HomeMy WebLinkAbout2007-12-12 CC Packet
~~
TRUTH AND TAXATION
HEARING/COUNCIL
AGENDA
COUNCIL MEETING
Wednesday, December 12,2007
6:30 p.m.
I. CALL TO ORDER
1. Ron Can
II. PUBLIC HEARINGS
1. Truth and Taxation
X. ADJOURNMENT
City of Centerville
2008 General Fund Budget (Draft)
December 12,2007
Prepared By: John Meyer
Finance Director
Prepared by jmeyer 12/7/2007
Page 1
Notice of Proposed
Total Budget and Property Taxes
The Centerville city council will hold a public hearing on its budget and on
the amount of property taxes It is proposing to collect to pay for the cost
of services the city will provide In 2008.
SPENDING: The total budget amounts below compare the city's 2007
total actual budget with the amount the city proposes to spend In 2008.
2007 Total
Actual Budget
Proposed 2008
Budget
Change from
2007 - 2008
$ 2,357,900
$ 2,441,600
3.55%
TAXES: The property tax amounts below compare that portion of the
current budget levied in property taxes in the City of Centerville for 2007
with the property taxes the city proposes to collect in 2008.
2007 Property
Taxes
Proposed 2008
Property Taxes
Change from
2007 - 2008
$ 1,915,900
$1,985,600
3.64%
LOCAL TAX RATE COMPARISON: The following compares the city's
current local tax rate, the city's tax rate for 2008 If no levy Increase is
adopted, and the city's proposed tax rate for 2008.
2007
Tax Rate
2008 Tax Rate If
NO Levy Increase
2008 Proposed
Tax Rate
45.740%
43.980%
45.808%
Attend the Public Hearing
All Centerville City residents are invited to attend the public hearing of the
city council to express their opinions on the budget and on the proposed
amount of 2008 property taxes. The hearing will be held on:
Wednesday, December 12th, at 6:30 p.m.
Centervllle City Hall
1880 Main Street
Centerville, Minnesota
If the discussion of the budget cannot be completed, a time and place for
continuing the discussion will be announced at the hearing. You are also
invited to send your written comments to:
City of Centervllle, Mayor
1880 Main Street, Centervllle, Minnesota 55038
Note: Public Hearing Notice must be publiShed on or after Dec 4 but not later than Dee 10, 2007
City of Centerville
Narrative for 2008 Final Budget
December 12, 2007
Attached is the final Year 2008 General Fund Budget for the City of Centerville. This report is
intended to disclose all assumptions used in calculating the proposed budget and explain any significant
variances from last year.
The following assumptions were made in calculating the proposed budget:
Revenues:
Tax Lew
The general tax levy was increased by $69,700 for additional spending which is an increase of 3.55% .
At this proposed levy amount, tax capacity figures indicate that a tax rate will change slightly from
45.740 in 2007 to 45.808 in 2008. This tax capacity is based on updated county data that enumerated a
increase in the city's tax capacity and an decrease in the city's contribution to area wide
spending.
Local Government Aid
The city will receive $22,900 in local government aid in 2008. In 2007, the city received $23,560.
Licenses and Permits
Licenses and Permits revenues will decline slightly because of a change in the housing market.
Fines and Forfeits
Fines and forfeits have been stable.
Interest Earninas
Interest earnings will decline because of a smaller investment portfolio.
Assessments
Assessment receipts will decline in 2008 because of fewer assessment receivables.
Expenditures:
Salaries and Benefits
The following assumptions were made in calculating salaries and benefits for the 2008 budget:
+ 3% structure increase (COLA);
+ 4% step increase for eligible employees;
+ A legislative mandated increased employer contribution rate to PERA;
+ The budget reflects additional salary for part time help in Public Works
+ Allocations were changed to more accurately reflect actual time spent, resulting
in slight differences in distributions across departments;
+ Overtime was calculated at 5% of the annual salary for the three existing Public
Works employees;
+ $20 per employee per month increase in health insurance contribution, in
accordance with the union contract. Insurance rates are expected to rise by 9-
12 % in January 2008
Police Administration
The 2008 budget amount of $704,000 from the Centennial Lakes Police Department is reflected
in the budget. This is an increase of 8.47%.
Fire Protection
The 2008 budget amount of $107,000 from the Centennial Fire Department is reflected in the
budget. This is an increase of 4.12%. The budget also includes $ 95,000 in pass through fire relief aid.
Parks and Recreation
The parks and recreation includes operating funds for the city's $8,000 contribution to the
National Sports Center for the potential ice time financing gap. In addition to operating funds
for the Parks and Recreation budget, $25,000 in funds are provided for debt service
on the hidden spring park loan.
Economic DeveloDment
The economic development budget includes $6,500 for the EDA.
City Festival
The City Festival budget includes an estimated $17,000 appropriation from the City plus a
proposed $3,000 pass-through donation from gambling funds.
Transfers Out
This line item includes a proposed $102,000 transfer to the 2004 Municipal Street Debt Service
Fund to cover the City's portion of the street project obligation, $400 transfer for 2000 Street
Assessments and $77,200 for lease payments on the Joint Police Station. In 2008, the city will call the
GO Improvements Bonds of 2001 reducing debt by $600,000.
CaDital Outlav
Capital outlay in the amount of $148,000 is available in the 2008 proposed budget for capital
needs such as election equipment, a copy machine, one vehicle replacement for public works, seal
coating and a contribution to park & recreation.
I wish to thank the City Administrator, Public Works Director, City staff, Anoka County staff and the City
Council for their patience and help with the preparation of this budget. I am available to answer
any questions you may have regarding the proposed budget or budget process. Thank you for your
patience and understanding.
Respectfully Submitted:
Approved By:
JonVI- W. Me!:jer
Finance Director
'J)aLLas UfYSOVl-
City Administrator
CITY OF CENTERVILLE
General Fund Final 2008 Budget
Actual Final Preliminary Percent Change
2006 Budget 2007 Budget 2008 Budget 2007 to 2008
Revenues:
Property Taxes 1,809,431.00 1,915,900.00 1,985,600.00 3.64%
MV Homestead Credit Cut (84,431.00)
Other Taxes & Assessments 84,500.00 46,000.00 50,000.00 8.70%
Licenses & Permits 195,000.00 160,000.00 170,000.00 6.25%
Building Inspection 168,000.00 110,000.00 135,000.00 22.73%
Fines & Forfeits 30,000.00 40,000.00 35,000.00 -12.50%
Intergovernmental 110,000.00 117,000.00 120,000.00 2.56%
Fire Relief Aid 95,000.00 95,000.00 95,000.00 0.00%
Charges for Services 2,000.00 2,000.00 2,000.00 0.00%
Interest Earnings 40,000.00 58,000.00 60,000.00 3.45%
Miscellaneous Revenues 10,000.00 15,000.00 15,000.00 0.00%
Refunds & Reimbursements 4,000.00 4,000.00 4,000.00 0.00%
Fund Balance 0.00 0.00
Total Revenues 2,200,500.00 2,357,900.00 2,441,600.00 3.55%
Expenditures:
Current
General Government
Mayor and Council 23,000.00 35,000.00 35,000.00 0.00%
Elections 5,000.00 7,000.00 0.00%
Planning & Zoning 10,000.00 20,000.00 10,000.00 -50.00%
Administration 324,600.00 385,000.00 403,000.00 4.68%
Financial Administration 18,000.00 18,000.00 13,500.00 -25.00%
Assessing 20,000.00 18,000.00 19,500.00 8.33%
Legal 80,000.00 65,000.00 70,000.00 7.69%
City Hall 38,000.00 40,000.00 40,000.00 0.00%
Total General Government 518,600.00 581,000.00 598,000.00 2.93%
Public Safety
Police Protection 577,376.00 649,000.00 704,000.00 8.47%
Fire Protection 186,000.00 194,000.00 202,000.00 4.12%
Building Inspection 155,000.00 158,000.00 160,000.00 1.27%
Electrical Inspection 9,000.00 9,000.00 7,000.00 -22.22%
Civil Defense 4,000.00 4,000.00 3,400.00 -15.00%
Animal Control 1,500.00 2,000.00 2,000.00 0.00%
Other Protective Services 0.00 2,100.00 0.00%
Total Public Safety 932,876.00 1,016,000.00 1,080,500.00 6.35%
Public Works
Public Works 170,000.00 175,000.00 180,000.00 2.86%
Engineering Services 15,000.00 25,000.00 20,000.00 -20.00%
Recycling 5,000.00 5,000.00 6,000.00 20.00%
Streets 80,000.00 80,000.00 83,000.00 3.75%
Street Lighting 27,000.00 30,000.00 32,000.00 6.67%
Total Public Works 297,000.00 315,000.00 321,000.00 1.90%
Culture and Recreation
Park/Rec. Committee 2,500,00 3,000.00 4,000.00 33.33%
Park/Rec. Programs 10,000.00 15,500.00 16,000.00 3.23%
Park Maintenance 65,000.00 67,000.00 68,000.00 1.49%
Total Culture and Recreation 77,500.00 85,500.00 88,000.00 2.92%
Economic Development
Economic Development - EDA 6,500.00 6,200.00 6,500.00 4.84%
Frozen Fete Des Lacs
Business Directory 2,500.00 -100.00%
EDA - Business Promotion 4,000.00 0.00%
EDA - Miscellaneous 1,700.00 2,500.00 47.06%
Anoka County Partners 2,000.00 -100.00%
Cougar Cash
Total Economic Development 6,500.00 6,200.00 6,500.00 4.84%
Unallocated
Refunds & Reimbursements 0.00
City Summer Festival 20,000.00 25,000.00 20,000.00 -20.00%
Total Miscellaneous 20,000.00 25,000.00 20,000.00 -20.00%
Total Current Expenditures 1,852,476.00 2,028,700.00 2,114,000.00 4.20%
Capital Outlay
General Government 42,124.00 5,000.00 23,000.00 360.00%
Public Safety 0.00 5,000.00
Streets and Highways 100,000.00 113,000.00 100,000.00 -11.50%
Culture and Recreation 25,000.00 25,000.00 -100.00%
Total Capital Outlay 167,124.00 148,000.00 123,000.00 -16.89%
TOTAL EXPENDITURES 2,019,600.00 2,176,700.00 2,237,000.00 2.77%
EXCESS (DEFICIT) OF REVENUES 180,900.00 181,200.00 204,600.00 12.91%
OVER EXPENDITURES
OTHER FINANCING SOURCES (USES)
Operating Transfer In 0.00 0.00 0.00
Operating Transfer Out (180,900.00) (181,200.00) (204,600.00) 12.91%
GO Assessment 2000 (400.00) (400.00) (400.00) 0.00%
GO Improvement 2004B (102,000.00) (102,000.00) (102,000.00) 0.00%
Joint Police Station Lease (78,500.00) (78,800.00) (77,200.00) -2.03%
Hidden Spring Park Loan 0.00 0.00 (25,000.00)
TOTAL OTHER FINANCING (180,900.00) (181,200.00) (204,600.00) 12.91%
SOURCES (USES)
EXCESS (DEFICIENCY) OF 0.00 0.00 0.00
REVENUE AND OTHER FINANCING
SOURCES OVER EXPENDITURES
AND OTHER FINANCING USES
PREPARED BY: JOHN MEYER, FINANCE DIRECTOR
2008 Projected Revenue Sources
Property Taxes
Other Taxes & Assessments
Licenses & Permits
Rnes &. Forfeits
Intergovernmental
Charges for Services
Interest Earnings
Miscellaneous
Refunds & Reimbursements
1,985,600.00
50,000.00
170,000.00
35,000.00
120,000.00
2,000.00
60,000.00
15,000.00
4,000.00
Total Revenue
2,441,600.00
. Property Taxes
. Other Taxes & Assessments
C Licenses & Permits
II Fines & Forfeits
. Intergovernmental
. Charges for Services
. Interest Earnings
. Miscellaneous
. Refunds & Reimbursements
2008 Projected expenditures
General Government
Public Safety
Public Works
Culture&Recreation
Economic Development
Advertising &; Promotion
Capital Outlay
General Fund Debt Service
Total Expenditures
$ 598,000.00
$ 1,080,500.00
$ 321,000.00
$ 88,000.00
$ 6,500.00
$ 20,000.00
$ 123,000.00
$ 204,600.00
$ 2,441,600.00
2008 Proiected Expenditures
13%
45%
. General Government
. Public Safety
o Public Works
II Culture & Recreation
. Economic Development
. Advertising & Promotion
. Capital Outlay
II General Fund Debt Service
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~~18J7
CITY COUNCIL MEETING
AGENDA
COUNCIL MEETING
Wednesday, December 12, 2007
6:45 p.m.
I. CALL TO ORDER
1. Ron Can
II. PUBLIC HEARINGS
1. Consideration of Vaeating Public Easements - (1580 & 1588 Sorel Street -
HansonlManhall)
III. APPROVAL OF AGENDA
IV. APPROVAL OF COUNCIL MINUTES
1. November 28, 2007 City Council Meeting Minutes (pages 1-9)
V. CONSENT AGENDA
1. City of Centenille November 29, 2007 through December 12, 2007 Claims
(page 10)
2. Centennial Fire District Claims Through November 30, 2007 (page 11)
3. Res. ##07-OXX - Operating Transfer of Funds (page 12)
4. Res. #07-OXX - Autborizing a Loan Between Funds (pages 13-14)
5. Anoka County Agreement for Residential Recycling Program 2008 (pages
15-22)
6. Parks " Recreation Committee Recommendation to Authorize the Use of
Laurie LaMotte Memorial Park Ball Fields for the 2008 Season to
Centennial Lakes Little League 4/1-8115/08, M-F 4:00 p.m. to Dark (pages
23-24)
7. Parks " Reereation Committee Recommendation to Expend Maintenance
Funds - 2007 to ReplaeeJRehab. Play Structure Equipment at Trade
McBride - Earl F. AndersOIl (E.F.A.) - Not to Exeeed 59,800 (pages 25-30)
8. North Anoka Meals OD Wheels Request for Letter of Support (page 31)
VI. A W ARDSlPRESENTATIONSJAPPEARANCES
VII. OLD BUSINESS
1. Res. #07-OXX - Vaeating Easements in the Plat of Centerville (1580 & 1588
Sorel Street -IIusoBlManhall) (pages 32-33)
2. Approval of YoaaI Plat - HansoDlManb - Sorel's E.d (p&<<e 34)
VID. NEW BUSINESS
1. Final Pay Estimate & Closeout, Volk Sewer & Water, Inc. - Hunters
Crossing 3n1 Addition - $61,813.15 (pages 35-41)
2. Pay Estimate #3 & Final, Gustafson E:navating, Ine. - Fairview' Street
Improvements - $16,403.89 (pages 42-48)
3. Res. #07-OXX - Adjustments to the Pay Schedule for Non-Bargaining Unit
Staff (page 49)
4. Res. #07-8XX - Employee Benefits (Pages so.-M)
5. Res. #07-XX - Adopting the WeDhead Protection Plan (page 65)
5. City Hall Hours on Christmas Eve Day
IX. ANNOUNCEMENTSIUPDATES
1. City AdminBtnttor, Mr. Dallas Larson
2. Downtown Redevelopment
X. ADJOURNMENT
**REMINDERS**
EDA Business Meeting - December 18, 2007 - City Hall 7:30 a.m.
Christmas Eve - December 24, 2007
Christmas Day - December 25, 2007 - City Hall Closed
City Council Meeting - December 26,2007,6:30 p.m. Council Chambers
New Years Day - January 1,2008 - City Hall Closed
Planning & Zoning Commission Meeting - January 8, 2008, 6:30 p.m. Council Chambers
Parks & Recreation Committee Meeting- January 2, 2008, 6:30 p.m. Council Chambers
CITY OF CENTERVILLE
CITY COUNen. MEETING
November 28, 2007
6:30 p.m.
Pursuant to due call and notice thereof: the City of Centerville held their regularly scheduled
meeting on November 28, 2007, at City HaI~ 1880 Main Street.
PRESENT: Mayor Mary Capra
Council Member Tom Lee
Council Member Michelle Lakso
Council Member leffPaar
ABSENT: Council Member Linda Broussard
STAFF: City Administrator Dallas Larson
City Attorney Kurt Glaser
City Engineer Mark Statz
L CALL TO ORDER
Mayor Capra called the November 28,2007, City Council meeting to order at 6:30 p.m.
n. APPROVAL OF AGENDA
Mayor Capra added page 14a to Item 1. ofV. CONSENT AGENDA
Mayor Capra added the new version of Item la, Items 3, 4, and 5 to VB. OLD
BUSINESS.
Mayor Capra added Item 4b, and Items S, 6, and 7 to VIll. NEW BUSINESS.
Mayor Capra added Item 3 to ANNOUNCEMENTS/UPDATES.
Motion bv Council Member Pur. seconded bv Council Member Lakso.. to aoorove
tJle awnda 4S ameneJed. ~ in r"vQr. !\I9tJ9n earrie!l onanimously.
n. PUBLIC HEARINGS
None
IV. APPROVAL OF COUNCIL MINUTES
1. Novem~ \4, 2007 City Council Work Session ~ing Mipute8
/
city of Centerville
Council Meding Minutes
November 28. 2007
Mtttictn bv ~ouDeil )jpnber Pur, ~9Ddal bv ~9ul!eil Member u.po.. ~9 aDltrqve
the Citv CouDcil Work SessioD meetiD2 minutes as ameaded. AU in favor. Motioa
~~ ~n'DilDous~.
2. November 14. 2007 City Council Meeting Minutes
Mayor Capra requested an additional correction to the October to correction to October
24, 2007 minutes - page 3, item 3 - replace the word "remodeled" with "finished."
Councilmember Lee requested that Item 1 of Old Business, second paragraph be changed
to read: "He stated it is the responsibility of the City Council to ensure the infrastructure
is maintained."
Motion bv Council Member Lee. seconded bv CouDcil Member Pur. to aoorove
tJte ~ovember 14. 2007 Ci~ Cou~iI meetiu minutes as Ame~~~ AU in {ayof.
Motion carri~ unuimouslv.
3. November 14. 2007 BOA M.ng Minutes
Mayor Capra questioned whether the EDA meeting minutes should be approved by the
EDA committee rather than the City Council.
City Attorney Glaser replied that no motion is required as they should be voted on by the
EDA committee.
v. CONSENT AGENDA
1. City ofCenterville NQvemb~ IS. 2007 through November ~8. 2007 Claim,
2. Centennial Fire District Claims through November 15.2007
3. Pay Estimate #4. Precision Excavating & (irading. LLC - Old Mill Road
Improvements - $104.751.17
4. Successful perfOqJ1aQce Review Public Works Maintenance Worker - Mr. TOOd
Peterson and Completion of Year 8 of Employment
S. Rel~ of Easement to Anoka County HllNNew Easement Granted to Correct
Errors in Description
Mayor Capra pulled Item 3 for discussion.
Motion bv Council Member Pur. seconded bv Council Member Lee.. to aDorove the
Consent Atenda I~s 1.2. 4. an~ 5 as oo-nled. ADJ, 'avor. M.~on earried
unanimoust,.
Mayor Capra questioned City Engineer Statz if this is the final payment request.
City Engineer Statz replied that the $13,000 retainer fee and the revised contract amount
of$37,OOO remains outstanding.
Page 2 of9
,2
City of Centerville
Council Meeting Minutes
November 28, 1JX}7
MttJ9!1 by Council M-"ember Pur? ~~nded ~ Council ~lDber Lakso. ~o aoorove
the Consent Aeenda Item 3 as DreseRted. All iR favor. MolioR carried
unuimouslv.
VL A WARDSIPRESENTATIONS/APPEARANCES
Mayor Capra invited Sergeant Aldridge to present the Police report.
Sergeant Aldridge stated that not much has happened this past month. He mentioned the
autism program headed by CSO Britani Austin is going well and everyone is very proud
of her work and efforts.
