HomeMy WebLinkAboutSupplemental Attachments - 4/2/2018 Amended Council Agenda Item
Council Meeting
Monday, April 2, 2018
Item 1.B.2.d to include Sunday Sales to read as follows:
The Snack Shack, 4335 Texas Street
Class: B Native Wine/C Beer
New Application Does no include Sunday
Expiration Date: 3/31/2019
Reason: Item amended to reflect submitted application.
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CITY OF WATERLOO , IOWA
CITY ATTORNEY'S OFFICE
715 Mulberry Street • Waterloo,IA 50703 • (319)291-4327 Fax(319)291-4286
•
April 2, 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 April 2, 2018.
Of the 6 bonds submitted, were approved and were rejected, as
shown on the attached list.
Very truly yours,
David R. Zellhoefer
Waterloo City Attorney
DRZ:sda
CITY WEBSITE:www.cityofwaterlooiowa.com
WERE WORKING FOR YOU!
An Equal Opportunity/Affirmative Action Employer
BONDS FOR COUNCIL APPROVAL
APRIL 2, 2018
AMOUNT 515 000.00
HUDSON, IA
RIGHT OF WAY CONSTRUCTION BON s. JgNESVILLE, IA
�,�;.
900418841 ALL STAR PLUMBING AND HEATING ST CLOUD, MN
7
7900314398 COUNTRY BUILDERS
ILITY CONCEDAR FALLS, IA
150256685 DIG AMERICAN UTTRACTING INC. �� CEDAR RAPIDS, IA
DIRTWORKS CONSTRUCTION LLC
--1A5112742 EVANSDALE, IA
7900433961 REX CONCRETE INC.
--7900452189 ROBERT LUCAS dba LUCAS ASPHALT PAVING
RIGHT OF WAY CONSTRUCTION BOND
No. 7900418841
Applicant's Telephone Number: 319-988-3253
KNOW ALL MEN BY THESE PRESENTS:
That(1), (We), All Star Phunbin.,and Heatin
Of 926 Dale Dr Hudson A
Street City State
as Principal, and Nationwide Mutual Insurance Company of
Des Moines IA
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 All Star Plumbing and Heating of
Hudson to 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, 20 18 , through April 30, 20 19
Witness our hands this 3rd day of January 20 18
All Star Plumbing and Heating
PLEASE MAIL TO: PRINCiP
By:
City of Waterloo, Iowa
Engineering Department Printed Name: SCIAAII&Y+
715 Mulberry Street
Waterloo, IA 50703 Nationwide Mutual Insurance Company _
SURETY
By:
Attorney-in-fact Cassia%4cKittrick
Updated 1-24-00
PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND.
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Nationwide
Power of Attorney
KNOW ALL MEN BY THESE PRESENTS THAT:
Nationwide Mutual Insurance Company,an Ohio corporation AMCO Insurance Company,an Iowa corporation
National Casualty Company,an Ohio corporation Allied Property and Casualty Insurance Company,an Iowa corporation
hereinafter referred to severally as the"Company"and collectively as"the Companies'does hereby make,constitute and appoint:
Cassie McKittrick
each in their individual capacity,its true and lawful attorney-in-fact,with full power and authority to sign,seal,and execute on its behalf any and all bonds and
undertakings,and other obligatory instruments of similar nature,in penalties not exceeding the sum of
Fifteen"Thousand Dollars($15,000.00)
and to bind the Company thereby,as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Company;and all acts
of said Attorney pursuant to the authority given are hereby ratified and confirmed.
This power of attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company:
"RESOLVED,that the president,or any vice president be,and each hereby is,authorized and empowered to appoint attorneys-in-fact of the Company,
and to authorize them to execute and deliver on behalf of the Company any and all bonds,forms,applications,memorandums,undertakings,
recognizances,transfers,contracts of indemnity,policies,contracts guaranteeing the fidelity of persons holding positions of public or private trust,and other
writings obligatory in nature that the business of the Company may require;and to modify or revoke,with or without cause,any such appointment or
authority;provided,however,that the authority granted hereby shall in no way limit the authority of other duly authorized agents to sign and countersign any
of said documents on behalf of the Company."
'RESOLVED FURTHER,that such attorneys-in-fact shall have full power and authority to execute and deliver any and all such documents and to bind the
Company subject to the terms and limitations of the power of attorney issued to them,and to affix the seal of the Company thereto;provided,however,that
said seal shall not be necessary for the validity of any such documents."
