Agenda - Hamburg Township Board Of Trustees - Revize
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P.O. Box 157 10405 Merrill Road Hamburg, Michigan 48139-0157 (810) 231-1000 Office (810) 231-4295 Fax Supervisor: Pat Hohl Clerk: Mike Dolan Treasurer: Jason Negri Trustees: Bill Hahn Patricia Hughes Chuck Menzies Cindy Michniewicz HAMBURG TOWNSHIP BOARD OF TRUSTEES REGULAR MEETING Please join my meeting from your computer, tablet or smartphone. https://global.gotomeeting.com/join/311173237 You can also dial in using your phone. United States: +1 (571) 317-3122 Access Code: 311-173-237 New to GoToMeeting? Get the app now and be ready when your first meeting starts: https://global.gotomeeting.com/install/311173237 Tuesday, March 2, 2021 2:30 p.m. AGENDA 1. Call to Order 2. Pledge to the Flag 3. Roll Call of the Board 4. Call to the Public 5. Correspondence 6. Consent Agenda 7. Approval of the Agenda 8. Unfinished Business: A. Covid Update 9. Current Business: A. Paid on Call Firefighter Hiring’s B. Board of Review Appointment C. Crystal Drive / Crystal Beach Sub Road Maintenance SAD Bids D. Norene / Peary Drive Road Maintenance SAD Bids E. Gaming Resolution F. Historical Society Request G. Custodian Reclassification H. Administrative Policy & Procedure Manual Update I. Park Use – Flyers RC Airshow 2021 J. Park Use – Pinckney Community Schools Soccer K. Park Use – PMA DUBS Disc Golf L. Finance Control Book – January 2021 M. Payment Approval – Ann Arbor Township Fire Department – Invoice #20-0005 - $7337.75 N. Payment Approval – Biotech – Invoice #2713 - $27,404.00 O. Payment Approval – Brighton Area Fire Authority – Invoice #933 - $5000.00 P. Payment Approval – C & E – Invoice #2558 - $8985.71 Q. Payment Approval – DuBois Cooper - Invoice #244487 - $11,475.00 R. Payment Approval – Kemira – Invoice #9017697983 - $8606.08 10. Call to the Public 11. Board Comments 12. Adjournment
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Transcript of Agenda - Hamburg Township Board Of Trustees - Revize
P.O. Box 157 10405 Merrill Road Hamburg, Michigan 48139-0157 (810) 231-1000 Office (810) 231-4295 Fax
Supervisor: Pat Hohl Clerk: Mike Dolan Treasurer: Jason Negri Trustees: Bill Hahn Patricia Hughes Chuck Menzies Cindy Michniewicz
HAMBURG TOWNSHIP BOARD OF TRUSTEES REGULAR MEETING
Please join my meeting from your computer, tablet or smartphone. https://global.gotomeeting.com/join/311173237
You can also dial in using your phone.
United States: +1 (571) 317-3122
Access Code: 311-173-237
New to GoToMeeting? Get the app now and be ready when your first meeting starts: https://global.gotomeeting.com/install/311173237
Tuesday, March 2, 2021 2:30 p.m. AGENDA
1. Call to Order 2. Pledge to the Flag 3. Roll Call of the Board 4. Call to the Public 5. Correspondence 6. Consent Agenda 7. Approval of the Agenda 8. Unfinished Business:
A. Covid Update 9. Current Business:
A. Paid on Call Firefighter Hiring’s B. Board of Review Appointment C. Crystal Drive / Crystal Beach Sub Road Maintenance SAD Bids D. Norene / Peary Drive Road Maintenance SAD Bids E. Gaming Resolution F. Historical Society Request G. Custodian Reclassification H. Administrative Policy & Procedure Manual Update I. Park Use – Flyers RC Airshow 2021 J. Park Use – Pinckney Community Schools Soccer K. Park Use – PMA DUBS Disc Golf L. Finance Control Book – January 2021 M. Payment Approval – Ann Arbor Township Fire Department – Invoice #20-0005 - $7337.75 N. Payment Approval – Biotech – Invoice #2713 - $27,404.00 O. Payment Approval – Brighton Area Fire Authority – Invoice #933 - $5000.00 P. Payment Approval – C & E – Invoice #2558 - $8985.71 Q. Payment Approval – DuBois Cooper - Invoice #244487 - $11,475.00 R. Payment Approval – Kemira – Invoice #9017697983 - $8606.08
10. Call to the Public 11. Board Comments 12. Adjournment
Pledge to the Flag
No Correspondence
P.O. Box 157 10405 Merrill Road Hamburg, Michigan 48139-0157 (810) 231-1000 Office (810) 231-4295 Fax
Supervisor: Pat Hohl Clerk: Mike Dolan Treasurer: Jason Negri Trustees: Bill Hahn Patricia Hughes Chuck Menzies Cindy Michniewicz
HAMBURG TOWNSHIP BOARD OF TRUSTEES REGULAR MEETING
Please join my meeting from your computer, tablet or smartphone. https://global.gotomeeting.com/join/311173237
You can also dial in using your phone.
United States: +1 (571) 317-3122
Access Code: 311-173-237
New to GoToMeeting? Get the app now and be ready when your first meeting starts: https://global.gotomeeting.com/install/311173237
Tuesday, March 2, 2021 2:30 p.m.
CONSENT AGENDA
1. Approval of the Minutes A. Township Board Regular Meeting Minutes – February 16, 2021
2. Bills/Vendor Payable List (A&B) 3. Department/Committee Reports
A. Historical Society Meeting Minutes – January 16, 2021 B. Parks & Recreation Meeting Minutes – February 23, 2021 C. Parks & Recreation – Park Use Michigan Panthers D. Parks & Recreation - Park Use HCSC 2021 E. Parks & Recreation – Park Use Fliers 2021 F. Parks & Recreation – Park Use PYA Football G. Parks & Recreation – Park Use Go Sports Spring 2021
FAX 810-231-4295 PHONE 810-231-1000
P.O. Box 157 10405 Merrill Road
Hamburg, Michigan 48139
HAMBURG TOWNSHIP BOARD OF TRUSTEES Regular Meeting
Video Conference As Permitted by Executive Order Tuesday, February 16, 2021
7:00 p.m. 1. Call to Order Supervisor Hohl called the meeting to order at 7:00 p.m. 2. Pledge to the Flag 3. Roll Call of the Board Present: Negri, Dolan, Hohl, Michniewicz, Hahn, Hughes, Menzies Absent: None
Also Present: Thelma Kubitskey, Director of Accounting; Nick Miller, Fire Chief; Richard Duffany, Police Chief
4. Call to the Public A Call was made with No Response.
5. Correspondence
None.
6. Approval of the Consent Agenda
Motion by Menzies, second by Negri, to approve the Consent Agenda as presented. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED Hohl took a minute to recognize the Police Achievements for the 2020 year as they were unable to be recognized due to covid-19 at the December Board Meeting.
7. Approval of the Agenda
Motion by Hughes, second by Michniewicz, to approve the Agenda as amended to add Fire Department SOP 10-224 Mutual Aid Response. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED 8. Unfinished Business
A. Covid Update.
County Commissioner Wes Nakagiri talked about the State of Michigan’s Plan to administer the COVID-19 vaccination.
Hamburg Township Board of Trustees Regular Meeting February 16, 2021 Page 2 9. Current Business
A. Hamburg Township Historical Society Presentation Pat Majher gave an update on the happenings with the Hamburg Township Historical Society. Motion by Hohl, second by Negri, to receive & file the report from the Hamburg Township Historical Society. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED B. Fire Department – Equipment Grant Payment Motion by Hohl, second by Menzies, to approve the Equipment Grant Payment match of $7,337.75 for a total equipment cost of $80,715.24. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED
C. Fire Department – Mutual Aid Agreement Update – Washtenaw County Motion by Negri, second by Dolan, to authorize the Supervisor/Clerk and Fire Chief to sign the Mutual Aid Agreement with Washtenaw County. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED *Fire Department – Operating Procedure 10-224 Mutual Aid Response
Motion by Hughes, second by Negri, to approve rescinding the Fire Department Standard Operating Procedure 10-224 Mutual Aid Response because it is redundant and already covered under 200-02. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED
D. Fire Department – Operational Procedure Update 100-24
Motion by Dolan, second by Menzies, to approve the Hamburg Fire Department Standard Operating Procedures 100-24 Apparatus & Equipment Inspection (replacing 10-128), 200-10 Glucometer Use, Inspection, & Maintenance, 200-11 Hazardous Material Response (rescinding 10-220), 200-12 Rules of Engagement for Fire Safety, 200-13 Respiratory Protection Program (rescinding 10-133 & 10-236) as presented in the packet. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED
E. Fire Department – Operational Procedure Update 200-10 Please see Motion D. F. Fire Department – Operational Procedure Update 200-11 Please see Motion D. G. Fire Department – Operational Procedure Update 200-12
Please see Motion D. H. Fire Department – Operational Procedure Update 200-13
Please see Motion D.
Hamburg Township Board of Trustees Regular Meeting February 16, 2021 Page 3
I. Police Department – Automatic External Defibrillators Purchase
Motion by Negri, second by Hahn, to approve the purchase of 8 AEDs & 8 AED pads from Bound Tree Medical for a total cost of $11,879.84. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED
J. Parks & Recreation – Portable Toilets 3 year Contract
Motion by Dolan, second by Michniewicz, to approve the 3 year contract with D & J Septic Services Inc. as outlined in the packet. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED
K. 2021 Road Improvements Motion by Hohl, second by Hahn, to agree to the 2021 potential paving projects as provided by Jodie Tedesco with the exception of Strawberry Lake and Merrill Rd project and approve all 3 of the gravel road projects Teahan, Merrill & Sheldon Roads as provided by Trevor Bennett with the funds to be provided by the road millage and the balance to be provided by general fund and reimbursed from the 2020/2021 road millage to be levied December 1, 2021. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED L. FY 21-22 Strategic Planning Motion by Hohl, second by Negri, to approve the Strategic Planning Meeting from March the 16th to 9:00 am on April 6th pending the lift of the restriction of the in-person meeting by the State. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED M. Accounting – Benefits Specialist Retirement Motion by Hughes, second by Hahn, to accept the April 2, 2021 resignation of Benefits and Accounting Specialist Barb McCabe and that we approve the posting of the job and the timeline from the memo from the Director of Accounting Thelma Kubitskey so that we can overlap and training with Barb before she leaves and with interviews to be conducted by Thelma Kubitskey, Mike Dolan and Treasurer Jason Negri. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED
N. Building & Grounds – New Mower Purchase
Motion by Hohl, second by Hughes, to approve the purchase of a John Deere Z997 with 72” deck from Bader & Sons at a cost of $13,870.71 as proposed in the memo from Tony Randazzo dated 02/11/2021. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED
O. Payment Approval – Bound Tree – Invoice #63886070 - $5,200.00
Motion by Hohl, second by Menzies, to approve the payment of Bond Tree Invoice #63886070 dated December 14, 2020 in the amount of $5,200.00 for the AED units. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED
Hamburg Township Board of Trustees Regular Meeting February 16, 2021 Page 4
P. Payment Approval – Bound Tree – Invoice #63885974 - $5,200.00
Motion by Hohl, second by Hughes, to approve the payment of Bound Tree Invoice #63885974 dated December 14, 2020 in the amount of $5,200.00 for AED units. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED
Q. Payment Approval – Econo Print – Invoice #66358 - $6,279.98 Motion by Hohl, second by Hughes, to approve the payment of Econo Print Invoice #66358 dated February 3, 2021 in the amount of $6,279.98 for the assessment notices. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED
R. Payment Approval – Signature Ford – Invoice #1219W - $36,199.00
Motion by Hohl, second by Negri, to approve the payment of Signature Ford Invoice #1219W dated February 2, 2021 in the amount of $36,199.00 for the 2021 Ford Interceptor. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED 10. Call to the Public A call was made with no response. 11. Board Comments
None. 12. Adjourn Meeting
Motion by Menzies, second by Hughes, to adjourn meeting. Roll Call Vote: Hughes: Y, Negri: Y, Michniewicz: Y, Menzies: Y, Hohl: Y, Hahn: Y, Dolan: Y
MOTION CARRIED
Meeting adjourned at 8:31 p.m.
Respectfully submitted,
____________________________ ____________________________ Courtney L. Paton Mike Dolan
Recording Secretary Township Clerk
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HAMBURG TOWNSHIP
HISTORICAL MUSEUM
Sign Up Now for Our March 13
Cocktail Class & Fundraiser! Do good and drink well at our upcoming “Drink Me, I’m Irish”
cocktail class and fundraiser, conducted virtually by Tammy's Tastings! Host Tammy Coxen will lead us on an exploration of adult beverages with Irish
ingredients (and we don’t mean green beer!). You’ll learn what makes Irish whiskey different from bourbon or Scotch, as well as ways to incorporate Bailey’s Irish Cream and Guinness Stout into cocktails. You'll also receive a recipe list well in
advance, so you can buy the ingredients and mix along.
The “Drink Me, I’m Irish” class will begin at 7 p.m. on Saturday, March 13. Tickets -- priced at $25 per screen -- are available at eventbrite.com/e/drink-me-im-irish-
cocktail-class-and-fundraiser-for-the-hamburg-museum-tickets-142572541309. Proceeds from this fundraiser will be used to help pay for needed
electrical repairs at the Museum.
March 2021
Museum Acquires New Photos of Petteysville
We have a lot of images of the hamlet of Hamburg in our collections, but not many of the township’s other early settlements: Campbell Town and Petteysville. That
changed recently when we acquired two real-photo post cards (circa 1907-09) of the latter. One, taken from a high point southwest of Petteysville, shows multiple houses and mills. The other, shot at ground level, focuses on the main mill and a man fishing
at the mill pond. Come in and ask to see them!
Hamburg Township Historical Museum P.O. Box 272 7225 Stone Street Hamburg, MI 48139 810-986-0190 www.hamburg.mi.us/culture-recreation/hamburg_ historical_museum hamburgmuseummichigan @outlook.com
Open 11 am-3 pm Wednesdays & Saturdays
HELP US PRESERVE AND PRESENT THE HISTORY OF HAMBURG. JOIN THE HISTORICAL SOCIETY!
Name_______________________________________________________Date_________________________
Address__________________________________________________________________________________
City________________________ State____________ Zip__________ Phone_________________________
Email address_____________________________________________________________________________
Annual Dues (circle your choice)
Individual $15.00 Business $40.00 Family $20.00 Life Membership $200.00 Student $2.00
Please make your check payable to the Hamburg Township Historical Society. Mail it with this form to P.O. Box 272, Hamburg, MI 48139 or drop it off at the Museum at 7225 Stone Street during visiting hours.
Hamburg Township Historical Society Board George Weinhagen, President David Dauer, Vice President Suzanne Hines, Sec./Treasurer Karl Bangert Wayne Burkhardt Linda Harrison Janet Mendler Carrie Schulz Joyce Terry Cindy Michniewicz, HT Liaison Patricia Majher, Administrator Next Meeting: March 20, 10 a.m. at the Museum
March is Membership Renewal Month
Renewal info will be mailed shortly to those of you with individual and family memberships. Feel free to use the form at the bottom
of this newsletter to get a head start on the process.
Help us save money on printing and postage! Switch from
receiving a paper copy of the newsletter to a digital copy
by sharing your email address with us.
Parks & Recreation February 23, 2021 – 3 p.m. Page 4
4. Park Use Requests a. Go Sports LLC – East Park – Diamond #4 – May/October
Motion by Dolan, supported by Michniewicz, to recommend approval of the application for Go Sports LLC as submitted, contingent on the required paperwork being filed with the Clerk’s Office, that field assignments be communicated Administratively through the Parks Coordinator, that payments for use be billed based on current fee schedule, and that the use not interfere with priority use of PHBSA or any scheduled Blackout Dates, and that use will be subject to CDC and MDHHS guidelines regarding Covid-19.
VOICE VOTE: Ayes: 5 MOTION CARRIED Cindy Janssen, Go Sports LLC, addressed the Parks Committee. She stated that she would like to include some semi-permanent baseline markers that could be removed at the end of the year. She said the upgrade would allow for different size kids to play on the same field, and other users would be welcome to use them.
Muck stated he would caution on allowing for the different base lengths as it can cause friction between the users. He suggested discussing it with all parties before proceeding.
b. HCSC Park Use Application – West Park – Fields 6,7,8
Motion by Auxier, supported by Michniewicz, to recommend approval of the application for HCSC as submitted, with the contingency that all required paperwork be filed with the Clerk’s Office, that field assignments be communicated Administratively through the Clerk and Parks Coordinator, that payments for use be billed based on current fee schedule, that the Concession stand be cleaned and brought up to code, that all damaged or unused goals/nets be removed from the premises or disposed of, that use of the fields will not be allowed during West Park blackout dates, and that use will be subject to CDC and MDHHS guidelines regarding Covid-19.
VOICE VOTE: Ayes: 5 MOTION CARRIED c. East Michigan Panthers Park Use Application – West Park – Field 1
Motion by Dolan, supported by Auxier, to recommend approval of the application for East Michigan Panthers as submitted, contingent on the Clerk Department being provided all requested documents to their satisfaction, that the field assignments be communicated administratively through the Parks Coordinator, that payments for use be billed based on current fee schedule, that uses will not be allowed during Blackout Dates, and that all uses comply with the CDC and MDHHS guidelines in regards to Covid.
VOICE VOTE: Ayes: 5 MOTION CARRIED d. Pirate Soccer Club LLC – West Park – TBD
Motion by Auxier, supported by Michniewicz, to recommend approval of the application for Pirate Soccer Club as submitted, contingent on the Township Board establishing fees, if any, for use, that the Clerk Department being provided all requested documents to their satisfaction, that the field assignments be communicated administratively through the Parks Coordinator, that uses will not be allowed during Blackout Dates, and that all uses comply with the CDC and MDHHS guidelines in regards to Covid.
VOICE VOTE: Ayes: 5 MOTION CARRIED
Parks & Recreation February 23, 2021 – 3 p.m. Page 5
e. Hamburg Flyers RC Club Park Use – Annual Application Motion by Dolan, supported by Muck, to recommend approval of the application for Hamburg Flyers RC annual park use as submitted, contingent on the Clerk Department being provided all requested documents to their satisfaction, that a Certificate of Insurance naming Hamburg Township as Additional Insured be provided, that uses not be allowed during Blackout Dates, and that all uses comply with the CDC and MDHHS guidelines in regards to Covid. All RC activity is monitored by this group on behalf of the Township and Liability for this activity is covered by their provided Insurance.
VOICE VOTE: Ayes: 5 MOTION CARRIED f. PYA Park Use for Football – Park Use Application - East Park
Motion by Dolan, supported by Muck, to recommend approval of the application for Pirate Youth Athletics as submitted, contingent on the Clerk Department being provided all requested documents to their satisfaction, that the field assignments be communicated administratively through the Parks Coordinator, that payments for use be billed based on current fee schedule, that uses will not be allowed during Blackout Dates, and that all uses comply with the CDC and MDHHS guidelines in regards to Covid.
VOICE VOTE: Ayes: 5 MOTION CARRIED g. Hamburg Flyer’s Air Show Event – Park Use Application – East Park
Motion by Dolan, supported by Muck, to recommend approval of the application for Hamburg Flyers RC Airshow Event as submitted, Event Date August 7, with a Rain date of August 14, 2021, contingent on the Clerk Department being provided all requested documents to their satisfaction, that a Certificate of Insurance naming Hamburg Township as Additional Insured be provided, and that event comply with the CDC and MDHHS guidelines in regards to Covid. All RC activity is monitored by this group on behalf of the Township and Liability for this activity is covered by their provided Insurance.
VOICE VOTE: Ayes: 5 MOTION CARRIED h. PMA Dubs Event – Park Use Application – Disc Golf Course
Motion by Auxier, supported by Dolan, to recommend approval of the 1st Annual PMA Dubs Event as submitted, Event Date April 11, 2021, contingent on the Clerk receiving all requested documents to their satisfaction, that a Certificate of Insurance naming Hamburg Township as Additional Insured be provided, that payment for the number of participants be made no later than the Wednesday following the event, and that event comply with the CDC and MDHHS guidelines in regards to Covid. VOICE VOTE: Ayes: 5 MOTION CARRIED
Memorandum Date: February 19, 2021 To: Parks & Recreation Committee From: Deby Henneman, Parks Coordinator Re: East Michigan Panthers Soccer Field Use – 2021 Season – Use from April 1 through Nov 15, 2021 Field to be assigned administratively – Shared use of H1 We are in receipt of a Park Use Application from East Michigan Panthers for their Homeschool sports program. They used the fields last year as Covid allowed, and have provided their anticipated schedule which has been put in the Google calendar. They are charged at an hourly rate and invoices will be sent by the Parks Coordinator at the end of each month of use. The applicant will be required to provide a renewal in May for their proof of insurance, with the Township included as Additional Insured. We have their Covid-19 protocol on file and they understand they must comply with all current guidelines. Their group is small, so shared field use on H1 with any other users will us feasible. Should this application be recommended for approval, it should be done so based on the application from East Michigan Panthers dated 2/12/2021 as provided in the packet, contingent on a renewal Certificate of Insurance naming Hamburg Township as Additional Insured, that the Clerk Department be provided all requested documents to their satisfaction, and that no use be allowed during Blackout Dates. Use must comply with CDC and MDHHS guidelines relating to Covid. Based on the current Park Use Fee Schedule, their rates would be $25.00 per 2-hour block and will require scheduling with the Park Coordinator.
Hamburg Township Offices 10405 Merrill Rd., P.O. Box 157 Hamburg, MI 48139 (810)231-1000 www.hamburg.mi.us
P.O. Box 15710405 Merrill Road Hamburg, Michigan 48139-0157 Hamburg Township Manly Bennett Park (810) 231-1000 Office X-218 (810) 231-4295 Fax Park Use Application
And Release of Liability & Indemnification Agreement (Application must be submitted 60 days before requested use)
Applicant Information: Event Sponsor (or name if fam ily or individual use ) : East Michigan Panthers
Name of Event: soccer workouts/ ractices 2) ~-(\LJ:l. \\~ Type of Event: soccer workout/ ractices Park Use Category#: AQt sttreJ?. Select One
Applicant Name: athleen Marshall ~~'ed Date(s) of Event: several dates, listed at end of doc Time(s) of Event: See below at end of doc 91~9\ Applicant Address:5574 Richardson Rd. Suite or Apt#:_______ ~~~_:\_ -m Applicant City: owell State: r Zip: 48843 ~IQ\~
Contact Person (present during use ):_Doug Marshall/Kathie Marshall _____ _____ _
Contact's Affiliation with Applicant: : a ~licant/aQPlicant's s ouse: Administrators
Contact's Phone:586-224-0114 Contact's E-Mail : [email protected] Event Co-applicant, if any: _ _______ __________________ _ All Co-applicants mu.st also sign all applications and waivers.
Co-applicant relationship to Applicant: __________ _ Co-applicant's phone: ________________________ _
Insurance Information: Insurance Carrier: K&K Insurance o \ • \\ \c:::)re_ · ; •;~-~~';';~';;;~~;;6~~~,,~~;;;:;~o:•~:;;--;~;;_;;;, -~~ ~~ ~ Limit of General Liability: $1 ,000,000 Occurrence _ _______ ___ Aggregate
Umbrella Coverage Limit (if any): _______ __ Occurrence __________ _
Aggregate 11 Park Use Application PA01012020
Event Description: (any information that doesn 't pertain to your event please indicate not
applicable)
Please describe the event you propose to host:
Off-season soccer workouts and Regular season soccer workouts I ractices
Total Number of participants/spectators/guests anticipated during event:
**Participants will be comprised of players from 3 team levels: Junior High, N and Varsity. umber of articipants will vary.
Average of participants/spectators/guests anticipated at any given time: 20
Site of Proposed Event; include all areas of the parklands that will be used: soccer field ~ \ <i?°-~
Include site plan drawing reflecting all areas of the Township Park and recreational facilities the event will effect
Will there be camping and trailer facilities? If so, are overnight stays anticipated: _NO ______ _
Number of Volunteers: _____ 3_-_4 _ _____ Are Volunteers trained?: as coaches, yes _____ _ Please attach copy of Volunteer Handbook if applicable
Will tents be used?: NO If so, please indicate locations: ---- - --------- ----------
Under no circumstances are tent stakes to be driven into asphalt surfaces. Tent locations must be pre-approved
Will admission be charged? If so, how much: __ INO ___________________ _
Parking fee charged? If so, how much: ___ ~INO _____ Valet service available? ___ N_O~ --
Will Food/Beverages be served? If so, types of food and name of persons serving: N __ O~ ----
For anything other than pre-packaged foods, Concession Application, Health Department License and Products Liability coverage is required
Will there be Fireworks or any other pyrotechnic display? If so, describe: _NO -----------
____________________________________________ / nsurance requirements to be established during the event review process as stated in Appendix B of the Park Facility Use Policy.
Will there be any animals present? If so, describe: _________ N"---'-O" ____________ _
Pets are not allowed in Parkland during events. Service Dogs are allowed with proper certification.
Will there be Amusement rides or games? If so, describe: ______ NO ___________ _
___________________________________________ __;/
nsurance requirements to be established during the event review process as stated in Appendix B of the Park Facility Use Policy.
21 Park Use Application PA01012020
Will there be a need for vehicles to be used on Township grounds? If so, describe: NO ----- -----
Personal vehicles require proof of Auto Liability based on the description of use and areas needing to be accessed during event.
Will there be a need for Emergency Responders over and above what is included in the Public Safety Fee? If so,
describe: NO ------------------- - ---------------------
Hamburg Township reserves the right to require private security and/or emergency responders be present during any event.
Specific services required from the Township, if any: None
Other information regarding your event that you feel may be helpful: None
Organized Sports and/or Sporting
Events:
Please indicate type of sports event: X Regular Season/Off Season (Practices)_ Sports Tournament_
Other
If Tournament or other event, complete Event Description on Page 2 and provide additional details, if
any:
Release of Liability & Indemnification
Agreement
The approval of this park use request is contingent upon receipt of all requested information, review process of the Hamburg Township
Parks & Recreation Committee, and approval of the Hamburg Township Board. The applicant may be required to provide additional
information as is deemed necessary by the Parks & Recreation Committee and/or Township Board, and may be required to meet with
the Parks Administrator and/or Parks Coordinator to supply additional information or to answer questions. If the Park Use Application
is received less than 60 days prior to the requested event date, the Parks & recreation Committee and Township Board may process the
application, however, the application fee may be increased in an amount to be determined by the Parks & Recreation Committee and/or
the Township Board.
The undersigned acknowledges that he/she/they are authorized to sign this application on behalf of the applicant and that he/she/they have
received a copy of all documents relating to the use of the park and recreational facilities including the Hamburg Township Park Facility
Use Pol icy Rules and Regulations.
31 Park Use Application PA01012020 In further consideration of entering into this agreement, to the fullest extent permitted by law, the Applicant agrees to defend, pay on behalf
of, indemnify, and hold harmless Hamburg Township, its elected and appointed officials, employees and volunteers, and others working on
behalf of Hamburg Township against any and all claims, demands, suits, or loss, including all costs connected therewith, and for any
damages which may be asserted, claimed, or recovered against or from Hamburg Township, by reason of personal injury, including bodily
injury or death and/or property damage, including loss of use thereof, which arises out of, or is in any way connected or associated with this
contract.
The Applicant covenants and agrees that it will have a representative on the premises at all times to monitor the set-up, use and tear-down
of the use and all activities related to thereto and under no circumstances shall the use of the park be granted or sublet to any other group or
organization without the express written permission of the Hamburg Township Board of Trustees.
Any Applicant or group or entity co-hosting an event must provide a Certificate of Insurance naming Hamburg Township as an additional
insured and proof of that coverage must be provided prior to the issuance of the permit for the event. The Applicant and/or co-host of any
event must comply with all rules, regulations and policies of the Township pertaining to the said use and will be ultimately responsible for
any and all damages to any Hamburg Township property resulting from the use, and shall otherwise restore the Township property to its
previous condition.
Personal Property Damage Claims: The applicant hereby releases Hamburg Township, Its elected and appointed officials, employees and
volunteers, and others working behalf of Hamburg Township, from any and all liability or responsibility to the applicant or anyone
claiming through or under the applicant by way of subrogation or otherwise, for any loss or damage to applicant 's property resulting from
any incident, except damages resulting from the gross negligence of the Township, as it relates to the activities and uses contemplated by
the application. It is understood by the applicant that all private property kept, stored or maintained in and on the Hamburg Township Park
and recreational facilities shall be so kept, stored or maintained at the risk of the Applicant.
Initials: ktm
Public Health & Safety: The applicant hereby swears and attests that they have complied with all aspects and intent, of Background
Checks and that they are in compliance3 with the Michigan Sports Concession Law, Acts 342 & 343, Public Acts of 2012, as referenced in
the Park Facility Use Policy and outlined in Appendix A. The applicant understands that falsification of the above statement and/or failure
to comply with these requirements may result in the suspension and/or revocation of the use of the Hamburg Township parkland facilities.
lnitials:ktm
Applicant's Signature:_ Kathleen Marshall_ Date: __ 2-12-20_2_1~ _
Co-applicam'sSi~
ParksCoord1nato~....__l::~--~-~~c~~~=~~~t::::::::::::===~.., __ Date: a~ B~c) \ Date: ----------
For office use only
Meeting Approval Dates: _____ Parks & Recreation ____ Public Safety ___ _ Township Boa~
~ Application has been (Circle one) Approved Denied
r<½._~ ~ ~v<' '?..J(
_H_a_m_b_ur_g_T_o_w_n_sh_i_p_R_ep_r_e_se_n_ta-ti-ve_: _____________ \' 5 ~ \~ J ~ y~
Dates Requested V April 9,16,23,30 ✓ May\il l 4,21 ,28 June4 V June 7, 10, 14,[fil]24,28✓ July l , 5,8 , 12,15,19,22 ,26,29✓ August 2,3,4,5,6,9, 10, 16, 17,23,24,30,31 ( September 7,8,13,16 / SeQtember 20,23 ,27,28 ~ October 4,5, 11 , 12, 18, 19
Time of Dax 6-8 pm 6-8 m 6-8 pm 6:30-8:30 m 6:30-8:30 pm 6:30-8:30 m 6:00-8:00 pm 5:30-7:30 m 5-7 pm
# participants 10-25 10-25 10-25 10-25 10-25 20-30 20-30 20-30 20-30
**Partici ants will be com rised of players from 3 team levels : Junior High, N and Varsity.
41 Park Use Application PA01012020
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY)
~ 09/02/2020 THIS CERTIFICAlE IS ISSUED AS A MATTER OF INFORMATION ONLY AND c;oNFERS NO RIGHTS UPON THE c;ERTIFICATE 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. IMt'uRTANT: 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 riahts to the certificate holder in lieu of such endorsementlsl. PRODUCER CONTACT NAME: Mass Merchandising Underwriting
K&K Insurance Group, Inc. PHONE 1-800-426-2889 FAX 1-260-459-5105 IA/C No Extl: IA/C Nol: 1712 Magnavox Way E-MAIL [email protected] Fort Wayne IN 46804 ADDRESS:
CUSTOMER ID: INSURER(S) AFFORDING COVERAGE NAIC#
INSURED INSURER A: Nationwide Mutual Insurance Company 23787 East Michigan FC INSURER B:
5574 Richardson Rd . INSURERC: Howell, Ml 48843 A Member of the Sports, Leisure & Entertainment RPG INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: W01837200 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 WIHICH 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. INl>I< TYPE OF INSURANCE ADDL ll>Utsl< POLICY NUMBER ,~¥,~ IM~¥,'f,"i,;;;.f\ LIMITS LTR INSD WVD
A X COMMERCIAL GENERAL LIABILITY X 6BRPG0000007258600 05/29/2020 05/29/2021 EACH OCCURRENCE $1,000,000 ,__ □CLAIMS- 0occuR
5:05 PM EDT 12:01 AM UAMAl,jt: T?i Kt:N I t:U ,__ MADE PREMISES Ea Occurrence\ $1,000,000
MED EXP (Any one person) $5,000 ,__ PERSONAL & ADV INJURY $1 ,000 ,000 - GENERAL AGGREGATE $5,000,000 ,__
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1,000,000 R POLICY □ PRO- □LOC PROFESSIONAL LIABILITY $1,000,000 JECT OTHER: LEGAL LIAS TO PARTICIPANTS $1 ,000,000
A AUTOMOBILE LIABILITY 6BRPG0000007258600 05/29/2020 05/29/2021 ii:~~~d~~ttNl,jLE LIMI $1 ,000,000 ,__ 5:05 PM EDT 12:01 AM ANY AUTO BODILY INJURY (Per person) - OWNED AUTOS ~ SCHEDULED ONLY AUTOS BODILY INJURY (Per accident)
X HIRED NON-OWNED IP~°;'~~dentrMAGE AUTOS ONLY X AUTOS ONLY ,__ X NOT PROVIDED WHILE IN HAWAII
UMBRELLA UAB [j OCCUR EACH OCCURRENCE - EXCESS LIAS CLAIMS-MADE AGGREGATE I--
OED n RETENTION WORKERS COMPENSATION AND N/A LJ ~'ffTUTELJ OTHER EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/ YIN E.L. EACH ACCIDENT EXECUTIVE OFFICER/MEMBER
□ E.L. DISEASE - EA EMPLOYEE EXCLUDED? (Mandatory In NH)
If yes, describe under DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
A MEDICAL PAYMENTS FOR PARTICIPANTS 6BRPG0000007258600 05/29/2020 05/29/2021 PRIMARY MEDICAL 5:05 PM EDT 12:01AM EXCESS MEDICAL $25,000
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remar1<s Schedule, may be attached If more space Is required) Legal Liability to Participants (LLP) limit is a per occurrence limit. Sport(s) : Soccer Youth Age(s) : 12 and under, 13-15, 16-19 The certificate holder is added as an additional insured, but only for liability caused , in whole or in part, by the acts or omissions of the named insured. See Attached Additional Remarks Schedule
CERTIFICATE HOLDER Hamburg Township Parks & Recreation 10405 Merrill Hamburg, Ml 48139 (Owner/Lessor of Premises)
Coverage is only extended to U.S. events and activities.
SH THE EXPIRATION DATE THEREOF, NOTICE ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE
RE IN
•• NOTICE TO TEXAS INSUREDS: The Insurer for the purchasing group may not be subject to all the insurance laws and regulations of the State of Texas
ACORD 25 (2016/03) The ACORD name and logo are registered mar1<s of ACORD
© 1988-2015 ACORD CORPORATION. All rights reserved.
AGENCY CUSTOMER ID: LOC#
ACORDrM ADDITIONAL REMARKS SCHEDULE Page 1 of1
AGENCY NAMED INSURED K&K Insurance Group, Inc. East Michigan FC 1712 Magnavox Way Fort Wavne IN 46804 POLICY NUMBER 6BRPG0000007258600 CARRIER I NAIC CODE EFFECTIVE DATE: 05/29/2020 Nationwide Mutual Insurance Company 23787
ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE Certificate of Liability Insurance
Sport(s) : Soccer Youth Limited Coverage for "Brain Injury" endorsement applies. Brain Injury Limit: $1 ,000,000 occurrence/$1 ,000,000 aggregate; Brain Injury Loss Adjustment Expense Limit: $1 ,000,000 occurrence/$1 ,000,000 aggregate. "Brain Injury" means concussion, chronic traumatic encephalopathy, or any other injury to the brain and any symptoms, conditions, disorders and diseases, including death, resulting therefrom but only if such injury occurs as a result of specific events occurring during the policy period.
ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD
II
POLICY NUMBER: 6BRPG0000007258600 COMMERCIAL GENERAL LIABILITY CG 20 26 0413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following :
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s) Hamburg Township Parks & Recreation 10405 Merrill Hamburg, Ml 48139
Named Insured: East Michigan FC
Information reauired to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:
1. In the performance of your ongoing operations; or
2. In connection with your premises owned by or rented to you.
However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.
B. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill - Limits Of Insurance:
If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
CG 20 26 0413 © Insurance Services Office, Inc. , 2012 Page 1 of1
Memorandum Date: February 19, 2021 To: Parks & Recreation Committee From: Deby Henneman, Parks & Recreation Coordinator Re: Hamburg Community Soccer Club – Use of Manly Bennett Park – West Use: 2021 Playing Season Primary use of Fields: 7 & 8 We are in receipt of a Park Use Application from the HCSC dated February 18, 2021 for use of Soccer Fields located in Manly Bennett Park West for the 2021 season. Use will be scheduled with the Park Coordinator, and placed on the Google Calendar being used for scheduling. They anticipate 50 recreation participants, and their 2020 season was canceled due to Covid-19. This organization is covered under the umbrella of MSYSA’s General Liability, and must adhere to their guidelines for all activities. Due to the limitations on the use and the size of the club, shared scheduling will be more than adequate to accommodate their needs. They have also agreed to continue to stripe the fields for us on an as needed basis in exchange for in-kind credits which can then be used toward park fees. All anticipated uses have been included in the Google Calendar which can be found here: http://www.hamburg.mi.us/government/departments/parks_and_recreation/parks_and_rec_park_use_calendar_(google).php. Should approval of the application be recommended as submitted, it should be done so with the contingency that a Certificate of Insurance naming Hamburg Township as Additional Insured be provided, that the Clerk Department be provided all requested documents to their satisfaction, that the field assignments be communicated Administratively through the Clerk and Parks Coordinator, that the Concession stand be cleaned and brought up to code, that all damaged or unused goals/nets be removed from the premises or disposed of, that use of the fields will not be allowed during West Park blackout dates, and that use will be subject to CDC and MDHHS guidelines regarding Covid-19.
Hamburg Township Offices 10405 Merrill Rd., P.O. Box 157 Hamburg, MI 48139 (810)231-1000 www.hamburg.mi.us
P.O. Box 157 10405 Merrill Road
Hamburg Township Manly Bennett Park
Park Use Application
Hamburg, Michigan 48139-0157 (810) 231-1000 Office X-218 · (810) 231-4295 Fax
And Release of Liability & Indemnification Agreement
(Application must be submitted 60 days before requested use)
Applicant Information:
Event Sponsor (or name if family or individual use) : ~ rn Ii lA ..... 3 C e 5 ~ L e.. e -
Name of Event: ----c~~4"--"'v:---'-,' --'....._........._5.c:..-----.>------'Fcc___L_o... __ /_( __ ..c.)_e_~.:...__,,f=-.=cJ--=~::...:... ____ _
/ /7 /- , Select One Type of Event: 0 a...,...._ e. \ ,r "" c:u:.. , L. 'i! ! Park Use Category#:
Applicant Name //4 ,..,._ L5 C, o, ..,., u ~ s;; cc, ev C/,.'- /2 Date(s) ofEvent: ~ ~ <- /, :Z. ~ 41,//, ;l_g~) ofEvent\ ~f:
ApplicantAddress:"J f/cf/ ~h eht;. P1 /f?A, Suite or Apt#~~~
Applicant City: e, V, Cir< -ey State: ffi, ' Zip: 1/<£/b '1 Contact Person (present during use):_----',TIV,_/._.,a"l,,-_.,V>-'.':"\=::....,..-'e__--..J~_.,,,,C=--L6~14._~: --xV::::_~£:.~---------
Contact's Affiliation with Applicant: A e S t' de V/ /---,.. ---''---<....C.----'-------------------
Contact's Phone: S:-/0 9 2 5 s ) ~ ~ontact's E-Mail: -J ,:...... c:/4 V k C O .,_c_L;,V J ":::;,'1
· ~
Event Co-applicant, if any: _____________________________ _ All Ctrapplicants mmt also sign all applications and waivers.
Co-applicant relationship to Applicant: --------------------------
Co -applicant's phone:--------------------------------
Insurance Information:
Certificate of Insurance m~ ded by all applicants ~~ndi< Bin "4e Park Facility Use Policy.
Policy~~ ~«::;C:)Q ~ Expiration Date: ____________ _
Limit of General Liability: ____________ Occurrence ___________ Aggregate
Umbrella Coverage Limit (if any): ________ Occurrence ___________ Aggregate
lj Park Use Application PA01012020
Event Description: (any information that doesn 't pertain to your event please indicate not applicable)
Please describe the event you propose to host: ________________________ _
Total Number of participants/spectators/guests anticipated during event: ---'~- ~-""'-----------
Average of participants/spectators/guests anticipated at any given time: --~- -~-.L----➔-------r-' 7-;? r
//
Site of Proposed Event; include all areas of~he parklands that will be used :
7 Y-1/ &: :(:.AL / ' // lA-f ~ /.11;
J e.c..? ,u ..,.. b ,(/ t- v,\ 1 J,r ~ v &/ 6 d-- ✓ /'(
Include site plan drawing reflecting all areas of the Township Park and recreational facilities the event will effect
Will there be camping and trailer facilities? If so, are overnight stays anticipated: d/o Number of Volunteers: __ ..:../_..<..) _______ _ Please attach copy of Volunteer Handbook if applicable
Are Volunteers trained?: y --e_ r -------,7,C---=--L------
Will tents be used?:_1_,_tZ __ V _ _.,Q.,_-_________ If so, please indicate locations: _________ _
Under no circumstances are tent stakes to be driven into asphalt surfaces. Tent locations must be pre-approved.
Will admission be charged? If so, how much: ~A/___,,,'--__._(J"---------------------
Parking fee charged? Ifso, how much: __ /4 .............. /-4,,ti-,____ _____ Valet service available?---"/V---="------"O=------
Will Food/Beverages be served? If so, types of food and name of persons serving: ---Jbl..-Ja:::l-=------~....._!"-.:..:3-.,..,,,,,,,.
o.. ck -c_~ N <7L c_ ~
For anything other than pre-packaged foods, Concession Application, Health Department License and Products ability coverage is required.
Will there be Fireworks or any other pyrotechnic display? If so, describe: ~/(/"'--------'--d ________ _
Insurance requirements to be established during the event review process as stated in Appendix B of the Park Facility Use Policy.
Will there be any animals present? If so, describe : --~7
~/c,--b'J~{J':,,L----------------
Pets are not allowed in Parkland during events. Service Dogs are allowed with proper certification.
Will there be Amusement rides or games? If so, describe: -~/L'--' .... ~"'-----___.,&_,,_'l'---------------
Insurance requirements to be established during the event review process as stated in Appendix B of the Park Facility Use Policy.
21 Park Use Application PA01012020
Will there be a need for vehicles to be used on Township grounds? If so, describe: ~O_h __ /~· ,,._✓ ___ -,?: __ CJ __ -_
I I ' /' / / I ~c-4. 7 O"l e ,. u -e ..., o 1- n e ~ v- h-t f7..-/'- c .,. .: Ci,._ 1 J c:::t..-r o.. / '-'-Personal vehicles require proof of Auto Liability based on the 'description of use and areas needing to be accessed ring event
Will there be a need for Emergency Responders over and above what is included in the Public Safety Fee? If so,
Hamburg Township reserves the right to require private security and/or emergency responders be present during any event
Specific services required from the Township, if any: &1 v ..-- ~ / .
Other information regarding your event that you feel may be helpful: _______________ _
Organized Sports and/or Sp~g Events:
Please indicate type of sports event: -~-R Reegguullar Season (Games/Practices) Dsports Tournament □Other If Tournament or other event, complete Event Description on Page 2 and provide additional details, if any:
Release of Liability & Indemnification Agreement
The approval of this park use request is contingent upon receipt of all requested information, review process of the Hamburg Township Parks & Recreation Committee, and approval of the Hamburg Township Board. The applicant may be required to provide additional information as is deemed necessary by the Parks & Recreation Committee and/or Township Board, and may be required to meet with the Parks Administrator and/or Parks Coordinator to supply additional info9rmation or to answer questions. If the Park Use Application is received less than 60 days prior to the requested event date, the Parks & recreation Committee and Township Board may process the application, however, the application fee may be increased in an amount to be determined by the Parks & Recreation Committee and/or the Township Board.
The undersigned acknowledges that he/she/they are authorized to sign this application on behalf of the applicant and that he/she/they have received a copy of all documents relating to the use of the park and recreational facilities including the Hamburg Township Park Facility Use Policy Rules and Regulations.
31 Park U s e Applica t ion PA01012020
In further consideration of entering into this agreement, to the fullest extent permitted by law, the Applicant agrees to defend, pay on behalf of, indemnify, and hold harmless Hamburg Township, its elected and appointed officials, employees and volunteers, and others working on behalfofHamburg Township against any and all claims, demands, suits, or loss, including all costs connected therewith, and for any damages which may be asserted, claimed, or recovered against or from Hamburg Township, by reason of personal injury, including bodily injury or death and/or property damage, including loss of use thereof, which arises out of, or is in any way connected or associated with this contract.
The Applicant covenants and agrees that it will have a representative on the premises at all times to monitor the set-up, use and tear-down of the use and all activities related to thereto and under no circumstances shall the use of the park be granted or sublet to any other group or organization without the express written permission of the Hamburg Township Board of Trustees.
Any Applicant or group or entity co-hosting an event must provide a Certificate oflnsurance naming Hamburg Township as an additional insured and proof of that coverage must be provided prior to the issuance of the permit for the event. The Applicant and/or co-host of any event must comply with all rules, regulations and policies of the Township pertaining to the said use and will be ultimately responsible for any and all damages to any Hamburg Township property resulting from the use, and shall otherwise restore the Township property to its previous condition.
Personal Property Damage Claims: The applicant hereby releases Hamburg Township, Its elected and appointed officials, employees and volunteers, and others working behalf of Hamburg Township, from any and all liability or responsibility to the applicant or anyone claiming through or under the applicant by way of subrogation or otherwise, for any loss or damage to applicant' s property resulting from any incident, except damages resulting from the gross negligence of the Township, as it relates to the activities and uses contemplated by the application. It is understood by the applicant that all private property kept, stored or maintained in and on the Hamburg Township Park and recreational facilities shall be so kept, stored or maintained at the risk of the Applicant.
~ Initials: -----
Public Health & Safety: The applicant hereby swears and attests that they have complied with all aspects and intent, of Background Checks and that they are in compliance3 with the Michigan Sports Concession Law, Acts 342 & 343, Public Acts of 2012, as referenced in the Park Facility Use Policy and outlined in Appendix A. The applicant understands that falsification of the above statement and/or failure to comply with these requirements may result in the suspension and/or revocation of the use of the Hamburg Township parkland facilities.
~ Initials: -----
te:_ fk_: :::::- \::::'.'.!~=::-~?-:::\:=) =-~ ~C::'.\..-,L~---L- __J_ ___ Date: _ _ ~-+-.._.--1\:,.......,~- -~ .,...Z)~ \ -
6-•' l 2: c) Parks Coordinator: Date: --------------
For office use only
Comments: _____________________________________ _
Meeting Approval Dates: ______ Parks & Recreation ______ Public Safety _____ Township Board
Application has been (Circle one) Q Approved Q Denied
Hamburg Township Representative: _____________________________ _
41Pa rk Use Application PA0I012020
Memorandum Date: February 18, 2021 To: Parks & Recreation Committee From: Deby Henneman, Parks Coordinator Re: Hamburg Flyers 2021/2022 Annual Season – Manly Bennett RC Field We are in receipt of a Park Use Application from the Hamburg Flyers RC Club, Inc. dated February 9, 2021, for the Hamburg Flyer’s RC Annual Season from April 1, 2021 to April 1, 2022. Should approval of this application be recommended as submitted, it should be done so with the contingency that a Certificate of Insurance naming Hamburg Township as Additional Insured be provided, that the Clerk Department be provided all requested documents to their satisfaction and that use will be subject to blackout dates. All RC activity is monitored by this group on behalf of the Township and Liability for this activity is covered by their provided Insurance.
Hamburg Township Offices 10405 Merrill Rd., P.O. Box 157 Hamburg, MI 48139 (810)231-1000 www.hamburg.mi.us
Hamburg Township Manly Bennett Park
Park Use Application
And Release of Liability & Indemnification Agreement
(Application must be submitted 60 days before requested use)
Applicant Information:
P.O. Box 157 10405 Merrill Road Hamburg, Michigan 48139-015i (810) 231-1000 Office X-218 (810) 231-4295 Fax
Event Sponsor (or name if family or individual use ):_H_a_m_b_u-=rg'----F_l-=---ye_r_s_R_C_C_lu_b---'---, _ln_c_. ____________ _
Name of Event: Hamburg Flyer RC Club, Inc.
Type of Event: _A_e_ro_n_a_u_ti_cs _____________ Park Use Category#:_ 2 - Qualified User
Applicant Name: Hamburg Flyer RC Club, Inc.
\ \ Date(s) of Event: April ~ 2021 thru April )A': 2022 Time(s) of Event: _P_a_rk_ho_u_r_s ______ _
Applicant Address: Manl jly Bennett Airport 10405 Merrill Rd. •
Suite or Apt#: _________ _
Applicant City: _H_a_m_b_u_rg=------------- State: _M_I _____ Zip: 48139
Contact Person (present during use): Eugene Doncea -~------------------------
Contact's Affiliation with Applicant: _P_re_s_id_e_n_t _____________________ _
Contact's Phone: _7_3_4-_6_3_7-_3_57_1 _______ Contact's E-Mail: E8dj [email protected]
Event Co-applicant, if any: ____________________________ _ All Co-applicants must also sign all llpplications and waivers.
Co-applicant relationship to Applicant: ________________________ _
Co-applicant's phone: ______________________________ _
Insurance Information: ~~~ ~~ L,~
Insurance Carrier: Academy of Model Aeronautics, Inc. \~~ ~ . Cerlijicate of Insurance must be provided by all applicanb· as outlined in Appendix Hin the Park Facility Use Policy. ]:,a,f1'
Policy#: J:QE) O~\~J-\0\D ExpirationDate: . ~0\-8-\ -,{c-~
Limit of General Liability: \ ~, c::x:::t=) Occurrence \ \ tJLX::), CX:::C~ Aggregate
Umbrella Coverage Limit (if any): \ \,~ cxD Occurrence ~ ax:>\ (J:.X) Aggregate
~~\ ~\\\ ~ ~u\~-Q:x-~'!Q--e_~. ll Park Use Application PA0I0l2020
Event Description: (any informaJion that doesn't pertain to your event please indicate not applicable)
501 (c)3 nonprofit activities. The purpose is to develop, educate, Please describe the event you propose to host: ________________________ _ advance and safeguard modeling and aeronautical activities. This is to include, but not limited too, Buddy Box,
educational seminars, community education and awreness, -\\\~ --:i?C,_ ~ _ _..._,~, 1-200 +1- CA.c:.,-\;'-),.-\es
Total Number of participants/spectators/guests anticipated during event: _______________ _
1-1000 +/-Average of participants/spectators/guests anticipated at any given time: _ ______________ _
Manlpy Bennett Airport Site of Proposed Event; include all areas of the parklands that will be used: ____________ _
Include site plan drawing reflecting all areas of the Township Park and recreational facilities the event will effect
Will there be camping and trailer facilities? If so, are overnight stays anticipated: _N_I_A ________ _
11100 +r Yes Number of Volunteers: ____________ Are Volunteers trained?: ___________ _ Please attach copy of Volunteer Handbook if applicable
Yes Manley Bennett Airport Will tents be used?: _____________ If so, please indicate locations: _________ _
Under no circumstances are tent stakes to be driven into asphalt surfaces. Tent locations must be pre-approved
No ~' /1 _ Will admission be charged? If so, how much: ~ ¼, ~ ~ \? ~5
No N ~ Parking fee charged? Ifso, how much: __________ Valet service available? cz:.\.u\c;)
Yes. TSO ~ Will Food/Beverages be served? If so, types of food and name of persons serving: ~
\'\Q.
For anything other than pre-packaged foods, Concession Application, Health Department License and Products Liability coverage is required
TBD Will there be Fireworks or any other pyrotechnic display? If so, describe: ____________ _
Insurance requirements to be established during the event review process as stated in Appendix B oft/1e Park Facility Use Policy.
Personal Pets Will there be any animals present? If so, describe: _____________________ _
Pets are not allowed in Parkland during events. Service Dogs are allowed with proper certification.
No Will there be Amusement rides or games? If so, describe: ___________________ _
Insurance requirements to be established during the event review process as stated in Appendix B of the Park Facility Use Policy.
21 Park Use Application PA01012020
Yes. Members and guest Will there be a need for vehicles to be used on Township grounds? If so, describe: __________ _ vehicles driven to and from the site.
Personal vehicles require proof of Auto liability based on the description of use and areas needing to be accessed during event.
Will there be a need for Emergency Responders over and above what is included in the Public Safety Fee? If so, No
describe: -------------------------------------------
Hamburg Township reserves the right to require private security and/or emergency responders be present during any event.
Yes. Lawn service and maintance. Specific services required from the Township, if any: _____________________ _
Other information regarding your event that you feel may be helpful: ------------------
Organized Sports and/or Sporting Events:
Please indicate type of sports event: □Regular Season (Games/Practices) Dsports TournamentOOther
If Tournament or other event, complete Event Description on Page 2 and provide additional details, if any:
Release of Liability & Indemnification Agreement
The approval of this park use request is contingent upon receipt of all requested information, review process of the Hamburg Township Parks & Recreation Committee, and approval of the Hamburg Township Board. The applicant may be required to provide additional information as is deemed necessary by the Parks & Recreation Committee and/or Township Board, and may be required to meet with the Parks Administrator and/or Parks Coordinator to supply additional info9rmation or to answer questions. If the Park Use Application is received less than 60 days prior to the requested event date, the Parks & recreation Committee and Township Board may process the application, however, the application fee may be increased in an amount to be determined by the Parks & Recreation Committee and/or the Township Board.
The undersigned acknowledges that he/she/they are authorized to sign this application on behalf of the applicant and that he/she/they have received a copy of all documents relating to the use of the park and recreational facilities including the Hamburg Township Park Facility Use Policy Rules and Regulations.
31 Park Use Application PA0I012020
In further consideration of entering into this agreement, to the fullest extent permitted by law, the Applicant agrees to defend, pay on behalf o( indemnify, and hold harmless Hamburg Township, its elected and appointed officials, employees and volunteers, and others working on behalfofHamburg Township against any and all claims, demands, suits, or loss, including all costs connected therewith, and for any damages which may be asserted, claimed, or recovered against or from Hamburg Township, by reason of personal injury, including bodily injury or death and/or property damage, including loss of use thereof, which arises out of, or is in any way connected or associated with this contract.
The Applicant covenants and agrees that it will have a representative on the premises at all times to monitor the set-up, use and tear-down of the use and all activities related to thereto and under no circumstances shall the use of the park be granted or sublet to any other group or organization without the express written permission of the Hamburg Township Board of Trustees.
Any Applicant or group or entity co-hosting an event must provide a Certificate of lnsurance naming Hamburg Township as an additional insured and proof of that coverage must be provided prior to the issuance of the permit for the event. The Applicant and/or co-host of any event must comply with all rules, regulations and policies of the Township pertaining to the said use and will be ultimately responsible for any and all damages to any Hamburg Township property resulting from the use, and shall otherwise restore the Township property to its previous condition.
Personal Property Damage Claims: The applicant hereby releases Hamburg Township, Its elected and appointed officials, employees and volunteers, and others working behalf of Hamburg Township, from any and all liability or responsibility to the applicant or anyone claiming through or under the applicant by way of subrogation or otherwise, for any loss or damage to applicant's property resulting from any incident, except damages resulting from the gross negligence of the Township, as it relates to the activities and uses contemplated by the application. It is understood by the applicant that all private property kept, stored or maintained in and on the Hamburg Township Park and recreational facilities shall be so kept, stored or maintained at the risk of the Applicant.
[nitials: 0 Public Health & Safety: The applicant hereby swears and attests that they have complied with all aspects and intent, of Background Checks and that they are in compliance3 with the Michigan Sports Concession Law, Acts 342 & 343, Public Acts of 2012, as referenced in the Park Facility Use Policy and outlined in Appendix A. The applicant understands that falsification of the above statement and/or failure to comply with these requirements may result in the suspension and/or revocation of the use of the Hamburg Township parkland facilities.
Initials: - ----
~_-~r--f2~ Applicant's Signature:_-+-t;;;:::}--+----------------- Date:_(f:l__g___1 _c_1,_c_o_c:.~/ __ _
For office use only
Meeting Approval Dates: ______ Parks & Recreation ______ Public Safety _____ Township Board
Application has been (Circle one) Q Approved 0 Denied
Hamburg Township Representative: _____________________________ _
41 Park Use Application PA0I0I2020
~RU CERTIFICATE OF LIABILITY INSURANCE I DATI! (.wortYYY)
5/4/2020
,..........._,
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 TliE ISSUING INSURER(S), AUTliORIZED REPRESENTATIVE OR PRODUCER, AND TliE CERTIFICATE HOLDER.
IMPORTANT: If the certlflcata holder i■ an ADDITIONAL INSURED, the pollcy(les) mmt have ADDITIONAL INSURED provisions or be endorNd. If SUBROGATION IS WAIVED, ■ubject to the tam,s and conditions of the policy, certain policies may require an endorNment. A statement on thl• certificate does not confer rights to the certificate holder In lieu of such endorumentts).
PROOUCER ~-;---· The Harry A. Koch Co. ~~ ·-·· 402-861-7000 1rM Nol, P.O. Box 45279 Omaha NE 68145-0279 ~~--=
INSURl!IIISI AFFORDING COVERAGE NAICI
11suRU A: Westchester Sumlus Lines Insurance Co 10172 IISURED INSUlll!R • : Academy of Model Aeronautics, Inc.
IISURERC : &/or Affiliated &/or Associated Chartered Clubs, Chapters & Members Thereof IISURERD :
5161 E. Memorial Drive Muncie IN 47302
IISURERE:
IISURERI':
COVERAGES CERTIFICATE NUMBER: 959503208 REVISIONNUMBER· THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT'MTHSTANDING ANY REQUIREMENT, TERM OR CONDCTION OF ANY CONTRACT OR OTHER DOCUMENT VIIITH RESPECT TO 'M-tlCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERBN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOIMI MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN~ TYN OF IISURANCE Auu,. 1su- 1'01.JCY EFF l'OUCYEXP
I.MTS ····-, __
POLICY NU•ER
A X I COMMERCIALGENERALUA■UTY y y G220115J.4015 313112020 I 3/31/2021 EACH OCCURRENCE $1,000,000
:==J CLAIMS-MADE 0 OCCUR PREMISE~ YE~c~~1 $300,000
MED EXP (Any orw peraon) so c-
,__J PERSONAL & A!JII INJURY S 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 1,000,000
q f'OLICY □ m?i: 0Loc '
PRODUCTS· COMP/OP AGG S 1,000,000
OTHER: s AUTOMOIIU UAIILITY );_~~~INGLE LIMIT s -
ANY AUTO BODIL y INJURY (Per person) $ - O'M,iED - SCHEDULED AlJTOSONLY AlJTOS BODILY INJURY (Per acddlnl) $ - HIRED - NON-O'M,iEO ~~J?AMAGE AlJTOS ONLY AlJTOSONLY s - -
s
UIIIIREU.A UA8 H OCCUR EACH OCCURRENCE s -!XaSSUAB CLAIMS-MADE AGGREGATE s
OED I I RETENTION s s WORKERS COMPENIATION I ~f~TllTE I I ~~H-ANO l!MPLOY!RS" UA8tUTY YIN ANYPROPRIETOR/PARTNERIEXECUTIVE
□ NIA E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? (llilllNlalorY In NHI E.L DISEASE - EA EMPLOYEE S
~~ mPERATIONS below E.L DISEASE - f'OUCY LIMIT s A Excau Liability y y G22011546015 3/31/2020 3/31/2021 l.lmltl p..- 0cc $1 ,500,000
GeneralA.ggregale $4,000,000
I DESCIUP110N OF OPERATIONS I LOCATIONS/ VEHICUS (ACORD 101, AIIINDnal R....,_ Schedule, may be-hed If ltlON ..... le l9q&ind) Hambu~ Township is an additional insured, prirnai and non-contributing as respects to any additional Insured site owner. Location: Manley W . Bennett Park 10405 enill Rd. aub: 1454 Hamburg Flyers R/C lub Inc.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED IIEl'ORI! THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
Hamburg Township PO Box 157
~4 Hamburg Ml 48139
~c:..--I
@ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Memorandum Date: February 18, 2021 To: Parks and Recreation Committee Hamburg Township Board of Trustees From: Deby Henneman, Parks & ADA Coordinator Re: Pirate Youth Athletics (formerly HPYFA)– Use of Manly Bennett Park – East Fields: Football Practice Fields 1 & 2 We are in receipt of a Park Use Application from the Pirate Youth Athletics dated February 10, 2021 for use of Football practice areas 1 & 2 located in Manly Bennett Park East for their fall season beginning August 2, 2021 and ending October 31, 2021. The club has requested use of 2 Football practice areas, leaving field #3 (between Diamonds #1 & #4) available for use by others. They anticipate their number of participants of 185, and recent data reflects an average number of 50. Should approval of the application be recommended as submitted, it should be done so with the contingency that a Certificate of Insurance naming Hamburg Township as Additional Insured be provided, that the Clerk Department be provided all requested documents to their satisfaction, that all uses comply with CDC and MDHHS Covid guidelines, and that use of the fields will not be allowed during East Park blackout dates. All field use will be scheduled with the Parks Coordinator.
Hamburg Township Offices 10405 Merrill Rd., P.O. Box 157 Hamburg, MI 48139 (810)231-1000 www.hamburg.mi.us
·. Hamburg ·ownship•·
· . . o g r<to t place to grow Hamburg Township Manly Bennett Park
Park Use Application
And· Release :of Liability & Indemnification Agreement
(Application m111t be submitted 60 dayi before requested use)
Applicant Information: · . . Pirate Youth Athletics (Formerly HPYFA)
P.O. Box157 1 CMOS Merrill Road Hamburg, Michigan 48139-0157 (810) 231-1000 Office X-218 (810) 231-4295 Fax
Event Sponsor ( onumie iJfami(v or individual use): ----------------------N fE
PYA Football Practice ame o vent: :
T. fE PYA Football Practice
ype o vent: : 2 - Qualified User Park Use Category#:_
A 1. N Pirate Youth Athletics pp tcant ame: _____________________________ _
D ( ) f E August 2 - October 31, 2021
ate s o vent: ' T. () fE Monday-Friday 5pm to 9 pm une s o vent: ----------
. PO Box741 ApphcantAddress: _______________ Suite or Apt#: _________ _
Applicant City: Hamburg State: _M_I _____ Zip: _4_81_3_9 ____ _
. Jon Prescott Contact Person (present dunng use): ______ _________________ _
li . 'th li PYA President Contact's Affi ation WI _App cant:-..;------------------------
810-S22-7878 Co , E-Mail [email protected] Contact's Phone: ___ .________ ntact s : _____________ _
. . KellyRysso Event Co-applicant, 1f any:-------------=-------......,..--------.--A11~•-••o11~ ..... ,,._._ VP f Ch C.'re..e~ci'-~ c:b~ ~ C 1. l . hi A 1· o eer • ,c::=-" ~ t ....1 . ,,,-..,....L. ~ . o-app 1cant re ations p to pp 1cant: V-=" S:::C. -:7~ I....A-' , , LAS:) '-f Co- li t , h 810-599-6395 ' ~ . ~ S-~ £:~~ app can s p one: ...c.,__~ -Ji \ • ~
~' 'C> Lt. \\:..X. \ '"'~ ~ \:-.
Insurance Information: ·
In Carri K&K insurance group
surance er: · Cmifk--11-•..., /Np,r, ,Ue,I~ .U.,a..,,u,,• oabv.4 •~•- dw hnFmlllJ V.. ,1111q.
Poll·cy #·. 6BRPG0000007258600 E . . D 09/25/2021 xp1ration ate: __ ..._. _________ _
L. . fG l L'ab'li 1,000,000 O 5,000,000 A urut o enera 1 1 ty: __________ ccurrence _ _ ________ ggregate
n/a n/a Umbrella Coverage Limit (if any): _ ________ Occurrenc~ __________ A~ tk:ci .
-~~~
" .. ·· • •"• ···- - . ... .... - ·~- --· §?\~\~\ .~ . ~---.-- .. .. .. . .. . . .. ' . . . . -.. lj Park Use App l ica t ion PA 0 10 1 2020
Event Descri ptlon: (IIIIY in/ol'IIUIMn tJuu doesn ~t pertain ID yo11, nelll ~ ilu/k4tuu,t 9}Jlkl,bk)
. Football Practices on Field 1 &2 Please descnbe the event you propose to host---------------------------
I
Total Number of participants/spectators/guests anticipated during event: _1_8_5 ___________ _
Average of participants/spectators/guests anticipated at any given time: _5_0 ____________ _
Site of Proposed Event; include all areas of the parldands that will be used: Fields 1 &2 for football
IIIClwll site pllUI drawiag reflecting llll""'" of tl,e Towuhq, PtUk au nuetlfioq/ f(ICilitks the nelll will e.ffect
Will there be camping and trailer facilities? If so, are overnight staY;s anticipated: _n_o _______ _
Number ofVolunteers: 30 Are Volunteers trained?:yes -----------Please attaeli copy ofJ/oh,-,,tur Rtf'lulbook if applkl,ble
Will ts b d? no If 1 · di 1 · n/a ten e use . :____________ so, p ease in cate ocations: ________ _
Under no drc11111siluu:ts 11n tat sblkn to be tlrl11e11 Into -,,1,llh SIU'/11£U. Tent loutitJIIS •II.ft btJ pre-approvd. !
Will admission be charged? If so, how much: _"_0 ______ _,_ _____________ _
Parking fee charged? If so, how much:_n_o ________ Valet service available?_"_0 _____ _
Will Food/Beverages be served? If so, types of food and name of persons serving: _"_0 _______ _
For 11nytl,illg atlur tlulJ, pn-packllgd foaib, O»u:nsion Application, HeJI/IJI Dq,,,rt,,,n,I Lianu 111111 PNilllw Lillbiiity conrag,e is rN111ird
Will there be Fireworks or any other pyrotechnic display? If so, describe: _"_0 __________ _
l11S11r•11ce requirtn,ents"' be ubullishd tblrinl tlu evtlll revitM praau IIS IIIIU4 in Apptrulbt B of tlu Part FIICility U" Policy.
Will there be any animals present? If so, describe: _"_0 __________________ _
Pets are not tzllowed in P"7'ihuul during tHJII& Strllia Dogs tut a/lo-4 with prop,er certijicadon.
Will there be Amusement rides or games? If so, descnbe: _"_0 _______________ --__ _
IIISllrtlnce r,eqllirmltnts ta be tSltlblisltd 4uring U,e e'lffll rtliitw prouss u sltlled In Apptndbc B of the Parl Flldlity Ust Poliq.
····•-·· . '
21Park Use Application PA01012020
Will there be a need for vehicles to be used on Township grounds? If so, describe: _"0 ________ _
Penotud whide, require proof of Alllo ~ bU1!11 o• tlu tlncriptio11 of llSt! 111111 llfflff autlillg to be 11a:asd drm,,g evfflt. . j .
Will there be a need for Emergency Responders over and above what is included in the Public Safety Fee? If so,
d .be no escn =-----------------------------------,--
Haa,blll'g ToWIISlrq, ,-s die rigltt to require prlHJe suurlty 111111/or elflergency re.-,,.den be pramt thuhig 1111y event.
Specific services required from the T~wnship, if any:-AePte- -----P~ ~ \e,_ -\-c\ ~ ± s::e-q, S ~ e ~c\ 8<::20 > 2::.\\. "\-0 \Ol?:,,
none Other information regarding your eve~t that you feel may be helpful: _____________ _
Organized Sports and/or Sporting Events:
Please indicate type oisports event: l~IRegular Season (~es/Practices) Dsports TournamentOOther
If Tournament or other event, complete Event Description on Page 2 and provide additional details, if any:
nla
Release of Liability & Indemnification Agreement
The qprowd of tJus pari use nq•m is co111i11gent llJH'" reuipt of all requatetl inforaultion, m,ie,, procas of du Hamb11rg Township PIU'lra &: Recreodon Co111""'1u, lllUl qprowzl of tlte Htm1b11rg Township Bota'd. Tl,e applicant 1ft11J1 be req11ired to pro ville tuldidDIUll infon1111Jio11 u ii dented "t!Ce11611rY by the Parks & RecreatitJ• Cornnliltee 1111,Vor Tow,wup BOIUII. 1111,l May be required to meet wit/a tlte Par/cs AdMinimator ,md/or Ptnks Coordlnator to supply addJtio,ud info9rmatio1t or to uswn quutions.. If the Park Use Application is receivd less than 60 tlays prii,r 111 IM req11ested event dtlte, tlu PIU'ks & rw:readon Co,,unitJee anti T<MIUiip Board may process the appllclllion, ltowever, d,e ap~n fee may be increased in a,, t1111ount lo be determined by the Parks 4 Recrelllion Committee an4lor du Townsltip Boar,J.
The undersigned acknowledges that he/she/they arc authorized to sign this application on behalf of the applicant and that he/she/they have received a copy of all documents relating to the use of the parlc and recreational facilities including the Hamburg Township Parle Facility Use Policy Rules and Regulations.
-·• ·--····
31 Park Use Application PA 0 1 0 12 0 20
In further consideration of entering into this agreement, to the fullest extent pennittt:d by law, the Applicant agrees to defend, pay on behalf of, indemnify, and hold harmless Hamburg Township, its elected and appointed officials, employees and volunteers, and others working on behalf of Hamburg Township against any and all claims, demands, suits, or loss, including all costs connected therewith, and for any damages which may be asserted, claimed, or recovered against or from Hamburg Township, by reason of personal injury, including bodily injury or death and/or property damage, including loss of use thereof, which arises dut of: or is in any way connected or associated with this contract
The Applicant covenants and agrees that it will have a representative on the premises at all times to monitor the set-up, use and tear-down of the use and all activities related to thereto and under no circumstances shall the use of the park be granted or sublet to any other group or organization without the express written permission of the Hamburg Townahip Boa:td of Trustees.
Any Applicant or group or entity co-hosting an event must provide a Certificate of Insurance naming Hamburg Township as an additional insured and proof of that coverage must be provided prior to the issuance of the pennit for the event. The Applicant and/or co-host of any event must comply with all rules, regulations and policies of the Township perta~g to the said use and will be ultimately responsible for any and all damages to any Hamburg Township property resulting from the use, an4 shall otherwise restore the Township property to its ~~~~- . : .
Personal Property Damage Clatms: The applicant hereby releases Hamburg Township, Its elected and appointed officials, employees and volunteers, and others working behalf of Hamburg Township, from any and all liability or responsibility to the applicant or anyone claiming through or under the applicant by way of subrogation or otherwise, for any loss or damage to applicant' s property resulting from any incident, except damages resulting from the gro~ negligence of the Township, as it relates to the activities and uses contemplated by the application. It is understood by the applicant that all private property kept, stored or maintained in and on the Hamburg Township Park and recreational facilities shall be so kept, stored or maintained at the risk of the Applicant. rf7'
Ini ·a1 JP tl s: ----
Public Health & SafetY: The applicant hereby swears and attests that they have complied with all aspects and intent, ofBackground Checks and that they are in compliance.3 with the Michigan Sports Concession Law, Acts 342 & 343, Public Acts of 2012, as referenced in the Park Facility Use Policy and outlined in Appendix A. The applicant understaru4 that falsification of the above statement and/or failure to comply ,.;d, ..... -imnona may n,mlt in d,o """"'""" ,nd/..- m'<>eation of d,,""' of th, Hom"'"" Town,hip """'P"'·
· Initials: JP
Applicant's Signature: Jon Prescott cf('}- _ :::::::, Date,_21_1_012_0_2_1 _____ _
Co-applicant'sSi~~~w J{.£1.~ 4¥12 Date: )•1(),J1
Parks Coordina~ \ Date: @- \'zJ8 \
For office use only l · d l8
Comments~ ~ -to~~--
Meeting Approval Dates: ______ Parks & Recreation _____ Public Safety _____ Township Board
Application has been ( Circle one) 0 Approved Q Denied
Hamburg Township Representative: _________________________ _
•• •• ~- ~-.. • • • • w ... - - ~ • - ' ..
4jP ark U se Ap p l ica t ion PA01012020
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY)
~ 09/23/2020
THI~ c.;ERTIFlc.;ATE IS l~~UED AS A MATTER ut INFORMATION ONLY AND 1.,uNFERS 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: It the certificate holder is an ADDITIONAL INSUKt:U, the policy(ies) must have Auul I 1uNAL 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(sl .
PRODUCER CONTACT NAME: Mass Merchandising Underwriting
K&K Insurance Group, Inc. l'tfUNt= 1-800-426-2889 r"A 1-260-459-5105 (A/C No Ext): (A/C No):
1712 Magnavox Way E-M,.IL [email protected]
Fort Wayne IN 46804 ADDRESS: p CUSTOMER ID:
INSURER($) AFFORDING COVERAGE NAIC#
INSURED INSURER A: Nationwide Mutual Insurance Company 23787
Pirate Youth Athletics INSURER B: PO Box 741 INSURERC: Hamburg, Ml 48139
INSURER D: A Member of the Sports, Leisure & Entertainment RPG INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: W01845833 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. IN:>R TYPE OF INSURANCE ADDL ISUBR POLICY NUMBER t=•• POLICYt=AI' LIMITS LTR INSD WVD IMM/DDIYYYYl IMM/DD/YYYYI
A X COMMERCIAL GENERAL LIABILITY 6BRPG0000007258600 09/25/2020 09/25/2021 EACH OCCURRENCE -:]CLAIMS- 0 occuR
12:01 AM EDT 12:01AM DAMAGE TO r<t:N I t:u
- MADE PREMISES IEa Occurrence I MED EXP (Any one person)
-PERSONAL & ADV INJURY
t--GENERAL AGGREGATE
t--
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG R □ PRO- O Loc PROFESSIONAL LIABILITY POLICY JECT
OTHER: LEGAL LIAB TO PARTICIPANTS
A AUTOMOBILE LIABILITY 6BRPG0000007258600 09/25/2020 09/25/2021 COMBINED SINGLE LIMIT /Ea accident\
t-- 12:01 AM EDT 12:01 AM ANY AUTO BODILY INJURY (Per person)
t--
OWNED AUTOS @ SCHEDULED ONLY AUTOS BODILY INJURY (Per accident)
t-- HIRED NON-OWNED X AUTOS ONLY X AUTOS ONLY r-r,;.vr-cn. U l"\Ml"\\,;JC
(Per accident)
X NOT PROVIDED WHILE IN HAWAII
UMBRELILA LIAB □ OCCUR EACH OCCURRENCE t--
EXCESS LIAB CLAIMS-MADE AGGREGATE t--
OED n RETENTION
WORKERS COMPENSATION AND N/A _J STATUTELJ OTHER EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/ Y/N E.L EACH ACCIDENT EXECUTIVE OFFICER/MEMBER
□ E.L DISEASE - EA EMPLOYEE EXCLUDED? (Mandatory in NH)
If yes, describe under DESCRIPTION E.L DISEASE - POLICY LIMIT OF OPERATIONS below
A MEDICAL PAYMENTS FOR PARTICIPANTS 6BRPG0000007258600 09/25/2020 09/25/2021 PRIMARY MEDICAL 12:01 AM EDT 12:01 AM
EXCESS MEDICAL
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Legal Liability to Participants (LLP) limit is a per occurrence limit. Sport(s) : Cheerleading - Youth Age(s) : 12 and under; Youth Football (Tackle & Contact) Age(s) : 12 and under See Attached Additional Remarks Schedule
CERTIFICATE HOLDER Evidence of Coverage
Coverage is only extended to U.S. events and activities.
CANCELLATION
THE EXPIRATION DATE THEREOF, NOTICE ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE
•• NOTICE TO TEXAS INSUREDS: The Insurer for the purchasing group may not be subject to all the insurance laws and regulations of the State of Texas
$1 ,000,000
$1,000,000
$5,000
$1 ,000,000
$5,000,000
$1 ,000,000
$1 ,000,000
$1 ,000,000
$1 ,000,000
$25,000
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
© 1988-2015 ACORD CORPORATION. All rights reserved .
AGENCY CUSTOMER ID: LOC#
ACORD™ ADDITIONAL REMARKS SCHEDULE Page 1 of1
AGENCY NAMED INSURED K&K Insurance Group, Inc. Pirate Youth Athletics 1712 Magnavox Way Fort Wavne IN 46804 POLICY NUMBER 6BRPG0000007258600 CARRIER I NAIC CODE EFFECTIVE DA TE: 09/25/2020 Nationwide Mutual Insurance Company 23787
ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE Certificate of Liability Insurance
Sport(s) : Cheerleading - Youth, Youth Football (Tackle & Contact) Limited Coverage for "Brain Injury" endorsement applies. Brain Injury Limit: $1 ,000,000 occurrence/$1 ,000,000 aggregate; Brain Injury Loss Adjustment Expense Limit: $1 ,000,000 occurrence/$1 ,000,000 aggregate. "Brain Injury" means concussion , chronic traumatic encephalopathy, or any other injury to the brain and any symptoms, conditions, disorders and diseases, including death, resulting therefrom but only if such injury occurs as a result of specific events occurring during the policy period.
ACORD 101(2008/01) ©2008 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD
EVIDENCE OF PROPERTY INSURANCE W01845832 DATE(MM/DD/YYYY)
09/23/2020 THI N RI HT UP N ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE ADDITIONAL INTEREST. AGENCY
K&K Insurance Group, Inc. 1712 Magnavox Way Fort Wayne IN 46804
ftc No : 1-260-459-5105 ADDRESS: [email protected]
CODE:
INSURED
Pirate Youth Athletics PO Box 741 Hamburg, Ml 48139
PROPERTY INFORMATION
LOCATION/DESCRIPTION
SUB CODE:
LOAN NUMBER
EFFECTIVE DA TE
09/25/2020 12:01 AM EDT
EXPIRATION DATE
09/25/2021 12:01 AM EDT
THIS REPLACES PRIOR EVIDENCE DA TED:
POLICY NUMBER
6BIM0000022474400
CONTINUED UNTIL TERMINATED IF CHECKED
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 EVIDENCE OF PROPERTY INSURANCE 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.
COVERAGE INFORMATION PERILS INSURED □ BASIC □ BROAD □ SPECIAL □ COVERAGE/ PERILS/ FORMS AMOUNT OF INSURANCE DEDUCTIBLE
Inland Marine-Miscellaneous Property: Business Personal Property including; Sports equipment, field $65,000 $1000* maintenance equipment, concession stand equipment (excluding products) , small portable storage units and miscellaneous equipment and supplies
REMARKS (including Special Conditions)
• Deductible applies per claim
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
ADDITIONAL INTEREST
NAME AND ADDRESS
Evidence of Coverage
ACORD 27 (2016/03)
ADDITIONAL INSURED
MORTGAGEE
LOAN#
AUTHORIZED REPRESENTATIVE
LENDER"S LOSS PAYABLE LOSS PAYEE
© 1993 2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD
MEMO Date: 2/5/21 To: Parks & Recreation Committee From: Deby Henneman, Parks & ADA Coordinator Re: Park Use Application from: Go Sports LLC I am in receipt of an application for use of Baseball Diamond B4 (or more suitable in size) in Manly Bennett East for this spring season by the captioned applicant. This approval should require that all documents such as Certificate of Insurance, with Hamburg Township named as Additional Insured, and signed Land Use Agreement/Park Use Application be provided prior to their start date. Use for this field would be scheduled with the Parks Coordinator, and billed monthly for actual use at the beginning of the subsequent month. The rate for use will be billable at $25.00 per 2-hour block, and there are no refunds. Should use be recommended for approval, it should be done so contingent on the required paperwork being filed with the Clerk’s Office, that payments for use be billed based on current fee schedule, and that the use not interfere with priority use of PHBSA or any scheduled Blackout Dates.
Deby Henneman Parks Coordinator
Hamburg Township Offices 10405 Merrill Rd., P.O. Box 157 Hamburg, MI 48139 (810)231-1000 www.hamburg.mi.us
Hamburg Township Manly Bennett Park
Park Use Application
And Release of Liability & Indemnification Agreement
(Application must be submitted 60 days before requested use)
Applicant Information:
P.O. Box 157 10405 Merrill Road Hamburg, Michigan 48139-0157 (810) 231-1000 Office X-218 (810) 231-4295 Fax
Event Sponsor (or name if family or individual use): ---------------------
Name of Event: -----------~ - \--\~ .,\
Type of Event: _______________ Park Use Category#:_ Select One \ ~Q '"\'
ApplicantName 60 SP(YQ:rs J LL(_ - c.,ndy Ja.{\s:5-en ~~ Date(s) of Event: µ~F -rY\ay j Sl-- . CCJ 3l 5+~e(s) ofEvent: 6[€vU...,~ 5 Applicant Address: l 0 ()9 )U.u« la\6e Rd Suite or Apt#:--------
Applicant City: 6@£{\ (~'o_\l\T we State: (Y\, Zip: L\Z \ l Lo Contact Person (present during use):_c-"'"""•'-'l_v\....::~=-=--=· --+-J-+=(2=--=---V\'.-=3.,,.,_fJc=---· V\__:_ ___________ _
Contact's Affiliation with Applicant: Sll<Y\ (:__ -----------------------Contact's Phone:l l\-<js .,q35-1 (R 1 & Contact's E-Mail:
:,;:::.,:::i:~:=~~~ ... ,§: L\t-,~ vt5~ Cl Co-applicant relationship to Applicant: i\) ::£. --=:;---------------------Co -applicant's phone: ZL\t.5 .-q1.., \.-- '51.J :>
Insurance Information:
Insurance Carrier: Co..YW\er.> L1\'i/ l)S Lu.v~u_~ L1'\')
;:;:~/~~"~ 8n2.~oiL'c~"C:i• Appendu B ffl rb, ParkF•ci;:;~:;~~n Date: \ h d L 1- LD ul ()Alk ~ ' le-\ Limit of General Liability: \) OlJB (5"nD Occurrence 7_
1 6lJO) 00D Aggregate
Umbrella Coverage Limit (if any): _______ Occurrence _________ Aggregate
ll Park Use Applicati o n PA01012020
Event Description: (any information that doesn't pertain to your event please indicate not applicable)
Please de~~be the event you propose to host ~l\ A ~\cxl..il pV'OC-hces 6 @-VY6-'( .Ri?j VJJJ.J{ ~0/::hC\ .
Total Number of participants/spectators/guests anticipated during event: __ Ef) _____________ _ Average of participants/spectators/guests anticipated at any given time: __ 5 __ 0 ___________ ...--
~ t:\D 4 () &""~~\ \A-v\~ Site of Proposed Event; include all areas of the parklands that will be used:
include site plan drawing reflecting all areas of the Township Park and recreational facilities the event will effect o Will there be camping and trailer frcilities? If so, are overnight stays anticipated: __ N _______ _ Number of Volunteers: 0 IA- Are Volunteers trained?: -------------Please attach copy of Volunteer Handbook if applicable
Will tents be used?: N D If so, please indicate locations: -------------- -----------
Under no circumstances are tent stakes fJJ be driven inw asphalt surfaces. Tent locations must be pre-approved.
Will admission be charged? Ifso, how much: -~N~_t) ___________________ _ Parking fee charged? If so, how much: ___ ___,_N~_() _____ Valet service available? _ ____.__N __ o ___ _ Will Food/Beverages be served? Tfso, types of food and name of persons serving: ~~--6 _______ _
For anything other than pre-packaged foods, Concession Application, Heahh Departmellt License and Products Liability coverage is required.
Will there be Fireworks or any other pyrotechnic display? If so, describe: __ N __ o ________ _ insurance requirements to be established during the event review process as statl)n Appendix B of the Park Facility Use Policy.
Will there be any animals present? If so, describe: N -------------------------
Pets are not allowed in Parkland during events. Service Dogs are allowed with proper ceoation.
Will there be Amusement rides or games? If so, describe: _..,f') _________________ _
insurance requirements to be established during the event review process as stated in Appendix B of the Park Facility Use Policy.
21 Park Use Application PJ\01012020
Will there be a need for vehicles to be used on Township grounds? If so, describe: _N __ o _______ _ Personal vehicles require proof of Auto Liability ba.-.ed on the description of u.,;e and areas needing to be acce.•,sed during event.
Will there be a need for Emergency Responders over and above what is included in the Public Safety Fee? If so,
describe: ~ 0 --'--------------------- --------------------
Hamburg Township reserves the right to require private security and/or emergency responders be present during any e11ent.
Specific services required from the Township, if any: _,__f-J_O_tJ_ (:, _________________ _
Other information regarding your event that you feel may be helpful: l!t UJOoJd u ~ \u L\\:::ku \ \~t:e moo \s, 60:held 4 lb ~ea ::u~rbQ~ ~ fxru.e lllcis, 11/)e rv\OOY\~ 0Ctn (rt remov~d aJ +re~ nd 0£.2 fu.e_
GD(\ ,t-~ ~~B-C? ~ ~ e,n-a;~e_ t~ Organized Sports and/or S~o/rting Events:~~ ,~e.. ~ / Please indicate type of sports event: _[Zk_ egular Season (Games/Practices) Osports Tournament O0ther
If Tournament or other event, complete Event Description on Page 2 and provide additional details, if any:
Release of Liability & Indemnification Agreement
The approval of this park use request is contingent upon receipt of all requested information, review process of the Hamburg Township Parks & Recreation Committee, and approval of the Hamburg Township Board. The applicant may be required to provide additional information as is deemed necessary by the Parks & Recreation Committee and/or Township Board, and may be required to meet with the Parks Administrator and/or Parks Coordinator to supply additional info9rmation or to answer questions. If the Park Use Application is received less than 60 days prior to the requested event date, the Parks & recreation Committee and Township Board may proce.~s the application, however, the application fee may be increased in an amount to be determined by the Parks & Recreation Committee and/or the Township Board.
The undersigned acknowledges that he/she/they are authorized to sign this application on behalf of the applicant and that he/she/they have received a copy of all documents relating to the use of the park and recreational facilities including the Hamburg Township Park Facility Use Policy Rules and Regulations.
3! Park Use Application PA010I2020
In further consideration of entering into this agreement, to the fullest extent pennitted by Jaw, the Applicant agrees to defend, pay on behalf of, indemnify, and hold hannless Hamburg Township, its elected and appointed officials, employees and volunteers, and others working on behalf of Hamburg Township against any and all claims, demands, suits, or loss, including all costs connected therewith, and for any damages which may be asserted, claimed, or recovered against or from Hamburg Township, by reason of personal injury, including bodily injury or death and/or property damage, including loss of use thereof, which arises out of, or is in any way connected or associated with this contract.
The Applicant covenants and agrees that it will have a representative on the premises at all times to monitor the set-up, use and tear-down of the use and all activities related to thereto and under no circumstances shall the use of the park be granted or sublet to any other group or organization without the express written permission of the Hamburg Township Board of Trustees.
Any Applicant or group or entity co-hosting an event must provide a Certificate of Insurance naming Hamburg Township as an additional insured and proof of that coverage must be provided prior to the issuance of the pennit for the event. The Applicant and/or co-host of any event must comply with all rules, regulations and policies of the Township pertaining to the said use and will be ultimately responsible for any and all damages to any Hamburg Township property resulting from the use, and shall otherwise restore the Township property to its previous condition.
Personal Property Damage Claims: The applicant hereby releases Hamburg Township, Its elected and appointed officials, employees and volunteers, and others working behalf of Hamburg Township, from any and all liability or responsibility to the applicant or anyone claiming through or under the applicant by way of subrogation or otherwise, for any loss or damage to applicant's property resulting from any incident, except damages resulting from the gross negligence of the Township, as it relates to the activities and uses contemplated by the application. It is understood by the applicant that all private property kept, stored or maintained in and on the Hamburg Township Park and recreational facilities shall be so kept, stored or maintained at the risk of the Applicant. <
Initials: ( Jx Public Health & Safety: The applicant hereby swears and attests that they have complied with all aspects and intent, ~d Checks and that they are in compliance3 with the Michigan Sports Concession Law, Acts 342 & 343, Public Acts of 2012, as referenced in the Park Facility Use Policy and outlined in Appendix A. The applicant understands that falsification of the above statement and/or failure to comply with these requirements may result in the suspension and/or revocation of the use of the Hamburg Township par~and facilities.
Initials: ~
Date:_lO~ ~--=-------=-Ll)-=-----Applicant's Signature: ~ ~ Co- applicant's Si~~ Date:__,l.._o_ ~-=~'---___.:;2.=-0 ___ _
Parks Coordmator:~\--!A_ ..... 4.i!!_ !;,.. ... ~~~~~=------ ·~.c....11-~-~..::t=~~ ------Date:_&_ ~-O""""- -Q~ ~ \.-__
For office use only
Meeting Approval Dates: ______ Parks & Recreation ______ Public Safety _____ Township Board
Application has been (Circle one) Q Approved Q Denied
Hamburg Township Representative: ___________________________ _
4j Park Use Application PA010 1 2020
Hambur-qrgH*.:l:jF
10405 Merrill Road o P.O. Box 157Hamburg, Ml 48139Phone: 810.231.1000 . Fax: 810 231 4295www. hamburq.mi. us
TO: Mike Dolan, Clerk
FROM: Thelma Kubitskey, Director of Accounting
DATE: February 25,2021
SUBJECT: Request to Hire Paid on Call Firefighters
Please place on the March 2,2021, the approval of hiring five probationaryaid on call firefighters at the hourly rate of $9.87 per hour, as per therecommendation of the Personnel Committee. Find attached the minutes of theFebruary 24,2021.
w1
HATBURG TOITI{SHIP FIRE DEPARTilEilT1O 1 OO VETERANS MEMORIAL DRIVE
P.O. Box 1 57 . HAMBURG. Ml 48 1 39O I 57PHoNE: 810-222-1 lOO. FAX: a1C,'231'1974
E-MAIL: [email protected]
Ftng Cruur Nrcx MrutgnFnZ M.enSTIeL JORDAN ZENNrcX
Date: February 19,2021
To: Hamburg Township Personnel Committee & Board of Trustees
From: Fire Chief Nick Miller
Re: Hiring of Paid-on-Call Firefighter Staff
Information:
Recently we received multiple applications for the position of paid-on-call firefighter. Aftercompleting the interview process, we are recommending the hiring of five (5). All applicants are
new to the fire service. All new hires will start at $9.87/hr and will start Fire School in April.These new hires will take about two years before they are fully trained and able to be workingshifts.
Currently the Fire Department has 38 POC Staff. The Personnel Committee and the Township
Board has approved HTFD to have a POC roster of 50 personnel. This hiring will bring our POC
staffing to 43.
Requested Action:
Personnel Committee - Motion to recommend to the Township Board the hiring of the five (5)
probationary paid-on-call firefighters.
Board of Trustees - Motion to approve the hiring of five (5) probationary paid-on-call
firefighters. They will have to complete all the necessary pre-employment physicals, evaluations,
and paperwork prior to starting to work.
Thank you,
%b/ fZ%,Fire Chief
HAMBURG TOWNSHIP
PERSONNEL COMMITTEEHamburg Township Virtual Meeting
Wednesday February 24, 2O2l3:00 P.M. Meeting
1. CALI TO ORDER & ROLL CALL OF THE COMMITTEE
Chairman Hughes called the meeting to order at 3:00 P.M.
Present: Trustee Bill Hahn, Trustee Pat Hughes and Clerk Mike Dolan
Absent: none
others Present for All or Part of Meeting: Thelma Kubitskey, Nick Miller, Cindy Michniewicz, Pat Hahl
2. APPROVAT OF THE AGENDA
Motion bv Hahn, second bv Dolan, to aDDrove the agenda as Dresented.
Roll Call vote: Hughes Yes, Dolan Yes, and Hahn Yes
3, APPROVAL OF MINUTES
Motion bv Hushes, to approve the minutes of the Februarv 10, 2021 meetins. Supported bv Dolan
Roll Call vote: Hughes Yes, Dolan Yes, and Hahn Yes
4. CALL TO THE PUBIIC
There was no response to the call.
5. UNFINISHED BUSINESS
a. Update on Employee Handbook: Dolanand Kubitskeywill send out the d raft copy of the em ployee handbook
for review.
5. NEW BUSINESS
a. Hiring of Paid on Call Firefighters - Fire Chief Miller requested to hire five probationary paid-on-call
firefigherts.
Motion bv Hahn. suooorted bv Hushes. to recommend to the Township Board to aoprove the firins of five
orobationarv paid-on-call firsihters.Roll call vote: Hughes Yes, Dolan Yes, and Hahn Yes
7. CAIT TO THE PUBTIC
None
8. BOARD COMMENTS
None
9. ADJOURNMENT
Motion bv Huphes, second bv Hahn. to adiourn the meeting.
Passed unanimously
The meeting was adjourned at 3:12 P.M.
Thelmo Kubitskey
Accounting Director
P.O. Box 157 10405 Merrill Road Hamburg, Michigan 48139-0157 (810) 231-1000 Office (810) 231-4295 Fax
Supervisor: Pat Hohl Clerk: Mike Dolan Treasurer: Jason Negri Trustees: Bill Hahn Cindy Michniewicz Chuck Menzies Pat Hughes
MEMORANDA
TO: The Hamburg Township Board of Trustees FR: Pat Hohl RE: Board of Review Appointment DA: 2-22-2021 Due to COVID-19 travel restrictions we need to appoint alternate members to the March 8th and 9th Board of Review. Susan Murray and I request that the Board of Trustees appoint Deborah Harper as an alternate to the Board of Review. Deborah is an attorney, a Hamburg Township resident, and is very qualified to serve on the Board of Review. We also request the appointment of Donn Nelson who served on the Board of Review in the past but resigned due to a work commitment. Donn has retired and is again available to serve.
MEMORANDUM
To: Patrick J. Hohl, Supervisor Hamburg Township Board of Trustees
From: Brittany K. Campbell, Utilities Coordinator Date: March 2nd, 2021 Re: Bid Results for Crystal Dr./Crystal Beach Sub. - Road Maintenance S.A.D. ----------------------------------------------------------------------------------------------------------------------------- The current Agreement to provide winter road maintenance services will expire on April 17th, 2021. In anticipation of this date, 25 requests for bids were mailed out to qualified road maintenance contractors. A total of two (2) responses were received from Contractors wishing to bid on providing winter maintenance services for the Crystal Drive and Crystal Beach Subdivision road maintenance special assessment district. The results are as follows:
Annual Pricing for
Services to be Provided
Alan’s Asphalt &
Maintenance, Inc.
Bob Myers
Excavating, Inc.
Snow Removal – Up to ten (10) times per year upon accumulation of 2-inches or more.
1,950.00
2,500.00 Salting of Intersections When Icy Conditions Exist – Up to ten (10) times per year to correspond with snow removal.
1600.00
1,600.00
Total Annual Cost: $ 3,550.00 $ 4,100.00
Alan’s Asphalt & Maintenance currently provides the winter road maintenance services for this road maintenance district and has submitted the lowest bid. I recommend that the Board award the new 2-year service contract to Alan’s Asphalt & Maintenance, Inc. for the Crystal Drive and Crystal Beach Subdivision road maintenance district beginning on April 18th, 2021 and ending on April 17th, 2023.
10405 Merrill Road P.O. Box 157 Hamburg, MI 48139 Phone: 810.231.1000 Fax: 810.231.4295 www.hamburg.mi.us
MEMORANDUM
To: Patrick J. Hohl, Supervisor Hamburg Township Board of Trustees
From: Brittany K. Campbell, Utilities Coordinator
Date: March 2nd, 2021
Re: Bid Results for Norene/Peary Drive - Road Maintenance S.A.D. ------------------------------------------------------------------------------------------------------------------------------- The current road maintenance service contract for this special assessment district will expire on April 17th, 2021. In anticipation of this date, twenty-five (25) requests for bid were mailed out to qualified road maintenance contractors. I received one (1) response from a Contractor wishing to bid on providing road maintenance services for the Norene/Peary Drive road maintenance special assessment district. The results are as follows:
Annual Pricing for
Services to be Provided
Bob Myers
Excavating, Inc. Gradings – Up to three (3) per year as necessary.
$ 1,155.00
Gravel – Up to 60 cubic yards of road quality (22A) gravel to be applied annually as needed.
1,440.00
Snow Removal – up to eight (8) times per year @ 4” or more of accumulation.
1,200.00
Sandings – Up to eight (8) times per year when icy conditions make necessary.
1,320.00
Total Annual Cost:
$ 5,115.00
Myers Excavating currently provides road maintenance services for this special assessment district and the residents are generally pleased with the services provided. Bob Myers has personally met with the property owners on several occasions and is very familiar in how the property owners want the road graded and the snow plowed for this district. Therefore, I recommend that the Board award a two-year service contract to Bob Myers Excavating, Inc. beginning on April 18, 2021 and ending on April 17, 2023 to for the Norene/Peary Drive road maintenance district.
P.O. Box 157 10405 Merrill Road
Hamburg, MI 48139
FAX (810) 231-4295 TELEPHONE: (810) 231-1000
P.O. Box 157 10405 Merrill Road Hamburg, Michigan 48139-0157 (810) 231-1000 Office (810) 231-4295 Fax
Supervisor: Pat Hohl Clerk: Mike Dolan Treasurer: Jason Negri Trustees: Bill Hahn Cindy Michniewicz Chuck Menzies Pat Hughes
MEMORANDA
TO: The Hamburg Township Board of Trustees FR: Pat Hohl RE: Museum DA: 2-22-2021 When the Board of Trustees originally approved the collaboration with the Hamburg Historical Society to provide assistance to the Museum the agreement was from January 1, 2020 through December 31, 2022. The agreement contemplated a part-time Director being on staff January 1, 2020. This position was not filled until April 1, 2020. Monthly compensation for this position is $2164 per month. I received the following request from Suzanne Hines, Treasurer of the Hamburg Historical Society, for the Board of Trustees to reallocate the salary for the months of January, February and March of 2020 to Historical Society operations.
“The Board of the Historical Society is beginning to discuss the financial issues to keep the Museum open after December 31, 2021. As treasurer, I am researching various income sources. We know that the Township’s generous 2 year program is the only way the Museum would have stayed open, especially with the limitations on fundraising activities due to Covid. We also realize that the restrictions placed in 2020 will continue through 2021 and make it virtually impossible to have any substantive fund raising activities in the Museum. Pat Majher has been a godsend. She has made many improvements to Museum displays, administrative processes and brought in grant funding and other income sources. I am asking if the Township would grant the payroll funds not used from January 1 to March 31, 2019 that were budgeted for the Administrator, to the Historical Society to help cover costs as we continue into 2021 and enter 2022.”
I request that the Board of Trustees take action to approve this request and provide $6492.00 (the three months’ salary) to the Hamburg Historical Society to cover costs of operation with verification of the use of the funds.
02/23/21 To: Hamburg Township Board From: Tony Randazzo Re: Full Time Classification Change for Brandy Smith Brandy Smith currently works twenty nine hours a week as a custodian and cleans the Township Hall and Police Department five nights a week. She has been employed with us since 2008 and has more than competently performed those functions since that time. Last year, Ms. Smith began cleaning the Hamburg Township Library for two nights a week, receiving her pay directly from the library. We have a separate part time employee who cleans the Senior Center five times a week. However, the Senior Center wants to have a weekly deep cleaning done for roughly three hours per week. Prior to the pandemic, they utilized a third party company to perform this on a biweekly schedule. Although this service has currently been suspended, they intend to resume it when we they return to a normal operating environment. We have a unique opportunity to partner with the Hamburg Township Library in a creative solution that benefits all parties involved. I propose that we reclassify Brandy Smith’s status from part time to full time. She will continue to perform all the aforementioned cleaning plus the deep cleaning at the Senior Center, but the Hamburg Township Library will pay Hamburg Township a set amount for her work each week at the library. A five year agreement has been drawn up and already approved by the Hamburg Township Library Board to ensure the continuity of the arrangement for budgetary planning and consistency. The library’s contribution will substantially offset the budgetary increase that the transition to full time will create. In conjunction with this work reclassification, I recommend that Ms. Smith’s hourly wage be increased from $16.24 to $19.00 per hour. The $19.00 will take her over the mid-point in her grade which she most certainly deserves for her job performance over the last decade and for taking over more responsibilities. Based upon feedback at last month’s Personnel Committee meeting on this topic, I have analyzed some alternatives that were suggested at the meeting. First, I obtained a quote from a cleaning company for comparative purposes to find out how much they would charge to clean Township Hall, the Police Department, and the Senior Center. The bid came back at roughly the same amount as we pay our employees to clean those buildings with one important caveat. Our
10405 Merrill Road ♦ P.O. Box 157 Hamburg, MI 48139
Phone: 810.231.1000 ♦ Fax: 810.231.4295 www.hamburg.mi.us
part time employee who cleans the Senior Center also performs various building maintenance tasks at all of our buildings in addition to his custodial duties. When taking that into account, we receive more value out of our present situation. Our accountant, Thelma Kubitskey, has prepared a separate spreadsheet detailing the financial impact of this entire proposal. When looking at the spreadsheet, we can see that by making Ms. Smith full time, it will cost us $6,084.00 more than if we had an outside company perform all the cleaning work for the three buildings. Once again though, it is important to note that this does not provide any building maintenance like we currently receive from our in-house arrangement. It is also impossible to quantify the intangible amount of peace of mind that we receive from having a long term, trustworthy staff to service our offices including sensitive areas such as the Police Department, not to mention the Clerk and Treasury. I also gave some serious thought to the other suggestion made at the Personnel Committee meeting which was to hire additional part time staff in order to accomplish the same result another way. This solution sounds good in theory but it’s not realistic in practice. The big problem with this idea is that it would result in fewer hours for Ms. Smith, which would no doubt make her less inclined to work here as she would be making less money than before. Another issue with this approach is actually finding someone for the position, let alone a competent individual. We’ve not had success filling our open part time position in Buildings and Grounds for a grounds maintenance worker, even though it’s been open since last summer. Job applications in DPW have also been far and few between for part time openings as well. In conclusion, I think making Ms. Smith a full time custodian is the best route we should take going forward. The value, flexibility, and peace of mind this provides outweigh the purely financial impact.
Hamburg Township Cost to hire full time custodian.
Current Cost 2020 Proposal for Full Time for Ms. SmithPart Time Custodian 26,840 Full Time Salary 39,520 Part Time Custodian 22,936 Fringe Benefits 16,422
49,776 Part time custodian/building maintenance 18,834 Total 74,776
Outside Custodial 4,052 53,828 Less Library contribution 16,640
58,136
Cleaning CompanyBid one 48,000.00
48,000.00
Extra deep cleaning at Senior Center: $4,052.00
Total from All Outside Cleaning $52,052.00(No building maintenance provided)
HAMBURG TOWNSHIP ADMINISTRATIVE POLICIES & PROCEDURES MANUAL
1.0 INTRODUCTION 1.1 Purpose
The administrative policies and procedures manual is adopted to provide for the efficient and uniform application of administrative policies and procedures in Hamburg Township, where such procedures have not been provided for under State law. This policy and procedure manual supersedes any and all prior practices and policies of the Township, oral or written, and rescinds prior policies, procedures, handbooks, or general Township rules previously in effect.
2.0 TOWNSHIP BOARD ADMINISTRATION
2.1 Township Board Powers
The Township Board of Hamburg Township retains the power to determine the administrative policies and procedures for Hamburg Township, except where the laws of the State of Michigan have assigned such power to a specific elected Township official. The authority to adopt any administrative policy or determine appropriate procedures not provided for in this manual or provided for by State law shall be retained by the Township Board. The Township Board also reserves the right to alter, modify, amend or repeal any or all provisions of the administrative policies and procedures manual at any time.
2.2 Authority Delegated from the Board In the interest of promoting the efficient operation of the Township, and pursuant to MCLA41.96, as well as implied powers of the Township Board, the Hamburg Township Board assigns to various Township elected and appointed officials the authority to exercise the following non-statutory administrative responsibilities, in accordance with the specific policies and procedures contained herein.
2.3 Authority to Interpret the Provisions of this Manual The Township Supervisor, Clerk, and Treasurer shall provide to department heads and employees, interpretations to implement the provisions of the administrative policies and procedures manual. These interpretations shall be considered authoritative and binding unless the interpretation is appealed to the Township Board. Any such appeal shall be made at the next regular meeting of the Township Board. The Township Board may uphold, overturn or alter all or part of any interpretations made pursuant to this section.
2.4 Board Meeting Administration
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2.4(a) Postings. The Township Clerk shall be responsible for posting all regular and special meetings of the Township Board in conformance with the Michigan Open Meetings Act. In addition, the posting of all meetings of the various Township Boards and Commissions that are required to conform to the Open Meetings Act shall be the responsibility of the Township Clerk. 2.4(b) Meeting Agenda. The Township Clerk in consultation with the Supervisor and Treasurer shall prepare the agenda at least four days prior to every Township Board meeting. Any board member, department head, or anyone having business with the Township, who desires to have an item placed on the agenda will notify the Clerk with a cover memo, supporting documentation and a completed Check List Form by 5:00 p.m. on the Wednesday the week before the meeting. Any material provided after the deadline must be submitted by 9:00 a.m. on Friday before the meeting and will be included in the packet but will not be placed on the agenda (it will be added the night of the meeting). Anything received after 9:00 a.m. on Friday will be placed on the following meeting agenda. Packets will be available on Friday at 5:00 p.m. before the Tuesday meeting. Requests of an emergency nature (issues that have serious legal or financial ramifications to the Township if delayed) will be evaluated for inclusion on the agenda with the final decision by the Clerk. The Board may overrule the Clerk’s decision at the meeting when taking action to approve the agenda by a majority vote of the Board. The proposed agenda shall be approved by majority vote following the roll call of the Board members at each Board meeting. The agenda shall conform to the following format:
1. Call to Order 2. Pledge to the Flag 3. Roll Call of the Board 4. Call to the Public 5. Correspondence 6. Approval of the Consent Agenda 7. Approval of the Agenda 8. Unfinished Business 9. Current Business 10. Call to the Public 11. Board Comments 12. Adjournment
2.4(c) Consent Agenda. The Supervisor and Clerk shall prepare a consent agenda for the Board which shall be provided to each board member prior to the meeting, along with the meeting agenda. The consent agenda shall contain all items of business such as, but not limited to, the following:
1. Approval of the Minutes 2. Bills/Vendor Payable List 3. Department/Committee Reports
Any Board member, based on public comment, may request that an item be removed from the consent agenda and be placed on the regular agenda under new business.
3
Approval of all items by resolution on the consent agenda shall be by majority roll call vote. 2.4(d) Board Rules. All Board meetings shall be conducted in the spirit of the modified Robert’s Rules of Order. However, the Chairman of the meeting may deviate as necessary. 2.4(e) Public Participation. Members of the public shall have an opportunity, under Call to the Public, to address the Board for no more that three (3) minutes on any item. The Board may suspend the time limitation when warranted. When all persons who wish to address the Board have been heard, the Supervisor shall announce that public comment is concluded. 2.4(f) Board Correspondence. Each Board member shall receive with the Board agenda, a copy of written correspondence addressed to the Board. A motion may be made to consider the correspondent’s request under new business. If no motion is made to consider the request, the correspondence will be received and filed. Informational written correspondence that does not require Board action will be forwarded to Board members in a timely fashion. 2.4(g) Board Consultants. The Township Board reserves to itself the authority to appoint the following consultants:
1. Attorney 2. Auditor 3. Engineer 4. Labor Relations Attorney 5. Planning Consultant 6. Risk Manager 7. Bond Counsel 8. Other (As Appropriate)
A letter of agreement shall be executed between the Board and each consultant that will address the following:
1. Term of the Agreement 2. Description of Services 3. Method of Payment (retainer, hourly, project, or combination
thereof) 4. Schedule of Payment 5. Documentation of Services Provided 6. Method of Resolving Disputes 7. Which Township Officials are Authorized to Direct Work or
Assign Tasks to Consultant Consultants shall serve at the pleasure of the Board, but in no case shall the term of the agreement with any consultant shall not exceed the end of the then current Board’s term of office.
4
The Board shall establish a line item for consulting services within the cost center of each Township official who is authorized to assign tasks to a consultant. The official may incur costs in utilizing a consultant for pertinent business up to the amount appropriated by the Board. 2.4(h) Litigation. The initiation of any lawsuit, litigation, claim for injunctive relief or writ of mandamus shall require a majority vote of the Township Board, except when there are extenuating circumstances, as defined below: Extenuating circumstances are defined as an emergency situation or a situation in which a violation of any State, Federal, or local ordinance constitutes a public nuisance or otherwise endangers the public and in which the continued existence of such a condition, emergency or violation shall be detrimental to the health, safety and welfare of the Township. Extenuating circumstances also include any case where the continued existence of any condition, emergency or violation may jeopardize the legal position of the Township in securing the intended remedy in any lawsuit, litigation or other proceeding. The initiation of a lawsuit, litigation or other proceeding for extenuating circumstances shall be allowed only upon the written directive of the Supervisor, Clerk and one Trustee. In the event that such action is taken, the matter shall be brought to the Board’s attention at its next meeting. The Board shall meet in closed session to discuss the litigation, including the reasons for initiating legal action, without the full board’s prior review and approval. 2.4(i) Direction and Control of Day-to-Day Administration. To promote efficient administration, the Township Board authorizes the Supervisor, Clerk, and Treasurer, to provide day-to-day direction and control over all Township activities that are not assigned by State law to another official, and to provide a liaison between the Board and the various Township departments. Board members should make all inquiries, requests or complaints directed at department heads or employees to the Township Supervisor, Clerk or Treasurer. Any directives, complaints or requests made by a member of the Board directly to a department head or employee, shall be brought to the attention of the Supervisor, Clerk, and Treasurer prior to initiating any response.
2.4(j) Township Board Laptop Computers
2.4(j)(1) Use of Township Board Laptops. Laptops may be provided to
Township Board Trustees, Board Secretary, and designated representatives to support digital Board information packets. For the elected administrators (Supervisor, Clerk, Treasurer), the Township Board may elect to provide a dual use laptop for support of digital packets as well as a day-to-day office machine as a full-time member of the Township network.
5
2.4(j)(2) Inappropriate Uses. See Section 5.5(f)(5) Electronics Communications Policy. The same prohibitions set forward in the Electronic Communications Policy are applied to use of laptops. Each Township Board member, Board Secretary, or designated representative assigned a Township owned laptop, must sign a copy of the Electronic Communications Policy. 2.4(j)(3) Security. Township approved anti-virus software will be installed in all Township owned laptops. User will agree to not disable the anti-virus software. 2.4(j)(4) Personal Use. Non-profit/recreational/casual use will be permitted for laptops provided to Township Board members. Private business or profit making uses of Township laptops is strictly prohibited.
2.4(j)(5) Use of Personal Laptops for Digital Board Packets. Hamburg Township will provide a stipend of $250 per year to subsidize the purchase of the laptops for eligible Board participants. The Township will supply a copy of Adobe Acrobat for each eligible personal laptop, but will not provide the anti-virus software. The use of the personal laptop is not regulated by Hamburg Township.
2.5 Committee Administration All sub-committees and commissions of the Hamburg Township Board (i.e. Personnel, Finance Advisory, Municipal Utilities, Planning, Community Recreational Services Organization, etc.) shall be conducted in accordance with the Michigan Open Meetings Act. Sub-committees are recommending bodies that act as a resource to the Board to address particular issues with the appropriate amount of deliberations, discussions and forward their findings to the Board for approval or denial. 2.5(a) Postings. The Township Clerk shall be responsible for posting all meeting notices. 2.5(b) Committee Rules. All meetings shall be conducted in the spirit of the modified Robert’s Rules of Order. However, the Chairman of the meeting may deviate as necessary. 2.5(c) Meeting Participation. Members of the public shall have an opportunity, under the Call to the Public portion of the agenda, to address the Committee for three (3) minutes on any item deemed appropriate. Township Board members wishing to attend Committee meetings (those not serving on the Committee) may do so only as members of the public and may not be active participants. They may address the Committee during the call to the public portion of the agenda only. In instances where it is necessary to conduct a closed session, only Committee members, together with those persons required by the Open Meetings Act, may participate in the closed session. 2.5(d) Minutes. Minutes will be prepared by the Committee Secretary, approved by Committee, and submitted to the Township Clerk. The Clerk is designated as the keeper of the minutes and is responsible to forward a copy of the approved minutes to the Township Board.
Memorandum Date: February 26, 2021 To: Township Board From: Deby Henneman, Parks & Recreation Coordinator Re: Hamburg Flyers RC Club – Annual Airshow- August 7, 2021 with August 14 Rain Date A motion was made at the Parks Meeting on February 23, 2021 as follows: Motion by Dolan, supported by Muck, to recommend approval of the application for Hamburg Flyers RC Airshow Event as submitted, Event Date August 7, with a Rain date of August 14, 2021, contingent on the Clerk Department being provided all requested documents to their satisfaction, that a Certificate of Insurance naming Hamburg Township as Additional Insured be provided, and that event comply with the CDC and MDHHS guidelines in regards to Covid. All RC activity is monitored by this group on behalf of the Township and Liability for this activity is covered by their provided Insurance. VOICE VOTE: Ayes: 5 MOTION CARRIED This event is on the regular agenda as it is an Event, and because it is community event open to the public, the Township Board has waived the Park Use fees in the past. Should the Board approve this use, the motion should include a course of action for the fees.
Hamburg Township Offices 10405 Merrill Rd., P.O. Box 157 Hamburg, MI 48139 (810)231-1000 www.hamburg.mi.us
Memorandum Date: February 17, 2021 To: Parks & Recreation Committee From: Deby Henneman, Parks Coordinator Re: Hamburg Flyers RC Annual Airshow – Manly Bennett Park – East Park Use Application for Special Event We are in receipt of a Park Use Application from the Hamburg Flyers RC Club, Inc. dated February 9, 2021, for the Hamburg Flyer’s RC Annual Airshow proposed to be held on August 7, 2021 with a rain date of August 14, 2021. The applicant anticipates up to 200 participants/spectators for this event, and will be limited based on current Covid-19 crowd recommendations. Should they proceed with this event, any food vendors hired will provide copy of their insurance and food license. The current insurance certificate on file covers this exposure. Should approval of this application be recommended as submitted, it should be done so with the contingency that the established Park Use fee be waived due to the nature of the event, the Covid-19 protocol outlining procedures for crowd control and social distancing will be provided, a Certificate of Insurance naming Hamburg Township as Additional Insured be provided, that the Clerk Department be provided all requested documents to their satisfaction, and that use will be subject to blackout dates.
Hamburg Township Offices 10405 Merrill Rd., P.O. Box 157 Hamburg, MI 48139 (810)231-1000 www.hamburg.mi.us
Hamburg Township Manly Bennett Park
Park Use Application
And Release of Liability & Indemnification Agreement
(Application must be submitted 60 days before requested use)
Applicant Information:
P.O. Box 157 10405 Merrill Road Hamburg, Michigan 48139-015i (810) 231-1000 Office X-218 (810) 231-4295 Fax
Event Sponsor ( or name if family or individual use): Hamburg Flyers RC Club, Inc. ---~~-------------------
Name of Event: Hamburg Flyer RC Club, Inc. Air Show
Type of Event: _A_e_ro_n_a_u_ti_cs _____________ Park Use Category#:_ 2 - Qualified User
Applicant Name: Hamburg Flyer RC Club, Inc.
Date(s) of Event: Aug 7, 2021 Rain Date: Aug 14, 2021 v Time(s) ofEvent: _P_a_rk_ho_u_r_s ______ _
Applicant Address: Manlf y Bennett Airport 10405 Merrill Rd . Suite or Apt#: _________ _
Applicant City: _H_a_m_b_u_;rg=-------------- State: _M_I _____ Zip: 48139
Contact Person (present during use):_E_u-=-g_en_e_D_o_nc_e_a ___________________ _
Contact's Affiliation with Applicant: President --------------------------
Contact's Phone: _7_3_4_-6_3_7_-3_5_7_1 _______ Contact's E-Mail: E8d, [email protected]
Event Co-applicant, if any: ____________________________ _ All Co-applicants must also sign all applications and waivers.
Co-applicant relationship to Applicant: -------------------------
Co -a pp Ii cant's phone: -------------------------------
Insurance Information:
Insurance Carrier: Academy of Model Aeronautics, Inc. Certificate of Insurance must be prm•ided by all applicants as outlined in Appendix Bin the Park Facility Use Policy. TB D ~ * Policy#: TBD~\,[c)"::)':\C)\..\c) Expiration Date: ~ \
TBD Limit ofGeneral Liability: \, ~ OCCJ
' \~~ Umbrella Coverage Limit (if any): ~..e__
ll Park Use Application PA0I0l2020
Event Description: (any information that doesn't pertain to your event please indicate not applicable)
501 (c)3 nonprofit activities. The purpose is to develop, educate, Please describe the event you propose to host: _________________________ _ advance and safeguard modeling and aeronautical activities. This is to include, but not limited too, Buddy Box,
educational seminars, community education and awreness, ~\~ ~ ,,L£..¥]C:).., 1-200 +/- ~
Total Number of participants/spectators/guests anticipated during event: ______________ _
1-1000 +/-Average of participants/spectators/guests anticipated at any given time: _______________ _
Manlf y Bennett Airport Site of Proposed Event; include all areas of the parklands that will be used: ____________ _
Include site plan drawing reflecting all areas of the Township Park and recreational facilities the event will effect
Will there be camping and trailer facilities? If so, are overnight stays anticipated: _N_I_A ________ _
1/100 +/* Yes Number of Volunteers: ____________ Are Volunteers trained?: ___________ _ Please attach copy of Volunteer Handbook if applicable
Yes Manley Bennett Airport Will tents be used?: ____________ If so, please indicate locations: _________ _
Under no circumstances are tent stakes to be driven into asphalt surfaces. Tent locations must be pre-approved
No ~ _____ -~ c-, ~~o~~\:•,,... Will admission be charged? If so, how much: ~'--" ~~ c....,.~ 1 ' ~~ •\v-
No No Parking fee charged? If so, how much: __________ Valet service available? _______ _
Yes. TBD Will Food/Beverages be served? If so, types of food and name of persons serving: -----------
For anything other than pre-packaged foods, Concession Application, Health Department License and Products Liability coverage is required TBD
Will there be Fireworks or any other pyrotechnic display? If so, describe: ____________ _
Insurance requirements to be established during the event review process as stated in Appendix B of the Park Facility Use Policy. _ ... _ _j
Personal Pets~o_\\cx.....=...) Will there be any animals present? If so, describe: -e,~
Pets are not allowed in Parkland during events. Service Dogs are allowed with proper certification.
No Will there be Amusement rides or games? If so, describe: ___________________ _
Insurance requirements to be established during the event review process as stated in Appendix B of the Park Facility Use Policy.
21 Park Use Application PA0I012020
Yes. Members and guest Will there be a need for vehicles to be used on Township grounds? If so, describe: ------------v eh i c I es driven to and from the site.
Personal vehicles require proof of Auto Liability based on the description of use and areas needing to be accessed during event.
Will there be a need for Emergency Responders over and above what is included in the Public Safety Fee? If so, No
describe: -------------------------------------------
Hamburg Township reserves the right to require private security and/or emergency responders be present during any event.
Yes. Lawn service and maintance. Specific services required from the Township, if any: _____________________ _
Other information regarding your event that you feel may be helpful: _______________ _
Organized Sports and/or Sporting Events:
Please indicate type of sports event: □Regular Season (Games/Practices) Dsports Tournament OOther
If Tournament or other event, complete Event Description on Page 2 and provide additional details, if any:
Release of Liability & Indemnification Agreement
The approval of this park use request is contingent upon receipt of all requested information, review process of the Hamburg Township Parks & Recreation Committee, and approval of the Hamburg Township Board. The applicant may be required to provide additional information as is deemed necessary by the Parks & Recreation Committee and/or Township Board, and may be required to meet with the Parks Administrator and/or Parks Coordinator to supply additional info9rmation or to answer questions. If the Park Use Application is received less than 60 days prior to the requested event date, the Parks & recreation Committee and Township Board may process the application, however, the application fee may be increased in an amount to be determined by the Parks & Recreation Committee and/or the Township Board.
The undersigned acknowledges that he/she/they are authorized to sign this application on behalf of the applicant and that he/she/they have received a copy of all documents relating to the use of the park and recreational facilities including the Hamburg Township Park Facility Use Policy Rules and Regulations.
31 Park Use Application PA0I012020
1n further consideration of entering into this agreement, to the fullest extent permitted by law, the Applicant agrees to defend, pay on behalf of: indemnify, and hold harmless Hamburg Township, its elected and appointed officials, employees and volunteers, and others working on behalf of Hamburg Township against any and all claims, demands, suits, or loss, including all costs connected therewith, and for any damages which may be asserted, claimed, or recovered against or from Hamburg Township, by reason of personal injury, including bodily injury or death and/or property damage, including loss of use thereof, which arises out of, or is in any way connected or associated with this contract.
The Applicant covenants and agrees that it will have a representative on the premises at all times to monitor the set-up, use and tear-down of the use and all activities related to thereto and under no circumstances shall the use of the park be granted or sublet to any other group or organization without the express written permission of the Hamburg Township Board of Trustees.
Any Applicant or group or entity co-hosting an event must provide a Certificate of Insurance naming Hamburg Township as an additional insured and proof of that coverage must be provided prior to the issuance of the permit for the event. The Applicant and/or co-host of any event must comply with all rules, regulations and policies of the Township pertaining to the said use and will be ultimately responsible for any and all damages to any Hamburg Township property resulting from the use, and shall otherwise restore the Township property to its previous condition.
Personal Property Damage Claims: The applicant hereby releases Hamburg Township, Its elected and appointed officials, employees and volunteers, and others working behalf of Hamburg Township, from any and all liability or responsibility to the applicant or anyone claiming through or under the applicant by way of subrogation or otherwise, for any loss or damage to applicant's property resulting from any incident, except damages resulting from the gross negligence of the Township, as it relates to the activities and uses contemplated by the application. It is understood by the applicant that all private property kept, stored or maintained in and on the Hamburg Township Park and recreational facilities shall be so kept, stored or maintained at the risk of the Applicant.
Initials: 0 Public Health & Safety: The applicant hereby swears and attests that they have complied with all aspects and intent, of Background Checks and that they are in compliance3 with the Michigan Sports Concession Law, Acts 342 & 343, Public Acts of 2012, as referenced in the Park Facility Use Policy and outlined in Appendix A. The applicant understands that falsification of the above statement and/or failure to comply with these requirements may result in the suspension and/or revocation of the use of the Hamburg Township parkland facilities.
Initials: _0_1 __ _
& __ a~ ~ C
Applicant's Signature:_+--1----------....,,...- ------ Date:_.....:V_.,,t.11-':LJl--__ ~~,_c_o_c:._/,__ __ _
For office use only
Meeting Approval Dates: _______ Parks & Recreation ______ Public Safety ____ _ Township Board
Application has been (Circle one) Q Approved Q Denied
Hamburg Township Representative: _____________________________ _
41 Park Use Application PAOI012020
~RD• CERTIFICATE OF LIABILITY INSURANCE I DA ft (IMDOIYYYY)
5/4/2020
nus 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 certlflcatlt holder ia an ADDITIONAL INSURED, the pollcy(lea) muat have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the tenna and condition• of the pollcy, certain pollclN may require an endorMment. A atatement on thia certificate does not confer rtahts to the certlflc:ate holder In lieu of such endorMmentla).
PRODUCER '-""''""' NAME: The Harry A. Koch Co. ~Nl •-·· 402-861-7000 I~ Nol: P.O. Box 45279 Omaha NE 68145-0279 =~-,
INSURERIS) AFFORDING COVERAGE NAJCt
NSURl!R A : Westchester Surolus Lines Insurance Co 10172 INSURED NSURl!RB: Academy of Model Aeronautics, Inc.
NIURERC: &/or Affiliated &/or Associated Chartered Clubs, Chapters & Members Thereof NIURERD : 5161 E. Memorial Drive NSURERE: Muncie IN 47302
NSURERF :
COVERAGES CERTIFICATE NUMBER: 959503208 ------ --REVISIONNUM8"£R:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVVITHSTANDING ANY REQUIREMENT, TERM OR CONDfflON OF ANY CONTRACT OR OTHER DOCUMENT VIIITH RESPECT TO \MilCH 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 SHO\11,t,1 MAY HAVE BEEN REDUCED BY PAID CLAIMS.
l~i': TVPE OF INSURANCE ':'.'::::' 1su"" ,_ POLICY NU .. ER POUCYEFF l'OUCYEXP
!Miff
A X I COMMERC1ALGENERALUABIUTY y y G22011534015 3/31/2020 I 3/31/2021 EACH OCCURRENCE $1 ,000,000
~ CLAIMS-MADE 0 OCCUR PREMISES YE~~\ S300,000
- MEO EXP (Any ore person) so '
---' I PERSONAL & ADV INJURY S 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 1,000,000
~ POLICY □ ~GS 0Loc I ' PRODUCTS· COMP/OP AGG S1,000,000
OTHER: $
AUTOM081LE UAIIUTY ~';M~~~INGLE LIMIT $ -ANY AUTO SOOIL Y INJURY (Per person) s - O'hNED - SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per acddenl) S - HIRED - NON-Ov.NEO ' ~~r!'...t?AMAGE AUTOS ONLY AUTOS ONLY s - -
s UIIIIREU.A UA8 H OCCUR EACH OCCURRENCE s -l!XCl!SSUAB CLAIMS-MADE AGGREGATE s OED I I RETENTION s s
WORKaRI COMPENIAllON lmrure I I ~~H-ANO EIFLOY!RS" L.IA8llJTY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE
□ NIA E.L. EACH ACCIDENT s
OFFICER!MEMBEREXCLUOED? lllan4a!OrY In NHI E.L DISEASE • EA EMPLOYEE S
~~ ~PERATIONS below E.L DISEASE - POLICY LIMIT s A Excasal.iabilily y y G22011546015 3/31/2020 3/31/2021 Umltll per 0cc $1,500,000
General Aggregate $4,000,000
I DESCRPllON OF OPERATIOftll I LOCATIONS/ VEHICLES (ACORD 111, Addlllonal Re-rlca Schedule, may be allllched If mo,e epaee la Nqund) Hambu~ Township is an additional insured, primai and non-contributing as respects to any additional insured site owner. Location: Manley W. Bennett Park 10405 enill Rd. Club: 1454 Hamburg Flyers RIC lub Inc.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCl!LLl!D l!IEl'OftE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
Hamburg Township PO Box 157
~q:Z Hamburg Ml 48139
~c:..-I
@ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2018/03) The ACORD name and logo are registered marks of ACORD
Memorandum Date: February 26, 2021 To: Township Board From: Deby Henneman, Parks & Recreation Coordinator Re: Pinckney Community Education – Use of Manly Bennett West for Soccer Program April through June – as scheduled with Park Coordinator A motion was made at the Parks Meeting on February 23, 2021 as follows: Motion by Auxier, supported by Michniewicz, to recommend approval of the application for Pirate Soccer Club as submitted, contingent on the Township Board establishing fees, if any, for use, that the Clerk Department being provided all requested documents to their satisfaction, that the field assignments be communicated administratively through the Parks Coordinator, that uses will not be allowed during Blackout Dates, and that all uses comply with the CDC and MDHHS guidelines in regards to Covid. VOICE VOTE: Ayes: 5 MOTION CARRIED The 2-year contract with the schools ends in March, so fees will need to be addressed by the Township Board when approving this use. If it is the recommendation to the Township Board that the schools not be charged for their use, a motion to that effect should be made. Another alternative would be to execute another contract with the schools covering all of their uses of the fields at Manly Bennett, contingent on filing the required paperwork with the Clerk’s Office, scheduling field use with the Parks Coordinator, and use not being allowed during Blackout dates covered within that contract.
Hamburg Township Offices 10405 Merrill Rd., P.O. Box 157 Hamburg, MI 48139 (810)231-1000 www.hamburg.mi.us
Memorandum Date: February 19, 2021 To: Parks & Recreation Committee From: Deby Henneman, Parks & Recreation Coordinator Re: Pinckney Community Education – Use of Manly Bennett West for Soccer Program April through June – as scheduled with Park Coordinator We are in receipt of a Park Use Application from Pinckney Community Schools dated February 19, 2021 for use of the West park soccer fields. Their anticipated numbers are low, and it is likely that we will be able to schedule their activities in and around other uses easily. Scheduling will be handled administratively through the Parks Coordinator, and made available for residents to see on the Township website. The 2-year contract with the schools ends in March, so fees will need to be addressed at a Township Board level. If it is the recommendation to the Township Board that the schools not be charged for their use, a motion to that effect should be made. Should approval of the application be recommended as submitted, it should include the contingency that the Clerk Department be provided all requested documents to their satisfaction, that the field assignments be communicated Administratively through the Parks Coordinator, that uses will not be allowed during Blackout Dates, and that all uses comply with the CDC and MDHHS guidelines in regards to Covid.
Hamburg Township Offices 10405 Merrill Rd., P.O. Box 157 Hamburg, MI 48139 (810)231-1000 www.hamburg.mi.us
P.O. Box 157 10405 Merrill Road
Hamburg Township Manly Bennett Park
Park Use Application
Hamburg, Michigan 48139-0157 (810) 231-1000 Office X-218 (810) 231-4295 Fax
And Release of Liability & Indemnification Agreement
(Application must be submitted 60 days before requested use)
Applicant Information: Pinckney Community Education
Event Sponsor ( or name if family or individual use) : ________________________ _
Name of Event: Youth Soccer - Boys and Girls teams ----------------------------------Soccer Games 2 a 1·ri d u
T f E P k U C t # - ua 1 1e ser ype o vent:_________________ ar se a egory :_ B
Brian Wardlow Applicant Name: - --------------------------------
f Saturdays - based on schedule . f Morning/Early Afternoon
Date(s) o Event: _______________ T1me(s) o Event: ____ _______ _
2130 East M-36 Applicant Address: ________________ Suite or Apt#: _________ _
Pinckney Ml . 48169 Applicant City: State: _______ Zip: _______ _
. Sean Grace Contact Person (present durmg use) : __________________________ _
. . Employee Contact's Affiliation with Applicant: __________________________ _
810-217-4341 C .1
[email protected] Contact's Phone: ontact's E-Mai : - ----------- ---------------
Event Co-applicant, if any: _________________ ____________ _ A ll Co-applicants must also sign all applications and wah-ers.
Co-applicant relationship to Applicant: _________________________ _
Co-applicant ' s phone:------------------------ --------
Insurance Information:
Pinckney Community Schools Insurance Carrier: - --------------------------------Ce rt ifi ca u of Jnsuranu must be provided by all applicants as outlined in Appendix B in the Park Facility Use Policy.
Policy#: Same as last year .. ... Expiration Date: _____________ _
Limit of General Liability: _ _ __________ Occurrence ___________ Aggregate
Umbrella Coverage Limit (if any): ________ Occurrence ___________ Aggregate
ll Park Use App l ication PA01012020
Event Description: (any information that doesn 't pertain to your event please indicate not applicable)
. Youth Soccer games Please describe the event you propose to host: ________________________ _
. . . . . 100 players/coaches/spectators Total Number of part1c1pants/spectators/guests ant1c1pated durmg event: ______________ _
Average of participants/spectators/guests anticipated at any given time: _5_0 _____________ _
. . . Youth Soccer Fields Site of Proposed Event; mclude all areas of the parklands that will be used: _____________ _
0<::-a.S"mvee- oQ ~~ ~ ~2:, l,,;5? ~
Include site plan drawing reflecting all areas of the Township Park and recreational facilities the event will effect
Will there be camping and trailer facilities? If so, are overnight stays anticipated: _N_o ________ _
Number ofVolunteers:3
Are Volunteers trained?:3 ------------- -------------Please attach copy of Volunteer Handbook if applicable
Will tents be used?:_n_o ____________ If so, please indicate locations: _________ _
Under no circumstances are tent stakes to be driven into asphalt surfaces. Tent locations must be pre-approved.
no Will admission be charged? If so, how much: _______________________ _
Parking fee charged? If so, how much:_n_o __________ Valet service available?_n_o ______ _
Will Food/Beverages be served? Ifso, types of food and name of persons serving: _n_o ________ _
For anything other than pre-packaged foods, Concession Application, Health Department License and Products Liability coverage is required.
Will there be Fireworks or any other pyrotechnic display? If so, describe: _n_o ___________ _
Insurance requirements to be established during the event review process as stated in Appendix B of the Park Facility Use Policy.
Will there be any animals present? If so, describe: _n_o ____________________ _
Pets are not allowed in Parkland during events. Service Dogs are allowed with proper certification.
Will there be Amusement rides or games? If so, describe: _n_o __________________ _
Insurance requirements to be established during the event review process as stated in Appendix B of the Park Facility Use Policy.
21 Park U se Applica t ion PA01012020
Will there be a need for vehicles to be used on Township grounds? If so, describe : _n_o _________ _
Personal vehicles require proof of Auto Liability based on the description of use and areas needing to be accessed during event
Will there be a need for Emergency Responders over and above what is included in the Public Safety Fee? If so,
no describe: -------------------------------------------
Hamburg Township reserves the right to require private security and/or emergency responders be present during any event
. . Mowing/striping maybe -~~ L----.. Specific services required from the Township, tf any: ------------~---'--= __:::,----~_;i_,,.,--=='---
Q...-JS ~ !G\-- LO\ shl~5 Other information regarding your event that you feel may be helpful: ------------------
Organized Sports and/or Sporting Events:
Please indicate type of sports event: l ✓ IRegular Season (Games/Practices) Dsports TournamentOOther
If Tournament or other event, complete Event Description on Page 2 and provide additional details, if any:
Release of Liability & Indemnification Agreement
The approval of this park use request is contingent upon receipt of all requested information, review process of the Hamburg Township Parks & Recreation Committee, and approval of the Hamburg Township Board. The applicant may be required to provide additional information as is deemed necessary by the Parks & Recreation Committee and/or Township Board, and may be required to meet with the Parks Administrator and/or Parks Coordinator to supply additional info9rmation or to answer questions. If the Park Use Application is received less than 60 days prior to the requested event date, the Parks & recreation Committee and Township Board may process the application, however, the application fee may be increased in an amount to be determined by the Parks & Recreation Committee and/or the Township Board.
The undersigned acknowledges that he/she/they are authorized to sign this application on behalf of the applicant and that he/she/they have received a copy of all documents relating to the use of the park and recreational facilities including the Hamburg Township Park Facility Use Policy Rules and Regulations.
31 Park Use Application PA01012020
In further consideration of entering into this agreement, to the fullest extent permitted by law, the Applicant agrees to defend, pay on behalf of, indemnify, and hold harmless Hamburg Township, its elected and appointed officials, employees and volunteers, and others working on behalf of Hamburg Township against any and all claims, demands, suits, or loss, including all costs connected therewith, and for any damages which may be asserted, claimed, or recovered against or from Hamburg Township, by reason of personal injury, including bodily injury or death and/or property damage, including loss of use thereof, which arises out of, or is in any way connected or associated with this contract.
The Applicant covenants and agrees that it will have a representative on the premises at all times to monitor the set-up, use and tear-down of the use and all activities related to thereto and under no circumstances shall the use of the park be granted or sublet to any other group or organization without the express written permission of the Hamburg Township Board of Trustees.
Any Applicant or group or entity co-hosting an event must provide a Certificate oflnsurance naming Hamburg Township as an additional insured and proof of that coverage must be provided prior to the issuance of the permit for the event. The Applicant and/or co-host of any event must comply with all rules, regulations and policies of the Township pertaining to the said use and will be ultimately responsible for any and all damages to any Hamburg Township property resulting from the use, and shall otherwise restore the Township property to its previous condition.
Personal Property Damage Claims: The applicant hereby releases Hamburg Township, Its elected and appointed officials, employees and volunteers, and others working behalf of Hamburg Township, from any and all liability or responsibility to the applicant or anyone claiming through or under the applicant by way of subrogation or otherwise, for any loss or damage to applicant's property resulting from any incident, except damages resulting from the gross negligence of the Township, as it relates to the activities and uses contemplated by the application. It is understood by the applicant that all private property kept, stored or maintained in and on the Hamburg Township Park and recreational facilities shall be so kept, stored or maintained at the risk of the Applicant.
I . .
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Public Health & Safety: The applicant hereby swears and attests that they have complied with all aspects and intent, of Background Checks and that they are in compliance3 with the Michigan Sports Concession Law, Acts 342 & 343, Public Acts of2012, as referenced in the Park Facility Use Policy and outlined in Appendix A. The applicant understands that falsification of the above statement and/or failure to comply with these requirements may result in the suspension and/or revocation of the use of the Hamburg Township parkland facilities.
For office use only
I ..
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Comments: _____________________________________ _
Meeting Approval Dates: ______ Parks & Recreation ______ Public Safety _____ Township Board
Application has been (Circle one) Q Approved Q Denied
Hamburg Township Representative: ____________________________ _
41Park U se Application PA01012020
CERTIFICATE OF INSURANCE Producer THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
SETSEG CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
415 W. Kalamazoo Street AFFORDED BY THE POLICIES BELOW. Lansing, MI 48933
COMPANIES AFFORDING COVERAGE
Insured
Pinckney Community Schools A MASB-SEG Property/Casualty Pool, Inc.
2130 E M-36 Pinckney, MI 48169
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERJOD 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 DESCRJBED HEREIN IS SUBJECT TO ALL TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
co TYPE OF POLICY EFFECTIVE EXPIRATION LIMITS LTR INSURANCE NUMBER DATE DATE
A GENERAL UABIUTY PC- 7/1/20 7/1/21 BI & PD COMBINED $1,000,000 [X] Comprehensive Form 0000359 OCCURRENCE [X] Premises/Operations [X] Products/Completed Operations BI & PD COMBINED N/A [X] Broad Form Property Damage AGGREGATE [X] Personal Injury
PERSONAL INJURY $1,000,000 OCCURRENCE
PERSONAL INJURY N/A AGGREGATE
DESCRIPTION Hamburg Township Parks and Recreation are hereby added as an additional insured for liability but only in respects to the school activities performed at Manly Bennet Park by or on behalf of the named Insured for the 2020 to 2021 school year.
CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
Hamburg Township BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE
PO Box 157 CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL Hamburg, MI 48139 SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY
KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
~ Deana Coolidge PROPERTY /CASUAL TY DEPARTMENT Date August 13, 2020
Memorandum Date: February 26, 2021 To: Township Board From: Deby Henneman, Parks & Recreation Coordinator Re: PMA Dubs Event – Disc Golf Tournament – April 11, 2021 A motion was made at the Parks Meeting on February 23, 2021 as follows: Motion by Auxier, supported by Dolan, to recommend approval of the 1st Annual PMA Dubs Event as submitted, Event Date April 11, 2021, contingent on the Clerk receiving all requested documents to their satisfaction, that a Certificate of Insurance naming Hamburg Township as Additional Insured be provided, that payment for the number of participants be made no later than the Wednesday following the event, and that event comply with the CDC and MDHHS guidelines in regards to Covid. VOICE VOTE: Ayes: 5 MOTION CARRIED This event is on the regular agenda as it is an Event. This event will be coordinated by a resident, and insurance will be submitted prior to the event.
Hamburg Township Offices 10405 Merrill Rd., P.O. Box 157 Hamburg, MI 48139 (810)231-1000 www.hamburg.mi.us
Memorandum Date: February 9, 2021 To: Parks & Recreation Committee From: Deby Henneman, Parks Coordinator Re: 1st Annual PMA (Positive Mental Attitude) Dubs – 4/11/2021 Disc Golf We are in receipt of a Park Use Application from Jason Kaliszewski dated 2/6/21 for limited use of the Disc Golf Course, Parking lot and grassy area in Manly Bennett Park West for a Disc Golf Tournament scheduled for April 11, 2121. A true “blackout” is not necessary as this use will allow access to the course for casual players during the event. All league play is considered similar to individual use, and is subject to a $2.00 pay per play fee which the club will collect and pay the Township. Applying for use allows for them to set-up portable tents and banners the day of the event. There are 2 portable toilets available at the trailhead, and another halfway through the course, so based on the anticipated numbers there shouldn’t be a need for additional units. Tournament/Event use will require documents to the satisfaction of the Clerk as outlined in the Park Use Policy. I recommend approval of the application as submitted, based on the application from Jason Kaliszewski dated 2/6/21 as provided in the packet, contingent upon the applicant providing a Certificate of Insurance naming Hamburg Township as Additional Insured, that payment for the number of participants be made no later than the Wednesday following the event, and that the Clerk Department be provided all requested documents to their satisfaction.
Hamburg Township Offices 10405 Merrill Rd., P.O. Box 157 Hamburg, MI 48139 (810)231-1000 www.hamburg.mi.us
Hamburg Township Manly Bennett Park
Park Use Application
And Release of Liability & Indemnification Agreement
(Application must be submitted 60 days before requested use)
Applicant Information:
Event Sponsor (or name if family or individual use):
Name of Event: \ ~ .Annva,\ 1lt\A Dobs
P.O. Box 157 10405 Merrill Road Hamburg, Michigan 48139-015 (810) 231-1000 Office X-218 (810) 231-4295 Fax
-------------------------------Type of Event: 1Jif'.-3,~ t,.,,r,1"~ Applicant Name: Tc:<:.OV\.., ~ ev) i ~uwsb,
Select One Park Use Category#:_
Date(s) of Event: __ lt__.__-_l'-\_-_'1-_0_'2,_l ____ Time(s) of Event: _ __,qL_,_~_ O_ a.M,=-------
Applicant Address: __ I ~i-t_WJ __ 'Z)_ha.c_ l_,_y_Cr._ V_~_+- _D_'.f'._, __ Suite or Apt#: _______ _
Applicant City: _ _,_r\:.....:..(N;--'-'-:f_t\_axJ______;;__,:.__ _____ State: _ M'----------'=·t. __ Zip: 1+i ~ "S"~
Contact Person (present during use): __ {'J.i........::..<;>..:..;__:~ c...:.l -=----~--=-.;CAL:....::...::::....._ _______________ _
C,' A.- 0 Contact's Affiliation with Applicant: __ !........:._r, ---=-=eA\µ\.-'-=-=----------------------
Contact's Phone: ~\Q-fo7..,"t:, - 6604 Contact'sE-Mail:
Event Co-applicant, if any: ___________________________ _ All Ct>-applicants must also sign all applications and waivers.
Co-applicant relationship to Applicant: _______________________ _
Co-applicant's phone: ____________________________ _
Insurance Information:
Policy#: ________________ Expiration Date: ____________ _
Limit of General Liability: ___________ Occurrence __________ Aggregate
Umbrella Coverage Limit (if any): ________ Occurrence __________ Aggregate
·- -· l! Park Us e Application PA0l01202 0
Event Description: (any information that doesn't pertain to your event please indicate not applicable)
Pleasedescribetheeventyouproposetohost: ~ uDov)d )i~ +'i.> hos.\- a,. JG ·bl~s dlSG3olt +-ourf\a,Me(\I~ aJ- -l¼., bvlch dis.G v01 ,p CoUYSL
Total Number of participants/spectators/guests anticipated during event: 'l 2. -----='-------------
Average of participants/spectators/guests anticipated at any given time: -----------------
Site of Proposed Event; include all areas of the parklands that will be used: ~ ~ \ .\-e, X u 1 ~ tk &vi ch. d is0 §QI ·P c,ovr~ e, a+
Include site plan drawing reflecting all areas of the Township Park and recreational facilities the event will effect
Will there be camping and trailer facilities? If so, are overnight stays anticipated: _________ _
Number of Volunteers: 0 Are Volunteers trained?: -------=-------- --------------Please attach copy of Volunteer Handbook if applicable
Will tents be used?: If so, please indicate locations: · '~ ----~---------
Will admission be charged? If so, how much: 0 -
Parking fee charged? If so, how much:_~M~· ~.o _______ Valet service available? __ /J_o ____ _ Will Food/Beverages be served? If so, types of food and name of persons serving: _fJ~_D _______ _
For anything other than pre-packaged foods, Concession Application, Health Department License and Products Liability coverage is required.
Will there be Fireworks or any other pyrotechnic display? If so, describe: __ N_o ___ ______ _
Insurance requirements to be established during the event review process as stated in Appendix B of the Park Facility Use Policy.
Will there be any animals present? If so, describe: --~/_\J_o~-----------------
Pets are not allowed in Parkland during events. Service Dogs are allowed with proper certification.
Will there be Amusement rides or games? If so, describe: -~µ_0 _______________ _
Insurance requirements to be established during the event review process as stated in Appendix B of the Park Facility Use Policy.
2J Park Use Application PA0I0l2020
Will there be a need for vehicles to be used on Township grounds? If so, describe: _ _.fv....x...o _______ _
Personal vehicles require proof of Auto Liability based on the description of use and areas needing to be accessed during event.
Will there be a need for Emergency Responders over and above what is included in the Public Safety Fee? If so,
describe: O ---~~--------------------------------------
Hamburg Township reserves the right to require private security and/or emergency responders be present during any event.
Specific services required from the Township, if any: _...:.}:\---404...,,JLL=---~~=------'_g'-~---=-..:.•.:....r ....:::w= ·=--Y~ ~:...___...:...M-...:..:..,Oi...:..::...J--..:&J::..::::...._..:...,"....:.+_
1
_
~ bL,
Other information regarding your event that you feel may be helpful: ______________ _
Organized Sports and/or Sporting Events:
Please indicate type of sports event: □Regular Season (Games/Practices) 0sports TournamentOOther
If Tournament or other event, complete Event Description on Page 2 and provide additional details, if any:
lt. ~ cl.\o~ '°' \~~\..h\ ~~ TD ~\s a~~\ Release of Liability & Indemnification Agreement
The approval of this park use request is contingent upon receipt of all requested information, review process of the Hamburg Township Parks & Recreation Committee, and approval of the Hamburg Township Board. The applicant may be required to provide additional information as is deemed necessary by the Parks & Recreation Committee and/or Township Board, and may be required to meet with the Parks Administrator and/or Parks Coordinator to supply additional info9rmation or to answer questions. If the Park Use Application is received less than 60 days prior to the requested event date, the Parks & recreation Committee and Township Board may process the application, however, the application fee may be increased in an amount to be determined by the Parks & Recreation Committee and/or the Township Board.
The undersigned acknowledges that he/she/they are authorized to sign this application on behalf of the applicant and that he/she/they have received a copy of all documents relating to the use of the park and recreational facilities including the Hamburg Township Park Facility Use Policy Rules and Regulations.
31 Park Use Application PA01012020
In further consideration of entering into this agreement, to the fullest extent permitted by law, the Applicant agrees to defend, pay on behalf of, indemnify, and hold harmless Hamburg Township, its elected and appointed officials, employees and volunteers, and others working on behalf of Hamburg Township against any and all claims, demands, suits, or loss, including all costs connected therewith, and for any damages which may be asserted, claimed, or recovered against or from Hamburg Township, by reason of personal injury, including bodily injury or death and/or property damage, including loss of use thereof, which arises out of, or is in any way connected or associated with this contract.
The Applicant covenants and agrees that it will have a representative on the premises at all times to monitor the set-up, use and tear-down of the use and all activities related to thereto and under no circumstances shall the use of the park be granted or sublet to any other group or organization without the express written permission of the Hamburg Township Board of Trustees.
Any Applicant or group or entity co-hosting an event must provide a Certificate oflnsurance naming Hamburg Township as an additional insured and proof of that coverage must be provided prior to the issuance of the permit for the event. The Applicant and/or co-host of any event must comply with all rules, regulations and policies of the Township pertaining to the said use and will be ultimately responsible for any and all damages to any Hamburg Township property resulting from the use, and shall otherwise restore the Township property to its previous condition.
Personal Property Damage Claims: The applicant hereby releases Hamburg Township, Its elected and appointed officials, employees and volunteers, and others working behalf of Hamburg Township, from any and all liability or responsibility to the applicant or anyone claiming through or under the applicant by way of subrogation or otherwise, for any loss or damage to applicant's property resulting from any incident, except damages resulting from the gross negligence of the Township, as it relates to the activities and uses contemplated by the application. It is understood by the applicant that all private property kept, stored or maintained in and on the Hamburg Township Park and recreational facilities shall be so kept, stored or maintained at the risk of the Applicant.
Initials: -:Jt...
Public Health & Safety: The applicant hereby swears and attests that they have complied with all aspects and intent, of Background Checks and that they are in compliance3 with the Michigan Sports Concession Law, Acts 342 & 343, Public Acts of 2012, as referenced in the Park Facility Use Policy and outlined in Appendix A. The applicant understands that falsification of the above statement and/or failure to oomply with thoso requirem~~ =y rerult io tho suspen,ioo ruu\/o, ,o,ocruion of tho use of tho Hrunbu,g To~,hi:rr fucilitios.
,;/._ /:}: / • • Initial, '
Applicant's Signature: d•-;:.w ~ •" Date: ·l - '' Z/ Co-applicant's Sign•~~ J Date: __________ _
Parks Coordinator: ~~ · Date: !;>-9'- d\
For office use only
Comments: _____________________________________ _
Meeting Approval Dates: ______ Parks & Recreation _ _ ___ Public Safety _____ Township Board
Application has been (Circle one) Q Approved Q Denied
Hamburg Township Representative: _____________________________ _
41 P ark U s e Application P A O!Ol 2 020
HAMBURG TOWNSHIP
FINANCE CONTROL
BOOK
PERIOD ENDING January 31, 2021
1
Table of Contents
Tab 1 Summary Revenue and Expenditure Report Cash Summary by Account
Tab 2 Summary Cash Flow Analysis Debt Payment ScheduleDebt Payment Schedule
Tab 3 Summary Ten Year Tax Collection Comparison Property Tax Roll Ten Year Graph Tax Roll Distribution Chart
Tab 4 Summary Monthly Bank and Investment Report Approved Financial Institution List
Tab 5 Summary 5 Year Forecast and Capital Reserve
2
TAB 1
BUDGET AND FINANCIAL STATUS SUMMARY:
Fiscal Year 2020/21
The Budget v. Actual report reflects transactions through January, 2021 and includes General, Roads, Fire, Police, Parks and Sewer Funds. All departments and funds are at or under budget as of January 31, 2021, considering the timing issues related to the Township’s revenues and expenditures.
Timing of Revenues: Township tax collections for general fund, police fund and fire fund start on December 1, 2020 and run through February 28, 2021. Revenues are posted to the general ledger in December when they are billed. State shared revenue payments are bi-monthly and start on October 31, 2020. The last revenue sharing payment for FY 20/21 will be paid on October 31, 2021.
This tab also includes a Cash Summary by Account report which states the balance in each general ledger cash account at January 31, 2021.
10405 Merrill Road ♦ P.O. Box 157 Hamburg, MI 48139 Phone: 810.231.1000 ♦ Fax: 810.231.4295 www.hamburg.mi.us
3
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 1/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 101 - General FundRevenuesDept 000.000Account Type: Revenue
99.39916,036.770.000.00921,643.00921,643.00CURRENT PROPERTY TAX402.0000.4920.400.000.004,200.004,200.00DELINQUENT PP TAX414.000
100.0830,523.500.000.0030,500.0022,000.00SET COLLECTION FEE415.000248.982,855.820.00468.841,147.000.00CHARGE BACKS/MTT/BOARD OF REVIEW422.00058.351,167.000.00167.002,000.002,000.00TRAILER PARK TAX FEES442.000100.20350,717.100.000.00350,000.00350,000.00PROPERTY TAX ADMIN FEE447.00024.3885,327.800.000.00350,000.00350,000.00FRANCHISE FEE - CABLE470.000100.00750.000.000.00750.000.00SPECIAL USE PERMITS478.00085.8118,020.000.001,730.0021,000.0021,000.00LAND USE PERMITS479.00057.00199.500.0022.50350.00350.00DOG LICENSES485.000100.0019,388.000.000.0019,388.000.00OTHER FEDERAL GRANTS528.000100.0038,256.150.0038,256.150.000.00STATE GRANTS566.00047.44752,702.000.000.001,586,772.001,511,772.00STATE SHARED REVENUES574.0000.000.000.000.0012,000.0012,000.00STATE ROW MAINTENANCE FEE-CABLE575.000
58.3367,083.240.009,583.32115,000.00115,000.00FROM SEWER ENTERPRISE590.000106.69693.500.0044.56650.00200.00FOIA REQUESTS606.00094.552,600.000.000.002,750.002,750.00NON-TAX ADMIN FEE607.000220.673,310.000.001,310.001,500.00750.00ZONING BOARD OF APPEALS APPLIC608.000122.148,550.000.000.007,000.007,000.00SITE PLAN FEES611.00066.67800.000.00200.001,200.001,200.00LAND DIVISION/COMBINATION FEES613.000100.00750.000.000.00750.000.00REZONING FEES615.00084.621,100.000.0025.001,300.001,300.00ADDRESS SIGN FEE616.00056.6742.500.000.0075.0075.00COPIES/MAPS636.000115.005,750.000.000.005,000.005,000.00SALE OF CEMETERY LOTS643.000108.097,566.160.00600.007,000.007,000.00CEMETERY SERVICES OPEN/CLOSE643.001
0.000.000.000.006,000.006,000.00MAUS SALES REVENUE645.000108.00108.000.0024.00100.00100.00RETURNED CHECK FEE659.000(2.12)(1,589.15)0.00766.0775,000.0075,000.00INTEREST REVENUE664.0000.000.000.000.005,000.005,000.00RENTAL INCOME667.000
50.009,000.000.000.0018,000.0018,000.00OTHER REVENUE - CONTRACT SERVICE671.0000.000.000.000.005,000.005,000.00SALE OF FIXED ASSETS673.000
963.716,746.000.005,007.00700.00700.00REIMBURSEMENTS & COST RECOVERY676.000(93.00)(465.00)0.000.00500.00500.00SUNDRY692.000
65.542,328,009.290.0058,204.443,552,275.003,445,540.00Total Revenue:Account Type: Transfers-In
15.470.00(1,885.86)0.00(12,190.00)0.00APPROPRIATION FROM SURPLUS699.999
15.470.00(1,885.86)0.00(12,190.00)0.00Total Transfers-In:
65.712,328,009.29(1,885.86)58,204.443,540,085.003,445,540.00Total Dept 000.000
65.712,328,009.29(1,885.86)58,204.443,540,085.003,445,540.00TOTAL REVENUES
ExpendituresDept 101.000 - Township BoardAccount Type: Expenditure
49.264,355.000.00390.008,840.008,840.00PER DIEM702.00054.3815,208.220.002,389.0427,969.0027,969.00ELECTED OFFICIALS SALARIES703.00044.442,000.000.00100.004,500.004,500.00PART-TIME EMPLOYEE SALARIES706.00038.511,217.050.00220.273,160.003,160.00TOWNSHIP FICA715.00058.532,154.360.00311.423,681.003,681.00RETIREMENT720.000100.0070.00377.980.000.000.00SUPPLIES & SMALL EQUIPMENT726.000 4
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 2/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 101 - General FundExpenditures
0.00 0.00 0.00 0.00 21,500.00 21,500.00 ECONOMIC DEVELOPMENT CONSULTANT801.5000.00 0.00 0.00 0.00 250.00 250.00 ENG/CONSULTANT/PROFESS FEES821.000
20.29 11,768.20 0.00 0.00 58,000.00 58,000.00 LEGAL FEES826.000333.80 539.50 295.00 539.50 250.00 250.00 WORKSHOPS/SEMINARS864.00072.46 3,623.08 0.00 527.50 5,000.00 5,000.00 LEGAL NOTICES/ADVERTISING900.00075.24 9,029.15 0.00 262.00 12,000.00 12,000.00 DUES/SUBSCRIP/RECERTIFICATION958.00070.32 562.52 0.00 5,027.57 800.00 800.00 SUNDRY962.00090.92 681.87 0.00 0.00 750.00 750.00 CAPITAL EQUIPMENT/CAPITAL IMP980.000
35.37 51,208.95 672.98 9,767.30 146,700.00 146,700.00 Total Expenditure:
35.37 51,208.95 672.98 9,767.30 146,700.00 146,700.00 Total Dept 101.000 - Township Board
Dept 171.000 - Township SupervisorAccount Type: Expenditure
55.19 37,302.83 0.00 5,328.98 67,587.00 67,587.00 ELECTED OFFICIALS SALARIES703.00055.22 2,880.46 0.00 411.50 5,216.00 5,216.00 TOWNSHIP FICA715.00056.61 258.72 0.00 36.96 457.00 457.00 LONG/SHORT TERM DISABILITY719.00055.19 4,849.43 0.00 692.76 8,786.00 8,786.00 RETIREMENT720.00056.93 47.25 0.00 6.75 83.00 83.00 LIFE INSURANCE721.00068.33 11,488.19 0.00 1,386.93 16,813.00 16,813.00 HEALTH/DENTAL/VISION INSURANCE722.0001.76 1.50 0.00 0.00 85.00 85.00 SUPPLIES & SMALL EQUIPMENT726.000
58.33 350.00 0.00 50.00 600.00 600.00 PHONE/COMM/INTERNET853.00074.84 149.68 0.00 0.00 200.00 200.00 MILEAGE861.00038.53 77.05 0.00 0.00 200.00 200.00 SUNDRY962.000
57.39 57,405.11 0.00 7,913.88 100,027.00 100,027.00 Total Expenditure:
57.39 57,405.11 0.00 7,913.88 100,027.00 100,027.00 Total Dept 171.000 - Township Supervisor
Dept 191.000 - ElectionsAccount Type: Expenditure