Sergeant Aldridge reported that traffic bas slowed down considerably due to the recent
construction; however, just as many stops have been made. He stated it seems to be a 1:3
ratio of citations to warnings given.
Councilmember Lee requested the final numbers for "Click it or Ticket" event.
Sergeant Aldridge replied that Centerville finished seventh in the state. He stated this is
the third program where Centerville finished in the top percentile.
Councilmember Paar stated that this often leads to catching individuals with additional
violations.
Sergeant Aldridge replied that warrants, driving after revocation and other such issues
have been discovered during the seat belt stops.
Councilmember Lakso asked about the speed issue on 20th Avenue.
Sergeant Aldridge replied that an officer is there daily to track the speeds.
1. Ms. Connie Moore. Alexandra House
Ms. Moore reported that the Alexandra House is requesting funds from the City in the
amount of $2,074 for services provided to Centerville residents. She explained that the
Community Program services include: assistance in filing protection orders,
accompaniment to subsequent hearings, crime victim advocacy, follow-up to patients at
Mercy and Unity Hospitals and Clinics, safety planning, and information and referral
services.
Mayor Capra stressed that the City Council and City Attorney are extremely supportive
of the work of Alexandra House. She stated they appreciate the bard work they do. She
reported that $2, 100 was budgeted for the Alexandra House.
City Attorney Glaser commented that victims of domestic violence are directed to the
great people at Alexandra House where they receive tremendous support.
Page 3 of9
3
".
City ofCenterville
Council Meeting Minutes
November 28.2007
Councilmember Lee stated in a perfect world he would like to see them out ofwork.
Ms. Moore reported that the Alexandra House would hold a Holiday Open House on
December 18, 2007. She stated this is an opportunity for the public tour the facility and
to understand what they do.
2. Mr. Mike Tbinesi~ Centervil1.~ L~ons Accountina for Fete de Lacs City Donation
Mr. Thinesin reported on the City ofCenterville Fete des Lacs expenses. He stated that a
separate account was set up strictly for the Fete des Lacs. He reported a remaining
balance of $160.00 and requested Council decide what should be done with this money.
Councilmember Lee questioned whether the remaining balance was enough to keep the
account open.
Mr. Thinesin replied that it would remain open.
Consensus reached by Council was to leave the balance in the account to roll over for
next year's events.
Councilmember Lee requested that Mr. Thinesin provide information on the budget for
the 2008 Fete des Lacs to Mr. Kieselhorst.
3. Ms. Lachelle Williams. YMCA Update
Ms. Williams presented an update on the YMCA and shared their excitement about
opening their new facility in Lino Lakes. She stated they have been in open for four
months and are very excited about the programs available for youth. She stated the
building includes a 41,000 square foot facility with swimming pools, sauna, fitness area,
kids stop area, teen center, teen nights, senior programs, and a plan for a whirlpool. She
mentioned the pricing options and community events. Ms. Williams commented that the
activities are listed on the website.
Mayor Capra stated that the Parks and Recreation committee might want to partner with
the YMCA
VB. OLD BUSINESS
t. environmental Assessment Worksheet Response and Comments
a. Resolution #07-047 - Adopting Findings of Fact and Record of Decision -
EA W Downtown Redevelopment
City Engineer Statz presented Resolution 07-047 along with the responses received, the
findings of fact found, and the results.
Page 4 of9
-/
City of Centerville
Coul1cil MeeIiug Minutes
November 2S. 2007
Motion by Co.cil ~elDber ~ secon4ed by CooReD ~ber I...k~ to aoorove
Resolution #07...047. a Resolution AdoDtin2 Findinu of Faet and Record of~ion
on tbe tn~DmeDtaJ ^,sesslOent WOt~eet lEA)") for CentervilJe I ~-,vn~
RedeveloDDlent. AU in favor. Motion carried unanimoum.
2. 2009 Street and Utility Improvements Pr9ject
a. Preliminary Survey Scope and Fee Proposal- Bonestroo
~otion bv Council M"lI!ber L~ seco,,4~ bv (:,uneU &fember Pur. to aDorGv, tbe
Prelim.inarv Survev Seo~ and Fee Prooosal for an amount not t9 exceed $0.000.
1\D ig favor. Motion cagi~ unan.ousJv.
b. Scheduling Input Meeting - 2009 Street Reconstruction Project
City Engineer Statz reported that the informal public input meeting could be held in
February or March 2008. He commented this could be upgraded to a formal hearing if
deemed so by Council. He explained that the findings of the preliminary design would be
presented at this time.
Discussion ensued.
Motion bv Mavor CaDra. seeonde4 bv Council Member Lee. to set the next
~form.l Pu~, moat Meetina on the 2009 Su,et Reso~vu~n Protect for
Februarv 21. 2008. from 6:00 0.10. to 8:00 0.10. at St. Genevieve's Community
Cen~r ~ in fav". ~otion carried u...nimou,lv.
3. Items/Structures Placed in Easements - SnowPlow Hazards
Mayor Capra reported that Public Works employees often encounter large items in the
right-of-ways as they are plowing. She stated she did not like that Public Works
employees are physically removing items and expressed concern over the potential
liability issues.
City Attorney Glaser stated that this is a hazard to the people operating the plows. He
stressed that if something is in the right of way, residents must remove it. He commented
that the right-of-way locations vary in different areas of the city. He encouraged
residents to call City Hall if they have questions.
City Engineer Statz commented that a general rule for the location of a right-of-way is
ten to fifteen feet off the curb.
Mayor Capra pointed out that mailboxes are exempt.
Consensus reached to ask staff to notify the current list of violators.
Page 5 of9
.5
City of Ceo.terville
Council MCleting Minutes
November 28, 2007
4. Resolution #07-048 - Westview Stret(t Watermain ~
City Administrator Larson stated that this is a housekeeping item.
Metioa bv <;9UBCil Member Lee. secendtfl bv Couneil ~eml!er fur. to aoorove
Resolution #07-048. a ResoIJltion Adootinil ~sments Associated with Westview
Water l8!orove8u~p.ts. AD j, favor. ~,tien carried unuwensly.
S. Resolution #07-049 - Faitview Street Assessments
City Administrator Larson stated that this is a housekeeping item.
Motion bv COUBcil Member Pur. seconded bv Council Member Lee. to aoorove
.Resolutiqp #07-949. a Resoluboa Adoopq, As~meDts Associated ,nth 2007
Fairvie'Y Street Imorovements. All in favor. Motion carried unaaimouslv.
vm. NEW BUSINESS
1. Alexandra House Funding Request for 2008 - $2.074
Council agreed to raise the amount to $2,100 as this is the amount in the budget.
Motion bv Council Member Pur. seconded by Council Member Lee. to auorove
fupdiQt! for t)e AleI.~dra House f9r 2008 ia an amount Dot to exceed 51.100. AU in
favor. Motion carried unanimouslv.
2. Consider Granting Tobacco 1<icensins for 2008:
a. Comer Express
b. CenterMart
c. Sager's Bar and Grill
d. Trio Inn
Motion bv Council Member Lakso. seconded bv Council Member Pur. to aODrove
~idpation GtJP~t! T9bacco ~eoSin2 for ~OO8 for the C~rner Exores~
CenterMart. Sailer's Bar aad GriD. aDd the Trio Inn. AU in favor. Motion carried
un~im~usIv.
3. Consider Granti118 On-Sale and Sunday Liquor Licensing for 2008:
a. Sager's Bar and Grill
b. Trio Inn
c. Wiseguy Pizza
Motion bv Council Member Lee.. seconded bv Council Member Pur. to aoorove
QD.~aIe and S~..dav Liauor Liceasin, fOf ~~ for Suer's 'ar ad ~ri.D. Trio Inn.
and Wiset!uv Pizza. AU in favor. Motion carried unanimouslv.
Page 6 of9
6
City of Centerville
Council Meeting Minutes
November 28,2007
4. Co\lSider Grantiflg Off-Sale Liquor Licen;Jing for 2008:
a. Trio Inn
b. Centerville Liquor Barrel
Motion bv Council Member Ppr. seconded bv Council Member Lakso. to aoorove
Gnann, Qft'-SaIe Lituor ~inl for 2008 I", the Trio Ina .d the CenterviDe
LiQuor BarreL All in lavor. M~tio. carried unaWmouslv.
s. Ea.sl~ Pass Twin Townhome Associatiqn Request for Screening
City Administrator Larson reported that when the City relocated the power lines; they
also removed the trees screening the Eagle Pass Townhomes. He stated the association is
requesting that Council consider paying for the planting of replaceme~t trees.
Councilmember Lee commented that this is similar to a request received by Parks and
Recreation. He recommended not approving this request as it is for the beautification or
screening of private property.
Discussion ensued.
Consensus reached that the request for screening from the Eagle Pass Twin Townhome
Association would not be approved.
6. Anoka County Historical Society Request for Take-on Loan for Public Safety
Di~play: Centerville Horse Drawn Fire Tanker I)lld Bars from Jail
Mayor Capra reported that the old Public Works building (recently tom down) was once
the old Centerville jail. She reported the Anoka County Historical Society requested a
loan of the old jail bars for display purposes.
~otitq bv C"acq Member La~ ~~ by Council Member Pur. to aoorov~
Anoka Cou.tv Ristorital Sodetv's Reauest for Take-o. Loa. for Public Safetv
Pbvlav: CeDtqv~ Hone \l~wn Fire Tan~r and Bars fro91 JaiL AD in favor.
Motion carried unanimouslv.
7. EDA - ~thorization for Business Ad Expenditures
Councilmember Lakso reported that a meeting was held with local businesses to discuss a
campaign for positive advertisement. She stated that the round table discussion resultedyin good ideas and recommendations for advertising. She commented that the overall
mood of ex~itement to work together to figure out what could be done and how the City
could help them was evident. She stated the decision for Council is how much to
contribute to the advertising and what advertising to support. Councilmember Lakso
reported that the goal of the group is to meet again and involve more businesses.
Page 70f9
1
City of Centerville
Council Meeting Minutes
November 28.2007
Mayor Capra commented the group was appreciative that the City is interested in this.
Council member Lakso indicated that there were more than 20 individuals attending this
first meeting.
City Administrator Larson presented advertising options such as the back page of the
Citizen at a cost of approximately $1,700. He mentioned an insert with a map of the
businesses on one side and County road construction information on the other.
Discussion ensued.
Motion bv Council Member Lee. seconded bv Council Member Pur. to aoorove the
use ~r t"e ~DA Budaet and A9!bo~ an EDA E:menditure or Fund, ror Business
oromotion to the extent of the remainin2 EDC bud2et ~alance (estimated at $4.000).
AD in favor. ~!tNn arri~ 'Jnani~,.sIv.
Consensus reached to authorize City Administrator Larson and Councilmember Lakso to
develop the advertising.
~ ANNOUNCEMENTS~DATES
1. City Administrator t.a,rson
No Report
Mayor Capra commented that she asked City Administrator Larson to look at the 8mm
films of the tearing down of the Centerville elementary school. She questioned Council
as to whether it is willing to expend about $80 per roll to convert these to CD.
City Administrator Larson stated that he would check to see if funds are available from
the Historical Society.
2. Downtown Redevel9pment
No Report
3. The Beard G{oup
Mayor Capra emphasized that she would like a meeting held before the end of the year to
come to some agreement.
City Attorney Glaser was directed to set a meeting up with the Beard Group.
4. ~
Page 8 of9
p
City of Centerville
Council Meeting Minutes
November 28, 2007
City Engineer Statz reported that Parcel D has been tilled to design grade with material
from the pond excavation and black dirt would be spread as weather permits.
XL ADJOURNMENT
Motion by Council Member Pur. seconded by Council Member La.. to adiourn
the N9'feDIber 28. 2007 City CouncD Meetin2 at 7:51 ~DJ. AD if fayor. M.Qthm
carried unanimously.
Transcribed by:
Dianna Wise, Recording Secretary
TimeSaver Off Site Secretarial, Inc.
Page 9 of9
;;
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'E.<ta6fislj./!.{{ 1<,,:,7
Name
10100 MAIN STREET BANK
Paid Chk# 022917 BEVLOR UTIL TIES, INC.
Paid Chk# 022918 BONESTROO, ROSENE,
Paid Chk# 022919 CALIFORNIA CONTRACTORS
Paid Chk# 022920 CENTENNIAL LAKES POLICE
Paid Chk# 022921 CENTERPOINT ENERGY
Paid Chk# 022922 CENTRAL LANDSCAPING
Paid Chk# 022923 CITY OF CIRCLE PINES
Paid Chk# 022924 CONNEXUS ENERGY
Paid Chk# 022925 EMBEDDED SYSTEMS INC
Paid Chk# 022926 GOPHER STATE ONE CALL INC
Paid Chk# 022927 IMAGE PRINTING & GRAPHICS
Paid Chk# 022928 INTERNATIONAL UNION OF
Paid Chk# 022929 KELLY PLUMBING & HEATING
Paid Chk# 022930 KEY AUTOMOTIVE SERVICE
Paid Chk# 022931 LAND MAINTENANCE
Paid Chk# 022932 LEAGUE OF MN CITIES INS
Paid Chk# 022933 MENARDS - FOREST LAKE
Paid Chk# 022934 METRO SALES INCORPORATED
Paid Chk# 022935 MOODYS INVESTORS SERVICE
Paid Chk# 022936 PRESS PUBLICATIONS
Paid Chk# 022937 THE LAW GROUP
Paid Chk# 022938 USA MOBILITY WIRELESS, INC.
CITY OF CENTERVILLE
12/05/07 10:34 AM
Page 1
*Check Summary Register@
Check Date
DECEMBER 2007
Check Amt
12/12/2007
12/12/2007
12/12/2007
12/12/2007
12/12/2007
12/12/2007
12/12/2007
12/1212007
12/12/2007
12/12/2007
12/12/2007
12/12/2007
12/12/2007
12/12/2007
12/12/2007
12/12/2007
12/12/2007
12/12/2007
12/12/2007
12/12/2007
12/12/2007
12/1212007
Total Checks
$900.00 LOCATE SewER AT 6849 CENTERVIL
$25,691.16 OLD MILL RD STR & UT IMPRO.-
$96.00 2 OSHA #25 FIRST AID KITS
$39,548.70 DECEMBER POLICE INSURANCE PYMT
$579.45 1785 PELTIER LAKE DR - SERV TH
$734.00 REFUND METER DEPOSIT LESS WATE
$6,247.13 PRINCIPAL - 2007 POLICE BLDG P
$324.39 6900 20TH AVE - LIFT STAT. - S
$455.40 6 MONTHS SIRE MAINT. FEE
$94.25 NOVEMBER SERVICE - 2007
$84.09 BUILDING PERMITS
$90.00 A. ANDERSON, J. MCPHERSON, T P
$0.50 OVER PYMT ON PLUMBING PERMIT P
$45.35 SUPPLIES
$1,011.75 LAWN MOWING -7259 UNITY AVE
$326.63 LMCIT CLAIM #11062007 - ACCIDE
$114.45 OUT DOOR HOLIDAY LIGHTS
$551.00 MODEL A204P 10#43610 MAl NT ON
$5,300.00 2.6 MILLION GEN. OBLG. IMPR. B
$181.00 PART TIME ICE RINK 11-29AD
$5,000.00 REFUND ESCROW 6876 DUPRE RD -
$8.10 ON CALL PAGER
$87,383.35
NOTE: there will be updated list of disbursements for approval on 12-12-07.
/r2
CENTENNIAL FtRE DISTRICT Ch8ck RegietBr FtRE Gl p..: 1
GL Posing Period(s): 11107 -11107 Nov 30, 2007 02:57pm
Check Is8ue Datt(ta): 11/1812007 ~ 11J301:im7
Per Da18 Check No Vendor No Payee Invoice Desaiption Inv Amount
11m 11119107 2S45 20140 VOID - MILO BENNETT STATION 2 FAUCET 1,368.76- M
REPAIR
11107 11119<<)7 2982 Void Check V
11m 11N8A>7 2983 20140 MJl.O BENNETT REPLACES CK 2945 1,339.31
11107 1113(W7 29B4 201<CO MILO BENNETT 3 SETS OF BINOCULERS 363.48
11107 11r.D07 2985 30485 CENTENNIAL FIREFIGHTERS REUE 4nt QTR PMT 6,125.00
11107 11I30I07 2986 30480 CENTENNIAL UTILITIES STATION 1 UTILITIES 125.02
11 <<J7 11I30I07 2987 50120 EMERGENCY APPARATUS MAINT, RESCUE 21 MTC 2,850.95
RESCUE 11 MTC 132.97
Tota. 2987 2,983.92
11107 11fJ0107 2988 70578 GRAINGER SWVEL 67.84
11m 11130.01 2989 120450 CITY OF L1NO LAKES 4TH QTR COMMON 4,528.25
AREA CHARGE
11107 11I30I07 2990 200390 lWN CITY GARAGE DOOR CO STATION 1 DOOR UTC 909.52
11107 11130<<)1 2991 210400 USA MOBilITY \MRELESS, tHe COMMUNICATIONS 88.34
11J07 11 J30A)7 2992 220200 VER/ZON \/\/IRELESS COMMUNICATIONS 2.34
T otate: 15,184.28
M = Manual Check, V = Void Check
//
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~ 11/57
STATE OF MINNESOTA
COUNTY OF ANOKA
CITY OF CENTERVILLE
RESOLUTION #07-0
1880 9Kain S~et, Cmtenli/Te, 9of!It{ 55038
651-429-3232 or 'F~ 651-429-8629
BE IT RESOLVED that the Finance Director of the City of Centerville is authorized to
make the following operating transfers of funds from the general ledger accounts of the
city:
Joint Police Station GO Bond
$ 78,800.00
GO Bond Series 2004B
$102,000.00
Hunters Crossing I GO Bond
$ 400.00
Park Fund
$ 25,000.00
Total
$206,200.00
Adopted by the Council this _day of December, 2007.
Mary Capra, Mayor
Attest:
Teresa Bender, City Clerk
/z
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T-st:abfisIied 11J57
STATE OF MINNESOTA
COUNTY OF ANOKA
CITY OF CENTERVILLE
RESOLUTION #07-0_
A RESOLUTION AUTHORIZING A LOAN BETWEEN FUNDS.
1880 !Main Street. Cmtenli/k, 9.t!N 55038
651-429-3232 or ~ 651-429-8629
WHEREAS, the City purchased certain property at 1601 LaMotte Drive, and
WHEREAS, the Council has authorized certain improvements to the property to
establish its use as Hidden Spring Park, and
WHEREAS, temporary financing is needed to cover the cost of the improvements until
funds are available from developer fees for parks.
WHEREAS, it would be more cost effective and efficient to provide the temporary
financing from available fund balances rather than arranging for outside sources.
NOW THEREFORE BE IT RESOLVED BY THE CITY COUNell.. OF
CENTERvn.LE, MINNESOTA:
1) The City Council hereby authorizes a short-term loan to the Park Fund from the
Sanitary Sewer fund to make such a loan.
2) Such loan shall be repaid according to the attached schedule beginning on September
1,2009, with interest at 6.0% from the date funds are transferred to the date repaid.
3) In the event that park fees are insufficient to make the following year's payment, the
required funds shall be included in the operating levy.
Adopted by the Council this _day of December, 2007.
