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HomeMy WebLinkAbout28 E Agreements - Elk Run Heights, Cedar Township, East Waterloo Township - 7_18_2022The parties "Waterloo") WHEREAS, and 28.E AGREEMENT FIRE PROTECTION CON1'1tACT FISCAL YEAR 2023 (July 1, 2022 to June 30, 2023) to this Agreement are the City of Waterloo, Iowa, (hereinafter referred to as and the city of Elk Run Heights (hereinafter referred to as "Elk Run"). Waterloo and Elk Run are public agencies pursuant to Iowa Code 28E.2 (1987), WHEREAS, Elk Run 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: City of Elk Run Heights, Iowa 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 Elk Run shall be approximately $36.41 per year, per capita, based on a population of one thousand sixty-nine (1,069) residents, for a total of $38,922.29 minus $.0.50 per capita for costs assessed by the County for membership in the Northeast Iowa Response Group. $38,922.29 minus $534.50 totals, thirty-eight thousand, three -hundred eighty-seven dollars and seventy-nine cents ($38,387.79) This amount is to be paid on a quarterly basis by Elk Run Heights. 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 City of Elk Run Heights Recovery 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. 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. & 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, 2022, through June 30, 2023; 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 Qt, 2022. CITY OF WATERLOO, IOWA CITY OF ELK RUN JEjfiHTS, IO,WA By: )[49_ By: Quentin Hart, Mayor Lisa Smock, Mayor ATTEST: Kelle elchle City Jerk STATE OF IOWA ss. BLACK HAWK COUNTY ) On this \ day of `--1 , 2022 before me, the undersigned a Notary Public in and for the State of Iowa, ersonally appeared Quentin Hart and Kelley Felchle 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 Quentin Hart and Kelley Felchle 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. NANCY HIGBY COMMISSION NO.788229 MY CgqMMI SIIN EX IRES Notary Public in and for the State of Iowa 28E AGREEMENT FIRE PROTECTION CONTRACT FISCAL YEAR 2023 (July 1, 2022 to June 30, 2023) The parties to this Agreement are the City of Waterloo, Iowa, (hereinafter referred to as "Waterloo") and the city of Elk Run Heights (hereinafter referred to as "Elk Run"). WHEREAS, Waterloo and Elk Run are public agencies pursuant to Iowa Code 28E.2 (1987), and WHEREAS, Elk Run 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: City of Elk Run Heights, Iowa 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 Elk Run shall be approximately $36.41 per year, per capita, based on a population of one thousand sixty-nine (1,069) residents, for a total of $38,922.29 minus $.0.50 per capita for costs assessed by the County for membership in the Northeast Iowa Response Group. $38,922.29 minus $534.50 totals, thirty-eight thousand, three -hundred eighty-seven dollars and seventy-nine cents ($38,387.79) This amount is to be paid on a quarterly basis by Elk Run Heights. 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 City of Elk Run Heights Recovery 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. 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: & 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, 2022, through June 30, 2023; 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 l ' day of 1,t. l , 2022. CITY OF WATERLOO, IOWA CITY OF ELK RUN EIGHTS, IOWA By: By: Quentin Hart, Mayor Lisa Smock, Mayor Al IEST: Kelley elchle City Jerk STATE OF IOWA ) . ss. BLACK HAWK COUNTY ) On this 2 day of V` 2022 before me, the undersigned a Notary Public in and for the State of Iowa, p rsonally appeared Quentin Hart and Kelley Felchle 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 Quentin Hart and Kelley Felchle 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. NANCY HIGBY COMMISSION NO.788229 MY �QM-M�ISS1�N�,pkliIRES J �"TY i Notary Public in and for the State of Iowa 28E AGREEMENT FIRE PROTECTION CONTRACT Fiscal Year 2022 (July 1, 2022 to June 30, 2023) 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 Code28E.