HomeMy WebLinkAboutCC - August 2, 2017Y O F
OVE.
1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100
FAX (763) 755-8923 • WWW.ANDOVERMN.GOV
Regular City Council Meeting —Wednesday, August 2, 2017
Call to Order — 7:00 p.m.
Pledge of Allegiance
Resident Forum
Agenda Approval
1. Approval of Minutes (7/18/17 Regular; 7/18/17 Closed)
Consent Items
2. Approve Payment of Claims — Finance
3. Approve Appointment Streets Maintenance Worker —Administration
4. Approve Used Vehicle Sales Business License/16191 Round Lake Blvd. NW —Administration
5. Approve Application for Exempt Permit—Administration
Discussion Items
6. Consider Arbor Oaks Senior Living Requests —Administration
Staff Items
7. Administrator's Report —Administration
Mayor/Council Input
Closed Session:
a. Property Negotiations PID 22-32-24-42-0007
b. Update Public Works Union Negotiations
Adjournment
1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100
FAX (763) 755-8923 . WWW.ANDOVERMN.GOV
TO: Mayor and City Council
CC: Jim Dickinson, City Administrato
FROM: Michelle Harmer, Deputy City Clerk
SUBJECT: Approval of Minutes
DATE: August 2, 2017
INTRODUCTION
The following minutes were provided by TimeSaver, reviewed by Administration and
submitted for City Council approval:
July 18, 2017 Regular
July 18, 2017 Closed
DISCUSSION
The minutes are attached for your review.
ACTION REQUIRED
The City Council is requested to approve the above minutes.
`Resppect�f�ullly submitted,
Michelle
Michelle Harmer
Deputy City Clerk
Attach: Minutes
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6 REGULAR ANDOVER CITY COUNCIL MEETING —JULY 18, 2017
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MINUTES
The Regular Bi -Monthly Meeting of the Andover City Council was called to order by Mayor Julie
Trude, July 18, 2017, 7:00 p.m., at the Andover City Hall, 1685 Crosstown Boulevard NW,
Andover, Minnesota.
Councilmembers present: Mike Knight, Sheri Bukkila, Valerie Holthus and James Goodrich
Councilmember absent: None
Also present: City Administrator, Jim Dickinson
Community Development Director, Joe Janish
Director of Public Works/City Engineer, David Berkowitz
City Attorney Scott Baumgartner
Others
PLEDGE OFALLEGIANCE
RESIDENT FORUM
Grady Kinghorn, with Kinghorn'Construction thanked the Council for the extension that was given
to MeadowCreek Church as they made progress toward removing their portable classroom
buildings.' He stated Meadow Creek Church is moving forward with a building program and the
portables are now gone.
Mayor Trude commented it is nice to hear that something is going well during the Resident Forum
portion of the meeting and she is looking forward to the new addition to the church and community.
AGENDA APPROVAL
Supplemental information was presented:
Item #6 — Anoka County Sheriff's Office Monthly Report
Item #8 — Variance Request — 14791 Blackfoot Street NW
Motion by Bukkila, Seconded by Knight, to approve the Agenda as amended above. Motion carried
unanimously.
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Regular Andover City Council Meeting
Minutes—July 18, 2017
Page 2
CONSENTITEMS
Item 2 Approve Payment of Claims
Item 3 Approve Declaration of Encroachment Easement, Conditions & Covenants/1825 —158'
Lane NW
Item 4 Approve Amended Event Map/Beef O'Brady's
Item 5 Approve Debt Service Payments
Motion by Bukkila, Seconded by Knight, approval of the Consent Agenda as read. Motion carried
unanimously.
APPROVAL OF MINUTES
June 27 2017, Workshop Meeting: Correct as amended.
Mayor Trude requested the following corrections:
- Page 4, line 5, should state "right and left turn lanes."
- Page 5, line 1 and 2, should read, "Mayor Trude stated the viability of upgrading Andover
Boulevard with shoulders, turn lanes and trails should be considered in the future."
- Page 7, line 17, at the end of the sentence add the words "that had extensive flood plains."
- Page 8, line 11, add "...she heard Ham Lake lowered the lot size requirements to one acre
and then changed back to requiring larger parcels and she would be interested to know their
observations."
- Page 8, line 16 and 17, should state "if a smaller area were to be made available for rural
reserve area development, City staff could provide options for the Council to consider and how
to tie it into the present community."
- Page 9, line 17, the word "what" should be "want"
- Page 14, line 1, should be edited to state, "the Fire Chief was talking about the upper level of
the Fire Station."
- Page 16, line 14, after line 14 it should state, "Mayor Trude stated the turkey farm has
enough land and access so that this property would not need to provide easements for their
property, in their opinion."
Councilmember Bukkila requested a correction on page 16, line 13, to replace the word "they" with
the word "the." She then asked for a staff review of the video from the meeting.
Councilmember Goodrich requested a correction on page 13, line 2, to take out the word
"dangerous."
Councilmember Holthus asked that the minutes be checked for the spelling of her name as there were
several misspellings.
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Regular Andover City Council Meeting
Minutes — July 18, 2017
Page 3
Motion by Holthus, Seconded by Goodrich, to approve the minutes as indicated above. Motion
carried unanimously.
July 5, 2017, Regular Meeting: Correct as written.
Motion by Goodrich, Seconded by Holthus, to approve the minutes as presented. Motion carried
unanimously.
ANOKA COUNTYSHERIFFS OFFICE MONTHLY REPORT
Sergeant Josh Hatton gave the monthly Sheriff's Report. The Sergeant noted good weather gets
people out and about at night and increases the opportunity for crime. He made note of the
upcoming Special Olympics and kids fishing events.
Mayor Trude indicated she believed that more tickets were being given out for speeding in
neighborhoods. Sergeant Hatton stated he would forward the question to Commander Podany and he
would report back to the Council.
Mr. Dickinson stated he did not have the directed patrol information in a format ready to share yet.
FINAL PLAT — COUNTRY OAKS NORTH THIRD ADDITION— SW DEVELOPMENT
Mr. Janish reviewed the information with the Council. As part of the Country Oaks North and
Country Oaks North Second Addition plats, outlots along the BNSF Railroad have been preserved
for an emergency access across the railroad. At this time, the developer is requesting the outlots
become buildable, as shown on the proposed final plat. The request is based on letters submitted
from BNSF discussing the permanent removal of this particular crossing. The City Council is to
determine if the outlots should remain as an emergency access across to the railroad or allow the
outlots to become a buildable lot of record.
Mr. Berkowitz spoke in response to the Mayor, indicating there are no plans, as of now, to provide
for a future crossing.
Mr. Dickinson stated the property owner identified in the letter sold the property to a current
developer.
Mr. Berkowitz indicated a letter had been sent to him and that BNSF would prefer not to have a
crossing there. An outlot would provide that option in the future, but BNSF's position is not to have
a crossing.
Mayor Trude indicated there is a railroad crossing on the map, but it is not in existence.
Shawn Weinand, SWLand spoke to the Council and confirmed the crossing option was going away
Regular Andover City Council Meeting
Minutes —July 18, 2017
Page 4
1 because of the available access on 167`h Avenue and Wintergreen Street.
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3 Mayor Trude stated she prefers that Outlots A and B be made into a buildable lot.
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5 Councilmember Holthus confirmed her experience has been that outlots are not managed well, and
6 tend to be a gathering spot for "kids horsing around and trouble," so she would like to see it be a
7 buildable lot.
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Motion by Bukkila, Seconded by Knight, to approve Resolution No. R057-17, noting that approving
the resolution means that Outlots A and B will be joined to become a new combined lot. Motion
carried unanimously.
Mayor Trude commented more lots are available in the development and the park is very nice.
VARIANCE REQUEST —14791 BLACKFOOT STREET NW
Mr. Janish stated Mr. Lee Warneka has submitted a variance request for his property located at
14791 Blackfoot Street NW. The request is to reduce the required width of the lot(s) at the front yard
setback.
The property is located within the Round Lake Shoreland area. As required by the Andover
Shoreland Management code, the Department of Natural Resources ( DNR) has received notice of
the variance request. At this time, staff has not received comment from DNR staff. According to the
Shoreland Regulations, un-sewered single-family lots on Recreational Development Lakes such as
Round Lake are required to be a minimum of 20,000 square feet with a lot width of 100 feet.
However, stricter regulations in the R1 Single -Family Rural district supersede the Shoreland
Regulations.
Mr. Wameka submitted a letter and is proposing a variance to reduce the lot width at the front yard
setback from 300 feet to 150 feet for the purpose of subdividing the property into two lots. The
existing lot meets code requirements for lot width, depth and area. If the lot is further subdivided, the
lots will require variances.
Staff received phone calls and emails regarding the variance request.
On May 9, 2017, the Planning and Zoning Commission held a public hearing. Four individuals
spoke opposing the variance request with the belief that the variance would have a negative impact
on the rural character of the neighborhood, negative effect on the value of the surrounding homes,
increased density, and the style of the new home would not be compatible to the existing
architecture. The Planning and Zoning Commission recommends denial of the variance requests on a
3 —1 vote (3 absent) with the findings that the practical difficulties were not unique to the property
and there is too much of an impact on the rural neighborhood.
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Regular Andover City Council Meeting
Minutes —July 18, 2017
Page 5
Mayor Trude asked if there were residents in the audience wanting to speak to the issue.
Councilmember Bukkila asked if the Council could hear new comments only. Mayor Trude
requested the applicants be allowed to speak and commented the residents had excellent
communicators in their neighborhood, as much communication has already been provided to the
Council.
Lee and Sandra Wameka, of 14791 Blackfoot Street NW, came to the podium. Mr. Warneka stated
that much had been made about a house "ruining the neighborhood." He noted next to the proposed
lot is an easement and it belongs to another neighbor and several houses in the neighborhood are
close together. There was mention that the estimated size of the lot was incorrect, and the lot size
information came from the County. The lot is not exactly 6 acres, but enough for two 2.5 acre lots.
For the first 10-15 years the [additional] acreage was a baseball diamond and then they planted trees.
They have looked at building other places in the City and would rather build a smaller compact
home on their own property, which is unique lakeshore. They feel the request is reasonable and
understand the neighbors do not want change. He does not like the pole barns or a multi -family
home in their neighborhood, but does not have that choice on the property of others. The neighbors
do not agree about the effect on wildlife and filling up of open spaces. For the last 15 years he
thought it would make an ideal home site. He thanked the Council for their consideration, not
believing if approved that it would set a precedent. Even with the lot divided in half, it would still be
larger than most of the lots in the neighborhood.
Mayor Trude indicated they would let the record stand, on previous comments submitted by the
residents.
Councilmember Bukkila acknowledged that residents will have different feelings about not wanting
things to change, but that would not influence her decision. The lot size is large enough. Other than
one other property, no one else could ever split their lot in this neighborhood. She wants to be able
to apply the code consistently around the City. If there is a body of water or not, the land is the land
and the wetland counts as land, even if it is not buildable. What she did take into consideration is lot
width consistency throughout the City. The lots were mindfully created. It was intentional that it
was not platted for a future lot split. It was designed to be a bigger lot that encompassed water.
Most of other lot split variances have had minimal impact like 2 or 5 feet. She did not believe this
circumstance justified a significant variance. She did not see the uniqueness of the property as it
related to the request.
Councilmember Holthus stated the variance request differs from the code a great deal.
Motion by Holthus, Seconded by Bukkila, to approve Resolution No. R058-17, to deny the variance.
Motion carried unanimously.
Councilmember Goodrich stated he biked through the area and looked closer at the property. He
expressed concern regarding setting a precedent, going from 300 to 150 feet, with a variance now on
both lots. He wants to allow people to do what they want on their property, but he cannot support the
Regular Andover City Council Meeting
Minutes — July 18, 2017
Page 6
1 significant variance from the code proposed here.
3 Mayor Trude indicated she had driven out to the property a couple of times. Some lots splits have
4 been allowed where some people were really close. She expressed if a resident meets 95% of the
5 criteria and has a really strong case, but in this case, there are a lot of people really concerned. She
6 confirmed the resident could build another building on their own property without a split. If the
7 resident split the lot and wanted to do other things besides, on the property, it would get really
8 crowded. She felt this request was big a deviation without a strong case.
10 Councilmember Knight was in agreement with Mayor Trude. The Council could discuss code
11 changes in the future.
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13 Councilmember Bukkila summarized her thoughts by saying that each one of the residents makes a
14 huge investment to buy in. No one had considered subdividing in the future. All residents invested
15 equally with the rules in place, and there is not justification for changes to that now.
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17 Mayor Trude thanked everyone for their involvement and research on this issue and their citizenship.
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19 SCHEDULE AUGUST EDA MEETING
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21 Mr. Dickinson requested the Council schedule an EDA Meeting to discuss topics as detailed in the
22 staff report.
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24 The Council discussed the draft agenda and available dates.
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26 Motion by Holthus, Seconded by Bukkila, to schedule an EDA Meeting on August 2, 2017, at 6:00
27 p.m. Motion carried unanimously.
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29 ADMINISTRATOR'S REPORT
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31 City Staff updated the Council on the administration and city department activities, legislative
32 updates, updates on development/CIP projects, and meeting reminders/community events.
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34 (Dickinson Update) Mr. Dickinson reported he has been working on budget related activities, in
35 preparation for discussion in August. Outside meetings attended include: the QCTV board meeting,
36 Youth First board meeting, Metropolitan Council's SAC Task Force — related to sewer access
37 charges computations, and preparation for the next legislative session. There have been permits
38 issued for 63 new homes this year.
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40 (Berkowitz Update) Mr. Berkowitz wanted to acknowledge staff preparations for the Family Fun
41 Fest and work on the parks. Other ongoing work includes: studies on the rural reserve sewer
42 analysis and related comprehensive plan, street reconstruction, and trail projects. Starting early
43 August, there will be work on Andover Boulevard and along Hanson Boulevard. The wetland
Regular Andover City Council Meeting
Minutes —July 18, 2017
Page 7
mitigation project is moving a little faster. The irrigation work has started on Fox Meadows Park.
The Capital Improvement Plan preparation is coming up and will be coming to the Council for
discussion and direction.
5 (Danish Update) Mr. Janish indicated there has been some interest expressed in commercial
6 development. The Estates at Arbor Oaks project will be turned over to the owner on August Pt. He
7 has also been spending time on code violations and handling resident phone calls.
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9 Councilmember Knight mentioned that Night to Unite would be on August I" and that August 2°d is
10 the next Council meeting, which is a Wednesday.
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12 Councilmember Holthus requested staff really look at having a crossing for pedestrians at 149'h
13 Avenue and Crosstown Boulevard. She expressed concern regarding making it safer to cross at this
14 intersection. Mr. Berkowitz stated he could discuss it with the County. The first step would be a
15 preliminary [traffic] study at a cost of about $2,000. If the Council is interested, staff could start that
16 process. Mayor Trude suggested it be a CIP discussion.
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18 MAYOR/COUNCIL INPUT
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20 (Events) Mayor Trude highlighted the upcoming Alexandra House event on September 30'h, the
21 Stepping Stone Emergency Housing event on September 1 I `h at The Refuge and the YMCA Annual
22 Golf Tournament coming up this fall. She reminded residents the Bunker Hills pool needs to be
23 accessed through Coon Rapids. She asked again if the County could address the signage. Mr.
24 Berkowitz confirmed they are working on something to address this. It was noted this has not been
25 addressed on the County website. The Mayor thanked staff for their extra time in preparation for
26 Fun Fest.
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28 ADJOURNMENT
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30 Motion by Knight, Seconded by Bukkila, to adjourn. Motion carried unanimously. The meeting
31 adjourned at 8:27 p.m.
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33 Respectfully submitted,
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35 Marlene White, Recording Secretary
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Regular Andover City Council Meeting
Minutes —duly 18, 2017
Page 8
REGULAR ANDOVER CITY COUNCIL MEETING MINUTES — JULY 18, 2017
TABLE OF CONTENTS
PLEDGEOF ALLEGIANCE......................................................................................................... 1
RESIDENTFORUM...................................................................................................................... 1
AGENDAAPPROVAL.................................................................................................................. 1
APPROVALOF MINUTES........................................................................................................... 1
CONSENTITEMS......................................................................................................................... 2
Item 2 Approve Payment of Claims......................................................................................... 2
Item 3 Approve Declaration of Encroachment Easement, Conditions & Covenants/1825 —
158`h Lane NW.................................................................................................................... 2
Item 4 Approve Amended Event Map/Beef O'Brady's........................................................... 2
Item 5 Approve Debt Service Payments.................................................................................. 2
ANOKA COUNTY SHERIFF'S OFFICE MONTHLY REPORT ................................................ 3
FINAL PLAT — COUNTRY OAKS NORTH THIRD ADDITION — SW DEVELOPMENT
(R057-17)................................................................................................................................... 3
VARIANCE REQUEST — 14791 BLACKFOOT STREET NW/Warneka (R058-17) .................. 4
SCHEDULE AUGUST EDA MEETING...................................................................................... 6
ADMINISTRATOR'S REPORT.................................................................................................... 6
(Dickinson Update)..................................................................................................................... 6
(Berkowitz Update)..................................................................................................................... 6
(Janish Update)........................................................................................................................... 7
MAYOR/COUNCIL INPUT.......................................................................................................... 7
(Events)..................................................................................................................................... 7
ADJOURNMENT........................................................................................................................... 7
Y O F
OVE.
1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100
FAX (763) 755-8923 • WWW.ANDOVERMN.GOV
TO: Mayor and Councilmembers
CC: Jim Dickinson, City Administrat r
FROM: Melissa Knutson, Accountant
SUBJECT: Payment of Claims
DATE: August 2, 2017
INTRODUCTION
Attached are disbursement edit lists for claims related to the on going business of the City of Andover.
(D
DISCUSSION
Claims totaling $220,459.15 on disbursement edit lists #1— 42 from 07/19/17 to 07/28/17 have been issued and
released.
Claims totaling $128,698.24 on disbursement edit list #3 dated 08/02/17 will be issued and released upon
approval.
BUDGET IMPACT
The edit lists consist of routine payments with expenses being charged to various department budgets and
projects.
ACTION REQUESTED
The Andover City Council is requested to approve total claims in the amount of $349,157.39. Please note that
Council Meeting minutes will be used as documented approval.
R
f\e
^sp
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�c
jtfully submitted,
I ` �/�^ Y 1�
Melissa Knutson
Attachments: Check Proof Lists
Accounts Payable
Computer Check Proof List by Vendor
User: breadaf
Printed: 07/19/2017 - 10:52AM
Batch: 00413.07.2017
Invoice No Description
Amount Payment Date Acct Number
Reference
Vendor: AbleHose
Able Hose And Rubber
Check Sequence: 1
ACH Enabled:
False
203186-001
Misc. Supplies
612.86
07/19/2017
5100-08100-61005
Check Total:
612.86
Vendor: Aircon
Aircon Electric Corporation
Check Sequence: 2
ACH Enabled:
False
11032-2017-2
Supply Fuses to Water Department
94.82
07/19/2017
5100-48100-61105
Check Total:
94.82
Vendor: AllTraff
All Traffic Solutions
Check Sequence: 3
ACH Enabled:
False
SIN011793
ACSO Speed Display
4,500.00
07/192017
418049300-61005
Check Total:
4,500.00
Vendor: AncomCon
Ancom Communications, Inc.
Check Sequence: 4
ACH Enabled:
False
70857
Power Supply Adapter
21.00
07/192017
OI01-42200-61020
Check Total:
21.00
Vendor: AnkCity
City of Anoka
Check Sequence: 5
ACH Enabled:
False
201707054735
Traffic Signal - Bunker & 7th Ave
26.24
07/192017
0101-43400-62005
Check Total:
26.24
Vendor: AspenMil
Aspen Mills
Check Sequence: 6
ACH Enabled:
False
200584
Uniform for David Feldt
70.50
07/19/2017
010142200-61305
200588
Uniform for Chris Dvorak
104.95
07/19/2017
010142200-61305
Check Total:
175.45
Vendor: B&DPlumI
B & D Plumbing, Heating & A/C Inc.
Check Sequence: 7
ACH Enabled:
False
2017-01559
Overpayment of State Surcharge
14.10
07/19/2017
0101-00000-23201
U
AP -Computer Check Proof List by Vendor (07/19/2017 - 10:52 AM) Page 1
Invoice No Description Amount Payment Date Acct Number Reference
AP -Computer Check Proof List by Vendor (07/19/2017 - 10:52 ANI) Page 2
Check Total:
14.10
Vendor: BluestHro
Bluestar Homes, LLC
Check Sequence: 8
ACH Enabled: False
16625 - Escrow
16625 Avocet St. NW
4,750.00
07/19/2017
7200-00000-24204
16625 -Insp Fee
16625 Avocet St. NW
-50.00
07/19/2017
0101-41600-54180
Check Total:
4,700.00
Vendor: BrockWhi
Brock White Company, LLC
Check Sequence: 9
ACH Enabled: False
12766513-00
55 LB Bags of Mastermaco
2,145.60
07/19/2017
5300-48300-61145
12785690-00
Mortar
2,144.80
07/19/2017
5300-48300-61145
Check Total
4,290.40
Vendor: CenLink
CenturyLink
Check Sequence: 10
ACH Enabled: False
763 755-0776
Public Works Service
19.99
07/19/2017
0101-41930-62030
763755-0776
Fire Department Service
20.00
07/19/2017
0101-41920-62030
763 755-0776
Community Center Service
20.00
07/19/2017
2130-44000-62030
763 755-0776
City Hall Service
19.99
07/19/2017
0101-41910-62030
Check Total:
79.98
Vendor: Clareys
Clarey's Safety Equipment
Check Sequence: I I
ACH Enabled: False
172494
Misc. Supplies
4,148.52
07/19/2017
0101-42200-61020
Check Total:
4,148.52
Vendor: Comcast4
Comcast
Check Sequence: 12
ACH Enabled: False
900524839/54599095
Public Works - PRI TI Loop (18
41.56
07/19/2017
0101-41930-62030
900524839/54599095
Water Treatment Plant - PRI TI
16.16
07/19/2017
5100-48100-62030
900524839/54599095
Community Center - PRI Tl Loop
18.47
07/19/2017
2130-44000-62030
900524839/54599095
Fire Station #1 - PRI T1 Loop
23.09
07/19/2017
0101-41920-62030
900524839/54599095
City Hall - PRI Tl Loop (57%)
131.61
07/19/2017
0101-41910-62030
Check Total:
230.89
Vendor: Cotten
Cotter', Inc
Check Sequence: 13
ACH Enabled: False
279712
Guard
9.18
07/19/2017
6100-48800-61020
282044
Switchmom
31.98
07/19/2017
6100-4880051020
282045
T -Wax & Tire Cleaner
54.70
07/19/2017
6100-48800-61020
282283
Air Cleaner Gasket
1.90
07/19/2017
6100-48800-61020
Check Total:
97.76
AP -Computer Check Proof List by Vendor (07/19/2017 - 10:52 ANI) Page 2
Invoice No Description Amount Payment Date Acct Number Reference
Vendor: Cushman
Cushman Motor Company, Inc
Check Sequence: 14
ACE Enabled:
False
170876
Switch for Unit #546
52.94
07/19/2017
6100-48800-61115
Check Total:
52.94
Vendor: DehnOil
Delm Oil Company
Check Sequence: 15
ACH Enabled:
False
53332
Unleaded Fuel -
932.03
07/19/2017
6100-48800-61045
53333
Diesel Fuel
2,075.00
07/19/2017
6100-48800-61050
Check Total:
3,007.03
Vendor: DeptLabo
Department of Labor & Industry
Check Sequence: 16
ACH Enabled:
False
JUNE0030042017
June 2017 Surcharge Report
-31.23
07/19/2017
0101-42300-54325
JUNE0030042017
June 2017 Surcharge Report
1,561.68
07/19/2017
0101-00000-23201
Check Total:
1,530.45
Vendor: EganSery
Egan Service
Check Sequence: 17
ACH Enabled:
False
JC10157558
June 2017 Annual Maintenance
1,462.00
07/19/2017
0101-43400-62300
Check Total:
1,462.00
Vendor: EmerAppa
Emergency Apparatus Maint
Check Sequence: 18
ACH Enabled:
False
94250
Parts to Repair Unit #4821
692.33
07/19/2017
6100-48800-61115
Check Total:
692.33
Vendor: ForecAm
Force America Distributing LLC
Check Sequence: 19
ACH Enabled:
False
IN001-1156733
Hose
220.40
07/19/2017
6100-48800-61115
Check Total:
220.40
Vendor: G&K
G&K Services Inc
Check Sequence: 20
ACH Enabled:
False
6182583259
Uniform Cleaning
172.70
07/19/2017
0101-43100-61020
6182583259
Uniform Cleaning
24.68
07/19/2017
OI01-43300-61020
6182583259
Uniform Cleaning
74.01
07/19/2017
0101-45000-61020
6182583259
Uniform Cleaning
24.68
07/19/2017
5100-48100-61005
6182583259
Uniform Cleaning
49.33 -
07/19/2017
5200-48200-61005
6182583259
Uniform Cleaning
24.64
07/19/2017
6100-48800-61020
6182583260
Floor Mat Rental
67.38
07/19/2017
0101-41930-62200
6182583261
Floor Mat Rental
39.90
07/19/2017
0101-41910-62200
Check Total:
477.32
Vendor: Gametime
Gametime
Check Sequence: 21
ACE Enabled:
False
AP -Computer Check Proof List by Vendor (07/19/2017 - 10:52 AM) Page 3
Invoice No Description Amount Payment Date Acct Number Reference
PJI-0064119 Shadowbrook East Park Playground 169.10 07/19/2017 0101-45000-61105
AP -Computer Check Proof List by Vendor (07/19/2017 - 10:52 AM) Page 4
Check Total:
169.10
Vendor:
GopherSt
Gopher State One -Call Inc
Check Sequence: 22
ACH Enabled: False
7060157
Billable Locates
363.82
07/19/2017
5200-48200-63040
7060157
Billable Locates
363.83
07/19/2017
5100-48100-63040
Check Total:
727.65
Vendor:
GovConn
GovConnection, Inc.
Check Sequence: 23
ACH Enabled: False
54952866
Black Toner for HP Printer
147.45
07/19/2017
0101-41500-61005
54968684
Public Works Printer Cartridge
48.00
07/19/2017
6100-48800-61005
54968684
Public Works Printer Cartridge
48.64
07/19/2017
5100-48100-61005
54968684
Public Works Printer Cartridge
48.00
07/19/2017
5200-48200-61005
54968684
Public Works Printer Cartridge
48.00
07/19/2017
0101-43100-61005
54968684
Public Works Printer Cartridge
48.00
07/19/2017
0101-45000-61005
54968684
Public Works Printer Cartridge
48.00
07/19/2017
0101-43300-61005
Check Total:
436.09
Vendor:
Grainger
Grainger
Check Sequence: 24
ACH Enabled: False
9485952882
Solenoid Valve Coil
796.00
07/19/2017
5100-48100-61135
Check Total:
796.00
Vendor:
HasanFay
Faysal Masan
Check Sequence: 25
ACH Enabled: False
27603
Refund Peddler License
75.00
07/19/2017
0101-41300-52120
Check Total:
75.00
Vendor:
Hawkins2
Hawkins Inc
Check Sequence: 26
ACH Enabled: False
4108698
Chemicals for Water Treatment Plant
6,856.12
07/19/2017
5100-48100-61040
Check Total:
6,856.12
Vendor:
HDSuppW,
HD Supply Waterworks, LTD.
Check Sequence: 27
ACH Enabled: False
H432989
Meters
2,410.35
07/192017
5100-48100-61035
H435721
Meter
824.73
07/192017
5100-48100-61035
Check Total:
3,235.08
Vendor:
H1thPDen
Health Partners
Check Sequence: 28
ACH Enabled: False
74282861
August 2017 Premium
3,858.34
07/192017
0101-00000-21208
74282861
August 2017 Premium
44,625.00
07/192017
0101-00000-21206
AP -Computer Check Proof List by Vendor (07/19/2017 - 10:52 AM) Page 4
Invoice No
Description
74282861
August 2017 Premium
Check Total -
Vendor: IngerRan
Ingersoll Rand Company
30609794
Labor for Air Leak in Pressure Switch
49,635.61
Check Total:
Vendor: InsuRes
Instrumental Research, Inc
306
June 2017 Total Coliform Testing
Check Total:
Vendor: InterBat
Interstate All Bartery Center
1901202003150
Batteries
5100-48100-63100
Check Total:
Vendor: IsantiRe
Isand Ready -Mix, Inc.
82480
Cement
Check Total:
Vendor: KinectEG
Kinect Energy Group
261437/5852862
Community Center
261437/5950574
Public Works
07/19/2017
Check Total:
Vendor: KLMEngin
KLM Engineering, Inc.
6434
LOMG Hydropillar Tower 2 Full Report
Check Total:
Vendor: Lawson
Lawson Products, Inc.
9305054505
Misc. Supplies
ACH Enabled:
Check Total:
Vendor: LegDataS
Legend Data Systems, Inc.
118023
Name Tags
Check Total:
Amount
Payment Date
Acct Number
Reference
1,152.27
07/19/2017
7100-00000-21218
49,635.61
Check Sequence: 29
ACH Enabled:
False
250.95
07/19/2017
5100-48100-63100
250.95
Check Sequence: 30
ACH Enabled:
False
237.50
07/19/2017
5100-48100-63005
237.50
Check Sequence: 31
ACH Enabled:
False
22.35
07/19/2017
0101-42200-61020
22.35
Check Sequence: 32
ACH Enabled:
False
360.00
07/19/2017
0101-43100-61125
360.00
Check Sequence: 33
ACH Enabled:
False
4,567.25
07/19/2017
2130-44000-62015
281.78
07/19/2017
0101-41930-62015
4,849.03
Check Sequence: 34
ACH Enabled:
False
1,400.00
07/19/2017
5100-48100-63010
1,400.00
Check Sequence: 35
ACH Enabled:
False
528.43
07/19/2017
6100-48800-61020
528.43
Check Sequence: 36
ACH Enabled:
False
88.50
07/19/2017
0101-42200-61020
88.50
AP -Computer Check Proof List by Vendor (07/19/2017 - 10:52 AM) Page 5
Invoice No Description
Vendor:
Loes
Lee's Oil Company
75112
rNV837337
Recycled Oil Filters
75224
07/17 Ricoh Wide Forint Lease
Recycled Oil Filters
75225
IMV837337
Recycled Anti -Freeze
75358
Check Total:
Recycled Anti -Freeze & Oil Filters
Minnesota Equipment
P63801
Check Total:
Vendor:
MacQueen
MacQueen Equipment Inc.
