HomeMy WebLinkAbout2005-11-09 CC Packet
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CITY COUNCIL WORK SESSION
& MEETING
Wednesday, November 9, 2005
6:30 P.M.
COUNCIL MEETING
L CALL TO ORDER
1. Roll Call
n. APPROVAL OF AGENDA
m. APPROVAL OF COUNCIL MINUTES
1. October 26, 2005 City Council Meeting Minutes (page 1-8)
IV. CONSENT AGENDA
1. City of Centerville October 27, 2005 through November 9, 2005 Claims
(page 9)
2. Embedded Systems, Inc. - Annual Siren Maintenance Agreement
($34.65/SirenIMontb) (page 10-11)
3. Successful Completion of Year 1, Finance Director & Recommendation for
Step Increase to Step 9, Grade 9
4. Parks & Recreation Committee Request for Funding for Horse Drawn
Hayrides for Two (2) Skate Night Activities - Not to Exceed $1,000 (page
12-13)
V. A WARDSIPRESENTATIONS/APPEARANCES
1. Mr. Paul Keleber - Sedona Townhomes
a. Boundary Line (page 14-16)
b. Anoka County Required Tum Lane (Page 16a)
c. Concept Review - Phase n
VL PUBLIC HEARINGS
1. Delinquent Utilities (Water, Sewer & Garbage) - Resolution #05-054 (page
17-19)
Vll. NEW BUSINESS
1. Liquor and Tobacco Renewals (2006) (page 20-123)
2. Set Agenda & Attachments
VIll. OLD BUSINESS
1. Personnel Policy - Resolution #05-053 (page 124-171)
2. 1601 LaMotte Drive (Update)
3. CSAH14 Memorandum of Understanding (Update)
IX. ANNOUNCEMENTS/UPDATES
1. City Administrator, Mr. Dallas Larson
2. Downtown Redevelopment Planning - Anoka County Library Branch
(Update) (page 172)
3. Mr. Duane Tbein - Book Donation
4. January Council Goal Setting
5. Successful Completion of Tobacco Sales Compliance Check (page 173)
6. Correspondence
X. ADJOURNMENT
* * REMINDERS * *
Downtown Taskforce/Steering Committee (Downtown Redevelopment) - November 15,
2005 (6:30 p.m.) (Centerville Elementary School)
Downtown Taskforce/Steering Committee (Downtown Redevelopment) - December 20,
2005 (6:30 p.m.) (Centerville Elementary School)
CITY OF CENTERVILLE
CITY COUNCIL MEETING
OCTOBER 26, 2005
6:30 p.m.
Pursuant to due call and notice thereof, the City of Centerville held their regularly scheduled
meeting on October 26, 2005, at City Ha1~ 1880 Main Street.
PRESENT: Mayor Mary Capra
Council Member Lakso
Council Member Paar
Council Member Richard Terway
ABSENT: Council Member Lee
STAFF: City Attorney Mr. Hoeft
City Engineer Mr. Peterson
City Administrator Mr. Larson
L CALL TO ORDER
Mayor Capra called the October 26, 2005, City Council meeting to order at 6:30 p.m.
n. SET AGENDA
The following items were added to the agenda:
Approval of October 24, 2005 City Council Special Meeting Minutes.
Consent Agenda: Add City of Centerville October 13, 2005 through October 26, 2005
Claims (page 14 & 14a); City Administrator's Attendance of the League of Minnesota
Cities Annual Conference (December 1,2 & 3, 2005) - $300 (page 27a-27c).
New Business: Ordinance #6 & Ordinance #6-A (Nuisance & Nuisance
Abatement/Ordinance #39 (Signage) - Enforcement (page 32a-32r); Evaluate Traffic
Speeds on Mill road
Old Business: Approval of Settlement Agreement (page 38a-38d); Economic
Development Committee (EDC) - Request for Disbanding and Turning Over Duties to
Council (page 38e).
Motion by Council Member Tenvay. seconded by CouncD Member Pur to aoorove
the a2.enda as amended. AD in favor. Motion carried unanimouslY.
/
city of Centerville
CoWlcil Meeting Minutes
October 26, 2005
Ill. A W ARDSIPRESENTATIONS/APPEARANCES
1. Mr. Roger Womer. Centennial School District Superintendent
Roger Womer, Centennial School District Superintendent, advised would like to return to
the Council at least once a year to provide an update on the school district. He stated he
does not have a report this evening but would like to address a couple of issues.
Mr. Womer noted he would like the Council to be able to tell residents that they confer
regularly with the Superintendent of the School District.
Mr. Womer provided his background noting the cost effectiveness of running five
elementary schools was an issue when he began with the district. He stated a task force
examined this issue and submitted a report. The report recommended no schools be
closed within the district.
Mr. Womer updated the Council on the district's current status in regard to operating
budget, size of district and the upcoming referendum. He noted 51 teachers have been
cut in the last few years while enrollment numbers have not decreased.
Mr. Womer stated on of his concerns is that a weakened school district weakens every
one of the communities involved with the school district.
Mayor Capra stated she worked on the task force prior to the building of Blue Heron
Elementary. At the time, the task force determined the building of that school was not
the answer to the long-term problem within the district. She thanked Mr. Womer for
addressing the Council this evening.
Mr. Womer distributed information regarding the school district's budget and possible
budget cuts.
IV. APPROVAL OF COUNCIL MINUTES
I. October 12. 2005 City Council Meeting Minutes
Mayor Capra requested the following changes: On page of 3 of 12, 2nd paragraph,
change City to County. On 2 of 12 and 3 of 12, change the spelling of Sivgarajah to
Sivarajah' On Page 5 of 12, 13th paragraph, change the first sentence to read Council
Member Lee asked how many are a necessity? On page 11 of 12, 1st paragraph, change
the first sentence to read the City buys the lot it reduces the value of the lot next door.
Motion bv Council Member Paar. seconded bv Council Member Lakso to approve
the October 12. 2005 City Council Meetine: Minutes as amended. All in favor.
Motion carried unanimouslv.
Page 2 of8
2
City of Centerville
Council Meeting Minutes
October 26, 2005
2. October 12. 2005 City Council Closed Work Session Meeting Minutes
Motion by Council Member Lakso. seconded by Council Member Terway to
aporove the October 12. 2005 City Council Closed Work Session Meetint! Minutes
as oresented. AU in favor. Motion caJTied unanimouslv.
3. October 24. 2005 City Council Special Meeting Minutes
Motion by Council Member Pur. seconded by Council Member Lakso to aoorove
the October 24. 2005 City Council Soecial Meetint! Minutes as oresented. All in
favor. Motion caJTied unanimouslv.
v. CONSENT AGENDA
1. City ofCenterville October 13,2005 through October 26,2005 Claims
2. Centennial Fire District October 13, 2005 Claims
3. Telemetry Process Contro~ Inc. Pay Request #2 for Supervisory Control and Data
Acquisition Project - $30,185.68
4. Telemetry Process Control, Inc. Change Order #1 for Supervisory Control and
Data Acquisition Project - $2,355.00
5. Maquire Iron, Inc. Pay Request #12 for 500,000 Gallon Elevated Water Tower-
$5,951.75
6. Parks & Recreation Committee Recommendation to Advertise and Hire for the
Position of Part- Time Ice Rink Attendants
7. Resolution #05-049 - Assessing Fees Associated with 6923 Tourville Circle
Cleanup (Housekeeping)
8. City Administrator's Attendance of the League of Minnesota Cities Annual
Conference (December 1,2 & 3,2005)
Motion by Council Member Tenvay. seconded by Council Member Pur to aoorove
the Consent A~enda as amended. All in favor. Motion carried unanimouslv.
VI. PUBLIC HEARINGS
None.
VB. NEW BUSINESS
1. Purchase of To po Maps from Lino Lakes ($4.200) - Entire Centerville
Mr. Peterson advised the purchase of the Topo maps from the City ofLino Lakes would
tie into the GIS system and provide Topo mapping for the entire City of Centerville at a
reduced price of $4,200.
Page 3 of8
3
City ofCenterville
Council Meeting Minutes
October 26, 2005
Motion by Council Member Terwav. seconded by Council Member Lakso to
aoorove the purchase of tooo maDS from Lino Lakes at a cost not to exceed $4.100.
All in favor. Motion carried unanimouslv.
2. Resolution #05-050 - The City Council Promoting the Use of Intrastate Mutual-
Aid Agreement
Mr. Peterson advised the Police Chief provided the information regarding the Use of
Intrastate Mutual-Aid Agreement. The Police Chief has been working with the County
on this issue. In order to qualify for the grant, all cities must approve the resolution.
Motion bv Council Member Lakso. seconded bv Council Member Pur to adoot
Resolution #05-050. the City Council Promotine: the Use of Intrastate Mutual-Aid
Ae:reement. All in favor. Motion carried unanimouslv.
3. Resolution #05-051 - The City Council Designation of the National Incident
Management System (NIMS) as the basis for All Incident Management in
Centerville
Mr. Larson advised this is another resolution to attempt to standardize a plan and have a
uniform system in place.
Motion bv Council Member Terwav. seconded bv Council Member Pur to adoot
Resolution #05-051. the City Council Detienation of the National Incident
Manae:ement System (NIMSl as the basis for All Incident Man..ement in
Centerville. All in favor. Motion carried unanimouslv.
4. Ordinance #6 & Ordinance #6A (Nuisance & Nuisance Abatement/Ordinance #39
(Signage) - Enforcement
Mayor Capra advised the City of Centerville has been on the local news in regards to
signage within the City. She stated she has had many calls today regarding this issue.
There were complaints relating to some signage on private property in public view.
Mayor Capra advised she did speak to the sign holders about the complaints. The sign
holders have agreed to take down three of the four signs. She stated that possibly that is
an acceptable solution due to the freedom of speech.
Mayor Capra asked if the Council would like to take any further action regarding this
issue.
Council Member Terway stated he believes Mayor Capra did a good job in handling this
situation. He stated that in the future he would like to see situations like this handled in
more of a neighborly fashion. He indicated he does not think any more action is
necessary.
Page 4 of8
1
City of Centerville
Council Meeting Minutes
October 26, 2005
Council Member Lakso agreed.
Council Member Paar stated he believes the signs that were displayed were wrong for the
City and very tacky. However, the Council has to support everyone in the City. He
noted he does not think there is any room in the City for this type of signage but Mayor
Capra did handle the situation well.
Council Member Paar continued stating one sign up is still not acceptable to him. He
would like to review the sign ordinance to avoid this type of issue in the future.
Mayor Capra stated the City does regulate adult content within the City. She indicated
she would like the Planning and Zoning Board to review the issue of signage on private
property in public view. She asked if the City could regulate that.
Mr. Hoeft stated the City does have some ability to regulate that to a certain extent. The
ordinances need to be reviewed and possibly be revised.
Mayor Capra asked City staff to have the Planning and Zoning Board review this issue.
5. Evaluate Traffic Speeds on Mill Road
Mayor Capra stated many residents are concerned about the speeds on Mill Road and the
fact that there are no stop signs on that roadway. She asked if the Council is agreeable to
request a speed study by the Police Department.
Council Member Terway stated speed studies are very valuable and do record the speeds
along with the times of those speeds. He agreed a speed study should be conducted.
Council Member Lakso stated she does not believe there is a speeding issue on Mill Road
but does think there are speed problems on adjoining roadways. However, she is
comfortable with a speed study being conducted on Mill Road.
Motion by Council Member TeNay. seconded bv Council Member Lakso for the
City or County to olace a sneed cart on Mill Road. where they deem necessarv. to
evaluate sneeds on that roadway. AU in favor. Motion carried unanimouslv.
vm. OLD BUSINESS
1. CSAH 14 Widening Project (Memorandum of Understanding)
Mr. Larson distributed the last draft of the Memo of Understanding received from the
County highlighting the County's changes as well as the City's changes.
Mr. Larson answered questions from the Council regarding the language within the
Memorandum of Understanding. He stated it seems as though the County will not do the
project if the City insists on a signal light at 21st Avenue.
Page 5 of8
s
City of Centerville
COlUlell Meeting Minutes
October 26, 2005
Mayor Capra made corrections to an article that was printed in the Quad Press regarding
this issue.
Mr. Larson reviewed the staff's changes to the document indicated he believes the
County will approve those changes.
Mr. Larson reviewed the revised concept plan for the Downtown Centerville project
noting the plan should be submitted to the County so they can incorporate it into their
plans for the CSAH 14 project.
The Council directed staff to discuss with the County the issue of the City conveying
property behind City Hall to the County, in return for the County convening property at
an equal marketable value within the City.
The Council directed that language be incorporated into the Memorandum of
Understanding and be emailed to all Council Member's.
Motion by Council Member Terway. seconded by Council Member Pur to aoDrove
the Memorandum of Undentandin2 for the CSAB 14 Widenio2 Proiect with the
noted chan2es. AD in favor. Motion carried uDanimooslv.
Mayor Capra called for a short recess at 1:55 p.m.
Mayor Capra reconvened the meeting at 8:00 p.m.
2. Possible Closed Meeting to Discuss Outstanding Litigation (R. Hugger Case)
Mr. Larson advised this case involves a forfeiture that did not go well. He stated he
spoke with the League of Minnesota Cities regarding this issue and they have indicated
there is coverage for this case.
Mr. Larson stated he does not believe there is anything else the City should do at this
point. Staff has spoke with a consultant who is willing to look at policies, at a reduced
cost, to make sure this situation does not occur again. A report and recommendations
will be submitted to the Council from that consultant.
Mr. Hoeft stated there is a new procedure already in place that will prevent this situation
from occurring again. He advised he does believe a consultant reviewing the policies
would be beneficial for the City.
Mayor Capra advised she believe the City should do its own investigation and report that
to the Police Department in December. The City would be proactive in doing its own
investigation and could prevent this situation from occurring at some point in the future.
Page 6 of8
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City of Centerville
Council Meeting Minutes
October 26. 2005
Motion by Council Member {Auo. seconded bv Mavor Caora to aoorove a City
investi2ation into this matter bv an outside consultant. All in favor. Motion carried
unanimouslv.
3. 1601 LaMotte Drive (Update)
Mr. Larson referred to a memo distributed to the Council regarding the surplus property
south of the water pumping station on Centerville Lake.
Mr. Larson outlined the tentative agreement that the St. Paul Regional Water Services has
indicated they would support to allow for the City of Centerville to purchase the property.
Mr. Larson distributed a report identifying the source of funding for the purchase. He
commented on the legal issues regarding eminent domain, market rates and the re-selling
of the property at some point in the future.
Council Member Paar indicated his concern putting the City's budget in jeopardy and
limits on what the City can do with the property.
Mr. Larson advised the financial scenario that was distributed clearly illustrates that the
City can pay the first and second payments. The third payment would not occur for 2 'lZ
years. The worst-case scenario would involve the City selling a portion of the property to
make the third payment.
4. Approval of Settlement Agreement
Motion bv Council Member Paar. seconded bv Council Member TeN.v. to acceot
the Aooroval of Settlement Al!I"eement as oresented.
Mayor Capra noted this is the last settlement agreement in the amount of$65,OOO.
All in Favor. Motion carried unanimouslY.
5. Economic Development Committee (EDC) - Request for Disbanding and
Turning Over Duties to Council
Council Member Paar referred to a letter from the EDe indication they are disbanding
and turning over to Council any tasks or functions the committee has performed or is
slated to perform.
Council Member Paar stated the City needs to look at possibly forming and EDA and
hopes some of the members of the EDC would help with that.
Mayor Capra stated the Council should review this issue at the beginning of the year.
Page 7 of8
1
City ofCenterville
Council Meeting Minutes
October 26. 2005
Council Member Terway thanked the committee members for their years of service.
Mayor Capra asked staff to draft letters of thank you for the committee members as well
as checking on the process for awards prior to the next Council meeting.
IX. ANNOUNCEMENTSIUPDATES
1. City Administrator. Mr. Dallas Larson
Mr. Larson advised that he has no updates for the Council.
2. Downtown Redevelopment Planning (Update)
Council Member Terway advised he has attended two meetings for the Downtown
Redevelopment Planning. The process is moving forward and concepts are being
formed. Those concepts will be brought to the public November 15, 2005 for comments.
He asked residents to attend but to remember the plans are just concept plans.
Mr. Larson stated the City would be sending postcards to residents inviting them to the
meeting.
3. Correspondence
Mayor Capra reviewed correspondences with Council and staff.
4. Successful Completion of Alcohol Sales Compliance Check
Mayor Capra referred to a letter regarding the successful completion of Alcohol Sales
Compliances Checks within the City.
Mayor Capra requested staff draft letters to those businesses that successfully completed
the compliance checks.
5. 2006 Liquor and Tobacco Licensing
Mayor Capra referred to a memo indicating the liquor renewal forms from the Alcohol
and Gambling Enforcement Division have been forwarded to current licensees along with
a request to return the completed forms to City Hall by October 31,2005.
x. ADJOURNMENT
Motion by Lakso. seconded by Terway to adioum the October 26. 2005 City
Council Meetinf! at 9:08t>>.m. AU in favor. Motion carried unanimonslv.
Transcribed by:
Kim Points, Recording Secretary, TimeSaver Off Site Secretarial. Inc.
Page 8 of8
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CITY OF CENTERVILLE
*Check Summary Register
Check
Search Name
ANDERSON, ALLEN
AVLlC
BONESTROO, ROSENE, ANDERLlK
BROCK WHITE COMPANY
CAPRA,MARY
CENTENNIAL LAKES POLICE DEPT
COMFORT PLUS HEATING & COOLING
DEVRIES, JILL
HAWKINS WATER TREATMENT
INTERNATIONAL UNION OF OPERATI
LARSON, DALLAS
MENARDS - FOREST LAKE
NATIONWIDE RETIREMENT SOLUTION
NCPERS LIFE INSURANCE
ON SITE SANITATION
PAAR, JEFF
POSTMASTER
PUBLIC EMPLOYEES RETIREMENT
SECURITY CONTROL SYSTEMS, INC.
TIME SAVER
WATERISAC
Date
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/4/2005
11/04/051:45 PM
Page 1
NOVEMBER 2005
Amount Comments
$139.98 CLOTHING ALLOWANCE - STEEL TOE BOOTS
$485.00 DEF COMP W/H 11-3-05
$22,749.21 SCADA PROJ - SERV THRU 10-25-05
$1,091.52 LIMESTONE & CALCIUM CHLORIDE - SUPPLIES FOR
$15.09 REIMBURSE FOR MILEAGE - ANOKA COUNTY COURT
$33,010.71 NOVEMBER POLICE SERVICE
$98.00 SERVICE CALL ON FUNANCE AT CITY HALL
$50.50 REFUND ON ELEC. PERMIT #C04-120
$1,236.95 CHEMICALS
$90.00 A. ANDERSON UNION DUES- NOV 2005
$15.96 REIMBURSE FOR OPTICAL 4 BUTTON BLACK MOUSE
$66.83 SUPPLIES
$812.88 DEF COMP W/H 11-03-05
$32.00 T. BENDER & J MEYER LIFE INS
$238.98 LAMOTTE PARK - SERV THRU 10-21-05
$14.86 REIMBURSE FOR MILEAGE TO ANOKA COUNTY COURT
$221.23 POST CARDS FOR DOWNTOWN PLANNING MEETING ON
$1,924.13 PAYROLL W/H 11-3-05
$143.98 SERVICE REPAIR ON KEY PAD
$473.75 CITY COUNCIL MEETING - 10-12-05
$200.00 SUBCRIBER FEES THRU 12-31-06
$63,111.56
PLEASE NOTE: THERE WILL BE AN UPDATED LIST OF DISBURSEMENTS ON 11-9-05 FOR APPROVAL.
9
embedded ~Jutem:i, ffna.
Tel. (763) 757-3696
w\\1w.embedsys.com
11931Hwy 65 NE, Minneapolis, MN 55434
Fax: (763) 767-2817
sales@embedsys.com
Contract Renewal
October 26, 2005
;/"""r'j~,"
\..,r.c; l VB 1J
OCT 3 1 2005
City of Centerville
Dallas Larson
1880 Main Street
Centerville,~ 55038
We are getting close to the end of another tornado season. Embedded Systems, Inc. has provided, what
we believe, is our best service toward maintaining the tornado sirens for your city for the past several
years. We would be very pleased to continue to provide Tornado Siren Maintenance for your city.
For the past three years we have been able to maintain the same maintenance fees by improving the
efficiency of our services and absorbing cost increases. However, this year we are expecting a nominal
5% increase for the upcoming year. The Monthly Siren Maintenance Fee for 2006 will be $34.65 per
siren per month.
We are asking that you please sign and return this contract renewal to us before December 1st, 2005 to
enable us to continue to provide our best service through the end of2006. Feel free to fax the signed
contract renewal to (763) 754-0954.
Thank you for your business and we look forward to servicing your needs through the next year. If you
have any questions feel free to contact me directly.
Thank you,
Jerry Fondie
Embedded Systems, Inc.
Contract terms accepted:
Q..u- ;;L
Signature
/I-t-D-S-
Date
Phone
For continuation of service through the end of the year 2006.
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Tornado Sirens
Master List
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Centervi I Ie
1 1 880 Ma I n Street (C ity Hal II F ire Dept. )
2 County Rd. 1 4
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Updated 10/26/2005
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I
TO:
Honorable Mayor & City Council Memben
Kim Stephan ~
FROM:
SUBJECT: Skate Nights with Hone Drawn Hayride & Bonfire
DATE: November 4, 2005
The following recommendation/request was made by the Parks & Recreation Committee at
the November 2, 2005 regularly scheduled committee meeting.
Skate Ni2hts with Hone Drawn Havride & Bonfire
During the previous two years Frozen Fete des Lacs events, sponsored by the Economic
Development Committee, the Parks & Recreation Committee has worked with the EDC on the
Friday night Skate Night with a horse drawn hayride & bonfIre. The EDC funded the event, but
it was manned by the Parks & Recreation Committee. In 2004 the Skate Night was held in
February at Laurie LaMotte Memorial Park. The event was well attended despite no ice on the
skating rink as the temperatures had been too warm to keep ice. In 2005 the event was held at
the Anoka County Regional Park, also in February. To ensure ice, the skating was held on
Centerville Lake. This event was also well attended. Both events were held in February to
coincide with the Car Races on Ice which were held on Centerville Lake. Prior to EDC
disbanding in October 2005, the committee had asked the Parks & Recreation Committee to
consider continuing with this Skate Night in the event the EDC no longer sponsored the Frozen
Fete des Lacs. The Parks & Recreation Committee discussed this and agreed it was a great event
to continue for the residents, though because of the existing Parks & Recreation Committee's
budget commitments, the committee did not feel they could expend the funds for the horse drawn
hayride. The committee agreed to organize and man the event if the funds could continue to
come from monies allocated to Frozen Fete des Lacs within the EDC Budget. Ms. Stephan had
talked to the Finance Director; Mr. John Meyers, who said the EDC has funds remaining in the
2005 budget as well as funds allocated for 2006 if that is where council would desire taking the
monies from. Ms. Stephan informed the committee the invoice from 2005 from Bunker Stables
was for $560. This was for a 3 hour event. Bunker Stables has not had a price increase in the
rental portion, but has increased the travel fee from $10 to $25 due to the gas price increases. If
the committee were to have two 2 hour events the first hour would be $375 with each additional
hour at $100 per hour. Each two hour event would be $500.
The committee discussed whether to hold the event in conjunction with the Car Races on Ice or
the Centerville Lion's Annual Fishing Contest, both which are being held in February, and
whether to hold it at the Anoka County Regional Park or at Laurie LaMotte Memorial Park.
lof2
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The committee felt it was not necessary to tie in with either of the February events as the Skate
Nights were popular enough all on their own to draw residents to a winter event. It was also
decided the committee would like to hold the event at Laurie LaMotte Memorial Park as it was
less work for both the committee and the Public Works Staff and the City's park was more
appropriate for a City event. Chairperson Peterson stated there is seldom good ice at Laurie
LaMotte Memorial Park during February and felt the best time to hold Skate Night events would
be in January. The committee would like to hold two big Skate Nights opposed to having 4-6
throughout the season as they have done in the past. The two events would be held on Friday,
January 6 & Friday, January 27, 2006 with skating, a bonfire, hot chocolate, popcorn and the
horse drawn hayrides. Ms. Stephan checked with Bunker Stables and they are available for the
two dates in January.
Motion was made by Chairperson Peterson, seconded by Committee Member Amundsen to
request funding not to exceed $1,000 for two horse drawn hay ride events to be held
January 6 and 27, 2006 during the Parks & Recreation Committee's Skate Nights at Laurie
LaMotte Memorial Park with the funding to come from budgeted Economic Development
Committee Frozen Fete des Lacs monies. All in favor. Motion passed unanimously.
20f2
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ENCROACHMENT AGREEMENT
AGREEMENT ("Agreement") made this ~ day of October, 2005, by and between the
CITY OF CENTERVILLE, a Minnesota municipal corporation ("City"), and JACKSON
COMMERCIAL, LLC ("Landowner(s)").
RECITALS
A. Landowners own in fee the real property situated in Anoka County, Minnesota,
legally described as follows ("Subject Property"):
Lot 11, Centerville Townoffice Park
B. Landowners' proposes landscaping and tree planting on the property line and
proposes fill and landscaping that would extend into the City's easement on said lot 11, and onto
adjoining City Property to the north. Landowners seek permission from the City to encroach into
the City's easement and property.
NOW, THEREFORE, IN CONSIDERATION OF THEIR MUTUAL COVENANTS,
THE PARTIES AGREE AS FOLLOWS:
1. The City hereby grants Landowners, their successors and assigns, permission to
encroach into the City's easement and adjoining City property to the extent indicated on the
Certificate of Survey attached hereto as EXHIBIT "A".
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2. Nothing in this Agreement shall be deemed an abandonment, vacation or waiver
of the City's interest in the easement or city property.
3. Landowners, for themselves, their heirs, successors and assigns, hereby agree to
defend, indemnify and hold the City harmless from all costs and expenses, claims and liability,
including attorney fees, relating to or arising out of the grant to Landowners of permission to
encroach into the City's easement and adjoining property.
4. The City does not warrant title or guarantee the continuing right of Landowners to
maintain the trees and landscaping on the City's easement and adjoining property.
5. Landowners shall maintain the landscape and trees at its sole cost and expense.
6. The City may direct removal of the landscape and trees, at the Landowners' sole
cost and expense, upon thirty (30) days written notice if the City determines that the landscape
and trees interfere with City's intended use of its easement or adjoining property.
7. This Agreement shall run with the land and shall be recorded against the title to
the Subject Property.
CITY OF CENTERVILLE
By:
Mary Capra, Mayor
By:
Dallas Larson, City Administrator
JACKSON COMMERCIAL, LLC.
By:
Paul Keleher, Chief Manager
By:
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STATE OF MINNESOTA )
)ss.
COUNTYOFANOKA )
The foregoing instrument was acknowledged before -me this _ day of ,
_, by Mary Capra, Mayor and Dallas Larson, City Administrator, of the City of Centerville,
a Minnesota municipal corporation.
Notary Public
STATE OF MINNESOTA )
) ss.
COUNTY OF ANOKA
The foregoing instrument was acknowledged before me this _ day of
, by Paul Keleher, Chief Manager on behalf of Jackson Commercial, LLC.
Notary Public
DRAFTED BY CITY OF CENTERVILLE
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GE:NERAl NOTE:S'
1) 1HE INFORIIA T1CN SHOIIN ON 7HESE ORAIIIHOS CONCD1NINO
1"rPf: AND LOCA lION OF oXlSIlHQ ununn IS NOT OIIARAHlEED
10 E ACCURA 7[ OR ALL INCLUSIYO. THE COHlIlACRlR IS
~ ;Of! IIA1aNO HIS OIN DETDllIWA llOH AS 10 lIE
T\'Pf.' AND LOCA lION OF U1lJnn AS 1104 Y SO HOCESSARY 10
AKWl DAlIA<< 10 1HCfE U7lLllES.
2) CONTACT GOI'HEIt STAff: DHO-CAU. AT (1I51) 454-aG02 OR
(11IO) ftI-tlII FOR EXlSIlHQ U1/LJTY l.OCA11ONS
STRE:H ANn B1TIJUINOUS NOTE:S'
1) SA....CUT (FUlJ.-DD'TH) DOSlING Bll\JiIIlNOUS TO PROWJE:
IJIJTT-JOIHT.
2) RfJ/OVAL AND DISPOSAL OF OXlSlIHG STRfET IIAIElllALS AS
Rf:1JJIRm FDR CONSlIlUCllOH IS IHCIDD/TAL.
TIJRN lANE: NOTE:S'
1) DaSllHG COUNTY ROAD 10 fJf SlIlInD 10 SHOW DRI~ LAN<
AND NOW 1IIIlH LANE:.
2) DaS1IHC StRaT SJGNAG( TO BC MOCA lEI) AS NCCBSARY.
DaSJlNO POl1EII I'OlES TO BC Rf10CA lE'D AS HCCESSARY.
3) DaSTWC CEHIER1.INC STRlI"< ItLON(J COUNTY RtMD 10 REJlAIN.
4) COHlIlACRlR SHAlJ. ENSlJR[ THA T ORM: L4IiO HAS l/IHIIIUM
OF 1.2' IIIDTH AND RIGHT 1lJIIN lAHO HAS IINlMJII 14' IlllJTH
TO E/lQE OF BI~1
5) OI'OXY TURN LAIC 11_ SHAlJ. fJf utED.
ll) saD nt>f: SHAlJ. If: 288 W DITCH AREAS AN/) lIOIl IN
IIOlJUVARD AIfOAS. WI.CH 'T'fIIC SHALL BC TYPo I.
7) 0R0Sl0N COH1RQ. IlLAHl<ET IIHALL BE USfJ) MHERf: Sl.OPD
EJICEm J: I "THIN COIINTY RIGHT-OF-WAY,
I COUNTY HKlHWA Y IIOD/flCA lIONS SHALL F"OlJ.OW lIE IInOOT I
STANDARD SPf:ClFlCATIONS FOR CONST/lUCIION, 2000 mlJON.
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7029 20th AVES.
CENTERVlLLE. MN 5.50.18-9737
PHONE: (651) 762-4089
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(651) 429-3232 . p~ (651) 429-8629
STATE OF MINNESOTA
. -
COUNTY OF ANOKA
CITY OF CENTERVILLE
RESOLUTION #05 - 054
A RESOLUTION CALLING FOR PUBLIC HEARING ON DELINQUENT SEWER,
WATER & GARBAGE SERVICES FOR RESIDENTS ASSOCIATED WITH THE
3RD AND 4TH QUARTER 2004, 1ST AND 2ND QUARTERS OF 2005 BILLING
CYCLES
WHEREAS, pursuant to proper notice duly given as required by law, the council has met
and heard and passed upon all objections to the certification of delinquent municipal utilities
and garbage service or a combination of both; and,
WATERI CERTIFICATION
PIN SEWER GARBAGE FEE TOTAL
143122440048 $ 503.07 $ 203.32 $ 100.00 $ 806.39
14 31 22440046 $ 527.13 $ 50.00 $ 577.13
14 31 2244 0027 $ 543.99 $ 304.69 $ 100.00 $ 948.68
14 31 22 44 0012 $ 114.18 $ 50.00 $ 164.18
143122430066 $ 202.41 $ 50.00 $ 252.41
233122 33 0017 $ 361.54 $ 261.51 $ 100.00 $ 723.05
2331 22 14 0012 $ 63.80 $ 247.10 $ 100.00 $ 410.90
143122440088 $ 289.86 $ 76.04 $ 100.00 $ 465.90
14312241 0014 $ 216.49 $ 100.00 $ 316.49
233122110079 $ 173.04 $ 52.59 $ 100.00 $ 325.63
2331 2231 0017 $ 203.32 $ 100.00 $ 303.32
23312241 0026 $ 286.00 $ 62.68 $ 50.00 $ 398.68
263122220027 $ 66.77 $ 50.00 $ 116.77
233122 32 0004 $ 127.36 $ 50.00 $ 177.36
23 31 22230047 $ 271.40 $ 103.18 $ 100.00 $ 474.58
233122240041 $ 738.08 $ 50.00 $ 788.08
14 31 22340054 $ 406.20 $ 101.44 $ 100.00 $ 607.64
233122 34 0004 $ 697.74 $ 253.70 $ 100.00 $ 1,051.44
233122410044 $ 235.85 $ 50.00 $ 285.85
2331 22130055 $ 51.59 $ 100.00 $ 151.59
1431 22430053 $ 712.62 $ 247.10 $ 100.00 $ 1,059.72
23 31 22 23 0035 $ 210.16 $ 50.00 $ 260.16
233122 23 0035 $ 155.77 $ 50.00 $ 205.77
23 31 22 23 0035 $ 246.40 $ 50.00 $ 296.40
2331 22120051 $ 614.21 $ 50.00 $ 664.21
23 31 22 120072 $ 612.74 $ 214.30 $ 100.00 $ 927.04
/7
233122330025 $ 250.95 $ 50.00 $ 300.95
23 31 2242 0040 $ 246.40 $ 203.32 $ 100.00 $ 549.72
23 31 22 22 0004 $ 271.40 $ 50.00 $ 321.40
23 31 2224 0021 $ 271.40 $ 50.00 $ 321.40
153122440033 $ 271.40 $ 352.46 $ 100.00 $ 723.86
23 31 22 31 0060 $ 645.-30 $ 345.88 $ 100.00 $ 1,091.18
2331 22120008 $ 271.40 $ 262.48 $ 100.00 $ 633.88
233122420015 $ 271.40 $ 428.02 $ 100.00 $ 799.42
233122240130 $ 469.19 $ 50.00 $ 519.19
143122420015 $ 128.25 $ 50.00 $ 178.25
14 31 22420029 $ 791.57 $ 212.45 $ 100.00 $ 1,104.02
23 31 22 31 0002 $ 63.80 $ 100.00 $ 163.80
233122 34 0050 $ 122.80 $ 132.88 $ 100.00 $ 355.68
1431 2231 0047 $ 342.22 $ 200.79 $ 100.00 $ 643.01
14-31~22-31-0007 $ 271.40 $ 249.30 $ 100.00 $ 620.70
23 3122 12 0047 $ 108.25 $ 62.68 $ 100.00 $ 270.93
14 31 22 43 0050 $ 653.88 $ 73.66 $ 100.00 $ 827.54
233122130059 $ 62.01 $ 50.00 $ 112.01
23 31 22240012 $ 63.51 $ 50.00 $ 113.51
23 31 22 24 0025 $ 246.03 $ 50.00 $ 296.03
143122 43 0086 $ 544.65 $ 405.15 $ 100.00 $ 1,049.80
143122 42 g~---$----1-03A~Oo.oo----$ 816.24
233122110011 $ 271.40 $ 50.00 $ 321.40
233122110012 $ 271.40 $ 247.10 $ 100.00 $ 618.50
233122110016 $ 271.40 $ 354.78 $ 100.00 $ 726.18
233122120015 $ 187.00 $ 260.28 $ 100.00 $ 547.28
233122410013 $ 271.40 $ 50.00 $ 321.40
2331 2231 0018 $ 285.20 $ 190.31 $ 100.00 $ 575.51
14-31-22-44-0055 $ 481.48 $ 153.25 $ 100.00 $ 734.73
24 31 22 22 0093 $ 232.98 $ 50.00 $ 282.98
243122220205 $ 319.60 $ 50.00 $ 369.60
243122220188 $ 382.92 $ 50.00 $ 432.92
243122220198 $ 394.17 $ 50.00 $ 444.17
TOTAL $ 17,887.47 $ 7,459.09 $ 4,600.00 $ 29,946.56
NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF CENTERVILLE, MINNESOTA:
1. Such proposed assessment, a copy of which is attached hereto and
made a part hereof, is hereby accepted and shall constitute the special
assessment against the lands named therein, and each tract of land
therein included is hereby found to be benefited by the proposed
improvement in the amount of the assessment levied against it.
2. Such assessment shall be payable over a period of one (1) year, the
first of the installments to be payable on or before the first Monday in
January 2006, and bear only the late payment fee of 10% interest.
3. The owner of any property so assessed may, at any time prior to
certification of the assessment to the County Auditor, pay the whole of
the assessment on such property, with late fees accrued to the date of
/9
payment, to the City Clerk, no certification fee will be charged if the
entire assessment is paid within thirty (30) days from the adoption of
this resolution; and he/she may, at any time thereafter, pay to the City
Clerk the entire amount of the assessment remaining unpaid, with late
fees and certification fees.
- - -
4. The Clerk shall forthwith transmit a certified duplicate of this
assessment to the County Auditor to be extended on the property tax:
lists of the County. Such assessments shall be collected and paid over
in the same manner as other municipal taxes.
PASSED AND ADOPTED by the City Council this 9th day of November, 2005.
Attest
City Clerk
Mayor
/?
Mel11. ... .....,.0. .
... f'
TO: Honorable Mayor and Council Members
FROM: Teresa Bender, City Cler~ \~,
SUBJECT: Liquor License Renewals 2006
DATE: October November 4, 2005
Please find the attached applications for your review. They have been forwarded on to
Officer/Detective Blanc for background checks. Chief Makela is out of the office on
vacation next week.
Staff would like to suggest adding language to Ordinance 13, Section 13, E: clarifying
delinquent property taxes and utilities (garbage, sewer & water) whether it is on all
property within the City owned by the (president, CEO, Partner(s), Corporation, etc.) or
just on the property that the establishment is being operated on. Staff would also like to
suggest adding language to clarifying that it does or does not matter whether there is a
lease/rental agreement for said establishment, same needs to be paid prior to receiving
Council consideration for application.
Staff would recommend approval of the following applications subject to successful
background check completed by Chief Makela:
. Center Mart
. Centerville Liquor
. Comer Express
. Wiseguys Pizza
Tobacco
Off Sale & Tobacco
Tobacco
On Sale, Sunday & Tobacco
Staff would recommend tabling until such time as the referred to documentation and
payments are verified or approving them subject to successful background check,
payment of outstanding (property TaxesfUtilities) and submission of proof of insurance:
. Trio Inn
No Cert. of Ins. (Liquor Liab.) & Delinquent Property
Taxes
No Coo. of Ins. (Liquor Liab. Or W.C.) & Delinquent
Utilities & Property Taxes)
. Kelly's Komer
Staff would also like to make Council aware that letters for renewal were forwarded to
establishments on October 5, 2005, they were all given until October 31, 2005 to
complete the forms, provide the information, and make payment to the City. Three (3)
establishments complied and three (3) were past the deadline. Two (2) received reminder
telephone calls.
~D
:<.!;-
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~
STATE OF MINNESOTA
COUNTY OF ANOKA
CITY OF CENTERVILLE
ORDINANCE #13
AN'oRDiNANce' REGULAfINGTHE'p6sSEssroi:fsAI..E,~Ai,f5"c5Nsl.JMPTToF:rOF ,".:,"'>'~
INTOXICATING LIQUOR, WINE, AND 3.2 PERCENT MALT LIQUOR WITHIN THE
CITY OF CENTERVILLE, MINNESOTA
THE CITY COUNCIL OF THE CITY OF CENTERVILLE, MINNESOTA DOES HEREBY
REPEAL ORDINANCE #'S 11, 12 & 21 AND AMENDS ORDINANCE #13:
Section 1. Adoption of ~tate law by Reference.
The provisions of M.S. Chapter 340A, as they may be amended from time to time, with
reference to the definitions, terms, conditions of operation, restrictions on, Consumption,
provisions relating to sales, hours of sale, and all other matters pertaining to the retail
sale, distribution, and consumption 'of intoxicating liquor' and 3.2 percent malt liquor are
hereby adopted by reference and are made a part of this ordinance as if set out in full.
It is the intention of the City Council that all future amendments to M.S. Chapter'340A
are hereby adopted by reference-or referenced-as if they had--been-in-e-xisteflse-at.--tRe
'time this ordinance is adopted. '
Section 2. City may be more Restrictive than State law.
The Council is authorized by the provisions of M.S. 340A.fi09, as it may be amended
from time to time, to impose, and has imposed in this ordinance"additional restrictions
on the sale and possession -of alcoholic beverages within its limits beyond those
contained in M.S. Chapter 340A, as it may be amended from time to time.
Section 3. Definitions.
In addition to the definitions contained in Minnesota Statutes, Chapter 340A.1 01, as it
may be amended from time to time, the following terms are defined for purposes' of this
ordinance:
Display - The tenn "Display" means the keeping, storing, or permitting to be kept or
stored of an alcoholic beverage which has been poured, dispensed or has had its
package seal broken on, in, or at any table, booth, bar or other area of a licensed
premises accessible to. the gene~1 public, except when the alcoholic beverage i~ stored
in a normal storage area during non-sale ho~rs.
Interest - The term "Interest" as used in this ordinance includes any pecuniary interest
in the ownership, operation, management or profits of a liquor establishment, but does
not include: bona fide loans; bona fide fixed sum rental agreements; bona fide open
accounts or other obligations held with or without security arising out of the ordinary and
regular course of business or selling or leasing merchandise, fixtures or supplies to
s~ch establishment; or any interest of 5 percent or less in any corporation holding a City
liquor license. A person who receives monies, from time to time, directly or indirectly
from a licensee in the absence of a bona fide consideration therefor and excluding bona
. fide gifts or donations, shall be deemed to have a pecuniary interest in s\..lch retail
2/
..
City of Centerville
Ordinance #13 (Liquor) .,
08/28/02
license. In determining "bona fide," the reasonable value of the goo<;ls or things received
as consideration Jor the payment of the licensee and all other facts reasonably tending
to prove or disprove the existence of any purposeful scheme or arrangement to evade
any prohibitions under this ordinance shall be considered.
C"';_~"":'~"~^""J.'''''"''''''''''-~"''''i_':Il.'=''''''''_;r'- '~;;-'_"-~""''::-;''':'_':.'_',,'-';'f:;'''''--'_"':'''':~:;'-~i~'-::':''-;-:'"'",'-;.".~,.,.-~_~~,.. _~":
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....,..._.....'."..0'.'_. _...c.,. .
Licensed Premises - The term "Licensed Premises" is the premises described in the
approved license application. In the case of a restaurant, club, or exclusive liquor store
licensed for on-sales of alcoholic beverages and located on a golf course, "licensed
premises" means the entire golf course except for areas where motor vehicles are
regularly parked or operated.
Operating Manager - The term "Operating Manager" as used in this ordinance means
a person designated by the license holder who works at the licensed premises and is in
charge of day-to-day liquor sales.
Properly' Designated Officer - The term "Properly Designated Officer" means and .'
includes (i) the City Fire Inspector or Fire Chief; (ii) the City Building Official, Building
Inspector, or Administrator; and (iii) the Health Inspectors employed by Anoka County or
the State of Minnesota acting in the co'urse of the scope of their employment.
....._ ,n.__... .... _.. . .
Underage Person - The term "Underage Person" means a person who is under the
legal drinking age as provided by Minnesota Statutes Chapter 340A.
Liquor - As used in this ordinance, without modification by the words "intoxicating" or
3.2 percent malf includes both intoxicating liquor and 3.2 percent malt liquor.'
Restaurant - Restaurant means an eating facility, other than a hotel, under the control
of a single proprietor or manager, where meals are regularly prepared on the premises,
where full waitress/waiter table service is provided, where a customer orders food from
printed, menus and where the main food course is served and consumed while seated at
a single location. An establishment which serves prepackaged food that receives heat
treatment and is served in the package or frozen pizza tha~ is heated and served, shall
be considered to be a restaurant for the purposes of this chapter as long as it is
currently licensed as such by Anoka County.
Section 4. Nudity on the Premises of Licensed Establishments is Prohibited.
A: The City Council finds that it is in the best interests of both 'public
health, safety and general welfare of the people of the city that
nudity is prohibited as provided in this section on the premises of
any establishment licensed under this ordinance. This is to protect
and assist the owner, operators, and employees of the
establishment, as well as patrons and the public in general, from
harm stemming from the physical immediacy and combination of
alcohol, nudity, and sex. The Council especially intends to prevent
any subliminal endorsement of sexual harassment or activities likely
to lead to the possibility of various criminal conduct, including
prostitution, sexual assault, and disorderly conduct. The Council
also finds that the prohibition of nudity on the premises of any
Page 2 of 17
JZ
City of Centerville
Ordinance #13 (liquor)
08/28/02
establishment licensed under this ordinance, as set forth in this
section, reflects the prevailing community standards of the city.
B. It is unlawful for any licensee to permit or allow any person or
. "=c=""""""y~,,,~~,,,,c'""'""~'""persons on the licensed premises when the person does not have
their buttocks, anus, genitals and female breasts covered with a
non-transparent material. It is unlawful for any person to be on the
licensed premises when the person does not have their buttocks,
anus, genitals a.nd female breasts covered with a non-transparent
material. This. paragraph shall also apply to. nan-alcohol under age
events on the licensed premises.
c. It is unlawful for any licensee to permit or allow any male and/or
female swim suit competition on the licensed premises during any
non alcohol under age event.
D. A violation of this section is a misdemeanor punishable as provided
by law, and is justification for revocation or suspension of any
> Iiqu,or, wine, or 3.2 percent malt liquor license or the imposition of a ,
civil penalty under the provisions ofthis ordinance.
Section 5. Consumption in Public Places.
Except as otherwise provided for herein, no person shall consume intoxicating liquor or
3.2 percent malt liquor in a public park, on any public street, sidewalk, trail, parking lot
or alley, Or in any public place other than on the premises of an establishment licensed
under this ordinance, in a municipal liquor dispensary if one exists in the city, or where
the consumption and display of liquor is lawfully permitted.
Section 6.
This Section has been left blank for future use.
Section 7. term and Expiration of Licenses.
No' person, except as otherwise provided in Minnesota Statutes Chapter 340A shall
directly or indirectly deal in, sell, keep for sale or deliver any intoxicating liquor,. '3.2
percent malt liquor, or wine as' part of a commercial transaction without first having
received,a license to do so as provided in this ordinance; nor shall any private club or
public place, directly or indirectly, or upon any pretense or by any device, allow the
consumption or display of intoxicating liquor or serve any liquid for. the purpose of
mixing with intoxicating liquor without first obtaining a license from the City as provided
in this ordinance.
Each license shall be issued for a maximum period of one year. '. All licenses except
temporary licenses, shall expire on December 31 of each year unless another date is
provided by ordinance. All licenses shall expire on the same date. Temporary licenses
expire according to their terms.
Page 3oft7
23
City of Centerville
Ordinance #13 (Liquor)
08/28/02
Section 8. Kinds of Liquor License.
The following types of licenses may be issued up to the number specified in this
ordinance:
A. On-Sale 3.2 Percent Malt Liquor License
On-sale 3.2-percent malt liquor licenses whjch may be issued only
to restaurants, hotels, clubs, bowling centers and establishments
used exclusively for the sale of 3.2 percent malt liquor with the
incidental sale of tobacco and soft drinks.
B. Off-Sale 3.2 Percent Malt Liquor License
C. Temporary 3.2 Percent Malt Liquor License
Temporary 3.2 percent malt liquor licenses which may b.e issued
only to a dub, charitable, religious, or nonprofit organization.
D. Off-Sale Intoxicating Liquof License
Off-sale intoxiCating liquor licenses, which may be issued only to
exclusive liquor stores or drug stores that have an off-sale license
which was first issued on or before May 1, 1994. The fee for an off-
sale intoxicating liquor license established by the Council under
Section 9 shall be set by annual Fee Schedule adopted by Council
which may be permitted by M.S. 340A.408, subd. 3, as it may be
amended from time to time. .
E. On-Sale Intoxicating Liquor Li~ense
On-sale intoxicating liquor licenses, which may be issued to the
following establishments as defined in M.S. 340A.1 01, as it may be
amended from time to time, and this ordinance: hotels, restauran,ts,
- bowling' centers, clubs, - or congressionally chartered v.eterans
organizations and exclusive liquor stores. Club licenses may be
issued only with the approval of the Commissioner of Public Safety.
The fee for club licenses established by the Council under Section
9 of this ordinance, shall not exceed the amounts 'provided for in
M.S. 340A.408, subd. 2{b), as it may be amended from time to
time.
The Council may in its sound discretion authorize a retail on-sale
licensee to dispense intoxicClting liquor off the Iic~nsed premises at
a community festival held within the city. urider the provisions of
M.S.340.404, subd. 4b, as it may be amended from time to time.
The Council may in its sound discretion authorize a retail on-sale
licensee to dispense intoxicating liquor off the licensed premises at
Page 4of17
24
City of Centerville
Ordinance #13 (Liquor)
08/28/02
any convention, banquet, conference, meeting, or social affair
conducted on the premises of a sports," convention or cultural
facility owned by the city, under the provisions of M.S.340A04,
subd. 4a, as it may be amended from time to time.
". "--,;;"",":,,"-.,,.,!,_~,:.,~::c::;" ;,,,,,,~'~'~~~~'.'F""'~::",-"',,_, ;;::.e-
. ,'" ",. .'-.- -...'
F. On-Sale Sunday Liquor License
On-sale Sunday liquor licenses which may be issued only after
authorization to do so by voter approval at a general or special
election as provided by M.S. 340A.504, subd. 3, as it may be
amended from time to time. Sale of alcoholic beverages in
conjunction with the sale of food on Sunday begins at 10:00 a.m. if
the applicant is in conformance with the Minnesota Clean Air Act.
G. Combination On-Sale f Off-Sale Intoxicating liquor License"
This license may be issued if the City has a" pOP41ation less ,than
10,000.
H. On-Sale Temporary Intoxicating Liquor License
Temporary on-sale intoxicating liquor licenses, with the approval of
the City Council, which may be issued only in connection with a
social event sponsored by a club, charitable, religious, or other
nonprofit corporation that has existed for at least three years. - No
license shall be for longer than four consecutive days, and the City
shall issue no more than 24 days worth of temporary licenses' to
anyone organization in one calendar year;
1. ,.t.: On-Sale Wine License
On-sale wine licenses which may be issued w!th the approval of the
Commissioner of -Public Safety to: restaurants having facilities for
seating at least 25 people at one time and meet the criteria of M.S.
340A.404, subd. 5, as it may be amended from time to time, and"
which meet the definition of a restaurant in Section 3 of this
ordinance; and to licensed bed and breakfast facilities which meet
the criteria in M.S.340A.401, subd. 1 as it may be amended from
time to time. The fee for an on-sale wine license established by the
Council under the provisions of Section 9 of this ordinanceshall not "
exceed one-half of the license fee charged for an on":'sale
intoxicating liquor license. The holder of an on-sale wine license
who also holds an on-sale 3.2 percent malt Iiq"uorlicense is
authorized to sell malt liquor with a content over 3.2 percent (strong
beer) without an additional license.
Section 9. License Fees: Pro Rata: Payment: Refunds Retail License Fees.
Page 5 oft 7
J5
City of Centerville
Ordinance #13 (Liquor)
08/28/02
Annual Fees. The annual fees for all licenses and temporary licenses are set forth by
Council Resolution.
. A. No license Qr other fee established by the city shall exceed any limit _
''''~''- established' by-M.S;340A;-as' it maybe~amended fromtimeto.timei~C"~'-"'~C"""7''C'''c;7'''~~'~'''=''7''''-''
for a liquor license.
B. The Council may establish from time to time by ordinance or
resolution the fee for any of the liquor licenses it is authorized to
issue. The . license fee may not' exceed the cost of issuing the
license and other costs directly related to the enforcement of the
liquor laws and this ordinance. No liquor license fee shall be
increased without providing mailed notice of a hearing on the
proposed increase to all affected licensees at least 30 days before
the hearing.
C. PrQrated Fe~s. The fee for all licenses, except temporary licenses,
granted after the commencement of the license year shall be
prorated on a quarterly basis.
D. Payment. All license fees shall be paid in full at the time the
application is filed with the CitY.' If the application is denied, the
license fee shall be returned to the- applicant except for any costs
incurred by the City for investigation of tlle application/applicant.
E.Refunds. License fees shall be refundedif an application for a
license is denied by the City Council, except where rejection is for a
willful misstatement in the license application. No' part of the fee
paid for any issued license shall be refunded except as authorized
under Minnesota Statutes Section 340A.408, subd. 5, upon
application to the City Clerk within 20 days of the happening of any
event provided under Minnesota' Statutes Section 340A.408,
subdivision 5, and except as provided in Section 9 D.
Section 10. Council Discretion to Grant or Deny a License.
The Council in its sound discretion may either grant or deny the application for any
license or for the transfer or renewal of any license. No applicant has a right to a
license under this ordinance.
icense.
A. Form. Every application for a license issued under this ordinance
shall be on a form rovided by the city.
~~
;!t
...
City of Centerville
Ordinance #13 (Liquor)
08/28/02
applicant has been in that business at that place, and other
information as the. Council may require fr-om time to time. An.
application for an on-sale intoxicating liquor license shall be in the
form prescribed by the Commissioner of Public Safety and shall
also contain the information required in this section. . The form shall .
be verified and filed with the city. No person shall make afalse
statement in an application.
B. Financial Responsibility. Prior to the issuance of any license
under this ordinance, the applicant shall demonstrate proof of
financial responsibility as defined in M.S.340A.409, as it may be
amended from time to. time, with regard to liability under
M.S.340A.801, as it may be amended from time to time. This proof
will be filed with the City and Commissioner of Public Safety. Any
liability insurance policy. filed as proof of financial" responsibility
under this section shall conform to M.S. 340A.409, as it may be
amended from time to time. Operation of a business which is
required to be licensed by this ordinance without having on file with
the city at all. times proof of financial responsibility to include.liquor
.liabilityidram shop, general. liability, and workers compensation
insurance coverage IS a cause for revocation of the license.
1. Liquor Liability/Drainshop. Proof of financial responsibility
shall be given by filing one of the following:
./
A certificate that there is in effect an annual
aggregate insurance policy for dram. shop
insurance of not less than statutory
requirements per' policy year to cover each
person, each occurrence, property damage
each occurrence, loss of means of support per
person, loss of means of support each.
occurrence, and policy aggregate; or
2. A certificate of the State Treasurer that the licensee has
deposited with him $100,000 in cash or securities which may
legally be purchased by savings banks or trust funds having
a market value of $100,000.
a.
C. General Liability. Proof of financial responsibility shall be given by
filing a certificate that there is in effect for the license period an
insurance policy or pool providing at least $50,000 of coverage
because of bodily injury to anyone .person in anyone occurrence,
$100,000 because of bodily injury to two or more persons in any
one occurrence, $10,000 because of injury to or destruction of
property of others in anyone occurrence,. $50,000 for loss of
means of support of anyone person in anyone occurrence, and
$100,000 for loss of means of support of two or more persons in
anyone occurrence.
Page 7 of 17
21
City of Centerville
Ordinance #13 (liquor)
08/28102
. D. Workers' Compensation Insurance. The policy limits for workers' .
compensation insurance shall be as provided for by state law.
-Additi6Jial' ReqUirements." The liability insUralice"reqUrted' by this"' .~=..~~,.,. ,~u
section must provide that it may not be canceled for any cause by
either the insured or the insurer unless the canceling party has first
given ten days' notice in writing to the City of intent to cancel the
policy.
All corporations, partnerships, and associations must designate an Operating Manager.
The Ope~ting Managermust be.a person designated by the licensed premises who is
in charge of day-to-day liquor sales. .
Execution of Application
If the application is by an individual, it shall be signed and sworn to by such person; if by
a corporation, by an officer thereof; if by a partnership, by one of the partners; if by an
incorporated association, by the operating officer or managing officer thereof. If the
applicant isa partner&hip, the application, license, and insurance policy shall be mad~
and issued in the name of all partners. It shall be unlawful to make any false statement
in an application. Falsification is a cause for revocation or denial of the license.
Section 12. Description of Premises.
The application shall specifically describe the compact and contiguous premises within
which liquor may be dispensed and consumed. Except as for otherwise provided for
herein.
Section 13. Applications For Renewal.
.
At least 90 days before a license issued under this ordinance is to be renewed, an
application for renewal shall be filed with the city. The decision whether or not to renew
. a license rests with the sOlind discretion of the Council. No licensee has a right to have
the license renewed.
The general procedure for renewal is as follows:
A. The city will mail all application forms by September 30 with a letter
stating the timeframes and requirements for completion of the
application process. The form used will be the Minnesota
Department of Public Safety Renewal of Liquor, Wine of Club
License (form PS9093-98 or the most current form used by Alcohol
and Gambling Enforcement).
B. Licensees will return the required forms to the city by October 30.
Page 8 of 17
Ji
City of Centervme
Ordinance #13 (liquor)
08/28/02
C. Applicants are responsible to verify information on. citations and
violations with the Chief of Police prior to October 30 and
submission to the city.
D. The -Council ,shall place-on the agenda each year at - the firs!"2":";":
scheduled Council meeting in November to review and hear
testimony by any interested individual or party concerning the
renewal of liquor licenses. This process allows for appeal of a
denied license and the required approval from the state prior to the
December 31 license expiration date.
"". ~= '?pjY:f!t~jj~
F. The application shall specifically describe the Gompact and
contiguous premises within which liquor may be dispensed and
consumed. Except as for otherwise provided for herein.
G. The ,Chief of Police is requested to provide Council by October 15
each year, a, summary of officer calls and the nature of those calls
to'lIcensed establishments. The Chief of Police Is also requested to
report a graphical depiction of alcohol related issues sl,lch as
citations and arrests for driving under the influence or alcohol
related infractions for the previ'ous 3 year period.
'H, The City Administrator shall verify all information prior to issuing a
license. '
Section 14. Transfer of License.
No license issued under this ordinance may be transferred without the approval of the
Council. Any transfer of stock of a corporate licensee is, deemed to be a transfer of the
license, and a transfer of stock without prior Council approval isa ground for revocation
of the license. An application to transfer a license shall be treated the same as an
application for a new license, and all of the provisions of this ordinance applying to
applications for a license shall apply.
Death of Licensee
In the event of the death of a person holding a license, the personal representative of
that person shall be allowed to continue to operate the business within the terms of the
license for a peri~d not to exceed 180 days after the death of the licensee.
Section 15. Investigation.
A. Preliminary background investigation. On an initial application for a
license, on an application for transfer of a license and, in the sound
discretion of the Council that it is in the public interest to do so, on
an application for renewal of a license, the city shall conduct a
preliminary background investigation of the applicant or it may
Page 9of17
29
City of Centerville
Ordinance #13 (Liquor)
013/28/02
. -7.....~c:<',.-"O''''''_,...
contract with the Commissioner of Public Safety for the
investigation. The applicant shall pay with the application an
investigation fee of $500 which shall be in addition to any license
fee. If the cost of the preliminary investigation is less than $50,0,
~,c~'~~~the'unused 'balance "shall be'"retumed to-thEr'applicant""The""r'esolts~~?""""-"?'""-""~'"~":"-""
of the preliminary investigation shall be sent to the Commissioner of
Public Safety if the application is for an on-sale intoxicating liquor
. license or an on-sale wine license.
B. Comprehensive background investigation. If. the results of the
preliminary investigation warrant, in the sound discretion of Council,
a comprehensive background investigation, the Council may either
conduct the investigation itself or contra<?t with the Commissioner of
Public Safety for the investigation. The investigation fee for this
comprehensive background investigation to be paid by the
applicant shall be $500, less any amount paid' for the initial
investigation if the investigation is to be conducted within the state,
and $10,000, less any amount paid for the initial investigation, in
the investigation is required outside the state. The unused balance
of the fee shall be returned to the applicant whether or not the
application is denied. The fee shall be paid in advance of any
investigation and the amount actually expended on the investigation
shall not be refundable in the event the application is denied. The
. results of the comprehensive investigation shall be sent to the
Commissioner of Public Safety if the application is. for an on-sale
intoxicating liquor license or an on-sale wine license.
Section 16. Hearing and Issuance.
The Council shall investigate all facts set out in the application and hot investigated in
the preliminary or comprehensive background investigations. Opportunity shall be
given to any person to be heard for or against the granting of the license at the first
scheduled Council meeting in November for renewals or at the time of review for a new
application. After the investigation and hearing, the Council in its sound discretion may
grant or deny the application. . No license shall become effective until the proof of
finanCial security has been approved by the Commissioner of Public Safety.
Should the City Council deny the applicant's request for a license due, partially or sol~ly,
to the applicant's prior conviction of a crime, the City Council shall notify the applicant of
the grounds and reasons for the denial; the appliCable complaint and grievance
procedure as set forth in Minnesota Statutes, Section 364.06; the earliest date the,
applicant may reapply for a license; and that all competent evidence of rehabilitation will
be considered upon reapplication. . .
Section 17. Restrictions on Issuance.
A. Each license shall be issued only to the applicant for the premises
described in the application.
Page 10 of17
3D
"
City of Centerville
Ordinance #13 (Liquor)
08/28/02
8.
No license shall be granted or renewed for operation on any
premises on which taxes, assessments, utility charges, service .
charges or other financial daims of the city are delinquent and
unpaid.
,.,.~7,"- -":'_'~7~.-":~~~~ ::'"".(;;::;'?':7:;~"-:""::-",,O:;.~~":';:C~",~~"'~'~::::'f_':,,,.":~';'~'O~:;:='~'~'~'?:"":=_"~;:;'''=-:~~;_~::::~:: - ,,:~-,.,-~:=:::,~~",,:; -'".. " .
C.
No license shall be issued for any place or business ineligible for a
license under state law.
No new license shall be granted With~50 feet of any school or
church. The distance is to be measu ,ed f om the closest side of
the church or school to the closest si e Qf the structure on the .
premises within which liquor is to be sold. The provisions of this
paragraph shall not apply to any existing license existing on the
. effective date of this ordinance or to the renewal of an existing
license as long as the establishment is in compliance with
applicable zoning regulations.
D.
Section 18. Conditions of License.
Every licensee is responsible for the conduct of the place of business. The act of an
employee on the licensed premises IS deemed the act otthe licensee as well, and the
licensee shall be liable. to all penalties provided by this ordinance equally with the
employee.
The fail,ure of the licensee to meet anyone of the conditions-bf the license specified
below_shall result in suspension of the license until the condition is met.
A. Every licensee shall allow any peace officer or health officer to
conduct compliance checks.
B. No on-sale establishment shall display liquor to the public during
the hours When the sale of liquor is prohibited.
C. Compliance with financial responsibility requirements of state law
and this ordinance is a continuing condition Qf any license.
Section 19. Hours and Davs of Sale.
A. The hours of operation and days of sale shall be as those set by .
M.S. 340A.504, as it may be amended from time to time.
B. No person shall consume nor shall anyon-sale licensee permit any
consumption of intoxicating liquor or 3.2 percent malt liquor in an
on-sale licensed premises more than 30 minutes after the time
when a sale can legally occur.
C. No on-sale licensee shall permit any glass, bottle, or other
container containing intoxicating. liquor or 3.2 percent malt liquor to
remain upon any table, bar, stool or other place where customers
Page 11 of 17
3./
City of Centerville
Ordinance #13 (Liquor) .'
08/28/02
are served, more than 30 minutes after the time when a sale can
legally occur.
D. No person other than the licensee and any employee shall remain
on the on-sale licensed. premises. more than 30 minutes. after the'~~""
time when a sale can legally occur.
E. Any violation of any condition of this section may be grounds for
revocation of suspension of the license.
Section 20. Restrictions Involving Underage Persons.
A. No licensee, his agent, or employee shall serve or dispense upon
the licensed premises any intoxicating or 3.2 percent malt liquor to
a person under the legal drinking age; nor shall slich licensee, or .
his.agent or employee, permit any such person to be furnished or
allowed to consume any such liquors on the licensed premises; nor
shall such licensee; his agent, or employee, permit. any such
person to be delivered any such liquors.
B. No person under the legal drinking age shall enter a licensed
premises for the purpose of purchasing or consuming any alcoholic
beverage:
C. No person under the legal drinking age shall consume or receive
delivery of intoxicating or 3.2 percent malt liquor.
D. No person under the legal drinking age shall possess any
intoxicating or 3.2 percent malt liquor. Possession of an alcoholic
beverage by a person under the legal drinking age at a place other
than the household of the parent or guardian is prima facie
evidence of intent to consume it at a place other than the
household of the person's parent or guardian.
E. Misrepresenting Age. No underage person shall misrepresent the
person's age for the purpose of obtaining intoxicating liquor or 3.2
percent malt liquor, nor shall the person enter any premises
licensed for the retail sale of intoxicating liquor or 3.2 percent malt
liquor for the purposes of purchasing or having served or delivered
any alcoholic beverage. Nor shall any such person purchase,
attempt to purchase, consume, or have another person purchase
for the underage person any intoxicating liquor or 3,2 percent malt
liquor.
F. Identification Requirements
1. Identification Required.
Any person shall, upon demand of the licensee, his
employee, or agent, produce and pennit to be
Page 12 of17
3~'
",
City of Centerville
Ordinance #13 (Liquor)
08/28/02
examined one of the forms of identification provided
under Minnesota Statutes Section 340A.503, subd. 6.
2. Prima Facie Evidence.
In every prosecution for a violation -ofthe provisions
this section relating to the sale or furnishing . of
intoxicating liquor or 3.2 percent malt liquor
beverages to underage persons and in every
proceeding before the Council with resped. thereto,
the fact that the underage person involved has
obtained and presented to the licensee, his employee
or agent, a driver's license, passport or identification
card from which it appears that said person was not
an underage person and was regularly issued such
identification card, shall be prima facie evidence that
the licensee, his agent or employee is not guDty of a
violation of suct) C;l provision cm~ shall ~e. conclusive
evidence that a violation, if one has occurred,was not
willful or intentional.
Section 21.
--
This Section has been left blank for future use.
Section 22. Revocation or Suspension of License.
The Council may suspend or revoke. any license for the sale of intoxicating or 3.2
perce~t malt liquor for any of the following reasons:
A. False or misleading statements made on a license application or
renewal, or failure to abide by the commitments, promises or
representations made to the City Council.
B. Violation of any special conditions under which the license was
granted, including, but not limited to, the timely payment of real
estate taxes, and all other charges.
C. Violation of any Federal, State; or local law regulating the sale of
intoxicating liquor, 3.2 percent malt liquor, or controlled substance.
D. Creation of a nuisance on the premises or in the surrounding area.
E. That the licensee suffered or permitted illegal acts upon the
licensed premises or on property owned or controlled by the
licensee adjacent to the licensed premises, unrelated to the sale of
intoxicating liquor or 3.2 percent malt liquor.
Page 13 of1?
33
City of Centerville
Ordinance #13 (Liquor)
08/28/02
..
F. Expiration or cancellation of any required insurance, or failure to
notify the City within.a reasonable time of changes in the term of
the insurance or the carriers.
...~ Sectron23." Hearing Notice For Revocatiotf~o'r-SlJS'pehsiornjf License::]".""'..""
Revocation or suspension of a license by the City Council shall be preceded by public
hearing conducted in accordance with Minnesota Statutes Section 14.57 to 14.70. The
City Council may appoint a hearing examiner or may conduct a hearing itself. The
hearing notice shall be given at least 10 days prior to the hearing, include. notice of the
time and place of the hearing, and state the nature of the charges against the licensee.
Section 24. Prohibited Conditions.
A. Prostitution. No licensee shall knowingly permit the licensed
premises or any room in those premises or any adjoining building
directly under the licensee's control to be used by prostitutes.
B. Controlled Substances. No licensee shall knowingly permit the
sale, possession or consumption of controlled substances on the
licensed premises in violation of state law.
C. Gambling. Gambling and gambling devices, with the exception of
licensed charitable gambling organizations, are not permitted on
licensed premises. State lottery tickets may be purchased and sold
within licensed premises as authorized by the director of the state
lottery.
Section 25. Inactive License.
. The City Council may revoke the intoxicating liquor or 3.2 percent malt liquor license of .
any establishment granted a license that is not under construction and exhibiting'
satisfactory progress toward completion within 6 months from its issuance, or any
establishment that ceases operation for a period of 6 months. A hearing shall be held to
determine what progress has been made toward. opening or reopeni~g the
.establishment and, if satisfactory progress is not demonstrated, the Council may revoke
the license.
Section 26. Building Changes.
Proposed enlargement or. substantial alteration which changes the character of the
establishment, or extension of premises previously licensed shall be reported to the City
Clerk at or before the time application is made for a building permit for any such
change. The enlargement, substantial alteration or extension shall not be allowed
unless the Council approves an amendment to the license.
Section 27. Public Character of Liquor Sales.
No sale of liquor shall be made to or in guest rooms of hotels unless:
Page 14 of 17
31
City of Centerville
Ordinance #13 (Liquor)
08/28/02
A. the rules of such hotel provide for the service of meals in guest
rooms;
" B. the sale of such liquor is made in the manner on-sales are required
to be made;'."
C. such sale accompanies and is incidental to the regular service of
meals to guests therein;
D. the rules of such hotel and the description, location, and number of
such guest rooms are fully set out in the application for the liquor
license.
Section 28. Presumptive Civil Penalties.
. . . . .
A. Purpose. The purpose of this Section is to establish a standard by
which the City Council determines th~ length of license
suspensions and the propriety of revocations, and shall apply to all
premises licensed" under this ordinance. These penalties are
presumed to be appropriate for every case; however, the Council
may deviate in an individual case where the Council finds that there
exist substantial reasons making it. more appropriate to deviate,
such as, but not limited to, a licensee's efforts in combination with
the State or City to prevent the sale of alcohol to minors. When"
deviating from these standards, the Council will provide written
findings that support the penalty selected.
B. Minimum Penalties for Violations. The minimum penalties for
convictions or violations must be presumed as follows (unless
specified, numbers below indicate consecutive days' suspension):
The following violations require revocation of the license on the first
violation:
. Commission and/or of a felony related to the licensed
activity.
. Sale of alcoholic beverages while license is under
su~pension.
. Sale of intoxicating liquor where only license is for 3.2
percent malt liquor.
Any violation not listed in the previous information would be heard
by the Council and they would review all information and
circumstances- and determine a penalty with the maximum fine' of
$2,000 and/or 60-day suspension or determine the "license should
be revoked.
License holders have the right to request a hearing before the City
Council if not in agreement with the presumptive penalty. The City
Page 15of17
35
City of Centerville
Ordinance #13 (Liquor)
08/28/02
Administrator also has the right to request a hearing before the
Council if he/she/they believe there exists substantial reason'
making itappropriate to deviate from the presumptive penalty. If the
City Administrator and licensee agree on the presumptive penalty,
-----.- these will be reported to the City Council in"a-staff report.
C. Multiple Violations. At a licensee's first appearance before the
Council, the Council must act upon all of the violations that have
been alleged in the notice sent to the licensee. The Council in that
case must consider the presumptive penalty for each violation
under the first appearance column in subsection (B) above. The
occurrence of multiple violations is grounds for deviation from the
presumed penalties in the Council's discretion.
D. Subsequent Violations. Violations occurring after the notice of
hearing has been mailed, but prior to the hearing, must be treated
as a separate violation .and. dealt with as a second appearance
before the Council, unless the City Administrator and licensee
agree in writing to add the violation to the first appearance. The
. . same procedure applies to a second; third, or fourth appearance
before the Council.
E. Subsequent Appearances. Upon a second, third, or fourth
appearance before the council by the same licensee, the Council
may impose the .presumptive penalty for the violatiOn or violations
giving rise to the subseql,.lent appearance without regard to the
particular violation or violations that were the subject of the first or
prior appearance. However, the Council may consider the amount
of time elapsed between appearances as a basis for deviating from
the presumptive penalty imposed by this Section.
F. Computation of Violations. Multiple violations are computed by
checking the time period of the three years immediately prior to the
date of the most current violation.
G. Other Penaities. Nothing in this Section shall restrict or limit the
authority of the council to suspend up to sixty (60) days, revoke the
license, impose a civil fine not to exceed two thousand dollars
($2,000.00), to impose conditions, or take any other action in
accordance with law; provided, that the license' holder has been
. afforded an opportunity for a hearing in the manner provided in this
Chapter.
H. Notification. If a licensed establishment is cited for a violation of
this ordinance, the Chief of Police must provide a letter of
notification to the licensee and the City Council through the City
Administrator within 30 days after the violation occurred.
Regular Penalty Grid:
Page 16of17
3~
Type of
license
On-sale
-
'-,,=-=.~,,=,;--c_' ---Intoxicating
li uor
Off-sale
Intoxicating
li uor
On-sale
Beer and
Wine
Off-sale
3.2 Malt
First
Violation
$500 and
5 Days "',
Sus ension.
$500 and
3 Days
Sus ension
$500 and
5 Days
Sus ension
$1,000 and
10 Days
Sus ension
Section 29. Effective Date.
Second
Violation
$1,000 and
-,,10 Days
Sus ension
$1,000 and
7 Days
Sus ension
$1,000 and
10 Days
Sus ension
$1,500 and
20 Days
Sus ension
City of Centerville
Ordinance #13 (Liquor)
08/28/02
Third Fourth
Violation Violation
$2,000 and
""''',,-15 Days--"-".-'c "'Revocation --,.
Sus ens ion
$2,000 and
12 Days Revocation
Sus ens ion
$2,000 and
15 Days Revocation
Sus ension
$2,000 and
40 Days Revocation
Sus ension
This ordinance shall be effective immediately upon the date of its publication.
Adopted by the City Council of Centerville this 28th day of August, 2002.
Tim Swedberg
Mayor
Attested:
Teresa Bender
City Clerk
Page 17 of 17
31
LIQUORITOBACCO LICENSE RENEWALS NEW APPLICATIONS
REQUIRED
CERTIFICATE OF CERTIFICATE OF INFO. FOR LIQUOR
COMPLlANCEI COMPLIANCE BACK- LIABILITY LIQUOR 2AM POLICE DELINQUENT
TENNESSEN MN WORKERS' DEPT. OF TAX GROUND INSURANCE LIABILITY CLOSING & CHIEF'S DELINQUENT PROPERTY TAXES.