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: 1. The cost for fire protection to East Waterloo shall be two thousand, two hundred thirty two dollars and thirty-six cents ($2,232.36) 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 (I) piece of apparatus and crew. or 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 beliable 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 (I) year, from July I, 2022, through June 30, 2023;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 providingfire protection. Dated this L::4 1 day of _.) , 2022. CITY OF WATERLOO, IOWA EAST WATERLOTOWNSHIP , IOWA Byi Quentin Hart, Mayor ATTEST: Kelley Fel jle, City Clerk STATE OF IOWA ss. BLACK HAWK COUNTY By: Pete Natvig, Township Clerk On this ZI day of 2022, before me, the undersigned a Notary Public in and for the State of Iowa, person ly appeared Quentin Hart and Kelley Felchle 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 Quentin Hart and Kelley Felchle 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. NANCY HIGBY COMMISSION NO.788229 MY c.j0mmissipN EXPIRES Notary Public in and for the State of Iowa 28E AGREEMENT FIRE PROTECTION CONTRACT Fiscal Year 2022 (July 1, 2022 to June 30, 2023) 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 axe 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: 1. The cost for fire protection to East Waterloo shall be two thousand, two hundred thirty two dollars and thirty-six cents ($2,232.36) 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 (I) piece of apparatus and crew. or 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 notbe 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, 2022, through June 30, 2023;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 providingfire protection. Dated this V ortday of •t.) , 2022. CITY OF WATERLOO, IOWA By lICLA4 Quentin Hart, Mayor ATTEST: l Kelley Fe1.iJj e, ity Clerk STATE OF IOWA ss. BLACK HAWK COUNTY Pete Natvig, Township Clerk On this ' day of J , 2022, before me, the undersigned a Notary Public in and for the State of Iowa, personally appeared Quentin Hart and Kelley Felchle 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 Quentin Hart and Kelley Felchle 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. .""'"` • .` NANCY HIGBY COM* MYMISSION NO.7\88$229 Notary Public irl dnd for the State of Iowa Mar, 4.2022 4:48PM No. 2740 P. 2 28E AGREEMENT FIRE PROTECTION CONTRACT Fiscal Year 2023 (July 1, 2022 to June 30, 2023) The parties to this Agreement are the City of Waterloo, Iowa, (hereinafter referred to as "Waterloo") and Cedar Township. WHEREAS, Waterloo and Cedar Township are public agencies pursuant to Iowa Code 28E.2 (1987), and WHEREAS, Cedar Township 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_ the territory outside the Waterloo City limits consisting of Balsam Street, Juniper Drive, Oalcridge Road and Rose Lane. 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 Cedar Township shall be $2,285.34 per year. 2. Ambulance charges will oe 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. 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 refu sing 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: 2022 4:48FM No.2740 P. 3 a. This Agreement is for a period of one (I) year, from July I, 2022, through June 30, 2023; 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 1 b day of uQa , 2022. CITY OF WATERLOO, IOWA By Quen�yor ri Al LEST: Kelley Fel City Clerk STATE OF IOWA e ss. BLACK HAWK COUNTY ) On this /8 day of Aty , 2022, before me, the undersigned a Notary Public in and for the State of Iowa, personally appeared Quentin Hart and Kelley Felchle, 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 Quentin Hart and Kelley Felchle 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. CEDAR TOWNSHIP 4 eiJ &i.Jens Township Clerk Notary Public in and for the State of Iowa STEVEN L. ROSAUE`sn s E Commission Number 177880 ow Mot/c7/20z`rs 05/18/2022 14:19 3194334039 STEUE:ROSAUER PAGE 02/03 Mar. 4.2022 4:48PM No. 2140 P. 2 28E AGREEMENT FARE PROTECTION CONTRACT Fiscal Year 2023 (July 1, 2022 to June 30, 2023) The parties to this Agreement are the City of Waterloo. Iowa, (hereinafter referred to es "Waterloo") and Cedar Township, WHCRHAS, Waterloo and. Cedar Township are public agencies pursuant to Iowa Code 28E.2 (1987), and WEERBAS, Cedar Township 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: the territory outside the Waterloo City limits consisting of Balsam, Street, Juniper Drive, Oakridge Road and Rose Jane. TI3.EREFORE, for and in the consideration of the mutual covenants and agreements heroin contained, the parties agree as follows: or 1, The cost for fire protection to Cedar Township shall be $2,285.34 per year. 2. Ambulance charges will be billed to the party receiving the service based on the current City Ordinance. 3, Northeast towa Response Group shall he 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. 5. Waterloo reserves tthe right to refuse to answer any all at any time for the following reasons: a. That the necessary fun apparatus or medical units arc not available b. That the Waterloo Fire Department is unable to reach the property on fire dye to accident or road conditions. 6. Waterloo does not guarantee the successful operation of its equipment or persons et any fire outside the city of Waterloo. Waterloo shall not be liable for any datya,gos 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 opetnting within the City of Watorloo. Waterloo fire fighters operating equipment or responding to calls outside the corporate limits of Waterloo shall bo entitled to the benefits of Iowa Code, Chapter 410 and. 411 (1987), when otherwise qualified. 8. At all tunes in answering such calls, or irr tha 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 fiall control of such, equipment and officers. 9. This Agreement is entered into by the parties pursuant to the provisions of Iowa Code Chapter 282 (1987), snd as such: 05/18/2022 14:19 3194334039 STEUE:ROSAUER PAGE 03/03 Near. 4, 2022 4:48PV Nn, 2740 P. 3 a. This Agreement is for a periodof one (I) year, from July I, 2022, through Tune 30, 2023; and b. The parties may revoke this Agreement at any time by gving 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 ' o day of, ) \, 2022. CITY OF WATERLOO, IOWA CEDAR TOWNSIIIP By: V L1 LOA:g,latrA �) Quentin Hart, Mayor ATTEST Kelley Felc City Clerk STATE OF IOWA ) BLACK FJ,4WK COUNTY SS. 4 R/Ai BR1id etvs Township Clerk On this 11 day of /0 Y , 2022, before me, the undersigned a Notary Fublic in and for the State of Iowa, personally appeared Quentin Ilart and Kelley Felchle, 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 Quentin Hart and Ke11ey Felchle aclmowlerlged the execution of the instrument to be their voluntary act and deed, en.d the voluntary act anddoed of the corporation, by it voluntarilyexecutcd. Notary Public in and for the State of Iowa 4,„, STEVEN L. ROSALD1IR ' Commission Number 177E89 My Commission Expires °" dx/a7.202,S / ® Ao C CERTIFICATE OF LIABILITY INSURANCE MIDD/ YYYY) E,2DATE (MM/DDr 2/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER PDCM Insurance P.O. Box 2597 Waterloo IA 50704 CONT NAMEACT Janet Dufel, CPCU, CIC, CRM, CPIW PHONE FAX (A/c, No, Ext): 319-234-8888 (A/C, No): 319-234-7702 ADDRESS: jdufel@pdcm.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Travelers 40282 INSURED WATERLO-02 City of Waterloo 715 Mulberry Street Waterloo IA 50703-5714 INSURER B : Safety National Casualty Corp. INSURER C: INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1804006432 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBERPOLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY ZLP15P3053A 7/1/2022 7/1/2023 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 X 250,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED X SCHEDULED 8109157P459 7/1/2022 7/1/2023 COMBINED SINGLE LIMIT (Ea accident) $ 1 000 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (err accident) ROPERTY DAMAGE $ $ A X UMBRELLA LIAB EXCESS LIAB X O OCCUR CLAIMS -MADE ZUP51 N43500 7/1/2022 7/1/2023 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ DED X RETENT ON $ 10.000 $ g WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A AGC4067097 7/1/2022 7/1/2023 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: 28E Agreements with Elk Run Heights, Cedar Township & East Waterloo Township CERTIFICATE HOLDER CANCELLATION City of Elk Run Heights 5042 Lafayette Road Waterloo IA 50707 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD