HomeMy WebLinkAbout2023-12-20 City Council Packet1
COTTAGE GROVE CITY COUNCIL December 20, 2023
12800 RAVINE PARKWAY SOUTH
COTTAGE GROVE, MINNESOTA 55016
COUNCIL CHAMBER- 7:00 PM
1 Call to Order
2 Pledge of Allegiance
3 Roll Call
4 Open Forum
5 Adoption of Agenda
6 Presentations
7 Consent Agenda
A 2024 Council Meeting Schedule
Staff Recommendation: Approve the 2024 City Council Meeting Schedule.
B 2024 City Fee Update
Staff Recommendation: Adopt the ordinance with the proposed fee changes/increases for 2023 effective
January 1, 2024.
C Business License Renewals
Staff Recommendation: Adopt Resolution 2023-147 authorizing renewal of business licenses for 2024.
D Approval of Rental Licenses
Staff Recommendation: Approve the issuance of rental licenses to the properties listed in the attached table.
E 2024 Non-Rep Pay Plan & Benefits
Staff Recommendation: Approve Resolution 2023-164 adopting the 2024 Pay Plan and Benefits for
employees not covered by a labor contract for the City of Cottage Grove.
F Personnel Policy Update
Staff Recommendation: Adopt Resolution 2023-169 approving the updated Annual Leave policy and adding
the earned safe and sick time policy to the Personnel Policy.
G Health and Dental Insurance Benefits
Staff Recommendation: Approve the Delta Dental of Minnesota Group Dental Plan Risk Contract and the
Medica Master Group Contract for 2024. The Delta Dental contract is attached. The Medica Summary of
Benefits and Coverage (SBC) is attached. The formal Medica contract will be issued later this month or early
next month.
H 2024 Part-time Firefighter Pay Plan
Staff Recommendation: Approve Resolution 2023-168 adopting the 2024 Part-time Pay Plan.
I Compensation Study
Staff Recommendation: Approve the proposal for Paypoint HR to conduct a compensation study in 2024 in
the amount of $30,000.00.
2
J Public Purpose Expenditure Policy
Staff Recommendation: Adopt Resolution 2023-167 approving the public purpose expenditure policy for
2024 as presented.
K Accept Donation-Pancetral CGC Holdings LLC
Staff Recommendation: Approve Resolution 2023-165, accepting a donation from Pancentral CGC Holdings
LLC
L Funds Transfer
Staff Recommendation: Approve Resolution 2023-166, authorizing the transfer of funds from the ED Trust
Fund (286) to the EDA Fund (285)
M Service Agreement for Granada and West Draw Playground Installation
Staff Recommendation: 1. Authorize purchase of Granada Park playground equipment for the amount of
$59,925. 2. Authorize purchase of West Draw playground equipment for the amount of $53,832. 3.
Authorize a service agreement with Michael Basich, Inc. for the installation of playground equipment at
Granada and West Draw Parks for the amount of $37,476.
N Glacial Valley Park Building - Change Order #3
Staff Recommendation: Approve Glacial Valley Park change order request in the amount of $13,318.48
O Glacial Valley Park Ice Rink Board System Service Agreement Amendment
Staff Recommendation: Authorize service agreement amendment with Becker Arena Products for the
production and installation of acrylic glass and protective netting at Glacial Valley Park ice rink for the
amount of $45,439.00.
P Final Payment – Summers Landing 3rd and 4th Additions Final Streets
Staff Recommendation: Adopt Resolution 2023-170 approving the final payment of $19,104.91 for the
Summers Landing 3rd and 4th Additions Final Streets Project.
Q Deputy Fire Chief Appointment
Staff Recommendation: Approve the appointment of Nicholas Arrigoni to the position of Deputy Fire Chief,
effective Monday, March 25, 2024.
8 Approve Disbursements
A Payments for the period of November 30, 2023, through December 13, 2023.
9 Public Hearings
10 Bid Awards
11 Regular Agenda
A Commission and Committee Appointments
Staff Recommendation: Approve the 2024 Commission and Committee Appointments.
12 Council Comments and Requests
13 Workshops - Open to Public
14 Workshops - Closed to Public
15 Adjournment
1
City Council Action Request
7.A.
Meeting Date 12/20/2023
Department Administration
Agenda Category Action Item
Title 2024 Council Meeting Schedule
Staff Recommendation Approve the 2024 City Council Meeting Schedule.
Budget Implication N/A
Attachments None
1
TO: Honorable Mayor and City Council
Jennifer Levitt, City Administrator
FROM: Tammy Anderson
DATE: December 20, 2023
RE: 2024 Council Meeting Schedule
Discussion
The City Council regular meetings are held on the first and third Wednesday of each
month. In addition to the regular meeting schedule, the City Council schedules a few other
meetings and workshop sessions.
For 2024, it is recommended the City Council schedule the following meetings:
Regular Meetings - 7:00 PM
January 3, 2024 and January 17, 2024
February 7, 2024 and February 21, 2024
March 6, 2024 and March 20, 2024
April 3, 2024 and April 17, 2024
May 1, 2024 and May 15, 2024
June 5, 2024 and June 26, 2024
July 17, 2024
August 7, 2024 and August 21, 2024
September 4, 2024 and September 18, 2024
October 2, 2024 and October 16, 2024
November 6, 2024 and November 20, 2024
December 4, 2024 and December 18, 2024
Strategic Planning Workshop
January 6, 2024
Joint Meeting with City of Woodbury
May 29, 2024
Special Budget Workshops - 6:00 PM
July 24, 2024
July 31, 2024
Cancel the Regularly Scheduled Meeting
2
June 19, 2024
July 3, 2024
Recommendation
Approve the 2024 City Council Meeting Schedule.
Attachments
None
1
City Council Action Request
7.B.
Meeting Date 12/20/2023
Department Administration
Agenda Category Action Item
Title 2024 City Fee Update
Staff Recommendation Adopt the ordinance with the proposed fee changes/increases for
2023 effective January 1, 2024.
Budget Implication
Attachments 1. 2024 Proposed Fee's (Council)
2. Fee Ordinance 2024
1
TO: Honorable Mayor and City Council
Jennifer Levitt, City Administrator
FROM: Tammy Anderson
DATE: December 20, 2023
RE: 2024 City Fee Update
Discussion
The City Council is asked to consider approving the attached ordinance establishing fees.
Administration
Administration fees will not increase in 2024. Staff have compared Cottage Grove's fees to
those of neighboring communities and Cottage Grove falls in the median.
General Services
An administrative fee for conduit debt was added to the fee table under the finance section of
General Services. This fee is for the actual cost of consultant services to ensure the City does
not incur any costs associated with a third party obligator.
Community Development
The primary justification for the proposed fee changes related to building permits and
inspection is based on service cost recovery due to inflationary factors such as IT services,
fleet, and fuel. An additional PUD (Planned Unit Development) fee has been added to support
the development application requesting a PUD given the application request requires
additional staff review time.
Parks and Recreation
All fees for the Parks and Recreation Department were adjusted based on direction from the
Council during the budget review. Increased revenues will be used to recover costs of
additional staffing needs and growing operational costs (rising consumer prices). Specific
emphasis was placed on raising facility/event rental fees and program fees. Staff also
compared rates to other metro city comparables to assure our rates are in line with the
market. The most substantial increases were with non-resident facility rentals and Supervised
Playground programs as discussed in budget meetings with the budget team and City Council.
Ice Arena rental increases maintain Cottage Grove at or near the median level of comparable
metro facilities. Increased fees help to offset increasing operational expenses and the addition
of a 0.5 FTE position to support service needs.
2
River Oaks fee increases are scheduled to produce sufficient revenue for irrigation system
bond payments. Rate increases are in line with the business plan and comparable facilities in
the market.
Public Safety
Public Safety has added a $200 animal administrative hearing fee for dangerous/potentially
dangerous dogs. This fee will help to recoup the cost of the hearing officer and administrative
support. It is proposed to change the cost of Police and Fire Reports from a rate of
$0.25/page to a rate of $1/page (10 pages). This is in line with the fees charged in neighboring
communities. Lastly, law enforcement/police officer service charges increased from $110 to
$120 to follow the fees outlined in the contract.
EMS/Medical Services - Ambulance
Public Safety collaborated with our ambulance billing team to compare rates to comparable
services and determined the ALS/BLS transport rates should increase by 3% to align with
current standard rates. In addition, fees for mileage, non-resident fees, and special services
EMS charges will also increase by 3% to cover increased operating costs.
Area Charges, Connection Fees, Public Works Labor and Equipment Rates
The cost of trunk utility infrastructure within the City is funded by a combination of area
charges and connection fees for sanitary sewer, watermain, and storm sewer. The area
charges are determined on a per acre basis as development occurs. These charges are
calculated in our comprehensive plans for water, sewer, and storm, and are determined based
on the actual cost to build out our trunk utility system. Depending on what area of the city a
development is in, the area charges will vary based on the cost of providing utility service.
Due to inflation and increases in construction pricing across all industries, staff are proposing
a 3% increase in area charges and connection fees in 2024. If these fees do not remain in line
with current construction pricing, the City will have insufficient funds to implement
comprehensive plans for each utility. As our comprehensive utility plans were updated over
the past year, new area charges have been determined for areas that will soon
develop. Below are the two areas:
• East Ravine – Area generally east of Keats Ave, and west of the East Ravine.
• Utility Staging Area 2 – This area includes the Shoppes at Cottage View, and the 3M
land that will be developable once the 100th Street realignment is completed.
In addition to these two new areas, additions were made to the South District Area Charges,
which were first implemented last year. This included adding an area charge for storm sewer,
based on the cost to fully construct a trunk storm sewer pipe to serve the area. It is important
to calculate these area charges now, so potential developers will have a true understanding of
the cost of developing a given area.
A 3% increase was also applied to Public Works labor and equipment rates, based on inflation
and a 3% COLA that is included in the 2024 budget.
Streetlighting, Sign Materials, and Water Meters
Included in the fee table are charges for streetlighting, sign materials, and water meters.
3
These fees are charged out in various situations, such as supplying streetlights to a new
development, replacing a sign that was damaged in an accident, or selling water meters for
new homes. The fees are intended to recoup costs related to the materials the City has on
hand to use in these situations. The City has received proposed 2024 pricing from its various
suppliers, and the fee table has been updated accordingly to reflect these new costs.
Utility Rates
Water and sewer are increasing by 3% and 5% respectively in accordance with the Utility Rate
Study that was completed in 2022. The Storm Water is increasing by 3% per the Storm Water
rate study that was completed in 2021. The streetlight rates are increasing by 8% in order to
fund high operating and replacement costs. All utility rate increases are necessary to fund
current operating costs.
Recommendation
Adopt the ordinance with the proposed fee changes/increases for 2023 effective January 1,
2024.
Attachments
1. 2024 Proposed Fee's (Council)
2. Fee Ordinance 2024
Category Subcategory Item Tier 2023 Fee 2024 Proposed Fee's
Ambulance
Advanced Life Support Stand-By (Paramedic without Ambulance)$75.00 per Hour $75.00 per Hour
Advanced Life Support
Stand-By (EMT and Paramedic with
Ambulance)$200.00 per Hour $200.00 per Hour
Advanced Life Support
Treatment without Transport (includes all
medication administration, oxygen
administration, ETCO2 monitoring, ultrasound,
ECG monitoring (including 12 lead EKG))$500.00 $500.00
Advanced Life Support Treatment and Transport - Tier 1 $2,400.00 $2,500.00
Advanced Life Support Treatment and Transport - Tier 2 $2,700.00 $2,800.00
Basic Life Support Stand-By (EMT without Ambulance)$50.00 per Hour $50.00 per Hour
Basic Life Support Stand-By (2 EMTs with Ambulance)$150.00 per Hour $150.00 per Hour
Basic Life Support
Evaluation without Transport (includes
assessment, vital signs (including pulse
oximetry), blood glucose measurement, basic
bandaging, band-aid, basic wound care,
splinting or carbon monoxide monitoring) No Charge Resident; $500 Non Resident No Charge Resident; $500 Non Resident
Basic Life Support Treatment and Transport $1,900.00 $2,000.00
Other
Mileage Charge (Per Loaded Mile From City
Limits)$32.00 $33.00
Other Non-Resident Fee $200.00 $210.00
Other Special Services EMS Charge $400.00 $410.00
Animal
Impound City-Ordered, Administrative Fee $10.00 Administrative Fee Actual Cost Incurred by Impound Facility
Impound City-Ordered, Facility Fee
Actual Fee Paid to Impound Facility for
Boarding, Care and/or Disposal of Animal Actual Cost Incurred by Impound Facility
Other
Administrative hearing fee,
dangerous/potentially dangerous dog $200.00
Licenses Dog/Cat, Duplicate Tag $5.00 Each $5.00 Each
Licenses Dog/Cat, Multiple Animal $100.00 per Calendar Year $100.00 per Calendar Year
Licenses
Dog/Cat, Non-Spayed/Non-Neutered (1
Calendar Year)$20.00 Renewal $20.00 Renewal
Licenses
Dog/Cat, Non-Spayed/Non-Neutered (Lifetime
License)$75.00 $75.00
Licenses Dog/Cat, Spayed/Neutered (1 Calendar Year)$15.00 Renewal $15.00 Renewal
Licenses
Dog/Cat, Spayed/Neutered (No Micro-chip
Lifetime License)$60.00 $60.00
Licenses
Dog/Cat, Spayed/Neutered (Micro-chipped
Lifetime License)$50.00 $50.00
Licenses Kennel, Commercial $50.00 per Year $50.00 per Year
Licenses
Goats, Temporary Keeping of, Vegetation
Management $50.00 per Calendar Year $50.00 per Calendar Year
Registrations Dog, Potentially Dangerous
$60.00 Spayed/Neutered; $65.00 Non-
Spayed/Non-Neutered per Calendar Year
$60.00 Spayed/Neutered; $65.00 Non-
Spayed/Non-Neutered per Calendar Year
Registrations Dog, Dangerous
$100.00 Spayed/Neutered; $105.00 Non-
Spayed/Non-Neutered per Calendar Year
$100.00 Spayed/Neutered; $105.00 Non-
Spayed/Non-Neutered per Calendar Year
Development
Area Charges,
Commercial/Industrial Sanitary Sewer, Remainder of City $2,280.00 per acre $2,345.00 per acre
Area Charges,
Commercial/Industrial Sanitary Sewer, South District Lower $12,000.00 $13,120.00 per acre
Area Charges,
Commercial/Industrial Sanitary Sewer, South District Upper $4,520.00 $4,940.00 per acre
Area Charges,
Commercial/Industrial Storm Water Facilities, Remainder of City $10,960.00 per acre $11,285.00 per acre
Area Charges,
Commercial/Industrial Storm Water Facilities, West Draw $12,210.00 per acre $12,575.00 per acre
Area Charges,
Commercial/Industrial Waterworks $3,590.00 per acre $7,260.00 per acre
Area Charges, Residential Sanitary Sewer, Remainder of City $1,620.00 per acre $1,670.00 per acre
Area Charges, Residential Sanitary Sewer, South District Lower $8,510.00 per acre $9,300.00 per acre
Area Charges, Residential Sanitary Sewer, South District Upper $3,210.00 per acre $3,510.00 per acre
Area Charges, Residential Sanitary Sewer, Upper Ravine $8,320.00 per acre $8,570.00 per acre
Area Charges, Residential Sanitary Sewer, West Draw Area 1 $2,030.00 per acre $2,090.00 per acre
Area Charges, Residential Sanitary Sewer, West Draw Area 2 $3,350.00 per acre $3,450.00 per acre
Area Charges, Residential Sanitary Sewer, Utility Staging Area 2 $7,000.00 per acre
Area Charges,
Commercial/Industrial Sanitary Sewer, Utility Staging Area 2 $9,870.00 per acre
Area Charges,
Commercial/Industrial Storm Water Facilities, East Ravine $13,210.00 per acre
Area Charges,
Commercial/Industrial Storm Water Facilities, South District $13,020.00 per acre
Area Charges, Residential
Storm Water Facilities, Remainder of City - Ag
Developed $7,850.00 per acre $8,090.00 per acre
Area Charges, Residential
Storm Water Facilities, Remainder of City -
Estate $5,470.00 per acre $5,630.00 per acre
Area Charges, Residential
Storm Water Facilities, Remainder of City -
High Density $10,960.00 per acre $11,290.00 per acre
Area Charges, Residential
Storm Water Facilities, Remainder of City -
Medium Density $9,140.00 per acre $9,410.00 per acre
Area Charges, Residential
Storm Water Facilities, Remainder of City -
Single Family $7,500.00 per acre $7,730.00 per acre
Area Charges, Residential
Storm Water Facilities, SW Drainage Area -
Multi Family $10,760.00 per acre $11,080.00 per acre
Area Charges, Residential
Storm Water Facilities, SW Drainage Area -
Single Family $8,220.00 per acre $8,470.00 per acre
Area Charges, Residential
Storm Water Facilities, Upper Ravine - Multi
Family $5,730.00 per acre $5,900.00 per acre
Area Charges, Residential
Storm Water Facilities, Upper Ravine - Single
Family $4,850.00 per acre $5,000.00 per acre
Area Charges, Residential
Storm Water Facilities, West Draw - Ag
Developed $8,750.00 per acre $9,010.00 per acre
Area Charges, Residential Storm Water Facilities, West Draw - Estate $6,110.00 per acre $6,290.00 per acre
Area Charges, Residential
Storm Water Facilities, West Draw - High
Density $12,210.00 per acre $12,580.00 per acre
Area Charges, Residential
Storm Water Facilities, West Draw - Medium
Density $10,180.00 per acre $10,490.00 per acre
Area Charges, Residential
Storm Water Facilities, West Draw - Single
Family $8,140.00 per acre $8,380.00 per acre
Area Charges, Residential
Storm Water Facilities, South District - High
Density $13,020.00 per acre
Category Subcategory Item Tier 2023 Fee 2024 Proposed Fee's
Area Charges, Residential
Storm Water Facilities, South District - Medium
Density $10,880.00 per acre
Area Charges, Residential
Storm Water Facilities, South District - Single
Family $8,920.00 per acre
Area Charges, Residential
Storm Water Facilities, East Ravine - High
Density $13,210.00 per acre
Area Charges, Residential
Storm Water Facilities, East Ravine - Medium
Density $11,030.00 per acre
Area Charges, Residential
Storm Water Facilities, East Ravine - Single
Family $9,040.00 per acre
Area Charges, Residential Water Works, Remainder of City $2,840.00 per acre $5,850.00 per acre
Area Charges, Residential Water Works, Upper Ravine $3,600.00 per acre Remove from fee table
Area Charges, Residential Water Works, West Draw Area 1 & 2 $3,840.00 per acre Remove from fee table
Connection Fees,
Commercial/Industrial Sanitary Sewer $1,480.00 per acre $1,520.00 per acre
Connection Fees,
Commercial/Industrial Water Works $2,680.00 per acre $2,250.00 per are
Connection Fees, Residential Sanitary Sewer, Entire City $390.00 per acre $400.00 per unit
Connection Fees, Residential Water Works, Entire City $1,270.00 per acre $320.00 per unit
Engineering
Telecommunication Facilities Lease (Escrow
Fee and Contract Required; Tenant
Responsible for Additional Consulting,
Planning or Building Permit Fees)
Grange Water Tower (H10' X W10' X D24"
Maximum Area)
$45,000/Year with 4% Annual Lease Rate
Escalator (Leased Space in Excess of
Maximum Area Prorated)
$46,350/Year with 4% Annual Lease Rate
Escalator (Leased Space in Excess of
Maximum Area Prorated)
Engineering
Telecommunication Facilities Lease (Escrow
Fee and Contract Required; Tenant
Responsible for Additional Consulting,
Planning or Building Permit Fees)
Meadowgrass Water Tower (H10' X W12'
X D32" Maximum Area)
$45,000/Year with 4% Annual Lease Rate
Escalator (Leased Space in Excess of
Maximum Area Prorated)
$46,350/Year with 4% Annual Lease Rate
Escalator (Leased Space in Excess of
Maximum Area Prorated)
Engineering
Telecommunication Facilities Lease (Escrow
Fee and Contract Required; Tenant
Responsible for Additional Consulting,
Planning or Building Permit Fees)
Inwood Water Tower (H10' X W12' X D32"
Maximum Area)
$45,000/Year with 4% Annual Lease Rate
Escalator (Leased Space in Excess of
Maximum Area Prorated)
$46,350/Year with 4% Annual Lease Rate
Escalator (Leased Space in Excess of
Maximum Area Prorated)
Engineering
Telecommunication Facilities Lease (Escrow
Fee and Contract Required; Tenant
Responsible for Additional Consulting,
Planning or Building Permit Fees)
Innsdale Water Tower (H10' X W12' X
D32" Maximum Area)
$45,000/Year with 4% Annual Lease Rate
Escalator (Leased Space in Excess of
Maximum Area Prorated)
$46,350/Year with 4% Annual Lease Rate
Escalator (Leased Space in Excess of
Maximum Area Prorated)
Engineering
Telecommunication Facilities Lease (Escrow
Fee and Contract Required; Tenant
Responsible for Additional Consulting,
Planning or Building Permit Fees)
92nd Street Water Tower (H10' X W12' X
D32" Maximum Area)
$45,000/Year with 4% Annual Lease Rate
Escalator (Leased Space in Excess of
Maximum Area Prorated)
$46,350/Year with 4% Annual Lease Rate
Escalator (Leased Space in Excess of
Maximum Area Prorated)
Engineering
Telecommunication Facilities Lease (Generator
Fee)
$6000/per year per generator with a 3%
Annual Lease Rate Escalator
Engineering Telecommunication Facilities Escrow Fee $10,000.00 $10,000.00
Engineering
City Concept Review, Public Improvement
(Private Developer)1.0% 1.0%
Engineering
City Design Escrow, Public Improvement
(Private Developer, Public Design)5.0% 5.0%
Engineering
City Engineering Administration Fee, Public
Improvement (Private Developer)2.0% 2.0%
Engineering
City Engineering Administration Fee, Public
Project 4.0% 4.0%
Engineering
City Inspection Escrow, Public Improvement
(Private Developer, Private Design) - $0 - $1
million project valuation 6% 6%
Engineering
City Inspection Escrow, Public Improvement
(Private Developer, Private Design) - Project
valuation greater than $1 million 5% 5%
Engineering
City Inspection/Testing Escrow, Public
Improvement (Private Developer, Public
Design)10.0% 10.0%
Engineering Hourly Rate for Engineering and Staff Time Actual cost Actual cost
Engineering
Plan Review Escrow, Public Improvement
(Private Developer, Private Design) - Project
valuation greater than $1 million 2% 2%
Engineering
Plan Review Escrow, Public Improvement
(Private Developer, Private Design) - $0 - $1
million project valuation 2.5% 2.5%
Engineering
Private Commercial Site Improvements - $0 -
$100, 000 Valuation
$300.00 Base Fee for Up To The First
$20,000 Site Improvement Valuation;
$13.00 per Additional $1,000 Site
$300.00 Base Fee for Up To The First
$20,000 Site Improvement Valuation; $13.00
per Additional $1,000 Site Improvement
Engineering
Private Commercial Site Improvements -
$500,001 - $1,000,000 Valuation
$4,300.00 Base Fee for First $500,000 Site
Improvement Valuation; $5.00 per
Additional $1,000 Site Improvement
$4,300.00 Base Fee for First $500,000 Site
Improvement Valuation; $5.00 per Additional
$1,000 Site Improvement Valuation
Engineering
Private Commercial Site Improvements -
Greater than $1,000,000 valuation
$6,600.00 Base Fee for First $1,000,000
Site Improvement Valuation; $4.5 per
Additional $1,000 Site Improvement
$6,600.00 Base Fee for First $1,000,000 Site
Improvement Valuation; $4.5 per Additional
$1,000 Site Improvement Valuation
Engineering
Private Commercial Site Improvements $100,
001 - $500,000 Valuation
$1,300.00 Base Fee for First $100,000 Site
Improvement Valuation; 8.00 per Additional
$1,000 Site Improvement Valuation
$1,300.00 Base Fee for First $100,000 Site
Improvement Valuation; 8.00 per Additional
$1,000 Site Improvement Valuation
Miscellaneous Business Park AUAR $111 per Acre $111 per Acre
Miscellaneous Administrative Use Permit, Commerical $515.00 plus $5,000.00 Escrow $515.00 plus $5,000.00 Escrow
Miscellaneous Administrative use Permit, Residential $515.00 plus $1,000.00 Escrow $515.00 plus $1,000.00 Escrow
Miscellaneous
Agricultural Preservation Documentation
Processing $100.00 $100.00
Miscellaneous Business Subsidy Application $10,000.00 Escrow (Unused Escrow $10,000.00 Escrow (Unused Escrow Amount
Miscellaneous Comprehensive Plan $50.00 paper copy/$10 digitial $50.00 paper copy/$10 digitial
Miscellaneous Comprehensive Plan Amendment, Map or Text
$620.00 + $55.00 GIS Fee + $2,500.00
Escrow
$620.00 + $55.00 GIS Fee + $2,500.00
Escrow
Miscellaneous Concept Plan Review $1,030.00 plus $20.00 per Acre; $1,000.00 $1,030.00 plus $20.00 per Acre; $1,000.00
Miscellaneous Conditional Use Permit, Commercial $515.00 plus $5,000.00 Escrow $515.00 plus $5,000.00 Escrow
Miscellaneous Conditional Use Permit, Interim $515.00 Annually $515.00 Annually
Miscellaneous Conditional Use Permit, Residential $515.00 plus $1,000.00 Escrow $515.00 plus $1,000.00 Escrow
Miscellaneous East Ravine AUAR Charge $120.00 per Acre $120.00 per Acre
Miscellaneous Environmental Assessment Worksheet $620.00 plus Actual Costs $620.00 plus Actual Costs
Miscellaneous
Financial Guarantee, Escrow for Subdivision
Improvements
Public Improvements – 125% of Estimated
Cost. Boulevard, Landscaping
Improvements - 150% of Estimated Cost.
Public Improvements – 125% of Estimated
Cost. Boulevard, Landscaping
Improvements - 150% of Estimated Cost.
Miscellaneous Historic Preservation Delisting $515.00 $515.00
Miscellaneous Historic Preservation Designation $515.00 $515.00
Miscellaneous
Lot Grading and Corner Lot Pin Compliance
Escrow $1,000.00 per Lot $1,000.00 per Lot
Miscellaneous Metropolitan Council SAC Charge $2,485.00 per Unit for Applicable 2023 $2,485.00 per Unit for Applicable 2023
Miscellaneous Mining, Annual Inspection and Review $2,060.00 $2,060.00
Miscellaneous Mining, Permit Removal per Occurrence Under 100,000 tons $250.00. Over 100,000 Under 100,000 tons $250.00. Over 100,000
Miscellaneous Natural Resources Inventory $70.00 per Paper Copy $70.00 per Paper Copy
Miscellaneous Off-Site Stormwater Ponding Fee Reference City Stormwater Management Reference City Stormwater Management
Category Subcategory Item Tier 2023 Fee 2024 Proposed Fee's
Miscellaneous Park Land Dedication, Commercial Land Only
Minimum of 10% of the Buildable Land
within the Development.
Minimum of 10% of the Buildable Land within
the Development.
Miscellaneous Park Land Dedication, Commercial Cash in Lieu of
Estimated $7,800.00 Per Acre or 4% of the
Fair Market Value, whichever is greater.
Estimated $8,100.00 Per Acre or 4% of the
Fair Market Value, whichever is greater.
Miscellaneous Park Land Dedication, Industrial Cash Only
$7,800.00 Per Acre or 4% of the Fair
Market Value, whichever is greater. $8,100.00
Miscellaneous Park Land Dedication, Residential Land Only
Minimum of 10% of the Buildable Land
within the Development.
Minimum of 10% of the Buildable Land within
the Development.
Miscellaneous Park Land Dedication, Residential Cash in Lieu of (Single Family)
$4,400.00 Per Unit or 10% of the Fair
Market Value, whichever is greater.
$4,600.00 Per Unit or 10% of the Fair Market
Value, whichever is greater.
Miscellaneous Park Land Dedication, Residential Cash in Lieu of (Quad Buildings)
$3,400.00 Per Unit or 10% of the Fair
Market Value, whichever is greater.
$3,300.00 Per Unit or 10% of the Fair Market
Value, whichever is greater.
Miscellaneous Park Land Dedication, Residential Cash in Lieu of (Townhome)
$3,400.00 Per Unit or 10% of the Fair
Market Value, whichever is greater.
$3,300.00 Per Unit or 10% of the Fair Market
Value, whichever is greater.
Miscellaneous Park Land Dedication, Residential
Cash in Lieu of (Multi-Family (Apartments,
Condos, Independent Senior Living))
$1,800.00 Per Unit or 10% of the Fair
Market Value, whichever is greater.
$1,900.00 Per Unit or 10% of the Fair Market
Value, whichever is greater.
Miscellaneous Park Land Dedication, Residential
Cash in Lieu of (Multi-Family, Assisted
Living (Skilled Care, Memory Care))
$7,800.00 Per Unit or 10% of the Fair
Market Value, whichever is greater.
$8,100.00 Per Acre or 10% of the Fair Market
Value, whichever is greater.
Miscellaneous Plat, Final $310.00 + $100.00/acre + $5,000.00 $310.00 + $100.00/acre + $5,000.00 Escrow
Miscellaneous Plat, Preliminary $515.00 + $50.00 per Lot/Unit + $5,000.00 $515.00 + $50.00 per Lot/Unit + $5,000.00
Miscellaneous Public ROW and Easement Vacations $310.00 $310.00
Miscellaneous PUD (Planned Unit Development)$615 plus $2,000 Escrow
Miscellaneous Re-addressing $100.00 $100.00
Miscellaneous Sealcoating, Street, New Subdivison $1.25 per Square Yard $1.25 per Square Yard
Miscellaneous Sealcoating, Trails $2.50 per Square Yard $2.50 per Square Yard
Miscellaneous Sign Ordinance $15.00 per Paper Copy / $10 Digitial $15.00 per Paper Copy / $10 Digitial Format
Miscellaneous Signs, Illegal, Return of $10.00 per sign $10.00 per sign
Miscellaneous Site Plan $415.00 plus $5,000.00 Escrow $415.00 plus $5,000.00 Escrow
Miscellaneous Sketch Plan Review $155.00 plus $500.00 Escrow $155.00 plus $500.00 Escrow
Miscellaneous Street Lighting - New Developments $2.83/Lot/Month for 24 Months $5.85/Lot/Month for 24 Months
Miscellaneous Street Renaming $200.00 plus sign material and labor for $200.00 plus sign material and labor for
Miscellaneous Subdivision, Minor $310.00 plus $2,000 Escrow $310.00 plus $2,000 Escrow
Miscellaneous Tree Mitigation Replacement Trees Reference Title 11-3-13 Reference Title 11-3-14
Miscellaneous Tree Mitigation Cash In Lieu of $150.00 per Required Replacement Inch $150.00 per Required Replacement Inch per
Miscellaneous Variance, Post-Construction $875.00 $875.00
Miscellaneous Variance, Pre-Construction $255.00 $255.00
Miscellaneous Zoning Amendment, Text or Map $615.00 plus $2,000.00 Escrow $615.00 plus $2,000.00 Escrow
Miscellaneous Zoning Appeal $260.00 $260.00
Miscellaneous Zoning Letter $75.00 $75.00
Miscellaneous Zoning Ordinance $30.00 per Paper Copy / $10 Digital Format $30.00 per Paper Copy / $10 Digital Format
Miscellaneous Park and Open Space Identification Markers Park and Open Space Identification $175/post
Fines
Code Enforcement Weeds, Tall, Abatement 1st Violation in 12-Month Period $55.00 plus Actual Cost $55.00 plus Actual Cost
Code Enforcement Weeds, Tall, Abatement 2nd Violation in 12-Month Period $105.00 plus Actual Cost $105.00 plus Actual Cost
Code Enforcement Weeds, Tall, Abatement 3rd Violation in 12-Month Period $205.00 plus Actual Cost $205.00 plus Actual Cost
License False Alarms, Commercial (0-4)No charge No charge
License False Alarms, Commercial (5-6)$75.00 Each $75.00 Each
License False Alarms, Commercial (7-9)$150.00 Each $150.00 Each
License False Alarms, Commercial (10+)$300.00 Each $300.00 Each
License Liquor, Underage Sale 1st Violation in a 24-Month Period
$500 (plus 1-day suspension) or, in lieu of
the suspension and the fine, at the City
Council's discretion, participation of all
employees in an educational program
$500 (plus 1-day suspension) or, in lieu of the
suspension and the fine, at the City Council's
discretion, participation of all employees in an
educational program approved by the Public
License Liquor, Underage Sale 2nd Violation in a 24-Month Period $1,000.00 (plus 3-Day Suspension) $1,000.00 (plus 3-Day Suspension)
License Liquor, Underage Sale 3rd Violation in a 24-Month Period $1,500.00 (plus 7-Day Suspension) $1,500.00 (plus 7-Day Suspension)
License Liquor, Underage Sale 4th Violation in a 24-Month Period Revocation Revocation
License Tobacco, Underage Sale, Licensee 1st Violation in a 36-Month Period $300.00 $300.00
License Tobacco, Underage Sale, Licensee 2nd Violation in a 36-Month Period $600.00 $600.00
License Tobacco, Underage Sale, Licensee 3rd Violation in a 36-Month Period $1,000.00 (plus 7-Day Suspension) $1,000.00 (plus 7-Day Suspension)
License Tobacco, Underage Sale, Licensee 4th Violation in a 36-Month Period License Revocation License Revocation
License Tobacco, Underage Sales, Employee/Seller $50.00 $50.00
General Services
Copying/Printing Copies $0.25 $0.25
Copying/Printing City Maps, Urban or Rural $5.00 Each $5.00 Each
Copying/Printing Printing, Large Format, Black and White $5.00 Each $5.00 Each
Copying/Printing Printing, Large Format, Color $10.00 Each $10.00 Each
Finance Assessment Search $20.00 $20.00
Finance
Finance Charge on Accounts Receivable Aged
Greater than 30 Days 1.5% per month or $1.00 Minimum 1.5% per month or $1.00 Minimum
Finance Finance, Projects 3.0% 3.0%
Finance Nonsufficient Fund Charge $35.00 $35.00
Finance Tax-Exempt Revenue Bond Financing
1% of the First $10 Million in Requested
Financing, with 1/2 of the 1% Fee Being
1% of the First $10 Million in Requested
Financing, with 1/2 of the 1% Fee Being
Finance Administrative fee for conduit debt Actual out of Pocket Costs
Miscellaneous Administration, Projects 2% 2%
Miscellaneous Special Meeting Fee $500.00 $500.00
Miscellaneous Appeals to the city administrator filing fee $200.00/Each $200.00/Each
Miscellaneous City Hall Facility Use
Cleaning Fee, Additional - $40.00 per Hour.
One Hour Minimum Charge
Cleaning Fee, Additional - $40.00 per Hour.
One Hour Minimum Charge
Miscellaneous Election Filing Fee $5.00 $5.00
Golf Course
Cart Rental Daily $30.00 $30.00
Cart Rental Daily $38.00 $38.00
Cart Rental Senior, Non-Primetime $20.00 $20.00
Cart Rental Senior, Non-Primetime $28.00 $28.00
Cart Rental Twilight $28.00 $28.00
Facility Rental Bocce Ball $100.00 $100.00
Facility Rental Ceremony Fee $875.00 $1,000.00
Facility Rental Grill, Golf Shop, Sunroom (when available)$400.00 $500.00
Facility Rental Main Banquet Room, Friday and Saturday $2,000.00 $3,000.00
Facility Rental Main Banquet Room, Sunday thru Thursday $1,500.00 $2,000.00
Food and Beverage Minimum Bocce Ball $150.00 $200.00
Food and Beverage Minimum Main Banquet Room $3,000.00 $3,000.00
Category Subcategory Item Tier 2023 Fee 2024 Proposed Fee's
Food and Beverage Minimum Main Banquet Room $5,000.00 $5,000.00
Food and Beverage Minimum Partial Rooms $1,000.00 $1,000.00
Greens Fee (Juniors) 18 Hole, After 1 PM $22.00 $25.00
Greens Fee (Juniors) 2 Hours Before Dark $5.00 $5.00
Greens Fee (Juniors) 9 Hole, After 1 PM $17.00 $20.00
Greens Fee (Non-Patron) 18 Hole, Friday - Sunday & Holiday $41.00 $45.00
Greens Fee (Non-Patron) 18 Hole, Monday - Thursday $38.00 $41.00
Greens Fee (Non-Patron) 9 Hole, Friday - Sunday & Holiday, After 1 PM $28.00 $28.00
Greens Fee (Non-Patron) 9 Hole, Monday - Thursday $25.00 $28.00
Greens Fee (Patron) 18 Hole, Friday - Sunday & Holiday $38.00 $42.00
Greens Fee (Patron) 18 Hole, Monday - Thursday $35.00 $38.00
Greens Fee (Patron) 9 Hole, Friday - Sunday & Holiday, After 1 PM $26.00 $26.00
Greens Fee (Patron) 9 Hole, Monday - Thursday $23.00 $24.00
Greens Fee (Seniors) 18 Hole, Friday - Sunday & Holiday $31.00 $34.00
Greens Fee (Seniors) 18 Hole, Monday - Thursday $27.00 $28.00
Greens Fee (Seniors) 9 Hole, Friday - Sunday & Holiday, After 1 PM $22.00 $22.00
Greens Fee (Seniors) 9 Hole, Monday - Thursday $19.00 $19.00
Greens Fee (Twilight Golf) Walking $25.00 $27.00
Practice Range Range Balls Prior to Round $7.00 $7.00
Practice Range Range Balls Small $7.00 $7.00
Practice Range Range Balls Medium $11.00 $11.00
Practice Range Range Balls Large $15.00 $15.00
Season Pass Couple $2,275.00 $2,550.00
Season Pass Couple, Weekday $1,700.00 $2,100.00
Season Pass Half Cart Pass $750.00 $750.00
Season Pass Half Cart Pass, Senior $550.00 $600.00
Season Pass Individual $1,575.00 $1,700.00
Season Pass Individual, Weekday $1,125.00 $1,400.00
Season Pass Junior, Weekday $475.00 $475.00
Season Pass Junior, Weekends After 1 PM $675.00 $675.00
Season Pass Practice Range, Member $400.00 $425.00
Season Pass Senior $1,275.00 $1,375.00
Season Pass Senior, Husband/Wife $1,800.00 $1,800.00
Season Pass Senior, Husband/Wife, Weekday $1,350.00 $1,675.00
Season Pass Senior, Weekday $900.00 $1,125.00
Tournament Shotgun, Before May 15 or After Sep 19 Monday - Thursday $4,750.00 $5,000.00
Tournament Shotgun, Before May 15 or After Sep 19 Friday - Sunday $5,750.00 $6,000.00
Tournament Shotgun, May 16 thru Sep 18 Monday - Thursday $6,750.00 $7,000.00
Tournament Shotgun, May 16 thru Sep 18 Friday - Sunday & Holidays $7,750.00 $8,000.00
Trail Fee Trail Fee $26.00 Current Rate
Ice Arena
High School Hockey Games
Double - Admission Charged Varsity or JV
games - Boys 50/50 Split - $1,750.00 Minimum per Game 50/50 Split - $1,850.00 Minimum per Game
High School Hockey Games
Double - Admission Charged Varsity or JV
games - Girls 50/50 Split - $1,250.00 Minimum per Game 50/50 Split - $1,350.00 Minimum per Game
High School Hockey Games
Single - Admission Charged Varsity or JV
games - Boys 50/50 Split - $1,250.00 Minimum per Game 50/50 Split - $1,350.00 Minimum per Game
High School Hockey Games
Single - Admission Charged Varsity or JV
games - Girls 50/50 Split - $950.00 Minimum per Game 50/50 Split - $1050.00 Minimum per Game
North & West Rink Ice Rental 72 Hour Deal $160.00 plus Tax $170.00 plus Tax
North & West Rink Ice Rental Monday - Friday Prime (2:00 PM - 10:00 PM) $230.00 plus Tax $240.00 plus Tax
North & West Rink Ice Rental Monday - Friday Non-Prime (10:00 PM - 2:00 PM) $160.00 plus Tax $170.00 plus tax
North & West Rink Ice Rental Off Season (April 1 – August 31) 1 - 10 Hours $175.00 plus Tax $185.00 plus tax
North & West Rink Ice Rental Off Season (April 1 – August 31) 11 - 20 Hours $165.00 plus Tax $175.00 plus Tax
North & West Rink Ice Rental Off Season (April 1 – August 31) 21- 35 Hours $155.00 plus Tax $165.00 plus Tax
North & West Rink Ice Rental Off Season (April 1 – August 31) 36 – 60 Hours $150.00 plus Tax $160.00 plus Tax
North & West Rink Ice Rental Off Season (April 1 – August 31) 61 Hours or More $145.00 plus Tax $155.00 plus Tax
North & West Rink Ice Rental Off Season (April 1 – August 31)
Non-Prime Rate (Before 6 AM or After 10
PM) $160.00 plus Tax $170.00 plus Tax
North & West Rink Ice Rental Saturday & Sunday Prime (6:00 AM - 10:00 PM) $230.00 plus Tax $240.00 plus Tax
North & West Rink Ice Rental Saturday & Sunday Non-Prime (10:00 PM - 6:00 AM) $160.00 plus Tax $170.00 plus Tax
Public Skating Figure Skaters Practice - North or West Rink $14.00 per Person $14.00 per Person
Public Skating Figure Skaters Practice - South Rink $7.00 per Person $7.00 per Person
Public Skating Open Hockey $7.00 per Person $7.00 per Person
Public Skating Public Skating $7.00 per Person $7.00 per Person
Public Skating Public Skating Punch Card $49.00 $49.00
Rentals, Other Ice Resurfacing, Extra $20.00 $25.00
Rentals, Other Marquee Sign $10 per day per side $10.00 per day per side
Rentals, Other Meeting Room $25.00 per hour $25.00 per hour
Rentals, Other Skate Rental $7 per pair $7.00 per pair
Rentals, Other Skate Sharpening $7.00 per pair $7.00 per pair
Rentals, Other Skate Sharpening Punch Card $49.00/8 sharpenings $49.00/8 sharpenings
South Rink Ice Rental 72 Hour Deal $120.00 plus Tax $130.00 plus Tax
South Rink Ice Rental Monday - Friday Prime (2:00 PM - 9:00 PM) $130.00 plus Tax $140.00 plus Tax
South Rink Ice Rental Monday - Friday Non-Prime (9:00 PM - 2:00 PM) $120.00 plus Tax $130.00 plus Tax
South Rink Ice Rental Off Season (April 1 – August 31) Prime (6:00 AM to 10:00 PM) $130.00 plus Tax $140.00 plus Tax
South Rink Ice Rental Off Season (April 1 – August 31)
Non-Prime (Before 6:00 AM or After 10:00
PM) $120.00 plus Tax $130.00 plus Tax
South Rink Ice Rental Saturday & Sunday Prime (6:00 AM - 9:00 PM) $130.00 plus Tax $140.00 plus Tax
South Rink Ice Rental Saturday & Sunday Non-Prime (9:00 PM - 6:00 AM) $120.00 plus Tax $130.00 plus Tax
Turf Rental March - September $90.00 plus Tax $90.00 plus Tax
Licenses
Business Adult Entertainment, Principal Uses
$5,000.00 plus Investigation Fee of
$2,060.00 In-State; Up To $10,300.00 Out-
$5,000.00 plus Investigation Fee of $2,060.00
In-State; Up To $10,300.00 Out-State
Business Beekeeping $100.00 every 2 years $100.00 every 2 years
Business Chicken and Duck Keeping $100.00 every 2 years $100.00 every 2 years
Business Fireworks Sales, Retail (Accessory Seller)$100.00 $100.00
Business Fireworks Sales, Retail (Principal Seller)$350.00 $350.00
Category Subcategory Item Tier 2023 Fee 2024 Proposed Fee's
Business
Gambling, Investigation Fee (Premises Permits
and Bingo Halls)$250.00 $250.00
Business
Gambling, Permit and State Licensing
Exemptions $100.00 $100.00
Business Liquor, 3.2% Malt Liquor, Investigation Fee $250.00 (except Temporary Licenses) $250.00 (except Temporary Licenses)
Business Liquor, 3.2% Malt Liquor, Off Sale $200.00 per Calendar Year $200.00 per Calendar Year
Business Liquor, 3.2% Malt Liquor, Off Sale, Brew Pub $200.00 per Calendar Year $200.00 per Calendar Year
Business
Liquor, 3.2% Malt Liquor, Off Sale, Small
Brewer $200.00 per Calendar Year $200.00 per Calendar Year
Business Liquor, 3.2% Malt Liquor, On Sale $600.00 per Calendar Year $600.00 per Calendar Year
Business Liquor, 3.2% Malt Liquor, On Sale, Club $100.00 per Calendar Year $100.00 per Calendar Year
Business Liquor, 3.2% Malt Liquor, On Sale, Temporary $50.00/Day for Each Location $50.00/Day for Each Location
Business Liquor, Consumption & Display $300.00 per Calendar Year $300.00 per Calendar Year
Business Liquor, Consumption & Display, Temporary $25.00 per Day $25.00 per Day
Business Liquor, Intoxicating, Investigation Fee All Application Types $500.00 $500.00
Business Liquor, Intoxicating, Investigation Fee Additional Investigation $200.00 $200.00
Business Liquor, Intoxicating, Investigation Fee Foreign Corporations Actual Cost Actual Cost
Business Liquor, Intoxicating, Off Sale $200.00 per Calendar Year $200.00 per Calendar Year
Business
Liquor, Intoxicating, Off Sale, Brew Pub Malt
Liquor $500.00 per Calendar Year $500.00 per Calendar Year
Business Liquor, Intoxicating, Off Sale, Microdistillery $200.00 per Calendar Year $200.00 per Calendar Year
Business
Liquor, Intoxicating, Off Sale, Small Brewer
Malt Liquor $200.00 per Calendar Year $200.00 per Calendar Year
Business Liquor, Intoxicating, Off Sale, Wine, Temporary $50.00 per Day for Each Location $50.00 per Day for Each Location
Business Liquor, Intoxicating, On Sale $6,000.00 per Calendar Year $6,000.00 per Calendar Year
Business
Liquor, Intoxicating, On Sale, Community
Festival, Temporary $50.00 per Day for Each Location $50.00 per Day for Each Location
Business Liquor, Intoxicating, On Sale, Brew Pub $500.00 per Calendar Year $500.00 per Calendar Year
Business Liquor, Intoxicating, On Sale, Brewer Taproom $750.00 per Calendar Year $750.00 per Calendar Year
Business Liquor, Intoxicating, On Sale, Club <=200 Members $300.00 per Calendar Year $300.00 per Calendar Year
Business Liquor, Intoxicating, On Sale, Club 201 - 500 Members $500.00 per Calendar Year $500.00 per Calendar Year
Business Liquor, Intoxicating, On Sale, Club 501 - 1,000 Members $650.00 per Calendar Year $650.00 per Calendar Year
Business Liquor, Intoxicating, On Sale, Club 1,001 - 2,000 Members $800.00 per Calendar Year $800.00 per Calendar Year
Business Liquor, Intoxicating, On Sale, Club 2,001 - 4,000 Members $1,000.00 per Calendar Year $1,000.00 per Calendar Year
Business Liquor, Intoxicating, On Sale, Club 4,001 - 6,000 Members $2,000.00 per Calendar Year $2,000.00 per Calendar Year
Business Liquor, Intoxicating, On Sale, Club >6,000 Members $3,000.00 per Calendar Year $3,000.00 per Calendar Year
Business Liquor, Intoxicating, On Sale, Culinary Class $750.00 per Calendar Year $750.00 per Calendar Year
Business
Liquor, Intoxicating, On Sale, Microdistillery
Cocktail Room $750.00 per Calendar Year $750.00 per Calendar Year
Business
Liquor, Intoxicating, On Sale, Microdistillery,
Temporary $50.00 per Day for Each Location $50.00 per Day for Each Location
Business
Liquor, Intoxicating, On Sale, Sports Facility or
Cultural Facility, Temporary $50.00 per Day for Each Location $50.00 per Day for Each Location
Business Liquor, Intoxicating, On Sale, Temporary $50.00/Day for Each Location $50.00/Day for Each Location
Business Liquor, Intoxicating, On Sale, Wine $2,000.00 per Calendar Year $2,000.00 per Calendar Year
Business
Liquor, Intoxicating, On Sale, Wine Festival,
Temporary $50.00 per Day for Each Location $50.00 per Day for Each Location
Business Liquor, Intoxicating, Sunday $200.00 per Calendar Year $200.00 per Calendar Year
Business
Reapplication Fee following Revocation by the
Council Double the current license fee Double the current license fee
Business Massage Business $100.00 per Calendar Year; $100 Initial $100.00 per Calendar Year; $100 Initial
Business Massage Therapist
$50.00 per Calendar Year; $50.00 Initial
Investigation Fee
$50.00 per Calendar Year; $50.00 Initial
Investigation Fee
Business Mobile Food Unit Operator License $50/day or $250/year $50/day or $250/year
Business Pawnbroker $1,030.00 per Calendar Year; $530.00 $1,030.00 per Calendar Year; $530.00
Business Peddler/Transient Merchant $105.00 per Calendar Year/License Period $105.00 per Calendar Year/License Period
Business Secondhand Goods Dealer, Single or Multiple
$1,030.00 per Calendar Year; $530.00
Investigation Fee
$1,030.00 per Calendar Year; $530.00
Investigation Fee
Business
Solid Waste and Recycling Collector,
Commercial $360.00 per Calendar Year $360.00 per Calendar Year
Business
Solid Waste and Recycling Collector,
Residential $565.00 per Calendar Year $565.00 per Calendar Year
Business Special Event Permit $100.00 $100.00
Business CBD & THC Sales, Retail $10,200 per Calendar Year $10,200 per Calendar Year
Business Tobacco Sales, Retail $250.00 per Calendar Year $250.00 per Calendar Year
Rental Rental Dwelling, Late Fee $25.00 $25.00
Rental Rental Dwelling, Multiple Family $100.00 per Building Plus $10.00 per Unit $100.00 per Building Plus $10.00 per Unit
Rental Rental Dwelling, Reinspection Fee $50.00 per Unit/Dwelling $50.00 per Unit/Dwelling
Rental Rental Dwelling, Single/Duplex/Twin $180.00 per Unit for 2-Year License $180.00 per Unit for 2-Year License
Parks
Event/Tournament Class 2 $0.00 $0.00
Event/Tournament Class 3 $300.00 $315.00
Event/Tournament Class 4 $500.00 $525.00
Event/Tournament Class 5 $600.00 $675.00
Event/Tournament Concession Fee $40/day $50.00/day
Event/Tournament Event Staff $55/hour $70.00/hour
Event/Tournament Field Chalk As quoted by Parks Division As quoted by Parks Division
Facility Use Cancellation Fee/Refund of Program Fee
There will be no refunds made due to
inclement weather. However, full refunds
will be available for cancellations made at
least seven days prior to the scheduled
event. If the City closes a park due to
inclement weather a full refund will be
given.
There will be no refunds made due to
inclement weather. However, full refunds will
be available for cancellations made at least
seven days prior to the scheduled event. If
the City closes a park due to inclement
weather a full refund will be given.
