071218 Premier Elect Bid BondiA
BID BOND --
Brooklyn Park, MN 55443
OWNER (Name and Address):
City of Shorewood
5755 Country Club Road
S orewoo , MN 553
BID
BID DUE DATE: 1uly12, 2018
PROJECT (Brief Description Including Location):
Shorewood Boulder Bridge MCC Replacement; City Contract #18 -01
BOND
BOND NUMBER: Bid Bond
DATE (Not later than Bid due date): July 12, 2018
PENAL SUM: Ten Percent of Total Amount Bid
(Words)
10%
(Figures)
IN WITNESS WHEREOF, Surety and Bidder, intending to be legally bound hereby, subject to the terms printed on
the reverse side hereof, do each cause this Bid Bond to be duly executed on its behalf by its authorized officer,
agent, or representative, %ivpOl s
BIDDER
P,remie Electrical Corporation Seal
6 iddeei Name a d`Corporate Seal
By:
�.
ColieOlsoftnature and Title President
LonniefBellin' Si�tureand Title Sec /Treas
SURETY
Mutual Insurance Com
Surety's Natne d Corporate Seal ACV
By: C44
Sandra M. Engstrum Signature and Tid
Attorney -in -Fact y ttach Power of Attorney,,'`�
Attest -
Signature and Title
Lin Ulven, Surety Account Representative
Note: (l) Above addresses are to be used for giving required notice.
(2) Any singular reference to Bidder, Surety, OWNER or other party shall be considered plural where
applicable.
Shorewood, Minnesota 004313-1 BID SECURITY
Boulder Bridge MCC
Replacement
z
Bidder and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and
assigns to pay to OWNER upon default of Bidder the penal sure set forth on the face of this Bond. Payment of the
penal sum is the extent of Bidder's and Surety's liability. Recovery of such penal sum under the terms of this
Bond shall be Owner's sole and exclusive remedy upon default of Bidder.
2. Default of Bidder shall occur upon the failure of Bidder to deliver within the time required by the Bidding
Documents (or any extension thereof agreed to in writing by OWNER) the executed Agreement required by the
Bidding Documents and any performance and payment Bonds required by the Bidding Documents.
3. This obligation shall be null and void if
3.1. OWNER accepts Bidder's Bid and Bidder delivers within the time required by the Bidding Documents (or any
extension thereof agreed to in writing by OWNER) the executed Agreement required by the Bidding
Documents and any performance and payment Bonds required by the Bidding Documents, or
3.2. All Bids are rejected by OWNER, or
3.3. OWNER fails to issue a Notice of Award to Bidder within the time specified in the Bidding Documents (or
any extension thereof agreed to in writing by Bidder and, if applicable, consented to by Surety when required
by paragraph 5 hereof).
4. Payment under this Bond will be due and payable upon default by Bidder and within 30 calendar days after receipt
by Bidder and Surety of written notice of default from OWNER, which notice will be given with reasonable
promptness, identifying this Bond and the Project and including a statement of the amount due.
5. Surety waives notice of and any and all defenses based on or arising out of any time extension to issue Notice of
Award agreed to in writing by OWNER and Bidder, provided that the total time for issuing Notice of Award
including extensions shall not in the aggregate exceed 120 days from Bid due date without Surety's written
consent.
6. No suit or action shall be commenced under this Bond prior to 30 calendar days after the notice of default required
in paragraph 4 above is received by Bidder and Surety and in no case later than one year after Bid due date.
7. Any suit or action under this Bond shall be commenced only in a court of competent jurisdiction located in the state
in which the Project is located,
8. Notices required hereunder shall be in writing and sent to Bidder and Surety at their respective addresses shown on
the face of this Bond. Such notices may be sent by personal delivery, commercial courier or by United States
Registered or Certified Mail, return receipt requested, postage pre -paid, and shall be deemed to be effective upon
receipt by the party concerned
9. Surety shall cause to be attached to this Bond a current and effective Power or Attorney evidencing the authority of
the officer, agent or representative who executed this Bond on behalf of Surety to execute, seal and deliver such
Bond and bind the Surety thereby.
10. This Bond is intended to conform to all applicable statutory requirements. Any applicable requirement of any
applicable statute that has been omitted from this Bond shall be deemed to be included herein as if set forth at
length. if any provision of this Bond conflicts with any applicable statute, then the provision of said statute shall
govern and the remainder of this Bond that is not in conflict therewith shall continue in full force and effect.
11. The term "Bid" as used herein includes a Bid, offer or proposal as applicable.
Shorewood, Minnesota
Boulder Bridge MCC
Replacement
004313-2 BID SECURITY
t
CORPORATE ACKNOWLEDGMENT
r
State of Minnesota )
} ss
County of
On this 12th day of July 2018 , before me appeared Colin Olson ,
tome personally known, who, being by me duly sworn, did say that he /she is the President:
of Premier Electrical Corporation , a corporation, that the seal affixed to the
foregoing instrument is the corporate seal of said corporation, and that said instrument was executed in
behalf of said corporation by authority of its Board of Directors, and that said Colin Olson
acknowledged said instrument to be the free act and deed of said corporation.
ANTHONY J. PERVENANZE
Notary Public- Minnesota
F�gfires Jan 31.2020
State of Minnesota )
1ss
County of Hennepin }
Notar /Public W r; t lA V County,
My commission expires l / ?' Z o
SURETY ACKNOWLEDGMENT
On this 12th day of July 2018 , before me appeared Sandra M. En estrum ,
to me personally know, who being by me duly sworn, did say that (s)he is the Attorney -in -Fact of
Liberty Mutual Insurance Company , a corporation, that the seal
affixed to the foregoing instrument is the corporate seal of said corporation and that said instrument was
executed in behalf of said corporation by authority of its Board of Directors, and that said
Sandra M. En strum acknowledged said instrument to be the free act and deed of said corporation.
r �
,.� LINDA K. FRENCH
t '
NOTARY Pt]131 IC - ANVNE90TA
j My Commission Expires
�•�'' January 31, 2020
Y
Notary Public washington County, Minnesota
My commission expires 131/2020
This Power of Attorney limits tine acts of those named herein, and they have no authority to fund the Company except In the manner and to the extent heroin stated. Nat
valid for mortgage, note, Ian, letter of credit, bank depatt, currency rate, interest rate or residual value guarantees. To confirm the validity of Oda Power of Attorney all
610$SA41210 between 2-00 am and 1:0 pm EST on any business day.
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duty organized under the laws of the Stale of New Harr"Noe, that
Liberty Mutual Insurance Company is a corporation duly orgadzed under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly
Organized under the laws of the State of Indiana (herein colectvety called Me'Companiesl, pursuant to and by auhorty herein set foM, does hereby name, constitute and appoint„ &
of the city of Minneaoals state of Minmi its true and
had:
Principal Name: Premier Electrical Cornoratlon
oblfgee flame; QU of Shorewood
with full power and au%* hereby Conferred to sign, execute and acknowledge the following surety
Surety Bond Number: Bid Bond Bond Amount: A%
IN WITNESS WHEREOF, fts Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
(hereto this 22nd day of giggler berm 2217.
J *L 1NSLq INSUp�y�F � u+surritic� Liberty Mutual Insurance Company
~ `
1912 = 1919 ; 1991 We edcan Insurance Company
thAr2 �Y �arAN► By:
r * * David .'Carey, Asstatant Secretary
STATE OF PENNSYLVANIA
COUNTY OF MOPITOOMERY
On this 2&W_ day al 5, eotem6er, &17, before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of L>berty Mutual Insurance Company,
The Ohio Casually Company, and West American Insurance Company, and that fie, as such, being authorized so to do, execute the foregoing instrument for the purposes therein
Contained by signing on behalf of the corporations by himself as a duly, auhorized officer.
IN WITNESS WHEREOF, I have hereunto subscr W my name and affixed mV notarial seal at King of Prussia, Pennsylvania, on the day and year first above written.
�9-p,WP A-9T0. COMMONWEALTH Of PENNSYLVANIA
�P w s e NdanM sew
OF Tame& Pinww. Hoary PUW By:
Upper Mahn UP- M-04-wry County Teresa Pastels, Lary Public
v My CWWAS ion ruapM'et MOM 2e, 2021
4FiV P+' MWOW. PenmirlTa" AaodaWnof Notukf
This Power of made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Camp". Berry Mutual
Insurance Cogwq, and West American Insurance Company which resolutions are now in full face and elfed reading as follows:
ARTICLE IV - OFFICERS - Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and
subject to such limitation as One Chairman at the President may prescribe, shat appoint Such aucmeys*rlact, as may be necessary b act in behalf of the Corporation to make, execute,
seal, acknawledge and delver as surety any and all undertakngs, bonds, recognizances and other surety obligations. Such atGOmeys- intact, subject to the Imitations set font in their
respective powers at atemey, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.
When so executeol, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority graded to any representative or al omey-
Mad under th provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or offrers grading such power or authority.
ARTICLE 1i1111- Exec" of Contracts - SECTION 5. Surety Bads and Undertakings. Any officer of the Company autor¢ed for that purpose in writing by the chairman or the
president, and subject to such limitations as the chairman or the president may prescribe, shat appoint such attomeysmin44 as may be necessary to act in behalf of the Company to
make. execute, seat, acknowledge and delver as surety any and all undertakings, bonds, recogn¢ances and other surety obligations. Such attorneys- h-lact subject to the limitations set
forth in their respective powers of attorney, Shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seat of The
Company. When so executed such instruments shat be as binding as d signed by the president and attested by the Secretary.
Certificate of Oesignatlon - The President of the Company, acting pursuant to the By-laws of the Company, autodzes David M. Carey, Assurn Secretary to appoint such attorneys-
in-fad as may be necessary to ad an behalf of tie Company b make, execute, sal, acknowledge and delver as surety any and all undertakings. bonds, recognizarrces and other
Surety obligations.
Authorization - By unarimous Consent of the Company s Board of Directors, the Company consents that facsimile or mechanialy reproduced signature of
any assistant secretary at
the Company. wherever appearing upon a Certified copy of any power of attorney issued by the Company in connection with surely bads, shall be vald and binding upon the Company
with the same force and effect as though manually affixed.
I. Renee C..Ueweflyn, the undersigned. Assistant Secretary, The Ohio Casualty Insurance Company. Liberty Mutual insurance Company, and West American Insurance Company do
heroby cettfy that the original power of attorney of which the foregerg is a kul, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and
has not been raked. ,
IN TEST111MY WHEREOF, I have hereunto set my hand and affixed these* of said Companies this 12th day o f July 201$
' � 1NSUq�a J ki INSU"a *�hNSl/q,�h
.^ ° ° 1919 i 1991 9 By.
7. i��...
4 2 1912 2 a° 0 �e �, ? e e C. Ue r8lant Secretary
SECTION 00 45'19 - NON - COLLUSION AFFIDAVIT
STATE OF Minnesota
COUNTY OF Hennepin
€ hereby swear (affirm) under penalty or perjury:
1. That I am the Bidder (if Bidder is an individual), a partner in the Bidder (if Bidder is a
partnership), or an officer or employee of the Bidder (if Bidder is a corporation) having
authority to sign on its behalf,
2. That the attached Bid or Bids have been arrived at by the Bidder individually and have been
submitted without collusion with, and without any agreement, understanding or planned
common course or action with any vendor of materials, suppliers, equipment, or services
described in the invitation to bid designed to limit individual bidding or competition;
3. That the contents of this Bid or Bids have not been communicated by Bidder or its employees
or agents to any person not an employee or agent of the Bidder or its surety on any bond
furnished with the Bid or Bids, and will not be communicated to any such person, prior to any
official opening of the Bid or Bids; and
4. That € have fully informed myself regarding the accuracy of the statements made in this
affidavit.
y Colin Olson
Signature of Bidder
President
Position
Premier Electrical Corporation
Company Name
7/12/2018
Date
Subscribed and sworn before me this
END OF SECTION
4 day of M. IV 20fiE_
d
ta'
,.
ANTHONY J. PERVENANZE
Notary Public- Minnesota
41•�..,� Expires Jan 31.20¢0
Shorewood, Minnesota 004519-1 NON - COLLUSION AFFIDAVIT
Boulder Bridge MCC Replacement
Minnesota Department of Labor and Industry
Construction Codes and Licensing Division
443 Lafayette Road N
Saint Paul, MN 55155
1
NOTIQES
NOT TRANSFERABLE
CHANGE YOUR BUSINESS STRUCTURE
SUBMR A NEW APPLICATION FOR NEW ENTITY
RENEW OR REPLACE INSURANCE POLICY
SUBMIT NEW CERTIFICATE OF INSURANCE
Licensing and Certification Services
Phone: 651.384.3034
Email: DLI.License6state.mmus
Website: www.dli.mn.gov /ccld.asp
PREMIER ELECTRICAL. CORPORATION
4401 85TH AVE N
BROOKLYN PARK, MN 55443
>NOTIFY THE DEPARTMENT OF A CHANGE IN YOUR SUSINESS `"'�
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`Faiiare to do "so, subjects you to administrative penalties oi' Wfo V10 00.' -=r
15.0ay Notice Requiramentns,eiblepnli '�. '/'` �"�`, z
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• Change iti busindi.,phy)c$I-s(ddress, matliiig•addr s hone number; ocemail address
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g ra ability insurance or workers oo ns"si6� rasu'"r
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•oicsion Notice.censed canfractot has "10 daja provide written notioe :that it'hastn f rind guiliytelo
misdefneartorn misdemeanor or any ooriiparable offe/n �rela -,tQ - the ic4np�M�y�i�nd_uding'� conviixiona ° off- .p''f_r_aud'" ;
fJ -- �-;�misi�pras�nt6r�On, fiifsuse of fltnds,,theR,'Criminal saxu@i 4f funds; ortheR of r ..
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YOLII1l`C�R�flf'ICATE i5'BELOW THE PERFORATION. bW � RTIFlCA1 WHEN OBYAININ0 PERMITS.
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LABOR & INDUSTRY
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wwebWe d Gar eNon �Moss1; y ,mot Ya1M1 ROW N a Psul MN 5655
Thu is 10 oertrt�r,ttrat the eertii'icate holder is Ikensad as a CLASS A ELEC Minnesom Gird ism' ;
eomplianoe with Minnesota Statutes 3268.33, Subd. 14. and may perform or ofrer to perform`any electripil aodc in ali aieaa of the state
during the license period, provideli:t'Iur eesPonsrTile in rid l a6 ll a MA5TER A
m9 .0 Y r� f °, ELWtitIC[AN and fhc
compliance with the tired rneraJ liabi_"ari�i'n' oompeaaaeion laws: •�= SOO n ;
License • CIA 88 A ELECTRICAL CONTRACTOR
Uc. Number : EA-001457 PREMIER ELECTRICAL CORPORATION f ti
fl3V01P�018 85TH AVE N
- Expinattiorte D:,. ate ` 0 � 4401 � : "
{ 2�5�020 BROOKLYN PARK, MN 55443.'_;,55,-
VERIFY URTO -DATE ST/LS; B+OAICAT
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