HomeMy WebLinkAboutPW CNT 15-07/PTSCITY OF OSHKOSH
DEPARTMENT OF PUBLIC WORKS
215 CHURCH AVENUE, P.O. BOX 1130, OSHKOSH, WI 54903-1130
PHONE: (920) 236-5065 FAX (920) 236-5068
LETTER OF TRANSMITTAL
Please find: � Attached ❑ Under Separate Cover
❑ Copy of Letter � Contracts ❑ Amendment ❑ Report ❑ Agenda
❑ Meeting Notes ❑ Photos ❑ Mylars ❑ Change Order ❑ Plans
❑ Specifications ❑ Estimates ❑ Diskette ❑ Zip Disk ❑ Other
These are being transmitted as indicated below:
❑ For Approval � For Your Use ❑ As Requested
Remarks:
❑ For Review � Comment
Enclosed is a copy of the executed construction contract for Contract 15-07
If you have any questions, please contact us.
City Clerk's Office — Original
cc: _ File — Original Signed:
Tra . Taylor
I\Engineering12015 CONTR4CTSN5-01 Misc Sewer Relays�Projecl_Information\Carrespontlence\LOTS\15-07 PTS LOT-Eeemtetl Const Contrad_6-2645.dou
CONSTRUCTION CONTRACT
THIS AGREEMENT, made on the 24th day of June, 2015, by and between the CITY
OF OSHKOSH, party of the first part, hereinafter referred to as CITY, and PTS
CONTRACTORS, INC., 4075 Eaton Road, Green Bay, WI 54311, 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 L 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 entitied or described as follows:
Public Works Contract No. 15-07
for utility repairs and installation/various locations, for the Public Works Department,
pursuant to Resolution 15-302 adopted by the Common Council of the City of Oshkosh on
the 23rd day of June, 2015,
all in accordance and in strict compliance with the CONTRACTOR's Proposal and the other
Contract Documents referred to in ARTICLE V of this Contract.
ARTICLE �I. 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 Special 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
$1,762,375.07, 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 o# 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.
In the event that any provision in any of the above component parts of this Contract
conflicts with any provision in any other of the component parts, the provision in the
component part first enumerated above shall govern over any other component partwhich
foilows it numerically except as may be otherwise specificaliy stated.
IT IS HEREBY DECLARED, UNDERS700D AND AGREED that the word
"CONTRAGTOR" wherever used in this Contract means the party of the second part and
its/his/their legal representatives, successors, and assigns.
IN WITNESS WHEREOF, the City of Oshkosh, Wisconsin, has caused this contract
to be sealed with its corporate seal and to be subscribed to by its City Manager and City
Clerk and countersigned by the Comptroller of said City, and the party of the second part
hereunto set its, his or their hand and seal the day and year first above written.
In the Presence of:
�, l/�� 1 , ,_!i!. ll
Corporate Secre
(Seal of Contractor
if a Cor�oration.)
�� ��
���ity Atto ey
CONTRACTOR
PTS C TRACTOR , INC.
By:
Presi nt
(Specify Title)
�
(Specify Title)
CITY OF OSHKOSH
By: _ ��—�{r�d�-�-f-��
Mark A. Rohloff, City Manager
R. Ubrig, City
I hereby certify that the necessary
provisions have been made to pay
the liability which will accrue under
this contract
�y � ��'^
`7 �� 1 l% v ':,�.l.�Yf
City Comptro(ler
PTSCONT-01 SARMALKARPR
A��R� CERTIFICATE OF LIABILITY INSURANCE DA6I�%IYOISYY)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S�, AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER '— CONTACT Willis Certificate Center
� — NAME
Willis of Wisconsin, Inc. ` P"�"E /877 945-7378 � F'ix 888 467 2378
c/o 26 Centur Blvd = jZ�CL-IVED La� No Ez[):_1 ) _ ._ �nrc Ne� (_ �
y •- E-MAIL �ertificates@willis.com
P.O.Box 305iJi qDDRESS._.
Nashville.TN37230•5191 -�� �� � -���- �� �
2 4 2015 ��
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PTS Contractors, Inc.
4075 Eaton Road
Green Bay, WI 54311
DOSHKOSN W�5 .W�S NS
INSURER�S)AFFOROING COVERAGE __ _
xea n: BITCO General Insurance Corporation
eea e: Hanover Insurance Company
INSURER C :
DVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFV 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 ANV 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 BV PAID CLAIMS.
TYPE OF INSURANCE INS[
X � COMMERGIALGENERALLIABILITY
. �_I CLAIMS-MADE ' X OCCUR X
J _.
GEML AGGREGATE LIMIT APIPLIES PER:
POLICV � jEC�T `� LOC
OTHER'.
AUTOMOBILE LIABILITY
A X ANV AUTO X
ALLOWNEO SCHEDULED
AUTOS AUTOS
NON-OWNED
HIREDAUTO$ AUTOS
x UMBRELLA LIAB X OCCUR
(� IE%CESS LIAB CLAIMS-MADE X
. . 1—T_.. I.
�' �� DED X �I RETENTION$ �O�OOO
WORKERSCOMPENSATION
AN� EMPLOYERS' LIABILITY Y I N
A ANV PROPRIETOR�PARTNEWEXECUTNE ��
ncFit'raim[ua[aFxr.iiinFm I h I NIA
g �Builders Risk
.CLP 3 606 582
3 606 583
2 805 469
WC 3 606 581
919132503
u%nanu�a�o�nunu�$
LIMIT$
EACHOCCURRENCE �$
DA�AGE N EO
PREMISES(Eaoccurrencel '� $
MEO E%P (Any one parson) $
PERSONAL 8 ADV INJURV $
GENERALAGGREGATE $
PRODUCTS-COMP/OPAGG $
— _" $
COMBWE�SINGLELIMIT $
Ea accitlent
O�/iOI2Oi4 O�IiOI2OiS BODI�VINJURV�Perperson) $
BODILYINJURV�Pe�accident) $
PROPERTYDAMAGE $
Peraccitlent
$
� EACHOCCURRENCE
� O7/tO/2O1A O7/1OI2O1S qGGREGATE
I X PER
STATUTE
I 07/10@014 O7NO/2O1S � E.L. EACHACCIDENT
E L DISEASE - EA EM
E.L. DISEASE - POLIC
07/10/2074 07/10/2015 See Attached
�OQ00
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DESCRIPiION OF OPERATION51 LOCATIONS I VEHICLES (ACORD 101, Atlditional Remarks ScM1edule, may be attacM1etl if more apace is required)
lob Name: Ci[y Contract #15-07 — Utility Repairs antl Installation at various locations.
:ommercial Generel Liability inclutles UtiliTy Contractors Extended Liability Coverage Endorsement GL3085 09 11 which provides Contrectors Automatic
\dditional Insured coverage - Ongoing and Completed Operations - Primary and Noncontributory when required by a written contrect and Automatic Waiver
>f Subrogation when required by a written contract executed prior to loss.
