HomeMy WebLinkAbout2001-10-24 CC
COUNCIL MEETING
WEDNESDAY, OCTOBER 24,2001
6:30 P.M.
I. CALL TO ORDER
1. Roll Call
II. SET AGENDA
HI. PUBLIC HEARING(S)
1. Preliminary Plat, The Shores - Glen Rehbien
IV. APPEARANCES/A WARDS
1. Juran & Moody (Pheasant Marsh Bond)
2. Mr. & Mrs. Ken Carpenter, 6985 - 20th Avenue North; Zoning of Residence
3. Mr. Dan Skoog, 1613 Peltier Lake Drive; Visa, internet & Debt Card use
for City services
4.
V. CONSIDERATION OF MINUTES
1. October 10, 2001 Council Meeting Minutes
VI. PETITIONS AND COMPLAINTS
VII. OLD BUSINESS
1. Preliminary Plat (The Shores), Glen Rehbein
2. Resolution #01-020 - Awarding the Sale of $990,000 G.O. Improvement
Bond - Pheasant Marsh
3. Resolution #01-021 - Abatement of Special Assessments (Parkview
Addition) 1723 Meadow Lane
4. R & R Leasing - Special Assessment Split Request (PIN #R23-31-32-24-
(001)
5. Ms. Sanna Buckbee Request for Information
6. Liquor Policy
7. BudgetlDeferred Comp.lUnion Contract (Update)
8. Quad Cities Police Department (Update)
9. Reception for Ms. Kim Moore-Sykes, City Administrator (Update)
10. Laurie LaMotte Park- Vinco Overages (Update)
11. F.M. Frattalone Excavating (Update)
12. City of Circle Pines Proposal for Joint Building Inspections (Update)
VIII. NEW BUSINESS
1. Resignation of Chaymus Khmg, Cable Operator/Letter ofInterest
IX. CONSENT AGENDA
1. City of CenterviUe October 11, through October 24, 2001 Expenditures
2. Centennial Fire District Expenditures
3. Resource Strategies Corp. - Compo Plan Amendment (Pheasant Marsh) -
$2,931.53
x. COMMITTEE REPORTS
1. Standardized By-Laws
xu. PUBLIC WORKS DIRECTOR'S REPORT/CLERK/TREASURER'S REPORT
1. Valley Creek Annual Contract Renewal
XIII. ADJOURNMENT
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1880 Main Street 8 Centervi[[e/ M'J',[ 55038
(651) 429-3232 . :Fa?( (651) 429-8629
STATE OF MINNESOTA
COUNTY OF ANOKA
CITY OF CENTERVILLE
NOTICE OF PUBLIC HEARING
PRELIMINARY PLAT FOR A SINGLE FAMILY DEVELOPMENT
NOTICE IS HEREBY GIVEN, that the Council of the City ofCenterville will consider
preliminary plat request submitted by Glenn Rehbein Companies. The meeting is
scheduled for Wednesday, October 10, 2001 at 6:30 p.m. or shortly thereafter. The
purpose of the meeting is to hear all parties present regarding the possibility of approving
the preliminary plat for a Single Family Development for the area legally described as
follows:
Parcel Identification Number: R15-31-22-43-0002
Address: 1475 Mound Trail
AUD SUB NO 46, THAT PART OF LOT 7 AUD SUB NO 46 REVISED
ANOKA COUNTY, MN DESC AS FOL-COM AT THE SW COR OF SAID
LOT-TH NLY ALONG W LINE THEREOF A DIST OF 216 FT TO THE
ACTUAL PT OF BEG- TH CONT NL Y ALONG W LINE OF LOT 7 TO THE S
RT-OF-WAY LINE OF MOUND TRAIL-TH NELY ALONG SDS RT-OF-
WAY LINE A DIST OF 594.03 FT-TH S 0 DEG 21 MIN 37 SEC E A DIST OF
237.48 FT-TH N 70 DEG 43 MIN 37 30 SEC E TO THE W LINE OFLOT 10
AUD SUB NO 46- TH SLY ALONG THE W LINE OF LOT 10 TO A PT OF
INTERSECTION WITH THE S LINE OF LOT 7 AUD SUB NO 46 REVISED-
TH WL Y ALONG THE S LINE THEREOF TO A PT 100 FT E OF THE W
LINE OF LOT 7-TH NLY PRLL TO W LINE THEREOF A DIST OF 216 FT-
TH SWL Y &PRLL TO THE S LINE OF LOT 7 AUD SUB NO 46 REVISED TO
THE PT OF BEG (SUBJ TO EASE OF RECORDS) ALSO (SUBJ TO CO ST A
ID HWY NO 14).
The City Hall is ADA accessible. Requests for hearing assisted devices or a sign
language interpreter must be received before 4:00 p.m. October 19, 2001. All persons
interested are invited to attend and to be heard, orally or in writing. You may call City
Hall (651) 429-3232 if you have any questions.
October 3, 2001
Isl Teresa Bender, Clerk/Treasurer
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Published in the Quad Community Press October 9 and October 16,2001
1880 %ain Street · CenterrJi[[e, M'J./.. 55038
uta6(ished 1857 (612) 429-3232 · ~m( (612) 429-8629
CITY OF CENTERVILLE
APPLICATION FOR PRELIMINARY PLAT
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STREET LOCATION OF ,PROPERTY: CS, A. 1-,
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LEGAL DESCRIPTION OF PROPERTY:
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SIZE OF PARCEL (S)
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PROPERTY OWNER: H-APDL.p G. tlln:;~L
FEE OWNER: hJ~Al'JlO a ~ U:q.8~L
ADDRESS: 7.5bfo PkL-r/p.p.., L,k DR ~
PHONE # ", ,', . ,',::,.,L:hl,; ~,;),i
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APPLICANT'S INTEREST IN PROPERTY:
FEE OWNER
LEASE HOLDER
CONTRACT PURCHASER
OPTION TO PURCHASE~.
DESCRIPTION OF REQUEST: !t)
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REASON FOR REQUEST:
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FirstName LastName Address! Address2
Lois E. Peterson or 7261 Main Centerville,
Current Street MN 55038
Owner
Mr. Richard Defoe or 7281 Main Centerville,
A. Current Street MN 55038
Owner
Mr. & Mrs. Leibel or 1475 Centervill(;l,
Harold G. Current Mound MN 55038
Owner Trail
Mr. & Mrs. Corr or 1405 Centerville,
Gary M. Current Mound MN 55038
Owner Trail
Mr. & Mrs. Gonsior or 1343 Centerville,
Theodore J. Current Mound MN 55038
Owner Trail
Mr. & Mrs. Fitzgerald 1355 Centerville,
John W. or Current Mound MN 55038
Owner Trail
Lakeside Or Current 7297 Main Centerville,
Auto & Owner Street MN 55038
Paint
Mr. & Mrs. Harvieux or 1369 Centerville,
Neil T. Current Mound MN 55038
Owner Trail
Mr. & Mrs. Thill or 1385 Centerville,
Louis M. Current Mound MN 55038
Owner Trail
Mr. & Mrs. Laska or 1393 Centerville,
Richard Current Mound MN 55038
Owner Trail
Mr. & Mrs. Letendre or 1397 Centerville,
Gerard Current Mound MN 55038
Owner Trail
Anoka Regional 7401 Main Centerville,
County Park Street MN 55038
Chain Of
Lakes
Mailed via U.S. Postal Service 10/3/01.
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NOT APPROVED
PARKS AND RECREATION COMMITTEE MEETING MINUTES
October 16, 2001
Pursuant to due call and notice thereof, the Parks and Recreation Committee of the City
of Centerville held an emergency meeting on October 16, 2001, at City Hall, 1880 Main
Street. Acting Chairperson Karla DeVine called the meeting to order at 7: 15 p.m.
Present:
T edd Peterson
Tom Lee
Karla DeVine
Kathy Peil
FEE SCHEDULE
Motion by Ms. Peil, seconded by Mr. Peterson, to recommend council amend the
Fee Scbedule to reflect the changes as noted on the attached copy.
All in Favor: Motion carried Unanimously.
ORDINANCE 8
Motion by Ms. Peil, seconded by Mr. Peterson, to recommend council amend
Ordinance 8.2102 to include pedestrian trail under line 3 as noted on the attached
copy.
All in Favor: Motion carried Unanimously.
THE SHORES PRELIMINARY PLAT
Motion by Mr. Peterson, seconded by Mr. Lee, to approve the preliminary plat as
marked to include a trail per attached copy. Developer to install said trail per city
standards.
Note easement concerns on lot 3, on the attached copy.
All in Favor: Motion carried Unanimously.
Motion by Ms. Devine, seconded by Mr. Lee, to adjourn.
All in Favor: Motion carried Unanimously.
Meeting adjourned at 7:48 p.m.
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Dahcc Pernnt ,.. ....... ........ .......... ...................... ..... ......... .......... $1 00. 00
Electrical Permit Fccs.......~...................................... See Exhibit "I"
Filing Fees.... ........... .....................:.... '''.., .n._ .--____un.__. "h__hhh' ..$2.00
Fill Permit................................................ See E~.t..~bl.t "Bo',
"...............".. .....\lll
Final Plat Fee - Filing -mh----__..__.n........................_...~.............$200.00
Interim Use Permit ..--'" ................................. ....... .............. "'" ,. $75,00
Liq uOr Licenses:
3.2Beer Permit - Special Events ...................................$35.00 plus $5.00 for each
addJl day
Off-Sale Liqllor ........ __.__."...... ................... ................., $1 00.00
Off-Sale Non-Intox.ication Liquor ............... .......... ......... $20.00
On-Sale LiquoL.__............,..................... __ __ See Exhibit "c'
On-Sale Non-Intoxication Liquol:' ._______"............... .__.... $250.00
Sunday Liquor License................. __.. __ __.................. ..,.. $200.00
Wine License...........................................................__.. $300.00
Lot Split................ u' .........................................:................ ..... $175.00 plus legal fees
:Mailbox Group Stand fee .........................................................$25.00 per uDit
Maps and Charts (24" X 36")__...........................____....................$10.00
Mileage Rate............... __......................... .h.... ............. .__.__ ............ .$.345 per nrile
Mining/Grading Permits............. _., ____............... ..____ See Exhibit "B"
( Park Dedication Fees - per dwelling unit ~' ,"". ,-'(i r~ .~, ",,,"'\ ,."; ij , J. l 4.
\, L d D . " I ' '''} dl, AflP JI';, ,.J. ""7"1., "'~~fh'V
) an eUlcatlolJJ " ':I\;i C. J'- IV'-/o <~v. uY\l.) "-.It-' U1,
L. ~~~d.icat1()R~ . -- --'" ............................. ..' . .... . .. ... -- -- $4,8eo:t}(:)-\fjd-{,~ l"JlwA... _J21J-e--[ v)
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Park Ball Field Use - Per Tournament....n.____........___...............$200.00
Park Facility Usage Fees ..............__........................ See Exhibit "H"
. ~ h S' Exbib't "D"
Pernut ..,ure arge......____..........__.............__................ ee.,/ 1
Photo Copies..--....... __.. ....... __...........__......... __................................. $.25 per page (one sided)
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p iumbmg Pcrllllt~. __.........__ __.__........__........ ...--......... ef: X 1 1 ~
Preliminary Plat Fee - Filins..>: ........____......--.__.......__.........____....--$200.00
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thereof in force at the tirrle this ordinance shall take effect and inconsistent herewith are hereby
repealed, including Centerville Ordinance # 15. N otbing contained in this ordinance repeals or
amends any ordinance requiring a permit or license to engage in any business or occupation.
ARTICLE 2 - DESIGN STAl,IDARDS
21. GENER'\L. Subdivision design shall comply with the following general design standards.
21.01. NATURAL FEATlJRES. Existing natural features which would add value to the subdivision
and the City such as trees, steep slopes watercourses, historic spots and similar irreplaceable
assets, shall be preserved, inso1ar as possible, through harmonious design of the subdivision.
~od-R.?7i.\I'\ Cv.
21.02. LAI\JD DE~ICATION. u: all new ~ubdivisiolli3, .ten (20) percent 0 "e-~ea sub~~vided "frCAl. L......,
shall be dedIcated for public recreatIOn space, WIth S~g.O) percent bemg ill addItIon to -
property dedicated for streets, alleys, easement~l1>or other public ways. No areas may be
dedicated for public use until such areas have been approved as being suitable and needed fur
the public health, safety, convenience, and/or general welfare. When the subdivision is too.
small for practical dedication of public land or if no land in the subdivision is suitable for such
use, the subdivider shall be required to pay a fee as per schedule in effect per lot created or ten
(10) percent ofthe subdivision land value, vvrnchever is greater, prior to subdivision; the value
(market) of the land shall be determined by negotiation between City and developer. Lots
created in any manner that are larger than five (5) acres or three hundred (300) feet in width
shall not be subject to dedication of land for public use. A fee according to the current
schedule will be charged on every building permit issued pertaining to new housing units for
parks and playgrounds.
2L03.PL1-\l\11'ffiD Ul'JIT DEVELOPIVlENT. This design stlliidards of this ordinance may be
modified by the Council it!. the case of a plan utilizing an unusual concept of development
which meets the requirements of the section. The planned unit development provision is
intended to encourage original and imaginative subdivision design which preserves the natural
amenities of the site and provides for the general welfare .of the City. It shall confonn with
the planned upjt development requirements ofthe City Zoning Ordinance.
21.04. SOIL TESTS. The City Council may require soil tests prior to the final approval of any plat.
These soil tests shan consist of test holes to a depth necessary to determine the various types
of soil to be encountered before reacrillig a stable base. Such test holes v-rhen ordered by the
City authorities, shall be drilled at the expense of the owner or developer and the irJ'ormation
disclosed shall be furnished to the City Council together with a copy of the proposed plat
showing the location of each test hole. The iDJormation required by the City council shall
include a report as to the various types of soil encOlllltered and their depths, the level of the
ground water and a seepage test and may include additional information. The number of test
holes to be drilled and their location on the property which is proposed to be platted will be as
directed by the City Council or their authorized representative. In questionable cases, the
o\vner shall be required to rtlIT'ish in the City Council a report from a recognized engill.eering
laboratory as to the safety and practicability of the use of the area ror building construction,
including the feasibility for installation of sewage facilities.
2 LOS. RESTRICTION ON FILThTG AJ\1D RECORDING C01'JVEYj1j\TCES. r"fumesota Statute
states that a mupjcipality with adopted subdivision regulations, no conveyance of land shall be
filed or recorded if the la.l1d is described in the conveyance by:
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~ 'Estab[isfiea 1857
1880 %ain Street 1I Centervi[[e/ 'Jv!'J{ 550_'18
(612) 429-3232 · 'Jmc(612) 429,8629
CITY OF CENTERVILLE
APPLICATION FOR PRELIlVnNARY PLAT
DATE PAID '1/::::;, / L~L ~7r
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LEGAL DESCRIPTION OF PROPERTY
t:~eT or LOT 7 -- J6.;UD SUP 1{D
SIZE OF PARCEL (S) (';., t; ,~C,
PROPERTY OWNER II .J1RDJ.,p G. L:p:.eza:L.
FEE OWNER: hPc(.)<bLP (1. UE'S.iSfL
ADDRESS: 7Sbfc, f/'7L-y/lf-p, Lk {iR~
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APPLICANT'S INTEREST IN PROPERTY:
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CONTRACT PURCHASER
OPTION TO PURCHASE Y-..
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TO: Honorable Mayor and Council Members
FROM: Teresa Bender, Clerk/Treasurer
SUBJECT: Mr. Ken Carpenter's Residency at 6985 - 20th Avenue
DATE: 10/19/01
Mr. Carpenter is trying to secure a loan against his residence at 6985 - 20th Avenue. I
was contacted by his lending agent requesting zoning information for the property. It
appears that Mr. Carpenter's property is in the Industrial District and his residence is a
non-conforming structure.
Mr. Carpenter contacted me on several occasions stating that if his home is non-
conforming how was it allowed to be built and that the Compo Plan stated that his home is
in a Residential District.
Attached, please find several building permits (11/19/84 & 9/20/78) that show the
property was zoned Commercial at one time.
BUILDING PERMIT
VILLAGE OF CENTERVILLE, MINN.
Date:
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Permit No.
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LOCATION OF PROPOSED BUILDING
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Zoning Classification
Number
Street
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LEGAL DESCRIPTION
Part of Lot
Lot
Block
Addt'n or Sub-Div.
DESCRIPTION OF PROPOSED WORK
Description:.
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Type of Construction:
Occupancy
Valuation $ -';/:" ,:), v 'j
(Contract or Market Value)
No. of Stories:
Area:
(Largest Horizontal Cross Section)
VARIANCES
Description of Ordinance Variance(s) if granted with this permit:
ASSESSMENTS (Due with This Permit)
Parks
San. Sewer
Water
Storm Sewer
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Other
Total
PERMIT FEES
Fee Per Schedule Surcharge Totals
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Permission is hereby granted to ' .'f"" ,,"1:-,,," -, i'._<",'~"">o,__" to '0" ".-'
a building as herein described. This permit is granted upon the express condition that the person, partnership, firm or corpora-
tion to whom it is granted, together with his agents, employees, workmen and subcontractors agree to abide by and conform to all
Ordinancels of the Village of Centerville regarding the construction, alteration, maintenance, repair and demolition of buildings
within the City; and that this permit may be revoked at any time upon evidence of violations of any of the provisions of said
Ordinances.
The permitee furtheragr.e.es to commence_.~he work covered by this permit within sixty (60) days of the date hereof and to complete
all such'work by '", V";, i}:;' C. . Suspension or abandonment of such work for a period ot ODe hundred and
twenty (120) 'liays shall result in the automatic revOICation of this permit as provided by Ordinance.
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VILLAGE OF ~,ENTERVILLE, MINN.
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LOCATION OF PROPOSED BUILDING
Zoning Classification
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DESCRIPTION OF PROPOSED WORK
Description: /'
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Occupancy ".' .
Valuation $
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(Contract or Market Value)
Area:
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VARIANCES
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Descrip,!ion of Ordinan~e Variilllce(s) if granted with this pennit:
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ASSESSMENTS (Due with This Permit)
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Total
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PERMIT FEES
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Permission is hereby granted to ( , '- to :~,-
a building as herein described. This permit is granted upon the express condition that the person, partnership, firm or corpora-
tion to whom iUs granted, together with his agents, employees, workmen and subcontractors agree to abide by and conform to all
Ordinances of the Villa'ge of Centerville regarding the construction, alteration, maintenance, repair and denwlition of buildings
within the City; and that this pennit may be revoked at any time upon evidence of violations of any of the provisions of said
Ordinances.
The permitee furtlw~ag~ee.~ to ,commence th~ work covered by this pennit within sixty (60) days of the date hereof and to complete
all such work by " . \",..:.' "C' , [, t . I:, / /' . Suspension or abandonment of such work for a period of one hundred and
twenty (120) days shaJl result in the automatic revOlCation of this permit as provided by Ordinance.
