clerk a separate insurance policy which names the City as an additional insured with a minimum coverage of$200,000 per person and $500,000 in general aggregate. 8) It is the responsibility of the petitioner to file in a timely manner a new insurance certificate with the City Clerk upon expiration of an existing certificate. Failure to do so will result in the revocation of the privilege in street upon 10 days notice. 9) The petitioner and contractors execute hold harmless agreements with the City. AGREEMENT WHEREAS, the City of Oshkosh has granted to the undersigned a privilege to place an obstruction within the sidewalk right -of -way as follows: Installation of a monitoring well within the right -of -way of West Irving Avenue, west of North Main Street, per attached Exhibit A. WHEREAS, State law provides that by its acceptance of this privilege the undersigned shall become primarily responsible for damages to person or property by reason of the granting of the privilege; NOW, THEREFORE, in consideration of the City of Oshkosh, a Municipal Corporation granting permission to the undersigned to place an obstruction within the sidewalk right -of -way, the undersigned agrees that he is solely responsible for his activities under this agreement. The undersigned hereby releases the City of Oshkosh from all debt, claims, demands, damages, actions and causes of action whatsoever which may result from the placement of an obstruction in the sidewalk right -of -way by the undersigned. Further, the undersigned agrees to protect and hold the City of Oshkosh harmless against all actions, claims and demands of any kind or character whatsoever which may in any way be caused by the activities under this privilege by the undersigned or agents or employees. Further, the undersigned agrees to indemnify and refund to the City all such sums which the City may be obligated or adjudged to pay, including the City's attorney fees and costs, on such actions, claims or demands within 30 days after written request for such indemnification. The undersigned agrees that this paragraph is to be liberally construed in favor of the City of Oshkosh, in consideration of the privilege granted by the City under this agreement. This agreement and the privilege cannot be assigned without the written consent of the City of Oshkosh. The privilege is subject to all terms and conditions contained in any authorizing resolution adopted by the City of Oshkosh Common Council, which is incorporated by reference as if fully recited within this document. By executing this agreement and by using the privilege, the undersigned agrees to fully abide by such terms and conditions, including revocation upon written notice for noncompliance with the authorizing resolution and this agreement. Dated this 3 day of t)ow r(Met , 201 . METCO ENVIRONMENTAL CONSULTING ---- By: And:4_� /.mot Name & Title: /4r./ X/N0- /,.:.:.f- .Sa.si ~ /') / .� A Name & Title: L / ! tez yCl /0 5 (t>Si°iT STATE OF WISCONSIN 1 SS. WINNEBAGO COUNTY ) Personally came before me this .3 day of J4.n .ttt,+j , 2010, the above -named AT) ry akhet tP Sit (Name & Title) and er :c 1 , (Name & Title) to me known to be the person(s) who executed the foregoing document and acknowledged the same. DIANA J SYMITCYEK s NOTARY PUBLIC CO., Wisconsin My Commission: ``� --) STATE OF WISCONSIN Notary Public, OJ I t Attachment: Exhibit A - Resol. #10 -380 and attachments of Oshkosh Common Council Meeting 12/14/10. DECEMBER 14, 2010 10 -380 RESOLUTION (CARRIED LOST LAID OVER WITHDRAWN ) PURPOSE: APPROVE GRANTING PRIVILEGE IN STREET TO METCO ENVIRONMNETAL CONSULTING TO INSTALL A MONITORING WELL WITHIN THE RIGHT -OF -WAY OF WEST IRVING AVENUE, WEST OF NORTH MAIN STREET INITIATED BY: METCO ENVIRONMENTAL CONSULTING, PETITIONER PLAN COMMISSION