Facility Use Field Lights $25/hour $25.00/hour
Facility Use
Outdoor Ballfields (2 Hour
Minimum)
$25.00/Hour (Resident); $35.00/Hour (Non-
Resident)
$25.00/Hour (Resident); $35.00/Hour (Non-
Resident)
Facility Use
Outdoor Courts (2 Hour
Minimum)
$9.00/Hour (Resident); $14.00/Hour (Non-
Resident)
$10.00/Hour (Resident); $15.00/Hour (Non-
Resident)
Facility Use Outdoor Rink Rental $58.00/Hour (Resident); $73.00/Hour (Non- $58.00/Hour (Resident); $73.00/Hour (Non-
Facility Use Park Building $175.00/Day (Resident); $220.00/Day (Non- $185.00/Day (Resident): $250.00/Day (Non-
Facility Use Park Building: Glacial Valley Park $450.00/Day (Resident): $550.00/day (Non-
Facility Use Pavilion, Shelter $70.00/Day (Resident); $86.00/Day (Non- $75.00/Day (Resident); $100.00/Day (Non-
Facility Use Tent/Bounce House Location Marking $50/marked location $50/marked location
Donation Memorial Bench $2,000.00
Donation Picnic Table $1,250.00
Donation Tree $400.00/ or price of the tree
Permits
Building
City Contractor Licensing (Excluding
Mechanical and Sign Contractor who hold a
State License or Bond)$55.00 Annual $58.00 Annual
Category Subcategory Item Tier 2023 Fee 2024 Proposed Fee's
Building
Building Permit Fee Table (All New Residential
& Commercial Construction, Finishing,
Alterations, Remodeling, Additions,
Commercial Driveway/Parking Areas, and
Swimming Pools Greater than 18 Inches Deep) $55.00 Minimum Unless Specified Herein
$110.00 Minimum (Residential); $150.00
Minimum (Commercial)
Building Building Permit Renewal Fee
1/2 of the Original Permit Fee 180 days
from Issuance Date or 180 Days from Last
1/2 of the Original Permit Fee 180 days from
Issuance Date or 180 Days from Last
Building Commercial Certificate of Occupancy $55.00 $58.00
Building Construction and Utility Permits 3% of Construction Cost ($100.00 3% of Construction Cost ($150.00 Minimum)
Building Contractor License per permit $5.00 license look-up for contractors with $5.00 license look-up for contractors with
Building Decks (New)$165.00 $173.00
Building
Decks (Remodel - Railing/Stairs Non
Structural)$110.00 $115.00
Building Driveways, Residential $80.00 $85.00
Building Investigative Fee Charge Up To But Not Exceeding Permit Charge Up To But Not Exceeding Permit Fee
Building Kitchen/Bath Remodel $105.00 $110.00
Building Manufactured Home $105.00 for New Manufactured Home on $110.00
Building Building Plan Review Fee
$25.00 Minimum, 68% Maximum of
Building Permit Fee
$25.00 Minimum, 68% Maximum of Building
Permit Fee
Building Pool, Inground, Demolition $110.00 $115.00BuildingPool/Spa $55.00 Hot Tub $55.00 Hot Tub
Building Pool/Spa $110.00 Inground $115.00 Inground
Building Building Permit based on Project Valuation
$500 - $2,000: $30.00 Base Fee for the first
$500 Project Valuation; $4.00 per additional
$100 Project Valuation
$2,001 - $25,000: $85.00 Base Fee for first
$2,000 Project Valuation; $16.00 per additional
$1,000 Project Valuation
$25,001 - $50,000: $470.00 Base Fee for first
$25,000 Project Valuation; $12.00 per additional
$1,000 Project Valuation
$50,001 - $100,000: $770.00 Base Fee for first
$50,000 Project Valuation; $8.50 per additional
$1,000 Project Valuation
$100,001 - $500,000: $1,195.00 Base Fee for
first $100,000 Project Valuation; $7.00 per
additional $1,000 Project Valuation
$500,001 - $1,000,000: $3,870.00 Base Fee for
first $500,000 Project Valuation; $6.00 per
additional $1,000 Project Valuation
$1,000,00 or Greater: $7,100.00 Base Fee for
first $1,000,001 Project Valuation; $5.00 per
additional $1,000 Project Valuation
$500 - $2,000: $31.50 Base Fee for the first $500
Project Valuation; $4.20 per additional $100
Project Valuation
$2,001 - $25,000: $89.25 Base Fee for first
$2,000 Project Valuation; $16.80 per additional
$1,000 Project Valuation
$25,001 - $50,000: $493.50 Base Fee for first
$25,000 Project Valuation; $26.25 per additional
$1,000 Project Valuation
$50,001 - $100,000: $808.50 Base Fee for first
$50,000 Project Valuation; $8.60 per additional
$1,000 Project Valuation
$100,001 - $500,000: $1,254.75 Base Fee for first
$100,000 Project Valuation; $7.35 per additional
$1,000 Project Valuation
$500,001 - $1,000,000: $4,063.50 Base Fee for
first $500,000 Project Valuation; $6.30 per
additional $1,000 Project Valuation
$1,000,00 or Greater: $7,455.00 Base Fee for first
$1,000,001 Project Valuation; $5.25 per additional
$1,000 Project Valuation
Building
Residential Temporary Certificate of
Occupancy $5,000.00 Escrow $5,000.00 Escrow
Building Roofing (Commercial)Building Permit Fee Table Building Permit Fee Table
Building Roofing (Residential)$110.00 $115.00
Building Siding (Residential)$110.00 $115.00
Building Signs - Temporary
No Fee - Permit Application Required to be
Filed with the City
No Fee - Permit Application Required to be
Filed with the City
Building Signs (Pylon/Monument with Footings)$110.00 $115.00
Building Signs (Wall Mount/Existing Pylon) $80.00 plus Surcharge and Office Fee $85.00
Building Accessory Structures over 200sqft Building Permit Fee Table Building Permit Fee Table
Building Windows/Doors (Existing Openings)$110.00 $115.00
Building Windows/Doors (Modified Openings)$165.00 $173.00
Building Wrecking, Moving, Demolition $110.00 $115.00
Electrical Circuit or Feeder 0 to 200 Amp $8.00/Circuit or Feeder $8.00/Circuit or Feeder
Electrical Circuit or Feeder Over 200 Amp $30.00/Circuit or Feeder $30.00/Circuit or Feeder
Electrical Solar PV Installations for Electrical
(1) 0 watts to and including 5,000 watts, $90 or
(2) 5,001 watts to and including 10,000 watts,
$150 or
(3) 10,001 watts to and including 20,000 watts,
$225 or
(4) 20,001 watts to and including 30,000 watts,
$300 or
(5) 30,001 watts to and including 40,000 watts,
$375 or
(6) 40,001 watts to and including 1,000,000
watts, $375 and $25 for each additional 10,000
watts over 40,000 watts or
(7) 1,000,001 watts to 5,000,000 watts, $3,975
and $15 for each additional 10,000 watts over
1,000,001 watts or
(8) 5,000,001 watts and larger, $12,975, and
$10 for each additional 10,000 watts over
5,000,001 watts
(1) 0 watts to and including 5,000 watts, $90 or
(2) 5,001 watts to and including 10,000 watts,
$150 or
(3) 10,001 watts to and including 20,000 watts,
$225 or
(4) 20,001 watts to and including 30,000 watts,
$300 or
(5) 30,001 watts to and including 40,000 watts,
$375 or
(6) 40,001 watts to and including 1,000,000 watts,
$375 and $25 for each additional 10,000 watts
over 40,000 watts or
(7) 1,000,001 watts to 5,000,000 watts, $3,975
and $15 for each additional 10,000 watts over
1,000,001 watts or
(8) 5,000,001 watts and larger, $12,975, and $10
for each additional 10,000 watts over 5,000,001
watts
Electrical
Existing One or Two Family Dwelling: 0 to 14
Feeders or Circuits are Installed or Extended
per Unit $8.00/Feeder or Circuit $8.00/Feeder or Circuit
Electrical
Existing One- or Two-Family Dwelling: 15 or
More Feeders or Circuits are Installed or
Extended per Unit $100.00/Dwelling Unit $100.00/Dwelling Unit
Electrical Electrical Permit Fee
Calculated Using the Fee Schedule or
$45.00 Multiplied by the Number of
Required Inspection Trips plus the Fees for
Feeders, Circuits, Devices, Apparatus, $50/Inspection Trip
Electrical Electrical Inspection (per trip)$45.00/Inspection Trip $50/Inspection Trip
Electrical
Grounding Electrode, Concrete-Encased (per
trip)$40.00/Inspection $50/Inspection Trip
Electrical Manufactured Home Park Lot Supply $50/Pedestal $50/Pedestal
Electrical
New One- or Two-Family Dwelling: 0 to 25
Circuits and Feeders per Unit $185.00/Dwelling Unit $200.00/Dwelling Unit
Electrical
New One- or Two-Family Dwelling: Additional
Circuits over 25 per Unit $8.00/Feeder or Circuit $8.00/Feeder or Circuit
Electrical Panel Changes $100.00/Enclosure $100.00/Enclosure
Electrical Pools $90.00 $100.00
Electrical Power Source: 0 to 400 Amp (0 to 250 Volts)$50.00/Source $50.00/Source
Electrical Power Source: 401 to 800 Amp (0 to 250 Volts)$100.00/Source $100.00/Source
Electrical Power Source: Over 800 Amp (0 to 250 Volts)$150.00/Source $150.00/Source
Electrical Power Source: 0 to 400 Amp (Over 250 Volts)$100.00/Source $100.00/Source
Category Subcategory Item Tier 2023 Fee 2024 Proposed Fee's
Electrical
Power Source: 401 to 800 Amp (Over 250
Volts)$200.00/Source $200.00/Source
Electrical Power Source: Over 800 Amp (Over 250 Volts)$300.00/Source $300.00/Source
Electrical
Reconnected Existing Circuit or Feeder (Panel
Replacement)$100.00/Enclosure $100.00/Enclosure
Electrical Retrofitting of Existing Lighting Fixtures $0.25/Fixture $1.00/Fixture
Electrical
RV Pedestals (All Circuits Originating in
Pedestal Including Factory Circuits)$8.00/Circuit $8.00/Circuit
Electrical Separate Bonding Inspection $40.00/Inspection $50.00/Inspection Fee
Electrical State Surcharge $1.00 $1.00
Electrical
Street, Parking, and Outdoor Lighting
Standards $5.00/Standard $5.00/Standard
Electrical
Technology Circuits and Circuits Less than 50
Volts $1.00/Device or Apparatus $1.00/Device or Apparatus
Electrical Traffic Signals $5.00 Each $5.00 Each
Electrical
Transformers for Electronic Power Supplies,
Signs, and Outline Lighting $5.50 Each $5.50 Each
Electrical
Transformers for Light, Heat, and Power: 0 to
10 KVA $20.00 Each $20.00 Each
Electrical
Transformers for Light, Heat, and Power: More
than 10 KVA $40.00 Each $40.00 Each
Grading/Excavation Grading Asbuilt Survey Certification $36.00 $36.00
Grading/Excavation Permit - (0 - 50 Cubic Yards)$24.20 $24.20
Grading/Excavation Permit - (1,001 - 10,000 Cubic Yards) $198.00 Base Fee + $15.00 per 1,000 $198.00 Base Fee + $15.00 per 1,000 Cubic
Grading/Excavation Permit - (10,001 - 100,000 Cubic Yards) $331.50 Base Fee + $67.50 per 10,000 $331.50 Base Fee + $67.50 per 10,000 Cubic
Grading/Excavation Permit - (100,001 - or more Cubic Yards) $937.40 Base Fee + $37.25 per 10,000 $937.40 Base Fee + $37.25 per 10,000 Cubic
Grading/Excavation Permit - (101 - 1,000 Cubic Yards) $37.75 Base Fee + $18.00 per 100 Cubic $37.75 Base Fee + $18.00 per 100 Cubic
Grading/Excavation Permit - (51 - 100 Cubic Yards)$37.50 $37.50
Grading/Excavation Plan Review (0-50 Cubic Yards)No Fee No Fee
Grading/Excavation Plan Review (1,001 - 10,000 Cubic Yards)$50.25 $50.25
Grading/Excavation Plan Review (10,001 - 100,000 Cubic Yards)
$50.25 Base Fee + $25.00 per 10,000
Cubic Yards
$50.25 Base Fee + $25.00 per 10,000 Cubic
Yards
Grading/Excavation Plan Review (100,001 - 200,000 Cubic Yards)
$275.15 Base Fee + $13.52 per 10,000
Cubic Yards
$275.15 Base Fee + $13.52 per 10,000 Cubic
Yards
Grading/Excavation Plan Review (101-1,000 Cubic Yards)$37.75 $37.75
Grading/Excavation Plan Review (200,001 or more Cubic Yards) $410.30 Base Fee + $7.40 per 10,000 $410.30 Base Fee + $7.40 per 10,000 Cubic
Grading/Excavation Plan Review (51 - 100 Cubic Yards)$24.20 $24.20
Grading/Excavation Site Grading Inspection Fee $61.00 $61.00
Inspections Curb Box Inspection $155.00 $155.00
Inspections
Erosion Control Inspection (Residential Lot Not
Covered by Development Agreement)$825.00 $825.00
Inspections
Inspections For Which No Fee Is Specifically
Indicated $55.00 per Hour Minimum 1-Hour Fee $55.00 per Hour Minimum 1-Hour Fee
Inspections Inspections Outside Normal Business Hours $105.00 Minimum $105.00 Minimum
Inspections Reinspection Fee $55.00 Maximum per Site/Project Visit $58.00 Maximum per Site/Project Visit
Inspections Boulevard Tree/Sod Inspection $150.00 $150.00
Fire Alarm Note: Add State
Surcharge Fire Alarm
1% of Construction Value, $100 Minimum,
Plus Plan Review Fees Incurred
1% of Construction Value, $150 Minimum,
Plus Plan Review Fees Incurred
Fire Suppression Note: Add
State Surcharge Fire Suppression 2% of Contract Price; $100.00 Minimum 2% of Contract Price; $150.00 Minimum
Mechanical/Plumbing
(Commercial) Note: Add State
Surcharge Mechanical 2% of Contract Price; $100.00 Minimum 2% of Contract Price; $150.00 Minimum
Mechanical/Plumbing
(Commercial) Note: Add State
Surcharge Plumbing, Domestic 2% of Contract Price; $100.00 Minimum 2% of Contract Price; $150.00 Minimum
Mechanical/Plumbing
(Commercial) Note: Add State
Surcharge Plumbing, Irrigation 2% of Contract Price; $75.00 Minimum 2% of Contract Price; $150.00 Minimum
Mechanical/Plumbing
(Commercial) Note: Add State
Surcharge Sewer Line $160.00 $160.00
Mechanical/Plumbing
(Commercial) Note: Add State
Surcharge Water Line $160.00 $160.00
Mechanical/Plumbing
(Residential) Note: Add State
Surcharge
Mechanical/Plumbing Permit Fees
(Residential): Addition/Alteration/Remodel
$55.00 Base Fee (Includes 1 Fixture) Plus
$10.00 Each Additional Fixture ($200
Maximum Permit Fee)
$58.00 Base Fee (Includes 1 Fixture) Plus
$11.00 Each Additional Fixture ($220
Maximum Permit Fee)
Mechanical/Plumbing
(Residential) Note: Add State
Surcharge New Home $210.00 $220.00
Miscellaneous Permit Fees Building Inspection Card Replacement $35.00 $40.00
State Surcharges,
Building/Mechanical/Plumbing
Permits State Surcharges based on Project Valuation $1,000,000 or Less
(1) $1,000,000 or less; $0.00 Base Fee +
.0005 x valuation or
(2) $1,000,001 - $2,000,000; $525 Base
Fee + .0004 x valuation - $1,000,000 or
(3) $2,000,001 - $3,000,000; $950 Base
Fee + .0003 x valuation - $2,000,000 or
(4) $3,000,001 - $4,000,000; $1,250 Base
Fee + .0002 x valuation - $3,000,000 or
(5) $4,000,001 - $5,000,000; $1,450 Base
Fee + .0001 x valuation - $4,000,000 or
(6) Greater than $5,000,001; $1,550 Base
Fee + .00005 x valuation - $5,000,000
(1) $1,000,000 or less; $0.00 Base Fee +
.0005 x valuation or
(2) $1,000,001 - $2,000,000; $525 Base Fee
+ .0004 x valuation - $1,000,000 or
(3) $2,000,001 - $3,000,000; $950 Base Fee
+ .0003 x valuation - $2,000,000 or
(4) $3,000,001 - $4,000,000; $1,250 Base
Fee + .0002 x valuation - $3,000,000 or
(5) $4,000,001 - $5,000,000; $1,450 Base
Fee + .0001 x valuation - $4,000,000 or
(6) Greater than $5,000,001; $1,550 Base
Fee + .00005 x valuation - $5,000,000
State Surcharges,
Building/Mechanical/Plumbing
Permits State Surcharge based on Fixed Fees $1.00 $1.00
Zoning Patios and Parking Areas, Residential $55.00/one inspection $58.00/one inspection
Zoning Accessory Structures under 200sqft $55.00/One Inspection $58.00/One Inspection
Public Safety
Data Requests Data Requests, Other Determined by Actual Production Cost Determined by Actual Production Cost
Data Requests Photographs $20.00 (JPG Format on CD) $20.00 (JPG Format on CD)
Data Requests Police/Fire Reports $0.25/Page $1.00 per 10 pages
Data Requests Recordings, Audio $20.00 (CD/DVD) $20.00 (CD/DVD)
Data Requests Recordings, Squad Video (L3)$20.00 (DVD) $20.00 (DVD)
Data Requests Recordings, Video $20.00 (DVD) $20.00 (DVD)
Data Requests Transcription of Audio Recording Determined by Actual Time at Current Determined by Actual Time at Current
Fire Services Burning Permit, Commercial $50.00 $50.00
Fire Services Day Care Facility Inspection $50.00 $50.00
Fire Services Fire Equipment Use All Fire Equipment Use Based on Current All Fire Equipment Use Based on Current
Fire Services Fire Permit 1st Permit $20.00 per Year; Each Additional 1st Permit $20.00 per Year; Each Additional
Category Subcategory Item Tier 2023 Fee 2024 Proposed Fee's
Fire Services
Hazardous Materials and Other Charges for
Service
$150.00 per Hour per Person plus
Materials. Minimum Charge of 4 Hours.
$150.00 per Hour per Person plus Materials.
Minimum Charge of 4 Hours.
Fire Services Tank Installation Permit 1% of Value ($100.00 Minimum) 1% of Value ($100.00 Minimum)
Fire Services Title III Facility Inspection $50.00 $50.00
Police Services Blood Alcohol Test $100.00 $100.00
Police Services
Clearance Letters (i.e. Adoption, Passport,
Etc.)$20.00 $20.00
Police Services Daycare Checks $20.00 per Adult $20.00 per Adult
Police Services
Excessive Use of Police Services (1 to 2
nuisance service call(s) within 12 months)No Charge No Charge
Police Services
Excessive Use of Police Services (3rd
nuisance service call within 12 months)$200.00 $200.00
Police Services
Excessive Use of Police Services (4th
nuisance service call within 12 months)$400.00 $400.00
Police Services
Excessive Use of Police Services (5th
nuisance service call within 12 months)$800.00 $800.00
Police Services
Excessive Use of Police Services (6th
nuisance service call within 12 months)$1,600.00 $1,600.00
Police Services
Excessive Use of Police Services (7th
nuisance service call within 12 months and all
subsequent nuisance calls)$2,000.00 $2,000.00
Police Services Fingerprinting (Resident)$25.00 $25.00
Police Services Fingerprinting (Non-resident)$35.00 $35.00
Police Services Law Enforcement, Police Officer $110.00 per Hour $120.00 per Hour
Police Services Lockouts, Car Door Unlocking $35.00 per Event $35.00 per Event
Police Services
Special Response Team (Outside Of
Washington County)Per Current Mutual Aid Agreement Per Current Mutual Aid Agreement
Towing and Impound Administrative Fee $60.00 $60.00
Towing and Impound Impound, Storage Fee
$10.00 per Day for First 30 Days/$30.00 per
Month Thereafter
$10.00 per Day for First 30 Days/$30.00 per
Month Thereafter
Towing and Impound Towing Fee Per Current Towing Contract Per Current Towing Contract
Towing and Impound Towing/Storage Charge Per Current Towing Contract Per Current Towing Contract
Towing and Impound Vehicle Impoundment Per Current Towing Contract Per Current Towing Contract
Public Works
Equipment and Labor Air Compressor $40.00 $41.00
Equipment and Labor Asphalt Roller $35.00 $36.00
Equipment and Labor Backhoe $80.00 $82.00
Equipment and Labor Blower $20.00 $21.00
Equipment and Labor Brush Saw $20.00 $21.00
Equipment and Labor Chainsaw $20.00 $21.00
Equipment and Labor Chipper $60.00 $62.00
Equipment and Labor Grader $110.00 $113.00
Equipment and Labor Hotsy $30.00 $31.00
Equipment and Labor
Hydro Mulcher (Additional Charges for Product
Used)$75.00 $77.00
Equipment and Labor Loader, 3-Yard $93.00 $95.00
Equipment and Labor Loader, Skidsteer $65.00 $66.00
Equipment and Labor Mower $40.00 $41.00
Equipment and Labor Operator, Equipment, Overtime Rate $85.00/Hour $88.00/Hour
Equipment and Labor Operator, Equipment, Standard Rate $60.00/Hour $62.00/Hour
Equipment and Labor Paint Striper $45.00 $46.00
Equipment and Labor Patch Truck $110.00 $113.00
Equipment and Labor Paver, Pull Type $40.00 $41.00
Equipment and Labor Paver, Track Type $190.00 $195.00
Equipment and Labor Power Broom $20.00 $21.00
Equipment and Labor Sewer Vac (Requires 2 Operators)$180.00 $185.00
Equipment and Labor Sign Truck $50.00 $51.00
Equipment and Labor Snowblower $20.00 $21.00
Equipment and Labor Spray Patcher $85.00 $87.00
Equipment and Labor Sweeper $100.00 $103.00
Equipment and Labor Tar Kettle $20.00 $21.00
Equipment and Labor Tractor with Clam $55.00 $56.00
Equipment and Labor Tractor, Holder, with Mower $60.00 $61.00
Equipment and Labor Tractor, Large, with Mower $60.00 $61.00
Equipment and Labor Tractor, Small, with Mower $45.00 $46.00
Equipment and Labor Traffic Counter $11.00 $12.00
Equipment and Labor Trailer $15.00 $16.00
Equipment and Labor Trailer, Arrow Board $25.00 $26.00
Equipment and Labor Trailer, Jetter $70.00 $72.00
Equipment and Labor Trailer, Tandem Axel $25.00 $26.00
Equipment and Labor Trencher $50.00 $51.00
Equipment and Labor Truck, Bucket $100.00 $103.00
Equipment and Labor Truck, Dump, 1-Ton $50.00 $51.00
Equipment and Labor Truck, Dump, Single Axle $55.00 $56.00
Equipment and Labor
Truck, Dump, Single Axle with
Plow/Attachment $85.00 $87.00
Equipment and Labor Truck, Dump, Tandem Axle $85.00 $87.00
Equipment and Labor
Truck, Dump, Tandem Axle with
Plow/Attachment $90.00 $92.00
Equipment and Labor Truck, Pickup $43.00 $44.00
Equipment and Labor Truck, Pickup with Plow/Attachment $55.00 $56.00
Equipment and Labor Truck, Tanker $75.00 $77.00
Equipment and Labor Wacker $16.00 $17.00
Right-of-Way Curb Cuts - Residential $50.00 $50.00
Right-of-Way Load Limit Permit $67.00 each trip $69.00 each trip
Right-of-Way Right-of-Way Delay Penalty Fee $75.00 (Up To 3 Days) + $15.00/Day (After $75.00 (Up To 3 Days) + $15.00/Day (After 3
Right-of-Way Right-of-Way Excavation Permit Fee: Hole $200.00 $200.00
Right-of-Way Right-of-Way Excavation Permit Fee: Trench
$70.00/100 Lineal Feet + Hole Fee
($200.00) $70.00/100 Lineal Feet + Hole Fee ($200.00)
Right-of-Way
Right-of-Way Non-excavation Fee, Aerial or
Overhead Lines $50.00 plus $5 per 100 Linear Feet $50.00 plus $5 per 100 Linear Feet
Right-of-Way Right-of-Way Obstruction Permit Fee $200.00 + $0.20/Lineal Foot of Obstruction $200.00 + $0.20/Lineal Foot of Obstruction
Right-of-Way Right-of-Way Permit Extension Fee $75.00 $75.00
Right-of-Way Right-of-Way Registration Fee $100.00 Annually $100.00 Annually
Right-of-Way Right-of-Way Sidewalk, Apron, Commercial $200.00 $200.00
Right-of-Way
Small Wireless Facility Installation (6 to 15
Facilities)$100.00 per Facility $100.00 per Facility
Right-of-Way
Small Wireless Facility Installation (up to 5
facilities)$500.00 $500.00
Right-of-Way
Small Wireless Facility Installation, Plan
Review Escrow
$10,000.00 (Unused Escrow Amount
Returned)
$10,000.00 (Unused Escrow Amount
Returned)
Right-of-Way Small Wireless Facility, Collocation Rental
$175.00 per Facility per Year ($150.00
Rental/$25.00 Maintenance)
$175.00 per Facility per Year ($150.00
Rental/$25.00 Maintenance)
Right-of-Way Work Without a Permit Double Permit Fee Double Permit Fee
Signs 10' Galvanized Round Post $30.00 $31.00
Signs 10' Galvanized Square Post $45.00 $46.00
Signs 12' Galvanized Round Post $30.00 $31.00
Category Subcategory Item Tier 2023 Fee 2024 Proposed Fee's
Signs 3" X 60" Post Delineators $30.00 $31.00
Signs 6'3# Green Channel Post $20.00 $21.00
Signs 7'2# Galvanized Channel Post $20.00 $21.00
Signs 7'3# Galvanized Channel Post $30.00 $31.00
Signs 8'2# Green Channel Post $30.00 $31.00
Signs 9 Button Marker $30.00 $31.00
Signs Band-It Hardware Average $20.00 $21.00
Signs Crosswalk Arrow $40.00 $41.00
Signs Crosswalk Sign $90.00 $92.00
Signs Heavy Duty Cap Bracket 12"$20.00 $21.00
Signs Heavy Duty T Bracket 12"$20.00 $21.00
Signs Island Keep Right Sign $45.00 $46.00
Signs Light Pole Bracket $25.00 $26.00
Signs Marker Band $15.00 $16.00
Signs No Parking Sign $25.00 $26.00
Signs Nuts and Bolts Per Sign $10.00 $10.00
Signs Speed Limit Sign 24" X 30"$40.00 $41.00
Signs Square Surface Mount Bracket Break Away $155.00 $159.00
Signs Stop Sign - 30" Visual Impact Perception $80.00 $82.00
Signs Stop Sign - 36" Visual Impact Perception $105.00 $108.00
Signs
Street Name Sign - 24" Visual Impact
Perception $95.00 $97.00
Signs
Street Name Sign - 28" Visual Impact
Perception $95.00 $97.00
Signs
Street Name Sign - 30" Visual Impact
Perception $100.00 $103.00
Signs
Street Name Sign - 34" Visual Impact
Perception $105.00 $108.00
Signs
Street Name Sign - 36" Visual Impact
Perception $110.00 $113.00
Signs
Street Name Sign - 42" Visual Impact
Perception $120.00 $123.00
Signs Street Name Sign 48" Visual Impact Perception $125.00 $128.00
Signs Warning Sign - 30" Visual Impact Perception $80.00 $82.00
Signs Warning Sign - 36" Visual Impact Perception $110.00 $113.00
Spring Clean up Grill $10.00 Each $10.00 Each
Spring Clean up Push mower $10.00 Each $10.00 Each
Spring Cleanup Air Conditioner $10.00 Each $10.00 Each
Spring Cleanup Appliances, Ammonia Refrigerant $95.00 and Up $100.00 and Up
Spring Cleanup Bulbs, Flourescent No Charge No Charge
Spring Cleanup By Load (Car Trunk)$15.00 - $45.00 $20.00 - $50.00
Spring Cleanup By Load (Pickup Truck)$40.00 - $120.00 $50.00 - $130.00
Spring Cleanup By Load (SUV/Station Wagon)$20.00 - $60.00 $30.00 - $70.00
Spring Cleanup By Load Box Truck $70.00-$150.00
Spring Cleanup Car Battery No Charge No Charge
Spring Cleanup Chair $5.00 Each $5.00 Each
Spring Cleanup Computers No Charge No Charge
Spring Cleanup Dishwasher $10.00 Each $10.00 Each
Spring Cleanup Electronics No Charge No Charge
Spring Cleanup Exercise Equipment $10.00 Each
Spring Cleanup Freezer $10.00 Each $10.00 Each
Spring Cleanup Lumber, Railroad Tie, 6X6 or 6X8 $10.00 Each $10.00 Each
Spring Cleanup Lumber, Treated, 2X4 $4.00 Each $5.00 Each
Spring Cleanup Lumber, Treated, 4X4 $7.00 Each $8.00 Each
Spring Cleanup Mattress or Box Spring $30.00 Each $20.00 Each
Spring Cleanup Mattress, Crib $15.00 Each $10.00 Each
Spring Cleanup Microwave $10.00 Each No Charge
Spring Cleanup Paint, Household, Latex or Oil Based No Charge No Charge
Spring Cleanup Refrigerator (No Gas Ammonia)$10.00 Each $10.00 Each
Spring Cleanup Snow Blower $15.00 Each
Spring Cleanup Sofa $10.00 Each $10.00 Each
Spring Cleanup Stove $10.00 Each $10.00 Each
Spring Cleanup Television No Charge No Charge
Spring Cleanup Tire, Car/Light Truck $2.00 Each $3.00 Each
Spring Cleanup Tire, Semi Truck $8.00 Each $10.00 Each
Spring Cleanup Tire, Tractor $30.00 Each $30.00 Each
Spring Cleanup Washer or Dryer $10.00 Each $10.00 Each
Spring Cleanup Water Heater $10.00 Each $10.00 Each
Spring Cleanup Water Softener $10.00 Each $10.00 Each
Street Lights Fixture, Cobra Head, LED $860.00 Each or Current Cost $1,468.50 Each or Current Cost
Street Lights Fixture, Concrete, LED $1,320.00 Each or Current Cost $2,964.50 Each or Current Cost
Street Lights Fixture, Granville, LED $1595.00 Each or Current Cost $1,864.50 Each or Current Cost
Street Lights Fixture, Residential, LED $1625.00 Each or Current Cost $1,978.90 Each or Current Cost
Street Lights Mast Arm, Pole $825.00 Each or Current Cost $907.50 Each or Current Cost
Street Lights Mast Arm, Pole, Dual $825.00 Each or Current Cost $907.50 Each or Current Cost
Street Lights Pole, Commercial, Round Tapered - 20' $2,200.00 Each or Current Cost $2,420.00 Each or Current Cost
Street Lights Pole, Commercial, Round Tapered - 30' $3,400.00 Each or Current Cost $3,740.00 Each or Current Cost
Street Lights Pole, Concrete $3,850.00 Each or Current Cost $4,235.00 Each or Current Cost
Street Lights Pole, Decorative, 14'$2090.00 Each or Current Cost $2,524.50 Each or Current Cost
Street Lights Pole, Decorative, 18'$2950.00 Each or Current Cost $3,245.00 Each or Current Cost
Street Lights Pole, Residential $1079.00 Each or Current Cost $1,622.50 Each or Current Cost
Utilities
Permits/Rentals 2½" Hydrant Water Meter, Deposit $1,300.00 (Actual Cost of Meter) $1,500.00 (Actual Cost of Meter)
Permits/Rentals 2½" Hydrant Water Meter, Permit Fee $50.00 $50.00
Permits/Rentals 2½" Hydrant Water Meter, Rental Fee $5.00 per Day $5.00 per Day
Permits/Rentals 2½" Meter, Consumption Charge $4.50 per 1,000 Gallons Consumption $4.50 per 1,000 Gallons Consumption
Permits/Rentals 3/4" Adapter, Consumption Charge $2.50 per 1,000 Gallons Consumption $4.50 per 1,000 Gallons Consumption
Permits/Rentals 3/4" Adapter, Deposit $250.00 $250.00
Permits/Rentals 3/4" Adapter, Permit Fee $50.00 $50.00
Permits/Rentals 3/4" Adapter, Rental Fee $5.00 per Day $5.00 per Day
Permits/Rentals Fire Hydrant Hookup Permit $50.00 $50.00
Services
Accuracy Test of Water Meter (Requested by
Water User) Outsource Meter Accuracy
Certification $150.00 $150.00
Services Utility Account Turn-off Fee $75.00 $75.00
Services Water and Sewer Restoration Fee $5.00 plus 6% Interest per Annum $5.00 plus 6% Interest per Annum
Services
Water Reconnection or Turn-on Fee (Outside
Water Department Regular Working Hours)
$90.00 per Occurrence; $175.00 on
Holidays
$100.00 per Occurrence; $175.00 on
Holidays
Sewer Usage Rates Commercial Base Charge $4.59 per Month $4.82 per Month
Sewer Usage Rates Commercial All Non-Irrigation Usage $4.06 per 1,000 gallons $4.26 per 1,000 gallons
Sewer Usage Rates Residential Base Charge $4.59 per Month $4.82 per Month
Sewer Usage Rates Residential All Usage $4.06 per 1,000 gallons $4.26 per 1,000 gallons
Stormwater Utility Fees 1.5+ Acre Residential $4.51 per Residential Unit per Month $4.65 per Residential Unit per Month
Stormwater Utility Fees Agricultural Land with Structure $70.18 per Parcel with Structure per Year $70.28 per Parcel with Structure per Year
Stormwater Utility Fees Apartments $1.43 per Residential Unit per Month $1.47 per Residential Unit per Month
Category Subcategory Item Tier 2023 Fee 2024 Proposed Fee's
Stormwater Utility Fees Cemeteries $10.77 per Acre per Year $11.09 per Acre per Year
Stormwater Utility Fees Churches $23.66 per Impervious Surface Acre per $24.37 per Impervious Surface Acre per
Stormwater Utility Fees Commercial / Industrial $23.66 per Impervious Surface Acre per $24.37 per Impervious Surface Acre per
Stormwater Utility Fees Golf Courses $10.77 per Acre per Year $11.09 per Acre per Year
Stormwater Utility Fees Mining $10.77 per Acre per Year $11.09 per Acre per Year
Stormwater Utility Fees Schools
$23.66 per Impervious Surface Acre per
Month
$24.37 per Impervious Surface Acre per
Month
Stormwater Utility Fees Single Family Home $6.10 per Residential Unit per Month $6.28 per Residential Unit per Month
Stormwater Utility Fees Townhomes $2.95 per Residential Unit per Month $3.04 per Residential Unit per Month
Street Light Rates City-Owned, Commercial
$5.40 per Month per Residential Lot
Equivalent (2.5 Lots/Acre for Commercial
and Churches; 1.25 Lots/Acre for Schools)
$5.85 per Month per Residential Lot
Equivalent (2.5 Lots/Acre for Commercial
and Churches; 1.25 Lots/Acre for Schools)
Street Light Rates City-Owned, Residential $5.40 per Month per Lot $5.85 per Month per Lot
Street Light Rates Rural $5.25 per Year $5.76 per Year
Street Light Rates Xcel Owned $6.50 Per Month $7.05 Per Month
Water Usage Rates Residential, Base Charge Single Family $3.10 per Month $3.20 per Month
Water Usage Rates Residential, Base Charge Multi-family (per REU) $2.35 per Month $2.40 per Month
Water Usage Rates Residential, Usage <6,000 Gallons per Month $1.08 Per 1,000 Gallons $1.11 Per 1,000 Gallons
Water Usage Rates Residential, Usage 6,001 to 9,000 Gallons per Month $1.63 Per 1,000 Gallons $1.68 Per 1,000 Gallons
Water Usage Rates Residential, Usage 9,001 to 12,000 Gallons per Month $2.43 Per 1,000 Gallons $2.50 Per 1,000 Gallons
Water Usage Rates Residential, Usage >12,000 Gallons per Month $3.65 Per 1,000 Gallons $3.76 Per 1,000 Gallons
Water Usage Rates Commercial, Base Charge Non-residential (0.5 Inches Meter Size) $3.10 per Month $3.20 per Month
Water Usage Rates Commercial, Base Charge Non-residential (0.625 Inches Meter Size) $3.10 per Month $3.20 per Month
Water Usage Rates Commercial, Base Charge Non-residential (0.75 Inches Meter Size) $3.10 per Month $3.20 per Month
Water Usage Rates Commercial, Base Charge Non-residential (1.0 Inches Meter Size) $12.40 per Month $12.75 per Month
Water Usage Rates Commercial, Base Charge Non-residential (1.5 Inches Meter Size) $24.80 per Month $25.50 per Month
Water Usage Rates Commercial, Base Charge Non-residential (2.0 Inches Meter Size) $37.20 per Month $38.30 per Month
Water Usage Rates Commercial, Base Charge Non-residential (3.0 Inches Meter Size) $43.25 per Month $44.54 per Month
Water Usage Rates Commercial, Base Charge Non-residential (4.0 Inches Meter Size) $61.80 per Month $63.65 per Month
Water Usage Rates Commercial, Base Charge Non-residential (6.0 Inches Meter Size) $154.50 per Month $159.15 per Month
Water Usage Rates Commercial, Usage (Non-Irrigation) <6,000 Gallons per Month $1.08 Per 1,000 Gallons $1.11 Per 1,000 Gallons
Water Usage Rates Commercial, Usage (Non-Irrigation) 6,001 to 9,000 Gallons per Month $1.63 Per 1,000 Gallons $1.68 Per 1,000 Gallons
Water Usage Rates Commercial, Usage (Non-Irrigation) 9,001 to 12,000 Gallons per Month $2.43 Per 1,000 Gallons $2.50 Per 1,000 Gallons
Water Usage Rates Commercial, Usage (Non-Irrigation) >12,000 Gallons per Month $3.65 Per 1,000 Gallons $3.76 Per 1,000 Gallons
Water Usage Rates Commercial, Usage (Irrigation) <6,000 Gallons per Month $1.63 Per 1,000 Gallons $1.68 Per 1,000 Gallons
Water Usage Rates Commercial, Usage (Irrigation) 6,001 to 9,000 Gallons per Month $2.44 Per 1,000 Gallons $2.51 Per 1,000 Gallons
Water Usage Rates Commercial, Usage (Irrigation) 9,001 to 12,000 Gallons per Month $3.67 Per 1,000 Gallons $3.78 Per 1,000 Gallons
Water Usage Rates Commercial, Usage (Irrigation) >12,000 Gallons per Month $5.49 Per 1,000 Gallons $5.65 Per 1,000 Gallons
ORDINANCE NO. 1079
AN ORDINANCE FOR THE CITY OF COTTAGE GROVE, MINNESOTA,
AMENDING THE CITY FEE TABLE
The City Council of the City of Cottage Grove, Washington County,
Minnesota, does hereby ordain as follows:
SECTION 1. AMENDMENT. The City Fee Table administered by the City
of Cottage Grove, County of Washington, State of Minnesota, shall be amended
as specified in Attachment A effective January 1, 2024 and will remain in effect
until amended or otherwise specified.
SECTION 2. PUBLICATION BY TITLE AND SUMMARY. Pursuant to
Minnesota Statute Section 412.191, subd. 4, in the case of a lengthy ordinance,
a summary may be published in lieu of the entire ordinance. The entire ordinance
has been posted in accordance with State Statute 415.19 on the City’s Public
Notices board at City Hall, and on the City’s website under Pending Ordinances
at least ten days before consideration. A copy of the entire ordinance is available
at the office of the City Clerk and the fee table in its entirety will be published on
the City’s website. The following summary is approved by the City Council and
shall be published in lieu of the entire ordinance:
City of Cottage Grove
Ordinance 1079
The Cottage Grove City Council passed Ordinance 1079, which amends the City
Fee Table in the following categories effective 1/1/2024:
Ambulance (Basic Life Support, Advanced Life Support, Other) Animal (Impound,
Licenses, Registrations) Development (Area Charges, Commercial/Industrial;
Area Charges, Residential; Connection Fees, Commercial/Industrial; Connection
Fees, Residential; Engineering; Miscellaneous) Fines (Code Enforcement;
License) General Services (Copying/Printing; Finance; Miscellaneous) Golf
Course (Cart Rental; Driving Range; Facility Rental; Food and Beverage
Minimum; Greens Fee (Juniors); Greens Fee (Non-Patron); Greens Fee (Patron);
Greens Fee (Seniors); Greens Fee (Twilight Golf); Season Pass; Tournament;
Trail Fee) Ice Arena (High School Hockey Games; North & West Rink Ice Rental;
Public Skating; Rentals, Other; South Rink Ice Rental; Turf Rental) Licenses
(Business; Rental) Parks (Event/Tournament; Facility Use) Permits (Building,
State Surcharges; Building/Mechanical/Plumbing Permits; Electrical;
Grading/Excavation; Inspections; Mechanical/Plumbing (Commercial) Note: Add
State Surcharge; Mechanical/Plumbing (Residential) Note: Add State Surcharge;
Miscellaneous Permit Fees; Zoning) Public Safety (Data Requests; Fire Services;
Police Services; Towing and Impound) Public Works (Equipment and Labor;
Right-of-Way; Signs; Spring Cleanup; Street Lights) Utilities (Account;
Permits/Rentals; Services; Sewer Usage Rates; Stormwater Utility Fees; Street
Light Rates; Water Meters; Water Usage Rates).
The full text of Ordinance 1079 is available at Cottage Grove City Hall during
regular business hours and the new fee table will also be available on the city
website at cottagegrovemn.gov, search City Fee Table, after it becomes
effective.
Tamara Anderson
City Clerk
SECTION 3. EFFECTIVE DATE. This ordinance shall be in full force and
effect on 1/1/2020 after its passage and publication according to law.
Passed this 20th day of December 2023.
__________________________
Myron Bailey, Mayor
Attest:
___________________________
Tamara Anderson, City Clerk
1
TO: Honorable Mayor and City Council
Jennifer Levitt, City Administrator
FROM: Tammy Anderson
DATE: December 20, 2023
RE: Business License Renewals
Discussion
The City of Cottage Grove licenses specific business activities and most licenses are issued
on a calendar-year basis and are subject to renewal. Certain license types require City Council
authorization for issuance as specified by our City Code and/or the recommendation of our
City Attorney. These licenses include Liquor, Tobacco, Therapeutic Massage Businesses and
Massage Therapists.
A due date of November 15, 2023 was given to businesses for submission of renewal
applications. This provides staff time to complete verifications and any required background
checks before they are presented to the City Council for approval. Applications that have been
submitted, have cleared the background checks, and have not already been approved to this
point are included in the attached resolution. As some applications have not been submitted or
are incomplete, I will forward additional renewals to the City Council on January 3, 2024.
Recommendation
Adopt Resolution 2023-147 authorizing renewal of business licenses for 2024.
Attachments
1. Resolution - 2023 Business License Renewals - 2023-147
2. Attachment - Approved Businesses 2024
CITY OF COTTAGE GROVE, MINNESOTA
CITY COUNCIL
RESOLUTION 2023-147
BUSINESS LICENSE RENEWALS FOR 2024
WHEREAS, the City of Cottage Grove licenses specific business activities on a calendar-year
basis and such licenses expire on December 31 and are subject to renewal; and
WHEREAS, certain license types require City Council authorization for issuance as specified
by our City Code and/or the recommendation of our City Attorney; and
WHEREAS, the businesses listed in Attachment A have submitted license renewal
applications; and
WHEREAS, the applications have been reviewed and the businesses have undergone
background investigations by the Police Division of the Public Safety Department and the City Clerk
Division of the Administration Department; and
WHEREAS, the results of the background investigations have not revealed anything that would
constitute a basis for denial of the renewal applications;
NOW, THEREFORE, BE IT RESOLVED, the City Council of the City of Cottage Grove, County
of Washington, State of Minnesota, authorizes renewal of the business licenses specified in
Attachment A, for the year of 2024 conditioned on compliance with all applicable state and local
regulations related to each specific license type.
Passed this 20th day of December 2023.
Myron Bailey, Mayor
Attest:
Tamara Anderson, City Clerk
License Type Business Address LicenseeTop Ten Liquors 8617 East Pt Douglas Rd SJonathan Garett HalperVFW 9260 East Pt Douglas Rd S Constance June WylieLicense Type Business Address LicenseeTop Ten Liquors 8617 East Pt Douglas Rd SJonathan Garett HalperHoliday Station Store #443 8610 East Pt Dougls Rd SGary BrantWalgreens 7135 East Point Douglas SBrian Richard BrownLicense Type Business Address LicenseeThe Healing Place 8617 West Pt Douglas RdRamona WesterbergThe Healing Place Massage Therapist 8618 West Pt Douglas Rd Ramona Lee WesterbergThe Healing Place Massage Therapist 8619 West Pt Douglas RdKarandra Lee DuppongThe Healing Place Massage Therapist 8620 West Pt Douglas RdJessica Nicole JosephsonThe Healing Place Massage Therapist 8621 West Pt Douglas Rd Stephanie Louise StaatsThe Healing Place Massage Therapist 8622 West Pt Douglas RdJacqueline Joyee HeadThe Healing Place Massage Therapist 8623 West Pt Douglas RdShelly Rae HarrisShiny Balance Nails 7240 East Pt Douglas RdSarah JoMalter CarlsonShiny Balance Nails Massage Therapist 7241 East Pt Douglas RdSarah JoMalter CarlsonThe Summer Spa 8471 East Pt Douglas RdXioomei LiThe Summer Spa Massage Therapist 8472 East Pt Douglas RdXioomei LiRESOLUTION 2023‐147 ‐ ATTACHMENT ALiquor LicensesLiquor LicenseTobaccoMassage
1
City Council Action Request
7.D.
Meeting Date 12/20/2023
Department Community Development
Agenda Category Action Item
Title Approval of Rental Licenses
Staff Recommendation Approve the issuance of rental licenses to the properties listed in
the attached table.
Budget Implication N/A
Attachments 1. Rental License Approval CC Memo
2. Rental License Approvals Table
TO: Honorable Mayor and City Council
Jennifer Levitt, City Administrator
FROM: Samantha Drewry, Code Enforcement Officer
DATE: December 14, 2023
RE: Rental License Approvals
Background/Discussion
Rental licenses are required for nonowner-occupied residential properties (City Code Title
9-13, Property Maintenance, and Title 9 -14, Rental Licensing) and are issued on a
biennial basis. The licensing process includes submittal of the rental license application,
payment of $180, and public criminal history report. Rental inspections are conducted on
all rental properties as part of the licensing process. Once all information has been sub -
mitted and the inspection satisfactorily completed, the Council must approve the license
prior to it being issued.
The properties listed in the attached table have completed the licensing process and are
ready to have their licenses issued following Council approval.
Recommendation
Approve the issuance of rental licenses to the properties in the attached table.
2024 RENTAL LICENSES
CITY COUNCIL APPROVAL - DECEMBER 20, 2023
RENTAL LICENSE
NUMBER
PROPERTY
STREET #PROPERTY STREET NAME PROPERTY OWNER
RENT-001919 9514 Kimbro Avenue South Dolan Jr., Daniel
RENT-001934 7026 Homestead Avenue South Blanche, Victor Paul
RENT-001942 8422 68th Street South Nielsen, Daniel
RENT-001945 6714 92nd Bay South Unique Homes Rental
RENT-001954 8867 89th Street Circle South Nielsen, Daniel
RENT-002012 7595 Lamar Avenue South Stulc, Edward
RENT-002059 8715 Ivywood Avenue South JCA Homes LLC
1
City Council Action Request
7.E.
Meeting Date 12/20/2023
Department Administration
Agenda Category Action Item
Title 2024 Non-Rep Pay Plan & Benefits
Staff Recommendation Approve Resolution 2023-164 adopting the 2024 Pay Plan and
Benefits for employees not covered by a labor contract for the City
of Cottage Grove.
Budget Implication Included in the 2024 Budget
Attachments 1. 2024 Non-Rep Pay Plan Resolution
2. Appendix A- 2024
1
TO: Honorable Mayor and City Council
Jennifer Levitt, City Administrator
FROM: Joe Fischbach
DATE: December 20, 2023
RE: 2024 Non-Rep Pay Plan & Benefits
Discussion
Each year the City Council approves a Resolution adopting the pay plan and benefits for
employees not covered by a labor contract. Attached is Resolution 2023-164 requesting the
adoption of the pay plan and benefits for 2024. The attached pay plan incorporates a 3% cost-
of-living-adjustment (COLA) for all positions. This is the same COLA that has been offered to
the 4 labor unions.
Recommendation
Approve Resolution 2023-164 adopting the 2024 Pay Plan and Benefits for employees not
covered by a labor contract for the City of Cottage Grove.
Attachments
1. 2024 Non-Rep Pay Plan Resolution
2. Appendix A- 2024
RESOLUTION 2023-164
ADOPTING 2024 PAY PLAN AND BENEFITS FOR EMPLOYEES NOT
COVERED BY A LABOR CONTRACT FOR THE CITY OF COTTAGE GROVE
See Last Page for Amendment Notations
ARTICLE I. PAY SCHEDULE
Section 1. Attachment A setting forth thirteen grades and seven steps is hereby
adopted as the City's pay schedule for non-represented employees for the pay
period starting January 1, 2024. The plan incorporates a 3% COLA. These
adjustments cover all non-represented regular, full and part-time employees who
are not subject to a bargaining contract for 2024, as defined by the City Council
through the Non-Represented Pay Plan.
Section 2. The positions covered by this resolution are hereby classified into
grades as follows on the pay schedule shown in Attachment A.
Section 3. For those employees appointed to full-time regular status, normal
progression through the pay steps, as set forth in Attachments A will be as
follows:
Beginning - Step 1
6 Months - Step 2
1 Year - Step 3
2 Years - Step 4
3 Years - Step 5
4 Years - Step 6
5 Years - Step 7
Be it provided, however, that based on other job-relevant factors (including but
not limited to recruitment needs, market comparability, pay equity considerations,
and performance), the City Administrator may recommend the placement of an
employee at a step other than that indicated by the above usual schedule.
Be it further provided that the City Administrator is authorized to recognize and
reward meritorious performance by increasing an employee's compensation one
additional step on any anniversary adjustment. However, such extraordinary
increases shall not be extended more than two times during the initial five years
of employment.
In addition, the City Administrator is authorized to defer step pay increases
and/or annual pay adjustments based on poor performance. An employee’s
performance must be recognized as satisfactory in order to be eligible for pay
increases.
ARTICLE II. HOURS
Section 1. The average work month for employees for the purpose of computing
vacation, sick leave and fraction of a month's work shall be one hundred seventy-
three (173) hours.
ARTICLE III. OVERTIME
Section 1. The positions of Public Safety Director, Fire Chief, Police Captain and
Deputy Fire Chief shall be paid overtime under the following conditions:
A. Those employees assigned are called to work on any holiday as
listed in the Personnel Policy.
B. Those employees called to testify in a court of law on their regularly
assigned days off.
C. Those employees assigned to work outside employment.
Section 2. The positions of Office Assistant II, Finance Assistant II,
Administration Specialist, Administrative Technician- Fleet Maintenance,
Transcriptionist, Community Development Assistant, Secretary, Administrative
Assistant, Customer Service Representative, Accounting Specialist, Human
Resources/Payroll Specialist, Records Specialist, Criminal Analyst, Building
Permit Technician, Investigative Aide, Administrative Secretary, Building
Inspector, Code Enforcement Officer, IT Specialist, HERO Center Facility
Operations Specialist and Records Coordinator shall be eligible for payment of
overtime.
Section 3. Overtime shall be paid at the rate of one and one-half times the
employee's regular hourly rate.
Section 4. No overtime shall be paid to any of the other employees listed in this
resolution.
ARTICLE IV. POLICY
Section 1. The Public Safety Director, Fire Chief, Police Captains, and Deputy
Fire Chief shall be provided uniforms, subject to the approval of the City
Administrator or designee.
Section 2. The EMPLOYER shall pay a maximum contribution per month per
employee. The contribution may be used toward the premium for group medical
coverage. Contribution amounts available but not used for medical coverage can
be used for dental insurance for the employee and the employee’s dependents,
and toward the premium for additional life insurance, long-term disability
coverage, or additional benefits allowed under the City’s flexible benefits plan.
Effective August 29, 2002, all new employees who work an average of thirty-one
(31) hours per week or more must enroll in a minimum of single medical
coverage. Effective 1/1/2005 for current employees not waiving coverage, he/she
cannot waive coverage in the future. Further, effective 1/1/2005, if the employee
currently waives coverage and chooses to purchase coverage, he/she cannot
later choose to waive coverage.
The employer contribution for 2024 will be as follows:
HSA Passport Plan
Single- 100% of premium
Single + One- 70% of premium
Single + Children- 70% of premium
Family- 70% of premium
HSA Elect Plan
Single- 100% of premium
Single + One- 70% of premium
Single + Children- 70% of premium
Family- 70% of premium
Both the Passport and Elect plans have a, $4,500- employee and $9,000- all
others, deductible. However, the employee will be responsible for, $2,500-
employee and $5,000- all others, of the deductible amount. The remainder will be
covered by the employer through a HRA. Of the $2,500/$5,000 amount the
employer will contribute $1,400/$2,800 into the employee’s HSA, on a matching
basis. The employer contribution amount is provided on a matching basis of 2
(two) employer dollars for every 1 (one) dollar contributed by the employee, up to
the annual employer maximum. The employer HSA contributions will be made in
two equal payments, the first pay dates in January and July. Both plans will have
an imbedded deductible. There is an 80/20 payment arrangement once the
deductible is met, whereby the insurance company pays 80 percent and the
employee/employer pay the other 20 percent, up to an out-of-pocket maximum.
The out-of-pocket maximums are, $5,800 - employee and $11,600 - all others. If
the employee/employer experience out of pocket costs, the employer will cover
up to the $1,300- employee and up to the $2,600- all others.
The City will pay for single dental coverage for employees enrolled in the City
health insurance plan.
Employees who waive but do not receive waiver compensation may still waive
but will not receive any waiver compensation. All new employees must enroll in a
minimum of single medical coverage. If an employee receiving waiver
compensation elects City insurance and then waives again in the future, they will
not be eligible for the waiver compensation.
Section 3. The City shall pay the premium for group life insurance for all
permanent full-time employees; insurance to equal $1,000 coverage per $1,000
of annual base salary.
Section 4. The Public Works Director, Public Safety Director, City Engineer,
Police Captains, Fire Chief and Deputy Fire Chief shall be issued City vehicles or
allowed a monthly car allowance as determined by the City Administrator and
subject to the rules established in the City’s Travel, Training, and Education
Policy.
Section 5. Pensioned or pension-eligible former employees (including those who
were members of bargaining units during their employment) of the City may
continue participation in the City's group hospitalization, health, dental and life
insurance programs for themselves and their dependents, provided that such
former employee will be required to pay the full premium for such insurance
coverage by the first day of each month that coverage is desired. Insured
dependents may continue coverage upon death of the former employee.
The availability of such coverage to former employees and their dependents shall
be consistent with applicable State law and subject to whatever restrictions or
limitations may be placed on the coverage by the City's insurance carrier. The
City's policy somewhat exceeds minimum requirements of State law. The City
Administrator shall annually review the effect of the participation of former
employees and their dependents on the City's insurance program, and to the
extent not inconsistent with State law, the City Council retains the right to
terminate participation and/or otherwise modify the program when it is
determined to be in the best interest of the City and/or its current employees.
Section 6. All other conditions of employment shall be those as adopted by the
Personnel Policy, and not in conflict with the foregoing articles.
ARTICLE V. REPEAL
Section 1. This resolution supercedes and replaces all previous resolutions
relating to the pay plan for non-represented employee (including, but not limited
to, Resolutions 00-38, 01-084, 01-176, 02-008, 02-132, 02-235, 03-163, 04-214,
04-219, 05-009, 06-096, 06-252, 07-204, 08-201, 09-159, 09-191, 10-181, 12-
053, 12-087, 13-003 and 13-134, 14-116, 15-049, 15-127, 16-179, 17-161, 18-
111, 1 8-161, 19-071, 19-131, 2020-158, 2021-152, 2022-050, 2022-073, 2022-
108, 2022-171).
ARTICLE VI. REVIEW
The City Administrator shall periodically review this Pay Plan and shall
recommend to the City Council any required adjustments.
ARTICLE VII. IMPLEMENTATION PROCESS
Section 1. This resolution adopting a 2023 pay plan and benefits for employees
not covered by a labor contract, when adopted, shall be updated as necessary.
ARTICLE VIII. EFFECTIVE DATE
Section 1. This resolution shall become effective January 2, 2023 and shall
remain in effect until amended by the City Council.
AMENDMENTS
This 2023 Pay Plan was adopted by City Council Resolution No. 2023-014 on
2/1/2023. The resolutions amending the pay plan are listed below, and these
amendments have been incorporated into the pay plan.
Amendments:
1.Resolution No. 2020-158 Adopting 2021 Pay Plan and Benefits, with
reclassifications, for employees not covered by a labor contract for the
City of Cottage Grove.
2.Resolution No. 2021-152 Adopting 2022 Pay Plan and Benefits, with
reclassifications, for employees not covered by a labor contract for the
City of Cottage Grove.
3.Resolution No. 2022-050 Adopting 2022 Pay Plan and Benefits, with
added positions, for employees not covered by a labor contract for the City
of Cottage Grove.
4.Resolution No. 2022-073 Adopting 2022 Pay Plan and Benefits, with
added positions, for employees not covered by a labor contract for the City
of Cottage Grove.
5.Resolution No. 2022-108 Adopting 2022 Pay Plan and Benefits, with
reclassifications, for employees not covered by a labor contract for the
City of Cottage Grove.
6.Resolution No. 2022-171 Adopting 2023 Pay Plan and Benefits, with
reclassifications, for employees not covered by a labor contract for the
City of Cottage Grove.
7.Resolution No. 2023-014 Adopting 2023 Pay Plan and Benefits, with
reclassifications, for employees not covered by a labor contract for the
City of Cottage Grove.
8.Resolution No. 2023-164 Adopting 2024 Pay Plan and Benefits, with
reclassifications, for employees not covered by a labor contract for the
City of Cottage Grove.
Passed this 20th day of December 2023.
__________________________
Myron Bailey, Mayor
Attest:
___________________________
Tamara Anderson, City Clerk
Appendix A
2024 NON-REPRESENTED PAY PLAN
Level Title MIN - 1 2 3 MID - 4 5 6 MAX - 7
80%83%87%90%93%97%100%
X03 City Administrator 78.38 81.32 85.23 88.17 91.11 95.03 97.97
X02 Finance Director 63.11 65.48 68.63 71.00 73.37 76.52 78.89
X02 Public Safety Director
X02 Public Works Director
X01 Community Development Director 57.38 59.53 62.40 64.55 66.70 69.57 71.72
X01 Park & Rec Director
X01 Fire Chief
X01 Police Captain
X01 City Engineer
21 Economic Development Director 47.26 49.03 51.39 53.16 54.94 57.30 59.07
21 Assistant City Engineer
21 Assistant Finance Director
21 Chief Building Official
21 Communications Manager
21 Deputy Fire Chief
21 Fleet & Facilities Manager
21 Human Resources Manager
21 IT Manager
21 Superintendents
20 HERO Center Manager 43.96 45.61 47.81 49.46 51.10 53.30 54.95
20 Project Engineer
20 Recreation Facilities Manager
20 Recreation Services Manager
20 River Oaks General Manager
19 Assistant to City Administrator 40.90 42.44 44.48 46.02 47.55 49.60 51.13
19 River Oaks Superintendent
19 Senior Building Inspector
19 Senior Planner
19 Fire Marshal
19 City Clerk
19 Systems Administrator
18 Management Analyst 38.03 39.46 41.36 42.79 44.21 46.11 47.54
18 Records Manager
17 Accountant 35.39 36.72 38.49 39.82 41.14 42.91 44.24
17 Building Inspector
17 Golf Assistant Superintendent
17 Graduate Engineer
17 IT Specialist
17 Planner
17 Human Resources/Payroll Specialist
17 HERO Center Facility Operations Specialist
16 Code Enforcement Officer 32.91 34.15 35.79 37.03 38.26 39.91 41.14
16 Recreation/Arena Supervisor
16 Marketing/Communications Specialist
16 Executive Chef
16 Golf Professional
16 Criminal Analyst
15 Accounting Specialist 30.62 31.76 33.29 34.44 35.59 37.12 38.27
15 Administrative Training Coordinator
15 Management Assistant
15 Records Coordinator
15 Associate Planner
14 Admin Secretary- Public Works 28.49 29.56 30.98 32.05 33.12 34.54 35.61
14 Building Permit Technician
14 Investigative Aide
14 Records Specialist
14 GIS Technician
14 Events Manager
14 Grill Manager/Line Cook
13 Community Development Assistant 26.50 27.49 28.81 29.81 30.80 32.13 33.12
13 Secretary / Administrative Assistant
13 Administrative Technician- Fleet
13 Customer Service Representative
12 Transcriptionist 24.66 25.58 26.81 27.74 28.66 29.90 30.82
Office Assistant II
Finance Assistant II
Administration Specialist
1
City Council Action Request
7.F.