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TO: Honorable Mayor and Council Members
FROM: Teresa Bender, Clerk/Treasurer
SUBJECT: lVIr. Dan Skoog, 1613 Peltier Lake Drive
DATE: October 19, 2001
Mr. Skoog is requesting that the City Council consider accepting payments for services
via Visa, Internet or Debt Cards.
1880 :Main Street .. Centervi{{e/:M'JI[ 55038
Extract of Minutes of Meeting (651) 429-3232 .. 'Ya;'( (651) 429-8629
of the City Council of the City of
Centerville, Anoka County, Minnesota
Pursuant to due call and notice thereof, a regular meeting of the City Council of the City
of Centerville, Minnesota, was duly held in the City Hall in said City on Wednesday, October 24,
2001, commencing at 6:30 o'clock P.M.
The following members were present:
and the following were absent:
* * *
* * *
* * *
The Mayor announced that the next order of business was consideration of the proposals
which had been received for the purchase of the City's $990,000 General Obligation
Improvement Bonds, Series 2001.
The City Clerk-Treasurer presented a tabulation of the proposals that had been received
in the manner specified in the Terms of Offering for the Bonds. The proposals were as set forth
in Exhibit A attached.
After due consideration of the proposals, Member
then
introduced the following written resolution, the reading of which was dispensed with by
unanimous consent, and moved its adoption:
SJB-202938v2
CE155-17
RESOLUTION NO. #01-020
A RESOLUTION AWARDING THE SALE OF $990,000
GENERAL OBLIGATION IMPROVEMENT BONDS, SERIES 2001
FIXING THEIR FORM AND SPECIFICATIONS;
DIRECTING THEIR EXECUTION AND DELIVERY;
AND PROVIDING FOR THEIR PAYMENT
BE IT RESOLVED By the City Council of the City of Centerville, Anoka County,
Minnesota (City) as follows:
Section 1.
Sale of Bonds.
1.01. The proposal of (Purchaser) to purchase the
Bonds of the City described in the Terms of Offering thereof is hereby found and determined to
be the highest and best proposal received pursuant to duly advertised notice of sale and is hereby
accepted, the proposal being to purchase the Bonds at a price of $ plus accrued interest
to date of delivery, for Bonds bearing interest as follows:
Year of Interest Year of Interest
Maturity Rate Maturity Rate
2004 2009
2005 2010
2006 2011
2007 2012
2008 2013
Net interest cost: %
1.02. The sum of $ being the amount proposed by the Purchaser in excess of
$976,140 will be credited to the Debt Service Fund hereinafter created. The City Clerk-
Treasurer is directed to deposit the good faith check of the Purchaser, pending completion of the
sale of the Bonds, and to return the good faith checks of the unsuccessful proposers forthwith.
The Mayor and Clerk-Treasurer are directed to execute a contract with the Purchaser on behalf
of the City.
1.03. The City will forthwith issue and sell the Bonds pursuant to Minnesota Statutes,
Chapter 429 (Act) in the total principal amount of $990,000 originally dated November 1,2001,
in the denomination of $5,000 each or any integral multiple thereof, numbered No. R-l, upward,
bearing interest as above set forth, and maturing serially on February 1 in the years and amounts
as follows:
SJB-202938v2
CE155-17
Year Amount Year Amount
2004 75,000 2009 100,000
2005 80,000 2010 105,000
2006 85,000 2011 115,000
2007 90,000 2012 120,000
2008 95,000 2013 125,000
1.04. Optional Redemption. The City may elect on February 1, 2008, and on any day
thereafter to prepay Bonds due on or after February 1, 2009. Redemption may be in whole or in
part and if in part, at the option of the City and in such manner as the City will determine. If less
than all Bonds of a maturity are called for redemption, the City will notifY DTC (as defined in
Section 7 hereof) of the particular amount of such maturity to be prepaid. DTC will determine
by lot the amount of each participant's interest in such maturity to be redeemed and each
participant will then select by lot the beneficial ownership interests in such maturity to be
redeemed. Prepayments will be at a price of par plus accrued interest.
1.05. Term Bonds. To be completed if Term Bonds are requested by the Purchaser.
Section 2.
Registration and Payment.
2.01. Registered Form. The Bonds will be issued only in fully registered form. The
interest thereon and, upon surrender of each Bond, the principal amount thereof, is payable by
check or draft issued by the Registrar described herein.
2.02. Dates; Interest Payment Dates. Each Bond will be dated as of the last interest
payment date preceding the date of authentication to which interest on the Bond has been paid
or made available for payment, unless (i) the date of authentication is an interest payment date
to which interest has been paid or made available for payment, in which case the Bond will be
dated as of the date of authentication, or (ii) the date of authentication is prior to the first interest
payment date, in which case the Bond will be dated as of the date of original issue. The interest
on the Bonds is payable on February 1 and August 1 of each year, commencing August 1,2002,
to the registered owners of record thereof as of the close of business on the fifteenth day of the
immediately preceding month, whether or not that day is a business day.
2.03. Registration. The City will appoint a bond registrar, transfer agent, authenticating
agent and paying agent (Registrar). The effect of registration and the rights and duties of the
City and the Registrar with respect thereto are as follows:
(a) Register. The Registrar must keep at its principal corporate trust office a
bond register in which the Registrar provides for the registration of ownership of Bonds
and the registration of transfers and exchanges of Bonds entitled to be registered,
transferred or exchanged.
(b) Transfer of Bonds. Upon surrender for transfer of a Bond duly endorsed
by the registered owner thereof or accompanied by a written instrument of transfer, in
SJB-202938v2
CE155.17
form satisfactory to the Registrar, duly executed by the registered owner thereof or by an
attorney duly authorized by the registered owner in writing, the Registrar will
authenticate and deliver, in the name of the designated transferee or transferees, one or
more new Bonds of a like aggregate principal amount and maturity, as requested by the
transferor. The Registrar may, however, close the books for registration of any transfer
after the fifteenth day of the month preceding each interest payment date and until that
interest payment date.
(c) Exchange of Bonds. When Bonds are surrendered by the registered owner
for exchange the Registrar will authenticate and deliver one or more new Bonds of a like
aggregate principal amount and maturity as requested by the registered owner or the
owner's attorney in writing.
(d) Cancellation. Bonds surrendered upon transfer or exchange will be
promptly cancelled by the Registrar and thereafter disposed of as directed by the City.
(e) Improper or Unauthorized Transfer. When a Bond is presented to the
Registrar for transfer, the Registrar may refuse to transfer the Bond until the Registrar is
satisfied that the endorsement on the Bond or separate instrument of transfer is valid and
genuine and that the requested transfer is legally authorized. The Registrar will incur no
liability for the refusal, in good faith, to make transfers which it, in its judgment, deems
improper or unauthorized.
(f) Persons Deemed Owners. The City and the Registrar may treat the person
in whose name a Bond is registered in the bond register as the absolute owner of the
Bond, whether the Bond is overdue or not, for the purpose of receiving payment of, or on
account of, the principal of and interest on the Bond and for all other purposes and
payments so made to registered owner or upon the owner's order will be valid and
effectual to satisfY and discharge the liability upon the Bond to the extent of the sum or
sums so paid.
(g) Taxes, Fees and Charges. The Registrar may impose a charge upon the
owner thereof for a transfer or exchange of Bonds, sufficient to reimburse the Registrar
for any tax, fee or other governmental charge required to be paid with respect to the
transfer or exchange.
(h) Mutilated, Lost, Stolen or Destroyed Bonds. If a Bond becomes mutilated
or is destroyed, stolen or lost, the Registrar will deliver a new Bond of like amount,
number, maturity date and tenor in exchange and substitution for and upon cancellation
of the mutilated Bond or in lieu of and in substitution for a Bond destroyed, stolen or lost,
upon the payment of the reasonable expenses and charges of the Registrar in connection
therewith; and, in the case of a Bond destroyed, stolen or lost, upon filing with the
Registrar of evidence satisfactory to it that the Bond was destroyed, stolen or lost, and of
the ownership thereof, and upon furnishing to the Registrar of an appropriate bond or
indemnity in form, substance and amount satisfactory to it and as provided by law, in
which both the City and the Registrar must be named as obligees. Bonds so surrendered
SJB-202938v2
CE155-17
to the Registrar will be cancelled by the Registrar and evidence of such cancellation must
be given to the City. If the mutilated, destroyed, stolen or lost Bond has already matured
or been called for redemption in accordance with its terms it is not necessary to issue a
new Bond prior to payment.
(i) Redemption. In the event any of the Bonds are called for redemption,
notice thereof identifYing the Bonds to be redeemed will be given by the Registrar by
mailing a copy of the redemption notice by first class mail (postage prepaid) to the
registered owner of each Bond to be redeemed at the address shown on the registration
books kept by the Registrar and by publishing the notice if required by law. Failure to
give notice by publication or by mail to any registered owner, or any defect therein, will
not affect the validity of the proceedings for the redemption of Bonds. Bonds so called
for redemption will cease to bear interest after the specified redemption date, provided
that the funds for the redemption are on deposit with the place of payment at that time.
2.04. Appointment of Initial Registrar. The City appoints
, Minnesota, as the initial
Registrar. The Mayor and the City Clerk-Treasurer are authorized to execute and deliver, on
behalf of the City, a contract with the Registrar. Upon merger or consolidation of the Registrar
with another corporation, if the resulting corporation is a bank or trust company authorized by
law to conduct such business, the resulting corporation is authorized to act as successor
Registrar. The City agrees to pay the reasonable and customary charges of the Registrar for the
services performed. The City reserves the right to remove the Registrar upon 30 days' notice and
upon the appointment of a successor Registrar, in which event the predecessor Registrar must
-deliver all cash and Bonds in its possession to the successor Registrar and must deliver the bond
register to the successor Registrar. On or before each principal or interest due date, without
further order of this Council, the City Clerk-Treasurer must transmit to the Registrar monies
sufficient for the payment of all principal and interest then due.
2.05. Execution, Authentication and Delivery. The Bonds will be prepared under the
direction of the City Clerk-Treasurer and executed on behalf of the City by the signatures of the
Mayor and the City Clerk-Treasurer, provided that those signatures may be printed, engraved or
lithographed facsimiles of the originals. If an officer whose signature or a facsimile of whose
signature appears on the Bonds ceases to be such officer before the delivery of a Bond, that
signature or facsimile will nevertheless be valid and sufficient for all purposes, the same as if the
officer had remained in office until delivery. Notwithstanding such execution, a Bond will not
be valid or obligatory for any purpose or entitled to any security or benefit under this Resolution
unless and until a certificate of authentication on the Bond has been duly executed by the manual
signature of an authorized representative of the Registrar. Certificates of authentication on
different Bonds need not be signed by the same representative. The executed certificate of
authentication on a Bond is conclusive evidence that it has been authenticated and delivered
under this Resolution. When the Bonds have been so prepared, executed and authenticated, the
City Clerk-Treasurer will deliver the same to the Purchaser upon payment of the purchase price
in accordance with the contract of sale heretofore made and executed, and the Purchaser is not
obligated to see to the application ofthe purchase price.
SJB-202938v2
CE155-17
2.06. Temporary Bonds. The City may elect to deliver in lieu of printed definitive
Bonds one or more typewritten temporary Bonds in substantially the form set forth in Section 3
with such changes as may be necessary to reflect more than one maturity in a single temporary
bond. Upon the execution and delivery of defInitive Bonds the temporary Bonds will be
exchanged therefor and cancelled.
Section 3.
Form of Bond.
3.01. The Bonds will be printed or typewritten in substantially the following form:
[Face of the Bond]
No.R-
$
UNITED STATES OF AMERICA
STATE OF MINNESOTA
COUNTY OF ANOKA
CITY OF CENTERVILLE
GENERAL OBLIGATION IMPROVEMENT BOND, SERIES 2001
Rate
Maturity
Date of
Original Issue
CUSIP
November 1,2001
Registered Owner: Cede & Co.
The City of Centerville, Minnesota, a duly organized and existing municipal corporation
in Anoka County, Minnesota (City), acknowledges itself to be indebted and for value received
hereby promises to pay to the Registered Owner specifIed above, the principal sum of $
on the maturity date specified above, with interest thereon from the date hereof at the annual rate
specifIed above, payable February 1 and August 1 in each year, commencing August 1, 2002, to
the person in whose name this Bond is registered at the close of business on the fifteenth day
(whether or not a business day) of the immediately preceding month. The interest hereon and,
upon presentation and surrender hereof, the principal hereof are payable in lawfl1l money of the
United States of America by check or draft by , .
Minnesota, as Bond Registrar, Paying Agent, Transfer Agent and Authenticating Agent, or its
designated successor under the Resolution described herein. For the prompt and full payment of
such principal and interest as the same respectively become due, the full faith and credit and
taxing powers of the City have been and are hereby irrevocably pledged.
The City may elect on February 1, 2008, and on any day thereafter to prepay Bonds due
on or after February 1,2009. Redemption may be in whole or in part and if in part, at the option
SJB-202938v2
CE155-17
of the City and in such manner as the City will determine. If less than all Bonds of a maturity are
called for redemption, the City will notifY Depository Trust Company (DIC) of the particular
amount of such maturity to be prepaid. DTC will determine by lot the amount of each
participant's interest in such maturity to be redeemed and each participant will then select by lot
the beneficial ownership interests in such maturity to be redeemed. Prepayments will be at a
price of par plus accrued interest.
The City Council has designated the issue of Bonds of which this Bond forms a part as
"qualified tax exempt obligations" within the meaning of Section 265(b)(3) of the Internal
Revenue Code of 1986, as amended (the Code) relating to disallowance of interest expense for
financial institutions and within the $10 million limit allowed by the Code for the calendar year
of issue.
This Bond is one of an issue in the aggregate principal amount of $990,000 all of like
original issue date and tenor, except as to number, maturity date, redemption privilege, and
interest rate, all issued pursuant to a resolution adopted by the City Council on October 24,
2001(the Resolution), for the purpose of providing money to defray the expenses incurred and to
be incurred in making local improvements, pursuant to and in full conformity with the
Constitution and laws of the State of Minnesota, including Minnesota Statutes, Chapter 429, and
the principal hereof and interest hereon are payable from special assessments against property
specially benefited by local improvements, as set forth in the Resolution to which reference is
made for a full statement of rights and powers thereby conferred. The full faith and credit of the
City are irrevocably pledged for payment of this Bond and the City Council has obligated itself
to levy ad valorem taxes on all taxable property in the City in the event of any deficiency in
special assessments pledged, which taxes may be levied without limitation as to rate or amount.
The Bonds of this series are issued only as fully registered Bonds in denominations of $5,000 or
any integral multiple thereof of single maturities.
As provided in the Resolution and subject to certain limitations set forth therein, this
Bond is transferable upon the books of the City at the principal office of the Bond Registrar, by
the registered owner hereof in person or by the owner's attorney duly authorized in writing, upon
surrender hereof together with a written instrument of transfer satisfactory to the Bond Registrar,
duly executed by the registered owner or the owner's attorney; and may also be surrendered in
exchange for Bonds of other authorized denominations. Upon such transfer or exchange the City
will cause a new Bond or Bonds to be issued in the name ofthe transferee or registered owner, of
the same aggregate principal amount, bearing interest at the same rate and maturing on the same
date, subject to reimbursement for any tax, fee or governmental charge required to be paid with
respect to such transfer or exchange.
The City and the Bond Registrar may deem and treat the person in whose name this Bond
is registered as the absolute owner hereof, whether this Bond is overdue or not, for the purpose
of receiving payment and for all other purposes, and neither the City nor the Bond Registrar will
be affected by any notice to the contrary.
IT IS HEREBY CERTIFIED, RECITED, COVENANTED AND AGREED that all acts,
conditions and things required by the Constitution and laws of the State of Minnesota, to be
SJB-202938v2
CE155-17
done, to exist, to happen and to be performed preliminary to and in the issuance of this Bond in
order to make it a valid and binding general obligation of the City in accordance with its terms,
have been done, do exist, have happened and have been performed as so required, and that the
issuance of this Bond does not cause the indebtedness of the City to exceed any constitutional or
statutory limitation of indebtedness.
This Bond is not valid or obligatory for any purpose or entitled to any security or benefit
under the Resolution until the Certificate of Authentication hereon has been executed by the
Bond Registrar by manual signature of one of its authorized representatives.
IN WITNESS WHEREOF, the City ofCenterville, Anoka County, Minnesota, by its City
Council, has caused this Bond to be executed on its behalf by the facsimile or manual signatures
of the Mayor and City Clerk-Treasurer and has caused this Bond to be dated as of the date set
forth below.
Dated:
CITY OF CENTERVILLE, MINNESOTA
(F acsirnile)
City Clerk-Treasurer
(Facsimile)
Mayor
CERTIFICATE OF AUTHENTICATION
This is one of the Bonds delivered pursuant to the Resolution mentioned within.
By
Authorized Representative
SJB-202938v2
CE155-17
The following abbreviations, when used in the inscription on the face of this Bond, will
be constructed as though they were written out in full according to applicable laws or
regulations:
TEN COM -- as tenants
ill common
UNIF GIFT WN ACT Custodian
(Cust) (Minor)
TEN ENT -- as tenants
by entireties
under Uniform Gifts or
Transfers to Minors
JT TEN --
as joint tenants with
right of survivorship and
not as tenants in common
Act. . . . .
(State)
Additional abbreviations may also be used though not in the above list.
ASSIGNMENT
For value received, the undersigned hereby sells, assigns and transfers unto
the within Bond and all rights thereunder, and
does hereby irrevocably constitute and appoint attorney to
-transfer the said Bond on the books kept for registration of the within Bond, with full power of
substitution in the premises.
Dated:
Notice:
The assignor's signature to this assignment must correspond with the name
as it appears upon the face of the within Bond in every particular, without
alteration or any change whatever.
Signature Guaranteed:
NOTICE: Signature(s) must be guaranteed by a financial institution that is a member of the
Securities Transfer Agent Medallion Program (liST AMP "), the Stock Exchange Medallion
Program ("SEMP"), the New York Stock Exchange, Inc. Medallion Signatures Program ("MSP")
or other such "signature guarantee program" as may be determined by the Registrar in addition
to, or in substitution for, STAMP, SEMP or MSP, all in accordance with the Securities Exchange
Act of 1934, as amended.
SJB-202938v2
CE155-17
The Bond Registrar will not effect transfer of this Bond unless the information
concerning the assignee requested below is provided.
Name and Address:
(Include information for all joint owners if this
Bond is held by joint account.)
Please insert social security or other
identifYing number of assignee
PROVISIONS AS TO REGISTRATION
The ownership of the principal of and interest on the within Bond has been registered on
the books of the Registrar in the name ofthe person last noted below.