RECOMMENDATION: Approved w /conditions WHEREAS, METCO Environmental Consulting, petitioner, representing Kiser Trust, owner of the property at 694 North Main Street, requests the Common Council grant a privilege in street to METCO Environmental Consulting, general contractor and other subcontractors as may be required to install a monitoring well within the right -of- way of West Irving Avenue, west of North Main Street; and WHEREAS, Section 66.0425, Wis. Stats., provides for the granting of a privilege in a right -of -way; and WHEREAS, the Plan Commission approved of this request with conditions. NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that the proper City officials are hereby authorized and directed to grant METCO Environmental Consulting, general contractor and other subcontractors as may be required to install a monitoring well within the right -of -way of West Irving Avenue, west of North Main Street, per the attached, contingent upon the following: 1) The monitoring well be installed in a manner that is approved by the Department of Public Works with no modifications or changes in construction procedure without prior approval by the Department of Public Works. 2) If no longer needed, the monitoring well be properly abandoned and removed in accordance with City standards and under the direction of the Department of Public Works. 3) Any problem which may arise as a result of the placement of the monitoring well be the responsibility of the contractors and owner to correct in coordination with the Department of Public Works. 4) All appropriate permits be obtained prior to the start of placement of the monitoring well. 5) The monitoring well be modified or removed immediately upon the request of the City. 6) The monitoring well be part of and documented with Digger's Hotline system. DECEMBER 14, 2010 10 -380 RESOLUTION CONTD 7) The petitioner and contractors secure and submit to the City Clerk a separate insurance policy which names the City as an additional insured with a minimum coverage of $200,000 per person and $500,000 in general aggregate. 8) It is the responsibility of the petitioner to file in a timely manner a new insurance certificate with the City Clerk upon expiration of an existing certificate. Failure to do so will result in the revocation of the privilege in street upon 10 days notice. 9) The petitioner and contractors execute hold harmless agreements with the City. Of HKOIH ON THE WATER - TO: Honorable Mayor and Members of the Common Council FROM: Darryn Burich ' Director of Planning Services DATE: December 9, 2010 tall a RE: Approve Granting Privilege in Street to M o f Wes Irving venue, Westtof ng to NorthsMam Monitoring Well within the Right-of-Way Street (Plan Commission Recommends Approval) ) BACKGROUND As part of an on -site investigation for petroleum release from 4N�e ort Main S tr co,t of North petitioner is proposing to install a monitoring well within public right-of-way at Main Street and West Irving Avenue. ANALYSIS The well will be an 8 -inch diameter bore approximately 14 feet deep. The ely years sin Dea s blt of fo Natural Resources will require the well to remain in place a pp longer for water sampling. Once the investigation is complete, the well will be ba do ed p r WD n requirements. The Department of Public Works has reviewed and recommends approval of the privilege with the conditions typically required for this type of request. FISCAL IMPACT None anticipated. RECOMMENDATION The Plan Commission approved of this request at its December 7, 2010 meeting. Approved, City Manager ITEM: GRANT PRIVILEGE IN THE STREET FOR PLACEMENT OF A MONITORING WELL AT THE NORTHWEST CORNER OF N. MAIN STREET & W. IRVING AVENUE Plan Commission meeting of December 7, 2010 GENERAL INFORMATION Petitioner: METCO (Eric