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Supplemental Attachments - 3/19/2018
City of Waterloo Finance Committee Open Invoice Report Lh 19 2018 prow Finance Committee Accounts Payable Open Invoice Report Total As of Friday, March 9, 2018 EFT Transactions: Wellmark Claims 467,366.37 104,564.97 I Subtotal - as of Monday, March 12, 2018 571,931.34 Workers Compensation Issued by TPA Housing Authority Housing Assistance EFT's Housing Authority Housing Assistance EFT's Payroll !Bill Payment Total - Monday March 12, 2018 3,719.45 1,011.64 1, 647, 505.16 Payment to Council members or related entities: 2,224,167.59 1 CITY OF WATERLOO, IOWA CITY ATTORNEY'S OFFICE 715 Mulberry Street • Waterloo, IA 50703 • (319) 291-4327 Fax (319) 291-4286 March 19, 2018 Mayor Quentin Hart and City Council Members City Hall Waterloo, IA 50703 Dear Mayor Hart and Council Members: I have examined the bonds filed with the City Clerk/Auditor's Office up to the close of business on March 19, 2018. Of the 11 bonds submitted, shown on the attached list. Very truly yours, Waterloo City Attorney DRZ:sda were approved and were rejected, as CITY WEBSITE: www.cityofwaterlooiowa.com WE'RE WORKING FOR YOU! An Equal Opportunity/Affirmative Action Employer RIGHT OF WAY CONSTRUCTION BOND No. IA 600988 Applicant's Telephone Number: 3/90230 3?1_- KNOW ALL MEN BY THESE PRESENTS: That (f), (We), ARENDS AND SONS of 2406 COTTAGE ROW ROAD CEDAR FALLS Street City State Merchants Bonding Company (Mutual) of as Principal, and Iowa P.O. Box 14498, Des Moines, IA 50306-3498 as Surety, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, in the penal sum of FIFTEEN THOUSAND DOLLARS ($15,000.00) lawful money of the United States of America, to the payment of which sum, well and truly to be made, the Principal herein firmly binds (himself) administrators, and (herself) msel (t, their lves) their heirs, successors, assigns, Xexecutorecutors s adnd administrators, jointly the and sevSurety binds verally, firmly by themselves, their these presents. THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH that, by the provisions of the Ordinances of the City of Waterloo, Iowa. a Surety Bond in the sum of Fifteen Thousand Dollars ($15,000.00) must be filed with the City Clerk/Auditor of the City of Waterloo, Iowa, before one may engage in construction, reconstruction or excavation in the public right of way in said City. NOW, THEREFORE, if the above boundenARENDs AND sONs of CEDAR FALLS, IA will faithfully perform any and all duties and abide by any and all regulations required by said Ordinances regulating the construction, reconstruction and excavation projects within said City; and if (he), (she), (they) will promptly pay to said City any and all sums and amounts due or that may become due or owing by reason of or under said Ordinances; and if (he), (she), (they) will pay all fines imposed upon (him), (her), (them), or a violation of said Ordinances occurring during the life of this bond; and if (he), (she), (they) will indemnify and keep the City harmless from all liability for any accident and/or damages arising from (his), (her), (their) doing, protecting or completing the work, then this obligation to be null and void, otherwise to remain in full force and effect. The effective date of this Bond is May 1, 2018 , through April 30, 2019 February , 2018 Witness our hands this lst day of PLEASE MAIL TO: City of Waterloo, Iowa Engineering Department 715 Mulberry Street Waterloo, lA 50703 ARENDS AND SONS PRINCIPAL By: 1g %d` �✓' Printed Name: cap eu.2NS Merchants Bonding Company (Mutual) SURETY By: Attorney-in-fact William Warner Jr., Attorney -in -Fact Updated March 2017 PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND. LP 0467 IA (2/17) THE FOLLOWING IS A HELPFUL CHECKLIST TO ASSIST THE PRINCIPAL AND/OR SURETY. THERE MAY BE OTHER ITEMS REQUIRED BY THE SURETY, WHICH ARE NOT LISTED HERE. BEFORE SUBMITTING THIS RIGHT-OF-WAY CONSTRUCTION BOND FORM, PLEASE BE SURE THE FOLLOWING ITEMS ARE COMPLETED: ✓ the correct local telephone number of the principal is included; ✓ the typewritten name of the principal is the same as the name on the signature line; ✓ the bond is signed by the principal; ✓ the correct address for the principal is included; ✓ surety's address is correct; ✓ beginning and expiration dates are correct, beginning date on bond may be changed, all right-of-way construction bonds expire on April 30 of the following year (i.e. bond written during 2005 shall expire April 30, 2006); ✓ the attached power-of-attorney must be effective prior to, or on, the date the bond is issued; ✓ attorney-in-fact signing the right-of-way construction bond is listed on the power-of-attorney; and ✓ name of attorney-in-fact is typed under the signature Zine; ✓ once the above -referenced items are completed this form must be submitted to the City of Waterloo Engineering Department so that it can be forwarded to the City Council for approval before any permits can be issued. Any items received in the Engineering.Department by 4:00 P.M. on Tuesdays will be placed on the following Monday's agenda or the next available Council meeting due to a fifth Monday in a month and/or holidays. NERC HNT 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, William W. Warner Jr. their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. e under and by ity of the following y -Laws adopted by the This Di Directors of Merchants Bonding Company (Mutual) on April 23, 20rney is granted and is signed and sealed by 11 and amended August r14, 2015 and adopted by tthe Board of Directors of of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "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 of 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 aut hority hereby given to the Attorney -in -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 consenti ng 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 1st day of February , 2018 '_' 2003 v:z' :`,c'• • .j. . a V ....4:$:;•.,,• .., ` Ot, . • 1933 ++"++r MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. By President STATE OF IOWA COUNTY OF DALLAS ss. On this this 1st day of February , 2018 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of 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. ALICIA K. GRAM Canimiss ori Number 767 430 My Commission Expires April 1, 2020 Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of 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 1st day of February , 2018 . • � R9,A.�.c+ • -o- �0: 1933 i jo"\ 2003 :,) POA 0018 (3/17) • Secretary RIGHT OF WAY CONSTRUCTION BOND No. 2263654 Applicant's Telephone Number: KNOW ALL MEN BY THESE PRESENTS: That (I), (We), D.W. Zinser Company (319) 846-8090 of P. 0. Box 398 Walford, IA 52351 Street City State as Principal, and North American Specialty Insurance Company of 5200 Metcalf OPN111, Overland Park, KS 66202-1391 as Surety, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, in the penal sum of FIFTEEN THOUSAND DOLLARS ($15,000.00) lawful money of the United States of America, to the payment of which sum, well and truly to be made, the Principal herein firmly binds (himself) (herself) (themselves) their heirs, executors and administrators, and the said Surety binds themselves, their successors, assigns, executors and administrators, jointly and severally, firmly by these presents. THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH that, by the provisions of the Ordinances of the City of Waterloo, Iowa, a Surety Bond in the sum of Fifteen Thousand Dollars ($15,000.00) must be filed with the City Clerk/Auditor of the City of Waterloo, Iowa, before one may engage in construction, reconstruction or excavation in the public right of way in said City. NOW, THEREFORE, if the above bounden D.W. Zinser Company of P. 0. Box 398, Walford, IA 52351 will faithfully perform any and all duties and abide by any and all regulations required by said Ordinances regulating the construction, reconstruction and excavation projects within said City; and if (he), (she), (they) will promptly pay to said City any and all sums and amounts due or that may become due or owing by reason of or under said Ordinances; and if (he), (she), (they) will pay all fines imposed upon (him), (her), (them), or a violation of said Ordinances occurring during the life of this bond; and if (he), (she), (they) will indemnify and keep the City harmless from all liability for any accident and/or damages arising from (his), (her), (their) doing, protecting or completing the work, then this obligation to be null and void, otherwise to remain in full force and effect. The effective date of this Bond is May 1, 2018 , through April 30, 2019 Witness our hands this 7th day of March , 2018 PLEASE MAIL TO: City of Waterloo, Iowa Engineering Department 715 Mulberry Street Waterloo, IA 50703 D.W. Zinser Company PRINCIPAL By: / Printed Name: / ' z z North American Specialty Insura,cp Company SUR E/Y f '/ 7 By: Attorney-in-fact ion . Young Updated March 2017 PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND. SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Overland Park, Kansas and Washington International Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Overland Park, Kansas, and Westport Insurance Corporation, organized under the laws of the State of Missouri, and having its principal office in the City of Overland Park, Kansas each does hereby make, constitute and appoint: JAY D. FREIERMUTH, CRAIG E. HANSEN, BRIAN M. DEIMERLY, SHIRLEY S. BARTENHAGEN, CINDY BENNETT, ANNE CROWNER, JOINTLY OR SEVERALLY TIM McCULLOH„ STACY VENN, DIONE R. YOUNG, and WENDY ANN CASEY Its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: ONE HUNDRED TWENTY FIVE MILLION ($125,000,000.00) DOLLARS This Power of Attomey is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington Intemational Insurance Company at meetings duly called and held on March 24, 2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18, 2011. "RESOLVED, that any two of the President, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." O�N\0�G1�rY/4t4'���i SEAL 14- 1979 •It ci u�6y' MG igifON 4; )9i4, 44x�`441.10NA(/y y, G�RPOt�TdsG o' SEAL .m aV sy • 6nmu*iwpn"a••ajP By Steven P. Anderson, Senior Vice President of Washington International Insurance Company & Senior Vice President of North American Specialty Insurance Company & Senior Vice President of Westport Insurance Corporation By Mike A. Ito, Senior Vice President of Washington International Insurance Company & Senior Vice President of North American Specialty Insurance Company & Senior Vice President of Westport Insurance Corporation IN WITNESS WHEREOF, North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this this 3rd day of November , 20 17 State of Illinois County of Cook On this 3rd day of North American Specialty Insurance Company Washington International Insurance Company Westport Insurance Corporation ss: November , 20 17, before me, a Notary Public personally appeared Steven P. Anderson , Senior Vice President of Washington Intemational Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and Michael A. Ito Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation, personally known to me, who being by me duly swom, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL SEAL M. KENNY 1 Notary Public- State of Burris I My Commission Expires 12/0412021 M. Kenny, Notary Public I, Jeffrey Goldberg , the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corporation which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 7th day of March , 2018. Jeffrey Goldberg, Vice President & Assistant Secretary of Washington International Insurance Company & North American Specialty Insurance Company & Vice President & Assistant Secretary of Westport Insurance Corporation RIGHT OF WAY CONSTRUCTION BOND No. IA 590535 Applicant's Telephone Number: I61 -2%-17G3 KNOW ALL MEN BY THESE PRESENTS: That (I), (We), of 7031 LAPORTE RD Street as Principal, and DON SCHMITZ & SONS INC WASHBURN lowa City State Merchants Bonding Company (Mutual) of P.O. Box 14498, Des Moines, IA 50306-3498 as Surety, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, in the penal sum of FIFTEEN THOUSAND DOLLARS ($15,000,00) lawful money of the United States of America, to the payment of which sum, well and truly to be made, the Principal herein firmly binds (himself) (herself) (themselves) their heirs, executors and administrators, and the said Surety binds themselves, their successors, assigns, executors and administrators, jointly and severally, firmly by these presents. THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH that, by the provisions of the Ordinances of the City of Waterloo, Iowa. a Surety Bond in the sum of Fifteen Thousand Dollars ($15,000.00) must be filed with the City Clerk/Auditor of the City of Waterloo, Iowa, before one may engage in construction, reconstruction or excavation in the public right of way in said City. NOW, THEREFORE, if the above boundenDON SCHMITZ & SONS INC of WASHBURN, IA will faithfully perform any and all duties and abide by any and all regulations required by said Ordinances regulating the construction, reconstruction and excavation projects within said City; and if (he), (she), (they) will promptly pay to said City any and all sums and amounts due or that may become due or owing by reason of or under said Ordinances; and if (he), (she), (they) will pay all fines imposed upon (him), (her), (them), or a violation of said Ordinances occurring during the life of this bond; and if (he), (she), (they) will indemnify and keep the City harmless from all liability for any accident and/or damages arising from (his), (her), (their) doing, protecting or completing the work, then this obligation to be null and void, otherwise to remain in full force and effect. The effective dale of this Bond is April 30, 2018 , through April 30, 2019 Witness our hands this 27th Any cf February 2018 PLEASE MAIL TO: City of Waterloo, Iowa Engineering Department 715 Mulberry Street Waterloo, IA 50703 DON SCHMITZ & SONS INC PRINCI AL By: Printed Name: (%/1� riM Merchants Bonding Company (Mutual) SURETY By: Attorney-in-fact William Warner Jr., Attorney -in -Fact Updated March 2017 PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND. LP 0467 IA (2/17) 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, William W. Warner Jr. their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. 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 amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recog ,izances, 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 of 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 aut hority hereby given to the Attorney -in -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 27th day of February , 2018 +••P•(10 Nq<�,•••. .• 4NN� CO •'• :•� •sPOf••70.• 0 �P ,i, .z, -o- ..0 •r_.: -o- o• • :4) • �.— 2003 :mc);. ••• y` 1933 c: By ` J. • MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. STATE OF IOWA COUNTY OF DALLAS ss. On this this 27th day of February 2018 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of 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. President 0 LICIA K. GRAM Commission Number 767430 My Commission Expires April 1, 2020 Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of 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 27th day of February • N p •• •``P�10Nq •• \ CA. • . • . :sr; .. :z: -o- o:o: •ti:x -a- v v' 2003 0 ..•_ 1933 4. z: •'`4 . *.e,,...." ;���.: •day` 4; ,•. 14 POA 0018 (3/17) Secretary , 2018 . RIGHT OF WAY CONSTRUCTION BOND IA 566969 No7 023(./LPN,/ Applicant's Telephone Number: KNOW ALL MEN BY THESE PRESENTS: That (I), (We), FRICKSON ASPHALT EXCAVATION of -73 7 C©i 1eeh Street EVANSDALE Iowa City State as Principal, and Merchants Bonding Company (Mutual) of P.O. Box 14498, Des Moines, IA 50306-3498 as Surety, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, in the penal sum of FIFTEEN THOUSAND DOLLARS ($15,000.00) lawful money of the United States of America, tr, the payment of which sum, kali and truly io be made, the Principal 'herein firmly binds (himself) (herself) (themselves) their heirs, executors and administrators, and the said Surety binds themselves, their successors, assigns, executors and administrators, jointly and severally, firmly by these presents. THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH that, by the provisions of the Ordinances of the City of Waterloo, Iowa. a Surety Bond in the sum of Fifteen Thousand Dollars ($15,000.00) must be filed with the City Clerk/Auditor of the City of Waterloo, Iowa, before one may engage in construction, reconstruction or excavation in the public right of way in said City. NOW, THEREFORE, if the above boundenFRlCKsoN ASPHALT EXCAVATION of EVANSDALE, 1A will faithfully perform any and all duties and abide by any and all regulations required by said Ordinances regulating the construction, reconstruction and excavation projects within said City; and if (he), (she), (they) will promptly pay to said City any and all sums and amounts due or that may become due or owing by reason of or under said Ordinances; and if (he), (she), (they) will pay all fines imposed upon (him), (her), (them), or a violation of said Ordinances occurring during the life of this bond; and if (he), (she), (they) will indemnify and keep the City harmless from all liability for any accident and/or damages arising from (his), (her), (their) doing, protecting or completing the work, then this obligation to be null and void, otherwise to remain in full force and effect. The effective date of this Bond is May 1,2018 , through April 30, 2019 Witness our hands this 1st day of PLEASE MAIL TO: City of Waterloo, Iowa Engineering Department 715 Mulberry Street Waterloo, IA 50703 Updated March 2017 PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND. February , 2018 FRICKSON ASPHALT EXCAVATION PRINNITA IPAL By: Printed Name: Merchants Bonding Company (Mutual) SURETY By: Attorney-in-fact William Warner Jr., Attorney -in -Fact LP 0467 IA (2/17) THE FOLLOWING IS A HELPFUL CHECKLIST TO ASSIST THE PRINCIPAL AND/OR SURETY. THERE MAY BE OTHER ITEMS REQUIRED BY THE SURETY, WHICH ARE NOT LISTED HERE. BEFORE SUBMITTING THIS RIGHT-OF-WAY CONSTRUCTION BOND FORM, PLEASE BE SURE THE FOLLOWING ITEMS ARE COMPLETED: ✓ the correct local telephone number of the principal is included; ✓ the typewritten name of the principal is the same as the name on the signature line; ✓ the bond is signed by the principal; ✓ the correct address for the principal is included; ✓ surety's address is correct; • beginning and expiration dates are correct, beginning date on bond may be changed, all right-of-way construction bonds expire on April 30 of the following year (i.e. bond written during 2005 shall expire April 30, 2006); ti the attached power-of-attorney must be effective prior to, or on, the date the bond is issued; ✓ attorney-in-fact signing the right-of-way construction bond is listed on the power-of-attorney; and ✓ name of attorney-in-fact is typed under the signature line; ✓ once the above -referenced items are completed this form must be submitted to the City of Waterloo Engineering Department so that it can be forwarded to the City Council for approval before any permits can be Issued. Any items received in the Engineering Department by 4:00 P.M. on Tuesdays will be placed on the following Monday's agenda or the next available Council meeting due to a fifth Monday in a month and/or holidays. 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, William W. Warner Jr. their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. 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 amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "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 of 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 aut hority hereby given to the Attorney -in -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 1st .... +7.. SPORA..6'o rb P0'4' ' :_' ti -o- •.01 ski' -o- fi r.,.,. cti � ,, 2003 i4,: ` 1933 :' : By• day of February , 2018 MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. STATE OF IOWA .""""`. COUNTY OF DALLAS ss. On this this 1st day of February 2018 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of 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. President AUiCik X. GRAM - Commission Number 767430 My Commission Expires April 1, 2020 Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of 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 1st day of February , 2018 . ..1.... A•• . ..1NCo '• ................. 0 N G pfd •. ORPO%�gp .,;J,RPQR9y LI 2003 ;;,t) 1933 " •c: POA 0018 (3/17) Secretary RIGHT OF WAY CONSTRUCTION BOND No. Applicant's Telephone Number: KNOW ALL MEN BY THESE PRESENTS: That (I), (We), IA5108920 HAWKEYE COMMUNITY COLLEGE Of 1501 E. ORANGE ROAD Street as Principal, and WATERLOO Iowa City State Merchants Bonding Company (Mutual) of P.O. Box 14498, Des Moines, IA 50306-3498 as Surety, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, in the penal sum of FIFTEEN THOUSAND DOLLARS ($15,000.00) lawful money of the United States of America, to the payment of which sum, well and truly to be made, the Principal herein firmly binds (himself) (herself) (themselves) their heirs, executors and administrators, and the said Surety binds themselves, their successors, assigns, executors and administrators, jointly and severally, firmly by these presents. THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH that, by the provisions of the Ordinances of the City of Waterloo, Iowa. a Surety Bond in the sum of Fifteen Thousand Dollars ($15,000.00) must be filed with the City Clerk/Auditor of the City of Waterloo, Iowa, before one may engage in construction, reconstruction or excavation in the public right of way in said City. NOW, THEREFORE, if the above boundenHAWKEYE COMMUNITY COLLEGE of WATERLOO, IA will faithlully perform any and all duties and abide by any and all regulations required by said Ordinances regulating the construction, reconstruction and excavation projects within said City; and if (he), (she), (they) will promptly pay to said City any and all sums and amounts due or that may become due or owing by reason of or under said Ordinances; and if (he), (she), (they) will pay all fines imposed upon (him), (her), (them), or a violation of said Ordinances occurring during the life of this bond; and if (he), (she), (they) will indemnify and keep the City harmless from all liability for any accident and/or damages arising from (his), (her), (their) doing, protecting or completing the work, then this obligation to be null and void, otherwise to remain in full force and effect. The effective date of this Bond is May 1, 2018 Witness our hands this 1st day of PLEASE MAIL TO: City of Waterloo, Iowa Engineering Department 715 Mulberry Street Waterloo, IA 50703 , through April 30, 2019 February , 2018 HAWKEYE COMMUNITY COLLEGE PRINCIPAL By: Printed Name: C_. C�.11z1. Merchants Bonding Company (Mutual) SURETY 0, By: Attorney-in-fact William Warner Jr., Attorney -in -Fact Updated March 2017 PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND. LP 0467 IA (2/17) THE FOLLOWING IS A HELPFUL CHECKLIST TO ASSIST THE PRINCIPAL AND/OR SURETY. THERE MAY BE OTHER ITEMS REQUIRED BY THE SURETY, WHICH ARE NOT LISTED HERE. BEFORE SUBMITTING THIS RIGHT-OF-WAY CONSTRUCTION BOND FORM, PLEASE BE SURE THE FOLLOWING ITEMS ARE COMPLETED: ✓ the correct local telephone number of the principal is included; ✓ the typewritten name of the principal is the same as the name on the signature line; ✓ the bond is signed by the principal; ✓ the correct address for the principal is included; ✓ surety's address is correct; • beginning and expiration dates are correct, beginning date on bond may be changed, all right-of-way construction bonds expire on April 30 of the following year (i.e. bond written during 2005 shall expire April 30, 2006); ✓ the attached power-of-attorney must be effective prior to, or on, the date the bond is issued; ✓ attorney-in-fact signing the right-of-way construction bond is listed on the power-of-attorney; and ✓ name of attorney-in-fact is typed under the signature line; ✓ once the above -referenced items are completed this form must be submitted to the City of Waterloo Engineering Department so that it can be forwarded to the City Council for approval before any permits can be issued. Any items received in the Engineering Department by 4:00 P.M. on Tuesdays will be placed on the following Monday's agenda or the next available Council meeting due to a fifth Monday in a month and/or holidays. RC IA A N TS 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, William W. Warner Jr. their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. 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 amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Tact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thcrcto, 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 of 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 aut hority hereby given to the Attorney -in -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 1st day of February , 2018 .**P•�10 NAt *E• .• *‘1kG COCA*• 2:2 cr _p_ v;0 �k: -o- • 0: 2003 4) 1933 : By • STATE OF IOWA """"". PPLarry y personally byduly COUNTY OF DALLAS ss. On this this 1st day of February , 2018 , before mea eared Taylor, to me ersonall known, who beingme sworn did say that he is President of 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. MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. • . President ALICIA K. GRAM Commission Number 767430 My Commission Expires April 1, 2020 Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of 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 1st day of February , 2018 . Z.•,yG _p_ �0'0.= `tom' -o - 0•..,., s»s'.:e'-' v'•. 2003 •: s, y 1933 • .... •'' *. POA 0018 (3/17) " • Secretary RIGHT OF WAY CONSTRUCTION BOND No. IA522115 Applicant's Telephone Number: LitCc g3 J U 7 KNOW ALL MEN BY THESE PRESENTS: That (I), (We), HURST & SONS CONSTRACTORS INC of 2''?..S 4.1e .14-9 A f WATERLOO Iowa 5001 Street City State as Principal, and Merchants Bonding Company (Mutual) of P.O. Box 14498, Des Moines, IA 50306-3498 as Surely, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, in the penal sum of FIFTEEN THOUSAND DOLLARS ($15,000.00) lawful money of the United States of America, to the payment of which sum, well and truly to be made, the Principal herein firmly binds (himself) (herself) (themselves) their heirs, executors and administrators, and the said Surety binds themselves, their successors, assigns, executors and administrators, jointly and severally, firmly by these presents. THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH that, by the provisions of the Ordinances of the City of Waterloo, Iowa. a Surety Bond in the sum of Fifteen Thousand Dollars ($15,000.00) must be filed with the City Clerk/Auditor of the City of Waterloo, Iowa, before one may engage in construction, reconstruction or excavation in the public right of way in said City. NOW, THEREFORE, if the above boundenHURST & SONS CONSTRACTORS INC of WATERLOO, IA will faithfully perform any and all duties and abide by any and all regulations required by said Ordinances regulating the construction, reconstruction and excavation projects within said City; and if (he), (she), (they) will promptly pay to said City any and all sums and amounts due or that may become due or owing by reason of or under said Ordinances; and if (he), (she), (they) will pay all fines imposed upon (him), (her), (them), or a violation of said Ordinances occurring during the life of this bond; and if (he), (she), (they) will indemnify and keep the City harmless from all liability for any accident and/or damages arising from (his), (her), (their) doing, protecting or completing the work, then this obligation to be null and void, otherwise to remain in full force and effect. The effective date of this Bond is May 1, 2018 Witness our hands this 1st day of PLEASE MAIL TO: City of Waterloo, Iowa Engineering Department 715 Mulberry Street Waterloo, IA 50703 , through April 30, 2019 February , 2018 HURST & SONS CONSTRACTORS INC PRINCIPAL By: .. Printed Name: JOLh/1 es 1.4 u,i'st--- Merchants Bonding Company (Mutual) SURETY Attorney-in-fact William Warner Jr., Attorney -in -Fact Updated March 2017 PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND. LP 0467 IA (2/17) THE FOLLOWING IS A HELPFUL CHECKLIST TO ASSIST THE PRINCIPAL AND/OR SURETY. THERE MAY BE OTHER ITEMS REQUIRED BY THE SURETY, WHICH ARE NOT LISTED HERE. BEFORE SUBMITTING THIS RIGHT-OF-WAY CONSTRUCTION BOND FORM, PLEASE BE SURE THE FOLLOWING ITEMS ARE COMPLETED: ✓ the correct local telephone number of the principal is included; ✓ the typewritten name of the principal is the same as the name on the signature line; ✓ the bond is signed by the principal; ✓ the correct address for the principal is included; ✓ surety's address is correct; beginning and expiration dates are correct, beginning date on bond may be changed, all right-of-way construction bonds expire on April 30 of the following year (i.e. bond written during 2005 shall expire April 30, 2006); ✓ the attached power-of-attorney must be effective prior to, or on, the date the bond is issued; ✓ attorney -In -fact signing the right-of-way construction bond is listed on the power-of-attorney; and ✓ name of attorney-in-fact is typed under the signature line; ✓ once the above -referenced items are completed this form must be submitted to the City of Waterloo Engineering Department so that it can be forwarded to the --City-Ceunc!I for approval before any permits can be issued. Any items received in the Engineering Department by 4:00 P.M. on Tuesdays will be placed on the following Monday's agenda or the next available Council meeting due to a fifth Monday in a month and/or holidays. 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, William W. Warner Jr. their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. 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 amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "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 of 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 aut hority hereby given to the Attorney -in -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 consenti ng 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 1st day of February , 2018 ,..Y...4. ••�-*.* co OEiPORq6'° •"4'� RPt1 • 2003 10: 1933 , L¥ • •YY r STATE OF IOWA • """ •"•"'• COUNTY OF DALLAS ss. On this this 1st day of February , 2018 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of 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. MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. By President ALICIA K. GRAM Commission Number 767430 My Commission Expires April 1, 2020 Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of 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 1st day of February , 2018 . ''‘xQ:i1 P 0 q 1...... ' o "C;` :;t3:‘,, it P-C4)*9 :g:'0(kRq'.O•. .y 40� A4' y. i z : Z. _ 0 _ t;•... la 1, - o - et: • ‘",""; v': 2003 :'.i • ' 1933 .' ▪ d!: .� ".`Cdr:. ' •'''!" . v .. POA 0018 (3/17) 4 Secretary RIGHT OF WAY CONSTRUCTION BOND No IA 590430 Applicant's Telephone Number: KNOW ALL MEN BY THESE PRESENTS: That (I), (We), HOFFMAN & HOFFMAN TRENCHING INC of P.O. BOX 866 CEDAR FALLS Iowa Street City State Merchants Bonding Company (Mutual) of as Principal, and P.O. Box 14498, Des Moines, IA 50306-3498 as Surety, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, in the penal sum of FIFTEEN THOUSAND DOLLARS ($15,000.00) !awful money of tie United States of America, to the payment of which sum, well and truly to be made, the Principal herein firmly binds (himself) (herself) (themselves) their heirs, executors and administrators, and the said Surety binds themselves, their successors, assigns, executors and administrators, jointly and severally, firmly by these presents. THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH that, by the provisions of the Ordinances of the City of Waterloo, Iowa. a Surety Bond in the sum of Fifteen Thousand Dollars ($15,000.00) must be filed with the City Clerk/Auditor of the City of Waterloo, Iowa, before one may engage in construction, reconstruction or excavation in the public right of way in said City. NOW, THEREFORE, if the above boundenHOFFMAN & HOFFMAN TRENCHING INC of CEDAR FALLS, IA will faithfully perform any and all duties and abide by any and all regulations required by said Ordinances regulating the construction, reconstruction and excavation projects within said City; and if (he), (she), (they) will promptly pay to said City any and all sums and amounts due or that may become due or owing by reason of or under said Ordinances; and if (he), (she), (they) will pay all fines imposed upon (him), (her), (then), or a violation of said Ordinances occurring during the life of this bond; and if (he), (she), (they) will indemnify and keep the City harmless from all liability for any accident and/or damages arising from (his), (her), (their) doing, protecting or completing the work, then this obligation to be null and void, otherwise to remain In full force and effect. The effective date of this Bond is May 1,2018 , through April 30, 2019 Witness our hands this lst day of February , 2018 HOFFMAN & HOFFMAN TRENCHING INC PLEASE MAIL TO: City of Waterloo, Iowa Engineering Department 715 Mulberry Street Waterloo, IA 50703 PRINCIPAL By: Printed Name: S4,.9 )r,X\tAfSc--- Merchants Bonding Company (Mutual) SURETY Attorney -In -fact William Warner Jr., Attorney -in -Fact Updated March 2017 PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND. LP 0467 IA (2/17) THE FOLLOWING IS A HELPFUL CHECKLIST TO ASSIST THE PRINCIPAL AND/OR SURETY. THERE MAY BE OTHER ITEMS REQUIRED BY THE SURETY, WHICH ARE NOT LISTED HERE. BEFORE SUBMITTING THIS RIGHT-OF-WAY CONSTRUCTION BOND FORM, PLEASE BE SURE THE FOLLOWING ITEMS ARE COMPLETED: ✓ the correct local telephone number of the principal is included; ✓ the typewritten name of the principal is the same as the name on the signature line; ✓ the bond is signed by the principal; ✓ the correct address for the principal is included; ✓ surety's address is correct; d beginning and expiration dates are correct, beginning date on bond may be changed, all right-of-way construction bonds expire on April 30 of the following year (i.e. bond written during 2005 shall expire April 30, 2006); ✓ the attached power-of-attorney must be effective prior to, or on, the date the bond is issued: e attorney -'n -fact signing the right-of-way construction bond is listed on the power-of-attorney; and ti name of attorney-in-fact is typed under the signature line; ✓ once the above -referenced items are completed this form must be submitted to the City of Waterloo Engineering Department so that it can be forwarded to the City Council for approval before any permits can be issued. Any iterns received in the Engineering Department by 4:00 P.M. on Tuesdays will be placed on the following Monday's agenda or the next available Council meeting due to a fifth Monday in a month and/or holidays. 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, William W. Warner Jr. their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. 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 amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereat." "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 of 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 aut hority hereby given to the Attorney -in -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 1st day of February , 2018 • ya•o�ipor�41.•• a ev : ' 2003 ;: 4) ; • 1933 c: By . MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. STATE OF IOWA COUNTY OF DALLAS ss. On this this 1st day of February 2018 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of 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. President ALICIA K. GRAM Commission Number 767430 My Cornrnission Expires April 1, 2020 Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of 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 1st day of February , 2018 . ',,+..i.,,., «. • .... . '« /0''�• .©•'4?"*14. f62EP14*p: gip11-* • % 2003 ,0 :-y• 1933 : e t7.• COY POA 0018 (3/17) Secretary RIGHT OF WAY CONSTRUCTION BOND No. IA 550121 Applicant's Telephone Number: /gM77.- O/46) KNOW ALL MEN BY THESE PRESENTS: That (I), (We), MAGEE CONSTRUCTION of I.7vS l.tJu�'e+-L is�a Street as Principal, and CEDAR FALLS City Iowa State Merchants Bonding Company (Mutual) of P.O. Box 14498, Des Moines, IA 50306-3498 as Surety, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, in the penal sum of FIFTEEN THOUSAND DOLLARS ($15,000.00) lawful money of the United States of America, to the payment of which sum, well and truly to be made, the Principal herein firmly binds (himself) (herself) (themselves) their heirs, executors and administrators, and the said Surety binds themselves, their successors, assigns, executors and administrators, jointly and severally, firmly by these presents. THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH that, by the provisions of the Ordinances of the City of Waterloo, Iowa. a Surety Bond in the sum of Fifteen Thousand Dollars ($15,000.00) must be filed with the City Clerk/Auditor of the City of Waterloo, Iowa, before one may engage in construction, reconstruction or excavation in the public right of way in said City. NOW, THEREFORE, if the above boundenMAGEE CONSTRUCTION of CEDAR FALLS, IA will faithfully perform any and all duties and abide by any and all regulations required by said Ordinances regulating the construction, reconstruction and excavation projects within said City; and if (he), (she), (they) will promptly pay to said City any and all sums and amounts due or that may become due or owing by reason of or under said Ordinances; and if (he), (she), (they) will pay all fines imposed upon (him), (her), (them), or a violation of said Ordinances occurring during the life of this bond; and if (he), (she), (they) will indemnify and keep the City harmless from all liability for any accident and/or damages arising from (his), (her), (their) doing, protecting or completing the work, then this obligation to be null and void, otherwise to remain in full force and effect. The effective date of this Bond is May 1, 2018 Witness our hands this 1st day of PLEASE MAIL TO: City of Waterloo, Iowa Engineering Department 715 Mulberry Street Waterloo, IA 50703 , through April 30, 2019 February 2018 MAGEE CONSTRUCTION PRINCIPAL By: %I,o iloisker, Printed Name: W i. Merchants Bonding Company (Mutual) SURETY By: Attorney-in-fact William Warner Jr., Attorney -in -Fact Updated March 2017 "' « PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND. LP 0467 IA (2/17) THE FOLLOWING IS A HELPFUL CHECKLIST TO ASSIST THE PRINCIPAL AND/OR SURETY. THERE MAY BE OTHER ITEMS REQUIRED BY THE SURETY, WHICH ARE NOT LISTED HERE. BEFORE SUBMITTING THIS RIGHT-OF-WAY CONSTRUCTION BOND FORM, PLEASE BE SURE THE FOLLOWING ITEMS ARE COMPLETED: ✓ the correct local telephone number of the principal is included; ✓ the typewritten name of the principal is the same as the name on the signature line; ✓ the bond is signed by the principai; ✓ the correct address for the principal is included; ✓ surety's address is correct; ✓ beginning and expiration dates are correct, beginning date on bond may be changed, all right-of-way construction bonds expire on April 30 of the following year (i.e. bond written during 2005 shall expire April 30, 2006); ✓ the attached power-of-attorney must be effective prior to, or on, the date the bond is issued; ✓ attorney -In -fact signing the right-of-way construction bond is listed on the power-of-attorney; and ✓ name of attorney-in-fact is typed under the signature line; ✓ once the above -referenced items are completed this form must be submitted to the City of Waterloo Engineering Department so that it can be forwarded to the City Council for approval before any permits can be issued. Any items received in the Engineering Department by 4:00 P.M. on Tuesdays will be placed on the following Monday's agenda or the next available Council meeting due to a fifth Monday in a month and/or holidays. 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, William W. Warner Jr. their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. 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 amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorizea 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 of 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 aut hority hereby given to the Attorney -in -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 1st day of February , 2018 • STATE OF IOWA • • Q`i�U CP • •'s . • '• 1933 : . By MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. • President COUNTY OF DALLAS ss. On this this 1st day of February 2018 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of 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. ALICIA K. GRAM Commission Number 767430 My Commission Expires April 1, 2020 Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of 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 1st day of February , 2018 . -(10NA NO Co `• <0 /PS R,4.6'p ••��O POR. s' ' -o- co',• •r. ;�' -o- • v : 2003 :`c2 : t ;� 1933 .1 e; POA 0018 (3/17) • Secretary RIGHT OF WAY CONSTRUCTION BOND No 627 8093 Applicant's Telephone Number. KNOW ALL MEN BY THESE PRESENTS: That (I), (We), Mark A Vogel of 134 DOUGLAS, JESUP, IA 50648 Street City as Principal, and WESTERN SURETY COMPANY of P. O. Box 5077, Sioux Falls, South Dakota 57117-5077 as Surety, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, in the penal sum of FIFTEEN THOUSAND DOLLARS ($15,000.00) lawful money of the United States of America, to the payment of which 1 sum, well and truly to be made, the Principal herein firmly binds (himself) (herself) (themselves) their heirs,, executors and administrators, and the said Surety binds thvmsclves, their successors, assigns, executor; and administrators, jointly and severally, firmly by these presents. THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH that, by the provisions of the Ordinances of the City of Waterloo, Iowa, a Surety Bond in the sum of Fifteen Thousand Dollars ($15,000.00) must be filed with the City Clerk/Auditor of the City of Waterloo, Iowa, before one may engage in construction, reconstruction or excavation in the public right of way in said City. NOW, THEREFORE, if the above bounden Mark A Vogel of State Jesup, Iowa will faithfully perform any and all duties and abide by any and all regulations required by said Ordinances regulating the construction, reconstruction and excavation projects within said City; and if (he), (she), (they) will promptly pay to said City any and all sums and amounts due or that may become due or owing by reason of or under said Ordinances; and if (he), (she), (they) will pay all fines imposed upon (him), (her), (them), or a violation of said Ordinances occurring during the life of this bond; and if (he), (she), (they) will indemnify and keep the City harmless from all liability for any accident and/or damages arising from (his), (her), (their) doing, protecting or completing the work, then this obligation to be null and void, otherwise to remain in full force and effect. The effective date of this Bond is May 1, 2018 , through April 30, Witness our hands this 02 day of January PLEASE MAIL TO: City of Waterloo, Iowa Engineering Department 715 Mulberry Street Waterloo, IA 50703 Updated 1-24-00 2019 2018 marl(, V PRINCIPAL /1/°j k k A 1423e1 By. Printed Name: WESTF,R3d1SURETY COMPANY SURETY By. ,,e Attorney-in-fact /Paul T. Bruflat, Vice President PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND. THE FOLLOWING IS A HELPFUL CHECKLIST TO ASSIST THE PRINCIPAL AND/OR SURETY. THERE MAY BE OTHER ITEMS REQUIRED BY THE SURETY, WHICH ARE NOT LISTED HERE. BEFORE SUBMITTING THIS RIGHT-OF-WAY CONSTRUCTION BOND FORM, PLEASE BE SURE THE FOLLOWING ITEMS ARE COMPLETED: ✓ the correct local telephone number of the principal is included; ✓ the typewritten name of the principal is the same as the name on the signature line; ✓ the bond is signed by the principal; ✓ the correct address for the principal is included; ✓ surety's address is correct; ✓ beginning and expiration dates are correct, beginning date on bond may be changed, all right-of-way construction bonds expire on April 30 of the following year (i.e. bond written during 2005 shall expire April 30, 2006); ✓ the attached power-of-attorney must be effective prior to, or on, the date the bond is issued; ✓ attorney-in-fact signing the right-of-way construction bond is listed on the power-of-attorney; and ✓ name of attorney-in-fact is typed under the signature line; ✓ once the above -referenced items are completed this form must be submitted to the City of Waterloo Engineering Department so that it can be forwarded to the City Council for approval before any permits can be issued. Any items received in the Engineering Department by 4:00 P.M. on Tuesdays will be placed on the following Monday's agenda or the next available Council meeting due to a fifth Monday in a month and/or holidays. Western Surety Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota, and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United States of America, does hereby make, constitute and appoint Paul T. Bruflat of Sioux Falls State of South Dakota , its regularly elected Vice President as Attorney -in -Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for and on itc behalf as Sloraty and ac its art and dpedl the folk:wing bond: One RIGHT OF WAY CONSTRUCTION CITY OF WATERLOO bond with bond number 62738093 for MARK A VOGEL as Principal in the penalty amount not to exceed: $ 15 , 000.00 Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety Company duly adopted and now in force, to -wit Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys -in -Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its Vice President with the corporate seal affixed this 02 day of January 2018 ATTEST _ W E STATE OF SOUTH DAKOTA COUNTY OF MINNEHAHA On this L. Nelson, Assistant Secretary ss 02 day of Paul T. Bruflat By January ,2018 who, being by me duly sworn, acknowledged and Assistant Secretary, respectively, of the and R J' COMPANY Pau Bruflat, Vice President , before me, a Notary Public, personally appeared L. Nelson that they signed the above said WESTERN SURETY be the voluntary act and deed of said Corporation. }�,hhy�h�,5hyhh5y�,yhhy�,y�,h� t J. MOHR s s SAE NOTARY PUBLIC SEAL s s SOUTH DAKOTA s +c,55�h��5y�yh%�'�hhhh���yc, s 's s Power of Attorney as Vice President COMPANY, and acknowledged said instrument to My Commission Expires June 23, 2021 To validate bond authenticity, go to www.cnasuretv.com Coverage. Form F1975-1-2016 Notary Public > Owner/Obligee Services > Validate Bond ss RIGHT OF WAY CONSTRUCTION BOND No. IA 537826 Applicant's Telephone Number: ,q 2 32 - X60 KNOW ALL MEN BY THESE PRESENTS: That (I), (We), MARTINSON CONSTRUCTION CO INC. of 3842 W AIRLINE HWY Street WATERLOO Iowa City State as Principal, and Merchants Bonding Company (Mutual) P.O. Box 14498, Des Moines, IA 50306-3498 as Surety, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, in the penal sum of FIFTEEN THOUSAND DOLLARS ($15,000.00) lawful money of the United States of America, to the payment of which sum, well and tru!y to be made, the Piineipa herein firmly binds (himself) (herself) (themselves) their heirs, executors and administrators, and the said Surety binds themselves, their successors, assigns, executors and administrators, jointly and severally, firmly by these presents. THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH that, by the provisions of the Ordinances of the City of Waterloo, Iowa. a Surety Bond in the sum of Fifteen Thousand Dollars ($15,000.00) must be filed with the City Clerk/Auditor of the City of Waterloo, Iowa, before one may engage in construction, reconstruction or excavation in the public right of way in said City. NOW, THEREFORE, if the above boundenMARTINSON CONSTRUCTION CO INC. of WATERLOO, IA will faithfully perform any and all duties and abide by any and all regulations required by said Ordinances regulating the construction, reconstruction and excavation projects within said City; and if (he), (she), (they) will promptly pay to said City any and all sums and amounts due or that may become due or owing by reason of or under said Ordinances; and if (he), (she), (they) will pay all fines imposed upon (him), (her), (them), or a violation of said Ordinances occurring during the life of this bond; and if (he), (she), (they) will indemnify and keep the City harmless from all liability for any accident and/or damages arising from (his), (her), (their) doing, protecting or completing the work, then this obligation to be null and void, otherwise to remain in full force and effect. The effective date of this Bond is April 30,2018 , through April 30, 2019 Witness our hands this 6th day of March 2018 MARTINSON CONSTRUCTION CO INC. PLEASE MAIL TO: City of Waterloo, Iowa Engineering Department 715 Mulberry Street Waterloo, IA 50703 0 PRINCIPAL By: De.A.A.....k Printed Name: Fav � dl Merchants Bonding Company (Mutual) SURETY By: Attorney-in-fact William Warner Jr., Attorney -in -Fact Updated March 2017 PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND. LP 0467 IA (2/17) 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, William W. Warner Jr. their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. 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 amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "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 of 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 aut hority hereby given to the Attorney -in -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 6th day of March , 2018 '�• 010Ng4'•• co4G Calf. ••`;•�RPOR,..•<A% : .QQ��RP0,94'..'09•• %4.)— 2003 f!; • a'� 1933 c: By . , --y• MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. STATE OF IOWA COUNTY OF DALLAS ss. On this this 6th day of March , 2018 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of 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. President ALICIA K. GRAM Commission Number 767430 My Commission Expires April 1, 2020 Notaty Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of 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 6th day of March , 2018 . •.`•P310Ng4 ••• \t/G Col„•.• , �.oEiFORq•.p: ;.Q144 P0q '°9•. • j'..•� 2003 4; y. 1933: �• •Je'te.��•e• •%. ��• `a POA 0018 (3/17) Secretary RIGHT OF WAY CONSTRUCTION BOND No. 2171184 Applicant's Telephone Number: KNOW ALL MEN BY THESE PRESENTS: That (I), (We), Price Industrial Electric, Inc (319) 393-6406 of 405 N. Troy Rd Robins, IA 52328 Street as Principal, and North American Specialty Insurance Company City State of 5200 Metcalf OPN111, Overland Park, KS 66202-1391 as Surety, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, in the penal sum of FIFTEEN THOUSAND DOLLARS ($15,000.00) lawful money of the United States of America, to the payment of which sum, well and truly to be made, the Principal herein firmly binds (himself) (herself) (themselves) their heirs, executors and administrators, and the said Surety binds themselves, their successors, assigns, executors and administrators, jointly and severally, firmly by these presents. THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH that, by the provisions of the Ordinances of the City of Waterloo, Iowa, a Surety Bond in the sum of Fifteen Thousand Dollars ($15,000.00) must be filed with the City Clerk/Auditor of the City of Waterloo, Iowa, before one may engage in construction, reconstruction or excavation in the public right of way in said City. NOW, THEREFORE, if the above bounden Price Industrial Electric, Inc of 405 N. Troy Rd, Robins, IA 52328 will faithfully perform any and all duties and abide by any and all regulations required by said Ordinances regulating the construction, reconstruction and excavation projects within said City; and if (he), (she), (they) will promptly pay to said City any and all sums and amounts due or that may become due or owing by reason of or under said Ordinances; and if (he), (she), (they) will pay all fines imposed upon (him), (her), (them), or a violation of said Ordinances occurring during the life of this bond; and if (he), (she), (they) will indemnify and keep the City harmless from all liability for any accident and/or damages arising from (his), (her), (their) doing, protecting or completing the work, then this obligation to be null and void, otherwise to remain in full force and effect. The effective date of this Bond is May 1, 2018 , through April 30, 2019 Witness our hands this 2nd day of March , 2018 PLEASE MAIL TO: City of Waterloo, Iowa Engineering Department 715 Mulberry Street Waterloo, IA 50703 Price Industrial Electric, Inc PRINCIPAL By: ,v Printed-K(ame. (M. GL, North A er' an Specialty Insurance Company L.—Atter ey-in-fact Anne Crowner Updated March 2017 PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND. THE FOLLOWING IS A HELPFUL CHECKLIST TO ASSIST THE PRINCIPAL AND/OR SURETY. THERE MAY BE OTHER ITEMS REQUIRED BY THE SURETY, WHICH ARE NOT LISTED HERE. BEFORE SUBMITTING THIS RIGHT-OF-WAY CONSTRUCTION BOND FORM, PLEASE BE SURE THE FOLLOWING ITEMS ARE COMPLETED: d the correct local telephone number of the principal is included; d the typewritten name of the principal is the same as the name on the signature line; ✓ the bond is signed by the principal; ✓ the correct address for the principal is included; e surety's address is correct; • beginning and expiration dates are correct, beginning date on bond may be changed, all right-of-way construction bonds expire on April 30 of the following year (i.e. bond written during 2005 shall expire April 30, 2006); ✓ the attached power-of-attorney must be effective prior to, or on, the date the bond is issued; d attorney-in-fact signing the right-of-way construction bond is listed on the power-of-attorney; and d name of attorney-in-fact is typed under the signature line; ✓ once the above -referenced items are completed this form must be submitted to the City of Waterloo Engineering Department so that it can be forwarded to the City Council for approval before any permits can be issued. Any items received in the Engineering Department by 4:00 P.M. on Tuesdays will be placed on the following Monday's agenda or the next available Council meeting due to a fifth Monday in a month and/or holidays. OFFICIAL SEAL Y. KENNY Notary Public; Slate of Illinois My Commission Eapites t2Ja4I2O21 SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Overland Park, Kansas and Washington International Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Overland Park, Kansas, and Westport Insurance Corporation, organized under the laws of the State of Missouri, and having its principal office in the City of Overland Park, Kansas each does hereby make, constitute and appoint: JAY D. FREIERMUTH, CRAIG E. HANSEN, BRIAN M. DEIMERLY, SHIRLEY S. BARTENHAGEN, CINDY BENNETT, ANNE CROWNER, TIM McCULLOH„ STACY VENN, DIONE R. YOUNG, and WENDY ANN CASEY JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: ONE HUNDRED TWENTY FIVE MILLION ($125,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24, 2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18, 2011. "RESOLVED, that any two of the President, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." l':!,.00N4 �� G ,A014111411/0, UT 4 o :5Pc, a' 0 600 SOo>(`..,< ��; T' i ;,` SEAL' SEAL :n' 1.o fn - w Z 1973 t4 o` Ft�': toF. o ;;;',9 MP`��• i�' . s ys,.. J'IAMP� ` .a a /�� 0 UIWN�\� rnun iutmn�" o� By v►1 Steven P. Anderson, Senior Vice President of Washington International Insurance Company & Senior Vice President of North American Specialty Insurance Company & Senior Vice President of Westport Insurance Corporation By Mike A. Ito, Senior Vice President of Washington International Insurance Company & Senior Vice President of North American Specialty Insurance Company & Senior Vice President of Westport Insurance Corporation IN WITNESS WHEREOF, North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this this 3rd day of November , 20 17 State of Illinois County of Cook On this 3rd day of North American Specialty Insurance Company Washington International Insurance Company Westport Insurance Corporation ss: November , 20 17, before me, a Notary Public personally appeared Steven P. Anderson , Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and Michael A. Ito Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. j M. Kenny, Notary Public I, Jeffrey Goldberg , the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corporation which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 2nd day of March , 2018. Jeffrey Goldberg, Vice President & Assistant Secretary of Washington International Insurance Company & North American Specialty Insurance Company & Vice President & Assistant Secretary of Westport Insurance Corporation TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. STAFF ONLY LINE ITEM USED 2/() -16,Y����3 & FY o�dO BUDGETED '/O' EXPENDED YTD (/1V d-' THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance 3.94' Copy - Department NAME(S) AND POSITION(S): Bobbie Moline -Kramer, Artist DATE: March 7, 2018 NAME OF CLASS / MEETING: Gallery Talk & Waterloo Schools Presentation DESTINATION: Woodland Hills, CA to Waterloo, IA DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: March 7, 2018 RETURN DATE: March 10, 2018 DATE(S) OF MEETING: March 8 — 9, 2018 PURPOSE OF TRAVEL/TRAINING: Artwork by Bobbie Moline -Kramer is currently being exhibited at Waterloo Center for the Arts. During Kramer's visit to Waterloo she will be conducting a series of presentations at East and West High School and giving a public gallery talk at the Art Center. Lodging and Meals costs will be reimbursed by Culture Leadership Partner funds from the Iowa Arts Council, a Division of the Iowa Department of Cultural Affairs. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST $ YES NO METHOD OF TRAVEL: CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: $150 LODGING TAXI $100 MEALS PARKING REGISTRATION AIRFARE MILEAGE/FUEL MISC/TOLLS TOTAL FOR ALL: $ $250 BUDGET LINE ITEM: 26STG.OSG 010 26 42651346 X GRANT REIMBURSABLE YES NO x REQUIRED CERTIFICATION YES NO TOTAL: $ PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO L1 I APPROVE THIS TRAVEL REQUEST D,LA_s2 DEPARTMENT HEAD MAYOR 3/PIIS Mtared Goodies\Forms\Travel Request Form January 2010 DATE TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. STAFF ONLY LINE ITEM USED 010-11-1160-1528 FY _2018_ BUDGETED 11PRO-PDK9 (0000 EXPENDED YTD cgga % 33 - THIS REQUEST /U(/0 `€' LEFT AFTER THIS REQUEST �/'77• �� DATE Original - Clerk/Finance Copy De.artment NAME(S) AND POSITION(S): P.O. A. Bovy/P.O. Ehlers P.O. Herkelman Lt. Fangman DATE 3/7/18 NAME OF CLASS / MEETING: K-9 Drug Detection Enhancement Course MCTC Mid -West Counter Drug Training Center DESTINATION Johnston, Iowa DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: April9th, 2018 Return Date: April 12th, 2018 DATE(S) OF MEETING: April 9th-12th,2018 PURPOSE OF TRAVEL: Captain Krogh is requesting authorization to send Lt. Fangman, P.O. Herkelman, P.O. Al Bovy and P.O. Ehlers to K-9 Drug Detection Enhancement Course MCTC in Johnston, Iowa on April 9th -12, 2018. The course is designed for advanced training or Drug Detector Dogs and Handler teams. Lt. Fangman is the supervisor for the K-9 Unit and all of the officers are K-9 handlers for the Waterloo Police Department. City vehicles will be needed for travel to this training. There is no cost for the registration and lodging. This training will be paid for out of the K-9 fund. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: CITY VEHICLE AIRFARE DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: $.00 LODGING .00 Metro trans $600.00 MEALS .00 Parking $.00 REGISTRATION .00 AIRFARE $400.00 MILEAGE/FUEL .00 Baggage fee TOTAL FOR ALL: $ 1000.00 BUDGET LINE ITEM: x GRANT REIMBURSABLE YES NO x REQUIRED CERTIFICATION YES NO TOTAL: $ 250.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO I APPROVE THIS TRAVEL REQUEST DEPARTMENT HEA MAYOR 3( i( f8 3/1ct / f$ DATE DATE FINANCE DEPT. STAFF ONLY LINE ITEM USED 010-11-1160-1528 11PRO-PDK9 &a/0 TRAVEL REQUEST FY _2018 BUDGETED CITY OF WATERLOO EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance a41s7 3� 3-7dGI 02/7A - ;k Copy - Department NAME(S) AND POSITION(S): P.O. A. Bovy / P.O. Ehlers P.O. Herkelman DATE 3/7/18 NAME OF CLASS / MEETING: 2018 Detector Dog Trials DESTINATION Anamosa, Iowa DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: April 15, 2018 Return Date: April 17th, 2018 DATE(S) OF MEETING: April 15th -17,2018 PURPOSE OF TRAVEL: Lt. Fangman is requesting authorization to send P.O. Herkelman, P.O. Al Bovy and P.O. Ehlers to the 2018 Detector Dog Trial certification in Anamosa, Iowa, on April 15-17, 2018. All of the officers are K-9 handlers for the Waterloo Police Department. City vehicles will be needed for travel to this training. This training will be paid for out of the K-9 fund. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: x CITY VEHICLE AIRFARE DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: $600.00 LODGING .00 $270.00 MEALS .00 $300.00 REGISTRATION .00 $200.00 MILEAGE/FUEL .00 TOTAL FOR ALL: $ 1370.00 Metro trans Parking AIRFARE Baggage fee BUDGET LINE ITEM: x GRANT REIMBURSABLE YES NO x REQUIRED CERTIFICATION YES NO TOTAL: $ 456.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO DEPARTMENT HEAD DATE I APPROVE THIS TRAVEL REQUEST MAYOR -3/(ci(I� DATE TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. STAFF ONLY LINE ITEM USED p?3c-, / 3w FY,%%c BUDGETED /'qSv EXPENDED YTD 15 !! l$ THIS REQUEST 3(),46 — LEFT AFTER THIS REQUEST 45 l(/.8 DATE -77y4J Original - Clerk/Finance Cop - Department NAME(S) AND POSITION(S): Angie Fordyce/Matt Chesmore/Jon Martin DATE: 2-22-2018 NAME OF CLASS / MEETING: 2018 National Lead and Healthy Housing Conference HUD Program Managers School DESTINATION: Omaha, Nebraska DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: Monday April 30 RETURN DATE: Thursday, May 3, 2018 DATE(S) OF MEETING: April 30- May 3 PURPOSE OF TRAVEL/TRAINING Training for three people was budgeted for and accepted in our contract with HUD in regards to the Lead Hazard Grant. This training is mandatory and will be something that Community Development will have to do on an annual basis in order to comply with the lead grant regulations. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: x CITY VEHICLE AIRFARE DEPARTING FROM: Carnegie Annex PRIVATE VEHICLE ESTIMATE OF COST: 1700.00 LODGING TAXI 420.00 MEALS 100.00 PARKING 630.00 REGISTRATION AIRFARE �. ((J.r !% MILEAGE/FUEL 25.00 MISCITOLLS TOTAL FOR ALL: $ 3o 6 BUDGET LINE ITEM: 224-32-5853.1346 x GRANT REIMBURSABLE YES NO BGLED.ADMIN x REQUIRED CERTIFICATION YES NO TOTAL: $ 70003' PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO a(1./ DEPARTMENT HEAD I APPROVE THIS TRAVEL REQUEST MAYOR DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 Monday, April 30, 2018 9:OOam-4:OOpm *Optional Pre -Conference Training - Lead Paint Supervisor Orientation Refresher Lead Supervisor Basics for Grantee Staff (this is not a licensing course) Understanding the Basics of containment and required lead safe work practice for unit site monitoring and scope of work development, and impact and use of Occupant Protection Plans for relocation approval NO FEE course is for OLHCHH Grantees ONLY Presentation to be facilitated by OLHCHH 9:00 am-4:30pm New Grantee Orientation By invitation only, all required grantees will be notified by the GTR for their region. NO FEE Course is for select OLHCHH Grantees ONLY Presentation to be provided by OLHCHH 2:00 pm — 5:00 pm Workshop on lead hazard control and healthy housing technical issues including changes to the HUD Lead Hazard Control Guidelines, Lead Safe Housing Rule and new Lead in Dust Clearance Standards (add $45 to your conference registration) 2:00 pm — 5:00 pm Workshop on grant management issues — from intake to closeout (add $45 to your conference registration) OLHCHH Grantees are required to HUD Program Manager's School with a minimum of 2 persons from each active award. *Pre -Conference Session will be required for some but not all. Please contact your GTR if you have any questions regarding who has to attend and or when to arrive at these events. 2 Tuesday, May 1, 2018 Welcome Remarks 9:OOam-9:40am 9:40am-10:20am HUD's Federal Lead Strategy Where are we now, where do we need to go, who is at the table, what is the grantee role? Public Private Partnerships Defining these partner types, where are they, and how do they impact grantees 10:40am-11:20am State Regulations Update- Panel Many States have updated lead regulations and policies that we can all learn from. We will explore the changes that have been made by States, the local and grantee impact along with lessons learned from their implementation so far. 11:20am-12:OOpm HIPAA Info Exchange Understanding what is HIPAA, what are the requirements and how to manage the data you have. Impacts on data sharing agreements, how to approach a data partner with a new understanding of what you can share. 1:30pm-2:20pm Policy Review for 2017 We will review the progress of the policy implementation, give tips and feedback from grantee input and review the processes involved for compliance in all 2017 policies. In addition to this session there will be an amnesty table set up for the duration of the conference to allow grantees to submit documentation for review and guidance of compliance. We encourage all grantees to take advantage of the review on site to ensure information and application of policies in your documentation. 2:30pm-3:45pm Contractor Capacity Panel A national decline in lead abatement trained workers and supervisors and associated firms has been felt through our grantee network. We will hear from Regional, State, and local perspectives along with Grantees, and Contractors to hear root causes and explore new solution ideas. 3 Networking Break 4:10pm-5:OOpm Relocation and Occupant Protection What are the roles and responsibilities of the grantee, owner, occupant and contractor? What are the limitations of funding use and solutions to keep the budget intact for relocation expenses while protecting families? Documenting compliance with the process vs. completing a compliant process. 5:00 pm_ 6:30 pm Networking Reception and. Exhibit Viewing 4 Wednesday, May 2, 2018 9:OOam-9:SOam 10:OOam-10:50am TRACK #1 HUD GRANT ADMINISTRATION and MANAGEMENT ISUUES Networking Session and Exhibit Viewing Meeting of the National Safe and Healthy -Housing Coalition Three Concurrent Educational Tracks TRACK#2 ?' PROGRAM PERFORMANCE and RESOURCES TRACK #3 LEAD POISONING PREVENTION, LEAD HAZARD CONTROL AND HEALTHY HOUSING ISSUES Fiscal Vulnerability and Contract Development •.Developing Effective and Compliant Work Plans and Policy and Procedures Unit Eligibility HHS Review of Sample Appropriations for Lead and Healthy Housing Initiatives Building Political Will at the Local and National Levels 11:OOam-12:OOpm GTR Breakouts* in the Studio Rooms Required Session All GTR's Status of Changes to the EPA Lead Hazard Standards 1:30pm-2:10pm Research Update The Policy and standards division will provide a portfolio of new tech studies and those that are in process. We will learn about their anticipated results (hypothesis) and their results to date. We will also discuss what the applications for grant programs may be and how to find more info on these research results as they progress. Smoke Free, Radon, Mold and Asbestos News! 2:10pm-3:OOpm Outreach Breakthroughs! — Panel We will cover new techniques every year but this year it is interactive. Some grantees have really outdone themselves in super effective ways. They are honored to have you copy them so take good notes! Samples will be on display in exhibit area. Marketing through program approach and creative partners as well as creative materials. 3:OOpm-3:30pm Lead Safe Housing Rule How to work with and connect public housing agencies to your programs for expertise and resources for compliance with new Lead Safe Housing Rule Amendment OLHCHH Staff 5 3:50pm-4:20pm Ietworkinglireak Community Health Workers This session will discuss how to work with community health workers to expand your reach of intake and outreach to the grant program and build advocacy of HH. 4:20pm-5:OOpm Monitoring This session will go over the multiple areas of program implementation that require monitoring by the grantee. Who, how when and where to document monitoring will be included in the discussion. Thursday, May 3, 2018 9:OOam-9:45am *OLHCHH Grantee Listening Session — Required Session Grantees have the opportunity to share ideas, suggestions and needs with OLHCHH leadership. 10:OOam-12:00pm *Moderated Round Table Discussions Required Session Attendees will rotate between round table topics from 10:00 am to 12:00 pm, spending 15-20 minutes at as many tables as they can get to. Moderators will facilitate discussions and take notes around the topics listed below focusing on successes, challenges, gaps/needs, etc. At the end, the groups will come together to share discussions and develop possible next steps for action items identified 12:OOpm-12:30pm *Closing Session — Required Session Grantees have the opportunity for final questions on content and program issues. This session will include: Wrap Up, take away's, next steps and feedback. 6 1/26/2018 620 Mulberry St, Waterloo, IA 50703 to 1001 Cass St, Omaha, NE 68102 - Google Maps Go gle Maps 620 Mulberry St, Waterloo, IA 50703 to 1001 Cass St, Omaha, NE 68102 MONTANA IFA1111 0A<010 S011711 001117 1. Denver United States k vial -80 W Fastest route, the usual traffic via US Hwy 63 S and 1-80 W k via US -20 W Winnoipa9 Drive 265 miles, 3 h 51 min 1.1111<1 11 . Minneapolis 0 620 Mulberry Street 3h51min ;1 265 miles -- fa3h53min 1001 Cass Street 245 miles II11 01101.10 Go gle Kansas City 1111001`. 131,J:011111 A n.:A111/,1 MN A NA 0 Indianapolis Nashville 0 7'11111 err Atlanta 0 DINO Map data ©2018 Google 100 mi L 3 h 51 min 265 miles 3 h 53 min 245 miles 4h17min 259 miles VII 0 https://www.google.com/maps/dir/620+Mulberry+St,+Waterloo,+lA+50703/1001 +Cass+St,+Omaha,+N E+68102/@42.3659245,-98.0705284,5.75z/data... 1/1 4 ence ocation & I-Iote! Information 1 Lead and Healthy Housing Conferences Page 2 of 6 ► Exhibit Information ► Register Today! Conference Location & Hotel Information c®. ki� .c,..m raomarrat lhi 41l�. tat gsnort'llit Nis I! area. The Hilton is located at: 1001 Cass Street, Omaha, NE 68102. The Confer ence will be held at the Hilton Omah a located in the downt own A block of rooms has been reserved at a special conference rate of $149 for a single or double occupancy; $159 for a triple occupancy; and, $169 for a quad occupancy. These rates are available from check-in on Saturday, April 28th through check-out on Thursday, May 3rd based on availability. To be guaranteed the conference rate, reservations must be made by March 30, 2018. When making your reservation, be sure to tell the hotel that you are attending the Lead and Healthy Housing Conference. To make your hotel reservations, call the Hilton at 402.998.3400 or use the link below which will connect you with the Conference Hotel Reservations Page. http://healthyhousingconferences.com/2018-conference-location-hotel/ 1/26/2018 TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. STAFF ONLY LINE ITEM USED a 1't 3:t 6.-g5-3- 13440 FY201 BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance 717e) . 14"1/ Co. - De.artment NAME(S) AND POSITION(S): Maggie Howard-Heretakis DATE: April 9 -April 13, 2018 NAME OF CLASS / MEETING: 40 Hr Lead inspector/Risk Assessor Training DESTINATION: Des Moines DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE:RETURN DATE: DATE(S) q OF MEETING:rii 9-13 April 9, 2018 April 13, 2018 p PURPOSE OF TRAVELITRAINING: With the loss of one of our rehabilitation staff who had the Lead inspector Risk Assessor certificate, it is necessary for Community Development to train another key person in regards to the Lead Grant. The cost of this training will be paid for using lead grant funds. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: x CITY VEHICLE AIRFARE DEPARTING FROM: Carnegie Annex ESTIMATE OF COST: 500.00 LODGING 175.00 MEALS TAXI 100.00 PARKING 1100.00 REGISTRATION AIRFARE 100.00 MILEAGE/FUEL 25.00 MISCITOLLS TOTAL FOR ALL: $ 2000.00 PRIVATE VEHICLE 224-32-5853-1346 (900) BUDGET LINE ITEM: 224-325853-1390 (1100) x _ GRANT REIMBURSABLE YES NO BGLED.ADMN REQUIRED CERTIFICATION YES NO TOTAL: $ PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF,WATERLOO DEPARTME T HEA I APPROVE THIS TRAVEL REQUEST MAYOR /161 ht, DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 'i' 111 IOWA LEAD &ASBESTOS SAFETY 4725 Merle Hay Road, Suite 212 I Des Moines, IA 50322 515-331-1690 Bill To City of Waterloo 715 Mulberry St Waterloo, IA 50703 INVOICE 03/13/18 Invoice # 6303 REMIT TO: PO BOX 245 JOHNSTON, IA 50131 P.O. Number Class Date Item Description Quantity Rate Amount 04/09/18 04/09/18 Lead Inspector Lead Inspector 40 Hr Lead Inspector/Risk Assessor training class - Maggie Agency discount -1 1,500.00 400.00 1,500.00 -400.00 Subtotal $1,100.00 Payments/Credits $0.00 Balance Due $1,100.00 www.lowaLeadSafety.com I www.lowaAsbestosSafety.com 3/13/2018 Waterloo, IA to Merle Hay Rd, Iowa - Google Maps Waterloo, IA to Merle Hay Rd, Iowa West Bend Sioux Rnplds Plover ID Laurens la Albert City Pocahontas n .IIo Storm Lake Q Newell 71 Early 0 Sec City 0 0 Pomeroy O Monson 0 ✓ Rockwell City Odebolt Lake View Well Lake Lake City 0 Carroll Glidden vr. Manilla Manning ICC len :a Walnut Audubon 0 Elk Hem Exira Griswold Lu Verne Humboldt 0 Kanawha Goldfield Eagle Grove ii Fort Dodge Coalville Q GoWda Edmond 40 Latimer Clorlon Rowan Hampton t t Dows �J Sheffield Webster City 64 Komrar Jewell Dayton Stratford Story O Paton el • 64 Grand Scranton Jefferson Junction Coon Rapids Bagley 0 Panora u • Adair Casey: Stuart Anita Atlantic u rjU Fontanelle Massena 0 Orient k via US Hwy 63 S Best route Ogden Perry Iti9 I lebron Mackeburg via US -20 W and 1-35 S via US -20 W and US -65 S t h 58 min 1 192 miles 1 Nevado �Y lows Fells sr Ackley Drive 111 miles, 1 h 59 min Mamie Hem( 9 Greene Allison Parkersburg Madrid psi ¢ 2 h 5 min i 1125 miles Colo Maxwell Merle Hay Road Clive Des Moines kg Van Meter Winterset 0 ® 0 Manensdalo indmnola 5t Charles o ge Truro Liberty Colter Colfax Prairie City Na<_huo Waverly Janesville Cedar roils Dike :'fa1- Id Grundy Center Reinbeck Conrad Marshalltown 19 Newton Pella Pleasantville 0 Knoxville Mel cher. DaIlas n Sully l-reaencxsourg Ls) West Sumner Q 0 Foy Oelwein W81er100 JesuP Indepondenc La Pore City C)21e Dysart 0r 0 Corr Vinton Toledo rr ,�tt Van Horne Tama 0 i?o} as C623 Belle Plain Grinnell C3 Brooklyn Victor Montezuma Wolk Marengo Homcsre. Williamsburg Nonh English New Sharon Thornburg a Wenn, What Cheer KCOta 11 ai Slgourney 57 Oskaloosa rnnwwn Hedrick /e Map data ©2018 Google 10 mi 1 h 59 min 111 miles 1 h 58 min 132 miles 2h5min 125 miles https://www.goog!e.cam/maps/dir/Water!oo,+IA/Mer!e+Hay+Rd,+Iowa/@42.0690412,-93.5664891,9z/data=!3m1 !4b 1 !4m 13!4m 12! 1 m5!1 m 1 !1 s0x87e54... 1/1 IHG Let's reserve it. Holiday Inn & Suites Des Moines -Northwest 4/9/2018 - 4/13/2018 1 1 Best Price Guarantee Your Rate Take advantage of our best and least restrictive publicly available rate. Changes to your reservation are usually acceptable, but always check the hotel's cancellation policy before booking for cancellation fees that may apply depending upon arrival date and hotel selected. STANDARD ROOM Best Flexible Rate Average Nightly Rate 104.99 USD per room, per night. Maximum # of Persons per Room Allowed 3 persons max Rate Information per Night for 1 Room Mon Apr 09 2018 -Fri Apr 13 2018 104.99 USD Price for 1 room(s) and 4 night(s): 419.96 USD 50.40 USD Taxes: 470.36 USD Total Price: Rate Rules Check -in -time: 3:00 PM Check -out -time: 11:00 AM Taxes and Additional Charges 12% per night not included in rate effective 9 April, 2018 thru 13 April, 2018 5PCT STATE TAX AND 7PCT LOCAL OCCUPANCY Other Charges your stay The following fees will be added to your bill only if they apply to 20.00 USD Pet Fee: Parking Car Parking Available Pet Policy Weight limit of 50Ibs. Pet must remain crated when unattended. Average Est Room Total Per Night: 104.99 USD Estimated Total: 470.36 USD Guest Information Already an IHG°Rewards Club member? Sign in to earn your points and save time with automatic form completion. * Indicates required field First Name* Last Name*