HomeMy WebLinkAboutPW CNT 84-07/Northeast Asphalt NORTHEAST ASPHALT , INC .
PART OF THE MINUTES OF MEETING OF DIRECTORS
"FURTHER RESOLVED , that Thomas L . Dunn or Mary Herman
shall have the authority to sign all contracts for the
Corporation . "
I , Mary Herman , do hereby certify that I am
the duly elected and qualified Secretary and the
custodian of the records of Northeast Asphalt , Inc . , a
Corporation organized and existing under and by virtue
of the laws of the State of Wisconsin ; that the foregoing
is a true and correct copy of a certain resolution duly
adopted at meeting of the Board of Directors of said
Corporation and convened and held in accordance with law
and the by-laws of said corporation , at its office on the
14th day of May , 1984 , and that such resolution is now in
full force and effect .
IN WITNESS WHEREOF , I have affixed my name as
Secretary and have caused the corporate seal of said cor-
portation affixed this 9 ) day of aa1 rr?t ,
1984 . F D
AUG 3 0
1984
Mar rman
CITY CLERK
I , Will WilltamOMIIKAMMOS. .a Director of said Corporation , do
hereby certify that the foregoing is a correct copy of a
resolution passed as therein set forth .
William A,: uese
CONSTRUCTION CONTRACT
THIS AGREEMENT, made on the 22nd day of June, 1984, by and
between the CITY OF OSHKOSH, party of the first part, hereinafter
referred to as the CITY, and NORTHEAST ASPHALT INC., P.O. Box 1513,
Fond du Lac, WI 54935, 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. 84-07, for asphalt paving and appurtenant
work, pursuant to Resolution #17 adopted by the Common Council of the
City of Oshkosh on June 21, 1984,
all in accordance and in strict compliance with the Contractor's
proposal and the other contract documens 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 $194,914.50, 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
1
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.
(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 the
negligent digging up of streets, alleys or public grounds or which may
result from the faulty, carelessness or neglect of said Contractor,
his agents, employees or workmen in the performance of said work or
caused by the violation of any City ordinance, and shall refund to the
City all sums which it may be obliged or adjudged to pay on any such
claims or demands within a reasonable time after demand thereof.
ARTICLE V. 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 . General Conditions
2. Advertisement for Bids
3 . Instructions to Bidders
4. Specifications, including any addenda
5 . Plans
6 . Contractor ' s Proposal
7 . This Instrument
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 enumer-
ated 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 "Con-
tractor" wherever used in this contract means the party of the second
part and its/his/their legal representatives, successors and assigns.
2
IN WITNESS WHEREOF, the City of Oshkosh, Wisconsin, has caused
this contract to be sealed with its corporate seal and to be sub-
scribed 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
NORTHEAST ASPHALT INC 0
By: _ ■ --_ lob.,
(Seal of Contractor Ae�
if a Corporation ) (Specify Title)
By:
(Specify Title)
�/� CITY OF OSHKOSH
�-F'� By:
William D. Frueh,City Manager
litalid.2--E--Li..,?._}ZtA +
And:
Donna C.Serwas , City Clerk
I certify that provisions have been
made to pay the liability that will
accrue to the City of Oshkosh under
th within contract.
Edward A. Nokes , City Comptroller
App ved a gi. orm•,
1
Warren P . Kra t, As •', City Attorney
3
C)Saul ST.PAUL FIRE AND MARINE
INSURANCE COMPANY
Popet1y&LiabdiIy St. Paul, Minnesota
Insurance
A Capital Stock Company
PERFORMANCE BOND
Approved by The American Institute of Architects
A.I.A. Document No. A-311 Feb., 1970 Edition
KNOW ALL MEN BY THESE PRESENTS: That NORTHEAST ASPHALT,_
FOND DTI LAC, WISCONSIN
(Here insert the name and address or legal title of the Contractor)
as Principal,hereinafter called Contractor,and,ST. PAUL FIRE AND MARINE INSURANCE COMPANY,a corporation
organized under the laws of the State of Minnesota, with its Home Office in the City of St. Paul, Minnesota, as Surety,
hereinafter called Surety, are held and firmly bound unto
CITY OF OSHKOSH
OSHKOSH, WISCONSIN
(Here insert the name and address or legal title of the Owner)
as Obligee, hereinafter called Owner, in the amount of One ITindred, ninety four thousand,
nine hundred and. fourteen dollars and 50/100 * * * *Dollars ($ 194,914.50
for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successors and
assigns, jointly and severally, firmly by these presents.
WHEREAS, Contractor has by written agreement dated. 19 ,
eublie Works Contract 1i. 034-07
entered into a contract with Owner for
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 hereinafter referred to as the Contract.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Contractor shall promptly and faithfully perform said Contract,
then this obligation shall be null and void; otherwise it shall remain in full force and effect.
The Surety hereby waives notice of any alteration or extension of succession of defaults under the contract or contracts of completion
time made by the Owner, arranged under this paragraph) sufficient funds to pay the cost of com-
pletion less the balance of the contract price;but not exceeding,including
Whenever Contractor shall be, and declared by Owner to be in
other costs and damages for which the Surety may be liable hereunder,
default under the Contract, the Owner having performed Owner's
the amount set forth in the first paragraph hereof. The term ''balance
obligations thereunder, the Surety may promptly remedy the default,
of the contract price," as used in this paragraph, shall mean the total
or shall promptly
amount payable by Owner to Contractor under the Contract and any
1) Complete the Contract in accordance with its terms and condi- amendments thereto, less the amount properly paid by Owner to Con-
dons, or tractor,
2) Obtain a bid or bids for completing the Contract in accordance Any suit under this bond must be instituted before the expiration
with its terms and conditions,and upon determination by Surety of the of two (2) years from the date on which final payment under the con-
lowest responsible bidder, or,if the Owner elects, upon determination tract falls due.
by the Owner and the Surety jointly of the lowest responsible bidder, No right of action shall accrue on this bond to or for the use of
arrange for a contract between such bidder and Owner,and make avail- any person or corporation other than the Owner named herein or the
able as Work progresses (even though there should be a default or a heirs, executors, administrators or successors of Owner.
Signed and sealed this 2Gth day of.July A. D. 1934_ .
.‘iORTHEAST-ICSTRAT
In the presenc-! of: (Seal)
t (Principal)
0227,2)
/
(Witness) (Title of
St. Paul and Marine Insuran e Company (Seal)
(s)erety)
{BY(Witness)(Witness) (Attorney-in-fact)
Printed with permission of the American institute of Architects
11761 R . 2-70 Printed in U.S.A.
' ARM uI ST. PAUL FIRE AND MARINE INSURANCE COMPANY CERTIFICATE OF
PropeM'atiabWiv 385 Washington Street, St. Paul, Minnesota 55102 AUTHORITY NO.
Insurance
For verification of the authenticity of this Power of Attorney,you may telephone toll free 800-328-2189 and ask for 7 216 2 5
the Power of Attorney Clerk.Please refer to the Certificate of Authority No.and the named individual(s).
GENERAL POWER OF ATTORNEY - CERTIFIED COPY
(Original on File at Home Office of Company. See Certification.)
KNOW ALL MEN BY THESE PRESENTS:That St.Paul Fire and Marine Insurance Company,a corporation organized and existing under the laws of the
State of Minnesota,having its principal office in the City of St.Paul,Minnesota,does hereby constitute and appoint:
C . Wade Johnson , John A. Haas , Richard R . Allsop ,
Cindy J . DeLany, Gregg L . Hanson , Ann L . Akin ,
individually, Brookfield , Wisconsin
its true and lawful attorney(s)-in-fact to execute,seal and deliver for and on its behalf as surety,any and all bonds and undertakings,recognizances,contracts of
indemnity and other writings obligatory in the nature thereof,which are or may be allowed,required or permitted by law,statute,rule,regulation,contract or
otherwise,
UNLIMITED AS TO CHARACTER AND AMOUNT
and the execution of all such instrument(s)in pursuance of these presents,shall be as binding upon said St.Paul Fire and Marine Insurance Company,as fully
and amply,to all intents and purposes,as if the same had been duly executed and acknowledged by its regularly elected officers at its principal office.
This Power of Attorney is executed, and may be certified to and may be revoked, pursuant to and by authority of Article V,-Section 6(C), of the By-Laws
adopted by the Board of Directors of ST.PAUL FIRE AND MARINE INSURANCE COMPANY at a meeting called and held on the 23rd day of January,1970,
of which the following is a true transcript of said Section 6(C):
"The President or any Vice President,Assistant Vice President,Secretary or Resident Secretary shall have power and authority
(1) To appoint Attorneys-in-fact,and to authorize them to execute on behalf of the Company,and attach the Seal of the Company thereto,
bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof,and
(2) To appoint special Attorneys-in-fact, who are hereby authorized to certify to copies of any power-of-attorney issued in pursuance of this
section and/or any of the By-Laws of the Company,and
(3) To remove,at any time,any such Attorney-in-fact or Special Attorney-in-fact and revoke the authority given him."
Further,this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of said Company adopted at a meeting duly
called and held on the 6th day of May, 1959,of which the following is a true excerpt:
"Now therefore the signatures of such officers and the seal of the Company may be affixed to any such power of attorney or any certificate relating
thereto by facsimile,and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the
Company and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the
future with respect to any bond or undertaking to which it is attached."
��`�V�yrRE n�dt ,,zjzji, corporate TESTIMONY be affixed by its authorized Fire
offidcer,this 1st day of March, Dh1984 caused this instrument to be signed and its seal p
11: 1.=:--
7l. ST.PAUL FIRE AND MARINE INSURANCE COMPANY
€N (jam°'' m= STATE OF MINNESOTA} ss.
County of Ramsey
tip Gam. vice President
On this t h day of March , 19 84 ,before me came the individual who executed the preceding instrument,to me
personally known, and, being by me duly sworn, said that he/she is the therein described and authorized officer of St. Paul Fire and Marine Insurance
Company;that the seal affixed to said instrument is the Corporate Seal of Said Company;that the said Corporate Seal and his/her signature were duly affixed
by order of the Board of Directors of said Company.
�� ' IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal,at the city of St.Paul,Minnesota,the day
d and year first above written.
--Ortal. 0......00.Aci-
1 A z
;�`k-couto MARY C.CLANCY,Notary Public,Ramsey County,MN
My Commission Expires November 1, 1990
CERTIFICATION
I,the undersigned officer of St.Paul Fire and Marine Insurance Company,do hereby certify that I have compared the foregoing copy of the Power of Attorney
and affidavit,and the copy of the Section of the By-Laws of said Company as set forth in said Power of Attorney,with the ORIGNALS ON FILE IN THE
HOME OFFICE OF SAID COMPANY,and that the same are correct transcripts thereof,and of the whole of the said originals,and that the said Power of
Attorney has not been revoked and is now in full force and effect.
40.E 6
ce '? IN TESTIMONY WHEREOF,I have hereunto set my hand this •�AA
g __ r�
's,: l� J_ 20th day of July , 19 84 Secretary
Only a certified copy of Power of Attorney bearing the Certificate of Authority No.printed in red on the upper right corner is binding.Photocopies,carbon
copies or other reproductions of this document are invalid and not binding upon the Company.
ANY INSTRUMENT ISSUED IN EXCESS OF THE PENALTY AMOUNT STATED ABOVE IS TOTALLY VOID AND WITHOUT ANY VALIDITY.
29550 Rev.3-84 Printed in U.S.A
a- staid ST.PAUL FIRE AND MARINE
INSURANCE COMPANY
Property&Liability St. Paul, Minnesota
Insurance A Capital Stock Company
LABOR AND MATERIAL PAYMENT BOND
Approved by The American Institute of Architects
A.I.A. Document No. A-311 Feb., 1970 Edition
The bond is issued simultaneously with another bond in favor of the
owner conditioned for the full and faithful performance of the contract.
KNOW ALL MEN BY THESE PRESENTS: That NORTHF.AS.T..ASP1UALTr..INC.
FOND..DIJ.-LAC --.'.4.LSCOtSIN._
(Here insert the name and address or legal title of the Contractor)
as Principal, hereinafter called Principal, and, ST. PAUL FIRE AND MARINE INSURANCE COMPANY,a corporation
organized under the laws of the State of Minnesota, with its Home Office in the City of St. Paul, Minnesota, as Surety,
hereinafter called Surety, are held and firmly bound unto
Oshkosh, Wisconsin
(Here insert the name and address or legal title of the Owner)
as Obligee, hereinafter called Owner, for the use and benefit of claimants as hereinbelow defined, in the amount of
and 50/100
One.-husuired. .-ninety..-four---.thousand-,---nine---hundred-•and---€ourtee-n---Dollars ($....1.94___44/
(Here insert a sum equal to at least one-half of 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 19 ,
entered into a contract with Owner for Public...Works...Cantract..#84-O7
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 hereinafter referred to as the Contract.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Principal shall promptly make payment to all claimants as
hereinafter defined, for all labor and material used or reasonably required for use in the performance of the Contract, then this obligation shall
be void; otherwise it shall remain in full force and effect, subject, however, to the following conditions:
1. A claimant is defined as one having a direct contract with the work or labor was done or performed. Such notice shall be served by
Principal or with a subcontractor of the Principal for labor, material, mailing the same by registered mail or certified mail, postage prepaid,
or both,used or reasonably required for use in the performance of the in an envelope addressed to the Principal, Owner or Surety, at any
contract, labor and material being construed to include that part of place where an office is regularly maintained for the transaction of
water, gas, power, light, heat, oil, gasoline,telephone service or rental business,or served in any manner in which legal process may be served
of equipment directly applicable to the Contract. in the state in which the aforesaid project is located, save that such
service need not be made by a publl-: officer.
2. The above named Principal and Surety hereby jointly and
severally agree with the Owner that every claimant as herein defined, b) After the expiration of one(1) year following the date on which
who has not been paid in full before the expiration of a period of Principal ceased work on said Contract, it being understood, however,
ninety (90) days after the date on which the last of such claimant's work that if any limitation embodied in this bond is prohibited by any law
or labor was done or performed, or materials were furnished by such controlling the construction hereof such limitation shall be deemed to
claimant,may sue on this bond for the use of such claimant,prosecute be amended so as to be equal to the minimum period of limitation
the suit to final judgment for such sum or sums as may be justly due permitted by such law.
claimant, and have execution thereon. The Owner shall not be liable c) Other than in a state court of competent jurisdiction in and for
for the payment of any costs or expenses of any such suit. the county or other political subdivision of the state in which the pro-
3. No suit or action shall be commenced hereunder by any claimant: sect, or any part thereof, is situated, or in the United States District
Court for the district in which the project,or any part thereof,is situ-
a) Unless claimant, other than one having a direct contract with ated, and not elsewhere.
the Principal,shall have given written notice to any two of the following:
The Principal, the Owner, or the Surety above named, within ninety 4. The amount of this bond shall be reduced by and to the extent
(90) days after such claimant did or performed the last of the work or of any payment or payments made in good faith hereunder, inclusive
labor, or furnished the last of the materials for which said claim is of the payment by Surety of mechanics' liens which may be filed of
made,stating with substantial accuracy the amount claimed and the name record against said improvement, whether or not claim for the amount
of the party to whom the materials were furnished, or for whom the of such lien be presented under and against this bond.
Signed and sealed this 20th day of J t1.y A. D. 19 84
' ortheast Asphalt, Inc. \
In the presence of: _ (Seal)
(Principal)
an.41) (Witness) (Title) f
St. Pate and Marine I suran ;Company (Seal)
t (S ty)/ ,
By l- (_t: (
(Witness) Ann L• in (Attorney-in-fact)
Printed with permission of the American Institute of Architects
11761 Rev. 2-70 Printed in U.S.A.
- AStibuI _ ST. PAUL FIRE AND MARINE INSURANCE COMPANY CERTIFICATE OF
Property&babtliry 385 Washington Street, St. Paul, Minnesota 55102 AUTHORITY NO.
. Insurance
For verification of the authenticity of this Power of Attorney,you may telephone toll free 800-328-2189 and ask for 7 216 2 4
the Power of Attorney Clerk.Please refer to the Certificate of Authority No.and the named individual(s).
GENERAL POWER OF ATTORNEY - CERTIFIED COPY
(Original on File at Home Office of Company. See Certification.)
KNOW ALL MEN BY THESE PRESENTS:That St.Paul Fire and Marine Insurance Company,a corporation organized and existing under the laws of the
State of Minnesota,having its principal office in the City of St.Paul,Minnesota,does hereby constitute and appoint:
C . Wade Johnson , John A. Haas , Richard R. Allsop ,
Cindy J . DeLany, Gregg L . Hanson , Ann L . Akin ,
individually, Brookfield , Wisconsin
its true and lawful attorney(s)-in-fact to execute,seal and deliver for and on its behalf as surety,any and all bonds and undertakings,recognizances,contracts of
indemnity and other writings obligatory in the nature thereof,which are or may be allowed,required or permitted by law,statute,rule,regulation,contract or
otherwise,
UNLIMITED AS TO CHARACTER AND AMOUNT
and the execution of all such instrument(s)in pursuance of these presents,shall be as binding upon said St.Paul Fire and Marine Insurance Company,as fully
and amply,to all intents and purposes,as if the same had been duly executed and acknowledged by its regularly elected officers at its principal office.
This Power of Attorney is executed, and may be certified to and may be revoked, pursuant to and by authority of Article V,-Section 6(C),of the By-Laws
adopted by the Board of Directors of ST.PAUL FIRE AND MARINE INSURANCE COMPANY at a meeting called and held on the 23rd day of January,1970,
of which the following is a true transcript of said Section 6(C):
"The President or any Vice President,Assistant Vice President,Secretary or Resident Secretary shall have power and authority
(1) To appoint Attorneys-in-fact, and to authorize them to execute on behalf of the Company,and attach the Seal of the Company thereto,
bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof,and
(2) To appoint special Attorneys-in-fact,who are hereby authorized to certify to copies of any power-of-attorney issued in pursuance of this
section and/or any of the By-Laws of the Company,and
(3) To remove,at any time,any such Attorney-in-fact or Special Attorney-in-fact and revoke the authority given him."
Further,this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of said Company adopted at a meeting duly
called and held on the 6th day of May, 1959,of which the following is a true excerpt:
"Now therefore the signatures of such officers and the seal of the Company may be affixed to any such power of attorney or any certificate relating
thereto by facsimile,and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the
Company and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the
future with respect to any bond or undertaking to which it is attached."
cA, 1.REa1 trt/iq�zz IN TESTIMONY WHEREOF, St. Paul Fire and Marine Insurance Company has caused this instrument to be signed and its
FJ .1> corporate seal to be affixed by its authorized officer,this 1st day of March,A.D. 1984.
*`. 1
er ST.PAUL FIRE AND MARINE INSURANCE COMPANY
m= STATE OF MINNESOTA}
"'y sw _= County of Ramsey MINNESOTA} ss.
gzzj'tiS�R'A1N`C� : Vice President
On this 14th day of March ,19 8 4 ,before me came the individual who executed the preceding instrument,to me
personally known, and, being by me duly sworn, said that he/she is the therein described and authorized officer of St. Paul Fire and Marine Insurance
Company;that the seal affixed to said instrument is the Corporate Seal of Said Company;that the said Corporate Seal and his/her signature were duly affixed
by order of the Board of Directors of said Company.
1 ��� IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal,at the city of St.Paul,Minnesota,the day
?-,i,,,_ S. and year first above written.
r 7
Z.
IS
MARY C.CLANCY,Notary Public,Ramsey County,MN
My Commission Expires November 1, 1990
CERTIFICATION
I,the undersigned officer of St.Paul Fire and Marine Insurance Company,do hereby certify that I have compared the foregoing copy of the Power of Attorney
and affidavit,and the copy of the Section of the By-Laws of said Company as set forth in said Power of Attorney,with the ORIGNALS ON FILE IN THE
HOME OFFICE OF SAID COMPANY,and that the same are correct transcripts thereof,and of the whole of the said originals,and that the said Power of
Attorney has not been revoked and is now in full force and effect.
FIRE
4r '? IN TESTIMONY WHEREOF,I have hereunto set my hand this •�'` '
r
--1 20th day of Jul , 19 84
k 44 y
n„��,,yce" July Secretary
Only a certified copy of Power of Attorney bearing the Certificate of Authority No.printed in red on the upper right corner is binding.Photocopies,carbon
copies or other reproductions of this document are invalid and not binding upon the Company.
ANY INSTRUMENT ISSUED IN EXCESS OF THE PENALTY AMOUNT STATED ABOVE IS TOTALLY VOID AND WITHOUT ANY VALIDITY.
29550 Rev.3-84 Printed in U.S.A
SET TAB STOPS AT ARROWS
Certificate of Insurance
aod 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'Mt COVERAGE.AFFORDED BY THE POLICIES LISTED BELOW.
NAME AND A ,E SS (. N , i
COMPANIES AFFORDING COVERAGES
FIRST 1 0:7,1PTj. ' [ c:iR j r_ _ . .,.- l.r.._ ..:C;,1 ``. ,..'. i....5'a L.E < l OMPAN, A AE. IA � _[LU aLTY 3. SURETY
. i_6_. , fi.i. } ETTER
L _ , ILFeL , d: P.'..)
COMPANY S1ti' i s a :D FI[?E INSURANCE
Co.R
NAME AND ADDRESS OF INSURED COMPANY
NORTHEAST 1 HEAST ASPH .LT, INC. LETTER
RT. 1 LETTER
NY
MOUNTAIN, WI 54149
COMPANY E
LETTER
This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. 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 of Liability in Thousands(I I0)
POLIO
COMPANY 1 YPE OF INSURANCE POLICY NUMBER EXPIRATION DATE EACH AGGREGATE
ET EER OCCURRENCE
GENERAL LIABILITY BODILY INJURY $ 1,000 $ 1,000
nu,
LEI,COMPREHENSIVE FORM
Di PREMISES--OPERATIONS PROPERTY DAMAGE $ 250 $ 250
E2EXPLOSION AND COLLAPSE — -
HAZARD 7
A UNDERGROUND HAZARD v3GL 507156 CCA 1-1-85
PRODUCTS/COMPLETED
OPERATIONS HAZARD BODILY INJURY AND
CONTRACTUAL INSURANCE PROPERTY DAMAGE $ $
BROAD FORM PROPERTY COMBINED
DAMAGE
INDEPENDENT CONTRACTORS /�/��
PERSONAL INJURY PERSONAL INJURY $ 1,000
f
AUTOMOBILE LIABILITY BODILY INJURY $
(EACH PERSON)
LX COMPREHENSIVE FORM BODILY INJURY $
(EACH ACCIDENT)
EX OWNED
rr A�]. t 7�5�f 58 CC PROPERTY DAMAGE $
A (151 HIRED 361=.1 'f 1vU4 LVi 1 1-1-85 BODILY INJURY AND
51 NON-OWNED PROPERTY DAMAGE $ 1,000
COMBINED
EXCESS LIABILITY
BODILY INJURY AND
A ®XMBRE LL.A FORM 36 XS 240335 WCA 1 -1 -85 PROPERTY DAMAGE $ 1 ,000 $ ( ,000
C OTHER THAN UMBRELLA COMBINED
FORM
WORKERS'COMPENSATION STATUTORY
B and 36CH 46479 CPS 1-1-85 $ 100
EMPLOYERS'LIABILITY E" H'( [)I"r'
OTHER !
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES
PUBLIC WORKS CONTRACT 84-07
Cancellation: Should any of the above descr111ed policies be cancelled before the expiration date thereof, the issuing com-
pany will endeavor to mail NV days written notice to the below named certificate holder, but failure to
mail such notice shall impose no obligation or liability of any kind upon the company.
NAME AND ADDRESS OF CERTIFICATE HOLDER. DATE ISSUED 7 -- �- 8 4
CITY OF OSHKOSH
I YCHURCH AVENUE � P� `S �/C,-
AUTHORIZED REPRESENTATIVE
OSHKOSH, WISCONSIN 54902
ACORD 25(1-79)
.-. .N ' .E• ,•-. -a.srux'.
,
H N .0 V O. V r W NJ H
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