Dahl) Owner: City of Oshkosh Action Requested: The petitioner is requesting a privilege in the right -of -way for the installation of a monitoring well near the northwest corner of N. Main Street and W. Irving Avenue. Applicable Ordinance Provisions: N/A but any location of a non -city or private utility use in city right -of -way requires issuance of a privilege in street permit. Property Location and Type /Analysis: As part of an on -site investigation for petroleum release from 694 N. Main Street, the petitioner is proposing to install a monitoring well within public right -of -way at the northwest corner of N. Main Street and W. Irving Avenue. The well will be an 8 -inch diameter bore approximately 14 feet deep. The Wisconsin Department of Natural Resources will require the well to remain in place for approximately two years or possibly longer for water sampling. Once the investigation is complete, the well will be abandoned per WDNR requirements. The Department of Public Works has reviewed the proposed monitoring well location and recommends approval of the privilege with the conditions typically required for this type of request. RECOMMENDATION /CONDITIONS Staff recommends approval of the privilege in the right -of -way for the installation of the proposed monitoring well as requested with the following conditions: 1) The monitoring well be installed in a manner that is approved by the Dept. of Public Works with no modifications or changes in construction procedure without prior approval by the Dept. of Public Works. 2) If no longer needed, the monitoring well be properly abandoned in accordance with City standards and under the direction of the Dept. of Public Works. 3) Any problem which may arise as a result of the placement of the monitoring well be the responsibility of the petitioner, contractors and owner to correct in coordination with the Dept. of Public Works. 4) All appropriate permits be obtained prior to the start of placement of the monitoring well. 5) The monitoring well be modified or removed immediately upon the request of the City. 6) The petitioner and contractors secure and submit to the City Clerk a separate insurance policy which names the City as an additional insured with a minimum coverage of $200,000 per person and $500,000 in general aggregate. 7) It is the responsibility of the petitioner to file in a timely manner a new insurance certificate with the City Clerk upon expiration of an existing certificate. Failure to do so will result in the revocation of the privilege in street upon 10 days notice. 8) The petitioner and contractorcume ted with D gger's Hotline systemh the e City. 9) The facility be part of and do The Plan Commission approved of the privilege in the right -of -way as requested with conditions noted. The following is the Plan Commission's discussion on this item. Mr. Nau presented the item and reviewed the site and surrounding area. He explained that the monitoring well was necessary as part of an on-site g re l viewed and approved of the request North Main Street and the Department of Pub lic Works has with the standard conditions recommended for such requests. There was no discussion on this item. Motion by Thoms to approve the consent agenda as requested with the following conditions for Item I.A.: rks 1) The monitoring well be installed in a manner that is rocedure without prior t app P o �al blic he with no modifications or changes in constru ction p Dept. of Public Works. 2) If no longer needed, the monitoring well be properly abandoned in accordance with City standards and under the direction of the Dept. of Public Works. 3) Any problem which may arise as a result of the placement of the monitoring well be the responsibility of the petitioner, contractors and owner to correct in coordination with the Dept. of Public Works. 4) All appropriate permits be obtained prior ed the start of placement upon the of equest of the City. well. 5) The monitoring well be modified or removed The petitioner and contractors secure and submit to the City Clerk a separate insurance policy which names the City as an additional insured with a minimum coverage of $200, 000 per person and $500, 000 in general aggregate. 7) It is the responsibility of the petitioner to file in a timely manner a new insurance certificate with the City Clerk upon expiration of an existing certificate. Failure to do so will result in the revocation of the privilege in street upon 10 days notice. 8) The petitioner and contractors execute t d with Digge Hotline system. the City. 9) The facility be part of and documented by Borsuk Motion carried 8 -0. 2 Item - -Priv in SUN Main & W Irving City of Oshkosh SUBMIT TO: General Application Dept. of Community Development YY 215 Church Ave., P.O. Box 1130 ON THE WATER Oshkosh, WI 54901 PHONE: (920) 236 -5059 * *PLEASE TYPE OR PRINT USING BLACK INK ** APPLICANT (INFORMATION Petitioner. M 7 C- d — � /' :c.- D ti ( Date /1-24(0 � /1-24(0 Petitioner's Address: r 4 2- I 5 - I A e / Z o rn J I Cit LA C 6755e. State: I A ) -` T Zip: 5 q 60 I Telephone #: (6 7$1 Fax: (OS) 7$t- SS/ 3 Other Contact# or Email: e rlLet @ vvl Status of Petitioner (Please Check): Downer e resentative []Tenant ['Prospective Buyer Petitioner's Signature (required): Date: t0 /22 0 OWNER INFORMATION Owner(s): Ja vvl K i S e. r Date: t U/ 2 ZIl U Owner(s) Address: / 7q0 ; v LJ^ /1l a 1 /QOtk City: 05A Itos ti State: W - Zip: Sy r' Telephone #: ( q 2D ) 517 - Ocj g S Fax: ( ) Other Contact # or Email: ( `1 - 6 /1 -1,<J; K /Q Ownership Status (Please Check): Dlndividual El Trust ['Partnership ['Corporation Property Owner Consent: (required) By signature hereon, I/We acknowledge that City officials and/or employees may, in the performance of their functions, enter upon the property to inspect or gather other information necessary to process this application. I also understand that all meeting dates are tentative an d may be postponed by the Plannin :: ices Division for incom.lete submissions or other administrative reasons. Property Owner's. Signature: �� /�, `4•111111W Date: TYPE OF REQUEST: Access Control Variance Easement Privilege in Street (identify) Al &4 i 1 ; (,J t2.- I 1 413 7 //A ? % U e i ►'i 5 4- re e ,1- P-Ok) Other (identify) SITE INFORMATION q J Address/Location of Proposed Project: 6 �i /p,r t- Gtr ✓I 5 7 1 - (1.0, Proposed Project Type: ,i1 J p; rt, , rt S h (( 4.1:01/1 r: v v iron Merl 11 ( i n Vey 4 ( a/1 Current Use of Property: , ( Zoning: C o, g: ELI N'1 C/c � a[ Land Uses Surrounding Your Site: North: Ca, wi fried South: C o vvi East: C • , v ,vi er / ( West: G. ei ,i'1 c > Application fees are due at time of submittal. Make check payable to City of Oshkosh. Please refer to the fee schedule for appropriate fee. FEE IS NON - REFUNDABLE For more information please visit the City's website at www.ci. oshkosh. wi. us / Community _Developmen + t //Planning.htm I Staff 4J" DateRec'd J��� 11 3 r x 4 METCO 9 Excellence through experiencee' 1421 State Road 16♦ La Crosse, WI 54601 ♦ 1-800- 552 -2932 ♦ Fax (608) 781 -8893 Email: rona @metcoho.com ♦www.metcohq.com October 22, 2010 Jeff Naw City of Oshkosh Department of Community Development 215 Church Avenue, P.O. Box 1130 Oshkosh, WI 54901 Subject: Access permission for monitoring well installation within city right of way. To Whom It May Concern, METCO is conducting an environmental investigation concerning a petroleum release at the Kiser Trust Property located at 694 North Main Street. Per requirements by the Wisconsin Department of Natural Resources, one monitoring well is to be installed within city