85-1708 WHITE - CITV CIERK
PINK - FINANCE GITY OF SAINT PALTL Council p�—_�7D�
CANARV - OEPARTMENT
BLUE - MAVOR (�
, File N .
ouncil Resolution
Presented By m�z4/ �
Referred To �%1 I��/� /�L.�L Committee: Date J���� �J
Out of Committee By Date
RESOLVED, that the proper City officials are hereby authorized
and directed to execute an agreement with the County of Ramsey
and Model Cities Health Center, Inc. whereby the City and
County provide funding to Model Cities Health Center, Inc. ,
subject to the terms and conditions of said agreement, a
copy of which is to be kept on file and of record in the
Department of Finance and Management Services.
COUNCILMEN Requested by Department of:
Yeas �ON� Nays
-� � Community Services
Drew [n Favor
Masanz �
Nicosia
Schelbel __ Against ��Y
Tedesco
Wilson
Adopted by Council: Date DEC 2 6 1985 Form Approv by Cit Attorney
�
Certified Yas e b uncil Secr ry BY
By
E�pprov y Mavor: Date C 2 7 1985 Approved b Mayor f Su issi to Council
�.
� �,1..
���?3.�:���:� �;��j �i ����3
Community Services _ , DEPARTMENT 4 C�'��J" —�70� Np 31 2
Co�7.een G�axY Caxtez ` �.CONTR�T �
292-7724 PHONE ' ,
November 18, 7.985 DATE 1 Q��� e e
ASSIGN NUMB�ER FOR ROUTING ORDER (Clip All Locations for Signature) :
�epartment Director �Director of Management/Mayor
�nance and Management Services Director � City Clerk ,�
Budget Director � C;� Cownc� � RECEIVFn
" City Attorney
WHAT WILL BE ACHIEVED BY TAKING ACTION ON THE ATTACHED MATERIALS? (Purpose/ �� Z 5 �1�
Rationale) : ��� aTTORNEY
Resolution author3.za.ng a contract between the City of Saint Pau1 through
�ts Divisa.on of Public Health and Ramsey County whereby the City and County
provide funding to Mode1 Cities Health Cenfier, Inc.
�l�C����
t fMaV 2 � . J
COST/BENEFIT, BUOGETARY AND PERSONNEL IMPACTS ANTICIPATED: � � I
MAYDR'S Qft'.A;�
The City coritri.buti.on to Mode1, Cities Health Center, Tnc. is $82,.459.
No personnel impacts are anticipated.
FINANCING SOURCE AND BUDGET ACTIVITY NUMBER CHARGED OR CREDITED: (Mayor's signa-
ture not re-
Total Amount of Transaction: $g 2�45 g , quired if under
$10,00Q)
Funding Source:
Activity Number: 03232
R���t 1/'C.1.�
ATTACHMENTS (List and Number All Attachments) :
NQV � � i985
1. Photocopy of con�ract MAYOR'
S OFFtCE
2. Insurance Certificate
3. Resolution
DE R�MENT REVIEW CITY �TTORNEY REYIEW /
es No Gouncil Resolution Required? Resolution Required? � No
�s No Insurance Required? Insurance Sufficient? Yes No
Yes No Insurance Attached:
�' (SEE REVERSE SIDE FOR INSTRUCTIONS)
Revised 12/84 �
•. ' . � • , , . C`��7 �/7d�
AGREEMENT
AN AGREEMENT, made and entered into this � day of /[,o(,'�%n2vt� .
198 5 among the City of Saint Paul, a municipal corporation of the :
State of Minnesota, hereinafter referred to as the "City", acting
through its Division of Public Health; the County of Ramsey, a political
subdivision of the State of Minnesota, hereinafter referred to as the
"County", acting through its Department of Health; and Model Cities
Health Center, Inc. located at 270 North Rent Street, Saint Paul,
Minnesota, hereinafter called "Grantee";
WITNESSETH: �
In consideration of the Grantee functioning as a neighborhood
health center in carinq for the medical--health needs of the citizens of
Ramsey County, the parties hereto mutually agree as follows:
1.- The City and County will each give to the Grantee the sum of
maney described in attachment A, and according to the Manner and
conditions described in attachment A.
2. The sum of money gzanted by the City and County is far th�
Grantee's use during 1986. No additional or future funding or
assurances thereof will be provided or honored unless set forth in an
amendment to this Agreement or a separate agreement approved as the free
act of the City and County. The City and County may, upon 30 days '
written notice, reduce the amount of funding.
3. The City and the County will each act as independent
transmittal agents for their contributions to the Grantee.
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• 4. The Grantee shall on April 20, 1986, July 20, 1986, Octobe�c 2Q,
1986 and January 20, 1987 submit to the City and County an itemized
statement of all Grantee revenue and expenditures; and a report of
services shown as attachment B. Further the Grantee shall preserve all
documentation used by it in complyinq with the statements and reports
required of this paragraph and such documentation shall be available to
the City and County for their review and audit as desired.
5. The Gzantee shall, with approval of the City, enforce a fee
schedule for patient charges. Said fee schedule shall be made available
to the City on January 15, 1986.
6. The City shall act as the liaison to the Grantee for such
day-to-day administration as may be needed and shall be responsible for:
(a) Reviewing and evaluating the program and fiscal activiti�s
of the Grantee and disseminating reports thereof;
_ (b) Coordinating activities common to the Division of Public
Health of the City and/or the Public Health Depaxtment of
the County and the Grantee;
(c ) Renderinq to the Grantee such other assistance as within
the City's resources.
7. The Grantee sha21 ensure that:
(a) Services provided to eligible individuals are furnished
without regard to race, color, creed, sex, age, marital
status or family size;
(b) Services are provided with respect for individuals privacy
and dignity; and;
2
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_ _ , __.... _. _�._�_,��__,..,,,.�,,,a.,�,�. ..._.
� . � , � � (,�= �S�70�
� (c ) Services are provided without coercion and shall not be
denied on the basis of refusal to participate in research
projects or other activities of the Grantee, or in an
emergency situation on the basis of ability to pay.
8. The Grantee shall submit_ to the City and to the County on or
before February 1, 1986 an operational plan of its services to be
provided during the term of th�is Agreement. Such operation plan shall
show expected service volume by clinic visits and number_ of users by
program areas.
9. The Grantee shall attach to this Agreement prior to its
execution by the City and the County a�1986 operational budget to
include Revenue and Expenses.
10. The Grantee shall obtain a financial and program audit by a
certified public accountant. This audit shall cover the Grantee' s most
recent -fiscal year ending during the term of this agreement. The-
Grantee shall submit a copy of the audit report to the Gity and County
by April 1, 1987.
11. By April 1, 1986 the Grantee shall submit a narrative whieh
highlights present status and/or future actions to be undertaken
concerning qua�ity assurance. The report shall cover such items as
those identified in the Metro Community Health Consortiums Minimum
Standards for Operation of a Community Clinic.
12. The Grantee shall make available relevant background and
qualification summaries, job descriptions and salary levels of both
regularly employed and volunteer staff to the City and the County.
13. The Grantee shall submit to the City and the County the minutes
from its monthly board meetings .
3
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_ _,__... _.�_.___._..__.� . . _.._._.
. ._... ____��._..___.�.
._ . ,s.s..
_ � �� � � . . � �s- ��U�
14. The Grantee agrees that deviations of ten percent (1Q$ ) or
more, upwards or downwards, from its 1986 agency budget, and/or
additions or deletions from its 1986 operational plan as approved by the
City and County will be transmitted to the City and County in a timely
fashion and in a manner to be determined by the City's clinic �=
coordinator. Such information shall be before the fact and shall
include pertinent data relative to the planned addition, deletion, or
any other modification of programs and the subsequent projected
budg�tary imgact for the contract year and the following year.
15. The Grantee declares BeverleY Hawkins to be the person
responsible for compliance with the terms .of the Agreement, and
their physician, Fredrekia Lewis, MD, as the person responsible for its
medical services.
16. The City declares its Director of the Department of Community
Services or such designee as noted in writing by her �as the person
responsible for compliance with this Agreement.
17. The County declares its Executive Director or such designee as
noted in writing by him as the person responsible for compliance with
this Agreement.
18. The parties to this Agreementi intend that the relatioh between
them created by this Agreement is that of Grantor-Grantee. The City and
County is interested only in the results to be achieved. The manner and
means of conductinq the work are under the control of the Grantee,
except to the extent they are limited by statute, rule or regulation and
the express terms of the Aqreement.
19. No Civil Service status or other rights of emgloyment will be
acquired by virtue of the Grantee's services.
