Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Northeastern Roofing, Inc/Park Maintenance
02,u44-ort-,INj CONTRACTOR AGREEMENT THIS AGREEMENT, made on the 10th day of October, 2012, by and between the CITY OF OSHKOSH, party of the first part, hereinafter referred to as CITY, and NORTHEASTERN ROOFING INC. hereinafter referred to as the CONTRACTOR, WITNESSETH: That the City and the Contractor,for the consideration hereinafter named,enter into the following Agreement. The CITY'S Bid Specifications and Insurance requirements are attached hereto and incorporated into this Agreement. The Contractor's proposal is also attached hereto and reflects the agreement of the parties except where it conflicts with the CITY'S terms within this agreement, in which case the CITY'S Bid Specifications, Insurance requirements, and other terms of this agreement shall prevail. ARTICLE I. PROJECT MANAGER A. Assignment of Project Manager. The Contractor shall assign the following individual to manage the project described in this contract: (Troy Eick, Northeastern Roofing) B. Changes in Project Manager. The City shall have the right to approve or disapprove of any proposed change from the individual named above as Project Manager. The City shall be provided with a resume or other information for any proposed substitute and shall be given the opportunity to interview that person prior to any proposed change. ARTICLE II. CITY REPRESENTATIVE The City shall assign the following individual to manage the project described in this contract: (Jon Urben, General Services Director) ARTICLE III. SCOPE OF WORK The Contractor shall provide services described in the CITY'S Bid Specifications dated September 7, 2012, referred to as the "Project Manual for the City of Oshkosh 2012 Roof Replacement Zoo Maintenance Building, Parks & Forestry Building and City Hall Heating Plant, Oshkosh, Wisconsin, SEG Project No. 12379" as prepared by Specialty Engineering Group LLC, Addendum #1 dated September 24, 2012, Addendum #2 dated September 24, 2012 and the Contractor's bid form dated September 27, 2012. The 1 Contractor's bid form is attached hereto as Exhibit A. If anything in the Contractor's proposal conflicts with the CITY'S Bid Specifications or with this agreement,the CITY'S Bid Specifications and the provisions in this agreement shall govern. The Contractor may provide additional products and/or services if such products/services are requested in writing by the Authorized Representative of the City. ARTICLE IV. CITY RESPONSIBLITIES The City shall furnish, at the Contractor's request, such information as is needed by the Contractor to aid in the progress of the project, providing it is reasonably obtainable from City records. To prevent any unreasonable delay in the Contractor's work the City will examine all reports and other documents and will make any authorizations necessary to proceed with work within a reasonable time period. ARTICLE V. TIME OF COMPLETION The work to be performed under this contract shall be commenced and the work completed by December 31 , 2012. ARTICLE VI. PAYMENT A. The Contract Sum. The City shall pay to the Contractor for the performance of the contract the sum of $53,900, adjusted by any changes hereafter mutually agreed upon in writing by the parties hereto. Fee schedules shall be firm for the duration of this Agreement. B. Method of Payment. The Contractor shall submit itemized monthly statements for services. The City shall pay the Contractor within 30 calendar days after receipt of such statement. If any statement amount is disputed, the City may withhold payment of such amount and shall provide to Contractor a statement as to the reason(s) for withholding payment. C. Additional Costs. Costs for additional services to be negotiated and set forth in a written amendment to this agreement executed by both parties prior to proceeding with the work covered under the subject amendment. ARTICLE VII. CONTRACTOR TO HOLD CITY HARMLESS The Contractor covenants and agrees to protect and hold the City of Oshkosh 2 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 VIII. INSURANCE The Contractor shall provide insurance for this project that includes the City of Oshkosh as an additional insured. The specific coverage required for this project is identified in the CITY'S Bid Specifications dated September 7, 2012, referred to as the "Project Manual for the City of Oshkosh 2012 Roof Replacement Zoo Maintenance Building, Parks & Forestry Building and City Hall Heating Plant, Oshkosh,Wisconsin, SEG Project No. 12379" as prepared by Specialty Engineering Group LLC which is fully incorporated into this Agreement. The Contractor is responsible for meeting all insurance requirements. The CITY does not waive this requirement due to its inaction or delayed action in the event that the Contractor's actual insurance coverage varies from the Insurance required. ARTICLE IX. TERMINATION A. For Cause. If the Contractor shall fail to fulfill in timely and proper manner any of the obligations under this Agreement, the City shall have the right to terminate this Agreement by written notice to the Contractor. In this event, the Contractor shall be entitled to compensation for any satisfactory, usable work completed. B. For Convenience. The City may terminate this contract at any time by giving written notice to the Contractor no later than 10 calendar days before the termination date. If the City terminates under this paragraph, then the Contractor shall be entitled to compensation for any satisfactory work performed to the date of termination. This document and any specified attachments contain all terms and conditions of the Agreement and any alteration thereto shall be invalid unless made in writing, signed by both parties and incorporated as an amendment to this Agreement. In the Presence of: CONTRACTOR /CONSULTANT By: 3 1Otai s11,1/4) T "; ..- )cd )1) (Seal of Contractor (Specify Title) if a Corporation.) By: //2.0 E I c..._,` K, c .eS- (Spec fy Title) CITY OF OSHKOSH Id, ^, '%� Mark A. ohloff, City Manager (Wi ness) / , ..jit ` And: illtjak _ „Al& a"--)1 L/ 1 t ness) Pamela R. Ubrig, City Clerk 0 APPROVED: I hereby certify that the necess- 1 ; ary provisions have been made to jag pay the liability which will accrue `1,.• _�� i under this contract. ,., ' City Attorney 1. Pe 1"- - 0 -440 City Com tr Iler 4 OCTOBER 9, 2012 12-495 RESOLUTION (CARRIED LOST LAID OVER WITHDRAWN ) PURPOSE: AWARD BID FOR ROOF REPLACEMENT PROJECTS FOR FACILITIES MAINTENANCE TO PHD ROOF DOCTORS, NORTHEASTERN ROOFING, AND CJ CONTRACTING(Total Amount of$126,980.00) INITIATED BY: PURCHASING WHEREAS, the City of Oshkosh has heretofore advertised for bids for Roof Replacement Projects at the Zoo Maintenance Building, City Hall Mechanical/Storage Buildings, and the Parks & Forestry Building; and WHEREAS, upon the opening and tabulation of bids, it appears that the following are the most advantageous bids: Zoo Maintenance Building: PHD ROOF DOCTORS 340 S. Milwaukee Street Fredonia, WI 53021 Total Bid: $13,180.00 Parks & Forestry Building: NORTHEASTERN ROOFING 230 Morrow Street Seymour, WI 54165 Total Bid: $53,900.00 City Hall Mechanical/Storage Buildings: CJ CONTRACTING 2821 N. 4th Street, Suite 307 Milwaukee, WI 53212 Total Bid: $59,900.00 NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that the said bid is hereby accepted and the proper City officials are hereby authorized and directed to enter into an appropriate agreement for the purpose of same, all according to plans, specifications, and bid on file. Money for this purpose is hereby appropriated from: Acct. No. 323-0130-7214-06237 Property Improvement Fund — Roofing Improvements CITY HALL 215 Church Avenue PO Box 1130 Oshkosh, scons n 54903-1130 City of Oshkosh 4111r) OIHKQIH TO: Honorable Mayor and Members of the Common Council FROM: Jon Urben,General Services Manager DATE: October 1,2012 RE: Bid Award- 2012 Roof Replacement Projects BACKGROUND The 2011 Specialty Engineering Group (SEG) Roof Assessment Survey prioritized a roof replacement schedule for all municipal buildings. The survey recommended the roofs of three buildings (Zoo Maintenance Building, City Hall Mechanical/Storage Buildings and the Parks & Forestry Building) be replaced in 2012. The council allocated $500,000 in the 2012 CIP for HVAC/Roofing improvements. ANALYSIS Working in conjunction with SEG, Purchasing reviewed and prepared proposals seeking contractors for these projects. Bids were advertised in the local paper and posted online on NovusVendor. Bids were received on September 27, 2012. The bid tab is attached. City staff and SEG reviewed the bids and concluded the low bids for Base Bid #1 (PHD Roof Doctors), Base Bid #2 (Northeastern Roofing) and Base Bid #3 (CJ Contracting) met the minimum bid specifications. FISCAL IMPACT The bids will have a combined total fiscal impact of$126,980. Funding would be charged to CIP A/N#: 323-0130-7214-06237. RECOMMENDATION Purchasing recommends the Common Council award Base Bid #1 to PHD Roof Doctors for $13,180,Base Bid#2 to Northeastern Roofing for$53,900 and Base Bid#3 to CJ Contracting for $59,900. Respectfully Submitted, Approved: Jon Urben, General Services Manager Mark Rohloff, City Manager iJ § § [ q f 8 f a t }w ( )! {2 j §}) § § _ _ _ _ _ _ 8 8 g 8 8 r K \§ � 4,1 04 EN ."- i co 12 f 2 2 7 $ § k k\ „a VI 6* 41 69 61 2” 8 8 2 9 ai@ hi - / x` / § Q• ) IA ® - - ® - - - $ $ m ■ q § $ F. § § 8 , .- - 5 W - ` _ 2 § / ff7I Q 2 3! , - _ _ _ 44 _ 69 @ a # § § [ § E a. \ 1. ,!,! § f I $ / ,1 -§, e § ` 2 § § (4 — §§§ 282 / �})mm ± k2 _ - ® - 69 - - - P ~= as 2 8 8 8 8 8 8 § 8 § i /E' — 7 S § k § A -\ >0` ■ k # a a 7 co ; 4cnu_ <ge <G # a $ (cr;\ . rj� kkla - \ / /qR1 • _ _ 64 _ _ _ _ go 8 E q 8 § § § § K S 2 7 F 2 A ¥ CC i g 2 § )la� ® a Z EEf _ _ 4, _ - _ 49 8 8 8 S 8 8 8 a e, S 2 § Cl (4 , -cri . CC $ k & / 2 k co § ` 7 ]/ C » tk i _ _ _ _ _ _ _ _ ` 8 8 8 8 8 8 S ( A § CC s z 2 § § .) ° 2 §$ - _ _ _ _ _ _ r; /A� V. w -| -| 4 ! 7 ;Ott a & 11 g.1 , 21■1 ■� K II II � § U ! ■ ■02 ) {\ ;\ I • § _ !L !L ` DATE(MMIODIYYYY) ��.°a CERTIFICATE OF LIABILITY INSURANCE 10X4/212 • 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 pollcy(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 1„°f certificate holder in lieu of such endorsement(s). c PRODUCER -CONTACT m ts Aon Risk Services Central, Inc. NAME` Green Bay WI office No.Est): (920) 431-7123 �): (920) 431-6345 o 15 111 N. Washington Street, Suite 300 E-MAIL P. O. Box 23004 ADDRESS: x Green Bay WI 54305-3004 USA INSURER(S)AFFORDING COVERAGE NAIC C INSURED INSURER A: ACUITY, A Mutual Insurance Company 14184 Northeastern Roofing, Inc. INSURERS: P O Box 36 Seymour WI 54165-0036 USA INSURER C: INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570047801072 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 AMA ADDL SUER POUCYEFF POUCYEXP LTR TYPE OF INSURANCE INSR_WVD POLICY NUMBER (N1 monnvvL fumes�Nr4 LIMITS A GENERALUABIU Y Y L05472 05/01/261£05/61/2013 EACH OCCURRENCE S1,000,000 PACKAGE - COMMERCIAL DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea ocwrrenoe)_ 5250,000 CLAIMS.MADE OCCUR MED EXP(Any one person) $10,000 X AGGREGATE PER PROD. PERSONAL&ADV INJURY 51,000,000 ti GENERAL AGGREGATE $3,000,000 O o GEN'L AGGREGATE LIMIT APPPIIE7S PER: PRODUCTS-COMPIOP AGO $3,000,000 1 7 PCLICY i I JECT !X I LOc 0 N- A AUTOMOBILE LIRBlLJTY Y 105472 05/01/2012 05/01/2013 COMBINED SINGLE LIMIT 51,000,000 � I PACKAGE - COMMERCIAL (Ea accident! ANY AUTO r ) ` -'(-• ' - - BODILY INJURY(Per person) o ALL OVI YED SCHEDULED ,I j"+ ""J BODILY INJURY(Per eocident) .a. _ _ AUTOS AUTOS �,��„{,{�/,j�� -,.- I::• i t:.;t ,::L' PROPERTY DAMAGE 0 X HIRED AUTOS ED X j. AUTOSn,Jil ana void." i (Per accident) 1 C A X UMBRELLAUAB X OCCUR Y L05472 05/01/2012 05/01/2013 EACH OCCURRENCE $5,000,000 U --- PACKAGE - COMMERCIAL EXCESSUAB CLAIMS-MADE AGGREGATE $5,000,000 0E01 (RETENTION A WORKERS COMPENSATIONAND L05472 05/01/2012 05/01/2013 X v',c LIMITS I IFRH, EMPLOYERS'LIABILITY YIN PACKAGE - COMMERCIA! ANY PROPRIETOR/PARTNER I EXECUTIVE -�* I E EACH ACCIDENT S100,000 OFFICEWMEMSER EXCLUDED? I N IA (Mandatory In NH EL.DISEASE-EA EMPLOYEE $100,000 If yes.describe under DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY OMIT $500 500,000 I MI DESCRIPTION OF OPERATIONSI LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedulq II mom space Is requires, Wre RE: BASE BID #2. ADDITIONAL INSURED ON A PRIMARY BASIS ON THE GENERAL LIABILITY, INCLUDING PRODUCTS/COMPLETED OPERATIONS, AUTO & UMBRELLA POLICIES THE CITY OF OSHKOSH AND ITS OFFICERS, COUNCIL MEMBERS, AGENTS, EMPLOYEES & AUTHORIZED VOLUNTEERS AS RESPECTS THE PROJECT NAMED ABOVE PER ISO FORM CG 20 37 OR EQUIVALENT (ATTACHED), AS REQUIRED BY WRITTEN CONTRACT. ENDORSED r,-IF- POLICIES WILL INCLUDE A 30 DAY NOTICE OF CANCELLATION / NONRENEWAL FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, PROVIDED TO rr THOSE PARTIES INDICATED IN THE WRITTEN CONTRACT, FW CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE A EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. _ CITY OF OSHKOSH a CITY CLERK AUTHORfZEDREPR£SIdTATIVE ili 21S CHURCH STREET PO sox 11I0 r�/l ; .$ OSHKOSH WI 54903-1130 USA ,e..c r, :,... e> 5 ` s.. lig 01988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CS DATE(OMM/DD'/YYYY) A CERTIFICATE OF LIABILITY INSURANCE 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 to certificate holder in lieu of such endorsement(s). c CONTACT d PRODUCER 'C Aon Risk Services Central, Inc. PHONE FAX L Green Bay WI Office (A/C.No.Ext): (920) 437-7123 (A/C.No.): (920) 431-6345 'V 111 N. Washington Street, Suite 300 E-MAIL p P. 0. Box 23004 ADDRESS: _ Green Bay WI 54305-3004 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: ACUITY, A Mutual Insurance Company 14184 Northeastern Roofing, Inc. INSURER B: P 0 Box 36 Seymour WI 54165-0036 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570047897074 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 SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMMD/YYY0 MM/DD/YYYY) LIMITS A GENERAL LIABILITY L05472 05/01/2012 05/01/2013 EACHOCCURRENCE $1,000,000 PACKAGE - COMMERCIAL DAMAGETORENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $250,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $10,000 X AGGREGATE PER PROJ. PERSONAL&ADV INJURY $1,000,000 g GENERALAGGREGATE $3,000,000 rn GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $3,000,000 3,000,000 V POLICY PF n LOC A AUTOMOBILE LIABILITY L05472 05/01/2012 05/01/2013 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 PACKAGE - COMMERCIAL .. X ANY AUTO BODILY INJURY(Per person) O Z -ALL OWNED -SCHEDULED BODILY INJURY(Per accident) y _AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE U AUTOS (Per accident) w w w A X UMBRELLALIAB X OCCUR L05472 05/01/2012 05/01/2013 EACHOCCURRENCE $5,000,000 (-) EXCESSLIAB CLAIMS-MADE PACKAGE - COMMERCIAL AGGREGATE $5,000,000 DED I (RETENTION A WORKERSCOMPENSATIONAND L05472 05/01/2012 05/01/2013 X WC STATU- IOTH- EMPLOYERS'LIABILITY Y/N PACKAGE COMMERCIAL TORY LIMITS ER ANY PROPRIETOR 1 PARTNER/EXECUTIVE E.L.EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? Y N/A (Mandatory in NI-I E.L.DISEASE-EA EMPLOYEE $100,000 If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 ----• DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedulq if more space is required) r RE: 2012 ROOF REPLACEMENT ZOO MAINTENANCE BLDG, PARKS & FORESTRY BLDG & CITY HALL HEATING PLANT, OSHKOSH, WI. ADDITIONAL la...11 INSURED ON THE GENERAL LIABILITY, AUTO & UMBRELLA POLICIES THE CITY OF OSHKOSH AS RESPECTS THE PROJECT NAMED ABOVE PER BLANKET y ADDITIONAL INSURED ENDORSEMENT, AS REQUIRED BY WRITTEN CONTRACT. ENDORSED POLICIES WILL INCLUDE A 30 DAY NOTICE OF CANCELLATION P / NONRENEWAL FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, PROVIDED TO THOSE PARTIES INDICATED IN THE WRITTEN CONTRACT. 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 ril POLICY PROVISIONS. 4. CITY OF OSHKOSH AUTHORIZED REPRESENTATIVE M= 215 CHURCH AVENUE ki OSHKOSH WI 54903 USA RN ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ADDITIONAL INSURED-COMPLETED OPERATIONS-PRIMARY AND CG-7274(5-05) NONCONTRIBUTORY AUTOMATIC STATUS WHEN REQUIRED IN CON- STRUCTION AGREEMENT WITH YOU(OWNERS, LESSEES OR CONTRAC- TORS) This endorsement modifies insurance provided under agreement described in item 1; or the following: b, Bodily injury or property damage that oc- COMMERCIAL GENERAL LIABILITY COVERAGE PART curs after the time period during which the 1. Section II - Who Is An Insured is amended to contract or agreement described in item 1 include as an additional insured any person(s) requires you to add such person or or- or organization(s) for whom you have per- ganization onto your policy as an additional formed operations if you and such person(s) or insured for completed operations; or ,organization(s) have agreed in writing in a con- c. Bodily injury or property damage arising out tract or agreement that such person(s) or or- of the rendering of, or the failure to render, ganization(s) be added as an additional insured any professional, architectural, engineering on your policy for completed operations. or surveying services, including: Such person or organization is an additional (1) The preparing, approving or failing to insured only with respect to liability included in prepare or approve maps, shops the products-completed operations hazard for drawings, opinions, reports, surveys, bodily injury or properly damage caused, in field orders, change orders or drawings whole or in part, by your work performed for and specifications;or that additional insured at the location desig- (2) Supervisory, inspection, architectural or nated and described in the contract or agree engineering activities. ment. 2. This insurance does not apply to: 3. The insurance provided by this endorsement is a. Bodily injury or property damage which oc- primary and noncontributory. curs prior to the execution of the contract or ADDITIONAL INSURED-OWNERS, LESSEES OR CONTRACTORS-AUTO- CG-7194(5-05) MATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU-PRIMARY AND NONCONTRIBUTORY This endorsement modifies insurance provided under daring of, or the failure to render, any pro- the following: fessional architectural, engineering or sur- COMMERCiAL GENERAL LIABILITY COVERAGE PART veying services, including: 1. Section II - Who Is An Insured is amended to (1) The preparing, approving or failing to include as an additional insured any person or prepare or approve maps, shop organization for whom you are performing oper- drawings, opinions, reports, surveys, ations when you and such person or organize- field orders, change orders or drawings Lion have agreed in writing in a contract or and specifications;or agreement that such person or organization be (2) Supervisory, inspection, architectural or added as additional insured on your policy. engineering activities. Such person or organization is an additional b. Bodily injury or property damage occurring insured only with respect to liability for bodily after: injury, property damage or personal and ad- vertising injury caused, in whole or in part, by: (1) All work, including materials, parts or equipment furnished in connection with a. Your acts or omissions; or such work, on the project (other than b. The acts or omissions of those acting on service, maintenance or repairs) to be your behalf; performed by or on behalf of the addi- in the performance of your ongoing operations tional insured(s) at the location of the for the additional insured. covered operations has been complet- ed; or A person's or organization's status as an addi- tional insured under this endorsement ends (2) That portion of your work out of which when your operations for that additional insured the injury or damage arises has been are completed. put to its intended use by any person or organization other than another con- 2. With respect to the insurance afforded to these tractor or subcontractor engaged in per- additional insureds, the following additional ex- forming operations for a principal as a elusions apply: part of the same project. This insurance does not apply to: 3. The insurance provided by this endorsement is a. Bodily Injury, property damage or personal primary and noncontributory. and advertising injury arising out of the ren- Best's Credit Rating Center- Company Information for ACUITY A Mutual Insurance Co... Page 1 of 2 Ratings & Criteria Center Regional Centers:Asia-Pacific I Canada I Europe,Middle East and Africa Home I About Us i Contact Us I Sitemap 11."For ratings and product access Login I Sian-up Ratings&Criteria v ACUITY Mutual Insurance Company Print this page (2) »Home a Methodology A.M.Best S:000468 NAIC 8:14184 FEIN R:390491540 »Bests Credit Ratings+ Address:P.O.Box 58 Assigned to »Financial Strength Rating Sheboygan,WI 53082-0058 companies 4=10• »Issuer Credit Rating United States that have,in ' »Debt Rating a Advanced Search Web:www.acuity.com our opinion, a About Bests Credit Ratings+ Phone:920-458-9131 a superior ability to meet their »Get a Credit Rating+ Fax:920-458-1618 ongoing insurance obligations. »Bests Special Reports _ .. ........_.. .._ ...... .. _._ .... .._ ..... ....... .... .._._ ..._ ....... »Add Best's Credit Ratings Search €.Best's Credit Ratings To Your Site Financial Strength Rating View Definition ',Best's Credit Rating Analyst »BestMark for Secure-Rated - --- -- Insurers Rating: A+(Superior) Office:A.M.Best Company »Contact an Analyst Financial Size Category: X.14750 Million to$1_Billion) i Senior Financial Analyst:Adrienne Tortoriello »Awards and Recognitions Outlook: Stable - Managing Senior Financial Analyst:Jennifer Marshall, News&Analysis v Action: Affirmed j CPCU,ARM Products&Services Effective Date: January 31,2012 u Denotes Under Review Best's Retina Industry Information v Corporate Issuer Credit Rating View Definition Regulatory Affairs v Long-Term: as Support&Resources Outlook: Stable Conferences and Events v Action: Affirmed ."; _ ,' r .,,,.,.+' Date: January 31,2012 Find a Bests Credit Rating {Reports and News Enter a Company Name NW i Visit Best's News and Analysis site for the latest news and press releases for this company and its A.M.Best Group. »Advanced Search AMB Credit Report-Insurance Professional-includes Best's Financial Strength Rating and rationale along with ir comprehensive analytical commentary,detailed business overview and key financial data. Report Revision Date:10/2/2012(represents the latest significant change). AM.Best Rating Services Y`Cant l lnfcrma3gf a 41. Historical Reports are available in AMB Credit Report-Insurance Professional Archive. View Rating Definitions Select one... . Best's Executive Summary Reports(Financial Overview)-available in three versions,these presentation style G € t<' reports feature balance sheet,income statement,key financial performance tests including profitability,liquidity and reserve analysis. Data Status:2012 Best's Statement File-P/C,US Contains data compiled as of 9/22/2012 Quality Cross Checked. • Single Company-five years of financial data specifically on this company. • Comparison -side-by-side financial analysis of this company with a peer group of up to five other companies you select. • Composite -evaluate this company's financials against a peer group composite.Report displays both the average and total composite of your selected peer group. lig Best's Key Rating Guide Presentation Report-includes Best's Financial Strength Rating and financial data as a,s provided in the most current edition of Best's Key Rating Guide products.(Quality Cross Checked). AMB Credit Report-Business Professional-provides three years of key financial data presented with colorful charts * (%` and tables.Each report also features the latest Best's Ratings,Rating Rationale and an excerpt from our Business Review commentary. Data Status:Contains data compiled as of 9/22/2012 Quality Cross Checked. i Financial and Analytical Products__ Best's Kev Rating Guide-P/C.US&Canada Best's Statement File-P/C,US Best's Statement File-Global Best's Insurance Reports-P/C.US&Canada Best's State Line-P/C,US Bests Executive Summary Report-Comparison-Property/Casualty Best's Executive Summary Report-Composite-Property/Casualty Best's Regulatory Center Best's Insurance Expense Exhibit(IEE)-P/C.US Best's Schedule F(Reinsurance)-P/C.US Best's Schedule D(Municipal Bonds)-US Best's Schedule D(Common Stocks)-US Best's Corporate Changes and Retirements-P/C.US/CN http://www3.ambest.com/ratings/entities/SearchResults.aspx?URatingld=2429627&b1=0&... 10/3/2012 . .................. Best's Credit Rating Center - Company Information for ACUITY A Mutual Insurance Co... Page 2 of 2 Best's Requlatory Center Market Share Reports Best's Schedule P(Loss Reserves)-P/C,US Best's Schedule D-Hybrid-P/C&L/H,US Best's Schedule D(Corporate Bonds)-US Best's Insurance Reports-Online-P/C.US&Canada Best's Schedule BA(Other Long Term Investments)-P/C&L/H,US European Union Disclosures A.M.Best Company and its subsidiaries are not registered as External Credit Assessment Institutions(ECAI)in the European Union(EU).Credit ratings issued by A.M.Best Company and its subsidiaries can not be used for regulatory purposes in the EU as per Directive 2006/48/EC. Australian Disclosures A.M.Best Credit Ratings are statements of opinion and not statements of fact.They are not recommendations to buy,hold or sell any securities or any other form of financial product,including insurance policies and are not a recommendation to be used to make investment/purchasing decisions.A.M.Best Asia-Pacific Ltd is registered as a Credit Rating Agency in Australia and holds a Financial Services Licence number 411055 under the Corporations Act of 2001. A.M.Best Asia-Pacific Ltd credit ratings and any other related research are not intended for and must not be distributed to any person in Australia other than a wholesale client,as defined in the Corporations Act of 2001,Chapter 7.The A.M.Best websites are not intended for use by Australian users who are not defined as wholesale users. Important Notice:Best's Ratings reflect our independent opinion,based on a comprehensive quantitative and qualitative evaluation of a company's balance sheet strength,operating performance and business profile.These ratings are neither a warranty of a company's financial strength nor its ability to meet its financial obligations,including those to policyholders.View our entire notice for complete details. Customer Service I Product Support I Member Center I Contact Info I Careers About A.M.Best I Site Map I Privacy Policy)Security(Terms of Use I Legal&Licensing Copyright©2012 A.M.Best Company,Inc.ALL RIGHTS RESERVED. A.M.Best Worldwide Headquarters,Ambest Road,Oldwick,New Jersey,08858,U.S.A. http://www,3.ambest.com/ratings/entities/S earchResults.aspx?URatingId=242962 7&b1=0&... 10/3/2012 *.. I A Document A310TM - 2010 Bid Bond CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place NORTHEASTERN ROOFING,INC. of business) P.O.Box 36 Seymour,WI 54165 NORTH AMERICAN SPECIALTY INSURANCE COMPANY This document has important legal 650 Elm St. consequences.Consultation with Manchester,NH 03101 OWNER: an attorney is encouraged with (Name, legal status and address) respect to its completion or CITY OF OSHKOSH modification. Any singular reference to 215 Church Avenue,Oshkosh,WI 54903-1130 Contractor,Surety,Owner or BOND AMOUNT: Five percent of amount bid. other party shall be considered (5%of Amount Bid) plural where applicable. PROJECT: (Name, location or address, and Project number, if any) Heating Plant 215 Church Street, Forestry Building 805 Witzel,Oshkosh,WI Project Number,if any: 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 surcty 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 a nother 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 shall 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 hert:rronr and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed/Anil sealed this 27th day of September,2012 / �? NORTH STERN ROOFING, INC. ,/"`� dL"` G, / (Print al) ettk !Seal) (hY itne ) n 1 , (Title) , NORTH A CAN SPECIALTY INSURAN COMPANY Surety (Seal) (W 1 [�I '� _ (7itle) R:anne Jensen,Attorney in Fact AIA Document A310"4—2010.Copyright©1963,1970 and 2010 by The American Institute of Architects.All rights reserved. NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg,Illinois,each does hereby make,constitute and appoint JEFFREY R.MEISINGER,TRUDY SZALEWSKI,KELLY CODY,ROXANNE JENSEN, KENT ARPS,BRIAN KRAUSE,CHERYL S1EM and CHRISTOPHER KONDRICK JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of FIFTY MILLION($50,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9a'of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." a$c`D <R?:t By '.5.� �C, g 3r SEAL. fr Sieves Y.Aadeis,R Sealer via President of Waahingtan Lteroatiml Lwraaee Company 4:e 4� .�� 173.14 &Sebr Vice??reddest arNar1Y American Spedalty Lamson Compaq �' " tii t 7' f .Aelera ,a. 'w,.�a....•� By David M.Lyman,Vice Pre ideal orwniigios International hanranaa Company &Via Preddest of North!Americas Specialty hsarana Compaq IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this251h day of May ,2012 . North American Specialty Insurance Company Washington International Insurance Company Slate of Illinois County of Cook ss On this 25th day of May ,2012 before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M.Layman, Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. n r� eAFIF>t 1LSEttt,. t "'DONNA"D,SKIMS. ► f`x 31rur�► i NOW,Palzlic.St**o(flliarfs 1 Donna D.Sklens,Notary Public amralstlaaFx lfkp6f�, w•. I, Jeffrey Goldberg • the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this] day of ,20 �. rte. ..... W V Molded S oSpecialtyInoo, oe Company Best's Credit Rating Center- Company Information for North American Specialty Insuran... Page 1 of 2 Ratings & Criteria Center Regional Centers:Asia-Pacific I Canada Europe,Middle East and Africa Home I About Us I Contact Us I Sitemap For ratings and product access Login I Sian-up Ratings&Criteria Y North American Specialty Insurance Co Print this page (2) a Home a Methodology A.M.Best S:001866 NAIC 9:29874 FEIN 8:020311919 Best's Credit Ratings+ Address:650 Elm Street Assigned to finenoief D Financial Strength Rating Manchester,NH 03101-2524 companies ; »Issuer Credit Rating United States that have,in E; »Debt Rating At or »Advanced Search Web:www.swissre.com !our opinion, About Best's Credit Ratings+ Phone:603-644-6600 a superior ability to meet their »Get a Credit Rating+ Fax:603-644-6613 ongoing insurance obligations. »Best's Special Reports »Add Best's Credit Ratings Search Based on A.M.Best's analysis,058595-Swiss Re Ltd is the AMB Ultimate Parent and To Your Site identifies the topmost entity of the corporate structure.View a list of operating insurance a BestMark for Secure-Rated entities in this structure. Insurers Best's Credit Ratings »Contact an Analyst -............_. _........._ _.._._...._..... .._.._._.. .___..._._.. ........ .._ ..__...._ ._.__. ._..... .__.._ __... View all of the companies assigned this rating as a part of »Awards and Recognitions an AMB Rating Unit. g 9 p Bests Credit Rating Analyst News&Analysis v - - ----- - . Office:A.M.Best Company Financial Strength Rating View Definition Products&Services -'" � Financial Analyst:Scott Mangan Rtlnt: [ Assistant Vice President:Peter Dickey Information Financial Size Category. 7(V$2 Billion sr greater) ! .....__....... ............_._ _.._._..... ......... .____.....: Corporate y Outlook: Stable Regulatory Affairs r. Action: Upgraded Support&Resources v i Effective Date: December 20,2011 u Denotes Under Review Bests Ratlne Conferences and Events Long-Term: aa- Find a Best's Credit Rating Outlook: Stable Enter a Company Name !. Action: Upgraded a Date: December 20,2011 »Advanced Search Reports and News A.M.Best Rating Services Visit Best's News and Analysis site for the latest news and press releases for this company and its A.M.Best Group. ... .Contact Information a --, AMB Credit Report-Insurance Professional-includes Best's Financial Strength Rating and rationale along with View Rating Definitions comprehensive analytical commentary,detailed business overview and key financial data. Report Revision Date:10/2/2012(represents the latest significant change). Select one... Historical Reports are available in AMB Credit Report-Insurance Professional Archive. 1Tr Best's Executive Summary Reports(Financial Overview)-available in three versions,these presentation style reports feature balance sheet,income statement,key financial performance tests including profitability,liquidity and reserve analysis. Data Status:2012 Best's Statement File-P/C,US Contains data compiled as of 9/22/2012 Quality Cross Checked. • Single Company-five years of financial data specifically on this company. • Comparison -side-by-side financial analysis of this company with a peer group of up to five other companies you select. • Composite -evaluate this company's financials against a peer group composite.Report displays both the average and total composite of your selected peer group. Best's Key Rating Guide Presentation Report-includes Best's Financial Strength Rating and financial data as WO""provided in the most current edition of Best's Key Rating Guide products.(Quality Crow Checked). AMB Credit Report-Business Professional-provides three years of key financial data presented with colorful charts and tables.Each report also features the latest Best's Ratings,Rating Rationale and an excerpt from our Business Review commentary. Data Status:Contains data compiled as of 9/22/2012 Quality Crow Checked. Financial and Analytical Products • Best's Key Rating Guide-P/C,US&Canada Best's Statement File-P/C.US Best's Statement File-Global Best's Insurance Reports-P/C.US&Canada Best's State Line-P/C.US Best's Executive Summary Report-Comparison-Property/Casualty Best's Executive Summary Report-Composite-Property/Casualty Best's Regulatory Center Best's Insurance Expense Exhibit(IEE)-P/C,US http://www3.ambest.com/ratings/entities/CompanyPro file.aspx?ambnum=1866&URatingI... 10/3/2012 Best's Credit Rating Center- Company Information for Washington International Insuran... Page 1 of 2 • Ratings & Criteria Center Regional Centers:Asia-Pacific I Canada I Europe,Middle East and Africa Home About Us I Contact Us I Sitemap to For ratings and product access Lenin 1 Sian-uo Ratings&Criteria w Washington International Insurance Co Efit Print this page (2) A Home »Methodology A.M.Beat 8:002695 NAIC 8:32778 FEIN 8:362860812 »Best's Credit Ratings+ Address:475 North Martingale Road Assigned to ) �}�"` , N Financial Strength Rating p �+e ' »Issuer Credit Rating Schaumburg,IL 60173 companies :�aeii+' United States !that have,in %Debt Rating Aa•, w » our opinion, Advanced Search About Best's Credit Ratings+ Phone:603-644-6600 'a superior ability to meet their M Get a Credit Rating+ Fax:603-644-6613 ongoing insurance obligations. »Bests Special Reports Based on A.M.Best's analysis,058595-Swiss Re Ltd is the AMB Ultimate Parent and »Add Bests Credit Ratings Search identifies the topmost entity of the corporate structure.View a list of operating insurance To Your Site »BestMark for Secure-Rated entities in this structure. Insurers E Bests Credit Ratings »Contact an Analyst View all of the companies assigned this rating as a art of »Awards and Recognitions 9 9 p Best's Credit Rating Analyst an AMB Ratina Unit. News&Analysis* Office:A.M.Best Company Flnancial Strength.Rating Vlew Definitlon Products&Services ' Financial Analyst:Scott Mangan Ratlng A± x Industry Information a Fl ^. Sf ' .u,:c ^- Assistant Vice President:Peter Dickey ............. Corporate* Outlook: Stable Regulatory Affairs y 1 Action: Upgraded Support&Resources v Effective Date: December 20,2011 u Denotes Under Review east's Retina Conferences and Events e :, ..e,r„g.,..itt -. iP,,„'.,..in eF,1' Issuer Credit Rating__View Definition :Long-Term: aa- Find a Best's Credit Rating Outlook: Stable 1810 Enter a Company Name :Actlon: Upgraded *Advanced Search Date: December 20,2011 j Reports and News A.M.Best Rating Services Visit Best's News and Analysis site for the latest news and press releases for this any and its A.M Be Contact intennraiicc .3. AMB Credit Report-Insurance Professional-includes Beers Financial Strength Rating and rationale along with View Rating Definitions Y comprehensive analytical commentary,detailed business overview and key financial data. Report Revision Date:10/2/2012(represents the latest significant change). Select one... 3 Historical Reports are available in AMB Credit Report-Insurance Professional Archive. ', Best's Executive Summary Reports(Financial Overview)-available in three versions,these presentation style reports feature balance sheet,income statement,key financial performance tests including profitability,liquidity and reserve analysis. Data Status:2012 Best's Statement File-P/C,US Contains data compiled as of 9/22/2012 Quality Cross Checked. • Sinale Company-five years of financial data specifically on this company. • Comparison -side-by-side financial analysis of this company with a peer group of up to five other companies you select. • Composite -evaluate this company's financials against a peer group composite.Report displays both the average and total composite of your selected peer group. Best's Key Rating Guide Presentation Report-includes Best's Financial Strength Rating and financial data as provided in the most current edition of Best's Key Rating Guide products.(Quality Cross Checked). s AMB Credit Report-Business Professional-provides three years of key financial data presented with colorful charts , €: and tables.Each report also features the latest Best's Ratings,Rating Rationale and an excerpt from our Business Review commentary. Data Status:Contains data compiled as of 9/22/2012 Quality Cross Checked. Financial and Analytical Products Best's Key Rating Guide-P/C.US&Canada Best's Statement File-P/C.US Best's Statement File-Global Best's Insurance Reports-P/C.US&Canada Best's State Line-P/C,US Best's Executive Summary Report-Comparison-Property/Casualty Best's Executive Summary Report-Composite-Property/Casualty Best's Regulatory Center Best's Insurance Expense Exhibit(IEE)-P/C,US http://www3.ambest.com/ratings/entities/SearchResults.aspx?URatingId=2429627&b1=0&... 10/3/2012 Best's Credit Rating Center- Company Information for Washington International Insuran... Page 2 of 2 Bests Schedule F(Reinsurance)-P/C.US Bests Schedule D(Municipal Bonds)-US Best's Corporate Changes and Retirements-P/C.US/CN Bests Regulatory Center Market Share Reports Bests Schedule P(Loss Reserves)-P/C.US Bests Schedule D(Corporate Bonds)-US Bests Insurance Reports-Online-P/C.US&Canada Best's Schedule DA(Short Term Investments)-P/C&UH,US European Union Disclosures A.M.Best Company and its subsidiaries are not registered as External Credit Assessment Institutions(ECAI)in the European Union(EU).Credit ratings issued by A.M.Best Company and its subsidiaries can not be used for regulatory purposes in the EU as per Directive 2006/48/EC. Australian Disclosures A.M.Best Credit Ratings are statements of opinion and not statements of fact.They are not recommendations to buy,hold or sell any securities or any other form of financial product,including insurance policies and are not a recommendation to be used to make investment/purchasing decisions.A.M.Best Asia-Pacific Ltd is registered as a Credit Rating Agency in Australia and holds a Financial Services Licence number 411055 under the Corporations Act of 2001. A.M.Best Asia-Pacific Ltd credit ratings and any other related research are not intended for and must not be distributed to any person in Australia other than a wholesale client,as defined in the Corporations Act of 2001,Chapter 7.The A.M.Best websites are not intended for use by Australian users who are not defined as wholesale users. Important Notice:Best's Ratings reflect our independent opinion,based on a comprehensive quantitative and qualitative evaluation of a company's balance sheet strength,operating performance and business profile.These ratings are neither a warranty of a company's financial strength nor its ability to meet its financial obligations,including those to policyholders.View our entire notice for complete details. Customer Service I Product Support I Member Center I Contact Info I Careers About A.M.Best I Site Map I Privacy Policy I Security I Terms of Use I Legal&Licensing Copyright©2012 A.M.Best Company,Inc.ALL RIGHTS RESERVED. A.M.Best Worldwide Headquarters,Ambest Road,Oldwick,New Jersey,08858,U.S.A. http://www3.ambest.com/ratings/entities/SearchResults.aspx?URatingId=2429627&b1=0&... 10/3/2012 'th3rl` A SECTION 004100 BID FORM THE PROJECT AND THE PARTIES 1.01 TO: City of Oshkosh City Manager do City Clerk's Office—Room 104 215 Church Avenue PO Box 1130 Oshkosh,Wisconsin 54903-1130 1.02 FOR(PROJECT): 12379 City of Oshkosh 2012 Roof Replacements 1.03 BID DUE DATE: THURSDAY, SEPTEMBER 27,2012 AT 2:00P.M. 1.04 SUBMITTED BY: (BIDDER TO ENTER NAME AND ADDRESS) A. Bidder's Full Name IQ 0,z f6S4e�r� G© ) r~ t� 4/0(.- 1. Address 3b vYl Or21?bvv Toe_ ?er • 36 2. City, State, Zip SY yLt Oc.c t 1,.5 5-4-5 3. Phone: 6/ 42 '3 - b i 0 / 4. Fax: q 20 - 5. Email: 1 v £ -O D C 1 , 1.05 BASE BID#1 A. Roof Work on Zoo Maintenance Building-Roof Areas 1 &2. B. Having examined the Place of The Work and all matters referred to in the Instructions to Bidders and the Contract Documents prepared by the Consultant for the above mentioned project,we, the undersigned, hereby offer to enter into a Contract to perform the Work for the Sum of: dollars. ($ ), in lawuful money of the United States of America. C. We have included the required security deposit as required by the Instruction to Bidders. D. All applicable federal taxes are excluded and State of Wisconsin taxes are excluded from the Bid Sum. 1.06 BASE BID#2 A. Roof Work on Parks and Forestry Building- Roof Area 3. 12379/CoO 2012 Roof Replacement 004100- 1 BID FORM B. Having examined the Place of The Work and all matters referred to in the Instructions to Bidders-and the Contract Documents prepared by the Consultant for the above mentioned project, we, the undersigned, hereby offer to enter into a Contract to perform the Work for the Sum of: r ' �� �t: ,i i[_ /:I. 4L_ 4/4 :4' .Ito• 10 , 2, dollars. ($ 54 900 • ), in lawuful money of the United States of America. C. We have included the required security deposit as required by the Instruction to Bidders. D. All applicable federal taxes are excluded and State of Wisconsin taxes are excluded from the Bid Sum. 1.07 BASE BID#3 A. Roof Work on City Hall Heating Plant-Roof Areas 1 -4. B. Having examined the Place of The Work and all matters referred to in the Instructions to Bidders and the Contract Documents prepared by the Consultant for the above mentioned project, we, the undersigned, hereby offer to enter into a Contract to perform the Work for the Sum of: f / 1 I..f h e Its 1 A A A 4 0 4 1 at 1. / ..r ..I/ ..N J.ive dollars. ($ /, 1/7S- ), in lawuful money of the United States of America. C. We have included the required security deposit as required by the Instruction to Bidders. D. All applicable federal taxes are excluded and State of Wisconsin taxes are excluded from the Bid Sum. 1.08 ACCEPTANCE A. This offer shall be open to acceptance and is irrevocable for thirty-five days from the bid closing date. B. If this bid is accepted by Owner within the time period stated above, we will: 1. Commence work on or after contract award. 1.09 CONTRACT TIME A. Complete the Work by December 28,2012. 1.10 UNIT PRICES A. The following are Unit Prices for specific portions of the Work as listed. The following is the list of Unit Prices: B. ITEM DESCRIPTION -UNIT QUANTITY- UNIT COST /'_,�� 1. Replace 3/4"plywood decking-per square foot-$ CJ 2. Replace 1 x 10 wood fascia-per linear foot- $ . !4 0 3. Replace 1/2"plywood decking-per square foot-$ . .0.1.5.0 4. Replace 1 x 8 wood fascia-per linear foot- $ .... ► 0 v' 12379/CoO 2012 Roof Replacement 004100-2 BID FORM 1.11 CHANGES TO THE WORK A. When the Consultant establishes that the method of valuation for Changes in the Work will be net cost plus a percentage fee in accordance with General Conditions, our percentage fee will be: 1. 2O % percent overhead and profit on the net cost of our own Work; 2. $ 57.5. Time(per man hour). 1.12 ADDENDA A. The following Addenda have been received. The modifications to the Bid Documents noted below have been considered and all costs are included in the Bid Sum. 1. Addendum# / Dated * '2-41 IZ 2. Addendum# Dated ,/If _ 1.13 BID FORM SUPPLEMENTS A. The following information is included with Bid submission: B. The following Supplements are attached to this Bid Form and are considered an integral part of this Bid Form: 1. Document 004336-Subcontractors: Include the names of all Subcontractors and the portions of the Work they will perform. 1.14 BID FORM SIGNATURE(S) A. The Corporate Seal of 1 � -/- 404.)/ (Bidder-print the full name of your firm) was hereunto affixed in the presence of: (Authorized signin officer, Title) (Seal) (Authorized signing officer, Title) 1.15 IF THE BID IS A JOINT VENTURE OR PARTNERSHIP,ADD ADDITIONAL FORMS OF EXECUTION FOR EACH MEMBER OF THE JOINT VENTURE IN THE APPROPRIATE FORM OR FORMS AS ABOVE. END OF BID FORM 12379/CoO 2012 Roof Replacement 004100-3 BID FORM SECTION 004336 PROPOSED SUBCONTRACTORS FORM PARTICULARS 1.01 HEREWITH IS THE LIST OF SUBCONTRACTOR REFERENCED IN THE BID SUBMITTED BY: 1.02 (BIDDER) A)v 4- -eQS1 F 1kr J Jam.... 1.03 TO (OWNER) CITY OF OSHKOSH 1.04 THE FOLLOWING WORK WILL BE PERFORMED(OR PROVIDED) BY SUBCONTRACTORS AND COORDINATED BY US: LIST OF SUBCONTRACT RS 2.01 WORK SUBJECT. . . f(SUBCONTRACTOR NAME `S q o ADDRESS As/<17s i�� • III���III p ("A t. �q II WISCONSIN SOCIETY OF ARCHITECTS t!' 11P THE AMERICAN INSTITUTE OF ARCHITECTS `��;'" ^: !• ��Jwq All II WIS. AIA DOCUMENT 0 JULY 1980 ED. WIS. A312 to 00 PUBLIC IMPROVEMENT PERFORMANCEILABOR AND MATERIAL ` PAYMENT BOND 3 THIS BOND IS TO BE USED ON PUBLIC IMPROVEMENT CONTRACTS PURSUANT TO SECTION 779.14 WISCONSIN STATUTES. _ Bond No.2162309 Q KNOW ALL MEN BY THESE PRESENTS: that (Here insert Dame and address or legal title of the Contractor, referred to in Sec.779.14 Wisconsin Statutes as the prime contractor) NORTHEASTERN ROOFING. INC. P.O.Box 36 Seymour WI 54165 as Principal, hereinafter called Principal, and, (Here insert the legal title and address of Surety) NORTH AMERICAN SPECIALTY INSURANCE COMPANY 650 Elm St. Manchester NH 03101 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) CITY OF OSHKOSH 215 Church Avenue Oshkosh WI 54903-1130 as Obligee, hereinafter called Owner, for the use and benefit of claimants as hereinafter provided in the amount of Fifty Three Thousand Nine Hundred and 00/100Dollars ($ 53,900.00 ), (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, NORTHEASTERN ROOFING,INC. Principal has by written agreement dated 10/10/2012 , entered into a contract with Owner for 2012 Roof Replacement Zoo Maintenance Building, Parks&Forestry Building and City Hall Heating Plant,Oshkosh,WI in accordance with drawings and specifications prepared by (Here insert full name, tide and address) which contract is by reference made a part hereof and is required by Section 779.14,Wisconsin Statutes, E 0 0 n The said written agreement, drawings, specifications and amendments N D are hereinafter referred to as the Contract. C PUBLIC IMPROVEMENT x PERFORMANCE/LABOR-MATERIAL BOND TWO PAGES WIS.AlA DOC.WIS.A312AUGUST. 1989ED. PAGE I Copr. 1969 Wisconsin Society of Architects/AlA 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 11th day of October , 2012 IN THE PRESENCE OF: NORTHEASTERN ROOFING. INC. Paiaripel ��. - Witner 15t1e: NORTH •MERICAN SPECIALTY INSURANCE COMPANY Name off Surety V B,: 'V,c v L. 4�y.C N"-,k-(7-\ (Seal) Wis: Roxanne Jensen Attorney-in-Fact APPROVED BY* IN THE PRESENCE OF: Owner By: (Seel) Witness Title: *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 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg,Illinois,each does hereby make,constitute and appoint: JEFFREY R.MEISINGER,TRUDY SZALEWSKI,KELLY CODY,ROXANNE JENSEN, KENT ARPS,BRIAN KRAUSE,CHERYL SIEM and CHRISTOPHER KONDRICK JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION($50,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9th of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." eltunnnt YY By 1(2 L 04:1/6*rti—Elt.,kk e SEAL Steven P.Anderson,Senior Vice President of Washhgton International Insurance Company 4;l� 1973 eo,n &Sailor Vhx President of North American Specialty Insurance Company pf1f11111141N1 By David M Layman,Vice President of Washington International Insurance Company &Vice President of North American Specialty Insurance Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this25th day of May ,2012 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 25th day of May ,2012 before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M.Layman, Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. n cµ 3 e1i'~.. .kV-.UrY0 j Z. r1.XJNNAD.SKLENS. ►. Nom'Public.State of iltiaois t Donna D.Sklens,Notary Public Fat p/10( 5..: I, Jeffrey Goldberg . the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this I y of CC-f1))e r' ,20 (0,. Jeffrey Goldberg,Vice President&Assistant Secretary of Washington International Insurance Company&North American Specialty Luanne*Company