right of way to define the extent of petroleum contamination in groundwater. The proposed monitoring well location is to be in the boulevard on the north side of West Irving Avenue, approximately 25 feet west of North Main Street (see map). Therefore, we are requesting permission from the City of Oshkosh to conduct this work . The monitoring well will be constructed by advancing a 8 -inch diameter soil boring to the required depth (14 feet) and installing a two inch diameter monitoring well with a slotted screen. Uniform washed sand is installed around the well screen to serve as a filter pack. Bentonite is used above the filter pack to provide an annular space seal. A locking watertight cap along with a steel flush- mounted cover will be installed with the monitoring wells for protection. Soil cuttings generated during the drilling process will be containerized in 55- gallon DOT drums and will be temporarily stored on the Kiser Trust property until they can be properly disposed (approximately one month). The monitoring well installation project is expected to be completed in one day. After the monitoring well installation is completed, access to the well will be necessary on occasion. Events where access to the well will be required in the next year include development of the well and quarterly groundwater sampling. These events only require approximately fifteen minutes of work at the monitoring well. It is our experience that the WDNR usually requires that monitoring wells remain in place (for sampling purposes) for a duration of approximately 2 years, and possibly longer, depending on actual site conditions/WDNR requirements. Once the groundwater monitoring is complete, the monitoring well will be properly abandoned with bentonite clay. This project has not been scheduled, but is expected to be conducted in December 2010. Diggers Hotline and local water /sewer utilities will be notified. A City of Oshkosh General Application, Environmental Consulting, Fuel System Design, Installation and Service 4 application fee, and two Site Layout Maps showing the proposed monitoring well location have been attached. Should you have any questions, or require additional information, do not hesitate to contact our La Crosse office at 608 -781 -8879. Sincerely, Eric Dahl Hydrogeologist c: James Kiser — client • Environmental Consulting, Fuel System Design, Installation and Service Page 2 5 • - -- I I . r T • I • . IA I u 1 J .111 1111 i l \\..:,,, \ \\\\\ ,_\.....\ \\_ \ N4 . i LUL m y W _ F 1 1 1. . � ice= -1 V • 1 ° I :g I \ �� g • I (111 1 \ \ . ;,-,• +�. e } �\ �Z 4 . I `\' II _ �.. \ \ \ , d y 1 ( III . � \\ ® \ \ xmwaas GI J I —.— m ; &- _,4s`44�C+�' . -- .Is . .11- 3 S N I W Hl?� 0" '!. . . . III _ Ni _ . 1 {.�� N7Y.... \ Q -§. \ON,. - ■t1,*: , \__ o 'er �� g \\ \ \ 0 • § s = . 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'- .:, ...., • , - - ..,' •-... --,,,,, .rjr."..1Y.ZIK.'14:g.;•,'1:4•1.„.F.<1.-;;;n, ,I....'4".7.-";--;;;It,---?::',.- ...'A ' At • :."--.,-, 4 ,•••<,.4..,,,,,,,,, ey r i: • ••, ;• 1 : -. ;' , :...s 7 -: ) •Tit•-;-•: - .7;:--J:€2:.... , 1 `'"' 1- '''.`. 4 4.12-:; - •;: ,-, ;:t.:-=';',• , ...•).-:4,,,,tc , ,.;-. ; ......1- -.•,7„ :: - .,..4„._•,..1 Cif) DISCLAIMER MONITORING WELL Thls map N neither a legally recorded map nor a survey and It is not intended to be used as one. NW CORNER N MAIN ST N Of HKO./H ON THE WATER and state offices and other sources affecting This drawing Is a compilation of records, county & W IRVII\JG AV City of Oshkosh and information located In various city, co the area shown and It Is to be used for reference D purposes only. The City of Oshkosh is not re t z sponsible for any Inaccuracies herein con ttIneud. epar tmen of If discrepencies are found, please contact Community Development City of Oshkosh. Scale: 1" -- 60' Created by - dff 11/24/10 7 ® L�J LL t� t� ty -� �� r' .. ele4 !