Meeting Date 12/20/2023
Department Administration
Agenda Category Action Item
Title Personnel Policy Update
Staff Recommendation Adopt Resolution 2023-169 approving the updated Annual Leave
policy and adding the earned safe and sick time policy to the
Personnel Policy.
Budget Implication N/A
Attachments 1. AL ESST Resolution
2. ESST Flyer
1
TO: Honorable Mayor and City Council
Jennifer Levitt, City Administrator
FROM: Joe Fischbach
DATE: December 20, 2023
RE: Personnel Policy Update
Discussion
This year, the Minnesota Legislature passed a new law that allows all Minnesota employees to
earn and use paid time for allowed purposes. The law is referred to as earned safe and sick
time (ESST). It is effective on January 1, 2024.
Staff have been working the past few months to put all the pieces in place to implement the
new law into our policies, payroll system, etc. Our Annual Leave (PTO) program provides a
richer benefit than the new law, so employees who earn Annual Leave will be covered. These
employees will have up to 48 hours per year dedicated to allowed ESST use if they so choose.
The allowed uses for ESST are defined in the attached Resolution and taken directly from the
state law.
The biggest change for ESST will be for part-time and/or seasonal employees that do not
currently accrue Annual Leave. These employees will now earn one hour of ESST for every 30
hours that they work, up to 48 hours per year and a maximum bank of 80 hours. Historically,
these employees would not get paid if they missed work if they were sick or had to miss for
another allowed purpose. Starting in January, they will be paid if they miss work for an allowed
purpose under the policy and law if they have enough accrued hours banked.
The ESST flyer put together by the Minnesota Department of Labor and Industry is attached.
The City’s goal has been to be an employer of choice. It has been important for the city to
recruit talent to our organization. Starting in 2020, the city has begun conducting interviews
with new employees about 90 days after their first day. The intent of these interviews is to
discuss the onboarding process with the employee and get their feedback on how we can be
an employer of choice. One suggestion implemented was to give all full-time employees at
least 40 hours of Annual Leave on their first day. Many of our new employees have children
and/or have a vacation planned. Without an Annual Leave bank to start, they would not get
paid if they had to stay home with a sick child if they were sick or took a few days off for a pre-
planned vacation. If the employee left prior to completing one year of employment, the 40
hours of annual leave would not be paid out when they left. They would only be paid out for
the annual hours worked. The other suggestion that was implemented was to give employees
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credit for past, relevant work experience. For example, if an employee came to the city with 10
years of experience in another city, they would accrue Annual Leave at the 10-year accrual
rate, not the starting rate. In order for the city to be competitive in the marketplace and recruit
talent to our organization, this is a critical factor, because many experienced employees would
be leaving behind a large annual leave bank and a higher annual leave accrual rate.
Recommendation
Adopt Resolution 2023-169 approving the updated Annual Leave policy and adding the
earned safe and sick time policy to the Personnel Policy.
Attachments
1. AL ESST Resolution
2. ESST Flyer
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CITY OF COTTAGE GROVE
WASHINGTON COUNTY
STATE OF MINNESOTA
RESOLUTION NO. 2023-169
A RESOLUTION AMENDING THE PERSONNEL POLICY OF THE CITY OF
COTTAGE TO AMEND SECTION 13.3 ANNUAL LEAVE TO PROVIDE FOR EARNED
SICK AND SAFE TIME
Whereas, Minnesota’s Earned Sick and Safe Time (“ESST”) law requires
employers to provide paid leave to employees who work in the state, which can be used
for the reasons and under the conditions articulated in the City’s ESST Policy, if they work
at least eighty (80) hours in a year for the City and are not an independent contractor;
and
Whereas, the City shall use the calendar year (January 1st through December 31st)
for the purposes of the City’s ESST policy; and
Whereas, ESST shall begin to accrue on January 1, 2024, or at the start of an
employee’s employment, whichever is later; and
Now therefore be it resolved by the City Council of the City of Cottage Grove that
Section 13.3 of the Personnel Policy is amended as follows:
13.3 Annual Leave.
For full-time salaried employees, Annual annual leave must be taken in increments of
no less than eight (8) hours. For all other employees, annual leave must be taken in
increments of no less than one-half hour.
13.3.1 Full-Time Employee. Each full-time City employee included in Non-
represented Pay Plan shall earn annual leave at a bi-weekly rate, which will
total the following amount of annual leave:
0 through 4 years City (or equivalent) employment 152 hours per year
5 through 9 years City (or equivalent) employment 176 hours per year
10 through 14 years City (or equivalent) employment 200 hours per year
15 through 19 years City (or equivalent) employment 232 hours per year
20+ years City (or equivalent) employment 248 hours per year
Employees currently earning 192 hours/year of Annual Leave will stay at the accrual
rate until they reach 10 years of service.
13.3.2 Part-Time Employee. Each part-time employee included in the Non-
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represented Pay Plan who works more than twenty (20) hours per week shall
receive annual leave in proportion to the number of hours he/she works per
pay period, in accordance with the above schedule. Regular part-time
employees who average less than twenty hours worked per week, shall
receive no annual leave.
13.3.3 Approval of Annual Leave. Except in the case of injury or illness of the
employee or his/her family as defined in Minn. Stat. §181.9413, annual leave
may only be taken upon approval of the employee’s supervisor, which
approval shall not be unreasonably withheld. Such approval shall consider
City service needs. Except in the case of injury or illness, no employee shall
be allowed to take more than 160 consecutive hours of annual leave at one
time.
An employee who uses annual leave for illness or injury may be required to
present evidence that he/she is again able to perform all the duties of his/her
job description.
13.3.4 BankAccrual of Annual Leave. At the start of employment, full-time salaried
and full-time hourly employees shall be credited with at least forty (40) hours
of annual leave that they can use before it is earned. At the start of
employment, part-time employees included in the Non-represented Pay Plan
shall be credited with at least twenty (20) hours of annual leave that they can
use before it is earned. Annual leave earned shall be accrued at the accrual
rates as the employee works, and the total number of earned annual leave
hours shall be provided to the employee each pay period. Annual leave with
pay may not be taken unless it has been earned. Except in the case of injury
or illness, no employee shall be allowed to take more than 160 consecutive
hours of annual leave at one time.
Employees who terminate employment with the City and have annual leave
time remaining shall be paid for their accrued annual leave. However,
employees who terminate employment before completing one year of
employment shall not be entitled to payout of the initial hours of annual leave
that were credited at the start of employment., provided they have completed
at least one thousand forty (1,040) hours of employment.
13.3.5 Converting Carryover of Annual Leave. Except as provided for employees
converting to annual leave; nNo employee may carry over more than two
hundred sixty-four (264) hours of accumulated annual leave from one year to
the next. In the event that an employee has in excess of two hundred sixty-
four (264) accumulated hours of annual leave after December 31 of any year,
the employee’s accrued annual leave shall be reduced to two hundred sixty-
four (264) hours.
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Employees who converted to annual leave and who, from vacation and sick
leave, exceed the maximum carry-over limitation, may carry over, as a
maximum, the same number of hours to which their accumulated vacation
and sick leaves converted. However, should an employee’s accrued annual
leave exceed this maximum after December 31 of any year, the employee’s
accrued annual leave shall be reduced to the maximum as computed herein.
13.3.6 Exchange of Annual Leave. For represented and non-represented pay plan
employees, the total annual leave in this section includes ESST hours as
defined in Section 13.3.7.
a.Once per year, on either the first pay period after April 1 or the first pay period
after October 1, any employee who has completed at least seven (7) years of
service with the City may exchange up to twenty-four (24) hours of
accumulated annual leave for payment equal to twenty-four (24) hours of pay
at his/her current rate. Any employee who has completed at least fifteen (15)
years of service with the City may exchange up to forty (40) hours
accumulated annual leave for payment equal to forty (40) hours of pay at
his/her existing rate. Payment may be made in cash, as a contribution to an
employee’s deferred compensation 457 plan, Roth 457 plan, Roth IRA plan
or to the employee’s health savings account (HSA).
b.As of December 31 of each year, if a non-represented employee with at least
fifteen (15) years of service with the City has two hundred sixty-four (264) or
more hours in their annual leave bank, the amount over two hundred sixty-
four (264), up to twenty (20) hours of pay, will be transferred in to their health
care savings plan (HCSP) and deducted from their annual leave bank.
13.3.6
13.3.7 Earned Sick and Safe Time. Effective Jan. 1, 2024
a. Accrual of ESST.
i.Represented and Non-Represented Pay Plan Employees. The City’s
Annual Leave policy provides accrual banks that exceed the Minnesota
ESST requirements. Therefore, no additional time shall be added to
employees’ current Annual Leave bank accruals for ESST. ESST shall be
included as part of, and not in addition to, a regular, full-time salaried and
full-time hourly employees’ annual leave. Regular, full-time employees
may not accrue more than forty-eight (48) hours of ESST in a year.
ii.Part-Time Temporary or Seasonal Employees. Part-time and
temporary or seasonal employees who work more than eighty (80) hours
in a calendar year, but are not eligible for annual leave, will accrue one (1)
hour of ESST for every thirty (30) hours worked by the employee, up to a
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maximum of forty-eight (48) hours of accrued ESST per year.
b. Accumulation, Carry Over and Pay Out of ESST.
i. The total amount of accrued but unused ESST for all employees will not
exceed eighty (80) hours at any time. Once an employee’s ESST bank
reaches eighty (80) hours of accrued time, no additional time shall be
accrued until the balance of the bank is brought below eighty (80) hours.
ii. Employees are eligible to carry over up to eighty (80) hours of accrued
but unused ESST into the following year. No employee may carry over
more than eighty (80) hours of ESST from one year to the next. Any
unused ESST hours in excess of eighty (80) hours after December 31
of any year, shall be reduced to eighty (80) hours.
iii. An employee who transfers positions or departments within the City shall
retain their accrued ESST.
iv. For part-time temporary and seasonal employees who do not have
annual leave, upon termination of employment, the City will not pay out
any accrued but unused ESST time.
v. For all represented and non-represented pay plan employees, upon
termination of employment, payout of accrued but unused ESST shall
be calculated pursuant to section 13.3.4, as part of their annual leave.
c. Use of ESST.
i.Employees may use ESST, up to a maximum of forty-eight (48) hours
per year. For part-time temporary or seasonal employees, ESST
cannot be used until it is earned. All employees may use accrued
ESST in a minimum of 30-minute increments for the following
circumstances:
1. An employee’s own:
•Mental or physical illness, injury, or other health condition;
•Need for medical diagnosis, care, or treatment of a mental
or physical illness, injury, or health condition; or
•Need for preventative medical or health care.
2. Care of an employee’s family member:
•With a mental or physical illness, injury, or other health
condition;
•Who needs medical diagnosis, care, or treatment of a
mental or physical illness, injury, or other health condition;
or
•Who needs preventative medical or health care.
3. Absence due to domestic abuse, sexual assault, or stalking of
the employee or the employee’s family member, provided the
absence is to:
•Seek medical attention related to physical or psychological
injury or disability caused by domestic abuse, sexual
assault, or stalking;
•Obtain services from a victim services organization;
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•Obtain psychological or other counseling;
•Seek relocation or take steps to secure an existing home
due to domestic abuse, sexual assault, or stalking; or
•Seek legal advice or take legal action, including preparing
for or participating in any civil or criminal legal proceeding
related to or resulting from domestic abuse, sexual
assault, or stalking.
4. Closure of the employee’s workplace due to weather or other
public emergency or any employee’s need to care for a family
member whose school or place of care has been closed due
to weather or other public emergency.
5. The employee’s inability to work or telework because the
employee is:
•Prohibited from working by the City due to health concerns
related to the potential transmission of a communicable
illness related to a public emergency; or
•Seeking or awaiting the results of a diagnostic test for, or
a medical diagnosis of, a communicable disease related to
a public emergency and such employee has been
exposed to a communicable disease or the City has
requested a test or diagnosis
6. When it has been determined by health authorities or by a
health care professional that the presence of the employee or
family member of the employee in the community would
jeopardize the health of others because of the exposure of the
employee or family member of the employee to a
communicable disease, whether or not the employee or family
member has actually contracted the communicable disease.
For the purposes of the City’s ESST Policy, “family member” includes an
employee’s:
•Child, foster child, adult child, legal ward, child for whom the
employee is legal guardian, or child to whom the employee stands
or stood in loco parentis;
•Spouse or registered domestic partner;
•Sibling, stepsibling, or foster sibling;
•Biological, adoptive, or foster parent, stepparent, or a person who
stood in loco parentis when the employee was a minor child;
•Grandchild, foster grandchild, or stepgrandchild;
•Grandparent or step-grandparent;
•A child of a sibling of the employee;
•A sibling of the parents of the employee;
•A child-in-law or sibling-in-law;
•Any of the family members listed above of a spouse or registered
domestic partner;
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•Any other individual related by blood or whose close association
with the employee is the equivalent of a family relationship; and
•Up to one individual annually designated by the employee.
d. Employee’s Responsibilities for Use of ESST.
i. Advance Notice. If the need for sick and safe leave is foreseeable,
the City requires seven (7) days’ advanced notice from the
employee. If the need for sick and safe leave is unforeseeable, the
employee must provide notice as soon as practicable.
ii. Documentation. When an employee uses ESST for more than three
(3) consecutive days, the City shall require appropriate supporting
documentation that the use of the ESST is covered under this Policy,
such as medical documentation which supports medical leave, court
records or related documentation. However, if the employee or
employee’s family member did not receive services from a health
care professional, or if documentation cannot be obtained from a
health care professional in a reasonable time or without added
expense, then reasonable documentation may include a written
sworn statement from the employee indicating that the employee is
using, or used, ESST for a qualifying purpose. The City will not
require an employee to disclose details related to domestic abuse,
sexual assault, or stalking or the details of the employee’s or the
employee’s family member’s medical condition.
iii. Coverage of Shift; Replacement Worker. In accordance with state
law, the City will not require an employee using ESST to find a
replacement worker to cover the hours the employee will be absent.
e. Confidentiality and Nondisclosure of ESST Records.
i. If, in connection with the ESST Policy, the City possesses: (1) health
or medical information regarding an employee or an employee’s family
member; (2) information pertaining to domestic abuse, sexual assault,
or stalking; (3) information that the employee has requested or
obtained leave under the ESST Policy; or (4) any written or oral
statement, documentation, record, or corroborating evidence provided
by the employee or an employee’s family member, the City will treat
such information as confidential.
ii. Information given by an employee may only be disclosed by the City if
the disclosure is requested or consented to by the employee, when
ordered by a court or administrative agency, or when otherwise
required by federal or state law.
iii.Records and documents relating to medical certifications,
recertifications, or medical histories of employees or family members
of employees created for purposes of the ESST Policy will be
maintained as confidential medical records separate from the
employee’s personnel file. At the request of the employee, the City will
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destroy or return any records obtained pursuant to the ESST Policy
that are older than three (3) years prior to the current calendar year.
f. Pay, Benefits and Return to Work Protections.
i. During an employee’s use of ESST, the employee will continue to
receive the City’s employer insurance contribution as if the employee
were not using ESST, provided, however, that the employee
continues to pay any employee share of the cost of such benefits.
ii. An employee returning from ESST leave is entitled to return to
employment at the same rate of pay the employee had been
receiving when the leave began, plus any automatic adjustments in
the employee’s pay scale that may have occurred during the leave
period. The employee returning from leave is entitled to retain all
accrued pre-leave benefits of employment and seniority as if the
employee had been continually employed.
iii. When there is a separation from employment with the City and the
employee is rehired within one hundred eighty (180) days of
separation from the City, previously accrued ESST that had not been
used will be reinstated. An employee is entitled to use accrued ESST
and accrue additional ESST at the commencement of
reemployment.
Passed this 20th day of December, 2023.
Myron Bailey, Mayor
Attest:
Tamara Anderson, City Clerk
Earned sick and safe time as of Jan. 1, 2024
WHAT IS SICK AND SAFE TIME?
Sick and safe time is paid leave employers must provide to employees in Minnesota that
can be used for certain reasons, including when an employee is sick, to care for a sick family
member or to seek assistance if an employee or their family member has experienced
domestic abuse.
WHO IS ELIGIBLE?
An employee is eligible for sick and safe time if they:
• work at least 80 hours in a year for an employer in Minnesota; and
• are not an independent contractor.
Temporary and part-time employees are eligible for sick and safe time. Sick and safe time requirements will not
apply to building and construction industry employees who are represented by a building and construction trades
labor organization if a valid waiver of these requirements is provided in a collective bargaining agreement.
HOW MUCH LEAVE CAN EMPLOYEES EARN?
An employee earns one hour of sick and safe time for
every 30 hours worked and can earn a maximum of 48
hours each year unless the employer agrees to a higher
amount.
AT WHAT RATE MUST THE LEAVE BE PAID?
Sick and safe time must be paid at the same hourly rate
an employee earns when they are working.
WHAT CAN THE LEAVE BE USED FOR?
Employees can use their earned sick and safe time for
reasons such as:
• the employee’s mental or physical illness,
treatment or preventive care;
• a family member’s mental or physical illness,
treatment or preventive care;
• absence due to domestic abuse, sexual assault or
stalking of the employee or a family member;
• closure of the employee’s workplace due to
weather or public emergency or closure of a family
member’s school or care facility due to weather or
public emergency; and
• when determined by a health authority or health
care professional that the employee or family
member is at risk of infecting others with a
communicable disease.
WHICH FAMILY MEMBERS ARE INCLUDED?
Employees may use earned sick and safe time for their
following family members:
1. their child, including foster child, adult child,
legal ward, child for whom the employee is legal
guardian or child to whom the employee stands or
stood in loco parentis (in place of a parent);
2. their spouse or registered domestic partner;
3. their sibling, stepsibling or foster sibling;
4. their biological, adoptive or foster parent,
stepparent or a person who stood in loco parentis
(in place of a parent) when the employee was a
minor child;
5. their grandchild, foster grandchild or step-
grandchild;
6. their grandparent or step-grandparent;
7. a child of a sibling of the employee;
8. a sibling of the parents of the employee;
9. a child-in-law or sibling-in-law;
10. any of the family members listed in 1 through
9 above of an employee’s spouse or registered
domestic partner;
11. any other individual related by blood or whose
close association with the employee is the
equivalent of a family relationship; and
12. up to one individual annually designated by the
employee.
— more —
Earned sick and safe time as of Jan. 1, 2024
WHAT ADDITIONAL SICK AND SAFE TIME RESPONSIBILITIES DO EMPLOYERS HAVE?
In addition to providing their employees with one hour of paid leave for every 30 hours worked, up to at least 48
hours each year, employers are required to:
• include the total number of earned sick and safe time hours accrued and available for use, as well as the total
number of earned sick and safe time hours used, on earnings statements provided to employees at the end of
each pay period;
• provide employees with a notice by Jan. 1, 2024 — or at the start of employment, whichever is later — in English
and in an employee’s primary language if that is not English, informing them about earned sick and safe time; and
• include a sick and safe time notice in the employee handbook, if the employer has an employee handbook.
The Minnesota Department of Labor and Industry will prepare a uniform employee notice that employers can use
and will make it available in the five most common languages spoken in Minnesota.
CURRENT SICK AND SAFE TIME LOCAL ORDINANCES
Earned sick and safe time local ordinances already exist in the cities of Bloomington, Duluth, Minneapolis and St.
Paul, Minnesota. When Minnesota’s statewide earned sick and safe time law goes into effect Jan. 1, 2024, employers
must follow the most protective law that applies to their employees.
Safe time
To address domestic
abuse, sexual assault
or stalking
Sick time
For physical or
mental health
conditions, illness
or injury
Labor Standards • 443 Lafayette Road N. • St. Paul, MN 55155
651-284-5075 • 800-342-5354 • dli.mn.gov • dli.laborstandards@state.mn.us
Notice: This is a brief summary of Minnesota law. It is intended as a guide and is not to be considered a substitute for Minnesota Statutes regarding earned sick and safe leave.
Version 060723
1
City Council Action Request
7.G.
Meeting Date 12/20/2023
Department Administration
Agenda Category Action Item
Title Health and Dental Insurance Benefits
Staff Recommendation Approve the Delta Dental of Minnesota Group Dental Plan Risk
Contract and the Medica Master Group Contract for 2024. The
Delta Dental contract is attached. The Medica Summary of Benefits
and Coverage (SBC) is attached. The formal Medica contract will be
issued later this month or early next month.
Budget Implication
Attachments 1. Medica SBC
2. Medica SBC
3. Delta Dental Contract 2024
1
TO: Honorable Mayor and City Council
Jennifer Levitt, City Administrator
FROM: Joe Fischbach
DATE: December 20, 2023
RE: Health and Dental Insurance Benefits
Discussion
Medical Insurance
The City of Cottage Grove currently offers health and dental insurance among other benefits
to its’ full-time employees. The City conducted its last formal RFP for both medical and dental
insurance in 2019 and will do so again in 2024.
The City currently offers medical insurance through Medica. Medica has been our provider for
over 15 years. The City has a standalone plan, we are not part of a pool or consortium. That
said, Medica does pool claims with their other's plans if any one member’s expenses exceed
$100,000 for the year. The $100,000 is part of our claim’s history and the amount over
$100,000 is part of the Medica pool.
All employees must have at least single medical insurance coverage. We have a high
deductible stacking plan where the employee pays the first $2,500, the HRA pays the next
$3,300 under an 80% Medica / 20% HRA funding plan and Medica pays 100% after $5,800.
These amounts are doubled for employees with Employee plus Spouse, Employee plus
Children or Family coverage. Attached is the document detailing how the stacking works. We
have two different plans, Passport and Elect. Passport is an open network and under Elect,
employees and their dependents must designate a primary care clinic and get a referral to see
a specialist. The City pays 100% of the premium for single and 70% of the premium for the
others. Below are the monthly premiums.
2024 Monthly Per Month Per Pay Period
Passport Premium Employer Employee Employee
Single $519.13 $519.13 $0.00 $0.00
Single + 1 $1,090.18 $763.13 $327.05 $163.53
Single +
Children
$986.30 $690.41 $295.89 $147.95
2
Family $1,453.55 $1,017.49 $436.06 $218.03
Monthly Per Month Per Pay Period
Elect Premium Employer Employee Employee
Single $454.24 $454.24 $0.00 $0.00
Single + 1 $953.90 $667.73 $286.17 $143.09
Single +
Children
$863.01 $604.11 $258.90 $129.45
Family $1,271.86 $890.30 $381.56 $190.78
The City gives employees $1,400 for single coverage and $2,800 for Employee plus Spouse,
Employee plus Children or Family coverage that is put into a pre-tax HSA to assist in paying
their portion of medical expenses. All money put into an employee’s account is theirs and all
unspent monies rolls over from year to year.
Here is a breakdown of medical insurance elections for 2024:
Passport Single - 100 employees
Passport Family - 26 employees
Passport Employee + Spouse - 10 employees
Passport Employee + Children - 18 employees
Elect Family - 2 employees
It is anticipated that the City will pay $1,480,752 in medical premiums in 2024. Of that amount,
$1,227,149.52 will be paid by the City and $253,602.48 will be paid by employees with a 30%
premium participation.
The City will contribute $296,800 to employees’ HSA accounts.
In 2022, the City paid $160,702 in HRA claims. It is anticipated that we will pay out a similar
amount in 2023 and 2024.
Dental Insurance
Up until about 5 years ago, the City had preventive dental as part of our medical insurance.
This preventive dental covered two cleanings and one set of x-rays per year. Medica has
ended this plan. The City also had a supplemental dental plan that was optional, and 100%
employee paid. Once the preventive dental went away, the City agreed to pay the premium for
single dental insurance. We also gave those that waived coverage an extra $240 for their
HSA.
Here is a breakdown of dental insurance elections for 2024:
Single - 90 employees
Employee + One - 10 employees
Family - 27 employees
3
Waiver - 24 employees
Below are the monthly premiums.
2024 Monthly Per
Month
Per Pay Period
Dental Premium Employer Employee Employee
Single $50.78 $50.78 $0.00 $0.00
Single
+ 1
$107.58 $50.78 $56.80 $28.40
Family $152.72 $50.78 $101.94 $50.97
It is anticipated that the City will pay $130,680 in dental premiums in 2024. Of that amount,
$82,872 will be paid by the City and $47,808 will be paid by employees with premium
participation.
Staff budgeted enough in the self-insurance fund to cover the City’s premium expenses for
2024.
Recommendation
Approve the Delta Dental of Minnesota Group Dental Plan Risk Contract and the Medica
Master Group Contract for 2024. The Delta Dental contract is attached. The Medica Summary
of Benefits and Coverage (SBC) is attached. The formal Medica contract will be issued later
this month or early next month.
Attachments
1. Medica SBC
2. Medica SBC
3. Delta Dental Contract 2024
Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: Beginning on or after 1/1/2024Medica Choice Passport MN 4500-20% HSA Coverage for: Individual/Family | Plan Type: PPO
The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share thecost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary. For more information about your coverage, or to get a copy of the complete terms of coverage, go to www.Medica.com or call 1-952-945-8000
(Minneapolis/St. Paul Metro area) or 1-800-952-3455. For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment,
deductible, provider, or other underlined terms, see the Glossary. You can view the Glossary at www.healthcare.gov/sbc-glossary or call 1-800-952-3455 to request a
copy.
Important Questions Answers Why This Matters:
What is the overall deductible?
$4,500 per person / $9,000 per family
for in-network services. $6,750 per
person / $9,900 per family for
out-of-network services.
Generally, you must pay all of the costs from providers up to the deductible amount before this plan
begins to pay. If you have other family members on the plan, each family member must meet their own
individual deductible until the total amount of deductible expenses paid by all family members meets
the overall family deductible.
Are there servicescovered before youmeet your deductible?
Yes. Preventive care and prenatal care
from in-network providers or well child
and prenatal care from out-of-network
providers.
This plan covers some items and services even if you haven’t yet met the deductible amount. But a
copayment or coinsurance may apply. For example, this plan covers certain preventive services
without cost sharing and before you meet your deductible. See a list of covered preventive services at
https://www.healthcare.gov/coverage/preventive-care-benefits/. Are there other deductibles for specific services?No. You don’t have to meet deductibles for specific services.
What is the out-of-pocket limit forthis plan?
$5,800 per person / $11,600 per family
for in-network services. $11,000 per
person for out-of-network services.
The out-of-pocket limit is the most you could pay in a year for covered services. If you have other family
members in this plan, they have to meet their own out-of-pocket limits until the overall family
out-of-pocket limit has been met.
What is not included inthe out-of-pocket limit?
Premiums, balance-billing charges
(unless balanced billing is prohibited),
health care this plan doesn’t cover,
out-of-network deductible and
coinsurance.
Even though you pay these expenses, they don’t count toward the out-of-pocket limit.
Will you pay less if youuse a network provider?
Yes. See www.Medica.com/FindCare or
call 1-800-952-3455 (TTY:711) for a list
of Medica Choice with UnitedHealthcare
network providers.
This plan uses a provider network. You will pay less if you use a provider in the plan’s network. You will
pay the most if you use an out-of-network provider, and you might receive a bill from a provider for the
difference between the provider’s charge and what your plan pays (balance billing). Be aware, your
network provider might use an out-of-network provider for some services (such as lab work). Check
with your provider before you get services. Do you need a referralto see a specialist?No. You don’t need a referral to see a
specialist. You can see the specialist you choose without a referral.
1-00124
(202309291051) (210616)
Page 1 of 7
Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: Beginning on or after 1/1/2024Medica Choice Passport MN 4500-20% HSA Coverage for: Individual/Family | Plan Type: PPO
All copayment and coinsurance costs shown in this chart are after your deductible has been met, if a deductible applies.
Common Medical Event Services You May
Need
What You Will Pay
Limitations, Exceptions & Other Important
InformationIn-Network
Provider
(You will pay the least)
Out-of-Network
Provider
(You will pay the most)
If you visit a health care provider’s
office or clinic
Primary care visit totreat an injury or illness
Primary care: 20% coinsurance
Chiropractic: 20% coinsurance
Retail Health: 20% coinsurance
Virtual: 20% coinsurance
Primary care: 40% coinsurance
Chiropractic: 40% coinsurance
Retail Health: 40% coinsurance
Virtual: 40% coinsurance
Limited to 15 visits per member, per year forout-of-network chiropractic care.
Specialist visit 20% coinsurance 40% coinsurance None
Preventive care/ screening/ immunization No charge. Deductible doesnot apply.
Well child care: 0% coinsurance. Deductibledoes not apply.
Other services: 40% coinsurance
You may have to pay for services that aren’t preventive.Ask your provider if the services needed are preventive.Then check what your plan will pay for.
If you have a test
Diagnostic test (x-ray,blood work)Lab: 20% coinsurance
Xray: 20% coinsurance Lab: 40% co-insurance
Xray: 40% co-insurance None
Imaging (CT/PETscans, MRIs)20% coinsurance 40% coinsurance None
If you need drugs
to treat your illness
or conditionMore information about
prescription drug coverage is available at www.Medica.com/DrugCost2
Generic drugs Retail: 20% coinsurance
Mail order: 20% coinsurance 40% coinsurance Up to a 31-day supply/retail or 93-day supply/mail orderprescription. Mail order drugs not covered out-of-network. Insulin: Your cost-share will not exceed $25 per retailprescription unit. Some Over the Counter drugs can be obtained with aprescription at the preventive level of coverage. The listof covered drugs changes periodically. Notification ofchanges will be available 30 days prior to the changetaking effect. ACA preventive drugs covered at no charge. Deductibledoes not apply.
Preferred brand drugs Retail: 20% coinsurance
Mail order: 20% coinsurance 40% coinsurance
Non-preferred brand drugs
Retail: 40% coinsurance
Mail order: 40% coinsurance 40% coinsurance
Specialty drugs
Preferred: 20% coinsurance. No more than$200 copay/prescription.
Non-preferred: 40% coinsurance.
Not covered
Up to a 31-day supply per prescription received from adesignated specialty pharmacy. Amounts reimbursed orpaid by a provider or manufacturer, on your behalf for aproduct or service, will not apply toward your cost share.
Page 2 of 7
Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: Beginning on or after 1/1/2024Medica Choice Passport MN 4500-20% HSA Coverage for: Individual/Family | Plan Type: PPO
Common Medical Event Services You May
Need
What You Will Pay
Limitations, Exceptions & Other Important
InformationIn-Network
Provider
(You will pay the least)
Out-of-Network
Provider
(You will pay the most)
If you have outpatient surgery
Facility fee (e.g.,ambulatory surgery center)20% coinsurance 40% coinsurance None
Physician/surgeon fees 20% coinsurance 40% coinsurance None
If you need immediate medical
attention
Emergency room care 20% coinsurance 20% coinsurance In-network deductible and out-of-pocket applies. Emergency medical transportation 20% coinsurance 20% coinsurance In-network deductible and out-of-pocket applies.
Urgent care 20% coinsurance 20% coinsurance In-network deductible and out-of-pocket applies.
If you have a hospital stay
Facility fee (e.g.,hospital room)20% coinsurance 40% coinsurance None
Physician/surgeon fees 20% coinsurance 40% coinsurance None
If you need mental health,
behavioral health, or substance
abuse services
Outpatient services 20% coinsurance 40% coinsurance None
Inpatient services 20% coinsurance 40% coinsurance Residential treatment is covered as part of inpatient services.
If you are pregnant
Office visits Prenatal care: No charge. Deductible does not apply.
Postnatal care: 20% coinsurance
Prenatal care: 0% coinsurance. Deductibledoes not apply.
Postnatal care: 40% coinsurance Cost sharing does not apply to in-network preventive services. Depending on the type of services, a copayment, coinsurance or deductible may apply.Maternity care may include tests and services describedelsewhere in the SBC (i.e. certain ultrasounds.) Childbirth/deliveryprofessional services 20% coinsurance 40% coinsurance
Childbirth/deliveryfacility services 20% coinsurance 40% coinsurance
Page 3 of 7
Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: Beginning on or after 1/1/2024Medica Choice Passport MN 4500-20% HSA Coverage for: Individual/Family | Plan Type: PPO
Common Medical Event Services You May
Need
What You Will Pay
Limitations, Exceptions & Other Important
InformationIn-Network
Provider
(You will pay the least)
Out-of-Network
Provider
(You will pay the most)
If you need help recovering or
have other special health needs
Home health care 20% coinsurance 40% coinsurance 120 visits per member per year in-network and 60 visitsout-of-network, per member per year.
Rehabilitation services 20% coinsurance 40% coinsurance
Out-of-network physical and occupational therapy islimited to a combined limit of 20 visits per member, peryear. Out-of-network speech therapy is limited to 20visits per member, per year. Visit limits are notapplicable to behavioral health conditions.
Habilitation services 20% coinsurance 40% coinsurance
Out-of-network physical and occupational therapy islimited to a combined limit of 20 visits per member, peryear. Out-of-network speech therapy is limited to 20visits per member, per year. Visit limits are notapplicable to behavioral health conditions.
Skilled nursing care 20% coinsurance 40% coinsurance Limited to 120 days combined in and out-of-network providers. Durable medical equipment 20% coinsurance 40% coinsurance None
Hospice services 20% coinsurance 40% coinsurance None
If your child needs dental
or eye care
Children’s eye exam No charge. Deductible doesnot apply. 40% coinsurance None
Children’s glasses Not covered Not covered Glasses are not covered by the plan. Children’s dental check-up Not covered Not covered Dental check-ups are not covered by the plan.
Page 4 of 7
Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: Beginning on or after 1/1/2024Medica Choice Passport MN 4500-20% HSA Coverage for: Individual/Family | Plan Type: PPO
Excluded Services & Other Covered Services:
Services Your Plan Generally Does NOT Cover (Check your policy or plan document for more information and a list of other excluded services.)
· Acupuncture exceeding 15 visits per member peryear for in-network and out-of-networkacupuncture services combined · Bariatric surgery
· Chiropractic care exceeding 15 visits per memberper year out-of-network · Cosmetic surgery
· Dental care (Adult) · Dental check - up · Glasses
· Infertility treatment exceeding $5,000 medical/
$3,000 pharmacy per member per calendar yearcombined for in-network and out-of-network
· Long-term care · Private-duty nursing
· Routine foot care except for specified conditions · Weight loss programs
Other Covered Services (Limitations may apply to these services. This isn’t a complete list. Please see your plan document.)
· Hearing aids · Non-emergency care when traveling outside the U.S. · Routine eye care (Adult)
Page 5 of 7
Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: Beginning on or after 1/1/2024Medica Choice Passport MN 4500-20% HSA Coverage for: Individual/Family | Plan Type: PPO
Your Rights to Continue Coverage: There are agencies that can help if you want to continue your coverage after it ends. The contact information for those agencies is:Medica at 1-800-952-3455 or for group health coverage subject to ERISA, Department of Labor’s Employee Benefits Security Administration at 1-866-444-EBSA (3272) or www.dol.gov/ebsa/healthreform; for all other group health coverage, Department of Health and Human Services, Center for Consumer Information and Insurance Oversight, at1-877-267-2323 x61565 or www.cciio.cms.gov. Other coverage options may be available to you, too, including buying individual insurance coverage through the Health Insurance Marketplace. For more information about the Marketplace, visit www.HealthCare.gov or call 1-800-318-2596.
Your Grievance and Appeals Rights: There are agencies that can help if you have a complaint against your plan for a denial of a claim. This complaint is called a grievanceor appeal. For more information about your rights, look at the explanation of benefits you will receive for that medical claim. Your plan documents also provide completeinformation on how to submit a claim, appeal, or a grievance for any reason to your plan. For more information about your rights, this notice, or assistance, contact: for grouphealth coverage subject to ERISA, Department of Labor’s Employee Benefits Security Administration at 1-866-444-EBSA (3272) or www.dol.gov/ebsa/healthreform; for allother group health coverage you may also contact Medica at 1-800-952-3455 or the Minnesota Department of Commerce at (651) 539-1600 or 1-800-657-3602.
Does this Plan Provide Minimum Essential Coverage? Yes.Minimum Essential Coverage generally includes plans, health insurance available through the Marketplace or other individual market policies, Medicare, Medicaid, CHIP,TRICARE, and certain other coverage. If you are eligible for certain types of Minimum Essential Coverage, you may not be eligible for the premium tax credit.
Does this Plan Meet the Minimum Value Standard? Yes.If your plan doesn’t meet the Minimum Value Standards, you may be eligible for a premium tax credit to help you pay for a plan through the Marketplace.
Language Access Services:
To see examples of how this plan might cover costs for a sample medical situation, see the next section.
Page 6 of 7
Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: Beginning on or after 1/1/2024Medica Choice Passport MN 4500-20% HSA Coverage for: Individual/Family | Plan Type: PPO
About these Coverage Examples:
This is not a cost estimator. Treatments shown are just examples of how this plan might cover medical care. Your actual costs will be different depending onthe actual care you receive, the prices your providers charge, and many other factors. Focus on the cost-sharing amounts (deductibles, copayments and coinsurance) and excluded services under the plan. Use this information to compare the portion of costs you might pay under different health plans. Pleasenote these coverage examples are based on self-only coverage.
Peg is Having a Baby(9 months of in-network pre-natal care and a hospital delivery) The plan’s overall deductible $4,500 Specialist coinsurance 40% Hospital (facility) coinsurance 40% Other coinsurance 20%
This EXAMPLE event includes services like: Specialist office visits (prenatal care)Childbirth/Delivery Professional ServicesChildbirth/Delivery Facility ServicesDiagnostic tests (ultrasounds and blood work)Specialist visit (anesthesia)
Total Example Cost $12,700
In this example, Peg would pay: Cost Sharing Deductibles $4,500 Copayments $0 Coinsurance $1,100 What isn’t covered Limits or exclusions $60
The total Peg would pay is $5,660
Managing Joe’s type 2 Diabetes(a year of routine in-network care of a well-controlled condition) The plan’s overall deductible $4,500 Specialist coinsurance 40% Hospital (facility) coinsurance 40% Other coinsurance 20%
This EXAMPLE event includes services like: Primary care physician office visits (including disease
education)Diagnostic tests (blood work)Prescription drugs Durable medical equipment (glucose meter)
Total Example Cost $5,600
In this example, Joe would pay: Cost Sharing Deductibles $2,300 Copayments $300 Coinsurance $0 What isn’t covered Limits or exclusions $0
The total Joe would pay is $2,600
Mia’s Simple fracture(in-network emergency room visit and follow up care) The plan’s overall deductible $4,500 Specialist coinsurance 40% Hospital (facility) coinsurance 40% Other coinsurance 20%
This EXAMPLE event includes services like: Emergency room care (including medical supplies)Diagnostic test (x-ray)Durable medical equipment (crutches)Rehabilitation services (physical therapy)
Total Example Cost $2,800
In this example, Mia would pay: Cost Sharing Deductibles $2,800 Copayments $0 Coinsurance $0 What isn’t covered Limits or exclusions $0
The total Mia would pay is $2,800 Note: The patient pays amounts assume the patient is not participating in a Flexible Spending Account (FSA), a Health Savings Account (HSA), or a Health ReimbursementArrangement (HRA), including an HRA funded through a Voluntary Employee Beneficiary Association (VEBA-HRA). If you have a FSA, HSA, HRA, or VEBA-HRA, then youmay have additional funds that could help cover certain out-of-pocket expenses such as deductibles, copayments, coinsurance, and benefits otherwise not covered.
The plan would be responsible for the other costs of these EXAMPLE covered services.
Page 7 of 7
Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: Beginning on or after 1/1/2024Medica Choice Passport MN 4500-20% HSA Coverage for: Individual/Family | Plan Type: PPO
Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: Beginning on or after 1/1/2024Medica Choice Passport MN 4500-20% HSA Coverage for: Individual/Family | Plan Type: PPO
The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share thecost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary. For more information about your coverage, or to get a copy of the complete terms of coverage, go to www.Medica.com or call 1-952-945-8000
(Minneapolis/St. Paul Metro area) or 1-800-952-3455. For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment,
deductible, provider, or other underlined terms, see the Glossary. You can view the Glossary at www.healthcare.gov/sbc-glossary or call 1-800-952-3455 to request a
copy.
Important Questions Answers Why This Matters:
What is the overall deductible?
$4,500 per person / $9,000 per family
for in-network services. $6,750 per
person / $9,900 per family for
out-of-network services.
Generally, you must pay all of the costs from providers up to the deductible amount before this plan
begins to pay. If you have other family members on the plan, each family member must meet their own
individual deductible until the total amount of deductible expenses paid by all family members meets
the overall family deductible.
Are there servicescovered before youmeet your deductible?
Yes. Preventive care and prenatal care
from in-network providers or well child
and prenatal care from out-of-network
providers.
This plan covers some items and services even if you haven’t yet met the deductible amount. But a
copayment or coinsurance may apply. For example, this plan covers certain preventive services
without cost sharing and before you meet your deductible. See a list of covered preventive services at
https://www.healthcare.gov/coverage/preventive-care-benefits/. Are there other deductibles for specific services?No. You don’t have to meet deductibles for specific services.
What is the out-of-pocket limit forthis plan?
$5,800 per person / $11,600 per family
for in-network services. $11,000 per
person for out-of-network services.
The out-of-pocket limit is the most you could pay in a year for covered services. If you have other family
members in this plan, they have to meet their own out-of-pocket limits until the overall family
out-of-pocket limit has been met.
What is not included inthe out-of-pocket limit?
Premiums, balance-billing charges
(unless balanced billing is prohibited),
health care this plan doesn’t cover,
out-of-network deductible and
coinsurance.
Even though you pay these expenses, they don’t count toward the out-of-pocket limit.
Will you pay less if youuse a network provider?
Yes. See www.Medica.com/FindCare or
call 1-800-952-3455 (TTY:711) for a list
of Medica Choice with UnitedHealthcare
network providers.
This plan uses a provider network. You will pay less if you use a provider in the plan’s network. You will
pay the most if you use an out-of-network provider, and you might receive a bill from a provider for the
difference between the provider’s charge and what your plan pays (balance billing). Be aware, your
network provider might use an out-of-network provider for some services (such as lab work). Check
with your provider before you get services. Do you need a referralto see a specialist?No. You don’t need a referral to see a
specialist. You can see the specialist you choose without a referral.
1-00124
(202309291051) (210616)
Page 1 of 7
Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: Beginning on or after 1/1/2024Medica Choice Passport MN 4500-20% HSA Coverage for: Individual/Family | Plan Type: PPO
All copayment and coinsurance costs shown in this chart are after your deductible has been met, if a deductible applies.
Common Medical Event Services You May
Need
What You Will Pay
Limitations, Exceptions & Other Important
InformationIn-Network
Provider
(You will pay the least)
Out-of-Network
Provider
(You will pay the most)
If you visit a health care provider’s
office or clinic
Primary care visit totreat an injury or illness
Primary care: 20% coinsurance
Chiropractic: 20% coinsurance
Retail Health: 20% coinsurance
Virtual: 20% coinsurance
Primary care: 40% coinsurance
Chiropractic: 40% coinsurance
Retail Health: 40% coinsurance
Virtual: 40% coinsurance
Limited to 15 visits per member, per year forout-of-network chiropractic care.
Specialist visit 20% coinsurance 40% coinsurance None
Preventive care/ screening/ immunization No charge. Deductible doesnot apply.
Well child care: 0% coinsurance. Deductibledoes not apply.
Other services: 40% coinsurance
You may have to pay for services that aren’t preventive.Ask your provider if the services needed are preventive.Then check what your plan will pay for.
If you have a test
Diagnostic test (x-ray,blood work)Lab: 20% coinsurance
Xray: 20% coinsurance Lab: 40% co-insurance
Xray: 40% co-insurance None
Imaging (CT/PETscans, MRIs)20% coinsurance 40% coinsurance None
If you need drugs
to treat your illness
or conditionMore information about
prescription drug coverage is available at www.Medica.com/DrugCost2
Generic drugs Retail: 20% coinsurance
Mail order: 20% coinsurance 40% coinsurance Up to a 31-day supply/retail or 93-day supply/mail orderprescription. Mail order drugs not covered out-of-network. Insulin: Your cost-share will not exceed $25 per retailprescription unit. Some Over the Counter drugs can be obtained with aprescription at the preventive level of coverage. The listof covered drugs changes periodically. Notification ofchanges will be available 30 days prior to the changetaking effect. ACA preventive drugs covered at no charge. Deductibledoes not apply.
Preferred brand drugs Retail: 20% coinsurance
Mail order: 20% coinsurance 40% coinsurance
Non-preferred brand drugs
Retail: 40% coinsurance
Mail order: 40% coinsurance 40% coinsurance
Specialty drugs
Preferred: 20% coinsurance. No more than$200 copay/prescription.
Non-preferred: 40% coinsurance.
Not covered
Up to a 31-day supply per prescription received from adesignated specialty pharmacy. Amounts reimbursed orpaid by a provider or manufacturer, on your behalf for aproduct or service, will not apply toward your cost share.
Page 2 of 7
Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: Beginning on or after 1/1/2024Medica Choice Passport MN 4500-20% HSA Coverage for: Individual/Family | Plan Type: PPO
Common Medical Event Services You May
Need
What You Will Pay
Limitations, Exceptions & Other Important
InformationIn-Network
Provider
(You will pay the least)
Out-of-Network
Provider
(You will pay the most)
If you have outpatient surgery
Facility fee (e.g.,ambulatory surgery center)20% coinsurance 40% coinsurance None
Physician/surgeon fees 20% coinsurance 40% coinsurance None
If you need immediate medical
attention
Emergency room care 20% coinsurance 20% coinsurance In-network deductible and out-of-pocket applies. Emergency medical transportation 20% coinsurance 20% coinsurance In-network deductible and out-of-pocket applies.
Urgent care 20% coinsurance 20% coinsurance In-network deductible and out-of-pocket applies.
If you have a hospital stay
Facility fee (e.g.,hospital room)20% coinsurance 40% coinsurance None
Physician/surgeon fees 20% coinsurance 40% coinsurance None
If you need mental health,
behavioral health, or substance
abuse services
Outpatient services 20% coinsurance 40% coinsurance None
Inpatient services 20% coinsurance 40% coinsurance Residential treatment is covered as part of inpatient services.
If you are pregnant
Office visits Prenatal care: No charge. Deductible does not apply.
Postnatal care: 20% coinsurance
Prenatal care: 0% coinsurance. Deductibledoes not apply.
Postnatal care: 40% coinsurance Cost sharing does not apply to in-network preventive services. Depending on the type of services, a copayment, coinsurance or deductible may apply.Maternity care may include tests and services describedelsewhere in the SBC (i.e. certain ultrasounds.) Childbirth/deliveryprofessional services 20% coinsurance 40% coinsurance
Childbirth/deliveryfacility services 20% coinsurance 40% coinsurance
Page 3 of 7
Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: Beginning on or after 1/1/2024Medica Choice Passport MN 4500-20% HSA Coverage for: Individual/Family | Plan Type: PPO
Common Medical Event Services You May
Need
What You Will Pay
Limitations, Exceptions & Other Important
InformationIn-Network
Provider
(You will pay the least)
Out-of-Network
Provider
(You will pay the most)
If you need help recovering or
have other special health needs
Home health care 20% coinsurance 40% coinsurance 120 visits per member per year in-network and 60 visitsout-of-network, per member per year.
Rehabilitation services 20% coinsurance 40% coinsurance
Out-of-network physical and occupational therapy islimited to a combined limit of 20 visits per member, peryear. Out-of-network speech therapy is limited to 20visits per member, per year. Visit limits are notapplicable to behavioral health conditions.
Habilitation services 20% coinsurance 40% coinsurance
Out-of-network physical and occupational therapy islimited to a combined limit of 20 visits per member, peryear. Out-of-network speech therapy is limited to 20visits per member, per year. Visit limits are notapplicable to behavioral health conditions.
Skilled nursing care 20% coinsurance 40% coinsurance Limited to 120 days combined in and out-of-network providers. Durable medical equipment 20% coinsurance 40% coinsurance None
Hospice services 20% coinsurance 40% coinsurance None
If your child needs dental
or eye care
Children’s eye exam No charge. Deductible doesnot apply. 40% coinsurance None
Children’s glasses Not covered Not covered Glasses are not covered by the plan. Children’s dental check-up Not covered Not covered Dental check-ups are not covered by the plan.
Page 4 of 7
Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: Beginning on or after 1/1/2024Medica Choice Passport MN 4500-20% HSA Coverage for: Individual/Family | Plan Type: PPO
Excluded Services & Other Covered Services:
Services Your Plan Generally Does NOT Cover (Check your policy or plan document for more information and a list of other excluded services.)
· Acupuncture exceeding 15 visits per member peryear for in-network and out-of-networkacupuncture services combined · Bariatric surgery
· Chiropractic care exceeding 15 visits per memberper year out-of-network · Cosmetic surgery
· Dental care (Adult) · Dental check - up · Glasses
· Infertility treatment exceeding $5,000 medical/
$3,000 pharmacy per member per calendar yearcombined for in-network and out-of-network
· Long-term care · Private-duty nursing
· Routine foot care except for specified conditions · Weight loss programs
Other Covered Services (Limitations may apply to these services. This isn’t a complete list. Please see your plan document.)
· Hearing aids · Non-emergency care when traveling outside the U.S. · Routine eye care (Adult)
Page 5 of 7
Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: Beginning on or after 1/1/2024Medica Choice Passport MN 4500-20% HSA Coverage for: Individual/Family | Plan Type: PPO
Your Rights to Continue Coverage: There are agencies that can help if you want to continue your coverage after it ends. The contact information for those agencies is:Medica at 1-800-952-3455 or for group health coverage subject to ERISA, Department of Labor’s Employee Benefits Security Administration at 1-866-444-EBSA (3272) or www.dol.gov/ebsa/healthreform; for all other group health coverage, Department of Health and Human Services, Center for Consumer Information and Insurance Oversight, at1-877-267-2323 x61565 or www.cciio.cms.gov. Other coverage options may be available to you, too, including buying individual insurance coverage through the Health Insurance Marketplace. For more information about the Marketplace, visit www.HealthCare.gov or call 1-800-318-2596.
Your Grievance and Appeals Rights: There are agencies that can help if you have a complaint against your plan for a denial of a claim. This complaint is called a grievanceor appeal. For more information about your rights, look at the explanation of benefits you will receive for that medical claim. Your plan documents also provide completeinformation on how to submit a claim, appeal, or a grievance for any reason to your plan. For more information about your rights, this notice, or assistance, contact: for grouphealth coverage subject to ERISA, Department of Labor’s Employee Benefits Security Administration at 1-866-444-EBSA (3272) or www.dol.gov/ebsa/healthreform; for allother group health coverage you may also contact Medica at 1-800-952-3455 or the Minnesota Department of Commerce at (651) 539-1600 or 1-800-657-3602.
Does this Plan Provide Minimum Essential Coverage? Yes.Minimum Essential Coverage generally includes plans, health insurance available through the Marketplace or other individual market policies, Medicare, Medicaid, CHIP,TRICARE, and certain other coverage. If you are eligible for certain types of Minimum Essential Coverage, you may not be eligible for the premium tax credit.
Does this Plan Meet the Minimum Value Standard? Yes.If your plan doesn’t meet the Minimum Value Standards, you may be eligible for a premium tax credit to help you pay for a plan through the Marketplace.
Language Access Services:
To see examples of how this plan might cover costs for a sample medical situation, see the next section.
Page 6 of 7
Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: Beginning on or after 1/1/2024Medica Choice Passport MN 4500-20% HSA Coverage for: Individual/Family | Plan Type: PPO
About these Coverage Examples:
This is not a cost estimator. Treatments shown are just examples of how this plan might cover medical care. Your actual costs will be different depending onthe actual care you receive, the prices your providers charge, and many other factors. Focus on the cost-sharing amounts (deductibles, copayments and coinsurance) and excluded services under the plan. Use this information to compare the portion of costs you might pay under different health plans. Pleasenote these coverage examples are based on self-only coverage.
Peg is Having a Baby(9 months of in-network pre-natal care and a hospital delivery) The plan’s overall deductible $4,500 Specialist coinsurance 40% Hospital (facility) coinsurance 40% Other coinsurance 20%
This EXAMPLE event includes services like: Specialist office visits (prenatal care)Childbirth/Delivery Professional ServicesChildbirth/Delivery Facility ServicesDiagnostic tests (ultrasounds and blood work)Specialist visit (anesthesia)
Total Example Cost $12,700
In this example, Peg would pay: Cost Sharing Deductibles $4,500 Copayments $0 Coinsurance $1,100 What isn’t covered Limits or exclusions $60
The total Peg would pay is $5,660
Managing Joe’s type 2 Diabetes(a year of routine in-network care of a well-controlled condition) The plan’s overall deductible $4,500 Specialist coinsurance 40% Hospital (facility) coinsurance 40% Other coinsurance 20%
This EXAMPLE event includes services like: Primary care physician office visits (including disease
education)Diagnostic tests (blood work)Prescription drugs Durable medical equipment (glucose meter)
Total Example Cost $5,600
In this example, Joe would pay: Cost Sharing Deductibles $2,300 Copayments $300 Coinsurance $0 What isn’t covered Limits or exclusions $0
The total Joe would pay is $2,600
Mia’s Simple fracture(in-network emergency room visit and follow up care) The plan’s overall deductible $4,500 Specialist coinsurance 40% Hospital (facility) coinsurance 40% Other coinsurance 20%
This EXAMPLE event includes services like: Emergency room care (including medical supplies)Diagnostic test (x-ray)Durable medical equipment (crutches)Rehabilitation services (physical therapy)
Total Example Cost $2,800
In this example, Mia would pay: Cost Sharing Deductibles $2,800 Copayments $0 Coinsurance $0 What isn’t covered Limits or exclusions $0
The total Mia would pay is $2,800 Note: The patient pays amounts assume the patient is not participating in a Flexible Spending Account (FSA), a Health Savings Account (HSA), or a Health ReimbursementArrangement (HRA), including an HRA funded through a Voluntary Employee Beneficiary Association (VEBA-HRA). If you have a FSA, HSA, HRA, or VEBA-HRA, then youmay have additional funds that could help cover certain out-of-pocket expenses such as deductibles, copayments, coinsurance, and benefits otherwise not covered.
The plan would be responsible for the other costs of these EXAMPLE covered services.
Page 7 of 7
Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: Beginning on or after 1/1/2024Medica Choice Passport MN 4500-20% HSA Coverage for: Individual/Family | Plan Type: PPO
DDMN_LrgGrpCnt_11.2022 i
662364
KR#00595562
DELTA DENTAL OF MINNESOTA
A Minnesota Nonprofit Health Service Plan Corporation
GROUP DENTAL PLAN CONTRACT SIGNATURE PAGE
CLIENT: City of Cottage Grove
CONTRACT NO: 662364-0001
CONTRACT START DATE: January 1, 2024
CONTRACT END DATE: December 31, 2024
Delta Dental of Minnesota (hereinafter Delta Dental) and the above named Client, in consideration of the
mutual agreements and undertakings set forth in the Contract Documents hereby agree as follows:
1. That this Group Dental Plan Contract (hereinafter the Contract) shall be effective as of the
Contract Date set forth above; and
2. That the following documents, attached hereto and incorporated herein by reference, are included
as part of the Contract Documents:
Exhibit A: Dental Plan Description for City of Cottage Grove
In witness whereof, Delta Dental and the Client have caused this Contract to be signed by their authorized
representatives on the dates set forth on this signature page (hereinafter Signature page).
