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HomeMy WebLinkAboutIowa DOT-Snowmobile Trails Permit-09.10.2007 v 7 ctk1lo , ode _ 5 2142241.4 1:83% Iowa Department of Transportation 118107 Box 1888 Waterloo IA 50704 * Phone 319-235-9503 * Fax 319-235-9021 Oct. 15,2007 Snowmobile Permit 07A-2007-024 Black Hawk/various hwys. Five Star Snow Trails Assoc. Richard C. Melick Five Star Snow Trails Assoc. 1314 Washington Street Cedar Falls, IA 50613-4153 Dear Dick Melick: Enclosed is a copy of your approved Snowmobile Trails Permit#07A-2007-024 for trails located along US 63, US 218, IA 281, and I-380N-49(IA 297) interchange within Waterloo, Janesville, and Dunkerton, as shown on the attached Black Hawk County Snowmobile Crossing Locations Sheet. When you receive your 2007-2008 liability insurance, please forward a copy to this office. This permit shall expire April 15,2008. Please contact Russell Frisch,Waterloo Supervisor, at 319-233-3055 prior to starting work so they are aware of work along the highway right-of-way. All crossings shall go into effect after our DOT forces have installed the signs. An approved copy of this permit must be present on the job site. All work within the highway right-of-way shall be performed by the applicant or contractor between the hours of 30 minutes after sunrise to 30 minutes before sunset. If you have any questions,please contact me. Sincerely, AA� Irene M. Herr, E.O.T. Engineering Operations Technician IMH Enclosure CC: Russell Frisch—Waterloo Supervisor Jeff McCollough—Traffic&Safety—Ames Dave Little—Assistant District Engineer—Mason City Office File Iowa Department of Transportation Application to Perform Work Within State Highway `8' Form 810028(09/2006) Highway Division I Ames,IA 50010 Right-of-Way FOR DEPARTMENT USE ONLY Permit Number Highway Number County 0 7://-- 2 00 7 — O 2A (SEE ATTACHED LIST) Black Hawk DOT Project Number Expiration/Completion Date L/_1A Apk«. /5) 2oo8 APPLICANT(INDIVIDUAL OR COMPANY) (ASSISTANCE FROM DEPARTMENT AVAILABLE UPON REQUEST) First Name Middle Initial Last Name Phone Number Richard C Melick (319) 266-0445 Company Name Phone Number Five Star SHOW Trails Association (319) 266-0445 Street Address City/Town State IZip Code 1314 Washington Street Cedar Falls IA 50613-4153 WORK TO BE ACCOMPLISHED Approval is hereby requested to enter within the state right of way and to complete the proposed work as detailed on the attachments and further described as follows: Snowmobile Trail and Trail Crossing locations as indicated on the attached listing. Trail is located partially within the city limits of Dunkerton. Janesville and Waterloo. All crossings shall go into effect after all signs along the highway have been installed by DOT Forces. WORK SITE LOCATION (SEE ATTACHED LISTING) The proposed work as described above is located in Section ,Twp. , Range on Highway No. generally located (miles) (direction)from (city,county line or other land line).Work proposed is more specifically located as being from (Milepost#)and (Highway Station) to (Milepost#)and (Highway Station) on the side of highway. Applicant Signature and Agreement The undersigned have read the stipulations of this permit agreement as stated as well as attachments which may be included and by signing this application agree to abide by all stipulations and to complete the work as proposed in compliance with the stipulations and attachments within one year from the date Department approval is received for said request. Failure on the part of the applicant to abide by the stipulations or to construct the work desired as stipulated and within the time frame stated shall render this agreement and request null and void.The undersigned also agrees to save harmless the State of Iowa and the Iowa Department of Transportation from any damage or losses that may be sustained by any person or persons on account of the conditions and requirements of this agreement. Applicant Name(First,M.l., Last--Print or Type) App'cant Signature (Handwritten) Date Richard C. Melick / t/L C,J 1 -- 8/27/2007 CITY ACTION(IF PROPOSED WORK IS WITHIN AN INCORPORATED CITY,CITY ACTION ACTION IS REQUIRED) "The undersigned city joins in the grants embodied in the above permit executed by the Iowa Department of Transportation on condition that all of the covenants and undertakings therein running to the Iowa Department of Transportation shall inure to the benefit of the undersigned city and recommends action on said permit application as noted below by the delegated city official". Recommend Approval 1 Do Not Recommend Approval None Required Auth. City Official Signature Title Date (Handwritten) Name of Authorized City Official(Print or Type) Authorized City Official for the City of (SEE ATTACHED CITY ACTION SHEETS) FEDERAL HIGHWAY ADMINISTRATION ACTION (DEPARTMENT REPRESENTATIVES WILL REVIEW THE REQUEST AND OBTAIN FHWA ACTION,WHEN NECESSARY) Recommend Approval ❑ Do Not Recommend Approval 1 1 None Required Authorized FHWA Representative Signature Date I (DDT Final Action&Agreements on next page) i Page 1 of 2 I DEPARTMENT OF TRANSPORTATION FINAL ACTION - jg Application Approved 1 Application Denied Permit Number 7A_za _0g.q_ Authorized Highway District Representative Sig ature Date (Type or Print): 1r.P�� ��PR E.o•T. - � o } � /O l/572067 Notice of intention to commence activities on the highway rights-of-w y shall be submitted by the applicant a minimum of 48 hours prior to actually commencing the activities as herein granted by this approved application. Notice is to be given to the following Iowa Department of Transportation representative: Local DOT Contact Person (Type or Print Name) Phone Number Russ fR/scs/ GARAGE- SuP.E205oR g/9 233 3055 Street Address City/Town State ZIP Code 1875 14 R t.1 E1.</AY P o. ffo) 18$8 I.c/ATERLoo IA 5o 704- AGREEMENTS The applicant agrees that if granted a permit to do said work the following stipulations shall govern. 1. The applicant shall carry on the construction, repair,and maintenance with serious regard to the safety of the traveling public and adjacent property owners and shall save the State and the Iowa Department of Transportation harmless of any damage or losses that may be sustained by the traveling public on account of such construction, repair,or maintenance operations. 2. The applicant shall indemnify and save harmless the State of Iowa, its agencies, and employees, from any and all causes or actions, suits at law or in equity, for losses, damages, claims, or demands, and from any and all liability and expense of whatsoever nature, arising out of or in connection with the applicant's use or occupancy of the public highway. 3. The applicant shall hold the State and the Iowa Department of Transportation harmless of any damage that may result to said highway because of the construction or maintenance of the facility, and shall reimburse the State or the Iowa Department of Transportation for any expenditures that the State of Iowa or the Iowa Department of Transportation may have to make on said highway rights-of-way on account of said applicant's construction or maintenance activity or lack thereof. 4. Traffic protection shall be in accordance with Part VI of the current Manual on Uniform Traffic Control Devices for Streets and Highways. The applicant shall be responsible for correctly using signs as needed while work is in progress. Flagging operations are the responsibility of the applicant. 5. Before beginning any work within the highway rights-of-way, it is the responsibility of the applicant to contact utility companies whose installations may be affected or encountered. Contact should be made at 1-800-292-8989, a minimum of 48 hours in advance of starting construction. If the work requested in this application should cause a need to relocate or modify an existing utility, any cost associated shall be as negotiated between the applicant and the utility owner. 6. A copy of the approved application shall be available on the job site at all times for examination by Department of Transportation officials. 7. The applicant shall seed and mulch all disturbed areas within the highway right-of-way and shall be responsible for the vegetative cover until it becomes well established. Any surfaced areas such as driveways or shoulders and sodded waterways and plantings which are disturbed shall be restored to their original condition. 8. If the proposed work results in a pool of water on the applicant's property,this pool of water will be exclusively owned, controlled, and maintained by the applicant. That part of the modification located on highway right-of-way will be maintained by the Iowa Department of Transportation for road purposes only. 9. The applicant shall maintain any drainage structure built within the right-of-way that is built for the benefit of the applicant and not necessary for highway use. 10. This permit is subject to any laws now in effect as well as any new laws which may be hereafter enacted and all applicable rules and regulations of local, state, and federal agencies. 11. This permit is subject to all the rules and regulations of the Iowa Department of Transportation, and to revocation by the Iowa Department of Transportation at any time and at no cost to the Department,when in the judgment of the Department it is necessary in the improvement or maintenance of the highway or for other reasonable cause. 12. The applicant agrees to give the Iowa Department of Transportation 48 hours notice of intention to start construction or perform maintenance on the highway right-of-way. Any modification to the proposed work shall be approved by the Department prior to making the change. 13. Unless specifically noted in item#15, all work performed within the right-of-way shall be restricted to a time frame of 30 minutes after sunrise to 30 minutes before sunset. 14. All proposed work covered by this permit shall be at the applicant's expense.The applicant shall reimburse the Iowa Department of Transportation for any materials removed from the highway right-of-way described as follows: 15. The following special requirements shall apply to this permit: PLEASE NOTE: The sponsor agrees to hold harmless the State of Iowa and the Iowa Department of Transportation and to indemnify them from any claim. demand or action by or on behalf of any person or entity arising out of or in connection with anything having to do with the snowmobile route. including. but not limited to. its establishment. construction. use, maintenance, signing, configuration or existence. Disclosure Statement The information furnished on this form will be used by the Department of Transportation to determine approval or denial of the application. Failure to provide all information will result in denial of the application. Information furnished is public information and copies may be provided to the public upon request. Page 2 of 2 Work In Row/Black Hawk Five Star Snow Trails Association Snowmobile Permit#07A-2007-024 FIVE STAR SNOW TRAILS ASSOCIATION CROSSING LOCATIONS -- 2007 No. Location Station Milepost Sec/Twp/Range 18 US 63 south of US 20 812+50 158.04 7-T88N-R13 W 20 US 63 at Ridgeway 893+00 159.58 33-T89N-R13W 22 US 63 at Airline Highway 62+50 166.71 11,12-T89N-R13W 23 US 63 at W. Bennington 273+05 170.75 13,14-T90N-R14W 3 US 218 north of Washburn (Crossing under bridge) 520+15 175.58 20-T88N-R12W 6 US 218 at Schrock Rd. 422+83 173.74 33-T88N-R12W 1 US 218 At Marigold Dr. 586+15 176.84 18-T88N-R12W 8 US 218 at Broadway Ave. 2520+00 185.80 9-T89N-R13W 10 US 218 at C-57 598+50 192.88 12-T90N-R14W 11 US 218 at Marquis Rd. 117+15 194.90 1,2-T90N-R14W (Crossing under US 218 thru box culvert) 14 IA 281 at alley between' Main St and Sycamore St in Dunkerton 270+75 13.75 28,29-T90N-R11 W 15 IA 281 at Kwik Star Store in Dunkerton 245+00 13.27 32,33-T9ON-R11W 16 IA 281 at C-57 125+30 16.53 16,17-T9ON-R11W 13 I-380/US20/V-49 6854+08 66.52 11,12-T88N-R12W (Old IA 297 overpass) CITY ACTION (IF PROPOSED WORK IS WITHIN AN INCORPORATED CITY, CITY ACTION IS REQUIRED) "The undersigned city joins in the grants embodied in the above permit executed by the Iowa Department of Transportation on condition that all of the covenants and undertakings therein running to the Iowa Department of Transportation shall inure to the benefit of the undersigned city and recommends action on said permit application as noted below by the delegated city official". ,t Recommend Approval 0 Do Not Recommend Approval 0 None Required Auth. City Official Signature Title Date (Handwr"tfen) tAl--,r ...-Z-------- A VD IZ 9/1o/v7 e of Authorized City Official (Print or type) !Authorized City Official for the City of 6.j2)4._ L . tLAN,D ES j DUNKERTON 3 CITY ACTION (IF PROPOSED WORK IS WITHIN AN INCORPORATED CITY, CITY ACTION IS REQUIRED) "The undersigned city joins in the grants embodied in the above permit executed by the Iowa Department of Transportation on condition that all of the covenants and undertakings therein running to the Iowa Department of Transportation shall inure to the benefit of the undersigned city and recommends action on said permit application as noted below by the delegated city official"'10- . Recommend Approval ❑ Do Not Recommend Approval ❑ None Required Auth. City Official Signature Title Date (Han written) / //7 ''. ,_/ ''. '---- - Name of Authorized City Official (Print or type) Authorized City Official for the City of --- '1.-7, / JANESVILLE SPECIAL CONDITIONS: The sponsor agrees to hold harmless the city of Janesville, Iowa and to indemnify the city from any claim, demand or action by or on behalf of any person or entity arising out of or in connection with anything having to do with the snowmobile route, including, but not limited to, its establishment, construction , use, maintenance, signing, configuration or existence. 3A CITY ACTION (IF PROPOSED WORK IS WITHIN AN INCORPORATED CITY, CITY ACTION IS REQUIRED) "The undersigned city joins in the grants embodied in the above permit executed by the Iowa Department of Transportation on condition that all of the covenants and undertakings therein running to the Iowa Department of Transportation shall inure to the benefit of the undersigned city and recommends action on said permit application as noted below by the delegated city official". W Recommend Approval ❑ Do Not Recommend Approval ❑ None Required Auth. City Official Signature Title Date (Handwritfen) Mayor 9/ 10/07 lame of Authorized City fficial (Print or type) Authorized City Official for the City of Tim Hu r 1 e WATERLOO • 3B IOWA DEPARTMENT OF TRANSPORTATION Application to perform work within State Highway Right of Way FIVE STAR SNOW TRAILS ASSOCIATION Snowmobile Trail and Crossing Locations-Black Hawk County 1. Crossing of US 218 in Waterloo at Marigold Dr, milepost 176.84. 2. Marked, "ungroomed" trail along both ditches of US 218 from Marigold Dr in Waterloo, milepost 176.84, to bridge at Washburn city limits. 3. Crossing under US 218 by way of bridge at north Washburn city limits, milepost 175.58 (NO SIGNING REQUIRED ON ROADWAY) 4. Marked "ungroomed trail along east ditch only of US 218 from bridge listed in item # 3 to farm driveway approx 300 ft north of Washburn city limits and immediately north of residence with street number 6605. 5. Marked, "groomed"trail along east ditch only,of US 218 from the convenience store at 7112 LaPorte Road in Washburn to East Schrock Road, southeast of Washburn. 6. Crossing of US 218 at East Schrock Road, milepost 173.74. 7. Marked, "groomed" trail along both ditches of US 218 from East Schrock Road, milepost 173.74 to LaPorte City north city limits. 8. Crossing under US 218 at Broadway St in Waterloo, mile post 185.8. (See item 9 below ) (NO SIGNS REQUIRED ON US 218) 9. Marked, "ungroomed" trail along south ditch of Broadway St from US 218 southbound"on ramp" to the US 218 northbound "off ramp". 10. Crossing of US 218 at County C57 north of Cedar Falls, milepost 192.88. 