HomeMy WebLinkAboutEast Waterloo Township-6/13/201128E Final Page 1 of 1
28E
My Agreements
Create New Agreement
Search Agreements
File Report
Terminate Agreement
Update My Account
Iowa Secretary of State Matt Schultz
Your 28E Agreement has been filed.
Please print your filed 28E Agreement for your records.
Thank you for using the online filing system.
Click Here to View/Save the Complete 28E Agreement as an Adobe PDF Document
Return to My Agreements
Matt Schultz
Secretary of State
State of Iowa
28E
Agreement
Matt Schultz
Secretary of State
FILED
Date: 7/19/2011 1:11:25 PM
Filing No.: M504529
Item 1. The full legal name, organization type and county of each participant to this agreement are:
Full Legal Name
Organization Type
County
Party 1
East Waterloo Township
Township
Black Hawk
Party 2
City of Waterloo
City
Black Hawk
Item 2. The type of Public Service included in this agreement is: 210 Fire Response
(Enter only one Service Code and Description) Code Service Description
Item 3. The purpose of this agreement is: (please be specific)
Fire and ambulance services
Item 4. The duration of this agreement is: (check one)
Agreement Expires 6/30/2012 [m/d/yyyy]
Indefinite Duration
Item 5.
Does this agreement amend or renew an existing agreement? (check one)
NO
YES, filing number of the agreement:
Use the filing number of the most recent version filed for this agreement.
The filing number of the original agreement may be found by searching the
28E database at: www.sos.state.ia.us/28E.
Item 6. A copy of the agreement must accompany this application.
Item 7. The primary contact for further information regarding this agreement is: (optional)
LAST Name Treloar FIRST Name Pat
Title Chief of Fire Services Department Chief of Fire Services
Email pat.treloar@waterloo-ia.org Phone 3192914460
https://www.sos.state.ia.us/28E/Controller.aspx 7/19/2011
Matt Schultz
Secretary of State
State of Iowa
28E
Agreement
FILED
M504529
7/19/2011 1:11:25 PM
PLEASE READ INSTRUCTIONS ON BACK BEFORE COMPLETING THIS FORM
Item 1. The full legal name, organization type and county of each participant to this agreement are:
Item 2. The type of Public Service included in this agreement is: 210 Fire Response
*Enter °Other" if
not in Iowa
(Enter only one Service Code and Description) Code Number Service Description
Item 3. The purpose of this agreement is: (please be specific)
Fire and ambulance services
Item 4. The duration of this agreement is: (check one) mAgreement Expires 6/30/2012 ❑Indefinite Duration
[mm/ddlyyyyl
Item 5. Does this agreement amend or renew an existing agreement? (check one)
m NO
0 YES Filing # of the agreement:
(Use the filing number of the most recent version filed for this agreement)
The filing number of the agreement may be found by searching the 28E database at: www.sos.state.ia.us/28E.
Item 6. Attach two copies of the agreement to this form if not filing online.
Item 7. The primary contact for further information regarding this agreement is: (optional)
LAST Name Treloar FIRST Name Pat
Title Chief of Fire Services Department Chief of Fire Services
Email pat.treloar(5 waterloo-ia.org Phone 3192914460
Full Legal Name
Organization Type
*County
Party 1
East Waterloo Township
Township
Black Hawk
Party 2
City of Waterloo
City
Black Hawk
Party 3
Party 4
Party 5
Item 2. The type of Public Service included in this agreement is: 210 Fire Response
*Enter °Other" if
not in Iowa
(Enter only one Service Code and Description) Code Number Service Description
Item 3. The purpose of this agreement is: (please be specific)
Fire and ambulance services
Item 4. The duration of this agreement is: (check one) mAgreement Expires 6/30/2012 ❑Indefinite Duration
[mm/ddlyyyyl
Item 5. Does this agreement amend or renew an existing agreement? (check one)
m NO
0 YES Filing # of the agreement:
(Use the filing number of the most recent version filed for this agreement)
The filing number of the agreement may be found by searching the 28E database at: www.sos.state.ia.us/28E.
Item 6. Attach two copies of the agreement to this form if not filing online.
Item 7. The primary contact for further information regarding this agreement is: (optional)
LAST Name Treloar FIRST Name Pat
Title Chief of Fire Services Department Chief of Fire Services
Email pat.treloar(5 waterloo-ia.org Phone 3192914460
28E AGREEMENT
FIRE PROTECTION CONTRACT
Fiscal Year 2011 (July 1, 2011 to June 30, 2012)
The parties to this Agreement are the City of Waterloo, Iowa, (hereinafter referred to as
"Waterloo") and the Board of Trustees of East Waterloo Township (hereinafter referred
to as "East Waterloo").