Mary Capra, Mayor
Attest:
Teresa Bender, City Clerk
IcJ
CITY OF CENTERVIllE
HIDDEN SPRING PARK LOAN
Loan Summary Expenditures
Payment: $65,284.01 Construction $ 205,750.88
Payment Type: Annual Engineering $ 37,676.59
Loan Amount: $ 275,000.00 Structures $ 28,685.97
Interest Rate: 6.00% Miscellaneous j 652.64
Term (years): 5
Special Terms: Interest Only 2008 Total $ 272,766.08
Principal & Interest 2009
Payment Schedule:
Number Payment Date Total Payment Principal Interest Loan Balance
September 1, 2009 $ 16,500.00 $ 275,000.00
1 September 1, 2009 $ 65,284.01 $48,784.01 $ 16,500.00 $ 226,215.99
2 September 1, 2010 $ 65,284.01 $51,711.05 $ 13,572.96 $ 174,504.94
3 September 1, 2011 $ 65,284.01 $54,813.71 $ 10,470.30 $ 119,691.23
4 September 1, 2012 $ 65,284.01 $58,102.54 $ 7,181.47 $ 61,588.69
5 September 1, 2013 $ 65,284.01 $61,588.69 $ 3,695.32 $ 0.00
Total $ 326,420.05 $275,000.00 $ 67,920.05
/1
COUNTY
OF
ANOKA
Integrated Waste Manag,ement Department
Government Center
2100 Third Avenue, Room 340 · Anoka, Minnesota 55303-2265
763-323-5730 · Fax 763-323-5731
E-mail .recycle@co.anoka.mn.us
www.co.anoka.mn.us
December 8, 2007
Teresa Bender
Deputy Clerk
City of Centerville
1880 Main St
Centerville, MN 55038
DEC () 5 2007
CENTERVllLE, MN
Dear Teresa;
...
The Anoka County Board of Commissioners approved 2008 Municipal Goals, SCORE Municipal Reimbursement
Funding Allocations and authorized staff to prepare Residential Recycling Program Agreements on November 27,
2007. The Anoka County Agreements are based on the following:
· 2008 Municipal Residential Recycling Goal- The abatement goal will remain constant at 175 pounds per
person per year. The goals were based on the 2006 Metropolitan Council estimates that were released in July
2007. Specific goals are listed on the attached chart on the reverse side of this memo.
. 2008 SCORE Municipal Reimbursement Funding Allocation - Anoka County has received the fall SCORE
payment of $404,703 and is expecting to rece1'Ve a spring SCORE payment of $404,703. The proposed 2008
municipal funding includes the adm1fonal payment expected to be received in the spring of 2008. m 2008
SCORE allocation is a base of $10,000 and $5.04 per household and is indicated in the attached chart. If the
second payment is not received the funding allocation will be reduced
. 2008 Contracts - The 2008 residential recycling contracts are included in this mailing. Please note the
language in Section 7 regarding the SCORE funding. H we do not receive the 2nd SCORE allocation or if it
is reduced, the totaJ.jCORE allocation will be reduced.
Section 7. Notwithstanding any provision to the contrary, the County reserves the right to reduce
the funding provided hereunder in the event insufficient SCORE funds are available. If the spring
SCORE payment of $404, 703 is not received or is reduced, the County may reduce the project
maximum amount payable to the Municipality. The County will promptly notify the Municipality
in the event that the project maximum will be reduced.
Please have the mayor/town board chair and clerk/administrator sign three copies of the agreement and
return to Anoka County to complete the signature process. When the agreements are completely signed, an
original copy will be mailed back to you and Anoka County retains two copies for its rdes. Thank you!
Carolyn Smith
Solid Waste Abatement Specialist
Affirmative Action'l Equal Opportunity Employer
Printed on 50% recycled paper of which 30% is post-consumer
/6
--
.
2008 SCORE Funding and Goals
$10,000 Base per municipality and $5.04 per household
Goal based on 175# per person per year
2008 funding is based on receiving an additional spring payment of $404,703. If this spring payment is not received, the 2008
fundin!! total will be one half the total for each municipali~ .
Municipality Contract # HH Population Goal 2007 Fundine:
Andover 2007-0249 9,530 30,207 2,643 $ 58,031.20
Anoka 2007-0250 7,298 18,076 1,582 $ 46,781.92
Bethel 2007-0252 183 502 44 $ 10,922.32
Blaine 2007-0253 19,752 54,927 4,806 $ 109,550.08
Burns 2007-0254 1,386 4,308 377 $ 16,985.44
Centerville 2007-0255 1,305 3,820 334 $ 16,577 .20
Circle Pines 2007-0256 2,045 5,153 451 $ 20,306.80
Columbia Heights 2007-0257 8,050 18,288 1,600 $ 50,572.00
Columbus 2007-0258 1,423 4,135 362 $ 17,171.92
Coon Rapids 2007-0259 23,714 63,649 5,569 $ 129,518.56
East Bethel 2007-0260 4,032 12,142 1,062 $ 30,321.28
Fridlev 2007-0261 11,174 26,603 2,328 $ 66,316.96
Ham Lake 2007-0262 5,018 15,005 1,313 $ 35,290.72
Hilltop 2007-0263 407 789 69 $ 12,051.28
Lexinl!ton 2007-0264 805 2,062 180 $ 14,057.20
Lino Lakes 2007-0265 5,868 19,736 1,727 $ 39,574.72
Linwood 2007-0266 1,797 5,190 454 $ 19,056.88
Oak Grove 2007-0267 2,687 8,249 722 $ 23,542.48
Ramsev 2007-0268 7,510 22,059 1,930 $ 47,850.40
St Francis 2007-0269 2,477 7,201 630 $ 22,484.08
-
Sorin!! Lake Park 2007-0270 2,677 6,513 570 $ 23,492.08
.
Total 119,138 328,614 28,754 $ 810,455.52
Population and Household count based on Metropolitan Council Estimate released in July of 2007.
Total SCORE allocation is $809,406, $1,049.52 has been added to the SCORE allocation to round up the per HH to $5.04
/d
#'
Ailoka County Contract # 2007-0255
AGREEl\fENT FOR RESIDENTIAL RECYCLING PROGRAM
TIllS AGREEMENT made and entered into on the 1st day of January, 2008,
notwithstanding the date of the signatures of the parties, between the COUNTY OF ANOKA,
State of Minnesota, hereinafter referred to as the "COUNTY", and the CITY OF
CENTERVll..LE, hereinafter referred to as the "MUNICIPALITY".
WITNESSETH:
WHEREAS, Anoka County will receive $404,703 in funding from the Solid Waste
Management Coordinating Board and the State of Minnesota pursuant to Minn. Stat. ~ 115A.557
(hereinafter "SCORE funds") prior to the effective date of this Agreement; and
WHEREAS, Anoka County anticipates receiving an additional $404,703 in SCORE
funds in the spring of 2008; and
WHEREAS, the County wishes to assist the Municipality in meeting recycling goals
established by the Anoka County Board of Commissioners by providing said SCORE funds to
cities and townships in the County for solid waste recycling programs.
NOW; THEREFORE, in consideration of the mutual covenants and promises contained
in this Agreement, the parties mutually agree to the following terms and conditions:
1. PURPOSE. The purpose of this Agreement is to provide for cooperation between the
County and the Municipality to implement solid waste recycling programs in the
Municipality.
. .
2. TERM. The term of this Agreement is from January 1, 2008 through December 31,
2008, unless earlier terminated as provided "herein.
3. DEFINITIONS.
a. "Problem material" shall have the meaning set forth in Minn. Stat. ~ 115A.03,
subdivision 24a.
b. "Multi-unit households" means households within apartment complexes,
condominiums, townhomes, mobile homes and senior housing complexes.
c. "Opportunity to recycle" means providing recycling an4 curbside pickup or
collection centers forrecyclable materials as required by Minn. Stat. ~ 115A.552. -
d. "Recycling" means the process of collecting and preparing recyclable materials
and reusing the materials in their original form or using them in manufacturing
processes that do not cause the destruction of recyclable materials in a manner
that precludes further use.
e. "Recyclable materials" means materials that are separated from mixed municipal
solid waste for the purpose of recycling, including paper, glass, plastics, metals,
fluorescent lamps, major appliances and vehicle batteries.
1
/1
{; Refuse derived fuel or other material that is destroyed by incineration is not a
recyclable material.
g. "Yard waste" shall have the meaning set forth in Minn. Stat. ~ IISA.03,
subdivision 38.
4. PROGRAM. The Municipality shall develop and implement a residential solid waste
recycling program adequate to meet the Municipality's annual recycling goal of 334 tons
of recyclable materials as established by the County. The Municipality shall ensure that
the recyclable materials collected are delivered' to processors or end markets for
recycling.
a. The Municipal recycling program shall include the following components:
i. Each household (including multi-unit households) in the Municipality
shall have the opportunity to recycle at least four broad types of materials,
such as paper, glass, plastic, metal and textiles.
ii. The recycling program shall be operated in compliance with all applicable
federal, state, and local laws, ordinances, rules and regulations. .
iii. The Municipality shall implement a public information program that
contains at least the following components:
(1) One promotion is to be mailed to each household focused
exclusively on the Municipality's recycling program;
(2) One promotion advertising recycling opportunities available for
residents is to be included in the Municipality's newsletter or local
newspaper; and
(3) Two community presentations are to be given on recycling.
The public information components listed . above must promote the
focused recyclable material of the year as specified by the County. The
County will provide the Municipality with background material on the
focused recyclable material of the year.
iv. The Municipality, on an ongoing basis, shall identify new residents and
provide detailed information on the recycling opportunities available to
these new residents.
b. If the Municipality's recycling program did not achieve the Municipality's
recycling goals as established by the County for the prior calendar year, the
Municipality shall prepare and submit to the County by March 31, 2008, a plan
acceptable to County that is designed to achieve the recycling goals set forth in
this Agreement.
n
5. REPORTING. The Municipality shall submit the following reports semiannually to the
County no later than July 20,2008 and January 19,2009:
a. An accounting of the amount of waste which has been recycled as a result of the
Municipality's activities and the efforts of other community programs, redemption
centers and drop-off centers. For recycling programs, the Municipality shall
certify the number of tons of each recyclable material which has been collected
~d the number of tons of each recyclable material which has been marketed. For
recycling programs run by other persons or entities, the Municipality shall also
2
If
provide documentation on forms provided by the County showing the tons of
materials that were recycled by the Municipality's. residents through these o~er
programs. . The Municipality shall keep detailed records documenting the
disposition of all recyclable materials collected pursuant to this agreement. The
Municipality shall also report the number of cubic yards or tons of yard waste
collected for composting or landspreading, together with a description of. the
methodology used for calculations. Any other material removed from the waste
stream by the Municipality, i.e. tires and used oil, shall also be reported
separately.
b. Information regarding any revenue received from sources other than the County
for the Municipality's recycling programs. .
c. Copies of all promotional materials that have been prepared by the Municipality
during the term of this Agreement to promote its recycling programs.
The Municipality agrees to furnish the County with additional reports in form and at
frequencies requested by the County for fmancial evaluation, program management
purposes; and reporting to the State of Minnesota.
6. BILLING AND PAYMENT PROCEDURE. The Municipality shall submit itemized
invoices semiannually to the County for abatement activities no later than July 20,2008.
and January 19, 2009. . Costs not billed by January 19, 2009 will not be eligible for
funding. The invoices shall be paid in accordance with standard County procedures,
subject to the approval of the Anoka County Board of Commissioners.
7; ELIGffiILITY FOR FUNDS. The Municipality is entitled .to receive reimbursement
for eligible expenses, less revenues or other reimbursement received, for eligible
activitie.s up to the project maximum as computed below, whi,ch shall not exceed
$16,577.20.. The project maximum for eligible expenses shall be computed as follows:
a A base amount of $10,000.00 for recycling activities only; and
b. $5.04 per household for recycling activities only.
Notwithstanding any provision to the contrary, the County reserves the right to reduce the
funding provided hereunder in the event insufficient SCORE funds are available. If the
spring SCORE payment of $404,703 is not received or is reduced, the County may
- :reduce--tIiepfo)ecfmaxi:millli-a.tiioui1fpayablefo the::MtiillCipality:m... TheC6illity . will
pr<?mptly notify the Municipality in the eyent that the project maximum will be reduced.
8. RECORDS. The Municipality shall maintain financial and other records and accounts in
accordance with requirements of the County and the State of Minnesota The
Municipality shall maintain strict accountability. of all funds and maintain records of all
receipts and disbursements. SUch records and accounts shall be maintained in a form
which will permit the tracing of funds and program income to fmal expenditure. The
Municipality shall maintain records sufficient to reflect that all funds received under this
3
/1
Agreement were expended in accordance with Minn. Stat. ~ lI5A.557, subd. 2, for
residential solid waste recycling purposes. The Municipality shall also maintain records
of the quantities of materials recycled. All records and accounts shall be retained as
provided by law ~ but in no event for a period of less than five years from the last receipt
of payment from the County pursuant to this Agreement.
9. AUDIT. Pursuant to Minn. Stat. ~ 16C.05, the Municipality shall allow the County or
other persons or agencies authorized by the County, and the State of Minnesota,
including the Legislative Auditor or the State Aliditor, access to the records of the
Municipality at reasonable hours, including all books, records, documents, and
accounting procedures and practices of the Municipality relevant to the subject matter of
the Agreement, for purposes of audit. In addition, the County shall have access to the
project site(s), if any, at reasonable hours.
10. GENERAL PROVISIONS.
a In performing the provisions of this Agreement, both parties agree to comply with
all applicable federal, state or local laws, ordinances, rule~, regulations or
standards established by any agency or special governmental unit which are now
or hereafter promulgated inso(ar as they relate to pcerformance of the provisions of
'this Agreement. In addition, the Municipality shall comply with all applicable
requirements of the State of Minnesota for the use of SCORE funds provided to
the Municipality by the County under this Agreement.
b. No person shall illegally, on the grounds of race, creed, color, religion, sex,
marital status, public assistance status, sexual preference, handicap, age or
. national origin, be excluded from full employment rights in, participation in, be
denied the benefits of, or be otherwise subjected to unlawful discrimination under
any program, service or activity hereunder. The Municipality agrees to take
affmnative action so that applicants and employees are treated equally with
respect to the following: 'employment, upgrading, demotion, transfer, recruitment,
layoff, termination, selection for training, rates of pay, and other forms of
, compensation.
c. The Municipality shall be responsible for the performance of all subcontracts and
shall ensure that the subcontractors perform fully the terms of the subcontract.
TheA$~ment between JheM1,lIli~ij;)a.1itY_@(LasubcQlltract()r sh@obligateJhe
subcontractor to comply fully with the terms of this Agreement.
d. The Municipality agrees that the Municipality's employees and subcontractor's
employees who provide services under this agreement and who fall within any job
classification established and published by the Minnesota Department of Labor &
In~ustry shall be paid, at a minimum, the prevailing wages rates as certified by
said Department. .
4
~
"
-
e. It is understood and agreed that the entire Agreement is contained herein and that
this Agreement supersedes all oral and written agreements and negotiations
between the parties relating to the subject IrnI:tter hereof.
f. Any amendments, alterations, variations, modifications, or waivers of this
Agreement shall be valid only when they have been reduced to writing, duly
signed by the parties.
g. Contracts let and purchases made under this Agreement shall be made by the
Municipality in conformance with all laws, rules, and regulations applicable to the
Municipality.
h. The provisions of this Agreement are severable. If any paragraph, section,
subdivision, sentence, clause or phrase of this Agreement is for any reasonlield to
becontrary to law, such decision shall not affect the remaining portion of this
Agreement.
1.
Nothing in this Agreement shall be construed as creating the relationship of co-
partners, joint venturers, or an association between the County and Municipality,
nor shall the Municipality, its employees, agents or representatives be considered
employees, agents, or representatives of the County for any purpose.
11.- PUBLICATION. The Municipality shall acknowledge the fmanciaI assistance of the
County. on all promotional materials, reports and publications relating to the activities
funded under this Agreement, by including the following acknowledgement: "Funded by
the Anoka County Board of Commissioners and State SCORE funds (Select Committee
on Recycling and the Environment).
12. INDE:MNIFICATION. The County agrees to indemnify, defend, and hold the
Municipality harmless from all claims, demands, and causes of action of any kind or
character, including the cost of defense thereof, resulting from the acts or omissions of its
public officials, officers, agents, employees, and contractors relating to activities
performed by the County under this Agreement.
The Municipality agrees to indemnify, defend, and hold the County harmless from all
claims, demands, and causes of action of any kind or character, including the cost of
defense thereof, resulting from the acts or omisSions of its public officials, officers,
-agents; employees, and' contractorsrelatingtoactivities-pcrfolmedby 1heHMunicipality
under this Agreement.
The provisions of this subdivision shall survive the termination or expiration of the term
of this Agreement.
13. TERMINATION. This Agreement may be terminated by mutual written agreement of
the parties or by either party, with or without cause, by giving not less than seven (7)
days written notice, delivered by mail or in person to the other p3.rty, specifying the date
5
~/
OJ
of termination. If this Agreement is terminated, assets acquired in whole or in part with
funds provided under this Agreement-shall be the property of the Municipality so long as
said assets are used by the Mui:rlcipality for the purpose of a landfill abatement program
approved by the County.
IN WITNESS WHEREOF. the parties hereunto set their hands. as of the dates flIst
written above:
CITY OF CENTERVILLE
COUNTY OF ANOKA
By:
Name:
Title:
Date:
Date:
ATTEST:
Terry L. Johnson,
County Administrator
Date:
Date:
Approved as to form and legality:
Approved as to form and legality:
Assistant County Attorney
6
~
MEMO
TO: Honorable Mayor and City CouneD Members
FROM: Kim Stephan
DATE: December 6, 2007
SUBJECT: Request from Centennial Lakes Little League for Use of Laurie
LaMotte Memorial Park Ball Fields for the 2008 Season
The Parks & Recreation Committee made the following recommendation for City
Council consideration at their December 5, 2007 committee meeting:
The Parks & Recreation Committee received a letter from the Centennial Lakes Little
League requesting the use of the Laurie LaMotte Memorial Park ball fields and the same
service provided by Public Works Staff in regards to grooming the fields prior to games.
This would be the same schedule as was approved in 2007. At this time, no other
requests for the ball fields have been received.
Motion wu made by Cltairpenon Seeley, seconded by Viee-Chairperson Amundsen
to recommend City Council approve the request from Centennial Lakes Little
League to use the three baseball and softbaU fields and facilities located at Laurie
LaMotte Memorial Park for the summer months of 2008 beginning April 1 through
August 15, 2008, Monday through Friday from 4:. p.m. until dark with the same
service provided by Publie Works Staff in regards to grooming tile fields prior to
games. AD in Favor. Motion passed unaDimously.
~
CENrnNNMLL~sLrrnEL~G~
4175 LOVELL ROAD SUITE 330 LEXINGTON, MN 55014
November 7,2007
Centerville Parks & Recreation Committee
Attention: Kim Stephan
Centerville City Hall
1880 Main Street
Centerville, MN 55038
Dear Kim:
This letter is to request the use of baseball and softball fields and facilities at Laurie LaMotte
Memorial Park for the summer months of2008 beginning April 1 through August 15,2008,
Monday through Friday, from 4:00 p.m. until dark. These fields will be assigned as home fields
for the children who live in Centerville and Lino Lakes that are served by the Centennial Lakes
Little League. We will send you a copy of the game schedules as soon as they are printed so you
have a schedule for our dragging agreement for Lamotte Park.
If you or any staff members of the City Councilor Park Board have any questions or concerns,
please feel free to contact me at (763) 780-3836. Thank you for your continued assistance.
Si11cerelY'~b
Patrick Mahr, President
Centennial Lakes Little League
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CENTERVllLE, MN
/J
MEMO
TO: Honorable Mayor and City Council Members
FROM: Kim Stephan
DATE: December 6, 2007
SUBJECT: Tracie McBride Memorial Park Recommendation to City Council
From the Parks & Recreation Committee
The existing play structure at Tracie McBride Memorial Park was originally purchased
from E.F. Anderson who provided a proposal to the City to remove the existing spyrol
slide, pipe tunnel climber and slide hood, replacing with new components and hauling
away the parts and concrete spoils with a quote of $8,018.39. There may be an
additional replacement dome part needed that is not included in the estimate and an
additional approximate $800 in staff labor time to remove the sand and border. The
contractors or Public Works Staff will adjust, straighten and paint in the spring. This
would bring the total to approximately $9,800 for this phase.
Motion was made by Chairperson Seeley, seconded by Committee Member
Selander to recommend City Council accept the proposal submitted by Earl F.