AUTHORIZED SIGNATURES
CLIENT DELTA DENTAL OF MINNESOTA
BY:
BY:
TITLE: TITLE: President
DATE: DATE: September 20, 2023
DELTA DENTAL OF MINNESOTA
BY:
TITLE: Assistant Secretary
DATE: September 20, 2023
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HR Manager
9/27/2023
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DELTA DENTAL OF MINNESOTA
A Minnesota Nonprofit Health Service Plan Corporation
GROUP DENTAL PLAN RISK CONTRACT
SECTION 1
Payment and Declarations
1.01 Client Payments:
(A) The monthly payment Client will pay to Delta Dental shall be as follows:
Subscriber only - $50.78 per month per Subscriber
Subscriber with one dependent - $107.58 per month per Subscriber
Subscriber with two or more dependents - $152.72 per month per Subscriber
(B) Client shall pay in accordance with the following, based on the agreed upon method of payment:
1. Automated Clearing House (ACH) - Payments provided for in paragraph 1.01(A) shall be
deducted from your account within five (5) business days of notification of the charges incurred
for the duration of the Contract Term.
2. If client pays by check, payments provided for in paragraph 1.01(A) shall be submitted with
respect to the first month on or before the Contract Date set forth on the Signature page and
thereafter on the first day of each succeeding calendar month for the duration of the Contract
Term.
3. Wire Transfer - Payments provided for in Paragraph 1.01(A) shall be wire transferred within three
(3) business days of notification of the charges incurred for the duration of the Contract Term.
(C) ENROLLMENT REQUIREMENTS:
Monthly rates specified in paragraph 1.01(A)are predicated upon the continued enrollment during
the Contract Term or any renewals or extensions thereof of at least the same number of the
Client’s Eligible Employees and of the Client’s Eligible Employees’ Eligible Dependents as originally
enrolled under the Contract as of the Contract Date.
1.02 OPEN ENROLLMENT
The Open Enrollment under this Contract shall be held according to the Client’s designated annual
open enrollment period.
1.03 FAMILY STATUS CHANGES
The benefit elections made under this Contract are intended to remain the same for the entire
Coverage Year. During the Coverage Year, the Eligible Employee will be allowed to change their
benefits only if they experience an eligible Family Status Change.
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SECTION 2
Definitions
The following terms, words and phrases shall, for purposes of this Contract be defined as follows:
2.01 “Claim Form” The written document required to be submitted to Delta Dental to substantiate any
claim under this Contract for dental care and treatment performed or to be performed on a Covered
Person.
2.02 “Census Data” Among other things, the number of enrolled Eligible Employees of the Client, the
number of dependents of the Eligible Employees of the Client, their respective ages, sex, marital
status, social security numbers and other similar items and such information as Delta Dental deems
necessary for actuarial purposes and compliance with applicable state or federal laws.
2.03 “Client” The party to this Contract with Delta Dental and identified as such on the Signature page.
2.04 “Client Payments” The payment obligation of the Client as specified in Section 1.01(A) with respect to
the various categories of individual rates or, as referenced in Section 3.04, the total payment
obligation of the Client.
2.05 “Contract” The written agreement between the Client and Delta Dental consisting of the Signature
page and those additional Contract Documents listed and described on the Signature page.
2.06 “Contract Date” The date set forth on the Signature page upon which this Contract becomes
effective.
2.07 “Contract Documents” All written documents comprising this Contract between the Client and Delta
Dental including the Signature page and the other documents listed and described on the Signature
page and any amendments or addendums to this Contract entered into on or after the Contract Date.
2.08 “Contract Term” The period of time set forth on the Signature page which specifies the length or
duration of this Contract.
2.09 “Coverage Year” The 12 month period of time during which applicable Contract deductibles and
maximums will apply for each Covered Person.
2.10 “Covered Person” Eligible Employees and Eligible Dependents that are covered under the Plan.
2.11 “Deductible” That amount of the Plan Payment Obligation specified in the Dental Plan Description
under Deductible for which Delta Dental will not make any benefit payment.
2.12 “Delta Dental” Delta Dental of Minnesota, a Minnesota nonprofit health service plan corporation
which maintains its principal place of business at 500 Washington Avenue South, Suite 2060,
Minneapolis, Minnesota 55415.
2.13 “Delta Dental Plan” A member company of Delta Dental Plan Association other than Delta Dental of
Minnesota.
2.14 “Delta Dental PPO Dentist” A Dentist who has signed and filed with Delta Dental a Delta Dental PPO
Agreement at the time the Dental Service is provided under this Contract.
2.15 “Delta Dental PPO Maximum Amount Payable” is a schedule of fixed dollar maximums established
solely by Delta Dental for Dental Services provided by a licensed Dentist who is a Delta Dental PPO
Dentist.
2.16 “Dental Service(s)” The providing of dental care or treatment by a Dentist to a Covered Person while
this Contract is in effect provided that such care or treatment is recognized by Delta Dental as a
generally accepted form of care or treatment according to prevailing standards of dental practice.
2.17 “Dentist” A doctor of dentistry duly licensed and registered to practice the profession of dentistry
and whose license is in good standing with the appropriate licensing or governing body of the State
of Minnesota, any other state of the United States, a territory of the United States, a foreign country
or other similar jurisdiction.
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2.18 “Eligible Dependents” Dependents of Eligible Employees that are eligible for coverage under the Plan
in accordance with the Dental Plan Description.
2.19 “Eligible Employee” Employees of Client that are eligible for coverage under the Plan in accordance
with the Dental Plan Description.
2.20 “Explanation of Benefits” The Delta Dental prepared document issued to Covered Persons and
Participating Dentists upon adjudication of the claim submitted for complete Dental Services
provided to a Covered Person.
2.21 “Family Status Change” Events constituting a Family Status Change are set forth in the Dental Plan
Description.
2.22 “Material Deviation” A fluctuation or change in the Census Data or a change in the percentages
specified in Section 1.01(D) which in the judgment of Delta Dental is significant so as to alter the
underlying actuarial assumptions or data used to determine the Client Payments applicable for the
current contact year.
2.23 “Maximum Amount Payable” Delta Dental’s Maximum Amount Payable is a schedule of fixed dollar
maximums established solely by Delta Dental for Dental Services provided by a licensed Dentist who
is a Delta Dental Premier Dentist.
2.24 “Open Enrollment” The period of time or dates set forth on the Declarations page during which an
Eligible Employee may elect, while this Contract is in effect, to add coverage under this Contract for
his or herself, or his or her Dependents, as provided for in paragraph 1.02.
2.25 “Other Coverage” Coverage of a Covered Person provided by any other organization subject to
regulation by insurance law or by insurance authorities of this or any other state of the United States
or any province of Canada, by any other medical, dental or hospital service organization, or by similar
plan or by union welfare plans, or employee or employer benefit organizations or by health
maintenance organizations, preferred provider organizations, exclusive provider organizations
providing benefits of any kind for Dental Services. “Other Coverage” excludes coverage of a Covered
Person under group hospital indemnity policies of $100 per day or less, student accident policies and
individual dental payment plans or policies.
2.26 “Participating Dentist” A Dentist who has signed and filed a participating and membership
agreement with his/her local Delta Dental Plan which is in effect at the time any provision of this
Contract becomes applicable. The Dentist has agreed to accept Delta Dental’s Maximum Amount
Payable as payment in full for covered dental care.
2.27 “Plan” The dental benefit plan selected by Client, as described in the Dental Plan Description.
2.28 “Plan Payment Obligation” Claim payments are based on the Plan’s payment obligation which is the
fee amount Delta Dental approves for Dental Services provided by a Dentist to a Delta Dental
covered patient.
The Plan Payment Obligation for Delta Dental Premier Dentists is the lesser of: (1) The Maximum
Amount Payable as determined by Delta Dental; or (2) The fee charged or accepted as payment in full
by the Delta Dental Premier Dentist regardless of the amount charged.
The Plan Payment Obligation for Delta Dental PPO Dentists is the lesser of: (1) The Delta Dental PPO
Maximum Amount Payable as determined by Delta Dental; or (2) The fee charged or accepted as
payment in full by the Delta Dental PPO Dentist regardless of the amount charged.]
The Plan Payment Obligation for non-Participating Dentists is the treating Dentist's submitted charge
or the Table of Allowances established solely by Delta Dental, whichever is less.
All Plan Payment Obligations are determined prior to the calculation of any patient co-payments and
Deductibles as provided under the patient’s Delta Dental program.
2.29 “Pretreatment Estimate” The Pretreatment Estimate is a valuable tool for both the Dentist and the
patient. Submission of a Pretreatment Estimate allows the Dentist and the patient to know what
benefits are available to the patient before beginning treatment. The Pretreatment Estimate outlines
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the patient’s responsibility to the Dentist with regard to co-payments, deductibles and non-covered
services and allows the Dentist and the patient to make any necessary financial arrangements before
treatment begins. This process does not prior authorize the treatment nor determine its dental or
medical necessity. The estimated Delta Dental payment is based on the patient’s current eligibility
and current available contract benefits under the Plan. The subsequent submission of other claims, a
change in eligibility, a change in the contract coverage or the existence of Other Coverage may alter
the Delta Dental final payment amount as shown on the Pretreatment Estimate form.
2.30 “Qualifying Event” The happening of certain events such as employment termination, divorce, death
of an eligible employee and other events specified in the Dental Benefit Plan Summary.
2.31 “Renewal Contract Term” Each renewal period of the Contract, as further described in paragraph
3.03.
2.32 “Table of Allowances” A schedule of fixed dollar maximums established by Delta Dental for services
rendered by a licensed Dentist who is not a Participating Dentist.
SECTION 3
General Terms
3.01 Purpose:
To set forth in writing the obligations between the Client and Delta Dental and to define the coverage
for Dental Services performed by Dentists on Covered Persons while this Contract is in effect.
3.02 Effective Date:
This Contract takes effect on the Contract Date as shown on the Signature page and all contract
years and months will be determined by reference to the Contract Date. This Contract will continue
in effect for the Contract Term specified on the Signature page.
3.03 Contract Renewal:
This Contract will automatically renew upon expiration of the Contract Term for successive Renewal
Contract Terms subject to the right of either Delta Dental or the Client to terminate or elect not to
renew as hereinafter provided. All renewals will be subject to the terms specified in the letter
amendment sent by Delta Dental to Client. If either Delta Dental or the Client elects as of any renewal
date not to renew this Contract for a succeeding Renewal Contract Term, notice of such election shall
be given to the other party in writing at least thirty (30) days prior to such renewal date or at least
fifteen (15) days prior to such renewal date by the Client if Delta Dental has proposed a rate increase.
3.04 Payment Determination and Remittance:
A. The Client Payments specified in Section 1, paragraph 1.01(A) which are applicable as of the
Contract Date shall apply throughout the Contract Term beginning with the effective date of this
Contract. Delta Dental reserves the right to change the Client Payments applicable to any
succeeding 12 month period after expiration of the Contract Term. For each Renewal Contract
Term, the Client Payments shall be such amounts as are determined solely by Delta Dental. Delta
Dental shall not increase the Client Payments unless it gives written notice of any such increase to
the Client at least thirty (30) days prior to the renewal date on which the subsequent Renewal
Contract Term commences.
B. The Client Payments provided for in paragraph 1.01(A) shall, notwithstanding anything in this
Contract or amendment(s) or addendum(s) to the contrary, be automatically increased by the
amount of any tax, levy, excise tax, income tax or other similar charge of any kind made or
imposed on Delta Dental by the government of the United States or any state or political
subdivision or agency thereof. The amount of such additional charge shall be determined solely
by Delta Dental and shall be added to the amount of the Client Payments to be paid each month
by the Client effective as of the date of notification of same by Delta Dental.
C. If Material Deviation occurs with respect to the Census Data obtained by Delta Dental from the
Client and used by Delta Dental to determine the Client Payments applicable for the Contract
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Term or any Renewal Contract Term, or, if during the Contract Term or any Renewal Contract
Term, enrollment of the Client's Eligible Employees or the Eligible Employee's Eligible Dependents
falls below the minimum specified percentages set forth in Section 1, paragraph 1.01(C) of the
Contract, Delta Dental may give thirty (30) days written notice at its option to: (i) terminate the
Contract; (ii) increase the then applicable Client Payments; (iii) reduce the coverage; or a
combination of (i) through (iii) of this paragraph, to be effective as of the first day of the calendar
month specified by Delta Dental in such written notice.
D. If this Contract ceases to be effective for any reason and Delta Dental and the Client desire to
continue coverage until completion of negotiations and signing of a new or renewal Contract
between Delta Dental and the Client or, if the parties specifically agree in writing to continue
coverage as provided for in the Contract, or if the Client continues to make the Client Payments
after Contract termination and Delta Dental in its sole discretion decides to accept such Client
Payments and notifies the Client in writing at any time after termination of the Contract. The
Client Payments shall be made in advance by the Client on a month-to-month basis to Delta
Dental based upon Delta Dental's estimate and thereafter adjusted monthly after computation by
Delta Dental of the actual amount of monthly claims incurred.
SECTION 4
Contract Termination
4.01 This Contract may be terminated by Client:
A. By written notice received by Delta Dental at least fifteen (15) days prior to the expiration of the
Contract Term specified on the Signature page of this Contract or any Renewal Contract Term in
the event Delta Dental has proposed a rate increase for renewal as specified in paragraph 3.04(A).
B. Upon written notice received by Delta Dental within fifteen (15) days of Delta Dental's notice of a
proposed rate increase as a result of Material Deviation in the Census Data under paragraph
3.04(C).
C. With respect to an interim month-to-month Contract referenced in paragraph 3.04(D) upon
written notice received by Delta Dental at least fifteen (15) days prior to the effective date of such
termination.
D. Upon advance written notice received by Delta Dental at least thirty (30) days prior to the
expiration of the initial Contract Term or any Renewal Contract Term.
E. In the event of termination by the Client for any reason other than as specified in Sections 4.01(A)
through 4.01(D), the Client agrees to pay the Client Payments applicable from the beginning of
the then-current Contract Term or Renewal Contract Term, as applicable, to the date of
termination or the amount of claims incurred during the period beginning on the date of the then-
current Contract Term or Renewal Contract Term, as applicable, and ending on the date of
termination plus 25% of the amount of such claims incurred, whichever is greater, less amounts
actually paid by the Client to Delta Dental during the then-current Contract Term or Renewal
Contract Term as determined by Delta Dental.
4.02 This contract may be terminated by Delta Dental:
A. Upon the failure of the Client to remit or otherwise pay to Delta Dental on or prior to the due date,
any applicable Client Payment required under this Contract. Termination under this provision by
Delta Dental shall be effective retroactively to the last date through which the Client has paid the
applicable Client Payments.
B. Upon thirty (30) days prior written notice to the Client in the event a Material Deviation in the
Census Data has occurred as provided in paragraph 3.04(C) of the Contract.
C. With respect to an interim month-to-month Contract as provided in paragraph 3.04(D), upon
written notice received by the Client at least fifteen (15) days prior to the effective date of such
termination.
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D. Upon thirty (30) days advance written notice by Delta Dental to the Client prior to the end of the
then-current Contract Term or Renewal Contract Term.
E. Upon the expiration of the grace period provided under paragraph 5.01 of this Contract by written
notice given by Delta Dental to the Client at any time after the expiration of such grace period.
F. Upon written notice by Delta Dental to the Client if there is reasonable cause to believe the Client
is unable to make payments during the grace period (for example due to the filing of bankruptcy
proceedings by or against the Client) then Delta Dental may cancel immediately by written notice
without reference to the existence of the grace period with such termination to be effective as of
the date specified in Delta Dental's notice.
4.03 This contract may be terminated upon the mutual written consent of Delta Dental and the Client.
SECTION 5
Grace Period
5.01 The Client shall have a grace period of thirty-one (31) days following the due date of each Client
Payment during which applicable Client Payments may be made to continue this Contract in effect.
There shall be no grace period after the date this Contract has been terminated by either Delta Dental
or the Client for any reason. This Contract shall remain in full force and effect during such grace
period; provided, however, the Client shall remain fully liable and shall be responsible to Delta Dental
for all Client Payments accruing or becoming due during any such grace period or, in the event of the
failure of the Client to make the applicable Client Payments during the grace period and, upon
termination, for an amount which would otherwise be due from the Client to Delta Dental as if the
Contract relationship between Delta Dental and the Client during the grace period had been on an
interim month-to-month basis as specified in paragraph 3.04(D) of this Contract. In addition, Delta
Dental reserves the right to suspend claims payments in the event of Client fails to make any required
Client Payments after the expiration of this Grace Period.
SECTION 6
Clerical Error
6.01 The coverage of any person who would otherwise qualify as a Covered Person under this Contract
but for the existence of clerical error shall not be prejudiced through such clerical error on the part of
either the Client or Delta Dental. However, if such clerical errors are discovered to have resulted in a
reduction or nonpayment of applicable Client Payments to Delta Dental which would otherwise have
been payable, remittance of such Client Payments shall be made by the Client to Delta Dental and
conversely, if such clerical error is found to have resulted in an overpayment by the Client to Delta
Dental, adjustment of such overpayment shall be made by Delta Dental where applicable. Delta
Dental shall not be required to accept retroactive notification of eligibility changes submitted by the
Client to Delta Dental more than 90 days after the effective date of such coverage.
SECTION 7
Continuation of Coverage
7.01 Each Eligible Employee and each Eligible Dependent may continue this coverage if current coverage
ends because of the Qualifying Events as listed in the Dental Plan Description. Each person who
desires to continue coverage must be covered before the Qualifying Event occurs in order to
continue coverage. In all cases, continuation of coverage ends if the group contract ends or the
required charges are not paid when due. See the Dental Plan Description for a list of Qualifying
Events, Persons Eligible for Continuation and Maximum Continuation Periods.
SECTION 8
Further Responsibility Accepted by the Parties
8.01 The Client agrees:
A. To furnish Delta Dental with Census Data in a format specified by Delta Dental.
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B. To provide information to all of its Eligible Employees as to the existence and terms of this
Contract and to distribute to Eligible Employees Delta Dental's standard descriptive brochure or
standard summary plan description of benefits as prepared or approved by Delta Dental.
C. To notify Covered Persons of their responsibility to:
1. Notify their Dentist at the time of their first appointment that they are covered under this
Contract;
2. To provide their Dentist with group identification and the Eligible Employee's social security
number; and
3. To request the Dentist to submit a Claim Form or Pretreatment Estimate to Delta Dental on a
form acceptable to Delta Dental.
D. To require Covered Persons to furnish notice of claims and submit Claim Forms as required by
Delta Dental in the event the Dentist fails or refuses to submit the required Claim Forms to Delta
Dental.
E. To permit Delta Dental (upon reasonable notice) to inspect the records of the Client in order to
verify the accuracy of the Census Data and Client Payments provided or submitted to Delta
Dental.
F. To furnish notification to all Covered Persons of their rights to continued coverage, if any, and to
furnish notification of all persons electing continued coverage under paragraph 7, including
Census Data, the dates of their elections, projected termination dates and, if applicable, the social
security number of the Eligible Employee who previously entitled that person to coverage as a
“Covered Person” prior to the occurrence of a Qualifying Event.
8.02 Delta Dental agrees:
A. To encourage Participating Dentists to submit a Pretreatment Estimate request prior to the
rendition of high cost dental treatment.
B. When a Pretreatment Estimate is submitted prior to rendition of dental care and treatment, to
advise the Dentist of the estimated amount of the Plan Payment Obligation payment pursuant to
the submitted Pretreatment Estimate, and to review, to the extent deemed necessary and
appropriate by Delta Dental, in order to ascertain the extent to which the submission of
Pretreatment Estimates provides covered benefits.
C. To pay on receipt of the Claim Form to Participating Dentists that part of the Plan Payment
Obligation for completed dental care and treatment based on the benefits to which the Covered
Person is entitled under this Contract.
D. To pay to Covered Persons on receipt of the Claim Form in all cases not covered by paragraph
8.02(C) above an amount based on a Table of Allowances established solely by Delta Dental, but
not more than the actual charges for such completed dental care and treatment.
E. To make periodic sample reviews, when deemed necessary and advisable by Delta Dental, of the
Claim Forms and Pretreatment Estimates for which benefits have been paid or approved under
this Contract in order to ascertain whether the allowance of benefits under this Contract are
considered generally accepted forms of dental care and treatment and are prevailing standards of
dental practice.
F. To coordinate the benefits payable under this Contract when required.
G. To terminate, suspend or place in a probationary status the participation agreement of any
Participating Dentist who, in the exclusive discretion of Delta Dental, violates the provisions of the
Dentist Membership and Participation Agreement, fails to conduct his or her practice in
accordance with applicable standards of the dental profession prevailing in the community or who
violates any applicable laws, rules, regulations, or the policies and procedures of Delta Dental.
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H. In the event that this Contract is cancelled and is not replaced by the Client, Delta Dental shall
provide written notice of the cancellation of the Contract by U.S. Mail to the last known address of
all Covered Persons of the Client, at least thirty (30) days prior to the effective date of the
cancellation.
I. In the event a Covered Person’s claim for benefits under the Plan is denied, Delta Dental shall
furnish the Covered Person a notice setting forth the specific reason for such denial; and Delta
Dental agrees, upon request, to afford a reasonable opportunity to any Covered Person whose
claim for benefits has been denied for a full and fair review by an appropriate individual or
committee of Delta Dental. This paragraph 8.02(I), however, shall not be construed to be a
designation by the Client or trustees of the Client, nor an acceptance or admission by Delta
Dental, that Delta Dental is a fiduciary or a plan administrator, and this paragraph is provided in
the Contract as an assistance to the Client to provide in this Plan for notices to Covered Persons
of denial of claims and to provide in this Plan for review of such denials.
8.03 The Client and Delta Dental agree:
A. That none of Client, Delta Dental, or their employees or agents shall be liable for any act or
omission by a Dentist, his or her employees or agents, or any person performing dental or other
professional services under this Contract and no benefits of any kind shall be payable under this
Contract for retreatment or additional treatment necessary to correct or relieve the results of
previous treatment.
B. All material published or distributed concerning this Contract shall be approved by Delta Dental
prior to publication and distribution.
C. EVERY COVERED PERSON SHALL HAVE AT ALL TIMES FREE CHOICE OF THE DOCTOR OF
DENTISTRY WHO IS TO TREAT HIM OR HER AND SUCH RIGHT SHALL BE PROMINENTLY
PRINTED IN THE DESCRIPTIVE BROCHURE OR DENTAL PLAN DESCRIPTION REQUIRED
PURSUANT TO SECTION 8.01(B), HEREOF.
D. In the event of conflict between this Contract and the descriptive brochure or summary plan
description, this Contract shall prevail.
E. That if any portion of this Contract, or any amendment thereof, should be determined by an
arbitrator, or court of competent jurisdiction, to be illegal, void or unenforceable, such
determination shall not abrogate any other portion hereof.
F. To estimate payment and the Plan Payment Obligation for dental care and treatment to be
performed as specified in a Pretreatment Estimate approved by Delta Dental subject to Covered
Person's continuing eligibility, but not beyond the end of the then-current Contract Term or
Renewal Contract Term, as applicable, and also further subject to applicable Contract maximums.
G. Delta Dental will not make any benefit allowances under this Contract unless a Claim Form
containing the information required by Delta Dental has been submitted within twelve (12) months
after the time such dental care and treatment is performed. Delta Dental, in its sole discretion,
may approve payment beyond this twelve (12) month period. No cause of action or lawsuit may
be maintained for any benefits or payments under this Contract after three (3) years have expired
from the date of filing of the claim.
H. No representation by the Client, its agents or employees, except for the Census Data provided to
Delta Dental, shall void the Contract or be used in legal proceedings hereunder, unless such
representation is included in or attached to this Contract. No agent or representative of Delta
Dental, other than an officer of Delta Dental, is authorized to alter or change this Contract, or
amend or waive any of its provisions and then only in the form of a written amendment hereto
signed by an officer of Delta Dental and by an authorized representative of the Client.
I. Benefits and benefit allowances shall be determined in accordance with the terms and conditions
outlined in the Dental Plan Description and this Contract.
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J. That Delta Dental relies on the accuracy of the enrollment data furnished to Delta Dental by the
Client or its designated third party, and that Delta Dental is not responsible for the recoupment of
any claim payments made with respect to any Covered Person later discovered to have been
ineligible for any reason unless the claim payment was made as a result of Delta Dental’s error.
SECTION 9
Reserved.
SECTION 10
Claim and Appeal Procedures
Initial Claim Determinations
All claims submission and payment procedures are set forth in the Dental Plan Description.
Appeals
In the event that Delta Dental denies a claim in whole or in part, the Covered Person has a right to a full and
fair review. The Covered Person’s request to review a claim must be in writing and submitted within one
hundred and eighty (180) days from the claim denial. The appeal procedures are set forth in the Dental Plan
Description.
Authorized Representative
The Covered Person may authorize another person to represent them and with whom they want Delta Dental
to communicate regarding specific claims or an appeal. However, no authorization is required for the
Covered Person’s treating Dentist to make a claim or appeal on their behalf. The authorization form must be
in writing, signed by the Covered Person, and include all the information required in Delta Dental’s
Authorized Representative form. This form is available on Delta Dental’s website or by calling Delta Dental’s
Customer Service department. The Covered Person may revoke the authorized representative at any time,
and can authorize only one person as their representative at a time.
SECTION 11
Miscellaneous
11.01 Confidentiality
Delta Dental shall maintain in confidence all claims for benefits, dental care reports, benefit payments
and other records and reports obtained or generated in connection with performing its services
under this Contract, and shall not reveal, without the Client’s consent, any such information except to
the individuals or entities directly affected thereby that have demonstrated a need to know or as may
be required by law or legal process.
11.02 Regulatory Compliance
Delta Dental and Client agree to comply with all applicable federal, state and local laws, ordinances,
rules, regulations and executive orders, especially those pertaining to unlawful discrimination on
account of race, color, creed, religion, national origin, sex, marital status, status with regard to public
assistance, disability or age.
11.03 Governing Law
Any questions, complaints, disputes or litigation arising from or concerning this Contract shall be
governed by the laws of the State of Minnesota, without giving effect to the principles of conflicts of
law thereof, except as they may be subject to federal law (including ERISA, the Employee Retirement
Income Security Act of 1974).
11.04 Fraud and Abuse Prevention and Detection
A person who files a claim with intent to defraud or helps commit a fraud against an insurer is guilty
of a crime. Should Delta Dental detect and recover funds as a result of fraudulent claim submissions,
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all information will be forwarded to the relevant authorities in accordance with the State of
Minnesota’s insurance anti-fraud statute.
11.05 Entire Contract
The Contract Documents represent the entire agreement between the parties concerning the subject
matter hereof. The terms and conditions of this Contract supersede any prior verbal or written
representations, proposals, communications, or documentation concerning the subject matter hereof.
All statements made by the Client will be deemed representations and not warranties, and no such
statement shall be used in defense to a claim under this Contract, unless it is contained in the written
application or an amendment thereto.
11.06 Reinstatement
If any renewal premium be not paid within the time granted the Client for payment, a subsequent
acceptance of premium by Delta Dental or by any agent duly authorized by Delta Dental to accept
such premium, without requiring in connection therewith an application for reinstatement, shall
reinstate the Contract, except that if Delta Dental or such agent requires an application for
reinstatement and issues a conditional receipt for the premium tendered, the Contract will be
reinstated upon approval of such application by Delta Dental or, lacking such approval, upon the
forty-fifth (45th) day following the date of such conditional receipt unless Delta Dental has previously
notified the Client in writing of its disapproval of such application. The reinstated Contract shall cover
only loss resulting from such accidental injury as may be sustained after the date of reinstatement and
loss due to such sickness as may begin more than ten (10) days after such date. In all other respects
Delta Dental and Client shall have the same rights thereunder as they had under the Contract
immediately before the due date of the defaulted premium, subject to any provisions endorsed
hereon or attached hereto in connection with the reinstatement. Any premium accepted in
connection with a reinstatement shall be applied to a period for which premium has not been
previously paid but not to any period more than sixty (60) days prior to the date of reinstatement.
11.07 Legal Actions
No action at law or in equity shall be brought to recover under this Contract prior to the expiration of
sixty (60) days after written proof of loss has been furnished in accordance with the requirements of
this Contract. No such action will be brought after the expiration of three (3) years after written
proof of loss is required to be furnished.
11.08 Severability
If any term or provision of this Contract is declared unenforceable or invalid, the remainder will
continue to be valid and enforceable.
SECTION 12
Indemnification
1. Client agrees to indemnify and hold harmless Delta Dental, its affiliates, and each of their directors,
officers, employees, and agents from and against any and all losses, claims, damages, liabilities, costs,
and expenses (including reasonable attorneys’ fees and expenses related to the defense of any
claims) resulting from or arising out of: (i) a breach of this Contract by Client, its officers, directors,
employees, agents, or Members; or (ii) any negligent or willful act or omission by Client, its officers,
directors, employees, agents, or Members.
2. Delta Dental agrees to indemnify and hold harmless Client, its affiliates, and each of their directors,
officers, employees, and agents from and against any and all losses, claims, damages, liabilities, costs,
and expenses (including reasonable attorneys’ fees and expenses related to the defense of any
claims) resulting from or arising out of: (i) a breach of this Contract by Delta Dental, its officers,
directors, employees, or agents; or (ii) any negligent or willful act or omission by Delta Dental, its
officers, directors, employees, or agents.
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3. A Party or person seeking indemnification shall: (i) promptly notify the indemnifying Party in writing
of the claim, suit or proceeding for which indemnification is sought; (ii) permit the indemnifying Party
to control the defense or settlement of the claim, suit or proceeding; (iii) reasonably cooperate with
the indemnifying Party (at the indemnifying Party’s expense); and (iv) have the right to provide for its
separate defense at its own expense. In no event, shall the indemnifying Party settle a claim, suit or
proceeding without first obtaining the written consent of the other Party. Any release obtained as a
result of settlement must contain a release of all claims against the Party or person seeking
indemnification as well as its officers, directors, employees, and agents.
DocuSign Envelope ID: 0E91B1EB-4579-426B-A1F2-A284CCCD1E4A
1
City Council Action Request
7.H.
Meeting Date 12/20/2023
Department Administration
Agenda Category Action Item
Title 2024 Part-time Firefighter Pay Plan
Staff Recommendation Approve Resolution 2023-168 adopting the 2024 Part-time Pay
Plan.
Budget Implication Included in the 2024 Budget
Attachments 1. 2024 PT Fire Pay Plan Resolution
1
TO: Honorable Mayor and City Council
Jennifer Levitt, City Administrator
FROM: Joe Fischbach
DATE: December 20, 2023
RE: 2024 Part-time Firefighter Pay Plan
Discussion
Over the last year and a half, Public Safety has been discussing the direction of the Fire/EMS
department and plan to continue to operate as a combination department. One major topic has
been recruitment and retention. City Administrator Jennifer Levitt, Finance Director Brenda
Malinowski, Public Safety Director Peter Koerner and Fire Chief Rick Redenius, completed a
comprehensive evaluation of the fire department’s part-time personnel compensation and
participation requirements. As part of this evaluation, the pension structure was evaluated as a
benefit to the firefighters and a benefit to the city.
Through multiple meetings with city leadership, allowing opportunities to provide feedback,
part-time firefighters were also given the opportunity to complete a survey to rank items that
are important for their own retention and to vote on the converting from the traditional pension
structure to a new pension structure. The conversion would include a pay-out to all firefighters
of the current pension funds.
The firefighters overwhelmingly supported the pension conversion with a 19 to 6 vote. The
part-time firefighters also ranked their choices of what is most important to their retention. The
part-time firefighters’ clear top choices were higher hourly pay, experience pay (aka step
program) and bonus pay for meeting department requirements.
There was a vote to dissolve the fire relief program for part-time firefighters at the end of 2023.
All current employees had to apply to get rehired as part-time firefighters participating in the
PERA General Plan by November 17, 2023. Fifteen current employees will be rehired for
2024. There are also 8 candidates that are currently being backgrounded for a 2024 first
quarter hire. We have identified the ideal number of part-time personnel to be 21 to 23.
In response to these results, the city is incorporating (recommending the follow):
1. Higher hourly pay represents at least a fifteen percent increase for all firefighters. (The
hourly pay is one of the highest part-time pay rates in the Twin Cities metro.)
2. A step program for higher hourly wages based upon years of experience.
3. Bonuses for exceeding call-back requirements.
4. Removed distance/residency requirement.
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5. Participation in the PERA General plan for all part-time personnel.
To continue to balance the need to provide high-quality 24/7 services to our community and
create a sustainable combination model, leadership developed the following participation
requirement for part-time staff:
1. 36-hour per month duty crew requirement.
2. 20 percent call back requirement (down from 30 percent) with bonuses starting at 30
percent.
a. Extended call-back time frame to 60 minutes from call response (from 15
minutes).
3. Extended off-shift training opportunities with designated training requirements.
Staff have also met with our mutual aid partners to plan for mutual aid requests. The new plan
will also reduce the number of call-backs needed.
All wage and benefit costs have been budgeted for 2024.
Recommendation
Approve Resolution 2023-168 adopting the 2024 Part-time Pay Plan.
Attachments
1. 2024 PT Fire Pay Plan Resolution
RESOLUTION 2023-168
ADOPTING THE 2024 PAY PLAN FOR FIRE DEPARTMENT PART-TIME
EMPLOYEES FOR THE CITY OF COTTAGE GROVE
ARTICLE I. WAGES
FF/EMT FF/Medic
Start $22.00 $28.00
5 years CGFD experience $22.50 $28.50
10 years CGFD experience $23.00 $29.00
15 years CGFD experience $23.50 $29.50
20 years CGFD experience $24.00 $30.00
25 years CGFD experience $24.50 $30.50
30 years CGFD experience $25.00 $31.00
Employees working their regularly scheduled duty crew hours will be paid 1.5
times their regular rate of pay for all hours worked between 12:00 AM and 11:59
PM on the actual holidays as defined in the City Personnel Policy.
Employees will be paid 1.5 times their regular rate of pay for all hours worked
when responding to All Call pages and for special events as determined by the
Public Safety Director. Employees working their regularly scheduled duty crew
hours will not be eligible for overtime pay during those hours.
Employees responding to All Call pages on an actual holiday as defined in the City
Personnel Policy will receive two (2) times their regular rate of pay. If the call back
extends into a non-holiday day, the employee will receive one and one-half (1-1/2)
times the employee’s regular rate of pay for those hours. Employees working their
regularly scheduled duty crew hours will not be eligible for overtime pay during
those hours.
Part-time Firefighter response to call-back requests is essential to provide
emergency response to the community. Firefighters that exceed the minimum
requirement may be eligible for an annual bonus based upon meeting set call-
back response percentages.
Bonus eligibility will be determined every calendar year (January 1st to
December 31st) and will be paid in the first quarter following the completion of
the calendar year. The part-time Firefighter must work the entire calendar year to
be eligible for the bonus (i.e. must be employed on or before January 1st). Part-
time Firefighters on approved leave may be eligible for the bonus if their leave is
equal to or less than twelve weeks. Part-time Firefighters with lost time due to an
approved worker’s compensation claim will be eligible for the bonus if they work
at least three months during the calendar year.
Bonus pay will be given based on the following call-back percentage (Part-time
Firefighter will only receive one payment based on the percentage they achieve.)
•30 percent call-back percentage: $500 bonus.
•40 percent call-back percentage: $750 bonus.
•50 percent or higher call-back percentage: $1000 bonus.
ARTICLE II. EFFECTIVE DATE
This resolution shall become effective January 1, 2024 and shall remain in effect
until amended by the City Council.
NOW THEREFORE BE IT RESOLVED, by the City Council of the City of Cottage
Grove, County of Washington, State of Minnesota, that the above listed plan be
adopted.
Passed this 20th day of December 2023.
__________________________
Myron Bailey, Mayor
Attest:
_____________________________
Tamara Anderson, City Clerk
1
City Council Action Request
7.I.
Meeting Date 12/20/2023
Department Administration
Agenda Category Action Item
Title Compensation Study
Staff Recommendation Approve the proposal for Paypoint HR to conduct a compensation
study in 2024 in the amount of $30,000.00.
Budget Implication $30,000 included in the 2024 budget
Attachments 1. PayPoint HR Bid
1
TO: Honorable Mayor and City Council
Jennifer Levitt, City Administrator
FROM: Joe Fischbach
DATE: December 20, 2023
RE: Compensation Study
Discussion
In 2020, the City conducted a comprehensive classification and compensation study of all
regular full and part-time positions. The study was completed by PayPoint HR. In addition,
staff continues to send all new positions to PayPoint to score and slot positions in our
classification system.
Staff has budgeted for PayPoint HR to conduct an update to the compensation study portion
of the plan. PayPoint HR will survey our comparable cities to see where we fall relative to the
market for pay and benefits. They will do this in the first quarter of 2024. All our union
contracts (Police Officers, Sergeants, Firefighters and Maintenance) expire at the end of 2024,
so we will have the updated information as we begin negotiating 2025 contracts. It is
anticipated that we will begin negotiating in May 2024.
PayPoint HR has prepared the attached proposal for the work.
Recommendation
Approve the proposal for Paypoint HR to conduct a compensation study in 2024 in the amount
of $30,000.00.
Attachments
1. PayPoint HR Bid
Paypoint HR, LLC
695 Santa Maria Lane
Davidsonville, MD 21035
(443) 336-4272
Compensation Study
City of Cottage Grove, Minnesota
1
Table of Contents
Management Synopsis ..................................................................................................................................... 2
Consultant Information ................................................................................................................................... 3
Resumes ......................................................................................................................................................... 4
Scope of Work .................................................................................................................................................... 7
Assessment of Needs .................................................................................................................................. 7
Methodology ................................................................................................................................................. 8
Compensation Study Components .................................................................................................... 10
Task A – Project Start ....................................................................................................................... 10
Task B – Design and Distribute Survey ......................................................................................... 13
Task C – Collect and Analyze Survey Data .................................................................................. 14
Task D – Internal Relationship Analysis and Alignment .......................................................... 15
Task E – Preparation of Draft Report ............................................................................................ 18
Task F – Deliver Final Report and Deliverables for Implementation ..................................... 20
Implementation ......................................................................................................................................... 22
Tentative Timeline .................................................................................................................................... 23
Cost Proposal .................................................................................................................................................. 24
2
Management Synopsis
Paypoint HR, LLC is responding to the city of Cottage Grove’s request for proposals to
provide a Compensation Study. The purpose of the study is to help the city to be recognized
as an employer of choice in the area. Paypoint HR will objectively examine the job roles and
their placement in the city’s hierarchy, the external market’s pay ranges for these same
positions, and give recommendations as warranted by the findings. The study
recommendations will be substantiated using quantitative evaluations, so that the City may
make informed decisions with respect to compensation including benefits. It is anticipated
the project will take 16 weeks to complete at a firm fixed-price cost of $30,000.
Our methodology is built on working with our clients and their employees to make
appropriate, project-focused recommendations and then staying with the Project Team to
see the recommendations are put into place. Our clients have peace of mind knowing the
key to our success is ensuring implementation of recommendations.
Paypoint HR, LLC realizes that the employees are the most valuable asset and will be treated
accordingly. By including employee input in the project, it is our experience that they feel
“heard” and “valued.” As such, they will be more likely to find the pr ide and fulfillment that
public service lends. This forward-thinking philosophy ensures the city will be seen as a
great place to make a career as well as make a living.
We test our recommendations to ensure they are following sound business practices and
will be a solid foundation for our clients going forward. The recommendations we make are
intended to produce a structured program that gives ongoing guidance on how to i mprove
an organization’s ability to recruit, reward, motivate, and retain talent in a competitive
environment. Specifically, we have developed an approach and methodology that
incorporates the following:
• Market competitiveness;
• Recognition that compensation is comprised of more than just base pay levels;
• Consideration of changes in recent compensation trends and strategies; and
• Customization of solutions that consider the diversity of needs present within the
Client’s organization and allows the Client to select the components and options
that best meet their overall needs.
Once the recommendations are made for updates to classifications and pay structures, the
city will be given our custom designed tools for implementation and ongoing
administration. We will create a custom Compensation Factor Scoring (CFS) system using
information gathered during the study and provide the city access to the system to help
place positions in the future.
3
Consultant Information
Paypoint HR is an innovative, cost effective, and technologically advanced solution for the
public sector’s need to provide internally equitable and externally competitive pay plans. We
are an independent Woman Owned Small Business (WOSB) and have been assisting the
public sector achieve their pay plan objectives since 2012. Our firm is in Manteo, North
Carolina and Davidsonville, Maryland, which is near the United State Naval Academy in
Annapolis, Maryland and Washington, DC.
Our overall approach to the field is unique. Our founding members hail from different
practice areas related to classification and compensation. These specialty fields include
organizational design, compliance, research analytics, business strategy, and human
resources. The common denominator that brings us together is helping our clients recruit
and retain quality employees. We do this by collaborating on each project to give our clients
strategic recommendations for achieving their goals. We believe we are the only firm that
brings together experts from multiple specialty areas to design custom classification and
compensation plans that give our clients a competitive edge in the labor markets where
they compete.
Our team includes recognized experts in human resource management and understands
that while we follow established standards, there is not a “one size fits all” solution to
compensation management. The way we look at data is more thorough than our
competitors. While we use “standard” calculations for determining pay, we also create
ad-hoc reports that meet specific Client needs. We help develop compliant job descriptions
and pay plans based on the most current regulations. Clients benefit from the compliance
review and appeals processes through a reduction in grievances and an improved sense of
equity. Our recommendations take into consideration the business and operational side of
organizations.
Paypoint HR’s personnel bring several decades of experience of providing total
compensation solutions to the public sector. In our response to the Statement of Work, we
explain in detail our business history, people, and processes to show the level of resources
we bring to the city. Paypoint HR has staff ready to be deployed for this project and has the
resources to confidently provide the city with exceptional service.
We are members of WorldatWork and the Society for Human Resource Management. Our
personnel keep abreast of new and emerging trends through continuing education in their
respective fields and collaborate on each project to bring best practices to our
recommendations. Our personnel are well respected and have served as speakers for
industry associations, financial organizations, universities , and more. Our personnel are
also members of industry organizations and serve on the Board for several groups. Typical
studies incorporate a custom external market survey. We also have industry data readily
available for use in our assessments. Information we have access to include the most recent
survey reports conducted by industry associations, updates to regulations on a federal and
state level, as well as latest trends and best practices. We anticipate the client’s input on
specific survey sources it would like us to use. We feel our expertise, processes, people,
4
survey data library, and proprietary software distinguish Paypoint HR from other
contractors and will help the client reach its project goals.
Our current workload allows us to commit the necessary staff members to the successful
completion of the project. We welcome the active participation of the project team
throughout the entire study but understand that they will be engaged with other priorities
as well. Paypoint HR expects support from the client in communication with key staff,
setting up meetings, providing meeting resources , as well as establishing reporting
relationships, milestones, and timelines.
Karin Campbell and Dr. Rick Campbell are legally authorized to represent Paypoint HR and
will serve as the main contacts for the project.
Project Manager – Primary Contact Technical Director – Secondary Contact
Karin Campbell, SPHR, SHRM-SCP Dr. Rick Campbell, CCP
695 Santa Maria Lane 695 Santa Maria Lane
Davidsonville, MD 21035 Davidsonville, MD 21035
Karin@PaypointHR.com Rick@PaypointHR.com
(443) 336-4272 (540) 815-7837
Resumes
Karin Campbell, SPHR, SHRM-SCP, IPMA-SCP
Master of Business Administration, University of Texas
Bachelor of Science in Business Marketing, University of Maryland
Mrs. Karin Campbell has led Human Resource initiatives for more than
20 years. She has helped over 700+ employers and 15,000 employees with the development
and delivery of customized HR solutions for employee management programs; conducting
labor cost analysis of employee administration, benefits, retirement, workers’
compensation, federal, state, and local taxes; budgeting for human capital including
recruiting, onboarding, benefits, risk management, training, and compliance; and planning,
design, and implementation of payroll administration; health, dental, vision, life, and AD&D
insurance; and pension, as well as ancillary benefits within a limited timeframe to large
workforces.
She has consulted with clients and their employees on complicated employment topics. Her
responsibilities also include development and maintenance of compliance and risk
management programs. She has taught OSHA compliance as an adjunct professor. Currently
she holds SPHR, SHRM-SCP, and IPMA-SCP designations and serves on the Board for the
ASHRM chapter. Karin has a strong understanding of current trends in the benefits
industry. Karin worked from 1995-2002 for HRLogic, Inc., a wholly owned subsidiary of
Fidelity Investments. Most recently Karin owned her own HR firm, Alpine HR, from 2003
5
until 2012, when she sold her business. In 2013, Karin along with her husband, Rick ,
formed Paypoint HR, an HR consulting firm which specializes in employee compensation
for both private and public-sector concerns.
Karin’s expertise has been utilized in studies that involve:
• Employee Outreach – She has developed time tested approaches to gaining employee
buy in through effective communication and involvement of staff at all levels. She
has created formats for briefing sessions, and orientations that follow accepted
industry protocol and considers both the qualitative and quantitative aspects of data
collection. Her approach has allowed for better understanding of the nuances within
organizations and uses it to formulate recommendations and overcome obstacles
that positively impact acceptance.
• Policy Design and Implementation – She has created a process methodology for
implementation of classification and compensation recommendations. The flow of
the process lends itself to clear transfer of administration and maintenance from
plan adoption through to long-term application.
• Communication Plans – She has led successful projects by creating communication
plans with the input of each client to recognize project milestones and progress. She
has created relationship reporting to ensure projects are completed on time and
within budget.
• Business Strategy – She analyzes the strengths, weaknesses, opportunities, and
threats faced by each client and the community they serve to incorporate resources
into the final recommendations that maximize return. She has helped clients face
challenges in gaining the financial commitment necessary to adopt and implement
recommendations.
Dr. Rick Campbell
Ph.D. in Engineering Science and Mechanics, Penn State University
Bachelor of Science in Applied Mathematics, University of Virginia
Certified Compensation Professional (CCP), WorldatWork
Dr. Rick Campbell’s extensive education and experience in the field of mathematics has
enabled him to understand highly technical issues. Because he has managed both internal
and external clients, he has developed the ability to take the most advanced prob lems and
convert them into easily understood terms and processes. He has applied this experience to
the field of compensation and classification for the past 10 years.
He has worked for NASA GSFC, GE Aircraft, and Lockheed Martin Space Systems among
others. His roles included Team Lead, Project Manager and Principal Engineer.
Dr. Campbell holds 7 U.S. and international patents for his creative ideas on product and
process improvement. Rick has experience with Lean Six Sigma for both service
6
organizations and manufacturing organizations. He brings his unique skills to Paypoint HR
to improve the accuracy of our research findings and recommendations.
Rick’s knowledge heavily influences the following areas of the study:
• Performance Based Pay – He has built pay plans that incorporate performance
metrics and translates them into fair pay based on relevant goals. His plans maintain
objectivity and are multifaceted. He has established performance review processes
and standards for merit-based compensation pay. He has converted organizations to
pay-for-performance that desired merit-pay programs and were limited by existing
policy and structures.
• Big Data and Research Analytics – He has worked on projects that have required
large data sets and has created the format to collect and manage the data that
maintains integrity and validity. He has engineered programs that are user friendly
yet robust in their functionality and interpolates data into meaningful information
to a granular level.
• Trends analysis – He has reviewed and analyzed data that look for patterns and
correlation to determine if they are valid indicators for comparison. He has looked
at causality and correlation links to consider potential for predictability.
• Study Validity – He has determined appropriate metrics for comparison in the
selection of comparator organizations and benchmark positions to ensure relevancy
of findings.
• Financial Impact – He has applied both short-term and long-term implications of
recommendations for clients to assist in the ability to project necessary funding and
revenue sources.
7
Scope of Work
Assessment of Needs
Paypoint HR has done a preliminary review of possible hurdles specific to the city of
Cottage Grove’s ability to attract, motivate, and retain employees. Furthermore, our project
history has familiarized us with projects similar in size, scope, and services. You can feel
confident our approach is time tested.
Our understanding of the project is that Cottage Grove is a full-service city that provides
both its residents and tourists with a full range of municipal services including but not
limited to police, fire & EMS, public works, and parks and recreation. The city desires to
update their current compensation plan in order to keep up with current compensation
practices. The purpose is to attract and retain a high performing and engaged workforce
that will continue providing excellent service to those who live in the city.
Possible Challenges
Paypoint HR found the following issues as possible sources of challenges:
• Increase in community demands and expectations for service offerings paired with
limited resources to quickly adapt,
• Difficulty recruiting qualified individuals for certain positions,
• Job roles have changed due to changing technology, increased regulations, etc.,
• Increasing cost of employee benefits,
• Pay compression, external inequity, and perception of internal inequities, and
• A highly competitive labor market with other public and private employers in the
region competing for the same labor force.
These obstacles are independently problematic and collectively require a change from a
tactical management style to a strategic management philosophy. We believe developing a
long-term strategy for recruiting and retaining employees is the true intent of t his RFP.
Paypoint HR understands we will be working with an appointed team leader, key leadership
staff, and stakeholders (Project Team) to validate the scope of services, methodology,
timelines, and other deliverables. We anticipate several virtual meetings, but we remain
flexible to meet your needs. We are planning that meetings will be used to kick-off the
project, employee briefing sessions, and presentation of the findings of the study.
8
Methodology
Our methodology is comprehensive and encompasses all of the requirements specified in
the RFP. Our experience allows us to utilize existing information to conveniently conduct
Phase 1 of the project using established metrics. Phase 2 focuses on the
Compensation/External Component. The standard methodology we will use to conduct both
phases of the study is laid out in the flowchart and delineated below.
Figure 1 – Process Flow Chart
9
Paypoint HR plans to conduct the internal equity portion of the study prior to the external
portion of the study though some activities will be conducted simultaneously. The reasons
for this include:
• Job titles and job descriptions are, in the minds of the employees and their
supervisors, inextricably associated with the “worth of the work” or pay.
Compensation is often a highly emotional issue. By separating the two phases of the
study, even though elements of the phases may be conducted concurrently, it gives
us two separate yardsticks of measure.
• The compensation review will be completed when there is a full understanding of
the scope of work, thereby ensuring that the data developed from the labor market
and client’s classifications are correct.
Paypoint HR uses an expectation of excellence philosophy when approaching our projects.
Based on the size and scope of each project, we determine the most effective utilization of
resources and build our project team. We use secure, effective communication tools to
safely and transparently share information. This approach tends to take a people-centric
perspective, implementing short phases or steps that rely on ongoing feedback. This
continuously reshapes and refines the project path. The methodology has proven successful
over time and frees teams from using a cookie cutter approach to designing a custom work
product. As a consequence, we are able to offer faster turnaround and the dynamic ability
to quickly adapt to changes.
Phase 1 –Competencies Component
A. Project Start and Initial Meetings
B. Baseline Data Collection and Initial Analysis
Phase 2 – Compensation Component
A. Identify Benchmark Positions and External Survey Comparator List
B. Design and Distribute Survey
C. Collect and Analyze Survey Data
D. Internal Relationship Analysis and Alignment
E. Preparation of Draft Report
F. Deliver Final Report and Deliverables for Implementation
We will look at both qualitative data and quantitative data throughout the classification and
compensation portions study. The purpose of statistical data allows us to capture a
snapshot of the existing plan and create baselines on the existing plan. This gives us a
starting point to uncover areas of possible review and revision recommendations.
10
Compensation Study Components
This Section of the study will result in the development of labor market survey parameters
and the collection and evaluation of labor market survey data. The findings from the
compensation component will be reviewed and analyzed to look for areas of possible
improvement. Paypoint HR will create a pay structure that meets the city’s objectives. We
will give the city perspective on the economic impact adoption of the recommendations will
have on the city. This will make the factors for implementation clear and help anticipate
needed steps to meet the overall goals.
Task A – Project Start
Task 1A: of the project initiation phase encompasses all the steps required to initiate the
project. This task includes the following activities:
Kick-Off Activities
• Request pertinent materials prior to the project initiation meeting so that
Paypoint HR has an understanding of the scope of the study, an understanding of
the client’s current classifications, and is prepared to seek further relevant
information during the initial meetings.
• Obtain relevant information and statistical/anecdotal data on specific compensation
issues and policies. Obtain insight into perceived current compensation system
strengths and weaknesses. Identify current incumbents and gather any other
documentation to gain better understanding of the client’s operations.
• Meet Human Resources Director to discuss project context and methodology,
determine reporting relationships, and clarify project understanding and Milestones
to create the Communication Plan.
• Reach an agreement on a schedule for the project including all assignments and
project milestones/deliverables and deadlines for completion of the assignment.
• Establish an agreeable communication schedule while identifying potential
challenges and opportunities for the study.
Figure 2 - Sample Letter Templates
11
Task 2A of the compensation portion of the study will include identifying benchmark job
positions and identifying a mutually agreed upon list of external comparators to be
included in the external survey. In order to complete this, the following steps will be taken:
• Involving the Study Project Leaders and stakeholders as appropriate, in the decision -
making process.
• Agreement on which agencies are included PRIOR to beginning the study. Our
experience has shown that this is the most advantageous approach.
• Conducting a thorough review of all materials to date including: employee database,
classification listing, interviews, compensation review, and meetings with the Project
Management Team. This will be closely followed by an exploration of the Project
Team’s overall strategic compensation vision.
• Thoroughly reviewing the various components of existing compensation plans and
policies as well as the regulatory environment surrounding compensation.
• Identifying highly competitive positions within the organization and customizing the
survey where appropriate.
• Reviewing and discussing how a compensation program might be designed to
support the organization’s business strategy and organizational objectives.
• Confirming and discussing the Project Team’s preferred percentile placement within
the market place.
• Acknowledging the organization’s policy with respect to internal pay equity and
employee perceptions of fairness.
• Addressing the Project Team’s philosophy with respect to employee retention
including the role compensation plays in retention issues.
• Reviewing the Project Team’s philosophy with respect to fiscal sensitivity and
flexibility.
“Benchmark classes" are normally chosen to reflect a broad spectrum of class levels. The
positions that are selected normally include classes that are most likely to be found in other
similar agencies and will therefore provide a sufficient and valid sample for analysis.
Benchmark positions should encompass the entire range of positions from the beginning of
the pay ranges to the end. There should be a number of positions equally interspersed
among the pay scale. Positions that have been difficult to attract and retain excellent
employees should be included. Paypoint HR will offer information and examples for the
Project Leaders to consider and which will provide a measurable, rational, fact -based
methodology to determine the relative job worth within the organization (as required by the
EEOC).
12
Figure 3 - Illustration of Economic Variance Using the Client as the Baseline
Paypoint HR will conduct an economic analysis of regional organizations to identify a
preliminary unbiased list of appropriate comparators. The purpose of this step is to ensure
the worthiness and legitimacy of using these organizations to develop recommen dations.
This adds validity to the findings and yields defensible results. We will keep in mind the
Project Team’s criteria on such factors as degree of competition for obtaining and retaining
candidates for high quality staff, their location in the city’s traditional recruitment areas,
and their level of service. Paypoint HR uses objective parameters to determine the
legitimacy of findings. Below is a list of possible criteria to consider when selecting
organizations to be sampled:
Sample List of Selection Criteria
Median Housing Price Unemployment Rate
Median Household Income Labor Force Participation Rate
Cost of Living Adjustment Proximity
Population
Each organization considered is given a variance score related to data points and an
aggregate variance score is created. This will help identify the organizations whose results
will provide validity to the study. Upon identifying benchmark positions and the selected
comparators, Paypoint HR will then create the document for surveying the selected
organizations and conduct the external survey.
13
Task B – Design and Distribute Survey
Task 1B Paypoint HR will incorporate the accumulated knowledge and understanding of the
project gathered at this point into a main client file. Data will be collected throughout the
project and will be housed in this central location. The Baseline Evaluation Task evaluates
the current system as outlined and includes the following activities:
• Conduct a comprehensive preliminary evaluation of the client’s existing position
review process. Conduct any necessary question and answer sessions. Develop an
accurate database of client’s employees for study and review data as well as career
ladders. Understand the client’s approach to compensation and overall philosophy
on attracting and retaining competent staff.
• Review the existing pay structure and processes to look for potential problems to be
resolved. Determine the strengths and weaknesses of the current pay plan(s).
• Complete an assessment of the current conditions that details the pros and cons of
the current system as well as highlights areas for potential improvement in the final
adopted solution.
• Conduct a thorough review of all background materials related to the client’s
classification system. Review information from the department head as well as
incumbents. Conduct interviews as appropriate.
• Document accepted compensation and classification philosophy and budgets based
on input from the Study Project Leaders and other key staff.
• Gain understanding of employee recruiting and retention processes to uncover
challenges in the local labor market and provide guidance on market positioning
strategies.
• Once a baseline is determined, establish the client’s current position as compared to
the local market using sources of data preferred by the client as well as
Paypoint HR’s resource library for consideration.
• Look at goals for recruiting and retention with regards to sustainable budget
amounts that will support recommendations on market position strategy.
In Task 2B of the study, it is anticipated that the creation and distribution of the external
survey will take place. This analysis will include a detailed concise presentation of data to
be collected. The survey will include job titles along with a brief summary of each position.
This approach allows respondents to compare job description to job description and not
just job titles, therefore ensuring true "matches” from the survey respondents.
Paypoint HR will send the survey to all comparators and if necessary, complete Freedom of
Information Act (FOIA) requests. We conduct all of the survey distribution, data collection,
and analysis ourselves to ensure validity of the data and to enforce quality control. While
there is an industry standard of 5-15% response rate for surveys, Paypoint HR typically
receives 25-40% response rates. While the surveys are out for distribution, Paypoint HR will
further examine the existing compensation environment to establish a baseline and keep in
contact with the Project Team.
14
Task C – Collect and Analyze Survey Data
Figure 4 – Sample of Job Summaries in External Survey
Following the distribution of the surveys, Paypoint HR will collect the data and conduct an
in-depth review of the survey results with the Study Project Leaders, as appropriate. The
purpose of this review is to identify any additional information needed or areas that require
further analysis. Paypoint HR will examine salary spread for all grades, ladders between
grades, and identify the possibility of positions being compensated differently than
intended from the existing plan. We will examine the distribution of employee salaries to
highlight challenges and conduct an analysis of wage compression using Paypoint HR’s
proprietary statistical processes, if requested. Positions that contribute to compression are
specifically identified for adjustment.
15
Figure 5 - Baseline Analysis of Client's Workforce
Task D – Internal Relationship Analysis and Alignment
To determine recommendations for internal equity, considerable attention will be given to
this phase of the project. It is necessary to develop an internal position hierarchy based on
the organizational value of each classification. By reviewing those factors, we will make
recommendations regarding vertical salary differentials between classes in a class series (if
recommended), as well as across departments.
16
Figure 6 - Sample Internal Compression Analysis
Paypoint HR analytically develops an internal hierarchy based upon the job analysis
responses. The ultimate goal of this critical step of the process is to address any internal
equity issues and concerns with the current compensation system. We look for compression
and inconsistencies. Our quantitative tool, Compensable Factor Score (CFS) system, allows
us to objectively compare between certain classifications.
Figure 7 - Sample of Compensable Factor Score Results
17
We will create a sound and logical compensation structure for the various levels within each
class series, so that career ladders are not only reflected in the classification system but
also in the compensation system. The recommendations will contain pay differentials
between levels that allow employees to progress on a clear path for career growth and
development. Career ladders will be looked at both vertically and horizontally to mirror the
classification structure that was developed during the classifi cation section of the study.
Paypoint HR’s Compensable Factor Score (CFS) formulation provides a framework to
construct an unbiased internal hierarchy of positions.
Figure 8 - Compensable Factor Score Example
The internal hierarchy is correlated with the findings of the external market, external
equity, by using Paypoint HR’s non-linear statistical algorithm. A 90% or greater correlation
is typical, lending to confidence that both the internal and external equity are sound and
appropriate.
Paypoint HR may choose to supplement the survey data with information from our own
internal library. This helps to identify outliers and get a pulse on how the study results
compare to the market as a whole.
18
Figure 9 - Sample Comparison of Internal / External Hierarchy
Task E – Preparation of Draft Report
Depending on the data developed from the internal analysis, we will review and make
recommendations regarding internal alignment of your salary structures including
combining or expanding groups or salary scales. We will develop recommendations for pay
grades and salary ranges for all classifications based typically on median salaries from the
comparable agencies based on the organization’s overall compensation philosophy and
policy. We will also analyze any pay compression issues to ensure internal equity, if
requested.
• We will conduct a competitive pay analysis using the market data gathered to assist
in the determination of external pay equity and the recommendation of a new base
compensation level for each classification studied.
• We will conduct a comparative analysis to illustrate the relationships between
current pay practices and the newly determined market conditions. We will also
develop solutions to address pay equity issues. Our analysis includes information
regarding the financial impact of addressing pay equity issues for the city. The end
result is intended to create a market adjustment and implementation strategy
supporting your goals, objectives, and budget considerations.
19
Positions will be categorized in a compensation ratio or “Compa-ratio” relating actual pay
rates to market rates to determine if they are in-line with the external market. Positions will
be classified by their Compa-ratio and determined to be either below, at, or above the
market rate. We use these findings to make corrections to pay for each position which
allows for fiscal impact analysis of recommendations.
Figure 10 - Sample Compa-Ratio Results by Job Title
The Draft Final Report will be completed and submitted to the Study Project Leaders for
review and comment. The report will provide detailed compensation findings,
documentation, and recommendations. The report will include the following information:
• A proposed Salary Range/Plan document;
• Any alternative compensation plans identified;
• Reports addressing employees whose base pay either is below or exceeds the market
rate;
• The option to implement the recommended plan in phases;.
After an initial round of feedback from the Study Project Leaders, we will make edits and
resubmit the draft to the Project Team for review and approval. Final meetings with the
Project Team and stakeholders will be conducted and any final adjustments are made prior
to delivery of the final report to the appropriate stakeholders. Once all of your questions
and concerns are addressed, a Final Report will be created and submitted in a bound format
and electronic format.
20
Figure 11 - Sample External Market Results Summary
Task F – Deliver Final Report and Deliverables for Implementation
Paypoint HR typically works on tight schedules that demand extensive communication. We
first listen to our clients to understand their specific needs and then create
recommendations that fulfill the purpose of the study. Our final report reviews the city’s
background as related to the study and conveys complex concepts clearly and concisely. We
feel this is one of our strongest attributes. An area of communication where we particularly
excel is in the ability to communicate with employees at all levels of education and
background. The concepts covered during employee outreach are reflected in the final
report, as appropriate. This improves morale as the employees feel valued by knowing they
have been heard. We are a liaison and have discovered opportunities and issues that would
not have otherwise been utilized or addressed.
The final report includes an Executive Summary that summarizes the study methodology
and gives recommendations for consideration by the city. The report highlights specific
areas where an opportunity exists to improve the city’s Classification and Compensation
programs. The strategic position of the existing plan is reviewed in relation to the findings
and shows comparisons. Recommendations that affect the city’s budget are reviewed and
their financial impacts are projected to ensure the city is able to support them. The Final
Report is developed in a way that is relevant to the current market as well as allows the city
to make a long-term strategic plan for attracting and retaining staff. The work product
includes steps for implementation, training, and ongoing administration.
Our recommendations have been well received by our audiences. We have developed valued
relationships and are considered by our clients and their employees as a trusted advisor. We
21
welcome the opportunity to work with the city to prove ourselves as an excellent service-
oriented firm.
Figure 12 - Sample of Study Recommendations
Summary of List of Standard Deliverables
• Kick-off meeting with Project Team and collaborative development of the Project
Communication Plan.
• Project planning and methodology.
• Briefing Sessions with All Employees to go over the scope of the project, their role,
and to give direction on how to complete the job analysis.
• Job Evaluation report completed using scores from job analysis responses.
• Comparator Analysis reports to identify localities that compete for labor with the
city.
• Development of agreed benchmark positions.
• External Market Survey for comparators with benchmark job titles and short job
summaries.
• Update of Job Descriptions, where applicable, to include FSLA, EEO, and ADA
compliance (sample provided upon request).
• Creation of Recommendations for Reclassifications report, including job title
simplification.
• Development of a Compensable Factor Scoring System tailored to the city for use
and maintenance of job evaluations and internal equity.
• Development of training for ongoing administration and implementation along with
supporting materials and manual.
22
• Development of a salary structure based on the survey findings and job evaluations.
• Survey finding reports showing options for strategic position as compared to
current position.
• Fiscal Impact report showing costs associated to the selected strategic market
position.
• Cumulative Final Report for presentation which shows methodology, procedures,
development of findings, work product deliverables, and the financial impact of
recommendations.
Implementation
Communication with the Project Team and key stakeholders are described at each step in
the process of our project methodology. We consider our audience for implementation to be
the Project Team, managers, and employees. We have tailored our process to involve each at
the appropriate times. We incorporate meetings, frequently asked questions,
questionnaires, informal appeals, reviews and feedback sessions. Various media is used
during the project to convey changes. We include: online access to information, written
communication, forms, face-to-face meetings, electronic communication, as well as virtual
meetings.
Weekly progress reports will be provided to the Project Team. Paypoint HR will also provide
to the Project Team status reports every two weeks and as requested. We keep our clients
fully abreast of all activities that Paypoint HR undertakes during the course of our projects
to ensure timely completion and to short-circuit any issues that may arise.
• Paypoint HR provides forms for discussions with personnel regarding how the
changes affect them individually.
• We create Job Discussion Request (JDR) and Job Discussion Guide (JDG) forms for
employees and their supervisors to complete and submit to the Human Resources
department. While employees may not always agree with our recommendations, they
have a "second chance" to ensure that they have been heard and to continue the
educational process regarding why specific recommendations were made.
• A manual of instructions and training materials regarding the administration of the
proposed compensation system;
• A list of implementation issues, schedules, fiscal impact statements, cost
projections, and communications surrounding our recommendations;
• A guide for rules, policies, and procedures for you in implementing, managing, and
maintaining the compensation system;
• Train the trainer sessions; and,
• Customized software, unique for each client based on the results of the study, and
support plan options.
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Tentative Timeline
Our professional experience is that compensation studies of this scope and for this size
organization take no more than 16 weeks to complete the following: baseline evaluation,
interviews, compensation data collection and analysis, review of steps by the client, the
development of final reports, and any appeals.
Timely progress reports will be provided to the client. Paypoint HR will also provide to the
Project Team interim reports as the project progresses. We keep our clients fully abreast of
all activities that Paypoint HR undertakes during the course of our projects to ensure timely
completion and to short-circuit any issues that may arise. A customized schedule would be
constructed in conjunction with both Paypoint HR and the city to meet the project
requirements.
Figure 13 - Gantt Chart
Compensation Study Timeline
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Cost Proposal
Compensation Study Components
Task Hours
A Identify Benchmark Positions and External Survey Comparator List 12
B Design and Distribution of Survey 24
C Collect and Analyze Survey Data 60
D Internal Relationship Analysis and Internal Alignment 52
E Preparation of Draft Report 32
F Deliver Final Report and Work Products for Implementation 24
Subtotal Professional Hours 204
Total Estimated Hours of Phase 1 & Phase 2 240
The standard consulting rate for the senior personnel listed, consistent with the Federal
GSA schedule, is $125 per hour of service. The total, firm-fixed price fee would be $30,000.
Our fee includes expenses associated with travel, phone, materials, and supplies. Regular
invoices, including a thorough delineation of services rendered, would be on a net 30-day
basis. Paypoint expects support from the client in communication with key staff, setting up
meetings, and providing meeting resources, as well as establishing reporting relationships,
milestones, and timelines.
Provisions to Other Agencies: Paypoint HR agrees to make available to other Government
agencies, departments, and municipalities the prices submitted in accordance with said
terms and conditions therein, should any said governmental entity desire to buy un der the
terms of the proposal.
1
City Council Action Request
7.J.
Meeting Date 12/20/2023
Department Administration
Agenda Category Action Item
Title Public Purpose Expenditure Policy
Staff Recommendation Adopt Resolution 2023-167 approving the public purpose
expenditure policy for 2024 as presented.
Budget Implication N/A
Attachments 1. 2024 Public Purpose Policy Resolution
1
TO: Honorable Mayor and City Council
Jennifer Levitt, City Administrator
FROM: Joe Fischbach
DATE: December 20, 2023
RE: Public Purpose Expenditure Policy
Discussion
Annually, the City Council is required to approve the City’s Public Purpose Expenditure Policy,
which is a clear set of guidelines to assist elected officials, employees, and representatives of
the City when approving the expenditure of public funds. No changes have been made to the
2023 version that was adopted by the City Council.
Recommendation
Adopt Resolution 2023-167 approving the public purpose expenditure policy for 2024 as
presented.
Attachments
1. 2024 Public Purpose Policy Resolution
CITY OF COTTAGE GROVE, MINNESOTA
CITY COUNCIL
RESOLUTION 2023-167
A RESOLUTION APPROVING THE PUBLIC PURPOSE
EXPENDITURE POLICY
FOR 2024
WHEREAS, the City Council of the City of Cottage Grove finds it necessary to
annually review and approve a policy to clearly determine the public purpose for
expenditures; and
WHEREAS, the City Council has determined that in order to attract, recruit, retain
and motivate employees and community volunteers, the City wishes to recognize hard
work and service through other than monetary payment; and
WHEREAS, the City Council has further determined certain expenditures for
typical business costs are necessary for the effective delivery of public service; and
WHEREAS, the City Council has reviewed and discussed the Public Purpose
Expenditure Policy; now
THEREFORE, BE IT RESOLVED, that the City Council of the City of Cottage
Grove hereby approves the following “Public Purpose Expenditure Policy” for calendar
year 2023.
PUBLIC PURPOSE EXPENDITURE POLICY
POLICY
Pursuant to the provisions of Statutes and the laws of the State of Minnesota which
permit and require the expenditure of public funds for public purposes, the City of
Cottage Grove City Council believes it necessary and appropriate to provide assistance
and guidance to the officials, employees and representatives of Cottage Grove to aid in
the determination of when public funds may be spent for a public purposes.
To provide that assistance and guidance, the Cottage Grove City Council adopted these
public purpose expenditure guidelines for the establishment of operating policies and
procedures and appropriate expenditures of public funds. Based on these guidelines,
the City Council authorizes the City Administrator, Elected Officials, and appointed
Department Heads to establish administrative policies and procedures that are
consistent with these guidelines and the adopted City policies which implement these
guidelines.
DEFINITION
A public purpose expenditure is one which relates to the purpose for which the City of
Cottage Grove exists and the duties and responsibilities of Cottage Grove, its elected
and appointed officials, employees, and other representatives.
PUBLIC PURPOSE GUIDELINES
1. Training and development programs for Cottage Grove employees serve a public
purpose when those training and development programs are directly related to the
performance of the employees’ job-related duties and are directly related to the
programs/services for which the City is responsible.
2. Payment of employee work-related expenses, including travel, lodging and meal
expenses, serves a public purpose when those expenses are necessarily incurred
by Cottage Grove employees in connection with their actual work assignments or
official duties and those expenses are directly related to the performance of the
governmental functions for which Cottage Grove has responsibility.
3. Appropriate safety and health programs for Cottage Grove employees serve a public
purpose because they result in healthier and more productive employees and
reduce certain costs to the City and the taxpayers of Cottage Grove, including
various costs associated with workers compensation and disability benefit claims,
insurance premiums, and lost time from employee absences.
4. Public expenditures for appropriate Cottage Grove employee and volunteer
recognition programs serve a public purpose because formally recognizing
employees and volunteers who make significant contributions and demonstrate their
commitment during the performance of their duties result in higher morale and
productivity among all Cottage Grove employees and volunteers, and therefore help
the City to fulfill its responsibilities efficiently and more cost effectively.
5. Public expenditures for food and refreshments associated with official Cottage Grove
functions serve a public purpose when the provision of food or refreshments is an
integral part of an official Cottage Grove function, and the provision of food or
refreshment is necessary to ensure meaningful participation by the participants.
6. Public expenditures for appropriate community and customer outreach and similar
activities serve a public purpose when those expenditures are necessary for Cottage
Grove to ensure the efficient operation of its programs/services, promote the
availability and use of City resources, and promote coordinated, cooperative
planning activities among and between the public and the private sectors.
SPECIFIC PROGRAMS AND EXPENDITURES
Every City of Cottage Grove expenditure must be valid based upon the public purpose
for which it was purchased. The following items are deemed to meet the Council
definition of public purpose expenditures.
A. Employee Recognition Program
The Cottage Grove City Council recognizes the hard work and service performed by the
employees of the City through a formal Employee Recognition Program. The City
Council believes the benefits of attracting, retaining and motivating employees through
an Employee Recognition Program support employee job satisfaction, which in turn
impacts cooperation and productivity. The result is to provide excellent public and
customer service to better serve the interests of the citizens of the community.
The Employee Recognition Program is considered “additional compensation” for work
performed by employees but is entirely dependent on receiving funding from year-to-
year. No provisions of this policy, or its administration, shall be subject to review under
the grievance or arbitration provisions of any collective bargaining agreement.
The Program may include:
1. City employees completing 5, 10, 15, 20, 25, 30, 35 and 40 years of service
receive taxable income during their anniversary month for a designated amount
as detailed below. The City Council authorizes funds to be spent on recognition
certificates and plaques in recognition of long-time service or retirement.
5 years $100
10 years $150
15 years $200
20 years $250
25 years $300
30 years $350
35 years $400
40 years $450
2. Semiannually, in conjunction with the presentation of service awards, the City
may sponsor an Employee Recognition and Appreciation event for City
employees.
3. Annually, the City will sponsor a Volunteer Recognition Dinner(s) to promote
teamwork and coordination amongst the City Council, Department Heads,
Commissions/Committees, and employees. This dinner and a token gift for
invited participants and their guests also serve as a de minimus compensation
for the service provided by the volunteers.
4. Annually the City will sponsor a Holiday Party for City employees. The City may
sponsor an annual employee picnic.
5. The City supports other events that are planned and paid for by employees.
Examples of such events include the holiday gatherings, golf, and bowling
tournaments.
6. The City supports programs that may provide discounts to employees for use of
certain municipal facilities including the golf course and ice arena. Any discounts
would be recommended by the responsible Department Head and approved by
the City Council. Such discounts not only provide a tool to motivate and retain
employees through enhancing job satisfaction but can also serve as a marketing
tool for the applicable City operation.
7. The City supports the allocation of up to $250.00 for a cake and beverages in
recognition of long-time service or retirement of employees, volunteers or elected
officials.
The cost of the elements of the Employee Recognition Program will be included as a
separate line item in the City of Cottage Grove Community and Employee Programs
Budget. This line-item will be approved annually by the City Council as part of the
overall budget process.
B. Employee Wellness and Safety Programs
The City Council recognizes the importance of employee fitness and health as it relates
to the overall work and life satisfaction of the employee and the overall impact on the
City’s health insurance program. As such, the City Council supports the Employee
Wellness Program, which has been designed to educate employees on fitness/health
issues.
The Employee Wellness Program is considered “additional compensation” for work
performed by employees but is entirely dependent on receiving funding from year to
year. No provisions of this policy, or its administration shall be subject to review under
the grievance or arbitration provisions of any collective bargaining agreement.
The cost of the Employee Wellness Program will be included as a separate line item in
the City of Cottage Grove Community and Employee Programs Budget. This line-item
will be approved annually by the City Council as part of the overall budget approval
process.
The Employee Safety Program is funded by the self-insurance budget. The City
supports programs created by the Central Safety Committee to promote and retain a
safe work environment.
The City of Cottage Grove will provide employees access to exercise equipment for use
at City Hall and Central Fire Station, subject to the employees meeting the requirements
of the exercise room policy.
C. Meeting Food/Meals
The City Council recognizes that situations in which City business needs to be
discussed can and do occur during meal hours (i.e. luncheon meetings). In addition,
there are public and employee meetings and events in which reasonable refreshments
may be necessary to create a more productive environment and to be responsive to
participants’ time schedules. The following items are deemed to meet the Council
definition of public purpose expenditures in regard to food and meals.
1. Meals and refreshments are allowed at City meetings and events that have a
purpose of discussing City issues. These meetings would normally have a pre-
planned agenda.
2. Meals and refreshments are allowed at employee meetings and events that have
a purpose of discussing City issues or are a part of an employee training. These
meetings would also normally have a pre-planned agenda. These meetings could
include new employee receptions to introduce new employees to existing
employees, provide an orientation to the City, and promote teamwork and
cooperation. This does not include routine staff meetings.
3. Meals and refreshments are allowed when they are part of a
breakfast/lunch/dinner meeting for official City business when it is the only
practical time to meet. Usually, these meals involve meeting with City Council
Members, Committee/Commission Members or business/civic organizations.
Payment for fees relating to a special event, such as the EDA golf tournament or
a Chamber of Commerce event may also be allowed when approved by the City
Administrator and when attendance is deemed to meet the public purpose
guidelines for community or customer outreach and marketing of the City.
4. Meals and refreshments may be provided during official meetings of the City
Council, City Advisory Boards/Commissions, and Taskforces that have purpose
of discussing City business. These meetings would normally have a pre-planned
agenda and be properly posted.
5. Travel expenses for employees are outlined in the Cottage Grove Personnel
Policy.
6. Meals and refreshments are allowed where employees or volunteers are
participating in a City-sponsored special event, participating in an outside event
as an official representative of the City, or working additional hours and where
the Department Head deems appropriate as recognition of efforts above those
normally required. Because emergency personnel are often called to perform for
extended periods of time and duties where refreshments are important to duty
performance, emergency response personnel may be provided refreshments or
food when it is deemed appropriate by the City Administrator or Department
Head to assure the delivery of quality emergency response service.
7. No purchase of alcoholic beverages is allowed.
The cost of these meals or fees is included in the departments’ travel/training line-item
in the City of Cottage Grove budget. These line items are approved annually by the City
Council as part of the overall budget approval process.
D. Membership, Dues, and Donations
The City Council has determined that the City will fund memberships and dues
(individual or organization) in professional organizations and City social and community
organizations when the purpose is to promote, advertise, improve, or develop the City’s
resources and relationships and not interest or gain.
The cost of memberships/dues is included in the departments’ dues and subscriptions
line-item in the Cottage Grove Budget. These line-items are approved annually by the
City Council as a part of the overall budget process.
All donations must be approved by the City Council during the annual budget process
and/or by City Resolution. Donations provided by the City must be for programs that
serve our citizens and are deemed to meet the public purpose guidelines.
E. Education Reimbursement
The Personnel Policy contains guidelines for an education reimbursement program. Job
related advanced education meets the public purpose guidelines of this policy. The
amount available for this program shall be considered annually. The cost of this
program is contained in the Community and Employee Programs Budget.
F. Clothing and Other Sundry Items
Employees may receive t-shirts and other sundry items of nominal value ($5.00) when
these items are made available to the general public or if these items are determined by
the City Administrator to be important to the successful involvement of employees in
special City-sponsored or City-supported events. For example: Night to Unite, Cottage
Grove Strawberry Fest, EDA Golf Tournament, etc. Employees may be supplied with
uniforms, clothing, boots, and other gear necessary for the performance of their job.
G. Conclusion
The Cottage Grove City Council has determined that the above expenditures are valid
and serve a public purpose.
Adopted this 20th day of December 2023.
___________________________________
Myron Bailey, Mayor
Attest:
________________________________________
Tamara Anderson, City Clerk
1
City Council Action Request
7.K.
Meeting Date 12/20/2023
Department Finance
Agenda Category Resolution
Title Accept Donation-Pancetral CGC Holdings LLC
Staff Recommendation Approve Resolution 2023-165, accepting a donation from
Pancentral CGC Holdings LLC
Budget Implication N/A
Attachments 1. Res 2023-165 Pancentral Donation for ED Trust Fund
1
TO: Honorable Mayor and City Council
Jennifer Levitt, City Administrator
FROM: Tammy Anderson
DATE: December 20, 2023
RE: Accept Donation-Pancetral CGC Holdings LLC
Discussion
At the December 6, 2023, City Council meeting, Resolution 2023-161 accepting a donation in
the amount of $125,000 from Pancetral CGC Holdings LLC was accepted by
Council. However, the amount of the donation is in the amount of $150,000. This donation
will be placed into the Economic Development Trust Fund.
Recommendation
Approve Resolution 2023-165, accepting a donation from Pancentral CGC Holdings LLC
Attachments
1. Res 2023-165 Pancentral Donation for ED Trust Fund
CITY OF COTTAGE GROVE, MINNESOTA
CITY COUNCIL
RESOLUITON 2023-165
RESOLUTION ACCEPTING A DONATION RECEIVED FROM PANCENTRAL
CGC HOLDINGS LLC (LSP COTTAGE GROVE) FOR THE ECONOMIC
DEVELOPMENT TRUST FUND
WHEREAS, on November 30, 2023, Pancentral CGC Holdings LLC
donated $150,000 for the furtherance of economic development activities within
the City; and
WHEREAS, the City Council of the City of Cottage Grove, has established
an Economic Development Trust Fund.
NOW, THEREFORE, BE IT RESOLVED, by the City Council of the City of
Cottage Grove, County of Washington, State of Minnesota, accepts the donation
from Pancentral CGC Holdings LLC and designates that the funds be deposited
into the Economic Development Trust Fund.
BE IT FURTHER RESOLVED, that Resolution 2023-161 be rescinded that
accepted the donation at the meeting on December 6, 2023.
Passed this 20th day of December 2023.
__________________________
Myron Bailey, Mayor
Attest:
___________________________
Tamara Anderson, City Clerk
1
City Council Action Request
7.L.
Meeting Date 12/20/2023
Department Finance
Agenda Category Resolution
Title Funds Transfer
Staff Recommendation Approve Resolution 2023-166, authorizing the transfer of funds from
the ED Trust Fund (286) to the EDA Fund (285)
Budget Implication $212,500 from the ED Trust Fund
Attachments 1. cc memo funds transfer EDA 12202023
2. 2023-166 Resoltuion ED Trust Fund to EDA
To:Mayor and City Council Members
Jennifer Levitt, City Administrator
From:Brenda Malinowski, Finance Director
Date:December 20, 2023
Subject: Fund Transfer from ED Trust Fund to EDA Fund
Introduction/Discussion
The EDA approved the professional services agreement with Dowdle Studios, LLC at their
meeting on December 12, 2023, for the creation of a painting that will tell the unique story and
rich history of Cottage Grove. In addition, a transfer is completed each year from the ED Trust
Fund to the EDA Fund to pay for economic development and marketing efforts in the City.
Action Requested
Adopt Resolution 2023-166, authorizing the transfer from the ED Trust Fund (286) to the EDA
Fund (285).
CITY OF COTTAGE GROVE, MINNESOTA
CITY COUNCIL
RESOLUITON 2023-166
RESOLUTION AUTHORIZING FUNDING TRANSFER FROM THE ED TRUST FUND
(286) TO THE EDA FUND (285)
WHEREAS the Economic Development Authority approved a professional services
agreement with Dowdle Studios LLC for a project to design and create a painting that will
tell the unique story and rich history of Cottage Grove at their meeting on December 12,
2023; and
WHEREAS the project includes the ordering of puzzles created from the painting; and
WHEREAS the project will promote economic development and marketing/tourism
impacts in the City; and
WHEREAS the ED Trust Fund has funds available for the project, and
WHERAS the ED Trust Fund is utilized to pay for economic and marketing efforts.
NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Cottage
Grove, Minnesota, that $212,500 in funds be transferred from the ED Trust Fund (286) to
the EDA Fund (285) effective December 20, 2023.
BE IT FURTHER RESOLVED that the 2023 budget be amended for this transfer in both
funds.
Adopted by the City Council of the City of Cottage Grove on this 20th day of December
2023.
By ___________________________________
Myron Bailey, Mayor
ATTEST:
_______________________________
Tamara Anderson, City Clerk
1
City Council Action Request
7.M.
Meeting Date 12/20/2023
Department Parks, Recreation and Natural Resources Commission
Agenda Category Action Item
Title Service Agreement for Granada and West Draw Playground
Installation
Staff Recommendation 1. Authorize purchase of Granada Park playground equipment for
the amount of $59,925. 2. Authorize purchase of West Draw
playground equipment for the amount of $53,832. 3. Authorize a
service agreement with Michael Basich, Inc. for the installation of
playground equipment at Granada and West Draw Parks for the
amount of $37,476.
Budget Implication Total costs of $151,233 from park improvement fund.
Attachments 1. 1-Memo-Playground Service Agreements
2. 2-Granada Playground Equipment Quote
3. 3-Granada
4. 4-W Draw Playground
5. 5-West Draw
6. 6-Agreement for Contractor Services_Mike Basich
7. 7-Installation Quote
8. Granada Second Quote
9. West Draw Second Quote
To:Honorable Mayor and City Council
Jennifer Levitt, City Administrator
From:
CC:
Zac Dockter, Parks and Recreation Director
Date:December 11, 2023
Subject:Granada and West Draw Park Playground Purchases
Introduction/Background
The 2024 capital improvements plan includes funding for replacement of the Granada and
West Draw Park playground equipment. Both parks are classified as neighborhood parks and
carry a budget of $80,000 per playground replacement. All units are to include a dynamic
playground, concrete border, wood fiber safety surfacing, a 6’ park bench (on a concrete slab)
and installation.
Four playground proposals were received from four different companies. All designs were put
into an online survey to gauge community response on the proposals. Survey links were put
on postcards and mailed directly to residents in the adjacent neighborhoods.
The Parks, Recreation and Natural Resources Commission reviewed all proposals along with
survey data at their November 13, 2023 public meeting. Commissioners recommended
acceptance of the proposal from St Croix Recreation, Inc (Burke Playgrounds) for Granada
and West Draw Parks. The equipment will be purchased directly from St Croix Recreation with
a purchase order from the City for a total cost of $113,757. The proposed service agreement
in this report is for the installation by St Croix Recreation’s subcontractor, entitled Michael
Basich, Inc, for a total cost of $37,476. With product and installation, total project cost for the
two parks will be $151,233.
Staff Recommendation
1. Authorize purchase of Granada Park playground equipment for the amount of
$59,925.00.
2. Authorize purchase of West Draw Park playground equipment for the amount of
$53,832.00.
3. Authorize service agreement with Michael Basich, Inc. for the installation of playground
equipment at Granada and West Draw Parks for a total cost of $37,476.
By signing estimate or authorizing by email or PO, purchaser is agreeing to billing terms as listed on the estimate. Order to include model number(s),
quantity and color(s) above including any supplemental documents provided and/or requested. Please verify all content for accuracy. **Those purchasing
off of the MN State Contract are bound only by the terms and conditions listed in said contract**
St. Croix Recreation Fun Playgrounds INC.
1826 Tower Dr W
Stillwater, MN 55082 US
16514301247
hannah@stcroixrec.com
Estimate ESTIMATE #6666
DATE 10/10/2023
EXPIRATION DATE 12/21/2023
ADDRESS
City of Cottage Grove
Accounts Payable
12800 Ravine Parkway Sout
Cottage Grove, MN 55016
SHIP TO
City of Cottage Grove
Parks Dept
Attn: Zac Dockter
8635 W Point Douglas Rd
Cottage Grove, MN 55016
PLEASE DETACH TOP PORTION AND RETURN WITH YOUR PAYMENT.
SHIP VIA SALES REP
TRUCKLOAD MIKE BASICH
ACTIVITY QTY RATE AMOUNT
BCI NU 3409
BURKE PLAY STRUCTURE NU 3409
1 34,047.00 34,047.00
BCI 560-0457
SWIFT TWIST SPINNER
1 1,435.00 1,435.00
BCI 560-2580BURKE STAND ALONE CLIMBER VERVE III 1 2,789.00 2,789.00
BCI 560-2611
SPINETIC W/O SPEED LIMITER
1 5,773.00 5,773.00
BCI 550-0201
SINGLE BAY SINGLE POST 5" SWING W/BELT SEATS
1 1,482.00 1,482.00
BCI 550-0202Single Post Swing Add-On 5" OD 1 1,234.00 1,234.00
BCI 550-0111
BELT SEAT, 8' SINGLE, STD CHAIN
2 117.00 234.00
BCI 550-0099
TOT SEAT, 7' & 8' SINGLE, STD CHAIN
1 211.00 211.00
BCI 550-0191KONNECTION SWING SEAT 1 1,583.00 1,583.00
EWF - Blown-in
Wood Fiber quote includes freight and material blown-in by hose/blower truck of quoted CY to the site listed on the estimate by a 300’ hose. Quoted CY amount
based on customer information provided. If you are unsure of the quantity of CY
needed, please provide SQFT and depth. Desired depth should be appropriate for equipment safety standards. It is the customer’s responsibility to ensure that
the drop site is accessible by truck and that a 300’ hose will reach all areas of
the site. If additional length is needed, please alert us. Site work and restoration for pre/post project is not included.
180 46.00 8,280.00
RJT B94/CB-6SS/CBOak Knoll Bench B94 - Portable - 6' Length - Steel Strap. Powder coat color: Black Frames/Black Seat
1 1,392.00 1,392.00T
APPLIED DISCOUNT
ADDITIONAL MFG. DISCOUNT APPLIED
1 -1,435.00 -1,435.00
Freight
Freight quotes currently only valid for 15 days.
1 2,900.00 2,900.00
By signing estimate or authorizing by email or PO, purchaser is agreeing to billing terms as listed on the estimate. Order to include model number(s),
quantity and color(s) above including any supplemental documents provided and/or requested. Please verify all content for accuracy. **Those purchasing
off of the MN State Contract are bound only by the terms and conditions listed in said contract**
ACTIVITY QTY RATE AMOUNT
GRANADA PARK ESTIMATE
BID SUBMITTED:REVISED 11/30/23.
MATERIAL ITEMS AS QUOTED ARE GOOD FOR 30 DAYS. FREIGHT
QUOTES ARE GOOD FOR 15 DUE TO FUEL UNCERTAINTIES.
SALES TAX SUBJECT TO CHANGE. ADD IF NOT TAX EXEMPT OR
SUPPLY EXEMPTION CERTIFICATE IF NOT ON FILE.
PAYMENT TERMS ARE NET 30 DAYS UNLESS OTHERWISE NOTED.
FAILURE TO PAY IN A TIMELY MANNER WILL BE SUBJECT TO
INTEREST AT A RATE OF 1.5%/MONTH OR 18% ANNUALLY.
*LEAD TIMES AND SHIPPING DATES ARE BASED ON CURRENT
INVENTORY. PLEASE BE PATIENT AS OUR VENDORS NAVIGATE
SUPPLY CHAINS & NATIONAL SHORTAGES.
**FOR BIDDING CONTRACTORS & SUPPLIERS: ST CROIX
RECREATION IS NOT LIABLE FOR INTERPRETATION OF PROJECT
BIDS, DRAWINGS OR ADDENDA. IT IS THE CUSTOMER'S
RESPONSIBILITY TO VERIFY ACCURACY OF MODEL NUMBER(S),
DESCRIPTION(S), QUANTITY AND COLOR(S) DIRECTLY WITH END
USER
SUBTOTAL 59,925.00
TAX (0%)0.00
TOTAL $59,925.00
Accepted By Accepted Date
GRANADA PARK
CITY OF COTTAGE GROVE
By signing estimate or authorizing by email or PO, purchaser is agreeing to billing terms as listed on the estimate. Order to include model number(s),
quantity and color(s) above including any supplemental documents provided and/or requested. Please verify all content for accuracy. **Those purchasing
off of the MN State Contract are bound only by the terms and conditions listed in said contract**
St. Croix Recreation Fun Playgrounds INC.
1826 Tower Dr W
Stillwater, MN 55082 US
16514301247
hannah@stcroixrec.com
Estimate ESTIMATE #6667
DATE 10/10/2023
EXPIRATION DATE 12/21/2023
ADDRESS
City of Cottage Grove
Accounts Payable
12800 Ravine Parkway Sout
Cottage Grove, MN 55016
SHIP TO
City of Cottage Grove
Parks Dept
Attn: Zac Dockter
8635 W Point Douglas Rd
Cottage Grove, MN 55016
PLEASE DETACH TOP PORTION AND RETURN WITH YOUR PAYMENT.
SHIP VIA SALES REP
TRUCKLOAD MIKE BASICH
ACTIVITY QTY RATE AMOUNT
BCI NUIN3408
CUSTOM BURKE PLAY STRUCTURE W/SHADE MODIFCIATION ADDED
1 63,502.00 63,502.00
BCI Swings
2 STRAP SEATS, 1 TOT, 1 ADA FREEDOM SEAT
1 4,985.00 4,985.00
BCI 560-0457SWIFT TWIST SPINNER 1 1,425.00 1,425.00
BCI 560-2589
COMET II
1 2,220.00 2,220.00
CONCRETE
SIDEWALK, WALKS AND BORDERS
240 38.00 9,120.00
MISC.6' BENCH SM METAL POWDER COATED 1 1,420.00 1,420.00
Freight
Freight quotes currently only valid for 15 days.
1 800.00 800.00
ENGINEERED WOOD FIBER
ENGINEERED WOOD FIBER 12" COMPACTED DEPTH
160 46.00 7,360.00
APPLIED DISCOUNTADDITIONAL MFG. DISCOUNT APPLIED 1 -37,000.00 -37,000.00
WEST DRAW PARK
REVISED 11/30/23
MATERIAL ITEMS AS QUOTED ARE GOOD FOR 30 DAYS. FREIGHT
QUOTES ARE GOOD FOR 15 DUE TO FUEL UNCERTAINTIES.
SALES TAX SUBJECT TO CHANGE. ADD IF NOT TAX EXEMPT OR
SUPPLY EXEMPTION CERTIFICATE IF NOT ON FILE.
PAYMENT TERMS ARE NET 30 DAYS UNLESS OTHERWISE NOTED.
FAILURE TO PAY IN A TIMELY MANNER WILL BE SUBJECT TO
INTEREST AT A RATE OF 1.5%/MONTH OR 18% ANNUALLY.
*LEAD TIMES AND SHIPPING DATES ARE BASED ON CURRENT
INVENTORY. PLEASE BE PATIENT AS OUR VENDORS NAVIGATE
TOTAL $53,832.00
By signing estimate or authorizing by email or PO, purchaser is agreeing to billing terms as listed on the estimate. Order to include model number(s),
quantity and color(s) above including any supplemental documents provided and/or requested. Please verify all content for accuracy. **Those purchasing
off of the MN State Contract are bound only by the terms and conditions listed in said contract**
SUPPLY CHAINS & NATIONAL SHORTAGES.
**FOR BIDDING CONTRACTORS & SUPPLIERS: ST CROIX
RECREATION IS NOT LIABLE FOR INTERPRETATION OF PROJECT
BIDS, DRAWINGS OR ADDENDA. IT IS THE CUSTOMER'S
RESPONSIBILITY TO VERIFY ACCURACY OF MODEL NUMBER(S),
DESCRIPTION(S), QUANTITY AND COLOR(S) DIRECTLY WITH END
USER
Accepted By Accepted Date
WEST DRAW PARK
AGREEMENT FOR SERVICES
THIS AGREEMENT (“Agreement”) is made and executed this day of ,
2023, by and between the City of Cottage Grove, 12800 Ravine Parkway, Cottage Grove,
Minnesota 55016, (“City”) and Michael Basich, Inc, 1761 3rd Street, White Bear Lake,
Minnesota 55042 (“Contractor”).
WHEREAS, the City has accepted the proposal of the Contractor for certain Services; and
WHEREAS, Contractor desires to perform the Services for the City under the terms and
conditions set forth in this Agreement.
NOW THEREFORE, in consideration of the mutual consideration contained herein, it is hereby
agreed as follows:
1. SERVICES.
a. City agrees to engage Contractor as an independent contractor for the purpose of
performing certain Services (“Services”), as defined in the following documents:
i. A proposal dated November 30, 2023, incorporated herein as Exhibit 1;
ii. Where the terms and conditions of this Agreement and those terms and
conditions included in Exhibit 1 specifically conflict, the terms of this
Agreement shall apply;
iii. The City desires to proceed with work outlined in Exhibit 1 with a total
cost of $37,476.
b. Contractor covenants and agrees to provide Services to the satisfaction of the City
in a timely fashion, as set forth in Exhibit 1, subject to Section 8 of this
Agreement.
c. Contractor agrees to comply with all federal, state, and local laws and ordinances
applicable to the Services to be performed under this Agreement, including all
safety standards. The Contractor shall be solely and completely responsible for
conditions of the job site, including the safety of all persons and property during
the performance of the Services. The Contractor represents and warrants that it
has the requisite training, skills, and experience necessary to provide the Services
and is appropriately licensed and has obtained all permits from all applicable
agencies and governmental entities.
2. PAYMENT.
a. City agrees to pay the Contractor and the Contractor agrees to receive and accept
payment for Services as set forth in Exhibit 1.
1
b. Any changes in the scope of the work of the Services that may result in an
increase to the compensation due the Contractor shall require prior written
approval by the authorized representative of the City or by the City Council. The
City will not pay additional compensation for Services that do not have prior
written authorization.
c. Contractor shall submit itemized bills for Services provided to City. City shall not
make any payments due to the Contractor under this Agreement until after the
Contractor has completed to the satisfaction of the City at the location specified in
Exhibit 1. Bills submitted shall be paid in the same manner as other claims made
to City.
d. Prior to payment, the Contractor will submit evidence that all payrolls, material
bills, subcontractors and other indebtedness connected with the Services have
been paid as required by the City.
3. TERM. The term of this Agreement shall commence on the date written in the initial
paragraph of this Agreement and shall continue until the Services described in Exhibit 1
are completed to the satisfaction of the City. This Agreement may be extended upon the
written mutual consent of the parties for such additional periods as they deem
appropriate, and upon the same terms and conditions as herein stated.
4. TERMINATION AND REMEDIES.
a. Termination for Convenience. This Agreement may be terminated by either party
upon thirty (30) days’ written notice delivered to the other party at the addresses
listed in Section 14 of this Agreement. Upon termination under this provision, if
there is no default by the Contractor, Contractor shall be paid for Services
rendered and reimbursable expenses through the effective date of termination.
b. Termination Due to Default. This Agreement may be terminated by either party
upon written notice in the event of substantial failure by the other party to perform in
accordance with the terms of this Agreement. The non-performing party shall have
fifteen (15) calendar days from the date of the termination notice to cure or to submit
a plan for cure that is acceptable to the other party.
c. Remedies. Notwithstanding the above, the Contractor shall not be relieved of
liability to the City for damages sustained by the City as a result of any breach of
this Agreement by the Contractor. The City may, in such event,
i. Withhold payments due to the Contractor for the purpose of set-off until
such time as the exact amount of damages due to the City is determined.
2
ii. Perform the Services, in which case, the Contractor shall within 30 days
after written billing by the City, reimburse the City for any costs and
expenses incurred by the City.
The rights or remedies provided for herein shall not limit the City, in case of any
default by the Contractor, from asserting any other right or remedy allowed by
law, equity, or by statute.
d. Upon termination of this Agreement, the Contractor shall furnish to the City
copies or duplicate originals of all documents or memoranda prepared for the City
not previously furnished.
5. SUBCONTRACTORS. Contractor shall not enter into subcontracts for any of the
Services provided for in this Agreement without the express written consent of the City,
unless specifically provided for in Exhibit 1. The Contractor shall pay any subcontractor
involved in the performance of this Agreement within the ten (10) days of the
Contractor’s receipt of payment by the City for undisputed services provided by the
subcontractor.
6. STANDARD OF CARE. In performing its Services, Contractor will use that degree of
care and skill ordinarily exercised, under similar circumstances, by reputable members of
its profession in the same locality at the time the Services are provided.
7. INSPECTION OF WORK. All materials and workmanship will be subject to inspection,
examination, and testing by the City, who will have the right to reject defective material
and workmanship or require its correction.
8. DELAY IN PERFORMANCE. Neither City nor Contractor shall be considered in default
of this Agreement for delays in performance caused by circumstances beyond the reasonable
control of the nonperforming party. For purposes of this Agreement, such circumstances
include, but are not limited to, abnormal weather conditions; floods; earthquakes; fire;
epidemics; war, riots, and other civil disturbances; strikes, lockouts, work slowdowns, and
other labor disturbances; sabotage; judicial restraint; and inability to procure permits,
licenses or authorizations from any local, state, or federal agency for any of the supplies,
materials, accesses, or services required to be provided by either City or Contractor under
this Agreement. If such circumstances occur, the nonperforming party shall, within a
reasonable time of being prevented from performing, give written notice to the other party
describing the circumstances preventing continued performance and the efforts being made
to resume performance of this Agreement. Contractor will be entitled to payment for its
reasonable additional charges, if any, due to the delay.
9. CITY’S REPRESENTATIVE. The City has designated Zac Dockter to act as the City’s
representative with respect to the Services to be performed under this Agreement. He
shall have complete authority to transmit instructions, receive information, interpret, and
3
define the City’s policy and decisions with respect to the Services covered by this
Agreement.
10. PROJECT MANAGER AND STAFFING. The Contractor has designated Michael
Basich to be the primary contact for the City in the performance of the Services. He shall
be assisted by other staff members as necessary to facilitate the completion of the
Services in accordance with the terms established herein. Contractor may not remove or
replace the designated staff without the approval of the City.
11. INDEMNIFICATION.
a. Contractor and City each agree to defend, indemnify, and hold harmless each other,
its agents and employees, from and against legal liability for all claims, losses,
damages, and expenses to the extent such claims, losses, damages, or expenses are
caused by its negligent acts, errors, or omissions. In the event claims, losses,
damages, or expenses are caused by the joint or concurrent negligence of Contractor
and City, they shall be borne by each party in proportion to its own negligence.
b. Contractor shall indemnify City against legal liability for damages arising out of
claims by Contractor’s employees or subcontractors, including all liens. City shall
indemnify Contractor against legal liability for damages arising out of claims by
City’s employees or subcontractors.
12. INSURANCE. During the performance of the Services under this Agreement, Contractor
shall maintain the following insurance:
a. Commercial General Liability Insurance, with a limit of $1,500,000 for any
number of claims arising out of a single occurrence, pursuant to Minnesota
Statutes, Section 466.04, or as may be amended;
b. Workers’ Compensation Insurance in accordance with statutory requirements.
c. Automobile Liability Insurance, with a combined single limit of $1,000,000 for each
person and $1,000,000 for each accident.
Contractor shall furnish the City with certificates of insurance, which shall include a
provision that such insurance shall not be canceled without written notice to the City.
The City shall be named as an additional insured on the Commercial General Liability
Insurance policy.
13. WARRANTIES. Contractor warrants and guarantees that title to all work, materials, and
equipment covered by any invoice, will pass to City no later than the completion date
when all Services under this Agreement have been performed by Contractor. Contractor
warrants that all work will be free from defects and that all materials will be new and of
4
first quality. If within one (1) year after final payment any work or material is found to be
defective, Contractor shall promptly, without cost to the City, correct such defect.
14. NOTICES. Notices shall be communicated to the following addresses:
If to City: City of Cottage Grove
12800 Ravine Parkway
Cottage Grove, MN 55016
Attention: Zac Dockter
If to Contractor: Michael Basich, Inc.
1761 3rd Street
White Bear Lake, MN 55110
Attention: Mike Basich
15. INDEPENDENT CONTRACTOR STATUS. All services provided by Contractor, its
officers, agents and employees pursuant to this Agreement shall be provided as
employees of Contractor or as independent contractors of Contractor and not as
employees of the City for any purpose.
16. RESPONSIBLE CONTRACTOR.
a. In accordance with Minnesota Statutes, Section 16C.285, Contractor is hereby
advised that the City cannot award a construction contract in excess of $50,000
unless Contractor is a “responsible contractor” as defined in Minnesota Statutes,
Section 16C.285, subdivision 3. Contractor must complete a Responsible
Contractor Certificate verifying compliance with the minimum criteria specified
in Minnesota Statutes, Section 16C.285, subdivision 3, to be eligible to provide
the Services outlined in this Agreement. A Responsible Contractor Certificate
must be signed under oath by an owner or officer of Contractor. Contractor is
responsible for obtaining the required verifications of compliance with Minnesota
Statute, Section 16C.285, subdivision 3 from all subcontractors, using a form
provided by the City. Contractor must submit signed verifications from
subcontractors upon the City’s request.
b. Contractor or subcontractor who does not meet the minimum criteria established
in Minnesota Statutes, Section 16C.285, subdivision 3, or who fails to verify
compliance with the minimum requirements of this statute, will not be considered
a “responsible contractor” and will be ineligible to provide the Services under this
Agreement or otherwise work on the project in any capacity. Contractor and any
subcontractor are advised that making any false statements verifying compliance
with Minnesota Statutes, Section 16C.285 will render the Contractor or
subcontractor ineligible to perform the Services of this Agreement and may result
in termination of this Agreement by the City.
5
c. Contractor shall not sublet, sell, transfer, delegate or assign the Services or any
portion of the Services of this Agreement without abiding by the applicable
provisions of the Minnesota Department of Transportation Standard
Specifications for Construction, Section 1801.
17. GENERAL PROVISIONS.
a. Assignment. This Agreement is not assignable without the mutual written
agreement of the parties.
b. Waiver. A waiver by either City or Contractor of any breach of this Agreement shall
be in writing. Such a waiver shall not affect the waiving party’s rights with respect
to any other or further breach.
c. Nondiscrimination. Contractor agrees that in the hiring of employees to perform
Services under this Agreement, Contractor shall not discriminate against any
person by reason of any characteristic protected by state or federal law.
d. Governing Law. This Agreement shall be construed in accordance with the laws
of the State of Minnesota and any action must be venued in Washington County
District Court.
e. Amendments. Any modification or amendment to this Agreement shall require a
written agreement signed by both parties.
f. Severability. If any term of this Agreement is found be void or invalid, such
invalidity shall not affect the remaining terms of this Agreement, which shall
continue in full force and effect.
g. Data Practices Compliance. All data collected by the City pursuant to this
Agreement shall be subject to the Minnesota Government Data Practices Act,
Minnesota Statutes, Chapter 13.
h. Entire Agreement. This Agreement constitutes the entire agreement of the parties
and supersedes all prior communications, understandings and agreements relating
to the subject matter hereof, whether oral or written.
[The remainder of this page is intentionally left blank]
6
CITY OF COTTAGE GROVE
By:
Myron A. Bailey, Mayor
By:
Tamara Anderson, City Clerk
Date:
7
MICHAEL BASICH, INC
Signature:
Date:
Name:
Its:
8
Michael Basich, Inc.
1761 Third Street
White Bear Lake, MN 55110
ESTIMATE
To: CITY OF COTTAGE GROVE
Attn: ZAC DOCKTER
Project: GRANADA AND WEST DRAW PARKS
Date: 11/30/23
Estimate #113023-1 DESCRIPTION AMOUNT
1 Granada Park installation of play equipment; equipment 12,000.00$
supplied by City, to include excavation of footing holes,
erecting posts and play apparatus, pouring footings, grading
and finishing. Swings, independent play activities and site
amenities included.
1 Misc. concrete curb extensions as required by modified $2,356.00
designs. New curb to match existing curb design.
1 West Draw Park installation of play equipment; equipment $13,000.00
supplied by City, to include excavation of footing holes,
erecting posts and play apparatus, pouring footings, grading
and finishing. Swings, independent play activities and site
amenities included.
1 New concrete curb as required by design to include 240 l.f. 10,120.00$
stand up curb (6"x12") and slab required for bench placement
TOTAL ESTIMATE FOR COMBINED PARK PROJECTS:37,476.00$
Exhibit 1
Additional Notes:
1.All playground equipment to be installed to manufacturer's specifications to
uphold warranty.
2.All concrete work will be installed in compliance with concrete manufacturer's
specifications and requirements for proper materials and curing.
3.One concrete ADA accessible ramp to be included at each playground.
4.Perimeter of playground will be restored utilizing existing soil on site. The site will
be left flat , maintainable and ready for seed. City is responsible for delivery and
cost of any additional or change out of soils if requested. Final seeding is
responsibility of City.
5.Work area limits are 50 feet within existing playground.
6.City responsible to remove existing structure and remove soils to 12" below final
grade.
7.Contractor responsible for grading to assure proper drainage. No drain tile is
required as a part of this agreement.
8.City is not responsible for security for theft of product/tools. Any site security
measures will be approved by City prior to implementation.
9.
GRANADA PARK
COTTAGE GROVE, MN
DOUBLE SWIRL
SLIDE
SWINGS
WIGGLE
LADDER
CURVA
SPINNER
SNAKE
CLIMBER
POD
CLIMBER
LOGO
CLIMBER
SLIDEWINDER
CANYON CLIMBER
STORE PANEL
TRACING
PANEL
MATCH 4
PANEL
Freestanding Play
(5-12 years)
PlayShaper®
(2-5 years)
PlayBooster®
(5-12 years)
2-5
years old
5-12
years old
5-12
years old
2-5
years old
5-12
years old
5-12
years old
GRANADA PARKPLAYGROUND8371 Granada Avenue SCottage Grove, MNSALES
REPRESENTATIVE:
EMILY MALONEY
DESIGNED BY:
AO
10/2/23
1/4" = 1'-0"
FLAGSHIP RECREATION
11123 UPPER 33RD ST N
LAKE ELMO, MN 55082
763-550-7860
FLAGSHIPPLAY.COM
@FLAGSHIPPLAY
THIS PLAY AREA & PLAY EQUIPMENT IS
DESIGNED FOR AGE RANGES AS NOTED
ON PLAN.
SHEET
LS101
C:\Users\AlexandraOlson\Flagship Recreation\Flagship Recreation - Documents\2024 Planning\Emily\IGH - Heritage Village\Design\2023.09.26 Updated Design withcustom digi buildings\CG_GranadaPark 092823.dwgCONTAINER DETAILS
TOTAL CONTAINER AREA 3518 SF
ASTM SAFETY SURFACING TYPE ENGINEERED WOOD FIBER
TOTAL EWF AREA 3468 SF
TOTAL PERIMETER 240 LF
EDGING TYPE EXISTING 6"X12" CONCRETE CURB
FINISH GRADE TOP OF CURB
**SITE PREPARATION REQUIREMENTS:
·MAXIMUM OF 1% GRADE CHANGE ACROSS CONTAINER
·DRAIN TILE STUB TO BE PROVIDED IF DRAIN TILE IS REQUIRED
·NO DRAINAGE AGGREGATE PRE-INSTALLED
·NO FABRIC PRE-INSTALLED
·MINIMUM CONTAINER SIZE NEEDED DENOTES THE INSIDE OF
CURB DIMENSION
ACCESS ROUTE
STAGING AREA
RELOCATED
BALANCE BEAM
SPINNER DOES NOT MEET SAFETY
REQUIREMENTS. RECOMMENDATION
FOR CITY TO REMOVE AND RELOCATE
10/6/2023
Preliminary
Budget Possible Additions
Possible
Reductions QTY Notes
Play Equipment
Granada Park Playground,EM706 52,605.00 2024 List Price of Equipment
--(3,156.30)6%MDF DISCOUNT
Sales Tax - if applicable 0.00 ST3 Certificate of Exemption must be provided by owner.
Delivery of Play equipment 750.00 Estimated / Final quote will be provided upon final design.
Mobilization 750.00
Dumpster(s) - 30 Yard 750.00 Disposal of packaging material
Site work
Demo/Disposal of Equipment & Excavation (existing container) 0.00 0 BY OWNER - CITY RESPONSIBLE TO REMOVE EXISTING EQUIPMENT (SALVAGE MAYPOLE AT ANOTHER SITE & LEAVE BALANCE BEAM
ONSITE FOR REINSTALL) AND REMOVE SOILS TO 12" BELOW FINAL GRADE AT NEW CONTAINER LOCATION
Border Options
Concrete Border Straight (LF)0.00 0 EXISTING CONCRETE CURB TO REMAIN IN PLACE AND BE REUSED
Equipment Installation (Labor & Concrete for Footings)10,756.25 21.75%Full professional installation by Landscape Structures Certified Installers. Standard labor rate unless otherwise noted
Concrete Flatwork
Concrete Flatwork (Sq. Ft.)647.44 50 4" thick concrete ADA accessible ramp and sidewalk
Subgrade Prep & Engineered Wood Fiber Surfacing (EWF)
EWF - Playground Safety Surfacing (CY)6,683.00 150 IPEMA Certified Playground Surfacing - Meets the standards of ASTM, ADA & CPSC
Site Restoration (Sq.Ft.)168.34 598 Disturbed areas to be restore to maintable grade with black dirt and seed
Budget Total Total Additions Total Reductions Total w/ Additions & Reductions
69,953.72 0.00 0.00 69,953.72
PRELIMINARY BUDGET - THIS IS AN ESTIMATE & NOT A FORMAL QUOTE
City of Cottage Grove
8635 W Point Douglas Rd
Cottage Grove, MN 55016
Zac Dockter, Parks & Recreation Director
Date
Expires
Quote:
Contact:
Phone:
Email:
Ship To:Please Make PO's & Contracts Out To:
Bill To:Please Remit Payment To:
QTY ITEM #UNIT PRICE EXT. PRICE
1 EQUIPMENT $52,605.00
1 DISCOUNT 6.00%($3,156.30)
Subtotal $49,448.70
Freight $750.00
Sales Tax Tax Exempt Cert
Total $50,198.70
SDS 12-0395 PO Box 86
Cottage Grove, MN 55016 Minneapolis, MN 55486-0395
651-458-2847
zdockter@cottagegrovemn.gov
Landscape Structures, Inc.
601 7th St. S
Delano, MN 55328
10/6/2023
10/16/2023
City of Cottage Grove
Zac Dockter, Parks & Recreation Director
Granada Park Playground
8371 Granada Ave S
Cottage Grove, MN 55016
City of Cottage Grove Landscape Structures, Inc.
8635 W Point Douglas Rd
--
Quotes from Landscape Structures,Inc.are subject to current Landscape Structures,Inc.policies as well as Terms &Conditions, Inclusions &
Exclusions outlined below unless noted otherwise on this quote. Changes are subject to price adjustment.Sales tax,if applicable,will be
applied unless a tax-exempt certificate is provided at the time of order entry.Customer deposits,if required, must be received before orders
will be entered &installation scheduled. Purchases in excess of $1,000.00 must be supported by a formal Purchase Order made out to
Landscape Structures, Inc.
We are pleased to submit this proposal to supply the following products/services:
Description
Granada Park Playground,EM706GPP351845205
MDF DISCOUNT
*Terms: Net 30 days; 1.5% finance charge on balances over 30 days
Page 1 of 2
Email:
Purchase Amount:
Page 2 of 2
Signature:zdockter@cottagegrovemn.gov
Title:Phone:
Date: $50,198.70
Acceptance of Quotation:
Accepted By (Print)Zac Dockter, Parks & Recreation
Director PO#:
Terms & Conditions
Contract: Seller's Copy of signed quote represents the contract between Seller and Buyer. This form supersedes all previous
communications and negotiations and constitutes the entire agreement between the parties. Any changes to this contract
are not binding unless jointly agreed in writing via Change Order.
Project Scope (This Section For Quotes Including Installation)
Inclusions:
•One Mobilization
•Accepting & Unloading of Order Prior to Installation
•Unpacking of Play Equipment
•Assembly of Play Equipment
•Placing, Digging or Surface Mounting Equipment (as specificed)
•Concrete for Play Equipment Footings
•Standard Insurance Offer (Detail Provided Upon Request)
•Standard Warranty Offer (Detail Provided Upon Request)
•Standard Wage Rates
Exclusions (Unless Specifically Quoted):
•Storage or Security of Equipment
•Private Utility Locates (irrigation, low voltage, lighting, etc.)
•Additional Labor Due to Site Access. Require 8' Wide Clearance from Staging Area to Play Space.
•Additional Labor and/or Related Costs Due to Subsurface Conditions (Rock, Hardpan, Heavy Clay, Ground Water, etc.)
•Additional Labor and/or Related Costs Due to Working in Unstable Soils (Sand, Pea Rock, Mud, Poor Site Drainage, etc.)
•Offsite Removal of Spoils From Footing Holes or Other Excavation. Can be stockpiled for owner removal or left in play space
•Disposal of Packing Material. Can be Stockpiled for Owner Removal or Deposited in Owners Onsite Dumpster
•Removal of Existing Play Equipment, Border or Safety Surfacing Material
•Site Work of Any Kind. Exclusions include, site grading (owner to provide max slope of 1%), site restoration, drainage, etc.
•Border for Play Space
•Bonding of Any Type
•Permits of Any Kind
Date
Expires
Quote:
Contact:
Phone:
Email:
Ship To:Please Make PO's & Contracts Out To:
Bill To:Please Remit Payment To:
QTY ITEM #UNIT PRICE EXT. PRICE
1 MOB $750.00
1 DUMPSTER $750.00
0 SITE WORK By Owner
0 BORDER Existing
50 CONCRETE $647.44
1 INSTALL 21.75%$10,756.25
150 SURFACING $6,683.00
598 RESTORE $168.34
Subtotal $19,755.02
Freight
Sales Tax Tax Exempt Cert
Total $19,755.02
zdockter@cottagegrovemn.gov
Granada Park Playground Flagship Recreation
8371 Granada Ave S 11123 Upper 33rd St. N
10/6/2023
10/16/2023
City of Cottage Grove
Zac Dockter, Parks & Recreation Director
651-458-2847
Cottage Grove, MN 55016 Lake Elmo, MN 55042
We are pleased to submit this proposal to supply the following products/services:
Description
Granada Park Playground,EM706GPP351845205
Cottage Grove, MN 55016 Lake Elmo, MN 55042
City of Cottage Grove Flagship Recreation
8635 W Point Douglas Rd 11123 Upper 33rd St. N
Demo/Disposal of Equipment & Excavation (existing container)
Mobilization
Dumpster - Disposal / Equipment Packing (30 Yard)
Concrete Border (6"W x 12"D)
Concrete Flatwork
Playground Installation by Landscape Structures Certified Installers
Site Restoration
Quotes from Flagship Recreation. are subject to current Flagship Recreation policies as well as Terms &Conditions, Inclusions &Exclusions
outlined below unless noted otherwise on this quote. Changes are subject to price adjustment.Sales tax,if applicable,will be applied unless
a tax-exempt certificate is provided at the time of order entry. Customer deposits, if required, must be received before orders will be entered
& installation scheduled. Purchases in excess of $1,000.00 must be supported by a formal Purchase Order made out to Flagship Recreation
--
*Terms: Net 30 days; 1.5% finance charge on balances over 30 days
Page 1 of 2
Engineered Wood Fiber (EWF) & Installation
Email:
Purchase Amount:
Acceptance of Quotation:
Date: $19,755.02
Page 2 of 2
Accepted By (Print)Zac Dockter, Parks & Recreation
Director PO#:
Signature:zdockter@cottagegrovemn.gov
Title:Phone:
Terms & Conditions
Contract: Seller's Copy of signed quote represents the contract between Seller and Buyer. This form supersedes all previous
communications and negotiations and constitutes the entire agreement between the parties. Any changes to this contract
are not binding unless jointly agreed in writing via Change Order.
Project Scope (This Section For Quotes Including Installation)
Inclusions:
•One Mobilization
•Accepting & Unloading of Order Prior to Installation
•Unpacking of Play Equipment
•Assembly of Play Equipment
•Placing, Digging or Surface Mounting Equipment (as specificed)
•Concrete for Play Equipment Footings
•Standard Insurance Offer (Detail Provided Upon Request)
•Standard Warranty Offer (Detail Provided Upon Request)
•Standard Wage Rates
Exclusions (Unless Specifically Quoted):
•Storage or Security of Equipment
•Private Utility Locates (irrigation, low voltage, lighting, etc.)
•Additional Labor Due to Site Access. Require 8' Wide Clearance from Staging Area to Play Space.
•Additional Labor and/or Related Costs Due to Subsurface Conditions (Rock, Hardpan, Heavy Clay, Ground Water, etc.)
•Additional Labor and/or Related Costs Due to Working in Unstable Soils (Sand, Pea Rock, Mud, Poor Site Drainage, etc.)
•Offsite Removal of Spoils From Footing Holes or Other Excavation. Can be stockpiled for owner removal or left in play space
•Disposal of Packing Material. Can be Stockpiled for Owner Removal or Deposited in Owners Onsite Dumpster
•Removal of Existing Play Equipment, Border or Safety Surfacing Material
•Site Work of Any Kind. Exclusions include, site grading (owner to provide max slope of 1%), site restoration, drainage, etc.
•Border for Play Space
•Bonding of Any Type
•Permits of Any Kind
Colors
Customer Signature:__________________________________ Date: _________________
As Shown
EQUIPMENT COLOR SIGN OFF
Granada Park Playground
INSERT PHOTO HERE
Please sign below if you approve of the colors represented in the photo above.
GRANADA PARK
COTTAGE GROVE, MN
DOUBLE SWIRL
SLIDE
SWINGS
WIGGLE
LADDER
CURVA
SPINNER
SNAKE
CLIMBER
POD
CLIMBER
LOGO
CLIMBER
SLIDEWINDER
CANYON CLIMBER
STORE PANEL
TRACING
PANEL
MATCH 4
PANEL
Freestanding Play
(5-12 years)
PlayShaper®
(2-5 years)
PlayBooster®
(5-12 years)
2-5
years old
5-12
years old
5-12
years old
2-5
years old
5-12
years old
5-12
years old
GRANADA PARKPLAYGROUND8371 Granada Avenue SCottage Grove, MNSALES
REPRESENTATIVE:
EMILY MALONEY
DESIGNED BY:
AO
10/2/23
1/4" = 1'-0"
FLAGSHIP RECREATION
11123 UPPER 33RD ST N
LAKE ELMO, MN 55082
763-550-7860
FLAGSHIPPLAY.COM
@FLAGSHIPPLAY
THIS PLAY AREA & PLAY EQUIPMENT IS
DESIGNED FOR AGE RANGES AS NOTED
ON PLAN.
SHEET
LS101
C:\Users\AlexandraOlson\Flagship Recreation\Flagship Recreation - Documents\2024 Planning\Emily\IGH - Heritage Village\Design\2023.09.26 Updated Design withcustom digi buildings\CG_GranadaPark 092823.dwgCONTAINER DETAILS
TOTAL CONTAINER AREA 3518 SF
ASTM SAFETY SURFACING TYPE ENGINEERED WOOD FIBER
TOTAL EWF AREA 3468 SF
TOTAL PERIMETER 240 LF
EDGING TYPE EXISTING 6"X12" CONCRETE CURB
FINISH GRADE TOP OF CURB
**SITE PREPARATION REQUIREMENTS:
·MAXIMUM OF 1% GRADE CHANGE ACROSS CONTAINER
·DRAIN TILE STUB TO BE PROVIDED IF DRAIN TILE IS REQUIRED
·NO DRAINAGE AGGREGATE PRE-INSTALLED
·NO FABRIC PRE-INSTALLED
·MINIMUM CONTAINER SIZE NEEDED DENOTES THE INSIDE OF
CURB DIMENSION
ACCESS ROUTE
STAGING AREA
RELOCATED
BALANCE BEAM
SPINNER DOES NOT MEET SAFETY
REQUIREMENTS. RECOMMENDATION
FOR CITY TO REMOVE AND RELOCATE
10/6/2023
Preliminary
Budget Possible Additions
Possible
Reductions QTY Notes
Play Equipment
Granada Park Playground,EM706 52,605.00 2024 List Price of Equipment
--(3,156.30)6%MDF DISCOUNT
Sales Tax - if applicable 0.00 ST3 Certificate of Exemption must be provided by owner.
Delivery of Play equipment 750.00 Estimated / Final quote will be provided upon final design.
Mobilization 750.00
Dumpster(s) - 30 Yard 750.00 Disposal of packaging material
Site work
Demo/Disposal of Equipment & Excavation (existing container) 0.00 0 BY OWNER - CITY RESPONSIBLE TO REMOVE EXISTING EQUIPMENT (SALVAGE MAYPOLE AT ANOTHER SITE & LEAVE BALANCE BEAM
ONSITE FOR REINSTALL) AND REMOVE SOILS TO 12" BELOW FINAL GRADE AT NEW CONTAINER LOCATION
Border Options
Concrete Border Straight (LF)0.00 0 EXISTING CONCRETE CURB TO REMAIN IN PLACE AND BE REUSED
Equipment Installation (Labor & Concrete for Footings)10,756.25 21.75%Full professional installation by Landscape Structures Certified Installers. Standard labor rate unless otherwise noted
Concrete Flatwork
Concrete Flatwork (Sq. Ft.)647.44 50 4" thick concrete ADA accessible ramp and sidewalk
Subgrade Prep & Engineered Wood Fiber Surfacing (EWF)
EWF - Playground Safety Surfacing (CY)6,683.00 150 IPEMA Certified Playground Surfacing - Meets the standards of ASTM, ADA & CPSC
Site Restoration (Sq.Ft.)168.34 598 Disturbed areas to be restore to maintable grade with black dirt and seed
Budget Total Total Additions Total Reductions Total w/ Additions & Reductions
69,953.72 0.00 0.00 69,953.72
PRELIMINARY BUDGET - THIS IS AN ESTIMATE & NOT A FORMAL QUOTE
City of Cottage Grove
8635 W Point Douglas Rd
Cottage Grove, MN 55016
Zac Dockter, Parks & Recreation Director
Date
Expires
Quote:
Contact:
Phone:
Email:
Ship To:Please Make PO's & Contracts Out To:
Bill To:Please Remit Payment To:
QTY ITEM #UNIT PRICE EXT. PRICE
1 EQUIPMENT $52,605.00
1 DISCOUNT 6.00%($3,156.30)
Subtotal $49,448.70
Freight $750.00
Sales Tax Tax Exempt Cert
Total $50,198.70
SDS 12-0395 PO Box 86
Cottage Grove, MN 55016 Minneapolis, MN 55486-0395
651-458-2847
zdockter@cottagegrovemn.gov
Landscape Structures, Inc.
601 7th St. S
Delano, MN 55328
10/6/2023
10/16/2023
City of Cottage Grove
Zac Dockter, Parks & Recreation Director
Granada Park Playground
8371 Granada Ave S
Cottage Grove, MN 55016
City of Cottage Grove Landscape Structures, Inc.
8635 W Point Douglas Rd
--
Quotes from Landscape Structures,Inc.are subject to current Landscape Structures,Inc.policies as well as Terms &Conditions, Inclusions &
Exclusions outlined below unless noted otherwise on this quote. Changes are subject to price adjustment.Sales tax,if applicable,will be
applied unless a tax-exempt certificate is provided at the time of order entry.Customer deposits,if required, must be received before orders
will be entered &installation scheduled. Purchases in excess of $1,000.00 must be supported by a formal Purchase Order made out to
Landscape Structures, Inc.
We are pleased to submit this proposal to supply the following products/services:
Description
Granada Park Playground,EM706GPP351845205
MDF DISCOUNT
*Terms: Net 30 days; 1.5% finance charge on balances over 30 days
Page 1 of 2
Email:
Purchase Amount:
Page 2 of 2
Signature:zdockter@cottagegrovemn.gov
Title:Phone:
Date: $50,198.70
Acceptance of Quotation:
Accepted By (Print)Zac Dockter, Parks & Recreation
Director PO#:
Terms & Conditions
Contract: Seller's Copy of signed quote represents the contract between Seller and Buyer. This form supersedes all previous
communications and negotiations and constitutes the entire agreement between the parties. Any changes to this contract
are not binding unless jointly agreed in writing via Change Order.
Project Scope (This Section For Quotes Including Installation)
Inclusions:
•One Mobilization
•Accepting & Unloading of Order Prior to Installation
•Unpacking of Play Equipment
•Assembly of Play Equipment
•Placing, Digging or Surface Mounting Equipment (as specificed)
•Concrete for Play Equipment Footings
•Standard Insurance Offer (Detail Provided Upon Request)
•Standard Warranty Offer (Detail Provided Upon Request)
•Standard Wage Rates
Exclusions (Unless Specifically Quoted):
•Storage or Security of Equipment
•Private Utility Locates (irrigation, low voltage, lighting, etc.)
•Additional Labor Due to Site Access. Require 8' Wide Clearance from Staging Area to Play Space.
•Additional Labor and/or Related Costs Due to Subsurface Conditions (Rock, Hardpan, Heavy Clay, Ground Water, etc.)
•Additional Labor and/or Related Costs Due to Working in Unstable Soils (Sand, Pea Rock, Mud, Poor Site Drainage, etc.)
•Offsite Removal of Spoils From Footing Holes or Other Excavation. Can be stockpiled for owner removal or left in play space
•Disposal of Packing Material. Can be Stockpiled for Owner Removal or Deposited in Owners Onsite Dumpster
•Removal of Existing Play Equipment, Border or Safety Surfacing Material
•Site Work of Any Kind. Exclusions include, site grading (owner to provide max slope of 1%), site restoration, drainage, etc.
•Border for Play Space
•Bonding of Any Type
•Permits of Any Kind
Date
Expires
Quote:
Contact:
Phone:
Email:
Ship To:Please Make PO's & Contracts Out To:
Bill To:Please Remit Payment To:
QTY ITEM #UNIT PRICE EXT. PRICE
1 MOB $750.00
1 DUMPSTER $750.00
0 SITE WORK By Owner
0 BORDER Existing
50 CONCRETE $647.44
1 INSTALL 21.75%$10,756.25
150 SURFACING $6,683.00
598 RESTORE $168.34
Subtotal $19,755.02
Freight
Sales Tax Tax Exempt Cert
Total $19,755.02
zdockter@cottagegrovemn.gov
Granada Park Playground Flagship Recreation
8371 Granada Ave S 11123 Upper 33rd St. N
10/6/2023
10/16/2023
City of Cottage Grove
Zac Dockter, Parks & Recreation Director
651-458-2847
Cottage Grove, MN 55016 Lake Elmo, MN 55042
We are pleased to submit this proposal to supply the following products/services:
Description
Granada Park Playground,EM706GPP351845205
Cottage Grove, MN 55016 Lake Elmo, MN 55042
City of Cottage Grove Flagship Recreation
8635 W Point Douglas Rd 11123 Upper 33rd St. N
Demo/Disposal of Equipment & Excavation (existing container)
Mobilization
Dumpster - Disposal / Equipment Packing (30 Yard)
Concrete Border (6"W x 12"D)
Concrete Flatwork
Playground Installation by Landscape Structures Certified Installers
Site Restoration
Quotes from Flagship Recreation. are subject to current Flagship Recreation policies as well as Terms &Conditions, Inclusions &Exclusions
outlined below unless noted otherwise on this quote. Changes are subject to price adjustment.Sales tax,if applicable,will be applied unless
a tax-exempt certificate is provided at the time of order entry. Customer deposits, if required, must be received before orders will be entered
& installation scheduled. Purchases in excess of $1,000.00 must be supported by a formal Purchase Order made out to Flagship Recreation
--
*Terms: Net 30 days; 1.5% finance charge on balances over 30 days
Page 1 of 2
Engineered Wood Fiber (EWF) & Installation
Email:
Purchase Amount:
Acceptance of Quotation:
Date: $19,755.02
Page 2 of 2
Accepted By (Print)Zac Dockter, Parks & Recreation
Director PO#:
Signature:zdockter@cottagegrovemn.gov
Title:Phone:
Terms & Conditions
Contract: Seller's Copy of signed quote represents the contract between Seller and Buyer. This form supersedes all previous
communications and negotiations and constitutes the entire agreement between the parties. Any changes to this contract
are not binding unless jointly agreed in writing via Change Order.
Project Scope (This Section For Quotes Including Installation)
Inclusions:
•One Mobilization
•Accepting & Unloading of Order Prior to Installation
•Unpacking of Play Equipment
•Assembly of Play Equipment
•Placing, Digging or Surface Mounting Equipment (as specificed)
•Concrete for Play Equipment Footings
•Standard Insurance Offer (Detail Provided Upon Request)
•Standard Warranty Offer (Detail Provided Upon Request)
•Standard Wage Rates
Exclusions (Unless Specifically Quoted):
•Storage or Security of Equipment
•Private Utility Locates (irrigation, low voltage, lighting, etc.)
•Additional Labor Due to Site Access. Require 8' Wide Clearance from Staging Area to Play Space.
•Additional Labor and/or Related Costs Due to Subsurface Conditions (Rock, Hardpan, Heavy Clay, Ground Water, etc.)
•Additional Labor and/or Related Costs Due to Working in Unstable Soils (Sand, Pea Rock, Mud, Poor Site Drainage, etc.)
•Offsite Removal of Spoils From Footing Holes or Other Excavation. Can be stockpiled for owner removal or left in play space
•Disposal of Packing Material. Can be Stockpiled for Owner Removal or Deposited in Owners Onsite Dumpster
•Removal of Existing Play Equipment, Border or Safety Surfacing Material
•Site Work of Any Kind. Exclusions include, site grading (owner to provide max slope of 1%), site restoration, drainage, etc.
•Border for Play Space
•Bonding of Any Type
•Permits of Any Kind
Colors
Customer Signature:__________________________________ Date: _________________
As Shown
EQUIPMENT COLOR SIGN OFF
Granada Park Playground
INSERT PHOTO HERE
Please sign below if you approve of the colors represented in the photo above.
1
City Council Action Request
7.N.
Meeting Date 12/20/2023
Department Parks and Recreation
Agenda Category Action Item
Title Glacial Valley Park Building - Change Order #3
Staff Recommendation Approve Glacial Valley Park change order request in the amount of
$13,318.48
Budget Implication The project will still be carrying approximately $180,000 in budgeted contingencies. That is a
healthy balance with the project nearing substantial completion.
Attachments 1. 1-Memo - Change Order #3
2. 2-CGGV COR 8_PCO 17 PR 8 Lighting Relay Panel
3. 3-CGGV COR 11_PCO 30 Ebert Window Shade Credit
4. 4-CGGV COR 12_PCO 31 Ebert Sliding Barn Door Swap
5. 5-CGGV Ebert CO #2
6. 6-CGGV Vinco CO #3
7. 7-12 CG Glacial Valley Park Overall Budget 12-Dec-23
To:Honorable Mayor and City Council
Jennifer Levitt, City Administrator
From:Zac Dockter, Parks and Recreation Director
Date:October 18, 2023
Subject:Glacial Valley Park Building – Change Order Request
Introduction/Background
Glacial Valley Park Building construction continues to progress within the original project schedule and
budget. Multiple design changes have been made during construction resulting in the need for a
change order request. Change orders are detailed as follows:
Trade:Electric
Contractor:Vinco
Cost:$7,607.71
Description:Add a panel/time clock to control lighting during unoccupied times.
Trade:Carpentry
Contractor:Ebert
Cost:($3,600.00) credit
Description:Window shades installed at improper location. Staff accepted location in lieu of credit.
Trade:Carpentry
Contractor:Ebert
Cost:$1,140
Description:The Carpentry contract with Ebert is held by the City, as they are a non-union contractor.
LaForce, the door supplier, is a union contractor, so their contract is held by Kraus
Anderson through the CMR Contract. LaForce supplied the incorrect doors for the
project, which required Ebert to complete two separate door installations. This resulted
in an additional cost of $1,140, which Ebert is owed. Since the City holds the contract
with Ebert, a change order adding $1,140 to their contract amount is required. As this
was an error by LaForce, a credit will be applied through Kraus Anderson’s CMR
contract in the amount of $1,140. This will cancel out the additional cost paid to Ebert,
resulting in no additional cost to the City in the end of the project.
Trade:Carpentry
Contractor:Ebert
Cost:$5,227.42
Description:Add thermally modified wood to roof deck in community room.
Trade:Electric
Contractor:Vinco
Cost:$2,943.35
Description:Additional conduit for added audio/visual scope from owner. Additional breaker and
associated wiring for garage door control.
All change orders have been reviewed and approved by the Architect, Construction Manager and staff
team. With the inclusion of this change order, the project will still be carrying approximately $180,000
in budgeted contingencies. That is a healthy balance with the project nearing substantial completion.
Staff Recommendation
Approve Glacial Valley Park change order requests in the amount of $13,318.48.
Change Order Request
Project:
Cottage Grove, MN 55016
12800 Ravine Parkway South
Cottage Grove Glacial Valley Park
2210103-02 COR # 8.00
Date:10/12/2023
Cottage Grove, MN 55016
To: Owner From: Kraus-Anderson Construction Company
Minneapolis, MN 55404
501 South Eighth Street
City Of Cottage Grove
8635 W. Point Douglas Rd
AmountItem #Description Vendor
PCO # 17 - Wold PR #08 - Lighting Relay Panel
1 $7,607.71 Electrical per Wold PR #08.Vinco, Inc.
$7,607.71 Total For Change Order
Signed: ____________________________Approved By:
Submitted By:
Date: __________________
Signed: ____________________________Kraus-Anderson Construction Company Date: __________________
Accepted By: Wold Architects & Engineers Signed: ____________________________Date: __________________
City Of Cottage Grove
Vinco Inc Date :9/19/23
PO BOX 907
Forest Lake, MN 55025 PCO #:17
Project Manager: Matt Rivera PR/SI #8
Description Cost
Labor Total 875.00$
Materials and Equipment Total 5,655.50$
Tax on Materials and Equipment Only 424.16$
Self Performed Subtotal 6,530.50$
10% Overhead and Profit 653.05$
Self Performed Total 7,183.55$
Subcontractors -$
5% Overhead and Profit on Subs -$
Subcontractor Total -$
TOTAL COST OF CHANGE 7,607.71$
Signature:Matthew Rivera
Labor By Task Qty Unit Unit Cost Total Cost
Installation of Relay Panel 4 HR 125.00$ 500.00$
Programming of Relay Panel 2 HR 125.00$ 250.00$
Relay Panel Terminations 1 HR 125.00$ 125.00$
-$
Sub-Total 875.00$
Materials and Equipment By Task Qty Unit Unit Cost Total Cost
Additional Wire for Relay Panel 250 FT 0.25 62.50$
Relay Panel 1 5548 5,548.00$
EMT Misc Material 45.00$
-$
-$
-$
-$
-$
Sub-Total 5,655.50$
Sub-Contractor Proposals Total Cost
-$
-$
-$
-$
Sub-Total (Attach Sub-Contractor Proposals)-$
COTTAGE GROVE GLACIAL VALLEY
(10% is the max fee allowed on CO's)
Description of Work
Notes/Attachments
(Auto Fill from Sub-Total Below)
(Auto Fill from Sub-Total Below)
PROVIDE DETAIL BREAKDOWN BELOW:
COST SUMMARY
Contractor acknowledges no other Costs assciated with this PCO.
Auto Fill from Sub-Total Below
(5% is the max allowed on subcontractors)
<<< Provide Sales/Use Tax Total
Quotation
QuantityType Description Unit or Lot#Unit Price Ext Price
TO:
Expiration Date:10/19/23
VINCO FOREST LAKE TAXABLE
18995 FOREST BLVD N
FOREST LAKE, MN 55025-3606
Page :1 of 2
Vendor
Project Info:
Project:Glacial Valley Park - PCO #17
Job #:119293
Ack Date 09/19/23
PO#
Quoter:AARON PURPUR
1 R08TC-100LEVITON
1 RPM16-316LEVITON
1 R0800LEVITON
1 RHDU1-300LEVITON
7 RELAY-1CBLEVITON
1 RELAY-BFMLEVITON
1 PCOUTLEVITON
1 EIA00-S01LEVITON
1 NP00GLEVITON
1 PST24-I10LEVITON
1 FreightLEVITON
Order is subject to Viking's standard terms and conditions
Sales tax not included
Orders to be billed through 3rd party require a purchase order from
that party in advance of any shipment
Notes
From:
VIKING ELECTRIC
MAIN 612-627-1300
451 INDUSTRIAL BLVD NE
MINNEAPOLIS, MN 55413-2938
Printed By: AMANDA PARSONS
9/19/2023 11:52:52 AM
Quotation
QuantityType Description LOT #Unit Price Ext Price
Expiration 10/19/23
Page :2 of 2
Vendor
Glacial Valley Park - PCO #17Project:
1 ECO-C00LEVITON
Total 5,548.00
Order is subject to Viking's standard terms and conditions
Sales tax not included
Orders to be billed through 3rd party require a purchase order from
that party in advance of any shipment
Notes
From:
VIKING ELECTRIC
MAIN 612-627-1300
451 INDUSTRIAL BLVD NE
MINNEAPOLIS, MN 55413-2938
Printed By: AMANDA PARSONS
9/19/2023 11:52:52 AM
Bill of Materials # 3007099823
Glacial Valley Park - Panel add
09-19-2023
ITEM
QTY
PART NO.
DESCRIPTION
1.0
Relay Systems
1.1
1
R08TC-100
GreenMAX Relay Cabinet, 8-Relay Size, Surface Mount, Domestic, with
Locking Door, Nema 1, Title 24 compliant, ASHRAE 90.1 compliant
1.2
1
RPM16-316
GreenMAX relay system Command Module complete with 70W power
supply, Main Processor, LumaCAN 3, with 16 Low Voltage inputs.
100-277VAC 50/60Hz, Title 24 compliant, ASHRAE 90.1 compliant
1.3
1
R0800
GreenMAX 8-position Relay Insert Panel (fits 8-relay cabinet), without
relays, Title 24 compliant, ASHRAE 90.1 compliant
1.4
1
RHDU1-300
LumaCAN 3 Handheld Display Unit for GreenMAX relay systems. Comes
complete with rechargeable batteries, Title 24 compliant, ASHRAE 90.1
compliant
1.5
7
RELAY-1CB
GreenMAX Relay, Latching, 1-pole, Return-To-Closed basic, 30A 24-277,
347VAC 50/60Hz, Title 24 compliant, ASHRAE 90.1 compliant
1.6
1
RELAY-BFM
GreenMAX Relay, Blank Filler Module, Title 24 compliant, ASHRAE 90.1
compliant
1.7
1
PCOUT
Photocell - Outdoor 50-750 Foot Candles, Title 24 Compliant, ASHRAE
90.1 Compliant
2.0
Advanced Bill of Materials
2.1
1
EIA00-S01
1RU 19 1/4 1/4 EIA rack, surface mount enclosure, opening in side.
2.2
1
NP00G
Luma-Net to LumaCAN Gateway (300 mA consumption)
2.3
1
PST24-I10
+24Vdc (2.08" wide, 1000 mA supply), 1A, 30W 100-277VAC Input DIN
Rail Power Supply. UL, cUL & CE
Lighting & Controls
10385 SW AVERY ST
TUALATIN, OR 97062
(503) 404-5500
http://www.leviton.com
PROJECT: Glacial Valley Park - Panel add
TITLE: Bill of Materials QUOTE: 3007099823 LOCATION:
REVISION: 1 DATE: 09-19-2023 SHEET: 1 of 2
PREPARED BY: Kasey Paulson COMPANY PHONE:
ITEM
QTY
PART NO.
DESCRIPTION
System Services
1
Freight
Leviton’s standard freight policy and terms are applicable to this
ASAP quotation and any resulting order. Freight allowance
thresholds are customer-specific. If an order for this quotation
does not meet the minimum freight allowance threshold, Leviton
will add freight charges to the customer’s order.
1
ECO-C00
Engineering Services: System Check-Out, Commissioning and
Training by a Factory Authorized Engineer.Engineering Services
require aminimum of three (3) weeks advance notice.
General Terms and Conditions
1.Any purchases made pursuant to this Quote constitute acceptance of Leviton's Terms of Sale
(Leviton.com/en/terms-of-sale), which are the only conditions applicable to purchase under this Quote. Any
additional terms contained in Buyer's purchase order, or any other means of correspondence, are expressly
rejected.2.This Quote incorporates the Leviton Quoting Policy by reference (https://www.leviton.com/en/support/
quotepolicy)3.This Quote is valid for the term listed above and replaces and voids any prior revisions of a Quote issued by
Seller for the same Project Name.4.Prices are subject to change without notice, and may apply to open orders not yet shipped.5.Reference this Quote number when ordering.6.Prior to Leviton's acceptance of a purchase order, lead times and availability are subject to change.7.All prices in US Dollars unless noted otherwise in the Quote.8.Prices shown above do not include any taxes that may apply. Any applicable taxes or tariffs (for
international shipments) are the responsibility of the Customer.9.Prices only valid for the quantities shown. Any change in quantity or description will void this Quote and
require a revised Quote.
Lighting & Controls
10385 SW AVERY ST
TUALATIN, OR 97062
(503) 404-5500
http://www.leviton.com
PROJECT: Glacial Valley Park - Panel add
TITLE: Bill of Materials QUOTE: 3007099823 LOCATION:
REVISION: 1 DATE: 09-19-2023 SHEET: 2 of 2
PREPARED BY: Kasey Paulson COMPANY PHONE:
Attachments: Wold PR #8 dated 9/14/23
We have reviewed the PCO and acknowledge that it is a “no change” item and does not affect our
completion date.
Signed By: Date:
Company Name:
501 South Eighth Street
Minneapolis, MN 55404
Request For Proposal
Project: 2210103-02 PCO #: 17
Cottage Grove Glacial Valley Park
12800 Ravine Parkway South
Cottage Grove, MN 55016 Date: 09/15/2023
To: Matt Harder, Kraus-Anderson Construction Company
Zac Docter, City Of Cottage Grove
Matthew Rivera, Vinco, Inc.
Jacob Wollensak, Wold Architects & Engineers
Michael Stephens, Wold Architects & Engineers
Allison Timmins, Wold Architects & Engineers
Please provide a cost breakdown in accordance with the Contract Documents and a Summary for the Change
described herein and on the attachments (if any) listed. All responses are required within seven (7) days.
This is not an authorization to proceed with the work described herein unless and until approved by the Owner. On
approval, this change will be included in a Change Order, which will provide the formal Contract Change.
DESCRIPTION OF PROPOSAL:
Please provide a cost estimate per the attached Wold Architects and Engineers PR #08 dated September
14, 2023 regarding lighting relay panel.
PROPOSAL REQUEST
Distribution:
☐ Adam Moshier, CG
☐ Zac Dockter, CG
☒ Dustin Phillips, KA
☒ Jake Wollensak, Wold
☒ Tom Clark, Wold
☒ Michael Stephens, Wold
☒ Allison Timmins, Wold
☐ Pat Jansen, Wold
☐ Angel Gonzalez, Wold
☒ Sean McNamara, Wold
☒ Derek Peterson, Wold
☐ Linda Peters, BKBM
☐ Drew Luebke, BKBM
☐ Jay Pomeroy, BMI
☐ Jeff Toutant, BMI
City of Cottage Grove Glacial Valley Park Building
Kraus-Anderson Attn: Dan Kjellberg/Rachel Struckman
501 South Eighth Street
Minneapolis, MN 55404
612.332.7281
dan.kjellberg@krausanderson.com / rachel.struckman@krausanderson.com
Submit an itemized (labor and material) quotation for the proposed
modifications to the contract documents as described herein within 21 days of
receipt. If a cost is not submitted within 21 days, this Proposal Request can be
accepted at no additional cost. Written approval is required prior to
proceeding with this change.
COST EXPECTATIONS: ☐ DEDUCT ☐ NO COST ☐ ADD
PR: 08
Comm: 222064
Const. Pkg: [Status]
Item Description
1 Electrical Clarifications
1.1 See revised sheet E1.00 for updated lighting controls and relay panel.
1.2 See revised sheet E3.00 for lighting replay control panel schedule
Attachments: E1.00, E3.00
Issued By: Sean McNamara Date: 09/14/23
GENERAL SHEET NOTES - LIGHTING
KEYED SHEET NOTES
3L
OS
L
OS
L
OS
DDDDD
D
DD3L
OS
L
OS
L
OS
L
OS
L
OS
L
OS
L
OS
L
OS
L
OS
L
OS OS3D 3DDABGFIAB
GFI
AB
GFI
ABGFIABGFIABGFIAB
GFI
ABGFIEWC48"
AB
GFI
48"48"48"48"48"48"ABGFIABGFIWP
WPWPAB
GFI
36"SS SSSSSS
S
S
SS
S CRK
S CRK
S CRK
WAP
WAP
SCRKSCRK JJJ84"84"JJ
FB2
J
FB2
J
FB2
J
FB2 JJFS
F
F
F F F F F F F F F FFFFACPFFS
F
TS
F
TS
F
TS
F
FL48"
JJ J
JJ
JJ
J F WPFSDFSDJ S CRK
SCRK
SCRK SCRKSCRKSCRKSCRK SCRK48" 48"JGENERAL SHEET NOTES - POWER
A. SOME NOTES MAY NOT APPLY TO THIS SHEET.
B. ELECTRICAL CONTRACTOR SHALL BE
RESPONSIBLE FOR WIRING ALL ELECTRICAL
ITEMS SHOWN ON THIS DRAWING.
C. ALL RECESSED LIGHTING FIXTURES IN LAY-IN
CEILINGS SHALL BE INSTALLED WITH 6' LONG
FLEXIBLE METAL CONDUIT.
D. ALL MOUNTING HEIGHTS FOR LIGHTING
FIXTURES ARE TO THE BOTTOM OF THE
FIXTURES UNLESS INDICATED OTHERWISE.
E. SEE ARCHITECTURAL EXTERIOR ELEVATIONS
FOR MOUNTING HEIGHTS OF EXTERIOR
LIGHTING FIXTURES.
F. CIRCUIT WIRING IS NOT SHOWN EXCEPT FOR
SWITCHING INTENT OF FIXTURES AND CONTROL
OF DEVICES.
G. PROVIDE PROPER NUMBER OF CONDUCTORS TO
ACHIEVE CIRCUITING AND SWITCHING SHOWN.
H. CIRCUIT NUMBERS AT DEVICES CIRCUIT
NUMBERS SHOWN ARE FOR SCHEMATIC
PURPOSES AND ARE FOR DISTINGUISHING
CIRCUITS. RECORD AS-BUILT CIRCUITING IN A
TYPED AND DATED PANELBOARD SCHEDULE.
BRANCH CIRCUITS SHALL BE SIZED ACCORDING
TO THE CIRCUIT BREAKER RATING, UNLESS
INDICATED OTHERWISE ON THE ELECTRICAL
EQUIPMENT SCHEDULE.
I. SEE BRANCH CIRCUIT CONDUCTOR SIZING
SCHEDULE ON SHEET E0.00.
J. ALL OCCUPANCY SENSORS SHALL HAVE
AUXILIARY CONTACTS OR ADDITIONAL DEVICES
TO ENABLE HVAC INTERFACE.
NORMAL OPERATING LIGHT
FIXTURE. FEED FIXTURE USING
EXISTING LIGHTING CIRCUITRY
FROM NORMAL PANEL.
A NL
rl-1ab
FIXTURE TYPE
FIXTURE NOTES
RELAY #/
PANEL CIRCUIT #
SWITCHING SCHEME
SWITCHED EMERGENCY LIGHT.
FEED FIXTURE FROM
EMERGENCY PANEL xx-x VIA
EMERGENCY RELAY AS
INDICATED ON PLAN.
UNSWITCHED EMERGENCY
LIGHT (NIGHT LIGHT). FEED
FIXTURE FROM UNSWITCHED
CIRCUIT IN EMERGENCY PANEL
EHH1.
1. MAXIMUM ALLOWABLE WATTAGE FOR A
LIGHTING CIRCUIT WILL NOT EXCEED 3500
(277V) OR 1600 (120V) WATTS.
2. REFER TO DIVISION 23 SPECIFICATIONS FOR
MORE INFORMATION ON BAS LIGHTING
CONTROLS.
EMERGENCY LIGHTING UNIT
AND EXIT LIGHT. FEED FROM
UNSWITCHED CIRCUIT IN
EMERGENCY PANEL xx-x.
1. PROVIDE 120V CONNECTION WITH JUNCTION BOX
AND 1/2" CONDUIT TO FIRE PIT. TIMER SWITCH
AND EPO BY DIV 23.
2. PROVIDE 3/4" CONDUIT WITH PULL STRING FROM
JUNCTION BOX TO NEAREST ACCESSIBLE
CEILING SPACE.
3. RPOVIDE 3/4" CONDUIT WITH PULL STRING
BETWEEN JUNCTION BOXES.
4. PROVIDE BATTERY BACK UP, BATTERY SHALL BE
MOUNTED IN THE VESTIBULE, ABOVE CEILING.
5. PROVIDE SINGLE GANG JUNCTION BOX FOR
MOTORIZED SCREEN CONTROL AT SWITCH
HIGHT, PROVIDE 2ND JUNCTION BOX AT 96" WITH
BLANK COVER PLATE. PROVIDE 1/2 CONDUIT
WITH PULL STRING BETWEEN JUNCTION BOXES.
6. PROVIDE RECEPTACLE FOR MOTORIZED
SCREEN, REFER TO ARCHITECTURAL DETAILS
FOR MOUNTING HEIGHT. INSTALL RECEPTACLE
PER MANUFACTURES RECOMMENDATIONS.
7. PROVIDE TWO JUCTION BOXES AND 120V
CONNECTION AT ONE FOR ELECTRIC PLUMBING
CONNECTIONS. LOW VOLTAGE PLUMBING
DEVICES BY DIV 22.
8. PROVIDE JUCTION BOX AND 120V CONNECTION
FOR HEAT TRACE, HEAT TRACE BY DIV 22.
9. PROVIDE 120V CONNECTION FOR CO DETECTION
SYSTEM, CO SYSTEM BY DIV 23. COORDINATE
LOCATION WITH DIV 23.
10. PROVIDE 90 MINUTE BATTERY BACK UP, BATTERY
SHALL BE INSTALLED IN THE VESTIBULE.
11. MOUNT BATTERY PACK FOR D1 FIXTURES ABOVE
ACCESSIBLE CEILING SPACE.
12. MOUNT BATTERY PACK FOR D1 FIXTURES ABOVE
ACCESSIBLE CEILING PANEL.
13. PROVIDE POWER FOR A/V EQUIPMENT,
COORDINATE LOCATION WITH CITY VENDOR
(AVI).
14. PROVIDE JUNCTION BOX AND CONDUIT WITH
PULL STRING BACK TO NEAREST ACCESSIBLE
CEILING FOR CARD ACCESS (BY OWNER).
15. PROVIDE JUNCTION BOX AND CONDUIT WITH
PULL STRING BACK TO NEAREST ACCESSIBLE
CEILING FOR SECURITY CAMERA (BY OWNER)
16. ROUTE DATA CONDUIT FROM FLOOR BOX BACK
TO ELECTRICAL ROOM, INCLUDE PULL STRING.
17. PROVIDE STUB OUT FOR FIBER, INCLUDE PULL
STRING AND CAPS, TAG FOR FIBER.
18. PROVIDE DEDICATED RECEPTACLE FOR OWNERS
PATCH PANEL. COORDINATE LOCATION PRIOR TO
INSTALLATION.
19. PROVIDE DEDICATED RECEPTACLE FOR OWNERS
HEAD END EQUIPMENT, COORDINATE LOCATION
PRIOR TO INSTALLATION.
20. PROVIDE JUNCTION BOX AND CONDUIT WITH
PULL STRING BACK TO NEAREST ACCESSIBLE
CEILING FOR WIRELESS ACCESS POINT.
21. PROVIDE 1/2" CONDUIT STUBBED FROM AED
BASE TO INTERIOR ACCESSIBLE WALL SPACE.
ROUTE BACK TO ELECTRICAL PANEL.
22. PROVIDE LIGHTING RELAY CONTROL PANEL.
23. LIGHITING CONTROL SHALL BE BY TIME CLOCK
VIA BAS SYSTEM, ROUTE THROUGH LIGHTING
RELAY PANEL.
TOILET
106
MECHANICAL
/ JAN
SUPPLY
105
PARKS
STORAGE
108
KITCHENETTE
107A
ELECTRICAL
109
CLASSROOM
/
PROGRAMS
107
LOBBY /
WARMING
101TOILET
103
TOILET
104
N. VEST
102
KITCHENETTE
/ SERVING
111
STORAGE
112
S. VEST
100
MULTIPURPOSE
110
F
F
F
F F
F
F F
F
F
A
F
F F
F
D
D
D
D
D
D
D
D
D
D1
D1DDDDDD
A
A A
A
A
A
A
A
A A AAA
DDDDDDD1
D1
D1
B
B
B
F
EM
AA
C C
CC
C C
C
C
C
C C
C
C
C C C
E
EM
CC
C C
CC
E
EM
E
EM
EM
E
EM
E
CCCCCC
C C C C C C
CCCCCC
C C C C C C
AA
C C C C C C
C C
C
CCCCCCC
C C C C C C C
CC
1
QPNMLKJHG
FEDCBA
2
3
4
CC
LP1/39
LP1/41
C
LP1/14
D
LP1/4
D
LP1/4
C
LP1/12
A
LP1/10
A
LP1/10
A
LP1/10
B
P1/41
D/B
LP1/41
D/B
LP1/41
F
LP1/2
F
LP1/39
C
LP1/8
D
LP1/6
D
LP1/6
LP1
LP1/49
LP1/53
EM
EM
A
A
B
B
C
D
D
D
E
F
F
F
G
G
A
10
10
10
10
10 D
D
D
D
D
LP1/6
D1
LP1/6
D1
LP1/4
11
12
1
1
1
1
3
RP-1
6
22
23
6
23
6
23
6
23
6
23
6
23
6
23
6
23
6
FC-4
B-1
P-1P-2
P-5
WH-1
FC-3
CF-4 CF-3
CUH-2
CF-1 CF-2
CUH-1UH-1
LP1
EF-3 (ROOF)
EF-1 (ROOF)
EF-2 (ROOF)
CLASSROOM
/
PROGRAMS
107
ELECTRICAL
109 KITCHENETTE
107A
PARKS
STORAGE
108
TOILET
104
TOILET
103
MECHANICAL
/ JAN
SUPPLY
105
LOBBY /
WARMING
101
S. VEST
100
N. VEST
102TOILET
106
MULTIPURPOSE
110
KITCHENETTE
/ SERVING
111
STORAGE
112
1
QPNMLKJHG
FEDCBA
2
3
4
LP1/35
LP1/11 LP1/11 LP1/11
LP1/11
LP1/1
LP1/1 LP1/1
LP1/1
LP1/1
LP1/3
LP1/5
LP1/9
LP1/7
LP1/13
LP1/13 LP1/13
LP1/13
LP1/13
LP1/15
LP1/15
LP1/15
LP1/15
LP1/15
LP1/31
LP1/15
LP1/17
LP1/31
LP1/31
LP1/31
LP1/31
LP1/31
LP1/31
LP1/33
LP1/21LP1/19
LP1/25
LP1/27LP1/29
LP1/23
LP1/17
LP1/17
LP1/17
LP1/37
2
2
1
TO FIRE PIT
FC-1
LP1/24,26,28
LP1/31 LP1/31
LP1/12
LP1/32,34,36
LP1/8
LP1/75
LP1/57,59,61
LP1/63,65,67
LP1/10
LP1/2
LP1/38,40,42
LP1/4
LP1/16
LP1/13 LP1/13
LP1/14
LP1/6 LP1/83
LP1/83
LP1/81
LP1/81
LP1/77 LP1/77
LP1/79 LP1/79
LP1/81LP1/44 LP1/44
LP1/44
6
66
P-9
P-7
P-6
P-8
LP1/58
LP1/54 LP1/52
LP1/56 LP1/88
7
7
7
9
LP1/13
FC-2
LP1/30
P-10
LP1/60,62,64
3
2
13 13
LP1/44
LP1/44
LP1/44
1 1
1
1
14
15
16
2015
16
14
14
14
15
14
15
14
15
15
15
14
14
14
14
14
15
14
16
15
20
16
14
17
18
15
15 15
19
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
22
2
2
2
22
LP1/68P-11
3
LP1/70
21
4
5
RP-1
6
A. SOME NOTES MAY NOT APPLY TO THIS SHEETS.
B. ALL BOXES, CONDUIT AND WIRING TO BE
CONCEALED. NO EXPOSED BOXES, CONDUIT
AND WIRING SHALL BE ALLOWED UNLESS NOTED
OTHERWISE.
C. COORDINATE DEVICE LOCATIONS WITH OTHER
TRADES INCLUDING HVAC EQUIPMENT,
DUCTWORK, SPRINKLER PIPING AND BUILDING
STRUCTURAL MEMBERS.
D. NO MULTI-BRANCH CIRCUIT ALLOWED. PROVIDE A
SEPARATE NEUTRAL WITH EACH CIRCUIT.
E. VERIFY LOCATIONS AND ROUGH-IN
REQUIREMENTS OF ALL OWNER FURNISHED
EQUIPMENT PRIOR TO ROUGH-IN.
F. CIRCUIT WIRING IS NOT SHOWN EXCEPT FOR
SWITCHING INTENT OF FIXTURES AND CONTROL
OF DEVICES.
G. GFCI RECEPTACLES SHALL BE WIRED TO
PROTECT ONLY THE DEVICES IN THAT OUTLET
BOX. DOWNSTREAM DEVICES SHALL NOT BE
PROTECTED BY GFCI.
H. CIRCUIT NUMBERS SHOWN ARE FOR SCHEMATIC
PURPOSES AND ARE FOR DISTINGUISHING
CIRCUITS. RECORD AS-BUILT CIRCUITING IN A
TYPED AND DATED PANELBOARD SCHEDULE.
I. PROVIDE SEPARATED CONDUITS FOR ALL
EMERGENCY CIRCUITS, DO NOT COMBINE WITH
NORMAL BUILDING WIRING.
J. COORDINATE HEIGHTS OF ALL DEVICES WITH
MILLWORK AND MODULAR FURNITURE SHOP
DRAWINGS PRIOR TO ROUGH-IN.
K. OFFSET BACK TO BACK BOXES AT LEAST 12
INCHES EXCEPT IN RESIDENT ROOMS WHERE
PUTTY-PADS SHALL BE PROVIDED (3M MPP+ OR
EQUIVALENT).
L. ALL RECEPTACLES TO BE TAMPER RESISTANT.
M. SEE BRANCH CIRCUIT CONDUCTOR SIZING
SCHEDULE ON SHEET E0.00
N. SEE MOTOR AND EQUIPMENT SCHEDULE ON
SHEET E2.00.
O. REFER TO MECHANICAL SHEETS FOR EXACT
MOTOR LOCATIONS.
GRADE
CONNECTION
CABINATE
AND METER
EXISTING
UTILITY
TRANSFORMER
FROM UTILITY
ELECTRICAL ROOM
M
LP1
208/120V
3P
4W
400A
MCB
RISER NOTE:
1. PANELBOARD SHALL BE SQUARED NQ OR APPROVED EQUAL.
3 PHASE FEEDER SCHEDULE (COPPER)
FEEDER 3W FEEDER 4W
ID (NO NEUTRAL)(WITH NEUTRAL)
(AMPS)CONDUIT-PHASE-GROUND CONDUIT-PHASE-GROUND
20A (1) 1/2"C, 3#12+1#12G (1) 1/2"C, 4#12+1#12G
30A (1) 3/4"C, 3#10+1#10G (1) 3/4"C, 4#10+1#10G
40A (1) 3/4"C, 3#8+1#10G (1) 3/4"C, 4#8+1#10G
50A (1) 1"C, 3#6+1#10G (1) 1"C, 4#6+1#10G
60A (1) 1.25"C, 3#4+1#8G (1) 1.25"C, 4#4+1#8G
80A (1) 1.25"C, 3#3+1#8G (1) 1.25"C, 4#3+1#8G
100A (1) 1.5"C, 3#1+1#6G (1) 1.5"C, 4#1+1#6G
125A (1) 1.5"C, 3#1+1#6G (1) 1.5"C, 4#1+1#6G
150A (1) 1.5"C, 3#1/0+1#6G (1) 1.5"C, 4#1/0+1#6G
175A (1) 1.5"C, 3#2/0+1#6G (1) 2"C, 4#2/0+1#6G
200A (1) 2"C, 3#3/0+1#6G (1) 2"C, 4#3/0+1#6G
225A (1) 2"C, 3#4/0+1#4G (1) 2.5"C, 4#4/0+1#4G
250A (1) 2"C, 3#250+1#4G (1) 2.5"C, 4#250+1#4G
300A (1) 2.5"C, 3#350+1#4G (1) 3"C, 4#350+1#4G
400A (2) 2"C, 3#3/0+1#3G (2) 2"C, 4#3/0+1#3G
500A (2) 2"C, 3#250+1#2G (2) 2.5"C, 4#250+1#2G
600A (2) 2.5"C, 3#350+1#1G (2) 3"C, 4#350+1#1G
800A (3) 2.5"C, 3#300+1#1/0G (3) 2.5"C, 4#300+1#1/0G
1000A (3) 3"C, 3#400+1#2/0G (3) 3"C, 4#400+1#2/0G
1200A (4) 3"C, 3#350+1#3/0G (4) 3"C, 4#350+1#3/0G
1600A (5) 3"C, 3#400+1#4/0G (5) 3"C, 4#400+1#4/0G
2000A (6) 3"C, 3#400+1#250G (6) 3"C, 4#400+1#250G
2500A (7) 3"C, 3#500+1#350G (7) 3"C, 4#500+1#350G
3000A (8) 3"C, 3#500+1#400G (8) 3.5"C, 4#500+1#400G
GENERAL NOTES:
A. THE ABOVE FEEDER SCHEDULE IS A SCHEDULE OF TYPICAL FEEDERS AND SOME SIZES MAY NOT BE UTILIZED.
B. CONDUCTOR AMPACITIES ARE BASED ON TABLE 310-15 OF THE NEC FOR COPPER CONDUCTOR AT 60 DEG C FOR 100A
AND BELOW. AMPACITIES ARE BASED ON 75 DEG C FOR 125A AND ABOVE.
C. FEEDER SIZES SHOWN ON THE RISER DIAGRAM INDICATE FEEDER AMPACITIES AND DO NOT NECESSARILY CORRESPOND
TO CIRCUIT BREAKER AMPACITIES. CERTAIN FEEDERS MAY BE SIZED FOR THE DURATION FACTORS REQUIRED BY CODE
AND/OR ARE OVERSIZED FOR VOLTAGE DROP.
D. WHERE PARALLEL CONDUITS ARE INDICATED FOR A SINGLE FEEDER, EACH CONDUIT SHALL CONTAIN PHASE, NEUTRAL,
AND GROUND CONDUCTORS INDICATED.
E. CONDUIT ABOVE GRADE INDOORS SHALL BE EMT. CONDUIT ABOVE GRADE OUTDOORS SHALL BE GALVANIZED IMC OR
RMC.
F. EMT USED FOR PURPOSES OF SIZING CONDUIT. CONTRACTOR TO UPSIZE CONDUIT IF DIFFERENT THAN EMT.
MARK WALL SWITCH
#LEGS
GENERAL NOTES:
A. SCHEMES ARE SCHEMATIC. PROVIDE WIRING AND COMPONENTS AS REQUIRED.
B. PROVIDE MULTIPLE SWITCH LOCATIONS (3-WAY SWITCHING) IF INDICATED ON PLANS.
C. INTERCONNECT ALL SENSORS IF MULTIPLE SENSORS ARE SHOWN WITHIN SAME ROOM, UNLESS INDICATED OTHERWISE.
D. PROVIDE EMERGENCY RELAYS AS INDICATED ON PLANS.
E. ALL OCCUPANCY SENSORS SHALL HAVE AUXILIARY CONTACTS OR ADDITIONAL DEVICES TO ENABLE HVAC INTERFACE.
LIGHTING CONTROLS SCHEDULE
OCC SENSOR
LOCATION
MANUAL
/AUTO
DAY
LIGHT
2 MANUAL
WALL
DIMMING
X
X
AUTO
NONE AUTO
NONE MANUAL
A
B
C
D
E
F
G
1
1
NONE
1
NONE
CEILING
CEILING
CEILING
MANUAL
MANUAL
INTENDED LOCATIONS OF USE
NONE MANUAL1ELECTRICAL/MECHANICAL ROOMS
LOBBY/VEST
PARKS STORAGE
RESTROOMS
STORAGE
KITCHENETTE
MULTIPURPOSE/CLASSROOM
F
E
D
C
B
A
1 2 3 4 5 6 7 8
E
MN
NorthCheck:
Drawn:
Date:
Comm:
License
Number:
I hereby certify that this plan, specification or report was prepared by
me or under my direct supervision and that I am a duly Licensed
under the laws of the State of
Scale:
Date
9/14/2023 4:42:10 PMBIM 360://222064 - Glacial Valley Park Building/222064 Glacial Valley Park Building_Elec_Bim 360.rvtAs indicatedCentral: BIM 360://222064 - Glacial Valley Park Building/222064 Glacial Valley Park Building_Elec_Bim 360.rvtCITY OF COTTAGE
GROVE
GLACIAL VALLEY
PARK BUILDING
E1.00
LIGHTING /
POWER &
SYSTEMS PLANS
8635 W POINT DOUGLAS RD S
COTTAGE GROVE, MN 55016
9900 RAVINE PKWY S
COTTAGE GROVE, MN 55016
222064
S MCNAMARA
D PETERSON
11/8/22
222064
MINNESOTA
11/8/22
BRADLEY R. JOHANNSEN
43936
PROFESSIONAL ENGINEER
1/8" = 1'-0"
LIGHTING PLANF1 1/8" = 1'-0"
POWER & SYSTEMS PLANF4
NOTES:
Load Types (LT): COOL - Summer Cooling, ELEV- Elevator, EQ - Equipment, EX -Existing, GND - Grounding, HEAT - Winter Heating, KTCH-
Kitchen, L MTR - Largest Motor, LTG -Lighting, MTR - Motor, RCPT - Receptacle
Breaker Types (BT): AF = Arc Fault, GF = Ground Fault Circuit Interrupt, GE = Ground Fault Equipment Protection (30mA), SH = Shunt Trip, EX
= Existing, NX = New Breaker For Existing Panel, M = Metered
EST. DEMAND CURRENT:239 A
RCPT 9900 VA 100.00% 9900 VA CONNECTED CURRENT:225 A
Other 0 VA 0.00% 0 VA ESTIMATED DEMAND:86035 VA
MTR 64703 VA 105.14% 68027 VA CONNECTED LOAD:81080 VA
LTG 7062 VA 125.00% 8828 VA
LOAD CLASSIFICATION CONNECTED DEMAND ESTIMATED PANEL TOTALS
TOTAL AMPS:251 A 200 A 233 A
TOTAL LOAD:30 kVA 24 kVA 27 kVA
83 STORAGE 112 Other... 20 A 1 0.4 0.0 1 20 A -- SPARE 84
81 MULTIPURPOSE 110 Other 20 A 1 0.0 0.0 1 20 A -- SPARE 82
79 FLOORBOX 110 RCPT 20 A 1 0.0 0.0 1 20 A -- SPARE 80
77 FLOORBOX 107 RCPT 20 A 1 0.0 0.0 1 20 A -- SPARE 78
75 P-5 MTR 15 A 1 1.2 0.0 1 20 A -- SPARE 76
73 SPARE -- 20 A 1 0.0 2.9 -- -- -- -- -- 74
71 -- -- -- -- -- 1.4 2.9 2 40 A MTR CU-3 72
69 CU-2 MTR 20 A 2 1.4 0.0 1 20 A Other AED 70
67 -- -- -- -- -- 2.0 0.1 1 20 A MTR CONDENSATE PUMP 68
65 -- -- -- -- -- 2.0 0.0 1 20 A -- MONUMENT LIGHTS 66
63 P-2 MTR 30 A 3 2.0 0.3 -- -- -- -- -- 64
61 -- -- -- -- -- 2.0 0.3 -- -- -- -- -- 62
59 -- -- -- -- -- 2.0 0.3 3 30 A MTR P-10 60
57 P-1 MTR 30 A 3 2.0 0.5 1 15 A MTR P-9 58
55 LOBBY 101 LTG 20 A 1 1.8 1.2 1 15 A MTR P-8 56
53 MULTIPURPOSE 110 LTG 20 A 1 1.7 1.2 1 15 A MTR P-7 54
51 KITCH/STOR/MULTI... LTG 20 A 1 0.5 1.2 1 15 A MTR P-6 52
49 CLASSROOM 107 LTG 20 A 1 1.7 4.4 -- -- -- -- -- 50
47 S. VEST/S. EXTERIOR LTG 20 A 1 0.2 4.4 -- -- -- -- -- 48
45 N. VEST/N. EXTERIOR LTG 20 A 1 0.2 4.4 3 60 A MTR CU-4 46
43 MECHANICAL 105 LTG 20 A 1 0.2 1.3 1 20 A Other... MULTIPURPOSE 110 44
41 TOILET/KITCH 107A LTG 20 A 1 0.3 0.8 -- -- -- -- -- 42
39 STORAGE 108/ ELEC 109 LTG 20 A 1 0.4 0.8 -- -- -- -- -- 40
37 EXTERIOR RCPT 20 A 1 0.2 0.8 3 30 A MTR FC-4 38
35 EXTERIOR RCPT 20 A 1 0.2 0.6 -- -- -- -- -- 36
33 EXTERIOR RCPT 20 A 1 0.2 0.6 -- -- -- -- -- 34
31 MULTI 110/STOR 112 MTR;... 20 A 1 1.3 0.6 3 30 A MTR FC-3 32
29 KITCHENETTE 111 RCPT 20 A 1 0.2 0.9 1 15 A MTR FC-2 30
27 KITCHENETTE 111 RCPT 20 A 1 0.2 0.8 -- -- -- -- -- 28
25 KITCHENETTE 111 RCPT 20 A 1 0.2 0.8 -- -- -- -- -- 26
23 KITCHENETTE 111 RCPT 20 A 1 0.2 0.8 3 30 A MTR FC-1 24
21 KITCHENETTE 111 RCPT 20 A 1 0.2 4.4 -- -- -- -- -- 22
19 KITCHENETTE 111 RCPT 20 A 1 0.2 4.4 -- -- -- -- -- 20
17 RESTROOMS/MECH 105 RCPT 20 A 1 0.7 4.4 3 60 A MTR CU-1 18
15 LOBBY 101/N&S VEST RCPT 20 A 1 1.1 0.7 1 15 A MTR UH-1 16
13 CLASSROOM 107 MTR;... 20 A 1 1.1 0.5 1 15 A MTR CUH-2 14
11 ELEC 109/CLASS 107 RCPT 20 A 1 0.7 0.5 1 15 A MTR CUH-1 12
9 KITCHENETTE 107A RCPT 20 A 1 0.2 0.1 1 15 A MTR B-1 10
7 KITCHENETTE 107A RCPT 20 A 1 0.2 0.2 1 15 A MTR;... WH-1 8
5 KITCHENETTE 107A RCPT 20 A 1 0.2 0.7 1 15 A MTR EF-3 6
3 KITCHENETTE 107A RCPT 20 A 1 0.2 0.7 1 15 A MTR EF-2 4
1 PARKS STORAGE 108 RCPT 20 A 1 0.9 0.7 1 15 A MTR EF-1 2
# BT LOAD DESCRIPTION LT BKR P A B C P BKR LT LOAD DESCRIPTION BT #
FED FROM:
BUS AMPS:
MAINS AMPS:400A
MAINS TYPE: SPECIAL:
MOUNTING:SURFACE A.F.C....SEE SHORT CIRCUIT STUDY
LOCATION:ELECTRICAL 109 VOLTAGE:208Y/120 V. 3 ø 4 W.
PANELBOARD: LP1
N.T.S.
RISER DIAGRAMB1
Revisions
Description Date Num
ADD #1 11/28/2022 1
PR#1 3/17/2023 2
PR#4 7/12/2023 3
PR#5 7/12/2023 4
PR#6 8/7/2023 5
PR#8 9/14/2023 6
1
1
1
1
2
3
4
4
5
5
5
6
LUMINAIRE SCHEDULE
LETTER LUMINAIRE TYPE LUMENS/WATTS VOLT MOUNTING LENS / LOUVER OTHER REQUIREMENTS MANUF. & SERIES SPARES NOTES
A RECESSED 2X4 TROFFER 35W, LED, 80 CRI, 3500K,
4000 LUMENS MVOLT RECESSED (GRID)MATTE WHITE ENAMEL FINISH 0-10V DIMMING
LITHONIA: ENVEX SERIES
METALUX: 24ID SERIES
VISCOR: OCRV SERIES
SPITZER: EDGE SERIES
B RECESSED 1X4 TROFFER
16W, LED, 80 CRI, 3500K,
2000 LUMENS MVOLT RECESSED (GRID) MATTE WHITE ENAMEL FINISH 0-10V DIMMING
LITHONIA: ENVEX SERIES
METALUX: 14ID SERIES
VISCOR: OCRV SERIES
SPITZER: EDGE SERIES
C 4' LINEAR LED
18W, LED, 80 CRI, 3500K,
1000 LMF MVOLT AIR CRAFT CABLE SUSPENDED EXTRUDED ACRYLIC 0-10V DIMMING
MARK LIGHTING: SL4ID SERIES
AXIS LIGHTING: BEAM 3 SERIES
STARTEK: BEAMDI SERIES
LUX: EOS 3.0 SERIES
D 6'' ROUND LED DOWNLIGHT
LED, 80 CRI, 3500K, 1500
LUMENS MVOLT RECESSED (GRID) SEMI-SPECULAR CLEAR 0-10V DIMMING
GOTHAM: EVO SERIES
HALO COMM: HC6 SERIES
LIGHTOLIER: 6RN SERIES
PRESCOLITE: LFR-6RD SERIES
D1 6'' ROUND LED DOWNLIGHT
LED, 80 CRI, 3500K, 4000
LUMENS MVOLT RECESSED (GRID) SEMI-SPECULAR CLEAR 0-10V DIMMING, REMOTE BATTERY BACKUP
GOTHAM: EVO SERIES
HALO COMM: HC6 SERIES
LIGHTOLIER: 6RN SERIES
PRESCOLITE: LFR-6RD SERIES
E EXIT SIGN LED, <5W MVOLT CEILING MOUNTED HIGH IMPACT ACRYLIC PANEL GREEN LETTERS
LITHONIA: EDGR SERIES
SURE-LITES: EUX7 SERIES
ABB (EMERGI-LITE): PN SERIES
COMPASS: CEL SERIES
EM EMERGENCY WALL PACK LED MVOLT WALL MOUNTED SELF DIAGNOSTICS, BLACK
LITHONIA: AFF SERIES
SURE-LITES: SELD SERIES
ABB (EMERGI-LITE): SD SERIES
COMPASS: CUW SERIES
F 4' INDUSTRIAL STRIP
41W, LED, 80 CRI, 3500K,
5300 LUMENS MVOLT AIR CRAFT CABLE SUSPENDED SEMI-FROST LENS- NARROW 0-10V DIMMING
LITHONIA: ZL1N SERIES
METALUX: SNLED SERIES
DAYBRITE: SDS SERIES
COLUMBIA: CSL4 SERIES
AA WALL PACK
27W, LED, 80CRI, 4000K,
3500 LUMENS MVOLT WALL MOUNTED FULL CUTOFF COLD WEATHER BATTERY PACK
LITHONIA: WDGE2LED SERIES
LUMARK: AXCS3A SERIES
BROWNLEE: 7037 SERIES
SPITZER: WPFP SERIES
BB FLOOD LIGHT
21W, LED, 4000K, 2500
LUMENS MVOLT KNUCKLE MOUNTED ON CONCRETE
BASE HORIZONTAL MEDIUM FLOOD BLACK
LITHONIA: D-SERIES
GARDOCO: CSFS SERIES
KIM: KFL SERIES
LUMINAIRE SCHEDULE GENERAL NOTES
A. ALL DIMMABLE LUMINIARES SHALL BE CAPABLE OF DIMMING TO 1%.
LUMINAIRE SCHEDULE NUMBERED NOTES
1. SEE PLAN FOR FIXTURE LENGTH.
2. PROVIDE (20) SPARE DRIVERS.
3. PROVIDE (5) SPARE DRIVERS.
MOTOR SCHEDULE
LOAD INFORMATION CONDUIT WIRE QUANTITY AND SIZE WIRE TYPE STARTER DISCONNECT CTRL'S NOTES MTR
MTR DESCRIPTION LOC LOAD UNIT VOLTAGE PANEL SET(S)SIZE TYPE P+N PHASE NEUT GND TYPE INSUL SUPPLIED INSTALLED SIZE LOC SUPPLIED INSTALLED TYPE TYPE LOC BY
B-1 BOILER MECHANICAL/JAN SUPPLY 105 0.5 FLA 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH B-1
EF-1 EXHAUST FAN ROOF 1/4 HP 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH EF-1
EF-2 EXHAUST FAN ROOF 1/4 HP 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH EF-2
EF-3 EXHAUST FAN ROOF 1/4 HP 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH EF-3
WH-1 WATER HEATER MECHANICAL/JAN SUPPLY 105 0.5 FLA 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH WH-1
CF-1 CEILING FAN MULTIPURPOSE 110 0.022 KVA 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH CF-1
CF-2 CEILING FAN MULTIPURPOSE 110 0.022 KVA 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH CF-2
CF-3 CEILING FAN CLASSROOM/PROGRAMS 107 0.022 KVA 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH CF-3
CF-4 CEILING FAN CLASSROOM/PROGRAMS 107 0.022 KVA 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH CF-4
UH-1 UNIT HEATER PARKS STORAGE 108 1/4 HP 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH UH-1
CUH-1 CABINET UNIT HEATER NORTH VESTIBULE 102 1/15 HP 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH CUH-1
CUH-2 CABINET UNIT HEATER SOUTH VESTIBULE 100 1/15 HP 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH CUH-2
P-1 PUMP MECHANICAL/JAN SUPPLY 105 5 HP 208/3 1 3/4" EMT 3 12 AWG 12 AWG CU THHN ELEC ELEC SIZE 1 MTR ELEC ELEC FS 30A MTR MECH 1 P-1
P-2 PUMP MECHANICAL/JAN SUPPLY 105 5 HP 208/3 1 3/4" EMT 3 12 AWG 12 AWG CU THHN ELEC ELEC SIZE 1 MTR ELEC ELEC FS 30A MTR MECH 1 P-2
P-5 PUMP MULTIPURPOSE 110 2/5 HP 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH P-5
P-6 PUMP MULTIPURPOSE 110 2/5 HP 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH P-6
P-7 PUMP MECHANICAL/JAN SUPPLY 105 2/5 HP 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH P-7
P-8 PUMP CLASSROOM/PROGRAMS 107 2/5 HP 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH P-8
P-9 PUMP MECHANICAL/JAN SUPPLY 105 1/8 HP 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH P-9
P-10 PUMP MECHANICAL/JAN SUPPLY 105 1/2 HP 208/3 1 3/4" EMT 3 12 AWG 12 AWG CU THHN ELEC ELEC SIZE 00 MTR ELEC ELEC FS 30A MTR MECH P-10
FC-1 FAN COIL UNIT STORAGE 112 1 1/2 HP 208/3 1 3/4" EMT 3 12 AWG 12 AWG CU THHN ELEC ELEC SIZE 00 MTR ELEC ELEC FS 30A MTR MECH FC-1
FC-2 FAN COIL UNIT STORAGE 112 1/3 HP 120/1 1 3/4" EMT 2 12 AWG 12 AWG 12 AWG CU THHN ELEC ELEC MTR ELEC ELEC MMS 15A MTR MECH FC-2
FC-3 FAN COIL UNIT MECHANICAL/JAN SUPPLY 105 1 HP 208/3 1 3/4" EMT 3 12 AWG 12 AWG CU THHN ELEC ELEC SIZE 00 MTR ELEC ELEC FS 30A MTR MECH FC-3
FC-4 FAN COIL UNIT KITCHENETTE 107A 1 1/2 HP 208/3 1 3/4" EMT 3 12 AWG 12 AWG CU THHN ELEC ELEC SIZE 00 MTR ELEC ELEC FS 30A MTR MECH FC-4
CU-1 FAN COIL UNIT ROOF 36.9 MCA 208/3 1 3/4" EMT 3 8 AWG 10 AWG CU THHN MFR MFR MTR ELEC ELEC FS 60A MTR MECH CU-1
CU-2 FAN COIL UNIT ROOF 13.2 MCA 208/1 1 3/4" EMT 2 12 AWG 12 AWG CU THHN ELEC ELEC MMS 15A MTR MECH CU-2
CU-3 FAN COIL UNIT ROOF 28.2 MCA 208/1 1 3/4" EMT 2 10 AWG 10 AWG CU THHN ELEC ELEC MMS 30A MTR MECH CU-3
CU-4 FAN COIL UNIT ROOF 36.9 MCA 208/3 1 3/4" EMT 3 8 AWG 10 AWG CU THHN MFR MFR MTR ELEC ELEC FS 60A MTR MECH CU-4
GENERAL NOTES:
A. ALL FUSE SIZES/BREAKER TRIPS ARE ESTIMATED. CONTRACTOR TO FIELD VERIFY INSTALLED MOTOR REQUIREMENTS.
KEYED NOTES:
1. CONTROLLED THROUGH VFD BY MECH
RELAY PANEL SCHEDULE
PANEL: RP-1 (MASTER PANEL) MOUNTING:SURFACE
LOCATION:ELECTRICAL 109 SCCR: 35,000 AMPS SYMETRICAL
SPECIAL:BARRIER FOR EMERGENCY || NORMAL
RELAY
No.
CONTROL
TYPE
LOAD
WATTS
PANEL
CONNECTION
PANEL
CKT
TIME
SCHDVOLTLOAD DESCRIPTION NOTES
1 AUTO 120 NORTH CANOPY LIGHTING 984 LP1 4 1 1
2 AUTO 120 SOUTH CANOPY LIGHTING 984 LP1 6 1 1
3 AUTO 120 EXTERIOR LIGHTING 984 LP1 49 1 1
4 AUTO 120 EXTERIOR LIGHTING 1148 LP1 53 1 1
5 AUTO 120 NORTH VESTIBULE LIGHTING 1148 LP1 4 1 1
6 AUTO 120 SOUTH VESTIBULE LIGHTING 984 LP1 6 1 1
7 AUTO 120 LOBBY LIGHTING 746 LP1 14 1 1 _
CONTROL CODES:
Nx: NETWORK SWITCH. AUTO: BUILDING AUTOMATION. OHD: OVERHEAD DOOR CONTROLLER.
PC: PHOTOCELL. LS: LIGHT LEVEL SENSOR.
GENERAL NOTES:
A. PROVIDE BARIER BETWEEN EMERGENCY CIRCUITS AND NORMAL POWER CIRCUITS (INCLUDING SPARES).
SCHEDULE NOTES:
1. LIGHTS CONTROLLED BY PHOTOCELL ONLY.
2. LIGHTS CONTROLLED BY RELAY PANEL TIMER, NETWORK SWITCHES, AND DOOR OPERATOR CONTACTS. REQUIRES
DOOR CONTACT CLOSURE OR NETWORK SWITCH OPERATION TO TURN LIGHTS ON. LIGHTS TURN OFF 30 MINUTES
AFTER EITHER OPERATION TURNS LIGHTS ON.
F
E
D
C
B
A
1 2 3 4 5 6 7 8
E
MN
NorthCheck:
Drawn:
Date:
Comm:
License
Number:
I hereby certify that this plan, specification or report was prepared by
me or under my direct supervision and that I am a duly Licensed
under the laws of the State of
Scale:
Date
9/14/2023 4:42:10 PMBIM 360://222064 - Glacial Valley Park Building/222064 Glacial Valley Park Building_Elec_Bim 360.rvtAs indicatedCentral: BIM 360://222064 - Glacial Valley Park Building/222064 Glacial Valley Park Building_Elec_Bim 360.rvtCITY OF COTTAGE
GROVE
GLACIAL VALLEY
PARK BUILDING
E3.00
MOTOR AND
LUMINAIRE
SCHEDULE
8635 W POINT DOUGLAS RD S
COTTAGE GROVE, MN 55016
9900 RAVINE PKWY S
COTTAGE GROVE, MN 55016
222064
S MCNAMARA
D PETERSON
11/8/22
222064
MINNESOTA
11/8/22
BRADLEY R. JOHANNSEN
43936
PROFESSIONAL ENGINEER
Revisions
Description Date Num
ADD #1 11/28/2022 1
PR#6 8/7/2023 2
PR#8 9/14/2023 3
1
1
1
1
1
1
1
1
1
1
1
1
1
2
2
2
3
Change Order Request
Project:
Cottage Grove, MN 55016
12800 Ravine Parkway South
Cottage Grove Glacial Valley Park
2210103-02 COR # 11.00
Date:12/12/2023
Cottage Grove, MN 55016
To: Owner From: Kraus-Anderson Construction Company
Minneapolis, MN 55404
501 South Eighth Street
City Of Cottage Grove
8635 W. Point Douglas Rd
AmountItem #Description Vendor
PCO # 30 - Ebert: Window Shade Credit
1 ($3,600.00)Window shade credit.Ebert Construction
($3,600.00)Total For Change Order
Signed: ____________________________Approved By:
Submitted By:
Date: __________________
Signed: ____________________________Kraus-Anderson Construction Company Date: __________________
Accepted By: Wold Architects & Engineers Signed: ____________________________Date: __________________
City Of Cottage Grove
Corcoran, MN 55357
23350 County Road 10
Ph : 763-498-7844
Change Proposal
Phone:
Job:66001 City Cottage Grove-Glacial 6A
Number:
Date:
16
12/6/23
To:Kraus Anderson
416 South Broadway
Rochester, MN 55904
Description:Window Shade Credit
Proposed are the following changes:
See window shade credit below, provided in accapetance of the window shades installed different than shown on the plans.
The total amount to provide this work is ..................................................................................................$-3,600.00
(Please refer to attached sheet for details.)
If you have any questions, please contact me at 763-498-7844.
Submitted by:Approved by:
Date:
Ebert Companies
Pricing subject to review/change if not approved within 14 days of receipt.
Page 1 of 2
Corcoran, MN 55357
23350 County Road 10
Ph : 763-498-7844
Change Proposal 16 Price Breakdown
Continuation Sheet
Description:Window Shade Credit
Description PriceMaterialSubcontractOtherEquipmentLabor
Window Treatments $-3,600.00$-3,600.00
Subtotal:$-3,600.00
Total:$-3,600.00
Page 2 of 2
Change Order Request
Project:
Cottage Grove, MN 55016
12800 Ravine Parkway South
Cottage Grove Glacial Valley Park
2210103-02 COR # 12.00
Date:12/12/2023
Cottage Grove, MN 55016
To: Owner From: Kraus-Anderson Construction Company
Minneapolis, MN 55404
501 South Eighth Street
City Of Cottage Grove
8635 W. Point Douglas Rd
PCO 31 will be a $0.00 cost to the owner. Please see below breakdown:
Ebert (CMa Contract): ADD CHANGE ORDER: $1,140.00
LaForce (CMr Subcontract): BACKCHARGE CHANGE ORDER: ($1,140.00)
Total Cost to Owner = $0.00
AmountItem #Description Vendor
PCO # 31 - Ebert: Sliding Barn Door Swap
1 $1,140.00 Sliding barn door swap.Ebert Construction
$1,140.00 Total For Change Order
Signed: ____________________________Approved By:
Submitted By:
Date: __________________
Signed: ____________________________Kraus-Anderson Construction Company Date: __________________
Accepted By: Wold Architects & Engineers Signed: ____________________________Date: __________________
City Of Cottage Grove
Corcoran, MN 55357
23350 County Road 10
Ph : 763-498-7844
Change Proposal
Phone:
Job:66001 City Cottage Grove-Glacial 6A
Number:
Date:
17
12/6/23
To:Kraus Anderson
416 South Broadway
Rochester, MN 55904
Description:Sliding Barn Door Swap
Proposed are the following changes:
See pricing below for swapping out barn doors.
The total amount to provide this work is ..................................................................................................$1,140.00
(Please refer to attached sheet for details.)
If you have any questions, please contact me at 763-498-7844.
Submitted by:Approved by:
Date:
Ebert Companies
Pricing subject to review/change if not approved within 14 days of receipt.
Page 1 of 2
Corcoran, MN 55357
23350 County Road 10
Ph : 763-498-7844
Change Proposal 17 Price Breakdown
Continuation Sheet
Description:Sliding Barn Door Swap
Description PriceMaterialSubcontractOtherEquipmentLabor
Door Hardware $1,140.00$1,140.00
Subtotal:$1,140.00
Total:$1,140.00
Page 2 of 2
COST ISSUE DATE:11/6/2023
TO:PROJECT:66001 Glacial Valley 6A
Ebert Construction RE:Sliding Door Swap
DATE:
TIME EXTENSION REQUESTED:
DESCRIPTON:
MATERIAL/LABOR BREAK-DOWN AMOUNT
Carpenter Swap out sliding doors and hardware.12 Hrs @ $95.00 Hr =$1,140.00
SIGN:
DATE:TOTAL ADDITIONAL COST:$1,140.00
Prepared By:
Kevin Roehl
APPROVAL
EBERT CONSTRUCTIONDISTRIBUTION
11/6/2023
Jake Stolquist
Corcoran, MN 55357
23350 County Road 10
Remove sliding doors, strip hardware, install new doors with existing hardwear.
Contract Change Order
Minneapolis MN 55404
501 South Eighth Street
Contract #: 2210103-WS 06-A2210103-02 Cottage Grove Glacial Valley ParkProject:
12800 Ravine Parkway South
Cottage Grove, MN 55016
Contract Change Order #: 2
To Contractor :
23350 County Road 10
Change Order Date: 12/13/23
Corcoran, MN 55357
Ebert, Inc. dba Ebert Construction
PCO Item Description Amount
THE CONTRACT IS CHANGED AS FOLLOWS:
$5,227.42 Added thermally modified siding per RFI #49. 1 23
Total $5,227.42
The original Contract Sum was . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The net change by previously authorized Change Orders was . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The Contract Sum prior to this Change Order was . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The Contract Sum will be increased by this Change Order . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The new Contract Sum will be . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$363,130.00
$368,357.42
($170.00)
$363,300.00
$5,227.42
NOT VALID UNTIL SIGNED BY THE OWNER, CONSTRUCTION MANAGER, ARCHITECT AND CONTRACTOR
DATE:
Kraus-Anderson Construction Company
501 South Eighth Street
Minneapolis MN 55404
BY (Signature)
CONSTRUCTION MANAGER (Firm name)
ADDRESS
Dan Kjellberg
(Typed name)
ARCHITECT (Firm name)
ADDRESS
BY (Signature)
DATE: (Typed name)
Wold Architects & Engineers
Jacob Wollensak
Jennifer Levitt
Cottage Grove, MN 55016
8635 W. Point Douglas Rd
City Of Cottage Grove
(Typed name)DATE: (Typed name)DATE:
BY (Signature)
ADDRESS
OWNER (Firm name)
BY (Signature)
ADDRESS
CONTRACTOR (Firm name)
Ebert, Inc. dba Ebert Construction
Corcoran, MN 55357
23350 County Road 10
332 Minnesota Street - Suite W2000
Saint Paul, MN 55101
Page 1 of 1
Change Order Request
Project:
Cottage Grove, MN 55016
12800 Ravine Parkway South
Cottage Grove Glacial Valley Park
2210103-02 COR # 10.00
Date:10/12/2023
Cottage Grove, MN 55016
To: Owner From: Kraus-Anderson Construction Company
Minneapolis, MN 55404
501 South Eighth Street
City Of Cottage Grove
8635 W. Point Douglas Rd
AmountItem #Description Vendor
PCO # 23 - RFI 49 - Added Thermally Modified Siding
1 $5,227.42 Added thermally modified siding per RFI #49.Ebert Construction
$5,227.42 Total For Change Order
Signed: ____________________________Approved By:
Submitted By:
Date: __________________
Signed: ____________________________Kraus-Anderson Construction Company Date: __________________
Accepted By: Wold Architects & Engineers Signed: ____________________________Date: __________________
City Of Cottage Grove
DocuSign Envelope ID: 1F683E90-B822-4530-B446-FE7537C07A77
11/14/2023 | 9:45 AM CST
11/14/2023 | 9:56 AM CST
11/20/2023 | 12:53 PM CST
Corcoran, MN 55357
23350 County Road 10
Ph : 763-498-7844
Change Proposal
Phone:
Job:66001 City Cottage Grove-Glacial 6A
Number:
Date:
7
9/13/23
To:Kraus Anderson
416 South Broadway
Rochester, MN 55904
Description:Added Thermally Modified Siding-RFI # 049
Proposed are the following changes:
See pricing below for added interior Thermally Modified Siding in room 107 per RFI # 049 response.
$150.00 Material cost. Added furing over CMU Room 107 and 110.
The total amount to provide this work is ..................................................................................................$5,227.42
(Please refer to attached sheet for details.)
If you have any questions, please contact me at 763-498-7844.
Submitted by:Approved by:
Date:
Pricing subject to review/change if not approved within 14 days of receipt.
Page 1 of 2
DocuSign Envelope ID: 1F683E90-B822-4530-B446-FE7537C07A77
Corcoran, MN 55357
23350 County Road 10
Ph : 763-498-7844
Change Proposal 7 Price Breakdown
Continuation Sheet
Description:Added Thermally Modified Siding-RFI # 049
Description PriceMaterialSubcontractOtherEquipmentLabor
Rough Carpentry $4,885.64$2,935.64$1,950.00
Subtotal:$4,885.64
$195.00OH & P Work Self Performed $1,950.00 10.00%
$146.78OH & P $2,935.64 5.00%
Total:$5,227.42
Page 2 of 2
DocuSign Envelope ID: 1F683E90-B822-4530-B446-FE7537C07A77
COST ISSUE DATE:9/12/2023
TO:PROJECT:66001 Glacial Valley 6A
Ebert Construction RE:PCO #Added Thermally Modified
DATE:
TIME EXTENSION REQUESTED:
DESCRIPTON:
MATERIAL/LABOR BREAK-DOWN AMOUNT
Carpenter
Install furring at added thermally modified wood at
north elevation.4 Hrs @ $85.00 Hr =$340.00
Carpenter
Install approx. 120 sq ft of additional thermally
modified wood at north elevation.16 Hrs @ $85.00 Hr =$1,360.00
Equipment Scaffold/Lift 1 L/S @ $250.00 L/S =$250.00
SIGN:
DATE:TOTAL ADDITIONAL COST:$1,950.00
Prepared By:
Kevin Roehl
DISTRIBUTION
9/7/2023
Jake Stolquist
Corcoran, MN 55357
23350 County Road 10
Additional 120 sq ft of furring and thermally modified wood and trims.
APPROVAL
EBERT CONSTRUCTION
DocuSign Envelope ID: 1F683E90-B822-4530-B446-FE7537C07A77
Sales Order
Intectural, Inc.
1025 London Road
Duluth, MN 55802
Ph: (877) 970-7877
Fax: (218) 336-8599
Sold To:Ship To:
Ebert Construction
23350 County Road 10
JAKE 763-233-9202 & 763-498-7844
business delivery, forklift on site
Corcoran, MN 55357
Ebert Construction
23350 County Road 10
Corcoran, MN 55357
Page:1
Order Number:
Order Date:
Salesperson:
Customer Number:
0023914
9/7/2023
IH
0003018
Contact:
Jake Stolquist
Customer P.O.Ship VIA F.O.B.Terms
PrePay
Item Code FSC Price Amount
Shipped Back OrderOrderedWhse:
Phone:
Estimated Ship Date
763-498-7844
AW-TG-ASH-4 000 1,675.445.37312 0.000 0
NATRL Ash - 5” Arbor Wood Tongue & Groove Siding 5 in. × .75 in.
/ARBOR WOOD FINISH 390.00
Arbor Wood Finish. Finished products are not returnable.
Clear oil cutek, $1.25/lf
/PALLET 130.00
Pallet and Handeling Fee. This order will be delivered on a pallet and will
require a forklift/skidsteer or sufficient labor to unload. Please reach out with
any concerns on receiving LTL deliveries.
freight quote QT87048681
Net Order:2,195.44
Less Discount:0.00
Freight:411.00
Sales Tax:179.20
2,785.64Order Total:
PRICE AND PAYMENT Prices for each Product are stated in U.S. Dollars. Intectural reserves the right to correct any
inaccurate invoices or errors in previously communicated prices. Unless specified otherwise in wriƟng by
Intectural, Buyer shall make payment in full, including payment of all costs, taxes and charges set forth in SecƟon
13, prior to delivery pursuant to SecƟon 3 or SecƟon 4, as applicable.
INTECTURAL’S SHIPMENT ARRANGEMENTS If Intectural agrees in wriƟng to arrange for shipment of the Products
at Buyer’s risk and expense, Buyer shall accept deliveries and shall be liable for any addiƟonal costs suffered by
Intectural in the event of wrongful refusal or delay in accepƟng delivery, in failing to provide premises, services or
informaƟon for Intectural to effect safe delivery, or in the event of future deliveries being withheld through
Buyer’s non-payment. If Intectural has the Products delivered to Buyer’s premises, Buyer shall unload the
Products. Any Ɵme or date specified for delivery is given in good faith as an esƟmate only and Intectural shall not
be liable for any direct or indirect loss, damage or expense howsoever arising from any delay in delivery. Intectural
may deliver by installments and may treat each delivery as a separate contract.
A SERVICE CHARGE of 1.5% per month (18% Annual) will be charged on all past due amounts.
There is a 20% restock fee on all cancellaƟons and returns aŌer 24 hours and/or orders that have leŌ our facility.
Full Terms and CondiƟons of Sale can be found at: www.intectural.com/terms
Order approval signature____________________________________
Less Deposit:0.00
2,785.64Order Balance:
DocuSign Envelope ID: 1F683E90-B822-4530-B446-FE7537C07A77
REQUEST FOR INFORMATION
KrausAnderson
2210103 Cottage Grove Glacial Valley Park
DATE: 8/31/2023 UTC
RFI #: 49
TO:Wold Architectural FROM:Jake Stolquist
Ebert Construction
PHONE:PHONE:(763) 4987844
EMAIL:EMAIL:jstolquist@ebertcompanies.com
CC:Matt Harder, Dan Kjellberg, Rachel
Struckman
DUE BY:9/5/2023 UTC
SUBJECT: Interior Thermally Modified Siding Clarification RM
107
DRAWING REFERENCE:
SPEC SECTION:
QUESTION
Page A2.001 Room 107 Classroom Program shows thermally modified siding being installed on the North side of the
room as Keynote 18. The elevation drawing E3/A4.706 shows the thermally modified extending up roughly 9’ in
elevation off floor. After reviewing conditions onsite I questioned if the intent was to run the thermally modified to the
roof deck to cover the exposed CMU?
In that same location we transition from steel stud to CMU behind the Thermally modified. Detail F3/A4.705 shows the
thermally modified wood directly installed to CMU. Typically we would see this siding furred out ¾” over the CMU
locations.
Please provide direction if thermally modified can be installed over furring strips.
SUGGESTION:
DRAWINGS
RESPONSES
DocuSign Envelope ID: 1F683E90-B822-4530-B446-FE7537C07A77
REQUEST FOR INFORMATION
KrausAnderson
2210103 Cottage Grove Glacial Valley Park
DATE: 8/31/2023 UTC
RFI #: 49
DATE FROM (FIRM)FROM (CONTACT)
September 5, 2023
at 1:57 PM UTC
Wold Architects & Engineers Allison Timmins
The intent with the thermally modified siding is to cover the exposed CMU. Please run this to the roof deck.
Installing the thermally modified siding over furring strips is acceptable.
DocuSign Envelope ID: 1F683E90-B822-4530-B446-FE7537C07A77
REQUEST FOR INFORMATION
KrausAnderson
2210103 Cottage Grove Glacial Valley Park
DATE: 8/31/2023 UTC
RFI #: 49
TO:Wold Architectural FROM:Jake Stolquist
Ebert Construction
PHONE:PHONE:(763) 4987844
EMAIL:EMAIL:jstolquist@ebertcompanies.com
CC:Matt Harder, Dan Kjellberg, Rachel
Struckman
DUE BY:9/5/2023 UTC
SUBJECT: Interior Thermally Modified Siding Clarification RM
107
DRAWING REFERENCE:
SPEC SECTION:
QUESTION
Page A2.001 Room 107 Classroom Program shows thermally modified siding being installed on the North side of the
room as Keynote 18. The elevation drawing E3/A4.706 shows the thermally modified extending up roughly 9’ in
elevation off floor. After reviewing conditions onsite I questioned if the intent was to run the thermally modified to the
roof deck to cover the exposed CMU?
In that same location we transition from steel stud to CMU behind the Thermally modified. Detail F3/A4.705 shows the
thermally modified wood directly installed to CMU. Typically we would see this siding furred out ¾” over the CMU
locations.
Please provide direction if thermally modified can be installed over furring strips.
SUGGESTION:
DRAWINGS
RESPONSES
THE INTENT WITH THE THERMALLY MODIFIED SIDING IS TO COVER THE EXPOSED CMU.
PLEASE RUN THIS TO THE ROOF DECK.
INSTALLING THE THERMALLY MODIFIED SIDING OVER FURRING STRIPS IS
ACCEPTABLE.
DocuSign Envelope ID: 1F683E90-B822-4530-B446-FE7537C07A77
DocuSign Envelope ID: 1F683E90-B822-4530-B446-FE7537C07A77
DocuSign Envelope ID: 1F683E90-B822-4530-B446-FE7537C07A77
Contract Change Order
Minneapolis MN 55404
501 South Eighth Street
Contract #: 2210103-WS 26-A2210103-02 Cottage Grove Glacial Valley ParkProject:
12800 Ravine Parkway South
Cottage Grove, MN 55016
Contract Change Order #: 3
To Contractor :
18955 Forest Boulevard North, P.O. Box 907
Change Order Date: 12/13/23
Forest Lake, MN 55025
Vinco, Inc.
PCO Item Description Amount
THE CONTRACT IS CHANGED AS FOLLOWS:
$1,832.07 Additional Rough-In/Raceway for Owner AV Vendor - RFI 44. 1 20
$1,111.28 Electrical per Wold PR #10. 1 22
Total $2,943.35
The original Contract Sum was . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The net change by previously authorized Change Orders was . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The Contract Sum prior to this Change Order was . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The Contract Sum will be increased by this Change Order . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The new Contract Sum will be . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$381,718.61
$384,661.96
$20,593.61
$361,125.00
$2,943.35
NOT VALID UNTIL SIGNED BY THE OWNER, CONSTRUCTION MANAGER, ARCHITECT AND CONTRACTOR
DATE:
Kraus-Anderson Construction Company
501 South Eighth Street
Minneapolis MN 55404
BY (Signature)
CONSTRUCTION MANAGER (Firm name)
ADDRESS
Dan Kjellberg
(Typed name)
ARCHITECT (Firm name)
ADDRESS
BY (Signature)
DATE: (Typed name)
Wold Architects & Engineers
Jacob Wollensak
Jennifer Levitt
Cottage Grove, MN 55016
8635 W. Point Douglas Rd
City Of Cottage Grove
(Typed name)DATE: (Typed name)DATE:
BY (Signature)
ADDRESS
OWNER (Firm name)
BY (Signature)
ADDRESS
CONTRACTOR (Firm name)
Vinco, Inc.
Forest Lake, MN 55025
18955 Forest Boulevard North, P.O. Box 907
332 Minnesota Street - Suite W2000
Saint Paul, MN 55101
Page 1 of 1
Change Order Request
Project:
Cottage Grove, MN 55016
12800 Ravine Parkway South
Cottage Grove Glacial Valley Park
2210103-02 COR # 7.00
Date:10/2/2023
Cottage Grove, MN 55016
To: Owner From: Kraus-Anderson Construction Company
Minneapolis, MN 55404
501 South Eighth Street
City Of Cottage Grove
8635 W. Point Douglas Rd
AmountItem #Description Vendor
PCO # 20 - Vinco: Addtl Rough-In/Raceway for Owner AV Vendor - RFI 44
1 $1,832.07 Additional Rough-In/Raceway for Owner AV Vendor - RFI 44.Vinco, Inc.
$1,832.07 Total For Change Order
Signed: ____________________________Approved By:
Submitted By:
Date: __________________
Signed: ____________________________Kraus-Anderson Construction Company Date: __________________
Accepted By: Wold Architects & Engineers Signed: ____________________________Date: __________________
City Of Cottage Grove
DocuSign Envelope ID: 6C3FA4E6-22BA-4316-88B0-1C39B4A6E723
10/12/2023 | 2:44 PM CDT
10/31/2023 | 9:20 AM CDT
11/3/2023 | 9:10 AM CDT
To:RFC #:2
ITEM(S) #:1
Attn:
Date:
From:
Project:
ITEM #1
Scope of Change:
Labor:11.36 X $125.00 /hr =$1,420.00
Material:$229.85 X 1 =$229.85
Equipment:$0.00 X 1 =$0.00
Permit:$0.00 X 1 =$0.00
Misc:$0.00 X 1 =$0.00
Mark-Up (10%):$1,649.85 X 10.00%=$164.99
Subcontractor:$0.00 X 1 =$0.00
Sub Mark-Up (5%):$0.00 X 5.00%=$0.00
Tax:$229.85 X 7.50%=$17.24
Bond:$0.00 X 1.00%=$0.00
TOTAL:=$1,832.07
Total Request for Change:
9/25/2023
Date
$1,832.07
Matthew Rivera
Matthew Rivera
Commercial Department Manager
Vinco Inc.
9/25/2023
Matt Rivera
Cottage Grove Glacial Valley Park
Additional Rough-In and Raceway for Owner AV Vendor.
REQUEST FOR CHANGE #2
Kraus-Anderson Construction
501 South Eighth Street
Minneapolis, MN 55404
Dan Kjellburg
DocuSign Envelope ID: 6C3FA4E6-22BA-4316-88B0-1C39B4A6E723
1
2
3
4
5
6
7
8
9
10
A B C D
Item Name Quantity Material Labor
1/2 EMT CONDUIT 100.00 $74.29 2.98
1/2 EMT CONN S/S 20.00 $5.48 1.19
1/2 EMT COUP S/S 50.00 $18.18 2.24
BOX SUPPORTS-CLIP ON 16.00 $16.03 0.72
DPLX 5-20R COMMERCIAL 3.00 $11.23 0.89
4/S BOX 2-1/8" DEEP 16.00 $75.23 2.38
4/S 5/8" DEEP 1G MUD RING 10.00 $20.36 0.75
4/S 5/8" DEEP 2G MUD RING 3.00 $9.05 0.22
$229.85 11.36
DocuSign Envelope ID: 6C3FA4E6-22BA-4316-88B0-1C39B4A6E723
REQUEST FOR INFORMATION
KrausAnderson
2210103 Cottage Grove Glacial Valley Park
DATE: 8/22/2023 UTC
RFI #: 44
TO:Wold Electrical FROM:Matthew Rivera
Vinco, Inc.
PHONE:PHONE:(651) 7095964
EMAIL:EMAIL:m.rivera@vincoinc.com
CC:Wold Architectural, Matt Harder,
Rachel Struckman
DUE BY:8/23/2023 UTC
SUBJECT: Electrical Coordinations DRAWING REFERENCE:
SPEC SECTION:
QUESTION
Please see attached RFI.
SUGGESTION:
DRAWINGS
RESPONSES
DATE FROM (FIRM)FROM (CONTACT)
August 30, 2023 at
8:51 PM UTC
Wold Architects & Engineers Sean McNamara
see attached comments
DocuSign Envelope ID: 6C3FA4E6-22BA-4316-88B0-1C39B4A6E723
RFI #:5
Date:8/22/2023
Glacial Valley Park
To:
Attn:
Subject:
Request:
Response Requested By:
From:
612-709-5964
note 13?
8/16/2023
Matt Rivera
Vinco, Inc.
Project Manager
What are the elevations for these boxes?
The vestebules and the canopys have circuitry labeled for the lighting but do not have any
control scheme for them. Are these lights to be on 24/7 or how are these to be controlled?
What are the heights for the recpetacles and power for AV in the multi purpose rooms with
Dan Kjellberg
Electrical Coordination
What is the height of the camera located on the north west wall of the building?
In multipurpose room 110 there are junction boxes in the north east corner with circuit
number 81, the two junction boxes are stacked in the wall and interconnected together
REQUEST FOR INFORMATION #5
Project Name:
Kraus Anderson Construction
501 South Eighth Street
Minneapolis, MN 55404
The owners AV rep is AVI - Jason Breska @ 952-949-6051
Control shall be by time clock through the BAS system. PR for relay panel to be issued
The owners AV rep is AVI - Jason Breska @ 952-949-6051
Interior cameras shall be mounted at 9'-0", exterior cameras shall be mounted at 10'-0"
DocuSign Envelope ID: 6C3FA4E6-22BA-4316-88B0-1C39B4A6E723
Change Order Request
Project:
Cottage Grove, MN 55016
12800 Ravine Parkway South
Cottage Grove Glacial Valley Park
2210103-02 COR # 9.00
Date:10/12/2023
Cottage Grove, MN 55016
To: Owner From: Kraus-Anderson Construction Company
Minneapolis, MN 55404
501 South Eighth Street
City Of Cottage Grove
8635 W. Point Douglas Rd
AmountItem #Description Vendor
PCO # 22 - Wold PR #10 - Electrical Clarifications
1 $1,111.28 Electrical per Wold PR #10.Vinco, Inc.
$1,111.28 Total For Change Order
Signed: ____________________________Approved By:
Submitted By:
Date: __________________
Signed: ____________________________Kraus-Anderson Construction Company Date: __________________
Accepted By: Wold Architects & Engineers Signed: ____________________________Date: __________________
City Of Cottage Grove
DocuSign Envelope ID: D1912B6E-F021-41F5-8C02-A03B3FCD2EF7
11/14/2023 | 9:44 AM CST
11/14/2023 | 9:57 AM CST
11/20/2023 | 12:52 PM CST
Vinco Inc Date :9/27/23
PO BOX 907
Forest Lake, MN 55025 PCO #:22
Project Manager: Matt Rivera PR/SI #10
Description Cost
Labor Total 731.25$
Materials and Equipment Total 266.88$
Tax on Materials and Equipment Only 13.34$
Self Performed Subtotal 998.13$
10% Overhead and Profit 99.81$
Self Performed Total 1,097.94$
Subcontractors -$
5% Overhead and Profit on Subs -$
Subcontractor Total -$
TOTAL COST OF CHANGE 1,111.28$
Signature:Matthew Rivera
Labor By Task Qty Unit Unit Cost Total Cost
New Ckt to gargae door opener.5.85 HR 125.00$ 731.25$
-$
-$
-$
Sub-Total 731.25$
Materials and Equipment By Task Qty Unit Unit Cost Total Cost
See attached Extension Report 266.88$
-$
-$
-$
-$
-$
-$
-$
Sub-Total 266.88$
Sub-Contractor Proposals Total Cost
-$
-$
-$
-$
Sub-Total (Attach Sub-Contractor Proposals)-$
Auto Fill from Sub-Total Below
(5% is the max allowed on subcontractors)
<<< Provide Sales/Use Tax Total
CITY OF COTTAGE GROVE - GLACIAL VALLEY PARK BUILDING
(10% is the max fee allowed on CO's)
Description of Work
Notes/Attachments
(Auto Fill from Sub-Total Below)
(Auto Fill from Sub-Total Below)
PROVIDE DETAIL BREAKDOWN BELOW:
COST SUMMARY
Contractor acknowledges no other Costs assciated with this PCO.
DocuSign Envelope ID: D1912B6E-F021-41F5-8C02-A03B3FCD2EF7
Attachments: Wold PR #10 dated 10/3/23
We have reviewed the PCO and acknowledge that it is a “no change” item and does not affect our
completion date.
Signed By: Date:
Company Name:
501 South Eighth Street
Minneapolis, MN 55404
Request For Proposal
Project: 2210103-02 PCO #: 22
Cottage Grove Glacial Valley Park
12800 Ravine Parkway South
Cottage Grove, MN 55016 Date: 10/05/2023
To: Matt Harder, Kraus-Anderson Construction Company
Zac Docter, City Of Cottage Grove
Matthew Rivera, Vinco, Inc.
Jacob Wollensak, Wold Architects & Engineers
Michael Stephens, Wold Architects & Engineers
Allison Timmins, Wold Architects & Engineers
Please provide a cost breakdown in accordance with the Contract Documents and a Summary for the Change
described herein and on the attachments (if any) listed. All responses are required within seven (7) days.
This is not an authorization to proceed with the work described herein unless and until approved by the Owner. On
approval, this change will be included in a Change Order, which will provide the formal Contract Change.
DESCRIPTION OF PROPOSAL:
Please provide a cost estimate per the attached Wold Architects and Engineers PR #10 dated October 3,
2023 regarding electrical clarifications.
DocuSign Envelope ID: D1912B6E-F021-41F5-8C02-A03B3FCD2EF7
PROPOSAL REQUEST
Distribution:
☐ Adam Moshier, CG
☐ Zac Dockter, CG
☒ Dustin Phillips, KA
☒ Jake Wollensak, Wold
☒ Tom Clark, Wold
☒ Michael Stephens, Wold
☒ Allison Timmins, Wold
☐ Pat Jansen, Wold
☐ Angel Gonzalez, Wold
☒ Sean McNamara, Wold
☒ Derek Peterson, Wold
☐ Linda Peters, BKBM
☐ Drew Luebke, BKBM
☐ Jay Pomeroy, BMI
☐ Jeff Toutant, BMI
City of Cottage Grove Glacial Valley Park Building
Kraus-Anderson Attn: Dan Kjellberg/Rachel Struckman
501 South Eighth Street
Minneapolis, MN 55404
612.332.7281
dan.kjellberg@krausanderson.com / rachel.struckman@krausanderson.com
Submit an itemized (labor and material) quotation for the proposed
modifications to the contract documents as described herein within 21 days of
receipt. If a cost is not submitted within 21 days, this Proposal Request can be
accepted at no additional cost. Written approval is required prior to
proceeding with this change.
COST EXPECTATIONS: ☐ DEDUCT ☐ NO COST ☒ ADD
PR: 10
Comm: 222064
Const. Pkg: [Status]
Item Description
1 Electrical Clarifications
1.1 See revised sheet E1.00 for garage door location, control and circuit.
Attachments: E1.00
Issued By: Sean McNamara Date: 10/03/23
DocuSign Envelope ID: D1912B6E-F021-41F5-8C02-A03B3FCD2EF7
GENERAL SHEET NOTES - LIGHTING
KEYED SHEET NOTES
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OS
L
OS
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OS
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OS
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OS
L
OS
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OS
L
OS
L
OS
L
OS
L
OS
L
OS OS3D 3DDABGFIAB
GFI
AB
GFI
ABGFIABGFIABGFIAB
GFI
ABGFIEWC48"
AB
GFI
48"48"48"48"48"48"ABGFIABGFIWP
WPWPAB
GFI
36"SS SSSSSS
S
S
SS
S CRK
S CRK
S CRK
WAP
WAP
SCRKSCRK JJJ84"84"JJ
FB2
J
FB2
J
FB2
J
FB2 JJFS
F
F
F F F F F F F F F FFFFACPFFS
F
TS
F
TS
F
TS
F
FL48"
JJ J
JJ
JJ
J F WPFSDFSDJ S CRK
SCRK
SCRK SCRKSCRKSCRKSCRK SCRK48" 48"JGENERAL SHEET NOTES - POWER
A. SOME NOTES MAY NOT APPLY TO THIS SHEET.
B. ELECTRICAL CONTRACTOR SHALL BE
RESPONSIBLE FOR WIRING ALL ELECTRICAL
ITEMS SHOWN ON THIS DRAWING.
C. ALL RECESSED LIGHTING FIXTURES IN LAY-IN
CEILINGS SHALL BE INSTALLED WITH 6' LONG
FLEXIBLE METAL CONDUIT.
D. ALL MOUNTING HEIGHTS FOR LIGHTING
FIXTURES ARE TO THE BOTTOM OF THE
FIXTURES UNLESS INDICATED OTHERWISE.
E. SEE ARCHITECTURAL EXTERIOR ELEVATIONS
FOR MOUNTING HEIGHTS OF EXTERIOR
LIGHTING FIXTURES.
F. CIRCUIT WIRING IS NOT SHOWN EXCEPT FOR
SWITCHING INTENT OF FIXTURES AND CONTROL
OF DEVICES.
G. PROVIDE PROPER NUMBER OF CONDUCTORS TO
ACHIEVE CIRCUITING AND SWITCHING SHOWN.
H. CIRCUIT NUMBERS AT DEVICES CIRCUIT
NUMBERS SHOWN ARE FOR SCHEMATIC
PURPOSES AND ARE FOR DISTINGUISHING
CIRCUITS. RECORD AS-BUILT CIRCUITING IN A
TYPED AND DATED PANELBOARD SCHEDULE.
BRANCH CIRCUITS SHALL BE SIZED ACCORDING
TO THE CIRCUIT BREAKER RATING, UNLESS
INDICATED OTHERWISE ON THE ELECTRICAL
EQUIPMENT SCHEDULE.
I. SEE BRANCH CIRCUIT CONDUCTOR SIZING
SCHEDULE ON SHEET E0.00.
J. ALL OCCUPANCY SENSORS SHALL HAVE
AUXILIARY CONTACTS OR ADDITIONAL DEVICES
TO ENABLE HVAC INTERFACE.
NORMAL OPERATING LIGHT
FIXTURE. FEED FIXTURE USING
EXISTING LIGHTING CIRCUITRY
FROM NORMAL PANEL.
A NL
rl-1ab
FIXTURE TYPE
FIXTURE NOTES
RELAY #/
PANEL CIRCUIT #
SWITCHING SCHEME
SWITCHED EMERGENCY LIGHT.
FEED FIXTURE FROM
EMERGENCY PANEL xx-x VIA
EMERGENCY RELAY AS
INDICATED ON PLAN.
UNSWITCHED EMERGENCY
LIGHT (NIGHT LIGHT). FEED
FIXTURE FROM UNSWITCHED
CIRCUIT IN EMERGENCY PANEL
EHH1.
1. MAXIMUM ALLOWABLE WATTAGE FOR A
LIGHTING CIRCUIT WILL NOT EXCEED 3500
(277V) OR 1600 (120V) WATTS.
2. REFER TO DIVISION 23 SPECIFICATIONS FOR
MORE INFORMATION ON BAS LIGHTING
CONTROLS.
EMERGENCY LIGHTING UNIT
AND EXIT LIGHT. FEED FROM
UNSWITCHED CIRCUIT IN
EMERGENCY PANEL xx-x.
1. PROVIDE 120V CONNECTION WITH JUNCTION BOX
AND 1/2" CONDUIT TO FIRE PIT. TIMER SWITCH
AND EPO BY DIV 23.
2. PROVIDE 3/4" CONDUIT WITH PULL STRING FROM
JUNCTION BOX TO NEAREST ACCESSIBLE
CEILING SPACE.
3. RPOVIDE 3/4" CONDUIT WITH PULL STRING
BETWEEN JUNCTION BOXES.
4. PROVIDE BATTERY BACK UP, BATTERY SHALL BE
MOUNTED IN THE VESTIBULE, ABOVE CEILING.
5. PROVIDE SINGLE GANG JUNCTION BOX FOR
MOTORIZED SCREEN CONTROL AT SWITCH
HIGHT, PROVIDE 2ND JUNCTION BOX AT 96" WITH
BLANK COVER PLATE. PROVIDE 1/2 CONDUIT
WITH PULL STRING BETWEEN JUNCTION BOXES.
6. PROVIDE RECEPTACLE FOR MOTORIZED
SCREEN, REFER TO ARCHITECTURAL DETAILS
FOR MOUNTING HEIGHT. INSTALL RECEPTACLE
PER MANUFACTURES RECOMMENDATIONS.
7. PROVIDE TWO JUCTION BOXES AND 120V
CONNECTION AT ONE FOR ELECTRIC PLUMBING
CONNECTIONS. LOW VOLTAGE PLUMBING
DEVICES BY DIV 22.
8. PROVIDE JUCTION BOX AND 120V CONNECTION
FOR HEAT TRACE, HEAT TRACE BY DIV 22.
9. PROVIDE 120V CONNECTION FOR CO DETECTION
SYSTEM, CO SYSTEM BY DIV 23. COORDINATE
LOCATION WITH DIV 23.
10. PROVIDE 90 MINUTE BATTERY BACK UP, BATTERY
SHALL BE INSTALLED IN THE VESTIBULE.
11. MOUNT BATTERY PACK FOR D1 FIXTURES ABOVE
ACCESSIBLE CEILING SPACE.
12. MOUNT BATTERY PACK FOR D1 FIXTURES ABOVE
ACCESSIBLE CEILING PANEL.
13. PROVIDE POWER FOR A/V EQUIPMENT,
COORDINATE LOCATION WITH CITY VENDOR
(AVI).
14. PROVIDE JUNCTION BOX AND CONDUIT WITH
PULL STRING BACK TO NEAREST ACCESSIBLE
CEILING FOR CARD ACCESS (BY OWNER).
15. PROVIDE JUNCTION BOX AND CONDUIT WITH
PULL STRING BACK TO NEAREST ACCESSIBLE
CEILING FOR SECURITY CAMERA (BY OWNER)
16. ROUTE DATA CONDUIT FROM FLOOR BOX BACK
TO ELECTRICAL ROOM, INCLUDE PULL STRING.
17. PROVIDE STUB OUT FOR FIBER, INCLUDE PULL
STRING AND CAPS, TAG FOR FIBER.
18. PROVIDE DEDICATED RECEPTACLE FOR OWNERS
PATCH PANEL. COORDINATE LOCATION PRIOR TO
INSTALLATION.
19. PROVIDE DEDICATED RECEPTACLE FOR OWNERS
HEAD END EQUIPMENT, COORDINATE LOCATION
PRIOR TO INSTALLATION.
20. PROVIDE JUNCTION BOX AND CONDUIT WITH
PULL STRING BACK TO NEAREST ACCESSIBLE
CEILING FOR WIRELESS ACCESS POINT.
21. PROVIDE 1/2" CONDUIT STUBBED FROM AED
BASE TO INTERIOR ACCESSIBLE WALL SPACE.
ROUTE BACK TO ELECTRICAL PANEL.
22. PROVIDE LIGHTING RELAY CONTROL PANEL.
23. LIGHITING CONTROL SHALL BE BY TIME CLOCK
VIA BAS SYSTEM, ROUTE THROUGH LIGHTING
RELAY PANEL.
TOILET
106
MECHANICAL
/ JAN
SUPPLY
105
PARKS
STORAGE
108
KITCHENETTE
107A
ELECTRICAL
109
CLASSROOM
/
PROGRAMS
107
LOBBY /
WARMING
101TOILET
103
TOILET
104
N. VEST
102
KITCHENETTE
/ SERVING
111
STORAGE
112
S. VEST
100
MULTIPURPOSE
110
F
F
F
F F
F
F F
F
F
A
F
F F
F
D
D
D
D
D
D
D
D
D
D1
D1DDDDDD
A
A A
A
A
A
A
A
A A AAA
DDDDDDD1
D1
D1
B
B
B
F
EM
AA
C C
CC
C C
C
C
C
C C
C
C
C C C
E
EM
CC
C C
CC
E
EM
E
EM
EM
E
EM
E
CCCCCC
C C C C C C
CCCCCC
C C C C C C
AA
C C C C C C
C C
C
CCCCCCC
C C C C C C C
CC
1
QPNMLKJHG
FEDCBA
2
3
4
CC
LP1/39
LP1/41
C
LP1/14
D
LP1/4
D
LP1/4
C
LP1/12
A
LP1/10
A
LP1/10
A
LP1/10
B
P1/41
D/B
LP1/41
D/B
LP1/41
F
LP1/2
F
LP1/39
C
LP1/8
D
LP1/6
D
LP1/6
LP1
LP1/49
LP1/53
EM
EM
A
A
B
B
C
D
D
D
E
F
F
F
G
G
A
10
10
10
10
10 D
D
D
D
D
LP1/6
D1
LP1/6
D1
LP1/4
11
12
1
1
1
1
3
RP-1
6
22
23
6
23
6
23
6
23
6
23
6
23
6
23
6
23
6
FC-4
B-1
P-1P-2
P-5
WH-1
FC-3
CF-4 CF-3
CUH-2
CF-1 CF-2
CUH-1UH-1
LP1
EF-3 (ROOF)
EF-1 (ROOF)
EF-2 (ROOF)
CLASSROOM
/
PROGRAMS
107
ELECTRICAL
109 KITCHENETTE
107A
PARKS
STORAGE
108
TOILET
104
TOILET
103
MECHANICAL
/ JAN
SUPPLY
105
LOBBY /
WARMING
101
S. VEST
100
N. VEST
102TOILET
106
MULTIPURPOSE
110
KITCHENETTE
/ SERVING
111
STORAGE
112
1
QPNMLKJHG
FEDCBA
2
3
4
LP1/35
LP1/11 LP1/11 LP1/11
LP1/11
LP1/1
LP1/1 LP1/1
LP1/1
LP1/1
LP1/3
LP1/5
LP1/9
LP1/7
LP1/13
LP1/13 LP1/13
LP1/13
LP1/13
LP1/15
LP1/15
LP1/15
LP1/15
LP1/15
LP1/31
LP1/15
LP1/17
LP1/31
LP1/31
LP1/31
LP1/31
LP1/31
LP1/31
LP1/33
LP1/21LP1/19
LP1/25
LP1/27LP1/29
LP1/23
LP1/17
LP1/17
LP1/17
LP1/37
2
2
1
TO FIRE PIT
FC-1
LP1/24,26,28
LP1/31 LP1/31
LP1/12
LP1/32,34,36
LP1/8
LP1/75
LP1/57,59,61
LP1/63,65,67
LP1/10
LP1/2
LP1/38,40,42
LP1/4
LP1/16
LP1/13 LP1/13
LP1/14
LP1/6 LP1/83
LP1/83
LP1/81
LP1/81
LP1/77 LP1/77
LP1/79 LP1/79
LP1/81LP1/44 LP1/44
LP1/44
6
66
P-9
P-7
P-6
P-8
LP1/58
LP1/54 LP1/52
LP1/56 LP1/88
7
7
7
9
LP1/13
FC-2
LP1/30
P-10
LP1/60,62,64
3
2
13 13
LP1/44
LP1/44
LP1/44
1 1
1
1
14
15
16
2015
16
14
14
14
15
14
15
14
15
15
15
14
14
14
14
14
15
14
16
15
20
16
14
17
18
15
15 15
19
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
22
2
2
2
22
LP1/68P-11
3
LP1/70
21
4
5
RP-1
6
GD-1
7
A. SOME NOTES MAY NOT APPLY TO THIS SHEETS.
B. ALL BOXES, CONDUIT AND WIRING TO BE
CONCEALED. NO EXPOSED BOXES, CONDUIT
AND WIRING SHALL BE ALLOWED UNLESS NOTED
OTHERWISE.
C. COORDINATE DEVICE LOCATIONS WITH OTHER
TRADES INCLUDING HVAC EQUIPMENT,
DUCTWORK, SPRINKLER PIPING AND BUILDING
STRUCTURAL MEMBERS.
D. NO MULTI-BRANCH CIRCUIT ALLOWED. PROVIDE A
SEPARATE NEUTRAL WITH EACH CIRCUIT.
E. VERIFY LOCATIONS AND ROUGH-IN
REQUIREMENTS OF ALL OWNER FURNISHED
EQUIPMENT PRIOR TO ROUGH-IN.
F. CIRCUIT WIRING IS NOT SHOWN EXCEPT FOR
SWITCHING INTENT OF FIXTURES AND CONTROL
OF DEVICES.
G. GFCI RECEPTACLES SHALL BE WIRED TO
PROTECT ONLY THE DEVICES IN THAT OUTLET
BOX. DOWNSTREAM DEVICES SHALL NOT BE
PROTECTED BY GFCI.
H. CIRCUIT NUMBERS SHOWN ARE FOR SCHEMATIC
PURPOSES AND ARE FOR DISTINGUISHING
CIRCUITS. RECORD AS-BUILT CIRCUITING IN A
TYPED AND DATED PANELBOARD SCHEDULE.
I. PROVIDE SEPARATED CONDUITS FOR ALL
EMERGENCY CIRCUITS, DO NOT COMBINE WITH
NORMAL BUILDING WIRING.
J. COORDINATE HEIGHTS OF ALL DEVICES WITH
MILLWORK AND MODULAR FURNITURE SHOP
DRAWINGS PRIOR TO ROUGH-IN.
K. OFFSET BACK TO BACK BOXES AT LEAST 12
INCHES EXCEPT IN RESIDENT ROOMS WHERE
PUTTY-PADS SHALL BE PROVIDED (3M MPP+ OR
EQUIVALENT).
L. ALL RECEPTACLES TO BE TAMPER RESISTANT.
M. SEE BRANCH CIRCUIT CONDUCTOR SIZING
SCHEDULE ON SHEET E0.00
N. SEE MOTOR AND EQUIPMENT SCHEDULE ON
SHEET E2.00.
O. REFER TO MECHANICAL SHEETS FOR EXACT
MOTOR LOCATIONS.
GRADE
CONNECTION
CABINATE
AND METER
EXISTING
UTILITY
TRANSFORMER
FROM UTILITY
ELECTRICAL ROOM
M
LP1
208/120V
3P
4W
400A
MCB
RISER NOTE:
1. PANELBOARD SHALL BE SQUARED NQ OR APPROVED EQUAL.
3 PHASE FEEDER SCHEDULE (COPPER)
FEEDER 3W FEEDER 4W
ID (NO NEUTRAL)(WITH NEUTRAL)
(AMPS)CONDUIT-PHASE-GROUND CONDUIT-PHASE-GROUND
20A (1) 1/2"C, 3#12+1#12G (1) 1/2"C, 4#12+1#12G
30A (1) 3/4"C, 3#10+1#10G (1) 3/4"C, 4#10+1#10G
40A (1) 3/4"C, 3#8+1#10G (1) 3/4"C, 4#8+1#10G
50A (1) 1"C, 3#6+1#10G (1) 1"C, 4#6+1#10G
60A (1) 1.25"C, 3#4+1#8G (1) 1.25"C, 4#4+1#8G
80A (1) 1.25"C, 3#3+1#8G (1) 1.25"C, 4#3+1#8G
100A (1) 1.5"C, 3#1+1#6G (1) 1.5"C, 4#1+1#6G
125A (1) 1.5"C, 3#1+1#6G (1) 1.5"C, 4#1+1#6G
150A (1) 1.5"C, 3#1/0+1#6G (1) 1.5"C, 4#1/0+1#6G
175A (1) 1.5"C, 3#2/0+1#6G (1) 2"C, 4#2/0+1#6G
200A (1) 2"C, 3#3/0+1#6G (1) 2"C, 4#3/0+1#6G
225A (1) 2"C, 3#4/0+1#4G (1) 2.5"C, 4#4/0+1#4G
250A (1) 2"C, 3#250+1#4G (1) 2.5"C, 4#250+1#4G
300A (1) 2.5"C, 3#350+1#4G (1) 3"C, 4#350+1#4G
400A (2) 2"C, 3#3/0+1#3G (2) 2"C, 4#3/0+1#3G
500A (2) 2"C, 3#250+1#2G (2) 2.5"C, 4#250+1#2G
600A (2) 2.5"C, 3#350+1#1G (2) 3"C, 4#350+1#1G
800A (3) 2.5"C, 3#300+1#1/0G (3) 2.5"C, 4#300+1#1/0G
1000A (3) 3"C, 3#400+1#2/0G (3) 3"C, 4#400+1#2/0G
1200A (4) 3"C, 3#350+1#3/0G (4) 3"C, 4#350+1#3/0G
1600A (5) 3"C, 3#400+1#4/0G (5) 3"C, 4#400+1#4/0G
2000A (6) 3"C, 3#400+1#250G (6) 3"C, 4#400+1#250G
2500A (7) 3"C, 3#500+1#350G (7) 3"C, 4#500+1#350G
3000A (8) 3"C, 3#500+1#400G (8) 3.5"C, 4#500+1#400G
GENERAL NOTES:
A. THE ABOVE FEEDER SCHEDULE IS A SCHEDULE OF TYPICAL FEEDERS AND SOME SIZES MAY NOT BE UTILIZED.
B. CONDUCTOR AMPACITIES ARE BASED ON TABLE 310-15 OF THE NEC FOR COPPER CONDUCTOR AT 60 DEG C FOR 100A
AND BELOW. AMPACITIES ARE BASED ON 75 DEG C FOR 125A AND ABOVE.
C. FEEDER SIZES SHOWN ON THE RISER DIAGRAM INDICATE FEEDER AMPACITIES AND DO NOT NECESSARILY CORRESPOND
TO CIRCUIT BREAKER AMPACITIES. CERTAIN FEEDERS MAY BE SIZED FOR THE DURATION FACTORS REQUIRED BY CODE
AND/OR ARE OVERSIZED FOR VOLTAGE DROP.
D. WHERE PARALLEL CONDUITS ARE INDICATED FOR A SINGLE FEEDER, EACH CONDUIT SHALL CONTAIN PHASE, NEUTRAL,
AND GROUND CONDUCTORS INDICATED.
E. CONDUIT ABOVE GRADE INDOORS SHALL BE EMT. CONDUIT ABOVE GRADE OUTDOORS SHALL BE GALVANIZED IMC OR
RMC.
F. EMT USED FOR PURPOSES OF SIZING CONDUIT. CONTRACTOR TO UPSIZE CONDUIT IF DIFFERENT THAN EMT.
MARK WALL SWITCH
#LEGS
GENERAL NOTES:
A. SCHEMES ARE SCHEMATIC. PROVIDE WIRING AND COMPONENTS AS REQUIRED.
B. PROVIDE MULTIPLE SWITCH LOCATIONS (3-WAY SWITCHING) IF INDICATED ON PLANS.
C. INTERCONNECT ALL SENSORS IF MULTIPLE SENSORS ARE SHOWN WITHIN SAME ROOM, UNLESS INDICATED OTHERWISE.
D. PROVIDE EMERGENCY RELAYS AS INDICATED ON PLANS.
E. ALL OCCUPANCY SENSORS SHALL HAVE AUXILIARY CONTACTS OR ADDITIONAL DEVICES TO ENABLE HVAC INTERFACE.
LIGHTING CONTROLS SCHEDULE
OCC SENSOR
LOCATION
MANUAL
/AUTO
DAY
LIGHT
2 MANUAL
WALL
DIMMING
X
X
AUTO
NONE AUTO
NONE MANUAL
A
B
C
D
E
F
G
1
1
NONE
1
NONE
CEILING
CEILING
CEILING
MANUAL
MANUAL
INTENDED LOCATIONS OF USE
NONE MANUAL1ELECTRICAL/MECHANICAL ROOMS
LOBBY/VEST
PARKS STORAGE
RESTROOMS
STORAGE
KITCHENETTE
MULTIPURPOSE/CLASSROOM
F
E
D
C
B
A
1 2 3 4 5 6 7 8
E
MN
NorthCheck:
Drawn:
Date:
Comm:
License
Number:
I hereby certify that this plan, specification or report was prepared by
me or under my direct supervision and that I am a duly Licensed
under the laws of the State of
Scale:
Date
10/3/2023 10:13:49 AMBIM 360://222064 - Glacial Valley Park Building/222064 Glacial Valley Park Building_Elec_Bim 360.rvtAs indicatedCentral: BIM 360://222064 - Glacial Valley Park Building/222064 Glacial Valley Park Building_Elec_Bim 360.rvtCITY OF COTTAGE
GROVE
GLACIAL VALLEY
PARK BUILDING
E1.00
LIGHTING /
POWER &
SYSTEMS PLANS
8635 W POINT DOUGLAS RD S
COTTAGE GROVE, MN 55016
9900 RAVINE PKWY S
COTTAGE GROVE, MN 55016
222064
S MCNAMARA
D PETERSON
11/8/22
222064
MINNESOTA
11/8/22
BRADLEY R. JOHANNSEN
43936
PROFESSIONAL ENGINEER
1/8" = 1'-0"
LIGHTING PLANF1 1/8" = 1'-0"
POWER & SYSTEMS PLANF4
NOTES:
Load Types (LT): COOL - Summer Cooling, ELEV- Elevator, EQ - Equipment, EX -Existing, GND - Grounding, HEAT - Winter Heating, KTCH-
Kitchen, L MTR - Largest Motor, LTG -Lighting, MTR - Motor, RCPT - Receptacle
Breaker Types (BT): AF = Arc Fault, GF = Ground Fault Circuit Interrupt, GE = Ground Fault Equipment Protection (30mA), SH = Shunt Trip, EX
= Existing, NX = New Breaker For Existing Panel, M = Metered
EST. DEMAND CURRENT:241 A
RCPT 9900 VA 100.00% 9900 VA CONNECTED CURRENT:227 A
Other 0 VA 0.00% 0 VA ESTIMATED DEMAND:86730 VA
MTR 65399 VA 105.08% 68723 VA CONNECTED LOAD:81776 VA
LTG 7062 VA 125.00% 8828 VA
LOAD CLASSIFICATION CONNECTED DEMAND ESTIMATED PANEL TOTALS
TOTAL AMPS:257 A 200 A 233 A
TOTAL LOAD:30 kVA 24 kVA 27 kVA
83 STORAGE 112 Other... 20 A 1 0.4 0.0 1 20 A -- SPARE 84
81 MULTIPURPOSE 110 Other 20 A 1 0.0 0.0 1 20 A -- SPARE 82
79 FLOORBOX 110 RCPT 20 A 1 0.0 0.0 1 20 A -- SPARE 80
77 FLOORBOX 107 RCPT 20 A 1 0.0 0.0 1 20 A -- SPARE 78
75 P-5 MTR 15 A 1 1.2 0.0 1 20 A -- SPARE 76
73 GD-1 MTR 20 A 1 0.7 2.9 -- -- -- -- -- 74
71 -- -- -- -- -- 1.4 2.9 2 40 A MTR CU-3 72
69 CU-2 MTR 20 A 2 1.4 0.0 1 20 A Other AED 70
67 -- -- -- -- -- 2.0 0.1 1 20 A MTR CONDENSATE PUMP 68
65 -- -- -- -- -- 2.0 0.0 1 20 A -- MONUMENT LIGHTS 66
63 P-2 MTR 30 A 3 2.0 0.3 -- -- -- -- -- 64
61 -- -- -- -- -- 2.0 0.3 -- -- -- -- -- 62
59 -- -- -- -- -- 2.0 0.3 3 30 A MTR P-10 60
57 P-1 MTR 30 A 3 2.0 0.5 1 15 A MTR P-9 58
55 LOBBY 101 LTG 20 A 1 1.8 1.2 1 15 A MTR P-8 56
53 MULTIPURPOSE 110 LTG 20 A 1 1.7 1.2 1 15 A MTR P-7 54
51 KITCH/STOR/MULTI... LTG 20 A 1 0.5 1.2 1 15 A MTR P-6 52
49 CLASSROOM 107 LTG 20 A 1 1.7 4.4 -- -- -- -- -- 50
47 S. VEST/S. EXTERIOR LTG 20 A 1 0.2 4.4 -- -- -- -- -- 48
45 N. VEST/N. EXTERIOR LTG 20 A 1 0.2 4.4 3 60 A MTR CU-4 46
43 MECHANICAL 105 LTG 20 A 1 0.2 1.3 1 20 A Other... MULTIPURPOSE 110 44
41 TOILET/KITCH 107A LTG 20 A 1 0.3 0.8 -- -- -- -- -- 42
39 STORAGE 108/ ELEC 109 LTG 20 A 1 0.4 0.8 -- -- -- -- -- 40
37 EXTERIOR RCPT 20 A 1 0.2 0.8 3 30 A MTR FC-4 38
35 EXTERIOR RCPT 20 A 1 0.2 0.6 -- -- -- -- -- 36
33 EXTERIOR RCPT 20 A 1 0.2 0.6 -- -- -- -- -- 34
31 MULTI 110/STOR 112 MTR;... 20 A 1 1.3 0.6 3 30 A MTR FC-3 32
29 KITCHENETTE 111 RCPT 20 A 1 0.2 0.9 1 15 A MTR FC-2 30
27 KITCHENETTE 111 RCPT 20 A 1 0.2 0.8 -- -- -- -- -- 28
25 KITCHENETTE 111 RCPT 20 A 1 0.2 0.8 -- -- -- -- -- 26
23 KITCHENETTE 111 RCPT 20 A 1 0.2 0.8 3 30 A MTR FC-1 24
21 KITCHENETTE 111 RCPT 20 A 1 0.2 4.4 -- -- -- -- -- 22
19 KITCHENETTE 111 RCPT 20 A 1 0.2 4.4 -- -- -- -- -- 20
17 RESTROOMS/MECH 105 RCPT 20 A 1 0.7 4.4 3 60 A MTR CU-1 18
15 LOBBY 101/N&S VEST RCPT 20 A 1 1.1 0.7 1 15 A MTR UH-1 16
13 CLASSROOM 107 MTR;... 20 A 1 1.1 0.5 1 15 A MTR CUH-2 14
11 ELEC 109/CLASS 107 RCPT 20 A 1 0.7 0.5 1 15 A MTR CUH-1 12
9 KITCHENETTE 107A RCPT 20 A 1 0.2 0.1 1 15 A MTR B-1 10
7 KITCHENETTE 107A RCPT 20 A 1 0.2 0.2 1 15 A MTR;... WH-1 8
5 KITCHENETTE 107A RCPT 20 A 1 0.2 0.7 1 15 A MTR EF-3 6
3 KITCHENETTE 107A RCPT 20 A 1 0.2 0.7 1 15 A MTR EF-2 4
1 PARKS STORAGE 108 RCPT 20 A 1 0.9 0.7 1 15 A MTR EF-1 2
# BT LOAD DESCRIPTION LT BKR P A B C P BKR LT LOAD DESCRIPTION BT #
FED FROM:
BUS AMPS:
MAINS AMPS:400A
MAINS TYPE: SPECIAL:
MOUNTING:SURFACE A.F.C....SEE SHORT CIRCUIT STUDY
LOCATION:ELECTRICAL 109 VOLTAGE:208Y/120 V. 3 ø 4 W.
PANELBOARD: LP1
N.T.S.
RISER DIAGRAMB1
Revisions
Description Date Num
ADD #1 11/28/2022 1
PR#1 3/17/2023 2
PR#4 7/12/2023 3
PR#5 7/12/2023 4
PR#6 8/7/2023 5
PR#8 9/14/2023 6
PR #10 10/3/2023 7
1
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DocuSign Envelope ID: D1912B6E-F021-41F5-8C02-A03B3FCD2EF7
CG Glacial Valley Park Facility
City of Cottage Grove
12/12/2023
Description CD Estimate Update Bid Day Update Current Overall Budget
Update Date 10/04/22 12/12/23 #REF!
PROJECT REVENUE / FUNDING X DO NOT MODIFY
Funding $3,230,002.00 $4,813,151.00 $4,813,151.00 Final per Council Authorization on 11/2/22
TOTAL PROJECT REVENUE $3,230,002.00 $4,813,151.00 $4,813,151.00
Project Revenue Proportions 67% 100% 100%
PROJECT AREA BREAKDOWN
New Construction GSF 5,221 5,221 5,221
Total GSF 5,221 5,221 5,221
Site Area (Acres)0
CONSTRUCTION COSTS
Non Union Contracts with City $3,643,353 $803,434 $803,434.00 Bid Day
Union Contracts with KA $2,885,053 $2,885,053.00 Bid Day
Design Contingency $0.00
Total Bid Day $3,643,353 $3,688,487 $3,688,487.00
GMP Contingency
Remaining Contingency $182,168 $149,954 $149,954.24
Pending Changer Orders $37,008 $37,007.55 PCO Log Totals
Executed Change Orders ($17,781)($17,780.79)Executed Change Orders
Construction Management
General Conditions $75,000 $75,000 $75,000.00
CM Reimburseables $98,000 $82,598 $82,598.00 Reimbursables, Bonds, Insurance
Building Permit & Plan Review $0 $40,819 $40,819.00 Final Cost
Builders Risk Insurance $0 $2,000 $2,000.00 Budget
Construction Management Fee $109,301 $110,655 $110,654.61 3% (Site Work was Removed from Scope- 1.5% Does Not Apply)
Site Services $237,002 $236,902 $236,902.00 Based on 6 Months
CONSTRUCTION COSTS SUB TOTAL $4,344,823 $4,405,642 $4,405,641.61
Construction Cost / GSF $832.18 $843.83 $843.83
Percent Construction Cost 90% 91% 91%
SOFT COSTS
Design Fees and Reimbursable
A/E Fee - Wold Architects $304,137.63 $192,000.00 $192,000.00 Based on email from Wold 6/27
A/E Reimbursable $15,206.88 $4,000.00 $4,000.00 Based on email from Wold 6/27
Permits, Plan Reviews & Fees In Construction GMP (Above)
Building Permit & Plan Review $0.00 $0.00 See Above- Chart to the right.
Plumbing Plan Review & Plumbing Permit $0.00 $0.00 N/A
Dept. of Health (DOH) - Food Service Plan $0.00 $0.00 N/A
Dept. of Health (DOH) - Water Main $0.00 $0.00 N/A
City Project Review & Inspection Fee $0.00 $0.00 N/A
State Surcharge $0.00 $0.00 N/A
Metropolitan Council SAC $10,000.00 $0.00 $0.00 Estimate/Budget from Calculate- Wold Submit
WREC / WAC $0.00 $0.00 Above
SREC / SAC $0.00 $0.00 Above
Trunk Utilities (Storm, Sanitary, Water)$0.00 $0.00 N/A
Park Dedication Fee $0.00 $0.00 N/A
City/County Road Special Assessment $0.00 $0.00 N/A
Sign Permits $0.00 $0.00 N/A
Utilities - Connections
Power $0.00 $0.00 $0.00 In other project.
Gas $0.00 $0.00 $0.00 In other project.
Fiber $0.00 $0.00 $0.00 In other project.
Phone $0.00 $0.00 $0.00 In other project.
Pre-Construction Surveys & Studies
Site Survey $3,650.00 $3,650.00 Bergerson-Caswell Inc. Geothermal Testings/Borings
Geotechnical Survey - Soil Borings $0.00 $0.00 Paid out of separate Budget
Environmental Study (EAW Ph1/Ph2)$0.00 $0.00 Paid out of separate Budget
Wetland Delineation, Watershed, MPCA $0.00 $0.00 Paid out of separate Budget
Traffic & Parking Study $0.00 $0.00 N/A
Hazardous Material Survey $0.00 $0.00 N/A
Testing & Inspections
Construction Surveying $5,000.00 $5,000.00 Estimate
Construction Testing & Inspections $18,000.00 $18,000.00 $18,000.00 Budget
HVAC - Testing & Balancing $0.00 $0.00 In Mechanical
HVAC - Commissioning $16,800.00 $16,800.00 KA to Verify with Wold
Bidding, Legal, Finance & Misc.
Bid Advertisement, Printing, Plan Distribution $0.00 $0.00 N/A
Bond Issuance Fees $0.00 $0.00 N/A
Legal Fee Allowance $0.00 $0.00 N/A
Builders Risk Insurance $12,000.00 $0.00 $0.00 In Above
Land Purchase $0.00 $0.00 N/A
Land Acquisition Expenses $0.00 $0.00 N/A
Final Cleaning $0.00 $0.00 In Bids
Moving, Storage, Transition $0.00 $0.00 N/A
Signage $0.00 NA
Misc. Owner Expenditure $0.00 N/A
Soft/Owner Construction Contingency $8,983.61 $85,000.00 $85,000.00 Owner Budget
Pending Changer Orders
Executed Change Orders
FF&E Expenses
Furniture Allowance/Costs $0.00 $0.00 TBD (Budget in Contingency Below)
Specialty Equipment (Zamboni)$0.00 $0.00 N/A
Equipment Allowance $0.00 $0.00 N/A
Technology Allowance $0.00 $0.00 TBD (Budget in Contingency Below)
Furnishings / Consultant Fees $0.00 $0.00 $0.00 In with Design Above
FFE Contingency $100,000.00 $125,000.00 $125,000.00 Budget
SOFT COSTS SUB-TOTAL $468,328.12 $449,450.00 $449,450.00
Soft Costs / SF $89.70 $86.09 $86.09
Percent Soft Costs 10% 9% 9%
TOTAL PROJECT COSTS $4,813,151.36 $4,855,091.61 $4,855,091.61 Constr. Cost + Soft Costs
Project Cost / GSF $921.88 $929.92 $929.92 Total Project Cost / Total GSF
VARIANCE (OVER) / UNDER ($1,583,149.36)($41,940.61)($41,940.61)Total Project Revenue / Total Project Costs
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City Council Action Request
7.O.
Meeting Date 12/20/2023
Department Parks and Recreation
Agenda Category Action Item
Title Glacial Valley Park Ice Rink Board System Service Agreement
Amendment
Staff Recommendation Authorize service agreement amendment with Becker Arena
Products for the production and installation of acrylic glass and
protective netting at Glacial Valley Park ice rink for the amount of
$45,439.00.
Budget Implication $45,439 from Glacial Valley Park building project contingency funds.
Attachments 1. Memo - GV Boards Service Agreement Amendment
2. Service Agreement - Becker 9-15-22 clean v2
3. 1st Am Service Agreement - Becker 12-14-23
4. Cottage Grove Agreement 12.14.23
To:Honorable Mayor and City Council
Jennifer Levitt, City Administrator
From:Zac Dockter, Parks and Recreation Director
Date:December 15, 2023
Subject:Glacial Valley Park Ice Rink Board System Service Agreement Amendment
Introduction/Background
Glacial Valley Park ice rink boards were built in 2023 under a service agreement with Becker Arena
Products. As Council may recall, many recreational elements in the park were moved and/or reduced
from the original master plan as land size was reduced. As a result, the ice rink shifted in orientation to
the site. Now that the ice rink is physically in place, staff believes it is possible for a puck to reach the
building and potentially break a window. In order to assure protection of the building, staff recommends
the addition of netting on the south end of the rink. Additionally, we are recommending acrylic glass
(aka, plexiglass) be installed to replace chainlink fencing. This is proposed for both seamlessness
protection and aesthetic improvements from building views. The acrylic would be removed and stored
at the end of each winter season providing a better vista from the buildings grand room and patio area.
The amendment includes a proposal from Becker Arena Products to furnish these changes for a cost of
$45,439. The existing chain link fencing being removed is valued at approximately $20,000 would be
stored by the City for reuse at a future rink project. Because this change is being driven by building
needs, staff is recommending the funds be used from the Glacial Valley Park building project
contingency funding. At the time of this report, there remains approximately a $200,000 balance in total
contingency on the project.
Staff Recommendation
Authorize service agreement amendment with Becker Arena Products for the production and
installation of acrylic glass and protective netting at Glacial Valley Park ice rink for the amount of
$45,439.00.
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AGREEMENT FOR SERVICES
THIS AGREEMENT (“Agreement”) is made and executed this _____ day of ________________,
2022, by and between the City of Cottage Grove, 12800 Ravine Parkway, Cottage Grove,
Minnesota 55016, (“City”) and Becker Arena Products, Inc., 720 Innovation Drive, Shakopee,
Minnesota 55379 (“Contractor”).
WHEREAS, the City has accepted the proposal of the Contractor for certain Services; and
WHEREAS, Contractor desires to perform the Services for the City under the terms and conditions
set forth in this Agreement.
NOW THEREFORE, in consideration of the mutual consideration contained herein, it is hereby
agreed as follows:
1. SERVICES.
a. City agrees to engage Contractor as an independent contractor for the purpose of
performing certain Services (“Services”), as defined in the following documents:
i. Except as noted below, a proposal dated August 31, 2022, incorporated
herein as Exhibit A;
ii. Exceptions:
A. Page 2 – Total Price: is deleted in its entirety and replaced as
follows:
Total Price shall not exceed $130,526.00 for Materials and Labor.
B. Page 2 – Delete in its entirety “Material Price Escalation & De-
Escalation Clause” language.
C. Page 3 – Delete in its entirety “Our Standards Payment Terms”
section and replace as follows:
Payment is due as follows:
•$25,000 due on order
•$75,526.00 due upon receipt of invoice from Contractor
stating the delivery date
•$30,000 due within 30 days following completion of
installation.
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D. Page 3 Signatures are deleted.
E. Page 4 Section 3. “Prices, Duties and Taxes” is deleted in its
entirety.
F. Page 4 Section 7 “Claims and Liability” is amended by deleting all
language in this Section starting with the sentence: “Additionally,
any action against Seller must be commenced within one year after
the cause of action accrues” and all sentences thereafter.
G. Page 5, Section 14 “Entire Agreement” is superseded by Sections
15. e. and 15. h. of the Agreement for Services and is therefore
deleted in its entirety.
H. Page 5, Section 15 “Law and Arbitration” is deleted in its entirety.
I. Page 5, Section 16. 1. and 16. 2. “Dasher Board Systems” are deleted
in their entirety.
b. Contractor covenants and agrees to provide Services to the satisfaction of the City
in a timely fashion, as set forth in Exhibit A, subject to Section 7 of this Agreement.
c. Contractor agrees to comply with all federal, state, and local laws and ordinances
applicable to the Services to be performed under this Agreement, including all
safety standards. The Contractor shall be solely and completely responsible for
conditions of the job site, including the safety of all persons and property during
the performance of the Services. The Contractor represents and warrants that it has
the requisite training, skills, and experience necessary to provide the Services and
is appropriately licensed and has obtained all permits from all applicable agencies
and governmental entities.
2. PAYMENT.
a. City agrees to pay and Contractor agrees to receive and accept payment for Services
as set forth in Exhibit A.
b. Any changes in the scope of the work of the Services that may result in an increase
to the compensation due the Contractor shall require prior written approval by the
authorized representative of the City or by the City Council. The City will not pay
additional compensation for Services that do not have prior written authorization.
c. Contractor shall submit itemized bills for Services provided to City on a monthly
basis. Bills submitted shall be paid in the same manner as other claims made to
City.
d. Prior to payment, the Contractor will submit evidence that all payrolls, material
bills, subcontractors and other indebtedness connected with the Services have been
paid as required by the City.
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3. TERM. The term of this Agreement is identified in Exhibit A. This Agreement may be
extended upon the written mutual consent of the parties for such additional period as they
deem appropriate, and upon the same terms and conditions as herein stated.
4. TERMINATION AND REMEDIES.
a. Termination by Either Party. This Agreement may be terminated by either party
upon 30 days’ written notice delivered to the other party to the addresses listed in
Section 13 of this Agreement. Upon termination under this provision, if there is no
default by the Contractor, Contractor shall be paid for Services rendered and
reimbursable expenses through the effective date of termination.
b. Termination Due to Default. This Agreement may be terminated by either party upon
written notice in the event of substantial failure by the other party to perform in
accordance with the terms of this Agreement. The non-performing party shall have
fifteen (15) calendar days from the date of the termination notice to cure or to submit
a plan for cure that is acceptable to the other party.
c. Remedies. Notwithstanding the above, the Contractor shall not be relieved of
liability to the City for damages sustained by the City as a result of any breach of
this Agreement by the Contractor. The City may, in such event, withhold payments
due to the Contractor for the purpose of set-off until such time as the exact amount
of damages due to the City is determined. The rights or remedies provided for
herein shall not limit the City, in case of any default by the Contractor, from
asserting any other right or remedy allowed by law, equity, or by statute.
d. Upon termination of this Agreement, the Contractor shall furnish to the City copies
or duplicate originals of all documents or memoranda prepared for the City not
previously furnished.
5. SUBCONTRACTORS. Contractor shall not enter into subcontracts for any of the Services
provided for in this Agreement without the express written consent of the City, unless
specifically provided for in Exhibit A. The Contractor shall pay any subcontractor involved
in the performance of this Agreement within the ten (10) days of the Contractor’s receipt
of payment by the City for undisputed services provided by the subcontractor.
6. STANDARD OF CARE. In performing its Services, Contractor will use that degree of
care and skill ordinarily exercised, under similar circumstances, by reputable members of
its profession in the same locality at the time the Services are provided.
7. DELAY IN PERFORMANCE. Neither City nor Contractor shall be considered in default of
this Agreement for delays in performance caused by circumstances beyond the reasonable
control of the nonperforming party. For purposes of this Agreement, such circumstances
include, but are not limited to, abnormal weather conditions; floods; earthquakes; fire;
epidemics; war, riots, and other civil disturbances; strikes, lockouts, work slowdowns, and
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other labor disturbances; sabotage; judicial restraint; and inability to procure permits, licenses
or authorizations from any local, state, or federal agency for any of the supplies, materials,
accesses, or services required to be provided by either City or Contractor under this
Agreement. If such circumstances occur, the nonperforming party shall, within a reasonable
time of being prevented from performing, give written notice to the other party describing the
circumstances preventing continued performance and the efforts being made to resume
performance of this Agreement. Contractor will be entitled to payment for its reasonable
additional charges, if any, due to the delay.
8. CITY’S REPRESENTATIVE. The City has designated Zac Dockter to act as the City’s
representative with respect to the Services to be performed under this Agreement. He or
she shall have complete authority to transmit instructions, receive information, interpret,
and define the City’s policy and decisions with respect to the Services covered by this
Agreement.
9. PROJECT MANAGER AND STAFFING. The Contractor has designated Dan Mehren to
be the primary contact for the City in the performance of the Services. He may be assisted
by other staff members as necessary to facilitate the completion of the Services in
accordance with the terms established herein. Contractor may not remove or replace the
designated staff without the approval of the City.
10. INDEMNIFICATION.
a. Contractor and City each agree to defend, indemnify, and hold harmless each other,
its agents and employees, from and against legal liability for all claims, losses,
damages, and expenses to the extent such claims, losses, damages, or expenses are
caused by its negligent acts, errors, or omissions. In the event claims, losses, damages,
or expenses are caused by the joint or concurrent negligence of Contractor and City,
they shall be borne by each party in proportion to its own negligence.
b. Contractor shall indemnify City against legal liability for damages arising out of
claims by Contractor’s employees or subcontractors, including all liens. City shall
indemnify Contractor against legal liability for damages arising out of claims by
City’s employees or subcontractors.
11. INSURANCE. During the performance of the Services under this Agreement, Contractor
shall maintain the following insurance:
a. Commercial General Liability Insurance, with a limit of $2,000,000 for any number
of claims arising out of a single occurrence, pursuant to Minnesota Statutes, Section
466.04, or as may be amended;
b. Workers’ Compensation Insurance in accordance with statutory requirements.
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c. Automobile Liability Insurance, with a combined single limit of $1,000,000 for each
person and $1,000,000 for each accident.
Contractor shall furnish the City with certificates of insurance, which shall include a
provision that such insurance shall not be canceled without written notice to the City. The
City shall be named as an additional insured on the Commercial General Liability
Insurance policy.
12. WARRANTIES. Contractor warrants and guarantees that title to all work, materials, and
equipment covered by any invoice, will pass to City no later than the Completion Date.
Contractor warrants that all work will be free from defects and that all materials will be
new and of first quality. If within one (1) year after final payment any work or material is
found to be defective, Contractor shall promptly, without cost to the City, correct such
defect.
13. NOTICES. Notices shall be communicated to the following addresses:
If to City: City of Cottage Grove
12800 Ravine Parkway
Cottage Grove, MN 55016
Attention: Zac Dockter
Or e-mailed: zdockter@cottagegrovemn.gov
If to Contractor: Becker Arena Products, Inc.
720 Innovation Drive
Shakopee, MN 55379
Or emailed: dan.mehren@beckerarena.com
14. INDEPENDENT CONTRACTOR STATUS. All services provided by Contractor, its
officers, agents and employees pursuant to this Agreement shall be provided as employees
of Contractor or as independent contractors of Contractor and not as employees of the City
for any purpose.
15. GENERAL PROVISIONS.
a. Assignment. This Agreement is not assignable without the mutual written
agreement of the parties.
b. Waiver. A waiver by either City or Contractor of any breach of this Agreement shall
be in writing. Such a waiver shall not affect the waiving party’s rights with respect to
any other or further breach.
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c. Nondiscrimination. Contractor agrees that in the hiring of employees to perform
Services under this Agreement, Contractor shall not discriminate against any
person by reason of any characteristic protected by state or federal law.
d. Governing Law. This Agreement shall be construed in accordance with the laws
of the State of Minnesota and any action must be venued in Washington County
District Court.
e. Amendments. Any modification or amendment to this Agreement shall require a
written agreement signed by both parties.
f. Severability. If any term of this Agreement is found be void or invalid, such
invalidity shall not affect the remaining terms of this Agreement, which shall
continue in full force and effect.
g. Data Practices Compliance. All data collected by the City pursuant to this
Agreement shall be subject to the Minnesota Government Data Practices Act,
Minnesota Statutes, Chapter 13.
h. Entire Agreement. This Agreement constitutes the entire agreement of the parties
and supersedes all prior communications, understandings and agreements relating
to the subject matter hereof, whether oral or written.
[Remainder of this page intentionally left blank.]
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CITY OF COTTAGE GROVE
By:
Myron Bailey, Mayor
By:
Tamara Anderson, City Clerk
Date:
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CONTRACTOR
By:
Its:
Date:
A-1
EXHIBIT A
PROPOSAL FOR SERVICES
A-2
A-3
A-4
A-5
A-6
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FIRST AMENDMENT TO AGREEMENT FOR SERVICES
THIS FIRST AMENDMENT (“First Amendment”) is made and executed this _____ day of
________________, 2023, by and between the City of Cottage Grove, 12800 Ravine Parkway,
Cottage Grove, Minnesota 55016, (“City”) and Becker Arena Products, Inc., 720 Innovation Drive,
Shakopee, Minnesota 55379 (“Contractor”).
WHEREAS, the City entered into an Agreement for Services with Contractor for certain Services
on , 2022 (“Original Agreement”), as defined in that Original Agreement; and
WHEREAS, City desires to have Contractor perform additional services (“Additional Services”)
as described and set forth in Exhibit A, under the same terms and conditions of the Original
Agreement and Contractor is willing to perform such Additional Services.
NOW THEREFORE, in consideration of the mutual consideration contained herein, it is hereby
agreed as follows:
1. ADDITIONAL SERVICES.
a. City agrees to engage Contractor as an independent contractor for the purpose of
performing Additional Services as defined in the following documents:
i. Except as noted below, a proposal dated December 14, 2023 incorporated
herein as Exhibit A;
ii. Exceptions:
A. Page 2 – Delete in its entirety “Material Price Escalation & De-
Escalation Clause” language.
B. Page 3 Signatures are deleted.
C. Page 4-6 are deleted
2. Except as provided herein, the remaining sections of the Original Agreement remain
unchanged.
[Remainder of this page intentionally left blank.]
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CITY OF COTTAGE GROVE
By:
Myron Bailey, Mayor
By:
Tamara Anderson, City Clerk
Date:
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CONTRACTOR
By:
Its:
Date:
A-1
EXHIBIT A
PROPOSAL FOR SERVICES
A-2
A-3
A-4
A-5
A-6
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City Council Action Request
7.P.
Meeting Date 12/20/2023
Department Public Works
Agenda Category Action Item
Title Final Payment – Summers Landing 3rd and 4th Additions Final
Streets
Staff Recommendation Adopt Resolution 2023-170 approving the final payment of
$19,104.91 for the Summers Landing 3rd and 4th Additions Final
Streets Project.
Budget Implication $19,104.91 - Assessments
Attachments 1. Summers Landing 3-4 Final Streets Final Payment CC Memo
2. Summers Landing 3-4 Final Streets Final Payment Resolution 2023-12-13
3. Summers Landing 3-4 Final Streets Final Payment Contractors Request for Payment
4. Summers Landing 3-4 Final Streets Final Payment Contractor Affidavit
To: Honorable Mayor and City Council
Jennifer Levitt, P.E., City Administrator
From: Joe Fox, P.E., Project Engineer
Date: December 13, 2023
Re: Final Payment – Summers Landing 3rd and 4th Additions Final Streets
Background
The Summers Landing 3rd and 4th Additions Final Streets project took place during the summer
of 2023. The City Council approved the plans and established a bid date on April 11, 2023. The
bid was then awarded on May 17, 2023, to OMG Midwest, Inc., dba Minnesota Paving &
Materials, in the amount of $366,575.00.
The 3rd and 4th Additions are located on the west and north sides of the Summers Landing
development, and contain 179 single family lots. In addition to the residential streets, the final lift
of bituminous pavement was installed on a 900-foot section of Mississippi Dunes Boulevard, just
south of 90th Street.
Discussion
The final payment of $19,104.91 has been requested by the contractor and is recommended for
approval by our engineering consultant, Stantec. Attached are the Contractor’s Request for
Payment as well as the lien waivers and IC134s from the subcontractors. The total cost of this
project was $392,167.34. The total cost is $25,592.34, or 7 percent, higher than the bid, which is
due to more damaged curb and bituminous replacement than was originally thought necessary.
A large amount of the curb damage that required replacement was along the front edge, the
extent of which was not visible until the wedge was removed during the project. The additional
bituminous replacement was needed to address an intersection drainage issue, which was
located on the phase line with another phase of Summers Landing. Unit prices were already in
place to cover the curb replacement and bituminous pavement, and sufficient funds are
available in the Summers Landing Assessments to cover the additional costs. Details of these
additional quantities are included in the attached documentation.
Recommendation
It is recommended that the City Council adopt Resolution 2023-170 approving the final payment
of $19,104.91 for the Summers Landing 3rd and 4th Additions Final Streets Project.
CITY OF COTTAGE GROVE, MINNESOTA
CITY COUNCIL
RESOLUTION 2023-170
RESOLUTION APPROVING THE FINAL PAYMENT IN THE
AMOUNT OF $19,104.91 TO OMG MIDWEST, INC.,
DBA MINNESOTA PAVING & MATERIALS FOR THE
SUMMERS LANDING 3RD AND 4TH ADDITIONS
FINAL STREETS PROJECT
WHEREAS, the City Engineer has certified that the work has been satisfactorily
completed; and
WHEREAS, the awarded total contract amount was $366,575.00. The final
construction cost was $392,167.34, which is $25,592.34 higher the contract amount; and
WHEREAS, the project has been satisfactorily completed in accordance with the
contract plans and specifications.
NOW THEREFORE BE IT RESOLVED, by the City Council of the City of Cottage
Grove, County of Washington, State of Minnesota, that $19,104.91 is paid to OMG
Midwest, Inc., dba Minnesota Paving & Materials, for the final payment for the Summers
Landing 3rd and 4th Additions Final Streets Project.
Passed this 20th day of December 2023.
Myron Bailey, Mayor
Attest:
Tamara Anderson, City Clerk
Owner: Date: October 12, 2023
For Period: Request No: 2/FINAL
Contractor:
CONTRACTOR'S REQUEST FOR PAYMENT
SUMMERS LANDING - 3RD AND 4TH ADDITION
FINAL STREETS
STANTEC PROJECT NO. 193804703
SUMMARY
1 Original Contract Amount $ 366,575.00
2 Change Order - Addition $ 0.00
3 Change Order - Deduction $ 0.00
4 Revised Contract Amount $ 366,575.00
5 Value Completed to Date $ 392,167.34
6 Material on Hand $0.00
7Amount Earned $ 392,167.34
8 Less Retainage 0%$0.00
9 Subtotal $ 392,167.34
10 Less Amount Paid Previously $ 373,062.43
11 Liquidated damages - $ 0.00
12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 2/FINAL $ 19,104.91
Recommended for Approval by:
STANTEC
Approved by Contractor: Approved by Owner:
Specified Contract Completion Date: Date:
OMG Midwest Inc. 14475 Quiram Drive, Rogers, MN 55374
City of Cottage Grove, 12800 Ravine Pkwy., Cottage Grove, MN 55016
9/6/2023 to 10/12/2023
OMG MIDWEST, INC., DBA MINNESOTA PAVING &
MATERIALS CITY OF COTTAGE GROVE
193804703REQ2Final.xlsm
Contract Unit Current Quantity Amount
No.Item Unit Quantity Price Quantity to Date to Date
BASE BID
1 MOBILIZATION LS 1 10000.00 1 $10,000.00
2 TRAFFIC CONTROL LS 1 2500.00 1 $2,500.00
3 REMOVE BITUMINOUS WEDGE SY 13750 1.50 13750 $20,625.00
4 SAWING BITUMINOUS PAVEMENT LF 500 0.01 1084 $10.84
5 REMOVE BITUMINOUS PAVEMENT SY 1000 6.50 1477.44 $9,603.36
6 PATCH BITUMINOUS PAVEMENT - TYPE SP 9.5 WEARING
COURSE (3,C) (SPWEA330C)SY 1000 20.00 1477.44 $29,548.80
7 REMOVE BITUMINOUS TRAIL SY 30 16.00 $0.00
8 PATCH BITUMINOUS TRAIL - 3" TYPE SP 9.5 WEARING
COURSE (2,C)(SPWEA230C)SY 30 55.00 $0.00
9 REMOVE & REPLACE CONCRETE CURB AND GUTTER LF 350 47.00 933.5 $43,874.50
10 REMOVE AND REPLACE 6 INCH THICK CONCRETE
SIDEWALK SY 300 101.50 22.24 225.22 $22,859.83
11 VIRGIN WEAR COURSE - 1.5" TYPE SP 9.5 WEARING
COURSE (3,C) (SPWEA330C)- SPECIAL TN 2350 92.00 106.37 2450.37 $225,434.04
12 ADJUST MANHOLE CASTING EA 42 330.00 42 $13,860.00
13 ADJUST VALVE BOX EA 21 290.00 20 $5,800.00
14 STORM DRAIN INLET PROTECTION EA 77 145.00 28 $4,060.00
15 STREET SWEEPER WITH PICK UP BROOM AND
OPERATOR HR 30 50.00 9 $450.00
16 TOPSOIL BORROW (LV)CY 40 55.00 10 $550.00
17 SOD SY 400 17.25 173.39 $2,990.97
TOTAL BASE BID $392,167.34
TOTAL BASE BID $392,167.34
WORK COMPLETED TO DATE:$392,167.34
193804703REQ2Final.xlsm
PROJECT PAYMENT STATUS
OWNER
CONTRACTOR
CHANGE ORDERS
No. Date Description Amount
Total Change Orders
PAYMENT SUMMARY
No. From To Payment Retainage Completed
1 08/01/2023 09/05/2023
2/FINAL 09/06/2023 10/12/2023
Material on Hand
Total Payment to Date Original Contract $366,575.00
Retainage Pay No. 2/FINAL Change Orders
Total Amount Earned Revised Contract $366,575.00
373,062.43 7,613.51 380,675.94
CITY OF COTTAGE GROVE
OMG MIDWEST, INC., DBA MINNESOTA PAVING & MATERIALS
STANTEC PROJECT NO. 193804703
$392,167.34
$392,167.34
392,167.3419,104.91
193804703REQ2Final.xlsm
From: MN Revenue e-Services <eservices.mdor@state.mn.us>
Sent: Thursday, October 19, 2023 08:49
To: Julia Ohmann
Subject: [EXTERNAL]: Your Recent Contractor Affidavit Request
----> CAUTION <----
This email originated from outside of the organization.
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This email is an automated notification and is unable to receive replies.
Contractor Affidavit Submitted
Thank you, your Contractor Affidavit has been approved.
Confirmation Summary
Confirmation Number:1-165-958-752
Submitted Date and Time:19-Oct-2023 8:49:04 AM
Legal Name:MID STATE RECLAMATION INC
Federal Employer ID:39-1727526
User Who Submitted:brendapetsch
Type of Request Submitted:Contractor Affidavit
Affidavit Summary
Affidavit Number:893210624
Minnesota ID:1719563
Project Owner:CITY OF COTTAGE GROVE
Project Number:193804703 & 193804969
Project Begin Date:24-Jul-2023
Project End Date:25-Jul-2023
Project Location:COTTAGE GROVE SUMMERS LANDING 3RD & 4TH FINAL
STREETS
Project Amount:$4,898.00
Subcontractors:No Subcontractors
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1
City Council Action Request
7.Q.
Meeting Date 12/20/2023
Department Administration
Agenda Category Action Item
Title Deputy Fire Chief Appointment
Staff Recommendation Approve the appointment of Nicholas Arrigoni to the position of
Deputy Fire Chief, effective Monday, March 25, 2024.
Budget Implication N/A
Attachments None
1
TO: Honorable Mayor and City Council
Jennifer Levitt, City Administrator
FROM: Pete Koerner
DATE: December 20, 2023
RE: Deputy Fire Chief Appointment
Discussion
Fire Chief Redenius announced his upcoming retirement for December 29, 2023. This created
a vacancy and allowed us time to do a selection process and transition. Deputy Chief
Pritchard was selected as the Fire Chief. A promotional process was started for the Deputy
Fire Chief position to replace Pritchard. With qualified candidates internally, we did a process
for internal candidates.
Applicants for the job were required to present their qualifications, experience, leadership,
recruitment and retention ideas, community engagement and budget experience to an
interview panel consisting of City Administrator Levitt, Human Resources Manager Fischbach,
Director Koerner, Deputy Chief Pritchard, and Hastings Fire Chief Townsend. The two
candidates were selected for a full battery of tests administered by Martin-McAllister
Consulting Psychologist’s office. The testing measured the candidates’ intelligence,
leadership, management style, social skills, basic personality traits and communications skills.
The candidates also participated in an in-basket exercise.
The results of the panel interview and assessment testing revealed two outstanding
candidates and Fire Captain Nicholas Arrigoni was selected.
Arrigoni will serve a one-year probationary period in accordance with the City’s Personnel
Policy. His first day as Deputy Fire Chief will be Monday, March 25, 2024, which corresponds
with a new pay period. The delay in the start date was due to staffing levels and to backfill his
Captain position. He will be placed in the city’s Non-represented Pay Plan 21, step 6. Nicholas
will be paid for any comp time he has on the books (accrued as Fire Captain), and he will have
FLSA exempt status.
Recommendation
Approve the appointment of Nicholas Arrigoni to the position of Deputy Fire Chief, effective
Monday, March 25, 2024.
2
Attachments
None
1
City Council Action Request
8.A.
Meeting Date 12/20/2023
Department Finance
Agenda Category Action Item
Title Payments for the period of November 30, 2023, through December
13, 2023.
Staff Recommendation Approve payments for the period of November 30, 2023, through
December 13, 2023, in the amount of $6,764,529.90.
Budget Implication n/a
Attachments 1. Check Register
1
City Council Action Request
11.A.
Meeting Date 12/20/2023
Department Administration
Agenda Category Action Item
Title Commission and Committee Appointments
Staff Recommendation Approve the 2024 Commission and Committee Appointments.
Budget Implication N/A
Attachments None
1
TO: Honorable Mayor and City Council
Jennifer Levitt, City Administrator
FROM: Tammy Anderson
DATE: December 20, 2023
RE: Commission and Committee Appointments
Discussion
At or before the first meeting of the year, the Mayor Pro Tem, or acting Mayor, and Council
representatives (liaisons) are required to be appointed to the City Commissions and
Committees.
For 2024, please ratify the following appointments:
Recommendation
Approve the 2024 Commission and Committee Appointments.
2
Attachments
None