. .. �
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4
_ __ . __ _ . _..�__.,�..a.,.�....._____ w____._ _,
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� _ � � � �� � � . �,c- �s-f7o�'
� 20. From any fees due the Grantee there will be no deductions for
any federal income tax or FICA payments, nor for any state incoa�e tax,
nor for any other known purposes which are associated with an
employer-employee relationship unless required by law. PaymenC of
federal income tax, FICA payments. and state income tax are the
responsibility of the Grantee in relationship to its employees.
21. The Grantee will defend, hold harmless and pay on behalf of the
County of Ramsey. and the City of St. Paul, its officials and employees
any demands, claims or suits arising out of the Grantee's premfses or
performance of this contract.
22. Grantee shall obtain and atta�h certificate of insurance to
signed contract for : ;
Comprehensive General Liability �insurance policy with contracting
departments, County of Ramsey, and City of Saint Paul, its
officials and employees as additional assureds. . P.olicy will have
minimum limits of $600, 000 per occurrence, $1, 000, 000 aggregate.
Coverage pertains ta opexation and premises of contractor.
Automobile Liability insurance, including non-owned and hired autos .
Minimum limits of $600,OOQ combined single limits .
Workers ' Compensation
Professional Liability insurance in the minimum amount of $600,000
per claim and $1, 000, 000 aggregate. The County of Ramsey and Gity
of Saint Paul, contracting department and officials and employees
are additional assureds as to the services of the contractor.
23. This Agreement may be terminated by either party with or without
cause upon 30 days ' written notice.
5
� _ � - �� � � . . � ��_,,U�
� 24. The term of this Agreement shall be from January 1, I986
through December 31, 1986.
IN WITNESS WHEREOF, the parties have set their hands as fallows :
CZTY OF SAINT PAUL COUNTY OF RAMSEY
Activity code: 03232 Recommend Approval:
Mayor Department Director ,
Funds are available
� Account Number
Director, Department of Finance Amount:
and Management Services
� � ' � � !
,fip7i►.�a p.�a �� . .�Cl.�.11,�,��- .Budgeting and Accounting
,� Director, Department of - �
�/.���'� Community Services Irisurance Approved:
l�°
Appr as to form:
��� � � � Risk Manaqer �
.� � �
�(�tr�:�� ,
Assistan�. City Attornejt Approved as to``form: -�
GRANTEE Assistant County Attorney
M�del Cities Health Center, Ianc.
Board Chair man
B : G��l�I.t-l/►� ��k��it1 JC-t�►�t,!
Y
Chief Clerk-County Board
By: (,��E',C,c,r.fi�,L�.��
6
_...._._. .__ ._,_.__._._�., ,_�_._.______.�.�_..�__.__.._ ,. __._. __._. _ _ ..._._..�___
. . , . ` ,.
- � " � � ��5- �70�
ATTACHMENT A
�iodel Cities Health Center, Inc.
�
1986 City Contribution �. $ 82,459
1986 County' Contributions $ 62,024
The County shall pay to the Grantee its contribution in equal monthly
installments on or before the first da�r-'of each month.
,
; .
The City contribution to Model Cities Health Center, Inc. for� 1986 is
$82, 459 less $55, 000 cash advanced to the clinic for cash flow gurposes
in Decemcer, 1985. The balance of the contribution will be paid in
equal monthly installments on or before the first day of each month.
7
issuE o�rE(Mtivoovvv�
,;� �r � � ' s ' tt-15�5
PROOi10ER $�jS� �t{��pTiFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND COHFERS
NO RIGNTS UpON TME CERTIFICATE HOLDER.THIS CERTIFICATE DOBS NOT AMIEND,
- MZ1�R�ESOT� IPSU$A�ICS N$T�O�► EXTEND OR ALTER THE COVERAGE AFFOADED BY TME POLJCIES BEI,OW.
1895 East C�aaty 2aad � COMPANIES AFFORDING COVERAGE
St. Prnt, �IIt SSI10
��a Y A 5t. Paal Cempanies �—l7d�
COMPANY B
lNSUREn ��A
?�del Cities H,ealt� Centtr, I�c. CLETTER Y C . �
270 ti. ICent St.
St. Paal, �1 SSI�2 �R Y D
COMPANY E
LETTER
0
THIS IS TO CERTIFY THAT POL�CIES OF INSURANCE LtSTEO BELOW HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PEi�00 tN01CATE0.
NOTWITHSTANDING ANY REOUIREMENT,TERM OA CONDITION OF ANY CONTRACT OP OTHER DOCUMENT WITH RESPECT TO WHICH THfS CEft'1'IFICATE MAY
BE ISSUEO OR MAY PEFiTA1N,THE INSURANCE AFFORDED BY THE POliC1ES DESCRIBED HEREIN IS SU9JECT TO ALL THE TERMS,EXCLUS[aNS,AND CONDI-
2i�N3 OF SUCH POUCIES.
CO POL�CY EFFECTNF POLICY EXPIiiAT�ON LIABILtTY LIM{TS M!TMOUSANDS
`TA TYPE OF INSURANCE POLICY NUMBER DATE(MM�DD/Y1� pATE(MMlDOlYY) EACM �RE��
� � OCCURRENCE
GENfPAI LIABILITY BODiIv
A caM�►+Errsnr�� Peffidi� Issuance 12/1185 12/1/86 �wuav $ $
PREMISESIOPEHATIONS pqppEqTy
tiNOER�ROUND DAMAGE $ $
EXFLOSION 8 COLIAPSE HAZARD
PRODUCT$/CdMPLETEO OPERATIONS
C��� _ Booai�ei�o $ 1�000 $ 1,000 s
INOEPENDENT CONTRACFORS
BAOAD FORM PROPERTY DAMAGE
PERSONAL INJURY PERSONAI IWURY $
AUTOl�IOBILE LIABIL17Y �Y -
p rwv auro ��o►n $
ALL OWNEO AlliOS(PRIV. PASS.) �Y
ALL OWNEO AUTOS�OTHER THANj �p� $
PRIV. PASS.i
HIReD AUTOS PROPEiiTY .
NON-0WNED AUTOS DAMAGE �
GARAGE LIABILlTY
�" C�181NED � -
EXCESS UABILITY
? UMBRELUI PORM
BCOMBiNED $ �
OTHEA THAN UMBflEUA FORM �
STATUTORY +, :�=,�`-r i<�=
WOR1fERS'COMPENSATION .
, $ �EA�Gi ACCbfNn .
" ANO , �` r'=: $ (DISEASE-POLICY LIMIT)
t: ENIPLOYERS'UABILITY :-�S.$ �SEA$E-EACF1 EMPLOYfE�
Ol'HER
DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESISPECIAI fTEMS
• � •
'� SFIOUlO ANY OF TNE ABOVE DESCR�ED POLiC1ES BE CANCELLED BEFORE THE EX•
"� COUAt3/ Of �Sl� PIRATiON DATE THEREOF, THE ISSUINti COMPANY WILL ENDEAVOR TO
� C�C� Of Ss�Lit Panl ��L DAYS WRITTEN NOTICE TO THE TE HOLDER NAME�TO THE
I�e t. of Co�nit Services ����"'��ro�suc++ nc�sf+wu No oe��►nor�oR w�eiurv
eP 7 OF ANY KIND UPON THE COMPAN RS AGENT EPRESENTA7IVES.
_� SSS CBd8! SCI!"EC AUTHORIZED REPRESENTATIVE .
St. Paul, HIi SS10I� . Jan D. Sanson
. • � .-. .-•.- •
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car �o�����
. ' � ' • ' ' '[t—IS�ss
-�? PiiODUCER �jSBD THIS CERTIFICATE IS ISSUfD AS A IMATTER OF lNFORMATION ONLY AND CONFERS
NO RKKIMTS UPON THE CERTIFiCATE HOLDER.THIS CERTIFICAI'E DQES NOT AMEND,
: �LPNESOTA IPS�T�A�CB ��CY. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
1893 E:st Conat� toad � COMPANIES AFFORDING COVERAGE
:St. laal, 1� SSI10
��R Y A 5t. �aal Cesnpaniss - �f�—/ �O X
COMPANV B
INSURED �EA
- M�del Cities Sea2th Center, Zwc. �a Y C - •
L7O I�I. K�IIt St• CpMPANY D
St. Panl, M�i SSI02 �R
COMPANY E
LEITER
_ •
THIS IS TO CERTIFY TMAT POLICIES OF INSURANCE USTEO BELOW HAVE BEEN ISSUEDTO THE INSUREO NAMED ABOVE FOfl THE POLICY PERIODINDtCATED.
`NQTWITHSTANDIN(i ANY REQUIREMENT,TERM OR CONDITlON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH�CH THIS GERTIFICATE MAY
BE iSSUED OR MAY PERTA{N,THE INSURANCE AFFOROED BY THf POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCIUSIQMS,AND CONDI-
TIONS OF SUCH POLICIES.
TYPE OF INSURANCE POLICY NUMBER ��'E��IVE POlN1'EJCPiRAT�ON LIABtLiTY LIMITS IN TMOUSANDS
TR DATE(MMIOD/Y`� DATE(MMlDDM�) OCCURRENCE AGGREGATE
GENEiiAL LIABIUTY � gpp��y
A COMPREHENSNE FORM Pe�di�g Issnance 1T�/85 �2/Ij86 �wURY $ $
� PREMISfS/OPERATIONS pApPEqrr
`} UNDERGROUNU DAMAGE $ �
EXPLOSION 3 COLLAPSE HAZARD
PROOUCTS/COMPLETEO OPERATIONS .
CONTRACTUAL C&.OaMB�INED $ I�OQO $ I}OQO�
INOEPEN�ENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAI INJURY PERSONAL IWllRY $
-�, __ . __
AUTOMOBILE LIABILITY ��Y ' -
M1AlRY
- A �wv auro �R��+► $ '
:a ALL OINNED AtJTOS(PRN. PASS.) eOO�Y _
AL!OWNED AUTOS�PRry PAmSS�.� �� $ �>
HIRED AUTOS PROPERTY . �-
- NON-0WNED AUTOS DAMAGE $ �; -
GARAGE LIABILfTY '` �
s�a va
coMeir�� $ --
EXCESS UA81LtTV
UMBRELLA fORM �COMB�iNED $ $
OTHER THAN UMBRELIA FORM
STAI'UTORY ?' a�`-�"-s.':' '`
-_ WORK£RS'COMPENSATION ' $ �E���
= AND : �°
' i � $ (OSEASE-POLICY UMfT)
EMPLOYERS'LIABILfTY �;-�s�y $ (p1�A$E-EACHEMPLOYE�
OTNER
DESCRIPTION OF OPERATIONSlLOCATIONSNEMICLESISPECIAL ITEMS
- • � •
t CO11At Of R8'St SHOULD ANY OF TME ABOVE DESCAIBED POUCIES BE CAN�ELLEO�THE EX-
Y 7 PIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO
_ �c C�ty of Saint Panl MAIL OAYS WRITTEN NOTICE TO THE CERTI ATE HOLDEA NAIAED TO THE
De t. of Co�anit Services �T����'URE TO 11tA1L SUCH T�s►uu No oeuc�tnoH oR w►e+un
P 7 OF ANY KIND UPON THE CWdPAN fTS AGENT EPRESENTATIVES.
555 Cedar St1ElC AUTHORIZED REPRESENTATIVE .
St. Paul, HI�1 SS101 Jon D. Hansan
. • � .-. .-•.• .
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'3 o f� ' i' � �SSUE OATE(MM/OD/YY)
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PRODI�CER "
TMIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATWN ONLY ANO CONFERS
MI�TA I#i3t�llDiCE METi�1tiC NO RIGMTS UPON TFlE CERTIFICATE HOLDER.THIS CERTiFlCATE DOES NQT AMENO,
�� �� M1�uT� �� � EXTEND OR ALTER THH COVERAGE AFFOROED 8Y THE POLlCtES BELOW.
wvn�
�� ��' � 5��� � COMPANIES AFFORDlNG COVERAGE
CAMPANV ,,/
� �rrFa A � �.S—!7!>X
COMPANY
= INSUREO. �ETTER �
�O�L i�i•IES �i H ��(.R� iiR.• COMPANY
Z7� �. ic��? S'EitEfT �ErreR c py�DY�E 6��tEFI�' Jkf�1I�f5IRATfi3R5 Ii1C.
�• P�� �I 7.r1�\iL COMPANY
LETTER �
_ COMPANY E
LETTER
•
THIS IS TO CERTIFI'THAF POLICIES OF INSURANCE LISTED BEtOW HAVE BEEN ISSUEDTO TMIE INSURED NAMED ABOVE FOR THE POIICY PERi001NDICATED.