Anderson to repair and replace parts on existing play structure at Tracie McBride
Memorial Park not to exceed $9,800 with fundiDg to come from 2007 Park
Maintenance. AU in favor. Motion carried unanimously.
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QUOTE
Page:
Earl F. Andersen
QUOTE TO:
CITY OF CENTERVll.LE
CITY HALL
t 880 MAlN ST
CENTERVILLE, MN 55038-9794
ENTERED BY:
QUOTE NUMBER:
QUOTE DATE:
KIM
0089814
11/512007
SHIP TO:
MCBRIDGE PARK
CENTERVll..LB. MN 55038
ATIN:
PHONE:
FAX:
QTY
PAUL PALZER 651-261-5733
(651) 429-3232
(651) 429-8629
ITEM NO. DESCRIPTION
PRICE EACH
EXT. PRICE
1.00
LSI PART
SPYROL SLIDE 70" DECK
3.580.00
3.580.00
1.00
LSIPART
LOOP ARCH
980.00
980.00
'.
1.00
LSI PART
REPLACEMENT HOOD FOR
SINGLE POLY SLIDE
INCLUDES HARDWARE.
594.00
594.00
1.00
INSTALLEQUIP
REMOVE EXISTING SPYROL SLIDE,
PIPE TUNNEL CLIMBER AND SLIDE HOOD.
REPLACE W1THNEW COMPONENTS.
HAUL AWAY PARTS & CONCRETE SPOILS.
2.060.00
2.060.00
NOTE: This auotatlon is valid for 30 clavs. Please caD for confirmatio~ after that date. Priees are NOT based 08 SUBTOTAL:
prevailing wages. SHIPPINO & HANDLINO:
DISCUIMER. FOR UNKNOWN CONDmONS: The following disoIaimer~ ~al)' when installation is quoted SALES TAX:
This quotaIioo is bued OD the IRa boiug he ofBll debris lIIIllh IIIl but not limitcc1 to the fuUawing ~ tbotings or TOTAL:
bJocIcs of eny 1yp4 *Bedrock: or rocky conditions of my type *Tree stumps. tnle8.. cans. bottles, metlII or any other debrla
.Utilities requiriDg lID)' boles to ba dua by lumd ~ IR8 is DOt lICCCSSible to a bobcat and other equipment IlDCDIISlII)' fbr
iDstallation. 4t[fwafa' exists in sim IRa or fbotings afIm' they are dug 4o()r my other unmovm conditions not 1istccl or visible
7.214.00
315.00
- 4&9.39
8,018.39
F.O.B: FACTORY
TERMS: NET 311 DAYS
Shipment approx. 3-4 weeks upon receipt of order and subject to credit approval
Do you require a 24-bour delivery DOtice? Dyes 0 No
Approved by: Signed by: J:/:;;,dI..s..- /.TMtr-
CONTRACTOR TO CONFIRM ALL QUANTITIES Date TOn ANONDSON
9701 Penn Ave S. #100 - Bloomington, MN 55431 - Phone: 952-884-7300 -1-800-862-6026 - Fax: 952-884-5619
www.efa-mn.com - e-mail: pukandrecinfo@efa-mn.comORtrafficinfo@efa-mn.com
EOFJAA
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This is an example of a playground surfacing containment system
installed "Below Grade" with water being carried away with an in-ground piping system.
.
Click fotm.in page.
J().
NORTH ANOKA MEALS ON WHEELS
1562 VIKING BL VD.Cedar, MN. 55011
763-434-2036 fax 763-434-2037
www.novaknamow@aol.com
TO: CITY OF CENTERVILLE
FROM: NORTH ANOKA MEALS ON WHEELS
RE: CDBG FUNDS
I want to take this opportunity to thank you for the past support of North Anoka Meals
On Wheels through your CDBG Funds.
As you know the CDBG Funds for Public Services are now being administered through
Anoka County directly to our programs. However as part of our application for those
funds we are required to send letters of support from the cities our program serves.
North Anoka Meals On Wheels serves the elderly and disabled nutritionally balanced
meals. This service helps the clients stay in their own homes.
I am asking you to send me a letter stating that your city supports this vital service in
your community by December 21, 2007.
Thank you,
Maggi Novak, Executive Director
NOV 2 9 Z007
CENTERVILLE, MN
3/
............................................................................
RESOLunON NUMBER 01-_
A RESOLUTION VACATING EASEMENTS IN THE PLAT OF CENTERVILLE,
ANOKA COUNTY, MINNESOTA.
WHEREAS. it has been proposed to vacate the fonowing described easements, and
WHEREAS; following duly given notice. the City Council of CenterviUe bas held a public
hearing and considered comments and objections thereto and found that the vacation of
said easement is in the public interest.
NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCB.. OF
CENTERvn..LE, ANOKA COUN1Y, MINNESOTA, that following described
EASEMENTS are hereby vacated:
Public easements of record on or across the lo/lowing property:
Lots 7. 8 and that part of Lot 9. Block 12, lying west of the east 120
Feet; Lot 5 and that part of Lots 4 and 6, Block 13, lying east of the west 20
Feet; that part of the vacated 2nd Street lying southerly of a line drawn
from the northwest comer of Block 12 to the northeast corner of Block
13 and north of a line drawn from the southwest corner of Lot 9, Block
12. to the southeast comer of Lot 4. Block 13; All in the plat of
CENTERVILLE, Anoka County. Minnesota..
Adopted by the City Council ofCenterville this _ day of December, 2007.
Mary Capra, Mayor
Attest:
Teresa Bender, City Clerk
3~
I, Teresa Bender, duly qualified and acting City Clerk for the City of Centerville,
Minnesota, do hereby certify that the foregoing is a true and correa copy of a
resolution duly adopted by the City Council of Centerville and on file in my office.
Date
Teresa Bender
Drafted by:
City of Centerville
1880 Main Street
Centervi11e, MN 55009
33
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LEGEND
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DENOTES INCH liON Pipe P1ONIA1ENl FOUND
DENOTES 112 INCH IRON '['E ttONUrlENT SET
AND '"AXED WITH HN LICENSED LAND SURYEYOR
NO. 20270.
DENOTES CAST IRON I10NUtfENT SET BY Sf. PAUl
W"TER DEP"RTI'E~T FOUND.
lEJHG 10 FEET IN IIOTH AND AO.JOINING RIGHT OF WAY l.INE$
AND BEING S. FEET IN IIDTH AN) ADJOINING LOT LINEs.
....ESS otHERIISE SHOWN OR NOT SHOWN ON THE PLAT.
@
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DENOTeS 3/1 INCH DRIll WOlE IN CONCREtE SEt.
KURTH SURVEYING, INC.
4002 JEFFERSON ST. N.E.
COLUMBIA HEIGHTS. IIN 55421
PHlH:(763) 788-9769 FAX:(763) 788-7602
FOIt THE PURPOSES OF THIS PLAT THE NORTH
LINE OF THe BLOCK 12. CENTERYlllE.
IS ^SS~D TO BEAR N 119.2".S0-e.
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STATE OF "INNESOTA 1
COUNTY OF ISANTI I
The for.goi"g SlIr".yor. cer'iflcat. la. o~hllo.l.dg.d b.for... thi. _ day of
200 _ . b, .Glldy L. K4Irth. H..u.oto LIc:.ftI. No. 20270.
Ka".n J. Kurth
NOlory Public. hOllli COUII'y, "inn..olo
", Con.iuio" e.pir.. January 31. 2010
Thi. pia' of SOREI..S END. 101 o~pro".d and acc.pt.d b, the Cil, Council of the Cil, of C.nl.r,ill., H,nlluoto, 01 0
r.gular ...t illlg th.r.of h.ld lhl' _ dG, 0' .' 200 _. If appl icoble.
the Irill.n CO.'.III. and r'l;o...ndotiolll of the Co....sionlr of TrCln.pClrlOtloll olld th. Count~ Highloy ElIgin..r hG...
~:::Rl~:~~;;~:n~~ ~~.p~~~rd:d b~."~;~:;;:~.~t~?~:{.PZ~;~to~asO;~3S~.:lIb~:~~::0;.2~ipi of SUC CO"Utl ond
Ha,or
Ch.d..d and appro-".d thil _ day of
CI.rlt
.200_.
Anoko COllnty Sur...,or
CITY OF CENTERVILLE
COUNTY
SEC. 23,
OF ANOKA
T.31, T.22
KNO.. ALL PERSONS BY THESE PRESENTS: Tho' L I rod Nor.on Honn.. olld Oi on. Ka, HOll.tIn. husbond olld . i 'e. o....r, ud
proprl.lor of Ih. follo.lnlj d..crib.d prop.rty. .il,ot.d i. Ih. Count, of A.olta. 5101' Gf r'lInn..olo. 10.11:
A" thai pOri or Ih. rollo.illg d..crib.d prop.rty Iyillg norlh of "Lin. "" to b. h.r.iuft.r d.,crib.d:
"" o( lo" 7 Gnd e, Bloc:" 12. CENTERYILlE. Allolto COllllty, Hinn.lolo.
And that part of Lot 9. Bloch 12. CeNTERYILlE. Iyi.g ..".dy of the W.., line of the Eo" 120.00 F..t.
And 011 or llOcot.d "S.colld SU..'" Iyill' b.,...n .oid Sloc" 12 ond 810ck 13; lyi.9 101llh uF the North
lin. of toid Slock. 12 and 13. b.ing the to... 01 the SO.lh Ii.. 01 -Sor.1 Str..I": Old lying lorrh uF
the I in. conn.ctillg the 50.th.OIl cor".r or LOll ....oid Bloc" 13. lIilh Ihe So.rh...f coor...r of ..;d
lOl 9. Sloch 12. 01 I in ui4 CENTERYILlE.
And LOIS. aoid Block 13. CENTERYILLE.
AIel loll .. cud 6. uid Block 13. CENTERvILlE; E.e.p'i"S' 'rOlD said Lots .. and 6 thaI port th.r.of knau
kilO'" os .he "W..terl, 20 f.., th.r.of .13. tolten by Ih. Cily 0' SainI POul for laler rights", Th.
Easlerl, I i.. of told "W..t.rl, 20 r..1 th.r.o(- i. to b. h.r.o/ler d..cdb.d 0'" "lilt. S- for ,h.
purpo.., of this d..cription.
Soid -line "'" being d..crib.", or Co....ei.g .J the Norlh.OII corn.r of lOid lol 7. &-Ioclt 12; Ih...c. .ollth olong
.h. EO" lin. of .oid lOl 7 for 0 eli.,OIIc. of 71.50 f.., 10 the oCluol poinl of b.giuing of laid .Line A'.
Ih.llc. South 89 d.gr... 59 IIi 1111.. 18 ..conds w." ror 0 dl,tanc. or 200.41 f..t; Ih.IIIC:. Nonh 6] d.gr...
411 .illlll.. 33 ..cond. W.st ror . distanc. of 52.8a. .or. or I.... '0 IIIters.cl lh. abo... d..crib.d "Lin. B~
olld th.r. t.r.inolillg.
Said .ovlh lill. or Sorol SIr.ot i. auu..d to boor due Eo.1 alld W..I.
^,d
"
Thot Llyod Erick Oo"id Har.holl and lyll.. Horie Har.holl. hubond Gild lIi(.. ou.r. DIId proprielOr o( ,h. (ollo"ing
eI..c,.lb.d prope"'r. "'uol.d iD Ih. CouJl'Y or Aloha, Slot. of Hillll..OIO. 10.11:
All thaI pOri o( Ih. rotlollill' ducrib.d p.-op.r,y Irin, "",..,h Gf "lill. A" to b. h.r.ina't.r d.lcribed:
Allor lol' 7 and 8. Bloc. 12. CENTERYIllE, Anoko Counly. Minn.'o'o.
""/tct ,hol pon Qf lot 9, aloek 12. CENTERVIllE. lyi/t9 ...t.rly of Ih. W", lill. Qf Ih. East 120.00 r..t.
A.d all of 'IOcond 'S.cond Str..t' lYIng b.t...n told BIQck 12 ud Block 13. Iyi.g .outh or the North
lin. of lOid 810d. 12 and 13. b..n9 'h. '0.. o. Ih. So.th liu 01 "Sor.l SIr..'"; and lying narth 0'
Ih. line cOIllil.cli"9 Ih. Soelh.o" cora.r of Lot 4..oid Block 13. .ilh Ihe Soutl,..11 corller of soid
Lol 9. Block 12. 011 in tolll CENTEAYILlE.
ADd lOI 5. .oid Bloc" 13, CENTERYlL,LE.
And LOI, 4 oad 6. toid Bloclr 13. CENTERYllLE; Exc.pling Fro. lOid Lol. 4 and 6 thol pori th.r.oF holllt
luou a, the ....,.rl, 20 r..t ,h.r.of .0. 'o".n by ,h. Cit, of Saint PQul for Wol.r right.-. Th.
Easl.rly lin. 0' uid "We.terly 20 f..t th.r.o'" i. '0 b. h.r.ofl.r d..crib.d o. "Lin. S' for Ih.
purpou, of this d.scriptioll.
Said "Lin. A" b.ing d..crib.d o. Co..ellcin9 01 Ih. Norlh.OIl corller of tOid Lol 7. 810ck 12: ,h.llc. .ov,h 010n9
the Eat' II... or laid l.' 1 '.or 0 diuonc:. of 71.'50 r..1 IQ ,h. octllal pGillt af b.gillllling of .oid -Li.. A";
'hence South 19 d.gr... 59 .i..te. II ..cond. W.., for a ditto.c. of 200.41 F..I; Ih'IIC. Norlh 67 d.gr...
<48 .illut.. 33 ..cond. W.st (or 0 di.tollce o( 52.3'. .o"e or leu. 10 ;ltl.r..cl .h. oba... delcribed -Li.. S"
and Ih.re I.r.illlal in,.
Said .oulh Ii.. of Sor.1 Slr..t i. a.."..d 10 b.ar due Eo.l and W..I.
Ha... con.d Ihe 1011. 10 b. ",r...,.d and p'o".d o. SOREL.S END. ll'lId do her.by danOI. oad d.dicot. 10 'he p.bl ic,
for pvblic ... For.".r. the droinag" Old ,,'ilil, .o...."t a. .ho.n on Ihe plot.
:!
In .iln... .h.r.oF 'Old llyod Nor.OIl Hons.n olld Dia.. Kay Hon,.n, hu.band Old .i'.. ho". h.r.unto .., Ih.., hond.
Ihi. _ day of .200 _ .
Llyod Nor.."n HOII..n
Dion. Kay Hannn
STATE OF HlNNESOTA
COUNTY OF I
Th. for.goillg iflllru...t 10. oc"no.l.d9.d beFore .. this _ do, of
by II ,od Nor.an HOIII'n ond Oi one Kay Hauu. hu.band and Ii r..
.200_ .
Notor, Publ ie.
"y CO..,"10. eX'p,r..
COUlll,.
In .itll'" .h.r.of .oill Ericfa Ouid Harthall ond Ly.O'. "ode I'hrr.h.IJ. h.,bolld and .if., ho". h.r....lo ut Ih.ir
hond. this _ day of . 200_
Irick Oo"id H.r.holl
LYllae Horl. Hor.holl
STATE OF MINNESOTA
COUNTY OF I
rh. (oregoing intlr".nl IOS oc"no.'.dgod b.for. .. ,hj. _ day of
b, ErIC" Oo",d Hortholl ud L,no. Hori. Mor.holl, hubond ud .iF..
.200_ .
NOlory Publ ic.
Hy Co.. i.. i 01 E..p ire,
COllllly,
Contract Unit Current Quantity Amount
No. Item Unit Quantity Price Quantity to Date to Date
PART 1 - SANITARY SEWER:
1 MOBILIZATION LS 1 6500.00 0.9 $5,850.00
2 REMOVE BARRICADE EA 2 25.00 2 $50.00
3 CONNECT TO EXISTING MANHOLE EA 2 350.00 2 $700.00
4 8" PVC SANITARY SEWER, SDR 35 LF 2140 16.50 2140 $35,310.00
5 4' DIAMETER SANITARY MH, 8' DEEP EA 8 1600.00 8 $12,800.00
6 4' DIAMETER SANITARY MANHOLE OVERDEPTH LF 24 100.00 23.66 $2,366.00
7 IMPROVED PIPE FOUNDATION LF 2140 1.50 454 $681.00
8 CLOSED CIRCUIT TV INSPECTION LF 2140 0.68 2140 $1,455.20
TOTAL PART 1 - SANITARY SEWER: $59,212.20
PART 2 - WATER MAIN:
9 CONNECTTO EXISTING 8. WATER MAIN EA 2 250.00 2 $500.00
10 8"PVCWATER MAIN LF 1690 20.60 1690 $34,814.00
11 6" PVCWATER MAIN LF 630 16.25 632.35 $10,275.69
12 6" GATE VALVE AND BOX EA 1 745.00 1 $745.00
13 8" GATE VALVE AND BOX EA 1 962.00 3 $2,886.00
14 SALVAGE AND REINSTALL 8 X 6 REDUCER EA 2 550.00 2 $1,100.00
15 SALVAGE AND REINSTALL HYDRANTNALVE EA 2 650.00 2 $1,300.00
16 HYDRANT WITH VALVE EA 4 2600.00 4 $10,400.00
17 DUCTILE IRON FITTINGS LB 2500 1.75 2333 $4,082.75
18 6" PIPE RESTRAINT EA 30 30.00 26 $780.00
19 8" PIPE RESTRAINT EA 21 40.00 26 $1,040.00
20 IMPROVED PIPE FOUNDATION LF 500 0.01 $0.00
TOTAL PART 2 - WATER MAIN: $67,923.44
PART 3 . SERVICES:
21 '" CORPORATION STOP EA 44 95.00 44 $4,180.00
22 1" CURB STOP AND BOX EA 44 110.00 44 $4,840.00
23 1" TYPE "K. COPPER WATER SERVICE LF 1940 9.00 1962.5 $17,662.50
24 8" X4" PVCWYE EA 44 50.00 44 $2,200.00
25 4" PVC, SCH. 40 SERVICE PIPE LF 1950 9.00 1974 $17,766.00
26 INSULATION, 2" THICK SF 300 1.50 $0.00
TOTAL PART 3 - SERVICES: $46,648.50
PART 4 . STORM SEWER:
27 12" RCP STORM SEWER, CLASS 5 LF 485 19.53 485 $9,472.05
28 12" HDPE STORM SEWER LF 235 15.38 235 $3,614.30
29 15" RCP STORM SEWER, CLASS 5 LF 85 20.83 85 $1,770.55
30 18. RCP STORM SEWER, CLASS 5 LF 332 23.26 332 $7,722.32
31 24" RCP STORM SEWER, CLASS 3 LF 40 30.97 40 $1,238.80
32 15" FLARED END SECTION, INCLUDING TRASH GUARD EA 2 700.00 2 $1,400.00
33 24" FLARED END SECTION, INCLUDING TRASH GUARD EA 1 1200.00 1 $1,200.00
34 CONNECTTO EXISTING CATCH BASIN EA 2 550.00 2 $1,100.00
35 CLASS III RANDOM RIPRAP CY 15 75.00 15 $1,125.00
36 2' X 3' CB EA 4 1000.00 4 $4,000.00
37 4' DIAMETER STORM CBMH EA 4 1400.00 4 $5,600.00
38 4' DIAMETER STORM SEWER MH EA 1 1300.00 1 $1,300.00
39 27" DIAMETER CATCH BASIN EA 1 800.00 1 $800.00
40 SEEDING, INCL. SEED, FERTILIZER, MULCH, AND DISK ANCHOR AC 0.25 2500.00 0.18 $450.00
41 PROTECTION OF CATCH BASIN, NON-STREET EA 2 200.00 $0.00
42 SILT FENCE, REGULAR LF 200 3.00 253 $759.00
43 EROSION CONTROl BLANKET SY 100 1.50 200 $300.00
TOTAL PART 4 - STORM SEWER: $41,852.02
PART s. STREETS:
44 TRAFFIC CONTROL LS 1 1100.00 0.9 $990.00
45 SAWING BITUMINOUS PAVEMENT LF 75 5.00 91 . $455.00
46 REMOVE BITUMINOUS PAVEMENT SY 50 5.00 145 $725.00
61605141 REQ6FINAl.lcls 36
Contract Unit Current Quantity Amount
No. Item Unit Quantity Price Quantity to Date to Date
47 SUBGRADE PREPARATION - STREET SY 9600 0.77 9425 $7,257.25
48 SUBGRADE PREPARATION - TRAIL SY 400 1.02 333 $339.66
49 GEOTEXTlLE FABRIC SY 9600 1.45 9425 $13,666.25
50 SELECT GRANULAR BORROW (CV) CY 5300 14.66 5240 $76,818.40
51 AGGREGATE BASE, CLASS 5 TN 3600 13.73 3336 $45,803.28
52 AGGREGATE BASE, CLASS 5 - TRAIL TN 150 13.73 95.32 $1,308.74
53 TYPE LV 3 NON WEARING COURSE MIXTURE (B) TN 990 42.33 954.64 $40,409.91
54 TYPE LV 3 WEARING COURSE MIXTURE (B) TN 750 43.86 792.67 792.67 $34,766.51
55 BITUMINOUS MATERIAL FOR TACK COAT GAL 400 2.09 475 550 $1,149.50
56 BITUMINOUS WEAR COURSE, TYPE 41A, TRAIL TN 75 53.55 66.26 $3,548.22
57 SURMOUNTABLE CONCRETE CURB AND GUTTER LF 4600 8.06 389 4860 $39,171.60
58 TRUNCATED DOME PANEL SF 8 20.40 12 $244.80
59 6" CONCRETE PEDISTRIAN CURB RAMP SF 60 5.10 62.5 $318.75
60 4' PERFORATED POLYETHYLENE PIPE LF 4600 1.50 4471 $6,706.50
61 SKIDSTER (BOBCAT WITH OPERATOR) HR 10 75.00 $0.00
62 STREET SWEEPER (PICKUP BROOM W/OPERATOR) HR 20 150.00 $0.00
63 WATER FOR DUST CONTROL 1 000 GAL 30 20.00 $0.00
64 REM AND REPL CONC SIDEWALK- DUPRE ROAD SF 200 4.08 365 $1,489.20
65 REM AND REPL CONC C & G- HUNTERS CROSSING 2ND LF 30 16.32 81 $1,321.92
66 TEMP. ROCK CONSTRUCTION ENTRANCE TN 50 22.00 $0.00
67 PROTECTION OF CB IN STREET - FURNISH AND INSTALL WIMCO EA 8 375.00 8 $3,000.00
TOTAL PART 5 - STREETS: $279,490.49
CHANGE ORDER NO.1
1 REMOVE BLACK DIRT OUT OF ROADBED LS 1142.50 $1,142.50
2 MOVE BLACK DIRT FOR SERVICES LS 260.00 $260.00
3 MOVE FENCE AND BRUSH LS 75.00 $75.00
4 PLACING AND COMPACTING IMPORTED FILL LS 382.50 $382.50
5 PRIME CONTRACTOR OVERHEAD 15% LS 279.00 $279.00
TOTAL CHANGE ORDER NO.1 $2,139.00
CHANGE ORDER NO.2
RECONCILING OF THE ORIGINAL CONTRACT PLUS CHANGE
ORDERS, TO THE FINAL CONSTRUCTION COST LS -8760.32 $0.00
TOTAL CHANGE ORDER NO.2 $0.00
TOTAL PART 1 - SANITARY SEWER: $59,212.20
TOTAL PART 2 - WATER MAIN: $67,923.44
TOTAL PART 3 - SERVICES: $46,648.50
TOTAL PART 4 - STORM SEWER: $41,852.02
TOTAL PART 5 - STREETS: $279,490.49
TOTAL CHANGE ORDER NO.1 $2,139.00
TOTAL CHANGE ORDER NO.2 $0.00
TOTAL WORK COMPLETED TO DATE $497,265.65
61605141REQ6FINAL.lds
31
PROJECT PAYMENT STATUS
OWNER CITY OF CENTERVILLE
BONESTROO FILE NO. 000616-05141"0
CONTRACTOR YOLK SEWER & WATER INC.
CHANGE ORDERS
N
D t
D . f
Am t
o. ae escrlp' Ion oun
1 6/16/2006 This Change Order provides for additional work on this project. See $2,139.00
Change Order.
2 10/25/2007 This Change Order provides for the reconciling of the original contract ($8,760.32)
amount plus change orders, to the final project construction cost.
Total Change Orders ($6,621.32)
PAYMENT SUMMARY
No. rom 0 Payment etamage amp ete
1 04/01/2006 05/12/06 99,217.50 5,221.95 104,439.45
2 05/13/2006 06/20/06 177 ,494.40 14,563. 78 291,275.68
3 06/21/2006 07/18/06 134,389.23 21,636.90 432,738.03
4 07/19/2006 08118/06 21,885.93 22,788.79 455,775.85
5 08119/2006 12/28/06 2,465.44 22,918.55 458,371.05
6 AND FINAL 12/29/2006 10/29/07 61,813.15 497,265.65
F
T
R
c
d
Material on Hand
Total Payment to Date $497,265.65 Original Contract $503,886.97
Retainaqe Pay No. 6 AND FINAL Change Orders ($6,621.32)
Total Amount Earned $497,265.65 Revised Contract $497,265.65
61605141 REQ6FINAL.x1s
3f
/\
..
Bonestroo
:iOPY
. .
Date October 25, 2007
Owner. Cit of Centerville, 1880 Main Str~et, Centerville, MN 55038
Contractor: Volk Sewer & Water Inc., 1566 Ward Lake Drive NW, Andover, MN 55304
Bond Com an: United Fire & Casual Co., PO Box 73909, Cedar Ra ids, IA52407
CHANGE ORDER NO. 2
HUNTERS CROSSING 3RD ADDITION - UTILITY AND STREET IMPROVEMENTS .
BONESTROO FILE NO. 000616-05141-0
Bond No: 54-157931
Description of Work
This Change Order provides for the reconciling of the original contract amount plus change orders, to the final project construction
cost.
. No.
Item
Contract
Unit Quantity
Unit
Price
Total
Amount '
61605 141CH02,x1s
CHANGE ORDER NO.2
. RECONCILING OF THE ORIGINAL CONTRACT PLUS LS
CHANGE ORDERS, TO THE FINAL CONSTRUCTION COST
TOTAL CHANGE ORDER NO.2:
($8,760.32)
($8,760.32)
($8,760.32)
3J
,.:.;,
Original Contract Amount
Previous Change Orders
This Change Order
Revised Contract Amount (including this change order)
CHANGE IN CONTRACT TIMES
Original Contract Times:
Substantial Completion (days or date):
Ready for final Payment (days or date):
Increase of this Change Order:
Substantial Completion (days or date):
Ready for final Payment (days or date):
Contract Time with all approved Change Orders:
Substantial Completion (days or date):
Ready for final Payment (days or date):
,
\
Recommended for Approval by:
BONESTROO
, ~,( ..J--
Approved by Contractor:
YOLK SEWER & WATER INC
~ '1~. '-( f' o-e.JL > 'P f< E$ ( Oe.~T
III r /07
Date
cc: Owner
Contractor
Bonding Company
Bonestroo & Assoc.
61605141CH02.x1s
Date:
/~/~dlq
.
Approved by Owner:
CITY OF CENTERVILLE
$503,886.97
$2,139.00
($8,760.32)
$497,265.65
Date.
110
Inspection Notice
. Bonestroo
Project: Hunter's Crossing 3,d Additon o Intermediate Inspection 1181 Final Inspection (Punch List)
Owner: Volk Sewer and Water From: Chris long
To: Debra Volk Date: 12/3/07
Bonestroo Project No: 616-05-141
Re: Inspection Notice #7 - Final Completed Owner Project No: -
2335 Highway 36 W
St. Paul, MN 55113
Tel 651-636-4600
Fax 651-636-1311
www.bonestroo.com
The following items require the attention of the Contractor for completion or correction. This list may not be all-inclusive and the failure to include any items on
this list does not alter the responsibility of the Contractor to complete all Work in accordance with the Contract Documents.
Number Item Accepted
Remove and replace corner of pedestrian ramp on bituminous trail on west end of project (tracking on
1 the newly reconstructed pedestrian ramp resulted in unsatisfactory finishing) off of Beaver Pond Way. CWl2 -11/26/07
- Remove concrete comer piece left by restor~d pedestrian ramp. Remove board on edge of ramp.
Restore/seed area.
2 Remove casting in boulevard of cul-de-sac on Beaver Pond Way. CWl2 - 11/26/07
3 Trim and remove sod by hydrant at 6721 Beaver Pond Way (the sod was placed partially on top of the CWl2 - 11/6/07
curb).
4 Resolve ponding issue on bituminous trail on west end of project off of Beaver Pond Way. - Developer CWl2 - 11/6/07
will resolve.
_u__ ____
:
- ..... .. ~ i
P C~ v\ \
I
i
r
r
Signed by:
Chris long
~
Date: 12/3/07
Bonestroo: (C.S.I[Volk_CWl2^lnspection Notice #7 Completed 12-3-07.docIlVLM 040907)
~/
EN6IN&U':S eOPY\
.-
Bonestroo .
Owner: City bf Centerville, 1880 Main Street, Centerville, MN 55038 Date: October 24, 2007
For Period: . 8/30/2007 to 10/24/2007 Reauest No: 3 AND FINAL
Contractor: Gustafson ExcavatinQ Inc., 6610 410th Street, North Branch, MN 55056
CONTRACTOR'S REQUEST FOR PAYMENT
2007 FAIRVIEW STREET IMPROVEMENTS
BONESTROO FILE NO. 000616-06148-0
SUMMARY
1 Original Contract Amount
2 Change Order - Addition
3 Change Order - Deduction
4 Revised Contract Amount
5 Value Completed to Date
6 Material on Hand
7 Amount Earned
8 Less Retainage 0%
9 Subtotal
10 Less Amount Paid Previously
11 Liquidated damages -
12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO.
$
$
$
4,720.00
6,142.97
3 AND FINAL
$
$
$
$
$
$
$
$
$
Recommend.ed for Approval by:
BONESTROO
.441'./ r-
~.........-..=..... -~
Approved by Contractor:
GUSTAFSON EXCAVATING INC
Approved by OWner:
CITY OF CENTERVILLE
~
- ~-
~'" -
218,721.25
217,298.28
217,298.28
0.00
217,298.28
0.00
217,298.28
200,894.39
0.00
16,403.89
Specified Contract Completion Date:
Date:
61606148REQ3Final.x1s
4J-
Contract Unit Current Quantity Amount
No. Item Unit Quantity Price Quantity to Date to Date
PART 1 - SITE GRADING:
1 MOBILIZATION lS 1 6700.00 $6,700.00
2 TRAFFIC CONTROL lS 1 1800.00 $1,800.00
3 TEMPORARY ROCK CONSTRUCTION ENTRANCE TN 35 20.00 $0.00
4 WATER MAIN TESTING LS 1 350.00 1 $350.00
5 ClOSED CIRCUIT lV INSPECTION - STORM SEWER lF 755 0.90 681 $612.90
6 CLOSED CIRCUIT lV INSPECTION - SANITARY SEWER lF 990 0.90 908 $817.20
7 REMOVE PIPE CULVERT lF 50 100 50 $150.00
8 SILT FENCE, MACHINE SLICED lF 2800 1.80 2580 $4,644.00
9 CLEAR AND GRUB lS 1 850.00 1 $850.00
10 COMMON EXCAVATION (EV) CY 1050 3.50 1041 $3,643.50
11 SUBGRADE EXCAVATION (EV) CY 200 2.00 $0.00
12 GRANULAR BORROW (CV) CY 250 7.50 172.97 $1,297.28
13 TOPSOil BORROW (lV) CY 200 8.00 144 $1,152.00
14 SEEDING, INCl. MNDOT SEED MIX 250, FERTILIZER, DISK ANCHOR, AND
CATEGORY 3 EROSION CONTROl BLANKET AC 1.6 1950.00 0.25 1.85 $3,607.50
15 SEED MIXTURE - BWSR MIX W4 SY 200 2.50 100 $250.00
16 TEMPORARY ROCK CHECK, CLASS I-IV CY 15 20.00 $0.00
TOTAL PART 1 - SITE GRADING: $25,874.38
PART 2 - WATER MAIN:
17 FURNISH AND INSTAll GATE VALVE EXTENSION ROD EA 6 250.00 6 6 $1,500.00
18 REPLACE TOP SECTION OF GATE VALVE BOX EA 3 150.00 3 $450.00
19 ClEAN OUT GATE VALVE BOX EA 8 40.00 $0.00
TOTAL PART 2 - WATER MAIN: $1,950.00
PART 3 - STORM SEWER:
20 FURNISH R-3067-V HOOD EA 2 150.00 1 $150.00
21 CONNECT TO EXISTING STORM SEWER STRUCTURE EA 2 350.00 2 $700.00
22 12" RCP STORM SEWER, CLASS 5 lF 12 24.00 12 $288.00
23 15" RCP STORM SEWER, CLASS 5 lF 96 24.00 96 $2,304.00
24 2' X 3' CB, INCl. 2' SUMP, R-3290-A CSTG AND CONC ADJ RINGS EA 1 1450.00 1 $1,450.00
25 2' X 3' CB, INCl. 2' SUMP, R-3067-V CSTG AND CONC ADJ RINGS EA 1 1450.00 1 $1,450.00
26 15" HCP FLARED~ND SECTION,INCl. TRASH GUARD EA 2 750.00 2 $1,500.00
27 CLASS III RANDOM RIPRAP ty 13 80.00 -20:5 $1,640:00
28 CATCH BASIN PROTECTION - WIMCO EA 6 180.00 $0.00
TOTAL PART 3 - STORM SEWER: $9,482.00
PART 4 - STREETS:
29 SUBGRADE PREPARATION - STREET SY 4300 0.80 4238 $3,390.40
30 GEOTEXTllE FABRIC, TYPE V SY 4300 1.40 4238 $5,933.20
31 AGGREGATE BASE, ClASS 5 TN 2300 16.00 103.25 2203.25 $35,252.00
32 SELECT GRANUlAR BORROW (CV) CY 2590 7.50 2850 $21,375.00
33 TYPE lV 3 NON WEARING COURSE MIXTURE (B) TN 475 52.20 495.39 $25,859.36
34 TYPE lV 3 WEARING COURSE MIXTURE (B) TN 475 52.95 475 $25,151.25
35 BITUMINOUS MATERIAL FOR TACK COAT GAL 215 2.30 100 $230.00
36 SURMOUNTABLE CONCRETE CURB AND GUTTER lF 1675 8.80 21 1656 $14,572.80
37 4" PERFORATED POLYETHYLENE PIPE lF 1695 4.50 1605 $7,222.50
38 EXTEND HYDRANT BARREL lF 3 180.00 $0.00
39 ADJUST CATCH BASIN CASTING EA 4 125.00 3 $375.00
40 ADJUST MANHOlE CASTING EA 10 110. 00 5 $550.00
41 RECONSTRUCT MANHOlE lF 2 250.00 144 $860.00
TOTAL PART 4 - STREETS: $140,771.51
PART 5 . CSAH 54 RIGHT TURN LANE:
42 COMMON EXCAVATION (EV) CY 1010 2.50 1007 $2,517.50
43 SUBGRADE EXCAVATION (EV) CY 200 2.00 $0.00
44 SAWING BITUMINOUS PAVEMENT lF 600 3.00 585 $1,755.00
45 REMOVE BITUMINOUS PAVEMENT SY 50 1.10 50 50 $55.00
61606146REQ3Flnal.x1s -/3
Contract Unit Current Quantity Amount
No. Item Unit Quantity Price Quantity to Date to Date
46 SUBGRADE PREPARATION - TURN LANE SY 900 0.80 824 $659.20
47 AGGREGATE BASE, CLASS 5 TN 350 16.00 270 $4,320.00
48 AGGREGATE SHOULDERING, 100% CRUSHED LIMESTONE TN 60 18.00 55 55 $990.00
49 SELECT GRANULAR BORROW (CV) . CY 550 7.50 756 $5,670.00
50 TYPE LV 3 NONWEARING COURSE MIXTURE (B) TN 260 54.10 230 $12,443.00
51 TYPE LV 3 WEARING COURSE MIXTURE (B) TN 90 54.95 90 $4,945.50
52 BITUMINOUS MATERIAL FOR TACK COAT GAL 130 2.30 80 $184.00
53 SIGN PANELS, TYPE C, HIGH INTENSITY SF 12.5 42.00 12.5 12.5 $525.00
54 4" SOLID LINE, WHITE EPOXY LF 850 0.30 854 854 $256.20
55 PAVEMENT MESSAGE, RIGHT TURN ARROW - EPOXY EA 2 90.00 2 2 $180.00
TOTAL PART 5 - CSAH 54 RIGHT TURN LANE: $34,500.40
CHANGE ORDER NO.1
LOCATE, EXPOSE, REMOVE AND REPLACE BOlTS ON EXISTING WATER
MAIN LS 4720.00 $4,720.00
TOTAL CHANGE ORDER NO.1: $4,720.00
CHANGE ORDER NO.2
RECONCILING OF THE ORIGINAL CONTRACT PLUS CHANGE ORDERS, TO
THE FINAL CONSTRUCTION COST LS -6142.97 $0.00
TOTAL CHANGE ORDER NO.2: $0.00
TOTAL PART 1 - SITE GRADING:
TOTAL PART 2 - WATER MAIN:
TOTAL PART 3 - STORM SEWER:
TOTAL PART 4 - STREETS:
TOTAL PART 5 - CSAH 54 RIGHT TURN LANE:
TOTAL CHANGE ORDER NO.1:
TOTAL CHANGE ORDER NO.2:
$25,874.38
$1,950.00
$9,482.00
$140,771.51
$34,500.40
$4,720.00
$0.00
$217,298.28
. TOTAL WORKCOMPLEIED TODAU
61B06148REQ3Flnal.xIs
~Lj
. '
PROJECT PAYMENT STATUS
OWNER CITY OF CENTERVILLE
BONESTROO FILE NO. 000616-06148-0
CONTRACTOR GUSTAFSON EXCAVATING INC
CHANGE ORDERS
N
D t
D . f
A
t
o. ae eSCrlp1l0n moun
1 8/29/2007 This Change Order provides for compensation to the Contractor for the
removal and replacement of bolts for the existing water main fittings $4,720.00
2 10/24/2007 This Change Order provides for the reconciling of the original contract
plus change orders, to the final project construction cost. -$6,142.97
Total Change Orders ($1,422.97)
PAYMENT SUMMARY
N F
T
P
R
C It d
o. rom 0 ayment etalnage amp e e
1 07/01/2007 07/17/07 149,785.65 7,883.46 157,669.11
2 07/18/2007 08129/07 51,108.74 10,573.39 211,467.78
3 AND FINAL 08130/2007 10/24/07 16,403.89 217,298.28
Material on Hand
Total Pa menit60ate
Retainage Pa No. 3 AND FINAL
Total Amount Earned
$217,298.28 OriThalC6f1tfad
Chan e Orders
$217,298.28 Revised Contract
$218,721.25
-$1,422.97
$217,.298.28
6160614BREQ3Final.x1s
/j~
J)
4-
Bonestroo
Owner: City of Centervilfe, 1880 Main Street, Centerville, MN 55038 Date October 24, 2007
Contractor: Gustafson Excavating Inc., 661041 Oth Street, North Branch, MN 55056
Bond Company: RU Ins Company, 9025 N Lindberqh Drive, Peoria, IL 61615 Bond No:
CHANGE ORDER NO. 2
200HAIRVIEW STREET IMPROVEMENTS
BONESTROO FILE NO. 000616-06148-0
EN&\Nesa"S GIff
Description of Work
This Change Order provides for the reconciling of the original contract plus change orders, to the final project construction cost.
