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HomeMy WebLinkAboutHoltger Bros, Inc AGREEMENT THIS AGREEMENT made and entered into this 21st day of April , 1989, by and between HOLTGER BROS. INC. , 1500 Main, DePere, WI 54115 party of the first part, and the CITY OF OSHKOSH, a municipal corporation located in Winnebago County, Wisconsin, hereinafter referred to as the "City", and party of the second part . WITNESSETH: WHEREAS, the Common Council of the City of Oshkosh by reso- luton duly adopted on the 20th day of April , 1989, accepted the bid of the first party and authorized and directed the proper City officials to enter into an agreement with the party of the first part for: Trenching and boring for Westside Communications Project according to the specifications and bid for same on file in the office of the City Clerk. NOW, THEREFORE, pursuant to said resolution of the Common Council of the City of Oshkosh, the parties hereto agree as follows : 1 . That the party of the first part will furnish same to the City , all in accordance with the specifications and bid on file in the office of the City Clerk. 2. That no assignment of this agreement or of any rights thereunder by said party of the first part, shall be valid with-out the written consent of the City; and that this document including the specifications and bid , constitutes the entire agreement be- tween the parties hereto and that any understanding either oral or written, not a part hereof shall not be binding on either party. 3. That in consideration thereof, the City will pay to the first party the sum of $8,427.30 , upon presentation of a proper voucher, and delivery and acceptance by the City in conformity on said specifications and bid . IN WITNESS WHEREOF, the parties hereto have caused this agree- ment to be signed by the proper officers of each party and their 1 corporate seals to be hereunto affixed all on the day and year first above written; then if first party is a corporation or part- nership , the signing of this agreement shall constitute a warranty by the person(s) so signing the proper authority so to do. In the Presence of: HOLTGER BROS. INC. J�j if-u'.sia l'_!_*L fig` .1��rt- BY : f Signature of the sole pro- prietor , or name or corporation or partnership .0.4: ./..--) ,.../%7 ?...4; 1-1:/., ../f-:-L:9..,/....,. President or Part r -- L -. -� =___ if Secretary CITY OF SHKOSH CC L BY : -l 7LU Wliam D. Frueh City r� .--- � - - LLAL-11 er Ma A 2 _J_. Ll Donna C. Serwas , City Clerk Approv d as t . . rm and execution: I hereby certify that the \„/", � ;�� necessary provisions have Warren P /-" been made to pay the lia- Kraft , a bility that will accrue Asst. City Attorney under this Contract. EDWARD A NOKES, City Comptroller 2 Bond No. 302 58 667 Fidelity and Deposit Company HOME OFFICE OF MARYLAND BALTIMORE,MD. 21203 Public Improvement Performance/Labor and Material Payment Bond THIS BOND IS TO BE USED ON PUBLIC IMPROVEMENT CONTRACTS PURSUANT TO SECTION 779.14 WISCONSIN STATUTES AND ACTS AMENDATORY THERETO. KNOW ALL MEN BY THESE PRESENTS: That Holtger Bros. , Inc. , 1500 Main Avenue, De Pere, WI 54115 (Here insert name and address or legal title of the Contractor) as Principal, hereinafter called Principal, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the State of Maryland, with its Home Office in the City of Baltimore, Maryland, and duly authorized and licensed to do business in the State of Wisconsin, as Surety, hereinafter called Surety, are held and firmly bound unto the City of Oshkosh, City Hall, Oshkosh, Wisconsin 54901 (Name and address or legal title of Owner) as Obligee, hereinafter called Owner, for the use and benefit of claimants as hereinafter provided in the amount of Eight thousand four hundred twenty-seven and 30/100 Dollars ($_$,42.7,30----), (Here insert a sum at least equal to the contract price) for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS,Principal has by written agreement dated April 21st, 19 89 ,entered into a contract with Owner for Trenching and boring for Westside Communications Project, Oshkosh, WI in accordance with drawings and specifications prepared by the City of Oshkosh: Wisconsin (Here insert a full name,title and address) which contract is by reference made a part hereof and is required by Section 779.14, Wisconsin Statutes, to contain in substance the following provision: The Contractor shall pay all claims for labor performed and materials furnished, used or consumed in mak- ing the public improvement or performing the public work, including, without limitation because of specific enumeration, fuel, lumber, building materials, machinery, vehicles, tractors, equipment, fixtures, apparatus, tools, appliances, supplies, electric energy, gasoline, motor oil, lubricating oil, greases, state imposed taxes, pre- miums for workmen's compensation insurance and contributions for unemployment compensation. The said written agreement, drawings, specifications and amendments are hereinafter referred to as the Contract. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION, as required by Section 779.14, Wiscon- sin Statutes, is such that, if the Principal shall faithfully perform the said contract and pay every person entitled thereto for all 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 Contract, or change in the work covered thereby, or any extension of time for the completion of the Contract shall release the sureties on the bond. (2) Not later than one year after the completion of work under the Contract, any party in interest may maintain an action in his own name against the Principal and the Surety upon this bond for the recovery of any damages he may have sustained by reason of the failure of the Principal to comply with the Contract or with the Contract between the Principal and his subcontractors. If the amount realized on this bond is insufficient to satisfy all claims of the parties in full, it shall be distributed among the parties pro rata. Signed and sealed this 11th day of May , 19 89 In the presence of: Holtger Bros. , Inc. ' ipel :�/ ,�% ! r ?mot'._---T--/'''..' By (SEAL) f Witness Title:44 President FIDELITY AND DEPOSIT COMPANY OF MARYLAND • • / Surety lifre,--V girl_ji, By- (SEAL) Witness Ti ' At orney-in-Fact , Approved b ` &�C£Z1 i i/ 71.iii., In the presence of: 6`1r�r't.e" , d d, _ , , , Owner j ; .. �� ts?,. %-�. B ih (SEAL) y (1 x- a r jai/ 0Z i;`� Witness Title: ( � 3i 1 i �L *This bond shalfbe approved in the case of the state by the state official authorized to enter such contract, 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. C3018a(W l)—500,9-84 220441 Formerly Wis3018b Public Improvement Performance/Labor-Material Bond Wis.AIA Doc.Wis.A312 Jan.1969 Ed. Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND HOME OFFICE,BALTIMORE,MD KNOW ALL MEN BY THESE PRESENTS:That the FIDELITY AND DEPOSIT COMPANY OF-MARYLAND, a corporation of the State of Maryland, by R. W. BUDDENBOHN , Vice-President, and M. J. SCHNEBELEN , Assistant Secretary, in pursuance of authority granted by Article VI, Section 2, of the By-Laws of said Company, which are set forth on the reverse side hereof and are hereby certified to be • ull force and ect on the date hereof, does hereby nominate, constitute and appoint James A. Temp, Roger G F-.V s, Mark'v Boland, J. Hlinak, Timothy J. McKenna, P. L. Schlauch and Jeffrey ising 1 of Green Bay, Wisconsin, EACH . ': its true and lawful agent and Attorney-in-Fact,to make,ex:H al and de•1*!V'sr,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings. •,4,44:4 e�! A N • n. t e execution of such bonds or undertakings.,� :uance o < 1.:: presents, shall be as binding upon said Company, as fully and amply, to all intents and purposes, as if t been d. " cuted and acknowledged by the regularly elected officers of the Company at its office in Baltimore, Md.� . it own .:°% personsThis power of attorney revokes that issued on behalf of James A. :. , ., eta' .ted, April 1 , 1987. The said Assistant Secretary does here.4.,;,—ify that tv eiidact set forth on the reverse side hereof is a true copy of Article VI, Section 2, of the By-Laws of said Co 1-1.1 , and is ..,, force. IN WITNESS WHEREOF,the sai.c��i 'resident ' ` ssistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDEL vs„ D DEPiJ OMPANY OF MARYLAND, this 19th _day of August A.D. 191: ;; /..;0 ;; FIDELITY _ I EPOSIT COMPANY OF MAR AND 4 ATTEST: 3o SEAL �_ / -'' B y j/. , ' 'ZL,,. ;ri S t Secretary Vice-President STATE OF MARYLAND CITY OF BALTIMORE SS' On this 19th day of August , A.D. 19 87, before the subscriber, a Notary Public of the State of Maryland,in and for the City of Baltimore,duly commissioned and qualified,came the above-named Vice-President and Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal, at the City of Baltimore, the day and year first above written. _---� i NOTARY",9 !u.u s f i° Notary Public Corn issi n Expires____Ju 1 y -1 , 19 9 0 __ CERTIFICATE I, the undersigned, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the original Power of Attorney of which the foregoing is a full, true and correct copy, is in full force and effect on the date of this certificate;and I do further certify that the Vice-President who executed the said Power of Attorney was one of the additional Vice- Presidents specially authorized by the Board of Directors to appoint any Attorney-in-Fact as provided in Article VI, Section 2, of the By-Laws of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 16th day of July, 1969. RESOLVED:"That the facsimile or mechanically reproduced signature of any Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed." IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seal of the said Company,this 11th day of_ _ _, 19$9_. -77L a-42-1-- 4,184-3544 Assistant Secretary Bond No. 30.x_587 Fidelity and Deposit Company p Y 11O,I1E oME1cE OF MARYLAND BALTIMORE,Mn. 21207 Public Improvement Performance/Labor and Material Payment Bond THIS BOND IS TO BE USED ON PUBLIC IMPROVEMENT CONTRACTS PURSUANT TO SECTION 779.14 WISCONSIN STATUTES AND ACTS AMENDATORY THERETO. KNOW ALL MEN BY THESE PRESENTS: That Iloltger Bros.1 Inc.2 1500 Main Avenue2 De Pere.* WI 54.115 (Here insert name and address or legal title of the Contractor) as Principal, hereinafter called Principal, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the State of Maryland, with its Home Office in the City of Baltimore, Maryland, and duly authorized and licensed to do business in the State of Wisconsin, as Surety, hereinafter called Surety, are held and firmly bound unto the__City_of._03shkosh,_.Litt'.I 11-,-.Dsh osh.,--Wiscoxksin----51901 (Name and address or legal title o wner) as Obligee, hereinafter called Owner, for the use and benefit of claimants as hereinafter provided in the amount of __E.ght__thous also--fAUx_.1- d.rec1-twenty=seszen_-and._30/_100--_.,._-w_ ---- __.�•• ■ --- -- .rrearcnr....,............................._....,... Dollars Mg--427-.- (Here insert a sum at least equal to the contract price) s4___a> for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS, Principal has by written agreement dated April 21st, 19.89___, entered into a contract with Owner for._Ir'ench•ingand bor for Westside � cakunutications--Lroject7--Ushitosh, WI in accordance with drawings and specifications prepared by_-._the--(;j,ty__C7i-. ,1 ahr_IliSCOnSin (Here insert a full name,title and address) which contract is by reference made a part hereof and is required by Section 779.14, Wisconsin Statutes, to contain in substance the following provision: The Contractor shall pay all claims for labor performed and materials furnished, used or consumed in mak- ing the public improvement or performing the public work, including, without limitation because of specific enumeration, fuel, lumber, building materials, machinery, vehicles, tractors, equipment, fixtures, apparatus, tools, appliances, supplies, electric energy, gasoline, motor oil, lubricating oil, greases, state imposed taxes, pre- miums for workmen's compensation insurance and contributions for unemployment compensation. The said written agreement, drawings, specifications and amendments are hereinafter referred to as the Contract. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION, as required by Section 779.14, Wiscon- sin Statutes, is such that, if the Principal shall faithfully perform the said contract and pay every person entitled thereto for all 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 Contract, or change in the work covered thereby, or any extension of time for the completion of the Contract shall release the sureties on the bond. (2) Not later than one year after the completion of work under the Contract, any party in interest may maintain an action in his own name against the Principal and the Surety upon this bond for the recovery of any damages he may have sustained by reason of the failure of the Principal to conlpiy with the Contract or with the Contract between the Principal and his subcontractors. If the amount realized on this bond is insufficient to satisfy all claims of the parties in full, it shall be distributed among the parties pro rata. Signed and sealed this 11th_ day of _ 3t , 19./39.... In the presence of. HoltgS'r._3?sQas.;_-lac. 'r, 1%� „' - ' te4 r� ri ipal -Q-R✓ By g< r & . `��c Witness Title: (SEAL) �/, President FIDELITY AND DEPOSIT COMPANY OF MARYLAND Surety __ 17,2471 0 cfrYLC4040-o Fitness By (SEAL) Titl : Atto ev in-I' c r r In the presence of. approved * ('7{ -, i'c <'L� f/i i; t 4/)./id...1, 1 Q _ Owner tr- lj i ' (. :�L-�� J By et e'y �C Witness (IC iC of r1- ,',(197c.::,� (SEAL) % C_r!f.� �.. Title: ,I *This bond shall be approved in the case of the state by the state official authorized to enter such contract, 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. C3018a(WI)-500. 9-84 220441 Formerly Wis30a8b Public Improvement Performance/Labor-Material Bond Wis.AIA Doc.Wis.A312 Jan.1969 Ed. Bond No. Fidelity and Deposit Company HOME OFFICE OF MARYLAND BALTIMORE„111). 21203 ., Public Improvement Performance/Labor and Material Payment Bond THIS BOND IS TO BE USED ON PUBLIC IMPROVEMENT CONTRACTS PURSUANT TO SECTION 779.14 WISCONSIN STATUTES AND ACTS AMENDATORY THERETO. KNOW ALL MEN BY THESE PRESENTS: That HoltEer Bros., Inc. Main Avenues De Perea 5415 (Here insert name and address or legal title of the Contractor) as Principal, hereinafter called Principal, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the State of Maryland, with its Home Office in the City of Baltimore, Maryland, and duly authorized and licensed to do business in the State of Wisconsin, as Surety, hereinafter called Surety, are held and firmly bound unto thC__CitY_ilf_eahkaah*_City_Lalit—UshkOah,WiaCO3ffin--514W1 (Name and address or legal title o 4 wner) as Obligee, hereinafter called Owner, for the use and benefit of claimants as hereinafter provided in the amount ,-,;4 of 1. Zat thowand foar_bundrecl..twentyneeven and_.auaua--------------------- ---------................_........__ . . Dollars - -42-i .. .3.7,..i. -) ), (Here insert a sum at least equal to the contract price) for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS, Principal has by written agreement dated Aprdd 21.43L0 19.69_, entered into a contract with Owner for__Irenching__enki_.boring.lac__Liest.tade__Cor.crunitirans--Project.,-- 1,s4-1, III in accordance with drawings and specifications prepared by____thil-Ci-ty--a--1.3alk.0.613,-.1disrOntkin. (Here insert a full name,title and address) which contract is by reference made a part hereof and is required by Section 779.14, Wisconsin Statutes, to contain in substance the following provision: The Contractor shall pay all claims for labor performed and materials furnished, used or consumed in mak- ing the public improvement or performing the public work, including, without limitation because of specific enumeration, fuel, lumber, building materials, machinery, vehicles, tractors, equipment, fixtures, apparatus, tools, appliances, supplies, electric energy, gasoline, motor oil, lubricating oil, greases, state imposed taxes, pre- miums for workmen's compensation insurance and contributions for unemployment compensation. The said written agreement, drawings, specifications and amendments are hereinafter referred to as the Contract. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION, as required by Section 779.14, Wiscon- sin Statutes, is such that, if the Principal shall faithfully perform the said contract and pay every person entitled thereto for all 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 Contract, or change in the work covered thereby, or any extension of time for the completion of the Contract shall release the sureties on the bond. (2) Not later than one year after the completion of work under the Contract, any party in interest may maintain an action in his own name against the Principal and the Surety upon this bond for the recovery of any damages he may have sustained by reason of the failure of the Principal to comply with the Contract or with the Contract between the Principal and his subcontractors. If the amount realized on this bond is insufficient to satisfy all claims of the parties in full, it shall be distributed among the parties pro rata. Signed and sealed this L1 tit day of lAtLy , 191i9 In the presence of: holtEpr bros. inc. ' 'pe,1---s"4" 4-64 " at 1-- Prin -r- )----- , By 7 (SEAL) / /'''''e 4-4---c--; V Witness Title: , President FIDELITY AND DEPOSIT COMPANY OF MARYLAND -77. Surety 31.,,,d 60, By Tit At tOrner-in—Fact (SEAL) Witness Approved by* In the presence of: di I 7() I- '',54(itre9r. 7-1 Owner , (7 , i Lai sit: Y L.,'d L--)-/ ,62 By.e- //- '''ZiZ-r--,.. ' - -/lic`----e--/ (SEAL) 01 7 V (7,i_E-la Witness Title: 01,y 4144,,14 6-[7 This bond shall be approved in the case of the state by the state official authorized to enter such contract, 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. C3018a(W1)-500, 9-84 220441 Formerly Iris3018b Public Improvement Performance/Labor-Material Bond Wis.MA Doc.Wis.A312 Jan.1969 Ed. AI/III�II® c*rw flc TE of C N ISSUE DATE(MM/DD/YY) 07/31/89 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW ALEXANDER & ALEXANDER, INC. 701 CHERRY STREET COMPANIES AFFORDING COVERAGE P. O. BOX 1204 UNITED STATES FIDELITY & GUARANTY GREEN BAY, WI 54305 LETTER A CODE SUB-CODE COMPANY B INSURED LETTER HOLTGER BROTHERS, INC. COMPANY 1500 MAIN AVE. LETTER C `+/ e DE PERE, WI 54115 COMPANY D LETTER COMPANY E LETTER COVERAGES 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MM/DD/YY) DATE(MM/DD/YY) ALL LIMITS IN THOUSANDS A GENERAL LIABILITY 1MP1 1089633500 08/01/89 08/01/90 GENERAL AGGREGATE $ 2000 X COMMERCIAL GENERAL LIABILITY LIMITS SHOWN ARE PRODUCTS-COMP/OPS AGGREGATE $ 2000 X CLAIMS MADE X OCCUR.THOSE IN EFFECT AS PERSONAL&ADVERTISING INJURY $ 1000 X OWNER'S&CONTRACTOR'S PROT.OF POLICY EACH OCCURRENCE $ 1000 X CONTRACTUL L I AB I NCE PT I ON. FIRE DAMAGE(Any one fire) $ 50 MEDICAL EXPENSE(Any one person) $ 5 A AUTOMOBILE LIABILITY 1 AB 1 1741721 200 08/01/89 08/01/90 COMBINED X ANY AUTO SINGLE $ LIMIT X ALL OWNED AUTOS BODILY X SCHEDULED AUTOS (Per/person) $ 500 X HIRED AUTOS BODILY X NON-OWNED AUTOS (Per Uaccidenf) $ �00 GARAGE LIABILITY PROPERTY DAMAGE $ 500 EXCESS LIABILITY EACH AGGREGATE A X 1MP11089633500 08/01/89 08/01/90 $ 2000 OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY A 461 1626890 08/01/89 08/01/90 $ 100 (EACH ACCIDENT) AND EMPLOYERS'LIABILITY $ 500 (DISEASE—POLICY LIMIT) I $ 1 00 (DISEASE—EACH EMPLOYEE) OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS TRENCHING & BORING FOR WESTSIDE COMMUNICATIONS PROJECT. CERTIFICATE HOLDER CANCELLATION OOOO16 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF O$HKOSH EXPIRAIT}QN DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO CITY HALL MAIL �+ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE OSHKOSH, WI 54901 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTVE �. " • ;A118110 itj(3/88) A s *ate D CORPORATION 1988 AID11ItIP® CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) 05/11/89 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ALEXANDER & ALEXANDER, INC. COMPANIES AFFORDING COVERAGE 701 CHERRY STREET P. O. BOX 1204 COMPANY UNITED STATES FIDELITY & GUARANTY CORREEN BAY, WI 5V Q)O DE LETTER A COMPANY B INSURED I LETTER HOLTGER BROTHERS, INC. COMPANY ROUTE #1, BOX 236 LETTER C COLEMAN, WI 54112 COMPANY LETTER D COMPANY E LETTER COVERAGES 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 CONTRACTOR 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY 1 MP07826325101 08/18/88 08/01/89GENERAL AGGREGATE $ 2000 X COMMERCIAL GENERAL LIABILITY LIMITS SHOWN ARE PRODUCTS-COMP/OPS AGGREGATE $ 2000 X CLAIMS MADE X OCCUR. THOSE IN EFFECT AS PERSONAL&ADVERTISING INJURY S 1000 OWNER'S&CONTRACTOR'S PROT. OF POLICY EACH OCCURRENCE $ 1 000 X CONT RACTUL L I AB I NCE PT I ON. FIRE DAMAGE(Any one fire) $ 50 MEDICAL EXPENSE(Any one person) 5 5 AAUTOMOBILELIABILITY 1AB11153405000 08/01/88 IZ18/01/89COMBINED X ANY AUTO LIMGLE S LIMIT X ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per Person) S 500 X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ 500 I GARAGE LIABILITY PROPERTY DAMAGE $ 500 EXCESS LIABILITY EACH AGGREGATE OCCURRENCE A X 1MP07826325101 08/01/88 08/01/89 $ 1000 $ 1000 OTHER THAN UMBRELLA FORM STATUTORY WORKER'S COMPENSATION A AND 4609461889 08/01/88 08/01/89$ 100 EACH ACCIDENT) $ 500 (DISEASE—POLICY LIMIT) EMPLOYERS'LIABILITY $ 100 (DISEASE—EACH EMPLOYEE) OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS TRENCHING & BORING FOR WESTSIDE COMMUNICATIONS PROJECT. CERTIFICATE HOLDER CANCELLATION 000016 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO CITY OF OSHKOSH MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE CITY HALL LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR OSHKOSH, WI 54901 LIABILITY OF ANY UPON T E COMPANY, ITS AGENTS 0 REPRESENTATIVES. AUTHORIZED RE TATIVE _-_._--_ - ------- ACORD 25-S(3/88) _,__-- -----__ ©7*RD CORPORATION 1988 3970695 1