NOTWI7HSTANDING AMY RE�UIRfMENT,TERM OR CONDITION OF ANY CONTRACT OR OTNER DOCUMENT WtTH RESPECT TO WIiICH THIS CERTIFlCATE MAY
BE ISSUED AR MAY PERTAtN,THE INSURANCE AFFORDfD BY TH�POLICIES DESCRIBED NEREIN IS SUBJECT TO ALL TME TERNS,EXCtUSiONS,AND CONDM
TIONS OF SUCH POLICIES.
;� -
�� C� TYPE OF INSURANCE POUCY NUMBEFi ��EF��T� POUCY EXPIRATI�1 ��AB�LITY LIMITS IN THOUSANDS
_- LTR pATE(MM/DDlY1� pqTE(MM!(IplYY► EACM AGGREGATE
OCCURRENCf
GENERAI UABILITY
� BODILV
- CQf�tPREHENSIVE FORM u�,Jl►AY $ $
PREMiSESlOPERATIONS PRO�ERTM
UNDERGROUND
IXPLOSION 3 COLLA?SE HAZARD DAMAGE $ $
- PRODUCTSlCOMPLE7ED OPERATIONS
CON7RAC7uAt �a Po
COMB�NEb $ $
- INC/EPENDENT CONTFiACTORS
BROAD FORM PROPERTY DAMAGE
f'ERSONAL WJURY PERSONAI IWURY $
�, AUFOM0911E UABILIFY gpp�Y
ANY AUTO p�q,�i $ _
ALL OWNED AUTOS(PRIV. PASS.) �y
ALL OWNED AUTOS�OTMER THAN� : �' -
PRIV.PA$$. PER�l $
MIRED AUTOS
NOb-QwI�ED AUTOS o,��R� $
- r��ac�une+�m
c�oMe�o $
EXCESS LlA�81LRY
UMBRELLA fORM . C&,pBMei ED $ $
OTHER THAN UMBRELLA FORM
�` WORKERS'CWYIPEIiSAT10N STATUTORV �
� AND "T8 FE ASSI�O" 12-2-85 I2-I-8S $ffltt �+accw�Nn
EIYIPLOYERS'1iA81LITY '-, $�I� N�-POIICY LPAMT)
- . $ �Cj I�SE-EACM EMPLOYEEI
C3YHEA
DESCHIPTION OF OPERATIONS/LOCATIONSNEHICLESlSPECIAL ITEMS
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a ' • � �
;` C i OF . PAUI. s�wu�o ar�r oF rr�aeove aescaisen Pouc�s ee caHC.�u�ee�e mE Fac- .
�IGI�T. GF LCl�!t3�lITV Sf�VICES PIRATIQT� DATE TMEREOF, THE ISSUING COMPANY WtLL ENDEAVOR TO
MAIL S� DAYS YVRITTEN NOTICE TO THE CERTIFICATE HOLOER NAMED TO THE
- ��Y I 5I�#? OF Ftt o�.IC f`EALTf: �Fr,8UT FAILURE TO MAlL SUCH NOTICE SHALL pNPOSE Wp pgUGpT10P1 OR UABfI(TY
�J�J5 CEQAR ST• OF ANY KINO UPON THE COMPANY,RS AGENTS OR REPRESENTATIVES.
S{� F��i �� �5��} AUTHOHIZEO,REPflESENTATiVE.
�- i . . . �,
� �
•-• •- •�- •
- . . . : . . ��s-f ���%
MINNESOTA MlNNESOTA MEDICAL INSURANCE EXCHANGE
��� 2221 University/lverwe S.E. • Suite 225
Minneapolis, Minnesota 55414 • 612/623-I 132
CERTIFICATE OF INSURANCE
(This Certificate is issued as a matter of information only and confers no right
upon the holder. )
NAMED INSURED: Frederick B. Lewis, M.D.
ADDRESS: 280 fVorth Smith Avenue �
_._St. Paul , MN 55102
This is to certify that the Minnesota Medical Insurance Exchange has issued to the ,
above named insured the policy listed beloy� " � �
COVERAGE: INDIVIDUAL PROFESSIONAL LIABILITY INSURANCE
LIMITS OF LIABILITY: ' �
Basic ( $100,000 per claim/$300,000 aggregate -
( � $250,000 per claim/$750,000 aggregate
( ) $500,000 per claim/$1,500,000 aggregate
- - ( X) $1,000,000 per cla9m/$3,000,000 aggregate - - --
Excess ( ) $1,000,000 per claim/$1,00O,OOQ aggregate
( ) $4,000,000 per claim/$4,000,000 aggregate
POLICY NUMBER: 100808-e
POLICY TERM: 10/O1/85 to 10/O1/86
This certificate af insurance neither affirmatively or negatively amends, extends or
alters the coverage afforded under the policy identified herein.