No.
00061606148-OCH02 xIs
Contract
Unit
Total
Item
CHANGEQRDER NO.2
RECONCILING OF THE ORIGINAL CONTRACT PLUS
CHANGE ORDERS, TO THE FINAL CONSTRUCTION
COST
TOTAL CHANGE ORDER NO.2:
Unit Quantity
Price
Amount
($6,142.97)
($6,142.97)
LS
. 1
($6,142.97)
~
~I
Original Contract Amount
Previous Change Orders
This Change Order
Revised Contract Amount (including this change order)
CHANGE IN CONTRACT TIMES
Original Contract Time-s:
Substantial Completion (days or date):
Ready for final Payment (days or date):
Increase of this Change Order:
Substantial Completion (days or date):
Ready for final ~ayment (days or date):
Contract Time withall approved Change Orders:
Substantial Completion (days or date):
Ready for final Payment (days or date):
Recommended for Approval by:
BONESTROO
~.( .,>I-
Appro'led by Contractor:
GUSTAFSON EXCAVATING INC
~~
~
/0 /~/o-?
,
Date .
cc: Owner
Contractor
Bonding Company
Bonestroo & Assoc.
OOO(i 1606148-0CH02.x1s
Date:
16/r.1/o7
. Approved by Qwner
CITY OF CENTERVILLE
$218,721.25
$4,720.00
-$6,142.97
$217,298.28
Date
~1
Inspection Notice
.. Bonestroo
Project: Fairview Street Improvements o Intermediate Inspection 1121 Final Inspection (Punch List)
Owner: City of Centerville From: Chris long
To: Gustafson Date: 11/21/07
- Aaron Wassman Bonestroo Project No: 616-06-148
Re: Inspection Notice #4 - ALL COMPLETE Owner Project No: -
2335 West Highway 36
SI. Paul, MN 55113
Tel 651-636-4600
Fax 651-636-1311
www.bonestroo.com
The following items require the attention of the Contractor for completion or correction. This list may not be all-inclusive and the failure to include any items on
this list does not alter the responsibility of the Contractor to complete all Work in accordance with the Contract Documents.
Number Item Accepted
1 CB 101A, CB 102B - Grout doghouses, pour inverts CWl2 - 9/1 0/07
2 FES 1102 - Clean out {blocked with debris} - Remove silt fence CWL2 -11-7-07
3 FES 1101 - Clean out silt and rock eroded onto rip rap, repair/reinstall silt fence CWL2 -11-7-07
-:~
4 Remove silt fence and restore (seed/mulch) in only areas specified by inspector CWL2-11-7-07
5 Correct bird bath area in wear course (consult inspector on procedure) CWl2 - 9/10/07
6 Install gravel shoulder on turn lane CWL2 -11-7-07
7 Complete all signing and pavement markings per plan on sheet T1.01 CWl2 -11-7-07
......
8 All existing sanitary sewer manholes - Clean out concrete splatter from steps and inverts. m.... CWL2...;lt121107 ........ .n
9 Ex. CB-1 06 - Grout drain tile. CWl2 -11/21/07
10 Ex. STMH-1 02 - Clean out concrete splatter from steps and invert. CWl2 -11/21/07
11 Ex. CBMH-101 - Grout underside doghouse of eastern pipe. CWl2 -11/21/07
12 MCES Manhole (located in turn lane) - Grout rings. CWl2 - 11/21/07
13 Ex. CBMH-1 02A - Bulkhead west opening in structure. CWl2 -11/21/07
Signed by:
Chris long - 651-492-7747
Date: 11/21/07
Bonestroo: Ic.S.][Wassman_CWl2^lnspettion Notice #4-COMPLETE FINAL 11-21-07.docIlVlM 021307)
11
tervi{{e
'Estafifisfw{ 1857
STATE OF MINNESOTA
COUNTY OF ANOKA
CITY OF CENTERVILLE
RESOLUTION #07-0_
A RESOLUTION PROVIDING FOR ADJUSTMENTS TO THE PAY SCHEDULE
FOR NON-BARGAINING UNIT STAFF
1880!MJIin Street, CenterrJiJJe. !M!N 55038
651-429-3232 or '1'oq: 651-429-8629
WHEREAS. the City Council on December 13. 2006. adopted a Pay System for non-
bargaining unit employees. and
WHEREAS, the Council desires to keep employee compensation consistent with its
Union staff which will receive a 3% adjustment in accordance with their collective
bargaining agreement.
NOW THEREFORE BE IT RESOLVED BY THE CITY COUNCD.. OF
CENTERVlLLE, MINNESOTA:
The Pay System shall be incremented by 3% for 2008, to provide cost of living
adjustments to all staff not covered by a collective bargaining agreement, such increases
to be effective January 1, 2008.
Adopted by the Council this _day of December, 2007 .
Mary Capra, Mayor
Attest:
Teresa Bender, City Clerk
If
STATE OF MINNESOTA
COUNTY OF ANOKA
CITY OF CENTERVILLE
RES. #07-xn
A RESOLUTION TO SELF-ADMINISTRATE AN EMPLOYEE BENEFITS PLAN
WITH ASSISTANCE FROM AFLAC
BE IT RESOLVED that the City of Centerville with assistance from AFLAC will self-
administrate an employee benefits plan.
BE IT FURTHER RESOLVED that the following guidelines are established. beginning
January 1, 2008 for employees of the City ofCenterville participating in the plan:
1. The city contribution for calendar year 2008 will be $900 per employee.
The contribution amount will be established on annual basis by the council.
2. The core plan that participants will be required to enroll in consists of the
following:
a. Single health coverage qualifying high deductible plan;
a.-1 Deductible shall be fully funded in Health Savings
Account(H.S.A.) to the extent that employee is eligible
under IRS riiIes.
b. Employee dental coverage;
C. Employee life insurance $10,000.
d. Short-term disability plan.
3. Optional benefits offered to employees shall consist of the following:
a. Dependent health coverage
a. -1 Deductible shall be fully funded in Health Savings
Account(H.S.A.) to the extent that employee is eligible
under IRS rules.
b. Supplemental and dependent life coverage;
c. Dependent dental coverage;
d. Short-term disability;
e. Long-term disability;
f. Long-term care coverage.
g. AFLAC insurance coverage
4. Employees will be allowed to contribute pre-tax dollars to the following or
take the balance as taxable pay:
~
b. Un-reimbursed health care spending account for items not eligible
for coverage in health coverage and H.S.A;
c. Day care spending account;
d. Deferred Compensation account.
5. The dollar limit for employee contribution to the un-reimbursed health
care spending account shall be set at:
a. $3,000
AND BE IT FlNALL Y RESOLVED, AS FOLLOWS:
1. That there is hereby established the Wells Fargo Employer HSA
2. That the Council approves a high-deductible health coverage plan through Health
Partners.
3. That the mayor, administrator and finance director are hereby authorized to
execute necessary documents to create and administrate the program of health
insurance and employee health savings accounts.
Adoption of this resolution amends the City of Centerville Employees - Cafeteria Plan dated
January 8,2003.
Adopted by the Council this _ day of December, 2007.
Mayor
Attest:
City Clerk
61
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The following summarizes your HealthPartners coverage. For exact terms and conditions, consult a
Group Membership Contract, or call the Member Services Information Line at (952) 883-7000 or call toll
free at 1-8~-9352.
When care is provided by a network provickr When care is provided by olll-of-networli; providers
Unlimited $1,000,000
$2,700 per person; $5,450t>er family $5,000 per person; $10,000 per family
$2,700 per person; $5,450 per family $10,000 ~person; $20,000 per family
Service
In-Network
Lifetime maximum
Annual deductible
Annual out-or-pocket maximum
Out-of-N~k
Preventive Health Care
( ,
, 1 -
. Prenatal & postnatal care, well-child care
100% coverage
. Routine physical & eye examinations
100% coverage
. Immunizations
100% coverage
80% coverage after deductible
80% coverage after deductible
80% coverage after deductible
Office Visits
. Illness or injury 100% coverage after deductible
. ABergy injections 100% coverage after deductible
. Physical, occupational & speech therapy 100% coverage after deductible
. Chiropractic care 100% coverage after deductible
(neuromusculo-skeletal conditions only)
. Mental health care 100% coverage after deductible
. Chemical health care 100% coverage after deductible
80% coverage after deductible
80% coverage after deductible
80010 coverage after deductible
20 visits per year
80% coverage after deductible
20 visits per year
80% coverage after deductible
40 hours per year
80% coverage after deductible
130 hours
,
Inpatient Hospital Care
. Dlness or injury 100% coverage after deductible 80% coverage after deductible
365 days per period of confinement 365 days per period of confinement
. Mental health care 100% coverage after deductible 80% coverage after deductible
365 days per period of confinement 30 days per year
. Chemical health care 80% coverage after deductible
73
. Scheduled outpatient procedures 100% coverage after deductible 80% coverage after deductible
. Outpatient Magnetic Resonance Imaging 100% coverage after deductible 80% coverage after deductible
(MRI) and Computing Tomography (C1)
Page 2 of 6
63
Service
In-Network
Out-of-Network
Emergency Care
. Urgently needed care at an urgent care
Clinic or medical center
100% coverage after deductible
80% coverage after deductible
. Emergency care at a hospital ER
100% coverage after deductible
See In-Network Benefit
. Physical, speech, occupational &
respiratory therapy & home health aides
100% coverage after deductible
120 visits per year
80% coverage after deductible
Durable Medical Equipment
60 visits per year
. Durable medical equipment & prosthetic
devices
100% coverage after deductible
80% coverage after deductible
Dental Care
. Treatment to restore damage done to
sound, natural teeth as a result of
accidental injury
100% coverage after deductible
See In-Network benefit; up to a $300
maximum
Prescription Drugs - HealthPartners Participating Non Participating
(1//"" u } 1-,(,,, 1///,/,11 <J}-du, 1/11'1'(' (,1/ illUlI (I/&I! Pharmacy Benefit Pharmacy Benefit
!oh((((() (('\\{t/IOIl/JlodU(/1 me/mllledloa /,),Od,n IlIpph pel
\I.!W
. Retail Pharmacy
100% coverage after deductible
80% coverage after deductible
. HealthPartners Mail Order Pharmacy
100% coverage after deductible
Page 3 of6
Service
In-Network
Out-of-Network
Emergency Care
. Urgently needed care at an urgent care
Clinic or medical center
100% coverage after deductible
80% coverage after deductible
. Emergency care at a hospital ER
100% coverage after deductible
See In-Network Benefit
. Physical, speeeh, occupational &
respiratory therapy & home health aides
1~% coverage after deductible,
, 120 visits per year
80% coverage after deductible
60 visits per year
Durable Medical Equipment
. Durable medical equipment & prosthetic
devices
100% coverage after deductible
80% coverage after deductible
Dental Care
. Treatment to restore damage done to
" sound, natural teeth as a result of
acddental injury
100% coverage after deductible
See In-Network benefit; up to a $300
maximum
Prescription Drugs HealthPartners Participating Non Participating
"I , Pharmacy Benefit Pharmacy Benefit
I I\} I
. Retan Pharmacy
100% coverage after deductible
80% coverage after deductible
. HealthPartners Mail Order Pharmacy
100% coverage after deductible
Page 3 of6
~I
The following summarizes your HealthPartners coverage. For exact terms and conditions, consult a
Group Membership Contract, or call the Member Services Information line at (952) 883-7000 or call toll
free at 1-866-443-9352.
Service
In-Network
When care is provided by a network provider
Lifetime maximum
/
//"
Out-oC-NetWork
When care is provided by out-ofnetwork providers
Annual deductible
Unlimited $] ,000,000
$2,700 per person; $5,450~per family $5,000 per person; $10,000 per family
Annual out-of-pocket maximum
$2,700 per person; $5,450 per family $10,000 per person; $20,000 per family
Preventive Health Care
($300 annual maximum fOI out of netwolk services does
not apply to Immu/J/zatlOns prenatal & postnatal cale )
. Prenatal & postnatal care, well-child care
] 00% coverage
. Routine physical & eye examinations
100% coverage
. Immunizations
100% coverage
80% coverage after deductible
80% coverage after deductible
80% coverage after deductible
Office Visits
. Illness or injury 100% coverage after deductible
. Allergy injections 100% coverage after deductible
. Physical, occupational & speech therapy ] 00% coverage after deductible
. Chiropractic care 100% coverage after deductible
(neuromusculo-skeletal conditions only)
. Mental health care 100% coverage after deductible
. Chemical health care 100% coverage after deductible
80% coverage after deductible
80% coverage after deductible
80% coverage after deductible
20 visits per year
80% coverage after deductible
20 visits per year
80% coverage after deductible
40 hours per year
I
Inpatient Hospital Care
80% coverage after deductible
130 hours er ear
. Illness or injury
100% coverage after deductible
365 days per period of confinement
. Mental health care
100% coverage after deductible
365 days per period of confinement
. Chemical health care
100% coverage after deductible
365 d . d f fi
I . .
Outpatient Care
80% coverage after deductible
73 d
. Scheduled outpatient procedures
] 00% coverage after deductible
. Outpatient Magnetic Resonance Imaging
(MRI) and Computing Tomography (CT)
100% coverage after deductible
Page 2 of6
80% coverage after deductible
365 days per period of confinement
80% coverage after deductible
30 days per year
80% coverage after deductible
80% coverage after deductible
fOOlr(s Dale fa 'l~'::L- ~f- - i'~-':~?i HeaIllPllllnels SaIes~_.
FuUlegaIGlooP~~_ (' ~.€L_G....k"V'~" ~(rt~) _ .
Address (z.a- r~Vrj"'" ~, - __ ._ COunty--AJ:-'.f K4- _"'_ Phone~$ 4 - it?1~___1> 1 ~ 3-..__
City, State. ZIP _..Ce,f\.o~L.:'-.~\.,.. I ft."'":._.. SSa].B _ FaxJ~",,~'..V2't:::~_
Contact Person.. .J..,t.,.... hA.E~~___._TD3li~,;:-< ".{A ...~ ___email__. .
Is Contact Person a1 eligible employee? ..,4ES [] NO If NO, please explain:.___ ___
1. Who are the 0WRe1S? ___ Perc&nt of O\'Io'IIershfp for eacIl owner ____. 0-
Are they eligible for coverage? 0 YES)ifNO IfMO, explain _'
_.0 -1
2. Is Ihis organization in any Will related 10 other colllUlies (such as a Mional corporalion) as a whoIy ~iaIIy owned subsidiary, or lfoes
this organizafion own any oh!r IXIllpaNes or have wholly or partially oM\l!d subsiiaries? 0 YES::;r.mtt
IrYES, please fWOvide the HealhPartners ControDed Group foRlll
3. Corporate heldtuarters location (Cily and Stale aIldlor Cotlllly): Gci'-~'\A?t^, M.A... _ _ ._._..
Do you have any other locations or sites? 0 YES,>Ia"NO If YE!$, list the. State andJor County: __ _.
4. Number 01 years in buslness,'l.?"'~ Group's Federal Tax 10 number ~ ___. _-"---___ Induslry _GdL''t'".~*
. 5. TYPE OF ENTITY: 0 S Corporation 0 C Corporation 0 Sole Proprietorship [] Partnership
~on-Proflt 0 LLe (circle QOO fo /he rlglJl: C Cl'>lp<llativn Sole Proprietorship Parlner&lilll
6. On average, ImI many indivickJas did 1his Of!}8I1i:zaIion eJllIlJoy (In a1llo!;ations contlIned), vrorkilJ a m1ninum of.20 hOLn per l.eek,
thrOlJ9hout the preceding calendar year (Jarury to December)? t!"
(&ckldng seasona/,'lt1IflOTB(JI B(Id IIfJion e~ covered I&'IltY II ~ bafgsining ~
7_ Curmntly, how many employees are working a rniI1imooI of 20 /lOU'S per Met?
- -
Some employees who do nOl wOlk a fulllWellle months may be covered under their employers plan. These employees must Ml(k II minimum
of nine months in II ccfendar year. If pfOIIidlng coveraQll for these empJoyoos, the ernpIll)ler must COIJlIlele the Small Employer ConlJilluliDn
Agreement Form. ConIacl your HealihPArtieis Sales Replesentative b deIaDs.
In additiln :0 the above employee count, how many employees as defined abDve. will you be covering?_ .. ___o_~
a. How many enPoYees reOOo outside of MinneSl1a? _ .__ .__ (Subnit "agB and tax for each stale)
9. If you eIett coverage, will you be ufF.ring a Medical Expense Reimbursement plan? {such as an HRA cr siIdIIr IIffaII!IllDlII 0 YES 19-NO
10. Does this Olganizalion cnrrenlly have any leased employees? 0 YES t/-No If YES, please explain: _"_
.11. Does this crgarizalion currenUy have. inlend to haw, or EWer had a Professiona Employer Organization (POO) agreemenl? 0 YE~O
If YEs, pleaso pro'llid~ a copy of the aareemerrt
P1ease provide the name of the PEG:__.... Dale ofPEO :qeementteTminalion: ._,_
12. Does thisorgarHzation intend to offer same gender domestic partner coverage? 0 YES ~NO
If yes, please complete domestic partner agreement.
PA,RTICI:'A -ION! EMPLovEE ELIGIBILITY INFOR.tMTION
AI Eligible Employees Mu~t Work AT LEAST .3 z.. HoItTS Per Week
Oassification(s} of Employees EllCIuded from Coverage: 0 uniOn covered by a coIIecIive bargaining agfoormnt 0 Part-time
D Union not covered by a coIective bargaining egreemeot 0 Salaried
o OI:her(explain}:________.______ __._______ 0 ~
Are early Retirees eligible for ooverage? ~YES 0 NO If yes, define policy .... ..<!:!!..~ 0
Waiting Period for New Employees: 0 Date of Hire OR First of the month folio.... (check one below):
)2f30 da)'s 0 60 days [] 90 dItJS 0 Olhef, expIail:
Total number of eligible employees: '1
Total number of e1ig ibfe empIoyeP.!'l that are applying for coverage: _3_
Total number of errpIoyeE'-S that are waNIng coverage: (p"
Total number of errployees ill1eir waiting period: ______ .:r.r:..._- (applical:ion or waiwr required)
Nurrber of fOlTTler employees on COBRA oontiluatlon: pt
EmpIoyerConlribution: Minimum 50% of single COIlaTage, or MedIcal: _Singe FamUy Denial: _9n!t1e _Family (f applicable)
- . page1~e&o7M.~.
65
..............
tMPLOYEES At,D OWNERS NOT ..3,CCOUNTED FOR m. QUARTERLY \^,1AGE ;'.JC CETAIL. R~PORT
Please use 1IIi5 space to aanmt for Ef11lIovees awl 0IIlners NOT irdJded on lie Mnnesota SfaIe E.mpklyer's 0u00erly Wage ;;md DefaD Report
(Form WES-1O). Adcitional dowmentcmn may be required reganing OYlOOlS. ,
EMPlOYEE I OWNE~ NAriIE
SOGI,'" fECUi~l1Y NI.JI.eER
HIRE DAn:
TERMlNAllQN DATE
#- OF HOURS WORKED
--~'-'~ . - I
,.\)0 i;\G
, -- ---~
~- -,~-
-
" .. .....~~~-
FOR~,ER EtlPl..O'r'::ES E,'JROL.LED \VITH C06~':: COVERAGE
Please use Ulis space to accooot for JonMr ~Ioyees 00Vlmld by COBRA conlinuaion. Indicala eIher 1he notification dale If the Individuol is cwrenIIy
UJ1der COBRA or the ca'lCeIIation date if SI indiIrict.Ia's COBRA ~ is \'lrminatitg. EmpIopers must.. cornpIelc the SolaR Employer
VerIk:atIon of Tennlnated Employees fonn (1*400016).
"",
FORMER EMPIOVf:E. NAME
SOClfo.L SECURITY NlMlER
NOilFlCATION DAlE
COBRA. TERMINA110N DATE
'-.-
f )/'l'.'U:'.
