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HomeMy WebLinkAboutNewtons Parklet ApplicationCITY OF WATERLOO Downtown Pa rl l t Guide a n d Application City Clerk's Office 715 Mulberry Street Waterloo, IA 50703 Phone: 319-291-4323 Email: clerk waterloo-ia.org Website: www. httros://www.cityofwaterloorowa.com CITY OF WATERLOO Downtown Parklet Guide iiu iiiIiuiii iv WELCOME The City of Waterloo greatly values our downtown businesses. We want to provide a way to enhance neighborhood interaction and re -imagine the potential for city streets, all the while supporting each local business. We believe a parklet can do just that. This guide will help you understand the licensing process, clarify deadlines, and identify materials required to submit a successful application. Please read this guide prior to completing and filing a license application. It is the policy of the City of Waterloo not to discriminate on the basis of sex, race, color, national origin, religion, age, disability, sexual orientation, familial status, or gender identity. WHAT IS A PARKLET? A Parklet is a platform installed by a permittee over public parking spaces within the public right-of-way adjacent to a sidewalk area upon which tables, chairs, umbrellas, landscaping, benches and other accessory components and amenities may be placed. WHERE AND WHEN IS A PARKLET PERMISSABLE? A parklet regulated under this ordinance shall be permitted as follows: In the Central Business District on streets with speed limits of twenty-five (25) miles per hour or less. Information regarding the Central Business District can be found below after the "Drawing Requirements" section. - Adjacent to the brick -and -mortar establishment. - Where the parklet's operation is primary to and a part of the operation of its adjacent establishment. Parklets shall be sited along the curb line on streets where on -street parking spaces exist. Parklets shall not block access to public utilities, hydrants, sidewalks, alleys, or driveways. The parklet shall extend no farther than ten (10) feet past the limit of the street frontage of the establishment. The parklet may extend past the street frontage of the establishment with approval from the city. When determining whether to grant approval, the city shall weigh available parking, the needs of neighboring businesses, and whether such approval is recommended by Main Street Design Review Board. Approval of extending the parklet past the street frontage of the establishment must be obtained annually and made at the time of filing the application. REQUIRED ACTIONS OF APPLICANT All Applicants must do the following: - Read the material in this guide. - Complete the application. Provide proof of valid food service license(s) from the state and/or county health departments if selling/handling food and/or beverages for human consumption. Provide certificate of insurance and sign an indemnification agreement as required in Section 3-4H-9 of the ordinance. Provide a drawing of the proposed parklet and adjacent property as described below. Provide photographs, drawings, or manufacturer's brochures fully describing the appearance of all proposed tables, chairs, umbrellas, or other objects relating to the parklet. Provide a plan for the maintenance and cleaning of the parklet license area; the tables and chairs located within the parklet area; and the disposal of any trash or debris generated from the operation and use of the parklet by the public and patrons of the permittee. - Any permits or approvals required from any other governmental agency necessary to operate the parklet. Initiate a liquor license premise update for new applications if selling alcohol. - Request permission from the city to extend the parklet past the street frontage of the establishment. - A non-refundable application fee of fifty dollars ($50.00). CERTIFICATE OF INSURANCE All permittees shall provide proof of and maintain current commercial general liability insurance having a minimum combined single limit of one million dollars ($1,000,000) and worker's compensation coverage of no less than the statutory requirement. A certificate of insurance shall be delivered to the city clerk prior to issuance of a permit. The certificate of insurance shall list the City of Waterloo and its elected and appointed officials, officers, employees, and agents as named additional insureds on a primary and non-contributory basis, including a waiver of subrogation in favor of city, against any liabilities that may arise in connection with the operation of the parklet. Apart from and separate from any insurance required under this section, the permittee shall agree in writing to indemnify, defend, and hold the City of Waterloo and its assignees and employees harmless from all losses, damages, injuries, claims, demands and expenses in any manner resulting from or arising out of the permitted operation of the parklet. Permittees holding a liquor license shall be required to provide proof of dram shop insurance covering the permitted parklet area. FOOD ESTABLISHMENT LICENSE A food establishment licenses is available by contacting the Black Hawk County Health Department at 319-291-2413 or by visiting their website https://www.co.black-hawk.ia.us/279/Food-Inspections. Black Hawk County asks that these applications be submitted at least thirty (30) days prior to the anticipated opening date. RESTRICTIONS ON SMOKING AND ALCOHOLIC BEVERAGES A business operating a parklet must follow and enforce the following prohibitions or restrictions: - Smoking or using an electronic smoking device at a parklet may be permitted in accordance with Iowa Smoke Free Air Act. Alcoholic beverages may be served at a parklet if the business has a valid liquor license with the state. If alcoholic beverages are served, the following requirements must be met: o Patron entrance to and egress from the parklet shall be controlled by operators of the establishment, who shall continuously monitor the parklet during times alcoholic beverages are being sold or consumed. o No alcoholic beverages may be sold or served to patrons later than 12:00 a.m. No person shall consume alcoholic beverages on the parklet after 12:00 a.m. o No person shall be permitted to consume any alcoholic beverages within the parklet that were not purchased on the premises. - Operators shall ensure that no person loiters in the clear path of pedestrian travel. Patrons may be in possession of an alcoholic beverage in the clear path of pedestrian travel only for the purpose of moving to the parklet from the adjoining indoor restaurant or vice versa. PARKLET REGULATIONS FOR OPERATION AND CONSTRUCTION The following regulations for operation and construction shall apply to all parklets: 1. DATE AND TIME OF OPERATION: A parklet may only operate from April 1 to November 1. Parklets shall not operate or allow patrons to congregate in the parklet between the hours of 12:00 a.m. and 6:00 a.m. daily. If a parklet is not in operation for the entire period, the annual permit fee shall not be prorated. 2. LOCATION: All parklets may be located on a parking stall on public right-of-way in the Central Business District. Such area shall be immediately adjacent to the establishment of which it is apart and, if the establishment also has a sidewalk cafe, provide (5) five feet of public right-of-way available for pedestrian traffic. 3. BARRIER: Parklets shall have a three -sided barrier. This barrier shall provide an aesthetically pleasing separation from surrounding uses as determined by standards set out in this ordinance and by requirements established by the Main Street Design Review Board. 4. ACCESSIBILITY: Parklets shall be accessible from the permitted premises to which it is attached. No tables or chairs will be permitted within ten (10) feet of a pedestrian crosswalk. There shall be a distance separation of no less than two (2) separating the structure of the parklet and the adjacent travel lane. No portion of any object placed within the parklet boundary shall extend into an adjacent pedestrian sidewalk, without first obtaining approval from the city. 5. OCCUPANCY: A parklet shall not exceed one person per ten (10) square feet of floor area accessible to the public. 6. LIGHTING: A parklet shall be adequately lit by use of non -obtrusive lighting, which shall not be directed toward any residential use, or the public street. 7. AMPLIFIED SOUND EQUIPMENT: Amplified sound equipment may be permitted in accordance with the city noise ordinance. 8. CODE COMPLIANCE: Parklets shall comply with appropriate building, housing, and fire codes and with all other applicable federal, state, or county laws or regulations. The permittee shall have the continuing obligation of compliance with the Americans with Disabilities Act, as same may be amended from time to time. 9. INSPECTIONS: The city shall inspect parklets at least once per year outside of the application process at the same time inspection of the adjacent permitted establishment occurs. The city may, at its discretion, inspect a parklet at any other time as deemed necessary to ensure compliance with city ordinances. 10. PERIMETER CHANGES: Any change to the perimeter of the parklet is subject to the approval of city departments listed in the application process and Main Street Design Review Board. 11. RIGHT-OF-WAY: Permittee shall preserve and protect all existing trees and plantings in the public right-of-way within the immediate vicinity of the parklet. Permittee shall be required to replace or mitigate entirely at permittee's expense, any damage to the public right-of-way or private property as a result of the parklet construction, installation, placement, operation, maintenance or removal. 12. FIRE PREVENTION: Awnings, umbrellas, and other decorative material accessory to the parklet shall be fire retardant, pressure treated, or manufactured of fire resistive material. 13. MAINTENENANCE: Tables, chairs, umbrellas, and any objects necessary to the parklet shall be maintained in a clean and attractive appearance, shall be always in good state of repair and shall be maintained in accordance with the approved maintenance plan and shall keep the landscaping and plants in a good, healthy, and vibrant condition. 14. LITTER AND DEBRIS: The parklet shall be maintained in a neat and orderly appearance at all times and the area shall be cleared of all litter and debris on a periodic basis during the day, and again at the close of each business day in compliance with the approved maintenance plan. 15. ACCESSORY ITEMS AND PLANTERS: Tables, seating, umbrellas, and any other items accessory to the parklet shall be of quality design and lasting materials, and workmanship both to ensure the safety and convenience of the users and to be compatible with the uses in the immediate vicinity of the parklet. If the parklet includes planters, the planters shall be placed within the parklet boundaries but shall be secured to ensure that they do not move onto the adjacent sidewalk. No planters with wheels are to be permitted. 16. SAFETY REQUIREMENTS: The following safety measures shall be required for parklets: a. A three-foot wheel stop or other appropriate "stops" such as planters shall be installed one (1) foot from the curb at the edge of the front and back or parking spaces. When parklets are installed on a portion of a parallel parking space, wheel stops or other appropriate "stops" such as planters should be set back four (4) feet from the parklet. b. Traffic safety devices, including but not limited to flexible bollards may be required depending on existing conditions and site layout to properly protect the parklet and its patrons. Parklet shall be required to have soft -hit posts, wheel stops and barriers on all edges of the parklet platform. c. Reflective elements are required at the outside corners of all parklets. Soft -hit posts are a standard solution deployed at the outside edges; however, the city shall consider and may require additional safety measures including flexible bollards, reflective elements or other solutions incorporated into the parklet design if warranted. 17. FIRE HYDRANT CLEARANCE: Parklets shall not be permitted in front of a fire hydrant, over a manhole, public utility valve or cover. A clearance of three (3) feet in either direction of the hydrant along the length of the street shall separate parklets from fire hydrants. 18. COST OF MAINTENANCE, OPERATION AND COMPLIANCE: The permittee shall, at its sole cost and expense, construct, operate, maintain, repair and remove the parklet and perform such acts and do such things as shall be lawfully required by any public body having jurisdiction over the parklet to install, construct, operate, use, maintain, and repair in order to comply with health and sanitary requirements, fire hazard requirements, zoning requirements, building code requirements, city engineering requirements, environmental requirements and other similar regulatory requirements. The city may require the permittee to provide additional services beneath the parklet platform, including but not limited to pest abatement service and clearing of catch basin grates to allow proper storm drainage. Such requirements shall be at the sole cost of the permittee. REMOVAL OF PARKLET Parklets shall be removed within five (5) business days of the expiration of the permit. If the permittee fails to remove the parklet when directed by the city or within fourteen (14) days after the expiration of the permit, the city may remove the parklet and the cost thereof shall be assessed against the adjacent property. INVESTIGATION AND INSPECTIONS Once a completed application, supporting documentation, certificate of insurance, and application fee are filed with the City Clerk's Office, the application is sent to several city departments for further investigation. Licenses will be issued to applicants that pass all inspections and investigations. FEES AND APPLICATION SUBMISSION An establishment filing an application for the first time may do so at any time of the year. Application and permit fees shall not be prorated. The city clerk may charge an applicant a twenty -dollar ($20.00) fee for filing an incomplete application. A renewal application must be filed with the city clerk's office no later than February 1st of each year. The city reserves the right to reject any application not filed in a timely manner. ISSUANCE OF PERMIT A permit may be issued when the application is approved by all city departments and the Main Street Design Review Board. A non-refundable permit fee of $200 shall be paid at the time of issuance, effective January 1, 2025. No permit fee shall be charged for a parklet in 2024. DRAWING REQUIREMENTS A drawing showing the layout and dimensions of the proposed parklet and adjacent property, including the structures to be located on the parklet, proposed location, size and number of tables, seating, umbrellas, location of entries, location of trees, parking meters, street signs, parking spaced utilized, vehicular travel lanes, sidewalk benches, trash receptacles, landscaping, utility boxes, fire hydrants, manholes, public utility valves or covers, storm sewer grates, poles, and other sidewalk obstruction either existing or proposed within twenty-five (25) feet of the parklet. Drawing must also include width of ADA path, and information regarding materials used for construction of parklet. CENTRAL BUSINESS DISTRICT The Central Business District is defined as all properties lying with the area bounded, on the northeast, by Franklin Street, on the southeast, by the Union Pacific Railroad line between 6th and 7th Streets, on the southwest, by Washington Street (Formerly Bluff Street), and on the northwest, by 3rd Street and its extension to the Cedar River, except that the two block area bounded by Washington Street, West 5th Street, Jefferson Street, and West 7th Street is not included in the Central Business District. Central Business District HOW TO SUBMIT APPLICATION Completed applications and materials may be submitted as follows: 1. Email: clerk@waterloo-ia.org 2. Mail: City Clerk's Office, 715 Mulberry Street, Waterloo, IA 50703 t., ,5iftb-'se.CITY OF WATERLOO y Downtown P rl I t Application The completed application and supporting materials can be mailed to: City Clerk's Office, 715 Mulberry Street, Waterloo, IA 50703; or emailed to clerk@waterloo-ia.org. For more information, please call the City Clerk's Office at 319-291-4323. Please submit the application, certificate of liability insurance, any required supporting documentation, and application fee no later than February 1st if filing a renewal application. Failure to file a complete application or timely file an application may result in additional fees or a denied application. Write N/A anywhere the information is not applicable to your business. BUSINESS AND LICENSING INFORMATION Today's Date: 05.01.2025 New Application: _X Renewal Application: Business Name: Newton's Paradise Cafe Business Address: 128 E. 4th Street, Waterloo Iowa 507030 Applicant Name (Photo identification is required): Greg Muller Applicant Address: 911 1/2 Lafayette Street, Waterloo Iowa 50703 Phone: (319)415-5088 Cell: (319)415-5088 Email: cornfedkitchen@gmail.com Food Establishment License #: 253298 (include copy of license) Liquor License #: 137F Are you seeking permission from the city to extend the parklet past the street frontage of the establishment? X Yes No. If yes, note the extension in the plans. EXPLAIN PLANS FOR MAINTENANCE AND CLEANING OF PARKLET LICENSE AREA Daily cleaning and trash removal. Will hose sidewalk daily and maintain clean tables/umbrellas. Staff is responsible to maintain orderly table arrangement and clean premises. Use the space below to draw layout of the parklet. One may be provided on a separate sheet of paper and attached to the application. See the application guide or drawing requirements. TERMS, CERTIFICATION, AND INDEMNITY AGREEMENT INSURANCE CERTIFICATE: Permittee certifies that a certificate of insurance in conformance with the limits listed in the City of Waterloo Downtown Parklet Guide is hereby attached to this application. FEE: Permittee agrees to pay the applicable application fee at the time the application is filed with the City Clerk's Office. Permittee recognizes that failure to timely file a complete application may result in additional fees. Permittee understands that a permit fee shall not be charged in 2024. TERM, TRANSFERABILITY, REVISIONS, AND REVOCATION: Permittee understands that a Parklet Permit is only valid for dates listed therein and shall not be transferred to another location, company, or individual. Permittee agrees that the Parklet Permit may be revoked for violating any laws of the City of Waterloo or State of Iowa. REMOVAL: The city reserves the right to require a parklet to temporarily suspend or cease operation or remove the parklet for an emergency or any other reason so that the city may access public right of way. The cost to remove and clean up a parklet shall be at the permittee's expense. In the event of city infrastructure causing damage to the parklet, the city shall not be liable for such damage. Parklets shall be removed within five (5) business days of the expiration of the permit. If the permittee fails to remove the parklet when directed by the city or within fourteen (14) days after the expiration of the permit, the city may remove the parklet and the cost thereof shall be assessed against the adjacent property. CERTIFICATION: I certify that the information contained in the foregoing application is true and correct to the best of my knowledge and belief, that if have read, understand, and agree to abide by the rules and regulations of the proposed event under the City of Waterloo City Code, and I understand that this application is made subject to the rules and regulations established by the City Council. Applicant agrees to comply with all other requirements of city and any other applicable entity that may pertain to the vending of food or beverages. I further certify that I, on behalf of the company, organization or if an individual, myself, am authorized to commit that organization and therefore, agree to be financially responsible for any costs and fees that may be incurred by the mobile food business to the City of Waterloo. I understand and agree that the City of Waterloo may rescind its permission to use city property at any time should it be determined to be in the best interests of the city and its citizens. INDEMNITY AGREEMENT: The undersigned agrees to defend, indemnify and hold harmless the City of Waterloo, its agents, officers, and employees, from and against any and all claims for injury or damages to persons or property arising out of or caused by the use of such property. The undersigned further agrees upon receipt of notice from the City of Waterloo to defend at its own expense the City of Waterloo, its agents, officers and employees from any action or proceeding against the City of Waterloo, its agents, officers or employees arising out of or caused by the use of such property. The undersigned agrees that a judgment obtained in any such action or proceeding shall be conclusive in any action by the City, its agents, officers or employees against the undersigned, when so notified as to the undersigned's cause of the injury or damage, as to the liability of the City, its agents, officers and employees to the plaintiff in the first named action, and as to the amount of the damage or injury. The City of Waterloo, its agents, officers and employees may maintain an action against the undersigned to recover the amount of the judgment together with all the expenses incurred by the City, its agents, officers and employees in the action. I HAVE READ THIS INDEMNITY AGREEMENT, I UNDERSTAND THE EFFECT OF THIS INDEMNITY AGREEMENT, I AM AUTHORIZED TO SIGN THIS INDEMNITY AGREEMENT, AND I AM SIGNING THIS INDEMNITY AGREEMENT VOLUNTARILY. Applicant Name: _Gregory Muller Applicant Signature: APPLICATION CHECKLIST Date: 5.01.2025_ Is every blank on the application filled in, or have you written N/A where information does not applicable? Have you signed and dated the indemnity agreement? Have you provided a certificate of insurance that conforms to the requirements listed in the guide? Have you attached a current Food Establishment License to the application? Have you attached a diagram or sketch of the proposed parklet showing everything listed in the Downtown Parklet Guide? Have you included a detailed plan regarding maintenance and cleaning on the parklet license area? Have you included a $50.00 application fee? Have you initiated a liquor license premise update for new applications if selling alcohol? IMPORTANT CONTACTS Black Hawk County Public Health o Phone: 319-291-2413 o Website: https://www.co.black-hawk.ia.us/279/Food-Inspections City Clerk's Office o Phone: (319)-291-4323 o Email: clerk@waterloo-ia.orq Fire Department o Phone: (319)-291-4460 Building Inspections Department o Phone: (319)-291-4319 Police Department o Phone: (319)-291-2515 Planning and Zoning o Phone: (319)-291-4366 Engineering Department o Phone: (319) 291-4312 Main Street Waterloo o (319) 291-2038 POST IN CONSPICUOUS PLACE NONTRANSFERABLE STATE OF IOWA DEPARTMENT OF INSPECTIONS, APPEALS, AND LICENSING FOOD SAFETY BUREAU FEE $ 400.00 FOOD SERVICE ESTABLISHMENT LICENSE No.253298 NEWTON'S PARADISE CAFE CORNFED KITCHEN, LLC 128 E 4TH ST WATERLOO, IA 50703 THE AFORESAID, HAVING DEPOSITED THE REQUIRED FEE, IS HEREBY GRANTED THE ABOVE LICENSE PURSUANT TO CHAPTER 137F, CODE OF IOWA. THIS LICENSE SHALL REMAIN IN FULL =ORCE FROM THE DATE OF ISSUE UNTIL ITS EXPIRATION DATE, UNLESS REVOKED OR SUSPENDED FOR CAUSE BY THE DIRECTOR OF INSPECTIONS, APPEALS, AND LICENSING FOR NONCOMPLIANCE WITH CHAPTER 137F, CODE OF IOWA OR RULES PROMULGATED PURSUANT THERETO. JNSE FOR FOLLOWIN TCATION - '128 E 4TH ST WATERLOO, IA 50703 DATE OF ISSUE Jan 28, 2025 EXPIRATION DATE Jan 31, 2026 U11KF,CTOR This license is issued by: rHIS LICENSE MUST BLACK HAWK COUNTY HEALTH BE POSTED AT DEPARTMENT PHYSICAL LOCATION NORTHEAST IOWA INSPECTIONS 1407 INDEPENDENCE AVE FL 5 WATERLOO, IA 50703-4396 Phone: (319) 291-2413 Email: Web Site: https://www.blackhawkcounty.iowa.gov/258/Health-Department CORNKIT-01 DHOOVER '4comb CERTIFICATE OF LIABILITY INSURANCE �� DATE D/YYYY) 5 5/1 /1/2 /2025 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 have ADDITIONAL INSURED provisions or 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 Brummel Madsen Insurance 318 Main Street Cedar Falls, IA 50613 CONTACT NAME: PHONE FAX (A/c, No, Ext): (319) 266-2644 (A/C, No):(319) 277-2429 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : United Fire & Casualty Company 13021 INSURED Cornfed Kitchen LLC 128 E 4th St Waterloo, IA 50703--4714 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 POLIC ES 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 W VD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 10149107805 2/1/2025 2/1/2026 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGETORENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRX JECTO PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILECOMBINED LIABILITY SCHEDULED AUTOS NON -OWNED UUO SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY )AMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB O OCCUR CLAIMS -MADE 10149107805 2/1/2025 2/1/2026 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED RETENTION $ $ A 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 10149107805 2/1/2025 2/1/2026 PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Insurance verification CERTIFICATE HOLDER CANCELLATION Cityof Waterloo 715 Mulberry St Waterloo, IA 50703 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 Ao 714)11. off/CAY ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ALCOHOLIC BEVERAGES DIVISION Slate al lewa LICENSE NUMBER CORNFED KITCHEN, LLC NEWTONS PARADISE CAFE 128 E 4TH ST WATERLOO, Iowa 50703 State of Iowa Alcoholic Beverages Division February 1, 2025 EFFECTIVE DATE LICENSE AND PRIVILEGES FEES Class C Retail Alcohol License (Regular Fee) 02/01/2025 to 01/31/2026 TOTAL FEE: $1,625.00 $1,625.00 January 31, 2026 EXPIRATION DATE This license is a personal privilege and is subject to civil penalty, suspension, revocation or cancellation, as authorized pursuant to Iowa Code Ch. 123. This license is not deemed to be property, nor is it subject to attachment, execution, assignment, nor is it alienable. IOWA ALCOHOLIC BEVERAGES DIVISION STEPHEN LARSON Administrator S 1 3 ail H J 2! V C996-EEZ-61•C :xej C9ll-EEZ-6lE 9d PA ST uu.i• i ELEM. MERE EWEM ENE M ■■E■EE l uUNi ELM 1■t■■r IN E■UI EOL09 emoI 'ODlimir,ti• bOZ a1MS • laa)1S 41-noj lse3 It \! PARKING LOT S 10Z 146PAdop Q i a W 'A).4 -r-74Tr-- ' J J I £0L09 eMoI `ooIJ8TeM Taaa3S u�j7 oleo eS!peaed s,uOTMBN L' i New Floor Plan uid.gt,OZ oiled ueI orb suoTMeN/9000-g60Z a;epdn ale° suojMaN/sPefoad Wir 'ysleM/sjoafoad annoy' ./sdnoae/sawnIoA/ owa Department of EVENUE Iowa Sales/Use/Excise Tax Exemption Certificate zax.iowa.gov This document is to be completed by a purchaser when claiming exemption from sales/use/excise tax. :certificates are valid for up to three years. °Purchaser legal name: Gregory Muller Seller legal name: Martin Bros. Distributing Co. Doing business as: Newtons Paradise Cafe Address: 128 E 4th St City: Waterloo State: IA ZIP: 50703 General nature of business: Restaurant Phone number: (319) 415-5088 Purchaser is doing business as: Retailer permit number (if required): 33-2276698 Retailer car dealer ❑ Enter your DOT number: Governmental agency (including public schools) ❑ Wholesaler ❑ Farmer ❑ Lessor ❑ Manufacturer Cl Nonprofit hospital ❑ Private nonprofit educational institution ❑ Qualifying residential care facility ❑ Nonprofit museum ❑ Commercial enterprise ❑ Nonprofit food bank ❑ Other ❑ Doing business as: Martin Bros. Distributing Co Address: 406 Viking Road City: Cedar Falls State: IA ZIP: 50613 Purchaser is claiming exemption for the following reason: Resale © Leasing ❑ Processing ❑ Qualifying farm machinery/equipment ❑ Qualifying farm replacement parts ❑ Qualifying manufacturing machinery/equipment ❑ Research and development equipment ❑ Pollution control equipment ❑ Recycling equipment ❑ Qualifying computer or computer peripheral ❑ Qualifying replacement parts/supplies (manufacturing, research & development, pollution control, recycling, computer) ❑ Qualifying computer software, specified digital products and digital services ❑ Grain bins and replacement parts ❑ Other ❑ Direct pay ❑ Permit number required: Permit: Description of purchase (Include additional information if necessary): Purchase of disposable items in the service of a restaurant that offers to go food. I, the undersigned, declare under penalties of perjury or false certificate, that I have examined this certificate, and, to the best of m,, knowledgg,ar lieeo, it is true, correct, and complete. Signature of purchaser: Title: Owner Date: 01/29/2025 Seller: Keep this certificate in your files. Purchaser: Keep a copy of this certificate for your records. Do not send to the Iowa Department of Revenue 31-014a (11/3/2021)