3usiness Auto policy includes Additional Insured Endorsement A2931 71 99 any person or organization agreed by the Named Insured by written insured
:ontract is an Additional Insured.
iEE ATTACHED ACORD 101
City of Oshkosh
2'IS Church Avenue
PO Box 1130
SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICV PROVISIONS.
AUTHORI2ED REPRESENTATIVE
�� __�'�
�O 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
/ 1
ACORO
�/
AGENCY
Nillis of Wisconsin, Inc.
POLICY NUMBER
iEE PAGE 1
CARRIER
iEE PAGE 1
HUUI I IVIVHL
AGENCY CUSTOMER ID: PTSCONT-01
LOC #: 1
ADDITIONAL REMARKS SCHEDULE
NAIC CODE
SEE P 1
NAME�INSUREO
PTS Contractors, Inc.
4075 Eaton Road
Green Bay, WI 54311
EFFECTIVE DATE:�S
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liabiliry Insurence ___
SARMALKARPR
Page 1 of 1
Description of Operations/LocationsNehicles:
Umbrella Policy includes Changes - Other Insurance - Additional Insureds endorsement CUP 0316 01 11 -(Primary and
Noncontributory Additional Insured when agreed in a written contract or written agreement executed prior to loss).
City of Oshkosh, and its officers, council members, agents, employees and authorized volunteers are included as Additional
Insureds as respects the General Liability, Auto Liability and Umbrella Liability policies per the above referenced attached
endorsements.
A 30-day Notice of Cancellation in favor of the City of Oshkosh applies to the General Liability, Auto Liability, Umbrella Liability and
Workers Compensation policies per attached GOX-2287-CN 0193.
ACORD 101 (2008/01)
c� zuua a,wrtu wKruK.a i wrv. nu ngncs reservea.
The ACORD name and logo are registered marks of ACORD
ADDITIONAL COVERAGE SCHEDULE
COVERAGE LIMITS
POLICY TYPE: Builder's Risk Limit at any one location: $2,500,000
CARRIER: Hanover Insurance Company Limit per disaster: $2,500,000
POLICY TERM: 711 012014 — 711 0I2015 Transit Limit: $200,000
POLICY NUMBER: IH1 9191325 03
POLICY TYPE: Installation Floater Limit at any one location: $200,000
CARRIER: Hanover Insurence Company Limit per disaster: $400,000
POLICY TERM: 7I10/2014 — 7110/2015 Limit at temporary location: $200,000
POLICY NUMBER: IH1 9191325 03 Trensit limit: $200,000
THIS ENDORSEYIENT CHANGES THE POLICY. PLEASE READ R CAREFULLY.
UTILITY CONTRACTORS EXTENDED LIABILITY COVERAGE
This endorsemen[ modities irsurance provided untler ihe tollowing:
LIABILRV COVERAGE FORM
It is agreed thal ihe provisions listed below apply only upon the eniry of an QX in the 6ox next to ihe caption
ot such provisioa �
A. � Partnership and Join� Venture Extension M. � Construction Project General Aggregate Limiis
B. 0 Gomrectore Automatic Additional Insured
Coverape — Ongoing Operations
C. �X Automatic Waiver ol Su6rogation
D. QX Fxiended Notice ot Cancelialion, Nonrenewal
E. � Unintentional Failure to Disclosa Hazards
F. � Broadened Mobile Equipmen�
G. � Personal and AdveAising Injury - Coniractual
Coverage
H. QNonemploymentDiscrlmina�lon
I. Q Liquor Liability
J. � Broadened Conditions
K. �AutomalicAdditionallnsureds—Equipment
Leases
L. QX Insured Contract F�tension - Railroad Properry
and Construclion Contrec[s
N. QX Fellow Employee Coverage
O. ❑ Property Damage to Ihe Named insured's Work
P. � Care, Custody or Conirol
�. QX Electronic Daia Liability Coverege
R. � Consolideted Insurance Program Residuel
Liabiliry Coverage
S. 0 Automatic Additional Insureds—Managers or
Lessors ot Premises
T. Q Automatic Additional Insureds — Stete or
Govemmental Agency or Political
Subtlivisions — Permiis or Authorizetions
U. QX ConiractorsAUtomaticAdditionellnsured
Coverage — Complated Operations
V. QAdditionallnsured—Engineers, Architectsor
Surveyors
0. PARTNFASHIPANDJOINTVENTUREEXTENSION
The following provision is added to SEC710N II- WHO IS AN INSURED:
The last full paragreph whlch reads as follows:
No person or o�ganization is an insured with respect to the conduct of any cuvent or past
parNership, joiM veniure or limtted liability company that Is not shown as a Named Insured in the
Declerations.
is deletad and repleced with ihe toliowing:
With respect to ihe conduct of any past or present joint venture or parinership not shown as a
Named Insured in the Dedarations and of which you are or were a patlner or member, you are an
insured, but onry with respect to liability arising out of 'your work' oo behal( ot any partnership or
joint venture not shown as a Named Insured in ihe Declarations. provided no other similar liability
GL-3085 f09/111 -1-
insurance is available to you for'your work° in connection with your interest in such parinership or
joint veNUre.
B. CONTflACTORSAUTOMATIC ADDITIONAL INSURED COVERAGE—ONGOING OPERA710N5
SECl70N 11 — WHO IS AN INSURED is amended to includa es an edditional insured any person or
organization who is required by written contract to be an additional insured on your policy, but only with
respect to iiabiliry for'6odily inlury', 'property damage' or'personal and advertising injury' caused, in
whole or in pad, by:
1. Your acis or omissions; or
2, The acis or omissions ot those acting on your behalf;
in the pedortnance of your ongoing oparations for the additionel insured(s) at the project(s) designeted in
ihe written contrect.
With respect to Ihe insurance attorded to these addifional insureds, 1he following additional exclusions
aPPN
This insurance tloes not apply lo'bodiy injury' or'properry demage' occurring afler.
1. All work, inclutling materials, parls or equipment tumished in connection with such work, on the
prolect (other than service, maintenance or repairs) to be performetl by or on behalf oF the
additional insured{s) at ihe location ot the covered operations has been completed; or
2 That portion ot 'your work" out ot which the injury or demage enses has been put to its intended
use 6y any person or organization other Ihen anmher contractor or subconiractor enqaqed in
pedorming operetlons for e principal as a part of the same project.
This insuranca is excess of all other insurance aveilable to the eddRionai insured, whathar primary,
excess, contingent or on any other basis, unless the written coniract requires this insurance to be
primary. In [hat event, ihis insurance will be pnmary relative to insurance policy(s) which designate iha
additional insuretl as a Named Insured in ihe Declarations and we will not require confibution fmm such
insurance if the written contract elso requires that this insurance be non-contributory. But with respect to
all other insurance under which the additional insured qualHies as an insured or additional insured, this
insurance will be excess.
C. AUTOMATIC WAIVEH OF SUBHOQATION
Item 8. ot SECTION N- COYYERCIAL GENERAL LIABILITY CONDfiIONS, is deieted and rep!aced
wi�h ihe foilowing:
& Trenafar of Rlghb of flecowry Agal�qt Othxs to Ua aM Automadc Walvaz of Subrogatlon.
a. I� the insuretl has rights to wcover all or patl o} any payment we hava made under this
Coverage Form, those righis are hansferted to us. The insured must do nothing atter loss to
impair ihose righis. At our request, ihe insured will bring'suiP or transfer those rights to us
and help us enforce ihem.
b. If required by a wrinen contred executed prior to loss, we waive any right ot recovery we may
have egainst any person or orgenization because oi payments we make br injury or damege
arising out of'your work" tor ihat person or organizaiion.
D. EXTENDED NOTICE OF CANCELLATION, NONHENEWAL
Item AS.b. ot the COMMON POLICY CONDRIONS, is deleted and replacad with the following:
A2b. 60 tlays betore ihe etfeciive date of ihe cancellation ii we cancel for any other reason.
GL-3085 (09/11) -2-
Item 9. of SECTION N- CONMERCIAL GENERAL UABILffY CONDITIONS, is deleted and replaced
with !he following:
B. � WHEN WE DO NOTRENEW
a, if we choose to nonrenew this policy, we will maii or deliver to the first Named Insured shown
in the �eclarations writtan notice of the nonrenewal not less Ihan 60 days befora ihe
expiretion date.
b. B we do not qive notice ot our iNent to nonrenew as prescn6ed in e. above, it is agreed ihat
you may e�ctantl Ihe panod of ihis policy for a maximum additional sixly(60) days from its
scheduled expiration date. Whare noi othervvisa prohibited by law, ihe existing terms,
conditions and rates will remain in eftect during that extension pedod. It is fariher agreed that
so long as it is no� otherwise prohibited by lew, lhis ona time si�y dey extension is ihe sole
remedy and liquidatetl damages available lo the insured as a result of our faiWre to give ihe
notice as prescnbed in 9, a. a6ove.
E UNINTENTIONAL FAILURE TO DISCLOSE HAZAHDS
Aflhough we relied on your representations as to exisiing and past hazards, if unintentionally you should
fail to disclose all such hazards at ihe inception date ol your policy, we will not tleny covereqe under this
Coverage Form heceuse of such failure.
F. BROADENED NOBILE EQUIPMENT
Item 12.b. o( SEC710N V- DEFlNIilONS, is deleted and replaced with iha following:
12b. Vehicles meintained fo� use soley on or next to premises, sites or localions you own, rent or
occupy.
O. PERSONALANDADVERTISINGINJURY-CONTBAC7UALCOVERAGE
Exclusion 2.a. af SECTION 1, COVERAGE B is deleted.
H. NONEMPLOYMENT DISCHIYINA770N
Unless'personal and advertising injury" is excluded from ihis policy:
Item 14. ot �C110N V- �EFlNRIONS, is ementled to include:
'Personal end advertising injury' also means embarressment or humiliatlon, mental or emotional
disiress, physical illness, physical impairmen�, loss of earning capacity or monetary loss, which is
caused hy'tliscrimination'
SECTION V- DEflNITIONS, is amended to inclutle:
'Discrimination' means the unlawful heetmen[ of individuals bflsed on race, color, ethnic origin, age,
gender or religion.
flem 2. Exolualons of SECTION I, COVERAOE B, is amendad to include:
'Personel end advertising injury' arising out of 'discrimination' direc[ly or indirectly reiated to ihe
past employment, empioymant or prospective employment of any person or class of persons by any
insured;
'Personal and adaertising injury" ansing out of 'discrimination' by or at your, your agenis or your
'smployeas' direction or with your, your agenfs or yo¢r'employees' knowledge or consent;
GL-3085 (09/111 -3-
"Parsonal and adveriising injury" ansing out of 'tliscrimination' directly or indirectly related to the
sale, rental, lease or sub-lease or pmspedive sale, rental, lease or sub-lease o� any dwelling,
permanent lodging or premises by or ai the direction of eny insured; or
Fines, penalties, specific pedormance or injunctions levied or imposed by a govemmental eMity, or
govemmantal code, law, or stalute 6ecause of "discrimina�ion.'
I. LIOUOR LIA8ILRY
E�aluaion 2.c. of SEC110N I, COVERAGE A, is deleted.
J. BROADENED CONDI7'IONS
Items 2a. end 2.b. ot SEC7lON N- CONMEHCUIL GENEHAL LIABILIiY GONDfT10NS, are deleted
antl replaced with the tollowing:
2 Dutla In irie EveM Ot Oeeurtsnce, Oflense, Clain Or Sull:
e. You must see 10 it �hat we are noUfied of an'occurrence' or an oflense which may result in a
claim as soon as practicable afler the 'occuvence' has been reportetl to you, one of your
oflicers or an'employee' designated to give notice to us. Notice shoultl inGUde:
(1) Hav, when and where the "occurtence" or oflense took place;
(2) The names and eddresses of any injured persons antl witnesses; end
(8) The nature and location ot eny injury or damage arising out of ihe bccurtence' or
ottense.
b. It a claim is made or "suiY is brough� against airy insured, you mus[:
(7) Record ihe specifics of ihe claim or'suiY and ihe date received as soon es you, one ot
your officers, or an'employee' designated to record such intormation is notifed of d; and
(2) Notity us in wrRing as soon as pmcficable afler you, ona of your oflicers, your legel
departmen� or an °employae' you designate to give us such notice leams of ihe clalms
or'suiY
item 2.�. is added to SECTION IV - COMMEHCIAL OENEFiAL W181LfTY CONDIilON3:
2.e. If you report en 'occurrence' to your workers compensalion insurer which tlevelops into a liabiliry
daim for which wverage is providetl Uy the Coverage Form, tailure to report such'occurrence' to
us at the time of 'occurrence' shall not be deemed in violation of paragraphs 2.a, 2.6., and 2.c.
Howsver, you shall give wriflen notice of this'occurrence' to us as soon as you are mede aware
of the tact that ihis 'occurrence" may be a liability claim rather than a workers compensation
claim.
K. AUTOMATIC ADD(TIONAL INSUREDS - EOUIPNENT LEASES
SECTiON 11 - WHO IS AN INSUflED is amended to include any person or organization with whom you
agree in a wriflen equipment lease or rental agreement ro name as an additional insured with respect to
tiebility for'bodily injury', 'properry damage' or'personal and edvehising injury' caused, at least in part,
by your maintenance, opera�ion, or use by you of ihe equipmen[ leased to you by such parson or
organizabon, subject to the following additional exclusions.
The insurence provided to ihe edditionel insured does not apply to:
1. 'Bodity injury' or'properly damage' occurring after you ceasa leasing the equipment.
G1-3085 (09/17) -4-
2. "Bodily injury' or'property damage" arising out of ihe sole negligence of the addiGonal insured.
S. 'Properry damage"to:
a. Properry owned. used or occupied by or rented to ihe atlditional insured; or
b. Property in the care, custody or conUol of the additional insured or over which [he additional
insured is tor any purpose axercising physical wntrol.
This insurance is excess of all other insurance available to the additional insured, whether primary,
excess, wntingeM or on any other basis, unless the writlen contract requires ihis insurance to be
primary. In thet event, this insurance wiil be primary relative to insurance policy(s) which designate ihe
additional insured as a Named Insured in the Dedarations and we will not raquire contribution from such
insurance if the wriUen contract also requires ihat this insurance 6e non-contributory. But with respect to
all other insurance untler which the addilional insured qualities as an insured or edditional insuretl, this
insurance will be excess.
L. INSURED CONTAACT EXTENSION - RAILROAD PROPERTY ANO CON57AUCTION CONTRACTS
Item 9. ot SECTION V- DEFlNITIONS, is deleted and replaced with ihe following.
9. 'InsuredContrecPmeans:
a. A wntract for a lease of premises. However, that portion of the comract br a lease of
premisas ihat indemnifies any person or organization for damage by fire to premises while
ranted to you or tamporarily occupiatl by you wiih permission of the owner is not an 'insured
contrecP;
b. A sidetrack egreement;
c. My easement or license agreemeN; �
d. M obligation, as required by ordinance, to indemnify a municipality, except in conneclion with
work for a municipality;
e. An elevetor maintenance agreement;
L That part oi any other contract or aqreement pertaining to your business (including an
indemnificalion of e municipaliy in connection with work perlormed for a muNCipality) under
which you assume the tort liahiliry of another party to pay tor 'bodily injury' or "property
damage' to a thircl person or organization. Tort liabiliry means a liabiliry that would be
imposed by law in Ihe a6sence of any coniract or egreemBni.
Paragraph 1. does not includa ihat part oF any contract or agreement:
(1) Thet indemnifies an architect, enginesr or surveyor for Injury or damaga arising out of:
(e) Prepanng, approving, or failing to prepare or approve, maps, shop drawings,
opinlons, reports, suNeys, field ortlere, change orders or drawings and
speciticetions; or
(b) Giving directions or insWctions, or failing to give ihem, if that is the primary cause
of the injury or damage; or
(2) Under which Ihe insured, it an architect, engineer or surveyor, assumes liability lor an
injury or damage arising out of Ihe insured's rendaring or failure to render professional
services, including those listed in (1) above and supervisory, inspection, erchitecturel or
enginaering activities.
GL-3085 (�9l111 -5-
M. CONSTRUCiION PROJECT GENERAL AGGHEGATE LIMRS
This modities SECTON III - LIMITS OF INSUflANCE.
A. For sll sums which can be attributed onty to ongoing operations at e single construction project for
whlch Ihe insUred becomes legelly obligeted to pay as damages caused by an'ocwrrence' undar
SECiION I- COVERAGE A, and for all medical expenses caused by accidents under SECTION I
-COVEAAGEC:
1. A separete Construction Projed General Aggregate Limit applies to each construction project,
and that limit is equal to iha amount of the General Aggregate Limit shown in ihe
Declaretions. �
2. The Conshuction ProJect General Aggrepate Limii is ihe most we will pay tor ihe sum o} all
damages under COVERAQE A, except damages because of 'bodily injury' or 'property
damage' included in the'produciscompleted aperations hezard,' and tor medical expenses
under COVFAAGE C ragaidless of the number of:
a Insureds;
b. Cleims made or'suils' broughl; or
a Persons or organizations making claims or bringing "suits'
9. Any payments made under COVETiAGE A tor damages or under COVERAGE C for medlcal
expenses shflll reduca the Consimction Project General Aggregate Limit for that consiruction
project. Such payments shall not reduce the General Aggragate Limit shown in ihe
Declarations nor shall they reduce any other Constmction Project General Aggregate Limit tor
any oiher constmdion project.
4. The limits shown in ihe Dedarations for Each Occurrenca, Fire Damage and Medical
E7cpense con6nue to apply. However, insteed of being subject to the General Aggrega�e Limit
shown in the Declarations, such limits wiil be subject to the eppliceble Consiruction Project
General Aggregate Limit.
B. Por ail sums which cannot ba anribNed onry to ongoing operations at a single consimction project
tor which the insured becomes legally obligated to pay as damages caused by an 'occurtence'
under SEC7lON I- COVERAGE A, and for all medical expenses caused by accidents under
SECTION i - COYERAGE C:
1. My paymenis made untler COVEHAOE A for damages or under COVEfiAGE C tor medical
expenses shall reduce the amount evailable under the General Aggregate Limii or the
Produc(s-Comple[ed Oparations Aggregaie Limit, whichever is applicable; and
2. Such payments shali not reduce any Consiruction Project General Aggregate Limit.
C, Paymenis for damages 6ecause of "bodily iniury' or'property damage' included in the'produds-
completed operafions hazard' will reduce the Products-Completed Operations Aggregate Limit,
and not reduce Ihe General Aggregate Limit nor the Constmction Project Ganeral Aggregate Limit.
U. fl a conslrudion project has been abandoned, delayed, or abandoned and then restarted, or if the
authorized coNrflcSng panies deviate irom plans, blueprinis, designs, specifications or timetables,
the project will still be deemed to be the same consimction project.
E. Tha provisions ot SECTION III - LII�YTS OF INSUHANCE not otherwise modified 6y ihis
endorsement shalt wntinue to be applica6le.
N. FELLOW Eh�LOYEE COVERAOE
GL-3085 (09H i ) -6-
Eulusbn 2e. Employers l.fabllity of SECTION I, COVERAOE A, is deleted and repleced with ihe
following:
2.e. 'Bodilyinjury'to
(1) An "smployee' of the insuretl arising out of and in ihe crourse of:
(a) Employment by ihe insured; ar
(b) Performing duties related to the wnduct of the insured's business; or
(Z) The spouse, child, pareN, brother or sisier oi that'employee' as a consequence of paragraph
(1)a6ove_
This exciusion applies:
(1) Whether the insured may be liable es an employer or in any other capacity; and
(2) To any obligation to share damages with or repay someone else who must pay damages
because of the injury.
This exclusion does not apply to:
(1) Liability assumed by the insurad under an'insured contracP; or
(2) Liability arising from any action or omission ot a co-°employse" while that co'employee' is
eithar in ihe course ot his or her employment or pertorming duUes related lo the conduct of
your business.
Item 2.e. (t)(a) ot SEC710N 11- WHO IS AN INSUHED, is deleted and replaced with the tollowing:
2a. (tga) To you, to your padners or members (if you are a partnership or joint venWre) or to your
mambers (if yoa are a limited liabiliry company), or to your Yoluntcer workers' while
pedorming duties relaied to the conduct ot your business.
O. PROPEHTY DAMAGET07HE NAMED INSUREDS WOHK
Exelusion I oi 5EC710N 1, COVERAGE A. is delsietl and replaced wilh tha tollowing:
I. Damage to Your Work
'Property damaqe' to 'your work' erising out of ii or any part o� it and included in the 'producis
completed operatlon hazard."
This exclusion applies onty to ihat portion ot any loss in excess of $50,000 per occunence i1 the
damaged work and ths work out of which ihe damage arises was performed 6y you.
This exclusion doas not appty ii the damaged work or the work oui ol which the damage anses
was perlormed on ycur behalf by a subconfractor.
P. CAHE, CUSTODY OR CONTROL
Exohulon 2.J.4 of SEC710N I, COVEHAGE A. is deleletl and replaced with ihe following:
2.J.4 Personal properry in ihe cere, custody or contml of ihe insured. However, tor personal properry in
the care, custody or cantrol ot you or your'empioyees,' ihis exdusion applles onty to that poAion
ot any loss in excess of $25,000 per occurrence, subjed to the following terms and conditions;
GL-3085 (09/711 � -7-
(e) The most that we will pay under this provision as an annual aggregate is $100,000,
regaMless of ihe number ot occuvences.
(b) This provision doas not apply to °employee' owned propery or any pmperty thet is missing
where there is not physical evidence to show what happened to the property.
(e) The eggregate limit for this coverage provision is part of the General Aggregate Limit and
SECTION III - LIMfTS OF INSUMNCE is changed accordingly.
(t� In the event of damage to or desiruction of property covered by ihis exwption, you shall, if
requested by us, replace Me properry or turnish ihe labor and materials necessary for repairs
thereto, at acival crost to you, exclusive of prospedive profit or overhaed charges ot any
nature.
(s) S2,500 shall be tletlucted irom Ihe tota� amount of all sums you became obligated to pay as
damages on account of damage to or desiruction oi all property of each person or
organization, induding the loss of use of �hat property, as a result of each 'occurrence.' Our
limit oi lia6ility under ihe endorsemant as baing applicable to each 'occurrence' shall be
reduced by �he amouni of ihe deductible indiceted above; however, our aggregate limit ot
Iiebiliry under ihis provision shall noi be reduced by ihe amount oi such deducGbla. The
conditions ot ihe policy, induding those with respect to duties in the event of'occurrence;
daims or °suiP apply irrespective of tha application of the deductibla amount. We may pay
any part or all of ihe deductible amoun[ to effect setliement of any claim or "suiY and, upon
notification of ihe action taken, you shall promptly reimburse us for such pert ot the deductible
amount as hes been paitl by us.
Q. EIECTRONIC DATA LIABILffVCOVERAGE
Exduelon 2�. Electronk Data of SECTION I, COVERAGE A, is daleted and replaced with the
tallowing:
2p. Damages atlsing out of the lass of, lass of use of, damege to, corruption o(, inabiliry to
access, or inability to manipulate "elecironic data'that dces not result from physical injury to
tangible property.
2. The foliowing definition is addad to SECTION V—DEFINfT10NS:
"Electmnic data" means infortnation, facts or pmgrams stored as or on, creeted or used on, or
transmitted to or hom compu�er sottware (including systems and applicetions sottware), hard or
floppy disks, CD-ROMS, tapes, tlrives, celis, data processing tlevices or any other medla which
are used with elecironically controlled equipmenf.
3. For the purposos of this coverage, the definition of "pwpeny damaga" in SEC710N V—
DEFINITIONS is replaced by the following:
"Property damage" means- -
e. Physical injury to tangible property, including ell rasulting loss of use of thet Droperry. All
such loss of use shall be deemed to occur at the time of the physical injury that caused il;
b. Loss o1 use o1 tangibie property Ihat is not physically injured. All such loss ot use shall be
deemed to occur at the time ot the "occurrence° ihat caused it; or
c. Loss of, loss oi use of, damage to, corruption of, inability to access, or inability to propedy
manipulate 'electronic data', resulting from physical injury to tangible property. NI such loss
of °eladronic data'shall be deemed to occur at the time of the'occurrence' that caused it.
For the puryoses of this insurance,'electronic data' is not tangible property.
GL�085 (09/17) -8-
R. CONSOLIDATED INSURANCE PROGRAM RESIUUAI LIABILf1Y COVEflAGE
With respacl to "bodily injury", "propetly damage", or'personal and adverlising injuy' arising out ot your
ongoing operatfons; or operations included within the'pmducts-completed operxlions hazard", ihe policy
to which this coverage is attached shatl apply as axcess insurance over coverage available to 'you"
under e Consolitlated Insurance Program (such as en Owner Controlled Insurance Pmgram or
Contracrors Controlled Insurance Progrem).
Coverage aflorded by this endorsement does not apply to any Consolidated Insurance Pmgram
invoNing a`residenlial projecP' or any deductible or insured reientioq specified in ihe Consolidated
Insurance Program.
The tollowing is added fo Section V— Definitions '
"Residential projecY' meens any project whera 30% or more ot the totel square toot area of the
stmctures on Ihe project is usad or is intended to be used for human residancy. This includes but is noi
limited to single or mulMemily housing, apartments, condominiums, townhouses, co-operatives or
planned unit developments and appurtenant stmctures (induding pools, hot tubs, detached garages,
guest houses or any similar stmctures). A"resideNial proJecY' does not include military owned housing,
coliege/universiry owned housing or dormitones, long term care facilities, hota�s, motels, hospitals or
prisans.
All other terms, provisions, excWsions and limitations ef this policy apply.
S. AUTOMA7IC ADDRIONAL INSUREDS - MANAGERS OR LES50H5 OR PREUISES
SECTION 11— WHO IS AN INSURED Is amended to include:
Any person or oraanization with whom you agree in a writlen contract or wntten agresmeni to name as
an additional insured b�t only with respect to liability ensing oui of ihe ownership, maintenance or use ot
ihat part of ihe premises, designatad in ihe wrdten contract or written agreement, that is leased to you
and subject to the tollowing additioaal exclusions:
This insurence does not apply lo:
1. Any °occurrence" which takes place afler you ceese �o be a tenant in that premises.
2. Strudural atterations, new consVUCtlon or demolition operetions pedormed hy or on behalf of the
additional insured listed in the written contract or wrinen agreement.
This insurance is excess of all other insurance available to tha addiGonel insured, whether primary,
excess, contingent or on any other besis, unless the writlen conirect requires this insurence to be
primary. In ihat avent, this insurance will be primary relative to insurance policy(s) which designaie the
add'Aional insured es a Nemed Insured in the Declaretions and we will not require wniribution irom such
insurance if the written contract also requires that ihis insurance be noncontnbutory. But with respect to
all other insurance under which the additional insured qualifies as an insured or additional insured, ihis
insurence will be excess.
T. AUTOMATIC ADDRIONAL INSUREDS — STATE OR GOVEANMENTAL AGENCY OR POLITICAL
SUBDIVISIONS — PERNfTS OH AUTHORQATIONS
SEC710N 11 — WHO IS AN INSUHED is amended to include any state or govemmenial agency or
subdivision or political subdivision with whom you are requlretl by wdflen coniract, ordinance, law or
building code to neme as an adtldlonal insured subject to ihe lollowing provlsions:
This insurence applies only with respect to operations perfcrmed by you or on your 6ehaA tor which the
state or govemmental agency or su6division or political subdivision has issued a permii or authorization.
GL-3085 (09/11) -g-
This insurence tloes not apply to:
"Bodily injury", 'properry damage" or "personal and advetlising injury' arising out of operetions
pertormed for Ihe federal govemment, stete or municipaliry; or
2. °BOdily in�uy' or'properry demage" inGuded within the `producisaompleted operations hazard.
This insurance is axcess ot all othar insurance available to the additional insured, whe[her pnmary,
excess, coniingent or on any other basis, unless the wntten contrect requires this insurance to 6e
primary. In that event, this insurance will be pnmary relative to insurance polic.y(s) which designete ihe
additional insured as a Named Insured in iha Declarations and we wiA not require contribution trom such
insurance if the written contract elso requires ihat ihis insurance be non-coniri6utory. But with respect to
all other insurance under which the additional insured qualifias es an insured or additional insured, ihis
insurance will be excess.
U. CONTAACTORSAVfOMATICADDIf10NALINSUNEDCOVEMGE—COMPLETFDOPEHATIONS
SECTION II — WHO IS AN IN5URE0 is amended to include as an addifional insured any person or
organization who is required hy wntten contraci to be an additional insuretl on your policy for completed
operations, but only with respect to IiaDility tor'bodily injury' or'properry damage' causetl, in whola or in
pan, by 'your work' at the proJect designated in the contract, pertormed �or ihat additional insured and
inGuded in ihe'products�ompleted operations hazard'.
This insurance is excrss ot eli othar insurence available [o iha additional insured, whether pnmary,
excess, coMingent or on any other basis, unless the written coniract requires ihis insurance to be
primary. In that event, ihis insurence will be primary relative to insurance policy(s) which designate ihe
additional Insured as a Named Insured in ihe Declarations and we will not require contribution from such
insurance it the writlen contract also requires ihat }his insurence be non-coninbutory. But wiih respeci to
all oiher insurance under which the additional insuretl qualifies as an insured or addilionel insured, ihis
insurance wlll be ezcess.
V. ADDITIONAL INSIIRED— ENGINEEHS, ARCHREC7S OR SURVEYORS
SECTON II — WHO IS AN WSUNED is emended to indutla as an edditional insured any architact,
engineer or surveyor who is required by written contrect to be en edditional insured on your policy, but
only with respect to liability for 'bodily injury', 'property damage' or'personal and advertising injury'
caused, in whole or in part, by:
Your acis oromissions; or
2. The acts or omissions of those acting on your behalf;
in ihe pertorcnance of your ongoing operations peAOrmed by you or on your behalf.
This includes such architecl, engineer or surveyor, who may not be engaged by you, but is coniractually
reQUired to be added as en edditionel insured to your policy.
Wth respect to ihe insurence afforded to these addi5onel insureds, the tollowing additional excWSion
applies�
This insurance does not apply to'botllly Injury','properry demage' or'personal and adveMising injury"
arisin9 out of �ha rendenng of or ihe feilure to render any professional services, including:
Y. The preparing, approving, or failing to prepare or approve maps, drewings, opinions, reports,
surveys, change orders, designs orspecitica�ions; or
2. Supervisory, inspection or engineering services.
GL-3085 (09/71) -7p-
This insurance is excess of all mher insurance availabla to Ihe additional insured, whether primary,
excess, contingent or on any other basis, unless ihe written coniract requires this insuranca to be
primary. In that event, this Insurance will be primary relative to insurence policy(s) which tlesignate the
additional insured as a Nemed Insured in the Declarations and we will not require conhibution fmm such
insurance it the written contracf also requires that ihis insurence be non-contribufory. But with respect to
all other insurance under which the additlonal Insured qua�ifies as an insured or edditional insured, this
insurance will be excess.
GL-3085 (09/11) -11-
Policy Number: CAP 3 606 583
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - SPECIFIC ENTITIES
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
WHO IS AN INSURED is changed to include as an "insured" the person or organization named in this
endorsement. However, the additional insured is an "insured" only for "bodily injury" or "property damage°
arising out of work or operations peHormed by you or on your behalf for the additional insured and resulting
from the ownership, maintenance or use of a°covered auto,° by:
1. You, or
2. Any of your employees or agenis; or
3. Anyone other than the additional insured or any employee or agent of the additional insured, while using
with your permission a covered "auto" you own, hire or borrow.
ADDI'flONAL INSURED:
Any person or organization for whom the named insured has agreed by written
"insured contract" to designate as an additional insured subject to all the
provisions and limitations of this policy.
A-2931 (11/99)
..r
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CHANGES - OTHER INSURANCE - ADDITIONAL INSUREDS
Item 10. Other Insurance under SECTION V— CONDITIONS, is deleted and replaced with the following:
iG�i]IpI�:i1�6Y�1:L1Ry�
a. This insurance is excess over any other valid and collectable insurance available whether
primary, excess, contingent or on any other basis. The other insurance will be deemed valid
and collectible regardless of any defense asserted by any insurer because of the insured's
failure to comply with the terms of that other insurance.
This condition will not apply to make this coverage excess to:
Oiher insurance written specifically to be excess over this insurance; or
2. Other valid and collectable insurance available to any person or organization who
qualifies as an insured pursuant to paragraph 4 of SECTION III — WHO IS AN
INSURED of this policy, but only if:
(a) That insured is an additional insured on the "underlying insurance" (such insured
shall also be considered an additional insured for this policy); and
(b) The said additional insured is a Named Insured in the Declarations under such
other valid and collectable insurance; and
(c) You have agreed in a written contract or written agreement executed prior to any
loss that this insurance will be primary. If this insurance is deemed to be primary
on this basis, we agree to not seek contribution from such other insurance
available to an addiTional insured only if you have agreed to the same in that
written contract or written agreement.
b. When this insurance is excess over other insurance we will pay only our share of any amount
of "ultimate net loss," if any, that exceeds the sum ot:
The total amount that all such other insurance would pay for the loss in the absence of
this insurance; and
2. The total of all deductible and self insured amounis under this or any other insurance.
CUP 03 16 01 11
..r
POLICYNUMBER: CLP 3 589 860
GOX-2287-CN (01/93)
POLICY NUMBEF; CAP 3 589 861
r,nx-��a�-cN rn+i4a�
.�
POLICY NUMBER: WC 3 589 859
GOX-2287-CN (01/93)
�
r,nx-��R�-r.N rnv4:�i
�
PERFORMANCEBOND
� ._
� RECEIVED ,
JUN 2 4 2015 CITY OF OSHKOSH
_..__ _ _ -- -- -- - __ —
Contract Number 15-07
OSHKOSH, WISCONSIN Bond No wIC 55758
Date Bond Executed (Date of Contract or Later) June 24, 2015
PRINCIPALICONTRACTOR (Legai Name and Business Address)
PTS CONTRACTORS, INC.
4075 Eaton Road
Green 8ay WI 54311
SURETY(IES) (Legal Name(s) and Business Address(es))
MERCHANTS BONDING COMPANY (MUTUAL)
2100 Fleur Drive
Des Moines IA 50321-1158
OWNER (Legal Name and Business Address)
CITY OF OSHKOSN
215 Church Avenue
PO Box1130
Oshkosh, W isconsin 54903-1130
OBLIGATION
Type of Organization
❑ Individual 0 Partnership
� Corporation
State of Mcorporation
Wisconsin
Penal Sum of Bond
$1,762,375.07
The Contractor and Surety, jointly and severally, bind themselves, their heirs, exec�tors, administrato�s, successors
and assigns to the Owner for payment of the sum shown above or the performance of the Contract identified
above, which is incorporated herein 6y reference.
This Bond shall cover any work performed during initial construction and any warranty period required by the
Contract.
If there is no Owner Defauit to pay the Contractor as required under the Contract for work performed or to perform
or complete any material term of the Contract, then the Surety(ies) obligation under Ihis Bond shall arise after.
1
�S
The Owner provides notice to the Contractor and Surety that the Owner is considering declaring the
Contractor in defautt of the Contract. Within five (5) business days of the Owner's notice.. either the
Contractor or the Surety may request a conference with the Owner to discuss such default and the
remedy therefor. tf a conference is requested, the conference shall be scheduled to take place at
Owner's principal place of business or another agreed upon location within five (5) business days of the
request for conference. If the Owner, Contrector and Surety agree, the Contractor may be allowed a
reasonabie time ro perform the Contract, but such agreement shall not waive the Owner's right, if any,
to subsequently declare the Contractor in default;
The Owner declares the Contractor in default and notifies the Surety of ihe declaration of default; and
The Owner agrees to pay the balance of the Contract price in accordance with the terms of the
Contract to the Surety or to a qualified Contractor selected to perform the Contract.
Failure of the Owner to comply with the notice requirement specified above shall not release the Surety from its
obligations.
Upon notice from the Owner as provided above, the Surety shall promptly and at Surety's expense take one of the
following actibns:
1. Arrange for the Contractor, with consent Of the Owner, to perform and complete the Contract;
2. Undertake to perform and complete the Contract itself, through qualified agents or independe�t
contracrors;
3. Obtain bids or negotiated proposals from qualified con[ractors acceptable to the Owner to enter into a
contract with lhe Owner for performance and completion of the Contract, to be securetl with
performance and payment bonds, and to pay to the Owner as damages any amount in excess of the
origi�al contract amount for the completion of the Contract; any additional legal, design professional,
architect, or consultant fees resulting from any delay in the completion of the Contract; and any
appticable liquidated damages specified within the Contract resulting from any delay in khe completion
of the Contract.
4. Make payment to the Owner, as soon as practicable after an amount is determined for completion of
the Contract; or
5. Deny liability in whole or in part and notify the Owner, citing with specificity the reasons for such denial.
If the Surery does not proceed with reasonable promptness, Owner may give notice to the Surety and the Surety
shall be deemed in default on this Bond five (5) business days after nofice by the Owner demanding the Surety
perform its obligations under this Bond. Owner shall be entitled to enforce any remedy available to Owner upon
default.
Except for defauft ot the Surety and Surety's election to perform or complete the Confracf itself under Paragraph 2
above, Surety's liability shall be limited to the amount of this Bond.
Notice to the Contractor or Surety shall be deemed to have been given: (i) upon delivery to an officer or person
entitled to such notice, if hand delivered; or (ii) two (2) business days following deposit in the United States mail,
postage prepaid; (iii) upon delivery by a commercia! carrier that wiU ceRify the date and time of delivery; or (iv) upon
trensmission if by facsimiie, email or other form of electronic transmission. Notices shali be provided to the Owner,
Surety and/or Contractor at their address as specified on this Bond or to a facsimile, email or other electronic
address that has been provided in writing to the other party to be used for this purpose.
The laws of the State of Wisconsin shall govem the interpretation and construction of this Bond. Winnebago
County shall be the venue for all disputes arising under this Bond. Any provision in this Bond that may conflict with
staYUiory or other legal requiremeni shall be deemed deleted herefrom and provisions conforming to the statutory or
other legal requirement shall be deemed incorporated herein.
The above obligation is void if the Contractor performs and fulFllls�all the terms, conditions and agreements of the
Contract and any authorized modifications during the term of the originai Cbntract and any extensions ihereof.
Notice to the Surety is waivetl for any modifications agreed upon by Owner and Contractor.
PTS Contractors, Inc.
Name of Principal/Contractor
Title Greg , o k Pr ident�
Merchants Bondinq Comoanv (Mutual)
Name of Surety
�'l�u-w�X i�
Title Roxanne Jensen, Attorney-in-Fact
PAYMENTBOND
Contract Number t5-07
Date Bond Executed (Date of Contract or Later) June 24, 20t5
PRINCtPAUCONTRACTOR (Lega! Name and Business Address)
PTS CONTRACTORS, INC.
4075 Eaton Road
Green Bay WI 54311
SURETY(IES} (Legal Name(s) and Business Address(es))
MERCHANTS BONDING COMPANY (MUTUAI)
2100 Fleur Drive
Des Moines IA 50321-1158
OWNER (Legal Name and Business Address)
CITY OF OSHKOSH
215 Church Avenue
PO Box 1130
Oshkosh, Wisconsin 54903-1130
OBLIGATION
CITY OF OSHKOSH
eond No. WIC 55758
Type of Organization
❑ Individual � Par7nership
� Corporation
State o(lncorporation
Wisconsin
Penal Sum of 8ond
$1,762,375.07
The Contractor and Surety, jointiy and severally, bind themselves, their heirs, executors, administrators, successors
and assigns to the Owner to pay for labor, materials and equipment fumished for use in the performance of the
Conkract idenfified above, which is 'rncorporated herein by reference, subject to the fo!lowing ferms.
tf the Contractor promptly makes paymeni of all sums due to claimants, and defends, indemnifies and hofds
harmless the Owner from ail daims, demands, liens or suits by any person or entity seeking payment for labor,
materials or equipment furnished for use in the performance of the Contract, then the Surety and the Contractor
shall have no obligation under this Bond.