I"' .- .-'.--
~----..'" -- ---- '-. _.__~~_~~_L
.---- ...-...--
CUlrent MEDlCA.L Insurance Carrier ~ ~'fP
PIeasa Ii!lt AlL medi31 mnieJs forlhe pevilus 5 years {If ~ a/l8dJ ackJI/i:JnrJ Jl89f'.s):
NMIE OF~ RBEl."-'lDATE DATES OF CllVERAGE
---, -_--(""', I. /' - /-' .-.-);..)7. E-= - -~".o-~::
~t:."~~.__' ..' ,- -= -- .,--
Ral6WaI Rates: ___._.~Slnglo FaMIly ReneWBI Plan (product) Name:.
ClI'mIlt DENTAllnsunnce CalTler Renewal Dme
INDJVQJAL
~'lON FCR TBWINA110N
AGE'-JT J 8ROKn NFORr.1ATION
Agent Name i~ jf ti.ri T. f~ c,'-I/\
._~, ~- .-)... ; ~ 9" "~UJ :'\
Addr J.- (I I"") ,. ,. ...~ . ~ I. ......_;,
ess r'.... '., ~. 1'.. I "_ IV .,,1
,; ," . ." ...... ._ ~.- t. ~- .,..~. -.-r- It"' f,
C"dy, Stale, ZIP _ tv; 1,:1; ;..f!~:'i';I'.\ .1"l: ~ ~.) '-l'T .r
email Mfmss/'lt f. l' {).-tj jji: :.1.--' ,~(,'({1:1'{p-.,.-t''k?''_~
-",/,.' /:, _0"-- /f"-:...:..,/..." --f' //.'. ~J
~_..,..<;""1-:?7',I . _~---'-". ._---L!5://:..;/~_ '1-0...
~ iiJ'Reiltr.iI signature~- /.:=..... PiWed Nalr.e liRd
(if appIil:aIJI.~)
Phone "",1 ,,~~ . 7';-~-j .. f:Jtl.f
I.'" -'r2' ? U' ,
Fax ~\!."(:J. -0. J --' '.f - "-Nl'~:- ..,.~.)
G .-, '"K
Broker Number .._0, .... {;/, . , _
A. ,r" .-1
~__:;;:'L._t-?ro.J.lp._ ..
.)t Il ;.~-:
/ tie"\. 'f.t..
o*'
EMPL8Y:R SIGNATURE
I hereby certify that Ihe information provided In this document, and any additional information submitted b support this application, is
accurate and complete.
I understand that errors or omissions regarding this information may resaJt in premium adjustments and/or terminatioR of the OOIltract
as permit AY Minnesota law. \ i ( .. ,L" ~'l ,
. ----JCJ\.V- '--'U - v-\.~ <'V' 0 \, o=z
.' -- - ~G- Jtaoo 0"._"-- ~
r.~~~ ~ .
Page 2
56-
2008 HSA Limits
Below are the new HSA high deductible healthcare plan (HDHP) minimums and contribution
maximums for 2008.
HDHP Minimum Deductible (no change since 2007)
You must have coverage under an HSA-qualified "high deductible health plan" (HDHP) to
open and contribute to an HSA. Federal law requires that in 2008 the health insurance
deductible be at least:
Single
Family
$1,100
$2,200
Out-of-pocket Maximum
Annual out-of-pocket expenses under the plan (including deductibles, co-pays, and co-
insurance) cannot exceed:
Single
Family
$5,600
$11,200
Contribution Maximurn
Contributions can be made to an HSA each year that an individual is eligible. Maximum
contributions between employee and employer for 2008 can not exceed:
Single
Family
$2,900
$5,800
Individuals age 55 and older can also make additional "catch-up" contributions of
up to $900 for 2008.
Tax-free transfers from an IRA to an HSA
A one-time irrevocable transfer from an IRA to an HSA will be allowed.
This allows for participants to jump start or pre-load their HSA savings account for health
care expenses they might incur before building up a HSA balance. Participants must
remain in an HDHP for 12 months following the transfer. No employer involvement is
necessary.
Presented by: A.T. Group, Employee Benefits for Public Groups 1-877-902-8898
~
Medical expenses claimed for reimbursement must be used for the diagnosis, cure, mitigation, treatment or prevention of
disease or for the purpose of affecting any structure or function of the body. This is a partial listing of eligible medical expenses.
For a detailed list of eligible expenses, please refer to IRS Publication 502 - Medical and Dental Expenses.
Medical Expenses
o Abortion
o Acupuncture
o Ambulance
o Artificial Limb/Prosthesis
o Chiropractor
o Christian Science Practitioner
o Chronically III Individual
o Fertility Enhancement
o Health Institute (prescribed by a physician)
o Hospital Services
o Laboratory Fees
o Medical Co-pay
o Medical Deductible
o Medical Equipment (wheelchair, crutches, etc)
o Medical Equipment Operation & Upkeep
o Medical Services (physician, specialist, inc)
o Osteopath
o Oxygen & Oxygen Equipment
o Physical Therapy
o Sterilization
o Surgery/Operations
o Transplants (payments for donor or by donor)
o Vasectomy
o Wig
oX-ray
o Other Medical (must provide description)
Hearing Impairment
o Hearing Guide Animal
o Hearing Aids
o Special Education for Hearing Impaired Individual
o Telephone/Telephone Equipment
o Television-adaptor or special equipment
o Other Hearing Impairment (must provide description)
Mental Health, Chemical Dependency & Special Education
o Alcoholism (including transportation cost to meetings, meals &
lodging provided by center
o Drug Addition (inpatient, including meals & lodging)
o Learning Disability (physician recommended program)
o Psychoanalysis
o Psychologist
o Special Education & Schools (for mental or physical disability)
o Stop-Smoking Programs & associated prescription drugs
o Therapy (development, such as pattering exercises)
o Other Mental Health, Chemical Dependency & Special Education
(must provide description)
Nursing & Lifetime Care
o Disabled Dependent Care Expense (not claimed as child care)
o Home Care/Nursing Services
o Mentally Retarded-Special Home
o Nursing Home
o Nursing Services (including taxes paid for nurse)
o Other Nursing & Lifetime Care (must provide description)
Drugs & Medicine
o Insulin
o Prescription medication co-pay/cost
o Over -the-counter medication
o Other Drugs & Medicine (must provide description)
Capital Expenses (Special Equipment & Improvement)
o Car-Special equipment or design
o Home Improvements
o Lead-based Paint Removal
o Other Capital Expenses (must provide description)
Dental
o Artificial Teeth
o Dental Treatment (non-cosmetic)
o Orthodontic Care
o Dental Co-pay
o Dental Deductible
o Other Dental (must provide description)
Travel for Medical Necessity
o Lodging
o Meals (inpatient care)
o Medical Conferences (admission & transportation only)
o Mileage for personal transportation
o Transportation for Medical Care (bus, taxi, train, plane, tolls)
o Other Travel for Medical Necessity (must provide description)
Vision
o Braille books & magazines
o Contact lenses
o Eyeglasses
o Optional Eye Surgery (e.g. Lasik)
o Required Eye Surgery (e.g. cataract surgery)
o Seeing Eye Animal
o Special Education for visually impaired individual
o Vision Co-pay
o Vision Deductible
o Other Vision (must provide description)
Miscellaneous
o Legal Fees (necessary to authorize treatment for mental illness)
o Medical Information Plan (computer retrieval)
o Tuition (when charges for medical care are included)
o Weight-Loss program to treat diagnosed disease
Insurance
o COBRA premiums
o Long Term Care Insurance
o Health Coverage while drawing unemployment compensation
o Insurance premiums
Note: Items such as: vitamins, nutritional supplements, toiletries, weight-
loss products, cosmetic dentistry (whitening), etc. are NOT reimbursable
items without a doctor's note recommending the product because it will treat
a specific medical ailment.
Medical expenses claimed for reimbursement must be used for the diagnosis, cure, mitigation, treatment or prevention of
disease or for the purpose of affecting any structure or function of the body. This is a partial listing of eligible medical expenses.
For a detailed list of eligible expenses, please refer to IRS Publication 502 - Medical and Dental Expenses.
Medical Expenses
o Abortion
o Acupuncture
o Ambulance
o Artificial LimblProsthesis
o Chiropractor
o Christian Science Practitioner
o Chronically III Individual
o Fertility Enhancement
o Health Institute (prescribed by a physician)
o Hospital Services
o Laboratory Fees
o Medical Co-pay
o Medical Deductible
o Medical Equipment (wheelchair, crutches, etc)
o Medical Equipment Operation & Upkeep
o Medical Services (physician, specialist, inc)
o Osteopath
o Oxygen & Oxygen Equipment
o Physical Therapy
o Sterilization
o Surgery/Operations
o Transplants (payments for donor or by donor)
o Vasectomy
o Wig
oX-ray
o Other Medical (must provide description)
Hearing Impairment
o Hearing Guide Animal
o Hearing Aids
o Special Education for Hearing Impaired Individual
o TelephonelTelephone Equipment
o Television-adaptor or special equipment
o Other Hearing Impairment (must provide description)
Mental Health, Chemical Dependency & Special Education
o Alcoholism (including transportation cost to meetings, meals &
lodging provided by center
o Drug Addition (inpatient, including meals & lodging)
o Leaming Disability (physician recommended program)
o Psychoanalysis
o Psychologist
o Special Education & Schools (for mental or physical disability)
o Stop-Smoking Programs & associated prescription drugs
o Therapy (development, such as pattering exercises)
o Other Mental Health, Chemical Dependency & Special Education
(must provide description)
Nursing & Lifetime Care
o Disabled Dependent Care Expense (not claimed as child care)
o Home Care/Nursing Services
o Mentally Retarded-Special Home
o Nursing Home
o Nursing Services (including taxes paid for nurse)
o Other Nursing & Lifetime Care (must provide description)
Drugs & Medicine
o Insulin
o Prescription medication co-pay/cost
o Over-the-counter medication
o Other Drugs & Medicine (must provide description)
Capital Expenses (Special Equipment & Improvement)
o Car-Special equipment or design
o Homelmprovemenffi
o Lead-based Paint Removal
o Other Capital Expenses (must provide description)
Dental
o Artificial Teeth
o Dental Treatment (non-cosmetic)
o Orthodontic Care
o Dental Co-pay
o Dental Deductible
o Other Dental (must provide description)
Travel for Medical Necessity
o Lodging
o Meals (inpatient care)
o Medical Conferences (admission & transportation only)
o Mileage for personal transportation
o Transportation for Medical Care (bus, taxi, train, plane, tolls)
o Other Travel for Medical Necessity (must provide description)
Vision
o Braille books & magazines
o Contact lenses
o Eyeglasses
o Optional Eye Surgery (e.g. Lasik)
o Required Eye Surgery (e.g. cataract surgery)
o Seeing Eye Animal
o Special Education for visually impaired individual
o Vision Co-pay
o Vision Deductible
o Other Vision (must provide description)
Miscellaneous
o Legal Fees (necessary to authorize treatment for mental illness)
o Medical Information Plan (computer retrieval)
o Tuition (when charges for medical care are included)
o Weight-Loss program to treat diagnosed disease
Insurance
o COBRA premiums
o Long Term Care Insurance
o Health Coverage while drawing unemployment compensation
o Insurance premiums
Note: Items such as: vnamins, nutritional supplements, toiletries, weight-
loss products, cosmetic dentistry (whitening), etc. are NOT reimbursable
items without a doctor's note recommending the product because it will treat
a specific medical ailment.
6<2
H
Below are the new HSA high deductible healthcare plan (HDHP) minimums and contribution
maximums for 2008.
HDHP Minimum Deductible since
You must have coverage under an HSA-qualified "high deductible health plan" (HDHP) to
open and contribute to an HSA. Federal law requires that in 2008 the health insurance
deductible be at least:
Single
Family
$1,100
$2,200
Maximum
Annual out-of-pocket expenses under the plan (including deductibles, co-pays, and co-
insurance) cannot exceed:
Single
Family
$5,600
$11,200
Ccmtribution
Contributions can be made to an HSA each year that an individual is eligible. Maximum
contributions between employee and employer for 2008 can not exceed:
Single
Family
$2,900
$5,800
Individuals age 55 and older can also make additional "catch-up" contributions of
up to $900 for 2008.
TaxAree transfers from an IRA to an HSA
A one-time irrevocable transfer from an IRA to an HSA will be allowed.
This allows for participants to jump start or pre-load their HSA savings account for health
care expenses they might incur before building up a HSA balance. Participants must
remain in an HDHP for 12 months following the transfer. No employer involvement is
necessary .
Presented by: A.T. Group, Employee Benefits for Public Groups 1-877-902-8898
Health Savings Account (HSA) Employer Application
Please mail completed form to:
Wells Fargo Health Benefit SeNices, NW 5613, P.O. Box 1450, Minneapolis, MN 55485-5613
Company Information
Name City of Centerville
Street Address 1880 Main 8t
City Centerville State M N IZiP 55038
Federal Employer Tax 10 41-1267014 State d Incorporation MN
Websile Address Plan Effective Date 1/1/2008
Plan Name I Carrier ID/Group No. (W required by carrier)
Employer Entity (check one)
o C Corporation o S Corporation o Partnership o Sole Proprietorship o Nonprofit Organization o Limited Liability Corporation IiIG",ernment Entity or Church
HSA Contact Information
This should be the person at your company who will I9Celve HSA communication.
Main Contact Title
Phone (area code) 651-429-32321 Fax (area code) 651-429-8629 E-mail
The USA PATRIOT ACT OF 2001 requires f1nanclallnstltuttons to obtain. verify and record Information to eonflrm the Identity of each Individual or entity that opens an aeeount. What
this means for you: before you open an account, we will ask for your name, address, dat9 of birth (If you are an Individual). taxpayer identlfleatlon number (TIN), and other Informa1lon
tha1 will allow us to Identify you. For entities. opening new aceounts. we Will ask you for documentation tha1 may Inelude annual reports. government Issued business lIeenses or
pertnershlp agreements.
IE I certify that the purpose and funds for this aceount are for a Health Savings Aeeeunt (HSA).
If no. please explain:
What Is the source of the funds maintained In the account:
~ Payroll 0 Personal Funds 0 Other - If other, please explein:
How were you referred to Wells Fargo:
Payroll Information
Payroll is Prepared Company Payment Options
l!J In House o Check
o Outsourced (speOOy payroll company) [8 Wire/ACH
o Draw
Payroll Contact John Meyer Hie Finance Director
Phone grea code) I Ftf5"i':.4:m~8629 E-mail jmeyer@centervillemn.com
51-429-3232
Administrative Information
Administrative Fee Payment By Number of Employee Enrollment Kits Requested
o Company
I!I Participant Monthly Administrative Fee
o Other (specify): $ 4.25 per account
Available Health Plans
A Wells Fatga HSA can onlv be offered In conjunction with a high deductible hefllth plan.
1. Plan Name
Wells Fargo Employer HSA
2. Plan Niame
3. Plan Name
HSA-ERA
3/1512006
CONFIDENTIAL ONCE COMPLETED AND RETURNED
$
Authorization and Payment .
I hereby authorize WeDs Fargo Health Benefit Services to provide services based on the information provided within this application.
X
Signature of Company Representative Date
Broker Information (if you did not use an broker to establish this relationship, please skip this section)
Broker Name Allan T. Roth I B763~54~8898e)
Broker E-mail Address
al.roth@at-group.net
Wells Fargo Internal Use Only
Account # 58# Signed Documents Received:
o Contract o Document o Fee Schedule
o SWeep Agreement o Signers o Communications
Vendor # BC# Document Packet Sent On Live Data for Card (45 days):
Processor Relationship Manager
Approved By Approval Date
Web site: www.wfhbs.com
Phone: (866) 890-8309
-
-
HSA-ERA
3/1512006
CONFIDENTIAL ONCE COMPLETED AND RETURNED
/P()
Health Savings Account (HSA) Administrative Services
Agreement
This Administrative Services Agreement is entered into this _ day of _,20_ by and between Wels Fargo Bank, N.A. (Wells Fargo) and _ (Employer).
\l\lHEREAS, Employer intends to offer fts employees a high deductible heaith plan and to make available to Is employees health savings acoounts described in section 223 of the
Internal Revenue Code (HSAs), to which it may make contributions, including deferral contributions from its employees' salary, from time to time: and
\l\lHEREAS, Wells Fargo, a national banking assooiation is qualified to act as the trustee of HSAs as defined in section 223(d)(1 )(8) of the Internal Revenue Code, provides trustee
and administrative services to HSAs: and
\l\lHEREAS, Wells Fargo will act as Trustee for HSA Plans offered to the HSA Owner and provide related services to the Employer for purposes offunding or providing HSA Plans to
their employees: and
\l\lHEREAS, Employer desires to engage the services of Wells Fargo to provide such services and Wells Fargo desires to provide such services.
NOW THEREFORE, for and in consideration of their mutual promises herein contained and other valuable consideration, the parties covenant and agree as follows:
1. Wells Fargo's Duties. Service provider shall:
1.1 Open and maintain an HSA in the name of the Trustee for the benefrtofthe HSAOwner.
1.2 Accept HSA contributions from employer and HSA Owner, including transfers from other fmancial institutions, up to the maximum amount anowed by law.
1.3 Hold in the HSA aD cash contributed and gains and losses attributable thereto for the exclusive purpose of paying qualified medical expenses of the HSA Owner
pursuant to the provisions of section 223 ofthe Internal Revenue Code.
1.3 Act upon the written directions of the HSA Owner, including sett6ng investment transactions and making distributions from the HSA, provided that directions given in
electronic form shaD be treated as written directions.
1.4 Maintain HSA Owner records reflecting an inventory of the assets of each HSA Acoount, all activity transacted during the previous year and a mamet value of tha
assets of the HSA Acoount.
1.5 Prepare and deUver reports, including a report, setting forth the fair market value of the HSA Account, together with particulars of purchases, sales, receipts, income,
loss, and other transactions, and customary confirmations whenever transactions occur, or as othelVl.4se required by laW; provided that such reports may be delivered
electronically to the extend permitted by law and agreed upon by the parties.
1.6 Take direction from the HSA Owner with respect to the voting or tender of proxy materials.
1,7 Preparetaxfeporting withrespecl to oontribulions and distribulionsas JeqUired by thelntemal Revenue Code and applicable Jaw (Forms 5498-SA and1099-SA).
1.8 Provide copies of an HSA governing instrument to HSA Owners, together with disclosures as required by law (HSA Plan) and maintain the HSA Plan in compliance
with applicable law.
1.9 Provide and servica debit cards or stored-value cards as permitted by law.
2. Powers of Wells Fargo. The service provider is authorized and empowered to:
2.1 Receive and rely upon payron and allocation data from the Employer.
2.2 Hold assets in its own name or the name of a nominee for the exclusive benefrt of the HSA Owner.
2.3 Make, execute, acknowledge, and deliver any and aD documents of transfer and conveyance and any other instruments that may be necessary or appropriate to carry
out the Trustee duties and powers.
2.4 At the direction of the HSA Owner, invest the HSA Account in mutual funds, including mutual funds for which it provides services, including investment advisory
services and receives compensation, as disclosed to the Employer and HSA Owner.
3. Employer Duties. Employer shall:
3.1 Provide Service Provider information regarding each employee who establishes an HSA as required by law.
3.2 Promptly remit contributions, including salary deferral contributions, and allocation Instructions as required by law and agreed by the parties.
3.3 Provide Service Provider information regarding termination of employment and expiration of COBRA coverage.
4. Reports. Service Provider shan furnish to Employer within 30 days aller the end of the year, or as otherwise agreed, such service reports as the parties mutually agree.
5. Fees. In consideration for Is services, Service Provider shall receive compensation a6 set below. Such fees shall be paid by the Employer, but to the extent not paid by the
Employer by the HSA Owner or the HSA, as mutually agreed by the parties. To the extentlhat such fees are paid by the HSA Owner or the HSA, they shall be fully disclosed in
advance to the HSA Owner. The monthly administrative fee is $4.25. This fee includes claim payment, reimbursements to participants via check or ACH, reports to the participants
and the employer, and Investments using the OmniPlus system. These fees also include the Wells Fargo HSA deb. card.
6. Authorized Representatives. Employer shan furnish a list to the Service Provider (which list shan be amended time to time as changes occur) of persons authorized to act on
behalf of Employer for the purpose of transmitting contributions and instructions to the Service Provider.
7. Distributions. At the direction of the HSA Owner, Service Provider shan make distributions in the form designated by the HSA Owner and permitted by the HSA Plan.
8. Inquiries and Requests. Service Provider shall designate a contact to be responsible for responding to all inquiries and requests made by HSA Owners or by the Employer with
respect to HSAs.
HSA AdmInistrative Agreement
Page 1
!;;)
9. Resignations. If at any time Servioe Provider resigns as Trustee with respecllo any or aD HSAs, Service Provider may at leasl 60 days prior to such resignation give Employer
written notice and Employer shall promptly distribute such notice to all affected HSA ONners as provided in the HSA Plan and in a form and content satisfactory to the Trustee.
Trustee shall continue to perfonn such duties and obligations and to exercise its rights with respect to such HSAs until its resignation takes effect and the HSA assets have been
transferred to a successor Custodian or Trustee.
10. Representations of Authority. The undersigned hereby represents and warrants that he or she has been duly authorized by the Board of Directors of Employer to sign this
agreement.
11. Amendment and Termination. This Agreement may be amended by written agreement of the parties at any tme. This Agreement shall continue in effect unless or untU
terminated by either party upon 60 days' written notioe to the other party.
12. NotIces. Notices to the Service Provider shall be directed and mailed as follows:
Wells Fargo Heaith Benefd Services
P.O. Box 45600
Sait Lake City, UT 84145-0600
Attn: H8S Transition
Notices to Employer shall be directed and maUed as follows:
City of Centerville
HSA Administrator
1880 Main St
Centerville, MN 55038
13. Service Provider. Servioe Provider is authorized to accept directions and/or data transmitted to the Service Provider through the fonawing means by authorized representatives,
including duly appointed third parties, of the Account listed below.
13.1 Facsimile Transmissions. The Service Provider is authorized to act on written direction conveyed by facsimile transmission, notwithstanding the fact that such
direction does not bear an original authorized signature, provided the direction acted upon: (i) appears to be signed by a person(s) entitled to give binding instructions to the
Service Provider, and (ii) is consistent with the established authority of such person(s).
13.2 EledronlcDlrecttonfOata Transmissions:. The Service ProvideiiSauthoriZedto aCt on writiendirections or data transmissions conveyed by electronic mail or other
electronic means nolvvflhstanding the fact that such directions or data do not bear an authorized signature, provided the directions or data acted upon: ~) appear to have
been sent from the computer of a person(s), or by a person(s), entitled to give binding directions to the Service Provider, and (ii) are consistent with the established authority
of such person(s).
13.3 Acknowledgement. The undersigned acknowledges its responsibility for the accuracy and completeness of the facsimile. electronic direction and electronic data
transmissions it submits to the Service Provider, including facsimile or electronic direction/data transmissions from duly appointed third party agents, and is solely responsible
for any adverse consequences that may result from errors or ineccuracies caused by the quality of such facsimile or electronic direction/data transmissions. The Service
Provider may fully rely on any facsimile or electronic direction/data transmission received, and shall have no obligation to review it or verify its accuracy.
The undersigned understands the risk associated with communicating time sensitive matters, such as trade directions, by facsimile or electronic means and acknowledges
that, if it elects to do so, the Service Provider will act within a reasonable time of receipt of the facsimile or electronic direction/data transmission by the person(s) to whom it
was sent.
The undersigned further acknowledges that directions and data provided under this agreement may be less confidential than directions and data transmitted by other
methods. The Service Provider shall not be liable for any loss of the confidentiality of directions and data prior to receipt by the Service Provider.
13.4 Indemnity. The undersigned, as qualified representative of the Account, agrees to indemnify and hold harmless Service Provider, its agents, affiliates, successors and
assigns from and against any liability, claim, loss or expense it may directly or indirectly incur as a result of its good faith efforts in follcwing facsimile or electronic
direction/data transmissions and/or any action or inaction of the Service Provider based on such facsimile or electronic direction/data transmissions received from authorized
parties, including duly appointed third parties, regarding this Account. This authorization shaa continue in effect until revoked or amended in a writing delivered to the Service
Provider. However, the indemnity for any actions taken by the Service Provider based on facsimile or electronic direction/data transmissions received wh~e this agreement
was in effect shall survive tha cancellation of this agreement and the termination of the Account.
14. Dispute Resolution. The parties shall cooperate In good faith to resolve any and all disputes (each, a "Dispute") that may arise under or in connection with this Agreement. The
existence or resolution of any Dispute as to a matter shail not reduce or otherwise affect the payment or performance by Employer or Custodian of their obligations under this
Agreement as to any other matter, unless pursuant to the terms of any such resolution. Employer and Service Provider shall attempt in good faith to resolve any Dispute arising out
of or relating to this Agreement promptly by negotiation between executives who have authority to settle the oontroversy and who are at a higher level of management than the
persons wlh direct responsibnity for administration of this Agreement. Either party may give the other party \Witten notice of any Dispute nol"resolved In the normal course of
bustness. Within fifteen (1 S) days after delivery of the notice, the receiving party shan submit to the other party a written response. The notice(s) and the response(s) shali each
include (i) a statement of each party's position and a summary of arguments supporting that position, and (n) the name and title of the executive who will represent that party and of
any other person who win accompany the executive. IMthin thirty (30) days after delivery of the disputing party's notice(s), the executives of the parties subject to the dispute shaD
meet at a mutualiy acceptable time and place, and thereafter as often as they reasonably deeni necessary to attempt to resolve the Dispute. All reasonable requests for information
made by one party to the other win be honored. If the matter has not been resolved within sixty (60) days of the disputing party's notice, or if the perties fail to meet within thirty (30)
days, either Party may submit the controversy or claim for arbitration in the manner set forth in Section 15.
15. Arbitration. If the parties are unable to resolve any Dispute as contemplated by Section 14 of this Agreement, such Dispute shan be resolved by binding arbitration in
accordance with the terms of this Section as set forth below. Any party may by summary proceedings, bring an action in court to compel arbitration of a Dispute. Any party who fails
or refuses to submit to arbitration following a lawful demand by any other party shan bear all costs and expenses incurred by such other party in compelling arbitration of any Dispute.
HSA Administrative Agreement
Page 2
hJ-,
15.1 GovernIng Rules. Arbitration proceedings shall be administered by the American Arbitration Association ('AAA, or such other administrator as the parties shaD
mutually agree upon. Arbitration shal be conducted in accordanca with the AAA Commercial Arbitration Rules. If there is any inconsistency betNeen the terms hereof and
any such rules, the terms and procedures set forth herein shag control. AI Disputes submitted to arbitration shall be resolved in accordanca with the Federal Arbitration Act
(Tdle 9 of the United States Code). The arbitration shall be conducted at a location in Minnesota selected by the AAA or other administrator. All statutes of limitation
applicable to any Dispute shan apply to any arbitration proceeding. AI discovery activities shan be expressly Bmited to matters di"ectly relevant to the Dispute being
arbitrated. Judgment upon any award rendered in an arbitration may be entered in any court having jurisdiction; provided however, that nothing contained herein shall be
deemed to be a waiver, by any party that is a bank, of the protections afforded to . under 12 U.S.C. S910r any similar applicable state law.
152 No Waiver; PrOvisional Remedies. No provision hereof shall limit the right of any party to obtain provisional or ancillary remedies, including without limitation
injunctive re6et, attachment or the appointmerd of a receiver, from a court of competent jurisdiction before, after or during the pendency of any arbitration or other proceeding.
The exercise of any such remedy shall not waive the right of any party to compel arbitration or reference hereunder.
15.3 Arbitrator Qualifications and Powers; Awards. Arbitrators must be active members of the Minnesota State Bar or retired judges of the state or federal judiciary of
Minnesota, wih expertise In the substantive laws applicable to the subject matter of the Dispute. Each party shal select an Arbitrator, and each party's selected Arbitrator
shall then choose the presiding Arbitrator. Arbitrators are empowered to resolve Disputes by summary ruUngs in response to motions filed prior to the final arbitration
hearing. Arbitrators (I) shall resolve all Disputes in accordance with the substantive law of the state of Minnesota, (10 may gram any remedy or relief that a court of the slate
of Minnesota could order or grant within the scope hereof and such ancillary relief as is necassary to make effective any award, and (Iii) shall have the power to award
recovery of all costs and fees, to impose sanctions and to take such other actions as they deem necessary to the same extent a judge could pursuant to the Federal Rules of
CivU Procedure, the Minnesota Rules of Civil Procedure or other applicable law. Any dispute in which the amount in controversy is $5,000,000 or less shall be decided by a
single arbitrator who shall not render an award of greater than $5,000,000 (including damages, costs, fees and expenses). By submission to a single arbitrator, each party
expressly waives any right or claim to recover more than $5,000,000. Any Dispute in which the amount in controversy exceeds $5,000,000 shall be decided by majority vote
of a panel of three arbitrators; provided however, that all three arbitrators must actively participate in an hearings and deliberations.
15.4 Judicial Review. Notwithslanding anything herein to the contrary, in any arbitration in which the amount in controversy exceeds $5,000,000, the arbitrators shall be
required to make Specif"lC, written findings of fact and conclusions of law. In such arbitrations (0 the arbitrators shall not have the power to make any award which is not
supported by substardial evidence or which is based on legal error, (i1) an award shall not be binding upon the parties unless the findings of fact are supported by substantial
evidenca and the conclusions of law are not erroneous under the substantive law of the state of Minnesota, and (Iii) the parties shall have in addition to the grounds referred
to in the Federal Arbitration Act for vacating, modlying or correcting an award, the right to judicial review of (A) whether the findings of fact rendered by the arbitrators are
supported by substantial evidence, and (B) whether the conclusions of law are erroneous under the substantive law of the slate of Minnesota. Judgment confirming an
award in such a proceeding may be entered only if a court determines the award is supported by substantial evidence and not based on legal error under the substantive law
ofthe state of Minnesota.
15.5 Damages. The arbitrator(s) wil have no authority to award punitive or other damages not measured by the prevailing party's actual damages, except as may be
required by statute. The arbitratores) shaH not award consequernial damages in any arbitration initiated under this Section. Any award In an arbitration under this Section
shall be limited to monetary damages and shall include no injunction or direction to any party other than the direction to pay a monetary amount.
15.6 Miscellaneous. To the maximum extent practicable, the AAA, the arbitrators and the parties shall take all action required to conclude any arbitration proceeding within
180 days of the fjing of the Dispute with the AAA. No arbitrator or other party to an arbitration proceeding may disciose the existence. content or results thereof, except for
disclosures of information by a party required in the ordinary course of its business, by applicable law or regulation, or to the extent necessary to exercise any judicial review
rights set forth herein. This arbitration provision shall survive termination, amendment or expiration of this Agreemerd or any relationship between the parties.
16. Governing Law. Except to the extent that (ederal tax laws apply or as otherwise specifically set forth in Section 16, this Agreement and all transactions hereunder shaM be
governed by and construed in accordance with the laws of the State of Minnesota.
17. Resolution of Conflict. If there are any conflicting provisions between this Agreement and the HSA Plan with respect to which the Service Provider is a party, the terms of the
HSA Plan shall prevail.
18. Assign ability. Employer may not assign its interest in this Agreement to any other person, except as expressly consented to in writing by Service Provider.
19. Invalidity. If any provision of this Agreement shall be heid invalid or unenforceable, such holding shall not affect the vaUdity or enforceability of any other provisions thereof, all of
which other provisions shall in such case remain in full force and effect.
20. Binding Effect. This Agreement shal be binding on the successors of the parties hereto.
IN WITNESS WHEREOF, the parties hereto have executed this Agreemerd effective as ofthe day and year fjrst written above.
EMPLOYER SERVICE PROVIDER
City of Centerville Wells Fargo Bank, National Association
By By
X
Title Title
HSA Administrative Agreement
Page 3
tf;3
Health Savings Account (HSA) Authorized Signature List
The persons listed below are authorized by your company to provide direction to Wells Fargo
regarding your company'sHSA plan.
Company Infonnation
Citv of Centerville
I ~e
Company Name
List
Name Tille Signature
Dallas Larson Administrator X
Name nle Signature
John Meyer Finance Director
Name Tille Signature
Mary Capra Mavor
Name nle Signature
The _ signatures wr~ten above are the signatures of the person holding the t~le(s) indicated.
Signature of Authorized Official
City of Centerville
Name 0/ Company 01 Institution
Date
HSA-ASL
311512006
&!-
STATE OF MINNESOTA
COUNTY OF ANOKA
CITY OF CENTERVILLE
RESOLUTION # 07-xxx
A RESOLUTION ADOPTING WELLHEAD PROTECTION PLAN
WHEREAS, subsequent to duly given mailed and published notice, the City Council held
a public hearing on November 14, 2007 and considered public comments received during
the comment period and during the public hearing, regarding the "DRAFT' "WELLHEAD
PROTECTION PLAN, PART 2," and
WHEREAS, subsequent to the public hearing the City administrator has modified the plan
as appropriate in response to comments and input received during and prior to the public
hearing.
NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF
CENTERVILLE, MINNESOTA:
1. The WELLHEAD PROTECTION PLAN, PART 2, dated December 12,
2007, is hereby adopted.
2. That the City Administrator shall file the final document in his office as well
as file copies with the Minnesota Department of Health, Anoka County and
with Metropolitan Council.
PASSED AND ADOPTED by the City Council this 12th day of December, 2007.
Mayor, Mary Capra
Attest:
Teresa Bender, City Clerk
~5
F.Y.I
(,
~ Dee 84 2887 15:46:57 Vi. Fox
-}
Adlllin istra.tor
Pa.ge 881 Of 881
Leadership Conference
for Experienced
. Officials
UJ\GUE OP
MINNESOTA
CITIES
Building Public Confidence:
Everyday Ethics for Minnesota Public Officials
Bloomington
Jan. 18-19, 2008
Learn to navigate through a sea of ethical uncertainties!
Registration fee:
$210 (includes meals
and materials)
As a city offical, you often face situations for which it's hard to find
the right answer. Join Judy Nadler-former mayor of Santa Clara, CA
and senior fellow at the Markkula Center for Applied Ethics at Santa
Clara University-in exploring the fundamentals of government ethics
and learning ways to navigate tough, ethical dilemmas through inter-
active exercises with your peers.
In just two days, your city team-city manager/administrator/clerk
and elected officials-will:
Platinum-Level Sponsor:
RBC Dain Rauscher
4M FUnd Administrator
· Gain a framework for ethical decision-making
· Work interactively In groups to create your own ethical
sol utlons
· Learn from real-llfe ethical case studies
· Build camaraderie with your city colleagues
· Leave with a concrete plan for creating, strengthening,
and maintaining a culture of ethics in your organization
Gold- Level Sponsors:
Ehlers & Associates, Inc.
PMA Financial Network
4M FUnd Administrator
Voyageur Asset Management
4M FUnd Administrator
As you and your city team explore the concept of ethics, you'll also
develop a strong sense of camaraderie, gaining a firm foundation on
which to build, strengthen, and maintain a culture of ethics.
Register online at: www.lmc.org
BRING YOUR TEAM!
This conference is for elected officials and top staff-city managers/ administrators/ clerks
CITY OF CENTERVILLE
AfONTHL Y ENGINEER'S REPORT
For December 12, 2007 City Council Meeting
Italics = New information.
Normal = No change from last report.
1. Pheasant Marsh 31'1I Addition (000616-03134-0). The trail has been patched to correct
drainage problems. Minor restoration and approval of record plans remain before the contract
can be finalized. James R Hill has been notified and currently making changes on Record
Plans.
2. Hunten Crossing 31'1I Addition (000616-05141-0). All construction work has been completed
and approved Afile with the Final Pay Request. IC-J 34 's. and Final Approved Punch List has
been turned into the City and is recommended by Bonestroo for Final Payment.
3. 21- AvenueIBaekage Road (000616-0S143-0). Retainage bas been reduced and the contract
will remain open until the topsoil pile is removed. The City Contractor is placing sand fill on
Parcel D after the Contractor from the CSAH 14 finished filling the building pad to grade. The
City Contractor is also placing and spreading topsoil over the finished grade area on Parcel D.
4. Old Mill Road Improvements (000616-06147-0). Restoration and Bituminous Base Course
paving has been completed Our inspectors are currently going through the project and
compiling a punch list for the Contractor. Wear Course paving remains and will be finished in
the Spring.
S. Fairview Street Improvements (000616-06148-0). All construction work has been completed
and approved Afiie with the Final Pay Request. IC-134 's. and Final Approved Punch List has
been turned into the City and is recommended by Bonestroo for Final Payment.
6. B10tk 7 Redevelopment Grading and Utility Improvements (000616-06152-0). The
Contractor has completed their correction work that was required
7. Centerville TOWDOt1ke Park till Addition (000616-06152-0). Our inspectors are currently
going through the project and compiling a punch list for the Contractor.
8. Oearwater Creek Estates (Hauzal Property) (000616-06154-0). Grading is substantially
complete.
9. IDdden Spring Park (000616-07155-0). All items on our list discussed at the last council
meeting should be completed by the 12th with the exception of the rain garden plant
replacements which will be held over until spring. The shoreline will receive some temporary
fixes this fall with plant replacements next spring.
10. Downtown Overltead Power Relocation (000616-07156-0). The south ROW of Heritage
Street has been staked. Negotiations with homeowners continue.
11. Comprehensive Plan (000616-07157-0). A public open house was held on November 13th to
share the alternatives that the PlQlUlinv rommissinn and ritv roundl has develoned for the
Comprehensive Pian. Bonestroo is summarizing the comments collected from the Open House
and beginning the process of drafting the Comprehensive Plan Update. Final decisions on
land use alternatives will be made when the Planning Commission and City Council review the
draftplan.
12. 2009 Street and Utility Improvements (000616-07158-0). A public Open House was held on
October 4*. The Council reviewed numerous issues at a workshop on October 24*. The
Feasibility Report is being revised to reflectJincorporate public comments and council
concerns. The Feasibility Report should be adopted and a public hearing should be scheduled.
Preliminary survey work has begrm mostly just consisting of locating property comers and
setting control because of the recent snow fall events. We are working with the private utility
locators the best we can to get private utilities located and surveyed before a future snow fall
covers the marks again.
13. CSAH 14 Construction Services (000616-07159-0). Water main and Forcemain work
between the lakes is complete. All City relocation work will resume next spring. The
Contractor has shut down their crews until next spring also.
14. Downtown Redevelopment Comprehensive Infrastructure Plan (000616-07161-0). A drqft
of the Plan has been presented to the Developer and the City. We are currently waiting on
comments and direction from the Developer.
15. Downtown Redevelopment Environmental Assessment Worksheet (EA W) (000616-07162-
0). City Council passed Resolution #07-047 adopting the Findings of Fact and Record of
Decision, with amendment, for the Centerville Downtown Redevelopment Project EA. W on
November 28, 2007, thus making a Negative Declaration on the Need for an Environmental
Impact Statement (EIS). The amendment was incorporated into the final document and copies
were distributed to the agencies that submitted comments on the EA. W and to the agencies on
the EA. W Distribution List. As of the November 28 decision, the project is free to proceed to
permitting and construction. A Notice of the Negative Declaration will be published in the
December 17, 2007 edition of the EQB Monitor. As long as no agency files an objection to the
Negative Declaration in District Court during the 3O-day objection period, the EA W process
for the Centerville Downtown Redevelopment project is complete.
16. Miscellaneous
- Emi of memo-