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07-15-08 Council Packet
CITY OF OAK PARK HEIGHTS TUESDAY, JULY l5, 2008 CITY COUNCIL MEETING AGENDA 7:00 P.M.* '{hollowing the Conclusion of the Preceding Worksession) (Meeting shall be held in the large conference chamber) 7:00 p.m. I. Call to Order /Approval of Agenda J"'wimaled times 7:05 p.m. 11. Department /Council Liaison Reports A. Planning Commission B. Parks Commission C. Cable Commission D. Water Management Organizations L. Other Liaison /Staff reports 7:10 p.m. III. Visitors /Public Comment Recycling Award (1) This is an opportunity Im the public to address the Council with queslions or concans on issues not pact of the regular agenda. (please limit comments to 3 minutes in length.) 7:15 p.m. IV. Consent Agenda (Roll Call Vote) A. Approve Bills & Investments B. Approve City Council Minutes for June 24, 2008 (2) C. Approve 2` Payment to Miller Excavating for 2008 Trail and Park Improvements (3) D. Approve Change Order #l1 — 2008 Park and Trail Improvements (reducing total amount by $3,476.50) (4) L. Approve: Truck Specifications and Authorize the Purchase of Chevy 2500 - replacing F -350 (5) T". Approve LMCIT Liability Coverage Waiving Monetary Limits on Tort Liability (6) G. Issue Exempt Permit -- American Cancer Society for Raffle at Stillwater Area High School (7) H. Approve Budgeted Fund Allocations and Transfers - SCADA systems and outdoor storage areas to Budgeted Projects Fund. 7:20 p.m. V. Public Hearinl,s None 7:20 p.m. VI. Old Business None 7:20 p.m. VII. New Business None 7:20 p.m. VIII. Adiournment Page 1 of 38 This Page Is Left Intentionally Blank. Page 2 of 38 i Oak Park Heights Request for Council Action Meeting Date July.. 2008 Agenda Item Recvclinv- Award Time Required o Agenda Placement Visitors./Public Comment Originating Department / Requestor Administration /Jennifer Thoen Requester's Signature Action Requested Receive Information Background/ Justification (Please indicate any previous action has been taken or if other public bodies have been advised). Page 3 of 38 CITY OF OAK PARK HEIGHTS 14168 Oak Park Boulevard No. • P.O. Box 2007 • Oak Park Ileights, MN 55082 -2007 • Phone: 6511439 -4439 • Fax: 651/4:39 -0574 July 11, 2008 Dean Rivard 14598 57 Street N Oak Park Heights, MN 55082 Dear Mr. Rivard: Thank you for participating in the City's recycling program. As an incentive to recycle and to increase fire prevention awareness, the City rewards two residents each month with their choice of ail award of $25.00 or a fire extinguisher and /or smoke detector(s). Your residence was checked on Thursday, July 3, 2008 to determine if you had your recycling bin out with your regular garbage. Your recycling was out and ready for collection; therefore, you are one of this month's winners, Please contact me at 439 -4439 at your convenience to arrange for delivery of the reward of your choice. Oil behalf of the Oak Park Heights City Council, thank you for participating in the City's recycling program, Congratulations! Jeni ' 'er Thoen Administrative Secretary /Deputy Clerk Page 4 of 38 Tree City U.S.A. Oak Park Heights Request for Council Action Meeting Date July 1 .S, 2oo8 Agenda Item A City Council Minutes — June 24, 2oo8 Time Required o Agenda Placement Consent Originating Department / Requestor Administration /Jennifer Thoen Requester's Signature Action Requested Approve Background /Justification (Please indicate any previous action has been taken or if other public bodies have been advised). Page 5 of 38 CITY OF OAK PARK HEIGHTS 7;00 P.M. TUESDAY, JUNG 24, 2008 CITY COUNCIL MEETING MINUTES L Call to Order /Pledue of Alleuiance /Approval of Agenda: The meeting was called to order at 7:00 p.m. by Mayor Beaudet. Present: Councilmembers Abrahamson, Doerr, McComber and Swenson. Staff present: Administrator Johnson, City Attorney Vierting, City Engineer Postler and City Plattner Richards. Mayor Beaudet added "Approve Resolution for Mileage Reimbursement Rates in Accordance with Federal Treasury Rate Increases" as Consent Agenda Item H" and two New Business Items: "Mass Transportation Needs in St. Croix Valley Area" and "G.E.A.R.S. Committee Nominations." Councilmember McComber, seconded by Councilmember Swenson, moved to approve the Agenda as amended. Carried 5 -0. IL Department /Council Liaison Reports: A. Planninfy Commission: City PIanner Richards stated that the next meeting of the Planning Commission will be July 10. Ile reported that there are two items up for public hearing at that meeting: Xcel Energy's application for modification to its CUP and Stillwater Motors' application for an extension to their CUP. B. Parks Co mmission: Councilmember McComber reported that the n ext meeting of the Parks Commission will be on July 21 at 6:30 p.m. at City I -fall. C. Cable Commission: Councilmember Doerr reported that the next meeting of the cable commission will be August 20 at 7:00 p.m. at the Access Center. D. Water Mana�zernent Organizations /Middle St. Croix: Mayor Beaudet reported that the Middle St. Croix WMO's next meeti i s oil Thursday, July 10 at 7:00 p.m. at the Washington Conservation District Office. E. Other Liaison /Staff Reports: Councilmember McComber stated that she received the final copy of the Transit Feasibility Study and that she will have City Administrator Johnson distribute copies to all couneilmcmbers. III. Visitors /Public Comment: Page 6 of 38 City Council Meeting Minutes June 24, 2008 Page 2 of 6 Stewart Malanaphy of 6155 Paris Avenue North carne forward regarding the security gate at the Washington County Government Center. lie read a letter he sent to the City as well as Washington County. Ile stated that several vehicles avoid the gate by driving around it on the new sod. Ile was concerned that property values were negatively affected. Councilmernber Abrahamson requested that the new radar trailer be placed at the site to count the number of vehicles in the area. Mayor Beaudet, seconded by Councilmernber McComber, moved to direct staff to draft a letter to be signed by Mayor Beaudet to indicate to the County that the City is disappointed with the vehicles that are traveling in and out of the County through the access way, and that the City would like to return back to the neighborhood agreement and the traffic flow to how it was prior to 2004, and that the City would like to have that happen as soon as possible. Carried 5 -0. Recvclinp, Award: Administrative Secretary 'T'hoen reported that Jeff and Gerri Boutelle of 14436 56 "' St. Ct, N. Upper and Kevin and Ann Simpson of 14375 57` Street N. were chosen as the recycling award winners for the month of June. IV. Consent Amda: A. Approve Bills & Investments B. Approve City Council Minutes — May 27, 2008 C. Approve Line Item Budget Transfer for Public Works- Street Maintenance D. Approve Miller Excavating, Inc. I" Payment for 2008 'frail & Park Improvements B. Approve 2008 Crack Seal Contract to Classic Asphalt F. Approval of Storm Water Project — 53"' & O'Brien Area G. City Hall Facility — Property Survey Data 1-1. Approve Resolution for Mileage Reimbursement