HomeMy WebLinkAboutSurety Company, PTS Contractors & Oshkosh CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT 1:1 NOV
OCTOR ❑
TO FINAL PAYMENT SRETYEj
Conforms with the American Institute ofOTHER CSi11<01S t, 1V1SC:C3,�'. /N
Architects, AIA Document G707
Bond No WIC 55758
PROJECT;
(name, addresS)Utility Repairs and Installation/Various locations
Oshkosh ,WI
TO (Owner)
F ARCHITECT'S PROJECT NO:
CITY OF OSHKOSH CONTRACT FOR:
215 Church Avenue Public Warks Contract No, 15-07,Utility Repairs and
Installation/Various Locations,Oshkosh,W
Oshkosh WI 54903-1130 —J CONTRACT DATE: 6/24/2015
CONTRACTOR: PTS CONTRACTORS, INC.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(here Insert nems and address of Surety Company)
MERCHANTS BONDING COMPANY(MUTUAL)
2100 flour Drive
Des Moines IA 50321-1158 , SURETY COMPANY
on bond of there insert name and address of Contractor)
PTS CONTRACTORS, INC.
4075 Eaton Road
Green Bay WI 54311 , CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve
the Surety Company of any of its obligations to (hare insert name and address of Owner)
CITY OF OSHKOSH
215 Church Avenue
Oshkosh WI 54903-1130 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this 31 st day of October, 2016
MERCHANTS BONDING COMPANY(MUTUAL)
Surety Company _
AtbUk Cody, fitness
(Seal): Signature of Authorized representative
Roxanne Jensen Attorney-in-Fact
Title
NOTE; This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
MERCHANTS _
BONDING COMPANY„,
POWER OF ATTORNEY
Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,
INC.,both being corporations of the State of Iowa(herein collectively called the°Companies'do hereby make,constitute and appoint,
Individually,
Brian Krause; Christopher K Hovden; Kelly Cody; Roxanne Jensen; Trudy A Szalewski
their true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver on behalf of the Companies,as Surety,bonds,undertakings
and other written obligations In the nature thereof,subject to the limitation that any such Instrument shall not exceed the amount of:
FIFTEEN MILLION($15,000,000.00)DOLLARS
This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the
Board of Directors of Merchants Bonding Company(Mutual)on April 23,2011 and adopted by the Board of Directors of Merchants
National Bonding,Inc.,on October 24,2011.
"The President,Secretary,Treasurer,or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and
authority to appoint Aftorneys-In-Fact,and to authorize them to execute on behalf of the Company,and attach the seal of the Company
thereto,bonds and undertakings,recognizances,contracts of Indemnity and other writings obligatory in the nature thereof.'
"The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of
Attorney or Certification thereof authorizing the execution and delivery or any bond,undertaking,recognizance,or other suretyship
obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed."
In connection with obligations In favor of the Florida Department of Transportation only,it is agreed that the power and authority hereby given
to the Attorney-€n-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and
construction contracts required by the State of Florida Department of Transportation.It is fully understood that consenting to the State of Florida
Department of Transportation making payment of the final estimate to the Contractor and/or its assignee,shall not relieve this surety company
of any of Its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given
to the Attorney-In-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner-
Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation.
In Witness Whereof,the Companies have caused this Instrument to be signed and sealed this 15th day of August , 2016
101144 '•.,. .•�xNG Cpl•.• MERCHANTS BONDING COMPANY(MUTUAL)
�+. � ,.•• '4•. �•;+ O� �iP09 '�9• MERCHANTS NATIONAL BONDING,INC.
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STATE OF IOWA �''�"rr/nrnrr+l+�\++`• •.••���••
COUNTY OF Dallas ss. President
On this 15th day of August 2016 ,before me appeared Larry Taylor,to me personally known,who being by me sworn did say that
he is President of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC,;and that the seals affixed
to the foregoing Instrument are the Corporate seals of the Companies,and that the said Instrument was signed and sealed in behalf of the
Companies by authority of their respective Boards of Directors.
�PRr s WENDY WOODY
x Commission Number 7846M
My Commission Expires
vP June 20 2017
Notary Pubh , County,/ova
(Expiration of notary's commission
does not invalidate this instrument)
I,William Warner,Jr.,Secretary of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,
do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,
which is still in full force and effect and has not been amended or revoked.
in Witness Whereof,I have hereunto set my hand and affixed the seal of the Companies on this 2)-Sty of�`- ��I�
• e 'a f 933 '3� Secretary
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POA 0014 (6115)