If policy is cancelled, written � Model City
notice will be given to:
�
In the event of cancellation of the policy, the Minnesota Medical Insurance fxchange
will make all reasonable effort to send notice of cancellation to the Certificate
Holder at the address shown herein, but the Minnesota Medical Insurance Exchange
assumes no responsibility for any mi e'or for f lure to g' e such notice. -
.
DATE: 11/13/85 • Y: l
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�:;
" � : � � Binder No.
.�r � � • - • 4�21
. . . . . . . . . .
^` ♦AAIEAND�ADDRESSOFAGENCY � � . COMRANY �
, - � liinaesota Insurance HetWOrk :
St. Paul Conpaai�as ��"�"� -�7�^�
1895 E. Co. $.osd S Effective L2:QIm - - ,t9
St. Paul, lSi� SSi10 � Expires � 12:01 am ❑ N�� 2 1,-tg 85
- � � ❑This binder is issued to extend coverage in the above named
company per expiring policy N
- (except as notetl ow)
� NAMEAND MAiLING ADDRESS OF INSURED D9SCl�pt�Ofl Of OP6fs1IODIVBMICIBSIPFpF?6I'�y
,� tSndtl C3ties Health Ceater Inc. � � ' �,/-' �.,� �Q�
270 �. Lent St. �!��.
St. Paul; 2�T 35102 ��
Type and Location of Property CoreragelPerits/Forma Amt of tnsurance Ded. �Ox`�
P '�� -
R �"��/
� P �t I
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R
T� � /�i '
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Type oi Insu[ance Coverage/Forms Umits of Lisbitity
' � ' Each Oceunence Aggregate
! ❑ Scheduled Form `� [� Comprehensive Form BOd��y�^��ry S . $
x A ❑ PremiseslOperations �
- � ❑ ProductslCompleted Operatians ` Property Damage $ $
L
- � ❑ Contractual Bodily Injury 8
T ❑ Other(specify below) Property Damage $ $
Y 1,000,00t) i,000 00
❑ Med.Pay. $ Pe� s Pe� Combined
Peraon Accident
❑ Personal In ury � Personal Injury S
�; Limits of Liability
•�;,� A �
_ � Q �iability � Non-owned � Hired Bodily injury(Each Person) $
T ❑ Comprehensive-Deductible $ Bodily injury(Each Accident� a
`, Q ❑ Collision-Deductible 3
`� M
- � ❑ Medical Payments � Property Damage S
8
� �f Uninsured Niotorist S 300,000
L I.a No Fault (specify): BasiC Bodily injury 8 Property Damage
E
❑ Other(specify): Combined S�'���'
�WORKERS' COMPENSATION — Statutory Limits(specify states below) ❑ EMPLOYERS' LIABILITY— Limit S
SPECIAL GONOITfONSIOTHER COVERAGES
.
Profes�ional Liability Coverage $1,000,000 Limit
. �
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NAME AND AUDRESS OF ❑ MORTGAGEE ❑ IOSS PAYEE U ADD'L INSURED
; County Of Y�$$y � C�.Ly Of S�• OAN NUMBER . -
�p2ll�At O� CO�t1D.1ty $@2i��.CES
555 Cedar Sueet ,
5t. Paul, ?� 55101
1� � �
� • Si n ture of Aut rized Rapresentative ate
4
T ncoRO�s t„m�� _
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. � CITY OF SAIi�7T PAUL
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°,,�i;;�;;►�I OFFICF OF TFI� Cl2'Y COWCIL
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Colll�llttee Re�Qrt , ___
F:i�ance, l��na�ement, � Persannel Committee.
1. Approval of minutes from meeting held Dece�ber 12, 1985. RP�'R���
2. Resolution establishi.n� poliey that aIl City-owned vehicles, except those required to
be taken home, are used for business purooses only. (Finance Dept.) (La.i.d over from
12/12/85) Rv�Gtu¢S+- �o� w;`}�,.a�a�...vaA -APPKoUF,p � w t�ttD2��
3. Resolution �estab�Iishin; policy that aIl City-owned vehicles cannot b� ��f�or� _p,erszOe�I
purposes. (F,inance Dept.) (Laid over from 12/12/85) �•=��uf.�S-r- � Foi� c�ir�•�i
4. Resolution authorizing the financin; and construction of the public parking raIIro on
Block L in connection with the KTC� development. (PED) �� �U� t W K- �'�'�L`7�9'f
S. Ordinance amending Section 38.06 of the Administrative Code pertaining to the
conversion of sick leave credits to vacation Ieave. (Personnel) �'�'�OU�
6. Resolution amending the I985 budget by adding �5,070 to the Financing and Spending Plan
for the Dept. of Public Works. (Public Norics) �1'PPR�V�. -- ----
7. Resolution amending the 1985 budget by adding $32,000 to the Financing and Spending Plan
for Special Projects-General Govt.-Promoting St. Paul. (Exec. Administration)�P'�ou�_
8. Resolution amending the 1985 budget by adding $49,400 to the Financing and Spending Plan
for Traffic Sio°n.al � Lighting. Maintenance. (Public Worics} �rPPROU�
9. Resolution amending the I985 budget by transferring $49 4Q0 from Contingent Reserve to�-
Traffic Operations and Maintenance. (Public Works) lpf�°�R���
10. Resolution amendi.ng the I985 budget by transferring $47,564 from Contingent Reserve to
Exe:IIOt Property Assessments (Street Maintenance Assessments-$46,846) and other
Assessments ($718.00) . (General Govt.) A'PPRDUf.D.
11. Resolution authorizing approval to issuance of $6,000,000 Port Authority Revenue Bonds
relatin; to Energy Park Land Acquisition � Development Costs. (Port Authority}d�R���•
12. Resolution approving a Subordination agreement of Iand use restriction in favor of �L/LS��
City in Ordway Theatre site to the loan and security doeuments of a Port Authority
Ordway Theatre refunding bond issue. (City Attorney� �c�f'P'e�vFA.
13. Resolution authorizing an agreement with Midway Chevrolet for Iease of Lmmarked
' vehicles. (Police Dept.) A'PPRdu�� •
I4. Resolution authorizing an agreement with MN. Dept. of Transportation for traffic contro-
signal at SV. 7th Street and Trumk Hwy. I49. (Public SYorks-Traffic) �R���D
15. Resolution authorizing an agreement with the County of Ramsey and the St. Paul Urban
Indian Health Clinic whereby the City and County provide funding to the Clinic in the
amotmt of $27,562. �(Coffinunity Services) �PP��c0
CITY HALL SEVENT�i FLOOR SAIN'T PAUL,MINNESOTA SSI02
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. s� . � ��s-��a�
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�5. Resolution authorizing an agreement with the Coumty of Ramsey and North End
Health Center whereby the City and Co�ty provide funding to the Clinic in the
amount of �63,912. (Community Services) �CP(�f20V�
1?. Resolution authorizing an agreement with the County of Ramsey and Family Tree
whereby the City and County provide funding to the Clinic in the amoimt of
�63,912. (Commtmity Services) �PR�V4,f�
?8. Resolution authorizing an agreement with the County of Ramsey and Face to Face
Health and Counseling Service whereby the City and Coj t���J�ing to the
Clinic in the amount of �63,912. (Community Services
19. Resolution authorizing an agreement with the County of Ramsey and tVest Side Community
Health Center whereby the City and County rovide funding to the Clinic in the
amount of $63,912. (Conmmunity Services) �P�v�
20. Resolution authorizing an agreement with the County of Ramsey and Helping Hand Health
Center, Inc. whereby the City and County provide funding to the Clinic in the
amount of �63,912. (Community Services) �P�v�
21. Resolutiar�gs�e�r-�.z�g an a�ree�ent with the County of Ramsey and �Mvdel Cities Health
Center wher��y the City an� �o�ty �rovide funcling to �'Clinic in the amount of
�b2;459� fCcn�tns�ity Services) ��U�
�IOT O1�I PREPARED AGENDA:
1. Resolution approving amendments to District Heating Agreements and
consenting to additional bonds. �-R'+� �V�+P / �t1�C.
2. Resolution ap�voi g City contribution of $13, 140 to the Thomas-Dale
Community Center to assist them in meeting year-end financial
commitments. �PR(3�1�U.