Rates in Accordance with federal Treasury Rate Increases Councilmember Swenson, seconded by Councilmernber Doerr, moved to approve the Consent agenda. Roll call vote taken. Carried 5 -0. V. Public Hearings: None VI. Old Business: None VII. New Business: Page 7 of 38 City Council Meeting Minutes June 24, 2008 Page 3 of 6 A. Schedule Budget Workshops: Councilmember McComber, seconded by Councilmember Abrahamson, moved to schedule the budget worksessions for August 12, August 26, and September 9 from 5:30 to 7:00 p.m. Carried 5 -0. B. Notice of Retirement -- Chief Lindv Swanson: Mayor Beaudet stated that the Chief of Police has given his notice of retirement. City Administrator Johnson stated that Sandy Kruse prepared an invitation for a retirement reception and retirement party. He stated that the invitation will be in weekly notes. Councihnnember Doerr, seconded by Councilmember MCComber, moved to accept the retirement notice. Carried 5 -0. Councilmember Doerr, seconded by Councilmernber MCComber, moved to narne Brian DeRosier as acting chief commencing August 1, 2008, through September 30, 2008, with Mr. DeRosier assuming full title of Chief of Police on October 1, 2008. Carried 5 -0. Mayor Beaudet, seconded by Councilrnernber Abrahamson, moved that the administrator acting on the council's behalf provide the adequate retirement gala from the council contingency fund. Carried 5 -0. C. Amended Conditional Use Permit -- For Auto Sales Lots 14702 and 14738 60` Street N. (Jacob Holdings of 60` Street LLC and Jacob Holdings of Osgood Ave. LLC): City Planner Richards stated that the City has received a request from Jacob Holdings to amend a CUP that was approved in 2003 and amended in 2006. Iie stated that the reason for the request is to allow time for plans to be completed for the Ford dealership to be relocated into Oak Park Station or the Kenn Center. He stated that the conditions were reviewed by the Planning Commission with a few changes made. Council discussed the conditions. Mayor Beaudet, seconded by Councilmember Swenson, moved to approve the Resolution approving the changes for Jacob Holdings. Mayor Beaudet, seconded by Councilmernber McComber, moved to amend to modify condition 5 of the Council Resolution to December 31, 2008 and add review of the drainage by the Middle St. Croix Water Management Organization. Carried 5 -0. Councilmernber McCornber, seconded by Councilmember Abrahamson, moved to amend to add condition 22 that there be no parking or transports on either the frontage road or Oren Avenue. Carried 5 -0. Page 8 of 38 City Council Meeting Minutes .tune 24. 2008 Page 4 of 6 Jean Schult from Denny Hecker came forward. She stated that one of the conditions was that they remove all exterior storage of tires, dumpsters, storage containers, equipment, and the wood garage. She stated that all of that has been done except the removal of the dumpsters. She asked that the City allow the dumpsters. She stated that they are buying the old Aamaco side on contract- far -decd from Ericksons. She stated that they are pursuing the possibility of obtaining an extension of the contract -for- deed in order to find a seller to obtain revenue to pay off the contract -for- deed. She requested that they keep the date in condition 5 remain at December 31, 2009. Schult also requested that the City allow a letter of credit rather than a cash deposit as required in condition 1. City Attorney Vierling stated that a letter of credit could be issued but the City would need to watch the termination date to be sure it does not terminate prior to the condition end dates. Councilmember Abrahamson, seconded by Councilmember McComber, moved to amend to strike the word dumpsters, but add roll -offs, to condition 3 and add that dumpsters need to be enclosed. Carried 5 -0. Barbara Jerich of Denny Flecker came forward and requested that the condition date for removal of the canopy structure. She stated that the utilization of the canopy is for lighting of the site for security and display. She stated that she requested bids to remove the canopy and installing light poles. She received a bid of $7,239 to remove the canopy and $19,000 to install four light poles. Jerich requested that the canopy be allowed to stay while the business is located there. Mayor Beaudet, seconded by Councifinenhber McComber, moved to amend condition 2 to move the date for canopy removal to December 31, 2009. Carried 5 -0. Mayor Beaudet, seconded by Councilmember Swenson, moved to amend condition 1 to allow a self renewinf; letter of credit in the amount of $80,000 with terms agreeable to the City Attorney, Carried 5 -0. D. Awroval of 2008 Seal Coat Proiect: City Administrator Johnson reported that the base bid received was $84,248.37. Mayor Beaudet, seconded by Councilmember Abrahamson, moved to approve the base bid. Carried 5- 0. E. Discuss Location for 2008 Party of the Park: Administrative Secretary Thoen stated that there will be significant construction taking place at Brekke Park during; the summer in the hockey rink area. She stated that the construction may conflict with the Party in the Park /National Night Out event. She stated that the Parks Commission made a recommendation Page 9 of 38 City Council Meeting Minutes June 24, 2008 Page 5 of 6 that Autumn Hills Park be used as the location for this year's Party in the Park /National Night Out event. Councilmember Abrahamson suggested staff contact Boutwells Landing regarding parking. Mayor Beaudet, seconded by Councilmember Abrahamson, moved to accept the Park Commission's recommendation and to allow funds from the council contingency fund to rent a large tent. Carried 5 -0, R Cancel I" Meetin- in July /Schedule Worksession with Citizen's Committee: Mayor Beaudet, seconded by Councilmember McComber, moved to cancel the first meeting in July and have a council meeting on July 15 at 6:30 p.m. with a consent agenda decided by staff in the back conference room. Carried 5 -0. G. Consider Revisions to Sian Ordinance --T Temporary Events /Suns: Mayor Beaudet stated that the City seems to have chronic offenders of the ordinance. Mayor Beaudet, seconded by Councihnember McComber, moved to direct the Planning Commission review the ordinance regarding special event signage. Carried 5 -0, I -I. Disc Golf Course — Brekke Park: City Intern Eric Raton carne forward and stated. that Brekke Park is the main option for the disc golf course. He stated that the issue has gone through the Parks Commission and they gave it their blessing. Eaton stated he has sought sponsorships that will cover more than half of the costs. Councilmember Doerr questioned how the park will affect the other uses of Brekke Park. Eaton stated that he hoped that it would not affect the other uses. City Administrator Johnson stated that he thinks there is a very low possibility of there being any conflicts. Councilmember Abrahamson questioned whether the City would be creating a situation where people are hopping fences onto private property to retrieve Frisbees. Eaton stated they tried to keep holes at least 50 feet from property lines. Councilmember Doerr stated that the City could put a sign on the fence stating "Out of Bounds — Frisbee Irretrievable." Mayor Beaudet, seconded by Councilmember McComber, moved to approve the golf course proposal and include up to $5,000 from the budgeted projects - unallocated fields, and also include, if agreeable to the family of Morris Brekke, that the remaining funds from the Morris Brekke fund be included for the disc golf course. Carried 5 -0. I. Mass Transportation Needs in St. Croix Valley Area: Mayor Beaudet, seconded by Councilmember McComber, moved to have the administrator arrange an open invitation meeting between staff and councilmembers of Page 10 of 38 City Council Meeting Minutes June 24, 2008 Page G ol' 6 this and surrounding communities who wish to attend to sec if we can work together to leverage better transit options in the St. Croix Valley area. Carried 5 -0. J. G.E.A.R.S. Committee Nominations: Mayor Beaudet, seconded by Councilmember McComber, moved to have staff complete an application nominating Councilmember McComber by the G.F,.A.R.S. committee and that Mayor Beaudet be the appointee as the Oak Park Heights committee member. Carried 5 -0. VIII. Adjournment: Cou ncilmember McComber, seconded by Councilmeniber Doerr, moved to adjourn at 8:28 p.m. Carried 5 -0. Respectfully submitted, Approved as to Content and Form, Jennifer Thoen David Beaudet Administrative Secretary /Deputy Clerk Mayor Page 11 of 38 This Page Is Left Intentionally Blank. Page 12 of 38 Oak Park Heights Request for Council Action Meeting Date July 15, 2008 Agenda Item 'Title Aoorove Miller 13xcavatin4, Inc. 2 "i Payment for 2008 frail & Park lmi)rovements .Agenda Placement Consclit Originating Department / Requestor Finance Judv Holst, Deputy Cleric /Finance Director Requester's Signature Action Requested Aoorove 2` oavnlent request to Miller ExcavatinL Inc. for the 2008 'r'rail & Park Imorovements Background /.Iustifi cat] on (Please indicate any previous action, financial implications including budget information and recommendations). See attached memo and pay request. Page 13 of 38 Memo To: Mayor and Council From: Judy Holst, Deputy ClerldFinance Director Date: July 10, 2008 Re: 2008 Trail and Park Improvements Please accept for the July 15" Council meeting agenda the attached request for payment to ]Miller Excavating, Inc. in the amount of $165,190.13 for the 2008 Trail and Park Improvements project. The payment has been approved by engineering and reviewed by the Finance Department. The project is 65% complete. The Finance Department recommends approval of this payment. Thank You Page 14 of 38 111 jOwner: City of Oak Park Heights, PO Box 2007, Oak Park Heights, MN, 55082 -2007 Date: July 10,2008 sl r For Pefiod: 6119/2008 to 7/1012008 Request No: 2 Bon estroo Contractor: Miller Excavating Inc., 3636 Stagecoach Trail North, Stillwater, MN 55082 CONTRACTOR'S REQUEST FOR PAYMENT 2008 TRAIL AND PARK IMPROVEMENTS $ONESTR00 FILE NO 000055 - 08152 -0 SUMMARY 1 Original Contract Amount $ 365,751.10 2 Change Order - Addition $ 0.00 3 Change Order - Deduction $ 0.00 4 Revised Contract Amount $ 365,751.10 5 Value Completed to Date $ 236,818.60 6 Material on Hand $ 0.00 7 Amount Earned $ 236,818.60 8 Less Retainage 5% $ 11,840.93 9 Subtotal $ 224,977.67 10 Less Amount Paid Previously $ 59,787.54 11 Liquidated damages - $ 0.00 12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 2 $ 165,190.13 Recommended for Approval by: BONESTROO Approved by Ca acrtCf tor: Approved by Owner MILLER EXCAVATING, INC. CITY OF OAK PARK HEIGHTS � cam...... Specified Contract Completion Date: Date: Page 15 of 38 550815208 E02, xis Contract Unit Current Quantity Amount No. Item Unit Quantity Price Quantity to Date to Date PART 1 - SWAGER PARK TENNIS COURTS REPLACEMENT 1 MOBILIZATION LS 1 300000 0.8 $2,40000 2 TEMPORARY ROCK CONSTRUCTION ENTRANCE TN 20 3000 20 $60000 3 REMOVE TENNIS COURT FENCE, POSTS, AND FOOTINGS LS 1 250000 1 $2,50000 4 REMOVE TENNIS COURT PAVING SY 1225 2.00 1225 $2,45000 5 REMOVE TREE EA 2 200.00 2 $40000 6 REMOVE BITUMINOUS PATH SY 115 3 00 120 200 $60000 7 COMMON EXCAVATION (CV) CY 3050 5.00 500 2800 $14,000.00 8 GEOTEXTILI_ FABRIC, TYPE IV SY 1570 1.50 1570 $2,355.00 9 4" HDPE PERFORATED DRAIN TILE LF 770 6.00 770 $4,620.00 10 4" HDPE NON - PERFORATED DRAIN TILE LF 18 6.00 18 $108.00 11 BACKWATER VALVE EA 1 15000 1 $150.00 12 SELECT GRANULAR BORROW TN 2390 7.00 405 2405 $16,835.00 13 AGGREGATE BASE, CLASS 5, 100% CRUSHED TN 600 13.50 100 600 $8,100.00 14 TYPE LV 3 NON WEARING COURSE MIXTURE (B) TN 145 60.00 132.01 132.01 $7,920.60 15 TYPE LV 4 WEARING COURSE MIXTURE (B) TN 145 60.00 136.33 136.33 $8,179.80 16 BITUMINOUS MATERIAL FOR TACK COAT GAL 80 1.50 $0.00 17 TENNIS COURT COLOR COAT SYSTEM AND LINE MARKINGS LS 1 4780.00 $0.00 18 TENNIS COURT FENCING LF 452 40.00 $0.00 19 TENNIS COURT GATE EA 2 600.00 $0.00 20 TENNIS COURT NETS, COMPLETE LS 1 110000 $0.00 21 TENNIS BACKBOARD EA 1 4900.00 $0.00 22 AGGREGATE BASE, CLASS 5, 100% CRUSHED - TRAIL TN 55 13.95 5 50 $697.50 23 TYPE LV 4 WEARING COURSE (B) - TRAIL TN 16 100.00 29.42 29.42 $2,942.00 24 TOPSOIL BORROW (LV) CY 185 10.00 $0.00 25 SILT FENCE, PERMEABLE LF 260 1.75 23 273 $477.75 26 SEEDING, INCL SEED, FERTILIZER, MULCH AND DISK ANCHOR AC 0.4 2500.00 $0.00 27 AUGMENTED 5011 MIXTURE CY 200 12.00 $0.00 28 MNDOT MIX 328 - INFILTRATION AREAS SY 295 4.25 $0.00 29 STREET SWEEPER WITH PICK UP BROOM WITH OPERATOR HR 8 90.00 2 $180.00 TOTAL PART 1 - SWAGER PARK TENNIS COURTS REPLACEMENT: $75,515.65 PART 2 - BREKKE PARK CONCRETE RINK: 30 MOBILIZATION LS 1 4560.00 0.4 1 $4,560.00 31 COMMON EXCAVATION (CV) CY 2144 5.50 800 1800 $9,900.00 32 GEOTEXTILE FABRIC, TYPE IV SY 1735 9.50 333 383 $574.50 33 4" HDPE PERFORATED DRAIN TILE LF 525 6.00 325 525 $3,150.00 34 4" HDPE NON - PERFORATED DRAIN TILE LF 50 6.00 $000 35 SELECT GRANULAR BORROW TN 2800 7.00 2400 2600 $18,200.00 36 AGGREGATE BASE, CLASS 5, 100% CRUSHED TN 470 13.50 300 430 $5,805.00 37 6" CONCRETE RINK SF 16665 435 16665 16665 $72,492 75 38 SILT FENCE, PERMEABLE LF 230 1.75 15 215 $376.25 39 SEEDING, INCL SEED, FERTILIZER, MULCH AND DISK AC 0.6 2500.00 $0.00 40 AUGMENTED SOIL MIXTURE CY 205 12.00 $0.00 41 MNDOT MIX 328 - INFILTRATION AREAS SY 305 4.25 $0.00 42 STREET SWEEPER WITH PICK UP BROOM WITH OPERATOR HR 8 90.00 $0.00 TOTAL PART 2 - BREKKE PARK CONCRETE RINK: $115,05850 PART 3 • BREKKE PARK TRAIL: 43 TEMPORARY ROCK CONSTRUCTION ENTRANCE TN 20 30.00 20 $600.00 44 REMOVE FENCE LF 99 4.00 $0.00 45 REMOVE CONCRETE CURB AND GUTTER LF 30 4.00 $0.00 46 REMOVE BITUMINOUS DRIVEWAY SY 6 15.00 $000 47 CLEAR AND GRUB LS 1 2000.00 $0.00 48 12" HDPE PIPE, INCLUDING FES LF 15 20.00 $0.00 49 SITE GRADING LS 1 2350.00 $0.00 50 SUBGRADE EXCAVATION CY 180 5.00 $0.00 51 GRANULAR BORROW TN 360 7.00 $0.00 52 AGGREGATE BASE, CLASS 5, 100% CRUSHED - TRAIL TN 345 13.95 Page 16 of 360.00 55081520REQ2.bs Contract Unit Current Quantity Amount No. Item Unit Quantity Price Quantity to Date to Date 53 TYPE LV 4 WEARING COURSE (B) - TRAIL TN 106 6000 $0.00 54 D412 SURMOUNTABLE CONCRETE CURB AND GUTTER LF 30 22 00 $0.00 55 6" CONCRETE DRIVEWAY PAVEMENT SY 15 35.00 $000 56 CONCRETE PEDESTRIAN CURB RAMP SF 100 4.50 $000 57 TRUNCATED DOME PANEL SF 36 50.00 $0 00 58 SIGN PANELS, TYPE C, HIGH INTENSITY SF 48 2T50 $000 59 TYPE "A" AMBER LIGHT EA 2 75.00 $0.00 60 PAVEMENT MESSAGE, RIGHT TURN ARROW - EPDXY EA 2 165.00 $0 00 61 PAVEMENT MESSAGE, LEFT TURN ARROW - EPDXY FA 2 165.00 $0.00 62 PAVEMENT MESSAGE, BIKE PATH - EPDXY EA 2 350.00 $0.00 63 36" ZEBRA CROSSWALK - WHITE EPDXY SF 126 865 $0.00 64 SEEDING, INCL SEED, FERTILIZER, MULCH AND DISK ANCHOR AC 0.5 2500.00 $0.00 65 STREET SWEEPER WITH PICK UP BROOM WITH OPERATOR HR 2 90.00 $0.00 TOTAL PART 3 - BREKKE PARK TRA[L: $600.00 PART 4 - VALLEY VIEW PARK NORTH TRAIL: 66.. MOBIOZATION LS 1 1900.00 $0.00' 67 REMOVE CONCRETE CURB AND GUTTER LF 12 4.00 $0.00 68 CLEAR AND GRUB LS 1 1800.00 $0.00 69 12" HDPE PIPE, INCLUDING FES LF 20 20.00 $0 00 70 SITE GRADING LS 1 2500.00 $0.00 71 SUBGRADE EXCAVATION CY 185 5.00 $0.00 72 GRANULAR BORROW TN 370 9.00 $0.00 73 AGGREGATE BASE, CLASS 5, 100% CRUSHED - TRAIL TN 360 13.95 $0.00 74 TYPE W 4 WEARING COURSE (B) - 'TRAIL TN 110 60.00 $0.00 75 B618 CONCRETE CURB AND GUTTER LF 12 2400 $0.00 76 PROTECTION OF CATCH BASIN IN STREET EA 1 100.00 $0.00 77 PROTECTION OF CATCH BASIN, NON- STREET EA 1 125.00 $0.00 78 SILT FENCE, PERMEABLE LF 230 4.00 $0.00 79 BIOROLL LF 60 2.50 $0.00 80 SEEDING, INCL SEED, FERTILIZER, MULCH AND DISK ANCHOR AC 0.5 2500.00 $0.00 81 STREET SWEEPER WITH PICK UP BROOM WITH OPERATOR HR 5 100.00 $0.00 TOTAL PART 4 - VALLEY VIEW PARK NORTH TRAIL: $0.00 PART 5 - PEDESTRIAN RAMPS: 82 REMOVE BITUMINOUS PATH SY 264 2.00 $0.00 83 CONCRETE PEDESTRIAN CURB RAMP SF 184 4.50 $0.00 84 TRUNCATED DOME PANEL SF 80 5000 $000 85 SEEDING, INCL SEED, FERTILIZER, AND WOOD FIBER BLANKET SY 15 1.55 $0.00 86 STREET SWEEPER WITH PICK UP BROOM WITH OPERATOR HR 2 90.00 $0.00 TOTAL PART 5 • PEDESTRIAN RAMPS: $0.00 ALTERNATE NO.3 - BREKKE PARK PLEASURE RINK: 121 COMMON EXCAVATION (CV) CY 740 5.00 740 740 $3,700.00 122 GEOTEXTILE FABRIC, TYPE IV SY 850 1.50 207 207 $310.50 123 4" HDPE PERFORATED DRAIN TILE LF 310 6.00 310 310 $1,860.00 124 4" HDPE NON - PERFORATED DRAIN TILE LF ISO 600 $0.00 125 SELECT GRANULAR BORROW TN 1285 700 1000 1000 $7,000.00 126 AGGREGATE BASE, CLASS 5, 100% CRUSHED TN 215 13.95 180 180 $2,511.00 127 6" CONCRETE RINK SF 6957 435 6957 6957 $30,262.95 TOTAL ALTERNATE NO. 3 - BREKKE PARK PLEASURE RINK: $45,644.45 ALTERNATE NO. 4A - VALLEY VIEW PARK SOUTH, RETAINING WALL REMOVAL AND GRADING: 128 REMOVE TREE STUMP FA 2 150.00 $0.00 129 REMOVE RETAINING WALL LF 600 5.00 $0.00 130 TOPSOIL BORROW (LV) CY 80 10.00 $0.00 131 LIMESTONE ROCK SF 25 30.00 $0.00 132 SILT FENCE, PERMEABLE LF 160 1.75 $0.00 133 SEEDING, INCL SEED, FERTILIZER, AND WOOD FIBER BLANKET SY 625 1.55 Page 17 of 39 0 as 5508152ORE42.As Contract Unit Current Quantity Amount No, Item Unit Quantity Price Quantity to Date to Date 134 STREET SWEEPER WITH PICK UP BROOM WITH OPERATOR HR 5 9000 $0.00 TOTAL ALTERNATE NO. 4A - VALLEY VIEW PARK SOUTH, RETAIN €NG WALL REMOVAL AND GRADING: $000 ALTERNATE NO, 413 - VALLEY VIEW PARK SOUTH, TRAIL: 135 REMOVE CONCRETE CURB AND GUTTER J 25 4.00 $0.00 136 SALVAGE AND REINSTALL EXISTING GRILL F 1 3 $000 L 137 SALVAGE AND REINSTALL WOOD TRIM 35 10.00 $0.00 138 GRANULAR BORROW TN 65 7 00 $0.00 139 AGGREGATE BASE, CLASS 5, 100% CRUSHED - TRAIL TN 13,95 $0 00 18 140 TYPE LV 4 WEARING COURSE (B) - TRAIL TN 18 100.00 $0.00 141 8618 CONCRETE CURB AND GUTTER IF 25 24.00 $0.00 142 CONCRETE PEDESTRIAN CURB RAMP 5F 32 4.50 $0.00 143 TRUNCATED DOME PANEL SF 16 50.00 $0.00 144 TOPSOIL BORROW (LV) CY 40 10.00 $0.00 145 SILT FENCE, PERMEABLE LF 150 1.75 S000 146 SEEDING, INCL SEED, FERTILIZER, AND WOOD FIBER BLANKET" SY 565 1.55 $0.00 147 STREETSWEEPER WITH PICKUP BROOM WITH OPERATOR HR 2 90.00 $0.00 TOTAL ALTERNATE NO. 4B - VALLEY VIEW PARK SOUTH, TRAIL: $0.00 TOTAL PART 1 - SWAGER PARK TENNIS COURTS REPLACEMENT: $75,515.65 TOTAL PART 2 - BREKKE PARK CONCRETE RINK: $115,05850 TOTAL PART 3 - BREKKE PARK TRAIL: $600.00 TOTAL PART 4 -VALLEY VIEW PARK NORTH TRAIL: $000 TOTAL PART 5 - PEDESTRIAN RAMPS: $0.00 TOTAL ALTERNATE NO. 3 - BREKKE PARK PLEASURE RINK: $45,64445 TOTAL ALTERNATE NO. 4A - VALLEY VIEW PARK SOUTH, RETAINING WALL REMOVAL AND GRADING: $0.00 TOTAL ALTERNATE NO. 4B - VALLEY VIEW PARK SOUTH, TRAIL: $0.00 TOTAL WORK COMPLETED TO DATE $236,818.60 Page 18 of 38 65081520REQ2.xls PROJECT PAYMENT STATUS OWNER CITY OF OAK PARK HEIGHTS BONESTROO FILE N0. 000055-08152-0 CONTRACTOR MILLER EXCAVATING, INC. CHANGE ORDERS No. Date Description Amount I Total Change Orders I , PAYMENT SUMMARY No. From To Payment Retainage Completed 1 061021200$ Q6118108 59,787.54 3,146.71 62,934.25 I 2 0611912008 07114108 165,190.13 11,840.93 236,818.60 Material on Hand Total Payment to Date $224,977.67 Original Contract ; $365,751.10 Retainage Pay No. 2 11,840.93 Change Orders Total Amount Earned $236,818.60 Revised Contract $365,751.10, Page 19 of 38 55D81520REQ2.xis This Page Is Left Intentionally Blank. r Page 20 of 38 Oak Park Heights fit. Request for Council Action Meeting Date July 15, 2008 Time Required: 1 Minutes Agenda Item Title: Chanae Order 41 — 2008 Trail and Park Improvements Agenda Placement Consent Originating Department /Requestor Finance -Judv I lolst, DeOUtV Clerk /Finance Director Requester's Signature Action Requested Aivrove Change Order #I to 2008 Trail and Park Iniurovements Background /Justification f Please indicate if any previous action has been taken or if other public bodies have advised): The 2008 Trail and Park Improvements Change Order 9.1 provides for deduct of work entailed with the removal of the bituminous trail crossing at Osgood Ave. N. and for the compensation of the construction of 2 pedestrian ramps located on the existing trail by the car dealership on Neal Ave. The total cost of the Change Order is a reduction of ($3,476.40) to the original contract amount. See attached Change Order # 1. Staff' recommendation at this time is to approve Change Ordea• HE Page 21 of 38 A� Owner: City of Oak Park Heights, 14168 Oak Park Blvd N, PO Box 2007, Oak Park Heights, MN 5508; Date. July 1, 2008 °■ Contractor Miller Excavating Inc,, 3636 Stagecoach Trail Narth, Stillwater, MN 55082 BOt1e5tC 113ondCompany: Granite_Re. Inc, , 14001 .Quail Plaza pr, : Qklahoma City, OK 73134 Ban..dN MN27798A CHANGE AADERNO:. 1 2008 L A N D P ND PARK MAO VEMENTS BONE5TRD0 FILE NO. OOO.p55- 08152 -0 Description of Work Part 1 of this change order provides for deduct ,of work entailed with the,removal of the bituminous frail crossing at Osgood Avenue North. Part 2 of this c hange order provides for the Cornpensatlon :of the c6hStru66n:of two pedestrian ramps 106ted:on the oJsting:trail by-t Car dealership on Neal Avenue North, Contract Unit: Total No, I #em Unit Quantit.Y . Price, Atnqunfi' PART 1 - gEbUtTBREKK� 7RA1ti.QUANTt.TI�S.P► OSGOOD CROSSING:,, 1 CONCRETE PEDESTRIAN CURB RAMP. 5F 100 ($4.50):. ($45OA) 2 TRUNCATI pQOME PANEL SF 6. ($50 00);. ($1,860;DD} 3. SIGN-RC AS C;.HIGH INTENSITY ::..SF 48' ($27 50) ($1,320OD} 4 TYPE' A AMBER EkGHT EA 2 ($75 D0)° ($150:00) 5 PA:VEMENT'MESSAGE, RIGIT'TURN ARROW ;EPDXY '. EA {$;:165 0.0) ($330.00) 6 PAVEMENT MESSAGE, LEFT ARROW EPDXY EA 2 {$'x165 DO) ($330 00) 7 PAV EMENT MESSAGE BIKE PATH EPDXY EA 2 {$350 00 ($700iD0) 8 36 "`ZEBRA CROSSWALK 1NHITE Ef'QXY " SF 126.'