HomeMy WebLinkAboutSupplemental Attachments - 6/25/20187,416,916.30 1
City of Waterloo
Finance Committee Open Invoice Report
For June 5 2018 Approval
Finance Committee Accounts Payable Open Invoice Report Total
As of Friday, June 22nd, 2018
EFT Transactions:
Wells Fargo
Bank Fees
Friday Total 5,145,443.21
Add: Wellmark Weekly Claims
'Subtotal - as of Monday, June 25, 2018
Remove Ambulance Refund
1,617,181.36
3, 521, 772.21
6,489.64
215, 025.43
Workers Compensation Issued by TPA
Housing Authority Housing Assistance EFT's
Housing Authority Housing Assistance EFT's
Payroll
ATE Citation Expenses-GATSO
(364.80)
5,360,103.84 1
2,751.76
805.80
368,529.95
1,678,028.95
6,696.00
1Bill Payment Total - Monday June 25, 2018
o Cou.rrc . members r3 °cia ed entities:
TRAVEL REQUEST
CITY OF WATERLOO
NAME(S) AND POSITION(S):
Inv. Berry Inv. Gerzma(CFPD)
DATE
6/1418
FINANCE DEPT. STAFF ONLY
010-11-1160-1512-
11TRI-TRIF telM y
ia7Crao6.? Acle o
LINE ITEM USED
FY _2018 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Tr .mel It/Fr,en,ee
/304 /34h
ofro
W b//5 -1k
Cel 0,kertn,e.,t
NAME OF CLASS / MEETING:
Cellular Analysis Survey Team C.A.S.T.
DEPARTURE DATE:
June 25, 2018
DESTINATION: Omaha, Nebraska
DEPARTURE POINT
IF NOT WATERLOO:
Return Date:
June 28th, 2018
DATE(S) OF MEETING:
June 26-28, 2018
PURPOSE OF TRAVEL:
Major Leibold is requesting authorization to send Investigators Berry and Gerzma (CFPD) to Cellular Analysis
Survey Team C.A.S.T. in Omaha, Nebraska on June 25-281h, 2018. Participants will receive a full day of
training from subject matter experts on gathering evidence in today's communications landscape and two full
days of training from the FBI Cellular analysis survey team. The cost of the training has been approved by the
Board of the Tri -County Drug Task Force and will be paid for with Task Force funds funds. A city vehicle will be
needed for this training.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
x COST $
YES NO
METHOD OF TRAVEL:
x CITY VEHICLE
AIRFARE
DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
$900.00 LODGING .00
$316.00 MEALS .00
$.00 REGISTRATION .00
$130.00
Fuel/mileage .00
Parking
Shuttle/taxi
AIRFARE
Baggage fee
TOTAL FOR ALL: $ 1346.00
BUDGET LINE ITEM:
x GRANT REIMBURSABLE
YES NO
x REQUIRED CERTIFICATION
YES NO
TOTAL: $ 673.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
DEPARTMENT HEAD
I APPROVE THIS TRAVEL REQUEST
1 olkicib
yuk,-- On,
MAYOR
L
DATE DATE
TRA ♦ EL REQUEST
CITY OF WATERLOO
NAME(S) AND POSITION(S):
Inv. Sadd & Inv. Jurgensen
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-11-1100-1345
(2 31 V
FY _2018 BUDGETED AC -00 `"(II -
EXPENDED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
7$9 dfr
Co. - De•artment
DATE:
6/19/18
NAME OF CLASS / MEETING:
Travel to Norfolk/Chesapeake, Va for ongoing investigation
DEPARTURE DATE:
6/13/18
DESTINATION Norfolk/Chesapeake, Virginia
DEPARTURE POINT
IF NOT WATERLOO:
Return Date:
6/15/18
DATE(S) OF MEETING:
June 13-15, 2018
PURPOSE OF TRAVEL: Inv. Sadd and Inv. Jurgensen travelled to Norfolk/Chesapeake, Virginia for an ongoing
investigation on June 13-15, 2018.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
x COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE
AIRFARE DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
$318.08 LODGING $222.55 Car rental
$160.37.00 MEALS $ PARKING
$.00 REGISTRATION $50.00 Baggage Fee
$ MILEAGE/FUEL MISC/TOLLS
TOTAL FOR ALL:
$751.00
BUDGET LINE ITEM:
x GRANT REIMBURSABLE
YES NO
x REQUIRED CERTIFICATION
YES NO
TOTAL: $ $375.50 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATE - 00
n
.• P•4.-
DEPARTMEV HEA
��19/IS
DATE
I APPROVE THIS TRAVEL REQUEST
MAYOR
12,c7
DATE
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 0/0/2- J44XJ? /3 t6
FY(/ hY' BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
.c9s°
Co. - Department
NAME(S) AND POSITION(S):
Pat Treloar, Fire Chief
DATE:
June 12, 2018
NAME OF CLASS / MEETING:
Missouri Valley Fire Chiefs Conference
D EPARTURE DATE:
July 19, 2018
D ESTINATION: Davenport, Iowa
D EPARTURE POINT
IF NOT WATERLOO:
RETURN DATE:
July 20, 2018
P URPOSE OF TRAVEL/TRAINING:
Attend the International Association of Fire Chiefs Conference in Davenport, Iowa.
DATE(S) OF MEETING:
July 19, 20, 2018
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE
AIRFARE
DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
220.00 LODGING
MEALS
375.00 REGISTRATION
MILEAGE/FUEL
TOTAL FOR ALL: $ 595.00
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 010-121400-1346
X GRANT REIMBURSABLE
YES NO
X REQUIRED CERTIFICATION
YES NO
TOTAL: $ 595.00
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESS4RrAND B NEFICIAL TO THE
CITY OF WI TER 00
DEPARTMENT HEAD
kt- la/ e
DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
I APPROVE THIS TRAVEL REQUEST
MAYOR
DATE
lekc
Frickson Bros. Excavating
737 Colleen Ave.
ti°ansdale, Iowa
50707
Bill To
Waterloo Water Works
325 Sycamore Street
Waterloo, Iowa
50704
Invoic
Date
invoice #
12/18/2017
1913
P.O. No.
Terms
Project
Quantity
Description
Rate
Amount
Pavebox Replaceme for Waterloo.W,ar
ter Works
r
418 Bayard
Used tractor backhoe labor dig:. : in parking to replace box -rod with stainless
steel rod and new b = $575.00.
575.00
575.
12/19/17 28,7 Ansboro
Used tractor backh. .,.. , labor digging at pavebox to replace with new box- stainless
steel rod= $5715:00.
575.00
- 575.
1525 w.2nd. Street
Used tractor backhoe and . • : . i 11' _ .t . axebox. Top of
curbstop broke. Installed
4' of 3/4" copper and
873.43
873.
new 3/4" compress '• curbstop, 1-3/4" coms on coupling,
-pebox�stainless steel rod= $873.43.
neyav
179 w. 18th.Street
Used breaker to remove concrete from bike trail= $150.00
150.00
150.
Used tractor backhoe and Iabor digging to install 2 new stainless steel
rods-pavebox=$850.00
850.00
850.
Used 5/8" rebar and 1 yd of concrete for bike concrete replacement= $193.00.
193.00
193.
Used dump truck to remove concrete= $125.00.
125.00
125.
- - — - __
�..__
- ..-L"
Tota -le --orf of jolt= f
_
We Appreciate Your Business. Thank You.
Total
$3,341.
CITY OF WATERLOO, IOWA
CITY ATTORNEY'S OFFICE
715 Mulberry Street • Waterloo, IA 50703 • (319) 291-4327 Fax (319) 291-4286
June 21, 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 June 21, 2018.
Of the 3 bonds submitted, —3 were approved and Q were rejected, as
shown on the attached list.
Very truly yours,
Waterloo City Attorney
DRZ:sda
CITY WEBSITE: www.cityofwaterlooiowa.com
WE'RE WORKING FOR YOU!
An Equal Opportunity/Affirmative Action Employer
BONDS FOR COUNCIL APPROVAL
June 25, 2018
RIGHT OF WAY CONSTRUCTION BOND AMOUNT $15,000.00
-- IA5130763 GARY MILLER dba GARY MILLER CONSTRUCTION WATERLOO, IA
7900442914 JOSH JEBE dba JEBE CONSTRUCTION WATERLOO, IA
3398548 MAEBURG CONSTRUCTION LLC WATERLOO, IA
RIGHT OF WAY CONSTRUCTION BOND
No.
IA5130763
Applicant's Telephone Number: (319) 290-4614
KNOW ALL MEN BY THESE PRESENTS:
That (I), (We),
Gary Miller dba Gary Miller Construction
of 206 Bishop Ave Waterloo Iowa
Street
as Principal, and
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 boundenGary Miller dba Gary Miller Construction 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 June 14,2018 , through April 30, 2019
Witness our hands this 14th day of
PLEASE MAIL TO:
City of Waterloo, Iowa
Engineering Department
715 Mulberry Street
Waterloo, IA 50703
Updated March 2017
June
2018
Construction
Printed NapFie: Gary Miller
Merchants Bonding Company (Mutual)
By: -.c.- f�''r� . <?.• ��-
Attorney-in-fact William Warner Jr.,Attorney-in-Fact
PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND.
LP 0467 IA (2/17)
MERCHANT`
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 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-Attomey 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 14th day of
•••.•`P..10Ng'
4%..
STATE OF IOWA
COUNTY OF DALLAS ss.
On this this 14th day of June , 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.
.:?. Cpl,..
0�. pOA ,A .
• c., q�9y.�:
. co .
•
: c• 1933 .:c: By
• d •;a .
June , 2018
MERCHANTS BONDING COMPANY (MUTUAL)
MERCHANT ft NATIONAL BONDING, INC.
President
/owl-
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 14th day of June , 2018 .
"10N G •.
pN, q� . .• pNN •.c y4A..
•
_o- :�: :tom'.;= ft" •
:QZ: •z: -o .3'
v'. 2003 : �; • y 1933 •
POA 0018 (3/17)
Secretary
RIGHT OF WAY CONSTRUCTION BOND
No. 7900442914
Applicant's Telephone Number:
KNOW ALL MEN BY THESE PRESENTS:
That (1), (We), Josh Jebe DBA Jebe Construction
3 tci `q 04 —? ;&s -
of 813 Fairview Ave. , Waterloo IA
Street City State
as Principal, and Nationwide Mutual Insurance Company
Des Moines IA
of
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 Josh Jebe DBA Jebe Construction 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, 20 18 , through April 30, 20 19 .
Witness our hands this 3rd day of January
PLEASE MAIL TO:
City of Waterloo, Iowa
Engineering Department
715 Mulberry Street
Waterloo, IA 50703
, 20 18 .
Josh Jebe DBA Jebe Co ' .truction
PRINCIPAL
By:
Printe• lame:
Nationwide Mutual Insurance Company
SURETY
By: (G cettic-
Attorney-in-fact
Cassie IvicKittrick
Updated 1-24-00
PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND.
Nationwide
KNOW ALL MEN BY THESE PRESENTS THAT:
Nationwide Mutual Insurance Company, an Ohio corporation
National Casualty Company, an Ohio corporation
Power of Attorney
AMCO Insurance Company, an Iowa 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 instrument o be ealed an.. my attested by the signature of its officer the 1st day of
May 2017 .
0:f SEAL ` 0
tetztior
fri
ort..` '•. _�
/;SEAL:
..... 0.-
Antonio Albanese, Vice President of Nationwide Mutual Insurance Company, National
Casualty ompany, AMCO Insurance Company, Allied Property and Casualty Insurance Company
ACKNOWLEDGMENT
STATE OF NEW YORK, COUNTY OF NEW YORK: ss
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
preceding instrument, and he acknowledged the execution of the same, and being by me duly
sworn, deposes and says, that he is the officer of the Company aforesaid, that the seal affixed
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
Notary Public, State of New York
No. 02BA4656400
Qualified in New York County
Commission Expires April 30, 2019
Notary Public
My Commission Expires
CERTIFICATE April 30, 2019
I, 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 corporate seal of said Company this
January 2018
This power of attorney expires: April 30, 2019
BDJ 1(05-17)00
3rd day of
Assistant Secretary
RIGHT OF WAY CONSTRUCTION BOND
NO. 3398548
Applicant's Telephone Number:
KNOW ALL MEN BY THESE PRESENTS:
That (I), (We), Maeburg Construction LLC
of PO Box 371
(319) 610-3605
Waterloo Lei
Street
as Principal, and SureTec Insurance Company
City State
1330 Post Oak Blvd, Ste 1100 Houston, TX 77056
of
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 Maeburg Construction LLC of
PO Box 371 Waterloo, IA 50704 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 18th day of June 2018
PLEASE MAIL TO:
City of Waterloo, Iowa
Engineering Department
715 Mulberry Street
Waterloo, IA 50703
Maeburg Construction LLC
PRINCIPAL
By:
Printed Name:
Adam Burg
SureTec Insurance Company
SURETY
By:
Updated March 2017 Attorney-in-fact David Gonsalves
PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING
POA #: 3398548
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make, constitute and appoint David Gonsalves
its true and lawful Attorney-in-fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for:
Principal: Maeburg Construction LLC
Obligee: City of Waterloo
Amount: $15,000.00
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President, sealed with the corporate
seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney -in -Fact may do in the
premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec
Insurance Company:
Be it Resolved, that the President, any Vice -President, any Assistant Vice -President, any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney -in -Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and
deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney -in -Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20th of April,
1999)
In Witness Whereof, SURE 1'EC INSURANCE COMPANY has caused these presents to be signed by its President, and its corporate seal
to be hereto affixed this 6th day of April, A.D. 2017.
State of Texas
County of Harris
ss:
SURETEC I RANC ^ CO► NY
By:
John Knoxf"., Presid : t
On this 6th day of April, A.D. 2017 before inc personallyacme John Knox, Jr., to me known, who, being by me ly sworn, did depose and say, that he
resides in Houston, Texas, that he is President of SURETEC INSURANCE COMPANY, the company descried in and which executed the above
instrument; that he knows the seal of said Company; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the
Board of Directors of said Company; and that he signed his name thereto by like order.
4: PV4ii JACQUELYN GREENLEAF
°• I.: Notary Public, State of Texas
F,4P Comm. Expires 05-18-2021
4,,,,,oNotary ID 126903029
Ja uelyn Greenleaf, Notary Public
My commission expires May 18, 2021
1, M. Brent Beaty, Assistant Secretary of SURETEC INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney, executed by said Company, which is still in full force and effect; and furthermore, the resolutions of the Board of Directors. set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this 18th day : June , 018
, A.D.
LIIF
1
M. Brent J:
eaty, Assistant Secretary
Any instrument issued in excess of the penalty stated above is totally void and without any validity.
For verification of the authority of this power you may call (713) 812-0800 any business day between 8:00 am and 5:00 pm CST.