STORE DOING WARNING COMPo REVENUE CLEARANCE CHECK & DATES INSURANCE EFFECTIVE APPROVAU UTILITIES - BUSINESS BUSINESS
ESTABLISHMENT MANAGER/OWNER BUSINESS AS APPLYING FOR SIGNED COMPLETED COMPLETED INFORMATION COMPLETED EFFECTIVE LIMITS DATE COMMENTS PROPERTY PROPERTY
Center Mart, LLC Carl Buechler Center Mart Tobecco License Yes Yes, 712105-712106 Yes Yes Yes N/A N/A N/A No No
Off Sale Liquor & Yes, 1/1/06- $2,000,0001
Centervllle Liquor (GNAW, II Michael Walmar Centervllle Liquors Tobacco License Yes Yes, 1/1/06-111/07 Yes Yes Yes 1/1/07 $4,000,000 N/A No No
TO Steffen, Inc. Todd Steffen Comer Express Tobacco License Yes Yes, 2/1/05-211/06 Yes Yes Yes N/A NIAI N/A No No
On Sale, Off Sale &
Sunday liquor & Not Submitted Expires
Kelly's Komer, Inc. Bill BIsek Kelly's Komer Tobecco License Yes Yes, 519105-519106 Yes Yes Yes w/Appllcatlon 7/1412006 No Yes
On Sale, Off Sale &
Sunday Liquor & Not Submitted Expires
Mountain Enterprises, Inc. Paul Monteln Trio Inn Tobacco License Yes Yes, 111/06-1/1/07 Yes Yes Yes w/Applicatlon 7/1412006 Yes Yes
On Sale, Sunday
Liquor & Tobacco Yes, 111106- $1,000,0001
Wiseguys Pizza. Inc. Ken Vanderbeek Wiseguy PIzza License Yes Yes, 11/24105-11124106 Yes Yes Yes 111107 $2,000,000 N1A No No
Subsequent to speaking with Mr. Hoeft, his interpretation is that delinquent property taxes and utilities are only on the property involved for the operation of the business.
Mr. Hoeft felt that If the Worker's Comp. Ins. Was cancelled or not renewed, the CIty would be notified and would have the right to revoke the licenses.
Have spoke wlTodd & Michael regarding Copies of Their W.C. Ins. - will have by Monday
Paul - No Copy ofW.C. Ins.
31
CITY OF CENTERVILLE
RENEWAL APPLICATION FOR LICENSE TO SELL
TOBACCO PRODUCTS AT RETAIL
The iindersigned, residing at - J :; 8'7 J)1tJtt/t//) TA 1. I in the City of ~~
:-J ~ /61 -7~;J- I J6-c."
in the County of ~~ . State of Minnesota, Residence Telephone: rJ5/).I/':;t,. . 1/88'" HEREBY
MAKES APPLICATION FOR LICENSE to be issued to CARL BUECHLER. DBA CENTER MART, to sell
tobacco products at retail at 1801 MAIN STREET, Business Telephone: (t~7 {1~~~(Jin the City of
Centerville, Anoka County, Minnesota for the term of one (1) year beginning with the 1st day of January, 2006,
subject to the laws of the State of Minnesota and the ordinances and regulations of said Dty of Centervil1e pertaining
thereto, and herewith deposit $85.00 in payment of the fee therefore.
_ _ _ RepQrt J>~low_d_t~bllls ()f t()1?~~cQIClw violati()Ils ~t!t~ye occurred within the last five years. Q?at~s, ()~~
Report below details involving any license r .
fines or other penalties):
By signing this renewal application, applicant certifies that there has been no change in ownership,
corporate officers, or partners. If changes have occurred during the past 12 months, complete in its entirety the
attached Tax Qearance Information, sign below.
Date:
lofr/o!5
Catt~
Signature
Olf~ L Bl1"EeH-Lt=/C
Name (print)
Ct=fJTclC fJ1f}trr
FOR OFFICE USE ONLY (Do not write below this line)
Report by Police Department
This is to certify that the applicant and the associates, named herein have not been convicted within the past :five years of any
violation of federal, state or local law, ordinance provision, or other regulation relating to tobacco or tobacco products, or tobacco
related devices, or any felony within the last ten years.
Signature ~ r((}f3~~ Title ~ f
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CE~TERMART'.LLC -
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NOTIFICATION FOR LICENSE INVOLVING PRIVATE
OR CONFIDENTIAL INFORMATION
(Includes Tennessen Warning)
- -
In connection with your request for a license, the City has asked that
you provide information about yourself which is classified as private,
confidential, nonpublic, or protected nonpublic under the Minnesota
Government Data Practices Act. This means that this data is not
ordinarily available to the general public. Accordingly, the City is
required to inform you of the' following:
1. The purpose and intended use of the information requested is to determine if you
are eligible for a license from the City of Centerville.
2. You are not legally obligated to supply the requested information.
3. The known consequence of supplying the requested information is that the
information of further investigation could disclose information which could
cause your application to be denied.
4. The known consequence of refusing to supply the requested information is that
your request for a license cannot be processed.
5. A criminal charge, arrest, or conviction will not necessarily bar you from
obtaining a license with the City, unless the conviction is related to the matter
for which the license is sought, according to Minnesota Statute 364.03.
However, failure to reveal the requested criminal information will be considered
falsification of the application and may be used as grounds for the denial of the
application.
6. Other governmental agencies necessary to process your application are
authorized by law to receive the information provided.
7. The City is required by law to furnish some of the information to the
Department of Labor and Industry and the Minnesota Commissioner of
Revenue.
8. During the application process, your name and address may be released to the
public. If the license is granted, all the data supplied will be available for
inspection by the public.
The undersigned, by signing this notice, acknowledges that he/she has read and
understood the contents of this notice and has received a copy of this notice.
1t?/~/oS
[?&Uf}
Signature
Date
,/;
CERTIFICATE OF COMPLIANCE
MINNESOTA WORKERS' COMPENSATION LAW
Minnesota Statute, Section 176.182 requires every state and local licensing agency to withhold
the issuance or renewal of a license or permit to operate a business or engage in an activity in
Minnesota until the applicant presents acceptable evidence of compliance with the workers'
compensation insurance coverage requirements ofMSS Chapter 176. The information required
is: the name ofthe insurance company, the policy number, and dates of coverage, or the permit
to self-insure. This information will be collected by the City and retained in the files.
Policy Number:
This information is required by law, and licenses and permits to operate a business may not be
issued or renewed if it is not provided and/or is falsely reported. Furthermore, if this
information is not provided or falsely stated, it may result in a $1,000 penalty assessed against
the applicant by the Commissioner of the Department of Labor and Industry.
~F~jJ ,1Jl~
- ~lf/f~, &0 1
7t*~ TO ,*rQ~t
Insurance Company Name:
(NOT the insurance agent)
Dates of Coverage:
(OR)
I am not required to have workers' compensation liability coverage because:
o
I have no employees
JiI!---1 am self-insured (include permit to self-insure)
D I have no employees who are covered by the workers' compensation law
(these include: spouse, parents, children and certain farm employees)
I certify that the information provided above is accurate and complete and that a valid
workers' compensation policy will be kept in effect at all times as required by law.
Name: Cu~ {) (
rrst] [Middle]
;So! m~ U:
g
[Last]
Name of Business:
Business Address:
(!~ ~ !)O?JS??
[City] ) [State] [Zip]
Business Phone: ~~/-tj',Jla~
I !/{l5~6- I~
Date Signature
4~
Issue Date (MM/DDIYYYY)
10/18/2005
Producer
All County Agency
255 SE Highway 97 Suite 3B
Forest Lake, MN 55025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO
RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COVERAGE PROVIDED BY
Insured
Center Mart LLC
1801 Main St
Centerville, MN 55038
STATE FUND MUTUAL INSU.RANCE
3500 AMERICAN BLVD. WEST
SUITE 700
BLOOMINGTON, MN 55431-4434
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRA TlON
DATE (MMlDDIYYYY) DATE (MMIDDNYYY)
. __W08I<Ea'SCOMI'ENSATIQN__.__ _~_n24089.20L____ ._07l02/2005 ..___ U_", __ _07/0212006_.__
LIMITS
AND
EMPLOYERS' LIABILITY
._ STATUTORY' LIMITS.
EACH ACCIDENT
POLICY LIMIT
DISEASE-EACH EMPLOYEE
100 000
$500 000
$100,000
-,,,..~ -"~,< ~"' J'- .~""..... D
~"':." r;.......'. j;! " 'Ii'.' '1;i rrb' ~
.!~.u l~l ~ ~ ~ .r.:, ~ .
OCT 1 9 Z004
DESCRIPTION OF OPERATlONSlLOCATIONSJSPECIALITEMS
This Workers Compensation applies only to Minnesota employees working in Minnesota or while working temporarily out of the state of
Minnesota.
City of Centerville
Attn: Teresa Bender
1880 Main St
Centerville, MN 55038
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
BUT FAILURE TO MAIL SUCH NOTICE SHAlL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE COMPANY, ITS NTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATlV
POLICY NUMBER:
NEW POLICY
COMMON POLICY DECLARATIONS
MEMORANDUM COPY
D
CM28569
~.
NORTH STAR MUTUAL
INSURANC~ COMPANY
BOX 48 COTTONWOOD, MINNESOTA 56229-0048
NAMED INSURED AND MAILING ADDRESS
CENTER-MART LLC
1801 MAIN ST
CENTERVILLE MN
55038
168
AGENT AND ADDRESS
ALL CITY AGENCY
1287 MOUND TRAIL
CENTERVILLE MN 55038
. (651)' 481-8744
POLICY PERIOD: FROM 10/04/05 TO 10/04/06 AT 12:01 A.M. STANDARD
TIME AT YOUR MAILING ADDRESS SHOWN ABOVE.
This replaces all previously issued policy declarations, if any. In return for the payment of the
premium and subject to all- the terms of this policy, weC3gree with you to provide the insurance as
stated in this policy during the policy period shown above.
THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS
INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT.
PREMIUM
COMMERCIAL PROPERTY COVERAGE PART ..........:....... -:........ ~.... -$'2',635.00
COMMERCIAL GENERAL L1ABIUTY COVERAGE PART . . . . . . . . . . . . . . . . . . . . .. . $ 844 .00
CERTIFIED TERRORISM COVERAGE (SEE DISCLOSURE NOTICE) . . . . . . . . . . . . . $ 0 .00
TOTAL ANNUAL PREMIUM.. $ 3, 479 ~ 00
PREMIUM AUDIT PERIOD: ANNUAL
BILL TO: INSURED
(THIS IS NOT A BILL; STATEMENT WILL FOLLOW)
Your policy is subject to the forms/endorsements"'tisted below-any new or revised
forms/endorsements are attached and now apply. (If this is a renewal certificate or a revision", only
the new or revised forms/endorsements are attached.)
IL0017(11-98)
CP0010(10-90)
IL0935(07-02)
CP1218(10-90)
CF1181(05-91)
CF-846(08-00)
CG2147(07-98)
IL0021(11-94)
CF1332(10-02)
CP0090(07-88)
CF1736(12-03)
CPI030(10-90)
CF1335(05-93)
CF-962(03-89)
CG2160(09-98)
Il0245(09-03)
CF-1752(12-03)
CP0157(07-98)
CP0015(07-88)
CP1440(07-88)
CF1403(04-94)
CGOOOl(11-88)
CG2167(04-02)
CG2104(11-85)
CF-1806 (1'-05)
IL0003(07-02)
CP0032(10-90)
CF1821(02-05)
CF1408(01-94)
CG0057(09-99)
CG2681(11-02)
COUNTERSIGNED: 10/14/05
BY
(OUR AUTHORIZED REPRESENTATIVE)
2
~j
CONTINUED ON REVERSE SIDE
~
COMMERCIAL LIABILITY DECLARATIONS
MEMORANDUM COpy
D
POLlCY NUMBER: CM28569
NEW POLlCY
POLICY PERIOD: 10/04/05 TO 10/04/06
~.
NORTH STAR MUTUAL
INSURANCE COMPANY
BOX 48 COTTONWOOD, MINNESOTA 56229-O04~
- -
COMMERCIAL GENERAL LIABILITY COVERAGE PART
LIMITS OF INSURANCE:
--------------------------.------------------------------------------------------
GENERAL AGGREGATE LIMIT . . . . . . . . .
$1,000,'000
PRODUCTS - COMPLETED OPERATIONS AGGREGATE LIMIT .
$
- 0 -
PERSONAL AND ADVERTISING INJURY LIMIT
$1,000,000
$1,000,000
$ 100,000
$ 5,000
EACH OCCURRENCE LIMIT . . .
FIRE DAMAGE LIMIT (ANY ONE FIRE) .
MEDICAL EXPENSE LIMIT (ANY ONE PERSON) .
FORM OF BUSINESS:
- ._-------
ORGANIZATION (OTHER THAN PARTNERSHIP OR JOINT VENTURE).
LOCATION OF ALL PREMISES YOU OWN, RENT OR OCCUPY AND BUSINESS DESCRIPTION:
LOC. 01 1801 MAIN ST CENTERVILLE MN, CONVENIENCE STORE
CLASSIFICATION:
CODE PREMIUM ADVANCE PREMIUM
NO. BASE PR/CO ALL OTHER
---------- -------------------------
13673 475,000 $ 586.00
~
13454 260,000 $ 258.00
GROCERY STORES
GASOLINE STATIONS-SELF-SERVICE
PROCESS DATE: 10/14/05
2
!5
CERTIFICATE OF COMPLIANCE
DEPARTMENT OF REVENUE
Pursuant to Minnesota Statute 270.72 Tax Clearance; Issuance of Licenses, the licensing
authority is required to provide to the Minnesota Commissioner of Revenue your Minnesota
Business Tax Identification Number and the social security number of each license
applicant (person sienine the aoolication).
Under the Minnesota Government Data Practices Act and the Federal Privacy Act of 1974, we
are required to advise you of the following regarding the use oftbis information:
1. This information may be used to deny the issuance, renewal, or transfer of your
license in the event you owe the Minnesota Department of Revenue delinquent
taxes, penalties, or interest;
2. Upon receiving this information, the license authority will supply it only to the
Minnesota Department of Revenue. However, under the Federal Exchange of
Infonnation Agreement, the Department of Revenue may supply this
information to the Internal Revenue Service;
3. Failure to supply this infonnation may jeopardize or delay the processing of
your license issuance.
--Ple-asesupplythejollowinginformation and return alongwithyourapplication:
1YPE OF LICENSE BEING APPLIED FOR OR RENEWED: ~
PERSONAL INFORMATION: .
Applicant's Address:
u;;~~~
~ Ihtfi ~{5ZJ5~
[Zip]
-
Applicant's Name:
[City]
[State]
Social Security Number:
BUSINESS INFORMATION:
C!:-((~ 1J1~
I. r?tJ/ J11~ ~
r .
C~A~~~ flu-1 J?~~
[City] [State] [Zip]
Minnesota Tax Identification Number: 70 / ?..5'-S-: I
'1j~ ;PI /Lf/.53~
Business Name:
Business Address:
Federal Tax Identification Number:
If a Minnesota Tax Identification Number is not required, please explain on the reverse side.
II/c;*~
Date Signature and Position (Officer, Owner, Partner)
.i)~
TAX CLEARANCE INFORMATION
TO LICENSE APPLICANT:
Pursuant to Minnesota Statute 270.72 Tax Clearance: Issuance of Licenses, the licensing authority is
required to provide to the Minnesota Commissioner of Revenue your Minnesota Business Tax
Identification Number and social security number of each license applicant.
Under the Minnesota Government Data Practices Act and the Federal Privacy Act of 1974, we are required
to advi~ y~u of the following regardinl? ~e use of this information:
1. This information may be used to deny the issuance, renewal or transfer of your
license in the event you owe the Minnesota Department of Revenue delinquent
taxes, penalties or interest;
2. Upon receiving this information, the licensing authority will supply it only to the
Minnesota Department of Revenue. However, under the Federal Exchange of
Information Agreement the Department of Revenue may supply this information
to the Internal Revenue Service.
3. Failure to supply this information may jeopardize or delay the processing of
your licensing issuance or renewal application.
Please supply the following information and return along with your application to the agen
license. DO NOT RETURN TO THE DEPARTMENT OF REVENUE.
T()/~NEW [ )
LICENSE TYPE:
LICENSING AU1HORITY: Ci of Centerville
LICENSERENEWALDATE ----n---~;--/ob
I ,
BUSINESS INFORMATION:
Business Address:
(!/~ JU~
/~O( )J1~ JIL-.
,
{!R~7~AA..~)' JfwL
[City) [State)
iP57-L/dh -/~/
List of Officers or Partners (full name, title, and social security number):
Full Name: &vi ~~
fJ /V..4
~ J1;]
, 5:q-O~J?
[Zip)
Business Name:
Business Telephone Number:
Title:
Social Security Numbel
~
Full Name:
Title: ~
FollName: T~
t/.
Title: ,
Full Name: ;j.P~
Title: (~
Social Security Number
Social Security Number:
~~/
Social Security Number:
IF A CORPORATION:
Corporation Name: ~ /JJ ~
115 tJ I f}1cu:-v ~i .
dba ~~ jna;:e-,
~ /IW'- ~
11
Business Address:
Incorporation Date: 'I/; /~ ~
List of Directors: C~f ~ ~ ~
TeA? 0/- &v~. ~
List of Stockholders: -4 ~ f/ -
-
PERSONAL INFORMATION (if sole proprietor):
Applicant's Name:
Applicant's Address:
[City] [State]
Home Telephone Number: &S/- 7~-/d.s-6
[Zip]
Social Security Number: _
ALL APPLICANTS:
List all persons or entities with either a direct or indirect interest in the applicant or the applicant's business
to be conducted under the license for which this application is made and describe their interest in detail
_ __mum below_m n m_ _ ____.___m
~~tAta~
/:Jg71fl~ wJJ .
Addresses: C~dh ,(Jh0@~
/
----------~~-- -
~ik-f~~~
~~ .~5~
Assumed or Trade Names, if any:
Business Telephone Number: tiS" J -Iftt...'I~/?1Y Home Telephone Number: U- /... 7 A:). /$"t::,
Has any person named in the application ever been convicted of a felony? 0 Yes 0 No
If yes, set forth the offense, date, county and stated of conviction:
Applicant agrees that any manager employed in the licensed premises will have all qualifications of a
licensee and that the manager will not violate any city or state laws.
Minnesota Tax Identification Number: 7 t' /75. ,:;-1
Federal Tax Identification Number: :2L:J - J 11/1.lJ b- d
If a Minnesota Tax Identification Number is not required, please explain on the reverse side.
Signature.
Position (Office, Partner, etc.):
Print Name:
Date:
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Date 11/4/2005
Account 02-00000091-00-0
After 11/15/2005 Pay $63.80
Balance Due By 11/15/2005
Balance $58.00
Amount Enclosed
CENTER MART
1801 MAIN STREET
CENTERVILLE MN 55038
111111111111111111111111111111111111111111111111111111111111111111111111111
*A'A'A'A'ARAQ1'A'AA*
1.1.1..1.1.111111111.1111.1.1111
For Service at 1801 MAIN STREET
Return Top Portion with Payment
Previous
Date Charge Read
Prey Sal
Current
Read
Usage
7/28/2005
~ ~~ ~~ -10/13/2005-- -otO DRAIN FEE~ ~~~--~.- ~-- --~-- ---
10/13/2005 018 SEWER COMM
- - - - -. - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - # - --
_ _ _ _ _ nnn _ _ u__ _u<;:'l!~_ ~~~~9~~u: _u _ _ _ _ _ _ _ 00 _ _ _ _u _ _ _ _ _ _ _u _ _ _ _ _ _ _ _ _ _. _ u ___ _. _...... _ _ _ _ __ _u_. _.... __. _ h _ _ _. _ _. _.... _. _ _ _ _ _ _ _ _ _ _ _.. _.. _. ___
Total
For Service at 1801 MAIN STREET
Account 02-00000091-00-0 CENTER MART
For Service From 10/1/2005 to 10/20/2005 After 11/15/2005 Pay $63.80
Snowmobile Ordinance 17A has been amended. For more
information, please contact City Hall at 651-429-3232.
~
Page 10f2
Wcloomc 10 thll Wllb site oi
Anoka County
MimlCIllt.a
Property Account Summary
Current General Information
Property ID 23-31-22-12-0006
Situs Address 1801 MAIN ST , CENTERVILLE, MN 55038-0000
Property Description JAMES COMMERCIAL ADDITION LOT 1 BLK 1 JAMES COMMERCIAL ADD(SUBJ TO EASE AS
SHOWN ON PLAT)
Last Sale Price
Last Sale Date -
Last Sale Document Type
Linked Property Group 1 of 2
Position
Status Active
Abstract/Torrens All Torrens
Parties
Role IName
OWher -- --- - ITFJAMES COMfYANY-- -- - -- -- -~.. ~ -- - _.-- -_..-- -
Document Recordina Process Dates
Abstract Documents Have Been Recorded Through 10/19/2005
Abstract Documents Have Been Mailed Through 10/14/2005
Torrens Documents Have Been Recorded Through 09/20/2005
Torrens Documents Have Been Mailed Through 09/16/2005
!Active Certificates Of Title
Type ICertificate Number ICertificate Date
CRTST CERTIFICATE OF TITLE - STANDARD 1101535 102/20/2004
Documents Recorded Within 30 Davs Of "Recorded Through" Dates Above
Type IAbstract/Torrens IRe corded Number IRecorded Date
LWDE LIMITED WARRANTY DEED ITorrens 1485063.001 110/27/2005
PrODertv Characteristics
Lot Size 15200*200
Year Built 11982
* Lot Size: Approximate lot size in feet, clockwise beginning with the direction the lot faces
ax District Information
City Name I CENTERVILLE
School District Number and Name I CENTENNIAL SCHOOL DISTRICT #12
Property Classification
Tax Year Classification
2005 3A-Commercial/Industrial/Public Utility
2004 3A-CommercialjIndustrial/Public Utility
PrODertv Values
Tax Year Description Amount
2006 Est Market Land (MKLND) 120,000
2006 Est Market Improvement (MKIMP) 253,000
2006 Est Market (MKTTL) 373,000
2005 Est Market (MKTTL) - 356,500
https://prtinfo.co.anoka.mn.us/(f2xfl0451 dwlysilfq4cym5 5)/search.aspx
11/4/2005
5/
Page 2 of2
12005
ITaxable Market (TMTV)
356,500 I
rTax Amounts for M lPR
Tax Year Description Amount
2005 Total Tax Amounts - Before Payments 14,301.20
2005 Special Assessments (Included in Total) 2,614.39
Payment Historv for-Past Three Years - - -
Date Paid Tax Year Principal Interests, Penalties and Costs Amount Paid
10/14/2005 2005 7,150.60 0.00 7,150.60
05/16/2005 2005 7,150.60 0.00 7,150.60
05/15/2004 2004 14,469.89 0.00 14,469.89
05/15/2003 2003 12,555.35 502.21 13,057.56
No Charges are currently due.
Developed by ASIX, Incorporated.
@2004 All rights reserved.
Version 1.0.2110.22214
https://prtinfo.co.anoka.mn.us/(f2x:fl0451dwlysilfq4cym5 5 )/search.aspx
11/412~ ..t-
~
~
Minnesota Department of Public Safety
Alcohol and Gambling Enforcement
444 Cedar Street, Suite 133
St. Paul, MN 55101-5133
651-296-6979. TTY 651-282-6555. Fax 651-297-5259
RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES
Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City
Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license
period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license
cancellation.
License Code OFSL
City/County where license approved.
License Period Ending
Cent et"'v i 11 e
12/31/200~#
15089
Licensee Name
Trade Name
GNAW Inc.
Centerville Liquors
Licensed Location address
*7093 20th Ave S
City, State, Zip Code
Business Phone
- Centerville, MN 55038
651/426-6674
". - ...-- - ----LICENSE FEES;-OffSale $___________ --------- --- -- -- On Sale-t-- -------~-------~--Sunoay t---~--~~~---~---~
By signing this renewal appliJ8b~;a~ghcant certifies that there has b&!fi G'3'change in ownership on the a~dv~~amed
licensee. For changes in ownership, the licensee named above, or for new licensees, mil applications should be used. See
back of this application for mrther information needed to complete this renewal.
Applicant's sbroature on this renewal confirms the following: Failure to report any of the following will result in fines.-
1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in
Minnesota. If so, give details on back of this application.
2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of
Minnesota. If ever rejected, please give details on the back of this renewal, then sign below.
3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation
(state or local). If a revocation has occurred, please give details on the back of this renewal, then Sign below.
4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal
liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below.
5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability
Law (Dram Shop) MS 340A.802.lfyes, attach a copy of the summons, then sign below.
6. Licensee confirms that Workers Compensation insurance is in effect for the full license period.
Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county
where license is issued. $100,000 in cash or securities or $100,000 surety bond may be submitted in lieu of liquor Iiabil.
ity. (3.2 % liquor licenses are exempt if sales are less than $25,000 at on sale, or $50,000 at off sale).
LicenseeSignature ....~ A~ Date IO--/l-o~
(Signature certifies all above information to be correct and license has been approved by city/county.)
City Clerk/County Auditor Signature Date
(Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.)
County Attorney Signature Date
County Board issued licenses only (Signature certifies licensee is eligible for license).
Police/Sheriff Signature Date
(Signature certifies licensee or associates have not been cited during the past five years for any state/local liquor law violations
(criminal/civil). Report violations on back, then sign here.
PS 9093-98
~
Indicate below chan2es of corporate officers. partners. home addresses or telephone numbers:
Indicate below any interest whatsoever. directly or indirectly in other liquor establishments:
Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses.
fines or other penalties. includin2 Liquor Control Penalties):
Report below details involvin2 any license rejections or revocations:
City/County Comments:
JiI
CITY OF CENTERVILLE
RENEWAL APPLICATION FOR LICENSE TO SELL
TOBACCO PRODUCTS AT RETAIL
The undersigned, residing at 'Mrz Cr-~~ -in the City of a.JlJa'; I!f,
WASJh:~fD'"
in the County of ~ , State of Minnesota, Residence Telephone: (v7i- )11K...- Kg?? HEREBY
MAKES APPLICATION FOR LICENSE to be issued to MICHAEL WA~R, GNAW INC. DBA
CENTERVILLE LIQUOR, to sell tobacco products at retail at 7093 20TH AVENUE SOUTH, Business
Telephone: ,,, )'1 U; -"11 in the City ofCenterville, Anoka County, Minnesota for the term of one (1) year
beginning with the 1st doy of January, 2006, subject to the laws of the State of Minnesota and the ordinances and
regulations of said Oty of CenterviUe pertaining thereto, and herewith deposit $85.00 in payment of the fee
therefore.
Report below details of tobacco law violations that have occurred within the last five years. (Dates, offenses,
fines or other penalties):
Report below details involving any license rejections or revocations:
By signing this renewal application, applicant certifies that there has been no change in ownership,
corporate officers, or partners. If changes have occu"ed during the past 12 months, complete in its entirety the
attached Tax Oearance Information, sign below.
Date:
10- f/-f} {
~-&v~
Signa re. . /'1
f1V0~ r T W.A(...M~ ~
Name (print)
FOR OFFICE USE ONLY (Do not write below this line)
Report by Police Department
This is to certify that the applicant and the associates, named herein have not been convicted within the past five years of any
violation of federal, state or local law, ordinance provision, or other regulation relating to tobacco or tobacco products, or tobacco
related devices, or any felony within the last ten years.
55
Signature
Title
st,
\
'Y
., GNA.WINC.~,
CENTERVII:.LE L!9UORS
MICHAE~WALMAR
, 7093 20TH AVE S:
CENTERVICLE. MN 55038
. t651)426-6674:
- -';"'~~i7i~~i,c,
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NOTIFICATION FOR LICENSE INVOLVING PRIVATE
OR CONFIDENTIAL INFORMATION
(Includes Tennessen Warning)
In connection with your request for a license, the City has asked that
you provide information about yourself which is classified as private,
confidential, nonpublic, or protected non public under the Minnesota
Government Data Practices Act. This means that this data is not
ord.inarily available to the general public. Accordingly, the City is
required to inform you of the following:
I. The purpose and intended use of the information requested is to determine if you
are eligIole for a license from the City of Centerville.
2. You are not legally obligated to supply the requested information.
3. The known consequence of supplying the requested information is that the
information of further investigation could disclose information which could
cause your application to be denied.
4. The known consequence of refusing to supply the requested information is that
your request for a license cannot be processed.
5. A criminal charge, arrest, or conviction will not necessarily bar you from
obtaining a license with the City, unless the conviction is related to the matter
for which the license is sought, according to Minnesota Statute 364.03.
However, failure to reveal the requested criminal information will be considered
falsification of the application and may be used as grounds for the denial of the
application.
6. Other governmental agencies necessary to process your application are
authorized by law to receive the information provided.
7. The City is required by law to furnish some of the information to the
Department of Labor and IndustIy and the Minnesota Commissioner of
Revenue.
8. During the application process, your name and address may be released to the
public. If the license is granted, all the data supplied will be available for
inspection by the public.
The undersigned, by signing this notice, acknowledges that he/she has read and
understood the contents of this notice and has received a copy of this notice.
/0-//- OS
Date
~AW~
Signa re
61
CERTIFICATE OF COl\1PLIANCE
MINNESOTA WORKERS' COl\1PENSATIONLAW
Minnesota Statute, Section 176.182 requires every state and local licensing agency to withhold
the issuance or renewal of a license or permit to operate a business or engage in an activity in
Minnesota until the applicant presents acceptable evidence of compliance with the workers'
compensation insurance coverage requirements ofMSS Chapter 176. The infonnation requirea
is: the name of the insurance company, the policy number, and dates of coverage, or the permit
to self-insure. This information will be collected by the City and retained in the files.
This infonnation is required by law, and licenses and.permits to operate a business may not be
issued or renewed if it is not provided and/or is falsely reported. Furthermore, if this
information is not provided or falsely stated, it may result in a $1,000 penalty assessed against
the applicant by the Commissioner of the Department of Labor and Industry.
Insurance Company Name:
(HOT the insurance agent)
Policy Number: ()) - Br - 2'3'1710- 20
Dates of Coverage: --p'_7/ () 1/ () .~ TO /Jfl ~! ~ t
~"~~'~_~___'_~ ~. ~__________~~________..___. ____ _ _ _ _ _ _ _ _..., _,_ _--:L; _ _ _,_ ________ _ _______ ____--J.,~7.~~:2-.~ _~_~..___ _:____
. . (OR) ,. .:-~r .
J.It r f?[O
I am not required to have workers' compensation liability coverage because:
D
I have no employees
D
D
I am self-insured (include permit to self-insure)
I have no employees who are covered by the workers' compensation law
(these include: spouse, parents, children and certain farm employees)
I certify that the information provided above is accurate and complete and that a valid
workers' compensation policy will be kept in effect at all times as required by law.
Name: ;VI, c 4~i
[First]
-r1k;A/l,4:f
[Middle]
Wh~
[Last]
Name of Business: 6 AlItw JIlIC DZ$A ('~41~c/il {L it", ~
Business Address:
7&Cf3 ~-h1 ~ S'
(~+wvJi{e
[City]
0-tJ
[State]
j- SV ; <6
[Zip]
18' --II' -o~
Date
C)I - i..j,;l.-' -t67 c(
~A~
Signature
Business Phone:
.59
PRODUCER (651)644-0311
Pau1et/S1ater, Inc.
2610 University Ave.,
St. Paul, 'MN 55114
#200
DATE (MM/DDNYYY)
10/25/2005
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
I
ACOBJ:t CERTIFICATE OF LIABILITY INSURANCE
FAX (651)641-8981
, '"
INSURED Centervi 11 e liquors
DBA: GNAW Inc
7093 20th Ave
Centervi11e, MN 55038
INSURERS AFFORDING COVERAGE
INSURER A: Safeco Insurance
INSURER B:
INSURER C:
INSURER D:
INSURER E:
NAlc 'fj
,
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
II~~: ~~~: TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRATION UMITS
GENERAL LIABIUTY EACH OCCURRENCE $
- DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY $
- :=J CLAIMS MADE 0 OCCUR
MED EXP (Anyone person) $
-
PERSONAL & ADV INJURY $
-
,; GENERAL AGGREGATE $
~
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.COM~OPAGG $
~, 'n PRO- nLOC
, POLICY , JECT ,
AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT
- (Ea accident) $
" ANY AUTO
- REO] f," '?"'~"1'"i!I D
ALL OWNED AUTOS BODILY INJURY
- f:d. ~' .!!I (Per person) $
SCHEDULED AUTOS
~.- ---- - --- - -- --- - - ---------.-.- ..----.-- ------- ----u--OCy-- _.- ---~-'-"---- -- - ----.---- ---..- - -- --- _on -.'
HIRED AUTOS ~ La05 BODILY INJURY
- (Per accident) $
NON-oWNED AUTOS
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE UABIUTY AUTO ONLY- EA ACCIDENT $
=l ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA UABIUTY EACH OCCURRENCE $
:=J OCCUR D CLAIMS MADE AGGREGATE $
$
=l DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I WC STATU-I rOJ.1;l-
EMPLOYERS' LIABILITY E.L EACH ACCIDENT $
ANY PROPRIETOR/PARTNERlEXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $
If yes, describe under E.L. DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
O]HER liability ~ENEWAL OF 02BP2397901 01/01/2006 01/01/2007 $2,000,000/$4,000,000
A L1quor
"
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Provides evidence of insurance.
DER
City of Centervi11e
1880 Main St
Centervi11e, MN 55038
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001/08) FAX: (651)426-2859
@ACORD CORP06o 1988
CERTIFICATE OF COMPLIANCE
DEPARTMENT OF REVENUE
Pursuant to Minnesota Statute 270.72 Tax. Clearance; Issuance of Licenses, the licensing
authority is required to provide to the Minnesota Commissioner of Revenue your Minnesota
Business Tax Identification Number and the social security number of each license
applicant (person sil!ninl! the application).
Under the Minnesota Government Data Practices Act and the Federal Privacy Act of 1974, we
are required to advise you of the following regarding the use of this information:
1. This information may be used to deny the issuance, renewal, or transfer of your
license in the event you owe the Minnesota Department of Revenue delinquent
taxes, penalties, or interest; .
2. Upon receiving this information, the license authority will supply it only to the
Minnesota Department of Revenue. However, under the Federal Exchange of
Information Agreement, the Department of Revenue may supply this
information to the Internal Revenue Service;
3. Failure to supply this information may jeopardize or delay the processing of
your license issuance.
~~~~~-~~~ ~-Please supptythe101towi1T~infonnationCl1TdYeturn~alo"gwithJ'oura:pplication.------ - ~-~ -~~~.
TYPE OF LICENSE BEING APPLIED FOR OR RENEWED: OFf ~ A-1..t
PERSONAL INFORMATION:
Applicant's Name:
)/J t & IwuA r tv ft'CnVIMV
'fg'fZ G~ ~
t4 hi ale
[City]
MAl
[State]
-)}( z-g-
[Zip]
Applicant's Address:
Social Security Number:
BUSINESS INFORMATION:
Federal Tax Identification Number:
tfAkrvr ~Ie '-'1 vrlf15
7()l'"3 ~-fIt k Y
C~4rI/;IIL.r ~
[City] [State]
6f6tb1>>
g'j -0 ~ <;? )'f6~
5"> p ~ i'"
[Zip]
Business Name:
Business Address:
Minnesota Tax Identification Number:
If a Minnesota Tax Identification Number is not required, please explain on the reverse side.
~4 L.v~ gVf;o~
SIgn ture and POSItion (Officer, Owner, Partner)
/0 - (I-a ~
Date
/PI
TAX CLEARANCE INFORMATION
TO LICENSE APPLICANT:
Pursuant to Minnesota Statute 270.72 Tax Clearance: Issuance of Licenses, the licensing authority is
required to provide to the Minnesota Commissioner of Revenue your Minnesota Business Tax
Identification Number and social security number of each license applicant
Under the Minnesota Government Data Practices Act and the Federal Privacy Act of 1974, we are required
to advise you of the following regarding the use of this information:
: ~
1. This information may be used to deny the issuance, renewal or transfer of your
license in the event you owe the Minnesota Department of Revenue delinquent
taxes, penalties or interest;
2. Upon receiving this information, the licensing authority will supply it only to the
Minnesota Department of Revenue. However, under the Federal Exchange of
Information Agreement the Department of Revenue may supply this information
to the Internal Revenue Service.
3. Failure to supply this information may jeopardize or delay the processing of
your licensing issuance or renewal application.
Please supply the following information and return along with your application to the agency issuing the
license. DO NOT RETURN TO THE DEPARTMENT OF REVENUE.
LICENSE TYPE: tJ F f (A~
NEW [ ]
RENEWAL [.y(
LICENSING AUTHORITY: City of Centerville
~~~~~~-~~ LIeENSE~RE-NEWAL-D.A-TE:~-II-I-I-fj'r- m~_u~ - --~-~- - ~------~ - --~ ---~- ~-----~-~-----~~~---~---~~-~
BUSINESS INFORMATION:
Business Name: C e- fJ kvr ~ i-lIe
Business Address: 1tJ f3 2-0 -f1,
C~~r'o7(e.
[City]
LI1 v-Q~
~
MIl
[State]
.r,rrJ~~
[Zip]
Business telephone Number:
Irf" -Lf,U -66"7 Lj
List of Officers or Partners (full name, title, and social security number):
Full Name: JVllv~/ r W;tvM,4-L
Title: Ov; ~Y' Social Security Number: .
Full Name:
Title:
Social Security Number:
Full Name:
Title:
Social Security Number:
Full Name:
Title:
Social Security Number:
IF A CORPORATION:
Corporation Name: (; Iv A"lIV ~c .
dba {~~II-i..- tV7 ~
Business Address:
&2
Incorporation Date:
List of Directors:
List of Stockholders:
.- --
PERSONAL INFORMATION (if sole proprietor):
ApplicanfsName: Jl1lc hail 1 W~/Jvwr
Applicant's Address: It 'Cjz. G rp,,~1 At.t
(})7i [dAft
[City]
r;, )'1 - '1/1 <6 ,,- 5f?5'7 Z
,tVlN
[State]
S"'n~
[Zip]
Home Telephone Number:
Social Security Number: _
ALL APPLICANTS:
List all persons or entities with either a direct or indirect interest in the applicant or the applicant's business
to be conducted under the license for which this application is made and descnbe their interest in detail
below.