. TOTAL PART.1 DEDUCT BREKKE TRAIL QUANTITIES AT OSGOn CROSSING.: .. ($6 PAFtT`Z AD.DITIaN;4� PEi3ESTEZ1Al1�. RAMPS BY CAR DEALERSI�IP: 9 REMOVE CONCRETE'CURB AND GUTR LF 30? $4 OD ; $120;00 1D REMQ.UE 131TUMINQIIS PAVEMENT SY 4D' <$2 00 $80`00 11 CONCRETE PEDESTRIAN CURB`RAMP <' SF 64 ``. $4 50 ,; $288,00 ]2 TRUNCATED - :DOME PANEL ;5F 32 $:5D 00 $1 60U" i 3 : TYPE•`] U 41NEARING `COURSE (B) TRAIT TN 5 $100 00 i.500 00 14 SEEDING, INCL SED� PERTILiZR, ANI7:WOO FIBER :BLANKET; Sl' $15 5D 15 STRI ET SWI WEEVER W1TN PICK €JP BR00M WITH, >.OPERATQR HR 1 $90 00 $90OD TOTAL PART 12 ADDITIOJVAL PEDESTRIANRAMPS BY CAR DEALERSHIP. $2,693 50 TOTAL PART 11.` DED}:CT BREKKE TRAI1 QtJAN71TIES AT 05GQOD CRQSSING t$6,169, 9D) TOTAL PART 2' ADDiIQNAt',�DESTIAN RAMPS BY CAR DEALERSHIP: 4 $2,693 50 Y T ALL CHANGE O RDER N4 1 {$3 40) Pg Of 3$ 5566520C]�O1 xSs Original Contract Amount $365,751.10 Previous Change Orders 30.00 This Change Order - $3;476.40 Revised Contract Amount (ipcluding:.this change $362,274170 CHANGE IN CONTRACTTIMFS' Origin C al Times Substantial Completion (days ar date) Ready.for final Payment days or .date} Increase of this (han:ge Order: Substantial Completion (days or. date} Beady for frrial Payment (dgys or date) Contract Time withal) approved Change Orders Substantial Completion (djrs or date) Ready for'final 1?4(ni nt (days or date) Recommended for Approval dy B(7NEVRQO gate ' Appr.ved by Contractor ;:Approved by Qwner MILLER EXCAVATING, INC CITY OF OAK PARK: HEIGHTS , "4 L F % l .. ., W.. . .. . - i i bate gate 4f f Z { F L BQ�id +gig Company 7 SoneStYoo,& Assoc' a " 0 R, r ra 4 3 r 1 r^•t r �h z1 i s * 5 � - f T This Page Is Left Intentionally Blank. l o• Page 24 of 38 ,0 a — 5 Oak Park .Heights Request for Council Action Meeting Date Julv 15, 2008 Agenda Item Title: Approval of Public Works Truck Specifications and Authorization to Order Time Required 0 rain Agenda Placement Consent Originating DepartmentlRequestor Public W s Director/ Tom Ozzello Requesters Signature / Action Requested Approval of Specification and Authorize Execution of Order Background /Justification The Public Works Department is authorized for four vehicles and a Tractor. The vehicles are replaced based on an anticipated schedule and particular needs. We have in the 2008 budbet money for an additional vehicle that was planned as a used light duty pickup truck for seasonal, trail and garbage transfer on the parks and trails. We requested and received $10,000 for this addition to our Public Works Fleet. We also requested and outlined the replacement of the F350 Pickup with the lift gate and snow plow in 2008. The F550 with the dump body is listed for replacement in 2009. There is currently $104,979 in Public Works Vehicle replacement reserves. We developed specifications to meet city needs based on the state contract pricing for a replacement to the 1350. The selected model is a Chevrolet 2500 series with a full snow plow upgrade package. The racks, tools kits, snow plow and lift gate is added as an after delivery option. Tile total projected price is $36,295 based on the 2008 price. We have contacted the state contract vendor and they suggested we hold the order for a few weeks until the 2009 contract is in effect. They anticipate little or no increase in the contract prices and, because the 2008 models are now limited to stock on ]land, they cannot assure us we could obtain the deductions for items not needed for the city. We find no need for the On -star navigation system or the XM radio for public works in the city. Evaluation and recommendation We would like the city Council to approve the specifications and added equipment selected and would ask further authorization to place the order for delivery of this new truck in 2008 as soon as the new contract prices are available. We ask for authorization for minor changes, if needed for the 2009 model or for changes oil the list of add oil equipment, in the amount of $2200 (approximately 10% of base price). We are more concerned about chaslges in add on equipment costs. We recommend the Council authorize the purchase of a new vehicle under the competitively bid state contract as outlined on the attached spreadsheet with a price not to exceed the $36,279.10 listed by more than $2200. Page 25 of 38 CITY OF OAK PARK HE IGHTS STATE CONTRACT 2008 TRUCK 3/4T HD 4WD (CK20903) .... ---- . UTILITIES Addition ..... .. - ..... - - .... ---- ......._ _ ...._ _.._._._ . -._... OPTION OP TION NAME INVOICE -- -- - -- -- ... - ...... CODE . -.- .. ... .... - __.... ... - - ......... . .. - 1 WT Silv erado 250OHD Regular cab 4WD $19 6 Contract 2008 Model Year . _...__ _ - - - - _.. Long Box 8 $0.00 Release T- 6 {5) . .. . . ... _... -- - Z85 Suspension package firm ride $0.00 Number 438678 __ - . .. _ T ZY1 Solid paint $0.00 Vendor Car Truck City _ - - -- .. . -- -...._ _ GT5 Rear a xle 4:_10 $0 1405 Main Street South __._._.... 920 _.. _ .. _. - - ...... - - - _. ........ G6W GVWR 0 $0.00 Pine Ctty MN 5 5063 --------------- .._ . - 88B Seat 40/20/ Cloth wi th armrest $0.00 - - - -- - -- .... . _..- . .............. - -- - -- - .. tnterior color $0.00 Contact Marc Dark Titani _ - - .. - - -- Kohl - - - - 9U3 Driver & Pass air bag wlpass shut off $0.0 320 629 -6751 1800 -330 6117 - -. -- ......._ 34 gallon f tank $0 651 -203 -7646 - -._ - - .. ._.. ..__. - - .. - - - - .. ................... A /FM Radio $0.00 ... ...... _... ...... . ....... -- - - - -- Fold -a -way mirrors $0.00 Purchaser City of Oak Park Heights .. ..... - - G80 Locking Differential rear axle $0.00 Tom Ozzello -- _. -_ - -_ -- LY6 6.OL {364) SFI 353hp V8 VORTEC Eng $0.00 Public Works Director C67 Front Air conditioning, 0.00 651 -439 -4439 ....._._ _..- -- -- MYD 6 -Speed Automatic Transmission $0.00 QI ........ W 5 Tires LT245/75R16E A/T w /matching $0.00 Dealer Recommendation is to wait for 2009 ........ ..... - - - - 4GK spare tire includes 4GK $0.00 contract currently in negotiation be ordering 5A6 - Spare wheel . silver $16.20 Costs are n ot expected to increase significantly. - - - - .. . - - __ K05 Block heater $0.00 Current order would be limited to st on Land -- - .. _ _.. _. .. -- -- ._._.._ - .... ... - .... .............. STD f ti d d Chro rear bumper $0.00 an_d may not allow for deductions o unneeded _.. ._ - Automatic Lockin front hubs $0.00 equipment .. - - - T ilt wheel $0.00 5135 P ower windows & mirrors $736 Value at disposal or trade-in would be higher with .. - -- ...._._ - ..... . - - -- -- ....... - - . .. ... . . O 6P3 SRV Power Camper Mirrors $194 40 a newer vehi year, ......... -- -- ....._ . ........ - -- ... .. ... . .... _.. - AU3 Power door locks $0 .00 _ - -- ................ y .. -- -- TP2 HD Auxiliary Batter $1 - - JL1 Integrated Trailer Brake Controller $160.00 ... . Z82 HD Trailering - Equip (18,500 GCWR) $0.00 _ . ._ ... - 50U Summit Whit $0.0a - -- - - ........ .__.. . ... - .................... ._ .._. -. -- - VYU Snow Plow Prep package includes NZZ $28 00 - - -- ..... ...._ .._ -- - UEO ONSTAR DELETE - $ 68.00 8S3 Back-up Alarm $102.40 ...._.._.... _ - .._ U2J XM Satellite radio delete $160.00 VK3 License plate bracket front T $0.00 _.._.. - -- - .. .... Delivery - -- .......... - ...... - -- . .... _ - _. - -- ... Sub -Tot $20,957.05 - -.. - -- -- _..... _...._._ _ -- - - Tax, Title, License $1,407.21 -- -- -- - -- - - - - -- T - - - - _.. ..... _.__ _ -- Sub Total $22,364.26 Page 26 of 38 1 2008 Heavy Duty Truck 'REPLACES: F350 BUDGETED I$33,QQ0':; I Remaining $$ :j$2t 04 9 ' ) COST STANDARD EQUIPMENT MANUFACTURER/MODEL i PARTNUMBERi SOURCE IF DESIRED 1: Trk 3/4T HD 4WD CK20903 Car Truck City $22 2Tax, title & license $1,498.68 Delete onstar and XM radio - add heavy duty battery, snow plow pckage and suspension and power equipment to obtain this price 3 First Aid Kit Conny Safety $36.00 41ight 4 Strobe Whelen /Mini Ultra Freedom FT8AAAAP 'Kiss's $856.00 51 Mount, bolt slide MK9S Kiss's $31.36 6 ,Stinger DC rechargeable 175002 Toolz $75.00 71 Fire Extinguisher 2.51bs ,yearly maintenance B2.5M Stock 8'',Bracket for 2.5lbs City install 2.5BRK Stock 9Graphics Blue Green Black 1 ,14 Graphics $300.00 10'I Light Bar : Rack / 2008 Chev ;10519 ' Crysteel $200.00 11 Light Bracket :Back Rack 12008 Chev 191006 Crysteel $35.00 12 Receiver Hitch �Pintle Mnt -7" Shnk 8" `RPM -8 Rigid $30.00 13 Pintle 8 Ton PH8 Rigid $32.00 141 'RH Hitch pin & clip iHP --1020 Rigid $2.00 151 :Mount ;MK -128 Rigid $5.00 16 !Tailgate and bed liner :Full bed and over rail Rhino $469.00 17' Step Bars Go Rhino 6050MB Carquest $540.00 OTHER EQUIPMENT 18! Tool box iWeather Guard l Model 164 ';WG164 clear :Total Tool $534.62 191ool box ;Weather Guard l Model 174 VG 174 clear Total Tool $424.49 20 %Ladder Rack Weather Guard 90 degree WG 1450 clear :Total Tool $255.90 21 ''I Snow Plow Boss 8'2" V with lock Metal Doctor $5 ; 300.00 v 22 Lift Gate Tommy G2 -60- 1340 -EA38 'Truck Utilities $2 N TOTAL ADD ON EQUIPMENT $11,673.37 o Add on equipment Tax; $758.77 $12,432.14 (TOTAL $36,295.08 8 'Phis Page Is Left Intentionally Blank. Page 28 of 38 Oak Park Heights Request for Council Action Meeting Date July 15, 2008 Time Required: I Minute Agenda Itcm Title: Morove LMCIT Liabilitv Coverag)e Waiver Agenda Placement Consent Originating Department /Requester Finance-Judy Holst. Dcrnuty Clerk /Finance Director y— RCgLIE;ster''s Sig11a1L1I'C / iLly Action Requested At move LMCIT liability coverage waiving the monetary limits on tort liability Background /Justification (Please indicate if any previous action has been taken or if other public bodies have advised): Cities obtaining liability coverage from the I.aeague of Minnesota Cities Insurance Trust must decide whether or not to waive the statutory tort liability limits to the extent of the coverage purchased. The City has waived the statutory tort liability limits in the past. The City's liability coverage limit is $1,200,000. See attached waiver form from the League of Minnesota Cities Insurance Trust. Finance recommends the City waive the statutory tort limits established by Minnesota Statutes 466.04 to the extent of the limits of the liability coverage obtained from LMCIT. Page 29 of 38 LEAGUE OF MINNESOTA CITIES INSURANCE TRUST LIABILITY COVERAGE -- WAIVER FORM Cities obtaining liability coverage from the League of Minnesota Cities insurance Trust must decide whether or not to waive the statutory tort liability limits to the extent of the coverage purchased. The decision to waive or not to waive the statutory limits has the following effects: if the city does not waive the statutory tort limits, an individual claimant would be able to recover no more than $400,000. on any claim to which the statutory tort limits apply. The total which all claimants would be able to recover for a single occurrence to which the statutory tort limits apply would be limited to $1,200,000. These statutory tort limits would apply regardless of whether or not the city purchases the optional excess liability coverage, If the city waives the statutory tort limits and does not purchase excess liability coverage, a single claimant could potentially recover up to $1,200,000. on a single occurrence. The total which all claimants would be able to recover for a single occurrence to which the statutory tort limits apply would also be limited to $1,200,000., regardless of the number of claimants. r If the city waives the statutory tort limits and purchases excess liability coverage, a single claimant could potentially recover an amount up to the limit of the coverage purchased. The total which all claimants would be able to recover for a single occurrence to which the statutory tort limits apply would also be limited to the amount of coverage purchased, regardless of the number of claimants. Claims to which the statutory municipal tort limits do not apply are not affected by this decision. This decision must be made by the city council_ Cities purchasing coverage must complete and return this form to LMCiT before the offoctive date of the coverage. For further information, contact LMC1T. You may also wish to discuss these issues with your city attorney. Gc.kPuw " a»� accepts liability coverage limits of $ 1 ° a ' from the League of Minnesota Cities Insurance Trust (LMCIT). Check one: ❑ The city DOES NOT WAIVE the monetary limits on municipal tort liability established by Minnesota Statutes 486.04. The city WAIVES the monetary limits on tort liability established by Minnesota Statutes 466,04, to the extent of the limits of the liability coverage obtained from LMCIT. * date of city council meeting Signature Position Return this completed 1`orm to LMC1T, 195 UniversltyAve. W., St. Paul, MN. 55103 -2044 Page 30 of 38 LMCIT t /00)(Rev.11 /07) Page l of 1 Oak Park Heights Request for Council Action Meeting Date July 15, 2008 Time Required: I Minute Agenda Item Title: Issue Exemot Permit American Cancer Society for Raffle at Stillwater Area My-h School Agenda Placement Consent Atrenda Originating Department /Requestor finance -Judy I- lolst, Det)uty Cleric /finance Director Requester's Srgnatue Action Requested Amm - ove Raffle Permit Request — Auaust 8, 2008 — American Cancer Society. Bacicgrotind /,lustil (Please indicate if any previous action has been taken or if other public bodies have advised): The City has received a request for a LG220 Lawful Gambling Permit by the American Cancer Society to hold a raffle at the Stillwater Area high School on August 8, 2008. All items are in compliance. Staff has no objection to the issuance of the permit. Page 31 of 38 J UL— i1J -,:JMa, 1 9 GE,1 CONTROL BOARD 65 ° P. 1./rye, Minnesota Lawful Gambling gaga t of z sros LG220 Application for Exempt Permit Fn Board Use Only W An exempt permit may be issued to a nonprofit organization that F ee i s $50 f o r Cheoi #_ conducts lawful gambling on five or fewer days, and awards less than $50,000 in prizes during ei coendor year. each event � 0 RGANIZATION INFORMATION Organizatlon name Previous gambting permit number �. Alz c c rt r C�f� Laffzc�� SCC1 X> 330 7_ - Y_ - QC� Type of nonprofit arganizetion. Check (4) one. ©s rafernal Religious [ Veterans ether norrrrofit organization Mailing addrBss r City / State/Zp Code County r�i . ✓ oZ. � ���_� H O .L7 ®� l ��c tit � ._�SC _ -.! _. __�5� !� � CY lC rJ '�cY. Name of chief executive officer (CEO) Daytime phone number ATTACH A COPY C FI OF THE NG FOR PROOF OF NONPROFIT .STATUS * Do not attach a sales tax exempt status or federal IC Pmpioyer numbers as they are not proof of nonprofit status, Nonprofit Articles of Incorporation OR a current Certificate of Good Standinj*. Don't have a copy? This certificate must be obtained each year from: Secretary of State, Business Services Div„ 460 State Office Building, St. Paul, NN 55155 Phone: 659 -296 -2603 w Internal Revenue Service -IRS income tax exemption (601 letter In your organization's name. Don't have a copy? To obtain a copy of your fadsral income tax exempt letter, have ar organization officer contact the IRS at 877 - $ ?_9.55010 ,X-Errternaf Revenue Service - Affiliate of nationa!, statewide, or international parent nonprofit organization (charter) If your organization falls under a parent organization, attach copies of D= of the fallowing: a. IRS loiter showing your parent organization is a nonprofit 501(c) organization with a group ruling, and b. the charter or letter from your parent organization recognizing your organization as a subordinate. _internal Reventre Service - proof previously *ularnitted to Gambling Control Board if you previously submitted proof of nonprofit status from the internat Revenue Service, no attachment Is required. GAMBLING PFtEM1SEs.INFORMATION Nacre of promises where gambting activity will be conducted (for raff li +� site where the drawing wlli take place) 1 / U {( ! C'YG NCO / Address (do not use PO box) City � dip Code County _S>7QI S> ►`�lw�t er iSlv4l a(C ✓k - 5 Er Date(s) of activity (for raffles, indloate, the date of the drawing) Check the box or boxes that indicate the type of gambling ac 6vity your organization wlil conduct: "Bingo Ramos 0 "Paddlewheels D 'Full -Tabs E `Tipboards Gambling equipment of pull - tabs, bingo paper, bpbowts, and paddlewheels roust be obtalned from a distributor licensed I y the Garnbllng Control Bard. 5XCEPT"ION: Bingo hard cards and bingc number selection devices may be borrowed from another organization authorired to =1duct riingo, '1'o find a licensed distributor, go to www,gcb, state. rnn.us and clinic on List of Licensed Ci�{rii�tit�rS, dr Gail f>SI-l;39- 4t]76. Page 32 of 38 UL. :Juo L "e-1 1 .:iHIIDLiI`U i. UIViKUt_ ZJIJW fz. .>1 r •Uc•' LG220 Application for Exempt Permit gaga zalas L UNIT OF GOVERNMENT AGKNQWLLDGMENT, .. . if the gambling premises is within city limits, J If the gambling premises is located in a township, both the city must sign this application. the county an t ownship must sign this application. Cheek (�) the action that the city is taking on Check (q) the action that the county is taking on this application. this application. 4 T11e appficatian is acknowledged with no wailing period. ..,._The application is acknowledged with no waning period. _The applintlon is acknowledged with a 30 day waiting —The appl €cetlon is acknowledged with a 30 day waibrg Period, and allows the Board to issue a permit after 30 period, and allows the Board to Issue a pemm t after K days (60 days fora tst mass dty). days _The application Is denied. _ —The application is denied. print county name Print city name On behalf of the county, I acknowledge this appflcatlon. On behalf of the city, i acknowledge this applimrion. Signature of county personnel receiving application Sign of cit}+ pens 111101 teoelving appliwlion -- --------- ,.. ---- L - ` ] .__.__�-__� Title —� - _ _....----- •-•- —Gate F Title 1�c Cate, T r< OWNSHIP; Onbehallof the township, Iacknowledge that the w� organization is applying for exempted gambling activity within the f ,r c �'J�uu fnurrslrrp limits, (A township has no statutory aulharityto approve or deny an e1pplication [Minn9sota $tatuta 349.213, subd. 2 }l i Print township nacre _ ------------- Signature of township official acknowledging application Title_ - - bate ---- - 1 ---- -J . _ CHIEF EXECUTIVE OFFICERS SIGNATURE The inkumafron provided In this applioa#on is complete 9 »d eaavrate to the best of my knowledge. 1 acknowledge than the fnancaal report will be cormPleted and ,retumod to the Board within 30 days of the date of our gambling activity. Chief exectftiva officer's signature - -- Complete arl applications for each gambing activity: Financial report and recordkeeping • one day of gambling activity required • two or more consecutive days of gambling activity A financial report form and instructions will be • each day a raffle drawing is held sent with your permit, Within 30 days of the Send application with; activity date, complete and return the financial • a copy of your proof of nonprofit status, and report form to the Gambling Control Board, • $50 appllcatlan fee for each event. Questions? Make check payable to "State of M nnesola." Call the Licensing Section of the Gambling Control Board at $61- 639 -4076. To: Garnbiing Control Board 9711 West County Road lit, Suite 300 South Roseville, MN 55113 Data privacy. 7h!s form % Y11 ba made available the Board wil be able to vDcess your Board start whose work requires aol W in awmi lva format R,e. largo print, Brwitla) upon appiicsgon. Your name rind and your the Infotrnafion; Minnesota's Voportmurrt of request. The [Minnation mquWad on Its organizatico's name and address will be p Ulc. Public Safety; fltkamey Gensmlt Comm:salonom farm (and any at whrrants) uvlli be used t?y the info atbn when ncoolved by the Board. Ail rA AdminW atlon, Flnenw, and Revenue; Gambling Control Board (Board; fo t10teM5in6 the astteer information you provide will ba private Legislative Auditor. national end int9matiar. )l your qualifleations to be Irnbived in [awful data and tho tS=d issues your perenit, when gamblirg regulatory agenDl anyone pursuani gar ling activities in Minnesota. You have tho me Board ssues your permit, all of the to court order, ctdiar individuals and agencies right to none to supply the information irfo natior provided to the Board wilt txeo that ara spaGticxly authodaed oy state or requested; however, if you mfum to supply pub iio. If t is Board dabs not issue a permit, all Waral law to itays aoxss to the infonnatiwn this lnfonriatlon, the Board may not be able to information provided re=mains pri4ie, with the Individuals and o9mcio5 for %0vch law or legal del mine your quallncatbns and, as a avtapuon e your name and your cretar authorizes a new use or sharing of consoquence, may recce to issue you a name and address which M m naln public, information after this Notice was gNem; and penrrit. r you supply the Informl requested, Private data are available to: Board ml anyone with your consent. Page 33 of 38 1-ederal 111 #41- U724036 State TD #21893 rora M-14AI 4RKv, 6-601 U. S. TREASURY DEPARTMENT INTERNAL REVENUE SERVICE WASHINGTON 25, D. C. AUG r� IN It C7 L Y R� $yq 70 T:R :Ir'D:S CSG s American Cmcer Society., Inc. OATS OP ORfr INAL ona RULING 521 West 57th Street "' November 5, 19 h2 New York 19., New Tork PUnPOSIE Muaational seientific and ebari tali. e FORM 990•A REQUIRED YF-S NO Gentlemens Based upon the Information presented, it is held that all of the new subordinate units whose names appear on the lists recently submitted are exempt from Federal income tax as organizations de- scribed in section 501(c)(3) of the Internal Revenue Code as they are organized and operated ex» clusively for the purpose noted above. Any aue stions concerning trTy 1pvi i , wnc t er titles of the Code should be submitted to the appropriate District Dixector. Your .new subordinate units are not required to file Federal income tax returns so long as they re- tain a tax exempt stratus, unless they ore subject to the unrelated business tax unposed by section 511 of the Code and are required to file Form 990-T in order to report unrelated business taxable income. This is also applicable to you and your pre - existing. subordinate units. Your new sub- ordinate units are or are not required to file the annual information return, Form 990A, as indi- cated above. Such returns, if required, must be filed with the appropriate District Director after the close of the annual accounting period of each subordinate unit, unless you include the sub- ordinate units in a group return filed by you. Contributions made to your listed subordinate units are deductible by donors as provided in sec- tion 170 of the Code. Bequests; legacies, devises, transfers or gifts to or for the use of the listed subordinate units are deductible for Federal estate and gift tax purposes as provided in section 2055, 2106 and 2522 of the Code. You and your exempt subordinate units are not liable for the taxes imposed under the Federal Insurance Contributions Act (social security taxes) unless waiver of exemption certificates are, oi have been, filed as provided in such Act, lnquiries about the waiver of exemption certificates should be addressed to your District Director. You and your exempt subordinate units are not Liable for the tax imposed under the Federal Unemployment Tax Act. We have noted our records of any change in the dames, addresses, character, purposes or method of operation of pre- existing subordinate units or those which ceased to exist of which you cur- rently notified us. Please send us the following information annually not later than 45 days after the close of your annual accounting period. 1. Lists showing the names and mailing addresses of your new subordinate units and the names and addresses of any units whirh have ceased to exist or have changed their names or addresses. The names should be arranged in alphabetical or numerical order. In lieu of the lists referred to above you may furnish us with a copy of your published directory. Please send us one copy of the list or di- rectory for this office and one copy for each district in which your subordinate units are located. Page 34 of 38 American Cancer Society Inc. - 2 - 2. A statement signed by one of your principal officers stating whether or not the information upon which your oziginal grqup ruling was based is applicable in all respects to the new subordinate units. 3. A statement if, at the close of the year, there were no changes in your roster. 4. A statement of any changes in the character, purposes. or method of operation of your organization or those of your subordinate units. 5. Duplicate copies of amendments to charters or bylaws of your organization or those of any of your subordinate units. Any new subordinate units that you charter must meet the organizational and operational test de- fined in section 1.501(c)(3) -1 of the Regulations. Therefore, you will be required to furnish on behalf of each new subordinate unit a copy of the uniform chatter or, one copy of the uniform charter and an affidavit by one of your r, principal officers stating that each of your new subordinate units is organized and operated under that uniform charter. If the uniform charter is not adopted by any of your subordinate units or you.do not issue a uniform charter, you must submit a copy of the corporate charter or constitution amd bylaws for each new ruhordinnie un it The District Directors concerned by the changes made in your roster are being notified. Very truly yours, ,fir Chief, Exempt Organizations Brunch FORM - Pa g e or 18 This Page Is Left Intentionally Blank. Page 36 of 38 W7, Oak Park Heights Request for Council Action Meeting Date July 15, 2008 Time Required: I Minute Agenda Item Title: Budgeted Projects Fund Allocations 1. 'Transfer Funds designated for SCADA from Water and Sewer Utility Funds to the I3udsleted Projects Fund 2, Reallocate Designation in the Bud Projects Fund for Outdoor Stora <(e to Unallocated Agenda Placement Consent Originating Departrrnent /Req tie stor Finance -.ludo I-Iolst, Deputy Clerk /Finance: Director Requester's Signature -- f ri,, ,,c: _? _: Action Requested 1. Ai)nrove transfer of fiends from Water and Sewer Utility Funds to the Budgcted Projects Fund for SCADA eauhmient. 2. Aj?nrovc reallocation of Budgeted Projects fund — Outdoor Storage to Budgeted Proiects Fund - Unallocated Background /Justification (Please indicate if any previous action has been taken or if other public bodies have advised): I. We have $30,000 budgeted in the 2008 Water Utility Fund budget and $30,000 budgeted in the 2008 Sewer Utility Fund budget for the purchase of SCADA equipment. After discussions with staff it has been determined that the purchase will not be made until rehabilitation of the well is completed and City Hall is completed. The well rehabilitation will be conpleted this year and the City Hall completed in 2010. In order to retain the fiends for the purchase of the SCADA equipment, staff recommends transferring the 2008 budgeted amounts out of the Water Utility Fund and the Sewer Utility Fund to the Budgeted Projects fund to be designated for purchase of SCADA equipment. 2. The plans for the new City Hall include outdoor storage for both the Police Department and the Public Works Department; therefore, the designation of $65,000 in the Budgeted Projects Fund for Outdoor Storage will not be needed for that purpose. Staff recommends reallocating the funds designated for Outdoor Storage to Unallocated. Council and staff will review the Budgeted Projects designations when reviewing and seating the 2009 budget and review of the Capital Improvements Program. Staff recommends transferring the 2008 Water Utility budget amount of $30,000 and the 2008 Sewer Utility budget amount of $30,000 for SCADA equipment to the I3udgeted Projects Fund and designate the funds for SCADA equipment. Staff recommends reallocating the funds designated in the Budgeted Projects Fund- Outdoor Storage to the Budgeted Projects Fund - Unallocated. Designation of the Budgeted Projects Fund- Unallocated to be determined during the 2009 budget worksessions and review of the Capital Improvements Program. Page 37 of 38 This Page Is Left Intentionally Blank. Page 38 of 38