Date of Registration
Registered Owner
Signature of
Officer of Registrar
Cede & Co.
Federal ID #13-2555119
3.02. The City Clerk-Treasurer is directed to obtain a copy of the proposed approving
legal opinion of Kennedy & Graven, Chartered, Minneapolis, Minnesota, which is to be
complete except as to dating thereof and to cause the opinion to be printed on or accompany each
Bond.
SJB-202938v2
CE155-17
Section 4.
Payment; Security: Pledges and Covenants.
4.01. (a) The Bonds are payable from the Improvement Bonds, Series 2001 Debt
Service Fund (Debt Service Fund) hereby created, and the proceeds of special assessments
(Assessments) levied or to be levied for the Improvements described in Section 1.01 financed by
the Bonds are hereby pledged to the Debt Service Fund. If a payment of principal or interest on
the Bonds becomes due when there is not sufficient money in the Debt Service Fund to pay the
same, the City Clerk-Treasurer is directed to pay such principal or interest from the general fund
of the City, and the general fund will be reimbursed for the advances out of the proceeds of
Assessments when collected. There is appropriated to the Debt Service Fund (i) capitalized
interest financed from Bond proceeds, if any, (ii) any amount over the minimum purchase price
paid by the Purchaser, and (iii) the accrued interest paid by the Purchaser upon closing and
delivery of the Bonds.
(b) The proceeds of the Bonds, less the appropnatIons made in paragraph (a),
together with any other funds appropriated for the Improvements and Assessments collected
during the construction of the Improvements will be deposited in a separate construction fund
(which may contain separate accounts for each Improvement) to be used solely to defray
expenses of the Improvements and the payment of principal and interest on the Bonds prior to
the completion and payment of all costs of the Improvement. Any balance remaining in the
construction fund after completion of the Improvements may be used to pay the cost in whole or
in part of any other improvement instituted under the Act. When the Improvements are
completed and the cost thereof paid, the construction account is to be closed and subsequent
collections of Assessments for the Improvements are to be deposited in the Debt Service Fund.
4.02. It is hereby determined that the Improvements will directly and indirectly benefit
abutting property, and the City hereby covenants with the holders from time to time ofthe Bonds
as follows:
(a) The City has caused or will cause the Assessments for the Improvements
to be promptly levied so that the first installment will be collectible not later than 2003
and will take all steps necessary to assure prompt collection, and the levy of the
Assessments is hereby authorized. The City Council will cause to be taken with due
diligence all further actions that are required for the construction of each Improvement
financed wholly or partly from the proceeds of the Bonds, and will take all further actions
necessary for the final and valid levy of the Assessments and the appropriation of any
other funds needed to pay the Bonds and interest thereon when due.
(b) In the event of any current or anticipated deficiency in Assessments, the
City Council will levy ad valorem taxes in the amount of the current or anticipated
deficiency.
(c) The City will keep complete and accurate books and records showing:
receipts and disbursements in connection with the Improvements and Assessments levied
SJB-202938v2
CE155-17
therefor and other funds appropriated for their payment, collections thereof and
disbursements therefrom, monies on hand and, the balance of unpaid Assessments.
(d) The City will cause its books and records to be audited at least annually
and will furnish copies of such audit reports to any interested person upon request.
4.03. It is hereby determined that the estimated collections of Assessments and interest
thereon for payment of principal and interest on the Bonds will produce at least five percent in
excess of the amount needed to meet when due, the principal and interest payments on the Bonds
and that no tax levy is needed at this time.
4.04. The City Clerk-Treasurer is authorized and directed to file a certified copy ofthis
resolution with the County Auditor of Anoka County and to obtain the certificate required by
Minnesota Statutes, Section 475.63.
Section 5.
Authentication of Transcript.
5.01. The officers of the City are authorized and directed to prepare and furnish to the
Purchaser and to the attorneys approving the Bonds, certified copies of proceedings and records
of the City relating to the Bonds and to the fmancial condition and affairs of the City, and such
other certificates, affidavits and transcripts as may be required to show the facts within their
knowledge or as shown by the books and records in their custody and under their control,
relating to the validity and marketability of the Bonds, and such instruments, including any
heretofore furnished, may be deemed representations of the City as to the facts stated therein.
5.02. The Mayor and City Clerk-Treasurer are authorized and directed to certi1)r that they
have examined the Official Statement prepared and circulated in connection with the issuance
and sale of the Bonds and that to the best of their knowledge and belief the Official Statement is
a complete and accurate representation of the facts and representations made therein as of the
date of the Official Statement.
Section 6.
Tax Covenant.
6.01. The City covenants and agrees with the holders from time to time of the Bonds
that it will not take or permit to be taken by any of its officers, employees or agents any action
which would cause the interest on the Bonds to become subject to taxation under the Internal
Revenue Code of 1986, as amended (the Code), and the Treasury Regulations promulgated
thereunder, in effect at the time of such actions, and that it will take or cause its officers,
employees or agents to take, all affirmative action within its power that may be necessary to
ensure that such interest will not become subject to taxation under the Code and applicable
Treasury Regulations, as presently existing or as hereafter amended and made applicable to the
Bonds.
6.02. (a) The City will comply with requirements necessary under the Code to establish
and maintain the exclusion from gross income of the interest on the Bonds under Section 103 of
the Code, including without limitation requirements relating to temporary periods for
SJB-202938v2
CE155-17
investments, limitations on amounts invested at a yield greater than the yield on the Bonds, and
the rebate of excess investment earnings to the United States if the Bonds (together with other
obligations reasonably expected to be issued in calendar year 2001) exceed the small-issuer
exception amount of $5,000,000.
(b) For purposes of qualifying for the small-issuer exception to the federal arbitrage
rebate requirements, the City finds, determines and declares that the aggregate face amount of all
tax-exempt bonds (other than private activity bonds) issued by the City (and all subordinate
entities of the City) during the calendar year in which the Bonds are issued is not reasonably
expected to exceed $5,000,000, within the meaning of Section 148(f)(4)(C) of the Code.
6.03. The City further covenants not to use the proceeds of the Bonds or to cause or
permit them or any of them to be used, in such a manner as to cause the Bonds to be "private
activity bonds" within the meaning of Sections 103 and 141 through 150 of the Code.
6.04. In order to qualifY the Bonds as "qualified tax-exempt obligations" within the
meaning of Section 265(b)(3) of the Code, the City makes the following factual statements and
representations:
(a) the Bonds are not "private activity bonds" as defined in Section 141 of the
Code;
(b) the City hereby designates the Bonds as "qualified tax-exempt
obligations" for purposes of Section 265(b)(3) of the Code;
(c) the reasonably anticipated amount of tax-exempt obligations (other than
any private activity bonds that are not qualified 501(c)(3) bonds) which will be issued by
the City (and all subordinate entities of the City) during calendar year 2001 will not
exceed $10,000,000; and
(d) not more than $10,000,000 of obligations issued by the City during
calendar year 2001 have been designated for purposes of Section 265(b)(3) of the Code.
6.05. The City will use its best efforts to comply with any federal procedural
requirements which may apply in order to effectuate the designations made by this section.
Section 7.
Book-Entry System; Limited Obligation of City.
7.01. The Bonds will be initially issued in the form of a separate single typewritten or
printed fully registered Bond for each of the maturities set forth in Section 1.03 hereof Upon
initial issuance, the ownership of each Bond will be registered in the registration books kept by
the Bond Registrar in the name of Cede & Co., as nominee for The Depository Trust Company,
New York, New York, and its successors and assigns (DTC). Except as provided in this section,
all of the outstanding Bonds will be registered in the registration books kept by the Bond
Registrar in the name of Cede & Co., as nominee ofDTC.
SJB-202938v2
CE155-17
7.02. With respect to Bonds registered in the registration books kept by the Bond
Registrar in the name of Cede & Co., as nominee of DTC, the City, the Bond Registrar and the
Paying Agent will have no responsibility or obligation to any broker dealers, banks and other
[mancial institutions from time to time for which DTC holds Bonds as securities depository
(Participants) or to any other person on behalf of which a Participant holds an interest in the
Bonds, including but not limited to any responsibility or obligation with respect to (i) the
accuracy of the records of DTC, Cede & Co. or any Participant with respect to any ownership
interest in the Bonds, (ii) the delivery to any Participant or any other person (other than a
registered owner of Bonds, as shown by the registration books kept by the Bond Registrar,) of
any notice with respect to the Bonds, including any notice of redemption, or (iii) the payment to
any Participant or any other person, other than a registered owner of Bonds, of any amount with
respect to principal of, premium, if any, or interest on the Bonds. The City, the Bond Registrar
and the Paying Agent may treat and consider the person in whose name each Bond is registered
in the registration books kept by the Bond Registrar as the holder and absolute owner of such
Bond for the purpose of payment of principal, premium and interest with respect to such Bond,
for the purpose of registering transfers with respect to such Bonds, and for all other purposes.
The Paying Agent will pay all principal of, premium, if any, and interest on the Bonds only to or
on the order of the respective registered owners, as shown in the registration books kept by the
Bond Registrar, and all such payments will be valid and effectual to fully satisfY and discharge
the City's obligations with respect to payment of principal of, premium, if any, or interest on the
Bonds to the extent of the sum or sums so paid. No person other than a registered owner of
Bonds, as shown in the registration books kept by the Bond Registrar, will receive a certificated
Bond evidencing the obligation of this resolution. Upon delivery by DTC to the City Clerk-
Treasurer of a written notice to the effect that DTC has determined to substitute a new nominee
-in place of Cede & Co., the words "Cede & Co.," will refer to such new nominee of DTC; and
upon receipt of such a notice, the City Clerk-Treasurer will promptly deliver a copy of the same
to the Bond Registrar and Paying Agent.
7.03. Representation Letter. The City has heretofore executed and delivered to DTC a
Blanket Issuer Letter of Representations (Representation Letter) which shall govern payment of
principal of, premium, if any, and interest on the Bonds and notices with respect to the Bonds.
Any Paying Agent or Bond Registrar subsequently appointed by the City with respect to the
Bonds will agree to take all action necessary for all representations of the City in the
Representation letter with respect to the Bond Registrar and Paying Agent, respectively, to be
complied with at all times.
7.04. Transfers Outside Book-Entry System. In the event the City, by resolution of the
City Council, determines that it is in the best interests of the persons having beneficial interests
in the Bonds that they be able to obtain Bond certificates, the City will notifY DTC, whereupon
DTC will notify the Participants, of the availability through DTC of Bond certificates. In such
event the City will issue, transfer and exchange Bond certificates as requested by DTC and any
other registered owners in accordance with the provisions of this Resolution. DTC may
determine to discontinue providing its services with respect to the Bonds at any time by giving
notice to the City and discharging its responsibilities with respect thereto under applicable law.
In such event, if no successor securities depository is appointed, the City will issue and the Bond
SJB-202938v2
CE155-17
Registrar will authenticate Bond certificates in accordance with this resolution and the provisions
hereofwill apply to the transfer, exchange and method of payment thereof
7.05. Payments to Cede & Co. Notwithstanding any other provision of this Resolution
to the contrary, so long as a Bond is registered in the name of Cede & Co., as nominee ofDTC,
payments with respect to principal of, premium, if any, and interest on the Bond and notices with
respect to the Bond will be made and given, respectively in the manner provided in DTC's
Operational Arrangements, as set forth in the Representation Letter.
Section 8. Continuing Disclosure.
8.01. Participating underwriters need not comply with the continuing disclosure
requirements of Rule 15c2-12 promulgated by the Securities and Exchange Commission under
the Securities Exchange Act of 1934 (the "Rule"), because the offering is in a principal amount
less than $1,000,000. Consequently, the City will not enter into any undertaking to provide
continuing disclosure of any kind with respect to the Bonds.
The motion for the adoption of the foregoing resolution was duly seconded by Member
, and upon vote being taken thereon, the following voted in favor
thereof:
and the following voted against the same:
whereupon said resolution was declared duly passed and adopted.
SJB-202938v2
eE] 55-] 7
STATE OF MINNESOTA )
)
COUNTY OF ANOKA ) SS.
)
CITY OF CENTERVILLE )
I, the undersigned, being the duly qualified and acting City Clerk-Treasurer of the City of
Centerville, Anoka County, Minnesota, do hereby certify that I have carefully compared the
attached and foregoing extract of minutes of a regular meeting of the City Council of the City
held on October 24, 2001 with the original minutes on file in my office and the extract is a full,
true and correct copy of the minutes insofar as they relate to the issuance and sale of $990,000
General Obligation Improvement Bonds, Series 2001 of the City.
WITNESS My hand officially as such City Clerk-Treasurer and the corporate seal of the
City this
day of October, 2001.
City Clerk-Treasurer
Centerville, Minnesota
(SEAL )
SJB-202938v2
CEl55-17
STATE OF MINNESOTA COUNTY AUDITOR'S
CERTIFICATE AS TO
COUNTY OF ANOKA REGISTRATION WHERE NO AD
VALOREM TAX LEVY
I, the lmdersigned County Auditor of Anoka County, Minnesota, hereby certify that a
resolution adopted by the City Council of the City of Centerville, Minnesota, on October 24,
2001, relating to General Obligation Improvement Bonds, Series 2001, the amount of $990,000
dated November 1, 2001, has been filed in my office and said obligations have been registered
on he register of obligations in my office.
WITNESS My hand and official seal this _ day of October, 2001.
County Auditor
Anoka, County, Minnesota
(SEAL )
Deputy
SJB-202938v2
CE155-17
1880 %ain Street . Centervi[[e; ']v!'1'\[ 55038
(651) 429-3232 . 'Ya7( (651) 429-8629
STATE OF MINNESOTA
COUNTY OF ANOKA
CITY OF CENTERVILLE
RESOLUTION 01 - 021
RESOLUTION FOR ABATEMENT OF SPECIAL ASSESSMENTS (PARKVIEW
ADDITION)
WHEREAS, the City Council of the City of Centerville authorized the Parkview
Addition Improvements; and
WHEREAS, property/development petitioned for the stated improvement be financed in
accordance with Minnesota Statue 429; and
WHEREAS, the City of Centerville gave proper notification of such; and
WHEREAS, $615,000 was assessed to benefited properties based upon square foot; and
WHEREAS, Capital Title paid to the City $11,534.72 on May 14, 1999; and
WHEREAS, Anoka County Property Tax Division has acknowledged and certified
$1,012.85 for the 2nd half 1999 tax year and $1,846.47 for the 2000 tax year and
$1,846.47 for the 2001 tax year; and
WHEREAS, the Council has directed the Clerk/Treasurer to make a request of Anoka
County to abate Parkview Addition assessment improvements from the property legally
known as R23-31-22-31-0041 for the 2nd half 1999 and 2000 through 2008; and
NOW THEREFORE, BE IT RESOLVED, that on October 24, 2001 the Centerville
City Council authorized Anoka County to abate Parkview Addition Assessment
Improvements from property legally known as R23-31-22-31-0041.
Whereupon said resolution was declared duly passed and adopted this 24th day of
October, 2001.
Mayor
ATTEST:
Jim March, City Administrator
O,H6-0 1 02: ilSpm
From-PROP R5C & TAX
76m35421
i-447 P.02J03 F-6S3
"'Mi,a C;uui'lt'f i:.l~'d$ton of j:!rot,anv R~cQ!rd:s & rallmlhm Aba1>Pf1'llil"lt Form 7 (All\! 1.1'.15)
APPLICATiON FOR ABATEMENT - SPECIA1_ ASSESSMENTS
{M.S. 375,192)
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COUl1t~1 AuditO!"$ Number I
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Include ruml number & IilmQll,'l1 dU<I iqr ,o..yabl..:a:c ,",011 being abateQ, 11<;:11Clt,,1 p1in"ip:d amount.
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NOTE:
Mif1n:;~,)!a Slajutf;~ 1988, S~cti(ln ~C0.41. "Wh," ".v;u, in rnl1King a'lY m,lement, oral m 'Nrit::lfl. 'Nhich I~ r,~q~Jir,~d ~r ;OiUlhQI1ZiOd b'l" I~w to be :nad,
"'-0 d b..~i5 01 imp,~..in9, ttJd\jcirl~ ill abaling any 1:;li' "t a~~e~"ml9r~i, ;mentionlilily tna\\es any statell1J;lnl ;,;.:l tt:> any l'i1aJ&r!all'i1<lt1ar Which the rTl!lk,e
o/',h., ~l<it!limJ;lrlllmow$ '1" IOllis.s my b't1 <i0il1\Ji!i1c.ed, ..i'lIi<il5 ';lherwil;.:! PiQlii~d i;y law, tIC: ':mpris-=>nmem for no\ !nt;lT;;! mai'l one )'I)",r or to pBymian\ r.
a linl~ 01 nOi mere If,an $3,000, or both,'
04~06-Qj O"OSpm rrr.m-PROF REC ~ 'rAX
7533235421
T-447 P.D3/0Z F-6SZ
The following accurately reflects both axisting and proposed amounts.
Waste
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Tax I Speci;al I
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o
T~( is Paid Date:
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o Equal ,A.nnual
o Declining Salanc%
o Flat Tax
a Abatement
o Increase
Tax is NOT Paid
. REPOAT OF lNVEST1GAT10N
After examining ;h<t.; applicant's cialms, i flli!.Ve carelully investtgated this appiicatioll and fir,\.: the facts 1;0 bs as foilov\l5:
CITV:'T'O'NH COUNCIL RESOUJTiGN NUMBER:
RESOLUTICN DATE:
-~------ Signatur~ Q(if1veStTgator
Date
CERTIFICA1"lONS OF APPROVAL
NOle: For this; ~balen1fJrI'l to ba ilppf"~Il\l, the C<;!unty Auditor and tile CountY Board Qi Comn'lISGi"n~rl: must favorably r~omm~n(llts:
~.:!opd(Jn.
COUNTY AUOl'rCR'S RECOMMEiNDA TION
o
Approved
o
Denied
Auditor's Signature
COUNTY SOARD QF COMMiSSIONER'S ACT10N C:c be completed b~' COI..mlY Ptudltor)
o
Approved
o
Oenied
I c~rtif~' thai ?J 3.'ileeting held __~_ _ ! 19____ the County Boaro to\::Jk thea\::ov~ cr1\ci'O.l
action I1r"1 \rds ai::iatement T'1is action W'<!.O dulY adapted arid e,lt~reo upon tile minutes of its proceedint;is ass. plJbiiC
record, shewing the names of lct::q:layer;:;, mher concerneO persons and the amoulits \mIO\ved.
CE'AT!fICA'lION QF F~N.A.i. A?PROVA.L (Completet:! cnlY fa I' apDrClveo abatements)
I further certify mar \rIe approval oi tiiis abatement has resulted In the following chanQes:
F,eC\.lctlar, OJ'Special ,!l,S$i9ssmc,nts
Reduction Oi Penalties On Special ,~~tsmts $
$
ct'
q",
Reduction Of CO$ts On Special .1\$smlS $
Total ,A.mount Of Reduction $
Tctal Amount Payable $
P.aduct!on Oi !nt8re~t On Special Assmts
Date
Signature of ():1lmty Auditor
AUG-17-2001 FRI 11:57 AM CBBURNET
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FAX NO, 6517708890
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ROONEY & NEILSON, LTD.
ATTORNEYS AT LAW
3260 RICE STREET OCT 1 9 2001
LITTLE CANADA, MN 55126
October 17, 2001
Telephone (651) 481-9222
Telefax (651) 481-7038
E-mail: tjrooneydm@aol.com
lwneilson@hotmail.com
Thomas J. Rooney
Larry Neilson
~!
Teresa D. Bender
City Clerk/Treasurer
City of Centerville
1880 Main Street
Centerville, MN 55038
Re: R & R Leasing, Inc. File #12037
Dear Ms. Bender:
This letter is a renewal of my September 11th, 2001 request for an assessment split. The
prior PIN number was R23 31 2244 0001. According to the information you sent me, that
parcel is now out. PIN number R23 31 22 44 0008 is the legal description of the property
that has now been deeded to First Class Concrete, Inc. You are correct that the Contract for
Deed between R & R Leasing, Inc. and First Class Concrete, Inc. obligated R & R Leasing,
Inc. to pay the assessments in full. The money with which to do that is in escrow at Land
Title, Inc., the company that closed the transaction between R & R Leasing, Inc. and First
Class Concrete, Inc. The area of the parcel conveyed to First Class Concrete, Inc. is 2
acres. The area of the remainder is 4.26 acres under PIN R 23 31 22 44 0009.. Forty-nine
hundredths (491100) of an acre is in County Road No. 54. The 2 acres should bear 31.95%
of the assessment and the remaining 4.26 acres should bear 68.05% of the assessment.
We are requesting a breakout of PIN 23 31 22440008 on the basis of 31.95%. The money
to pay these assessments in full is in escrow at Land Title, Inc. We are requesting that the
balance of the assessment be broken out against PIN R23 31 22 44 0009 (68.05 % ). This
will be paid with the taxes over the terms of the assessments.
Please place this matter before the Council. Thank you.
Yours very truly,
ROONEY & NEILSON, LTD.
;f~ e
THOMAS J. RO~NEY~
TJR/br
cc: Gerald L. Rehbein
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15: lofli i)':Sii3 ;176 'isi".'...".. L:V\l]j" tITLE' INI=
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PHOHE NO. : 651 429 6629
Jun. 06 2881 09:42AM P2
ASSESSMENT SCHEDULE
Constant Annual Payment Method
Project: Clearwater Creek Restoration prajed
PatC-fir: 23 31 22 44 0001
Owner: -- 'Rellb-ein;'-F&G---'_/'
cD!:
BlocK:
Addjti6n~
09108/94
tl1terest Start Date:
Repa;rm$nf Period:
Interest Rale:
Assessmel1 65:
o. Municipallmpv.
b.
c.
d.
e.
T Oi81 Assessments:
01-Qct-94
7 'jr
9,0%
QUANTITY
UI\JIT PRICE
;-'Jlll0 U I'H
UNIT
EACH
5,606-72
:55,606,72
$5,606.72
ANNUAL PRINCiPAL INTEREST PRINC1P.'I1.
YEAR PAYMENT P A YMEJ\Jt PAYMENT I~EMAJN1NG
'1994 $~)6a6,72
'(995 $1,241.19 $609.40 ~631.19 $4,997.:32
19% $1,114.00 $664.24 $449.75 $4,333.08
1997 $1,114,00 $724.02 $389.98 $3,609.05
"998 $1,114_00 $789.19 .li324.81 $;2,8'19.37
1999 $1,114.00 $880.21 $253.79 :51,959.65
:2.000 :),i'),114.DO $937.63 $176.37 $.1,022.02.
2001 $l,l'14.00 $1,022.02 $91.98 $0.00
$7.92520 == Total of Annm:il Payn'Gnts
-,
-~.
f~ " ~.~" Z}~-~~ j Z_~
ASSESSMENT SCHEDULE
Consta'nt Annual Payment Method
Project: 20TH AVENUE IMPROVEMENTS
Projecti\io 26008SMt0583)-___
Parcel: 23-31-22-44-0001 /
~--
'--------------
OI::vn-er: Rehbein i\
"..~,
lot
Block:
Addition:
Interest Start Date:
Repayment Period:
Interest Rate:
May 12, 1998
1 0 y rs
8,00%
Assessments: Unit 1'v1easLlre
Watermain and Sewer Improvements lS
Unit ,once
26,820,98
Amount
$ 26,820.98
YEAP SCHEDULED PRINCIPAL INTEREST PRINCIPi\l
Pi\ YM ENT PAYMENT PAYMENT REMAiNING
1998 $ $ ;]) ;]) 26,820.98
1999 3) 5,372.70 $ 1,85144 5) 3,521.26 $ 24,969_54
2000 $ 3,99712 $ 1,99955 $ 1,997,56 $ 22,96999
~-- - 2001 $ 3,99712 $ 2,159,52 $ 1,837.60 ;]) 20,81047
---
2002 $ 3,99712 $ 2,332.28 $ 1,664,84 5) 18,478,19
2003 5) 3,997,12 $ 2,518,86 $ 1,478,26 $ 15,959,33
2004 $ 3,99712 $ 2,720,37 $ 1,276.75 $ 13,23896
2005 5) 3,997,12 5) 2,938.00 3) 1,05912 5) 10,300,96
2006 $ 3,99712 5) 3,173.04 $ 824,08 $ 7,12792
2007 3) 3,997,12 ;]) 3,426,88 $ 57023 $ 3,701,03
2008 $ 3,997 '12 $ 3,70103 $ 296.08 $ 000
$ 41,34675 Total Scheduled Payment
2600852S
REPORT, DIVCOMHJ:T
1711. N 0 It A
COVER
PAYABLE: 2002
DIVISION TYPE, DIVl:SION
DOCmonrr TYPB: CD
DAXE OF TRANSFER: 04/30/2001
CITY, Czm'Jl:RVILLl!:
RUN:SZP1401 11:.7
PAGE:
1
e 0 UN T Y
S H I!I: Z T
DIVl:SION: 95
MAPS/Mn.ARS PROOl'lm BY
PLAT ON MYLAR ON
GBNERM'%D ON
PROOFED BY JR
WRITTEN BY se
09/14/2001
ON 06/25/2001
ON 06/07/2001
PIN XSY
THE 1!'OLLOWING PARCBL(Sl ARB NOW OUT: {STATUS INACTIVE}
~->:iIw.'
23-31 22 44 0001 00220727
SPECIALS, 82912
.Jl.r... -# /5'-5') fl. A-
'I'D FOLLOWING PARCll:L(S) ARE NOW IN: {COMMITTED, STATUS ACTIVE}
R23 31 22 44 0008 KEY: 01457701
PARENT KEYS: 00220727
LOT/UNIT BLOCK/TRACT
THAT PRT OP S 250 FT OF N 910
FT OF SB1/4 OF SZl/4 OF SEe 23
TWP 31 KGB 22 LYG ELY 01" FOL
DBse LINK: CON AT BE COR OF SD
SEe, TH N 00 DZG 41 MIH 52 SEC
E, ASSD BRG, ALG l!: LINE OF so
SEe 670.74 Tr TO S LINE 01" N
660 1"'1' OF SO 1/4 1/4, TH N 88
DKG 32 MIN 26 SEe W ALG SD S
LINK OF N 660 7T 404.35 TO POB
OF SO LINE. TH S 00 DZG 20 MIN
01 SEC W 250.05 rr TO S LINE
O~ N 910 FT 01' SD 1/4 1/4 & SD
LUll!: TURII: 'l'ZRX, il:X RD, SUBJ
TO BASK 01" DC
R23 31 22 44 0009 KBY, 01457710
PARENT ~:YS, 00220727
LOT/UNIT BLOCX/TRACT
THAT PRT OF B 726 FT 01" SEi/4
OF SE1/4 OF SXC 23 TWP 31 RGZ
22 LYG N 01" S 265 l"T THEREOF &
LYG S OF N 660 l"T TlIllRBOF, EX
THAT PRT OF S 250 1"'1' OF H 910
FT OF SO 1/4 1/4 LYG BLY OF
1"0L DllSC LINE: COM AT SB COR
OF SD SEC. TH N 00 DEG 41 MIN
52 SEC B:. ASSD BRG, ALG Ii: LINE
OF SD SSC 670.74 rr TO S LINE
OF N 660 l"T OF SD 1/4 1/4, TH
N 88 DEG 32 HIN 26 SEe W ALG
SD S LIMB OF N 660 l"T 404.35
ASR INFO IN BY DMS ON 09/13/2001 A
UNPLATTED
PART
ASR INFO IN BY OMS ON 09/13/2001 B
UNPLATTED
l?ART
.
REPORT: DIVCOMMIT
??A N 0 It A
COVER
PAYABLE: 2002
FT TO POB OF SD LINE. TH S 00
DBG 20 MIN 01 SEe W 250.05 FT
TO S LINE OF N 910 rT OF SD
1/4 1/4 .. SD LINE THERE TERM.
EX RD. SUBJ TO EASE OF REC
RUN:SEP1401 ,11:47
C 0 U H T 1l
S :Ii l!l l!: T
DIVJ:SIOH, 95
,...~..
PAGE:
;a
September 18, 200 I
City Council
City of Center vi lIe
1880 Main Street
Centerville, MN 55038
Dear Honorable Mayor and Council Members:
Although budgeting is the first and most essential in!,>redient of any efficient system of administration, it has
sometimes been neglected, poorly implemented and ignored fundamental of city government. The budget
serves as a check on city operations.
I am requesting the following information regarding the 2001 Budget. I am specifically requesting information
on the moneys spent but not allocated in the line item 2001 budget but approved by the city council for
expenditure.
This includes, but is not limited to:
the communication committee;
the parks and recreation committee;
the Fete des Lacs committee;
mayor and council salaries;
employee salaries and/or benefits;
expenses related to the city administrator search
legal fees incurred regarding the dismissal of employees
legal fees incurred regarding my request for information dated September 13,2001;
any and all other expendii11res not included within the 2001 budget.
I would also like the information used by the city council to rationalize the choices of how to dish'ibute funds to
particular services which were un-budgeted for in 200 I.
Thank you.
~~~L/ltU;L F/;[Cej~le.fL
Sanna Buckbee
7381 Peliler Circle
Centerville, MN 55038
MEMO
DATE:
October 19,2001
TO:
Honorable Mayor and Council
FROM:
Mary Capra
RE:
Liquor Policy
............................................................................
I requested this item be placed on the agenda as a reminder this issue still needs to be
addressed.
With Kim starting I believe it is a good time to keep in mind issue we have tabled from past
meeting.
Teresa informed me the renewal time for liquor licenses is approaching.
MEMO
DATE:
October 19,2001
TO:
Honorable Mayor and Council._
FROM:
Mary Capra
RE:
Deferred Compensation Update
............................................................................
Steve McDonald and Kristi Brutlag from Abdo, Eick & Meyers, LLP met with Teresa
Bender and myself this past Tuesday regarding the deferred compensation. A list of areas to
research was comprised in an effort to bring the city into compliance regarding this benefit.
Mr. McDonald requested the city attorney's opinion on a few issues, which I have forwarded
to Mr. Hoeft.
We will be receiving a letter from Abdo, Eick & Meyers, LLP regarding the process and
information needed per our meeting on October 16, 2001.
We (the city) have the majority of the information necessary in computer files. We will have
to pull hard copies of information for the time frame from September 1996 - December of
1997.
Abdo, Eick & Meyers, LLP will be contacting PEBSCO's for cross-referencing of
information.
Mr. Hoeft will be updating the council at our meeting regarding the issues Abdo, Eick &
Meyers, LLP discussed with him.
:r
"
J
MEMORANDUM
DATE: 10/11/01
TO: Quad Police Core Group
FM : Mike Delmont
RE: Results of 10/11/01 meeting.
Group discussed moving to the next step in the consideration
process. City Administers to gather information from law
enforcement, municipal and academic sources as to the type and
availability of consultant groups that would be best suited to put a
comprehensive product together.
',- -f!["I'"
;;; ~,)j\U a
Enclosures: List of Framework Issues & Flow Chart of Considerations
Next meetinq will be held on November 15th, 7:30 AM at Centerville
CONSIDERATION OF QUAD POLICE MERGER
Core Group/Mayor/Admin
+
Consultant
+
Product (Data & Process)
+
*Focus Groups (Stakeholders)
+
Core Group/Mayors/Admin
I
T
Product (Refined)
+
City Councils
* Focus Groups - Resident
(Stakeholders) COP's
CLPD Commission Members
Officers
Police Support Staff
City Councils.
Business Community
Next Meeting set for October 11 or 12,7:30 AM at the Lexington City Hall
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BONESTROO AND ASSOC
~ Bonestroo
_ _ Rosene
~ Anderlik &
. \J. Associates
Engineers .5. Architects
October 19, 200 1
Honorable Mayor & CouncH
City of Cenrervtl1e
) 880 Main Street
~nteryille. MN 55038.9794
ij 6516361311
10/19/01 15:17 DJ :02/02 NO:144
lonelfroiO, R.cuanl, Andadik and AnQl~Ii'lifM, Int. 'f.;ln .A1t"rn'Hnl'YE' AClI6,,/€qy,,;if Opportunity g'mpl.,ye-r
anll Employe" O,,".\O!<l
'rjnclp;lJ~: (Jtrr) (;, t10n('~tioo. r:r: ' M,'~l vir, L. SIJ! vlil,I, RF . (~ll"m' r~ (OOk, p.~~. ~ RorJca G. :,(,J HmJr hI. l:"l~, .
.If'rr}" A ,HF,lur..10n. /~t:,
SWMIr::n CCln..ult~"f'.,; J~ll~'\.~I't W.I~03Cl'C', '~[;;', , JIJS':':!J'l (" Alldt.dl~.. {',F, . j~Il'fJioH~ t. Iwnr.'r. r",[:, . SU.s.Hl M. J:LJt!r Ij 11 , CPA
Aueci...te "r+nt.lp~I1i: l<~':t,""l ^ 0'-'1'001), I".t. , r.:ulJ.tfr t]\'. j:ll'!df"r/f., j'J,~, . '~I('i"I.,r,1 VI "'os-tel', r-:c, ,. OJVH,i o. Lu~kf:d'I';, I'~I-, .
Mr'Hk A. H,In'um, fJ~ . l\I,l(I'~]QI :. H~LI!mill'ln. j~r. I T~d X, ~it"!d. P!='. 011 Kt'nnt,'t" jJ "'nclCI'SOI1, r:r::. ~ M..iti'l~ R. i<nh~.\, l~~. I
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~f;)slto: WWW.t1tllll...Stn;\<;l.:.;.um
Re: LaMotte Park Improvements
Our File No. 616-01-118
Dear Council:
At the September 12.2001 Council meeting, MI'. Travis asked chat the pay request to VinclJ he
tabled for further review. I have since met with reoresentatives from Vinco and have ne'.".
.
information to pre:\ent.
The work in the hockey rink involved e!1:cavating topsoil material and replacing it with granular
borrow. The actua.l amount that had to be removed exceeded the ()riginul estimate. The final
mea:mred quantity of granular material placed in the rink was 436 cubic yards (CY), and the plan
quantity was 120 CY.
To dare, we have paid V inco for 150 CY. and have been negotiating for [he remaining 286 CY.
AfteT meeting and reviewing all the i~sues, Vinco is willing to settle for 250 CY, whkh is a
savings of $3,624.84 (36 CY x $100.69) to the City,
I recommend we pay Vinca a total of 400 CY (150+ 250) of granular hOIT()w at $100.69 per
CY. This can be done in the next pay request if approved by the Council.
y our~ very (wI y,
BONESTROO ROSENE ANDERLIK & ASSOCIATES, !Nc.
t Iwwrv; w (~ -.~
Thomas W. Peterson
TWP:crw
233S West Highw!!'lY 36 · St. PC'lul, MN 55113. 651-636-461)0 . Fax: bSH,,36-1311
~ta6[islied 1857
1880 :Jvfain Street _ Centervi[[e,:Jvf'J{ 55038
(651) 429-3232 . ~al( (651) 429-8629
October 15,2001
Teresa Bender,
I am interested in becoming the Cable Operator for the cable casting of the City Council
Meetings. Thank you in advance for your consideration.
,---JJ ' II +- ~J .~
!,+,l/v;,\ ~pAjL/~
Kim Stephan
To
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BALANCE IN CHECKING ACCOUNTS AS OF OCTOBER 11, 2001
$2,032,986.00
RECEIPTS
$82,721.70
$ 82,721.70
DISBURSEMENTS ($35,592.72)
($ 35,592.72)
PAYROLL PERIOD ENDING 9-6-01
($9,826.79)
BALANCE IN CHECKING ACCOUNT AS OF SEPTEMBER 26, 2001
$2,070,288.19
'Estaf)[isnel18S7
/
Amount
CITY OF CENTERVILLE
Cash Recei pts
Tran
Date Refer Comments
Bat~h
Name
10/17/01 3:17 PM
Page 1
Account Oeser
101 GENERAL FUND
G
$6.00
$0.20
$0.19
$8.65
$5.60
$13.20
$14.85
$5.68
10/10/01
10/11/01
10/12/01
10/15/01
10/16/01
10/16/01
10/17101
10/17101
G $54.37
R
$50.50 10/11/01
$71.00 10/11/01
$25.00 10/11/01
$66.00 10/11/01
$20.50 10/11/01
$20.50 10/11/01
$80.50 10/11/01
$20.00 10/11/01
$200.00 10/11/01
$128.30 10/11/01
$15.00 10/11/01
$9.06 10/11/01
$160.00 10/11/01
$91.00 10/11/01
$162.50 10/15/01
$100.50 10/15/01
$3,166.03 10/15/01
$422.60 10/15/01
$647.00 10/15/01
$100.50 10/15/01
$110.50 10/15/01
$20.50 10/15/01
$8.56 10/16/01
$6.41 10/17/01
$0.25 10/17/01
$91.00 10/17101
$59.50 10117101
R $5,853.21
101 GEN $5,907.58
415 STORM WATER IMP PROJECTS
. R
$0.34 10/10/01
$64.73 10/10101
$0.20 10/11/01
$140.65 10/11/01
o UB UR Receipt Group 01 RE 10-10-01
o UB UR Receipt Group 01 RE 10-11-01
o UB UR Receipt Group 01 RE 10-12-01
o UB UR Receipt Group 01 RE 10-15-01
o UB UR Receipt Group 01 RE 10-16-01
o UB UR Receipt Group 02 CO 10-16-01
o UB UR Receipt Group 01 RE 10-17-0111
o UB UR Receipt Group 01 RE 10-17-011
o 1753 CENTER STREET - CO 101101
07001 EAGLE TRAIL - P01-05 101101
07085 COTTONWOOD CT - 0 101101
01855 PIONEER LN - P01-056 101101
01967 CARDINAL DRIVE - MO 101101
01671 HUNTER'S TRL - M01-0 101101
07338 DEER PASS DRIVE - M 101101
o 6882 DEER CT - REGISTER 101101
o PRELIMINARY PLAT (EAGL 101101
07136 BRIAN WAY -01-182 101101
o MAIL LIST - NOISE PERMIT - 101101
o UB Receipt Surc 1 SALES TA 10-11-01
02025 GATEWAY CIRCLE - C 101101
07338 DEER PASS - P01-055 101101
06961 MEADOW COURT - DE 101501
06874 BEAVER POND WAY - 101501
o SEPTEMBER 2001 FINES - 101501
01691 MAIN STREET - 01-183 101501
o WIND & HAIL DAMAGE TO 101501
01671 HUNTER'S TRAIL - MO 101501
01689 HUNTER'S TRAIL - C01 101501
07167 MILL RD - M01-068 101501
o UB Receipt Serv 102 CERTIF 10-16-01
o UB Receipt Surc 1 SALES TA 10-17-011
o ENVELOPE 10-17-01
01671 HUNTER'S TRAIL - P01 10-17-01
07098 CENTERVILLE RD - CO 10-17-01
o UB Receipt Serv Pen 10 ORA 10-10-01
o UB Receipt Serv 10 DRAIN F 10-10-01
o UB Receipt Serv Pen 10 ORA 10-11-01
o UB Receipt Serv 10 DRAIN F 10-11-01
G 101-11500 Accounts Receivable
G 101-11500 Accounts Receivable
G 101-11500 Accounts Receivable
G 101-11500 Accounts Receivable
G 101-11500 Accounts Receivable
G 101-11500 Accounts Receivable
G 101-11500 Accounts Receivable
G 101-11500 Accounts Receivable
R 101-32225 Electrical Inspection
R 101-32180 Plumbing Permits
R 101-32225 Electrical Inspection
R 101-32180 Plumbing Permits
R 101-32210 Building/Mech. Permits
R 101-32210 Building/Mech. Permits
R 101-32210 Building/Mech. Permits
R 101-34107 Assessment Search Fees
R 101-32000 Special Use/Grading/Burni
R 101-32210 Building/Mech. Permits
R 101-36200 Miscellaneous Revenues
R 101-36280 Sales Tax Collections
R 101-32225 Electrical Inspection
R 101-32180 Plumbing Permits
R 101-32210 Building/Mech. Permits
R 101-32210 Building/Mech. Permits
R 101-35000 Fines and Forfeits
R 101-32210 Building/Mech. Permits
R 101-36200 Miscellaneous Revenues
R 101-32210 Building/Mech. Permits
R 101-32225 Electrical Inspection
R 101-32210 Building/Mech. Permits
R 101-36200 Miscellaneous Revenues
R 101-36280 Sales Tax Collections
R 101-36270 Refunds/Reimbursements
R 101-32180 Plumbing Permits
R 101-32225 Electrical Inspection
R 415-32350 Storm Water Drainage Fu
R 415-32350 Storm Water Drainage Fu
R 415-32350 Storm Water Drainage Fu
R 415-32350 Storm Water Drainage Fu
./
CITY OF CENTERVILLE
10/17/01 3:17 PM
Page 2
Cash Receipts
Tran Batch
Amount Date Refer Comments Name Account Descr
$0.44 10/12/01 o US Receipt Serv Pen 10 ORA 10-12-01 R 415-32350 Storm Water Drainage Fu
$80.71 10/12/01 o US Receipt Serv 10 DRAIN F10-12-01 R 415-32350 Storm Water Drainage Fu
$100.82 10/15/01 o US Receipt Serv 10 DRAIN F 10-15-01 R 415-32350 Storm Water Drainage Fu
$0.56 10/15/01 o US Receipt Serv Pen 10 ORA 10-15-01 R 415-32350 Storm Water Drainage Fu
$0.99 10/16/01 o US Receipt Serv Pen 10 ORA 10-16-01 R 415-32350 Storm Water Drainage Fu
$91.78 10/16/01 o US Receipt Serv 10 DRAIN F 10-16-01 R 415-32350 Storm Water Drainage Fu
$1.44 10/17/01 o US Receipt Serv Pen 10 ORA 10-17-0111 R 415-32350 Storm Water Drainage Fu
$61.49 10/17/01 o US Receipt Serv 10 DRAIN F 10-17-011 R 415-32350 Storm Water Drainage Fu
$0.64 10/17/01 o US Receipt Serv Pen 10 ORA 10-17-011 R 415-32350 Storm Water Drainage Fu
$105.84 10/17/01 o US Receipt Serv 10 DRAIN F 10-17-0111 R 415-32350 Storm Water Drainage Fu
R $650.63
415 STO $650.63
436 HUNTER'S CROSSING
R
$14,383.50 10/11101 06891 BEAVER POND WAY- 101101 R 436-36100 Special Assessments
$14,383.50 10/15/01 06887 BEAVER POND WAY- 101501 R 436-36100 Special Assessments
$14,383.50 10/17/01 06885 DEER CT - ASSES. PA 10-17-01 R 436-36100 Special Assessments
R $43,150.50
436 HUN $43,150.50
601 WATER FUND
R
$13.37 10/10/01 o UB Receipt Serv 30 WATER 10-10-01 R 601-34400 Safe Drinking Water Fee
$0.89 10/10101 o UB Receipt Serv Pen 30 WAT 10-10-01 R 601-34400 Safe Drinking Water Fee
$6.51 10/10/01 o UB Receipt Serv Pen 1 WAT 10-10-01 R 601-37100 Water Sales
$1,360.91 10/10/01 o UB Receipt Serv 1 WATER 10-10-01 R 601-37100 Water Sales
$139.40 10111101 o US Receipt Serv 15 WATER 10-11-01 R 601-37100 Water Sales
$10.42 10111101 o US Receipt Serv 30 WATER 10-11-01 R 601-34400 Safe Drinking Water Fee
$0.52 10/11/01 o US Receipt Serv Pen 30 WAT 10-11-01 R 601-34400 Safe Drinking Water Fee
$2,586.57 10/11101 o US Receipt Serv 1 WATER 10-11-01 R 601-37100 Water Sales
$21.19 10/11/01 o US Receipt Serv Pen 1 WAT 10-11-01 R 601-37100 Water Sales
$0.18 10/12/01 o US Receipt Serv Pen 1 WAT 10-12-01 R 601-37100 Water Sales
$0.51 10/12/01 o US Receipt Serv 30 WATER 10-12-01 R 601-34400 Safe Drinking Water Fee
$0.05 10/12/01 o US Receipt Serv Pen 30 WAT 10-12-01 R 601-34400 Safe Drinking Water Fee
$1,425.74 10/12/01 o US Receipt Serv 1 WATER 10-12-01 R 601-37100 Water Sales
$5.21 10/12/01 o US Receipt Serv 30 WATER 10-12-01 R 601-34400 Safe Drinking Water Fee
$2,635.42 10/15/01 o US Receipt Serv 1 WATER 10-15-01 R 601-37100 Water Sales
$46.91 10/15/01 o US Receipt Serv Pen 1 WAT 10-15-01 R 601-37100 Water Sales
$0.81 10115/01 o US Receipt Serv Pen 30 WAT 10-15-01 R 601-34400 Safe Drinking Water Fee
$11.88 10115101 o US Receipt Serv 30 WATER 10-15-01 R 601-34400 Safe Drinking Water Fee
$10.89 10115101 o US Receipt Serv 30 WATER 10-15-01 R 601-34400 Safe Drinking Water Fee
$9.29 10/16101 o US Receipt Serv 30 WATER 10-16-01 R 601-34400 Safe Drinking Water Fee
$24.73 10/16/01 o US Receipt Serv Pen 1 WAT 10-16-01 R 601-37100 Water Sales
$1,838.22 10/16/01 o US Receipt Serv 1 WATER 10-16-01 R 601-37100 Water Sales
$0.75 10/16/01 o UB Receipt Serv Pen 30 WAT 10-16-01 R 601-34400 Safe Drinking Water Fee
$0.01 10/17/01 o UB Receipt Serv 30 WATER 10-17-011 R 601-34400 Safe Drinking Water Fee
$98.60 10/17/01 o US Receipt Serv 15 WATER 10-17-011 R 601-37100 Water Sales
CITY OF CENTERVILLE
10/17/013:17 PM
Page 3
Cash Receipts
Tran Batch
Amount Date Refer Comments Name Account Descr
$0.94 10/17/01 o US Receipt Serv Pen 30 WAT 10-17-0111 R 601-34400 Safe Drinking Water Fee
$9.75 10/17/01 o US Receipt Serv Pen 1 WAT 10-17-0111 R 601-37100 Water Sales
$15.63 10/17/01 o US Receipt Serv 30 WATER 10-17-0111 R 601-34400 Safe Drinking Water Fee
$4.26 10/17/01 o US Receipt Serv 30 WATER 10-17-0111 R 601-34400 Safe Drinking Water Fee
$1,191.28 10/17/01 o US Receipt Serv 1 WATER 10-17 -011 R 601-37100 Water Sales
$2,531.48 10/17/01 o US Receipt Serv 1 WATER 10-17-0111 R 601-37100 Water Sales
R $14,002.32
601 WAT $14,002.32
602 SEWER FUND
R
$1,411.68 10/10/01 o US Receipt Serv 6 SEWER 10-10-01 R 602-37200 Sewer Sales
$7.64 10/10/01 o US Receipt Serv Pen 6 SEW 10-10-01 R 602-37200 Sewer Sales
$360.00 10/11/01 o US Receipt Serv 18 SEWER 10-11-01 R 602-37200 Sewer Sales
$9.00 10/11/01 o US Receipt Serv Pen 6 SEW 10-11-01 R 602-37200 Sewer Sales
$2,937.12 10/11/01 o US Receipt Serv 6 SEWER 10-11-01 R 602-37200 Sewer Sales
$14.29 10/12/01 o US Receipt Serv Pen 6 SEW 10-12-01 R 602-37200 Sewer Sales
$360.00 10/12/01 o US Receipt Serv 18 SEWER 10-12-01 R 602-37200 Sewer Sales
$1,740.10 10/12/01 o US Receipt Serv 6 SEWER 10-12-01 R 602-37200 Sewer Sales
$2,164.03 10/15/01 o US Receipt Serv 6 SEWER 10-15-01 R 602-37200 Sewer Sales
$12.41 10/15/01 o US Receipt Serv Pen 6 SEW 10-15-01 R 602-37200 Sewer Sales
$134.80 10/16/01 o US Receipt Serv 18 SEWER 10-16-01 R 602-37200 Sewer Sales
$31.17 10/16/01 o US Receipt Serv Pen 6 SEW 10-16-01 R 602-37200 Sewer Sales
$2,012.91 10/16/01 o US Receipt Serv 6 SEWER 10-16-01 R 602-37200 Sewer Sales
$45.00 10/17/01 o US Receipt Serv 18 SEWER 10-17-011 R 602-37200 Sewer Sales
$45.00 10/17/01 o US Receipt Serv 18 SEWER 10-17-0111 R 602-37200 Sewer Sales
$2,336.70 10/17/01 o US Receipt Serv 6 SEWER 10-17-0111 R 602-37200 Sewer Sales
$18.35 10/17/01 o US Receipt Serv Pen 6 SEW 10-17-011 R 602-37200 Sewer Sales
$1,331.03 10/17/01 o US Receipt Serv 6 SEWER 10-17-011 R 602-37200 Sewer Sales
$32.29 10/17/01 o US Receipt Serv Pen 6 SEW 10-17-0111 R 602-37200 Sewer Sales
R $15,003.52
602 SEW $15,003.52
617 RECYCLING
R
$3,975.15 10/15/01 o JAN - JUNE 2001 SCORE RE 101501 R 617-36290 Solid Waste Reimburseme
R $3,975.15
617 REC $3,975.15
620 ECONOMIC DEV. FUND
R
$32.00 10/15/01 o 2 - CITY OF CENTERVILLE 101501 R 620-36200 Miscellaneous Revenues
R $32.00
CITY OF CENTERVILLE
10/17/013:17 PM
Page 4
Cash Receipts
',?<4tWat "Ld<4"
Amount
Tran
Date Refer Comments
Batch
Name
Account Descr
620 ECO $32.00
$82,721.70
CITY OF CENTERVILLE
10/16/01 1 :32 PM
Page 1
*Check Summary Register@
10100 THE COUNTY BANK
Name
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
UnPaid
16297
16298
16299
16300
ABDO, ABDO, EICK
ASCOM HASLER MAILING SYSTEMS
BONESTROO, ROSENE, ANDERLlK
COLUMBUS AUTO & TRUCK SERVICES
CONTINENTAL RESEARCH CORP.
CORNER EXPRESS
CULLIGAN
E. H. RENNER & SONS
EXCEL TELECOMMUNICATIONS INC
GOPHER STATE ONE CALL INC
GOTWALD, PAM
INSTRUMENTAL RESEARCH INC
MC PHERSEN, JOEL
MENARDS-FORESTLAKE
MET. COUNCIL ENV. SERVo (SDS)
MINN. DEPT. OF HEALTH
ON SITE SANITATION
PALZER,PAUL
PIONEER PRESS
QWEST
SAM'S CLUB
SUPERIOR LAMP & SUPPLY
TIME SAVER
TOM THUMB
VALLEY CREEK LAWN & LANDSCAPE
XCEL ENERGY
MINNESOTA DEPT OF REVENUE
IRS/COUNTY BANK
NATIONWIDE RETIREMENT SOLUTIONS
KEN COOK
TOTAL MANUAL CHECKS
OCTOBER 2001
Check Date
Check Amt
Total Checks
$519.50
$25.50
$1,551.00
$842.23
$203.06
$224.08
$28.60
$42.60
$6.58
$10.85
$800.00
$21.00
$176.89
$58.70
$13,200.27
$23.00
$1,241.07
$37.60
$178.50
$52.00
$218.12
$411.89
$268.00
$141.16
$1,207.71
$2,089.32
$23,579.23
MANUAL CHECKS
$527.79
$3,711.57
$387.69
$7,386.44
$12,013.49
TOTAL CHECKS $35,592.72
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Centennial Fire District
7741 Lake Drive
Lino Lakes, MN 55014
(651) 784-7472 - Office
(651) 784-2427 - Fax
October 17, 2001
TO:
City Council
City of Centerville
City Council
City of Circle Pines
City Council
City of Lino Lakes
FROM:'
Milo Bennett
SUBJECT:
Ratification of expenditures and approval
for payment of expenses.
Your approval of expenses, as listed on the attached copy of
the check register, checks #12882 - 12903, in the amount of
$42,316.09 is hereby requested.
,~
Centennial Fire District
Check Register
Page 1 of 1
DATE CHECK# NAME ACCOUNT AMOUNT
10/16/2001 12882 Amoco Oil Company 42100 - Fuel and Lube 412.47
10/16/2001 12883 Centennial Fire Relief Association 43010 - Relief Association 780.00
10/16/2001 12884 City of Lino Lakes 41000 - Payroll Expenses 33,488.19
10/16/2001 12885 Connexus Energy 42252 - Station 1 - Electric 246.18
10/16/2001 12886 Cy's Uniforms 42120 - Uniform Expense 84.85
10/16/2001 12887 Emergency Apparatus Maintenance 42000 - Vehicle Maintenance 4,659.77
10/16/2001 12888 Frattallone's Hardware 42110- Other Maintenance 42.85
10/16/2001 12889 Kevin Stewart 42130 - Equipment Expense 153.20
10/16/2001 12890 Loffler Business Systems 42110 - Other Maintenance 120.52
10/16/2001 12891 McLeod USA 42240 - Telephone Expense 354.39
10/16/2001 12892 Orkin Exterminating 42110- Other Maintenance 51.12
10/16/2001 12893 Oxygen Service Company, Inc. 42270 - Breathing Air 113.50
10/16/2001 12894 Photoworld 42180 - Office Supplies 132.55
10/16/2001 12895 Qwest 42240 - Telephone Expense 297.85
10/16/2001 12896 Sam's Club 42230 - Cleaning Supplies 128.73
10/16/2001 12897 Susan Booth 42280 - Miscellaneous Expense 143.00
10/16/2001 12898 Tom Thumb 42100 - Fuel and Lube 7.63
10/16/2001 12899 True Green/ChemLawn 42110 - Other Maintenance 133.13
10/16/2001 12900 Viking Office Products 42180 - Office Supplies 92.56
10/16/2001 12901 Xcel Energy 42254 - Station 2 - Electric 399.84
10/16/2001 12902 City of Lino Lakes 45010 - Safety Camp Expense 59.28
10/16/2001 12903 Discount Tire Company 42000 - Vehicle Maintenance lliA8
Total $42,316.09
"-------~
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952
new area code
October 8, 2001
Ms. Teresa Bender, Interim Administrator
City of Centerville
1880 Main Street
Centerville, MN 55038
Jj[~J
* * * INVOICE NO. 01-027-01 * * *
February 1,2001 - August 31,2001
Project 01-027 Plan Amendment 2001-1
Ground Development - Plan Amendment 2001-1
RSC reviewed development proposal and Comprehensive Plan; RSC reviewed
plan amendment issues with Metropolitan Council staff, City staff, and developer;
RSC prepared written narrative, Metropolitan Council Submission form and
revised land use/sewer staging maps for City review and approval; RSC prepared
revised sewer staging maps and amended narrative/submission form; RSC
discussed revised amendment with developer and Metropolitan Council staff;
RSC prepared distribution letter and provided Metropolitan Council, Anoka
County, Rice Creek Watershed, and adj acent communities with final revised
amendment; RSC discussed amendment issues with City staff, Metropolitan
Council staff, Anoka County Highway Department, and developer.
Principal
Technician
Support
Copies
Graphics
Postage
Postage
Fed Ex
22.25 hours
17.25 hours
2.75 hours
Labor Subtotal
145 @ $0.12
56 @ $0.75
1 @ $3.50
3 @ $0.89
1 @ $18.46
Expenses Subtotal
$2,002.50
$776.25
$68.75
$2,847.50
$17.40
$42.00
$3.50
$2.67
$18.46
$84.03-
GROUND DEVELOPMENT TOTAL INVOICE DUE $2,931.53
MEMO
DATE:
October 19,2001
TO:
Honorable Mayor and Councit",
FROM:
Mary Capra
RE:
Committee Standardized Bylaws
............................................................................
I requested this item be placed on the agenda as a reminder this issue still needs to be
addressed and to open the issue up for a brief discussion.
I personally believe we could have one council member work on preparing a draft for the
council to review on standardized bylaws for the committees.
During our last council meeting Mr. DeVine expressed the Festival Committee still is
functioning without bylaws.
This issue was also brought up when I attended the Festival Committee meeting this past
Monday.
,
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September 21 J 2000
Paul Palzer
City of Centerville
1880 Main Street
Centerville, MN 55038
Dear Paul:
Please find enclosed the copy of the contract for the upcoming season. We are proud to offer
you a full-service contract that gives total property maintenance.
We are extending to you the same hourly rate for mowing as the 2000 contract, based on the
price of unleaded gas remaining under $2.20 per gallon.
To insure your place in next summer's schedule, please return the contract by November 15,
2000. Please sign the copy and we will return the original copy back to you.
Additional Pricing:
· Flower beds will be charged at $25 per hour per person for planting plus the price of the
flowers specified
· Double Shredded Hardwood Mulch $30 per cubic yard applied with the Blower Truck
· Terraseeding Application $53 per cubic yard applied with the Blower Truck
· These prices are estimated at this time and will be based upon product/fuel costs for
2002
As always, we enjoy working with you and hope to continue the great working relationship.
Please call me with any questions or concerns that you may have.
Sincerely,
Wendi Bertelsen
Business Manager
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LAWN MAINTENANCE CONTRACT
BETWEEN
CITY OF CENTERVILLE
AND VALLEY CREEK LAWN & LANDSCAPE, INC.
Client: City of Centerville
Location of Service: Parks/City Halls as specified by Client Contact Person
Client Contact Person: Paul Palzer
Contract Effective Dates of Service: MAY 1,2002 TO OCTOBER 31,2002
Valley Creek Lawn & Landscape, Inc. shall provide the following services for and on behalf of
the client in description as follows. All services shall be performed by Valley Creek Lawn and
Landscape, Inc. in a professional and timely manner.
WEEKLY LAWN MOWING
· Weekly mowing of all areas of grass specified in location list above. Mowing every week or
as needed May through October as specified by the client contact person.
· Trimming around edges as needed, but no less than once per month.
· Sidewalks and parking areas to be blown off of excess grass cuttings after mowing
· All trash and debris to be picked up prior to mowing at locations listed above
· Any other areas mowed, other than the locations listed above, will be specified separately
per agreement with the client contact person.
· Mowing to be done on Monday or Tuesday of each week.
· Mowing will be billed at an hourly rate of $27.00 per hour.
Property Maintenance Contract 2002
Valley Creek Lawn & Landscape, Inc.
Page 2 of 4
ADDITIONAL SERVICES
· Any other additional services of landscaping or maintenance, not outlined in this contract, will
be bid separately with the client contact person specified on this contract.
· Flower beds will be charged at flower cost plus $25 per hour per person for planting
INVOICES & PAYMENTS
. Invoices will be mailed on the 151 of each month.
· Payments are due on the 15th of each month. In all other cases, the invoice will be due net
15. This applies to additional services not covered in the monthly rate of service.
· If payments are not received on the specified due date. Valley Creek Lawn &
Landscape Inc. may. at it's sole option and without prior notice. terminate this
contract for terms of non-payment. See termination of contract clause.
· Payments to be made May 15,2002 to October 15,2002.
TERMINATION OF CONTRACT
Valley Creek Lawn & Landscape Inc. may, at its sole option and without prior notice, terminate
this contract for non-payment over 30 days of invoice date. In all other cases, this contract shall
continue in full force and effect until the scheduled effective contract termination date set forth
unless either party gives thirty (30) days written notice by certified or registered mail with return
receipt requested of its intention to terminate. Receipt of a termination notice by either party
shail automatically terminate this contract at the end of the notice period, unless both parties
agree in writing to reinstate the contract prior to the effective date of termination.
For the purpose of the service of notice of termination for the services listed in this contract,
pursuant to the paragraph above, service must be made to Valley Creek Lawn & Landscape,
Inc. 7060 Valley Creek Plaza #115-28, Woodbury, MN 55125. For the purpose of the service of
notice of termination to the client, pursuant to the paragraph above, service will be made to
The Lawn Maintenance Supervisor, City of Centerville, 1880 Main Street, Centerville, MN
55038.
DEFAULT OR DELAY OF GOODS OR SERVICES
Valley Creek Lawn & Landscape, Inc. shall not be liable for delays or defaults in furnishing
goods or services hereunder, if such delays or defaults on the part of Valley Creek Lawn &
Landscape, Inc. are due to:
a. Acts of God or of a public enemy;
b. Acts of the United States or any state or political subdivision thereof;
c. Fires, severe weather, floods, earthquakes, natural disasters, explosions, or other
catastrophe;
d. Embargos, epidemics or quarantine restrictions;
e. Shortage of goods, labor strikes, slowdowns, differences with workmen or labor
stoppages of any kind;
!
Property Maintenance Contract 2002
Valley Creek Lawn & Landscape, Inc.
Page 3 of 4
DEFAUL T OR DELAY OF GOODS OR SERVICES-continued
f. Delays of supplier or delay of transportation for any reason;
g. Causes beyond the control of Valley Creek Lawn & Landscape, Inc. in furnishing items or
services including but not limited to breakdown or failure of machinery or equipment.
Acceptance of delivery or goods or services shall constitute a waiver and release of Valley
Creek Lawn & Landscape, Inc. by Client of any claim for damages, setoff, discount or other
liability on account of delay.
INSURANCE
Valley Creek Lawn & Landscape, Inc. represents that it maintains and shall continue to maintain
insurance covering its liability under this contract for loss or damage to persons or property from
any acts or omissions and arising directly from the provision of service hereunder, subject to the
limitations of this contract. Valley Creek Lawn & Landscape, Inc. certifies that it has Worker's
Compensation insurance.
INDEMNITY
The Client shall indemnify and hold harmless Valley Creek Lawn & Landscape, Inc. and any of
its directors, officers, shareholders, employees and agents from and against any action or
threatened action, suit or proceedings arising out of, or as a result of, the indemnifying part's
performance under this contract and against any and all claims, expenses, losses or damages
(including reasonable attorney's fees), arising out of the clients willful negligence or willful acts
of-omission.
LEGAL EXPENSES
In the event Valley Creek Lawn & Landscape, Inc. commences a lawsuit for the recovery of
payments due pursuant to the contract or any other amount due under the provisions of this
contract, due to liability, loss, damage, cost, or expense (including reasonable attorney's fees)
by reason of any act or omission of client or because of default in the clients performance of any
other term or provision of this contract, the client shall pay Valley Creek Lawn & Landscape, Inc.
reasonable attorney fees and costs and disbursements associated there with.
ADDITIONAL NOTES
· This contract supersedes any and all other agreements, either oral or in writing between the
parties with respect to the matter stated herein and this contract contains all of the
agreements between the parties with respect thereto. This contract may be amended or
modified only in writing and shall be effective only after signed by both parties.
Property Maintenance Contract 2002
Valley Creek Lawn & Landscape, Inc.
Page 4 of 4
ADDITIONAL NOTES-continued
· The failure of either party to this contract to insist upon the performance of any of the terms
and conditions of this contract, or the waiver of any breach of any of the terms and
conditions of this contract, shall not be construed as thereafter waiving any such terms and
conditions, but these shall continue and remain in full force and effect as if no such
forbearance or waiver had occurred.
· If any provision of this contract is held to be invalid or unenforceable for any reason
whatsoever, the remaining provisions shall remain valid and unimpaired and shall continue in
full force and effect.
· All work orders and communication must come from the client contact person listed on this
contract for the above listed site. Other persons, other than the client contact person,
handling any portion of said contract must be authorized in writing by the client contact
person to Valley Creek Lawn & Landscape, Inc.
· Work shall include all labor, supervision, tools, vehicles, supplies and other services that are
necessary to maintain the above contracted services.
· Vehicles and equipment will be operated safely and procedures employed shall be according
to accepted industry standards.
· Work performance shall comply with the Federal Occupational Safety and Health Act.
PRICING
The prices listed in this contract are valid if the unleaded gas price is below $2.20 per gallon.
If such price should go over $2.20 for the season specified, a new contract may be forthcoming.
CONTRACT RATE: for MAY 1, 2002 to OCTOBER 31, 2002 $27.00 per hour per mower
PLUS APPLICABLE MINNESOTA STATE TAXES.
i hereby accept all the terms in the above stated contract as an acting agent for the above
stated client.
Client Contact Person Signature
Date
Valley Creek Lawn & Landscaping, Inc.
Date
'i,~i;
MEMO
15 October 2001
To: City Council
From: Paul Palzer
~."~'"
..,...v~.1
''(:J
Re: Anoka County Emergency Management Update Meeting
..............................m...........................m.........g...i
The Anoka County City Emergency Managers met today and discussed the fallout from
the tragedy on September 11 tho The discussion included identifying potential terrorist
sites and resources within the County. The importance of the public's involvement to
stay vigilant in identifying odd or strange behavior is crucial to preventing future
terrorist attacks. Public education is critical in aiding law enforcement and probably the
greatest deterrent against new attacks.
Mutual aid agreements with surrounding communities were identified as a key
component in updating local emergency plans. I still recommend that the Council
consider entering the public works agreement with the Cities of Hugo and Lino Lakes
that was rejected by Centerville in 2000.
Long range plans and proper procedures in the event of an incident were discussed with
updates forth coming. America's life style has forever changed.
The Department of Justice has grant money available to local governments with
$90,000.00 available to Anoka County and its local governments. The census of the
group was to have the County Police and Fire Commission Chiefs determine how to
appropriate the money to benefit the entire County. The groups also were going to
inventory the equipment and other resources available in each department by the end of
the month. All government agencies will have to work more closely and additional
training will be required at all levels. I will keep the Council informed as required in the
next few months until additional response levels have been developed and put into action.
Police, Fire, Emergency Management and EMS
Suggested Response Activities
Suspected Anthrax Incidents
Developed by the State of Minnesota and FBI
October 16, 2001
INITIAL RESPONSE ACTIVITIES
Call The State Emergency Operations Center Hotline at Metro 651-297-1304 or 1-800-657-3504
or Minnesota State Duty Officer at 1-800-422-0798 or 651-649-5451.
1. Unopened Suspect Mail
o Place material in clear zip-lock type plastic bag and then in another clear bag.
o Label bag or secondary container with pertinent information.
o Take a police report and log material into evidence if it appears that there is criminal intent.
o Call The State Emergency Operations Center Hotline at Metro 651-297-1304 or
1-800-657-3504 for clarification on what will be tested.
o The Minnesota Department of Health Laboratory will not be testing these letters or packages
unless there is strong evidence that this is a criminal type of situation.
o Agencies will need to hold the material they decide to take into evidence for several days until
the final disposition is determined.
Note: The testing of all this type of sample is not practical and a lower priority than other samples.
_These will be looked at on a case-by-case basis and may take several days to determine if testing is
needed.
More infonnation will follow in the coming days.
2. Opened Suspect Mail With Threat But No Substance
o Place material in clear zip-lock plastic bag and then in another bag.
o Label bag or secondary container with pertinent information
o Take a police report and log into evidence.
D Contact the Minneapolis FBI command Post at 612-376-3200
o Arrange for local transportation to the Minneapolis FBI Office.
Note: Additional follow-up will be up to the FBI on a case-by-case basis.
Ivfore information will follow in the coming days.
October 17, 2000
2001-2
3. Opened Suspect Mail With Some Type of Substance and Human Exposure
o Place material in clear zip-lock plastic bag and then in another bag.
o Close off the area where letter or package was opened.
o Label bag or secondary container with pertinent information
o Take a police report and log material into evidence ifit appears that there is a threat.
o Call The State Emergency Operations Center Hotline at Metro 651-297-1304 or
o 1-800-657-3504 for clarification on what will be tested.
o The state will contact the Minnesota Department of Health (MDH) Lab to determine if testing is
needed.
o Transport material if approved for testing and copy of police report to MDH lab at 717
Delaware St. Mpls. MN 55440
o MDH will notify when sample is tested.
Note: This is a higher priority sample and will be tested based on risk or in the order received. This
testing will take several days.
More information will follow in the coming days.
4. Opened Suspect Mail With Substance and Human Exposure And No Resources To Isolate
And Bag The Item(s)
o Isolate the area where letter or package was opened.
Cl Gather as much infoffi1ation as possible about the letter or package, threat information and
substance involved.
o Close off the area where letter or package was opened.
o Call The State Emergency Operations Center Hotline at Metro 651-297-1304 or
o 1-800-657-3504 for clarification on what will be tested.
o The State Emergency Operations Center and MDH will make an assessment of the situation
based on the information available and determine if a partial State Civil Support Team (CST)
deployment is needed.
CJ If CST is deployed local fire and police will be needed on scene for support.
o CST will conduct a field test and take a sample for the MDH laboratory to test.
Note: The field test preformed by the CST is not a 100% guarantee. Laboratory assessment will
still be needed to ensure sample results. Lab tests will be prioritized based on field sample results.
The decision of re-entry into the area while awaiting sample results will be left at the local of
facility level.
Additional CST personnel, Regional Hazardous Materials Response Teams and State Authorized Bomb
Squads may be deployed to support CST and other operations at a scene on a case-by-case basis.
More information will follow in the coming days.
Octobt:[ 17, 2000
2001-2
2
; '~-,'t~'lt1~~ '-~-;~Dib~{:/
,z;E~:j_
,_('/;;)1
::,;j::l
SCOTT J. LUND
MAYOR
lunds@ci.fridley.mn.us
CllY Of
FRIDLEY
www.ci.fridley.mn.us
FRIDLEY MUNICIPAL CENTER. 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432. (763) 571-3450. FAX (763) 571-1287
TO:
f's' .
~~J
A :)",-1I!P
~~: '~~wRJ d
~layors, City Council Members, City Administrators
and Planning Personnel in Anoka County
FROM: Mayor Scott 1. Lund
DATE: October 15,2001
SUBJECT: Housing Education Opportunities for Anoka County
The Mayors and representatives of several cities have met to discuss housing options for our
communities. On Tuesday, October 30,2001, Missy Thompson from Fannie Mae will give an
update on what Fannie Mae can do for our communities. Ms. Thompson has had a great deal of
experience in housing. She is currently director of Fannie Mae's Minnesota Partnership Office.
Prior to joining Fannie Mae, Ms. Thompson was president of Thompson Associates Inc., a
residential real estate marketing, sales and consulting firm. The group specialized in developing
and implementing programs for nonprofit and government organizations with special focus on
education for first-time, low and moderate-income home buyers.
At the Housing Summit last April, Dale Cremers presented a piece on Apartment Home Equity.
Several Anoka County citizens have put together a new non-profit that promotes this concept.
Steve Klein will give a short presentation on how this can benefit Anoka County cities.
Please join us at 4:00 p.m. on October 30 at the Shorewood Restaurant, 6161 Highway 65 N.E.,
Fridley. The meeting will be over by 5:30 p.m. You are welcome to bring your city managers
and other interested staff. For planning purposes, please RSVP to Roberta Collins at (763)
572-3500.
RESIDENCE. 580 - 69TH AVENUE N.E. . FRIDLEY, MINNESOTA 55432 . PHONE (763) 571-0214
Chief of Police Joel D. Heckman
Centennial Lakes Police Department
200 Civic Heights Circle
Circle Pines MN 55014
763-784-2501 iheckman(2[i,centenniallakespd. com
October 12,2001
Cities of Centerville, Circle Pines, and Lexington
Commission Chair Varian and Commissioners
Enclosed please find budget figures listed for the Commission's 2002 proposed, vision,
and optional budgets. It was determined that these figures would be more helpful than
breaking down the individual cities' 2002 costs for all listed options since the funding
formula cap issue will be addressed at our October 22, 2001 meeting. Note: Each city has
received an entire packet containing the proposed and vision budgets with the tri-city
police formula calculations enclosed. If any city needs a copy of that packet please
contact me.
Additionally, please find a report from auditor Ken Malloy addressing the police
department's liability for compensated absences. We would like this to be a discussion
item that evening. I would like to point out two errors in the report. On page one, the
second to last paragraph's last sentence states "Currently, the department is not enforcing
the loss of vacation when exceeding this limitation." The department is and has been
enforcing this for the past four years. However, I explained to Mr. Malloy that it was not
always enforced in the past. On page two, the first sentence states "Holiday pay amounts
. . . . .., days to be paid off on a quarterly basis." The current union contract calls for
holiday payments to be made three times a year. This is being done.
I look forward to meeting with each OfYOll on the 2200.
Very truly yours,
~
~~-
".
2002 BUDGET OPTIONS
CITIES COST
(C.O.P. FUNDS $37,500 PER OFFICER)
PROPOSED PLUS 1 C.O.P. PLUS 2 C.O.P.
PLUS 1 C.O.P.
&CSO
1,425,420
1,468,220
1,512,220
1,557,720
1,436,566
1,447,712
1,461,891
VISION
1,471,199
1,543,220
1,616,220
1,691,720
* + 3 % ILLUSTRATIVE ONLY TO SHOW C.O.P. GRANT REDUCTION
2003 PROJECTED*
CITIES COST
(C.O.P. FUNDS $25,000 PER OFFICER)
1,492,720
1,517,220
1,518,720
2004 PROJECTED*
CITIES COST
(C.O.P. FUNDS $12,500 PER OFFICER)
1,550,720
1,589,220
1,577,720
2005 PROJECTED*
CITIES COST
(NO C.O.P. FUNDS)
1,610,720
1,663,720
1,638,720
2002 FORMULA PERCENT
2002 W/CAP FORMULA PERCENT
CENTERVILLE
CIRCLE PINES
LEXINGTON
0.2966
0.2966
0.3777
0.3987
0.3257
0.3047
M
KR
PRINCIPALS
Kenneth W Malloy, CPA
Thomas M. Montague, CPA
Thomas A. Karnowski, CPA
Paul A. Radosevich, CPA
William J. Lauer, CPA
James H. Ejchren, CPA
CERTIFIED PUBLIC
ACCOUNTANTS
Board of Police Commissioners and Administration
Centennial Lakes Police Department
This letter is in response to your request for us to review the police department's liability
for compensated absences and provide possible suggestions to address concerns
regarding this liability. Understand that your request placed limits on time and fees
allowed for this project, and thereby limited the scope and extent of research of the study.
Background
The department's compensated absences liability consists of vacation, sick leave, holiday
pay, and compensatory time. The following chart shows the history of the liability over
the past four years:
Vacarion $
Sick leave
Holiday pay
Compensatory time
12/31/98 12/31/99 12/31/00 8/10/01
(*) $ (*) $ 46,971 $ 43,725
(*) (*) 187,904 156,033
(*) (*) 5,804 15,193
(*) (*) 5,181 5,212
(*) (*) 245,860 220,163
(*) (*) (93,952) (78,016)
115,380 $ 125,391 $ 151,908 $ 142,147
Total liability
Less 50% sick leave
Total vested liability $
(*) - The individual components of the liability for 12/31/98 and 12/31/99 are not available.
The following is a summary of the benefits provided to the police officers, which is the
primary employee group and focus of this study:
Vacation is earned monthly by the employee, on a rate based on years of service.
Employees may accumulate up to one and one half times the amount they may
earn in one year, with any excess being loss. Currently, the department is not
enforcing the loss of vacation when exceeding this limitation.
Sick leave accumulates at a rate of 8 hours per month to a maximum of 960 hours.
Upon termination of employment, 50% of an employee's unused sick leave is
paid as severance. The commission modified this benefit by allowing a 2 to 1
conversion of hours over the limit into vacation accrual.
Malloy, Montague, Karnowski, Radosevich, & Co., P.A.
5353 Wayzaca Boulevard' Suire 410 . Minneapolis, MN 55416 . Telephone: 952-545-0424 . Telefax: 952-545-0569 . www.mmkr.com
Holiday pay amounts to 12 days per calendar year with any unused days to be
paid off on a qUfu-terly basis. These payments are actually being made ever} 4
months rather then quarterly.
Compensatory time is an option for employees to convert overtime pay to future
leave hours.
The decrease in the liability from December 31,2000 to August 10,2001 is mainly due to
the payout of compensated absences to several long-term term employees in 2001.
Concerns, Comments and Suggestions
The following concerns, COITh'TIents and suggestions are based on interviews conducted
with the police chief, the city administrators (acting administrator) of each member city
and a commissioner representative from each city. We also performed limited research
on siIPilar benefit policies of other municipal police departments.
Concern
The primary concern expressed during our interviews was in regards to the funding of
this liability. We heard different arguments as to whether the liability should be funded
as it is eamed and accrued, or as it is paid out. Related to this issue is the negative
impact on financial results and budget overruns caused by unexpected employee turnover
in particular years.
Comments
The terms for compensated absences within your employee contracts is fairly common in
other police departments. Due to the unusual work schedules required by police
departments, the terms for these benefits have traditionally allowed a higher liability to
accumulate in relation to annual compensation amounts, as compared to other city
departments. In general, we have seen governments cut back or limit these types of
compensation agreements because it conflicts with the basic funding process of these
entities. Local governments and there respective joint ventures, such as your police
department, are funded on an annual needs basis. This liability for compensated
absences is being generated in one year, but will need to be paid for in some future year.
This is generally acceptable if the amounts are reasonably small and consistent from year
to year. This is not the case for the Centennial Lakes Police Department as the total
liability as of December 31,2000 was 27% (17% for vested) of the department's salary
costs for that year.
It is a basic responsibility of the police commissioners to establish, approve and adhere to
annual budgets for the use of public funds. We believe this includes planning for the
funding of costs incurred currently, even though they will be paid in future years. The
entire amount of the liability represents costs already incurred, but not yet paid or funded.
Suggestions
We believe the department's annual budget should incorporate an evaluation of the
normal (annual) costs, and a reasonable amortization of the past service costs
(accumulated liability) of these benefits. Based on this evaluation, a portion of the
current funding could be dedicated towards funding this liability. A separate fund could
be established to identify this funding and to account for severance payments. This
would initiate a funding structure for the liability, it would separate unpredictable
severance payments from the normal general fund operating results, and would instill the
recognition that these costs are currently being incurred. This does not necessarily mean
an increase in funding, but rather a recognition of the cost within the current funding.
Also, a portion of the existing fund balance ($105,585 at December 31,2000) could be
restricted/reserved for the initial funding of the existing accumulated liability.
If the member cities are concerned with building up a reserve for this liability within the
department, an alternative would be to create their portion ofthe reserve within their own
finances. This would again, set aside funding for the liability, provided recognition of
the costs incurred, but would place the member cities in direct control of those funds.
Concern
The next most common concern was how would the liability be addressed in the case of
the dissolution of the department.
Comments
Dissolution of the department would create an unlimited number of resulting scenarios
based on such things as replacement law enforcement, reorganization of the current
organization, sale of assets, and extinguishing of the liabilities. It would not be practical
for us to evaluate all the potential outcomes within this letter.
Technically, if the department dissolves, the employees would be terminated and should
be paid for all vested benefits accrued at that time. If there was a shortfall of available
funds to payoff any of the department's liabilities, the member cities would be required
to contributed the difference. This does not preclude the member cities from making
special arrangements such as transferring the liability for these benefits to a succeeding
organization.
Suggestions
Again, member cities could always set dollars aside in there own finance systems to
protect themselves from this potential outcome, as well as reminding those involved that
a liability does exist. Also, if expansion or reorganization is considered, it should be
made clear as to how this liability is to paid-off or transferred.
Concern
There is a general concern regarding the design and terms of the benefit plans, and the
adherence to the accumulation limits.
Comments
This issue is really at the root of all the significant concerns brought to our attention
during this study. We do believe that the department's employee contract, whether or
not its typical for a police department, allows too large of a liability for compensated
absences to accumulate, especially if limitation levels are exceeded. We further believe
this causes unintended negative incentives for the employees and causes inconsistent
funding requirements and budgeting problems.
We have been told that the cause of the growth in the liability, and the justification for
waiving certain limits, is due to the department's understaffing. Please understand that
this study does not address any staffing level concerns. If there is a problem with
staffing levels, then it should be directly addressed. Be careful not to create a worse
problem by shifting the impact of a staffing shortage into this unfunded liability.
A basic weakness to the existing plan is underlying incentive to the employee when you
have a significant pay-out upon termination of employment. Although this certainly is a
benefit to the employee, it cannot be realized without leaving employment, thus creating
the incentive for turnover. This might be evidenced by the three terminations
experienced in 2001, claiming over $38,000 in severance pay-out. Two of these officers
joined other police forces and the third went into private security. As the above table
indicates, the vested liability as of August 10, 2001 is only about $10,000 less then what
is was at the end of last year. There is an associated benefit to this turnover, as the
replacement employees are brought in at lower pay rates then the senior officers that left.
However, we have also seen more lateral moves, in which officers are not losing pay
seniority when changing employment to another police department.
Suggestions
The department should look carefully at future employee contracts to assure they are
designed to provide the benefits intended such as for employees to take vacations and
have sick leave available, but not to create large severance pay-offs. Because of the
nature of a police department, it would be reasonable to allow more accumulation of
benefits then an employee group that work a consistent business hour schedule, but
probably less then what is currently allowed. The department may want to consider
converting to a "Personal Time Off' (PTO) benefit plan, which combines the traditional
vacation and sick leave plans into one. PTO plans have been widely accepted by
organizations in recent years making it easier for employers to manage and more flexible
for employees to use. It also provides an additional benefit to those employees who
seldom get sick, while still providing ample time off for illnesses. If the department is
considering this accumulation of sick leave as a type of short-term disability income,
you may want to explore short-term disability insurance as an alternative. Usage ofPTO
by employees would need to be scheduled in advance just like current vacation policy,
accept in the case of illness.
If amounts of vacation, sick leave or PTO earned by employees are reduced to
approximate more closely the amounts typically taken off, then compensation would be
increased in a fair amount to the employee. This would cause an increase in current
salary costs, but accomplishes the need to recognize more of those costs when earned.
This may also benefit the department in its competitive pay standing, as benefits are
generally not considered by employees to be dollar for dollar equivalents to current
compensation.
The key to a successful compensated absence plan is the establishment of accumulation
limits and the enforcement though a ''use it or lose it" policy. This enforcement is easier
with a PTO system, as sick leave tends to complicate the policy. As described earlier in
the background section, the department does have limitations, but we are suggesting
lower limits. We also suggest that limits be enforced on a monthly or quarterly basis to
stagger the usage for staffing reasons and to place the responsibility to monitor and
schedule the use of those benefits upon the employee.
Summary
We believe there are changes that could be implemented to address the major concerns
revealed to us during this project. The changes must be based on both what is good for
the department and fair for the employees. Changes can be phased-in or grand fathered-
in to protect benefits already earned by employees, allowing them time to either use them
or be paid for them. Although we have heard differences of opinion as to whether this
liability should be of concern, the fact that tl:1:is study was requested makes it a concern.
The payment of these liabilities needs to be incorporated into the budget and annual
funding process. We caution against taking the approach of ignoring the liability, and
considering it a stable future funding issue that will somehow take care of itself.
We hope this report addresses your primary concerns in regards to compensated
absences. Please let us know if we can be of further assistance in this matter.
4 ~/ ~ LL-L';04;
Malloy, Montague, Karnowski, Radosevich &Co. P.A.
August 31,2001
~
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-
Ir::U
-
Peltier Lake Drive
vVatermain Extension and
Street Reconstruction
Cost Analysis
Prepared for the
City of Centerville, Minnesota
May 1997
I hereby certify that this plan, specification, or report was prepared by me or under my direct
supervision and that I am a duly registered Professional Engineer under the laws of the State of
Minnesota.
J)~vtvVrY
David E. Nyberg, P.E.
Reg. No. 23801
~~Ckj
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z..3{ /ctQ7
Date
Prepared by: .
MSA, Consulting Engineers
1326 Energy Park Drive
S1. Paul, MN 55108
Phone: (612) 644-4389
Fax: (612) 644-9446
~~'l:!S~:,?jV:!~":'~'~~~~--'-i7l"~";;""~-~-';\J'~~~~~~~~~~~~~~~~~~~~;:r;.~~~~~~
1. INTRODUCTION
On April 23, 1997, the City of Centerville authorized MSA, Consulting Engineers to
prepare a cost analysis for extending watermain along Peltier Lake Drive from Mill Road
to Centerville Road, including reconstruction of the street and storm sewer systems. A
watermain extension along Centerville Road would also be constructed.
2. PROJECT SCOPE
The scope of the project consists of providing City water connection to residents along
Peltier Lake Drive and Centerville Road, as well as to homes in the Lakeland Hills
development to the south. This watermain extension would also provide a connection
point for a future watermain extension along the remainder of Peltier Lake Drive west to
County Road 14.
These watermain improvements will benefit residents along the alignment by providing
them with City water service. Residents will also benefit from increased fire protection,
as fire hydrants would be provided along the watermain extension.
This watermain project would also justify the reconstruction of Peltier Lake Drive, which
is in need of repair and storm sewer improvements.
3. PROPOSED IMPROVEMENTS
The proposed improvements include extending watermain along Peltier Lake Drive from
Mill Road to Centerville Road, and from Peltier Lake Drive south along Centerville Road,
into the Lakeland Hills development. Peltier Lake Drive would also be reconstructed at
this time. This proposed watermain would allow for future extension of watermain along
the remainder of Peltier Lake Drive from Centerville Road west to County Road 14, and
then along County Road 14 to the existing 12-inch main along Main Street. This would
provide a looped water system for the western residential areas of the City.
An 8-inch watermain will connect to an existing 8-inch stub at the intersection of Peltier
Lake Drive and Mill Road. The watermain will be constructed along the north side of the
street, as an 18-inch steel casing was installed under the double box culverts for future
watermain extensions during the reconstruction of the Clearwater Creek crossing of Peltier
Lake Drive. An 8-inch watermain will then extend from Peltier Lake Drive along
Centerville Road, on the east side, where it will connect to the 8-inch watermain which
will extend through the Lakeland Hills development. An 8-inch stub will also extend from
Peltier Lake Drive north along the east side of Centerville Road to the north intersection
of Peltier Lake Drive and Centerville Road. This will provide a connection point for a
future watermain extension along Peltier Lake Drive west to County Road 14.
During the watermain construction, Peltier Lake Drive will be reconstructed. The street
will be reconstructed with a 7-ton section, which will consist of a 32-foot wide street with
concrete curb and gutter. The street will be constructed with a 3-inch bituminous surface
260/090-1404.may
-1-
260-090-10
over a 6-inch Class 5 base. A 2-foot sub-base with draintile will need to be provided
under the road for proper support and drainage, as the area has poor soils which do not
drain well naturally.
Centerville Road will not be reconstructed curb to curb during the watermain extension,
as the road is in good condition. The bituminous surface will be removed and replaced
from the east curb line to the road centerline to allow construction of the waterrnain.
All residents along the watermain extension will be provided with a water service. The
water service will extend from the waterrnain to the property line, where a curb stop will
be installed. Each resident will be responsible for hook-up to City water from their home
to the curb stop. All water services will be open- cut to the property lines except the water
services along the west side of Centerville Road. These services will be jack bored under
the road surface not removed along the west side during the watermain construction. This
will minimize the disruption to the remaining portion of the street.
A sidewalk along the south side of Peltier Lake Drive and the east side of Centerville Road
would also be constructed as part of this project, where it would connect to the sidewalk
in the Lakeland Hills Development. The sidewalk within the Lakeland Hills Development
then connects to a bituminous trail between Lakeland Circle and the school playground.
4. EASElVIENTS AND PERMITS
All construction would be within the City street right-of-way; therefore, additional
easements will not be necessary. Some temporary construction easements may be needed
from property owners along the proposed construction alignment.
The permits which will be needed for the project are listed below.
\I
Minnesota Department of Health
Rice Creek Watershed District
MnDNR
Waterrnain Construction
Stormwater Discharge to Clearwater Creek
Protected Waters Permit
..
II
5. ESTIMATED PROJECT COSTS
A total project cost has been estimated and is included in Table 1 or the Appendix. A
complete breakdown of costs for the project is also provided in Table 1.
The costs shown in Table 1 include all costs associated with the watermain extension along
Peltier Lake Drive. These costs include watermain construction, reconstruction of Peltier
Lake Drive, and restoration of Centerville Road. The total project cost includes a 38 %
overhead for engineering, administration, inspection, staking, legal fees, and
contingencies.
260/090-1404.may
-2-
260-090-10
6. PROPOSED ASSESSMENTS
There are several possible sources for funding this project. These possible sources include
assessments, Lakeland Hills Developer's Agreement, Centerville Water Fund, and
Centerville Storm Sewer Fund. Several funding scenarios were prepared based on total
City funding. See Tables 2A, 2B, and 2C in the Appendix for the funding scenario.
7. CONCLUSIONS AND RECOMMENDATIONS
Based on an engineering standpoint, this project is feasible. The project is also necessary
and cost-effective for providing the residents along Peltier Lake Drive and Centerville
Road with City water.
260/090-1404.may
...,
-;) -
260-090-10
APPENDIX
TABLE 1
Cost Breakdown
Peltier Lake Drive Cost Analysis
City of Centerville
260-090-10
SCHEDULE -1.0 PEL TIER LAKE DRIVE STREET WORK
1 REMOVE BITUMINOUS PAVEMENT SY 5550 2.00 11100.00
2 REMOVE BITUMINOUS CURB & GUITER LF 3080 1.00 3080.00
3 MILL BITUMINOUS PAVEMENT SF 540 4.00 2160.00
4 COMMON EXCAVATION CY 1050 4.00 4200.00
5 SUBGRADE EXCAVATION CY 4400 6.00 26400.00
6 SELECT GRANULAR BORROW CY 4400 9.00 39600.00
7 4" DRAINTILE LF 3080 3.00 9240.00
8 GEOTEXTILE FABRIC SY 6240 1.50 9360.00
9 CLASS 5 AGGREGATE BASE TN 2100 6.00 12600.00
10 TYPE 41A, WEAR COURSE MIXTURE TN 475 23.00 10925.00
11 TYPE 31B, BASE COURSE MIXTURE TN 475 21.00 9975.00
12 BITUMINOUS MATERIAL FOR TACK COAT GAL 275 1.00 275.00
13 B-618 CONCRETE CURB & GUTIER LF 3080 8.00 24640.00
14 6" CONCRETE DRIVEWAY APRONS SY 152 28.00 4256.00
15 BITUMINOUS DfW RESTORATION SY 260 12.00 3120.00
16 CONCRETE DfW RESTORATION SY 45 28.00 1260.00
17 SODDING SY 2800 2.00 5600.00
18 SUBGRADE DENSITY TEST, IN-PLACE EA 3 40.00 120.00
19 CLASS 5 GRADATION TEST EA 1 65.00 65.00
20 CLASS 5 PROCTOR TEST EA 1 85.00 85.00
21 CLASS 5 DENSITY TEST, IN-PLACE EA 3 40.00 120.00
22 CONCRETE AIR ENTRAINMENT TEST EA 3 50.00 150.00
23 CONCRETE SLUMP TEST EA 3 50.00 150.00
24 CYLINDERS (3EA) EA 3 50.00 150.00
T SCHEDULE -1.0 TOTAL $ 178,631.00
TABLE 1
Continued
SCHEDULE - 2.0 CENTERVILLE ROAD STREET WORK
1 REMOVE BITUMINOUS PAVEMENT SY 1500 2.00 3000.00
3 MILL BITUMINOUS PAVEMENT SF 145 4.00 580.00
4 SUBGRADE PREPARATION RD STA 7 135.00 945.00
9 CLASS 5 AGGREGATE BASE TN 400 6.00 2400.00
10 TYPE 41A, WEAR COURSE MIXTURE TN 115 23.00 2645.00
11 TYPE 31 B, BASE COURSE MIXTURE TN 115 21.00 2415.00
12 BITUMINOUS MATERIAL FOR TACI< COAT GAL 75 1.00 75.00
18 SUBGRADE DENSITY TEST, IN-PLACE EA 2 40.00 80.00
19 CLASS 5 GRADATION TEST EA 1 65.00 65.00
20 CLASS 5 PROCTOR TEST EA 1 85.00 85.00
21 CLASS 5 DENSITY TEST, IN-PLACE EA 2 40.00 80.00
T SCHEDULE - 2.0 TOTAL $ 12,370.00
SCHEDULE - 3.0 PEL TIER LAKE DRIVE WA TERMAIN
1 CONNECT TO EXISTING EA 1 1000.00 1000.00
2 8" DIP WATERMAIN LF 1400 21.00 29400.00
3 6" DIP WATERMAIN LF 45 17.00 765.00
4 8" GATE VALVE EA 2 625.00 1250.00
- '5 HYDRANT WI GATE VALVE EA 3 2000.00 6000.00
6 FITTINGS LB 1800 1.25 2250.00
7 1" COPPER WATER SERVICE PIPE LF 300 10.00 3000.00
8 WATER SERVICE CONNECT EA 20 175.00 3500.00
9 IN-PLACE DENSITY TEST EA 18 40.00 720.00
10 PROCTOR TEST EA 1 85.00 85.00
T SCHEDULE - 3.0 TOTAL $ 47,970.00
SCHEDULE - 4.0 CENTERVILLE ROAD WA TERMAIN
1 CONNECT TO EXISTING EA 1 1000.00 1000.00
2 8" PVC WA TERMAfN LF 700 21.00 14700.00
3 6" PVC WATERMAIN LF 45 17.00 765.00
4 8" GATE VALVE EA 1 625.00 625.00
5 HYDRANT WI GATE VALVE E.A 3 2000.00 6000.00
6 FITTINGS LB 700 1.25 875.00
7 1" COPPER WATER SERVICE PIPE LF 150 10.00 1500.00
8 WATER SERVICE CONNECT EA 10 175.00 1750.00
9 JACK WATER SERVICE EA 6 1000.00 6000.00
10 IN-PLA.CE DENSITY TEST EA 9 40.00 360.00
11 PROCTOR TEST EA 1 85.00 85.00
T SCHEDULE - 4.0 TOTAL $ 33,660.00
TABLE 1
Continued
SCHEDULE - 5.0 PEL TiER LAKE DRIVE STORM SEWER
1 REMOVE RCP PIPE LF 735 10.00 7350.00
2 REMOVE STORM SEWER STRUCTURE EA 8 150.00 1200.00
3 15" CLASS III RCP LF 70 28.00 1960.00
4 18" CLASS III RCP LF 85 32.00 2720.00
5 21" CLASS III RCP LF 385 36.00 13860.00
6 24" CLASS III RCP LF 230 40.00 9200.00
7 30" FES EA 1 400.00 400.00
8 24" X 36" CATCHBASIN EA 2 900.00 1800.00
9 48" STORM MANHOLE EA 6 1200.00 7200.00
10 STORMCEPTOR MANHOLE EA 2 11500.00 23000.00
11 IN-PLACE DENSITY TEST EA 8 40.00 320.00
12 PROCTOR TEST EA 1 85.00 85.00
T SCHEDULE - 5.0 TOTAL $ 69,095.00
SCHEDULE - 6.0 PEL TIER LAKE DRIVE SIDEWALK
4" CONCRETE SIDEWALK SF 7110 3.00 21330.00
T SCHEDULE - 6.0 TOTAL $ 21,330.00
SCHEDULE - 7.0 CENTERVILLE ROAD SIDEWALK
1 4" CONCRETE SIDEWALK SF 3330 3.00 9990.00
T SCHEDULE -7.0 TOTAL $ 9,990.00
TABLE 1
Continued
PROJECT COST SUMMARY
CONSTRUCTION COST
1.0 Peltier Lake Drive Street Work
2.0 Centerville Road Street Work
3.0 Peltier Lake Drive Watermain
4.0 Centerville Road Watermain
5.0 Peltier Lake Drive Storm Sewer
6.0 Peltier Lake Drive Sidewalk
7.0 Centerville Road Sidewalk
178631.00
12370.00
47970.00
33660.00
69095.00
21330.00
9990.00
T TOTAL CONSTRUCTION COST
$ 373,046.00
TOTAL PROJECT COST -- INCLUDES 38% OVERHEAD
1.0 Peltier Lake Drive Street Work
2.0 Centerville Road Street Work
3.0 Peltier Lake Drive Watermain
4.0 Centerville Road Watermain
5.0 Peltier Lake Drive Storm Sewer
6.0 Peltier Lake Drive Sidewalk
7.0 Centerville Road Sidewalk
246510.78
17070.60 _
66198.60
46450.80
95351.10
29435.40
13786.20
. T TOTAL PROJECT COST
$ 514,803.48
APPENDIX
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",,;wiG' utaG[ished 1857
1880 9\I[ain .street ~ Centervi[[e; 9\1[11[ 55038
(651) 429-3232 ,,~a;( (651) 429-8629
October 19,2001
Ms. Vallory Wagner, 3rd F1- MedLiab
Fairview Health Services
P.O. Box 147
Minneapolis, MN 55440-0147
Dear Ms. Wagner:
Due to incompleteness of the documentation submitted to the City, the City of Centerville
will not present this claim to its insurance carrier.
The following information is needed to process this claim:
The City has no records, police or otherwise of this occurrence.
The place of injury lacks clarity. The City is unable to ascertain whether it
happened in a County Park or a City park?
Has the patient turned same into personal carrier?
Upon the submission of the aforementioned information, the City will take the
appropriate action offorwarding same to their carrier for determination of coverage.
If you have anyfilrther questions regarding this matter, please feel free to contact me.
Sincerely,
'--.
.,
~ -.-;.r~/ ,,-:;/-.
'li.. ..::.....L.<.:'_,'-:;.2..~~_____' .,-<h_:.'2-~ri.-?-i:" c. >,~_~_.....-
Teresa D. Bender
Clerk/Treasurer
Fonvarded via facsimile and U.S. Postal Service
S8 EdJRV1E'w
fain'virew HreBR'kh Senikes
I Reflnest For Payment Or Denial
..... >l v
I Under Th1edical Pavmentitio Fault Clause.
I WeAre Not Billing for Liability.
.
.
Central Business Office
2450 Riverside Avenue
Minneapolis, MN 55454-1400
August 28, 2001
'TO.. (~'1itJ' oj'(~entervi!le
1880 Main Street
POLICY
Claim.
C'enterviiie. ivfN 55038
PATl12iYT' Phyllis Strong
ACCOUNT#- S035592062
DATE OF SERHCE. 09/28/00
TYPE OF INJURY: Fall
PL4CE OF iNJURY: Centennial Lakes Path
!)!eu.ye rejer to the Ale{jic'are /f;;/;nini,ytrL.'!Live Bullerirz #.J.76. Due to the./~lct that the above lnentione(j
j)[ltient 1-.vas i;-~/1-irea' on -,vour lDFopert): or prOfJert}' -,VOlt insure, we [ire billing ,.,vou ~jor pa.Ylflent or {-tenia!
under your medical jXI}'ment/l1ofLw!t insurance coverage.
i\dedicore PCi}'S second 10 o!llypes o(insllrance their paJ''/ur inedien! expensesji.H accIdents thcu OCClIi' on
the property of the jnszired~ regardless OfH'ho or what caused the accident.
We mZist hear/rom rhe insurance carrier Hiirh either a payment or denial in order jor lvledicare to
consider making paymenT on this aCCOUnT. 1vlEDICARE W7LL ONLY ACCEPT TI-IE DENL4L IF YOU
STATE THAT YO[] f-L4y,,'E A NO MEDICAL PAY CLAUSE WITHIN YOUR LL4BILITY INSUR_ANCE
{(possible. please rep()' within three (3) lveeks. Please send correspondence to my attention.
IhCink ..-VOlt,
Vallory lNagner
Va!!ory Wagner, 3rd lC,'j - Mec/Dab
lit.7!f}}ie1'1) (-'entrol Businc'ss (Jjj'ice
PO Box N7
Mpls AlN 55-1-/0-0147
612-672-2762
1"L7x 612-672-6454
RJ~PD1!..J.VL--'l
~ . /~1 /1= lUll fL.A~/VII=
~
jfjIUJLILIl:: II. II~
"
"!!!
TO:
INTERMEDIARY
ADMINIS-TRATIVE BULLETIN NO. 476
ALL MEDICARE HOSPITAL PROVIDERS
FROM:
\ DA TE:
SUBJECT:
\
Joy 8ahnemann, Vice President, Governrn.ent Programs
October 1990
rtospita~ Manual Transmittal No. 593 - Medicare Secondary Pay.,..
Please review the enclosed manual transmittal very carefully before ;ncorpor.ting
it in to your manual. I t is very important that this bultetin and transmithl b.
shared with the appropriate personnel in your facility as it concerns some m.jor
changes in the handling of claims involving accident-related services.
Transmittal number 593
New Implementation Instructions
Effective for sl!rvice dates furnished on or aftar November 13, 1989. .
~. This transmittal Covers the new regulations involving no-hult insur-ane:.
- .~ coverage. The definition of no-fault _has been expanded to include all types of
.;~ no-fault insurance. Thus, Medicare is secondary to .11 types of Insul'"ance
(including homeowners and commercial plans) th~t pay for medical expanses
A, sustained on the property or pl"'erni~as of the insured f'eg~rdrass of who may b.
D- . -- responsible for c~using, the ~ccident. This includes p~yments under medical
payment coverage (common!y referred to as Med pay coverage) 6 personal injury
protection or medical expense coverage. ___
-
As the result of these new regulations6 the provid~r must first bill the no-f;ult
- insurance. Conditional Medicare payment will only be made-under the following
circumstances:
o
The beneFiciary hOls filed a claim with the no-Fault fn:sural" 4lnd tha
insurance carrier - doe$ not pay w~thin 120 days of receipt of the c:t;ims~
Th e be.neficiary, bec.u sa of physical or ment;1 incapacity, hiled to m.at a
claim 'filing requirament of the no-hult insurer.
A ny claim filed to Medicara i8QUuting conditional payment ~ have a denial
from the no-hult insu-l"'.;nc~ or prooF that tho no-hult insuranc. company wiJI nc~
pay the claim within 120 days of receipt of the claim. Claims filed without: an
e)(pl..n~tion that a full or padial payment Calnnot be made by the no-hurt
insurance cOlrrier will b. denied by Medic4Ire.
o
Wh~n raque:sting conditional p;yment, b. sur. the UB~a2 is completed co,..ractly~
Att~chment 1 is ~n eXimpl. of . UB-S2 conditional piyment requost.
R~fu:s~1 by the patient to file . claim with the no.hult insurance eompany or to
coopi!r~t. with the provider filing such a c1.~im is not a bHis - for c1aimins
conditional payment.
'-'- (ijJ Slue Cross ""
~ ~ ~.~~.~hield
P.O. Sox 64357
51. Paul, MN 55164
Fede,aI ...,
Interm~
-
:(fJ
P'ovld.rs 'must on odmi'~on uk M.dicara potiants or rapr"~nbtl~ I
"'vic.. "a (or t,utman t o( an Injury or IIIna.. 'rom an accldant 'or "h~
nO-foultin,u"nc. cO"i.r m..y pay 'or tha ..r"ic... Obt.ln th.a n..... add
ond pOlicy numb" of ony no-foult 0' liability lnsuranca company which ....;
responsible for POlymen t of the medic~l eXP_n"s.
Other issues cOvered. in this transmithl:
Section 262.8 B Effect on Deductible ~ nd Coinsurance Uti1iz3t:jon
. Wo, ke rs' Comp en s.; tion. no-{a u 1 t Cin,cl uding atito) and Ii.bility 'Ins ~ '.nca paY1nan
are credited to the Part A ond Part B deductibl.. ond coinsurance amount
These payments will be used to ..tisfy deductibl.. and cOin.ur.nce f,
.discharge. 0' s.,vice. 'ende'ed on 0' after Novombor 13. 19.89.
'\
Section 262.9 Definitions
Thi. section includes definition. of "nO-fault lnsuranco- and "Pl"Opar cl.lm.
expands the definition of -..If-insured plan" and "unin.urod motorist In....r.n....
-P,ompt" or "promptly" is defined in this .oction .s payment ",fthln 120 day
after rec.'!ipt of the cJ.im.
Section 262.10 8illing Where Services Are ReI.tad to Accident
This ..ction .hould be road through vorl' carefully as it explain. the pro"id.r", I
billing respoi'Hibi/ities of o1ccident-relo1ted claims.
Section 262.1 TC Secondary Medicare Payments
Thi, section contain. a r."i.ed fo,mul. for calcul.ting payment in nO-fault cues.
I( a provider i, not oblig.ted to accept the in.urance payment .s payment In
full, Medicare secondary p"yments may be m;ade.
Section 262.11 D Conditional Primary Medicare Benefits
Thi. .ection uplains the' conditional payment requirements U pre"lously
discussed in this bulletin.
. Section 252-. 11 D No- Fa ult In. 1.1 re r Den ie. That it Is Prima ry Pay,,"
Thl. new sub.action st.tes that' you .hould r.'." the ...s. to the Intermediary If
the no.hult anzurer deniad it is primary pay.,..
Saction i62.13 Stata l.w or Contract P....,yld.s That No-F.ult Insurance Is
Secondary to Other ln~ul".nce . _ .
This new saction sbtu that Medicare only INJc.s secondary p~ym.nu even if I
st~t" jaw Of" insu ranc~ con tracts specify that benariu under their preylsicns aN
:s~condary to those of Medicare. Medicare only maxe: .ac:~mdary payments altat,.
the tot~" no-fault benefits have been e;ch~l,utad.
-
"
"
Section 262.14 Provider and Beneficf..
Insurance
With Res ect to NO"Fa",
Thi. new .ection eXplain. that where thero i. a possibility of no-fault Inoura"o
coverage, no Modicare payment. ore mode unlo.. the provider or benefic/.." ho
e.housted the claim. proce.. under no-foult in.urance. A. previou.ly ototed "I,
this bulletin, claim. without ovidence that tho no-fault insurance corrior We,
billed first will be denied.
Section 262. 15 Private, Ri~lit of Action
\
\ .
This new section provides that ony cloimant hos the right to toke oction .g"not
o no-foult inourer that foil. to poy primary. Any beneficlory has the right t.o
. to ke legol oction ogoln.t the respon.ible entity thot foil. to poy primary bon.f1t,
~nd can collect double d.m_ges.
. Procedure for lnvestic;ation of Tr.aum. Codes
There ore range. of ICD-9-CM code. thot mOYinvolvo covorase undor no-foult
in.uronce. Attochment 2 io 0 1I0ting of th..o oodeo. WIlenever "ne "of tho..
code. Oppears on the claim_ the cloim will ou.pend to the Medic~re Secondo'Y
P~yer Unit for review. At this point,. ~ development 'etter will be. generated
to the provider requesting whether Or not the services relate to .n .accident.
The claim. may be denied if the provider does not rupond to the development
letter.
The Medic"e Secondary Payer Unit will no longer be roquo.ting medical record.
on tnesa claims.
This change will be effective with any claim. received beginning NOvl!n7b.... 1,
1990.
I f you have iny questions concerning this bulletin. please contict one of cur
Cu s tomer Service Represent.tives ..t (612) 456-5.503 or toll free at
1-800-382-2000, exten~;on 5503.
rm2 J 1
"~;
FAIRVIEW SOUTHDALE HOSPIT 2 i 3 PATIENT CONTROL NO. 4 type
of bill
PO BOX 147 I 068186773S 131
MINNEAPOLIS MN 55440-0147 5 FED. TAX NO. t 6 STATEMENT I COVERS PERIODI 7 COV D. \, N-C D. \9 C-[ {J. I 10 l-ft a. \ 11
FROM THROUGH
(612)672-2762 410991680 1092800 1092800 I I I I I
12 PATIENT NAME 1~13 PATIENT ADDRESS
STRONG PHYLLIS A 7500 EDINBOROUGH WAY EDINA MN 55435-5609
14 BIRTHDA TE -115 SEX I 16 M~I ADr[~;I~N 119 TYPE!20 SR 21 a HR 22 I I 24 I CONDITION COeES I I JD 131
17 CATE STAT 23 MEDICAL RECORD NO. I 25 26 27 28 25
05201941 IF I W 1092800 118 I 11 20 01 I 0007183588 I I I I I
32 OCCURRENCE 33 OCCURRENCE 34 OCCURRENCE 35 OCCURRENCE 36 OCCURRENCE SPAN 37
CODE DATE CODE DATE CODe DATE CODE DATE CODE f:ROM THROUGH A I
i
05 092800 B I
C
'PHYLLIS A STRONG " VALUE CODES 40 VALUE CODES .' VALUE CODES
CODE AMOUNT CODE AMOUNT CODE AMOUNT
7500 EDINBOROUGH WAY 3105 ,
EDINA MN 55435-5609 b
C
d
42 REV CD 43 DESCRIPTION 44 HCPCS/RATES 45 SERV DATE 46 SERV UNITS 47 TOTAL CHARGES 48 NON-CQVERED CHARGES 49
1 253 DRUGS/TAKEHOME 1 12 78 12 78
, 320 DX X-RAY 71020 1 152 64
] 450 EMERG ROOM 99283 1 220 00
; 001 TOTAL CHARGES 385 42 12 78 ,
;
, ;
3 ,
; ,
) ,
1 1
1 1
3 \
,
i 1
1
1
\ 1
I ,
I ,
, ,
, 2
i ,
50 PAYER 51 PROVIDER NO. 52REl 53 AS 54 PRIOR PAYMENTS 55 EST AMOUNT DUE 56
INFO 'EN
*LIABILITY WITH ME F Y Y
MEDICARE C 240078 Y Y
HEALTH PARTNERS F 17 Y y
57 DUE FROM P A TrENT ....
58 INSURED'S NAME 59PRE 60 CERT-SSN-HIC-ID NO 61 GROUP NAME 62 INSURANCE GROUP NO
STRONG, PHYLLIS A 15 475428767
STRONG, PHYLLIS A 01 475428767A
STRONG. PHYLLIS A 01 31731653 7008
63 TREATMENT AUTHORIZATION CODES 64 65 EMPLOYER NAME 66 EMPLOYER LOCATION
,sc
5 05201941
5 05201941
5 05201941
67 PRIN DIAG CD , I I I I OTHER DI~G CODES I 75 ADM DIAG CD 177 E" CODE [78
6a CODE 69 CODE 70 CODE 71 CODE 72 CODE 73 CODE 74 CODE 7S CODE
80701 17140 13694 I I 1 9591 IE 88 5 I
79 PC '0 cm!:RINCIPAL 1 PROS:~YRE 81 con?THERIPROCE~~~E _M<OTHER IPROCE~A~E 82 ATTEND PHYS ID
9 I I E58770 STEINMAN RANDALL I
COD,OTHER IPROCE~~~E CDD,OTHER I PROCE~~,R,E coo, OTHER IPROCEDS~~E 83 OTHER PHYS ID
I I
84 REMARK S OTHER PHYS ID
85 PROVIDER REPRESENTATIVE 86 DATE
X CBO TEMPORARY 08/29/01
U8-92 HCFA-1450
nr.R I nRIr.INAI
I CERTIFY THE CERTIFIcAtiONS ON THE REVERSE APPLY TO THIS BILL AND ARE MADE A PART HEREOF
..
F A I R V I E W SOU T H D ALE HaS PIT 3 PATIENT CONTROL NUMBER
PO BOX 147
MINNEAPOLIS MN
(612)672-2762
10 PATIENT'S LAST NAME
!:JYLLIS A STRONG
EDINBOROUGH WAY 3105
34
EDINA MN 55435-5609
FIRST NAME
INITIAL 22
FROM
092800
A
ST.~TEMENT COVERS PERIOD
THROUGH
092800
68 CERT.-SSN.-HIC.-ID. NO. 475428767
STRONG
PHYLLIS
DETAIL OF CHARGES
R CODE
DATE
DESCRIPTION
AMOUNT
R. COOE
DATE
DESCRIPTION
AMOUNT
LIABILITY WITH MEDICARE
253 09-28 TAKE HOME DRUGS 12.78
TOTAL 0253-DRUGS/TAKEHOME
12.78
320 09-28 CHEST 2 VIEWS
TOTAL 0320-DX
152.64
X-RAY
152.64
450 09-28 LEVEL III 220.00
TOTAL 0450-EMERG ROOM
220.00
TOTAL CHARGES
385.42