This power of attorney is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company.
Execution of Instruments.Any vice president,any assistant secretary or any assistant treasurer shall have the power and authority to sign or attest all
approved documents,instruments,contracts,or other papers in connection with the operation of the business of the company in addition to the chairman of
the board,the chief executive officer,president,treasurer or secretary,provided,however,the signature of any of them may be printed,engraved,or
stamped on any approved document,contract,instrument,or other papers of the Company.
IN WITNESS WHEREOF,the Company has caused this instrumento belsealedby the signature of its officer the I st day of
May 2017 . 4)-fel
,n►'r-;, 40. Antonio Albanese, Vice President of Nationwide Mutual Insurance Company, National
�,�w:wro+� M�� Casualty ompany,AMCO Insurance Company,Allied Property and Casualty Insurance Company
;:SEAL`0 *-SEAL..A ACKNOWLEDGMENT
�Djutsus�'i' � ES STATE OF NEW YORK COUNTY OF NEW YORK.ss
On this Ist day of May 2017 ,before me carne the above-named officer for the
Company aforesaid,to me personally known to be the officer described in and who executed the
�.� preceding instrument,and he acknowledged the execution of the same,and being by me duly
�sua j ♦euxuuKr 7
�, sworn,deposes and says,that he is the officer of the Company aforesaid,that the seal affixed
opa�tT�yc hereto is the corporate seal of said Company,and the said corporate seal and his signature were
�o duly affixed and subscribed to said instrument by the authority and direction of said Company.
1i4 / :SEAL, BARRY T.BASSIS
` *At Notary Public,State of New York
SEAL
No.02BA4656400 .
Dhio ` AOIMfS, �'
Qualified in New York County Notary Public
7 Commission Expires April 30,2019 nay Gommissipn Expires
CERTIFICATE April 30,2018
1,Laura B.Guy,Assistant Secretary of the Company,do hereby certify that the foregoing is a full,true and correct copy of the original power of attorney issued
by the Company;that the resolution included therein is a true and correct transcript from the minutes of the meetings of the boards of directors and the same has
not been revoked or amended in any manner;that said Antonio C.Albanese was on the date of the execution of the foregoing power of attorney the duly elected
officer of the Company,and the corporate seal and his signature as officer were duly affixed arid subscribed to the said instrument by the authority of said board
of directors;and the foregoing power of attorney is still in full force and effect.
IN WITNESS WHEREOF,I have hereunto subscribed my name as Assistant Secretary,and affixed the corporateI of said Company this 3rd day of
January 0th
This power of attorney expires: April 30,2019
Assistant Secretary
BDJ 1(05-17)00
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RIGHT OF WAY CONSTRUCTION BOND
No. 7900314398
Applicant's Telephone Number: `1&''7- 223
KNOW ALL MEN BY THESE PRESENTS:
That (1), (We), Country Builders
of 2671 Clay Ave. Janesville IA
Street City State
as Principal, and Nationwide Mutual Insurance Company of
Des Moines IA
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 Country Builders of
Janesville to 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, 20 18 , through April 30, 20 19
Witness our hands this 3rd day of January —, 20 18
Country Builders
PRINCIPAL
PLEASE MAIL TO:
City of Waterloo, Iowa
Engineering Department Printed Name: ")-y d-,-
715 Mulberry Street
Waterloo, IA 50703 Nationwide Mutual Insurance Company _
SURETY By: Gio4�,7n
Attorney-in-fact Lassie MeX ittrick
Updated 1-24-00
PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND.
8�s
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zzNationwide
zzj
Power of Attorney
KNOW ALL MEN BY THESE PRESENTS THAT:
Nationwide Mutual insurance Company,an Ohio corporation AMCO Insurance Company,an Iowa corporation
National Casualty Company,an Ohio corporation Allied Property and Casualty Insurance Company,an Iowa corporation
hereinafter referred to severally as the"Company"and collectively as"the Companies"does hereby make,constitute and appoint:
Cassic McKittrick
each in their individual capacity,its true and lawful attorney-in-fact,with full power and authority to sign,seal,and execute on its behalf any and all bonds and
undertakings,and other obligatory instruments of similar nature,in penalties not exceeding the sum of
Fifteen`Thousand Dollars($15,000.00)
and to bind the Company thereby,as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Company;and all acts
of said Attorney pursuant to the authority given are hereby ratified and confirmed.
This power of attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company:
"RESOLVED,that the president,or any vice president be,and each hereby is,authorized and empowered to appoint attorneys-in-fact of the Company,
and to authorize them to execute and deliver on behalf of the Company any and all bonds,forms,applications,memorandums,undertakings,
recognizances,transfers,contracts of indemnity,policies,contracts guaranteeing the fidelity of persons holding positions of public or private trust,and other
writings obligatory in nature that the business of the Company may require;and to modify or revoke,with or without cause,any such appointment or
authority;provided,however,that the authority granted hereby shall in no way limit the authority of other duly authorized agents to sign and countersign any
of said documents on behalf of the Company."
"RESOLVED FURTHER,that such attorneys-in-fact shall have full power and authority to execute and deliver any and all such documents and to bind the
Company subject to the terms and limitations of the power of attorney issued to them,and to affix the seal of the Company thereto;provided,however,that
said seal shall not be necessary for the validity of any such documents."
This power of attorney is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company.
Execution of Instruments.Any vice president,any assistant secretary or any assistant treasurer shall have the power and authority to sign or attest all
approved documents,instruments,contracts,or other papers in connection with the operation of the business of the company in addition to the chairman of
the board,the chief executive officer,president,treasurer or secretary;provided,however,the signature of any of them may be printed,engraved,or
stamped on any approved document,contract,instrument,or other papers of the Company.
IN WITNESS WHEREOF,the Company has caused this instrumento belsealed an my attested by the signature of its officer the tst day of
May 2017
Antonio Albanese, Vice President of Nationwide Mutual Insurance Company, National
♦�uuw�srtgq� ,,l�,�uur
��as• ��� .�� Casualty ompany,AMCO Insurance Company,Allied Property and Casualty Insurance Company
Ar ,r
/i.SEAL ,O ACKNOWLEDGMENT
ffl..Hsris. AV o * /' STATE OF NEW YORK,COUNTY OF NEW YORK:ss
On this Ist day of fvlay 20i; the above-named officer for
Company aforesaid,to me personally known before ee
o be the officer described in and who executed the
preceding instrument,and he acknowledged the execution of the same,and being by me duly
Casualt ,rvtitywuar �� sworn,deposes and says,that he is the officer of the Company aforesaid,that the seal affixed
o�
CPA r�yCo X` waraw hereto is the corporate seal of said Company,and the said corporate seal and his signature were
s:y
;_� duly affixed and subscribed to said instrument by the authority and direction of said Company.194 /:SEAL =
BARRY T.BASSIS
.'•. . Notary Public,State of New York
a ±Qh0i1(ES,\ * No.02BA4656400
Qualified in New York County J
lic
Commission Expires April 30,2019 Notary on E
My Commission Expires
CERTIFICATE April 30,2019
1,Laura B.Guy,Assistant Secretary of the Company,do hereby certify that the foregoing is a full,true and correct copy of the original power of attorney issued
by the Company;that the resolution included therein is a true and correct transcript from the minutes of the meetings of the boards of directors and the same has
not been revoked or amended in any manner;that said Antonio C.Albanese was on the date of the execution of the foregoing power of attorney the duly elected
officer of the Company,and the corporate seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority of said board
of directors;and the foregoing power of attorney is still in full force and effect.
IN WITNESS WHEREOF,I have hereunto subscribed my name as Assistant Secretary,and affixed the corporates al of said Company this 3rd day of
January 2012
This power of attorney expires: _ap,il 30,2019
BDJ 1(05-17)00 Assistant Secretary
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n
RIGHT OF WAY CONSTRUCTION BOND
No. W150256685
Applicant's Telephone Number: _ 320-253=3447
KNOW ALL MEN BY THESE PRESENTS:
That (1), (We), Dig America Utility Contracting Inc. _
of 25135 22nd Ave St Cloud , MN
Street City State
as Principal, and Old Republic Surety Company of
445 S Moorland Rd, Suite 200 Brookfield, WI 53005
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 tiuiy 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 Dig America Utility Contracting Inc. of
25135 22nd Ave St Cloud, MN 56301 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 ali 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, 20 18 , through April 30, 20 19
Witness our hands this 25th day of January 20 18
Dig America Utility Contracting Inc.
PRINCIPAL
PLEASE MAIL TO:
By:
City of Waterloo, Iowa
Engineering Department Printed Name: Dig America Utility Contracting 1
715 Mulberry Street
Waterloo, IA 50703 Old Republic Surety Company
`,e�Q�euc,89,1
SURETY
Attorney-in-fact
Updated 1-24-00
PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND.
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OLD REPUBLIC SURETY COMPANY
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:That OLD REPUBLIC SURETY COMPANY,a Wisconsin stock insurance corporation,does make,constitute and
appoint: Roberta S.Witherow of Brookfield,WI
its true and lawful Attorney(s)-in-Fact,with full power and authority, not exceeding $10,000,000, for and on behalf of the company as surety, to execute and
deliver and affix the seal of the company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof,
(other than bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note
guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, asbestos abatement contract bonds, waste
management bonds,hazardous waste remediation bonds or black lung bonds),as follows: Effective Date:4/30/2018 12:00:00 AM
Bond Number:W150256685 Bond Amount: Fifteen Thousand Dollars $15,000.00
Principal Name:Dig America Utility Contracting Inc.
Obligee Name:City of Waterloo Engineering Dept of Waterloo, IA
and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys-in-Fact, pursuant to these presents,are ratified and confirmed.
This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982.
This Power of Aitorney is signed and sealed by facsimile under and by the authority of the tollowing resolutions adopted by the board of directors of the OLD
REPUBLIC SURETY COMPANY on February 18,1982.
RESOLVED that the president, any vice president or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint
attorneys-in-fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case,for and on behalf of the company to
execute and deliver and affix the seal of the company to bonds,undertakings, recognizances,and suretyship obligations of all kinds;and said officers may
remove any such attorney-in-fact or agent and revoke any Power of Attorney previously granted to such person.
RESOLVED FURTHER that any bond,undertaking,recognizance,or suretyship obligation shall be valid and binding upon the Company
(i) when signed by the president,any vice president or assistant vice president, and attested and sealed(if a seal be required) by any secretary or assistant
secretary;or
(ii) when signed by the president,any vice president or assistant vice president,secretary or assistant secretary,and countersigned and sealed(if a seal be
required)by a duly authorized attorney-in-fact or agent;or
(iii) when duly executed and sealed (if a seal be required) by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority
evidenced by the Power of Attorney issued by the company to such person or persons.
RESOLVED FURTHER that the signature of any authorized officer and the seal of the company may be affixed by facsimile 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 affixed.
IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer,and its corporate seal to be
affixed this 25th day of January 2018
I?I OLD REPUBLIC SUR TY COMPANY
WO�ooRroR�. 0 S
o[ SEAL >`
roe, Y
Assistant Secretary President
nooa\
STATE OF WISCONSIN,COUNTY OF WAUKESHA-SS
On this 25th day of January 2018 personally came before me, Alan Pavlic
and Jane E.Cherney to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY
who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn,did severally depose and say:that
they are the said officers of the corporation aforesaid,and that the seal affixed to the above instrument is the seal of the corporation,and that said corporate seal
and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation.
ra�.
T!40 rA"
Notary Public
My Commission Expires: 09/28/2018
CERTIFICATE (Expiration of notary's commission does not invalidate this instrument)
I,the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation,CERTIFY that the foregoing and attached
Power of Attorney remains in full force and has not been revoked; and furthermore, that the Resolutions of the board of directors set forth in the Power of
Attorney,are now in force.
0402077 eJc suREr`'o.,
, c
SEAL >'€ Signed and sealed at the City of Brookfield,WI this 25th day of January 2018
aS :
ORSC 22262(3-06) "'rrn*unn,"o`"c`�
Assistant Secretary
KLEIN AGENCY, INC.
RIGHT OF WAY CONSTRUCTION BOND
No. TA5112742
Applicant's Telephone Number:
KNOW ALL MEN BY THESE PRESENTS:
That (1), (We), DIRTWORKS CONSTRUCTION LLC
of 7227 N UNION RD CEDAR FALLS Iowa
Street 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,
to the payrnont of which sum, viol! 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 boundenDIRTWORKS CONSTRUCTION LLC of
CEDAR FALLS,fA 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 fires 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 _ _ _February_ 2018
DIRTWORKS CONSTRUCTION LLC
PRINCIPAL
PLEASE MAIL TO:
By:
City of Waterloo, Iowa
Engineering Department Printed Name_ fii HatI U
715 Mulberry Street
Waterloo, IA 50703 � ,_ �r, 1`nerchants Bonding Company(Mutual)
:~ SURETY
e B
Attorne -in-fact
Updated March 2017 �. y William Warner Jr.,Attorney-in-Fact
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:
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;
d the bond is signed by the principal;
d the correct address for the principal is included;
d surety's address is correct;
y 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);
e 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;
e 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.
MER
C HANl t,..J
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,
Margaret Heasley
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 day of February 2018
MERCHANTS BONDING COMPANY(MUTUAL)
.•` �10 Nq o�
;��:�0 4j . 2 « q ,.��• MERCHANTS NATIONAL BONDING,INC.
_0_ 01 .r.; -n- :
2003 1933 By
•.. C:`
•�'•�`�� , •�: •'• 'j�r •�."'��•' 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.
��,iA4 ALICIA K.GRAW
Commission Plumber 767430 _
y Commission Expires
Aprii 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 .
P . . < ��N ... ,�
_0_ :O; .
rte':' -0- r*t;
••R'' 2003 v`�- •6': 1933 [' ' Secretary
POA 0018 (3/17) ��'"•......•••'� `'••b•••'
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RIGHT OF WAY CONSTRUCTION BOND
NO. 7900433961
Applicant's Telephone Number: 319-377-1067
KNOW ALL MEN BY THESE PRESENTS:
That U>, (We). REX Concrete Inc
of . Cedar Rapids LA
Street City State
aSPrincipal, and Nationwide Mutual Insurance Company of
Des Moines 1A
as Surety, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, in the penal
sum o/ nr / ccm /nuuS*mu DOLLARS ($/u.00u.uu) lawful money of the United States of America,
to the payment of which Sunn, well and U0k/ to be made, the Principal herein hnn|y binds (himself)
(herself) (themselves) their heirs, executors and 8dnninietnat0na, and the said Surety binds
themselves, their SuooeSSOrn, assigns, executors and adnniniStroturS, jointly and aover8||y, firmly by
these presents.
THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH that, by the provisions of the
Ordinances of the City of Waterloo, |ovva. e 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, |Ovva, before one may
engage in construction, reconstruction or excavation in the public right of way in said City.
N[}VV, THEREF[)RE, if the above bounden REX Concrete Inc of
Cedar Rapids /» will faithfully perform any and all duties
and 3U|Ue by any and all regulations required by Said Ordinances regulating the C0nStruction,
n*COn3trU{tiOD and excavation projects within soid 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), Mhenn\. Or 3
violation of said Ordinances occurring during the life of this bond; and if (he), /SheA. (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 o0nop|8bng the vvOrk' then this obligation to be null and void,
otherwise to remain in full force and effect.
The effective date ofthis Bond inK8ay1. 2 . through April 38. 2 |Q
Witness our hands this day of January . 20
REX Concrete Inc
PLEASE MAIL TO:
City ofWaterloo, Iowa /
Engineering Department P'� ~a�dNonne: --
715Mulberry Street
Waterloo, IA 50703 Nationwide Mutual Insurance Company
Attorney-in-fact cuxnicxxcxitmcx
Updated 1-24-00
PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BON[).
Nationwide'
Power of Attorney
KNOW ALL MEN BY THESE PRESENTS THAT:
Nationwide Mutual Insurance Company,an Ohio corporation AMCO Insurance Company,an Iowa corporation
National Casualty Company,an Ohio corporation Allied Property and Casualty Insurance Company,an Iowa corporation
nereinafter referred to severally as the"Company"and collectively as"the Companies'does hereby make,constitute and appoint:
Cassie McKittrick
each in their individual capacity,its true and lawful attorney-in--fact,with full power and authority to sign,seal,and execute on its behalf any and all bonds and
undertakings,and other obligatory instruments of similar nature,in penalties not exceeding the sum of
Fifteen Thousand Dollars($15,000.00)
and to bind the Company thereby,as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Company;and all acts
of said Attorney pursuant to the authority given are hereby ratified and confirmed.
This power of attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company:
"RESOLVED,that the president,or any vice president be,and each hereby is,authorized and empowered to appoint attorneys-in-fact of the Company,
and to authorize them to execute and deliver on behalf of the Company any and all bonds,forms,applications,memorandums,undertakings,
recognizances,transfers,contracts of indemnity,policies,contracts guaranteeing the fidelity of persons holding positions of public or private trust,and other
writings obligatory in nature that the business of the Company may require;and to modify or revoke,with or without cause,any such appointment or
authority;provided,however,that the authority granted hereby shall in no way limit the authority of other duly authorized agents to sign and countersign any
of said documents on behalf of the Company."
'RESOLVED FURTHER,that such attorneys-in-fact shall have full power and authority to execute and deliver any and all such documents and to bind the
Company subject to the terms and limitations of the power of attorney issued to them,and to affix the seat of the Company thereto;provided,however;that
said seal shall not be necessary for the validity of any such documents."
This power of attorney is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company.
Execution of Instruments.Any vice president,any assistant secretary or any assistant treasurer shall have the power and authority to sign or attest all
approved documents,instruments,contracts,or other papers in connection with the operation of the business of the company in addition to the chairman of
the board,the chief executive officer,president,treasurer or secretary:provided,however,the signature of any of them may be printed,engraved,or
stamped on any approved document,contract,instrument,or other papers of the Company.
IN WITNESS WHEREOF,the Company has caused this instrumento betsealed an my attested by the signature of its officer the I et day of
May 2017
0'- ,� >� Antonio Albanese, Vice President of Nationwide Mutual Insurance Company, National
Casualty ompany,AMCO Insurance Company,Allied Property and Casualty Insurance Company
0,€SEAL * * SEAL' ACKNOWLEDGMENT
Ir a * ,/ STATE OF NEW YORK,COUNTY OF NEW YORK:ss
� On this ist day of May 201/ ,before me came the above-named officer for the
t=
Company aforesaid,to me personally known to be the officer described in and who executed the
r�busu
•a►'Aly preceding instrument,and he acknowledged the execution of the same,and being by me duly
Gasual ... A sworn,deposes and says,that he is the officer of the Company aforesaid,that the seal affixed
cP OAarF o tti.' Q°u4"r hereto is the corporate seal of said Company,and the said corporate seal and his signature were
duly affixed and subscribed to said instrument by the authority and direction of said Company.
BARRY T.BASSIS
1 ' Notary Public,Public,State of New York
x SEAL * f
Ohio �\�MOIiiES� No.02BA4656400
otr U. Qualified in New York County Notary Public
Commission Expires April 30,2019 My Commission Expires
CERTIFICATE April 30,2019
1,Laura B.Guy,Assistant Secretary of the Company,do hereby certify that the foregoing is a full,true and correct copy of the original power of attorney issued
by the Company;that the resolution included therein is a true and correct transcript from the minutes of the meetings of the boards of directors and the same has
not been revoked or amended in any manner;that said Antonio C.Albanese was on the date of the execution of the foregoing power of attorney the duly elected
officer of the Company,and the corporate seal and his signature as officer were duly affixed and subscribed to the said irstrument by the authority of said board
of directors;and the foregoing power of attorney is still in full force and effect.
IN WITNESS WHEREOF,I have hereunto subscribed my name as Assistant Secretary,and affixed the corporates al of said Company this 3rd day of
January 2016 /%
This power of attorney expires: �pr;l 30,2019
Assistant Secretary
BDJ 1(05-17)00
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RIGHT OF WAY CONSTRUCTION BOND
No. 7900452189
Applicant's Telephone Number: 3/G - 1_3Y-
KNOW ALL MEN BY THESE PRESENTS:
That (1), (We), Robert Lucas DBA Lucas Asphalt Paving
of 701 Timber Oak Evansdale IA
Street City State
as Principal, and Nationwide Mutual Insurance Company of
Des Moines lA ,
as Surety, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, i,- 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 Robert Lucas DBA Lucas Asphalt Paving of
Evansdale lA 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, 20 18 , through April 30, 20 19
Witness our hands this 3rd day of January , 20 18
Robert Lucas DBA Lucas Asphalt Paving
PRINCIP 1
PLEASE MAIL TO:
By:
City of Waterloo, Iowa
Engineering Department Printed Name: Prc)go r L404
715 Mulberry Street
Waterloo, IA 50703 Nationwide Mutual Insurance Company
SURETY �n
By: &,, � /
Attorney-in-fact Cassie McKittrick
Updated 1-24-00
PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING-BOND.