P00326
0378284
Credit for Returned Part
P00379
Check Total:
Parts for Unit#4800
W00165
Labor for Unit #4886
W00205
Labor to Repair Pump Panel Tach
Check Total:
Vendor:
Menards
Menards
49973
-179.35
Chip Brush
50037
Materials for Shelter Roof
50043
07/19/2017
2 X 10 - 16' AC2 Cedartone
50141
EMC -FS#1
Amount
Check Total:
Vendor: MetSales
Metro Sales Incorporated
rNV837337
07/17 Ricoh Wide Formt Lease
FNV837337
07/17 Ricoh Wide Forint Lease
INV837337
07/17 Ricoh Wide Forint Lease
IMV837337
07/17 Ricoh Wide Forint Lease
0101-46000-63010
Check Total:
Vendor: MNEquipu
Minnesota Equipment
P63801
Parts for Unit #13-591
Check Total:
Vendor: MNPipeEq
Minnesota Pipe & Equipment
0378284
Andover Lions Park Improvements
Check Total:
Vendor: MNStFrCh
Minnesota State Fire Chiefs Association
Rental -Kitchen Fire Safety Simulator
Amount
Payment Date
Acct Number
Reference
Check Sequence: 37
ACH Enabled:
False
15.00
07/19/2017
0101-46000-63010
11.25
07/19/2017
0101-46000-63010
20.00
07/19/2017
0101-46000-63010
50.00
07/19/2017
0101-46000-63010
96.25
Check Sequence: 38
ACH Enabled:
False
-179.35
07/19/2017
6100-48800-61115
321.19
07/19/2017
6100-48800-61.115
67.00
07/19/2017
6100-48800-63135
531.75
07/19/2017
6100-4880053135
740.59
Check Sequence: 39
ACH Enabled:
False
21.98
07/19/2017
5100-48100-61105
161.53
07/19/2017
0101-45000-61020
85.17
07/19/2017
0101-45000-61020
102.37
07/19/2017
4180-49300-61120
371.05
-
Check Sequence: 40
ACH Enabled:
False
87.12
07/19/2017
0101-41500-62200
87.12
07/19/2017
0101-41600-62200
87.12
07/19/2017
0101-42300-62200
222.64
07/19/2017
2210-41600-62200
484.00
-
Check Sequence: 41
ACH Enabled:
False
98.95
07/19/2017
6100-48800-61115
98.95
Check Sequence: 42
ACH Enabled:
False
1,572.29
07/19/2017
4150-49300-61020
1,572.29
Check Sequence: 43
ACH Enabled:
False
250.00
07/19/2017
0101-42200-62200
AP -Computer Check Proof List by Vendor (07/19/2017 - 10:52 AM) Page 6
Invoice No Description Amount Payment Date Acct Number Reference
AP -Computer Check Proof List by Vendor (07/19/2017 - 10:52 AM) Page 7
Check Total:
250.00
Vendor: MNStFrCh
Minnesota State Fire Chiefs Association
Check Sequence: 44
ACH Enabled: False
Rental - Kitchen Fire Safety Trailer
50.00
07/192017
0101-42200-62200
Check Total:
50.00
Vendor: NoSafety
Northern Safety Technology
Check Sequence: 45
ACH Enabled: False
40050
Parts for Unit#78
107.73
07/192017
6100-48800-61115
Check Total:
107.73
Vendor: NoTechno
Northern Technologies, LLC
Check Sequence: 46
ACH Enabled: False
22333
168th Lane Recon (RLB to Verdin)
4,947.00
07/192017
4140-49300-63005
22340
Country Oaks North 3rd Addition
2,479.75
07/192017
7200-00000-24203
Check Total:
7,426.75
Vendor: NovakFl
Novak Fleck, Inc.
Check Sequence: 47
ACH Enabled: False
1791 -Escrow
1791155th Lane NW
5,250.00
07/192017
7200-00000-24204
1791 - Insp Fee
1791 155th Lane NW
-50.00
07/192017
0101-41600-54180
1799. -Escrow
1799155th Lane NW
7,250.00
07/19/2017
7200-00000-24204
1799 - Insp Fee
1799 155th Lane NW
-50.00
07/192017
-0101-41600-54180
Check Total:
12,400.00
Vendor: ORciAuto
O'Reilly Auto Parts
Check Sequence: 48
ACH Enabled: False
3253-274575
Air Filter
48.76
07/192017
6100-48800-61115
3253-275544
Oil Filter for Unit#134
23.99
07/192017
6100-48800-61115
3253-276921
Battery for Unit#93
46.07
07/192017
6100-48800-61115
3253-276930
Wix 24072 & Puel Filter for Unit #84
20.07
07/192017
6100-48800-61115
Check Total:
138.89
Vendor: OvemckT
Terry Ovemeker
Check Sequence: 49
ACH Enabled: False
2017-01782
Overpayment on Permit
10.00
07/192017
0101-00000-10301
Check Total
10.00
Vendor: OxySveCo
Oxygen Service Company
Check Sequence: 50
ACH Enabled: False
03378252
Cylinder Rental
30.60
07/19/2017
6100-48800-62200
Check Total:
30.60
AP -Computer Check Proof List by Vendor (07/19/2017 - 10:52 AM) Page 7
Invoice No
Description
Amount
Payment Date
Acct Number
Reference
Vendor:
PionSecu
Pioneer SecureShred
Check Sequence: 51
ACH Enabled:
False
31386
Shredding Service
750.00
07/19/2017
0101-46000-63010
Check Total:
750.00
Vendor:
Postmast
Postmaster
-
Check Sequence: 52
ACH Enabled:
False
Sept -Dec 2017 Postage for Newsletter
3,300.00
07/19/2017
0101-41210-61405
Check Total:
3,300.00
Vendor:
R&RBrake
R & R Suspension
Check Sequence: 53
ACH Enabled:
False
6021
Labor to Repair Unit #78
350.00
07/19/2017
6100-48800-63135
6021
Parts to Repair Unit #78
880.00
07/19/2017
6100-48800-61115
Check Total
_ 1,230.00
Vendor:
RDOEgwp
RDO Equipment
Check Sequence: 54
ACE Enabled:
False
W00057
Labor to Repair Unit #173
546.00
07/19/2017
6100-48800-63135
W00057
Parts to Repair Unit #173
161.98
07/19/2017
6100-48800-61115
Check Total:
707.98
Vendor:
RickPlum
Rick's Plumbing
Check Sequence: 55
ACH Enabled:
False
2017-00763
Duplicate -Refund Permit
140.80
07/19/2017
0101-42300-52195
Check Total:
140.80
Vendor:
RMRServi
RMR Services LLC
Check Sequence: 56
ACH Enabled:
False
20170197
Replace Check 05/17 Meter Reading
1,712.03
07/19/2017
5100-48100-63010
Check Total:
1,712.03
Vendor:
RMRServi
RMR Services LLC
Check Sequence: 57
ACH Enabled:
False
20170229
June 2017 Meter Reading
1,716.46
07/19/2017
5100-48100-63010
Check Total:
1,716.46
Vendor:
SmithEr
Smith Brothers Decorating
Check Sequence: 58
ACH Enabled:
False
24238
Chip Brushes
18.48
07/19/2017
5100-48100-61105
Check Total:
18.48
Vendor:
SunLifeF
Sun Life Financial
Check Sequence: 59
ACH Enabled:
False
238450
August 2017 Premium
1,490.45
07/19/2017
0101-00000-21205
238450
August 2017 Premium
153.69
07/19/2017
7100-00000-21218
AP -Computer Check Proof List by Vendor (07/19/2017 - 10:52 AND Page 8
Invoice No Description Amount Payment Date Acct Number Reference
238450
August 2017 Premium
769.17
07/19/2017
0101-00000-21216
238450
August 2017 Premium
182.23
07/19/2017
0101-00000-21217
238450
August 2017 Premium
30.40
07/19/2017
0101-42200-60330
Check Total:
2,625.94
Vendor: TmGreen
TruGreen
Check Sequence: 60
ACH Enabled: False
68136478
Weed Control
1,156.00
07/19/2017
01014500063010
68136478
Weed Control
975.00
07/19/2017
0101-45000-63010
68136478
Weed Control
75.00
07/19/2017
0101-45000-63010
68136478
Weed Control
3,011.00
07/19/2017
0101-45000-63010
68136478
Weed Control
209.00
07/19/2017
0101-45000-63010
68136478
Weed Control
502.00
07/19/2017
0101-45000-63010
68136478
Weed Control
209.00
07/19/2017
010145000-63010
68136478
Weed Control
975.00
07/19/2017
0101-45000-63010
68136478
Weed Control
470.00
07/19/2017
0101-45000-63010
68136478
Weed Control
280.00
07/19/2017
0101-45000-63010
68136478
Weed Control -
293.00
07/19/2017
0101-45000-63010
68136478
Weed Control
196.00
07/19/2017
0101-41920-63010
68136478
Weed Control
303.00
07/19/2017
010145000-63010
68136478
Weed Control
263.00
07/19/2017
0101-45000-63010
68136478
Weed Control
600.00
07/19/2017
2130-44000-63010
Check Total:
9,517.00
Vendor: TCPmpMt
Twin City Property Maint., Inc
Check Sequence: 61
ACH Enabled: False
15812
Trash Clean Up @ 14558 Crane Street
318.00
07/19/2017
010143100-63010
Check Total:
318.00
Vendor: USBankEq
US Bank Equipment Finance
Check Sequence: 62
ACH Enabled: False
334958121
Ricoh Copier Least @ FS#1
153.28
07/19/2017
0101-42200-62200
334958121
Ricoh Copier Least @ Bldg Dept
162.39
07/19/2017
010142300-62200
334958121
Ricoh Copier Least @ City Hall
258.39
07/19/2017
0101-41420-62200
334958121
Ricoh Copier Least @ Comm Ctr
148.30
07/19/2017
2130-44000-62200
Check Total:
722.36
Vendor: Verizon
Verizon Wireless
. Check Sequence: 63
ACH Enabled: False
9788506237
Storm Water Pump
25.04
07/19/2017
5300-48300-62030
9788506238
Lunds North & Purple Park
50.04
07/19/2017
010145000-62030
Check Total: 75.08
AP -Computer Check Proof List by Vendor (07/19/2017 - 10:52 W Page 9
Invoice No Description
Vendor:
VikElecS
Viking Electric Supply
S000440276.002
Decorative Pole Bases
Check Total:
Vendor:
WitmerAs
Witmer Public Safety Group, Inc.
E1617178
553.72
Jr. FF Costume Gear Set/Plastic Helmet
07/19/2017
5100-48100-62300
Check Total:
Vendor:
Ziegler
Ziegler, Inc.
E8643950
July 2017 Maintenance Contract
E8861343
July 2017 Maint Contract LS#1 & LS#4
E8888443
July 2017 Maintenance Contract
Check Total
Total for Check Run:
Total of Number of Checks:
Amount Payment Date Acct Number
Check Sequence: 64
3,960.00 07/19/2017 4501-49300-61020
3,960.00
Check Sequence: 65
70.95
07/19/2017
0101-42200-61315
70.95
Check Sequence: 66
553.72
07/19/2017
5100-48100-62300
742.95
07/19/2017
5200-48200-62300
62.03
07/19/2017
5100-48100-62300
1,358.70
148,102.78
Reference
ACH Enabled: False
ACH Enabled: False
ACH Enabled: False
AP -Computer Check Proof List by Vendor (07/19/2017 - 10:52 AM) Page 10
Accounts Payable
Computer Check Proof List by Vendor
User: brendaf
Printed: 07/27/2017 - 11:07AM
Batch: 00424.07.2017
Invoice No Description
Amount Payment Date Acct Number
Reference
Vendor: BjorkCom
Bjorklund Companies LLC
Check Sequence: I
ACH Enabled:
False
26497
Class Gravel
317.50
07/28/2017
0101-43100-63300
Check Total:
317.50
Vendor: BouldCon
Boulder Contracting LLC
Check Sequence: 2
ACH Enabled:
False
Escrow
Boulder Estates
30,700.00
07/28/2017
7200-00000-24209
Interest
Boulder Estates
0.40
07/28/2017
7200-41400-56910
Check Total:
30,700.40
Vendor: Boyerl
Boyer Truck Parts
Check Sequence: 3
ACH Enabled:
False
183469R
Parts for Unit#161
158.66
07/28/2017
6100-48800-61115
Check Total:
158.66
Vendor: CenLiak
CenturyLink
Check Sequence: 4
ACH Enabled:
False
763 754-6713
Subway @ Community Center
54.01
07/28/2017
2130-44100-62030
Check Total:
54.01
Vendor: CintasCo
Cintas Corporation
Check Sequence: 5
ACH Enabled:
False
5008412503
Service FirstAid Cabinet
61.59
07/28/2017
2130-44000-61020
Check Total:
61.59
Vendor: ClassC
Class C Components Inc.
Check Sequence: 6
ACH Enabled:
False
232129
Roll Towel/Toilet Paper/Windex
416.35
07/28/2017
2130-44000-61020
Check Total:
416.35
Vendor: Colonial
Colonial Life & Accident
Check Sequence: 7
ACH Enabled:
False
7156706-0801926
August 2017 Premium - B7156706
9.60
07/28/2017
7100-00000-21218
7156706-0801926
August 2017 Premium - B7156706
217.41
07/28/2017
0101-00000-21210
AP -Computer Check Proof List by Vendor (07/27/2017 - 11:07 AM) Page 1
Invoice No Description Amount Payment Date Acct Number Reference
AP -Computer Check Proof List by Vendor (07/27/2017 -11:07 AM)
227.01
Check Total:
Vendor: DebnOiI
Dehn Oil Company
53537
Unleaded Fuel
53538
Diesel Fuel
3,861.25
Check Total:
Vendor: DeptLabo
Department of Labor & Industry
ALR00743611
Elevator Annual Operation
Check Total:
Vendor: DeRuyter
Cindy Demyter -
ACH Enabled:
2017 Medical Reimbursement
226.60
Check Total:
Vendor: DiamVoge
Diamond Vogel Paint
802175616
yellow Traffic Paint
802175641
yellow Traffic Paint
Check Total:
Vendor: ElecSyst
Electric Systems of Anoka, Inc
6744
Labor for Repairs on Siren #2
6745
Lnbor for Repairs on Siren #3
6747
Labor for Repairs on Siren #7
ACH Enabled:
Check Total:
Vendor: Fastenal
Fastenal Company
MNHAM56997
Black Cable Ties
Check Total:
Vendor: Ferguson
Ferguson Waterworks #2516
0250635
Andover Lions Park Irrigiation Improve
225.96
Check Total:
Vendor: Ferreellg
Ferrellgas
1097103910
Propane
AP -Computer Check Proof List by Vendor (07/27/2017 -11:07 AM)
227.01
Check Sequence: 10
Check Sequence: 8 ACH Enabled: False
1,417.50
07/28/2017 6100-48800-61045
2,443.75
07/28/2017 6100-48800-61050
3,861.25
357.55
Check Sequence: 9 ACH Enabled: False
100.00
07/28/2017 2130-44000-61320
Check Sequence: 15 ACH Enabled: False
72.00 07/28/2017 6100-48800-61020
Page 2
Check Sequence: 10
ACH Enabled:
False
357.55
07/28/2017
7100-00000-21218 -
357.55
Check Sequence: 11
ACH Enabled:
False
226.60
07/28/2017
0101-43100-61020
113.30
07/28/2017
0101-43100-61020
339.90
Check Sequence: 12
ACH Enabled:
False
186.50
07/28/2017
0101-42400-63100
186.50
07/28/2017
0101-42400-63100
225.96
07/28/2017
0101-42400-63100
598.96
Check Sequence: 13
ACH Enabled:
False
39.05
07/28/2017
5100-48100-61005
39.05
Check Sequence: 14
ACH Enabled:
False
136.32
07/28/2017
4150-49300-61020
Check Sequence: 15 ACH Enabled: False
72.00 07/28/2017 6100-48800-61020
Page 2
Invoice No Description Amount Payment Date Acct Number Reference
AP -Computer Check Proof List by Vendor (07/27/2017 - 11:07 AM) Page 3
Check Total:
72.00
Vendor: ForceAm
Force America Distributing LLC
Check Sequence: 16
ACH Enabled:
False
IN001-1161092
Misc. Stock
76.62
0728/2017
610048800-61115
IN001-1161092
Mise. Supplies
28.92
0728/2017
6100-48800-61020
Check Total:
105.54
Vendor: FreedFen
Freedom Fence Inc.
Check Sequence: 17
ACH Enabled:
False
14756
Fence Replacement @ Maint. Bldg
250.00
0728/2017
0101-41930-63105
Check Total:
250.00
Vendor: GilmCons
Gilmore Construction Inc.
Check Sequence: 18
ACH Enabled:
False
13563 -Escrow
13563 Crooked Lake Blvd NW
3,250.00
07/28/2017
7200-00000-24204
13563 -Insp Fee
13563 Crooked Lake Blvd NW
-50.00
07/28/2017
0101-41600-54180
Check Total:
3,200.00
Vendor: HagforsT
Ted Hagfors Inc.
Check Sequence: 19
ACH Enabled:
False
201713
2017 Electrical Inspections
1,825.50
07/28/2017
0101-42300-63005
_
Check Total:
1,825.50
Vendor: Hawkins2
Hawkins Inc
Check Sequence: 20
ACH Enabled:
False
4113159
Chemicals for Water Treatment Plant
5,285.95
07/28/2017
5100-48100-61040
Check Total:
5,285.95
Vendor: ISTATE
I -State Truck Center
Check Sequence: 21
ACH Enabled:
False
C241228381:01
Sensor for Unit#4884
85.15
07/28/2017
6100118800-61115
C241228469:01
Fuel Filter
26.20
07/28/2017
6100-48800-61115
Check Total:
111.35
Vendor: InterBat
Interstate All Battery Center
Check Sequence: 22
ACH Enabled:
False
1901202003230
Batteries
54.00
07/28/2017
0101-41980-61120
Check Total:
54.00
Vendor: LARSPL
Larson Plumbing, Inc.
Check Sequence: 23
ACH Enabled:
False
2017-01068
Administration Fee
-35.20
07/28/2017
010142300-52190
2017-01068
Refund Mechanical Permit - 2367 169th Lane
176.00
07/28/2017
0101-42300-52190
AP -Computer Check Proof List by Vendor (07/27/2017 - 11:07 AM) Page 3
Invoice No Description Amount Payment Date Acct Number Reference
AP. -Computer Check Proof List by Vendor (07/27/2017 - 11:07 AM) Page 4
Check Total:
140.80
Vendor: LepageSo
Lepage & Sons
Check Sequence: 24
ACH Enabled: False
4731
July 2017 Waste Removal for Parks
413.25
07/28/2017
0101-45000-62020
Check Total:
413.25
Vendor: MaherJac
Jackie Maher
Check Sequence: 25
ACH Enabled: False
Asphalt Removal on Tires at Comm Ctr
25.50
07/28/2017
2130-44000-63010
Check Total:
25.50
Vendor: MainMo
Main Motors Chev- Cad illac
Check Sequence: 26
ACH Enabled: False
326792
Handle for Unit #101
9.59
07/28/2017
6100-48800-61115
327034
Handle for Unit #371
13.48
07/28/2017
6100-48800-61115
327129
Parts for Unit #77
1,347.88
07/28/2017
6100-48800-61115
Check Total:
1,370.95
Vendor: MakinenD
Dana Makinen
Check Sequence: 27
ACEI Enabled: False
2017 Medical Flex Account
520.00
07/28/2017
0101-00000-21211
Check Total:
520.00
Vendor: Menards
Menards
Check Sequence: 28
ACH Enabled: False
50336
Misc. Supplies
77.08
07/28/2017
418049300-61120
50336
Tools
- 41.88
07/28/2017
0101-41930-61205
50436
Misc. Supplies
151.55
07/28/2017
4180-49300-61120
50565
1.5 CF Compact Refrig
78.00
07/28/2017
0101-41910-61120
50634
Fox Meadows Park Redevelopment
36.18
07/28/2017
4150-49300-61105
50873
Fire Station #1 - EOC
329.09
07/28/2017
4180-49300-61120
51072
Tools
59.97
07/28/2017
5100-48100-61205
51072
Tools
59.97
07/28/2017
5200-48200-61205
51147
Misc. Supplies
133.56
07/28/2017
0101-41920-61120
51218
Washers -
2.23
07/28/2017
0101-41920-61120
Check Total:
969.51
Vendor: MetSales
Metro Sales Incorporated
Check Sequence: 29
ACH Enabled: False
INV841813
Ricoh Copier Lease @ Public Works
115.61
07/28/2017
0101-41930-62200
INV842312
Ricoh Wide Format Color
27.38
07/28/2017
0101-42300-61020
INV842312
Ricoh Wide Format Color
69.98
07/28/2017
2210-41600-61020
INV842312
Ricoh Wide Format Color
27.38
07/28/2017
0101-41600-61020
AP. -Computer Check Proof List by Vendor (07/27/2017 - 11:07 AM) Page 4
Invoice No Description Amount Payment Date Acct Number Reference
INV842312
Ricoh Wide Fonnat Color
27.38
07/28/2017
0101-41500-61020
INV847276
Ricoh Maintenance Contract
797.00
07/28/2017
0101-41420-62305
INV847276
Ricoh Maintenance Contract
120.00
07/28/2017
0101-41930-62305
INV847276
Ricoh Maintenance Contract
55.00
07/28/2017
0101-42200-62305
INV847276
Ricoh Maintenance Contract
150.00
0728/2017
0101-42300-62305
INV847276
Ricoh Maintenance Contract
375.00
07/28/2017
2130-44000-62305
INV847276
Ricoh Maintenance Contract
10.00
07/282017
5100-48100-62305
INV847276
Ricoh Copier Supplies
312.00
07/28/2017
0101-41420-61020 -
Check Total:
2,086.73
Vendor: MNDOH
Minnesota Department of Health
Check Sequence: 30
ACH Enabled: False
Food Manager Certification Renewal
35.00
07/28/2017
2130-44100-61320
Check Total:
35.00
Vendor: MNEquipn
Minnesota Equipment
Check Sequence: 31
ACH Enabled: False
P64493
Parts for Unit #151A
- 33.99
07/28/2017
6100-48800-61115
Check Total:
33.99
Vendor: MNFire4
Minnesota Fire Service
Check Sequence: 32
ACH Enabled: False
4956
I Cert Exam - Arndt & Koschak
230.00
07/28/2017
0101-42200-61315
Check Total:
230.00
Vendor: MTIDist
MTI Distributing Inc
Check Sequence: 33
ACH Enabled: False
1130369-00
Blade Kit for Unit #11-582
468.12
07/28/2017
6100-48800-61115
1130674-00
Wiper Blades for Unit#582
57.16
07/28/2017
6100-48800-61115
Check Total:
525.28
Vendor: NatPenCo
National Pen Company
Check Sequence: 34
ACH Enabled: False
109355286
Community Involvement Material/Marketing
646.45
07/28/2017
0101-41200-61005
-
109355286
Community Involvement Material/Marketing
646.45
07/28/2017
2110-46500-61005
Check Total:
1,292.90
Vendor: NoSafety
Northern Safety Technology
Check Sequence: 35
ACH Enabled: False
44090
Parts for Unit #78
39.73
07/282017
6100-48800-61115
Check Total:
39.73
"
Vendor: NoTechno
Northern Technologies, LLC
Check Sequence: 36
ACE Enabled: False
22332
S Access Woodland Crk Wetland Rest
678.00
07/282017
4160-49300-63005
AP -Computer Check Proof List by Vendor (07/27/2017 - 11:07 AM) Page 5
Invoice No Description Amount Payment Date Acct Number Reference
AP -Computer Check Proof List by Vendor (07/27/2017 - 11:07 AM) Page 6
Check Total:
678.00
Vendor: OReiAuto
O'Reilly Auto Parts
Check Sequence: 37
ACH Enabled: False
3253-268408
Returned Parts
-145.53
07/28/2017
6100-48800-61115
3253-269810
Fuel & Oil Filters
56.48
07/28/2017
6100-48800-61115
3253-269892
Radiator for Unit #00-103
119.04
07/28/2017
6100-48800-61115
3253-270055
Oil Filters
26.50
07/28/2017
6100-48800-61115
3253-277373
Fuel Filters
89.40
07/28/2017
610048800-61115
3253-277401
Triple Socket for Unit 400-103
15.99
07/28/2017
6100-48800-61115
3253-277833
Adapter
13.99
07/28/2017
6100-48800-61115
3253-277833
Mini Bulf
6.74
07/28/2017
6100-48800-61020
3253-278642
Extension
15,99
07/28/2017
6100-48800-61020
Check Total:
198.60
Vendor: OlesenLa
Laurie Clasen
Check Sequence: 38
ACH Enabled: False
Gaga Ball Pit Q Sunshine Park
339.66
07/28/2017
4150-49300-61020
Check Total:
339.66
Vendor: OtisElev
Otis Elevator Company
Check Sequence: 39
ACH Enable& False
CL16099001
Service Call for Elevator
918.20
07/28/2017
2130-44000-63100
Check Total:
918.20
Vendor: Plunkett
Plunkett's Pest Control, Inc.
Check Sequence: 40_
ACH Enabled: False
5714129
Post Control
-5.00
07/28/2017
2130-00000-20301
5714129
Pest Control
77.52
07/28/2017
2130-44000-63010
Check Total:
72.52
Vendor: Pomps
Pomp's Tire Service Inc
Check Sequence: 41
ACH Enabled: False
150083121
Labor for Tires on Unit #4889
193.00
07/28/2017
6100-48800-63135-
150083121
Tires for Unit #4889
995.34
07/28/2017
6100-48800-61115
Check Total:
1,188.34
-
Vendor: PowSysSe
Power Systems Services, Inc.
Check Sequence: 42
ACH Enabled: False
00101201
Generator Maintenance Contract
394.40
07/28/2017
010141910-62300
00101201
Generator Maintenance Contract
1,183.20
07/28/2017
0101-41920-62300
00101201
Generator Maintenance Contract
394.40
07/28/2017
2130-44000-62300
Check Total:
1,972.00
AP -Computer Check Proof List by Vendor (07/27/2017 - 11:07 AM) Page 6
Invoice No Description Amount Payment Date Acct Number Reference
Vendor: PrintCen
Print Central
Check Sequence: 43
ACH Enabled: False
122617
Utility Department Tags
625.89
07/28/2017
510048100-63030
Check Total:
625.89
Vendor: S&SInd
S & S Industrial Supply
Check Sequence: 44
ACH Enabled: False
293517
Misc. Hardware for Signs
131.05
07/28/2017
0101-43300-61030
Check Total:
131.05
Vendor: StarTri2
Star Tribune
Check Sequence: 45
ACH Enabled: False
10962115
September 2017 IPad Subscription
16.96
07/28/2017
0101-41200-61320
Check Total:
16.96
Vendor: Timesave
Timesaver
Check Sequence: 46
ACH Enabled: False
M23041
Open Space Meeting
139.00
07/28/2017
0101-41500-63005
M23041
City Council Meeting
139.00
07/28/2017
0101-41100-63005
Check Total:
278.00
Vendor: TotalCon
Total Control Systems, Inc
Check Sequence: 47
ACH Enabled: False
7972
AGC -5 Edison Fuses
67.62
07/28/2017
5100-48100-61005
Check Total:
67.62
Vendor: USBankEq
US Bank Equipment Finance
Check Sequence: 48
ACH Enabled: False
335506150
Ricoh Copier Lease
140.50
07/28/2017
0101-41930-62200
Check Total:
140.50
Vendor: Verizon
Verizon Wireless
Check Sequence: 49
ACH Enabled: False
9789165882
Monthly Cell Phone Service
69.39
07/28/2017
0101-41200-62030
9789165882
Monthly Cell Phone Service
188.80
07/282017
0101-42300-62030
9789165882
Monthly Cell Phone Service
169.67
07/282017
2130-44000-62030
9789165882
Monthly Cell Phone Service
100.42
07/28/2017
0101-41500-62030
9789165882
Monthly Cell Phone Service
396.77
07/28/2017
0101-41600-62030
9789165882
Monthly Cell Phone Service
59.39
07/28/2017
0101-41400-62030
9789165882.
Monthly Cell Phone Service
190A2
07/28/2017
0101-4220052030
9789165882
Monthly Cell Phone Service
104.40
07/282017
0101-41420-62030
9789165882
Monthly Cell Phone Service
400.01
07/282017
010145000-62030
9789165882
Monthly Cell Phone Service
110.70
07282017
5200-48200-62030 -
9789165882
Monthly Cell Phone Service
71.91
07/28/2017
0101-43300-62030
9789165882
Monthly Cell Phone Serviced
265.20
07/282017
0101-43100-62030
AP -Computer Check Proof List by Vendor (07/27/2017 - 11:07 AM) Page 7
Invoice No Description Amount Payment Date Acct Number Reference
9789165882 Monthly Cell Phone Service 157.19 07/28/2017 6100-48800-62030
9789165882 Monthly Cell Phone Service 302.14 07/28/2017 5100-48100-62030
9789165882 Monthly Cell Phone Service 59.39 07/28/2017 0101-41910-62030
AP -Computer Check Proof List by Vendor (07/27/2017 - 11:07 AM)
ACH Enabled: False
ACH Enabled: False
Page 8
Check Total
2,645.80
Vendor: WellsFar
Wells Fargo Bank
Check Sequence: 50
PayPal Membership
26.06
07/28/2017
0101-42200-61320
Meals for Meeting
50.40
07/28/2017
0101-41200-61310
Parts for Units #452 & #08-81
101.31
07/28/2017
610OA8800-61115
Misc. Supplies
73.89
07/28/2017
6100-48800-61020
Tools
10.74
07/28/2017
6100-48800-61205
Misc. Supplies
297.30
07/28/2017
0101-45000-61020
Misc. Supplies
293.42
07/28/2017
0101-43100-61020
Misc. Supplies
24.88
07/28/2017
0101-42200-61005
Lodging & Meals for Conference
247.96
07/28/2017
0101-42200-61310
Misc. Supplies
450.62
07/28/2017
0101-42200-61020
Conferences
981.95
07/28/2017
0101-42200-61315
Misc. Supplies _
119.22
07/28/2017
0101-41970-61120
Misc. Supplies
508.59
07/28/2017
0101-45000-61105
Pop
41.21
07/28/2017
7100-00000-24208
Subscription
35.00
07/28/2017
0101-43200-61325
Council Meering
131.68
07/28/2017
0101-41100-61310
Vending Machine
70.71
07/28/2017
7100-00000-24208
All Staff Meeting
42.81
07/282017
0101-41200-61310
Lodging for Conference
402.94
07/28/2017
0101-41230-61310
' Job Posting
283.17
07/282017
0101-41230-63025
Misc. Supplies
92.41
07/28/2017
5100-48100-61005
Building Inspector Certified
95.00
07/282017
0101-42300-61315
Safe Food Training Class
150.00
07/28/2017
2130-44100-61315
Misc. Supplies
194.33
07/282017
2130-44300-61020
Misc. Supplies
423.15
07282017
2130-44000-61020
Misc. Supplies
499.94
07/282017
010145000-61020
Tools
211.80
07/282017
6100-48800-61205
Misc. Supplies
3.86
07/282017
6100-48800-61020
Check Total:
5,864.35
Vendor: ZahlPet
Zahl-Petroleum Maintenance
Check Sequence: 51
0227995 -IN
OPW High Flow Nozzle for Unit #314
162.87
07/282017
6100118800-61115
Check Total:
162.87
AP -Computer Check Proof List by Vendor (07/27/2017 - 11:07 AM)
ACH Enabled: False
ACH Enabled: False
Page 8
Invoice No Description Amount Payment Date Acct Number Reference
Vendor: Ziegler Ziegler, Inc. Check Sequence: 52
PCO50183341 Water Pump & Gasket for Unit #82 1,099.48 0728/2017 6100-48800-61115
Check Total: 1,099.48
Total for Check Run: 72,356.37
Total of Number of Checks: 52
ACH Enabled: False
AP -Computer Check Proof List by Vendor (07/272017 - 11:07 AM) Page 9
Accounts Payable
Computer Check Proof List by Vendor
User: brendaf
Printed: 07/27/2017 - 11:32AM
Batch: 00402.08.2017
Invoice No Description
Vendor: AlliedBl
Allied Blacktop Co.
Payment #1
2017 Trail Maintenance
Payment #2
2017 Parking Lot Maintenance
Payment 92
2017 Parking Lot Maintenance
ACE Enabled:
Check Total:
Vendor: MattBuli
Matt Bullock Contracting Co.
Payment #2
Woodland Creek Worland Bank
Check Total:
Vendor: MattBull
Matt Bullock Contracting Co.
Payment#3
Fox Meadows Park Redevelopment
3,308.55
Check Total:
Vendor: Microsof
Microsoft Corporation
E07004741U
70 Licenses
Check Total:
Vendor: Renner
E. H. Renner & Sons
Payment #1
Fox Meadows Park Redevelopment
Check Total
Total for Check Run:
Total of Number of Checks:
AP -Computer Check Proof List by Vendor (07/27/2017 - 11:32 AM)
'U"5
U5 £1TY 4 F
Amount
Payment Date
Acct Number
Reference
Check Sequence: 1
ACE Enabled:
False
23,286.40
08/02/2017
4141-49300-63010
11,351.85
08/02/2017
2130-44000-63010
3,308.55
08/02/2017
4141-49300-63010
37,946.80
Check Sequence: 2
ACH Enabled:
False
25,584.25
08/02/2017
414049300-63010
25,584.25
Check Sequence: 3
ACH Enabled:
False
20,931.26
08/02/2017
4150-49300-63010
20,931.26
Check Sequence: 4
ACH Enabled:
False
11,248.13
08/02/2017
4180-49300-61220
11,248.13
Check Sequence: 5
ACH Enabled:
False
32,987.80
08/02/2017
4150-49300-63010
32,987.80
128,698.24
5
Page 1
1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100
FAX (763) 755-8923 • WWW.CI.ANDOVER.MN.US
TO: Mayor and Councilmembers —
CC: James Dickinson, City Administrator
FROM: Dana Makinen, Human Resources Mal
SUBJECT: Approve Appointment — Streets Maintenance Worker
DATE: August 2, 2017
0
Due to the resignation of Darrin Hansen on June 8, 2017, the position of Streets Maintenance Worker was
open. The Human Resources Department has completed the interview, background check and selection
process to fill this position.
DISCUSSION
The initial interview team consisted of the Director of Public Works/Engineering, the Human Resources
Manager, and the Streets Supervisor. There were 33 applications submitted and 8 applicants were
interviewed. The finalists then met one on one with the City Administrator.
The interview team recommends hiring Michael Wegner. Mike has his diploma from Chippewa Valley
Technical College in Diesel/Heavy Equipment and has been working most recently with Anderson
Trucking Services as a Technician II. Prior to that he worked at Penske Truck Leasing as a Technician II
and previously worked seasonally for the City of Champlin as a Maintenance Worker. During the time
that Mike worked for the City of Champlin he operated the roller, picked up the hot mix from the
suppliers, shoveled asphalt and leveled patches. He will be an excellent addition to the streets
department.
BUDGETIMPACT
Mr. Wegner has been offered $45,167.27 annually, which is the 2017 Entry Level Step, and then would
be eligible for any general increases and annual Step Increases after successful completion of his 6 -month
probationary period.
ACTION REQUESTED
The Council is requested to appoint Michael Wegner as the new Street Maintenance Worker.
_'Ica�wQA "'�
Respectfully submitted,
Dana Makinen
AC I T Y •�.
1
1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 755-5100
FAX (763) 755-8923 . WWW.ANDOVERMN.GOV
TO: Mayor and City Council
CC: Jim Dickinson, City Administrator
FROM: Michelle Hartner, Deputy City Cler
SUBJECT: Approve Used Vehicle Sales Business License/16191 Round Lake
Boulevard
DATE: August 2, 2017
INTRODUCTION
Frank Coenen, owner of Round Lake Auto Sales LLC has applied for a Used Vehicle
Sales Business License.
DISCUSSION
The applicant will be a tenant at the subject property and will operate a used vehicle sales
business. The appropriate application fee has been paid.
There are two other tenants at this location.
ACTION REQUIRED
The City Council is requested to approve the above license for the period August 3, 2017
through December 31, 2017.
Respectfully submitted,
Michelle Hartner
Deputy City Clerk
Attach: License application
CI.419.
. Tl•
1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100
FAX (763) 755-8923 • WWW.ANDOVERMN.GOV
Used Vehicle Sales Business License Application
Required Documents:
Completed Application Form
Vehicle Sales License Fee: $105.00
• Copy of Current Photo Identification
• Copy of State Dealers License
Workers Compensation'Form
Completed Minnesota Vehicle Dealer License Commercial Location Checklist
• Copy of Verification of Property Lease
Person Applying For License:
First Name r('r-n Y- Middle Name
Home Addres- i r- ^ "
Last Name l tY.S��
I n
Home Phone Business Phone 9.j90b"Fax
Date of Birth _ M Drivers License No. 1
Property Owner Information:
First Name )nC)J-V , Middle Name
Home Address
I
Home Phone ;iness Phone 2aS 44C L'+ax
If there are multiple property owners attach complete information for each owner.
Business Information:
Business Name
Business Address
Minnesota Business ID No.����'
State of Minnesota Dealership License No. 131 gq Q9
J
I (We) agree to operate such business in accordance with the laws of Minnesota and the ordinances
of the City of Andover. The foregoing statements are true and correct to the best of my knowledge
and belief and I understand that providing false, incomplete or inaccurate information may because
for denial of my license. .In addition, I understand the following:
Information in this application is classified as public data and will be provided to the public upon
request.
Licenses expire on December 31 sc of each year. Payment of annual licensing fee shall be sufficient
to renew license unless other action under the City Code is taken by the City.;; Lack of payment of
annual licensing fee shall be cause for revocation of license.
I understand that a background check will be conducted as a part of the application process.
Date .
120 Day date
�20FPUB<i
Driver and Vehicle Services
445 Minnesota Street, St. Paul, Minnesota 55101
Phone: 651/201-7800 TTY: 651/282-6555
���t•OFMINNES�P Website: dvs.dps.mn.gov
7/11/2017
ROUND LAKE AUTO SALES LLC AREA SP
Alcohol 16191 ROUND LAKE BLVD STE D Contact: FRANK
and Gambling ANDOVER, MN 55304 Phone: 952-818-1017
Enforcement
D
Bureau of Criminal T39290 Type: USED
Apprehension NOTICE: LICENSE CER TIFICATEATTA CHED BELOW
Driver Dear Dealer:
and Vehicle
Services You have been issued a temporary motor vehicle dealer license number DT39290. The temporary
Emergency license is valid for 90 days from the date of application; until 10/11/2017. We will need the following
Communication documents and/or information by7/25/2017: NONE. Failure to submit the missing item(s) may
Networks result in denial of the license application.
Homeland Before the temporary license expires, a dealer examiner will call on you at your place of business
Security and �. p y p >
Emergency during normal business hours. An inspection must occur prior to an approval of a license. The
Management examiner will verify information provided by you on your license application forms, inspect your
Minnesota records and provide basic training in the areas of dealer licensing, vehicle transfer and registration
State Patrol procedures. After completion of the period of investigation and inspection the examiner will
Office of
recommend either granting or denial of a permanent license. False statements on an application for a Communications state business license etre cause for immediate denial of the license.
Office of Sincerely, 1
Justice Programs w
Office of Dealer Licensing and Inspections
Pipeline Safety Phone: (651) 201-7800
Office of Fax: (651) 297-1480
Traffic Safety
State Fire Marshall MN STATUTES DO NOT PROVIDE FOR REFUNDS ON LICENSE AND PLATE FEES.
..............:...........Detach at Dotted Line ............................
TEMPORARYDEALER LICENSE CERTIFICATE
Dealer#: DT39290 Type: USED Expires: 10/11/2017
Owners/ FRANK COENEN
Officers NO EMPLOYEES
ROUND LAKE AUTO SALES LLC
16191 ROUND LAKE BLVD STE D
ANDOVER, MN 55304
Makes: Invalid without state seat
Bond Cc: TRAVELERS CASULTY & SURETY CO Bond number: 106762761 Term: 6/28/2018
Liability Cc: MIDWEST FAMILY MUTUAL Policy number: CPNW060232676
EQUAL OPPORTUNITY EMPLOYER
' t v oc e�gk
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
DRIVER AND VEHICLE SERVICES
445 Minnesota Street, Suite 186
""'" 5' Saint Paul, MN 55101-5186
Phone: (651) 201-7800 Fax: (651) 297-1480
Web: dVs.dps.mn.gov Email: DVS.DealerOuestion@state.mn!us
OFFICE USE ONLY
DEALER NUMBER:
DATE RECEIVED:
COUNTY:
AREA:
INITIALS:
Certification of Compliance with Minnesota Worker's.Compensation Law
This certification must accompany an application for a Minnesota Motor Vehicle Dealer's License
Minnesota Statutes, 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 certifies that they are in compliance with the workers'
compensatior� coverage requirements outlined in section 176.
If the required information is not provided or is falsely stated it shall result in a $2,000 penalty assessed against the
applicant by the commissioner of the Department of Labor and Industry.
You are required to fill the below portion out.
A valid workers' compensation nolicv must hp kpnt in pffam nt nil fimno by emnln., w.. ,_...
License or Certificate Number (if Applicable)Business
Telephone Number
vy
Alternate Telephone Number -
9
q
Dealership Name
C
DBA ("doing business as" or "also known as" an assumed name,) if applicable:
Business address (must be physical street address, no P.O. Boxes)
City
State Zip code
u
A,,
0 v r Irn�
County
Email Address
Workers' Compensation Insurance Poiicy Information
Insurance Company Name (Not the insurance agent) NAIC Number
I
__7Policy Number Effective Date Expiration Date
Exemption
I am not required to have workers' compensation liability coverage because (please check one):
have no employees. (See Minnesota Statute 4 176.011, subd 9 for the definition of an employee.)
I am self-insured (attach permit to self insure).
I have no employees who are covered by the workers' compensation law (spouse, parents, children)
I certify that the information provided above is accurate and complete. I understand that if I have employees (who are
not a spouse, parent, or child), valid workers' compensation policy will be kept in effect at all times as required by law.
Print Name:
Applicant Signat re (Required): Title: Date: n
Note: You must notify the authority issuing your license is there is any change to your workers' compensation insurance information or an
employee status change by resubmitting this form. This material can be made available in different forms, such as large print, Braille or audio.
PS2420-07 (05/2017)
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
DRIVER AND VEHICLE SERVICES
s 445 Minnesota Street, Suite 186
Saint Paul, MN 55101-5186
Phone: (651) 201-7800 Fax: (651) 297-1480
Web: dvs.dps.mn.gov Email: DVS.DealerQuestion@state.mn.us
Minnesota V h" i D i
[AREA:
USE ONLY s- a
Prlt Or
ER NUMBER:
RECEIVED:
TY:
LS:
e is a ea er License - Commercial Location Checklist
This checklist describes (check one):'Primary Location ❑ Additional Location (Attach a separate checklist for each location)
Dealer Name: r 1 ),nA L^q �`kA A � �,t,�0A ler Number:
Street: rf O l� l' 1 01^0 . ,� 4 1/,, l/'- Q f, liei
City: State: Zip Code: ,LA County: _ g2,
Commercial Building Requirement: New, Used, Salvage Pool, and Auctioneer Dealers must have a Commercial Building, which means a
permanent, enclosed building that is on a permanent foundation and is connected to local sewer and water facilities or otherwise complies with
local sanitation codes, is adapted to commercial use, and conforms to local government zoning requirements. (Minnesota Statutes, section
168.27 subdivision 1).
Commercial Office Space Requirement: Lessors, Wholesalers, and Brokers must have at least a Commercial Office Space, which means a
space occupying all or part of a commercial building. (Minnesota Statutes, section 168.27 subdivision 1).
Instructions
• Check the type of dealer's license that applies.
• Answer T (True) or F (False) to each statement that applies to the license type you checked.
• Dealership owner or officer must sign on reverse side of form.
Check the license type that applies to you: ❑ NEW Fv;.l1SED ❑ SALVAGE POOL ❑ ADDITIONAL LOCATION ❑ DSB
T/F ❑ DISPLAY LOT - respond to statements 2, 7 & 8 only
1 The dealer keeps all books and records necessary to conduct business at the main dealership location. The dealer maintains
copies of the books and records at any additional locations they may have. -
2 The dealer owns the above location or leases the location (minimum one-year lease required). Please attach proof of
ownership or Verification of Property Lease Form (PS2407).
The dealership has a separate and identifiable entrance that leads to the outdoors (See definition of commercial building
3 )rabove). May include a strip mall or commercial garage building. Other entrances that lead from other areas of the building must
be closed and lockable (Commercial office space within a commercial building does not meet the statutory license
rannircmonll
4 1 T The public cannot access the dealership by entering through any other business or residence that is located in the same
building as the dealership.
5 I IThe dealership location is enclosed with floor to ceiling walls, a door that can be shut and locked to close off the entire
I entrance, and is designated for exclusive use of the dealership.
L 6• —FIThe dealership location has an address that is separate from any other address in the building.
7 <I The dealership has a display area, either indoors or outdoors, large enough to display at least 5 vehicles. This display areJis
J designated for the exclusive use of the dealership and is distinguished from any other business' inventory.
The dealership has a sign outside of the commercial building, in a public area that identifies the dealership.
• The sign must be in letters that contrast sharply in color with the sign background.
8•
• If the sign is on a commercial building or a display area, it must be readily legible during daylight hours from the
nearest road or street.
• If the dealer's display area is not adjacent to the dealers commercial building, the sign at the display area must also
indicate where the commercial building is located.
Mnot
alership's normal business hours are conspicuously posted and readily viewable by the public.
nel or automatic telephone answering service is available durinStheZoning
E
ss hours.
ove location meets all local zoning requirements as indicated onrification Form (PS2421)
ehicle Dealers Only) The dealership has a facility for the repair and service of motor vehicles and the storage of parts,
e than ten miles distance from the principal place of business.
PS2410-19 (09115) - over -
Commercial Location Checklist
Check the license type that applies to you: ❑ WHOLESALE LICENSE []LESSOR ❑ BROKER
T/F
❑ AUCTIONEER
T/F
The dealer keeps all books and records necessary to conduct business at the main dealership location. The dealer maintains copies
of the books and records at any additional locations they may have.
The dealer owns the above location or leases the location (minimum one-year lease required). Please attach proof of ownership or
Verification of Property Lease Form (PS2407).
The dealership location is enclosed with floor to ceiling walls, a door that can be shut and locked to close off the entire entrance and
isdesignated for exclusive use of the dealership.
Personnel or automatic telephone answering service is available during normal business hours.
The above location meets all local zoning requirements as indicated on the Zoning Verification Form (PS2421).
(Broker Only) The dealership has a sign, clearly identifying the broker by name and listing the business hours. The sign is posted in
a location readily viewable by the public.
(Lessor Only) The dealership's normal business hours are conspicuously posted and readily viewable by the public.
❑ AUCTIONEER
T/F
❑ LIMITED USED VEHICLE LICENSE
T/F
The dealer keeps all books and records necessary to conduct business at the main dealership location. The dealer maintains copies
of the books and records at any additional locations they may have.
The dealer owns the above location or leases the location (minimum one-year lease required). Please attach proof of ownership or
Verification of Property Lease Form (PS2407).
The dealership's normal business hours are conspicuously posted and readily viewable by the public.
Personnel or automatic telephone answering service is available during normal business hours. I
This place of business meets all standards outlined above. I understand that any incorrect statement
constitutes material misrepresentation and as a result, the dealer license is subject to withdrawal.
X
(Signature of Owner/Officer)
PS2410-19 (09/15)
Date ( — RD " f —1
The dealer keeps all books and records necessary to conduct business at the main dealership location. The dealer maintains copies
of the books and records at any additional locations they may have.
The dealer owns the above location or leases the location (minimum one-year lease required). Please attach proof of ownership or
Verification of Property Lease Form (PS2407).
The dealership has a separate and identifiable entrance that leads to the outdoors or to a public area. The dealer may maintain other
entrances to the dealership. Other entrances that lead from a commercial or residential space in the same building must be lockable
and close the entire entrance. Shared office space, such as a reception area or secretary, does not qualify as a public area.
The public cannot access the dealership by entering through any other business or residence that is located in the same building as
the dealership.
ship location is enclosed with floor to ceiling walls, a door that can be shut and locked to close off the entire entrance and
ed for exclusive use of the dealership.
hip location has an address that is separate from any other address in the building.
hip's normal business hours are conspicuously posted and readily viewable by the public.
FTheabove
r automatic telephone answering service is available during normal business hours.
location meets all local zoning requirements as indicated on the Zoning Verification Form (PS2421).
❑ LIMITED USED VEHICLE LICENSE
T/F
The dealer keeps all books and records necessary to conduct business at the main dealership location. The dealer maintains copies
of the books and records at any additional locations they may have.
The dealer owns the above location or leases the location (minimum one-year lease required). Please attach proof of ownership or
Verification of Property Lease Form (PS2407).
The dealership's normal business hours are conspicuously posted and readily viewable by the public.
Personnel or automatic telephone answering service is available during normal business hours. I
This place of business meets all standards outlined above. I understand that any incorrect statement
constitutes material misrepresentation and as a result, the dealer license is subject to withdrawal.
X
(Signature of Owner/Officer)
PS2410-19 (09/15)
Date ( — RD " f —1
,povv
Q° "� MINNESOTA DEPARTMENT OF PUBLIC SAFETY
DRIVER AND VEHfCLE SERVICES
445 Minnesota Street, Suite 186
°"` Saint Paul, MN 55101-5186
Phone: (651) 201-7800 Fax: (651) 297-1480
Web: dvs.dps.mn.gov Email: DVS.DealerQuestion@state.mn.us
Verification of Pro
Lease
OFFICE USE ONLY
DEALER NUMBER: 3 f d-qo
DATE RECEIVED: 7/ti %
INITIALS: r LGi
According to Minnesota Statue 168.27, Subd.10 - Place of Business, all licensees under this section (New, Used, Lessor,
Wholesaler, Auction, Used Limited, DSB) shall have an established place of business, which shall include owned or a minimum
lease term of one year by the licensee.
Note: If Owned - Proof of Property Ownership is required. Example: Property Tax Statement.
Name of Dealership:
State of Minnesota County of:
that I am the owner of the property located at
(city)
(State and Zip Code)
t'Es
, being first duly sworn, depose and say
(Stieet Address)
and certify that I have leased the above property to
Name of the Lessee/Dealer Owner
from __
(Effective Date) (remNnation Date) -
4 7
Signature of Property Owner Date
S2407-09 (07/15)
Subscribed and sworn to before me this
t0 day of July 20 1-7
NOTARY PUBLI &JOQq�
COUNTY: �AY)D KR.
MY COMISSION EXPIRES: J301;10
M
SAKRY-MINNESOTACommission Ezplras,lan,31,20Y8
1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 755-5100
FAX (763) 755-8923 . WWW.ANDOVERMN.GOV
TO:
CC:
FROM:
SUBJECT:
DATE:
Mayor and City Council
Jim Dickinson, City Administrator
Michelle Hartner, Deputy City Clerk
Approve Application for Exempt Permit/Andover Lions Club
August 2, 2017
INTRODUCTION
The Andover Lions Club has submitted an application for a raffle at an event they are
hosting on September 22, 2017 at The Courtyards of Andover, 13545 Martin Street NW.
DISCUSSION
Council can either a) approve the application with no waiting period; b) approve the
application with a 30 day waiting period; or c) deny the application.
ACTION REQUIRED
The City Council is requested to consider approval of the application with no waiting
period.
IR,eespectfully submitted,
Michelle Hartner
Deputy City Clerk
Attach: Application
MINNESOTA LAWFUL GAMBLING
LG220 Application for Exempt Permit
4/17
Page' 1 of 2
permit may be issued to a nonprofit
that:ucts
Application Fee (non-refundable)ion
lawful gambling on five or fewer days, and
Applications are processed in the order received. If the application
=permitt
ds less than $50,000 in prizes during a calendar
is postmarked or received 30 days or more before the event, the
application fee is $100; otherwise the fee is $150.le
prize value for the calendar year will be
Due to the high volume of exempt applications, payment of
less, contact the Licensing Specialist assigned to
additional fees prior to 30 days before your event will not expedite
ty by calling 651-539-1900.
service, nor are telephone requests for expedited service accepted.
ORGANIZATION INFORMATION
Organization Previous Gambling
Name: Andover Lions Club Permit Number: g x02254
Minnesota Tax ID Federal Employer ID
Number, if any: Number (FEIN), if any: .
Mailing Address: 16185 Verdin St.
City:
State: MN Zip: 55304 County:
Name of Chief Executive Officer (CEO): Lions Angela Sedesky
Daytime Phone
NONPROFIT STATUS
Email:
Type of Nonprofit Organization (check one):
QFraternal = Religious 9� � Veterans Other Nonprofit Organization
Attach a copy of one of the following showing proof of nonprofit status:
(DO NOT attach a sales tax exempt status or federal employer ID number, as they are not proof of nonprofit status.)
❑ A current calendar year Certificate of Good Standing
Don't have a copy? Obtain this certificate from:
MN Secretary of State, Business Services Division Secretary of State website, phone numbers:
60 Empire Drive, Suite 100 www.sos.state.mn us
St. Paul, MN 55103 651-296-2803, or toll free 1-877-551-6767
IRS income tax exemption (501(c)) letter in your organization's name
Don't have a copy? To obtain a copy of your federal income tax exempt letter, have an organization officer contact the
IRS toll free at 1-877-829-5500.
IRS - Affiliate of national, statewide, or international parent nonprofit organization (charter)
If your organization falls under a parent organization, attach copies of both of the following:
1. IRS letter showing your parent organization is a nonprofit 501(c) organization with a group ruling, and
2. the charter or letter from your parent organization recognizing your organization as a subordinate.
GAMBLING PREMISES INFORMATION
Name of premises where the gambling event will be conducted
(for raffles, list the site where the drawing will take place): Courtyards of Andover
Physical Address (do not use P.O. box): 13545 Martin St. NW
Check one:
M City: And
"Township:
zip: 55304 County: Anoka
Zip: County:
Date(s) of activity (for raffles,
indicate the date of the drawing): September 22nd 2017
Check each type of gambling activity that your organization will conduct:
Bingo Paddlewheels Pull -Tabs =Tipboards
Raffle (total value of raffle prizes awarded for the calendar year, including this raffle: $ 1,800.00
Gambling equipment for bingo paper, bingo boards, raffle boards, paddlewheels, pull -tabs, and tipboards must be obtained )
from a distributor licensed by the Minnesota Gambling Control Board. EXCEPTION: Bingo hard cards and bingo ball selection
devices may be borrowed from another organization authorized to conduct bingo. To find a licensed distributor, go to
www.mn.gov/gcb and click on Distributors under List of Licensees, or call 651-539-1900.
LG220 Application for Exempt Permit 4/17
Page 2 of 2
LOCAL UNIT OF GOVERNMENT ACKNOWLEDGMENT (required before submitting application to
the Minnesota Gambling Control Board)
CITY APPROVAL COUNTY APPROVAL
for a gambling premises for a gambling premises
located within city limits located in a township
The application is acknowledged with no waiting period. he application is acknowledged with no waiting pp 9 g period.
RThe application is acknowledged with a 30 -day waiting he application is acknowledged with a 30 -day waiting
period, and allows the Board to issue a permit after 30 days
11
(60 days for a 1st class city). period, and allows the Board to issue a permit after
30 days.
❑The application is denied. ❑ihe application is denied.
Print City Name: Print County Name:
Signature of City Personnel: Signature of County Personnel:
Title: Date: Title:
Date:
TOWNSHIP (if required by the county)
On behalf of the township, I acknowledge that the organization
is applying for exempted gambling activity within the township
The city or county must sign before limits. (A township has no statutory authority to approve or
submitting application to the deny an application, per Minn. Statutes, section 349.213.)
Gambling Control Board. Print Township Name:
Signature of Township Officer:
Title: Date:
ren
F EXECUTIVE OFFICER'S SIGNATURE (required)
ormation provided in this application is complete and accurate to the best of my knowledge. I acknowledge that the financial
will be completed and returned to the Board within ��0 ��d��ay��s ofJJtt�h"e'event date.
xecutive Officer's Signature: 'Oij(�c�� Date: % � 6 " l 7
(Signatur jm/ust be CEO's signature; de gnee may not sign)
Print Name: e/Ci, Sedesl�
REQUIREMENTS Tthe
PLICATION AND ATTACHMENTS
Complete a separate application for: cation with:
• all gambling conducted on two or more consecutive
• all gambling conducted on one day. y of your proof of nonprofit status, and
Only one application is required if one or more raffle dracation fee (non-refundable). If the application is
conducted on the same day. arked or received 30 days or more before the event,
pplication fee is $100; otherwise the fee is $150.
Financial report to be completed within 30 days after the check payable to State of Minnesota.
gambling activity is done:
A financial report form will be mailed with your permit. Complete To: Minnesota Gambling Control Board
and return the financial report form to the Gambling Control 1711 West County Road B, Suite 300 South
Board. Roseville, MN 55113
Your organization must keep all exempt records and reports for Questions?
3-1/2 years (Minn. Statutes, section 349.166, subd. 2 Call the Licensing Section of the Gambling Control Board at
())• 651-539-1900.
Data privacy notice: The information requested application. Your oroanirarinN, na,.,o .,A
�ul iu tang any aaacnments) will be used
by the Gambling Control Board (Board) to
determine your organization's qualifications to
be Involved in lawful gambling activities In
Minnesota. Your organization has the right to
refuse to supply the Information; however, if
your organization refuses to supply this
information, the Board may not be able to
determine your organization's qualifications and,
as a consequence, may refuse to Issue a permit.
If your organization supplies the Information
requested, the Board will be able to process the
address will be public Information when received
by the Board. All other information provided will
be private data about your organization until the
Board issues the permit. When the Board Issues
the permit, all Information provided will become
public. If the Board does not issue a permit, all
Information provided remains private, with the
exception of your organization's name and
address which will remain public. Private data
about your organization are available to Board
members, Board staff whose work requires
access to the information; Minnesota's Depart-
.. �«y, nuvmey menerar,
Commissioners of Administration, Minnesota
Management & Budget, and Revenue; Legislative
Auditor, national and international gambling
regulatory agencies; anyone pursuant to court
order; other Individuals and agencies specifically
authorized by state or federal law to have access
to the Information; individuals and agencies for
which law or legal order authorizes a new use or
sharing of information after this notice was
given; and anyone with your written consent.
I This form will be made available in alternative format (i.e. large print, braille) goon rennPa
An equal opportunity employer
1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 755-5100
FAX (763) 755-8923 • WWW.ANDOVERMN.GOV
TO: Mayor and Councilmembers
FROM: Jim Dickinson, City Administrator
SUBJECT: Consider Arbor Oaks Senior Living Requests
DATE: August 2, 2017
INTRODUCTION
Arbor Oaks Senior Living LLC is undertaking a HUD refinancing and as part of that refinancing
is seeking various TIF contract amendments and consents from the City of Andover to complete
that refinancing.
DISCUSSION
At the June 6h EDA meeting City Administration & Roger Fink, representing the Arbor Oaks
Senior Living LLC provided background on the request and the impacts and benefits of a potential
refinancing. Since that meeting and with the EDA's direction, City Administration and bond
counsel have worked with Arbor Oaks Senior Living LLC representatives on TIF contract
amendments and consents needed to complete the refinancing.
City bond counsel, Briggs & Morgan, and City Administration has reviewed extensively the
attached documents. An important aspect was for all the parties involved to acknowledge that to
keep the stream of TIF payments coming, the terms of the original Development Agreement must
be complied with. City Administration is seeking the EDA's recommendation of approval of the
attached documents to the City Council.
ACTION REQUESTED
The City Council is requested to receive a brief presentation, consider a recommendation from the
EDA, and subsequent motion for approval of the attached documents by the City Council.
TDickinson
llysubmitted,
Attachments - Assignment and Assumption Agreement (TIF Documents) (pgs. 2-4)
-Collateral Assignment (pgs. 5-15)
-Consent, Certifications and Agreements of the City of Andover (pgs. 16-19)
ASSIGNMENT AND ASSUMPTION AGREEMENT
(TIF Documents)
This Assignment and Assumption Agreement (the "Agreement") is made and entered
into among Arbor Oaks Senior Living, LLC, a Minnesota limited liability company
("Assignor"), and Arbor Oaks Senior Living Realty, LLC, a Minnesota limited liability
company ("Assignee").
WHEREAS, Assignor entered into a Development Agreement dated May 1, 2012 (the
"Development Agreement") with the City of Andover, Minnesota (the "City") for the
construction by Assignor of a 70 unit senior rental housing development in the City.
WHEREAS, Pursuant to the Development Agreement, the City executed that certain Tax
Increment Revenue Note in the original principal amount of $540,000 with the Assignor dated
February 10, 2014, and provided Assignor is in compliance with the requirements of the
Development Agreement, shall make payments thereunder to Assignor (the "Note", the Note and
the Development Agreement together the "TIF Documents").
WHEREAS, Assignor desires to assign its interest in the TIF Documents to Assignee
and, Assignee desires to accept such assignment pursuant to the Section 6.9 of the Development
Agreement, the City has given its consent to this Agreement pursuant to the resolution of the
City Council confirmed in the City letter attached hereto as Exhibit A.
NOW, THEREFORE, in consideration of the foregoing, and in consideration of other
good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged,
the parties hereby agree as follows:
1. ASSIGNMENT. For good and valuable consideration, the receipt and sufficiency of
which Assignor hereby acknowledges, Assignor does hereby sell, convey, transfer, assign and
deliver to Assignee, and Assignee does hereby accept from Assignor, all of Assignor's rights,
obligations, interests and liabilities in and to the TIF Documents.
2. ASSUMPTION BY ASSIGNEE. In consideration of the transfer from Assignor
to Assignee, Assignee assumes all of Assignor's rights, obligations, interests and liabilities under
the TIF Documents to the same extent as though it had originally been named as a party thereto
and agrees to observe, perform and fulfill all the terms and conditions of the TIF Documents to
the same extent as if it had been originally named as a party thereto.
3. FURTHER ASSURANCES. The parties hereto agree to execute, acknowledge
and deliver, and to take such further action, as may be necessary or appropriate from time to time
to effect the provisions hereof.
4. COUNTERPARTS. This Agreement may be executed in two or more
counterparts, each of which shall be deemed an original, but all of which together shall constitute
one and the same instrument.
The signature page to this document follows.
143075/v2
D
0
IN WITNESS WHEREOF, each of the parties, intending to be bound hereby as of the
Effective Date, has caused this Agreement to be executed by its duly authorized representative
on the respective dates entered below.
ASSIGNOR:
ARBOR OAKS SENIOR LIVING, LLC,
a Minnesota limited liability company
By:
Samuel L. Kaplan
Its: Chief Manager & President
ACCEPTANCE
Assignee hereby accepts the foregoing Assignment.
ASSIGNEE:
ARBOR OAKS SENIOR LIVING
REALTY, LLC, a Minnesota limited
liability company
By:
Samuel L. Kaplan
Its: Chief Manager & President
143075/v2
D
EXHIBIT A
CITY OF ANDOVER CONSENT
143075/v2 2
5
COLLATERAL ASSIGNMENT
THIS Collateral Assignment ("Collateral Assignment") is made and entered into as of
the day of 2017 by ARBOR OAKS SENIOR LIVING REALTY, LLC, a
Minnesota limited liability company ("Assignor"), to LANCASTER POLLARD
MORTGAGE COMPANY, LLC, Delaware limited liability company ("Lender").
RECITALS:
A. Lender has agreed to make a loan (the "Loan") in the approximate amount of
$9,986,500.00 to Assignor for the purpose of refinancing that certain 70 -unit assisted living
facility (the "Project') located on the land described in Exhibit A attached hereto. The Loan is
being insured by the U.S. Department of Housing and Urban Development ("HUD") pursuant to
the National Housing Act.
B. In connection with the financing of the acquisition and development of the
Project, Assignor's predecessor in title, Arbor Oaks Senior Living, LLC ("Initial Owner") and
the City of Andover ("City"), entered into a Development Agreement dated May 1, 2012 ("TIF
Development Agreement") under which the City agreed to assist Initial Owner with the
financing and reimbursement of certain costs of the Project.
C. Upon completion of the Project in accordance with the TIF Development
Agreement, the City reimbursed the Initial Owner in the amount of $540,000.00 for costs
incurred and paid by the Initial Owner for certain site improvements to the Project, through the
issuance of City's TIF Note (as defined in the TIF Development Agreement, and herein, as the
"TIFNote") under which Tax Increments (as defined in the TIF Development Agreement) ("Tax
Increment Payments") are being made to the payee thereof on a semiannual basis commencing
on August 1, 2014 and continuing each August 1 and February 1 thereafter to and including
February 1, 2029, all as set forth in the TIF Development Agreement. The amount of each Tax
Increment Payment made by the City under the TIF Note shall be determined by a portion of the
tax increment received by the City for the Project.
D. In connection with the Loan, the Initial Owner has conveyed the Project to
Assignor and has assigned its rights in the TIF Development Agreement, TIF Note and Tax
Increment Payments to Assignor.
E. Lender requires, as a condition to making the Loan, that Assignor assign its
interest in the TIF Development Agreement, TIF Note and Tax Increment Payments to Lender as
additional collateral for the Loan and has required that Assignor execute and deliver this
Collateral Assignment to Lender.
NOW, THEREFORE, in consideration of the foregoing and notwithstanding anything to
the contrary in the TIF Development Agreement, and in order to induce Lender to make the
Loan, Assignor agrees as follows:
1. Assignment. Assignor hereby transfers and assigns to Lender and grants to
Lender a security interest in all of its right, title and interest in and to the following, whether now
existing or hereafter created, and all proceeds and products arising therefrom ("Collateral"):
(a) The TIF Note, together with all rights, title and interest of Assignor in and to the
existing and future changes, extensions, revisions, modifications, guarantees of
performance and/or warranties of any kind with respect thereto;
(b) The TIF Development Agreement, together with all rights, title and interest of
Assignor in and to any existing and future changes, extensions, revisions,
modifications, guarantees of performance, and/or warranties of any kind with
respect thereto;
(c) The immediate and continuing right to receive and collect all of the Tax
Increment Payments payable to Assignor by the City under the terms of the TIF
Development Agreement and/or the TIF Note; and
(d) The right to receive, endorse and deposit for collection in the name of Assignor or
Lender any checks or other evidences of payment, whether made payable to
Assignor or Lender, together with the right to demand, collect, sue for, attach,
levy, recover, receive, compromise, and adjust and make, execute, and deliver
receipts and releases for all of the foregoing which may be or may hereafter
become due, owing or payable by the City under the TIF Development
Agreement and/or the TIF Note.
2. Representations and Warranties. Assignor represents and warrants to the Lender
and agrees as follows:
(a) Assignor will not without the prior written consent of Lender modify, amend,
supplement, terminate, surrender or change in any manner whatsoever the
Collateral and will not release or discharge the obligations of any party thereto or
modify or extend the time of performance thereunder or the scope of the work
thereunder,
(b) The Collateral is free and clear of all liens, security interests, assignments and
encumbrances other than the assignment and security interest created by this
instrument.
(c) Assignor has the full right, power and authority to assign the Collateral free and
clear of any and all liens, security interests and assignments.
(d) Assignor will keep the Collateral free from any lien, encumbrance, assignment or
security interest whatsoever, other than this assignment and security interest.
(e) Assignor will from time to time and at the request of Lender execute such
documents and pay the cost of filing and recording the same and do such other
acts and things as Lender may request to establish and maintain a perfected
security interest in the Collateral which is valid and superior to all liens, claims or
security interests whatsoever.
(f) There have been no defaults on the part of the Assignor under any of the
Collateral nor any default by any of the other parties to the Collateral.
2
U
(g) The TIF Note, the TIF Development Agreement and all other contracts
constituting the Collateral are in full force and effect and are the valid and legally
binding obligations of the parties thereto, enforceable in accordance with their
terms.
(h) Each right to payment of the Tax Increment Payments is the valid, genuine, and
legally enforceable obligation of the City, subject to no defense, set-off or
counterclaim.
(i) The Loan, and assignment hereunder, has been consented to by the City as
required under the TIF Development Agreement and has priority over any right,
title or interest in the Project by the City except special assessments, real property
taxes and government service liens.
3. Covenants of Assignor. Assignor covenants and agrees that:
(a) Assignor shall perform each and every one of its duties and obligations under the
Collateral and observe and comply with each and every term, covenant, condition,
agreement, requirement, restriction and provision of the Collateral.
(b) Assignor shall give prompt notice to Lender and City of any claim of or notice of
default, or of noncompliance, under any Collateral known or given to it together
with a copy of any such notice or claim if in writing.
(c) Assignor will enforce the full and complete performance of each and every duty
and obligation to be performed by the other parties to the Collateral at the sole
cost and expense of Assignor.
(d) Assignor will appear in and defend any action arising out of or in any manner
connected with the Collateral and the duties and obligations of Assignor
thereunder.
(e) Assignor will not without the prior written consent of Lender modify, amend,
supplement, terminate, surrender or change in any manner whatsoever the
Collateral.
(f) Assignor will use best efforts to obtain the written consent of the City in a form
substantially similar to the consent attached to this Collateral Assignment.
(g) Assignor shall comply with the low and moderate income requirements as set
forth in the TIF Development Agreement, including, but not limited to, the
requirement to provide the City with annual compliance certificates. Assignor
shall deliver to Lender a copy of each such compliance certificate at the same
time as such compliance certificate is delivered to the City.
(h) Assignor has constructed the Project in accordance with the TIF Development
Agreement and the Project included the construction of certain site improvements
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in the amount of at least $540,000.00 that met the requirements for reimbursement
by the City.
(i) Assignor shall immediately provide Lender with the original of the TIF Note and
an endorsement in blank of the TIF Note, each to be held by Lender as collateral
for the Loan.
4. Purpose of Collateral Assignment. This Collateral Assignment is made for the
purpose of securing the performance and observance by Assignor of all of the terms and
conditions of the documents executed in connection with the Loan and in order to induce Lender
to make the Loan to Assignor.
5. Scope of Collateral Assignment. This Collateral Assignment is a perfected,
absolute and present assignment of the Collateral to secure the obligations of Assignor under the
Loan. The rights assigned by this Collateral Assignment include, but are not limited to, all of
Assignor's interest in the Collateral including all right, power, privilege and option to receive
payments under the Collateral, modify or amend the Collateral, terminate any Collateral, or
waive or release the performance or satisfaction of any duty or obligation under the Collateral.
Lender has the immediate right to receive all payments under the Collateral (including the
payment of all Tax Increment Payments made by the City under the TIF Development
Agreement); provided, however, that unless and until an "Event of Default' has occurred,
Assignor shall have the right, power and authority to collect the Tax Increment Payments. From
and after the occurrence of an "Event of Default," at the direction of Lender, all such payments
shall be made to, and in the name of Lender, unless Lender directs in writing that such payments
be made to Assignor or another third party. All Tax Increment Payments paid to Lender shall
belong to the Lender free and clear of any right of the Assignor to receive any payment of Tax
Increment Payments. Except as set forth above in this Section 5, Assignor shall have no right to
any Tax Increment Payments until the Loan is paid in full, unless earlier directed in writing by
Lender. Once the Loan is paid in full, Lender shall no longer be entitled to any Tax Increment
Payments and this Collateral Assignment shall be terminated. Assignor (i) consents to the
payment of Tax Increment Payments by the City to the Lender as provided herein and (ii) agrees
that, upon receipt by the City of a notice from the Lender to make Tax Increment Payments to or
as directed by Lender, the City shall make the payments as so specified by Lender and all
amounts so paid to the Lender shall reduce dollar -for -dollar the obligations of the City under the
TIF Note.
6. Lender's Rights to Act on Behalf of Assignor. Assignor hereby irrevocably
appoints Lender, its agents and assigns, as its agent and attorney-in-fact and irrevocably
authorizes Lender to act on its behalf either in the name of Assignor or Lender in connection
with the exercise of any of the rights of Assignor under the Collateral. Assignor agrees to
reimburse Lender on demand for any payment or expense incurred by Lender, or its agents or
attorneys, pursuant to the aforesaid authorization and Lender may charge its payments or
expenses to the indebtedness under the Loan. Assignor hereby irrevocably instructs, directs,
authorizes and empowers all parties to the Collateral to recognize the claims of Lender, or its
successors or assigns, and to act upon any instructions or directions of Lender without
investigating the reason for any action taken by Lender. The foregoing irrevocable appointment
and authorization are coupled with an interest that shall not be revoked for any reason, including
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the dissolution, liquidation, death, incompetency or insolvency of the Assignor. The sole
signature of Lender shall be sufficient for the exercise of any rights under this Collateral
Assignment and any party to the Collateral acting upon the directions of Lender shall be further
discharged and released from any claim made by Assignor that such actions are contrary to the
terms and conditions of the Collateral.
7. No Assumption By Lender. It is understood and agreed that Lender does not
assume any of the obligations or duties of Assignor concerning the Collateral.
8. Events of Default. The occurrence of any of the following events shall constitute
an "Event of Default' under this Collateral Assignment:
(a) Any failure by Assignor to fully and completely perform any of the duties or
obligations of Assignor under this Collateral Assignment or any failure by
Assignor to fully and completely observe, satisfy and comply with all terms,
covenants and conditions of this Collateral Assignment.
(b) Any representation or warranty of Assignor contained in this Collateral
Assignment shall be untrue or misleading in any material respect.
(c) Any default shall occur under any documents executed by Assignor in connection
with the Loan.
(d) Any default shall occur by the Assignor or the City under the TIF Note, TIF
Development Agreement or any other Collateral.
9. Remedies. Upon the occurrence of an Event of Default, Lender may, without
demand or performance, or other demand, advertisement or notice of any kind (except such
notice as may be required under the Uniform Commercial Code as enacted in the State of
Minnesota (the "Code")) and all which are, to the extent permitted by law, hereby expressly
waived, forthwith realize upon the Collateral and shall hold the Collateral free and clear of the
interest of Assignor therein and shall be entitled to own, hold, dispose of and otherwise deal
with the Collateral in its own right and name as its own property, in the name of Assignor or
otherwise, exercise any right of Assignor to demand, collect, receive and receipt for,
compromise, compound, settle and give acquittance for and prosecute and discontinue any suits
or proceedings in respect of any or all of the Collateral; take any action which Lender may deem
necessary or desirable in order to realize on the Collateral, including, without limitation, the
power to perform or direct the performance by any other party to any contracts which are a part
of the Collateral; to endorse in the name of Assignor any checks, drafts, or other documents
which are Collateral or are received in payment or on account of the Collateral; exercise any of
the remedies available to a secured party under the Code; and/or proceed to protect and enforce
this Collateral Assignment by suits or proceedings or otherwise or for the enforcement of any
other legal remedy or equity available to Lender. Assignor expressly recognizes that the
Collateral is of a nature not subject to a public or private sale and that the Collateral has no
market value of its own and is expressly subject to restrictions on transfer or sale of an interest
therein and that therefore no private or public sale is feasible. In the event that any notice is
required to be given under the Code, such requirements for reasonable notice shall be satisfied
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by giving at least ten (10) days' notice to Assignor and City prior to the event or thing given rise
to the requirement of notice. The foregoing remedies are cumulative and in addition to, and are
not restrictive of or in lieu of, the rights or remedies provided for or allowed under any
documents in connection with the Loan, or as provided for or allowed by law or in equity.
10. Self Help By Lender. Should Assignor fail to perform any of its duties and
obligations under the Collateral, Lender may, without obligation to do so and without releasing
Assignor from its obligation to perform such duties and obligations, perform any or all of such
duties and obligations, and to the extent that Lender shall incur any costs or pay any monies in
connection therewith, including without limitation any costs or expenses of counsel for Lender,
such costs, expenses or payments shall be added to the indebtedness under the Loan and shall
bear interest from the date advanced or incurred at the interest rate as stated under the documents
in connection with the Loan.
11. Indemnitv. Lender shall have no obligation to perform or satisfy any duty or
obligation of Assignor under the Collateral. Assignor shall and does hereby indemnify, defend
and hold Lender harmless from and against and in respect of any and all actions, causes of
action, suits, claims, demands, judgments, proceedings and investigations (or any appeal thereof
or relative thereto or other review thereof) of any kind or nature whatsoever, arising out of, by
reason of, as a result of or in connection with the Collateral, and any and all liabilities, damages,
losses, costs, expenses (including fees of counsel and expenses and disbursements of counsel),
amounts of judgment, assessments, fines or penalties, and amounts paid in compromise or
settlement, suffered, incurred or sustained by Lender as a result of, or reason of or in connection
with any of the matters above.
12. Uniform Commercial Code. To the extent that this Collateral Assignment may be
governed by the provisions of the Code now or hereafter in effect, this agreement shall be
deemed to be a security agreement within the meaning of the Code, shall be governed by the
provisions thereof and shall constitute a grant to Lender of a security interest in the Collateral.
13. Choice of Law. Notwithstanding the place of execution, this instrument is made
pursuant to and shall be construed and governed by the laws of the State of Minnesota without
regard to the principles of conflicts of law.
14. Notices. Any notices and other communications permitted or required by the
provisions of this Collateral Assignment shall be in writing and shall be deemed to have been
properly given or served by depositing the same with the United States Postal Service, or any
official successor thereto, designated as Certified Mail, Return Receipt Requested, bearing
adequate postage, or deposited with reputable overnight delivery service, and addressed as
hereinafter provided. Each such notice shall be effective upon being deposited as aforesaid. The
time period within which a response to any such notice must be given, however, shall commence
to run from the date of receipt of the notice by the addressee thereof. Rejection or other refusal to
accept or the inability to deliver because of changed address of which no notice was given shall
be deemed to be receipt of the notice sent. By giving to the other party hereto at least thirty (30)
days' notice thereof, either party hereto shall have the right from time to time to change its
address and shall have the right to specify as its address any other address within the United
States of America,
C
Each notice to Lender shall be addressed as follows;
Lancaster Pollard Mortgage Company, LLC
65 East State Street, 16th Floor
Columbus, OH 43215
Attn: Loan Servicing
Each notice to Assignor shall be addressed as follows:
Arbor Oaks Senior Living Realty, LLC
90 South 7th Street, Suite 5500
Minneapolis, MN 55402
Attn: Manager
With a Copy to:
Kaplan, Strangis and Kaplan, P.A.
90 South 7h Street, Suite 5500
Minneapolis, MN 55402
Attn: David Karan, Esq.
Each notice to City shall be addressed as follows:
15. Consent to Jurisdiction. Assignor submits and consents to personal jurisdiction of
the Courts of the State of Minnesota and Courts of the United States of America sitting in such
State for the enforcement of this instrument and waives any and all personal rights under the
laws of any state or the United States of America to object to jurisdiction in the State of
Minnesota. Litigation may be commenced in any state court of general jurisdiction for the State
of Minnesota or any United States District Court located in that state, at the election of Lender.
Nothing contained herein shall prevent Lender from bringing any action against any other party
or exercising any rights against any security given to Lender or against Assignor personally, or
against any property of Assignor within any other state. Commencement of any such action or
proceeding in any other state shall not constitute a waiver of consent to jurisdiction or of the
submission made by Assignor to personal jurisdiction within the State of Minnesota.
16. Estoppel Certificate. The Assignor shall, within ten (10) days of receipt of a
written request from Lender or City, furnish Lender and City with a letter certifying whether any
Events of Default have occurred under the Collateral or this Collateral Assignment.
17. Successors and Assigns. This Collateral Assignment shall be binding upon the
parties hereto and their respective successors and assigns, and shall inure to the benefit of the
parties hereto and their respective permitted assigns. The Assignor will not assign its rights
and/or obligations under this Collateral Assignment, except for a transfer approved by HUD or
the
Lender, provided, however, that the City's consent shall also be required in the event that
such assignment is in conjunction with an assignment of the TIF Development Agreement that
requires the City's consent. The Lender will not assign its rights and/or obligations under this
Collateral Assignment without the consent of the City, unless such assignment is made in
connection with an assignment of the Loan, in which event no such consent shall be required.
18. Waiver of Jury Trial. THE PARTIES TO THIS COLLATERAL ASSIGNMENT
WAIVE TRIAL BY JURY IN ANY JUDICIAL PROCEEDING TO WHICH ANY PARTY TO
THIS COLLATERAL ASSIGNMENT IS INVOLVED DIRECTLY OR INDIRECTLY AND
ANY MATTER IN ANY WAY ARISING OUT OF, RELATED TO, OR CONNECTED WITH
THIS COLLATERAL ASSIGNMENT OR THE RELATIONSHIP ESTABLISHED
HEREUNDER, AND WHETHER ARISING OR ASSERTED BEFORE OR AFTER THE
DATE OF THIS COLLATERAL ASSIGNMENT.
[Signature Pages to Follow]
H
IN WITNESS WHEREOF, Assignor has caused this Collateral Assignment to be
executed as of the date first above written.
ASSIGNOR:
ARBOR OAKS SENIOR LIVING REALTY, LLC,
a Minnesota limited liability company
By:
Samuel L. Kaplan, Chief Manager and President
STATE OF MINNESOTA
COUNTY OF HENNEPIN
This instrument was acknowledged before me this _ day of 2017, by
Samuel L. Kaplan, as Chief Manager and President of Arbor Oaks Senior Living Realty, LLC, a
Minnesota limited liability company.
Notary Public
signature page to Collateral Assignment
Ok
IN WITNESS WHEREOF, Lender has caused this Collateral Assignment to be executed
as of the date first above written.
LENDER:
LANCASTER POLLARD MORTGAGE COMPANY, LLC,
a Delaware limited liability company
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STATE OF OHIO
COUNTY OF FRANKLIN
This instrument was acknowledged before me this _ day of 2017, by
as of Lancaster Pollard Mortgage Company, LLC, a Delaware
limited liability company.
Notary Public
signature page to Collateral Assignment
C\5
Exhibit A
Legal Description of Land of Project
Lot 1, Block 1, Arbor Oaks, Anoka County, MN
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CONSENT, CERTIFICATIONS AND AGREEMENTS OF THE CITY OF ANDOVER
CITY OF ANDOVER ("City"), as a party to the Development Agreement ("TIF
Development Agreement") dated May 1, 2012 with Arbor Oaks Senior Living, LLC, a
Minnesota limited liability company ("Initial Owner"), as assigned to Arbor Oaks Senior Living
Realty, LLC, a Minnesota limited liability company ("Assignor"), and as the issuer of the TIF
Note (the "TIF Note") issued pursuant to the TIF Development Agreement, acknowledges
receipt of a copy of the executed Collateral Assignment ("Collateral Assignment'') to which this
consent is attached assigning to Lancaster Pollard Mortgage Company, LLC, a Delaware limited
liability company ("Lender") all of the Assignor's rights in the TIF Development Agreement, the
TIF Note, Tax Increment Payments (as defined in the Collateral Assignment) and certain related
rights.
This Consent, Certifications and Agreements of the City of Andover (the "City Consent'')
is executed and delivered to the Lender and Assignor in connection with the execution and
delivery of the Collateral Assignment. Capitalized words and terms that are used, but not
defined, in this City Consent shall have the meanings ascribed thereto in the Collateral
Assignment.
The City hereby consents, certifies and agrees to the following:
1. Consent to Conveyance of Proiect and Assignment and Assumption of TIF
Development Agreement. The City hereby consents to (a) the conveyance of the Project by the
Initial Owner to the Assignor, (b) the assignment of all of the Initial Owner's rights under the
TIF Development Agreement, the TIF Note, the Tax Increment Payments and all related rights
by the Initial Owner to the Assignor and (c) the Assignor's assumption of all of the Initial
Owner's obligations under the TIF Development Agreement arising on or after such assignment.
The City will register the TIF Note in the name of the Assignor upon receipt of the existing TIF
Note from Initial Owner, and will register the name of the Assignor in the certification of
registration.
2. Collateral Assignment. The City acknowledges that (a) the Lender is making the
Loan to the Assignor and (b) the Loan will be secured in part by a mortgage recorded against the
Project ("Mortgage") and the payment of the Tax Increment Payments under the TIF
Development Agreement. The City hereby consents to the Loan. The City hereby consents to
the Collateral Assignment. The City agrees that Assignor has provided Lender with the original
of the TIF Note issued by the City. The City further agrees that payments of all Tax Increment
Payments under the TIF Note shall continue to be made directly to, and in the name of, Assignor,
all in accordance with the terms of the Collateral Assignment, until the City receives subsequent
written notice to the contrary from the Lender.
3. Future Transfers of Project. The City agrees that the City's consent shall not be
required with respect to any transfer of the Project in the event that (a) such transfer is in
connection with a foreclosure or deed -in -lieu of foreclosure of the Mortgage, (b) such transfer
occurs at a time at which the Loan is in default or (c) the transferee elects to terminate the TIF
Note and TIF Development Agreement (the City agrees that its consent to such termination shall
not be required, even if a default then exists under the TIF Development Agreement). In the
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event of a transfer of the Project pursuant to clause (a) and/or clause (b) of this Section, the
City's consent shall not be required with respect to any assignment of the TIF Note and TIF
Development Agreement provided that the assignee assumes the obligations of the Assignor
under the TIF Development Agreement that arise on or after the date of such assignment. In the
event that any such assignment is to Lender, HUD or any of their respective successors or
assigns, the liability of such assignee under the TIF Development Agreement shall be limited to
the interest of such assignee in the Project.
4. Future Amendments. The City agrees that the TIF Note and the TIF Development
Agreement will not be amended without the prior written consent of the Lender and HUD.
5. Replacement Reserve. Section 3.4 of the TIF Development Agreement (relating
to a replacement reserve) shall not apply for so long as the Loan is outstanding or the Project is
owned by Lender or HUD, provided that the Lender or HUD requires a replacement reserve in
connection with the Loan.
6. Events of Default.
(a) Clauses (4) and (5) of Section 4.1 of the TIF Development Agreement
shall not apply for so long as the Loan is outstanding or the Project is
owned by Lender or HUD.
(b) If an Event of Default occurs under the TIF Development Agreement,
Lender, HUD and any purchaser of the Project at a foreclosure sale or by
deed -in -lieu of foreclosure (collectively, a "Successor") shall have a
reasonable period of time after receipt of notice of such Event of Default
(but in no event less than 30 days) to cure such Event of Default prior to
the City exercising any of its rights and remedies under the TIF
Development Agreement (including, but not limited to, any right to
terminate the TIF Development Agreement).
7. City to Provide Lender Conies of Notices. The City will send to Lender a copy of
any notice of an Event of Default (as defined in the TIF Development Agreement) or any other
notice given to the Assignor pursuant to the TIF Development Agreement simultaneously with
the giving of such notice to Assignor. Any such notice shall be sent to Lender in accordance
with the notice provisions of the Collateral Assignment.
8. Estoppel Certificate. The City hereby certifies that, as of the date hereof.
(a) Each of the TIF Development Agreement and the TIF Note is in full force
and effect and has been duly executed and delivered by the City and is
valid and binding on the City.
(b) To the knowledge of the City, neither the City nor the Assignor is in
default under any of the terms and conditions of the TIF Development
Agreement or the TIF Note.
Page 2 — Consent of City
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(c) Construction of the Project has been completed pursuant to the terms,
conditions and limitations of the TIF Agreement and the Project included
the construction of site improvements of at least $540,000.00 that met the
requirements for reimbursement by the City.
(d) The outstanding principal balance of the TIF Note is
9. Miscellaneous.
(a) Lender, HUD and their respective successors and assigns may rely upon
this City Consent.
(b) The City acknowledges and agrees that the Lender and HUD are not
parties to the TIF Development Agreement and that, by accepting the
Collateral Assignment, the Lender does not become a party to the TIF
Development Agreement. The City further acknowledges and agrees that
neither Lender nor HUD is assuming any obligations under the TIF
Development Agreement and that neither Lender nor HUD shall have any
obligations under the TIF Development Agreement.
(c) In the event of any conflict between the terms of the Collateral
Assignment and/or this City Consent, on the one hand, and the terms of
the TIF Development Agreement, on the other hand, the terms of the
Collateral Assignment and/or this City Consent shall be controlling.
(d) This City Consent shall survive a foreclosure or deed -in -lieu of
foreclosure of the Project. Except as set forth in the preceding sentence,
this City Consent shall terminate upon payment in full of the Loan.
[Signature Page to Follow]
Page 3 — Consent of City
IN WITNESS WHEREOF, City has executed this consent effective as of the date of the
Collateral Assignment.
CITY OF ANDOVER
STATE OF MINNESOTA
COUNTY OF
This instrument was acknowledged before me this _ day of , 2017, by
as of the City of Andover, Minnesota.
Notary Public
7/26/2017 27039126 V.10 Page 4 — Consent of City
CITY O F
y.
NDOVE
1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 755-5100
FAX (763) 755-8923 . WWW.ANDOVERMN.GOV
TO: Mayor and Councilmembers
FROM: Jim Dickinson, City Administrator
SUBJECT: Administrator's Report
DATE: August 2, 2017
The City Administrator and Department Heads present will provide a brief verbal update on
various items of interest to the City Council and to the residents at the meeting. Listed below are
a few areas of interest:
1. Administration & City Department Activities
2. Update on Development/CIP Projects
I Meeting reminders
Upon receipt of the meeting packet, if a member of the Council would like an update on a particular
item, please notify me so an adequate update can be made.