/11 (P ~/ wPJ,../iIWV" - OU.lh JY'
Addresses:
Assumed or Trade Names, if any:
Business Telephone Number: 6ft - 'f1-6- f;6'7r Home Telephone Number: ~:7t - ~1f-g-y,12-
Has any person named in the application ever been convicted of a felony? 0 Yes ~ No
If yes, set forth the offense, date, county and stated of conviction:
Applicant agrees that any manager employed in the licensed premises will have all qualifications of a
licensee and that the manager will not violate any city or state laws.
Minnesota Tax Identification Number:
Federal Tax Identification Number:
If a Minnesota Tax Identification Number is not required, please explain on the reverse side.
Signature~~ Position (Office, Partner, etc.): O{,(, ~
(AJ f -( (1M I~ {D.... ((-(')<':..
PrintName: rll\~ .-. u.~ Date: /
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I~J(~d"_t.:l_~tl~.!"1 "~I Reports ~ f.tl
. '.'.:,.Ncotillt ~rs
....Ss.h,Address 1"1990MA/NSTRE-ET" mm "....._m"" - ...
'Billing NalT)~~GILL PROPERTIES
$0.00
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TYRerl
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Welcome In the Web site of
Anoka County
Mi:mlctDta
Property Account Summary
Current General Information
Property ID 15-31-22-33-0011
Situs Address 1287 MOUND TRAIL, CENTERVILLE, MN 55038-0000
Property Description LOT 1 BLOCK 1 BUECHLER EST
Last Sale Price
Last Sale Date
Last Sale Document Type
Linked Property Group Position
Status Active
AbstractjTorrens Abstract
r--
Role
Owner
IName
BUECHLER CARL D
DOC::l.lmentRecorCfuKI PrOcess o-ates-- - --
Abstract Documents Have Been Recorded Through 10/19/2005
Abstract Documents Have Been Mailed Through 10/14/2005
Torrens Documents Have Been Recorded Through 09/20/2005
Torrens Documents Have Been Mailed Through 09/16/2005
Active Certificates Of Title
Type ICertificate Number ICertificate Date
No Certificates Found
Documents Recorded Within 30 D s Of "Recorded Throu h" Dates Above
Type AbstractjTorrens Recorded Number Recorded Date
ESMT EASEMENT Abstract 1978861.033 10/10/2005
Pronertv Characteristics
Lot Size I NW159*245*80*21 *220
Year Built 12001
* Lot Size: Approximate lot size in feet, clockwise beginning with the direction the lot faces
rrax District Information
City Name I CENTERVILLE
School District Number and Name I CENTENNIAL SCHOOL DISTRICT #12
ProDertv Classification
Tax Year Classification
2005 lA-Residential Homestead
2004 4BBI-Residential Non-Homestead single unit
Prooertv Values
Tax Year Description Amount
2006 Est Market Land (MKLND) 216,000
2006 Est Market Improvement (MKIMP) 523,900
2006 Est Market (MKTTL) 739,900
2005 Est Market (MKTTL) 691,500
2005 Taxable Market (TMTV) 691,500
https://prtinfo.co.anoka.mn.uslfj3avb3553wgglomf25Iqbnzi)/search.aspx
Page 1 of2
11I4/20~1
rrax Amounts for M1PR
Tax Year Description Amount
2005 Qualifying Tax Amount (Tax Bill Line 1) 9,865.89
2005 Total Tax Amounts - Before Payments 9,901.98
2005 Special Assessments (Included in Total) 36.09
Payment Historv for Past Three Years
Date Paid - Tax Year Principal Interests, Penalties and Costs Amount Paid
10/14/2005 2005 4,950.99 0.00 4,950.99
05/10/2005 2005 4,950.99 0.00 4,950.99
05/15/2004 2004 7,789.50 0.00 7,789.50
05/15/2003 2003 6,244.13 0.00 6,244.13
No Charges are currently due.
Page 2 of2
Developed by ASIX, Incorporated.
@2004 All rights reserved.
Version 1.0.2110.22214
https:/Iprtinfo.co.anoka.mn.us/(j 3avb3 553wgglomf251qbnzi)/search.aspx
11/4/2005
tf;f
CITY OF CENTERVILLE
RENEWAL APPLICATION FOR LICENSE TO SELL
TOBACCOPRODUCTSATRETML
The undersigned, residing at Vi1 t::. ~ f.\ ~ 1)fL
..
in the City-of c,~ 'LV I \...L'f
in the County of .JtM>v..~ . State ofMinnesoui,"Residence Telephone: ("5\)7"1-" CSS"L HEREBY
MAKES APPLICATION FOR LICENSE to be issued to TODD STEFFAN, DBA CORNER EXPRESS, to
sell tobacco products at retail at 1990 MAIN STREET, Business Telephone: (Co~ I )tft{.. - 'G.~ in the City of
Centervil/e, Anoka County, Minnesota for the term of one (1) year beginning with the 1st day of January, 2006,
subject to the laws of the State of Minnesota and the ordinances and regulations of said City ofCenterville pertaining
thereto, and herewith deposit $85.00 in payment of the fee therefore.
_______~ __~q>_<?!:t_!>.C?l<?~~~@~_~i~~!>~~ !~~~_~~~~<?~~_~t_~y~~~~_~t~!!'_ !!i~_!~_~~_y.~~ Q?~~ <?f!'~____~
fines or other penalties): fj [ Pr
Report below details involving any license rejections or revocations:
(0/4_
By signing this renewal application, applicant certifies that there has been no change in ownership,
corporate officers, or partners. If changes have occun-ed during the past 12 months, complete in its entirety the
attached Tax Oearance Information, sign below.
Date: to f-z I \u S
Si~ lifts
~t;O ~
Name (print)
FOR OmCE USE ONLY (Do not write below this line)
Report by Police Department .
This is to certify that the applicant and the associates, named herein have not been convicted within the past five years of any
violation of federal, state or local law, ordinance provision, or other regulation relating to tobacco or tobacco products, ortobacco
related devices, or any felony within the last ten years.
Signature
Title
tf;9
\.
PAY TO THE
ORDER OF
--I
TO Steffen. Inc.
DBA Comer Express
1990 Main &eel.
Cenlerville. MN 55038
MAINSTREET BANK
CENTERVILLE
75-683-919
City of Centerville
10/3112005
Eighty-fiveandOO/loo***************************************AAAAAAA***********************************~
$ **85.00
City of Centerville
1880 Main Street
Centerville. MN 55038
5747
t
DOLLARS
MEMO ~~ -
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10
NOTIFICATION FOR LICENSE INVOLVING PRIVATE
OR CONFIDENTIAL INFORMATION
(Includes Tennessen Warning)
In connection with your request for a license, the City has asked that
you provide information about yourself which is classified as private,
confidential, nonpublic, or protected non public under the Minnesota
Government Data Practices Act. This means that this data is not
ordinarilr available to the general public. Accordingly, the City is
required to inform you of the following:
I. The pmpose and intended use of the information requested is to determine if you
are eligible for a license from the City of Centerville.
2. You are not legally obligated to supply the requested information.
3. The known consequence of supplying the requested information is that the
information of :further investigation could disclose information which could
cause your application to be denied.
4. The known consequence of refusing to supply the requested information is that
your request for a license cannot be processed.
5. A criminal charge, arrest, or conviction will not necessarily bar you from
obtaining a license with the City, unless the conviction is related to the matter
for which the license is sought, according to Minnesota Statute 364.03.
However, failure to reveal the requested criminal information will be considered
falsification of the application and may be used as grounds for the denial of the
application.
6. Other governmental agencies necessary to process your application are
authorized by law to receive the information provided.
7. The City is required by law to furnish some of the information to the
Department of Labor and Industry and the Minnesota Commissioner of
Revenue.
8. During the application process, your name and address may be released to the
public. If the license is granted, all the data supplied will be available for
inspection by the public.
The undersigned, by signing this notice, acknowledges that he/she has read and
understood the contents of this notice and has received a copy of this notice.
\"Dh, \o~
~
~
Date
Signature
i/
CERTIFICATE OF COMPLIANCE
MINNESOTA WORKERS' COMPENSATION LAW
Minnesota Statute, Section 176.182 requires every state and local licensing agency to withhold
the issuance or renewal of a license or permit to operate a business or engage in an activity in
Minnesota until the ~pplicant presents acceptable evidence of compliance with the workers'
compensation-insurance coverage requirements ofMSS Chapter 176. - The information required
is: the name of the insurance company, the policy number, and dates of coverage, or the permit
to self-insure. This information will be collected by the City and retained in the files.
This information is required by law, and licenses and permits to operate a business may not be
issued or renewed if it is not provided and/or is falsely reported. Furthermore, if this
information is not provided or falsely stated, it may result in a $1,000 penalty assessed against
the applicant by the Commissioner of the Department of Labor and Industry.
~
rG?D~fV\~O
Insurance Company Name:
(NOT the insurance agent)
Policy Number:
Dates of Coverage:
I-8M -F~ -4q1\q
o. ~:, 'Z...l
"l..h\u,= TO "2..11ltCo
(OR)
o
I am not required to have workers' compensation liability coverage because:
I have no employees
o
o
I am self-insured (include permit to self-insure)
I have no employees who are covered by the workers' compensation law
(these include: spouse, parents, children and certain farm employees)
I certify that the information provided above is accurate and complete and that a valid
workers' compensation policy will be kept in effect at all times as required by law.
~
Name: ~{")()O
[First]
*'^"~L
[Middle]
c.oVW\.tn'-- 'E)Qi'us S
Name of Business:
~~~6tJ
[Last]
Business Address:
t ~~ c.>
,
M- i\- ,.... c;1'"' -
~"fl\rz.:\ {( &,
[City]
Business Phone:
&- ~ l ...f u.-.
\Ol~\ oc;
Date
~)o3 ~
[Zip]
V"\,....>
[State]
v{.,D<<6
~
1,1.
CERTIFICATE OF COMPLIANCE
DEPARTMENT OF REVENUE
Pursuant to Minnesota Statute 270.72 Tax Clearance; Issuance of Licenses, the licensing
authority is required to provide to the Minnesota Commissioner of Revenue your Minnesota
Business Tax Identification Number and the social securitv number of each license
aDulicant (Derson si2nin2 the aODlication).
Under the Minnesota Government Data Practices Act and the Federal Privacy Act of 1974, we
are required to advise you of the following regarding the use of this information:
1. lbis information may be used to deny the issuance, renewal, or transfer of your
license in the event you owe the Minnesota Department of Revenue delinquent
taxes, penalties, or interest;
2. Upon receiving this information, the license authority will supply it only to the
Minnesota Department of Revenue. However, under the Federal Exchange of
Information Agreement, the Department of Revenue may supply this
information to the Internal Revenue Service;
3. Failure to supply this information may jeopardize or delay the processing of
your license issuance.
Applicant's Name:
~. C_
\01)0 -::51't~~
\.- ~c...c> '^" tA-t ~ ~ .
~ ~~ \-e ~A.,)
[State]
lldi'll,;, Bt(~
SO-S"O!> 2>
[Zip]
Applicant's Address:
[City]
Social Security Number:
BUSINESS INFORMATION:
Business Name:
~&~>
\
Business Address: ~ c;c'o v4.41~ ~ ..
~w:~ \(. ~..,)
[City] [State]
Minnesota Tax Identification Number: c;ioc:ot..~
S$o")'t>
[Zip]
Federal Tax Identification Number:
Lf ( -1-0'2. \ Cd; I
If a Minnesota Tax Identification Number is not required, please explain on the reverse side.
t()\ '1;.\ l~s
Date
13
TAX CLEARANCE INFORMATION
TO LICENSE APPLICANT:
Pursuant to Minnesota Statute 270.72 Tax Clearance: Issuance of Licenses, the licensing authority is
required to provide to the Minnesota Commissioner of Revenue your Minnesota Business Tax
Identification Nmnber and social security nmnber of each license applicant
Under the Minnesota Government Data Practices Act and the Federal Privacy Act of 1974, we are required
to advise you of the following regarding the use of this information:
- - -.
1. TIrls information may be used to deny the issuance, renewal or transfer of your
license in the event you owe the Minnesota Department of Revenue delinquent
taxes, penalties or interest;
2. Upon receiving this information, the licensing authority will supply it only to the
Minnesota Department of Revenue. However, ooder the Federal Exchange of
Information Agreement the Department of Revenue may supply this information
to the Internal Revenue Service.
3. Failure to supply this information may jeopardize or delay the processing of
your licensing issuance or renewal application.
Please supply the following information and return along with your application to the agency issuing the
license. DO NOT RETURN TO THE DEPARTMENT OF REVENUE.
LICENSE TYPE: ~~AC,...(JO NEW [] RENEWAL [)(
LICENSING AUTHORITY: City of Centerville
- -- - ------------UeENSERENEWALDATE:-- -------------~ LLl-~-"'_--- - -------------~---------- ___________--_m__ ----~- ------
BUSINESS INFORMATION:
Business Name: ~fI\.O"k.. ~ Pt'2A'J ~
Business Address: t't t; a t\.-\.A-'( ~ ~ \'.
C ~ ..sr'\~t \\.c
<;"So~~
[Zip]
[City]
IJ\.fI.}
[State]
Cout)~
Business telephone Number;
L,~'
t.{~
List of Officers or Partners (full name, title, and social security number):
Full Name: lcoo ~M.I.~t-. <;'T\~e-.)
Title: '"P~o~
Social Security Number:
Full Name:
Title:
Social Security Number:
Full Name:
Title:
Social Security Number:
Full Name:
Title:
Social Security Number:
dba
~~ Gt7Lt5SS
11
List of Directors:
-te\I/01
V\. r~.
Incorporation Date:
List of Stockholders:
t\\~
- -
PERSONAL lNFORMATION (if sole proprietor):
Applicant's Name:
Applicant's Address:
[City]
[State]
[Zip]
Home Telephone Number:
Social Security Number:
ALL APPUCANTS:
List all persons or entities with either a direct or indirect interest in the applicant or the applicant's business
to be conducted under the license for which this application is made and describe their interest in detail
below.
________~~______~:-~~~-~-~~~ ~~----h-- __ ____________~________ _ _______~_____ ___ ___~________ __
Addresses:
.
"a Ct,"1b t(l,(.~ O'lt.
~ru:,H(" ~,.h
,
Assumed or Trade Names, if any:
~/~
Business Telephone Number: \,~\ '1'l.~ ~ Home Telephone Number: 6S\ ib'Z.. Lc;~"'l.
Has any person named in the application ever been convicted of a felony? 0 Yes ~ No
If yes, set forth the offense, date, county and stated of conviction:
Applicant agrees that any manager employed in the licensed premises will have all qualifications of a
licensee and that the manager will not violate any city or state laws.
Federal Tax Identification Number:
570St:,()S
4l -1.01.. \~~ \
Minnesota Tax Identification Number:
Signature: ~
Print Name: \ ()OO <;:"1Z\(!fW
If a Minnesota Tax Identification Number is not required, please explain on the reverse side.
~~\o;,J-
Position (Office, Partner, etc.):
- Yt) \1., ~ OJ'
15
Date:
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Status Active
typerl
Units I 8
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11
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Wdlllltlle 10 the Web site of
Anoka County
Mimlcsota
Property Account Summary
urrent General Information
Property 10 23-31-22-14-0018
Situs Address 1990 MAIN ST NE , CENTERVILLE, MN 55038-0000
THAT PRT OF E 246.44 FT OF SE1/4 OF NE1/4 SEC 23-31-22 LYG NLY OF FOL DESC LINE: COM AT NE
Property Description COR THEREOF, TH S ALG E LINE THEREOF 310.89 FT TO POB, TH DEFL RT 90 DEG 58MIN 246.48 FT
+OR- TO W LINE OF SO E 246.44 FT &. THERE TERM; EX RD; SUBJ TO EASE OF REC
Last Sale Price 380,000.00
Last Sale Date 12/31/1996
Last Sale Document
Type
Linked Property
Group Position
Status Active
Abstract/Torrens Abstract
Parties. . .- .- . - . -
Role IName
Owner I MAGILL PROPERTIES INC
Document Recordina Process Dates
Abstract Documents Have Been Recorded Through 10/19/2005
Abstract Documents Have Been Mailed Through 10/14/2005
Torrens Documents Have Been Recorded Through 09/20/2005
Torrens Documents Have Been Mailed Through 09/16/2005
Ilctive Certificates Of Title
Type ICertificate Number ICertificate Date
No Certificates Found
Documents Recorded Within 30 Days Of "Recorded Throuah" Dates Above
Type IAbstract/Torrens IRecorded Number IRecorded Date
No Documents Found
ProDertv Characteristics
Total Acres 11.20
Year Built 11988
* lot Size: Approximate lot size in feet, clockwise beginning with the direction the lot faces
!Tax District Information
City Name I CENTERVILLE
School District Number and Name I CENTENNIAL SCHOOL DISTRICT #12
PrODertv Classification
Tax Year Classification
2005 3A-Commercial/Industrial/Public Utility
2004 3A-Commercial/Industriaf/Public Utility
Prooertv Values
Tax Year Description Amount
2006 Est Market Land (MKLND) 156,000
2006 Est Market Improvement (MKIMP) 520,300
2006 Est Market (MKTTL) 676,300
https://prtinfo.co.anoka.mn.us/(ratOy045e4zekieof2in0t45)/search.aspx
11/4/20051 f
Page 2 of2
2005
2005
Est Market (MKTTL)
Taxable Market (TMTV)
642,300
642,300
ax Amounts for M1PR
Tax Year Description Amount
2005 Total Tax Amounts - Before Payments 22,409.78
2005 Special Assessments (Included in Total) 259.72
Payment Historv for Past Three Years
Date Paid Tax Year Principal Interests, Penalties and Costs Amount Paid
04/20/2005 2005 2,409.78 0.00 2,409.78
12/29/2004 2005 20,000.00 0.00 20,000.00
05/15/2004 2004 22,297.69 0.00 22,297.69
05/15/2003 2003 20,633.40 0.00 20,633.40
No Charges are currently due.
Developed by ASIX, Incorporated.
@2004 All rights reserved.
Version 1.0.2110.22214
https://prtinfo.co.anoka.mn.us/(ratOy045e4zekieof2in0t45)/search.aspX
11/4/2005
19
Minnesota Department of Public Safety
Alcohol and Gambling Enforcement
444 Cedar Street, Suite 133
St. Paul, MN 55101-5133
651-296-6979. TTY 651-282-6555. Fax 651-297-5259
RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES
Licensee: Please verify your license infonnation contained below. Make corrections if necessary and sign. City
Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license
period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license
cancellation.
License Code CMBS
City/County where license approved.
License Period Ending
Cent et~v i 11 e
12/31/2121I21ID#
6111
Licensee Name
Trade Name
Kelly's Korner Inc.
Ke 11 y' s Kot~net~
Licensed Location address
712198 Centerville Rd
City, State, Zip Code
Business Phone
Hugo, MN 5512138
651/653-1469
~-~~~-LICENSE FEEs-:-OffSaJe$ hhUfiSaIe $~m __m____ ---~-~--Siliii:Iay $---~----~--~----- -. -~-
By signing this renewal appliJ&'&';a~8hcant certifies that there has,~W<-1l~e in ownership on the a6llt~b~
licensee. For changes in ownership, the licensee named above, or for new licensees; full applications should be used. See
back of this application for further information needed to complete this renewal.
Applicant's sienature on this renewal confirms the foUowin!!: Failure to report aDY of the foUowin!! will result in fines.
1. Licensee confinns it has no interest whatsoever, direcdy or indirecdy in any other liquor establishments in
Minnesota. If so, give details on back of this application.
2. Licensee confinns that it has never had a liquor license rejected by any city/township/county in the state of
Minnesota. If ever rejected, please give details on the back of this renewal, then sign below.
3. Licensee confinns that for the past five years it has not had a liquor license revoked for any liquor law violation
(state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below.
4. Licensee confinns that during the past five years it or its employees have not been cited for any civil or criminal
liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below.
5. Licensee confinns that during the past license year, a SUmmons has not been issued under the Liquor Liability
Law (Dram Shop) MS 340A.802.lfyes, attach a copy of the summons, then sign below.
6. Licensee confinns that Workers Compensation insurance is in effect for the full license period.
Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county
where license is issued. 100,0 in cash or securities or $100,000 surety bond may be submitted in lieu of liquor liabil-
ity. (3.2% liquor lice are xempt ifs e han $25,000 at on sale, or $50,000 at oft'sale).
o be correct and license has been approved by city/county.)
City Clerk/County Auditor Signature Date
(Signature certifies that renewal of a liquor, wine or club license has been approved by the city /county a~ stated above.)
County Attorney Signature Date
County Board issued licenses only (Signature ~ertifie~ licensee is eligible for licen,~e).
Police/Sheriff Signature Date
(Signature certifies licensee or associates have not been cited during the past five years for any state/localliquor law violations
(criminal/civil). Report violations on back, then sign here.
PS 9093-98
J7!)
Indicate below chan~es of corporate officers. partners. home addresses or telephone nnmbers:
Indicate below any interest whatsoever. directly or indirectly in other liquor establishments:
zoo~ )
2~t/ ;3 /
,
~,,() I I
Z f)D ( I
;jf~
~~~
~r ~{r
A-' ~tr
~Jj~
(~H~
hl'$. ({,'" ~
hr7. I f~t
Report below details involvine: any license rejections or revocations:
City/County Comments: ,/
. ~A,4rc!' r~,J~E hc/~€">
{ r I
(jEC.1! tJ Zd }< :>'d
F;
CITY OF CENTERVILLE
RENEWAL APPLICATION FOR LICENSE TO SELL
TOBACCO PRODUCTS AT RETAIL
- The undersigned, residing at IJ~ 13.. C&~ Ie nil fk I!d in the City of - 4~ If ril J i If
in the County of ftrJO It-~ , State of Minnesota, Residence Telephone: ~/~) 7f9- t:)&'c; S HEREBY
MAKES APPLICATION FOR LICENSE to be issued to BILL BISEK, KELLY'S KORNER INC. DBA
KELLY'S KORNER BAR, to sell tobacco products at retail at 7098 CENTERVILLE ROAD, Business Telephone:
(t5/ ).kfL- 'Jf I in the City ofCenterville, Anoka County, Minnesota for the term of one (1) year beginning with
the 1st day of January, 2006, subject to the laws of the State of Minnesota and the ordinances and regulations of
said City of Centerville pertaining thereto, and herewith deposit $85.00 in payment of the fee therefore.
~ _ ____~ __~ _~~l>.<?!!~~~!<?w 4~!~s~<?f~~~cc~}a~~yi~lat~~~~~t ~~e o~~~~_~.!!lln !!J.~ last five ~~~.!~QJ~ offenses,~~__
. fines or other penalties): Z ~ () z / CVJn-kJ!" t?~(; t G,i~ c; k / ~ ~ e- ~
{V ·
Report below details involving any license rejections or revocations:
By signing this renewal application, applicant certifies that there has been no change in ownership,
corporate officers, or partners. If changes have occu"ed during the past 12 months, complete in its entirety the
attached Tax Qearance Information, sign below.
Date: tI-d YI/ IJ5 ~f2~
Signature
Ul//!tff~ ::r [3/;&R
Name (print)
FOR OFFICE USE ONLY (Do not write below this line)
Report by Police Department
This is to certify that the applicant and the associates, named herein have not been convicted within the past five years of any
violation of federal, state or local law, ordinance provision, or other regulation relating to tobacco or tobacco products, or tobacco
related devices, or any felony within the last ten years.
Signature
Title
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. 75-683/919 . ,6.. .4 7.', 5." ,.
KELL'f' 5 KORNER INC. 8~
: '[)~IL'( ACCOUNT
7098 CENTERVILLE HOADPH~ 651-653-7791 DATB ," ~ 1'1 ,'05 .'"
CE1'JTERVIt.LE, 'MN);)038,. I
1~!4St~~e;f~:~~;
t:;'l~'lO(;IBBI: 117 772 ou' -€..~5f.
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J73
NOTIFICATION FOR LICENSE INVOLVING PRIVATE
OR CONFIDENTIAL INFORMATION
(Includes Tennessen Warning)
In connection with your request for a license, the City has asked that
you provide information about yourself which is classified as private,
confidential, nonpublic, or protected non public under the Minnesota
Government Data Practices Act. This means that this data is not
ordinarily available to the general public. Accordingly, the City is
required to inform you of the following:
1. The purpose and intended use of the information requested is to determine if you
are eligible for a license from the City of Centerville.
2. You are not legally obligated to supply the requested information.
3. The known consequence of supplying the requested information is that the
information of further investigation could disclose information which could
cause your application to be denied.
4. The known consequence of refusing to supply the requested information is that
your request for a license cannot be processed.
5. A criminal charge, arrest, or conviction will not necessarily bar you from
obtaining a license with the City, unless the conviction is related to the matter
for which the license is sought, according to Minnesota Statute 364.03.
However, failure to reveal the requested criminal information will be considered
falsification of the application and may be used as grounds for the denial of the
application.
6. Other governmental agencies necessary to process your application are
authorized by law to receive the information provided.
7. The City is required by law to furnish some of the information to the
Department of Labor and Industry and the Minnesota Commissioner of
Revenue.
8. During the application process, your name and address may be released to the
public. If the license is granted, all the data supplied will be available for
inspection by the public.
The undersigned, by signing this notice, acknowledges that he/she has read and
understood the contents of this notice and has received a copy of this notice.
Da~d ;Sl, 0'> ~~
?r
CERTIFICATE OF COMPLIANCE
MINNESOTA WORKERS' COMPENSATION LAW
Minnesota Statute, Section 176.182 requires every state and local licensing agency to withhold
the issuance or renewal of a license or permit to operate a business or engage in an activity in
Minnesota until the applicant presents acceptable evidence of compliance with the workers'
compensation insurance coverage requirements ofMSS Chapter 176. The inforrnationrequired
is: the name of the insurance company, the policy number, and dates of coverage, or the permit
to self-insure. This information will be collected by the City and retained in the files.
This information is required by law, and licenses and permits to operate a business may not be
issued or renewed if it is not provided and/or is falsely reported. Furthermore, if this
information is not.provided or falsely stated, it may result in a $1,000 penalty assessed against
the applicant by the Commissioner of the Department of Labor and Industry.
Insurance Company Name:
(NOT the insurance agent)
5fA- J.'i dwr'c1 JfJ~ 1t-c-t1 '-
Policy Number:
d-2Z~/(P. ZO/
Dates of Coverage:
m (4,'1
2 ~() 5 TO /i1 J'ty C ~ i) I.:.
(OR)
I am not required to have workers' compensation liability coverage because:
o
I have no employees
D
D
I am self-insured (include permit to self-insure)
I have no employees who are covered by the workers' compensation law
(these include: spouse, parents, children and certain farm employees)
[First]
;:;[
[Middle]
Name of Business:
)41!y ~ !6,/)rJ€t ~~
/)tJt3 - Ce~/t,rhlh ~J
(;p;4ry,lle ;11;/ 5f~3g
[City] [State] [Zip]
k?L- t.5 3- tJfJ9 / ~
~-~~
Signature/
Business Address:
Business Phone:
/ph/)t?f
, f
Date
J6--
NDU-03-2005 11:39 From:
To: 6514298629
P.2/2
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I I)A I E(MMlOOIVVYY)
11/3/2005
PRODUCER THIS CERTIFICATE IS Issueo AS A MATTER OF INFORMATION
Pa.ul R Steffel Ins Agency, lna ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1709 Main Street ALTER THi: COVERAGE AFFORDED 13V THE POLICIES BElOW_
Centerville, MN 55038
651-762-7801 INSURERS AFFORDING COVERAGE NAIC#
S~~ce Fund Mutual I~sur~nce Cuwp~y -
INSUR.I:Ll Kelly'S Korner, Inc. ..!..NSII~E~ A.
INllURER R
7098 Centerville Road- - - -
- ~SURt;1{ C. -
-
Centerville, MN 55038 ~Rmn' -
1651-653-7791 INSUReR Ii
COVERAGES
nlE POLICIES 010 INI$URANCE LISTEO DE-LOW HAVE BEEN II$SUED TO THI: INSURED NAMED ABOVE FOR THe POLICY PERIO!) INDICATED. NOTWITHSTANDING
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOClJM~NT WITH RESPC;CT TO WHICH THIS CERTlrlCATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED lilY THE POLICIES DESCRIBED HEREIN IS SUBJeCT TO ALL THI: TERMS, Fl<(;LUSIONS AND CONDITIONS OF SUC~,
POl.lCll:;S, ^GGRECA TE LIMITS SI'IOWN MAY HAVe MEEN REDUCI'iO ~y PAID CLAIMS
IN~I( l\Dll'L ~~I;!~X EFFEr.T~F - F'8*{i1~~~<?N -
LTR NaRD .F rOLICV IIIU"'ltlI:K nA E MMlDDIVV LIMITS
~NF.'RAI IIAElILlTY eACH OCCIIRRFNI~l: $ -
LJAMAl.il; ) V_I<ENTEO.
COMMl:HCIAL GENERAl LIABILITY . PRFMI8ES (Ea O<:curer1(;81 .,
'---'1 CIAIM:;;MArlF DOCCUR MI:D EXP (Any nne person) S -
PCf<SONAL & N)V INJURY $
~~RAI ACCIIEGATJ; S
~j'IL ^GGRnE LIMIT 19S I"I:H.. I'HODUCTl'l . COMr/oP AGG S
POLICY ~Pi LOC
~llTOMOeILE LIABILITY COMB INF.O l\INCLE LIMIT $
ANY AUTO (1:8..",.1.1<:<11)
..-
= ALL OWNF'O AUl OS ----.---- BOnll-VINJUIlV ~--- -- - -----
-- ----- -~--- -------- ---- --------- $
---- -- rsCHEDUiEifAUTOS-- - --~ (f'9fpe,"lllIII)
-
HIRED AUTOS ROnn YINJURY
- (PcraCClclent) S
- NON-OWNEOAUTOS -
PROPERlY DAMAGE S
(F'eracciClenl)
WlRAGE LIAAIIITY AUTO ONLY EAACCILlI:NT $
R-ANYAUTO OTHEH.IHAN F.AACC $
AUTO ONLY: AGG $
--c- I:XCl:llSlllMBRFl1 A liABILITY EACH OCCURRENr.r S
n.OCCUK L] r.IAIM!lMAOE -
A(;CI~GATt ..
'-- S -
R OEDUCTlaLE $
RETENTION $ S
W(JIolI(I:HS COMPENSATIO'" ANn 1,';';~~L~~,~ill IO~R -
EMPI OYFR$' LIABILllY 022916 201 05/09/05 05/09/06 ~ 1_ FACH ACCIDCNl $ 100 ,~
- tINY PROPRIETOIlJPA~TNeR/I!Xec.UTIVE
A orrlceFllMFMRFA EXeLUDI:!D7 I:.L. LlISEA!lF - EA EMPLOYE $ soo,oqo
If YC5, dcscnDO uncler C L nl$I:A.::;1: - POLICY LIMIT $ 100,000
S~I:C;IAL PROV/SIONR hnlnw
OTHER
I I
DESCRIPTION OF OPERATIONS/LOCAnON$/VI:HICLESI EXr.I.lIl'.l{)N$ ADDCD DYC~OOKSI:MENT I SPFr.IAI. I"ROVISIQNS
CERTIFICATE HOLDER
City of Centerville
18aO Main Street
Centerville, MN 55038
CANCELLATION
SHOULLl ANY OF THF MOVE DCSCRlaEO I'OLICIES BE CANCELl.rn BEfOHI: THE EXPIRATIO
DATE TllrrI!'!)... I'HE ISSUING INSURER Will FNn..AVfJR TO MAILd.!L.. DAY:;; WRITTeN
N() liCE TO T11li: CER'I'iFICATE HOI nl'R NAMCD TO '1 HI: LEFT. BUT FAILURE TO DO SO SHALL
IMPO!lE NO O~I.ICATION OR 1,IAIl
I1CPRCSENIAIIVES. /..---
AUTllor~I:a;u HI:PRE NTATI
ACORD 25 (2001/08)
~-B3-2005 "'39,F,om,
.& FARMERS
To: 6514298629
P.1/2
Paul H Steffel Insurance Agency, Inc.
-1709 Maio Street
Centervllfe, MN 55038
(651) 762-7801 Office Phone
(651) 762-7813 Office Fax
Fax
.......'" a i t 0 I- (} 6(l It', (/, {{ (.,.
AUentlott! ._.;;., /t ~IJ
,
FtDm: Deb
Dab! I / I- ~ - tJ~'"
~- - - Oftice-l.-oc-at.OIu--- ---~~-- ------------ -- -------m-PHori.-fi--------
Fax NUItlber. ~ $1- /j.J. 9.. 71., ~ f
'-sea:
~;
o Urgent
o For R.vlew 0 Pl.... Com",ent tJ PI.... Reply
t& : ~(~ '5 .~. '~oR~tr
o Pie... Recycle
. Cornmentsa
)J'L
.1hftJh
~~
d7
CERTIFICATE OF COMPLIANCE
DEPARTMENT OF REVENUE
Pursuant to Minnesota Statute 270.72 Tax Clearance; Issuance of Licenses, the licensing
authority is required to provide to the Minnesota Commissioner of Revenue your Minnesota
Business Tax Identification Number and the social securitv number of each license
aDDlicant (Derson sil!Dine the aDDlication).
Under the Minnesota Government Data Practices Act and the Federal Privacy Act of 1974, we
are required to advise you of the following regarding the use of this information:
1. This information may be used to deny the issuance, renewal, or transfer of your
license in the event you owe the Minnesota Department of Revenue delinquent
taxes, penalties, or interest;
2. Upon receiving this information, the license authority will supply it only to the
Minnesota Department of Revenue. However, under the Federal Exchange of
Information Agreement, the Department of Revenue may supply this
information to the Internal Revenue Service;
3. Failure to supply this information may jeopardize or delay the processing of
your license issuance.
. - -. - -- -~-- n --Please Suppry thilol1owlfig in]Onnatfonanilretum along with yourapplication:
TYPE OF LICENSE BEING APPLIED FOR OR RENEWED: l, ~u ~ a
,
PERSONAL INFORMATION:
Applicant's Name:
5';$~ Ie
Applicant's Address:
M/II1~
? ~ 9 8' ~ Ce,J Ifr''t/II/€
C"f-,J hI"'; ,I If
[City]
;11,./
[State]
Social Security Number: _
BUSINESS INFORMATION:
Business Name:
J~11v ~ ~r/V~f
tJ/JfS'" Cf.,..;hrh//'
C~/frilll/t /JI~
[City] [State]
Business Address:
()J
:f5~38'
[Zip]
~.
IV
f~,tJ3 $
[Zip]
Minnesota Tax Identification Number:
J5/9/atJ
JjI-/J~7 ;?cJ7'
Federal Tax Identification Number:
If a Minnesota Tax Identification Number is not req
J tJ /:11 JP5"
, Dite
(~.)
Signature and P, sition (Officer, Owner, Partner)
Fe?
TAX CLEARANCE INFORMATION
TO LICENSE APPLICANT:
Pursuant to Minnesota Statute 270.72 Tax Clearance: Issuance of Licenses, the licensing authority is
required to provide to the Minnesota Commissioner of Revenue your Minnesota Business Tax
Identification Number and social security number of each license applicant.
Under the Minnesota Government Data Practices Act and the Federal Privacy Act of 1974, we are required
to. advise you of the following regarding the use of this infol1ll31;ion:
1. This information may be used to deny the issuance, renewal or transfer of your
license in the event you owe the Minnesota Department of Revenue delinquent
taxes, penalties or interest;
2. Upon receiving this information, the licensing authority will supply it only to the
Minnesota Department of Revenue. However, under the Federal Exchange of
Information Agreement the Department of Revenue may supply this information
to the Internal Revenue Setvice.
3. Failure to supply this information may jeopardize or delay the processing of
your licensing issuance or renewal application.
Please supply the following information and return along with your application to the agency issuing the
license. DO NOT RETURN TO THE DEPARTMENT OF REVENUE.
LICENSE TYPE: Lit ~.1 /} r NEW [ ]
LICENSING AU1HORITY: City of Centerville
---. -- m'_ '.---. -'LiCENSERENEWACfiAfE:---.91~Tuml~--ui"t7t' tp-------------~----~-- - - --------------~--..
BUSINESS INFO~?ON:
Business Name: ./ it / ~ is J~ I" rl i (' : ~.
Business Address: J ~ 98'- Ce rJ h /' II t / If Jivl
C;~ I-t /'r/: / If, /f1,.;
[City] [State]
Business Telephone Number: J; 5/- 65.5 - ~ 9 9 /
RENEWAL rXJ
:5.5/J 3 g
[Zip]
List of Officers or Partners (full name, title, and social security number):
Full Name: WI /114-~ 51St ic
Title: t (. s
Social Security Number:
Full Name:
Title:
Social Security Number:
Full Name:
Title:
Social Security Number:
Full Name:
Title:
Social Security Number:
IF A CORPORATION:
Corporation Name: ;d / /y;' /d;,,/'I E'" ~. dba
/~//y; h/'~~r
.
Business Address:
J9
Incorporation Date:
List of Directors: W I LJ, Cv Yh.-
/79 I
Pi s-Z;)G
List of Stockholders:
PERSONAL INFORMATION (if sole proprietor):
Applicant's Name:
Applicant's Address:
[City]
[State]
[Zip]
Home Telephone Number:
Social Security Number:
ALL APPLICANTS:
List all persons or entities with either a direct or indirect interest in the applicant or the applicant's business
to be conducted under the license for which this application is made and descn1>e their interest in detail
-----^--~--below~--~-----_--~~---------- -
w/ilt~~ ~/5~k
'Jt?9 i ' Ce,J fer-v; lie ;lei
Addresses: Ce,J ~& ,J L II f yt1 rol
6d~
55/JpF
Assumed or Trade Names, if any:
Business Telephone Number: jpf/ w 653. ) P ? / Home Telephone Number: 6/2....5.>;t -tJ3 LJ '5
Has any person named in the application ever been convicted of a felony? 0 Yes ~ No
If yes, set forth the offense, date, county and stated of conviction:
Applicant agrees that any manager employed in the licensed premises will have all qualifications of a
licensee and that the manager will not violate any city or state laws.
Minnesota Tax Identification Number: / S I 9 It) tJ
Federal Tax Identification Number: 'II - / ) IJ 7} tJ ?
Si
Print Name: tJll!~
ber is not required, please explain on the reverse side.
~,
Position (Office, Partner, etc.):
Date: / ~ /.1 / )CJ.5
, ,.
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riff \ Y
CITY OF CENTERVILLE
INTOXICATION MALT LIQUOR LICENSE
APPLICATION
DRAM SHOP INSURANCE EXEMPTION
I hereby certify under penalty of peIjury that I have applied for an intoxicating liquor/on-
sale wine license and that the sales of such beverages are less than $10,000 per year. In
addition. I certify that the attached list of my wholesale suppliers is true and correct. If
necessary, these suppliers may be contacted in order to confirm this declaration.
//J/fl Jc;5
Date'
Signature, Notary Public
Date
NOTE: A LIST OF YOUR WHOLESALE SUPPLIERS MUST ACCOMPANY TIllS
DRAM SHOP EXEMPTION FORM.
9~
Date 11/4/2005
Account 02-00000051-00-8
After 11/15/2005 Pay $255.20
Balance Due By 11/15/2005
Balance $232.00_
Amount Enclosed
KELLY'S CORNER
7098 CENTERVILLE ROAD
CENTERVILLE MN 55038
1111111 11111 IIU 1111111111111111111111111111111111111111111111111111111111
. R , A A A A A A 5 1 A R R .
1.1.1..1.1.11'11..11.1..1.1.1111
For Service at 7098 CENTERVILLE ROAD
Return Top Portion with Payment
Previous
C~~e R~d
Date
Current
Read
Usage
Amount
Prev Bal
10/13/2005 010 DRAIN FEE
10/13/2005 018 SEWER COMM
_ _ _ _ _ _ _ _ _ _ _ _ __ _ _ __ _ _c;;.l:I~_g~?~9~~_ _ _ u _u _ _ _ _ _ _ _ _ _ u_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ __ _ _ _ _ __ _ _ _ _ _ _ __ __ _ _ _ _ _ _ _ _ u _ _ _ _ _ _ _ _ __ _ _ _ - - - - __ - - __ - u _ _ _ _ _ _ _ _ _ _ __
Total
For Service at 7098 CENTERVILLE ROAD
Account 02-00000051-00-8 KELL V'S CORNER
For Service From 10/1/2005 to 10/20/2005 After 11/15/2005 Pay $255.20
-
Snowmobile Ordinance 17A has been amended. For more
information, please contact City Hall at 651-429-3232.
~
~
93
Page 1 of2
Wcloomlllo the Wc~ site of
Anoka C2~!aty
Property Account Summary
Current General Information
Property ID 23-31-22-24-0028
Situs Address 7098 CENTERVILLE RD , CENTERVILLE, MN 55038-0000
Property Description CENTERVILLE -VILLAGE OF- LOT 7 & N 20 FT OF LOT 8 BLK 5 CENTERVILLE -VILL OF-
Last Sale Price 185,572.00
Last Sale Date 11/14/2002
Last Sale Document Type WDEE WARRANTY DEED
Linked Property Group Position 1 of 2
Status Active
Abstract/Torrens Abstract
Parties
Role IName
Owner IWJB ENTERPRISES INC
Document Recordina Process Dates -
Abstract Documents Have Been Recorded Through 10/19/2005
Abstract Documents Have Been Mailed Through 10/14/2005
Torrens Documents Have Been Recorded Through 09/20/2005
Torrens Documents Have Been Mailed Through 09/16/2005
Active Certificates Of Title
Type ICertificate Number ICertificate Date
No Certificates Found
Documents Recorded Within 30 Davs Of "Recorded Throuah" Dates Above
Type IAbstract/Torrens IRecorded Number IRe corded Date
No Documents Found
!propertv Characteristics
Lot Size IE75*150
* Lot Size: Approximate lot size in feet, clockwise beginning with the direction the lot faces
h"ax District Information
City Name I CENTERVILLE
School District Number and Name I CENTENNIAL SCHOOL DISTRICT #12
ProDertv Classification
Tax Year Classification
2005 3A-Commercial/Industrial/Public Utility, 4B1-Residential Non-Homestead 3 Units or less
2004 3A-Commercial/Industrial/Public Utility, 4B1-Residential Non-Homestead 3 Units or less
ProDertv Values
Tax Year Description Amount
2006 Est Market Land (MKLND) 52,400
2006 Est Market Improvement (MKIMP) 253,200
2006 Est Market (MKTTL) 305,600
2005 Est Market (MKTTL) 293,900
2005 Taxable Market (TMTV) 293,900
~ax Amounts for M1PR
I
https://prtinfo.co.anoka.rnn.us/(kly Ine5 5prnx30wekfqw3jpe3)/parcelinfo.aspx
11/4/2005
9y/
Page 2 of2
Tax Year Description Amount
2005 Total Tax Amounts - Before Payments 8,584.72
2005 Special Assessments (Included in Total) 331.90
P istorv for Past Three Years
( Date Paid , Tax Year Principal Interests, Penalties and Costs Am
10/15/2005 ~ 2005 3,805.67 486.69 . r 4,292.36
05/15/2005 J 2005 - 0.00 . 0.00 -, 0.00
2004 3,361.08 268.88 J,
05/15/2004 2004 4,897.84 361.08 5,258.92
05/15/2003 2003 7,554.06 528.79 8,082.85
Installments Pa able
Tax Year Installment Due Date
Principal Interest, Penalties and Costs Installment Total Cumulative Due Select to Pay
2005
2005
1
2
05/15/2005 486.69
10/15/2005 4,292.36
58.41
343.39
545.10
4,635.75
o
@
Developed by ASIX, Incorporated.
@2004A11 rights reserved.
Version 1.0.2110.22214
tJuJu("
/9 #f~ ~ /4j/.S')r
https://prtinfo.co.anoka.mn.us/(kly 1neS Spmx30wekfqw 3jpe3 )/parcelinfo.aspx
11/4/200S
9~
/
Minnesota Department of Public Safety
Alcohol and Gambling Enforcement
444 Cedar Street, Suite 133
St. Paul, MN 55101-5133
651-296-6979. TTY 651-282-6555. Fax 651-297-5259
RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES
/
i
Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City
Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license
period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license
cancellation.
License Code Ctt1BS
City/County where license approved.
License Period Ending
Cent et~V i 11 e
1 ;:.' / ~ 1 / PilllZl$D#
19~a
Licensee Name
Trade Name
Mountain Enterpt~ises Inc.
Tt~iQ Inn
Licensed Location address
City, State, Zip Code
7082 Centerville Rd
Business Phone
Hugo, MN 55038
651/426-2956 .
H€ENSE-FEES:-0ff-Sa1e-$ ---en-Sale-$ Sunday$
By signing this renewal applicJ&W;a~Siicant certifies that there has b&tti~~e in ownership on the a~rJ.l\~Hld
licensee. For changes in ownership, the licensee named above, or for new licensees, rull applications should be used. See
back of this application for rurther information needed to complete this renewal.
Applicant's sil!llature on this renewal confirms the followinl!: Failure to report any of the followinl! will result in fines.
1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in
Minnesota. If so, give details on back of this application.
2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of
Minnesota. If ever rejected, please give details on the back of this renewal, then sign below.
3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation
(state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below.
4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal
liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below.
5. Licensee confirms that during the past license year, a sUmmons has not been issued under the Liquor Liability
Law (Dram Shop) MS 340A.802. If yes, attach a coPY of the summons, then sign below.
6. Licensee confirms that Workers Compensation insurance is in effect for the full license period.
Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county
where license is issued. $100,0 . cas r securities or $100,000 surety bond may be submitted in lieu of liquor liabil-
ity. (3.2 % liquor licenses ar. exe pt' sese less tha 25,000 at on sale, or $50,000 at off sale).
L' e D
(Signature certifies all above information to be correct and license has been approved by city/county.)
City Clerk/County Auditor Signature Date
(Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.)
CountY Attorney Signature Date
County Board issued licenses only (Signature certifies licensee is eligible for license).
Police/Sheriff Signature Date
(Signature certifies licensee or associates have not been cited during the past five years for any state/localliquor law violations
(criminal/civil). Report violations on back, then sign here.
PS 9093-98
9~
Indicate below changes of corporate officers. partners. home addresses or telephone numbers:
\
r
Indicate below any interest whatsoever. directly or indirectly in other liquor establishments:
Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses.
fines or other penalties. inclUding Liquor Control Penalties):
{lJrrrJL
{;~ ~r/-VJ /O~
fl'Y7 ~.. ..;1
~, ~~?L~
//~~~
()~
r/~
~A'~
Report below details involving any license rejections or revocations:
------
City/County Comments:
91
CITY OF CENTERVILLE
RENEWAL APPLICATION FOR LICENSE TO SELL
TOBACCO PRODUCTS AT RETAIL
Theundersigned,residing-at - 70 57 ;;L in the City of - ~
in the County of ~, State of Minnesota, Residence Telephone:~) 65-:;3 tJ ~i HEREBY
MAKES APPLICATION FOR LICENSE to be issued to ~. h J h 1",_'Jtl, MOUNTAIN ENTERPRISES,
INC. DBA TRIO INN, to sell tobacco products at retail at 7082 CENTERVILLE ROAD, Business Telephone: (
bS~ J/P ( ;)) '11 the City ofCenterville, Anoka County, Minnesota for the term of one (1) year beginning with the
1st day of January, 2006, subject to the laws of the State of Minnesota and the ordinances and regulations of said
City of Centerville pertaining thereto, and herewith deposit $85.00 in payment of the fee therefore.
. ~~_~_---.-&.~ort below details of tobacco law violati<?ps that have occurred within the last five years. (Dates, offenses,
fines or other penalties): !t/~
Report below details involving any license rejections or revocations:
/U/?'--f
By signing this renewal application, applicant certifies that there has been no change ill ownership,
corporate officers, or partners. If changes have occu"ed during the past 12 months, complete in its entirety the
attached Tax Qearance Information, sign below.
I /- ;) ~ tJ <:
~~A~
Signature ~ /!!a /1 )
. if/.... . . 11) 11;/1 V
Name (print)
Date:
FOR OFFICE USE ONLY (Do not write below this line)
Report by Police Department
This is to certify that the applicant and the associates, named herein have not been convicted within the past five years of any
violation of federal, state or local law, ordinance provision, or other regulation relating to tobacco or tobacco products, ortobacco
related devices, or any felony within the last ten years.
Signature
Title
91
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99
NOTIFICATION FOR LICENSE INVOLVING PRIVATE
OR CONFIDENTIAL INFORMATION
(Includes Tennessen Warning)
- -
In connection with your request for a license, the City has asked that
you provide information about yourself which is classified as private,
confidential, non public, or protected nonpublic under the Minnesota
Government Data Practices Act. This means that this data is not
ordinarily available to the. general public. Accordingly, the City is
required to inform you of the following:
1. The purpose and intended use of the information requested is to determine if you
are eligible for a license from the City of Centerville.
2. You are not legally obligated to supply the requested information.
3. The known consequence of supplying the requested information is that the
information of :further investigation could disclose information which could
cause your application to be denied.
4. The known consequence of refusing to supply the requested information is that
your request for a license cannot be processed.
5. A criminal charge, arrest, or conviction will not necessarily bar you from
obtaining a license with the City, unless the conviction is related to the matter
for which the license is sought, according to Minnesota Statute 364.03.
However, failure to reveal the requested criminal information will be considered
falsification of the application and may be used as grounds for the denial of the
application.
6. Other governmental agencies necessary to process your application are
authorized by law to receive the information provided.
7. The City is required by law to furnish some of the information to the
Department of Labor and Industry and the Minnesota Commissioner of
Revenue.
8. During the application process, your name and address may be released to the
public. If the license is granted, all the data supplied will be available for
inspection by the public.
The undersigned, by signing this notice, acknowledges that he/she has read and
understood the contents of this notice and has received a copy 0 this notice.
I/-d -Oy
Date
/tJtJ
CERTIFICATE OF COMPLIANCE
MINNESOTA WORKERS' COMPENSATION LAW
Minnesota Statute, Section 176.182 requires every state and local licensing agency to withhold
the issuance or renewal of a license or pennit to operate a business or engage in an activity in
Minnesota until the applicant presents acceptable evidence of compliance with the workers'
compensation insurance coverage requirements ofMSS Chapter 176. The information required
is: the name of the insurance company, the policy number, and dates of coverage, or the pennit
to self-insure. This information will be collected by the. City and retained in the files.
This information is required by law, and licenses and permits to operate a business may not be
issued or renewed if it is not provided and/or is falsely reported. Furthermore, if this
information is not provided or falsely stated, it may result in a $1,000 penalty assessed against
the applicant by the Commissioner oftbe Department of Labor and Industry.
Insurance Company Name:
(NOT the insurance agent)
~c-,d,
~
/ -1- Ob TO /)."3/'0(;,
Policy Number:
Dates of Coverage:
(OR)
I am not required to have workers' compensation liability coverage because:
o
I have no employees
o
D
I am self-insured (include permit to self-insure)
I have no employees who are covered by the workers' compensation law
(these include: spouse, parents, children and certain farm employees)
I certify that the information provided above is accurate and complete and that a valid
workers' comp 'on policy will be kept in effect at all tim as required by law.
Name:
-t/L
[First] _~_ [Mi e] [Last]
Name of Business t:J[)tf/l/U;1(} ~ J,.., ()/j
~~~:
etl! JCi~ [State] [Zip]
Business Phone: (PSI- J-6!- ;J/1!_~ /)J/J. /_
//-;--02' ~
Date Signature
Business Address:
/0/
CERTIFICATE OF COMPLIANCE
DEPARTMENT OF REVENUE
Pursuant to Minnesota Statute 270.72 Tax Clearance; Issuance of Licenses, the licensing
authority is required to provide to the Minnesota Commissioner of Revenue your Minnesota
Business Tax Identification Number and the social security number of each license
aDulicant (l>erson si2nin2 the aDulication).
Under the Minnesota Government Data Practices Act and the Federal Privacy Act of 1974, we
are required to advise you of the following regarding the use of this information:
1. lIDs information may be used to deny the issuance, renewal, or transfer of your
license in the event you owe the Minnesota Department of Revenue delinquent
taxes, penalties, or interest;
2. Upon receiving this information, the license authority will supply it only to the
Minnesota Department of Revenue. However, under the Federal Exchange of
Information Agreement, the Department of Revenue may supply this
information to the Internal Revenue Service;
3. Failure to supply this information may jeopardize or delay the processing of
your license issuance.
- -PleaslTsupplythlTfollowinginformation-andreturn-along-with-your-application:
~.
lYPE OF LICENSE BEING APPLIED FOR OR RENEWED:
PERSONAL INFORMATION:
Applicant's Name:
f); WJ.,
~S/D
~
[City]
/ll&IVTAJfl}
~~~~
~ 4/l/ ,--gD~
[State] [Zip]
Applicant's Address:
Social Security Number:
BUSINESS INFORMATION:
BUffness Name: jl}tJ~;; ~~ t LJ8k
Business Address: 7 OZJ- Ce?-~~.(tI, Hf'
~ /1JV --> <)(} 7Y
f-Ibf [City] [State] _ [~]
_...fa ;;ax Identification Number: 'Ii.. - J-S. 0 i b '1 '1
rfikierA Identification Number: 3 b ~ J. ')../ V
If a Minnesota Tax Identification Number is not required, pleas
J /- ;) - vS-
,
Date
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TAX CLEARANCE INFORMATION
TO LICENSE APPLICANT:
Pursuant to Minnesota Statute 270.72 Tax Clearance: Issuance of Licenses, the licensing authority is
required to provide to the Minnesota Commissioner of Revenue your Minnesota Business Tax
Identification Number and social security number of each license applicant.
Under the Minnesota Government Data Practices Act and the Federal Privacy Act of 1974, we are required
t~ advise you of the follo~g re~arding the use of this inf~~on:
1. This information may be used to deny the issuance, renewal or transfer of your
license in the event you owe the Minnesota Department of Revenue delinquent
taxes, penalties or interest;
2. Upon receiving this information, the licensing authority will supply it only to the
Minnesota Department of Revenue. However, under the Federal Exchange of
Information Agreement the Department of Revenue may supply this information
to the Internal Revenue Service.
3. Failure to supply this information may jeopardize or delay the processing of
your licensing issuance or renewal application.
~~-~-J:ICENSE lili'NEWALDATE:
Please supply the following information and return along with your application to the agency issuing the
license. DO NOT RETURN TO THE DEPARTMENT OF REVENUE.
UCENSETYPE: ~
LICENSING AUTHO : City of Centerville
J-~j-~-{}-b--
.. ,
BUSINESS INFORMATION:
Busin=Name: ;1t~ ~ ~ f}fi/J TI&cJ.1
. ~ ,~
Busin=Address: ~~~~1)_ ~';S03Y
[State] [Zip]
&S"J- ;)hl JJf/i
NEW [ ]
RENEWAL ~
cJ
Business Telephone Number:
[City]
List of Office<s or Partners (full '/7 title, and social security ~):
Full Name: ~I/~ .f)101l/ //}/M
Title: A ~ Social Security Number: .
Full Name:
Title:
Social Security Number:
Full Name:
Title:
Social Security Number:
Full Name:
Title:
Social Security Number:
Business Address:
IF A CORPORATION:
Corporation Name: ;1J~ E;~k~ba /~
Yffl7C t:i<JL ~
hr-
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Incorporation Date:
Fd /~0
/ ;:;~ /lId--r1
/~A~
List of Directors:
List of Stockholders:
PERSONAL INFORMATION (if sole proprietor):
Applicant's Name:
Applicant's Address:
[City]
[State]
[Zip]
Home Telephone Number:
Social Security Number:
ALL APPLICANTS:
List all persons or entities with either a direct or indirect interest in the applicant or the applicant's business
to be conducted ooder the license for which this application is made and describe their interest in detail
below.
~~'~'~-~--~._-~--.-'----------'
Addresses:
Assumed or Trade Names, if any:
~~TelephoneNumber: 6-g 'J.-~ ro))YhomeTelephoneNumber: C:>. Sf-CaS] --08S1
Has any person named in the application ever been convicted of a felony? D Yes '" No
If yes, set forth the offense, date, county and stated of conviction:
Applicant agrees that any manager employed in the licensed premises will have all qualifications of a
licensee and that the manager will not violate any city or state laws.
Minnesota Tax Identification Number: . ']?, c,}. ;2 J f
FOOernI Tax ldentifiQltion Number. fj /- / S ,Sf (,77
If a Minnesota Tax Identification Number is not required, please explain on the reverse side.
Signature:
Position (Office, Partner, etc.):
Print Name:
Date:
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CITY OF CENTERVILLE
INTOXICATION MALT LIQUOR LICENSE
APPLICATION
DRAM SHOP INSURANCE EXEMPTION
I hereby certify under penalty of perjury that I have applied for an intoxicating liquor/on-
sale wine license and that the sales of such beverages are less than $10,000 per year. In
addition. I certify that the attached list of my wholesale suppliers is true and correct. If
necessary, these suppliers may be contacted in order to confirm this declaration.
.~~~
Signature
));2-0y-
, -----
Date
Signature, Notary Public
Date
NOTE: A LIST OF YOUR WHOLESALE SUPPLffiRS MUST ACCOI\1PANY TIllS
DRAM SHOP EXEMPTION FORM.
~u
fYJc~
~
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/11 M 1flJ- ~
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Date 11/4/2005
Account 02-00000001-00-3
After 11/15/2005 Pay $929.48
Balance Due By 11/15/2005
Balance $912.08
Amount Enclosed
TRIO INN
PAUL MONTAIN
6510 CENTERVILLE ROAD
L1NO LAKES MN 55038
1111~111111 ~I~ II~III~IIII~ IIIIIII~III~IIIIIIIIIIIIIIIIIIIIIIIIIIIII
*R''A'A'AR'AR'A'9'A~.
1.1r 1..1.1,11,,,,, 11,1,,1, J ,I" J
For Service at 7082 CENTERVILLE ROAD
Return Top Portion with Payment
Previous Current
Date Charge Read Read Usage Amount
n__ _ _ _ ____ _ __ _ u_ __~_~~y._I?_~! u n _ _ _ u_ _ _ u _ _ ___ __ __ __ _ _. u _ _ _ _ _ _ _ _ _ _ n _ _ _ _ _ _ _ _ _u __ __ _ _ _ __ _ _n__ _ _ _ _ _ _ _ __ _ __ _n_ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ ~?~9..68
8/16/2005 Late Fee $17.40
- - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
-~~----r-oft312005~--ato--DRAtrv--Fl:c :0
-1 0i1-ji2005-- -018-S-EW-E-R-CO~XM- - __m_ - -- - - - - n -- - - - - - - - - - - - - - - - - m_ - - u - - -- un - m -- - - - - - - - - -- _u. - - - - - - - - - - - - - U - - - - - - - - _m - - - - - u_ - n$159.00
--- -- ---- -- - -- - - -- --cur- ChargeS --- --- --- ------ - - ---- - - --- - - - -- - - - ---- - - - - - - -- - - - -- - -- - - - - - - --- - - - - -- - - - - - -- - - - - - - -- - - - - -- - - - - - - - - - - - ---- - - - - - - -- - - - - -$174.00
-- - _u - --- - - - - - U -_ Tota;- -- - - - -- -- - u - - - - - - - - - ___u_ - --- - - - -- - - -- - U -- - - - U -- - n u_. n - - - -- u_n - - - - -- - U -- - - - - n_ - - U U - - - - u - - - - - -. - u - - - - u - - - - -- - -- - - $9-12.08
-----------------
For Service at 7082 CENTERVILLE ROAD
Account 02-00000001-00-3 TRIO INN
For Service From 10/1/2005 to 10/20/2005 After 11/15/2005 Pay $929.48
Snowmobile Ordinance 17A has been amended. For more
information, please contact City Hall at 651-429-3232.
/tJ1
Page 1 of2
Wdcome 10 the WIlO site of
Anoka County
MinuCllltll
Property Account Summary
Current General Information
Property 10 23-31-22-24-0041
Situs Address 7082 CENTERVILLE RD , CENTERVILLE, MN 55038-0000
Property Description THE Sl/2 OF LOT 11 & ALL OF LOT 12 BLK 5 CENTERVILLE; SUB) TO EASE OF REC
Last Sale Price 130,000.00
Last Sale Date 05/16/2003
Last Sale Document Type WDEE WARRANTY DEED
Linked Property Group Position
Status Active
Abstract/Torrens Abstract
r't~
Role
Owner
IName
MONTAIN PAUL D
Document Recordina Process Dates -
Abstract Documents Have Been Recorded Through 10/19/2005
Abstract Documents Have Been Mailed Through 10/14/2005
Torrens Documents Have Been Recorded Through 09/20/2005
Torrens Documents Have Been Mailed Through 09/16/2005
~ctive Certificates Of Title
Type ICertificate Number ICertificate Date
No Certificates Found
Documents Recorded Within 30 Davs Of "Recorded Throuah" Dates Above
Type IAbstract/Torrens IRecorded Number TRecorded Date
No Documents Found
Characteristics
5150*75
* Lot Size: ApprOXimate lot size in feet, clockwise beginning with the direction the lot faces
Tax District Information
City Name ICENTERVILLE
School District Number and Name I CENTENNIAL SCHOOL DISTRICT #12
ProDertv Classification
Tax Year Classification
2005 3A-CommerciaI/Industrial/Public Utility, 4B1-Residential Non-Homestead 3 Units or less
2004 3A-Commercial/Industrial/Public Utility, 4B1-Residential Non-Homestead 3 Units or less
Pro Dertv Values
Tax Year Description Amount
2006 Est Market Land (MKLND) 28,100
2006 Est Market Improvement (MKIMP) 92,400
2006 Est Market (MKTTL) 120,500
2005 Est Market (MKTTL) 115,900
2005 Taxable Market (TMTV) 115,900
~ax Amounts for M1PR
I
https://prtinfo.co.anoka.mn.us/(qp 1 t5ne3 3zcexp45nejwg3jc )/parcelinfo.aspx
11/4/2005
/tJf
Page 2 of2
Tax Year Description Amount
2005 Total Tax Amounts - Before Payments 2,811.25
2005 . Special Assessments (Included in Total) 152.15
for Past Three Years
Tax Year
2004
2004
2003
Principal
1,404.39
1,404.40
2,758.66
Interests, Penalties and Costs
168.53
154.49
110.36
Amount Paid
1,572.92
1,558.89
2,869.02
nstallments Pa able
Tax Year Installment Due Date
Principal Interest, Penalties and Costs Installment Total Cumulative Due Select to Pay
2005
2005
1
05/15/2005 1,405.62
10/15/2005 1,405.63
168.67
112.45
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Developed by ASIX, Incorporated.
@2004 All rights reserved.
'orr1-;{r.2t1-e~22Z14
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https://prtinfo.co.anoka.mn.us/(qp 1 t5ne3 3zcexp45nej wg3j c )/parcelinfo.aspx
11/4/2005
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---------.---~-~----.~--- I
f ________________________
--- ----~~- --- ~ !------~--
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-~- ----~-----+-- ~---------~-_._--~._-~-------~----
//~
Minnesota Department of Public Safety
Alcohol and Gambling Enforcement
444 Cedar Street, Suite 133
St. Paul, MN 55101-5133
651-296-6979' TTY 651-282-6555' Fax 651-297-5259
RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES
Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City
Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license
period. City Clerk/County Auditor are also required by M.S. 340A.404 S. 3 to report any license
cancellation.
License Code ONSS
City/County where license approved.
License Period Ending
Centet'vi lIe
j P /3:1 /;?0l7J$D#
F,;:'7.~
Licensee Name Wiseguys Pizza Inc.
Trade Name
Wiseguys Pizza
Licensed Location address
City, State, Zip Code
7095 20th Ave S
Business Phone
Centerville, MN 55038
651/653-1077 .
~- ~-~-LI(;ENSE-FEE&-eff-Sale-$ --On-Sale-$-- -5unday-$
By signing this renewal applic!lUoWY/applicant certifies that there has b~ftiliWlb~e in ownership on the a~D~d
licensee. For changes in ownership, the licensee named above, or for new licensees; full applications should be used. See
back of this application for further information needed to complete this renewal.
Apj)1icant's si2Dature on this renewal confirms the followine: Failure to report any of the followine will result in fines.
1. Licensee confirms it has no interest whatsoever, direcdy or indirecdy in any other liquor establishments in
Minnesota. If so, give details on back of this application.
2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of
Minnesota. If ever rejected, please give details on the back of this renewal, then sign below.
3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation
(state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below.
4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal
liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below.
5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability
Law (Dram Shop) MS 340A.802.1f yes, attach a copy of the summons, then Sign below.
6. Licensee confirms that Workers Compensation insurance is in effect for the full license period.
Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county
where license is issued. $100,000 in cash or securities or $100,000 surety bond may be submitted in lieu of liquor liabil-
ity. (3.2 % liquor licen s are empt if sales are less than $25,000 at on sale, or $50,000 at oft' sale).
b.' ll/ - D5
D
(Signature cenifies all above information to be correct and license has been approved by city/county.)
Cily Clerk/County Auditor Signature Date
(Signature cenifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.)
Counly Attorney Signature Date
County Board issued licenses only (Signature cenifies licensee is eligible for license).
Police/Sheriff Signature Date
(Signature cenifies licensee or associates have not been cited during the past five years for any state/localliquor law violations
(criminaVcivil). Repon violations on back, then sign here.
PS 9093-98
/J/
Indicate below chane:es of corporate officers. partners. home addresses or telephone numbers:
A/O(\/C
,
Indicate below any interest whatsoever. directly or indirectly in other liquor establishments:
/fJ d 1'\/ {~
Report below details of liquor law violations (civil or criminal) that have occurred within the last five years. (Dates. offenses.
fines or other penalties. includine: Liquor Control Penalties):
/-27-63
F,q1L.-eO
('omn!JAvc €
, .
C h e Co 1<.
--
Report below details involvine: any license rejections or revocations:
1/1/ 0 J-/ e
City/County Comments:
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tervi((e
'Esta6{istierf 1857
1880 'Main Street, Centerville, 'M'lf 55038
(651)429-3232 fax (651)429-8629
RECEIVED OF - 2019 AMOUNT
Wise Guys Pizza, Inc. $2,700,00
FOR:
liquor License Renewal Fee CHECK # 10208
SURCHARGE NA
,
,
.. - - -
BY Kim Stephan
October 24 2005
Thank you for your business.
Receir?t # 2 0 1 9
//3
NOTIFICATION FOR LICENSE INVOLVING PRIVATE
OR CONFIDENTIAL INFORMATION
(Includes Tennessen Warning)
In connection with your request for a license, the City has asked that
you provide information about yourself which is classified as private,
confidential, nonpublic, or protected non public under the Minnesota
Government Data Practices Act. This means that this data is not
ordinarily available to the general public. Accordingly, the City is
required to inform you of the following: .
I. The pmpose and intended use of the information requested is to determine if you
are eligible for a license from the City of Centerville.
2. You are not legally obligated to supply the requested information.
3. The known consequence of supplying the requested information is that the
information of further investigation could disclose information which could
cause your application to be denied.
4. The known consequeuce of refusing to supply the requested information is that
your request for a license cannot be processed.
5. A criminal charge, arrest:, or conviction will not necessarily bar you from
obtaining a license with the City, unless the conviction is related to the matter
for which the license is sought, according to Minnesota Statute 364.03.
However, failure to reveal the requested criminal information will be considered
falsification of the application and may be used as grounds for the denial of the
application.
6. Other governmental agencies necessary to process your application are
authorized by law to receive the information provided.
7. The City is required by law to furnish some of the information to the
Department of Labor and Industry and the Minnesota Commissioner of
Revenue.
8. During the application process, your name and address may be released to the
public. If the license is granted, all the data supplied will be available for
inspection by the public.
/()- 25--05
Date
The undersigned, by signing this notice, acknowledges that he/she has read and
understood the contents of this notice and has received a copy of this notice.
~
Signature
//1/
CERTIFICATE OF COMPLIANCE
MINNESOTA WORKERS' COMPENSATION LAW
Minnesota Statute, Section 176.182 requires every state and local licensing agency to withhold
the issuance or renewal of a license or permit to operate a business or engage in an activity in
Minnesota until the applicant presents acceptable evidence of compliance with the workers'
compensation insuranCe coverage requirements ofMSS Chapter 176. The inforination required
is: the name of the insurance company, the policy number, and dates of coverage, or the permit
to self-insure. This information will be collected by the City and retained in the files.
This information is required by law, and licenses and permits to operate a business may not be
issued or renewed if it is not provided and/or is falsely reported. Furthermore, if this
information is not provided or falsely stated, it may result in a $1,000 penalty assessed against
the applicant by the Commissioner of the Department of Labor and Industry.
Insurance Company Name:
(NOT the insurance agent)
H t<5r (J /fl< 0 'rFt' :rill /J -e m,v i r-y
(JJC 2.0 - 0 /J CJ~,;1..14 - () 0
/1-2 <1- ~ TO J 1- 2'-J -..P5
--~-- b {.I~h (OR) ---Jk-~.---- ~
Policy Number:
Dates of Coverage:
I am not required to have workers' compensation liability coverage because:
o
I have no employees
D
D
I am self-insured (include permit to self-insure)
I have no employees who are covered by the workers' compensation law
(these include: spouse, parents, children and certain farm employees)
I certify that the information provided above is accurate and complete and that a valid
workers' compensation policy will be kept in effect at all times as required by law.
Name: Ke/111 e r11-
.
[First]
Fay:n.JG/.5
[Middle]
Name of Business: /AI'/~e G y G/5 PI z,Zrr
/
Business Address: '7 oct 5- C)..O 71"* )11/C
l~'rellVla~ mAl
[City] [State]
65/, "53-1077
IO-2v-os ~~-~
Date Signature
VllrlOellBeeJ(
[Last]
I tv C-
S
55"038"
[Zip]
Business Phone:
//5
ACOBJ:t CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDD/YYYY)
10/25/2005
PRODUCER (651)644-0311 FAX (651)641-8981 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Paul et/Slater, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2610 University Ave., #200 ALTER THE COVERAGE AFt=ORDED BY THE POLICIES BELOW.
St. Paul, MN 55114
INSURERS AFFORDING COVERAGE NAIC#
,,'
INSURED Wi seguys , Pi zza Inc INSURER A: Hartford Insurance
7095 20th Avenue S INSURER B: Safeco Insurance
Centerville, MN 55038-0000 INSURER c:
INSURE;R D: - -
INSURER E:
r.OVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBjECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~i': ~~~~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
- DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY $
I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
-
GENERAL AGGREGATE $
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.COM~OPAGG $
~ ,nPRO. n
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- (Ea accident) $
ANY AUTO
- ,- , ' -'~~ IV'ED
ALL OWNED AUTOS REOE; BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
- -- = ------------------- OCI~--' ~LOOS-~- ----~--~_._-
HIRED AUTOS BODILY INJURY
- $
NON-0WNED AUTOS (Per accident)
- "
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
==i ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $
=:l OCCUR D CLAIMS MADE AGGREGATE $'" ",
$
~' ~EDU:TIBLE $ :
RETENTION $ $
WORKERS COMPENSATION AND 41WECPM6255 11/24/2005 11/24/2006 11,(~,)I:~I,~~l IOJ~'
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 100000
A ANY PROPRIETORlPARTNERlEXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $ 100000
If yes, describe under E.L. DISEASE. POLICY LIMIT $ 500000
SPECIAL PROVISIONS below
OlHER Liability RENEWAL OF 02BP240321 01/01/2006 01/01/2007 $1,000,000 Ea Common Cause
B Llquor $2,000,000 Aggregate
p~ESCRlPTION OF OPERATIONS' LOCATIONS 'VEHICLES' EXCLUSIONS ADDED BY ENDORSEMENT' SPECIAL PROVISIONS
rovides Evidence of Insurance
City of Centerville
1880 Main Street
Centerville, MN 55038
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~~ ~
Jeffre '-tL:.
ACORD 25 (2001/08) FAX: (651)429-8629
@ACORDCORPORA::;;:;~
CERTIFICATE OF CO:M:PLIANCE
DEPARTMENT OF REVENUE
Pursuant to Minnesota Statute 270.72 Tax Clearance; Issuance of Licenses, the licensing
authority is required to provide to the Minnesota Commissioner of Revenue your Minnesota
Business Tax Identification Number and the social securitv number of each. license
aoplicant (person si2:nin2: the application).
Under the Minnesota Government Data Practices Act and the Federal Privacy Act of 1974, we
are required to advise you of the following regarding the use of this information:
1. This information may be used to deny the issuance, renewal, or transfer of your
license in the event you owe the Minnesota Department of Revenue delinquent
taxes, penalties, or interest; .
2. Upon receiving this information, the license authority will supply it only to the
Minnesota Department of Revenue. However, under the Federal Exchange of
Information Agreement, the Department of Revenue may . supply this
information to the Internal Revenue Service;
3. Failure to supply this information may jeopardize or delay the processing of
your license issuance.
.~~._~-~~~-- ~Please supply1lieji51lOWmgffl!ormatiofilmaretum-along wftJrY01lrappltclltton-:---n-- ~._~-
TYPE OF LICENSE BEING APPLIED FOR OR RENEWED: 1- I QUo R
PERSONAL INFORMATION:
Applicant's Name:
(el1ne;rn F l/AJJOe.tt'8ee.K.
689~ Cel1-reRvlU:!"
Cenrerfli/"{"~ mAl
[City] [State]
~o
55 cJ3 8
[Zip]
I
Applicant's Address:
Social Security Number:
BUSINESS INFORMATION:
Business Name:
Business Address:
Minnesota Tax Identification Number:
Federal Tax Identification Number:
JOrlS-05
Date
~ 19nature and Position (Officer, Owner, Partner)
If a Minnesota Tax Identification Number is not r~quired, p.
//1
TAX CLEARANCE INFORMATION
TO LICENSE APPLICANT:
Pursuant to Minnesota Statute 270.72 Tax Clearance: Issuance of Licenses, the licensing authority is
required to provide to the Minnesota Commissioner of Revenue your Minnesota Business Tax
Identification Number and social security number of each license applicant.
Under the Minnesota Government Data Practices Act and the Federal Privacy Act of 1974, we are required
t9 advise you of the follo~g ~garding the use of this info_~on:
1. This information may be used to deny the issuance, renewal or transfer of your
license in the event you owe the Minnesota Department of Revenue delinquent
taxes, penalties or interest;
2. Upon receiving this information, the licensing authority will supply it only to the
Minnesota Department of Revenue. However, under the Federal Exchange of
Information Agreement the Department of Revenue may supply this information
to the Internal Revenue Service.
3. Failure to supply this information may jeopardize or delay the processing of
your licensing issuance or renewal application.
Please supply the following information and return along with your application to the agency issuing the
license. DO NOT RETURN TO THE DEPARTMENT OF REVENUE.
LICENSE TYPE:
L.I GUnR
"
NEW [ ]
RENEWAL l)il
LICENSING AU1HORITY:
LICENS-ElmNEWALDATE:
City of Centervi1le
-f--I..-_-OZ-(7()-fo
BUSINESS INFORMATION:
Business Name:
lA/I S Er6 v '\/.s
,
70QS dOJrl
(f?t?rea IhLLe:-
[City]
p, l., 7.-;Q-
AVe s
mrl
[State]
6'5' 1- "5!J -, 0'7 7
jlVL
Business Address:
55038
[Zip]
Business telephone Number:
List of Officers or Partners (full name, title, and social security number):
Full Name: ~nnen+ P 1//-t)./o.tJter?ee/c-
Title: PI? l? !: I /.J..e /?'I Social Security Number:
.
Full Name: cJ V J-l € ('V\ \I A ,J ().~ r'~ ee. 1<-
...
Title: S.e C (l ~ 11'\ tJl J Social Security Number: -
Full Name:
Title:
Social Security Number:
Full Name:
Title:
Social Security Number:
IF A CORPORATION:
Corporation Name: /Al1.f c6 v ys R-Zt.-A ;wldba
Business Address:
IN I~ e 0"!jI y S f, 2. r ft .f fv 13
I/i
Incorporation Date: 0 7 - tJ 5 - 19 ? 9
List of Directors: f'e t1 n e JI1 {:' 1/1+ IV 0 e Il 8 e e.. i('
J U KC m l/fhraL/l ~P(~/{
List of Stockholders: S F1 yY"\..Jl
-
PERSONAL INFORMATION (if sole proprietor):
Applicant's Name:
Applicant's Address:
[City]
[State]
[Zip]
Home Telephone Number:
Social Security Number:
ALL APPLICANTS:
List all persons or entities with either a direct or indirect interest in the applicant or the applicant's business
to be conducted under the license for which this application is made and describe their interest in detail
-~-_._----------below;--- -----------
.f'p 11 n e-r4 F (J ~JJ.?-ell. lJ ~ e. J~
,
J U L I ~ (VI V AtJ~(l-ee.l<-
Addresses: ~ B 9' ~ C 8/Jrefl UIl-Le- ~O
Cenre~ V/C"LB rnrJ ~5c)3a
Assumed or Tmde Names, if any:
Business Telephone Number: I.t:S 1- (,f 'l- J 0"7 7 Home Telephone Number: (;, 51, (.,) J - I) Cj J
Has any person named in the application ever been convicted of a felony? 0 Yes ~ No
If yes, set forth the offense, date, county and stated of conviction:
Applicant agrees that any manager employed in the licensed premises will have all qualifications of a
licensee and that the manager will not violate any city or state laws.
Federal Tax Identification Number:
'-/60:1970
L/ 1- i95()7:J'--I
Minnesota Tax Identification Number:
If a Minnesota Tax Identification Number is not required, please explain on the reverse side.
Signature~~ P<>sition (Office, Partner. etc.): Iff;, es I a- <9,,-r-
PrintName: f;lJllell-t F Date: / () - Z 5-- 2." O!)
V It "" oer Bet: 1<"
//9
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Billing Nam~ MAGILL PROPERTIES
Nam
Right-click here fo
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InUse
NOT Used 1 WATER
NOT Used 6 SEWER
USED 10 DRAIN FEE $0.00 $0.00 10
NOT Used 15 WATER COMM
USED 18 SEWER COMM $0.00 $0.00 18
NOT Used 30 WATER TEST FEE
NOT Used 40 SENIOR DISCOUNT
NOT Used 100 SHUT OFF
NOT Used 101 TURN ON
NOT Used 102 CERTIFICATION
NOT Used 103 SERV/CONNECTIO
NOT Used 104 REPLACE - ------- -----------
NOT Used 105 SHUT-OFF-VIOLAT
/4
Page 1 of2
Wcloomc 10 the Web site of
Anoka County
MinucIota
Property Account Summary
Current General Information
Property ID 23-31-22-14-0018
Situs Address 1990 MAIN ST NE , CENTERVILLE, MN 55038-0000
THAT PRT OF E 246.44 Ff OF SE1/4 OF NE1/4 SEC 23-31-22 LYG NLY OF FOL DESC LINE: COM AT NE
Property Description COR THEREOF, TH S ALG E LINE THEREOF 310.89 Ff TO POB, TH DEFL RT 90 DEG 58 MIN 246.48 Ff
+OR- TO W UNE OF SO E 246.44 Ff &. THERE TERM; EX RD; SUBJ TO EASE OF REC
Last Sale Price 380,000.00
Last Sale Date 12/31/1996
Last Sale Document
Type
Linked Property
Group Position
Status Active
Abstract/Torrens Abstract
__ _ ~ ~~_ ~!";"~~~ U~O~~~ "_U "" ~
Role Name
Owner I MAGILL PROPERTIES INC
1----
Document Recordina Process Dates
Abstract Documents Have Been Recorded Through 10/19/2005
Abstract Documents Have Been Mailed Through 10/14/2005
Torrens Documents Have Been Recorded Through 09/20/2005
Torrens Documents Have Been Mailed Through 09/16/2005
..ctive Certificates Of Title
Type ICertificate Number ICertificate Date
No Certificates Found
Documents Recorded Within 30 Davs Of "Recorded Throuah" Dates Above
Type IAbstract/Torrens IRecorded Number IRecorded Date
No Documents Found
Prooertv Characteristics
Total Acres 11.20
Year Built 11988
* Lot Size: Approximate lot size in feet, clockwise beginning with the direction the lot faces
fax District Information
City Name I CENTERVILLE
School District Number and Name I CENTENNIAL SCHOOL DISTRICT #12
ProDertv Classification
Tax Year Classification
2005 3A-Commercial/IndustriaJ/Public Utility
2004 3A-Commercial/Industrial/Public Utility
Prooertv Values
Tax Year Description Amount
2006 Est Market Land (MKLND) 156,000
2006 Est Market Improvement (MKIMP) 520,300
2006 Est Market (MKTTL) 676,300
https://prtinfo.co.anoka.mn.us/(ratOy045e4zekieof2in0t45)/search.aspx
11/4/2005
/U-
Page2of2
2005
2005
Est Market (MKTTL)
Taxable Market (TMTV)
642,300
642,300
h"ax Amounts for M1PR
Tax Year Description Amount
2005 Total Tax Amounts - Before Payments 22,409.78
2005 Special Assessments (Included in Total) 259.72
-
Payment Historv for Past Three Years
Date Paid Tax Year Principal Interests, Penalties and Costs Amount Paid
04/20/2005 2005 2,409.78 0.00 2,409.78
12/29/2004 2005 20,000.00 0.00 20,000.00
05{15{2004 2004 22,297.69 0.00 22,297.69
05/15/2003 2003 20,633.40 0.00 20,633.40
No Charges are currently due.
Developed by ASIX, Incorporated.
@2004AII rights reserved.
Version 1.0.2110.22214
https:/Iprtinfo.co.anoka.mn.us/(ratOy045e4zekieof2in0t45)/search.aspx
11/4/2005
/M
tervi{{e
f:stab{isliecf 1857
1880 :Main Street . Centervi/Ie,:M.:N 55038
(651) 429-3232 . PaJ( (651) 429-8629
STATE OF MINNESOTA
COUNTY OF ANOKA
CITY OF CENTERVILLE
RESOLUTION #05-053
A RESOLUTION ADOPTING THE ATTACHED PERSONNEL POLICY AND
REPEALING ALL PREVIOUS PERSONNEL POLICIES
WHEREAS, the Council of the City of Centerville has drafted, reviewed and determined
that the attached personnel policy shall be placed in effect upon a motion to adopt same
and its associated resolution.
NOW;-nIEREFOU-LETIT-B~RESO:tVEn;--tlranh:e attached perS-olmerIfolicywilt--
be effective upon motion to adopt same and its associated resolution (Res. #05-053). AIl
employees win receive a copy of said policy and be requested/required to submit a signed
acknowledgement of receipt and understanding of said policy. The signed
acknowledgement will become a part of the employees personnel file and win be
renewed on an annual basis. The Administrator or hislher designee will be responsible
for collection and retention of the signed acknowledgements.
Adopted this _ day of November, 2005.
Mary Capra, Mayor
Attest:
Teresa Bender, City Clerk
/J/
CITY OF CENTERVILLE
PERSONNEL POLICIES
Successful public relations are a very important element in every City Employee's job. It is
important to be considerate, pleasant, prompt and brief in all dealings with the citizens of
the City of Centerville. The impression we make over the phone or in person, whether good
- or bad, will be the one that the citizen will remember. It is the mission of the City of
Centerville to provide the highest quality service to Centerville residents and taxpayers in the
most effective, efficient manner possible. Proper adherence by all City Employees to these
policies will help attain that goal.
1. PURPOSE AND APPLICATION
1.1 Purpose
General The information in these personnel policies serve only as a general
reference to the City of Centerville's current policies and procedures. None of these
rules and policies constitutes a contract between the employee and the City. These
rules and policies are not a guarantee of continued or future employment or intended
to alter the employment at will relationship in any manner. Employees have the
right, with appropriate notice, to terminate their employment at any time, for any
reason or no reason, and the City retains a similar right, subject to any statutory or
constitutional restrictions placed upon it as a public employer. If at any time there is
a difference between a statement in these documents and source material, such as
plan documents, the source material that is current at that time will take precedence.
1.2 Scope
Application: This personnel policy applies to all City of Centerville Employees,
except the following:
A) Elected officials;
B) Consultants rendering professional service;
C) Members of City Boards, Commissions, and Committees (this Subsection
applies only to non-employee members of these City Boards, Commissions
and Committees);
D) Volunteers;
E) Persons engaged under a specific employment contract.
Collective Bargaining: All Employees covered by a collective bargaining
agreement entered into in accordance with the Public Employers Labor Relations
Act, Minnesota Statutes ~179.61 - 179.77, and ~179A.01 - 179A.25 shall be exempt
from any of these provisions which direcdy conflict with the language in the
bargaining agreement.
Page 1 of 47
/6
1.3 Authority
Rights: The City reserves the right to operate and manage its affairs in all respects
in accordance with existing and future laws and regulations. These rights shall
specifically include, but not be limited to, the right to adopt, amend, repeal, interpret
or terminate the personnel policy and work rules without prior notice. The City
reserves the right to make these changes retroactive or prospective. Amendments
shall be effective tbe day of adoption unless _a different date is specifi~d. The City
further reserves the right to make reasonable variations from this policy where the
City Council determines that a strict and literal application of the policy would cause
an undue hardship on the City, its Employees, or an individual Employee.
Interpretation: The City Administrator shall make initial interpretation of these
policies or decision on items not covered within these policies and such
interpretation will be binding unless modified or overturned by the City Council.
This policy supersedes any prior policies, representations or understandings and shall
be subject to all applicable State and federal Laws, as well as City Ordinances.
1.4 Equal Opportunity Employer
Non-Discrimination: The City of Centerville strives to provide full and equal
opportunities for every person in all areas related to employment, training,
promotion and compensation. No individual shall be discriminated against with
respect to compensation, terms, conditions or other privileges of employment
because of race, color, creed, religion, gender, age, national origin, sexual orientation,
marital status, veteran status, public assistance status, disability, or to any other group
or class against which discrimination is prohibited by State or federal law.
2. DEFINITIONS
The following words and terms shall have the meaning as defined herein, unless the context
indicates otherwise.
Absent Without Leave: Any absence of an Employee from duty including any absence for
a single day or part of a day that is not authorized by a specific leave of absence or time off
under the provisions of this policy.
Anniversary Date: The month and day of initial hiring or promotion of a regular full-time
or regular part-time Employee.
Appointing Authority: The City Council or City Officer to whom the Council has
delegated authority to appoint personnel.
Benefits: Privileges or other compensation granted to Employees in the form of leaves of
absence, insurance, or pay received in lieu of accrued leave upon termination of
employment.
City: The City of Centerville.
City Administrator: The City Administrator of the City of Centerville.
Page 2 of 47
l,Zft
City Council: The City Council of the City of Centerville.
Compensatory Time: For exempt Employees, the same amount of time off work as the
employee has overtime hours worked. For non-exempt Employees, time off work at one-
and-one-half times the number of overtime hours worked.
Demotion: The change of an Employee's status to a position of having a lower pay range,
r~nk or grade, and/ or lesser .responsibility than previo~sly held.
Department: A branch of City administration with responsibility for one or several
assigned functions.
Department Head: The supervisor of a department.
Employee - Exempt: An Employee not covered by the overtime provisions of the federal
Fair Labor Standards Act.
Employee - Intermittent: An at-will Employee who works occasionally or on-call for an
indefinite time, under the same terms and conditions as a temporary Employee.
Employee - Full-Time: An at-will Employee working at least 32 hours per week, who has
successfully completed a required probationary period, and serves in a position funded in the
approved City budget for a given fiscal year.
Employee - Non-Exempt: An Employee covered by the overtime provIsIons of the
federal Fair Labor Standards Act.
Employee - Part-Time: An at-will Employee working less than 32 hours per week, who
has successfully completed the required probationary period and who is not eligible for
benefits, other than those mandated by state or federal law.
Employee - Regular: An at-will Employee who has successfully completed all stages of the
selection process including the training period and/or probationary period.
Employee - Seasonal: A full-time or part-time at-will Employee whose appointment is
limited to a specific season of the year and is employed under the same terms and conditions
as a temporary Employee.
Employee - Temporary: A full-time or part-time Employee who serves in a position on a
temporary basis where no benefit eligibility exists and no credit is given for seniority.
Employer - The City of Centerville.
Hours Worked: Includes all hours that the Employee actually performs duties that benefit
the City, including: rest periods or breaks, meetings, training programs, travel between work
sites on a work day, time spent performing duties after hours or on weekends due to
emergencies (call backs) and any time performing duties outside the normal shift, even if it is
not "authorized."
Job Classification: A group of positions sufficiendy alike in duties, qualifications, authority
and responsibility to warrant the same job tide, grade and pay schedule for all positions in
the group.
Page 3 of 47
/21
Job Description: The written description of a job containing a tide, a statement of duties,
authority and responsibilities of the job, and the qualifications and experience deemed
necessary and/or desirable for the satisfactory performance of the duties of the job.
Lay-Off: The separation of an Employee from employment due to elimination of a
position; lack of funds or other reason determined by the City Council.
Performance Report: A review of an Employee's performance by the supervisor to
communicate an Employee's strengths or deficiencies, as well as expectations for
improvement.
Position: A specific job, calling for the performance of certain duties and having certain
responsibilities.
Probationary Period: A period of time at the beginning of employment (or the beginning
period of a promotion, transfer) that is designed as a trial period. The probationary period is
also considered a training period and is the last part of the selection process.
Promotion: An advance in position from one classification or grade to a higher
classification or grade.
Resignation: Employment termination initiated by the Employee who chooses to leave the
employment voluntarily.
Transfer: A movement of an Employee from one job class or position to another of
comparable class and pay range.
3. ORGANIZATION
3.1 Personnel Files
Employment File: The City Administrator or designee shall maintain a separate
employment flie for each Employee. Each flie shall contain a record of each
classification of each position the Employee has held with the City and shall also
contain a record of all personnel action regarding the Employee including
examination records, performance reports, disciplinary proceedings, demotions,
promotions, salary changes and any other document relevant to City employment.
3.2 Job Description
General: The City will maintain a written description of each job containing a tide, a
statement of duties, authority and responsibilities of the position, and the experience
and qualifications deemed necessary and/or desirable for the satisfactory
performance of the duties of the position. These descriptions will normally be
updated periodically, as duties or assignments change, or at the discretion of the City
Administrator.
3.3 Assignment of Work
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Responsibility: Assignment of work duties and scheduling work is the
responsibility of the Department Head. It is recognized that jobs may change over
time to respond to the changing needs of the organization.
3.4 Classification of Job Duties
Responsibility: The classification of job duties, establishment of 1l111l1ll1Uffi
qualifications, and the_ maintenance of job descrjptions and related record~ shall be
the responsibility of the City Administrator or designee.
Salary Range: Each job description shall be assigned a salary range based upon, but
not limited to, the following factors:
A) An evaluation of the knowledge, accountability, problem solving, abilities and
working conditions of the position;
B) The duties and rates of pay for other job classifications, whether comparable
or not;
C) The prevailing rates of pay for comparable positions in both public and
private employment in the appropriate labor market;
m Financial and fiscal policies and considerations of the City, and other
pertinent economic factors.
Approval: Each fiscal year, the City Council shall review the pay plan and make
changes it determines are necessary. The City Council may modify salary ranges at
any time. The City Council shall adopt hourly rates of pay for all positions not
covered by the classification and pay plan.
Reclassification: Whenever a job has changed sufficiendy so that it no longer fits
the description, the City Administrator or designee shall make recommendation to
the City Council regarding the appropriate action which could involve: reclassifying
the job to another existing job class; creating a new job class, updating the job
description, restructuring the job to fit an established or proposed class, or other
action as deemed appropriate.
4. APPOINTMENTS
4.1 Vacancies
General: Vacant positions that the City Council chooses to fill_will be filled on the
basis of a regular or temporary appointment and may be made on a full-time or part-
time basis.
Procedure: Vacancies may be filled by promotion of an existing qualified employee
or filled by hiring from outside as determined by the City Council..
Evaluation Method: Applicant qualifications will be evaluated in one or more of
the following ways: a rating of experience and training, a written test, an oral test or
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interview, a performance or demonstrative test, or other appropriate job-related
exam.
4.2 Job Posting
Internal Posting: Position vacancies for regular full-time and regular part-time
positions will be posted on the official City. bulletin boards in City Hall and the
Public Works building in addition to, or in lieu o(advertising externally. Th~ posting
will specify the title, starting salary or range, the nature of the work to be performed,
how to apply, the closing date for receiving applications, and other pertinent
information.
4.3 Recruitment and Selection
Recruitment: The City Administrator or designee is responsible to manage the
recruitment process to assure compliance with federal and state laws as well as City
of Centerville practices. This includes approving all job postings, advertisements,
placing of job advertisements, addendums to the application and other recruitment
materials. The City Administrator or designee will meet with the appropriate
supervisor to determine the best methods for recruiting. All appointments shall be
made on the basis of merit and fitness for the position. Merit and fitness may be
determined by written, oral and/or other job-relevant examination, as well as by
consideration of education, past experience and other job-relevant qualifications.
Announcement: When the City recruits a position externally, the position will be
advertised in selected newspapers, periodicals, newsletters and/or through direct
mailings at least ten (10) days in advance of the deadline for application.
Application Form: Applicants for initial hire or promotion must normally submit
written application materials setting forth their qualifications and such other
information as may be pertinent and required by the City. Unless otherwise
stipulated by the City Administrator, applications will not be considered complete
without the inclusion of a signed, official City of Centerville employment application
form.
Application Review: The City Administrator and/or the supervisor shall review all
applications and conduct job-relevant background reviews screening all applications to
determine candidate qualifications. Initial interviews may be conducted of the
applicants whose qualifications are best-suited for the position. Any applicant not
meeting minimum qualifications required for the position shall be rejected for further
consideration.
Examination: If an examination is required for a position, the examination shall be
administered by the City Administrator or his/her designee at a time and place
established by the same. Upon receipt of the examination results, the City
Administrator or his/her designee shall notify each person taking the examination, in
writing, of the results of the examination. Examination scores will be adjusted in
accordance with the provisions of the Veterans Preference Act where applicable.
Disqualification of Application: An applicant may be rejected at any time if the
applicant fails to respond at any stage of the selection process.
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4.4 Appointment Authority
Regular: The City Council is the Appointment Authority for the City of Centerville
and will make all full-time appointments, based upon the recommendation of the
City Administrator. The City Administrator shall submit a hiring recommendation
based on the interview results of eligible candidates to the City Council.
Other: Appointments to budgeted part-time, seasonal, intermittent, and temporary
positions may be delegated to the City Administrator.
4.5 Temporary Appointments
General: If necessary to prevent interruption of service or inconvenience to the
public, the City Council may approve temporary appointments. A temporary
appointment may be made for a specified period of time or may be open-ended.
When the appointment is open-ended, the City Administrator shall determine the
ending date based on needs of the City, subject to Council approval. Temporary
appointments will normally be of duration of six months or less. Extension of this
maximum time period may be made on an exception basis if warranted by the needs
of the City and approved by the City Council. Appointees to temporary positions
will not be entitled to benefits.
4.6 Pre-Employment Medical Exams
Applicability: The City may determine that a pre-employment medical examination
is necessary to determine fitness for any City position. Where a medical examination
is required, the offer of employment shall be made contingent upon successful
completion of the medical exam. If the City determines that pre-employment
medical exams will be required, they shall be required of all candidates who are
conditionally offered employment for a given job class.
Confidentiality: The information obtained during the medical exam shall be treated
in the same manner as for confidential medical records under the Minnesota Data
Practices Act and HIP AA regulations.
Exam: A licensed physician designated by the Employer shall conduct the exam.
The physician conducting the exam shall be provided with a description of the duties
and responsibilities and other pertinent information about the position. The City
shall pay the cost of the exam. The physician shall notify the City Administrator
whether or not a candidate is medically able to perform the job.
Notification of Results: The City Administrator shall inform the candidates of the
results of their examination. If a candidate is rejected for employment based on the
results, he or she shall be notified of this determination and may request further
explanation from the physician.
4.7 Employment of Minors
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General: Employment of minors will be limited to the ages and conditions as
provided by the federal Fair Labor Standards Act (FLSA) and, where more
restrictive, State child labor laws.
4.8 Union Representation
Labor Relations Act: Relations between the City and its organized Employees are
guided by the Public Employment Labor Relations Act (PELRA) of 1971, as
amended. A copy will be made available for Employees upon request. Joining a
union is not required for employment. However, under the Act, the Union may
require individuals in a represented bargaining unit who are not members of the
Union to contribute a "fair share fee."
4.9 Probationary Appointments
Purpose: The probationary period is an integral part of the selection process and
shall be utilized for observing an Employee's work and for training the Employee in
the work expectations, for assessing the Employee's abilities, skills, and interest, and
for rejecting any Employee whose performance does not meet the required work
standards. The first six (6) months of employment shall be considered an
Employee's probationary period.
Duration: Probationary periods apply to new hires, transfers, promotions and
rehires. The Council, under special circumstances, may extend the probationary
period up to a maximum of six (6) additional months.
Termination during Probationary Appointment: The City Council, or the City
Administrator with approval of the City Council, may terminate an Employee
anytime, for any reason, during that Employee's probationary period. The Employee
so terminated shall be notified in writing of the reasons for the termination and shall
not have the right to appeal unless he or she is a veteran, in which case the procedure
prescribed in Minnesota Statute ~197.46 shall be followed. Nothing in this
Personnel Policy shall be construed to imply that after completion of the
probationary period, an Employee has any vested interest or property right of City
employment.
Demotion: Employees terminated during a probationary period from a position to
which they were transferred or promoted may be reinstated to a position in the class
from which they were transferred or promoted, upon approval of the appointing
authority. If a position in that class is not open, the Employee may be placed on
leave of absence without pay until such time as an appropriate position is available.
Completion of Probation Period: A performance evaluation will be completed
and reviewed with the Employee before the end of the probationary period. The
City Administrator will notify the Council as to whether the Employee's
performance has been satisfactory or not, and whether the employment relationship
should be continued.
City Administrator: In the case of the City Administrator, the Council will evaluate
the Employee and determine whether or not to continue the employment
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relationship. The evaluation of the City Administrator shall be in writing on a
performance review form.
Notification: If the notification indicates the Employee has successfully completed
the probationary period and employment will be continued, the Employee will
become a regular Employee within the meaning of this policy. The Employee's
length of service will be computed from the date of hire for the purpose of
~alculating the term of pro~ationary period.
4.10 Background Investigation
Upon the request of the City Administrator, the police department shall provide
certain criminal history data contained in the Minnesota Criminal Justice Information
System. The data to be provided must only be about finalists for City positions of
employment. The City Administrator must obtain the consent of the finalists before
requesting the data, but an applicant's failure to provide consent may disqualify the
applicant from the prospective position.
5. EMPLOYMENT STATUS CHANGES
5.1 Reclassification
General: A recommendation for an Employee to receive a reclassification will be
made on the basis of the job's content, resulting from significant changes in the kind,
difficulty, and/ or responsibility of the work performed in the position. A
reclassification may warrant an increase or decrease in salary range. The City Council
must review all reclassification recommendations made by the City Administrator.
Reclassification will be approved only by the City Council.
5.2 Promotion
General: Vacancies may be filled by promotion of present Employees who meet the
requirements established for the classification, when the City Council determines that
a promotion is in the best interest of the City.
5.3 Demotion
General: An Employee may be demoted if found unsuited for the present position
but may be expected to perform satisfactorily in a position of having a lower pay
range, rank or grade, and/or lesser responsibility than previously held. An Employee
may also be demoted if his/her position has been abolished or reclassified and
he/ she cannot be transferred to a position of equal pay for which they are qualified
and suited.
5.4 Reduction of Workforce
General: If it is necessary to reduce personnel, temporary Employees and those
serving a probationary period in affected job classes will be separated before regular
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Employees. Within each of these groups, the selection of Employees to be retained
shall be based on merit and ability as determined by the City Administrator, subject
to Council Approval.
Lay-off: The City may layoff any Employee whenever such action is made
necessary by reason of shortage of work or funds, the abolition of a position, 6i;
because of changes in organization or other reason determined by the City Council.
Two weeks advance written notice of the lay-off shall be given when the need for the
l~yoff is foreseeable. An Employee may be transferred to another position if the
City Council determines that such Employee is qualified and a position is available.
When a lay-off occurs in a job classification in which more than one Employee
serves, qualification and job performance as determined and applied by the City
Council shall be the basis for determining which Employees are laid-off unless
otherwise required by law.
Not Disciplinary Action: The suspension and dismissal procedures outlined in
Section 17, Discipline, of these policies shall not apply to separation covered by
reduction in force.
6. COMPENSATION AND WORK HOURS
6.1 General Policy
Wages: All Employees of the City shall be compensated according towage
schedules or salaries as determined annually by the City Council upon the
recommendation of the City Administrator. The Council may change or modify the
wages or salary of any job class at any time for budget reasons.
Starting Wage: Initial appointments to full-time positions will normally be made at
the adopted wage for the applicable job class. Exceptions may be made to the
starting rate at the discretion of the City Council, based on additional education,
training, qualifications and/or experience above that normally required for the
position.
6.2 Pay Periods
Bi-weekly: Employees shall be paid by check, on alternate Thursdays. The pay
received by an Employee will be for the hours worked during the pay period plus any
holidays, compensatory time, overtime, and PTO taken during the period.
6.3 Work Hours
General: All Employees are expected to perform their regular work duties when
required to do so by their supervisor, including situations where the workday or
workweek requires additional hours or different hours from that normally scheduled.
The City Administrator may also adjust normal work weeks and days for the
positions that require the exercise of duties and responsibilities outside of normal
hours (for example, the need to attend City Council meetings).
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Timeliness: It is expected that all Employees will report to work on time, use their
available hours to the best advantage, and leave only after the regular work hours are
completed. The City Administrator may also adjust normal work weeks and days for
the positions that require the exercise of duties and responsibilities outside of normal
hours (for example, the need to attend City Council meetings).
Full-Time Work Week Defined: The regularly scheduled work week for full-time,
non-supervisory Employees is eight (8) hours per day and forty (40) hours per week,
- - - .
with the regular work week defined as Monday through Friday, 8:00 a.m. to 4:00
p.m., including rest periods. The City Administrator may also adjust normal work
weeks and days for the positions that require the exercise of duties and
responsibilities outside of normal hours (for example, the need to attend City
Council meetings).
Part-Time Work Week Defined: The regularly scheduled work week for part-
time, non-supervisory Employees is less than thirty-two (32) hours per week,
including rest periods. Flexible work schedules will be allowed on a case by case
basis as approved by the City Administrator. The City Administrator may also adjust
normal work weeks and days for the positions that require the exercise of duties and
responsibilities outside of normal hours (for example, the need to attend City
Council meetings).
6.4 Work Breaks
Meal Break: Employees working eight or more consecutive hours will be scheduled
an unpaid meal break of one-half hour.
Rest Break: When working under conditions where the use of a rest break is
practical, Employees will be allowed to take a fifteen-minute break approximately
midway through each four-hour shift. The time of the break is subject to the
approval of the supervisor. Unused rest breaks may not be accumulated, nor may
they be used for any purpose other than a mid-shift rest period. Unused rest breaks
may not be used to leave work early.
6.5 Job Sharing
General: Job sharing will be considered on an individual basis at an Employee's
request. Arrangement should be made with the immediate supervisor. Any
agreement between an Employee and supervisor is subject to approval by the
Council.
6.6 Overtime/ Compensatory Time
General: The City of Centerville has established this overtime policy to comply with
applicable state and federal laws governing accrual and use of overtime. The City
Administrator will determine whether each Employee is designated as "exempt" or
"non-exempt" from earning overtime. In general, Employees in executive,
administrative, and professional job classes are exempt; all others are non-exempt.
Non-Exempt Employees: All overtime-eligible Employees will be compensated at
the rate of time and one-half (1 Yz) for all hours worked over 40 in one workweek.
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Personal leave and paid holidays will count toward "hours worked." Compensation
will take the form of either overtime payor compensatory time. Compensatory time
is paid time off at the rate of one and one-half (1 Yz) off for each hour of overtime
worked.
Workweek: The workweek is Sunday morning from 12:00 a.m. to Saturday evening
at 11:59 p.m.
- - - -
Approval: The Employee's supervisor must approve overtime hours in advance.
An Employee who works overtime without prior approval may be subject to
disciplinary action. Pre-authorization may be presumed by Employees in emergency
situations such as excess snowfall, flood, severe storms, water main breaks, lift
station malfunctions, or other similar situations where the immediate response of
staff is required to avert endangerment of life, home or property. In the event of an
emergency situation, the City Administrator shall be notified immediately.
Compensatory Time: Overtime earned will be paid at the rate of time and one-half
on the next regularly scheduled payroll date, unless the Employee and the
Department Head mutually agree in advance the overtime will be banked as
compensatory time in lieu of payment. This advance agreement can take the form of
the Employee indicating on his/her timesheet that he/she would prefer to receive
compensatory time rather than paid overtime for the overtime hours worked on that
payroll period.
Accumulation: The maximum compensatory time accumulation is forty (40) hours
unless a higher amount is established by the City Council.
Use of Compensatory Time: Employees may request and use compensatory time
off in the same manner as other leave requests. Supervisors shall normally grant
such requests, even if another Employee must be called in to cover the hours, unless
it causes a serious disruption in business operations.
Exempt Employees: Exempt Employees are expected to work whatever hours are
necessary in order to meet the performance expectations outlined by their
supervisors. Generally, to meet these expectations, and for reasons of public
accountability, an exempt Employee will need to work forty (40) or more hours per
week. Exempt Employees do not receive extra pay for the hours worked over forty
(40) in one workweek.
Salary Basis: Exempt Employees are paid on a salary basis. This means they
receive a predetermined amount of pay each pay period and are not paid by the hour.
Their pay does not vary based on the quality or quantity of work performed, and
they receive their full salary for any day in which any work is performed. The City
will only make deductions from the weekly salary of an exempt Employee in the
following situations:
A)
The Employee is in a position that does not earn personal leave and is absent
for a day or more for personal reasons other than sickness or accident.
B)
The Employee is in a position that earns personal leave, receives a short term
disability benefit or workers' compensation wage loss benefits, and is absent
for a full day due to sickness or disability, but he/she is either not yet
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qualified to use the paid leave or he/she has exhausted all of his/her paid
leave.
C) The Employee is absent for a full workweek and, for whatever reason, the
absence is not charged to paid leave (for example, a situation where the
Employee has exhausted all of his/her paid leave or a situation where the
Employee does not earn paid leave.)
- - -
D) The very first workweek or the very last workweek of employment with the
City in which the Employee does not work a full week. In this case, the City
will prorate the Employee's salary based on the time actually worked.
E) The Employee is in a position that earns paid leave and is absent for a partial
day due to personal reasons, illness or injury, but:
. Paid leave has not been requested or has been denied;
. Paid leave is exhausted;
. The Employee has specifically requested unpaid leave.
F) The Employee is suspended without pay for a full day or more for
disciplinary reasons for violations of any written policy that is applied to all
Employees.
G) The Employee takes unpaid leave under the Family and Medical Leave Act
(FMLA).
H) The City may for budget reasons implement a voluntary or involuntary
unpaid leave program and, under this program, make deductions from the
weekly salary of an exempt Employee. In this case, the Employee will be
treated as non-exempt for any workweek in which the budget-related
deductions are made.
I) The City will not make deductions from pay due to exempt Employees being
absent for jury duty, attendance as a witness, or temporary military leave, but
will require the Employee to pay back to the City any amounts received by
the Employee as jury fees, witness fees, or military pay. If the City
inadvertently makes an improper deduction to the weekly salary of an exempt
Employee, the City will reimburse the Employee and make appropriate
changes to comply in the future.
Requirement to Work Overtime: Generally overtime should be avoided; however,
all Employees, in all departments, are required to work overtime as requested by
their supervisors as a condition of continued employment. Refusal to work overtime
may result in disciplinary action. Supervisors will make reasonable efforts to balance
the personal needs of their Employees when assigning overtime work.
6.7 Outside Employment
General: Employees must devote all work time to City business. Work time describes
the entire workday as scheduled. No work relating to outside employment or other
non-City business may be performed during work time.
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Conflict of Interest: Outside employment may not present a conflict of interest, or
in any way jeopardize the welfare of the City.
Performance: Outside employment shall not interfere with an Employee's proper
performance of City duties. Employees are required to be available at all times for
emergency or overtime work as needed. With the exception of overtime work,
Employees should be able to report to work refreshed and ready for work.
Contracts with City: Employ~es are prohibited from working for any contractor or-
company that has a contract with the City during the period of time in which work is
being done for the City.
Supplies: No Employee shall accept employment that requires the use of City
equipment, facilities or material.
Compensation: No Employee shall accept payor compensation from anyone for
work done during time being reimbursed by the City. Employees who are volunteer
firefighters shall:
A) Make up time lost due to emergency calls; or
B) Use accumulated personnel leave or other leave for such calls, or pay the City
any earnings received as a volunteer for such calls.
C) Unless authorized otherwise, only one Employee from a single department,
may respond to an initial fire call.
Questionable Situations: Any doubtful case or problem should be taken up with
the City Administrator if it may involve a conflict of interest.
6.8 Unauthorized Absences
General: Employees may not be absent from duty without permission from their
supervisor. Any Employee absent from duty without leave or permission will be
subject to disciplinary action up to and including dismissal. Unauthorized absence
from work may be considered a resignation without notice and not in good standing.
6.9 Solicitation
General: Solicitation by Employees for any purpose is prohibited during the
working time of the Employee who is soliciting and the Employee being solicited.
This shall include canvassing, collection of funds, pledges, taking orders or
subscriptions, circulation of petitions, solicitation of memberships or any similar type
of activity. Exceptions may be made with prior approval of the City administrator or
designee. Distribution of literature by Employees including handbills, leaflets,
circulars or other similar material is prohibited at any time in any working area.
7. HOLIDAYS
7.1 General
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Eligibility: Regular full-time Employees are eligible for the paid holidays as listed
below. Part-time, seasonal and temporary Employees will not be eligible for holiday
pay.
7.2 Holidays
New Year's Day
Martin Luther King's Birthday
President's Day
- Memorial Day
Independence Day
Labor Day
Veterans Day
Thanksgiving Day
Fourth Friday
Christmas Day
Floating Holiday
January 1
Third Monday in January
Third Monday in February
Last Monday in May
July 4
First Monday in September
November 11
Fourth Thursday in November
Friday after Thanksgiving
December 25
Date to be pre-approved.
Sunday /Saturday Holidays: If a holiday falls on a Sunday, the following day will
be the observed holiday. If a holiday falls on a Saturday, the preceding day will be
the observed holiday.
Floating Holiday: Each Employee gets one floating holiday per year and it may be
taken at the request of the Employee, with prior approval of the Employee's
supervisor. Floating holiday may be taken during the probationary period. An
unused floating holiday shall be forfeited and may not be carried over to the next
payroll year nor paid as severance.
7.3 Holiday Pay
Worked: An Employee required to work on a holiday shall be paid at the rate of two
and one-half (2 yz) times the Employee's rate of pay.
Not Worked: An Employee not scheduled to work on holidays will be compensated
at the normal hourly rate.
On Leave: Holidays occurring during an Employee's PTO or funeral leave will be
considered a holiday and the Employee's leave bank will not be charged for PTO or
funeral on that day.
8. PERSONAL TIME OFF (PTO) - LEAVE WITH PAY
8.1 General
Eligibility: Full-time Employees who have worked for the City for at least six
months are eligible to accrue annual Personal Time Off leave (PTO) from the date
the Employee is hired. PTO will be available for use as it is accrued according to the
schedule below.
8.2 Accrual
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Rate of Accrual: Full-time Employees shall earn PTO leave at the following rates.
Years of Service
o through 5 years
6 through 10 years
11 through 15 years
16+ years
PTO Earned
6.77 hours per pay period
8.31 hours per pay period
9.85 hours per pay period
11.38 hours per pay period
Accrual While U sing: Employ~es using earned PTO sh~ll be considered to be
working for the purpose of accumulating additional PTO.
8.3 Requirements
Usage: Personal Time Off (PTO) Leave may be used as earned, subject to approval
by the Department Supervisor or City Administrator. PTO may be taken in
increments of one hour or more. Up to a maximum of 176 hours of accrued PTO
may be carried over to the next year.
Procedure: To be eligible for PTO leave with pay, an Employee shall report as
soon as possible to his or her Department Head the need to take personal leave and
its estimated duration. Requests to use PTO shall be received at least twenty-four
hours in advance of the requested time off. This notice may be waived at the
discretion of the City Administrator.
Pay-Out of PTO Leave: The rate of PTO pay will be the Employee's regular rate
of pay in effect at the time of PTO request. In the event of termination in good
standing, all earned PTO will be paid at the Employee's regular rate of pay.
Use of PTO Leave during a Holiday: Holidays occurring during an Employee's
PTO leave will be considered a holiday and the Employee will not be charged for PTO
on that day.
Coordination of PTO Leave with Family and Medical Leave: In order to allow
coordination of Personal Time Off leave with Family and Medical Leave, Employees
seeking to take PTO may be required to provide enough information about the purpose
of the leave to allow a determination of whether the leave will also qualify for Family
and Medical leave.
Waiver of PTO Leave Prohibited: No Employee is permitted to waive personal
leave for the purpose of receiving double compensation.
Workers' Compensation: Employees are covered by workers' compensation laws
and regulations of the State. In the event an Employee is disabled and is entided to
workers' compensation, the Employee will keep any workers' compensation
payments received and will be eligible to receive a bi-weekly pay check equal to one-
third (1/3) of the Employee's regular pay through the use of personal leave benefits.
In addition, the Employee will be entided to insurance benefits during a workers'
compensation leave. Employees receiving such workers' compensation will be
considered working for the purpose of accumulating additional personal leave
benefits.
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Unused PTO Leave Pay: Any unused Personal Time Off leave may be paid out
subject to the following rules and. regulations:
(A) The Employee must be in good standing and give proper notice of
termination in the case of resignation.
(B) qualifying Employees s~all receive pay for all of their unused PTO
accumulated at the time of termination.
8.4 Donation of Personal Leave
General: With the expressed written approval of the City Council, City Employees
may donate accrued PTO in one-hour increments to fellow Employees experiencing
extended time off due to a serious medical problem or condition and who have no
accumulated PTO or compensatory time. The use of this donated personal leave
must be approved by the Department Head and the City Administrator and will be
converted to the receiving Employee's hourly rate. This subdivision does not apply
to part-time, temporary or seasonal positions or unionized employees. The donation
of personal leave from one Employee to another shall be subject to the additional
following terms and conditions.
(A) A written request to donate personal leave must be made to the City Council
via the City Administrator.
(B) The City Administrator shall have the right to deny use of donated personal
leave or limit its use in the best interests of the City.
9. LEAVES OF ABSENCE
9.1 Unpaid Leave
General: The City Administrator may authorize an unpaid leave of absence for up
to ten (10) days. Unpaid leaves of absence for greater periods must be authorized by
the City Council. Decisions on unpaid leave of absence requests will normally take
into consideration the Employee's performance, length of service and the general
interest of the City. No Employee benefits will be earned by an Employee while on
unpaid leave of absence and an Employee will not accrue or be paid holiday payor
PTO leave while on leave of absence. Leave of absence hours will not count toward
seniority and all accrued PTO must normally be used before an unpaid leave of
absence will be approved.
9.2 Medical Leave
General: Full-time employees may take of to six (6) weeks of unpaid leave for
reasons relating to family and medical care.
Eligible Uses: Eligible Employees can take up to six (6) workweeks of unpaid leave
during a twelve (12) month period to care for a newborn or newly adopted child or
newly-placed foster child; care for a spouse, son, daughter or parent with a serious
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health condition; or care for themselves during a serious health condition. A serious
health condition is defined as:
(A) An illness, injury, impairment or physical or mental condition that involves
either inpatient care or continuing treatment by a health care provider for
three (3) or more consecutive days;
(B) A?y period of incapacity bec_ause of pregnancy or pren~tal care;
(C) Any period of incapacity because of a chronic, serious condition;
(D) Any period of absence to receive multiple treatments by health care
providers for reconstructive surgery after an accident or injury, or for a
condition that would likely result in a period of incapacity of more than three
(3) consecutive days if left untreated.
Medical Certification: The City may require the Employee to document the need
for the leave by providing a certification issued by a health care provider. The
Employee will be allowed fifteen (15) calendar days to obtain the certification.
Intermittent/Reduced Schedule Leave: Employees may take leave on an
intermittent basis or work a reduced schedule under certain circumstances and
subject to City Council review and approval.
Substitution of Paid Leave: Employees may choose to use accrued paid leave to
cover some or all of the leave taken.
Job Restoration: When an Employee returns from medical leave, the City will
restore the Employee's original job or an equivalent job unless the Employee's job
was eliminated during the leave. In this instance, the employee will be treated as laid
off pursuant to Section 5.4.
Health Benefits: The City will keep the Employee on its health insurance coverage,
including family coverage, but will not continue to pay the City's share of the
coverage. The Employee must pay the entire premium. The City may cancel
coverage if the Employee's premium payment is more than thirty (30) days late and
the City has given the Employee written notice at least 15 days in advance advising
that coverage is going to be canceled if the premium is not received.
Other Benefits: Other benefits, including cash payments chosen by the Employee
instead of group health insurance coverage do not have to be maintained during
periods of unpaid medical leave. No Employee benefits will be earned by an
Employee while on unpaid leave of absence and an Employee will not accrue PTO
leave or be paid holiday pay while on leave of absence
9.3 Military Leave
General: Minnesota Statutes, ~ 192.26 - 192.261 provide that an Employee of a
municipality who is a member of the National Guard, the Naval Militia, the Officer's
Reserve Corps, the Naval Reserve, the Marine Corps, or any other reserve
component of the military or naval forces of the United States, is entided to a leave
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of absence without loss of pay, seniority status, efficiency rating, or benefits for the
time such Employee is engaged in training or active service, not exceeding a total of
fifteen (15) days in any calendar year.
Conditions: The leave of absence is only in the event the Employee returns to
employment immediately upon being relieved from military or naval service, or is
prevented from returning by physical or mental disability or other cause not the fault
of the Employee, or is required by ~e proper authority to co_ntinue in military or
naval service beyond the fifteen (15) day period allowed for the paid leave of
absence.
Notice Requirements: Notice will be given to the City at least fifteen (15) working
days in advance of the requested leave. Notice may be waived under certain
circumstances.
Active Duty: In accordance with State law, the Employee will be granted an unpaid
leave of absence when called into active duty. If an Employee has not yet used
his/her fifteen (15) days of paid leave when called to active duty, use of any unused
paid time will be allowed prior to the unpaid leave of absence.
Benefits: Eligibility for continuation of insurance coverage will be in accordance
with the Uniformed Services Employment & Reemployment Rights Act of 1994
(USERRA). The Employee and dependents have the right to eighteen (18) months
of continuation coverage. When the Employee returns to work, the Employee and
any dependents may re-enroll in the City's insurance plan without any pre-existing
condition limitations or waiting periods that might otherwise apply to a new
Employee, whether or not the Employee or their dependents chose to continue
coverage during military leave. The leave of absence will not be considered work
time for purposes of PTO accrual.
Status upon Return: Returning reservists have the right to return to their jobs or to
another job of similar seniority, status, and pay upon completion of active duty in
accordance with M.S. 192.261, Subd. 2 and 38 U.S.c. ~ 2021 and 2024. If the
Employee chooses not to return to work for the City, federal COBRA and / or
Minnesota Continuation laws would apply.
9.4 Jury Duty
General: Regular Employees may be absent with pay when serving jury duty or
when subpoenaed as a witness in court or voluntarily serving as a witness in a case in
which the City is a party.
Pay: To receive their normal wages, the Employee must pay the City the jury duty
compensation, minus any mileage or parking reimbursement. If the jury duty
compensation exceeds the regular salary rate, the Employee may keep the difference.
9.5 Funeral Leave
General: Paid time off may be granted, up to a maximum of three (3) days, in the
event a regular Employee suffers a death in his or her immediate family, in
accordance with the provisions of this Section. Additional time off without pay, or
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Personal Time Off if available and requested in advance, will be granted as may
reasonably be required under individual circumstances, subject to the approval of the
department head.
Immediate Family Defined: Immediate family (for purposes of this Section) is
defined as an Employee's parent, step-parent, spouse, child, step-child, foster child,
adopted child, brother, sister, step-brother, step-sister, grandparent, grandchild,
spouse's pa~ents, brother-in-law or sist~r-in-Iaw.
Pay: The actual amount of time off, and funeral leave approved will be determined
by the City Administrator depending on individual circumstances, (such as the
closeness of the relative, arrangements to be made, distance to the funeral, etc.). In
these situations, Employees will receive their regular pay except that Employees will
not be paid for regularly scheduled days off.
9.6 Parenting Leave
General: Under Minnesota Statute ~ 181.941, an Employee is eligible to take up to
six weeks time off without pay in conjunction with the birth or adoption of a child.
The leave may begin not more than six weeks after the birth or adoption; except
that, in the case where the child must remain in the hospital longer than the mother,
the leave may not begin more than six weeks after the child leaves the hospital.
Eligibility: Employees who work at least half-time and have worked for the City
for at least twelve (12) consecutive months are eligible for parenting leave.
Health Benefits: Insurance coverage as was previously in effect, will continue while
on parenting leave. The City will continue to pay its share of the coverage as if the
Employee were at work. The Employee will be responsible for his/her share.
Use of Personal Leave: Employees are not required to use personal leave during
parental leave but may use personal leave at their option for any period of this leave.
Benefits will not continue to accrue during unpaid Parenting Leave.
Reinstatement: The Employee is entided to return to work in the same or
comparable position and at the same rate of pay the Employee was receiving prior to
commencement of the leave unless the Employee's job was eliminated during the
leave. In this instance, the Employee will be treated as laid off pursuant to Section
5.4.
9.7 School Conference and Activities Leave
Leave of 16 Hours: Under Minnesota Statute ~ 181.9412, an Employer must grant
an Employee leave of up to a total of sixteen- (16) hours during any twelve- (12)
month period to attend school conferences or school-related activities related to the
Employee's child, provided the conferences or school-related activities cannot be
scheduled during non-work hours. If the Employee's child receives child care
services or attends a pre-kindergarten regular or special education program, the
Employee may use the leave time provided in this section to attend a conference or
activity related to the Employee's child, or to observe and monitor the services or
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programs, provided the conference, activity, or observation cannot be scheduled
during non-work hours. When the leave cannot be scheduled during non-work
hours and the need for the leave is foreseeable, the Employee must provide
reasonable prior notice of the leave and make a reasonable effort to schedule the
leave so as not to disrupt unduly the operations of the Employer.
Foster Child: For the purpose of this section, the definition of "child" includes
foster child.
Unpaid or Use of PTO: The school conference and activities leave will be unpaid,
except that an Employee may substitute any accrued paid PTO leave or
compensatory time for any part of the leave under this section.
9.8 Service as Election Judge
General: Under Minnesota Statutes ~ 204B.195, an individual who is selected to
serve as an election judge pursuant to ~ 204B.21, subdivision 2 may, after giving the
Employer at least 20 days' written notice, be absent from work for the purpose of
serving as an election judge without penalty. The Employer may restrict the number
of Employees serving as election judges to twenty (20) per cent of the workforce at a
single worksite.
Wages: The salary or wages of the Employee serving as an election judge shall be
reduced by the amount paid to the election judge by the appointing authority during
the time the Employee was absent from employment. The Employee also has the
option to use personal leave for the absence.
Request: The written request to be absent from work must be accompanied by a
certification from the appointing authority stating the hourly compensation to be
paid to the Employee for service as an election judge and the hours during which the
Employee will serve.
9.9 Leave for Bone Marrow Donation
General: Under Minnesota Statute ~ 181.945, an Employee who works an average
of at least 20 hours per week is entitled to a paid leave of absence to undergo a
medical procedure to donate bone marrow. The combined length of the leave may
not exceed forty (40) hours, unless agreed to by the Employer. The Employer may
require verification by a physician of the purpose and length of each leave requested
by the Employee to donate bone marrow. If there is a medical determination that
the Employee does not qualify as a bone marrow donor, the paid leave of absence
granted to the Employee prior to that medical determination is not forfeited.
9.10 Civil Air Patrol Leave
General: Under Minnesota Statute ~ 181.946, an Employee who works an average
of at least 20 hours per week and is a member of the civil air patrol is entitled to
leave of absence without pay for time spent rendering service as a member of the
civil air patrol on the request and under the authority of the State or any of its
political subdivisions. The leave shall be granted unless the leave would unduly
disrupt the operations of the Employer.
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9.11 Time Off to Vote
General: Under Minnesota Statute 204C.04, every Employee who is eligible to vote
in an election has the right to be absent from work for the purpose of voting during
the morning of the day of that election, without penalty or deduction from salary or
wages because of the absence.
Elections Covered: F or purposes of this section, "election" means a regularly
scheduled State primary or general election, an election to fill a vacancy in the office
of United States Senator or United States Representative, or an election to fill a
vacancy in the office of State Senator or State Representative.
9.12 Leave for Adoptive Parents
General: Under Minnesota Statute ~ 181,92, Employees shall, upon request, be
granted a minimum of four weeks off, without pay, for the adoption of a child. The
period of time off shall begin before, or at the time of, the child's placement in the
adoptive parent's home, and shall be for the purpose of arranging the child's
placement or caring for the child after placement. An Employee may choose to use
accrued personal leave for all or a portion of the adoption leave.
9.13 Sick or Injured Child Care Leave
General: Under Minnesota Statute ~ 181,9413, Employees may use personal leave
benefits provided by the City for absences due to an illness of or injury to the
Employee's child for such reasonable periods as the Employee's attendance with the
child may be necessary, on the same terms the Employee is able to use sick leave
benefits for the Employee's own illness or injury.
10. TEMPORARY LIGHT DUTY POLICY
10.1 Application
Temporarily Disabled: Consistent with public service needs, the City may assign
light duty to employees who are temporarily disabled and unable to provide full
performance of all work duties assigned to their job classification. The City reserves
the sole right to determine, on a case-by-case basis, whether light duty will be
assigned and, if assigned, what duties the employee will be expected to perform in
the duration of the assignment.
Procedure: The procedure for applying for light duty assignment will be as follows:
A) When an Employee is unable, due to temporarily disability, to provide full
performance of all work duties assigned to the Employee's job classification,
the Employee may request light duty by completing the Request for Light
Duty form and submitting it to his/her Department Head. The request shall
state the nature and extent of the temporary disability and the job duties
which the Employee is unable to perform, along with the expected length of
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the disability and any work restrictions related to the disability. The City will
usually require the request to be accompanied by a physician's report
containing diagnosis, current treatment, and physician approval for light duty
assignment with any restrictions thereon.
B) The City may require an independent evaluation conducted by a physician
selected by the City to verify the diagnosis, current treatment, work
restricti?ns and expected length o~ disability.
C) Determinations regarding light duty will be made on a department-by-
department, case-by-case basis. The Department Head, in consultation with
the City Administrator, will consider such factors as public service needs and
budgetary considerations, the need for work which may be assigned as light
duty, the Employee's capability of performing the work, the number of
Employees not available for work due to injury or illness, and other relevant
factors.
D) The City will determine what job duties the Employee will perform. These
duties may include those currendy assigned to the Employee's job
classification or any other duties the City considers to be appropriate.
Duration of light duty will be determined at the sole discretion of the City.
E) Assignments to light duty will be reviewed on a monthly basis or more often
as deemed necessary by the City. The City, in its sole discretion, reserves the
right to terminate a light duty assignment at any time based upon, but not
limited to, the factors set forth in sub-item C) above.
11. INSURANCE PLANS
11.1 Health, Dental, Disability, & Life Insurance
Upon proper application and subject to payment of any required premiums, all
regular full time Employees, working at least 32 hours per week, will be required to
be covered by the City's health, dental, short-term disability and life insurance plans.
Subject to the payment of the required premiums, an Employee's dependents may
also be covered under such plans.
11.2 Cafeteria Plan
The City will contribute an amount, designated on an annual basis by action of the
City Council, to the Employee for use in the City's Cafeteria Plan. Employees are
required to choose at least the core benefit plan, as defined in the City's Cafeteria
Plan document. Any balance remaining after the required core benefits have been
purchased may be used in any authorized area of the plan, such as:
(A) The purchase of additional life, disability, or long term care insurance offered
through the City's plan;
(B) Contribution to an authorized flexible spending account;
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(C) Contribution to an Employer sponsored deferred compensation (457)
program.
(D) Or, the Employee may elect to receive the balance in taxable income.
11.3 Continuation of Benefits
Health Plans: Employees will be allowed to continue health and dental insurance
coverage upon termination in accordance with Minnesota Continuation laws and/or
federal COBRA regulations. Certain "qualifying" events trigger an Employee's
and/ or dependents' right to continuation coverage.
Termination or Reduction: Generally, an Employee and his or her dependents are
allowed to continue coverage for a period of eighteen (18) months when one of the
following qualifying events occurs:
. A reduction in the Employee's work hours (including strikes or
layoffs); or
. Voluntary or involuntary termination of the Employee for reasons
other than gross misconduct.
Divorce, Separation, Death: In the instance of divorce, legal separation or death
of the Employee, a spouse and/ or dependent child may continue coverage until:
. Coverage is obtained under another group plan; or
. Until coverage would otherwise end under the plan, such as the City
terminating their group coverage for all Employees.
Life Insurance Benefits: Generally, if an Employee loses coverage through
termination of employment or reduction in hours, s/he has a right to continue group
life insurance benefits for a period of eighteen (18) months from the loss of the
coverage date.
Health FSA: In cases where an Employee has under-spent his/her health FSA,
coverage generally will only be continued until the end of the plan year.
12. EMPLOYEE TRAINING/TRAVEL
12.1 General Policy - Training and Education
Employees may take advantage of training opportunities to help them improve the
performance of their present work assignments and to prepare them for future
assignments.
Cost, staffing, benefit to the City, and other appropriate issues will be considered by
the City Administrator in approving requests or assigning training. Time to attend
required training will normally be paid time.
Advance payments may be authorized for conference registration fees. Once paid,
Employees will be held responsible for those fees if the Employee later chooses not
to attend, unless unforeseen circumstances appear such as an illness, death in the
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family, emergency, etc. Other expenses eligible for reimbursement require receipt of
appropriate documentation. Required documentation and receipts vary depending
on the event. Meals, lodging and parking require itemized receipts.
12.2 Tuition Reimbursement/Educational Assistance
The City of Centerville encourages its Employees to enroll in job related educational
programs and may provide support through tuition reimbursement. This does not
include reimbursement for textbooks or study materials. Under IRS regulations, the
reimbursement of certain courses must be reported as taxable income to the
Employee.
Requirements: In order for a class to qualify for reimbursement, the following
conditions must be met:
. The class/course must be job related;
. The class/course must be taken from an accredited institution of
higher learning or vocational-technical school;
. The class/course must be approved by the City Administrator prior
to enrolling;
. The Employee must receive a passing grade (C or better) in order to
receive reimbursement;
. The Employee must complete a Tuition Reimbursement form and
provide a brief course outline;
. After the class/course has been completed, the Employee must
provide a photocopy of the grade form and the original receipt for
tuition;
. The Employee must remain with the City for one year after
completing the class/course, or reimburse the City for the total cost
of any class taken in the previous one-year period.
Forms: Tuition Reimbursement forms are available from the Finance Director. A
photocopy of the completed Tuition Reimbursement form will be placed in the
Employee's personnel file.
Limit: No employee may receive in excess of $1,500 tuition reimbursement in any
one calendar year. The City Council may waive this limitation in unusual
circumstances where it is determined that there is a justifiable City need for an
Employee to take additional schooling.
12.3 Travel Reimbursement
The City Council may authorize travel at City expense for the effective conduct of
City business. Authorization must be granted prior to incurring the actual expenses.
Employees so authorized will receive reimbursement for necessary and incidental
expenses according to the terms outlined in this policy and IRS requirements for an
"accountable plan." Receipts and/or other verification of the expenses, which show
the actual cost of lodging, meals and incidental expenses, are required for
reimbursement.
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A) Automobile Expense: When Employees are required to use their own
vehicles to conduct City business or to attend approved training, the City will
reimburse the Employee for mileage at a rate as allowed by IRS regulation..
The allowed rate will change on the fIrst of the month following the effective
date as provided in IRS regulations.
B) Overnight Travel: Lodging expenses include actual reasonable cost of
lodging while away on approved travel or training. The amount of
reimburs~ment for an individual attendee of a conference o-r meeting will
normally be the least expensive single room rate available at the location of
the conference, or the actual cost, whichever is less.
C) Meal Allowance: Employees will be reimbursed for meals, including tax
and a reasonable gratuity, when on approved assignment for the City.
Employees will be reimbursed for meals in connection with conferences and
meetings only when the meals are not included in the conference registration
fee. In other words, Employees are expected to eat at the conference if
meals are provided. The maximum allowable reimbursable expense per meal
will be set periodically by the City Council. For meal reimbursement to be
considered nontaxable under the IRS rules for an "accountable plan," the
meal expense must be in connection with an overnight stay and a receipt
must be provided. Reimbursement for meal expenses not in connection with
an overnight stay are taxable and will be reported on the Employee's W-2
form. Meal costs which are not itemized and are part of a conference or
meeting registration fee are not included in this requirement and will not be
considered taxable.
D) Tuition, Dues and Fees: When prior approval has been granted by the
City Council, registration and! or conference fees are eligible for
reimbursement or pre-payment.
E) Parking and Alternative Travel: The City will reimburse the Employee for
necessary parking fees incurred for required travel. The City will also
reimburse for the Employee for the reasonable cost incurred when approved
travel is made by other means of transportation, but will be reimbursed only
the amount that would have been reimbursed had the Employee traveled
using the least cosrly method, unless otherwise approved.
F) Overnight Travel Away From Home: Travel away from home is work
time when it cuts across the Employee's work day. The time to be
considered is not only hours worked on regular working days during normal
working hours, but also during the corresponding hours on non-working
days.
Example: If an Employee regularly works from 8:00
a.m. to 4:30 p.m., Monday through Friday, the travel
time during these hours is work time on Saturday and
Sunday as well as on the other days. Thus, if travel is
overnight and done outside of working hours, the
travel time is not compensable.
12.4 Applicability
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General: Travel and expense reimbursement provided for in this section shall apply
to both the Employees of the City and the members of the City Council traveling
specifically to conduct City business.
13. PERFORMANCE APPRAISAL
1.3.1 Employee Performance Appraisal
Schedule: Employees will normally have their performance evaluated at least once
during the six- (6) month probationary period, and every twelve (12) months
thereafter. Performance evaluations will be maintained in Employee personnel files
and will be considered when personnel actions are contemplated. Performance
appraisals will be conducted in accordance with the established performance
appraisal system.
14. SAFETY
14.1 General
Safety Policy: The personal health and safety of each Employee of the City and the
prevention of occupational injuries and illnesses are of primary importance to the
City. To the greatest degree possible, management will maintain an environment
free from unnecessary hazards and has established safety policies and procedures for
each department. Adherence to these policies is the responsibility of each
Employee. Overall administration of this policy is the responsibility of each
department head. Violation of established policies and rules may result in
disciplinary action under the discipline section of the City's personnel policy.
14.2 Safety/Accident Reporting
Forms: Workers' Compensation and OSHA laws require that Employees involved
in job-related accidents and sicknesses file a First Report of Injury as soon as
possible. If necessary the Employee's department head may file the report on behalf
of the injured or sick Employee. The department head is also responsible for filing
an accident report with the City's Safety Officer.
15. SMOKING
15.1 General
Prohibited: In the interest of good health, the City discourages Employees from
smoking. Smoking is prohibited within all City buildings.
Approved Areas: The City Administrator will designate specific outdoor areas as
smoking areas. There will be no smoking in areas not designated as smoking areas.
If smoking results in discomfort to others, smokers are required to stop smoking.
Smoking in non-approved areas may result in disciplinary action.
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16. GRIEVANCES
16.1 Grievance Procedure
Procedure: The following grievance procedure shall be followed by all Employees
except those covered by the terms of a collective bargaining agreement. In all cases,
grievances must be filed by the Employee adversely affected by the action of the
City.
Step 1:
Step 2:
Step 3:
Step 4:
Any aggrieved Employee shall first file his/her grievance, in writing,
with his/her immediate supervisor within ten (10) working days of
the action from which the grievance arises or the date upon which
the Employee became aware of the action. In cases where the
Employee has been adversely affected by an action administered by a
City Employee of a higher rank than that of his/her immediate
supervisor, the affected Employee shall file his/her grievance, in
writing, with the City Employee whose action the adversely affected
employee is grieving. Notice must include the following:
A) Statement of the grievance and relevant facts;
B) The remedy sought; and
C) The specific provision of the personnel policy (if applicable).
The supervisor shall respond to the grievance, in writing, within ten
(10) working days.
If the Employee is dissatisfied with the response of his/her
supervisor, the Employee may, within ten (10) working days from the
date of the response, appeal the grievance to his/her department
head. The department head shall respond to the grievance, in
writing, within ten (10) working days.
If the Employee is dissatisfied with the response of the department
head, he/she may, within ten (10) working days appeal to the City
Administrator. The City Administrator shall respond to the
grievance, in writing, within ten (10) working days.
If the Employee is dissatisfied with the decision of the City
Administrator, he/she may appeal, in writing, to the City Council
within ten (10) working days of his/her receipt of the City
Administrator's decision. The City Council shall consider the written
appeal, along with the City Administrator's Step 3 response, and any
other pertinent information developed throughout the grievance
procedure. The Council shall then decide whether to affirm the City
Administrator's decision or consider the issue anew. In general,
Council review will be limited to interpretation of this personnel
policy and will not relate to issues of fact.
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Assistance: An aggrieved Employee may be assisted in the presentation of his/her
grievance by any person acting in an advisory capacity to assist in presenting all facts
relevant to the grievance. At any step in the grievance procedure, the supervisory
authority may request additional information, or conduct additional investigation, as
he/ she deems necessary.
Time Limits: Failure to conform to the time requirements set forth above shall
constitute a waiver o~ further steps in the above. procedure. Time limits s~t forth in
the grievance procedure may be waived, upon written consent of both parties. Any
one or more of the steps set forth above may be waived by written consent of the
Employee and the designated Employer representative to whom the grievance is
being submitted.
Working Hours: The hearing and presentation of grievances shall be accomplished
during ordinary working hours when consistent with Employee duties and
responsibilities. An aggrieved Employee shall be allowed a reasonable amount of
time, without loss of pay, to present evidence concerning his/her grievance.
17. DISCIPLINE
17.1 Objective
Supervisory Responsibility: Supervisors are responsible for maintaining
compliance with City standards of Employee conduct. The City reserves the right to
use discretion and to deviate from this policy.
Employee Responsibility: City Employees are expected to fulfill their duties and
responsibilities at the level required, including observance of work rules and
standards of conduct. Failure to do so may result in disciplinary action.
Non-Discrimination: Discipline will be administered in a non-discriminatory
manner. The supervisor will normally investigate any allegation on which
disciplinary action might be based before any disciplinary action is taken.
17.2 Process
The City recognizes its continuing responsibility to develop and administer rules and
disciplinary measures in a fair and consistent manner. The City will issue discipline
at a level within its discretion for the act/inaction in question along with other
factors that it deems relevant. Without limiting its right to issue discipline in other
areas, an adequate reason for issuing a disciplinary action shall include but not be
limited to each of the following kinds of conduct:
.
Incompetence or inefficiency in the performance of duties;
.
Failure to produce the quality of work and/or the quantity of work
the position or classification requires;
.
Wanton carelessness or negligence in the performance of duty;
.
Offensive treatment of fellow employees or other persons;
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.
Willful violation of any lawful regulation or order, or failure to obey
any lawful and reasonable directions given by the Employee's
supervisor.
.
Violation of the provisions of these Personnel Policies;
.
Viola~g the Data Privacy rights ~f any employee, client, or l?ember
of the public;
.
Conviction of a felony or gross misdemeanor or of a misdemeanor
involving moral turpitude which affects the performance of assigned
responsibilities;
.
Gross negligence or willful conduct causing damage and/or abuse of
City property.
.
Absence from work for two (2) consecutive days without notice to
supemsor.
.
Drinking alcoholic beverages during work hours, intoxicated while at
work, or consuming or being under the influence of any controlled
substance unless prescribed by a physician while at work;
.
Theft of public property, pilferage or other unauthorized taking of
public property from a public premises for private use;
.
Carrying or otherwise possessing a firearm or other dangerous
weapon at the workplace. Licensed peace officers who carry a gun
for work purposes are exempt from this provision;
.
Sexual, racial, or unethical harassment or discrimination of any City
employee or member of the public;
.
Acting in a manner not here and above specified which tends to
lower discipline or morale within the City or that adversely affects the
rendering of prompt, courteous and efficient service by the City and
its employees to the public.
In addition, disciplinary action may be taken for reasons specifically defmed by
department rules other than those listed herein.
Discipline may take one of the following forms and may be applied progressively as
noted below or based on the City's decision. Discipline except dismissal may be
implemented by the City Administrator, subject to appeal to the City Council in
accordance with the grievance procedure contained in this Personnel Policy.
A) Oral Warning: Oral warning should normally be given for the first
infraction to clarify expectations and put the Employee on notice that the
performance or specific behaviors need to change. There may be time when
the first infraction is so serious that an oral warning may be insufficient.
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B) Written Warning: A written warning shall normally state the reason for the
warning along with a description of the events/problems that led to the
warning. It shall normally describe actions taken by the supervisor to correct
the problem, if applicable, including any timetable or goals set for
improvement. It will indicate further disciplinary action that could result if
the problem continues or if related problems occur.
The warning wil! be given to the Employe~ to sign acknowledging th_at he or
she has received the warning and a copy for their records. Another copy of
the written warning shall be placed in the Employee's personnel file.
Written warnings are more serious than oral warnings and normally follow
verbal warnings when the problem is not corrected or the behavior is not
consistently improved, given a reasonable period of time for improvement.
Serious infractions may require skipping either a verbal or written warning, or
both.
C) Suspension: The Employee will normally be notified in writing of the
reason for the suspension, either prior to the suspension or shortly
thereafter. Upon the Employee's return to work, the Employee will be given
a written statement outlining further disciplinary action possible should the
problem continue or reoccur. A copy of the written document shall be
placed in the Employee's personnel file.
An Employee may be suspended pending an investigation of an allegation. If
the allegation is proven false after an investigation, the relevant written
documents will be removed from the personnel fue and the Employee will
receive any compensation to which he/she would have been due had the
suspension not taken place.
For any suspension, or any second suspension for the same individual, the
City Council shall review the reasons for the suspension and upon review,
will make a recommendation as to the future status of the Employee and
his/her continued employment with the City.
D) Dismissal: The City Council may dismiss any Employee following a five-
(5) day suspension. The dismissal notice shall be in writing and shall contain
the reason for dismissal.
18. SEXUAL HARASSMENT
18.1 General
The City of Centerville is committed to providing a working environment free of
harassment and discrimination. In keeping with this commitment, the City maintains
a strict policy prohibiting unlawful harassment, including sexual harassment. This
policy prohibits harassment in any form, including verbal and physical harassment.
This policy applies to all City Employees.
This policy statement is intended to make all Employees sensitive to the matter of
sexual harassment, to express the City's strong disapproval of unlawful sexual
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harassment, to advise Employees of their behavioral obligations and to inform them
of their rights.
18.2 Definition
General: To provide Employees with a better understanding of what constitutes
sexual harassment, the following definition, based on Minnesota Statutes, is hereby
provided:
Sexual harassment includes unwelcome sexual advances, requests for sexual favors,
sexually motivated physical contact, or other verbal or physical conduct or
communication of a sexual nature, when:
A) Submission to the conduct or communication is made a term or condition,
either explicitly or implicitly, for obtaining employment;
B) Submission to or rejection of that conduct or communication by an
individual is used as a factor in decisions affecting that individual's
employment;
C) That conduct or communication has the purpose or effect of substantially
interfering with an individual's employment or creating an intimidating,
hostile or offensive employment environment and the Employer knows or
should have known of the existence of the harassment and fails to take
timely and appropriate action.
Examples of inappropriate conduct include but are not limited to:
.
Unwanted physical contact;
Unwelcome sexual jokes or comments;
Sexually explicit posters or pin-ups;
Repeated and unwelcome requests for dates or sexual favors;
Sexual gestures;
Any indication, expressed or implied, that an Employee's job security
or any other condition of employment depends on submission to or
rejection of unwelcome sexual requests or behavior.
.
.
.
.
.
18.3 Expectations
Violations: The City of Centerville recognizes the need to educate its Employees on
the subject of sexual harassment and stands committed to provide information and
training. All Employees are expected to treat each other and the general public with
respect and to assist in fostering an environment that is free from unwanted
harassment. Violations of this policy may result in discipline, including possible
discharge. Each situation will be evaluated on a case by case basis depending on the
severity and the circumstances involved.
Notice: In order for a sexual harassment issue to be addressed, it must be brought
to the attention of management. In order for action to be taken, information must
be forwarded to the appropriate level of management.
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Report to: Any Employee who believes he or she has been harassed by a co-
worker, supervisor, or agent of the City should prompdy report the facts of the
incident or incidents and the names of the individuals involved to his or her
supervisor or in the alternative to the City Administrator.
Responsibility: Supervisors should immediately report any incidents of sexual
harassment to the City Administrator. If the City Administrator is unavailable,
supervisors should report the incident immediately to the Mayor. The City
Administrator (or Mayor) will investigate such-claims and consult with - the City
attorney for advice on appropriate action.
In addition to notifying one. of the above people and reporting the nature of the
harassment, the Employee is also urged to take the following steps:
A) Clearly indicate to the harasser that the conduct is unwelcome and document
that conversation;
B) Document the occurrences of harassment;
C) Submit the documented complaints to your supervisor, the City
Administrator, mayor or councilmember. It is required that the complaint is
in writing;
D) Document any further harassment or reprisals that occur after the complaint
is made.
Rights: Employees have the right to raise the issue of sexual harassment and to file
complaints with respect to such harassment without reprisal. The City recognizes
that there are inherent difficulties in developing evidence and maintaining close
working relationships among Employees in instances where harassment has
occurred. Because of this, the City urges that conduct which is viewed as offensive,
be reported immediately to allow for corrective action to be taken through education
and initial counseling, if appropriate.
Obligations: Management has the obligation to provide an environment free of
sexual harassment. The City of Centerville is obligated to prevent and correct
unlawful harassment in a manner which does not abridge the rights of the accused.
To accomplish this task, the cooperation of all Employees is required.
Action: The City of Centerville, in all cases, will take action to correct any reported
harassment to the extent evidence is available to verify the alleged harassment and
any related retaliation. All allegations will be investigated. Strict confidentiality is not
always possible in all cases of sexual harassment as the accused has the right to
answer charges made against them, particularly if discipline is a possible outcome.
Reasonable efforts will be made to respect the confidentiality of the individuals
involved, to the extent possible.
19. RESIGNATION
19.1 Written Notice
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General: Any Employee wishing to leave municipal service in good standing must
submit a written resignation to his or her supervisor at least fourteen (14) calendar
days before an Employee's anticipated leaving. The resignation must state the
effective date of the resignation may state the reason for leaving. The City
Administrator may waive the notice requirement if it is determined to be in the best
interest of the City.
20. CODE OF CONDUCT AND ETHICS
- -
20.1 Purpose
General: The City Council of the City of Centerville requires all Employees of the
City to adhere to the following code of conduct and ethics. The purpose of this
policy is to establish standards for all such persons by setting forth actions which are
incompatible with the best interest of the City of Centerville, its taxpayers or in
conflict with state or federal laws.
20.2 Conflicts of Interest
No Employee having the power or duty to perform an official act or action may be
direcdy or indirecdy interested in any contract, transaction, or zoning decision of the
City of Centerville except as provided for in the Minnesota State Statutes.
Any Employee having an interest in any proposed legislative action of the City
Council and who gives an opinion or recommendation to the Council, shall disclose
on the record of the Council meeting the nature and extent of such an interest.
No Employee may purchase personal property from the City except property that is
no longer needed by the City under the following conditions:
A) There is a reasonable public notice and the goods are sold through public
auction; and
B) The property is sold by a sealed bid process and the Employee has the
highest responsible bid. The Employee who buys the property must not be
involved in the auction or sealed bid process.
No Employee may accept any gift or gratuity in any size under circumstances in
which it could be reasonably thought to influence him or her in the performance of
his or her official duties or in which it appears to be a reward for any official action
on his or her part. Gifts or gratuities which may be acceptable are as follows:
A) Awards for meritorious civic service contribution;
B) Unsolicited items that are donated to and shared by the work group;
C) Unsolicited advertising or promotional materials with a value of less than
$5.00;
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D) Unsolicited items such as meals which may be provided during meetings,
receptions, or other gatherings where the elected official or Employee is in
attendance in his/her official capacity.
20.3 Nepotism
General: Relatives of current City Employees and City Council members are not
eligible for employment in job classification in which a conflict of interest may occur.
Therefore, relatives will not be hired where:
A) One relative would have the sole authority or practical power to supervise,
appoint, remove, or discipline the other;
B) One relative would be responsible for auditing the work of the other;
C) Other circumstances exist which would place the relative in a situation of
actual or reasonable foreseeable conflict between the City's interests or their
own; or
D) Where the applicant/City Employee has a relative who is employed by an
organization with whom the City has business dealings, and in the City's
judgment, considering the positions and job responsibilities of both the
applicant/Employee and the relative would create an appearance of improper
influence or favor or would jeopardize the confidentiality of data maintained
by the City.
The City is not obligated to give special treatment, such as preferential scheduling, to
married couples.
Definitions:
Relative: The term "relative," when used in this policy, means any two (2) or more
individuals who reside in the same dwelling unit or who are related to each other by
blood, marriage, or adoption where one of the individuals is the spouse, parent,
grandparent, child, brother, or sister of the other.
Employee: Anyone employed in a full-time or part-time regular status position, or
in a seasonal, temporary, or paid on-call position.
20.4 Falsification of Records
General: No person shall knowingly make any false statement, certificate, mark,
rating or report in regard to any test, certificate, or appointment held or made under
the City of Centerville's personnel system, or in any manner cotntnit or attempt to
cotntnit, any fraud preventing the impartial execution of the provisions of these
policies.
20.5 Rendering of Consideration
General: No person seeking employment to, or promotion in, the City of
Centerville will either directly or indirectly give, render, or pay any money, service, or
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other valuable consideration to any person on account of or in connection with, the
test, appointment, or promotion, or proposed appointment or promotion.
20.6 Use and Safeguarding of City Property
General: No Employee shall use or permit the use of City owned vehicles,
equipment, tools, machinery, materials, or other property for personal conveniences
_or profit unless the use -is available to the public generally or is provided as a
municipal policy for the use of such public official or Employee in the conduct of
official business. City Employees shall not store personal property on City property
or in City facilities.
Responsibility: All Employees of the City of Centerville who have authority over
or the use of, City vehicles, equipment, machinery or property in the course of their
duties must assume responsibility for the safeguarding and care of such items.
20.7 Disclosure of Confidential Information
General: No City Employee, with respect to any transaction, zoning decision, or
other matter which may be the subject of an official act or action of the City of
Centerville shall without proper legal authorization, disclose confidential information
concerning the property, government or affairs of the City of Centerville, or use such
information to advance the financial or other private interest of the elected official or
Employee or anyone else authorized to act on the behalf of the City.
Access: No City Employee who has custody of or access to any personnel flies or
other information which may be considered confidential by Minnesota law shall use
or release such information without proper authority.
Data Practices Act: Confidential information will be governed by and treated
according to the Minnesota Data Practices Act. The City Administrator is the Data
Practices Officer. All questionable requests should be referred to the City
Administrator.
20.8 Political Activities
General: Political activities which are not in violation of state and federal laws are
generally permitted. The following political activities are prohibited for City
Employees:
A) City Employees may not use any official authority or influence for the purpose
of affecting the result of an election nor may funds be solicited or
contributions received from other Employees for political purposes.
B) No campaign materials, pamphlets or buttons may be displayed on City
vehicles, City property or by an individual on the work site, nor may they be
distributed by an employee during his working hours.
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21. APPEARANCE AND ATTIRE POLICY
21.1 General
The attire and the appearance of City Employees have a direct reflection on the
professionalism in the delivery of City services. City Employees are required to meet
the general public on a daily basis as part of their regular work assignment and as
&uch, a nearly attired City Employee presents a positive image both of themselves
and the City of Centerville.
When deciding on appropriate work attire, City Employees shall employ sound
discretion in their decisions as clothing needs vary by job function and safety. These
considerations should be based on job safety, City image, and personal hygiene. The
following is not considered appropriate attire in most work settings and will not be
permitted:
.
Tube tops, halter tops, tank tops, muscle shirts;
Sweats or work out clothing;
Tight, body-hugging clothing;
Shorts;
Clothing that is revealing and causes a distraction;
Clothing that is faded, worn or in disrepair.
.
.
.
.
.
The City Administrator will be responsible for determining if attire is appropriate.
Employees who have questions concerning appropriate work attire should direct
them to the City Administrator. Temporary exceptions may be allowed by the City
Administrator when a work assignment indicates that different attire would be
appropriate.
21.2 Casual Fridays
General: Fridays are designated as "casual day" in City Hall. On these days nice jeans,
City logo t-shirts, and City logo sweatshirts can be worn. None of the other items on
the above list qualify as casual Friday attire. Employees who take Friday off cannot
substitute any other day of their choice as a "casual day".
22. ELECTRONIC MEDIA USAGE POLICY
22.1 General
Guidelines: The City of Centerville's electronic media usage policy is designed to
provide clear guidelines to City of CentervilleEmployees regarding access to, and
disclosure of, computer, network, telephone and facsimile systems. Employees
increasingly use and exploit electronic forms of communication and information
exchange, and have access to one or more forms of electronic media and services
(computer, email, telephones, voice mail, fax machines, external electronic bulletin
boards, on-line services, and the Internet).
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Public Property: The City encourages the use of these media and associated
services, because they make communication more efficient and effective, and
because they are valuable sources of information. However, electronic media, data,
and services provided by the City are City owned and publicly funded, and their
purpose is to facilitate City business. The City Council authorizes the use of the
Internet and on-line services for the support of all City tasks. The use of the
Internet is public and a privilege, not a right, and may be revoked at any time for
u~acceptable use.
Procedures: With the rapidly changing nature of electronic media, and the
"netiquette" which is developing among users of external on-line services and the
Internet, this policy cannot lay down rules to cover every possible situation. Instead,
it expresses the City's philosophy and sets forth general principles to be applied to
use of electronic media, data, and services.
The following procedures apply to all electronic media, data, and services, which are:
A) Accessed on or from City premises;
B) Accessed using City computer equipment, or via City-paid access methods;
C) Used in a manner that identifies the individual with the City.
22.2 Authorization
An Employee must sign a statement acknowledging that they have read, understand,
and agree to comply with this policy. No Employee will be authorized to use
electronic media or services until they have signed the appropriate statement and
returned it to the Personnel Office.
22.3 Inappropriate Material
General: Electronic media may not be used for knowingly transmitting, retrieving
or storage of any communications of a discriminatory or harassing nature, or which
are derogatory to any individual or group, or which are obscene or sexually explicit,
or are of a defamatory or threatening nature, or for "chain letters," or for any other
purpose which is illegal or against City policy or detrimental to the City's reputation.
Electronic media may not be used for personal use relating to political, religious, or
personal financial profit.
22.4 Personal Use Limitations
General: Electronic media and services are primarily for City business use. Limited,
occasional or incidental use of electronic media (sending or receiving) for personal,
non-business purposes done on the Employee's personal time is understandable and
acceptable - as is the case with personal phone calls. However, Employees need to
demonstrate a sense of responsibility and may not abuse the privilege. Such personal
use must not consume large amounts of City resources. Employees using electronic
media and services for personal use waive any claims to privacy regarding that usage.
Any costs incurred by the City due to personal use (such as printing costs, per-
minute Internet fees or cellular phone charges) must be paid by the Employee.
Excessive personal use will be determined by the individual Employee's supervisor,
and may subject the Employee to disciplinary action.
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Personal Software: Personal software can significantly impact the operation of City
equipment. Consequently, the installation and use of privately owned software is
allowed only when approved in advance by the Technology Manager or City
Administrator. This includes downloading software from internet sites. Games are
not considered to be appropriate software for City computer equipment. If allowed,
all personal software, including screensavers and shareware, must be legally
purchased and properly licensed to the Employee. A copy of the license must be
lo~ated in the Employee's ~ffice. Personal software and data may be remo~ed
without warning at any time. The City is not responsible for the back-up or recovery
of files associated with personal software. If it is suspected that a personal software
package is the cause of a problem with any City software, it may be removed without
warrung.
22.5 Individual Privacy
General: The City also reserves the right, in its discretion, to review any Employee's
electronic files, messages and usage to the extent necessary to ensure that electronic
media and services are being used in compliance with the law and with this and other
City policies. Employees should therefore not assume electronic communications
are private and confidential and should transmit highly sensitive information in other
ways. Employees should be aware that any data stored may be subject to
government data practices laws which make the text accessible to the public.
Respect: Employees must respect the confidentiality of other people's electronic
communications and may not attempt to read, "hack" into other systems or other
people's accounts, or "crack" passwords, or breach computer or network security
measures, or monitor electronic files or communications of other Employees or
third parties except by explicit direction of City management.
22.6 Copyrights
General: Anyone obtaining electronic access to other companies' or individuals'
materials must respect all copyrights and may not copy, retrieve, modify or forward
copyrighted materials except as permitted by the copyright owner. Also, network
users shall not delete, examine, copy or modify files and/or data belonging to other
users, without their prior consent.
22.7 Passwords / Security
General: The City Administrator reserves the right to override passwords and codes
at any time. If the City Administrator requests an Employee's password(s), then the
password(s) must be disclosed. Any password used on the system shall be used for
the protection of the City of Centerville, not the Employee, and as such will not
preclude the City, as the operator of the network, from rightfully entering the
network or any other messaging system at any time to review, copy or delete any file
or disclose any such file to others.
Responsibility: No email or other electronic communications (including facsimile
messages) may be sent which attempt to hide the identity of the sender, or represent
the sender as someone else or from another organization. Employees are
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responsible for all electronic messages originating from a computer operating under
his/her password.
22.8 Excessive Usage
General: Electronic media and services should not be used in a manner that is likely
to cause network congestion or significandy hamper the ability of other people to
acc~ss and use the system. 5=ontinued impedance of _ other users through ma~s
consumption of system resources, after receipt of a request to cease such activity, is
prohibited. The willful or careless introduction of programs known as computer
viruses, Trojan Horses and worms into the City's network or into any external
networks or computers can cause such excessive computer usage or even damage a
system and so would be a violation of this policy.
22.9 Data Retention
Records Retention Schedule: Generally, electronic messages are temporary
communication which are non-vital and may be discarded routinely in accordance
with the City's record retention policy. However, depending on the content of the
email message, it may be considered a more formal record and should be retained
pursuant to a department's record retention schedules. Examples of messages of
this nature are: Policy, decision-making, or other memoranda of specific public
business. As such, these email messages are similar to printed communication and
should be written with the same formality.
22.10 Questions Regarding Policy
General: City Employees who have concerns or are uncertain about ethical, legal or
security issues regarding the use of data communications tools are expected to
discuss their concerns with their supervisor who will act as the Employee's first point
of contact.
Integrity: Part of the responsibility of the City Administrator is to insure the
integrity of City data (an asset). Therefore, the City Administrator, in consultation
with the City Attorney, will resolve and answer any questions about this Acceptable
Use Policy or its interpretation. Until such issues are resolved, questionable use
should be considered "not acceptable". Questions of interpretation should be
submitted, in writing, to the City Administrator. Pinal authority for this Acceptable
Use Policy lies with the City Council.
22.11 Policy Violations
General: The City Administrator will review all alleged violations of this City policy
on a case-by-case basis. The City Attorney may be consulted for technical assistance
in investigating a complaint. Clear violations of the policy which are not prompdy
remedied may result in the expulsion of the offending Employee from the City's
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network services in addition to disciplinary action, and consistent with the Personnel
Policy or appropriate bargaining unit agreement.
23. CELLULAR PHONE USAGE POLICY
23.1 Application
General: This policy is intended to regulate the use of City-owned cellular phones -
within reasonable, practical parameters. As the number of available cellular
telephones increases and the efficiencies of cellular telephone usage become even
more apparent, it is incumbent upon the City to establish reasonable guidelines for
the use of cellular phones. The City of Centerville will benefit by extending the
hours essential Employees are available for consultation through the use of cellular
phones.
Scope: This policy will apply to all City Employees using or having access to City-
owned cellular phones.
23.2 Guidelines
Policy: The following guidelines are established for the use of City-owned cellular
phones:
A) Cellular phones are intended to be used to increase the efficiency and
effectiveness of the services provided by the City of Centerville. As such,
each Employee using a cellular phone during the course of his/her workday
must determine whether such usage is appropriate under the circumstances
existing at the time of the usage. In making such a determination,
Employees must consider the cost of using the cellular phone in comparison
with the cost and practicality of locating a customary telephone service.
B) During work hours personal phone calls will be acceptable in those
circumstances where it is necessary to briefly contact someone concerning
important matters. Calls of this nature shall be as brief as possible and
should be made only when circumstances prevent timely access to customary
telephone services. The City may ask the employee to reimburse for such
personal use minutes if the phone's plan-minutes are exceeded for that
month and those minutes become an additional cost to the City.
C) During non-work hours City Employees having access to assigned City-
owned cellular phones may make reasonable personal phone calls during all
hours. Employees having 24-hour access to City-owned cellular phones and
who also use the phone for personal reasons will reimburse the City for all
personal phone calls, to the extent that the calls exceed the maximum
allowable air time.
D) City Employees who take home a City-owned phone will agree to be
accessible for City business when necessary and practical after regular work
hours.
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E) Upon approval of the City Administrator, Employees may be allowed to
upgrade to a more expensive plan for personal reasons if the Employee
agrees to pay the difference in cost between the two plans.
F) All cellular phones shall remain the property of the City and shall be returned
to the City upon the termination of employment or if the cellular phone is no
longer necessary for work-related purposes. Any inappropriate use of
phones may subject to the Employee to disciplinary action. Any additional
charges will be paid by the Employee. -
24. CARRYING OF FIREARMS
24.1 Policy
The City Of Centerville establishes a policy prohibiting the carrying of firearms while
acting in the course and scope of employment for the City. This includes but is not
limited to:
.
Driving in a city vehicle;
Working at any city owned work site;
Working off-site on behalf of the city.
.
.
This policy shall not apply to any licensed peace officer acting within the scope of
employment.
25 . DRUG FREE WORKPLACE
25.1 Policy
General: In accordance with federal law, the City of Centerville has adopted the
following policy on drugs in the workplace:
A) Employees are expected and required to report to work on time, in
appropriate mental and physical condition, ready to perform the duties of
their job. It is the City's intent and obligation to provide a drug-free, safe
and secure work environment.
B) The unlawful manufacture, distribution, possession, or use of a controlled
substance on City property or while conducting City business is absolutely
prohibited. Violations of this policy will result in disciplinary action, up to
and including termination, and may have legal consequences.
C) The City recognizes drug dependency as an illness and a major health
problem. The City also recognizes drug abuse as a potential health, safety
and security problem. Employees needing help in dealing with such
problems are encouraged to use their health insurance plans, as appropriate.
D) Employees must, as a condition of employment, abide by the terms of the
City's drug and alcohol policy and must report any conviction under a
criminal drug statute for violations occurring on or off the work premises
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while conducting City business. A report of the conviction must be made
within five (5) days after the conviction as required by the Drug-Free
Workplace Act of 1988.
25.2 Drug and/or Alcohol Treatment
Discipline: Employees are prohibited from possessing or consuming alcohol or
non-p.rescription drugs while o.n the job. Any Employ.ee who reports to work.
incapacitated or whose performance is impaired through the use of alcohol or non-
prescription drugs will be subject to disciplinary action.
Leave: In instances where it is necessary, personal leave may be granted for an
evaluation, treatment or rehabilitation on the same basis as is granted for ordinary
health problems. Consideration will be given for use of leave of absence without pay
as defined by the City's personnel policies.
Assistance: The City has also made available access to an Employee Assistance
Program (EAP), sponsored by CIGNA Behavioral Health Services.
26. EMPLOYEE RECOGNITION
26.1 Employee Action Committee
Authority: The City of Centerville promotes an environment in which positive
working relationships can be formed and fostered through social interaction and
Employees can be recognized for their contributions. For these purposes, Employees
are allowed to form an Employee Action Committee, with a minimum of three (3) and
a maximum of five (5) members to be appointed by the City Administrator. Members
of the Committee will elect officers and be responsible for structuring by-laws and
operating rules for the Committee, which will be reviewed and approved by the City
Administrator. Committee members are authorized to use up to one (1) hour of work
time per month for Committee business.
Employee Recognition and Appreciation: The City Council will designate an
amount in its annual budget to be used by the Committee for Employee recognition
and appreciation events. The Committee may consider selecting Employees for awards
in areas such as longevity, teamwork, innovation, above and beyond, leadership,
exceptional customer service, spirit, etc. Awards will consist of plaques or functional
items such as clocks or pen/pencil sets and will be of nominal value. Meals served at
award ceremonies will be of nominal value and will not include the purchase of
alcoholic beverages.
27. NON-DISCRIMINATION POLICY
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General: The City of Centerville is committed to a policy of non-discrimination with
regard to race, color, creed, religion, age, national origin, gender, sexual orientation,
marital status, public assistance status, or disability.
Definition: Discrimination is defined as any overt or covert behavior that excludes
access to, admission to, full utilization of, or benefit from any public service because of
race, color, creed, religion, gender, age, national origin, sexual orientation, marital status,
yeteran status, age, public a~sistance status, or disability:
Discipline: Employees who participate in discrimination. of any kind are subject to
discipline, up to and including termination.
Policy: In keeping with the City's commitment and the requirements of the law, the
City and staff will strive to remove any discrimination in the treatment of customers,
employment, assignment and promotion of personnel, training programs, services and
opportunities offered to citizens and staff, location and use of facilities, and in verbal
and written communications.
Complaint Procedure: Employees can bring complaints, ask questions, and raise
concerns under this policy without fear of reprisal.
(A) An Employee who believes he/she has been made the subject of any
discrimination or who believes he/she has witnessed discrimination should
report the incident immediately to his/her supervisor. The employee's
supervisor shall then immediately notify the City Administrator about the
complaint.
(B) If the contact with the immediate supervisor does not prove effective, or if the
problem is with the supervisor, the Employee may at his/her own discretion,
by-pass the immediate supervisor and submit a written complaint direcrly to the
City Administrator.
(C) An Employee should report the complaint in writing, detailing the nature of the
complaint and all events leading up to the situation prompting the complaint.
List any witnesses to the event, the time, date and place of the alleged violation,
and any other information that may be pertinent to the complaint.
28. SAVINGS CLAUSE
This policy is subject to the laws of the United States and the State of Minnesota; in the event
that any provision shall be held to be contrary to law by a court of competent jurisdiction from
whose final judgment or decree no appeal has been taken within the time provided, such
provision shall be void. All other provisions of the policy shall continue and remain in full force
and effect.
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Adopted by the City Council of the City of Centerville this _ day of
2005.
Attest:
City Adniinistrator
Signed:
. Mayor
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ACKNOWLEDGEMENT OF RECEIPT AND UNDERSTANDING
I,
, of the City of
Name Position
Centerville hereby acknowledge that I have received a copy of the City of Centerville
Personnel Policies dated.
, 200S and have read and understand the information
contained therein.
Dated this _ day of
,20_.
Signature
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fP-f7 Ji[[p-
City of Centerville
Tuition Reimbursement Form
Complete this section and receive approval prior to enrolling in this course.
Employee ~ame:
Job Title:
Department:
Class Name:
*Attach course description
Class Dates:
to
How does this class relate to your job?
Estimated Tuition Cost: $
Name of School:
Address of School:
Are you working toward a degree?
If yes, list degree
Yes
No
Employee Signature:
Date:
Pre-Approval Signatures & Funding Source:
City Administrator Signature:
Date:
Department Head Signature:
Date:
Account Coding:
Reimbursement Request Section - Complete after class is finished.
Date Class Completed: Final Grade: *
* Attach copy of grade sheet - Employee must receive a passing grade (C or equivalent) in order to receive
reimbursement.
Actual Tuition Cost:
* Attach receipt for tuition
Employee Signature:
Date:
City Administrator Signature:
Date:
Department Head Signature:
Date:
After the Reimbursement Request has been approved, send to the Finance Department with the original receipt and an
expense report. Send a photocopy of completed Tuition Reimbursement Form to the City Administrator for inclusion in
your personnel file.
Page 47 of 47
/1/
DF A Project Memorandum
Damon Farber Associates
Landscape Architecture
Site Planning
And Urban Design
Date
To
10-27-05
Dallas Larson, City Administrator
City of Centerville
Ellen Stewart
Centerville Downtown Redevelopment Plan
05-182
Anoka County Library Branch Location
From
Project Name
DFANumber
Subject
I spoke with Marlene Janssen of the Anoka County Library regarding the possibility of locating a
library branch in the downtown area of Centerville.
Currently they are in the process of identifying a site for a new resource library to be located
preferably in eastern Anoka County which is scheduled to be built in 2008 or 2009. Ms. Janssen has
been in contact with Pat Connolly is the Washington County Library Director who has indicated the
location of a library branch in Hugo. It is important to both Directors that they are careful with
taxpayers' money and that they not compete for their business. The proximity of the two libraries
would be taken into consideration if a Washington County branch is located in Hugo.
Lino Lakes is also very interested in getting a library in their city. If Centerville is indeed interested in
having the library located there, the City should be in contact with Rhonda Sivarajah, County
Commissioner. Once City of Centerville staff has spoken with Ms. Sivarajah, Ms. Janssen would be
happy to continue the process of considering downtown Centerville with City staff if Centerville is
indeed still interested.
I emphasized to Ms. Janssen that downtown Centerville would be an ideal location for a library branch
considering the proximity to Centerville Elementary School as well as the Senior Housing and
proposed Mixed Use Development.
I do believe that the City would benefit from having a library branch adjacent to the school and any
new commercial and residential uses which will inevitably be developed over the next few years and I
hope that the City pursues the opportunity.
At this time, we will begin to show the library branch as a possibility on the refined plan.
Contact information for Marlene Janssen, Director of the Anoka County Library is 763-785-3695 x
311. Please note that Ms. Janssen is hearing impaired and can hear with an amplified receiver,
however it is important to speak clearly and slowly.
923 Nicollet Mall Minneapolis, MN. 55402
P 612.332.7522 f 612.332.0936
www.damonfarber.com
/11-
Officer Jason Corlew
Centennial Lakes Police Department
200 Civic Heights Circle
Circle Pines MN 55014
763-784-2501
October 22, 2005
Dallas Larson
City Administrator
1880 Main St.
Centerville, MN 55038
Mr. Larson,
The Police Department conducted Tobacco Compliance checks on October 21,2005 for
the Cities ofCirc1e Pines, Lexington, and Centerville. None of the businesses in your city
that are licensed to sell tobacco failed the check. I directed an underage buyer into these
businesses for the purposes of ensuring that they are taking the appropriate measures to
sell their tobacco products to adults.
I am pleased by the results of this tobacco check and hope that any additional checks
conducted in the near future will have the same success rate.
?f'~
J. Corlew
CLPD
Tobacco Compliance Officer
/13
OCTOBER
2005
CITY OF CENTERVILLE
CITY COUNCIL REPORT
1. Financial Statement & Budget Report
--------~-m-muL- -----Ban k-Reconcil iation-&-ul nvestment-Allocation
Prepared By: John W. Meyer
Finance Director
General Fund
Monthly Financial Report
Month Ended October 31, 2005
MTD YTD Budget Variance % of Budget
10/31/05 2005 2005 +(-) Used
Revenues:
Property Taxes 0.00 839,876.18 1,787,850.00 947,973.82 46.98%
Other Taxes & Assessments 0.00 4,973.00 0.00 (4,973.00) 0.00%
Licenses & Permits 8,594.29 174,645.51 192,300.00 17,654.49 90.82%
Building Inspection 5,018.29 129,545.47 167,500.00 37,954.53 77.34%
Fines & Forfeits 5,481.42 26,054.70 52,100.00 26,045.30 50.01 %
Intergovernmental 28,850.99 331,039.19 106,150.00 (224,889.19) 311.86%
Fire Relief Aid 0.00 302,188.20 93,250.00 (208,938.20) 324.06%
Charges for Services 1.02 947.62 1,500.00 552.38 63.17%
Interest Earnings 3,772.26 32,143.73 0.00 (32,143.73) 0.00%
Miscellaneous Revenues 15,658.19 58,413.98 5,100.00 (53,313.98) 1145.37%
Refunds & Reimbursements 65,000.00 75,691.55 3,000.00 (72,691.55) 2523.05%
Fund Balance 0.00 0.00 0.00 0.00 0.00%
Total Revenues 127,358.17 1,543,785.46 2,148,000.00 604,214.54 71.87%
-~ -.-. ~-~ ----- ._------.-.-~-~.- --~_._---_._--~ _.._--_._-------~--_.~----~--- - --- - - ---- - ------_..~-~-~--------_.
Expenditures:
Current
General Government
Mayor and Council 1,695.49 15,208.26 22,700.00 7,491.74 67.00%
Elections 10.94 16.21 0.00 (16.21) 0.00%
Planning & Zoning 575.25 8,896.67 6,000.00 (2,896.67) 148.28%
Administration 25,469.58 279,702.94 295,333.00 15,630.06 94.71%
Financial Administration 0.00 12,490.49 16,000.00 3,509.51 78.07%
Assessing 0.00 18,710.45 18,000.00 (710.45) 103.95%
Legal 5,879.30 72,583.29 86,000.00 13,416.71 84.40%
City Hall 1 ,595.83 22,321.33 31,100.00 8,778.67 71.77%
Total General Government 35,226.39 429,929.64 475,133.00 45,203.36 90.49%
Public Safety
Police Protection 45,872.92 461,949.93 550,475.00 88,525.07 83.92%
Fire Protection 170,982.00 389,660.20 187,393.00 (202,267.20) 207.94%
Building Inspection 11,028.13 119,180.03 151,216.00 32,035.97 78.81 %
Electrical Inspection 0.00 5,778.34 9,000.00 3,221.66 64.20%
Civil Defense 0.00 3,286.40 2,100.00 (1,186.40) 156.50%
Animal Control 48.38 1,010.06 1,500.00 489.94 67.34%
Total Public Safety 227,931.43 980,864.96 901,684.00 (79,180.96) 108.78%
Public Works
Public Works 12,312.82 125,560.42 188,427.00 62,866.58 66.64%
Engineering Services 0.00 35,499.17 15,500.00 (19,999.17) 229.03%
Recycling 241.84 3,657.61 5,000.00 1 ,342.39 73.15%
Streets 580.16 8,368.77 80,000.00 71,631.23 10.46%
Street Lighting 2,568.85 22,899.12 25,000.00 2,100.88 91.60%
Total Public Works 15,703.67 195,985.09 313,927.00 117,941.91 62.43%
11/3/2005
11:14AM
budget GF 2005
MTD YTD
10/31/05 2005
Culture and Recreation
Park/Rec. Committee 200.00 714.18
~ark/Rec. Programs 0.00 2,24 q7
Park Maintenance 4,369.53 31,570.11
Total Culture and Recreation 4,569.53 34,525.66
Community Development (2,647.43) 3,934.60
Economic Development
Economic Development 113.81 5,179.38
EDC - Frozen Fete Des Lacs 0.00 1,153.00
EDC - Business Directory 0.00 2,388.00
EDC - Business Promotion 0.00 606.00
EDC - Miscellaneous 113.81 472.38
Cougar Cash 0.00 400.00
Total Economic Development 113.81 5,179.38
Unallocated
Miscellaneous 0.00 31.03
Refunds & Reimbursements 0.00 88.80
City Summer Festival 0.00 18,027.09
Total Miscellaneous 0.00 18,146.92
Budget Variance % of Budget
2005 +(-) Used
2,100.00 1,385.82 34.01 %
7,366.00 5,124.63 30.43%
62,620.00 31,049.89 50.42%
72,086.00 37,560.34 47.90%
0.00 (3,934.60) #DIV/O!
6,300.00 1,120.62 82.21%
6,300.00 1,120.62 82.21 %
0.00 (31.03) 0.00%
0.00 (88.80) 0.00%
19,000.00 972.91 94.88%
19,000.00 884.11 95.51 %
- - - --- - -~-----Total-Current Expenditures---- --- - --280;897;40- - - -1 ;668;566;25----1-, 788; 130.0O--------123;529;38-~----- 93-;31 %---------~-
0.00 0.00 24,870.00 24,870.00 0.00%
0.00 0.00 0.00 0.00 0.00%
0.00 82,216.07 128,000.00 45,783.93 64.23%
0.00 (9,078.79) 105,000.00 114,078.79 0.00%
0.00 73,137.28 257,870.00 184,732.72 28.36%
280,897.40 1,741,703.53 2,046,000.00 308,262.10 85.13%
(153,539.23) (197,918.07) 102,000.00 295,952.44 N/A
Capital Outlay
General Government
Public Safety
Streets and Highways
Culture and Recreation
Total Capital Outlay
TOTAL EXPENDITURES
EXCESS (DEFICIT) OF REVENUES
OVER EXPENDITURES
OTHER FINANCING SOURCES (USES)
Operating Transfer In
Operating Transfer Out
49,874.25
0.00
49,874.25
(41,008.72)
TOTAL OTHER FINANCING
SOURCES (USES)
EXCESS (DEFICIENCY) OF
REVENUE AND OTHER FINANCING
SOURCES OVER EXPENDITURES
AND OTHER FINANCING USES
49,874.25
8,865.53
(103,664.98)
(189,052.54)
PREPARED BY:
JOHN W. MEYER
FINANCE DIRECTOR
11/3/2005
11:14AM
0.00
(102,000.00)
(102,000.00)
(49,874.25)
(60,991.28)
(110,865.53)
N/A
N/A
N/A
0.00
185,086.91
budget GF 2005
Sewer Fund
Monthly Financial Report
Month Ended October 31, 2005
MTD YTD Budget Variance % of Budget
10/31/05 2005 2005 +(-) Used
Operating Revenue:
Charges for Services 28,322.19 236,912.97 230,000.00 (6,912.97) 103.01%
Total Operating Revenue 28,322.19 236,912.97 230,000.00 (6,912.97) 103.01 %
Operating Expenses:
Salaries and Benefits 4,688.87 48,093.04 63,IT9.00 15,685.96 75.41%
Professional Services 0.00 55,971.50 10,000.00 (45,971.50) 559.72%
Supplies 318.14 2,853.93 13,550.00 10,696.07 21.06%
MCES Disposal Charges 11,457.76 126,035.36 130,000.00 3,964.64 96.95%
Utilities 205.75 2,884.85 1,500.00 (1,384.85) 192.32%
Depreciation 0.00 0.00 30,000.00 30,000.00 0.00%
Total Operating Expenses 16,670.52 235,838.68 248,829.00 12,990.32 94.78%
__ __ __________Q~e_'~ATlNG INCOME .._ __t1,651.liJ ___ ___ _1,074.29 (18,829.00) (19,903.29) -5.71%
Nonoperating Revenue (Expense)
Interest on Investments 6,058.89 56,892.49 26,000.00 (30,892.49) 0.00%
Special Assessments 0.00 15,891.84 50,000.00 34,108.16 31.78%
Hook up Fees and Unit Charges 0.00 40,524.50 80,500.00 39,975.50 50.34%
Other Equipment (15,092.84) (73,519.78) 0.00 73,519.78 0.00%
Interest Expense 0.00 (8,595.00) (8,780.25) (185.25) 97.89%
Refunds & Reimbursements Rev 0.00 5,771.38 0.00 (5,771.38) 0.00%
Refunds & Reimbursements Exp 0.00 0.00 0.00 0.00 0.00%
Total Nonoperating Revenue (9,033.95) 36,965.43 147,719.75 110,754.32 25.02%
(Expense)
INCOME BEFORE OPERATING 2,617.72 38,039.72 128,890.75 90,851.03 29.51%
TRANSFERS
OPERATING TRANSFERS OUT 0.00 0.00 0.00 0.00 0.00%
NET INCOME 2,617.72 38,039.72 128,890.75 90,851.03 29.51 %
CREDIT FOR DEPRECIATION ON 0.00 0.00 0.00 0.00 0.00%
CONTRIBUTED ASSETS
NET INCREASE IN RETAINED 2,617.72 38,039.72 128,890.75 90,851.03 29.51%
EARNINGS
PREPARED BY:
JOHN MEYER
FINANCE DIRECTOR
11/3/2005
11:13 AM
budget report sewer october05
Water Fund
Monthly Financial Report
Month Ended October 31, 2005
MTD YTD Budget Variance % of Budget
10/310/05 2005 2005 +(-) Used
Operating Revenue:
Charges for Services 29,111.19 166,371.51 210,000.00 43,628.49 79.22%
Total Operating Revenue 29,111.19 166,371.51 210,000.00 43,628.49 79.22%
Operating Expenses:
Salaries and Benefits 4,553.99 51,025.41 64,679.00 13,653.59 78.89%
Professional Services 24,654.00 52,547.87 160,000.00 107,452.13 32.84%
Supplies 5,248.89 34,919.85 47,837.25 12,917.40 73.00%
Other Services and Charges 0.00 3,477.74 5,000.00 1,522.26 69.55%
Utilities 331.21 2,396.57 3,000.00 603.43 79.89%
Depreciation 0.00 0.00 30,500.00 30,500.00 0.00%
Total Operating Expenses 34,788.09 144,367.44 311,016.25 166,648.81 46.42%
____~____. Of'ERA TINGJNCOM~______ ,_._.(5,6.'l.6~iO) _____ _22,004.,Q7 (101,01.6.25) .__ (:123,020.32) -21.78%__________
Nonoperating Revenue (Expense)
Interest on Investments 1,199.54 19,498.62 0.00 (19,498.62) 0.00%
Special Assessments 0.00 25,201.71 40,000.00 14,798.29 63.00%
Hook up Fees and Unit Charges 247.51 42,590.07 60,000.00 17,409.93 70.98%
Other Equipment (28,139.59) (397,061.05) (500,000.00) (102,938.95) 0.00%
Interest Expense 0.00 (8,595.00) (8,780.25) (185.25) 97.89%
Refunds & Reimbursements Rev 118.74 10,413.81 0.00 (10,413.81) 0.00%
Refunds & Reimbursements Exp 0.00 0.00 0.00 0.00 0.00%
Total Nonoperating Revenue (26,573.80) (307,951.84) (408,780.25) (100,828.41) 75.33%
(Expense)
INCOME BEFORE OPERATING (32,250.70) (285,947.77) (509,796.50) (223,848.73) 56.09%
TRANSFERS
OPERATING TRANSFERS OUT 0.00 0.00 0.00 0.00 0.00%
NET INCOME (32,250.70) (285,947.77) (509,796.50) (223,848.73) 56.09%
CREDIT FOR DEPRECIATION ON 0.00 0.00 0.00 0.00 0.00%
CONTRIBUTED ASSETS
NET INCREASE IN RETAINED (32,250.70) (285,947.77) (509,796.50) (223,848.73) 56.09%
EARNINGS
PREPARED BY:
JOHN MEYER
FINANCE DIRECTOR
11/3/2005
10:59 AM
budget report water october05
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CITY OF CENTERVILLE
11/0210511 :12 AM
Page 1
Cash Balances jwm
MTD MTD Current
FUND Deser Account Debit Credit Balance
last Dim 10100
GENERAL FUND G 101-10100 $280,511.92 $371,552.16 51,210,676.79
FED COMMUNITY DEV BlK GRANT G 202-10100 $12,692.25 $17,329.90 -$4,637.65
MOUND TRAil DEBT SERVICE G 306-10100 $41.44 50.00 $21,974.44
21ST AVE IMP DEBT SERVICE G 308-10100 $71.98 $0.00 $38,701.58
MUNI STREET IMP DEBT SERVICE G 312-10100 $947.00 50.00 5302,169.93
IND PARK T1F 1-4 DEBT SERV G 317-10100 $0.00 $0.00 -$6,137.30
PARKVIEW DEVELOPMENT DEBT SERV G 324-10100 $0.00 $0.00 $4,053.34
ElEM WATER MAIN EXT DEBT SERV G 325-10100 $4,360.50 $0.00 $12,066.83
G.O. Bond Pheasant I 2001 G 327-10100 $162,384.08 $0.00 $615,320.97
G.O. Bond Hunters Crossing I G 336-10100 $455.45 SO.OO 5145,020.73
CSAH 14 WATERMAIN G 339-10100 SO.OO $0.00 $4,829.93
PHEASANT MARSH II G.O. 2002 G 342-10100 $59,953.65 $0.00 $837,596.02
PEL TIER PRESERVE DEBT SERVICE G 345-10100 $167,184.18 $0.00 $625,065.87
Hunters Crossing II G.O. Bond G 346-10100 $1,158.95 $0.00 $369,833.44
PARK CAPITAL PROJECT G 402-10100 $969.55 $2,260.00 $309,254.57
MUNI STREET CAPITAL PROJECT G 412-10100 $363.01 $211.30 $115,728.65
PEDESTRIAN TRAil WAYS G 414-10100 $0.00 50.00 $12,500.00
STORM WATER IMP PROJECTS G 415-10100 $3,424.78 $1,016.12 $210,376.86
PHEASANT MARSH III G 443-10100 $0.00 $0.00 $8,443.10
HUNTERS CROSSING PHASE II G 446-10100 $257.03 $798.70 $81,914.46
CENTERVIttElOW1'>lOFFlCEV,4;R~~Ff(T1UO $0:00 $U.UO $l:l,4Jr.uu
HUNTER'S CROSSING 3RD ADDN G 448-10100 $0.00 50.00 -$4,216.10
WATER FUND G 601-10100 $30,991.25 $63,219.68 $382,355.84
SEWER FUND G 602-10100 $34,442.18 $34,687.36 S1 ,932,162.85
CABLE TV FUND G 614-10100 50.00 $1,569.52 $10,892.22
RECYCLING G 617-10100 $0.00 SO.OO -$1,433.74
last Dim 10100 $760,209.20 $492,644.74 $7,242,950.63
$760,209.20 $492,644.74 $7,242,950.63