�� II TAW ' ,. tl ll� lll �, r 11-1, = W= X 1111111': - 1- o !�� MB i�® 9 �'� — -- _. — __ 74 - 11111. - 111 .. v — i. '-- .... .. � 0 .. . aY1 .. 1 .. l .. .� r - _ 1 _w ..I.. . .3 .■ ..r. .. r� Y A W .... Y A W .... llll�� �11� . . , Ifj I h-� �T. `u■ NM I , . ,Ag , r v"�I , v. 1 -is . .. .� . . . = s . -. • ..- .. � r.,... I ..e • .. is a ■. Lr��. �. i1 � u 0� i' . ._n�'lll� ma , g i f�J 11.1111 t .. . �m �. =I— ..�� 1." �". =7. = �. ii-- ----,---- .� Wm'. r... r.. ,.r r. .r r == _ r. w raw' .. ... �E ...■ tea. .E�. _ 1 1 11iIIUg CiIt.i . 11Q�` l■ i 11111 11111 11111 a �R Y 3't'� 111 141 ' 116 �� , � � ■ �� 1111 11� IC.1 I�:1 u r —_ ! '11 't'�'ll !w in Ir -- ..1 11 11 MI _ , OM .: +.�0 _ 11 1: MIN - 1 1 pimp `�f���� 11 ,11,11 1� I�l�p�p& o� e t= j Y .... ...0 f i iii�! 111' � � �� • n , rr.7 1 +� ..� ° i�� -� C .,. Z1 ir�l .+1111. 53 1111 1111 l: Ilf ;�t.... p .■ -- ! � ! 11!! �IIZ" = t HIV 1 /dill i = - C m� -z ...r._ � 1 IIL'!; - . - E � N 1 11 !! 1111�!1!!!PlIIIII- !Ts: A � V_ E- '. - .... I i .. E1 1 F .,-,�, IN , 11�L121: al�t� e = :1 :. 11111111 iII ` ■ 0 � � ...... p ': 12 1 -.1 1 a -� r 1 c .. = = = � r i111� .. I I1111111lR!l1111 IN " = _ = r _ la � _ � _, 0 \ V! �1111iii11.11111111�. Imo- I - � n 'i i rn ! : 1 r ,�� a - 1"....7... � II \��1111 ..�u;o ,1 ire 1 � I._ I i. ■ - _ _ : ,lr . t�: � 1 'r. 11 hi illy gal Ill m _ _ .. ".12 ` 1111 I1 C ll: S.r �, .s■ ■ ■ �� �.. ni JOH \ ��91111 .il . I I S� =I Iwo � 10.° . �,�. .. .�1� r.-1- � EC 1 ga ''' a - Wild 7.11.1 �� _ .. i SUBJECT �.�111u -"'" 'NE ! r.irr �H is "la -�• Yid �':� —� �� r E. 'T- 1 �I �� • . `1. = =.■ i♦Ei .ra n. a•.r. n � n= en .. . i .. = e= r �..911 w.. 1! = p.. �: _i 011 111111 111 S�T fo, r r .r I AA arm �4 . w , +. .. .� . �� de r . I 11111 f FA�� 'ITIM'9.IJ►1L' t ike■ " -�. _ ' 11 r= ail ' r f:iw11111. run _. ..: 44 - ,. . o ._ • — 11RUI I 11I ■ a :;+ . ,,, P i ; i■ - � .. p r � �., s 11 11 ���! ■ � � .In �..■ i a .� e � � , - -D ..I. ` ' ~ 1 11/11 II�'��� VYY.Y �. /' w :: 1. . . 1 iii/ z :1nu illi1 9111 ri �G �r= �� ■ :. =t I II 111 11 11 1�� ;11111 1 11 11111 _1 im 011111 011 11111 . 11. M.. _ _ .. ._am min I ` 1. . ���� =5 211 n �C ���rl� � i? : = cm . � . � � • _ i u�rj. ►l: � � ■ rgu11;3 W Ial an° =r _ m i x =I= 2 .. ■air. i �AIAr11 r J1/11111ir �q ..— G � / r; _' *,::rlif �� S _ � - ME = n u == - R1 .�� �U • [' 2L 1110 .c9 ■.u... Eli `a• +� r' rl �.� s =_ := r _ I 1 ��►� Z _ - : - I&itiili 1i�lll �.� Ili �� ., m1i 11 O �i` .>t ■r w L ' +; �—� st�� • �Ci % e ) t,. .. l 1f �/ rya ,.� ■_ ■ u ■ , ,��• y �� nr■ rr a � / � ��., ,, _. aL •„ / ..: 7:21 � G r.■ nr m err+ =� ,. ■ _ �.., � ..• - �':1 � �+ � /' � � 111 i a7 I_ ~ ea A. .l flii • r . d ill � lil � C:il 1 /' Sim . ♦ .� �� /� - � li ...� ' L-• �- \ : . �� !C ■� i ....;r. ■,111 IIII 11 1111 " 1: ;II 1„ 11 1 _.0t*._„.... 0 „,,, i ., 41% �• ° ,_. � ' 311 ire I iii ling i1111�7�a:u�I ►,a.0 Ii `., il -.i . .■ 444141/0'-A,----44: I i l ■ itf t� ., mi ■111111iI11i11 ,r.lr 111111 urfasktui,tii R o 'ti , 1 d1111h '1 I111 N_ ' � (ii a� II _ i I l Ai l lin ' INII/t'' 91 r 11r i „c f glI �II V4 l*`•� //I 1111 � + - -4 � W - I jllj�l te 11 la 1 , � ,1 , 1 , ;, 1 1. , 11 11p - . : 1111 11: . ry „ 1 e - ,11, iry m VIII . 1 11111_ . ,► 7� ter �-, 1 11 . • ,I -111 L U 1 ./ 1 0 11imr,,, - 111 _ _I• NG WELL 4) DISCLAIMER MONITOR! This map is neither a legally recorded map nor N W CORNER N MAIN ST N V �7 O f HKO /H a survey and ft is not Intended to be used as one. This drawing a compilation of records, data W I RV I N G AV wears and information located in various city, county ;red state offices es and other sources affecting Clty Of Oshkosh • • area shown and It Is to be used for reference Department of purposes only. The City of Oshkosh is not re- Community Development If discrepancies s le for any Inaccuracies herein contained. If discrepancies are found, please contact the City of Oshkosh. Scale: 1” = 1 000' 11/24/10 Created by - dff 8 t fi mF � . -: �. v t '-'''1:''''t,' r rc '''-'13'-_, r• � w X i..- s ue _ —,--' �+a�•,:><m..,..� y • ,_3:_,,, � � r yF v � � �s � a, `� ''' x SUB JECT SITE 7_ a5 ° ?a�MFDWYFtl 1. - t r -,- P f`uc 91 � � t � ,1',.,,' Y � - F S a- s .r s. ^ .yes . e. e 1 . ' - "' F ,—' ^ as. r. _"'•s, . 4-724,",,,T,- " '- _' t�. -z i ` _ ' ""`_ t a,' _ 3 1 ' r y L ,m7.,:=,...---' - -n E � is °�, t; � • 3 S 8 � d `s r ' . [ ' - ma - .- sik , aM1T U .n s*rg- s r- ,.,.,,.w _ .�. ,. .a>�.. �x r`� -.7° "+a { Y s � y y .4,:,, 7, r tu' + ! r .. � z . .r � - DISCLAIMER MONITORING W This map Is n either a legally re corded map nor .a "rveya ° ° " � ° °" °tan ° ° °`cb ° °a ° °aa ° ° °. NW C ORNER N MAIN ST ci This drew ing is a compilation of records, data 1 /� O�HKO N J H ELL and Information located in various city, coectunnty & Y 1/ I RV I N G AV wATE" and state o ffices and otheraource ed s for affig the area shown and I! is to be us ro of Oshkosh is not t ra- sponslbla r any Inaceureeies herein contained. Department Of If discrepancies are found, please contact the . Comm unity Development �dyof °a Scale: 1 " = 60 ' Created by - dff 11/24/1 Q 9 OP ID: C1 ��� I DATE (MM/DDIYYYY) 'A 0 C ,- CERTIFICATE OF LIABILITY INSURANCE 01103111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(,). CONTACT PRODUCER 817- 640 -5035 NAME: Monroe & Monroe Insurance 817 - 640 -0131 PHONE � FAX No) (A /C, No, Extl: Agency, Ltd. E-MAIL ADDRESS: 2921 Galieria Dr., Suite 102 PRODUCER METCO - J CUSTOMER ID #: Jim R e a amm , CIC 76011 INSURER(S) AFFORDING COVERAGE NAIL# im R e INSURED Midwest Electro -Tech Corp dba INSURER A: Great American Ins Cos. 16691 METCO Inc INSURER B: — Paul Knower INSURERC: PO Box 448 INSURER D : Hillsboro, W 1 54634 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO THAT THE ND CATED.0 POLICIES NOIVVITHSTANDING ANYREQUIREM NT, TERM OR CONDITION V I ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO L WHICH R TH O IS 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR 4WD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) 1,000,000 GENERAL LIABILITY EACH OCCURRENCE $ DAMAGETORENTEb 100,000 A X COMMERCIAL GENERAL LIABILITY 02GL785524 03125/10 03/25/11 PREMISES {Ea occurrence) $ MED EXP (Any one person) $ -a CLAIMS-MADE X OCCUR 1,000,000 PERSONAL & AEA/ INJURY $ X Pollution Liab — 2,000,000 X Professional Liab GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY X JEC PROT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ (Per accident) HIRED AUTOS — $ NON -OWNED AUTOS EACH OCCURRENCE $ 1,000,000 UMBRELLA LIAB X OCCUR , AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS-MADE 02XS165973 03/25/10 03/25/11 - A $ DEDUCTIBLE — X RETENTION $ 10,000 $ WORKERS COMPENSATION AI I OT AND ND EMPLOYERS' )TORYLMTS ER LOYERS' LIABILITY YIN E L EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE NIA OFFICERIMEMBER EXCLUDED? E . DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes. describe under E L DISEASE- POLICY LIME $ OF DESCRIPTION to OPERATIONS below ater 021M37920 03/25/10 03/25/11 'Bailee 100,000 A Equipment Floater Cargo 100,000 DESC It, /VEHICLES (Attach embers,, e mploye e s, and al Remarks Schedule, if more space is required) of Oshkosh, and s officers council authorized volunteers are named as additional insured on the above GL policy. CERTIFICATE HOLDER _ CANCELLATION OSHKOSH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Oshkosh ACCORDANCE WITH THE POLICY PROVISIONS. 215 Church Ave PO Box 1130 AUTHORIZED REPRESENTATIVE Oshkosh, WI 54903 -1130 / 'll/tAR I ©1988 - 2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD