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HomeMy WebLinkAboutPW CNT 12-07/Vinton Construction CITY OF OSHKOSH LEGAL DEPARTMENT 215 CHURCH AVENUE, P.O. BOX 1130, OSHKOSH, WI 54903-1130 PHONE: (920) 236-5115 FAX(920)236-5106 LETTER OF TRANSMITTAL To: Vinton Construction Date: April 27, 2012 PO Box 1987 Project: Various Concrete Paving & Utility Manitowoc, WI 54221-1987 Projects — North Side From: Carol Marchant, Adm. Assistant Attn: Re: Contract 12-07 Please find: ® Attached ❑ Under Separate Cover ❑ Copy of Letter ® Contracts ❑ Amendment ❑ Report ❑ Agenda ❑ Meeting Notes ❑ Photos ❑ Mylars ❑ Change Order ❑ Plans ❑ Specifications ❑ Estimates ❑ Diskette ❑ Zip Disk ❑ Other Quantity Description 1 Signed Construction Contract— City Contract 12-07 These are being transmitted as indicated below: ❑ For Approval ® For Your Use ❑ As Requested ❑ For Review&Comment Remarks: Signed: i&dhz.L cc: City Clerk (original) Public Works, Engineering (original) City Attorney (copy) CONSTRUCTION CONTRACT THIS AGREEMENT, made on the 11th day of April, 2012, by and between the CITY OF OSHKOSH, party of the first part, hereinafter referred to as CITY, and VINTON CONSTRUCTION COMPANY, PO Box 1987, Manitowoc, WI 54221-1987, party of the second part, hereinafter referred to as the CONTRACTOR, WITNESSETH: That the City and the Contractor, for the consideration hereinafter named, agree as follows: ARTICLE I. SCOPE OF WORK The Contractor hereby agrees to furnish all of the materials and all of the equipment and labor necessary, and to perform all of the work shown on the plans and described in the specifications for the project entitled or described as follows: Public Works Contract No. 12-07 for Various Concrete Paving & Utility Projects — North Side, for the Public Works Department, pursuant to Resolution 12-161 adopted by the Common Council of the City of Oshkosh on the 10th day of April, 2012, all in accordance and in strict compliance with the Contractor's proposal and the other contract documents referred to in ARTICLE V of this contract. ARTICLE II. TIME OF COMPLETION The work to be performed under this contract shall be commenced and the work completed within the time limits specified in the General Conditions and/or Contractor's Proposal. ARTICLE III. PAYMENT (a) The Contract Sum. The City shall pay to the Contractor for the performance of the contract the sum of $4,861,911.85, adjusted by any changes as provided in the General Conditions, or any changes hereafter mutually agreed upon in writing by the parties hereto, provided, however, in the event the proposal and contract documents are on a "Unit Price" basis, the above mentioned figure is an estimated figure, and the City shall, in such cases, pay to the Contractor for the performance of the contract the amounts determined for the total number of each of the units of work as set forth in the Contractor's proposal; the number of units therein contained is approximate only, and the final payment shall be made for the actual number of units that are incorporated in or made necessary by the work covered by the contract. 1 (b) Progress Payments. In the event the time necessary to complete this Contract is such that progress payments are required, they shall be made according to the provisions set forth in the General Conditions. ARTICLE IV. CONTRACTOR TO HOLD CITY HARMLESS The Contractor covenants and 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 or result from the intentional or negligent acts of the Contractor, his agents or assigns, his employees or his subcontractors related however remotely to the performance of this Contract or be caused or result from any violation of any law or administrative regulation, and shall indemnify or refund to the City all sums including court costs, attorney fees and punitive damages which the City may be obliged or adjudged to pay on any such claims or demands within thirty (30) days of the date of the City's written demand for indemnification or refund. ARTICLE V. INSURANCE The Insurance required by the City of Oshkosh as specified in the City's specifications, including addenda, or plans, or instructions, or advertisements, shall be primary coverage and that any insurance or self insurance maintained by the City of Oshkosh, its officers, council members, agents, employees or authorized volunteers will not contribute to a loss. All insurance shall be based upon the occurrence of an event, and not based on claims made. All insurance shall be in full force prior to commencing work and remain in force until the entire job is completed and the length of time that is specified, if any, in this contract, the specifications, whichever is longer. ARTICLE VI. COMPONENT PARTS OF THE CONTRACT This contract consists of the following component parts, all of which are as fully a part of this contract as if herein set out verbatim, or if not attached, as if hereto attached: 1 . This Instrument 2. The City's Approved Plans 3. Specifications, including any addenda 4. City of Oshkosh Standard Specifications 5. Instructions to Bidders 6. Advertisement for Bids 7. Contractor's Proposal The contract documents are complementary; what is required by one is as binding as if required by all. Before undertaking each part of the work, the Contractor shall carefully study and compare the Contract Documents and check and verify all pertinent figures and measurements required therein. Contractor shall promptly report in writing to the Engineer any conflict, error, ambiguity or discrepancy which Contractor may discover and shall obtain written clarification from the Engineer before proceeding 2 with any work affected thereby. In the event that any provision in any of the above component parts of this contract conflicts with any provision in any other of the component parts, the provision in the component part first enumerated above shall govern over any other component part which follows it numerically except as may be otherwise specifically stated. IT IS HEREBY DECLARED, UNDERSTOOD AND AGREED that the word "Contractor" wherever used in this contract means the party of the second part and its/his/their legal representatives, successors and assigns. IN WITNESS WHEREOF, the City of Oshkosh, Wisconsin, has caused this contract to be sealed with its corporate seal and to be subscribed to by its City Manager and City Clerk and countersigned by the Comptroller of said City, and the party of the second part hereunto set its, his or their hand and seal the day and year first above written. In the Presence of: CONTRACTOR VINTON CONSTRUCTION COMPANY -C6 -YIAA------7 C5vi,dce, al-P./ILL By. P, /e,hT...i (Seal of Contractor (Specify Title) if a Corporation.) By: a PAS/4ir iVn.../PGLt/L. (Specify Title) CITY OF OSHKOSH A By: -,-, i?°1-4.1 'C�z _-___,-1-- �L `� �� Ma k A. Rohloff, City Manager Witness) _ _- -- L, !/ And )LL . .c"_ y ( itness) Pamela R. Ubrig, City Cler APPROVED: I hereby certify that the necessary provisions have been made to pay the liability which will accrue under this contract \''-C' A torney i,...4,), ... , ____, City Comptroller 3 Bond No. 105769102 4114 WExecuted in Three Copies °1620° ISCONSIN SOCIETY OF ARCHITECTS i;41. THE AMERICAN INSTITUTE OF ARCHITECTS ;; ;1,1M- �ii,, .8u WIS. AIA DOCUMENT JULY 1980 ED. WIS. A312 a 0' a PUBLIC IMPROVEMENT PERFORMANCE/LABOR AND MATERIAL PAYMENT BOND THIS BOND IS TO BE USED ON PUBLIC IMPROVEMENT CONTRACTS PURSUANT 0 TO SECTION 779.14 WISCONSIN STATUTES. tri 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) Vinton Construction Company, 2705 North Rapids Road-P.O. Box 1987, Manitowoc, Wisconsin 54221-1987 as Principal, hereinafter called Principal, and, (Here insert the legal title and address of Surety) TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA, 13935 Bishops Drive-Suite 200, Brookfield, Wisconsin 53005 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 the amount of Four Million Eight Hundred Sixty-One Thousand Nine Hundred Eleven and 85/100s Dollars ($'.,861 ,911.fp (Here insert • sum at least equal to the contract price) for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, suc- cessors and assigns, jointly and severally, firmly by these. presents. WHEREAS, Principal has by written agreement dated April 11 12012 entered into a contract with Owner for Public Works Contract No. 12-07 - Various Concrete Paving and Utility Projects - North Side,}'n Oshkosh, Wisconsin in accordance with drawings and specifications prepared by (Here insert full name, title and address) which contract is by reference made a part hereof and is required by Section 779.14, Wisconsin Statutes, C n The said written agreement, drawings, specifications and amendments are hereinafter referred to as the Contract. PUBLIC IMPROVEMENT PERFORMANCE/LABOR-MATERIAL BOND TWO PAGES WIS.AIA DOC.WIS.A312AUGUST. 1989ED. PAGE 1 Id Copr. 1969 Wisconsin Society of Architects/AIA 321 S.Hamilton St. Madison,Wis.53703 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 furnished under 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 full force and effect, subject, however, to the following conditions: 1) No assignment, modification or change of the Principal and the Surety upon this bond for the Contract, or change in the work covered thereby, or recovery of any damages he may have sustained by any extension of time for the completion of the Con- reason of the failure of the Principal to comply with tract shall release the sureties on the bond. 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. Signed and sealed this 16th day of . April • 2012 IN THE PRESENCE OF: VINTON CONSTRUCTION COMPANY Princip.l By: 4 l" _ (Seal) Witness r vV TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA Name of Surety Wilms 'idol /4/21X ep . Vign/a'orney—In—Fact APPROVED BY* IN THE PRESENCE OF: Owner By: (Seal) Witness Tide: *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 its chairman, of a school district by the director or president and of any other public board or body by the presiding officer thereof. PUBLIC IMPROVEMENT PERFORMANCE/LABOR-MATERIAL BOND TWO PAGES WIS.AIA DOC.WIS.A312 AUGUST 1989 ED. PAGE 2 WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER ,rA. POWER OF ATTORNEY TRAVELERSJ Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company Attorney-In Fact No. 219817 Certificate No. 0 0 4 3 61.1.7 5 KNOW ALL MEN BY THESE PRESENTS:That St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company and St.Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota,that Farmington Casualty Company,Travelers Casualty and Surety Company,and Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut,that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland,that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.,is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint Elizabeth M. Fedyn,Joseph L. Vigna,Dennis M. Barton,Daniel G.Johnson,and Michael T. Burg of the City of Brookfield ,State of Wisconsin ,their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. 22nd IN WITNESS WHEREOF,the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed,this day of June 2011 Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company 0.su 1`l l..l,l *7'4 G q,� �, FTW..�NS` •..(1NS 0...... P 1Y ANO e '/e 0� �.L 7 QO: 9 JP............q 9J y t7 1982'O CI � T`N Z ct.it° PryRq>tr i W1�PRPORgPf;:'',i � .,i tr; w z ; ♦ {z: .n: " HAFITFORD, +i 19551 , 1 -, •n WN_ n. �.SEHI ion t�S.SBAL J o �p< y. a R NcFC d•1S•...NysA/ a1:.. ;:‘44 N.sb aac �r State of Connecticut - By: City of Hartford ss. Georg Thompson,senior ice President On this the 22nd day of June 2011 y , , before me personally appeared George W. Thompson, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he,as such,being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. V In Witness Whereof,I hereunto set my hand and official seal. f•TINt'TM (A4/6. CC . My Commission expires the 30th day of June,2016. C�At W° * ``Marie C.Tetreault,Notary Public . 4:1C�'$ 58440-6-11 Printed in U.S.A. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER • WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company,Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company,which resolutions are now in full force and effect,reading as follows: RESOLVED,that the Chairman,the President, any Vice Chairman,any Executive Vice President,any Senior Vice President, any Vice President, any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds,recognizances,contracts of indemnity,and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is FURTHER RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED,that any bond,recognizance,contract of indemnity,or writing obligatory in the nature of a bond,recognizance,or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;or(b)duly executed(under seal,if required)by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President,any Vice President, any Assistant Vice President,any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I,Kevin E.Hughes,the undersigned,Assistant Secretary,of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty 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 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 I ! day of Ap T' ! ,20 12. Kevin E.Hughes,Assistant Sec tary O tY V^` yeY_ •t�l ir.N b,0"6'4 `t•N..iMSG9 p�.IN!.4:; J��1Y ANp aG t ar1'F a VOR '% ..i a4r ,� .1;" �to A�f'� W PORAT�::.p c+ ,17.' _ tED , Iraq, R = �19�82�; $ 1951 EALfo "tiSBELt° fy Ncc�" a Of • y` $ o j`' r! 3 s d ,to � y ry AIN To verify the authenticity of this Power of Attorney,call 1-800-421-3880 or contact us at www.travelersbond.com.Please refer to the Attorney-In-Fact number,the above-named individuals and the details of the bond to which the power is attached. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER CERTIFICATE OF LIABILITY INSURANCE DATE(MM/2012 YY) .44C-0/20— 1M113/2012 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 w the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the w certificate holder in lieu of such endorsement(s). _ m CONTACT 13 PRODUCER NAME: Aon Risk Services Central, Inc. PHONE (920) 437-7123 I FAX (920) 431-6345 m Green Bay WI Office (AIC.No.Ext): (�•No.): 'p 111 N. Washington Street, Suite 300 E-MAIL 6 P. 0. Box 23004 ADDRESS: x Green Bay WI 54305-3004 USA INSURER(S)AFFORDING COVERAGE NAM# INSURED INSURER A: valley Forge Insurance Co 20508 Vinton Construction Company INSURER B: National Fire Ins. Co. of Hartford 20478 2705 North Rapids Road P 0 Box 1987 INSURER C: Continental Casualty Company 20443 Manitowoc WI 54220 USA INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570045925756 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSR ADDL SUBR POLICY hr} POLICY LXP LIMITS TYPE OF INSURANCE INSR wvD POLICY NUMBER ([ ypwmr� (MMIDD/YYYY) LTR GENERAL LU161LITY U 2064516753 01/01/2012 81/01/2013 EACH OCCURRENCE S1,000,000 GENERAL LIABILITY DAMAGE TO REN rED $300,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) CLAIMS-MADE ©OCCUR MED EXP(Any one person) S10,000 X CONTRACTUAL UABIUTY PERSONAL&ADV INJURY $1,000,000 N GENERAL AGGREGATE $2,000,000 N GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG — 52,000,000 7 POLICY I " I ECT I t I LOC U 2064526560 01/01/2012 01/01/2013 COMBINED SINGLE LIMIT 51,000,000 o BUSINESS AUTOMOBILE B /WTOINOBILELUIBIUTY (Ea accident) BODILY INJURY(Per person) O X ANY AUTO z — ALL OWNED —SCHEDULED BODILY INJURY(Per accident) Y _ AUTOS _ AUTOS PROPERTY DAMAGE v X HIRED AUTOS X AUTOS ED (Per accident) ?LI AUTOS t: m C X UMBRELALIAB X OCCUR U 2079989443 01/01/2012 01/01/2013 EACH OCCURRENCE $6,000,000 U — UMBRELLA AGGREGATE 56,000,000 EXCESS UAB CLAIMS-MADE DED I (RETENTION A WORKERS COMPENSATION AND WC 2 64521;574 01/01/2012 01/01/2013 x I W ,STAT I IER LUI EMPLOYERS' BIUTY YIN WORKERS COMPENSATION ANY PROPRIETOR/PARTNER I EXECUTIVE E.L.EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S100,000 If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S500,000 2 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) --e�C RE: PUBLIC WORKS CONTRACT NO. 12-07. ADDITIONAL INSURED ON THE GENERAL LIABILITY THE CITY OF OSHKOSH AND ITS OFFICERS, COUNCIL i� MEMBERS, AGENTS, EMPLOYEES AND AUTHORIZED VOLUNTEERS AS RESPECTS THE PROJECT NAMED ABOVE PER BLANKET ADDITIONAL INSURED ENDORSEMENT, AS REQUIRED BY WRITTEN CONTRACT. EC Xi gi V CERTIFICATE HOLDER CANCELLATION `--� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ate. CITY OF OSHKOSH AUTHORIZED REPRESENTATIVE ATTN: CAROL MARCHANT 215 CHURCH STREET A i �{ „� ( L/� ��' Itile PO BOX 1130 t...Q a %r...14. NToI OSHKOSH WI 54903-1130 USA — MI ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD