HomeMy WebLinkAboutPW CNT 15-06/Al Dix Concrete CITY OF OSHKOSH
LEGAL DEPARTMENT
215 CHURCH AVENUE, P.O. BOX 1130, OSHKOSH, WI 54903-1130
PHONE: (920) 236-5115 FAX (920) 236-5106
LETTER OF TRANSMITTAL
To: AI Dix Concrete Date: May 4, 2015
500 Draper Street Pro'ect: Contract 15-06
Kaukauna, WI 54130 From: Carol Marchant, Adm. Assistant
Re: Concrete Sidewalk
Attn:
Please find: � Attached ❑ Under Separate Cover
❑ Copy of Letter � Contracts ❑ Amendment ❑ Report ❑ Agenda
❑ Meeting Notes ❑ Photos ❑ Mylars ❑ Change Order ❑ Plans
❑ Specifcations ❑ Estimates ❑ Diskette ❑ Zip Disk ❑ Other
Quantit Descri tion
1 Full executed ori inal co of Contract 15-06 Concrete Sidewalk new and
reconstruction
These are being trensmitted as indicated below:
❑ For Approval � For Your Use ❑ As Requested ❑ For Review& Comment
Remarks:
cc City Clerk (original)
Public Wo�ks, Engineering (original)
City Attomey (copy)
CONSTRUCTION CONTRACT
THIS AGREEMENT, made on the 29�h day ofApril, 2015, by and between the CITY
OF OSHKOSH, party of the first part, hereinafter referred to as CITY, and AL DIX
CONCRETE, INC., 500 Draper Street, Kaukauna, WI 54130, 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. 15-06
for concrete sidewalk (new and reconstruction), for the Public Works Department,
pursuant to Resolution 15-220 adopted bythe Common Council of the City of Oshkosh on
the 28th day of April, 2015,
all in accordance and in strict compliance with the CONTR4CTOR's Proposal and the other
Contract Documents referred to in ARTICLE V of this Contract.
ARTICLE II. TIME OF COMPLETION
The work to be performed under this contract shall be commenced and the work
completed within the time limits specifed in the Special Conditions and/or
CONTRACTOR's proposal.
ARTICLE III. PAYMENT
(a) The Contract Sum.
The CITY shall pay to the CONTR4CTOR for the performance of the Contract the sum of
$937,390.00, adjusted by any changes as provided in the Specifications, or any changes
hereafter mutually agreed upon in writing by the parties hereto, provided, however, in the
event the Proposal and Contract Documents are on a "Unit Price" basis, the above
mentioned figure is an estimated figure, and the CITY shall, in such cases, pay to the
CONTRACTOR for the performance of the Contrect the amounts determined forthe total
number of each of the units of work as set forth in the CONTRACTOR's proposal; the
number of units therein contained is approximate only, and the final payment shall be
made for the actual number of units that are incorporated in or made necessary by the
work covered by the Contract.
1
� (b) Progress Payments.
In the event the time necessary to complete this Contract is such that progress payments
are required, they shall be made according to the provisions set forth in the Specifications.
ARTICLE IV. CONTRACTOR TO HOLD CITY HARMLESS
The CONTRACTOR covenants and agrees to protect and hold the CITY harmless
against all actions, claims and demands of any kind or characterwhatsoever which may in
any way be caused by or result from the intentional or negligent acts of the
CONTRACTOR, his agents or assigns, his employees or his subcontractors related
however remotely to the performance of this Contract or be caused or result from any
violation of any law or administrative regulation, and shall indemnify or refund to the CITY
all sums including court costs, attorney fees, and punitive damages which the CITY may be
obliged or adjudged to pay on any such claims or demands within thirty (30) days of the
date of the CITY's written demand for indemnification or refund.
ARTICLE V. INSURANCE
The Insurance required by the City of Oshkosh as specified in the CITY's
specifications, including addenda, or plans, or instructions, or advertisements, shall be
primarv coveraqe and that any insurance or self insurance maintained by the City of
Oshkosh, its officers, council members, agents, employees or authorized volunteers will
not contribute to a loss. All insurance shall be based upon the occurrence of an event, and
not based on claims made. All insurance shall be in full force prior to commencing work
and remain in force until the entirejob is completed and the length oftime that is specified,
if any, in this Contract, the Specifications, whichever is longer.
ARTICLE VI. COMPONENT PARTS OF THE CONTRACT
This Contract consists of the following component parts, all of which are as fully a
part of this contract as if herein set out verbatim, or if not attached, as if hereto attached:
1. This Instrument
2. The Gity's Plans and Specifications, including all Addenda's
3. City of Oshkosh Standard Specifications
4. Instructions to Bidders
5. Advertisement for Bids
6. Contractor's Proposal
The Contract Documents are complementary;what is required by one is as binding
as if required by all. Before undertaking each part of the work, the CONTRACTOR shall
carefully study and compare the Contract Documents and check and verify all pertinent
figures and measurements required therein. CONTRACTOR shall promptly report in
writing to the Engineer any conflict, error, ambiguity or discrepancywhich CONTRACTOR
may discover and shall obtain written clarifcation from the Engineer before proceeding with
any work affected thereby.
2
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 partfirst enumerated above shall govern over any other component partwhich
follows it numerically except as may be otherwise specifically stated.
IT IS HEREBY DECLARED, UNDERSTOOD AND AGREED that the word
"CONTRACTOR" wherever used in this Contract means the party of the second part and
its/his/their legal representatives, successors, and assigns.
IN WITNESS WHEREOF, the City of Oshkosh,Wisconsin, has caused this contract
to be sealed with its corporate seal and to be subscribed to by its City Manager and City
Clerk and countersigned by the Comptroller of said City, and the party of the second part
hereunto set its, his or their hand and seal the day and year frst above written.
In the 'Yesenc of: CONTRACTOR
� AL DIX CONCRETE, INC.
By: /�t �
�AV Si !
(Seal of Contractor (Sp ci�
if a Corporation.)
By:
(Specify Title)
CITY OF OSHKOSH
�' B a--- '�A
I y
� �- /� � -C� . Mar c A. Roh off, City Mana zr
( itness)
' - �` - _� ,� ���
C �� . ' �. And �
(� itness) � Pamela . Ubrig, City CI k �
APPROVED: I hereby certify that the necessary
provisions have been made to pay
, !� ,., � the liability which will accrue under
` � ' � i this contract
� ,�L UJ
�C'rt�~p��-�P,t rney � - -
�(C;71���m
City Comptroller
3
A�� CERTIFICATE OF LIABILITY INSURANCE aze�zms���
THIS CERTIFICATE IS ISSUED AS A MATfER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE XOLOER. THIS
CERTIFICATE OOES NOT AFFIRMATIVELV OR NEGATIVELY AMEND, E%TEND OR ALTER THE COVERAOE AFFOROEO BY TXE POLICIES
BELOW. TMIS CERTIFICATE OF INSUFANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN TNE ISSUING INSURER�S�, AUTHORIZED
REPRESENTATIVE OR PROOUCER�AN�THE CERTIFICATE HOLOER.
IMPORTANT: If ihe cartHicak holtle�Is an AOOITIONAL INSURED,t�e pollcy�les)must Ee entlonetl. If 9UBROOATION IS WAIVEO,euEJect to
thekrmaanticondlllonaoflhepallcy,cerlalnpollcleameyrequlreanandonamenL AaGlementanthbcartl0catedaesnolconfarrlghbtoMe
cerlifleata holtler In Ilau of auc�andonement a.
raooucex ' coxlncr
Spectrum Insurance Graup GB �s�xoxe vex
303 PackeAand Dr.,SIe C .920-884-2850 .920-884-2851
Green Bay Wl 54307 �"u�
INSU0.Efl9pfFOq01NGCOVEMOE NqIC/
INSOREqq:AL01� �A�BG
iesuneo qLDIX-1 ixwneae:
AI DIX Concrele, Ina ixwxex n
W4437 Schmidt Rd
Kaukauna WI 54130 wsua«o:
ixsuxexe:
ixsuneas:
COVERAGES CER IFICATE NUMBER:135278972 qEVISION NUMBER:
THIS IS TO CERTIFY TNRT THE POLIQES OF INSURANCE USTED BELOW HAVE BEEN ISSUEP TO THE INSUREO NAME�ROWE FOR THE POLICY PERIO�
INDICATEU. NOTMTHSTANDINO ANY REpUIREMENT,TEPM 00.CONDITION OF ANY CONTRACT OR OTHER OOCOMENT WITH RESPECT TO NMICN THIS
CEftTIFICATE MNY BE ISSIIEO OR MqY PEFTAIN,THE INSURRNLE RFFOROED BY THE POLICIES �ESCFIBE� HEFEIN IS SOBJELT TO AlL TME TEftMS.
E%CWSIONS�ND CONOITIONS OF SUCH POUCIES.LIMRS SHOWN MAY HAVE BEEN REDUCED BY PND CUIM3.
��jp IYPEOFIN311RM'LE 50 VOl1C/NIIMBFR MMN MM'DCy�P LIMITS
A �' COMMFALULDENEMLLIR01UiY X901'J9 1/2015EF 11l'1U1fi �Ha��pqENCE 51,OOO.000
CWMS�M4DE �X CCCU0. 3330000
MEOEXP f100M
PERSOIUL6MVINJUPY 11,00�,000
GEN'LAGGPEGALELIMIT.VpLIESGEfl: GENEMIAGGREG.RE S]000000
PoOCY %�jET ��� PPOOUCi$�CCMPMPAGG i].000.000
OTIER: f
� AUNMOeILlLMBILItt %801]9 I1I2015 HM016 f
E�wbml 1,000,000
% .WYAlITO BOOILYINJUPY�PUp✓wn) S
ALIGWNEO 9f.XEWLEO B�qLYINJ11RY1P���GenQ f
AlITQS �����ED
NIRE�AUTW AUlOS PanNEenl 3
5
A X uxanlWUPe X ��q %801]9 H/tOtS 1/2018 ry�pryppCVflflENCE 5�.�00,000
E%CESSWB pWMStl10E AGGflEWTE f
OEO flEiE N S
p WORREA9COMVEXSAiIOX $90139 11/N15 �1I$016 �' T�'
ANOEMR0YUi9'LpeILIP y�H
ANYVPOGPIETONG�RINENEXE<VIIVE ❑H�� ELEACXACLIOENT f100�W0
O�eib EMXX IXCLVOE09 ELCISEASE-
IIy��Eem�WwMr FAEMPLOYE f100.N0
OESCRIVIIONOFOPEMiIQ4F0elmv EL.OISElSE-PoIICYLIMIT fSO0,000
OESCRIPTIXIOFOPEMTONS/LMA90H9/VENICLES�ACORDIOI�pdtllNentlq�m�Ma4M1�JUh�mryEUtt+eM1Nllmon�p�e�I�nyulnC�
The City of Oshkos�,Its officers,councll members,agents,employees or authorized valunteers ere inciuded as Additional Insuretl on e
pnmary and non-contnbutory basis with a 30 day nottce o(cancellation subject to Insuance laws(or�he State o�Wsconsin
CERTIFICATE HOLDER CANCELLATION
SHOULD RNY OF T1E R00VE�ESCflIBEO POLICIES BE C�NCELLED BEFORE
THE E%flMTION DATE TNEREOF� NOTICE WILL BE OELIVERED IN
CIly 0�OShkOSh ALGORURNCE WITH THE POLICY PROVISIONS.
215 Chumh Ave
Oshkosh W154903-1130 nuTxonveonesaesex.enve
�Ja....r��.��
07988-3014ACORDCORPORATION. AIINBhb�eaerved.
ACORU25�3074/01) TheACORDnameandlogoarereglsteretlmarkso/ACOR�
Page 3
Policy Numbec X90139
�. Effective Date: 03-10-15
Premises 6uilding Constmction,
Number Number Occupancy and Locatian
001 001 NONCOMBUSTIBLE
CONCRETEFLAPNORK
500 DRAPER ST
KAUKAUNA WI
001 002 FRAME
CONCRETEFLAPNORK
500 DRAPER ST
KAUKAUNA WI
001 003 NONCOMBUSTIBLE
CONCRETEFLATVJORK
500�RAPEft ST
KAUKAUNA WI
001 004 FRAME
CONCRETE FLATWORK
500 DRAPER ST
KAUKAUNA WI
MORTGAGEHOLDERNAMEANDA�DRESS
NONE
LIABILIN COVERAGES PROVIDED
Caverage Item Llmit of
Insurance
Liability and Medical Expenses(Each Ocwrrence) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 1,000,000
MedicalExpenses(Any One Person) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,000
Damage to Premises Rented to You . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 250,000
Products-COmpleted Oparations Aggregate Limit . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . .. 3,000,000
General Aggregate Limit(Other Than Protlucts-COmpleted Operations) . . . . . . . . . . . . . . . . . . . 3,000,000
Premises Bulltling Classlficatian Class Premium Rate
Number Number Desctlpllon Code Basis'
001 007 Driveway Parking Area or Sidewalk 92215 313,2�0 PA fi.97
Paving
' PA= Paymll-Rate Applies Per$1,000 of Payroll
� OPTIONAL COVERAGES PROVIDED
Coverage Item Limil of
insurence
Forgery and Alteration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 2.500
Scheduled Contractors'Equipment-Actual Cash Value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . See CB-7105
Business Income from Dependent Properties . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . , 5,000
CB-]D00(7T-08) 5001 03/12/15
Page 4
Policy Number: X90139
, Effective Date: 03-10-15
Coverzge Itam Llmit of
Insurance
Electronic Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10.000
IntermptionofCOmputerOperetions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10,000
OutdoorSigns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . 10,000
PropeAy in the Course of Consiruction . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . See CB-7201
ACUITY Advantages-Property Coverages . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . See CB-7262
ACUITY Enhancements- Lia6ility Coverages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . See CB-7268
Caverag¢Item Premises Building Limit of
Num6er Number Insurance
Business Income and Extra Expense . . . . . . . . . . . . . . . . . . . . . . . . . . . 001 001 Actual Loss
Sustained
Moneyand Secunfies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001 001
Insidelhe Premises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 10,000
Outside the Premises . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . 5,000
Accounts Receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001 001 25,000
Valuabie Papers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001 001 10,000
Business Income and Exlra Expense . . . . . . . . . . . . . . . . . . . . . . . . . . . 001 002 Actual Loss
Sustained
; Money and Securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . 001 002
Insidethe Premises . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10.000
Outside the Premises. . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,000
Accounis Receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001 002 25,000
Valuable Papers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001 002 10,000
Business Income and Extra Expense . . . . . . . . . . . . . . . . . . . . . . . . . . . 001 003 Actual Loss
Sustained
Moneyand Secunties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001 003
Insidethe Premises . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70.000
Outsidelhe Premises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,000
Accounts Receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001 003 25,00�
Valuable Papers . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . 001 003 10,000
Business Income and Extra Expense . . . . . . . . . . . . . . . . . . . . . . . . . . . 001 004 Actual Loss
Sustained
Money and Securilies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001 004
Inside the Premises _ . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . 10,000
Outsidethe Premises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,000
Accounts Receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 001 004 25,000
Valuable Papers . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . _ . . . . . . 001 004 10,000
BIS-PAK PLAN
Contractors
cB-]aoa(12-o9) So ot o3A2/is
ADDITIONAL INSURED-OWNERS, LESSEES OR CONTRACTORS- CB-7048�4�10)
, SCHEDULED PERSON OR ORGANIZATION
This endorsement modifes insurance provided under jury or property damaqe occurring after:
ihe following:
BIS-PAKBUSINESSLIABILITYANDMEDICALEX- ��) All work, including materiais, parts or
PENSES COVERAGE FORM equipmeN fumished in connection with
such work, on the project (other than
1. The (ollowing is added to Who Is An Insured: service, maintenance or repairs) to 6e
Any person or organization shown in the performed by or on behalf of ihe addi-
Schedule is also an insured, but only with re- tional insured(s) at the site of the cov-
spect to liability arising out of your ongoing ered operations has been completed; or
operations pertortnetl tor thal insuretl. (2) That podion of your work out of which
2. With respect to ihe insurance afforded to these the injury or damage arises has been
additional insureds, the toilowing exclusion is put to its intendetl use by any person
added: or organization other than another con-
2. Exdusions trector or subcontractor engaged in per-
forming operetians for a principal as a
This insurance does not apply to bodity in- part of the same project.
SCHE�ULE
Person ar Organizatlon
�Name antl Atltlress)
CIN OF APPLETON
100 N APPLETON ST
APPLETON WI54911
CITV OF KAUKAUNA
201 W 2N�ST
KAUKAUNA WI54130
qTY OF FOND DU lAC
1 fi0 S MACV ST
FON��U L4C WI 54935
CITY OF OSHKOSH&ITS OPFlCERS
COUNQL M8R5,AGENT$ EMPLOVEES&
PO BOX 1130
OSHKOSH WI 54903
ADDITIONALINSURED-OWNERS, LESSEESORCONTRACTORS- CB-'l333(4-10)
COMPLETED OPERATIONS
This endorsement modifies insurance provided under liabllity for 6odily injury or propedy damage causetl,
lhe following: in whole or in part, by your' work at the location
BIS-PAKBUSWESSLIABILITYANDMEDICALEX- designated and described in ihe schedule of this
PENSESCOVERAGEFORM endofsement pertormed fof that additional insured
Who Is An Insured is amendetl to include as an and incNded in ihe products-completed operafions
additional insured ihe person(s) or organization(s) hazard
shown in the Schedule, bu[ onry with respect to
SCHEDULE
Name olAdditional Insured
Person(5)ot O�ganiwlion(s) Lowtion antl Descriptlon
(NameantlAtltlreas) ofCompletedOperations
CITY OF OSHKOSH 8 ITS OFFICERS ANY LOCATION IN THE COVER4GE
COUNCIL MBRS,AGENTS, EMPLOYEES 8 TERRITORY
' PO BOX 1130
OSHKOSH WI 54903
NOTICE OF CANCELLATION EN�ORSEMENT IL-7004(70-90)
, All Coverage Parts included in this policy are subject nonpayment of premium, we will mail advance notice
to the following condition: to the person(s) or organization(s) as shown in the
If we cancel this policy, for any reason other than Scheduie.
SCHEDULE
Person or Organization Advance Natice
(Nameantl AtlCress) �Days)
CIN OF APPLETON 30
100 N APPLETON ST
APPLETON W154911
CITY OF KAUKAl1NA 30
20'I W 2ND ST
KAUKAUNA WI54130
CITV OF CLINTONVILLE 30
50 10TH ST
CLINTONVILLE WI54929
NORDIN DESIGN GROUP INC 30
N5841 STATE HIGH WAY 47 55
SHAWANO WI 54166
THEAMERICAN INSTITUTEOFARCHITECTS
BondNo. NW11164
AIA Documenf A312
Perfonnance Bond
nnr si�pula.rekrmce rocono-uwr,suel%ow�c«atlKr whvshal�be cvuideied p4ra�wMie ayqiobk.
CONTRACTORINameardAdMc�sa): SUREfYINameandPrincip�iPlxedBusin�:
AI Dix Concrele Ice Merehancs NNiond Bading,Inc.
500 Dnper Suac 2100 Fkur Drive
Kauknwe,W154130 DesMoines IA 50321-1156
OWNER WameudAddress):
Ciry ofOzhtosh
213 Q�uch Ave,P O 8ox 1130
Oshkush N7 54903
CONTS7RURION CONTRACI
Dale: Apri128,7A15
M�our�l: 5937,390.00
Deuription(Name ud Locztion�: public Warks Convxt No. IS-06 for concrte sidewdk(�r R recanswction)
BOND
Datep�btearlierthanConstruc7bnCaMractDaEr): April2$2015
AmouM: 937,390.00
Modificadonsbtl�isBord: ❑ None ❑ SeePoge3
COMRACfL7R AS PRINCIPAL SURETY
Conqany: (Corporarc5eal) CmpanY: ICnporrte5eall
Ai Dix Concrete Inc Merchents Netional Bwding,l�. �
5��s�`�4 p�,,.. 9� ��:�-���'/���`� —
Wme a�d Tick: A Dix,President Name a�d Title: Micheel L.Tiedt
Attomry-ImFea
Wry addkiaul signanves appear m page 31
ffOR INfORMATION ONLY—Name,Addrcss md Tekpf�aie)
AGEN7 or BROKER: OWNERS REPRESEMATNE(MChiecct,Engineer or afher
WnYI:
Spatrum Insurence Crcoup Fox Vailey
303 Packvlmd Dr,Suite C
Green Bey,WI 54307 �
uA oOCwAEMr,U�f.rEllydtw.Ha wrvo�HO MrMwn�or+o.RawEa �fM to. ..w.
TIIF AMF[IGN INSMUf[OF NAIITfCTS. 1)JS NEW YOIII(NF.. N.W.WASMNGTON.O C.]W06 A3�2-I�{ �
7 The Contrador eM Ne Surely,jointlY antl sevenlly.bintl 1 Arter Invesligatian.tletermiiro 11ro amount(w
�hCmeeNeS,q�eir heaa,aceators,tlmirasbalon, ymjU k mey Ee f�Eb b Ne Oxmer e�W,ea eoon
auoceaaora�ntl�asipna W Ne Ownar br tlro psrlwmnwe as pnclkaGk aRer tlro amouM Is tla9ertnineE,
M Ne ConsWdim Conbad,which h incorporeted herein ��pr payment Cierobre to�he Pxner,w
Dy mbmnae.
.1 Oeny Fedlily M whde w in pert end notify�he
21t Me CoMnctor perfom�a Me CorxWd'wn ConbsQ,Ne Owntt tlGrg ieasone V�erelae.
Surcry aM ihe CoMnaor ehaA Mve m o06pation urMer 5 tt Me wrery does�wt proceed u provided in Pare-anph
Uis BonE,exmpt b pa�tidpate in conPomnces as proviEed 4 wBh reaeonahk prmpineu,tl�e Suiey ahaA be deemed
in Subpanpnph J.1. lo be in Eehutt on ihis BonA filleen Eays e11er rcceipt a(
3 I/Mero ia ew On+ier Detautl,Ne Surotya obNgation an atlOiliontl wiilten notice hom tlro Oxner W Ne Su�ety
untler tlYS BorW YiW erlae eRer Eemandinp tlut Me Sutery perfam its odipations uMer this
BoM,enA tlie Ovmer ahM De enWeE b eMOrce any
3.7 The Owner�u notified Ihe Contraclor anA tlro romedy ewAbN b the Ovmer.M tlro Swety proceeds aa
Sumry n ila eAtlreu AesaiEeA vn Pnepmph 70 provi0etl in SuOpereqnph 1.1,�M Me Owrwr reNaes Cie
bebw Nsl Cie Owrror b capitler'uq dedeMY a Paymenl tendered a Ihe Surery had denied fabilNy.in
cw�aaaor oeaun a�a nas m��stea em.ue+rw�ee vmok w�wK wnnwn a.mer Roe�mme ow,Kr.nan x
to amrqe a can/erence wiM tlro Cmvaaor�ntl Cie entilled W en/orce any remedy owGahk W ine Gmer.
surNy b be hNd na kter tlwn NRa�n Mn.11er
recelpt dsud�rwOCe b Auans mNlatls d psr- 8 Mar Ne Pxner Ms krmnabd Ne Conlnciafa ripht to
formirp Ihe ConsVUC�bn CaMR M IM Oa+�sr,Ne �Me ConaWmon Cmtrad.�nA If iM Surery
Conlndv antl Te Surety N������eaor MaA �qy b sd uMer Subpawpnph�.1.4.4.or 1.3�bove.
be�9waE��eaaonabM tine b 0��IM IMn tla m+DO�saiXet W Ne SuMY to 1M Owner ahatl
ConsirvcYm ConUetl.bul sWi en pre�manl MM not ba preatar Nan Moaa o/tlis CaNwla under tAe
not xtiue IM Om�ers riyM�M my.eubssVw�tlY b Construciion Con6a4 uM tlw naponamiliUes o/ihe
tleWn a CaNnrlor DehWl antl Owrier b Ne SureN MW rwt De 7m+�Nan Viox Mthe
3.�TM Qv�Mr Ns daduW a CaN�ctv DrhuN aM U�ner uMer 9r Caru6udion Con4�d.To tM imit of tl�e
lomrly M�min�Md IM Con�nctofs ripM b mnplsb anqunt o}tlea BoM�EW wqaa b mnmiOtNnt bY tlN
tlro wntrW.Such CaNWa 0.huN Md not M Owur M IM B.I,na W tM CaiWCI Ria b mid0atlon o/
xde�ee e.n�e,ms�n�ar an erw me c«ro.a« �••�w er�..�m.ca,ww�co�o-.a me
�nd Me SunlY Aaw nawwtl rwtica n Dro�in SurelY N obfqated wiMOUI duplra6m br
SuOp�rpnph J.t:uM 6.1 TM rapauWi�itws of Me Contr�dor br cor-
7.3 TM Ow�er Ms pmO b MY tla BWnce o/tlw rectim dhhdive wok uq mmpMion M Me Corv
comna rnu n u,e sumy M.aoraanw.m m. .wn�c�o-.a
eerm.aw cnwrumwi cono-.a o.w.mmrau«
wNcbd b W�IM CmW Wion Canincl in 6.Y MEioaW Mpd,tl�ipn prokuiond�rM ENay
�cmNano wMh tlie Ymu of tlie mntr�e wiM Ihe m�b muAnp kwn Yr CoMncloh Defiutt.nM
ow,.r, mau�q kan me uems « r.iu2 ro .a a Ne
�When the Ow+wr Ms taG�4d Uw caMiGons of Su�eN unEa ParNrapA 4:an0
Parpropli 3,Ur SuMy Me0 prortptly W et IM Sumtye 6.3 LqWOWO Oamp�t,tt Y no Iquid�ted d�mapea
a�ense Wu aro dihe blw.trg�clions: en ap�afied in IM Camtrv�ton ConUeq�auel
4.1 Amriys br tlro ContrMa,wNh conuM d tlw 0emapee nuse0 Dy MI�yaE M�MmarKa w rwrv
Ownar.b P�m erM mrnpbte Y�e Conwucfion V�uKa of Ine CaNnctor.
CoMratl:n 7 The Surety N�N�wt Ea 4de b tlw Orrtmr w mhers br
od'qatlona or Yr Contractor tlut an umslated a tlw
4.2 Underbke b pMorm�nd wnpkte Me Cm- ConaNrlion CantrW,vM ria BWnce of ihe Cmtretl
alruclian Contnct MuM.tNwph Ns pmis or ihragh Price shaA rwt be reduced a M o!f on�¢ouM W my
InMpe�qent cantraCOn:w sufh unrelned obNpa4ont.No�pM of adion shaA acwe
1.3 Obtain bidc a rcgotl�ted W W�Is kom VuaGfied on tlxs Bontl to any penon a entltY otlar Nan tlie Ovmer
conUeaan.rteqeble m the owner lar.co�nna br a Ns heirs�exeaton.adminbtraton v waesson.
perfwmanae and mmpletion of tlie CormWCtion 8 The Swery hereby waivea notica W�ny chanye,iridu-
ConV�d, �rt�npe M a cmtr�ct b De D2W� � 4�B���Be�d tima,b tlm Cmstrudion Conbad Or�o
eaecNbn Ay the Oxner md the contractor�ekded rolataE wDCmtracts.Wrchaee orden aM other oblL
wm�me oMner.m�wm�a,a w uwroa wim y�..
psAOrtnann and paymsM bonds axaculed by•
quaiil4O suroty Wuiv�bnt b ths DaMS MsuaE on ihe B MY D�o�eq�b9a1 or eGuMabb.uMer ihic BoM may
ConstruUbn CorNn0.�M WY b�he Owrror Ne Ce inatiluted In my oourt M m�pMen��uriatlid'an M Ne
emourtt d Aemapes n tleaaiEeE in P�npnP�6 in roceno���me�a wn m u,e»ane�s wcebe e�a
aeoes.w u,e ea�arics m ne conwa Fnce u,wnea an.e be unmwea xiwn n�o re,n.ner c«n�saa oehun
EY the Ovmar reaXiM kom tlie CantradMC tlehuh:or w vrithin Ma Yeara alkf tla CantrWa ceBaed xaikiny
4.1 Waive Ns riqM b par/orm aM mmpk�e,artanye or within Mo yean alkr ihe Surely reNaes or lails�o
for cortpklbn,a oblein a new tantr�clot aM wilh D�Nartn Na ad'q�tlma unOa Yut BonE,wfiic�ever ocwrs
reawnaDk prompOness uMer px tlrcurmbnces: firt.lf Ihe provisiona o/Mb Perepwph are voitl a
prMiEiled Ey lew,Rie minmum peno0 0/ lunttation avaiF
�uwcw[xrAUx•rfnwnwwc[wimuar�memwru•arwsuise�m..r�u ufs-fsea a
mE�xuiux wsmvrta�ans.sne wewrow��c.w w.w�wuicciai.o.c �waa
eble b wretiea�e�deknae in Me juriadctian ot ihe wit hew been riuds indudilp dbrance to the
Mell be WPMmbb. ConhGOr M my�mouMS mceiw0 rn to Ee
recqvetl Oy Me Owner in witlertroM o/insunnce a
70 NoGte t0 U�e Suroty,Ihe Ow�Mr or tlw Contractor ahall ��r++*�aam.yea a nn�m me comreaa is
bs m�iled w daNvered b�he addnss ahown on Ma enmk0.reAuaetl M W wNO�ntl D�oPer paymenb
aignetun page. mede b ar a�be-h+lf of itw Contractor urMer Ne
ConWUGion ConirW.
17 WTen Ws BonO Ma Ceen NmifME b tomply wXh e �y,y rq��py�ContrYCt The aqreement belween
s�alutay a Mher lepal raquNement N pie bntion where gK p����ryK���q��ntlfied on Ne�ip-
uK�ewa�was w ne v���.a�y�aa��� ,,,wrc v.o.,�e��an ca,vaa oo���ro.�a
Nis BoM mnlMctirp wiN aeid smWtory or Ipal <hanpes Vareto.
mQuirement�IUI ne eeemeE tlektetl nereirom ana
provlaiaa conformlrp W�uN qatulary a dMr kgel /4.3 Contr�clor DeIeWC Faiure of Ne Contraclor.
2qWremeM eluA De EeemM Inmipor�bE hpeln.The ��Nt neiNer haen rertqCied�wr waived,to
htmt b Mat tliis Bmd shel be consVUSd o e stalulory D°�^°�°�^W°°b mmply wilh Ne terms o/the
bo'M�n0 not a a wrrimon 4w DonO. ConeWUbn ContraU.
1�DEFINI710NS �2.�Own�/DehuN:F�Wrc of Me Owner,whith Ma
72./ BWnm ot�he Contnd Prix:Tlro btal�mwnl ^°ro1°r bun remeOkA�rorw�NeE.to Pay Ne Corv
payabb Gy tlw Owner to the CwN�qor unda ihe �o�d�uuad by tlro Can�InWion Contrect or to
CauWtlbn ConVact almr �1 WWS� aEjustrnents ���ndmmD�wwrtplyniNtheotherhrtns
MOdFlCA710N8 TO TIW BOND ARE AS FOLlOWB:
(9Fq h V��d Lebw b�EdlbeW Ypn�Wra�of�ECe�Wrlb�.atlw tlw tlwae�ppprYp m IM cow�pp.)
CONTW�CTIXt AS PRWCWAL SURE7Y
���WM� �+W^Y�
l�me seap 1�s�1
sy�en.e: sro�e.
N.m.�na rue: wma.ro ras:
Addrta: Address:
•NWWMOrtAIf]�'lII�q11Y14S�01IDlYDMYMB(lMMD�Ottd�O13M�ID.�W A�1?19M J
1XFI1NfM ' XIqlIMEOFNICM11FC1�.1)]6NfWFRI{1VL.X.W.WAfXIX01pl.0.0 1000�
THE AMERICAN INSTITUTE OF ARCHITECTS
Bo�No. NWI II64
AIA Oncument A312
Payment Bond
Mv N�w��+ence a caw.xm,,surt�:own�,«ahv wM a�n hemuide�ee oa..�M+�nr.ndk,ae.
CON�RAC70RlNameardAddress): SURETYMameandPrinciptl%attdBusines�:
A1 Dix('omMe I� MeroM1ents NYiaW Bonding,l�rc.
��Pn S� 2100 Fleur Orivt
Kaukiun;WI51130 DesMoincs IA 50321-1138
OWNER 1 Wme and Md�:
Ciry ofO�Wcm6
315 C1ucL Aw,P O Bon I I30
O�Lkwh.WI5190J -
CONTSTRURION CONTRACf
D�1e: Apri126,2013
Mnu�M: 5937,390.00
DeXriptian(Wme ard Localion):p�blic Works Contrx.l No.15-06 fw concrete sidewilk(new B recamWClion)
BOND
Qfte(NOtn�lierthanCansln�ctimCmtraclD�b1: Apri128.2015
Amaunt:
ModificatiaisbMlsBond: ❑ Nore m SeePage6
CONTFtACTOR AS PftINCIPAI SUREfY
Cn^p�^Y' (CorPna�Sea4 CanWnY: tGaPOryeSdn
A�ax�°'���'� Merchenls NaHaul Bonding,lnc�.�/ /
S00 D.aper S�cd� ,�^ v� `�fP/` Slgrulue:��<��/�'�"" J
M!....
5�9niLL�e' _
Name ard Tille: A1 Dix,PreSidrni Name and Title: Michoel L.Tied[
Attomey-In-Fecl
(Mry additimal signatures appeu on p�6)
(fOR MFORMA710NONLY—Narra,Addiess and kkplanel
AGENT a BROKER: OWNERS REPRESEMATIVE Wchieecl,Fngineer or dher
Spectrum Inswa�a Gmup Fon Vdlry ��'
303 P�ckerland Dr,Suite C
Grcen Bry,WI 54J07
.w oocuwwr n��,rtaow,v�a ww uro mrw[Nr�orvo.uawa i��o. ..w•
rH[N.+[uw+wsnrun o�utcwrztn. ins rew rouc wh.. H.w..wwwx�croH.n.c wma AS17.19M /
1 Tha Cmtraaor aM Ne Surety,johtly mtl sevenMy. 5 M a no&e mQuired bY Pcie9nph�b piven by tl�e
binA ihemaeMS.itbir heua.exeMOrs,Wmirristr�tw. Owna lo Me CmUadw or to Me Surety,th�t b eumcknl
successas aM aseipns b iM Owner b paY br Nbor, canpliance.
makriab�M puipnent WmislMd M uae in the 6 1YMn Me ClWnerrt�as m6sfied tlro condiUOro o/
perfamanw of t�e ConsWCtion Cmtr�c1,whiM 6 Parapnpl��,the Surery aMl promplY W N Ne Sumtys
i�oNO�Med Mrein Dy rekrence. e�enss take tlie Mb�i�q adions:
2 WM�eapect b the O.xier.Ne od'gatian e�atl be null 8.1 SeM en�nswer b tlro G�imsn�with�copy to
eM vdtl H Cw Contraqor. y�p p�br,xiWn 45 deye eller raceqt M Ua deim,
2.1 Praniptly makes paymsnt,Oiractly w irMireclly, sUWq M�e+mw�ts tlwt ne untlifpulatl anO Vw
lor�q wm�due Claimanb,aM basis lar tl�Yerqing my amounb iMt ero Ohpute0.
22 OeMqs,Memnpiea,eM twltla hertNeaa Me 62 PaY a+RanOe/w Vayment of my uMisputetl
pmer tom aN da'rro,d�nd,Nm a suib Dy eny o���.
penon a entilY Mro Nmi�ME MOa,m�teriel�or
eQUip�rcnt br u�e in tM peAomrnm of Ne 7 The SwetYt bW ablq�tlon Mail not exceed ihe
Conetrv�JOn CoMncl,pmided tlie Oaner lus +mo��M ottl+k BonO,srd Ma�mouM of Wa BoM M�N be
prarpYy rwtille0 Ne CoMraUa W Ne Surety(at aediled br anY WY�nb made in paoE faith by Ihe
ths stlOnu Mwib�tl in Pupnph 12)ol my Surely.
tl�im,denwd�.fe�u a aWb�nd bMered dekme 8 MnuM�w.ad by Me Ownx b Ihe Con4�ctor undar
of wrh Win0.dem�nd�,tlpu a wKS W NO tl�e Conqnktlon Cmincl4ul De weE M the
Contrwta antl Ne Swery.uW O�d Ihera b no perlorrnu�ca of Ilro Cwuwction Cantr�d eM M ttluh
O�ner De/autt. d�im.Y enY.uqer�nY ConsUU�m Perbmunm BoM.
BY Ne Canlndrc Iumishin0 uM Na Umsr�coeW�q tliis
3 WM nlpoct b Clain�nb.Nie oblip�lion NW De rw% BoM,tlwy�prw M�t d lunda�smed by tM CaN�clor
antl vo10 BNe Con6fctor WmWlry mNtts WY�. M Mr V���o/tlro Conkn�dion Conlracl ue
a��say«:�anaN.��w�s ew. a.a�.a m..i:h�wea,s a we co�aw«w me
swMy�d.r ws m�a..uena a me ow�ers pn«xy a
1 The SuelY ahd Mve ra aOMpbm b Cleirtunu urMer uae tln 4Ms M M mnphBon of tM woik.
thi6 BoM uMA:
4.1 CI�4rwib v.ho m�mployeO Ey or how�Einq 8 Tlr Susly NV nol M f�01�b Yr Owmar,Chim�Mt
cantrwl wMh Yw CoMwaar hm piwn rroliu m Me a aMn br oEMYMbro W 1M Cmtr�cWr tlut�n
���Y(N IM ddnp dara�d'n P�rpnp�72) uev�4l�tl b IM Conqluclbn ContrM.iM Oww YuN
nw..n .cwr,«nwo.ma.w.w aie oMner� �a w reb br pUynrnt w.ny mM.«.�.em.m.�y
aWkqNat�WYnkDeYpmWeuMaWaBaW CwinedundxtloBorM,tMNdMww�MrlM�EaW
arM,wNh wOSlnror xanry,M�mowR oltlie rro o660�dn b mW WY�b,0�mtlon an
tlaim. WhW ol,a dMmha Me aORp�tloru b CI�MVRs
�.z a.:n.nb wno ao rwt n.re.area oono-aa wiln ��a.r nu.ea�a.
W°�0^�Of 10 TM Suray Iweby wwaa notioe of my dwnye,
.7 1Nw NmhMA w+Mbn mUw b tlw Contr�clw Mqydyy qy�pp W 6ms.b Iie CmNruction Can4W ar
u�e�eM�mPY.w miw InarsW.b IM b�elab0 wOmntr�cb,Wrc7�eae oMea�nE otha
W�wr,wiVdn 90 tlyt qW NvYp Yq Px' pyp�gqp.
Mm0 Y6a a MN F+rNNW mHeri�4 a
WuipneM Mv*M�d In tlN�im�ta0n0.xqh 11 No auN a atlim tMtl De com�rcnmE by�C4irtun�
p�DWnUd�oar�cy,IM rrouY of Ur Wim uMV N's BorM qMr tlun in�wu�of canDeNrKjurh'
�M Ms nuro o/Cw pYly b wRwrn M m�ler- dktim in IM bnCOn in whidi Me woA w P�h o1MS wwk
4k v.we AvN�hsA a r4G�a b wfiom u bwled w�Mr Me u�intion of ane yur ham Me Eate
tla MDOr wu Eone a V��d:�nd (7)m xliic�IM CIdm�M p�ve the notim repured M
.]Heve eXMr reoeNeO a eejeWOn M v.fide or in SubpYapnpl��.1 oI Cbuae 4.2.3.of(Y)m xAitlt Me
part han Ne CoMndor,v nd receNeE wiMin Mst hDOr w seMa wn DerfameO bY cnYOne or the I�p
mNeriab w epupnanl Mare Nmi�hed by�nyoro under
90 dqY of/ur^bhhN������^Y Ihe ConstruGion CmtrW,Mfiidiewr of(1)a(2)&�1
cortvmmla6on han tl+�CaNacta M'which xan.Mtl�e proMtiom o/Mb PupwW�an voiE or
Me Caitr�tlar hu iiGqted tlrc daim will be prW�blta0 CY Isw.Ne minYnun DarbE o/lknuation
a*a�r a��r:.�a .Vaweie a wm�s u,ae�enae M u,e���.e�a me
a Na n.vxq n..�wb w`na�m..eo�ao e.ys, .un an.�es.ppwa..
Mve seM�wripen notice b Me Sumry(N Ne �p Notica b Ms Swsty,lhe Oimer a fhe ConVaAOr shaN
�tltlrou UesaiDSO in PatprapA 11)uM cenl ps�yb a defre�ad b the address thovm on 1M
•coPY.a notim tlano/�b tla Pvrier,statin9 tiynWxe DNe.Adwi romW ot notiu by SuretY�iM
Mat a daYn h Oelnp maEe undar Ihrc BoM eM Oxner a Ur CmtrWw�twwever suanpllaMA,MaA be
enUOSiny a copy of tlie prevbus wrMen notim yvlACen�mnp&�nce�a of t�e Ene'ereiveE et Ux
Wmnhed to Me Cmtr�c[or. MAreea sla�n on tlw sipnaWrc pe9e.
•uWWxE�rt4lff�'OVMMUNiMxouwMVEnrtWxo.D[EOM611MaN.�iW1• Al3}S!M 6
TI[MIOIIGN NOlrtlll!pMpYllt13.111!MlW T011F11K,NM.W116NNOIq1.D.4 9000!
13 When ihis BmE Iws been Nmishe0 to comply vrith a The mtent dihis Bontl ahaA Ee lo e�dutle wNhoN
sUMaY w dher 4pW rs0uinment in Ihe bcation where Gmilation in the brm�Yabor.melaieb w e9uipneM"
ihe coreWCtlon wu�o be psrbmiW,any provision in th�t psrt Mwater.Bes.pawr.NyM he�t.oN.
M4 BoeW conitipinp MN uid sbMary w bgel pyoFM,blephorie xrvwe or ren�al epuipmeM uxd
roqUirommt Dha16e CeemeC Gebktl heRhom entl in Ne Cms4uqion Cmtrad,erMltectunl antl
provisiona con/amirq b wch stalulory a Mher kgal enpineerirq aervicea requireE for pertortnance o/tha
reQUiremeM sMl be EeemeE incorpoiateE�erein.The wrnk of tlro Contredar aM ihe Conlndofc
inleM's lliH ihb BoM shN Ee consWed as e Matuto7 �uhcanVaclan.�M d oMer kertu lor whid�a
bond snd nM ea�oonunan Nw bontl. mecMniCS Ikn may De aeseMetl In tlie jurisEidion
where tlie bbor,materlal6 or equlpment werc
14 Upon repuep by any pe�wn a entiry appearinp to Oa Nmished.
a potentlal OeneRtiery o/tlih BonA.Me Contredor ahell 75.2 ConsWtYbn Con4ect:The�O�m�n�beNreen
prwnptly lumieh a mPy o/tlr's BoM w shatl permit a mPy Ne Wmer aM Me Canbacta IdeMifieE on Ne
W be msCe. slpnaWro GWe�IndWhp al Coniract
Dowmenb uM durpea Nerclo.
15 DEFINITIONS 15.3 O�.ner De/auk Failure o(Me Owner,which has
15.1 ClaimaM:M NAiWOUaI a entiry tuWnp a dired naXMr Msn romeOieE na w�WW,b p�y tlw
coMnA wiN IM Cmtndar w vrith a wbmMncfir of Co�Ua o re9ukW by 4n CaWrvctim Contract
tl,.conwcl«w an:tl,rew,m,whk w or n vab^^•�a conplet=«amWr wim�ne othe�
eQUlpraM ar ux m u,e v�•xs mme coMrea. x'ms�nerew.
MODIFlCATIONS TO 7HI5 80ND ARE AS FOLLONS:
SMim 6 is modified by dding seaion 63.
63 The Surclys tulure b discherge its obiiyations unda this Seabn 6 shail na be deaned to conslitute a weivu of
defenxs the Surty or Contnc�or may hrve or ecquire u m�daim. However, if�he Surely fails b discherge i�a
obligations under Nis Sa.lion 6,Ne SurUy eMll indemnify the Claimsnt fa Me rcswnabl<ettomry's fea ihe Ciaimant
incurs b'wover�ny aums found b be due�nd owing w the Cltimant.
(SD+a b D�'�Oebw M�CONbnN si0naturta ol WOeE W rlks.dher tlun t�oae eppeariq on Ihe cover page.)
CONiMCTOR h4 PRINCIPAL SUIiEtt
Lanprry Comp�tl,
1�>'GdM��1 ILerpvy�6M
Spiulurc: SipnaWrc:
Wme rd TAk: N�ma�nd 7Ne:
Addren: MEnu:
.wowYt[xruv.ruw111YxCl�oxouaMYMdfMND.o[Cd�aiMlm.•�W1e A11?]98a 6
1NFMIOIIGVIMlSIIMFp111M1111@R.11]6MkWY011X1VC. M.W.WASIIIIqTOM.O.C. f000!
MERCHANTS�
BOND[NG COMPANY.
POWER OF ATTORNEY
K�ww N Pei�au By Tlieae Preunb,tlut MERCHAN�6 BONdNG COMPANY(/AUTUAL)W MERCHAN�b IUTIOIUL BONOING,
INC..EoN bNp capor�4ana Ouy orp�riizN uM�r tlw laws W tM S1ale M Iww(IrortM cobpiwy uIb01M1e'COmPeniee'1.
antl Iut IM ConW�Mes Eo nereOY m�ks,conslNUte�M WPO+�.YWWkuallY�
Michael L Tiedt; Richard K Carlson
of GreenBey uq5labM Wiswnsin tlwkWa�Ml�whBMaroylmFW.wiN/uNpowar
�nJ�utlarrtY MreEY miNrteE N Mie'v n�me.plece W tWE.to qOn.ueala.�dvwAMOe�M Gf�er F tlw1'bslWl n�vMY
ury�M tl laMa.uMSNkNp�.ncoprYxvw�a dMr wiXbn abYpatlona F IM nalurs tl�anM.alpd b tlw ImM�4on MH�ny
wtl�Yu4umnN Ntl nd�naM M�nnW oF.
FINTEEN MILLION(SIS�OW.000.00)DOLLARS
�nC to dnE IM CanWnM Memby��/uNy�nA to Me avrw erienl as M tuch Dvd a uruMNkYp w�s aqnM bY tlie EWy
�uNoiizstl o1XOU�M tlw Comp�nbs.�rW�e Ne�ds d��k AttaneY�^-F�d, punuml W Ifro wMaiy�ereln piwn.�re
haraEy ntlMtl nM cor�nnad.
Tb Pawra4�mrY 4 nuM W �x�MM pxw�M b �M h' ��b a/1M Mavxq BY�'� MW� M ria Burtl al
drMan dM MwduNa BatlNp Camp�iy(WiluN)on ApA I].2011�ntl�tlapleE by Cr BwrE ol diatlaa ol MerWMS NHbn�l
BonNnp.kic.,m Ocbbx RI.Z011.
Te PnYO�h.SeaNrY.Tnuu�er.a�rry Assi��arrt Tre�wxer n�nY AttbWN SecTaWY a M'Yo Pmaitlak 4WI Mw
pa.«ma.�xxr m wv�neomry.++r.a..ro a.w�e u�a e�wx o�eawaeK como+�r..m.wa�x�e
aW W M Carp�ny MnYb.eatls ne uN�Ntlrqs.mnYNx�mzs.caw�ds ol ineamriy�ne aMr wMirqa oMYtlay in
tlr naBV�Meol.
TM Ypulin uf�^Y�WlwiixM olfiar xM Iw wN N tlw Co^qmY m�Y M NiuO M hcKN�a Nsctrwic b�mmia�ion b
�ny Pww NAtle^wY�r C�rWpbn tlwM�Mlvl�i^Y W�ncvAOn rN O�ry ol�^Y bwd.u�tlntiFiq,nwpJxuia.
a MMr wNYWV�Itlbru W Iw Ca^V�^V.bq tua1�Wn�Nn�nd Nd MMn w w�A NY�M M�e�r bm aq
�IIW M�IW)1�InMly�aN�
In WNnua Wliemd.Me Canpenka Mvs pwap Ub Inslrumenllo Oe�Ip�aO�n0 webE IIM�21NMY a NowmEer. �1�.
(�P'�''jj,►0,� 0 �'�`pPO�a•!1•� renauNrswqomtscowµr(rvru��)
) e:•,9 R,;••.,o� ,-'e°.�o 'ti' s; reRauNrsrunoruuwnoina.mc.
i :+� "''Y- •Y• 4 .�•.<� .
i �_ u:y .w.:s -e. o:—:
,�.
�y�, 200J j.�J t%., teaa ;ec. w G�� ��
,Jj�;. ,�•F{ ':b,J�y,.......•��i�
STA�EOFIOWA •�, P�+� *. R1iNnf
COIRJTY OF POLK�t. �nr�
On tli42N�Mf M NOVlrM�f.]011�Wbn m��PM��+�'T�Y�.b m�WnonW Nwvn.wM bKq M'm�M'awanlW
uY BW M Y FnYMM qM AERCHA/lf5lONWNG COMPANV(��)uM tERCHWTb NAlW W1L BONDINO.HL.:W
UW Bw wW NlvE b M bnY�Y brbinrnt b M CapnN�WY o/M CanC���:xk IMt M uk In�InriwY w��YY��rM
wWE F BNW o/M Cenqxi��M��Y MMk n�W�BwrM of d�dn�.
In Ta�tlmmy V1wsd.I Mn MrwMO aN mY heW W�IIIV�C my MAdY SeN�I IM Cky o/Ma Naw��bwa.IM d�Y�rd 1*�r
bft�OOM 1+�Iqln. �
,�ra'^<s WENDY WOODY �
o L" Commission Number 784654
z •�•• ' My Commission Expires
� June 20 2017
Nabry NbMG N9(�Camb.�v�
ST�TE OF qNN
Cq1MY OF POLK u.
1. NIWm Nbmer„k.,Sao�Wy o11M GERCHN1fS BON�MIG COMPMlY(MUfUAL)nq MERCII�N�S NATqN�L BONpNG,INC.,
Oo IieraEr m�WY tlxt M�bow�rq IorpoYq Y�tus xq camd aWY NM POY�ER-0E-ATTORNEY sasMaE M utl ComV��t.
wMU�b W Yi Iu1 broe xN NPed uM M�nalwn rnwdM w nwR�O.
In NICwt V�lweof.l Mve MmuMO�et mY�atl�nE�RUaE M�atl o/1M ConiV��Yas on
w. e.r or
�+"''{IO71�� ; p\NB Cp,yp�
?���'r�°y. :.��°�^P�9�r�s�� w,e..i�
�;. �'/,� �/ �,
'e_ 'ai .r-.= -o' ei
T'j:, t003 r`A :_:. ��77 rc: S°°Nxy
POA 0014 HI b �' • ,
C� ) d�,•.. ...��„� ;d�.�..*..�:�iC:
.*.
'w.o,�..��` . .