If there is no Owner Default to pay the Contractor as required under the Contract for work performed or to perform
or complete any material term of the Contract. then the Surety(ies) obligation under this Bontl shall arise after the
Owner has prompfly notified the CoMractor and the Surety of claims, demands, liens or suits against ihe Owner or
the Owner's property by any person or entity seeking payment for labor, materials or equipment fumished for use in
the perfortnance of the Contract and tendered defense of such ctaims, demands, liens or sui[s ro the Contractor
and the Surery.
Amounts owed by the Owner to Contractor under the Contract shall be used for performance of the Contract and to
satisfy ciaims, if any, under any Performance Bond. By the Contrector f�rnishing and the Owner accepting this
8ond, they agree that al! funds eamed by the Contractor in the performance of the Contract are dedicated to satisfy
obligations of the Contractor and Surety under this Bond, subject to the Owner's priority to use the funds for the
completion of the work
Upon notice and tendering of claims as specified above, the Surety shall promptly and at Surety's expense defend,
indemnify and hold harmless the Owner against such claim, demand, lien or suit.
Surety shali answer claimants, with a copy to Owner, within sixty (60) days of the date of the Gaim, stating the
amount that are disputed and the specific basis for challenging any amount that is disputed or pay or arrange for
payment of any undisputed amount claimed.
Surety shall not be o6ligated to the Owner, claimants or others for obligations of the Contractor under this Bond that
are unrelated to the Conhact. The Owner shall not be liable for the payment of any costs or expenses of any
claimant under this Bond and shali have no obligation to make payments to, or give notice on behalf of claimants,
or otherwise have any obligation to claimants under this Bond.
Notice to ihe Contracior or Surety shall be deemed to have been given: (i) upon delivery to an officer or person
entitled to such notice, if hand delivered; or (ii) two (2) business days following deposit in the United States mail,
postage prepaid; (iii) upon delivery by a commercial carrier that will certify the date and time of delivery; or (iv) upon
lransmission if by facsimile, email or other form of electronic trensmission. Notices shall be provided to the Owner,
Surery andlor Contractor at their address as specified on this Bond or to a facsimile, email or other electronic
address that has been provided in writing to the other party to be used for this purpose.
The laws of the State of Wisconsin shall govem the interpretation and construction of this Bond. Winnebago
County shall be the venue for all disputes arising under this Bond. Any provision in lhis Bond that may conflicl with
statutory or other legal requirement shall be deemed deleted herefrom and provisions conforming to the statutory or
other legal requirement shall be deemed incorporated herein.
PTS Contractors, Inc.
Vame of PrincipaUContracror
J
7iLe . P. o , P esident
Merchants Bonding Company (Mutual)
Name of Surety
��2�u-r..� �v�.-Le.—,
Title Roxanne Jensen, At orney-in-Fact
MERCHANTS �
BONDING COMPANY-�
POWER OF ATTORNEY
Know All Persons By These Presents, lhat MERCHANTS BONDWG COMPANY (MUTUAL) antl MERCHANTS NATIONAL BONDING,
INC., both being corporetions duly organized under the laws of the State of lowa (herein collectively called the "Companies"),
antl Ihat the Companies do hereby make, constitute antl appoint, indivitlually,
Brian Krause; Jeffrey R Meisinger; Kelly Cody; Kenton D Arps; Roxanne Jensen;
Trudy A Szalewski
of Green Bay and State of Wisconsin their Irue antl IawFW Aflorney-in-Fact, with full power
and au[hority hereby conferred in their name, place and steatl, lo sign, execute, acknowled9e and tleliver in their behaif as surety
any and all bonds, undertakings, recognizances or other written obligations in Ihe nature thereof, subject to the limitation that any
such instrument shall not exceed lhe amount of:
FIFTEEN MII.LION ($I5,000,000.00) DOLLARS
and to bind the Companies thereby as fully and to the same extent as if such bontl or undertaking was signetl by the tluly
authorized oficers of Ihe Companies, and all [he acts of said Attomey-in-Fact, pursuant to the authorily herein given, are
hereby ratified antl confrmetl.
This Power-of-Attorney is made and ezecutetl pursuant to and by authonry of the following By-Laws atloptetl by the Board of
Directors of the Merchants Bonding Company (MUtual) on Aprii 23, 2011 and adopted by the Board of Directors of Merchants National
Bonding, Inc.. on October 2a. 2011.
"The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have
power and authority to appoint Attomeys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the
seal of the Company thereto, bontls and untlertakings, recognizances, contracts of intlemniry antl other writings obligatory in
Ihe nature Ihereof.
The signature of any authorized officer and the seal of the Company may be affxed by facsimile or electronic transmission to
any Power of Attomey or Certifcation thereof authorizing the execution and delivery of any bontl, untlertaking, recognizance,
or other surelyship obligations of the Company, and such signature and seai when so used shall have the same force and
effect as though manually fzed."
In Witness Whereof, the Companies ha�e causetl lhis instrument to be signed antl sealed lhis 13thtlay of August . z�i4 .
STATE OF IOWA
COUNTY OF POLK ss.
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MERCHANTS BONDING COMPANY (MUTUAL)
MERCHANTS NATIONAL BONDING, INC.
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P25itlent
On this 13thday of qugust 2074, before me appearetl Larty Taylor, to me personally known, who being by me tluly swom Oitl
say that he is Presitlent of Ihe MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING. INC.; and
[hat the seals affxed to the foregoing instrument is the Corporate Seals of the Companies; antl Ihat the said instrument was signed antl
5ealetl in behaif of the Companies by aUthonty of their respeQive Boartls of DireIXOrs.
In Testimony Whereof, I have hereunro set my hand and affixed my Offcial Seal at the City of Des Moines, lowa, Ihe tlay and year
firsiabovewritten. P�iA�s WENDYWOODY
o ,� a Commission Number 784654 �J�\a��
Z °"( �^=1" My Commission Expires
,� June 20, 2017
No[aryPUblic, PolkCounty, lowa
STATE OF IOWA
COUNTY OF POLK 55.
I, Wlliam Wamer, Jr., Secretary of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDWG, INC..
tlo hereby certify that the above antl foregoing is a true antl correct copy of the POWER-OF-ATTORNEY ezecutetl by saitl Companies,
which is still in full forCE and eTfeCf antl has not been amentled or revoked.
In Wtness Vvhereof, I have hereunto set n
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hantl and affxed the seal of the Companies on
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Secretary