A �• Y fT F
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-Nationwide
Power of Attorney
KNOW ALL MEN BY THESE PRESENTS THAT:
Nationwide Mutual Insurance Company,an Ohio corporation AMCO Insurance Company,an Iowa corporation
National Casualty Company,an Ohio corporation Allied Property and Casualty Insurance Company,an Iowa corporation
hereinafter referred to severally as the"Company"and collectively as"the Companies'does hereby make,constitute and appoint:
Cassie McKittrick
each in their individual capacity,its true and lawful attorney-in-fact,with full power and authority to sign,seal,and execute on its behalf any and all bonds and
undertakings,and other obligatory instruments of similar nature,in penalties not exceeding the sum of
Fifteen"Thousand Dollars($1.5,000.00)
and to bind the Company thereby,as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Company;and all acts
of said Attorney pursuant to the authority given are hereby ratified and confirmed.
This power of attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company:
"RESOLVED,that the president,or any vice president be,and each hereby is,authorized and empowered to appoint attorneys-in-fact of the Company,
and to authorize them to execute and deliver on behalf of the Company any and all bonds,forms,applications,memorandums,undertakings,
recognizances,transfers,contracts of indemnity,policies,contracts guaranteeing the fidelity of persons holding positions of public or private trust,and other
writings obligatory in nature that the business of the Company may require;and to modify or revoke,with or without cause,any such appointment or
authority;provided,however,that the authority granted hereby shall in no way limit the authority of other duly authorized agents to sign and countersign any
of said documents on behalf of the Company."
"RESOLVED FURTHER,that such attorneys-in-fact shall have full power and authority to execute and deliver any and all such documents and to bind the
Company subject to the terms and limitations of the power of attorney issued to them,and to affix the seat of the Company thereto;provided,however,that
said seal shall not be necessary for the validity of any such documents:"
This power of attorney is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company.
Execution of Instruments.Any vice president,any assistant secretary or any assistant treasurer shall have the power and authority to signor attest all
approved documents,instruments,contracts,or other papers in connection with the operation of the business of the company in addition to the chairman of
the board,the chief executive officer,president,treasurer or secretary;provided,however,the signature of any of them may be printed,engraved,or
stamped on any approved document,contract,instrument,or other papers of the Company.
IN WITNESS WHEREOF,the Company has caused this instrumento be ealed an my attested by the signature of its officer the I St day of
May 2017
Antonio Albanese, Vice President of Nationwde Mutual Insurance Company, National
jss• !x0ty�� Casualty ompany,AMCO Insurance Company,Allied Property and Casualty Insurance Company
SEAL;* ACKNOWLEDGMENT
�+ At
fJ STATE OF NEW YORK,COUNTY OF NEW YORK:-ss
�o oa a'•• k ./
\�!� * '+W On this 1st day of May 2017 ,before me came the above-named officer for the
Company aforesaid,to me personally known to be the officer described in and who executed the
,r�� preceding instrument,and he acknowledged the execution of the same,and being by me duly
Caslty �sbr'ri. sworn,deposes and says,that he is the officer of the Company aforesaid,that the seal affixed
cP�OR+r� l� ' vice0pwf s hereto is the corporate seal of said Company,and the said corporate seal and his signature were
s duly affixed and subscribed to said instrument by the authority and direction of said Company,
i14 .SEAL'=
BARRY T.BASSIS
SEAL w'•., �� Notary Public,Slate of New York !�
Qhia ���EfhQ �\�tt1'' No.02BA4656400 ,J
-ty V. Qualified in New York County Notary Public
Commission Expires April 30,2019 My Commission Expires
CERTIFICATE April 30,2019
1,Laura B.Guy,Assistant Secretary of the Company,do hereby certify that the foregoing is a full,true and correct copy of the original power of attorney issued
by the Company,that the resolution included therein is a true and correct transcript from the minutes of the meetings of the boards of directors and the same has
not been revoked or amended in any manner;that said Antonio C.Albanese was on the date of the execution of the foregoing power of attorney the duly elected
officer of the Company,and the corporate seat and his signature as officer were duly affixed and subscribed to the said instrument by the authority of said board
of directors;and the foregoing power of attorney is still in full force and effect.
IN WITNESS WHEREOF,I have hereunto subscribed my name as Assistant Secretary,and affixed the corporates al of said Comppanny'(t,7his 2rd day of
January tots � ""'
This power of attorney expires: April 30,2019 --
BDJ 1(05-17)00 Assistant Secretary
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