11. Crossing under US 218 through concrete box culvert at intersection with West Marquis Rd (7th St)in Janesville, milepost 194.90. Install temporary wooden trail bridge across rocks in west ditch at opening of culvert. (NO SIGNING REQUIRED ON ROADWAY) 11 A. * Temporary bridge mentioned in item 11 will be removed afer the snow season ends. 12, Marked, "ungroomed" trail along west ditch only of US 218 from above crossing, south approx 300 ft. Black Hawk County-2007 4 IOWA DEPARTMENT OF TRANSPORTATION Application to perform work within State Highway Right of Way FIVE STAR SNOW TRAILS ASSOCIATION (Cont'd) Snowmobile Trail and Crossing Locations-Black Hawk County (Cont'd) 13. Crossing of I-380/US 20 at intersection with County V49. Club will install signs to direct Groomer and snowmobiles to cross over I-380&US 20 on the overpass bridge and not cross at grade. "No Snowmobiling" signs will be placed along the on and off ramps on both sides of the freeway. Trail marker signs will be installed along the bridge deck. Milepost 66.52 14. Crossing of IA 281 at the alley between Main St and Sycamore St in Dunkerton. Milepost 13.75 15. Crossing of IA 281 at the Kwik Star Convenience Store at the south edge of Dunkerton. Milepost 13.27 16. Crossing of IA 281 at County C57. 17. Marked, "ungroomed" trail along both ditches of US 63 from Hudson city limits north to milepost 158.04, south of US 20 interchange. 18. Crossing of US 63 south of interchange with US 20 at milepost 158.04. 19. Marked, "ungroomed"trail along west ditch only of US 63 in Waterloo from milepost 158.04, crossing under US 20, and proceeding north to Ridgeway Ave. 20. Crossing of US 63 at Ridgeway Ave in Waterloo, milepost 159.58. 21. Marked, "ungroomed" trail along the east ditch only of US 63 from Ridgeway Ave in Waterloo, milepost 159.58, south approx 500 feet to the parking lot of Heartland Inn Motel. Trail will end at that point. 22. Crossing of US 63 at Airline Highway in Waterloo, milepost 166.71. 23. Crossing of US 63 at West Bennington Rd, milepost 170.75 with a fence hopper extending approx 10 feet from private property line into west ditch of the southbound lanes.. Btacl:Hawk County-2007 5 IOWA DEPARTMENT OF TRANSPORTATION Application to perform work within State Highway Right of Way FIVE STAR SNOW TRAILS ASSOCIATION (Cont'd) Snowmobile Trail and Crossing Locations-Black Hawk County (Cont'd) * Item 11 A has been added with this application. Item 15A shown on the 2006 application has been removed as no longer applicable. All locations shown on this application are the same as listed on the 2006 application except#10,#18, #19, #20, #21, #22 & #23 which have minor modifications to clarify the locations Note: Marked, "groomed"trail indicates that a track driven motorized trail grooming tractor pulling a snow drag will be operating to prepare the trail for snowmobile use and special signs applicable to snowmobile trails will be installed. Note: Liability insurance for the Five Star Snow Trails Association is covered on page 4 of the "Land Owners as Additional Insureds" page on the enclosed Certificate of Insurance for the Sno Hawks Snowmobile Club. All towns involved and the Iowa Department of Transportation are covered by the additional insured listed as"THE STATE OF IOWA AND ALL OF ITS POLITICAL SUBDIVISIONS". Note: A copy of the Insurance for the Sno Hawks Snowmobile Club for the current year is enclosed. Insurance renewal for year 12-1-2007 to 12-1-2008 is in process. Policy has not yet been issued. A copy of the approved policy will be provided to each entity involved upon receipt of the policy, which is expected to be sometime during the month of December 2007. Blael;Hawk Countv-2007 6 ACORD T., CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/03/2007 PRODUCER (563) 547-2161 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE V & V Insurance Agency, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 159 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 103 8th St E Cresco IA 52136- INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:Dakota Fire Insurance Co SNO HAWKS INC. INSURER B: 1314 WASHINGTON ST INSURER C: INSURER D: CEDAR FALLS IA 50613- INSURER E: COVERAGES 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY / / / / EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) X CLAIMS MADE OCCUR 3D31117 12/01/2007 12/01/2008 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1 / / / / GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PR LOC / / / / AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS / / / / BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS / / / / BODILY INJURY (Per accident) $ NON-OWNED AUTOS / / / / PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO / / / / OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY / / / / EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE / / / / $ RETENTION $ $ WORKERS COMPENSATION AND / / / / STATU- TORY LIMITS OTH- ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? / / / / E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT ,$ OTHER / / / / / / / / / / / / DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Snowmobile Club and Trail liability insurance, including liability coverage for (1) Groomer. Additional insured: See (5) attached sheets. Premise liability coverage is Excluded on this policy. This policy has a $250 deductible per claim. CERTIFICATE HOLDER CANCELLATION ( ) - ( ) - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION LI BILITY OF ANY K UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. — AUTHORIZED REPRESENTATIVE 4 r_____ . ACORD 25(2001/08) ©ACORD CORPORATIO''1988 ft.-INS025(0108).05 ELECTRONIC LASER FORMS,INC.-(800)327-0545 'age 1 of 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2001/08) INS025(ome)05 Page 2 of 2 cLtm tom- SNO HAWKS, INC LANDOWNERS AS ADDITIONAL INSURED FOR cum CONTEACIZD TRAIL VSAGE ONLY **CONITLETE NAME AND ADDRESS 1•Q NAME AND ADDRESS NAME .A.DDRFSS 55. Ronald Steege 63. The State of Iowa and all of its political 9321 Logan Ave sub-divisions Waterloo, IA 50703 Wallace State Office Bldg Des Moines, IA 50319 56. Gene Stokes 6225 Ford Road 64 Five Star Snow Trails Association Cedar Falls, IA 50613 5912 Aster LaneWaterloo, IA 50701 57. Michael & Kathy Tellinghuisen 7611 N. Union Rd 65 City of Janesville, IA Janesville, IA 50647 227 Main Street Janesville, IA 50647 58. Clifford & Marcie Trent 8339 Leversee Rd. 66. Dave Jacob Cedar Falls, IA 50613 8808 Burton Ave Cedar Falls, IA 50613 , 59. Alan Walker 1303 E Bennington Rd 67. Washburn 05 LaPP orte Road re Waterloo, IA 50703 Washburn. IA 50702 59. Charles Wilmot 2596 Joplin Ave Denver. IA 50622. 60. Raymond & Pauline Youngblut 6732 LaPorte Road Waterloo, IA 50706 61, Tim Youngblut 6905 LaPorte Road Washburn, IA 50706 62. David Zeien 4622 West Cedar Wapsi Road Cedar Falls, IA 50613 - A Page 4 of 4 li additional space is needed, please copy this Torus.. 77---*: FIVE STAR SNOW TRAILS -- i ASSOCIATION i -;�. x--": * 1314 Washington St, Cedar Falls,IA 50613-4153 *_ Phone/Fax:319-266-0445♦ email:damelick@cfu.net f• December 11, 2007 City of Waterloo Attn: City Clerk 715 Mulberry St Waterloo, IA 50703 Enclosed is the approved Iowa DOT permit 07A-2007-024 for snowmobile trails within Black Hawk County, for the 2007-2008 snow season. A copy of the "Certificate of Insurance"for the Sno Hawks Snowmobile Club for 2007-2008 is shown as the last pages of this permit. Please note that the"The State of Iowa and all of its Political Subdivisions"as listed on the page of the Additional Insureds provides $1,000,000.00 liability coverage for the city of Waterloo. The Five Star Snow Trails Association is also listed as an additional insured. If you have any questions about the insurance, or the snowmobile trail plan, please call me at: 319-266-0445 (home) or 319-231-0819 (cell) or you may e-mail to: damelick@cfu.net Sincerely, u e t ef- Richard C. Melick Administrative Advisor Five Star Snow Trails Association, Inc. 4/A J 1