WHEREAS, Waterloo and East Waterloo are public agencies pursuant to Iowa Code
28E2 (1987), and
WHEREAS, East Waterloo has petitioned Waterloo, in accordance with Iowa Code
364.16 (1987), to extend the jurisdiction of Waterloo for fire and ambulance purposes
(hazardous materials response by the Northeast Iowa Response Group) to include:
All that part of East Waterloo lying outside the City Limits of the City of Waterloo, Iowa,
known as East Waterloo Township.
THEREFORE, for and in the consideration of the mutual covenants and agreements
herein contained, the parties agree as follows:
or
1. The cost for fire protection to East Waterloo shall be one thousand, six hundred
and ninety five dollars and seventy-five cents ($1,695.75) per year. In addition,
there will be a cost of two hundred dollars ($200.00) a call for the first hour or
fraction thereof per Engine Company, from the time the engine company leaves its
quarters until the engine company returns to its quarters. If more than one hours'
time is consumed in responding to the call, the cost shall be One Hundred Dollars
($100.00) per hour or any fraction thereof after the first hour. An engine company
shall mean one (1) piece of apparatus and crew.
2. Ambulance charges will be billed to the party receiving the service based on the
current City Ordinance.
3. Northeast Iowa Response Group shall be entitled to reimbursement of all costs for
responding to hazardous material incidents under the County Ordinance.
4. The Waterloo fire officer in charge of equipment shall call or cause to be called
additional engine companies if it is believed that additional assistance is needed.
At all times in answering such calls, or in the operation of the equipment, or the
direction of the members of the crew, or at any fire outside the city limits of
Waterloo, the officer of the Waterloo Fire Department in charge of the equipment
and work shall have full control of such equipment and officers.
5. Waterloo reserves the right to refuse to answer any call at any time for the
following reasons:
a. That the necessary fire apparatus or medical units are not available
b. That the Waterloo Fire Department is unable to reach the property on fire
due to accident or road conditions.
6. Waterloo does not guarantee the successful operation of its, equipment or persons
at any fire outside the city of Waterloo. Waterloo shall not be liable for any
damages that may be caused in refusing to answer any such call or for any damages
that may be caused in the operation of equipment or by the personnel
accompanying the equipment.
7. When the officers or equipment of Waterloo are engaged in rendering assistance
pursuant to this Agreement, they shall be considered to be within their jurisdiction,
and Waterloo shall have the same governmental immunity when responding to
such calls as when operating within the City of Waterloo. Waterloo fire fighters
operating equipment or responding to calls outside the corporate limits of Waterloo
shall be entitled to the benefits of Iowa Code, Chapter 410 and 411 (1987), when
otherwise qualified.
8. At all times in answering such calls, or in the operation of the equipment, or the
direction of the members of the crew, or at any fire outside the city limits of
Waterloo, the officer of the Waterloo Fire Department in charge of the equipment
and work shall have full control of such equipment and officers.
9. This Agreement is entered into by the parties pursuant to the provisions of Iowa
Code Chapter 28E (1987), and as such:
a. This Agreement is for a period of one (1) year, from July 1, 2011, through
June 30, 2012; and
b. The parties may revoke this Agreement at any time by giving sixty (60) days'
written notice; and
c. Does not envision a separate organization or other composition of legal entity
of any type and operates under the authority of the laws of the State of Iowa;
and
d. Is for the purpose of providing fire protection.
Dated this IL6 day ofITAy ,2011.
CITYWATE._., 0 W EAST WATERLOO TOWNSHIP, IOWA
By:
Ernst G. Clark, Mayor Bill McNellis, Township Trustee
ATTEST:
Suzy Schares
City Clerk
STATE OF IOWA
BLACK HAWK COUNTY
ss.
On this I day of 5- , , before me, the undersigned a
Notary Public in and for the State of Iowa, personally appeared Buck Clark and Suzy
Schares to me personally known, and who, being by me duly sworn, did say that they are
the Mayor and City Clerk, respectively, of the City of Waterloo, Iowa; that the seal
affixed to the foregoing instrument is the corporate seal of the corporation, and that the
instrument was signed and sealed on behalf of the corporation by authority of is City
Council, and that Mayor Buck Clark and Suzy Schares acknowledged the execution of the
instrument to be their voluntary act and deed and the voluntary act and deed of the
corporation, by it voluntarily executed.
Notary Pu1ic in and for the State of Id va r
28E AGREEMENT
FIRE PROTECTION CONTRACT
Fiscal Year 2011 (July 1, 2011 to June 30, 2012)
The parties to this Agreement are the City of Waterloo, Iowa, (hereinafter referred to as
"Waterloo") and the Board of Trustees of East Waterloo Township (hereinafter referred
to as "East Waterloo").
WHEREAS, Waterloo and East Waterloo are public agencies pursuant to Iowa Code
28E.2 (1987), and
WHEREAS, East Waterloo has petitioned Waterloo, in accordance with Iowa Code
364.16 (1987), to extend the jurisdiction of Waterloo for fire and ambulance purposes
(hazardous materials response by the Northeast Iowa Response Group) to include:
All that part of East Waterloo lying outside the City Limits of the City of Waterloo, Iowa,
known as East Waterloo Township.
THEREFORE, for and in the consideration of the mutual covenants and agreements
herein contained, the parties agree as follows:
or
1. The cost for fire protection to East Waterloo shall be one thousand, six hundred
and ninety five dollars and seventy-five cents ($1,695.75) per year. In addition,
there will be a cost of two hundred dollars ($200.00) a call for the first hour or
fraction thereof per Engine Company, from the time the engine company leaves its
quarters until the engine company returns to its quarters. If more than one hours'
time is consumed in responding to the call, the cost shall be One Hundred Dollars
($100.00) per hour or any fraction thereof after the first hour. An engine company
shall mean one (1) piece of apparatus and crew.
2. Ambulance charges will be billed to the party receiving the service based on the
current City Ordinance.
3. Northeast Iowa Response Group shall be entitled to reimbursement of all costs for
responding to hazardous material incidents under the County Ordinance.
4. The Waterloo fire officer in charge of equipment shall call or cause to be called
additional engine companies if it is believed that additional assistance is needed.
At all times in answering such calls, or in the operation of the equipment, or the
direction of the members of the crew, or at any fire outside the city limits of
Waterloo, the officer of the Waterloo Fire Department in charge of the equipment
and work shall have full control of such equipment and officers.
5. Waterloo reserves the right to refuse to answer any call at any time for the
following reasons:
a. That the necessary fire apparatus or medical units are not available
b. That the Waterloo Fire Department is unable to reach the property on fire
due to accident or road conditions.
6. Waterloo does not guarantee the successful operation of its equipment or persons
at any fire outside the city of Waterloo. Waterloo shall not be liable for any
damages that may be caused in refusing to answer any such call or for any damages
that may be caused in the operation of equipment or by the personnel
accompanying the equipment.
7. When the officers or equipment of Waterloo are engaged in rendering assistance
pursuant to this Agreement, they shall be considered to be within their jurisdiction,
and Waterloo shall have the same governmental immunity when responding to
such calls as when operating within the City of Waterloo. Waterloo fire fighters
operating equipment or responding to calls outside the corporate limits of Waterloo
shall be entitled to the benefits of Iowa Code, Chapter 410 and 411 (1987), when
otherwise qualified.
8. At all times in answering such calls, or in the operation of the equipment, or the
direction of the members of the crew, or at any fire outside the city limits of
Waterloo, the officer of the Waterloo Fire Department in charge of the equipment
and work shall have full control of such equipment and officers.
9. This Agreement is entered into by the parties pursuant to the provisions of Iowa
Code Chapter 28E (1987), and as such:
a. This Agreement is for a period of one (1) year, from July 1, 2011, through
June 30, 2012; and
b. The parties may revoke this Agreement at any time by giving sixty (60) days'
written notice; and
c. Does not envision a separate organization or other composition of legal entity
of any type and operates under the authority of the laws of the State of Iowa;
and
d. Is for the purpose of providing fire protection.
Dated this ( day of , 2011.
CITY ' ,`' WATER Q d ,, OWA EAST WATERLOO TOWNSHIP, IOWA
By S :.�� By: � j"c
Bill McNellis, Township Trustee
Ernst G. Clark, Mayor
ATTEST:
Suy Schares
City Clerk
STATE OF IOWA
ss.
BLACK HAWK COUNTY
a6 `l
On this day of , -2, before me, the undersigned a
Notary Public in and for the State of Iowa, personally appeared Buck Clark and Suzy
Schares to me personally known, and who, being by me duly sworn, did say that they are
the Mayor and City Clerk, respectively, of the City of Waterloo, Iowa; that the seal
affixed to the foregoing instrument is the corporate seal of the corporation, and that the
instrument was signed and sealed on behalf of the corporation by authority of is City
Council, and that Mayor Buck Clark and Suzy Schares acknowledged the execution of the
instrument to be their voluntary act and deed and the voluntary act and deed of the
corporation, by it voluntarily executed.
Notary Pu
lic in and for the State of I
;14, rif