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Home My WebLink About2015-05-27 CC Packet erviffe CITY OF CENTERVILLE COUNCIL MEETING, WORK SESSION & CLOSED EXECUTIVE SESSION AGENDA Wednesday, May 27, 2015— Set Agenda =Red 6:30 p.m. or shortly thereafter OPEN FORUM 6:30 P.M.: An opportunity for members of the public to address the City Council on items not on the current agenda. Items requiring Council action may be deferred to Staff or Boards and Commissions for research and future Council Agendas if appropriate. You will be limited to two (2) minutes and we ask that you conduct yourself in a professional, courteous manner and refrain from the use of profanity. Failure to abide by this policy may result in the loss of your privilege to speak. Persons wishing to speak will be required to complete a sign-up sheet and give it to the Mayor or a Staff person prior to 6:15 p.m. COUNCIL MEETING I. CALL TO ORDER 1. Roll Call II. PLEDGE OF ALLEGIANCE III. APPOINTMENTS/PRESENTATION IV. PUBLIC INPUT V. APPROVAL OF AGENDA APPROVAL OF MINUTES 1. May 13,2015 City Council Meeting Minutes (Pages 1-8) VII. CONSENT AGENDA 1. City of Centerville May 14,2015 through May 27,2015 Claims (Check#29464-29476) (Page 9) 2. Centennial Lakes Police Department Claims through May 14, 2015 (Check #10368-10393) (Page 10) 3. Centennial Fire District Claims through May 20,2015 (Check#6942-6969) w/(Check#6945-6949) Payroll (Pages 11-12) 4. Encroachment Agreement—Shed,7387 Old Mill Road(Pages 13-16) 5. The Church of St.Genevieve Request for Special Event Permit Application—On Private Property—Annual Chicken Dinner,6995 Centerville Road (Waive Fees), Subject to Liquor Liability Insurance,August 16,2015 (Pages 17-26) a. Temporary Liquor License— 10:00 a.m.—6:00 p.m. b. Temporary Charitable Gambling License, (Bingo,Raffle& Pull-Tabs) VIII. OLD BUSINESS "' NEW BUSINESS X. COUNCIL &ADMINISTRATION ANNOUNCEMENTS 1. Administrator Report 2. Council& Staff Reports XI. RECESS TO WORK SESSION XII. WORK SESSION 1. Health Insurance (Blended or Age Based Rates),Mr.Al Roth,AT Group XIII. CLOSED EXECUTIVE SESSION (Closed Unless Otherwise Opened) 1. Brimeyer/Fursman, Six (6) Month Review—Administrator XIV. ADJOURNMENT *REMINDERS** Planning&Zoning Commission Meeting—June 2, 2015, 6:30 p.m. (Council Chambers) Parks &Recreation Committee Meeting—June 3, 2015, 6:30 p.m. (Council Chambers) City Council Meeting—June 10, 2015, 6:30 p.m. (Council Chambers) City Council Meeting—June 24, 2015, 6:30 p.m. (Council Chambers) Cub Scout Rocket Launch—June 6, 2015, LaMotte Park—8-12:00 (Will Work w/Wu Long) 2015 City Wide Garage Sale Days—June 12 & 13, 2015 2015 Clean Up Day—June 20, 2015, LaMotte Park, 6970 LaMotte Drive, 8:00— 12:00(noon) Fete des Lacs 5, 8K's & Kids Fun Run—July 25, 2015 (Around Centerville Lake and Out and Back) Out Run Homelessness, 5, 8K's&Kids Run/Walk—September 19, 2015 (Around Centerville Lake and Out and Back) CHS Diamond in the Rough 5K& l OK Run/Walk— September 26, 2015 (Around Centerville Lake and Out and Back) CITY OF CENTERVILLE CITY COUNCIL MEETING May 13,2015 6:30 p.m. Pursuant to due call and notice thereof,the City of Centerville held their regularly scheduled meeting of May 13, 2015 at City Hall, 1880 Main Street. PRESENT: Mayor Tom Wilharber Council Member King Council Member Jeff Paar Council Member D. Love Council Member Ben Fehrenbacher ABSENT: None N3 'i STAFF: City Administrator Mike Ericson Legal Counsel Kurt Glaser Engineer Mark Statz(Arrived @ 7:21 p.m.) I. CALL TO ORDER Mayor Wilharber called the meeting to order at 6:30 p.m. II. PLEDGE OF ALLEGIANCE III. APPOINTMENTS/PRESENTATION 1. Centennial School District Superintendent Mr. Brian Dietz Superintendent Dietz introduced himself and additional staff that were in the audience to Council: Scott Johnson, Executive Director of Teaching and Learning, Bryan Carlson — Principal of Rice Lake Elementary, Mike Christianson - Director of Technology, Krista Bergert — Director of Public Information and Community Outreach. Superintendent Dietz provided an overview of the schools, areas of academics, accolades of our students and the staff in general, and the high school's rating of P highest performing high school in the State. Superintendent Dietz also mentioned that Centennial has two (2) elementary schools that have been designated as Title 1 schools. Superintendent Dietz briefly discussed the AVID (Advancement Via Individual Determination) programs offered to 9a' through 11d' graders to attend college classes stating that the district is partnering with the Minnesota State University, Mankato which prepares high school students for college and other postsecondary opportunities. The partnership also provides a pipeline of teachers into the class room through the creation of a strong mentorship program. 1 City of Centerville Council Meeting Minutes May 13,2015 Superintendent Dietz thanked the community for their support for the recent school bond referendum allowing necessary repairs, upgrades to both classrooms and buildings within the district allowing for additional parking, classrooms, and security. Superintendent Dietz referred to the presented handouts by stating that the information contained in the folders are provided to new parents of students, students and contained a large amount of school specific information. He also stated that their annual report would be forthcoming in the summer and would explain where funding was spent. Superintendent Dietz expressed his appreciation to those parents that volunteer for either coaching sports or volunteering at the school levels. He also stated that Centerville Elementary School has the most volunteers in the District. Council Member Love commented that teaching and the education system is often a thankless job and he wanted to thank all those involved. Council Members Paar and Fehrenbacher also expressed their desires to have the Centennial High School band participate in the Fete des Lacs parade. Both Administrator Ericson and Mayor Wilharber thanked Superintendent Dietz and his staff for attending the meeting. IV. PUBLIC INPUT/HEARING 1. None. V. APPROVAL OF AGENDA Mayor Wilharber added Check#29454-29463 to Item#1 and Special Event Permit Application— Kelly's Korner/Southern Rail Parking Lots(Noise/On Sale Liq.)Item ii. August 3, 2014 Petition for Recommendations —Regulating Music @ Outdoor Public Events and 7. Special Assessment Agreement, Waiver of Hearing & Appeal — Water Access Charge (Unassessed Property) (Condition of Sale of Home to Connect—Will be Paid Out of Proceeds of Sale) under Consent Agenda. Motion by Council Member Love, seconded by Council Member Paar to approve the Agenda with the above stated amendments. All in favor. Motion carried. VI. APPROVAL OF MINUTES 1. April 22,2015 City Council Meeting Minutes Mayor Wilharber provided Council Members with an opportunity to amend the presented minutes. Page 2 of 8 2 City of Centerville Council Meeting Minutes May 13,2015 Motion by Council Member Fehrenbacher,seconded by Council Member Pam to approve the minutes of the April 22, 2015 City Council Meeting as presented. All in favor except Council Member King who abstained due to his absence of the meeting.Motion carried. VII. CONSENT AGENDA 1. City of Centerville April 23, 2015 through May 13, 2015 Claims (Check #29415-29453) w/Voided Check#29367 & (Check#29454-29463) 2. Centennial Lakes Police Department Claims through April 22, 2015 (Check #10349- 10367) 3. Centennial Fire District Claims through May 7, 2015 (Check #6888-6915) w/Payroll (Check#6879-6887) & (Check#6916-6941) 4. Centerville Lions a. Special Event Permit Application—LaMotte Park(Noise/On Sale Liq.) i. July 17, 2015—8:00 a.m.—Midnight/Noise 10:00 a.m.—Midnight/Temp. On Sale Liq. ii. July 18,2015—8:00 a.m.—Midnight/Noise 10:00 a.m.—Midnight/Temp. On Sale Liq. iii. July 19, 2015—8:00 a.m. —8:00 p.m./Noise 10:00 a.m.—8:00 p.m./Temp. On Sale Liq. b. Special Event Permit Application — Kelly's Korner/Southern Rail Parking Lots (Noise/On Sale Liq.) i. July 18, 2015—Noon—Midnight/Noise 6:00 p.m.—Midnight/Temp. On Sale Liq. C. Charitable Gambling Permit—Raffle(July 19, 2015, 3:00 p.m.) d. Transient Merchant, Peddler Application—Raffle Ticket Sales (June 19—July 19, 2015) 5. Successful Performance Evaluation — Mr. Paul Palzer, Public Works Director/Building Official(Completion of Year 21) 6. Hiring of Mr. Andrew Schweizter Seasonal Public Works/Parks Maintenance Worker 7. Special Assessment Agreement, Waiver of Hearing & Appeal — Water Access Charge (Unassessed Property) (Condition of Sale of Home to Connect—Will be Paid Out of Proceeds of Sale) Mayor Wilharber provided Council Members an opportunity to pull items from the Consent Agenda for additional discussion. Council Member King request that Item#4 be pulled for additional discussion and consideration. Motion by Council Member Fehrenbacher, seconded by Council Member Love,to approve Consent Agenda Items#1-3 & 5-7) as presented. All in favor. Motion carried. Item 4. Council Member King requested that the bass guitar sound of the band be limited and also had concern for security. Council Member King stated that earlier in the day he had contacted Lion President John Thill regarding these concerns and he was informed that Kelly's Korner hires the Page 3 of 8 3 City of Centerville Council Meeting Minutes May 13,2015 band for the event. Council Member King questioned why Kelly's was not submitting for a noise permit rather than and the Lion's and who was providing security for the event. Lengthy discussion ensued regarding the time period that the band should be allowed to play for. Lion President Thill stated that he desired to allow ample time for set up/warm up of the band and fend off any issues similar to last year with them starting prior to the time given. Mayor Wilharber questioned Council Member King regarding his concerns. Council Member King reiterated that he had concerns for security and levels of the base emitted by the band for numerous hours. Lion President Thill stated that the areas of Kelly's and Southern Rail parking lots would be fenced housing the band and allowing patrons of both establishments to mingle, they would be providing security due to the cost of hiring an outside entity to provide these services, they would ensure that Kelly's staff understands and assists in controlling base levels of the band and work in conjunction with the Centennial Lakes Police Department ensuring safety for the City, neighboring property owners and patrons. Attorney Glaser stated that the Centennial Lakes Police Department have specific laws to follow regarding the conduct of patrons and safety issues; barring expensive decibel reading equipment which the City nor the Police Department have access to there is no way of determining base amounts or excessive levels. Mayor Wilharber reiterated the request of the Centerville Lions Club as follows: Special Event Permit Application—LaMotte Park(Noise/On Sale Liq.) July 17, 2015 — 8:00 a.m. — Midnight/Noise 10:00 a.m. —Midnight/Temp. On Sale Liq. ; July 18, 2015 — 8:00 a.m. — Midnight/Noise 10:00 a.m. — Midnight/Temp. On Sale Liq. ; July 19, 2015 — 8:00 a.m. — 8:00 p.m./Noise 10:00 a.m.—8:00 p.m./Temp. On Sale Liq. Special Event Permit Application—Kelly's Korner/Southern Rail Parking Lots (Noise/On Sale Liq.)July 18, 2015 —Noon—Midnight/Noise, 6:00 p.m.—Midnight/Temp. On Sale Liq. Charitable Gambling Permit—Raffle (July 19, 2015, 3:00 p.m.)and Transient Merchant, Peddler Application—Raffle Ticket Sales(June 19—July 19, 2015). Council Member King requested that Lion President Thill update the City, Council or himself with regards to noise level discussions with Kelly's staff. Motion by Council Member Love,seconded by Council Member Paar to approve Item#4 Lengthy discussion ensued regarding the original requested Special Event Permit Application — Kelly's Korner/Southern Rail Parking Lots (Noise/On Sale Liq.) July 18, 2015 — Noon — Midnight/Noise. Several members of Council felt that sound checks of instruments, vocals, etc. would need additional time other than a half hour prior to the band being scheduled to commence playing for the event. Several members of Council felt that Council Member King was being too Page 4of8 4 City of Centerville Council Meeting Minutes May 13,2015 restrictive with his request and that adding the language "no continuous music" during the noon to 7:30 p.m. time period would be acceptable. Council Members Love and Paar accepted a friendly amendment to the motion with the added language "no continuous music" during the noon to 7:30 p.m. time period on July 18, 2015 at Kelly's Korner/Southern Rail Parking Lots. All in favor. Motion carried. VIII. OLD BUSINESS 1. Re-Affirmation of Final Plat—Center Villa Second Addition(11/12/2014 & 2/25/2015)— Recommendation from Planning&Zoning Commission a. Res. #15-018 — Authorizing the Mayor and City Clerk to Affix Their Signatures Upon the Approved Plat (Mylar) for the Center Villa Second Addition for Recording with the Anoka County Recorder's Office b. Amend Conditional Use Permit i. 3. Conditions, a) This Conditional Use Permit is not authorized until and unless the Plat for Center Villa Second Addition is properly recorded with Anoka County by"May 25, 2015". Administrator Ericson stated that the items were reconsidered at the Planning & Zoning Commission due to the delay of closing until May 25, 2015. Motion by Council Member Love, seconded by Council Member Fehrenbacher,to approve the Re-Affirmation of Final Plat—Center Villa Second Addition (11/12/2014 & 2/25/20151— Recommendation from Planning& Zoning Commission as presented. All in favor. Motion carried. IX. NEW BUSINESS 1. Res. #15-019 — Allocation of Expenditures Associated with the CSAH21/Centerville Road Reconstruction Project Administrator Ericson stated the presented resolution is recommended by Finance Director Paulseth subsequent to discussions with Engineer Statz. Motion by Council Member Fehrenbacher, seconded by Council Member Paar. to adopt Res. #15-019 — Allocation of Expenditures Associated with the CSAH21/Centerville Road Reconstruction Proiect as presented. Discussion ensued. Council Member King questioned the amount of reserves in the Enterprise Funds (Water/Sewer). Administrator Ericson stated that both of these funds will be monitored closely in the future with a reserve remaining. Page 5 of 8 5 City of Centerville Council Meeting Minutes May 13,2015 All in favor. Motion carried. 2. Res. #15-020 — Authorizing Unspent Budget and Excess Revenue from 2014 to Current Year Budget 2015 Parks & Recreation (Revenue 45201 & 45202, Expenditures 45200 & 45201 Funds) Administrator Ericson stated that this resolution is more of a formality and a Parks and Recreation request that the remaining budgeted amounts from 2014 be move forward to the 2015 budget. The amount that is remaining is $8,471.76. Council Member Love stated that he does not want to take away any dollar amount that Parks and Recreation have earned through their 5K and 8k runs, and continued to ask are these budgetary amounts -just budgetary dollars that they have not spent and this does not include the extra amount of dollars that we have included in this year's budget. Administrator Ericson stated yes. Council Member Love stated that he does not want to keep adding money into the budget when we have moved into the next year. Administrator Ericson stated that the basketball hoops have been already been purchase from those funds and the amount that is remaining is $3,000. Motion by Council Member King, seconded by Council Member Fehrenbacher, to adopt Res. #15-020 — Authorizing Unspent Budget and Excess Revenue from 2014 to Current Year Budget 2015 Parks & Recreation (Revenue 45201 & 45202, Expenditures 45200 & 45201 Funds) as presented. All in favor. Motion carried. X. COUNCIL&ADMINISTRATION ANNOUNCEMENTS 1. Administrator Report a. State Representative Linda Runbeck(Early Voting&Water Bills) Administrator Ericson stated that lacking by partisan support,the bill died. Administrator Ericson stated that the City of Hugo was working closely with State Representative Runback and Senator Chamberlain regarding the water bill and will report to Council shortly on the bills status. b. Reinhardt & Rivard Agreement - Administrator Ericson stated that both parties participated in mediation and a resolution is in progress with the construction of a new fence on the Rivard property with proper permitting. 2. Council & Staff Reports Council Member Fehrenbacher stated that at the recent Police Governing Board meeting, Chief Kohn had a successful review, renewed his annual contract and he received a raise equal to the percentage that union officers receive. Council Member Fehrenbacher also stated that the annual audit was recently completed and the new towing contractor for the Centennial Lakes Police Department is Twin City Towing. Mayor Wilharber stated that there was lengthy discussion of body cameras, costs, public versus private information and records retention requirements. Page 6of8 6 City of Centerville Council Meering Minutes May 13,2015 Council Member Paar reported that at the recent Fire Steering Committee discussion was held regarding their annual audit, grant funding reconciliation frequency, separation of duties, etc. Council Member Paar stated that it is anticipated that the Chief s position will be filled by the end of June and a new job description has been completed. Council Member Paar stated that the Interim Chief is Ms. Kathy Peil and would be receiving a retro-pay increase to April 12, 2015. Mr. Michael Schweigert, Recruitment Coordinator/Grant Administrator submitted his resignation and then rescinded it. Council Member Love stated that the Planning & Zoning Commission held their regularly scheduled meeting on May 5, 2015 where they discussed the re-affirmation of the plat for Center Villa Second Addition and discussed the Metropolitan Council Draft Water Resources Policy Plan. Mayor Wilharber stated that the Hugo Food Shelf would be holding a Grand Opening on June 4, 2015 from 5:00 p.m. — 7:00 p.m. and that there would be a ceremony at Bunker Hills Veterans Memorial on May 25,2015. City Engineer Statz reported to that the utilities, water, sewer and most of the storm sewer are completed or on schedule associated with the CSAH21/Centerville Road Reconstruction. He also stated that the rain has slightly slowed the project. Administrator Ericson stated that all Council Members had received a survey on behalf of Brimeyer/Fursman related to his sixth month review. He also stated that responses would be compiled by them for review at its scheduled Closed Executive Session on May 27, 2015. Attorney Glaser reminded Council and residents that it is National Law Enforcement Recognition Week. Motion by Council Member Paar, seconded by Council Member Fehrenbacher to adiourn to Closed Session at 7:33 p.m. All in favor. Motion carried. XI. CLOSED EXECUTIVE SESSION 1. Purchase Agreement—7212 Mill Road~Mr. Lou Suski, Gaughan Companies Lengthy discussion was had regarding outstanding assessments related to municipal sewer and water along with park dedication fees and how those would affect the pricing of the lot. Attorney Glaser was directed to complete additional research regarding the outstanding park dedication fee. Mr. Suski was instructed to counter offer the purchase price to be $50,000 with the inclusion of all outstanding fees. 2. Purchase Agreement— 1691/1695 Main Street—Mr. Lou Suski, Gaughan Companies Mr. Suski stated that the individuals that hold the current purchase agreement on the property with the City have also submitted a purchase agreement to the abutting property owners and they Page 7 of 8 7 City of Centerville Council Meeting Minutes May 13,2015 have declined their current offer. Mr. Suski stated that they desire to counter offer but feel they are paying too much for the City owned property. Mr. Suski was instructed to counter offer the purchase price to be reduced by $25,000 conditioned upon the City receiving utility easements, existing buildings being demolished and taxable market value guarantee (time & value) on both the City's and abutting parcels. 3. Purchase Agreement—7261 Main Street—Mr. Kurt Glaser Lengthy discussion ensued regarding the current purchase agreement, fees that have been paid, legal recourses, taxes and Attorney Glaser was instructed to research the financial benefits of placing the property back on the market versus enforcing the existing contract. Mayor Wilharber reconvened the regularly scheduled Council meeting at 8:40 p.m. X. ADJOURNMENT Motion by Council Member Fehrenbacher, seconded by Council Member Paar to Adiourn the Regularly Scheduled Council Meeting of May 13, 2015 at 8:41 p.m. All in favor. Motion passed. Transcribed by City Staff Member Kris Sweeney,Account Clerk II Page 8of8 8 CITY OF CENTERVILLE 05/21/1511:07 AM Page 1 Check Detail - May 27, 2015 Check _ Date Check# Vender Name Comments Amount 5/21/2015 000743E MINNESOTA DEPT OF REVENUE STATE W/H-PAY PERIOD 10 Check Nbr 000743 MINNESOTA DEPT OF REVENUE $939.82 5/21/2015 000744E WELLS FARGO H.S.A W/H-PAY PERIOD 10 Check Nbr 000744 WELLS FA RGO __ $1.052.07 5/21/2015 000745E IRS/EFTPS FED W/H-PAY PERIOD 10 $2,432.41 5/21/2015 000745E IRS/EFTPS FICA W/H-PAY PERIOD 10 $3,060.92 Check Nbr 000745 IWEFTPS $5,493.33 5/21/2015 000746E PERA PERA W/H-PAY PERIOD 10 Check Nbr 000746 PERA $2.670.87 5/5/2015 000747E PSN APRIL 2015 ACH CHARGES-MISC.PAYMENTS $10.33 5/5/2015 000747E PSN APRIL 2015 ACH CHARGES-WATER/SEWER $109.98 5/5/2015 000747E PSN APRIL 2015 ACH CHARGES-PERMITS&FEES $6.50 5/5/2015 000747E PSN APRIL 2015 ACH CHARGES-WATER/SEWER $32.95 5/5/2015 000747E PSN APRIL 2015 ACH CHARGES-WATER/SEWER $32.95 5/5/2015 000747E PSN APRIL 2015 ACH CHARGES-WATER/SEWER $109.9 8 Check Nbr 000747 PSN $302.69 5/27/2015 029464 ANOKA COUNTY CENTRAL COMMUNICA 2015 ANNUAL MOTOROLA 800 MHZ RADIO SERVICE CONTRACT Check Nbr 029464 ANOKA COUNTY CENTRAL COMMUNICA $145.92 5/27/2015 029465 COMCAST HIGH SPEED INTERNET $35.77 Check Nbr 029465 COMCAST 5/27/2015 029466 DELTA DENTAL COBRA-JUNE 2015 DENTAL $32.30 5/27/2015 029466 DELTA DENTAL JUNE 2015 DENTAL INS. X5_95 Check Nbr 029466 DELTA DENTAL $368.25 5/27/2015 029467 ESS BROTHERS AND SONS,INC. RISE ADJUSTMENT RING Check Nbr 029467 ESS BROTHERS AND SONS INC $172.50 5/27/2015 029468 HEALTH PARTNERS JUNE COBRA-HEALTH INS. $1,412.46 5/27/2015 029468 HEALTH PARTNERS JUNE HEALTH INS $3,416. Check Nbr 029468 HEALTH PARTNERS $4.829.00 5/27/2015 029469 INTERNATIONAL UNION OF OPERATI JUNE 2015 UNION DUES Check Nbr 029469 INTERNATIONAL UNION OF OPERATI $99.00 5/27/2015 029470 MET.COUNCIL ENV.SERV.(SDS) JUNE 2015 WASTEWATER SERVICE Check Nbr 029470 MET COUNCIL ENV SERV (SDS) $16.186.92 5/27/2015 029471 OLSON SEWER SERVICE,INC. 6970 LAMOTTE DR-REPAIR BROKEN PIPE Check Nbr 029471 OLSON SEWER SERVICE INC. $6.188.21 5/27/2015 029472 STANTEC CONSULTING SERVICES IN GENERAL-SERV THRU 5-1-15 $312.00 5/27/2015 029472 STANTEC CONSULTING SERVICES IN CSAH21 RECONSTRUCTION-SERV THRU 5-1-15 $469.00 5/27/2015 029472 STANTEC CONSULTING SERVICES IN GENERAL-SERV THRU 5-1-15 $275.00 5/27/2015 029472 STANTEC CONSULTING SERVICES IN GENERAL-SERV THRU 5-1-15 $455.50 5/27/2015 029472 STANTEC CONSULTING SERVICES IN 2015 THIN BITUMINOUS OVERLAY-SERV THRU 5-1-15 $1.301.10 Check Nbr 029472 STANTEC CONSULTING SERVICES IN $2.812.60 5/27/2015 029473 VERIZION WIRELESS EQUIPMENT&CELL PHONE SERV THRU 5-9-15 $353.22 5/27/2015 029473 VERIZION WIRELESS EQUIPMENT&CELL PHONE SERV THRU 5-9-15 $117.74 5/27/2015 029473 VERIZION WIRELESS EQUIPMENT&CELL PHONE SERV THRU 5-9-15 $117.74 5/27/2015 029473 VERIZION WIRELESS EQUIPMENT&CELL PHONE SERV THRU 5-9-15 $117.74 5/27/2015 029473 VERIZION WIRELESS CELL PHONE SERV-5-9-15-D LARSON4$ .48 Check Nbr 029473 VERIZION WIRELESS $752.92 5/27/2015 029474 XCEL ENERGY 7285 MAIN ST-SERV THRU 5-6-15 $44.45 5/27/2015 029474 XCEL ENERGY 1880 MAIN ST-SERV THRU 5-6-15 $1,053.38 5/27/2015 029474 XCEL ENERGY 6970 LAMOTTE DR-SERV THRU 5-6-15 $106.94 5/27/2015 029474 XCEL ENERGY 1600 LAMOTTE DR-SERV THRU 5-6-15 $127.06 5/27/2015 029474 XCEL ENERGY 1889 CENTER ST-SERV THRU 5-6-15 $19.57 5/27/2015 029474 XCEL ENERGY 7300 MILL RD-SERV THRU 5-6-15 $155.39 5/27/2015 029474 XCEL ENERGY 1600 LAMOTTE DR-WARMING HOUSE-SERV THRU 5-6-15 $15.85 5/27/2015 029474 XCEL ENERGY 1875 FOX RUN-SERV THRU 5-6-15 $94.49 5/27/2015 029474 XCEL ENERGY STREET LIGHTS-SERV THRU 5-6-15 $2,167.52 5/27/2015 029474 XCEL ENERGY 1880 MAIN ST-SERV THRU 5-6-15 $416_92 Qeck Nbr 029474 XCEL ENERGY $4.201.57 5/27/2015 029475 EMBEDDED SYSTEMS INC 6 MONTH SIREN MAINTENANCE FEE Check Nbr 029475 EMBEDDED SYSTEMS INC $527.16 5/27/2015 029476 PRESS PUBLICATIONS STATEMENT OF NET POSITION $177.24 5/27/2015 029476 PRESS PUBLICATIONS SUMMARY FINANCIALS $132.93 5/27/2015 029476 PRESS PUBLICATIONS STATEMENT OF CASH FLOW $183.57 5/27/2015 029476 PRESS PUBLICATIONS STATEMENT OF REVENUE $120.27 Check Nbr 029476 PRESS PUBLICATIONS $614.01 TOTAL CHECKS$47,392.61 9 CENTENNIAL LAKES POLICE DEPT Check Register-Police GL without invoice numbers Page: 1 Check Issue Dates:5/1/2015-5/14/2015 May 14,2015 04:03PM Report Criteria: Report type: Summary GL Check Ck No Description Check Period Issue Date Payee Amount 05/15 05/14/2015 10368 ANOKA COUNTY 800 MHZ RADIO SERVICE CONTRACT 2,677.44 05/15 05/14/2015 10369 ANOKA CO TREASURY DEPT. JUNE BROADBAND 75.00 05/15 05/14/2015 10370 ANOKA COUNTY SOLID WASTE FEE 155.53 05/15 05/14/2015 10371 CENTENNIAL UTILITIES APRIL UTILITIES 279.78 05/15 05/14/2015 10372 CENTURY LINK COMMUNICATIONS 118.12 05/15 05/14/2015 10373 CONNEXUS ENERGY APRIL ELECTRIC 2,138.35 05/15 05/14/2015 10374 COVERALL OF THE TWIN CITIES INC MAY CLEANING SERVICE 796.22 05/15 05/14/2015 10375 DELTA DENTAL JUNE DENTAL 1,303.65 05/15 05/14/2015 10376 DON'S CIRCLE SERVICE, INC VEH MTC 8 REPAIRS 1,357.49 05/15 05/14/2015 10377 ENVENTIS TELECOM, INC PHONES&LONG DISTANCE 402.81 05/15 05/14/2015 10378 FRATTALLONES HARDWARE, INC. CLEANING SUPPLY 22.41 05/15 05/14/2015 10379 HEALTH PARTNERS JUNE HEALTH INS 11,303.66 05/15 05/14/2015 10380 HOLIDAY FLEET FUEL 5,616.63 05/15 05/14/2015 10381 IMAGE PRINTING&GRAPHICS, INC FORMS REQ FOR EMERG EXAM 143.54 05/15 05/14/2015 10382 KEEPRS,INC UNIFORMS 103.06 05/15 05/14/2015 10383 METRO SALES,INC COPIER MTC CONTRACT 49.00 05/15 05/14/2015 10384 MHSRC/RANGE TRAINING ALDRICHMACOBSON 1,584.00 05/15 05/14/2015 10385 NEAL A.NOREN BLDG MTC HOURS 195.00 05/15 05/14/2015 10386 O'REILLY AUTOMOTIVE,INC CAR WASH SUPPLIES 8.55 05/15 05/14/2015 10387 PETTY CASH/JOE WRESSELL POSTAGE 25.96 05/15 05/14/2015 10388 POSTNET POSTAGE 31.94 05/15 05/14/2015 10389 QUILL CORPORATION CLASP ENVELOPES/BINDER 65.85 05/15 05/14/2015 10390 SHRED-N-GO, INC SHREDDING SERVICE 40.00 05/15 05/14/2015 10391 TASER INTERNATIONAL SALES TAX 76.46 05/15 05/14/2015 10392 TELECIDE PRODUCTIONS, INC COMPUTER MTC/SUPPORT 507.66 05/15 05/14/2015 10393 VERIZON WIRELESS CELL PHONES 578.34 Grand Totals: 29,656.45 M=Manual Check,V=Void Check 10 CENTENNIAL FIRE DISTRICT Check Register-FIRE GL Page: 1 Check Issue Dates:5/12/2015-5/20/2015 May 20,2015 04:29PM Report Criteria: Report type: Summary GL Check Check Vendor Description Check Period Issue Date Number Number Payee Amount 05/15 05/20/2015 6950 10750 ANOKA CO CENTRAL COMMUN ANNUAL 800 MHZ RADIO SERVI 2,024.52 05/15 05/20/2015 6951 10850 ANOKA COUNTY TREASURY D JUNE BROADBAND 187.50 05/15 05/20/2015 6952 11490 ARC STONE TECHNOLOGIES I FEMA-MARKETING CAMPAIGN 18,013.00 05/15 05/20/2015 6953 20370 BOUND TREE MEDICAL LLC MEDICAL SUPPLIES 143.32 05/15 05/20/2015 6954 30480 CENTENNIAL UTILITIES APRIL UTILITIES STATION 1 127.18 05/15 05/20/2015 6955 30500 CENTURY LINK STATION 3 PHONE 57.65 05/15 05/20/2015 6956 31137 CONNEXUS ENERGY APRIL ELECTRIC STATION 1 502.30 05/15 05/20/2015 6957 50050 DARREN ECKART AWARD CEREMONY SUPPLIES 95.65 05/15 05/20/2015 6958 110300 KIRVIDA FIRE, INC VEH MTC TANKER 21 505.28 05/15 05/20/2015 6959 120450 CITY OF LINO LAKES APRIL REIMB-FEMA INSURANC 27,277.74 05/15 05/20/2015 6960 120463 LINO LAKES DEPT OF PUBLIC FEMA-PSYCH EXAMS 11,814.00 05/15 05/20/2015 6961 130205 MMKR, INC PROGRESS BILLING 2014 AUDI 1,500.00 05/15 05/20/2015 6962 131470 MUNICIPAL EMERGENCY SERV PPC FACESHIELDS 943.49 05/15 05/20/2015 6963 160130 PERFORMANCE PLUS LLC FEMA-IMMUNIZATIONS 2,556.00 05/15 05/20/2015 6964 160493 PREMIUM WATERS, INC BOTTLED WATER 11.14 05/15 05/20/2015 6965 190820 BENJAMIN J.STEPAN EMS INSTRUCTOR PAY 256.50 05/15 05/20/2015 6966 220200 VERIZON WIRELESS COMMUNICATIONS 106.00 05/15 05/20/2015 6967 220250 VIKING TROPHIES, INC AWARDS/PLAQUES 724.93 05/15 05/20/2015 6968 230350 WHITE BEAR LOCKSMITH,INC SIMPLEX REPAIRS 2 STATIONS 180.00 05/15 05/20/2015 6969 240100 XCEL ENERGY ELECTRIC STATION 2 534.05 Grand Totals: 67,560.25 M=Manual Check,V=Void Check 11 CENTENNIAL FIRE DISTRICT Check Register-FIRE GL Page: 1 Check Issue Dates:5/8/2015-5/11/2015 May 12,2015 10:53AM Report Criteria: Report type: Summary GL Check Check Vendor Description Check Period Issue Date Number Number Payee Amount 05/15 05/11/2015 6942 10765 ANOKA COUNTY FAIR FEMA-COUNTY FAIR BOOTH M 750.00 05/15 05/11/2015 6943 130845 MN STATE FAIR-SALES DIVISI FEMA-STATE FAIR BOOTH MN 2,224.34 05/15 05/11/2015 6944 160130 PERFORMANCE PLUS LLC FEMA-MEDICAL EXAM 245.00 Grand Totals: 3,219.34 Check#6945-6949 Payroll M=Manual Check,V=Void Check 12 ENCROACHMENT AGREEMENT AGREEMENT ("Agreement") was made this 18th day of May, 2015 by and between the CITY OF CENTERVILLE, a Minnesota municipal corporation ("City"), and Lori Pederson ("Landowner"). RECITALS A. Landowner owns in fee as tenant the real property situated in Anoka County, Minnesota, legally described as follows("Subject Property"): 7387 Old Mill Road Lot 1,Block 1, Clearwater Creek PIN#R14-31-22-31-0053 Estates, Subj to Ease of Rec B. Landowner desires to locate a shed entirely within the right-of-way/drainage and utility easement(s) in their rear yard easement. Landowner seeks permission from the City to encroach in the City's right-of-way/drainage and utility easement. NOW, THEREFORE, IN CONSIDERATION OF THEIR MUTUAL COVENANTS, THE PARTIES AGREE AS FOLLOWS: 1. The City hereby grants Landowner permission to encroach into the City's right- of-way/drainage and utility easement in her rear yard easement(s) to the extent indicated on the attached EXHIBIT"A". 1 13 2. Nothing in this Agreement shall be deemed an abandonment, vacation or waiver of the City's interest in the right-of-way/drainage and utility easement(s). 3. Landowners, for themselves, their heirs, successors and assigns, hereby agree to defend, indemnify and hold the City harmless from all costs and expenses, claims and liability, including attorney fees, relating to or arising out of the grant to Landowners of permission to encroach into the City's right-of-way/drainage and utility easement(s). Landowners further agree to indemnify and hold the City harmless from any damage caused to the Subject Property as a result of maintenance of the City's right-of-way/drainage and utility easement(s), including any damage to the shed caused in whole or part by the encroachment into the City's right-of- way/drainage and utility easement(s). 4. The City does not warrant title or guarantee the continuing right of Landowners to maintain the shed in the City's right-of-way/drainage and utility easement(s). 5. Landowners may not replace the shed in the City's right-of-way/drainage and utility easement(s) if the shed is damaged to more than fifty percent (50%) of its fair market value, as measured immediately prior to the damage. 6. The City may direct removal of the shed, at the Landowners' sole cost and expense, upon thirty (30) days written notice if the City determines it has a use for the right-of- way/drainage and utility easement(s)and that the shed interfere with said use. 7. This Agreement shall run with the land and shall be recorded against the title to the Subject Property. CITY OF CENTERVILLE By: Tom Wilharber,,Mayor 2 14 By: Teresa Bender, City Clerk LANDOWNERS By: �o✓I v �efSor� By: STATE OF MINNESOTA ) )ss. COUNTY OF ANOKA ) The foregoing instrument was acknowledged before me this Z'day of , by and Tom Wilharber, Teresa Bender, Mayor and City Clerk, respectively,of the City of Centerville, a Minnesota a municipal corporation. Notary Public STATE OF MINNESOTA ) ) ss. COUNTY OF ANOKA ) The foregoins instrument was acknowledged before me this ��tlay of , ,2d_,5- property owned, 2den'�� Notary Public DRAFTED BY CITY OF CENTERVILLE 1880 Main Street Centerville, MN 55038 3 15 7--38-j- otd A4-.11 Rd' - i'�.lp. espy z CERTIFICATE OF SURVEY NOTES: NORTH for- DARMIC CUSTOM HOMES - Field survey was completed by E.G Rud and Sons, (8'4" POURED WALL WALKOUT BASEMENT) Inc. on July 8, 2014 PROPOSED ELENA TIONS.• - N G.V.D. 1929 Verticat Datum Bearings shown are on on assumed datum TOP OF BLOCK = 904.2 Can tours are at 2 foot intervals. ®DENOTES PROPOSED ELEVATION. GARAGE FLOOR = 902.7 (DROP 1.5 FT) - builderhtosvenfythouse dimen�onand s, sewer cdepth and 10112 DENOTES EXISTING ELEVATION. LOWEST FLOOR = 896.2 depth foundation Driveways are shown for graphic purposes only DENOTES` DIRECTION OF DRAINAGE. TOP OF FOOTING = 895.9 41 Final driveway design and location to be determined DENOTES WOOD NUB/METAL SPIKE AT 11 FOOT DIAGONAL 74 00 X 48 00 = 88 20 by contractor. OFFSET. (UNLESS OTHERWISE NOTED) — Finished grade adjacent to home shop be 0.5 feet below top of block except at driveway and patio. Bx,lzaL� LL 45 TO TO +002 542'89'00"E I 0v.ALL ou °6 P'&di.,s]e ole z t 29.55 Lz M9'R9'45"1/ rN�v'S/a 9 J 19 900.o e9e6] le9eoe—\\ 0x608 2 S 0� " ••.......... i \ ��, ��• / x 2 8991.i ' EXISTING ><<++' < STORM SEWER . e 897,x0 e w w �'2�^ 89 , ,, 'u` ti�Fy`�4T --�--8 •; 'f ELAT53 89�59 8 N7187. s' e]6%29 �t�6. �e9e.� a p % 962 t x 898 �• 8e ,• m� J,...... G x i 89 I 899,9 9013 $w WETLAND A(� 89Q..................... 895]3 EDGE OF �'17'�TaJ O�'` `� i _ any DELINEATED--' k Jam ,8�e !R` i a9os2 •e9z9 ,�+ s"'re�z^9 rcy] 81 9°o a5 .� 6E62a E'.E T 'I EC'�Sla\' \9 9 9 900+9 d J • 6 692e �aF 0� ey`B7e , ^1898 SWSTUB = '4 _ \ •% ✓AXI T ECATS fB �I¢ 1 o .O — DRAINAGE•.AND�+�+�+,._------W � , _ y� ar °"°e°sio i4'�— ��0 , s;4. ----�--- —UTILITY EASEMENT � "qU, pflND $Q m STI g � 1 oo sa2,2 895]9 x sN e9e, soli 33 a 1/� , . �sz.25 ` m- - ECATS �898' $ 121.44 ''.,��` ( =855 0=89662 L Iiu� z2 I_ �1.0 S89'29'45"E 18 8 - _ 2 �ftl r� `may, ppm • �/ 1 , ' \ 4 5+9929\9iJ SETWa ^i l JYgtl,OB/IL 87 'o 'SDs 92�\`'y, � e(, t•. ?' / 7a DRAINAGE FLOWAGE , i \ `••. .\••..........: as i e" TOP2,' O AND WATER / AIL ,___PONDING EASEMENT---:Z --�� ` / OJ�Q PER DOC ;#1508012 \\ ,J�� ` / O?�?�L = i'x wnu NT \ �o \ �' IL AL / /O0,/r �-„_INGRESS & EGRESS <' 1�' \'L IL \ �� 05 EASEMENT \\\ \\ / Q�(31 R c I I O WETLAND \\ Q� 8 894 21x i Ak APPROXIMATE CENTER OF 1> c��Ryq 1`1 ,-, �� 33 25 FOOT WIDE --'E CREEK r�'fiL \ 1 •� HWL = 8900 CREEK� All, I �l ,1 Scale 1"= 50' gearing Datum: Assumed Job No. 14453HS Drwg By BAB Check By JER PROPERTY DESCRIPTION o Denotes Iron Set e Denotes Iron Found Bearings shown are on an assumed datum. Lots 1 and 1A, Block 1, i hereby certify that this p/ar2, survey or report was prepared by me or under my direct supervision and that l'om o duly Registered Land Surveyor under the lows pp M, ROW SONS, INC. CLEARWA TER CREEK ESTATES, of the State of Minnesota. Doted this 7th day of August , 2014. P"' Professional Land Surveyors Anoka Count Minnesota 8/7/14. ADD EXISTING ELEVATIONS — BAB www.,_L_6776 Lake Drive NE,Suite 110 Y, License No 41578 Lino Lakes,MN 55014 Tel,(651)36:-8200 Fox(651)361.8701 L1—B1 THE CHURCH OF t. enevleve 7087 GOIFFON ROAD CENTERVILLE, MN 55038 (651)429-7937 May 12, 2015 City of Centerville 1880 Main Street Centerville,MN 55038 Subject: St. Genevieve's Parish Festival Sunday, August 16, 2015 Liquor License Enclosed is the completed Application for a temporary license for sale of liquor. This year's event will take place on our Parish Community Center grounds, 6995 Centerville Road. Please feel free to contact the undersigned with any questions. Sincerely, Andrew A. Melcher St. Genevieve Festival Coordinator 952-927-2431 days 17 i r teryiffe CITY OF CENTERVILLE APPLICATION FOR A 1 TO 4 DAY TEMPORARY/EVENT ON SALE LIQUOR LICENSE (Organization or location limited to 3 permits in a 12 month period) Type or Print Information Name of Organization Date Organized Tax Exempt Number cturchl7v Si. CMe Jt-- 25 L 2a Street Address CityState Zip Code 70TI (cwAbn Cd (Zrrkr , rA 5n3g Nam of Person Completing Application Business Phone Home Phone ��tsi,a.�".f--Ibtc� DatAt&AUsf- Liquor Will Be Sold(1 to 4 days) Type of Organization I(.0,ZO)S ❑ CLUB ❑ CHARITABLE JIf-RELIGIOUS❑OTHER NON-PROFIT Organization Officer's Name Address re 7091 Gold lrv1.I�2 Organization fficer's Name Address Organization Officer's Name Address ja w� Ac M Location where license will be used. If an outdoor area, describe: lYlw'1 >'1'l Will the applicant contract for intoxicating liquor services? If so, give the name and address of the Liquor license providing the service. Will the appli nt carry liquor liability insurance? If so, the carrier's name and amount of coverage. n0Ooo APPROVAL APPLICATION MUST BE APPROVED BY CITY COUNCIL PRIOR TO SUBMISSION TO LIQUOR CONTROL CITY OF CENTERVILLE DATE APPROVED FEE AMOUNT $ LICENSE DATES DATE FEE PAID City Clerk NOTE: Submit to the City of Centerville at least thirty(30) days prior to event. Signature of Applicant: 0",/C WaivAk 18 THE CHURCH OF t. eneneve 7087 GOIFFON ROAD CENTERVILLE, MN 55038 (651)429-7937 May 12, 2015 Centerville City Council City of Centerville 1880 Main Street Centerville, MN 55038 Subject: St. Genevieve's Parish Festival Sunday, August 16, 2015 Dear Council Members: We are requesting your support in approving our gaming permit for our annual Parish Festival. Enclosed is the completed form. We respectfully request your signature and the return of the form to us. Please feel free to contact the undersigned with any questions. Sincerely, Andrew A. Melcher St. Genevieve Festival Coordinator 952-927-2431 days 19 MINNESOTA LAWFUL GAMBLING 8/14 LG220 Application for Exempt Permit Page 1 of 2 An exempt permit may be issued to a nonprofit organization that: Application fee (nonrefundable) • conducts lawful gambling on five or fewer days, and If the application is postmarked or received . awards less than$50,000 in prizes during a calendar year. 30 days or more before the event,the application If total prize value for the year will be$1,500 or less, contact the Licensing fee is$50; otherwise the fee is$100. Specialist assigned to your county. Organization Information Organization Name: Previous Gambling Permit Number: Church of St. Genevieve X-98008 Minnesota Tax ID Number, if any: Federal Employer ID Number(FEIN), if any: 4361808 41-1417861 Type of Nonprofit Organization (check one): Fraternal a Religious Veterans Other Nonprofit Organization Mailing Address: City: State and Zip: County: 7087 Goiffon Rd Centerville MN 55038 Anoka Name of Chief Executive Officer(CEO): Daytime Phone: Email: Fr. Grea Esly 651-429-7937 i f ns Nonprofit Status Attach a copy of ONE of the following for proof of nonprofit status: Nonprofit Articles of Incorporation OR a current Certificate of Good Standing. Don't have a copy? This certificate must be obtained each year from: Minnesota Secretary of State Business Services Division 60 Empire Drive, Suite 100 St. Paul, MN 55103 Phone: 651-296-2803 IRS income tax exemption (501(c)) letter in your organization's name. Don't have a copy? To obtain a copy of your federal income tax exempt letter, have an organization officer contact the IRS at 877-829-5500. IRS-Affiliate of national, statewide,or international parent nonprofit organization (charter). If your organization falls under a parent organization, attach copies of both of the following: a. an IRS letter showing your parent organization is a nonprofit 501(c) organization with a group ruling, and b. the charter or letter from your parent organization recognizing your organization as a subordinate. Gambling Premises Information Name of premises where the gambling event will be conducted (for raffles, list the site where the drawing will take place): Church of St. Genevieve Parish Grounds Address (do not use PO box): City or Township: Zip Code: County: 6995 Centerville Rd Centerville 55038 Anoka Date(s) of activity (for raffles, indicate the date of the drawing): August 16 2015 Check each type of gambling activity that your organization will conduct: Bingo* =Paddlewheels* Pull-Tabs* =Tipboards* Raffle (total value of raffle prizes awarded for the year: $ 3200 ) *Gambling equipment for bingo paper, paddlewheels, pull-tabs, and tipboards must be obtained from a distributor licensed by the Minnesota Gambling Control Board. EXCEPTION: Bingo hard cards and bingo number selection devices may be borrowed from another organization authorized to conduct bingo. To find a licensed distributor, go to www.mn.gov/gcb and click on Distributors under the LIST OF LICENSEES, or call 651-539-1900. 20 Centerville Special Event Permit Application—on Private Property 1. TITLE,PURPOSE,AND BRIEF DESCRIP�jiON OF EVENT: St. Genevieve Parish Picnic � , /lo New Application: X Renewal of or Change in Application: Has this event been held in the past? FV] Yes n No If so, when? annually CONTACT PERSON: Susie Irlbeck TELEPHONE: 651-4294937 OR EMAIL: sirlbeck(ausfamily.net 2. IDENTIFYING INFORMATION: Attach a written communication from the organization(s) in whose name the event will be advertised which authorizes you,the applicant,to apply for this special event permit on its/their behalf. Applicant's Name: Susie Irlbeck Title: business administrator Address: 7087 Goiffon Rd Mailing Address: 7087 Goiffon Rd Centerville MN 55038 Affiliation: church Day Phone: 651-429-7937 Evening Phone: Emergency Phone: 3. EVENT PRINCIPALS: Following, please list the names, addresses and telephone numbers of all the principals involved in any of the proposed special event. Include professional event organizers,event promoters,financial underwriters,commercial sponsors,charitable agencies for whose benefit the event is being produced,the organization(s)in whose name the event is being advertised, and all others administratively,financially and organizationally involved as principals in the production of the proposed special event. Make additional copies of the following as needed to include as of the principals involved in the proposed special event. Name: Fr. Greg Esty,pastor Organization/Business/Agency/Affiliation: Church of St. Genevieve Is this a non-profit organization? ✓ Yes No If you are making application under non-profit status,proof of non-profit status must be attached to this application Mailing Address: 7087 Goiffon Rd Centerville MN 55038 Day Phone: 651-429-7937 Evening Phone: Title and functional responsibility with regard to the event: Page 1 of 5 P21 4. INSURANCE: Attach to this application either an insurance policy or a certificate of insurance including the policy number, amount, and the provisions that the City of Centerville is included as an additional insured. (Please note that insurance requirements depend upon the risk level of the event. 5. AVAILABILITY OF FOOD,BEVERAGES AND/OR ENTERTAINMENT: If there will be music, sound amplification or any other noise impact, please describe, including the intended hours of the music, sound or noise: none Will alcoholic beverages be served? Yes. [I—(] No If yes, describe what system will be used to ensure that alcoholic beverages will be consumed by persons 21 years and older: If a casino party, a dance, or live entertainment is part of your event,please describe: none Please note that certain licensing may be required by City, County and State agencies,such as a Large Assembly License for gatherings over 1,000 people, some types of food handling licensing, Gambling License, Cabaret License, etc. It is your responsibility to check with the City Clerk or local authorities to determine what licensing is required prior to submitting this application. Attach all required licenses to this application. Will food and/or non-alcoholic beverages be served? Yes No If yes, describe the nature of the food (such as pre-packaged foods, hot dogs, pre-mixed soda, unpeeled fruit,raw meats,vegetables, fish or peeled and cut fruit.) on-site running water in parish community center, grill/griddle for cokking hot dogs/hamburgers If yes, you may need a permit from the Anoka County Department of Environmental Health. Please attach a copy of the permit to this application. Page 2 of 5 P22 6. SECURITY AND SAFETY PROCEDURES: Describe your proposed procedures for set up,operation, internal security and crowd control: — Attach to this application a copy of your building permit(s) if you are installing any electrical wiring on temporary or permanent basis and/or if you are building any temporary or permanent structures such as bleachers, scaffolding,a grandstand, stages or platforms. Attach a copy of your fire department pen-nit(s) to this application if you will use parade floats; an open flame; fireworks or pyrotechnics; vehicle fuel; cooking facilities; enclosures (and tables within those closures); tents, air supported structures, canopies, or fabric shelters. 7. FEE STRUCTURE/EVENT CHARGES: If there is a fee or donation required as a condition of attendance or participation of this event, please describe the amounts to be collected from various categories of participants or spectators: dinner cost 8. If a donation is requested on a purely voluntary basis, describe how you intend to inform participants/spectators or others that they may participate in the event whether they make a donation or not: Signature of Individual Submitting Application: Date of Application: 05/12/15 ---- ---- - -- - --- ----- -- - -- - -- - - --- ------- - -- --- --- - - - - - --- --- --- - --- (Office Use Only) NAME AND TYPE OF EVENT: DAY, DATE AND TIME: 1. LICENSING AND INSURANCE Approved by: Signature Title Date: 1. Dance and/or live entertainment. Page 3 of 5 P2 3 List types or permits or licenses required: 2. Alcoholic beverages license and insurance required. 3. Peddlers. 4. Noise abatement. 5. Other provisions as may be required: 6. Final check has been made of application requirements. 7. Event is approved by City Council. 8. All required permits are issued and on file. 9. Application is complete. 10. Special conditions are attached. INSURANCE: Insurance coverage must be reviewed and approved by the City's insurance carrier. 1. Public liability insurance certificate naming City of Centerville and other public agencies additionally insured is required. 2. Hold harmless forms executed and filed. 3. List other insurance certificates(ie: liquor liability) 2. POLICE DEPARTMENT Approved by: Signature Title Date: 1. Emergency vehicle access. 2. Traffic/safety street closures. 3. Appropriate barricades. (# Required) 4. Police personnel required/available. 5. Portable toilet facilities. (# Required) 6. First aid facilities. 7. Internal security and crowd control. 8. nighttime lighting. 9. Other provisions as may be required by this department. 3. FIRE DEPARTMENT Approved by: Signature Title Page 4 of 5 P24 Date: 1. Emergency vehicle access. 2. Use of fireworks,pyrotechnics,vehicle fuel, open flame. 3. Cooking facilities. 4. Occupancy and spacing of tables, enclosures. 5. Parade, floats. 6. Tents,air supported structures,canopies. 7. Other provisions as my be required by this department: 4. BUILDING DEPARTMENT Approved by: Signature Title Date: Electrical: I. Plan check/inspection of any wiring installed on a temporary or permit basis. 2. Permit(s)attached. Structural Plan: I. Plan check/inspection of any temporary or permanent structures, including bleachers, scaffolding,grandstand,reviewing stands, stages,or platforms. 2. Permit(s)attached. 3. Other provisions as may be required by this department: Page 5 of 5 P2 5 Teresa Bender From: Al Roth <AI.Roth@at-group.net> Sent: Thursday, May 21, 2015 11:56 AM To: Teresa Bender Subject: Health Coverage Points Teresa, Here are a few key points to our discussion to go actual coverage cost 6-1. 1. Allows for a greater choice to employees 2. All employees are unanimously in favor of actual cost. 3. No additional cost to employer. 4. Provides for better coverage based on employees choice. 5. Cost of coverage will not fluctuate throughout the year like they can now. 6. Easier to attract and hire new employees. 7. Allows rates to be published as they are dispensed form the carriers. Let me know if this is what you had in mind. Thank you, Allan Roth Risk Management Group Consultant Phone#763-754-8898 Fax#763-754-8496 Toll Free#877-902-8898 Al.Roth Pat-group.net AVA VA-V-A-T G R 0 U P EnnpWw ftrAft- This email has been scanned by the Symantec Email Security.cloud service. 1 P26