57.89 37,920.79 0.00 5,166.00 65,510.00 65,510.00 FULL-TIME EMPLOYEE SALARIES705.00048.84 19,358.82 0.00 1,519.44 39,640.00 39,640.00 PART-TIME EMPLOYEE SALARIES706.000100.12 80,095.59 0.00 0.00 80,000.00 40,000.00 TEMPORARY EMPLOYEES707.00097.89 17,229.03 0.00 0.00 17,600.00 3,600.00 OVERTIME709.000103.78 8,439.62 0.00 511.43 8,132.00 8,132.00 TOWNSHIP FICA715.00056.57 250.04 0.00 35.72 442.00 442.00 LONG/SHORT TERM DISABILITY719.00086.77 4,966.07 0.00 671.58 5,723.00 5,723.00 RETIREMENT720.00056.74 59.01 0.00 8.43 104.00 104.00 LIFE INSURANCE721.00062.76 16,883.85 0.00 2,212.20 26,903.00 26,903.00 HEALTH/DENTAL/VISION INSURANCE722.000123.48 11,977.47 0.00 22.50 9,700.00 9,500.00 SUPPLIES & SMALL EQUIPMENT726.000
0.00 0.00 0.00 0.00 100.00 100.00 VEHICLE FUEL751.0008.04 160.88 0.00 0.00 2,000.00 2,000.00 MILEAGE861.0001.27 100.00 0.00 0.00 7,850.00 7,850.00 LEGAL NOTICES/ADVERTISING900.0000.00 0.00 0.00 0.00 2,200.00 2,200.00 EQUIPMENT MAINT/REPAIR933.000
133.39 13,739.60 0.00 1,648.54 10,300.00 8,500.00 SUNDRY962.00099.44 7,259.00 0.00 0.00 7,300.00 2,000.00 CAPITAL EQUIPMENT/CAPITAL IMP980.0000.00 0.00 0.00 0.00 10,000.00 10,000.00 RESERVE FOR EQUIPMENT PURCHASE980.500
74.42 218,439.77 0.00 11,795.84 293,504.00 232,204.00 Total Expenditure:
74.42 218,439.77 0.00 11,795.84 293,504.00 232,204.00 Total Dept 191.000 - Elections
Dept 201.000 - ACCOUNTING 5
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 3/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 101 - General FundExpendituresAccount Type: Expenditure
55.14 108,638.06 0.00 15,431.82 197,021.00 197,021.00 FULL-TIME EMPLOYEE SALARIES705.00058.33 3,500.00 0.00 500.00 6,000.00 6,000.00 PAY IN LIEU OF MEDICAL INS710.00055.42 8,490.91 0.00 1,207.09 15,321.00 15,321.00 TOWNSHIP FICA715.00056.62 697.55 0.00 99.65 1,232.00 1,232.00 LONG/SHORT TERM DISABILITY719.00055.09 14,122.99 0.00 2,006.14 25,638.00 25,638.00 RETIREMENT720.00056.70 141.75 0.00 20.25 250.00 250.00 LIFE INSURANCE721.00061.31 10,308.39 0.00 1,386.93 16,813.00 16,813.00 HEALTH/DENTAL/VISION INSURANCE722.00044.22 442.19 0.00 170.56 1,000.00 1,000.00 SUPPLIES & SMALL EQUIPMENT726.0000.00 0.00 0.00 0.00 250.00 250.00 MILEAGE861.0000.00 0.00 0.00 0.00 8,200.00 8,200.00 WORKSHOPS/SEMINARS864.000
39.23 784.50 0.00 219.00 2,000.00 2,000.00 DUES/SUBSCRIP/RECERTIFICATION958.0000.00 0.00 0.00 0.00 250.00 250.00 SUNDRY962.000
100.00 756.20 0.00 0.00 0.00 0.00 CAPITAL EQUIPMENT/CAPITAL IMP980.000
53.98 147,882.54 0.00 21,041.44 273,975.00 273,975.00 Total Expenditure:
53.98 147,882.54 0.00 21,041.44 273,975.00 273,975.00 Total Dept 201.000 - ACCOUNTING
Dept 209.000 - AssessingAccount Type: Expenditure
55.62 142,146.69 0.00 21,239.76 255,576.00 255,576.00 FULL-TIME EMPLOYEE SALARIES705.0000.00 0.00 0.00 0.00 500.00 500.00 OVERTIME709.000
58.33 3,500.00 0.00 500.00 6,000.00 6,000.00 PAY IN LIEU OF MEDICAL INS710.00056.03 11,118.98 0.00 1,660.14 19,845.00 19,845.00 TOWNSHIP FICA715.00056.62 890.61 0.00 127.23 1,573.00 1,573.00 LONG/SHORT TERM DISABILITY719.00058.04 18,481.40 0.00 2,761.14 31,845.00 31,845.00 RETIREMENT720.00078.75 189.00 0.00 27.00 240.00 240.00 LIFE INSURANCE721.0000.00 0.00 0.00 0.00 2,020.00 2,020.00 TUITION REIMBURSEMENT721.500
62.93 18,007.06 0.00 2,353.79 28,614.00 28,614.00 HEALTH/DENTAL/VISION INSURANCE722.00013.97 9.00 130.68 9.00 1,000.00 1,000.00 SUPPLIES & SMALL EQUIPMENT726.0000.00 0.00 0.00 0.00 800.00 800.00 VEHICLE FUEL751.0000.00 0.00 0.00 0.00 6,900.00 6,900.00 ASSESSMENT ROLL PREP 823.100
58.33 140.00 0.00 20.00 240.00 240.00 PHONE/COMM/INTERNET853.0000.00 0.00 0.00 0.00 200.00 200.00 MILEAGE861.0000.00 0.00 0.00 0.00 2,500.00 2,500.00 WORKSHOPS/SEMINARS864.0000.00 0.00 0.00 0.00 150.00 150.00 LEGAL NOTICES/ADVERTISING900.0000.00 0.00 0.00 0.00 500.00 500.00 EQUIPMENT MAINT/REPAIR933.000
108.18 2,163.57 0.00 112.27 2,000.00 1,000.00 VEHICLE MAINTENANCE939.00076.88 1,230.00 0.00 0.00 1,600.00 1,600.00 DUES/SUBSCRIP/RECERTIFICATION958.0000.00 0.00 0.00 0.00 400.00 400.00 SUNDRY962.0000.00 0.00 0.00 0.00 2,000.00 2,000.00 CAPITAL EQUIPMENT/CAPITAL IMP980.0000.00 0.00 0.00 0.00 2,500.00 2,500.00 RESERVE FOR EQUIPMENT PURCHASE980.5000.00 0.00 0.00 0.00 2,000.00 2,000.00 CAPITAL EXPENSE - VEHICLE981.000
53.66 197,876.31 130.68 28,810.33 369,003.00 368,003.00 Total Expenditure:
53.66 197,876.31 130.68 28,810.33 369,003.00 368,003.00 Total Dept 209.000 - Assessing
Dept 215.000 - CLERK'S OFFICEAccount Type: Expenditure
55.19 37,302.83 0.00 5,328.98 67,587.00 67,587.00 ELECTED OFFICIALS SALARIES703.00046.88 31,123.75 0.00 4,446.48 66,391.00 56,391.00 FULL-TIME EMPLOYEE SALARIES705.00038.23 4,587.79 0.00 506.48 12,000.00 12,000.00 PART-TIME EMPLOYEE SALARIES706.00038.19 1,145.64 0.00 0.00 3,000.00 2,500.00 OVERTIME709.000
6
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 4/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 101 - General FundExpenditures
77.92 5,681.02 0.00 787.86 7,291.00 7,291.00 TOWNSHIP FICA715.00056.61 473.27 0.00 67.61 836.00 836.00 LONG/SHORT TERM DISABILITY719.00093.38 9,209.84 0.00 1,270.80 9,863.00 9,863.00 RETIREMENT720.00056.70 96.95 0.00 13.85 171.00 171.00 LIFE INSURANCE721.00049.88 28,142.08 0.00 3,628.01 56,422.00 44,122.00 HEALTH/DENTAL/VISION INSURANCE722.00060.29 1,808.73 0.00 108.15 3,000.00 3,000.00 SUPPLIES & SMALL EQUIPMENT726.00058.33 350.00 0.00 50.00 600.00 600.00 PHONE/COMM/INTERNET853.0000.00 0.00 0.00 0.00 500.00 500.00 MILEAGE861.0000.00 0.00 0.00 0.00 2,000.00 2,000.00 WORKSHOPS/SEMINARS864.000
47.50 95.00 0.00 0.00 200.00 200.00 EQUIPMENT MAINT/REPAIR933.00045.38 295.00 0.00 0.00 650.00 650.00 DUES/SUBSCRIP/RECERTIFICATION958.0004.00 29.99 0.00 0.00 750.00 750.00 SUNDRY962.0000.00 0.00 0.00 0.00 5,000.00 5,000.00 CAPITAL EQUIPMENT/CAPITAL IMP980.000
50.94 120,341.89 0.00 16,208.22 236,261.00 213,461.00 Total Expenditure:
50.94 120,341.89 0.00 16,208.22 236,261.00 213,461.00 Total Dept 215.000 - CLERK'S OFFICE
Dept 245.000 - TECHNICAL/UTILITIES SERVICESAccount Type: Expenditure
56.09 84,990.19 0.00 12,146.76 151,514.00 151,514.00 FULL-TIME EMPLOYEE SALARIES705.0000.00 0.00 0.00 0.00 1,797.00 1,797.00 LEAVE TIME PAYOUT705.500
48.68 13,260.75 0.00 1,435.94 27,238.00 27,238.00 PART-TIME EMPLOYEE SALARIES706.0000.00 0.00 0.00 0.00 4,000.00 4,000.00 TEMPORARY EMPLOYEES707.0000.00 0.00 0.00 0.00 250.00 250.00 OVERTIME709.000
67.12 7,460.85 0.00 1,031.71 11,115.00 11,115.00 TOWNSHIP FICA715.00050.07 554.33 0.00 79.19 1,107.00 1,107.00 LONG/SHORT TERM DISABILITY719.00075.24 9,152.25 0.00 1,294.70 12,164.00 12,164.00 RETIREMENT720.00062.20 103.88 0.00 14.84 167.00 167.00 LIFE INSURANCE721.00063.12 19,292.98 0.00 2,516.33 30,564.00 30,564.00 HEALTH/DENTAL/VISION INSURANCE722.00061.54 615.44 0.00 43.11 1,000.00 1,000.00 SUPPLIES & SMALL EQUIPMENT726.0000.00 0.00 0.00 0.00 500.00 500.00 WORKSHOPS/SEMINARS864.0000.00 0.00 0.00 0.00 100.00 100.00 SUNDRY962.000
114.32 8,002.17 0.00 0.00 7,000.00 7,000.00 CONTRACTED SUPPORT965.100100.01 4,745.25 0.00 0.00 4,745.00 0.00 CAPITAL EQUIPMENT/CAPITAL IMP980.000
0.00 0.00 0.00 0.00 1,000.00 1,000.00 RESERVE FOR EQUIPMENT PURCHASE980.500
58.28 148,178.09 0.00 18,562.58 254,261.00 249,516.00 Total Expenditure:
58.28 148,178.09 0.00 18,562.58 254,261.00 249,516.00 Total Dept 245.000 - TECHNICAL/UTILITIES SERVICES
Dept 247.000 - Board of ReviewAccount Type: Expenditure
16.25 455.00 0.00 195.00 2,800.00 2,800.00 PER DIEM702.00016.20 34.82 0.00 14.93 215.00 215.00 TOWNSHIP FICA715.00024.00 120.00 0.00 60.00 500.00 500.00 LEGAL NOTICES/ADVERTISING900.000
17.35 609.82 0.00 269.93 3,515.00 3,515.00 Total Expenditure:
17.35 609.82 0.00 269.93 3,515.00 3,515.00 Total Dept 247.000 - Board of Review
Dept 253.000 - TreasurerAccount Type: Expenditure
55.19 18,651.39 0.00 2,664.50 33,794.00 33,794.00 ELECTED OFFICIALS SALARIES703.00055.19 34,772.92 0.00 4,967.56 63,003.00 63,003.00 FULL-TIME EMPLOYEE SALARIES705.000
7
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 5/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 101 - General FundExpenditures
68.49 27,253.94 0.00 4,155.82 39,793.00 39,793.00 PART-TIME EMPLOYEE SALARIES706.00058.72 6,181.75 0.00 903.51 10,527.00 10,527.00 TOWNSHIP FICA715.00056.58 240.45 0.00 34.35 425.00 425.00 LONG/SHORT TERM DISABILITY719.00058.45 6,249.71 0.00 892.82 10,693.00 10,693.00 RETIREMENT720.00056.93 47.25 0.00 6.75 83.00 83.00 LIFE INSURANCE721.00063.74 27,438.42 0.00 3,539.52 43,045.00 43,045.00 HEALTH/DENTAL/VISION INSURANCE722.00020.34 305.07 0.00 0.00 1,500.00 1,500.00 SUPPLIES & SMALL EQUIPMENT726.00049.91 4,442.00 0.00 0.00 8,900.00 8,900.00 POSTAGE730.00052.56 3,679.10 0.00 0.00 7,000.00 7,000.00 TAX ROLL PREP/TAX BILL PREP823.0000.00 0.00 0.00 0.00 200.00 200.00 LEGAL FEES826.000
58.33 595.00 0.00 85.00 1,020.00 1,020.00 PHONE/COMM/INTERNET853.0006.25 62.48 0.00 0.00 1,000.00 1,000.00 MILEAGE861.0009.98 499.00 0.00 0.00 5,000.00 5,000.00 WORKSHOPS/SEMINARS864.0000.00 0.00 0.00 0.00 150.00 150.00 EQUIPMENT MAINT/REPAIR933.000
83.69 544.00 0.00 0.00 650.00 650.00 DUES/SUBSCRIP/RECERTIFICATION958.0000.00 0.00 0.00 0.00 200.00 200.00 SUNDRY962.0000.00 0.00 0.00 0.00 2,300.00 2,300.00 CAPITAL EQUIPMENT/CAPITAL IMP980.0000.00 0.00 0.00 0.00 1,000.00 1,000.00 RESERVE FOR EQUIPMENT PURCHASE980.500
56.87 130,962.48 0.00 17,249.83 230,283.00 230,283.00 Total Expenditure:
56.87 130,962.48 0.00 17,249.83 230,283.00 230,283.00 Total Dept 253.000 - Treasurer
Dept 258.000 - COMPUTER/CABLEAccount Type: Expenditure
0.00 0.00 0.00 0.00 1,800.00 1,800.00 PART-TIME EMPLOYEE SALARIES706.0000.00 0.00 0.00 0.00 138.00 138.00 TOWNSHIP FICA715.000
45.23 1,392.24 416.92 107.98 4,000.00 4,000.00 SUPPLIES & SMALL EQUIPMENT726.000114.61 57,307.41 0.00 16,954.80 50,000.00 50,000.00 SOFTWARE MAINTENANCE729.000
0.00 0.00 0.00 0.00 1,500.00 1,500.00 ENG/CONSULTANT/PROFESS FEES821.00051.58 2,104.49 0.00 341.52 4,080.00 4,080.00 PHONE/COMM/INTERNET853.0000.00 0.00 0.00 0.00 250.00 250.00 SUNDRY962.000
91.80 2,295.00 0.00 2,295.00 2,500.00 2,500.00 TRAINING965.000103.28 20,656.67 0.00 2,362.14 20,000.00 20,000.00 CAPITAL EQUIPMENT/CAPITAL IMP980.000
0.00 0.00 0.00 0.00 2,500.00 2,500.00 RESERVE FOR CABLE TV EQUIP PURCHASE983.600
97.01 83,755.81 416.92 22,061.44 86,768.00 86,768.00 Total Expenditure:
97.01 83,755.81 416.92 22,061.44 86,768.00 86,768.00 Total Dept 258.000 - COMPUTER/CABLE
Dept 265.000 - Township BuildingsAccount Type: Expenditure
62.32 27,222.97 0.00 2,046.52 43,680.00 43,680.00 FULL-TIME EMPLOYEE SALARIES705.00043.58 55,240.18 0.00 5,480.68 126,752.00 126,752.00 PART-TIME EMPLOYEE SALARIES706.00084.16 2,945.56 0.00 0.00 3,500.00 3,500.00 OVERTIME709.00052.11 6,976.27 0.00 575.16 13,388.00 13,388.00 TOWNSHIP FICA715.00056.70 170.66 0.00 24.38 301.00 301.00 LONG/SHORT TERM DISABILITY719.00055.85 3,366.56 0.00 201.15 6,028.00 6,028.00 RETIREMENT720.00056.93 47.25 0.00 6.75 83.00 83.00 LIFE INSURANCE721.00062.10 13,365.66 0.00 1,769.76 21,523.00 21,523.00 HEALTH/DENTAL/VISION INSURANCE722.000113.58 4,776.11 1,129.94 1,224.99 5,200.00 4,000.00 SUPPLIES & SMALL EQUIPMENT726.00073.56 2,574.66 0.00 552.14 3,500.00 3,500.00 VEHICLE FUEL751.00074.67 3,026.31 333.67 274.11 4,500.00 4,500.00 UNIFORMS/ACCESSORIES758.000
(722.45)(7,224.50)0.00 110.00 1,000.00 1,000.00 CONTRACTUAL SERVICES801.00060.42 906.36 0.00 137.06 1,500.00 1,500.00 TRASH DISPOSAL813.000 8
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 6/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 101 - General FundExpenditures
75.00 315.00 0.00 35.00 420.00 420.00 PHONE/COMM/INTERNET853.0000.00 0.00 0.00 0.00 250.00 250.00 WORKSHOPS/SEMINARS864.000
52.22 8,877.42 0.00 1,563.89 17,000.00 17,000.00 ELECTRIC921.00049.44 1,928.20 0.00 964.10 3,900.00 3,900.00 SEWER USAGE922.00044.68 1,787.37 0.00 1,181.67 4,000.00 4,000.00 NATURAL GAS/HEAT923.00030.82 616.46 0.00 0.00 2,000.00 2,000.00 DIESEL FUEL923.500108.15 8,586.08 1,147.80 889.95 9,000.00 7,000.00 MAINTENANCE TWP HALL932.00018.50 185.00 0.00 0.00 1,000.00 1,000.00 MAINTENANCE DPW GARAGE/OLD PACKR932.00474.21 1,113.13 0.00 889.95 1,500.00 1,500.00 MAINTENANCE LIBRARY932.00860.00 0.00 900.00 0.00 1,500.00 1,500.00 MAINTENANCE - FERTILIZER932.02074.67 4,520.32 333.23 107.93 6,500.00 5,000.00 EQUIPMENT MAINT/REPAIR933.00028.95 428.92 150.00 0.00 2,000.00 2,000.00 VEHICLE MAINTENANCE939.000(25.04)(125.22)0.00 0.00 500.00 500.00 SUNDRY962.00010.64 2,280.35 1,443.00 0.00 35,000.00 35,000.00 CAPITAL EQUIPMENT/CAPITAL IMP980.0000.00 0.00 0.00 0.00 1,500.00 1,500.00 RESERVE FOR EQUIPMENT PURCHASE980.5000.00 0.00 0.00 0.00 5,000.00 5,000.00 RESERVE FOR VEHICLE PURCHASE981.500
46.38 143,907.08 5,437.64 18,035.19 322,025.00 317,325.00 Total Expenditure:
46.38 143,907.08 5,437.64 18,035.19 322,025.00 317,325.00 Total Dept 265.000 - Township Buildings
Dept 276.000 - CEMETERYAccount Type: Expenditure
76.99 21,327.58 0.00 1,747.67 27,700.00 27,700.00 PART-TIME EMPLOYEE SALARIES706.00077.84 1,650.31 0.00 136.39 2,120.00 2,120.00 TOWNSHIP FICA715.0000.00 0.00 0.00 0.00 500.00 500.00 SUPPLIES & SMALL EQUIPMENT726.0000.00 0.00 0.00 0.00 200.00 200.00 VEHICLE FUEL751.000
58.33 245.00 0.00 35.00 420.00 420.00 PHONE/COMM/INTERNET853.0000.00 0.00 400.00 0.00 0.00 0.00 EQUIPMENT MAINT/REPAIR933.000
48.67 365.00 0.00 0.00 750.00 750.00 SUNDRY962.000100.00 20,012.09 0.00 0.00 20,012.00 20,012.00 DEBT SERVICE PRINCIPAL991.000100.02 1,894.39 0.00 0.00 1,894.00 1,894.00 INTEREST EXPENSE995.000
85.63 45,494.37 400.00 1,919.06 53,596.00 53,596.00 Total Expenditure:
85.63 45,494.37 400.00 1,919.06 53,596.00 53,596.00 Total Dept 276.000 - CEMETERY
Dept 299.000 - Other ExpensesAccount Type: Expenditure
57.67 865.00 0.00 575.00 1,500.00 1,500.00 PORTAGE/BASE LAKES GROSS WAGES708.00057.57 66.21 0.00 44.00 115.00 115.00 TOWNSHIP FICA715.00061.35 9,202.42 0.00 0.00 15,000.00 15,000.00 WORKERS' COMPENSATION717.00068.62 44,604.09 0.00 9,013.61 65,000.00 65,000.00 HEALTH CARE REIMBURSEMENT722.500180.29 32,452.59 0.00 0.00 18,000.00 18,000.00 LIABILITY/CASUALTY INSURANCE725.00071.16 8,489.76 2,184.57 1,271.86 15,000.00 15,000.00 SUPPLIES & SMALL EQUIPMENT726.00060.76 12,151.23 0.00 0.00 20,000.00 20,000.00 POSTAGE730.00054.00 270.00 0.00 75.00 500.00 500.00 ADDRESS SIGNS734.00060.34 15,084.90 0.00 0.00 25,000.00 25,000.00 CONTRACTUAL SERVICES801.0004.92 86.73 11.76 0.00 2,000.00 2,000.00 FOIA EXPENSES806.000
56.70 24,664.00 0.00 1,000.00 43,500.00 43,500.00 AUDIT820.0000.00 0.00 0.00 0.00 3,500.00 3,500.00 ENG/CONSULTANT/PROFESS FEES821.000
72.01 2,520.29 0.00 0.00 3,500.00 3,500.00 PHONE/COMM/INTERNET853.00066.15 1,653.81 0.00 709.32 2,500.00 2,500.00 EQUIPMENT MAINT/REPAIR933.00075.94 9,112.91 0.00 2,591.56 12,000.00 12,000.00 PAYROLL PROCESSING956.00072.49 362.47 0.00 0.00 500.00 500.00 DUES/SUBSCRIP/RECERTIFICATION958.000 9
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 7/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 101 - General FundExpenditures
51.45 1,029.04 0.00 0.00 2,000.00 2,000.00 SUNDRY962.00088.94 25,211.53 1,470.00 560.00 30,000.00 30,000.00 SPECIAL PROJECTS975.0000.00 0.00 0.00 0.00 3,000.00 3,000.00 RECORD RETENTION PROJECT975.2000.00 0.00 0.00 0.00 35,000.00 35,000.00 ADA COMPLIANCE PROJECTS975.800
44.44 3,599.99 0.00 0.00 8,100.00 8,100.00 CAPITAL EQUIPMENT/CAPITAL IMP980.00058.33 246,820.00 0.00 35,260.00 423,120.00 423,120.00 TRANSFER OUT RECREATION FUND998.20858.33 89,833.31 0.00 12,833.33 154,000.00 154,000.00 TRANSFER OUT WATER FUND998.591
60.23 528,080.28 3,666.33 63,933.68 882,835.00 882,835.00 Total Expenditure:
60.23 528,080.28 3,666.33 63,933.68 882,835.00 882,835.00 Total Dept 299.000 - Other Expenses
Dept 345.000 - Public Safety (Police & Fire)Account Type: Expenditure
62.50 650.00 0.00 130.00 1,040.00 1,040.00 PER DIEM702.00062.13 49.70 0.00 9.94 80.00 80.00 TOWNSHIP FICA715.000
62.47 699.70 0.00 139.94 1,120.00 1,120.00 Total Expenditure:Account Type: Transfers-Out
58.33 145,833.31 0.00 20,833.33 250,000.00 250,000.00 TRANSFER OUT POLICE OPERATIONS999.207
58.33 145,833.31 0.00 20,833.33 250,000.00 250,000.00 Total Transfers-Out:
58.35 146,533.01 0.00 20,973.27 251,120.00 251,120.00 Total Dept 345.000 - Public Safety (Police & Fire)
Dept 400.000 - Planning CommissionAccount Type: Expenditure
22.07 1,245.00 0.00 0.00 5,640.00 5,640.00 PER DIEM702.00062.50 750.00 0.00 0.00 1,200.00 1,200.00 PART-TIME EMPLOYEE SALARIES706.00026.99 141.15 0.00 0.00 523.00 523.00 TOWNSHIP FICA715.0000.00 0.00 0.00 0.00 150.00 150.00 SUPPLIES & SMALL EQUIPMENT726.0000.00 0.00 0.00 0.00 5,000.00 5,000.00 ENG/CONSULTANT/PROFESS FEES821.0000.00 0.00 0.00 0.00 1,000.00 1,000.00 LEGAL FEES826.0000.00 0.00 0.00 0.00 2,500.00 2,500.00 WORKSHOPS/SEMINARS864.000
21.57 755.00 0.00 270.00 3,500.00 3,500.00 LEGAL NOTICES/ADVERTISING900.0000.00 0.00 0.00 0.00 500.00 500.00 DUES/SUBSCRIP/RECERTIFICATION958.0000.00 0.00 0.00 0.00 50.00 50.00 SUNDRY962.000
14.41 2,891.15 0.00 270.00 20,063.00 20,063.00 Total Expenditure:
14.41 2,891.15 0.00 270.00 20,063.00 20,063.00 Total Dept 400.000 - Planning Commission
Dept 410.000 - ZoningAccount Type: Expenditure
55.19 25,393.28 0.00 3,627.20 46,010.00 46,010.00 FULL-TIME EMPLOYEE SALARIES705.00040.11 53,967.96 0.00 8,189.63 134,566.00 134,566.00 PART-TIME EMPLOYEE SALARIES706.0005.53 33.18 0.00 0.00 600.00 600.00 OVERTIME709.000
48.72 6,734.18 0.00 912.02 13,823.00 13,823.00 TOWNSHIP FICA715.00056.57 179.90 0.00 25.70 318.00 318.00 LONG/SHORT TERM DISABILITY719.00054.50 3,259.46 0.00 471.54 5,981.00 5,981.00 RETIREMENT720.00056.93 47.25 0.00 6.75 83.00 83.00 LIFE INSURANCE721.00062.10 13,365.66 0.00 1,769.76 21,523.00 21,523.00 HEALTH/DENTAL/VISION INSURANCE722.00018.68 289.54 (9.32)169.26 1,500.00 1,500.00 SUPPLIES & SMALL EQUIPMENT726.0000.00 0.00 0.00 0.00 750.00 750.00 STORM WATER DISCHARGE 736.0000.00 0.00 0.00 0.00 1,000.00 1,000.00 VEHICLE FUEL751.000 10
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 8/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 101 - General FundExpenditures
6.67 333.48 0.00 0.00 5,000.00 5,000.00 ENG/CONSULTANT/PROFESS FEES821.0006.19 2,476.00 0.00 0.00 40,000.00 40,000.00 LEGAL FEES826.000
43.75 735.00 0.00 105.00 1,680.00 1,680.00 PHONE/COMM/INTERNET853.0000.00 0.00 0.00 0.00 800.00 800.00 MILEAGE861.0002.00 50.00 0.00 0.00 2,500.00 2,500.00 WORKSHOPS/SEMINARS864.0000.00 0.00 0.00 0.00 10,000.00 10,000.00 CODIFICATION904.000
74.79 1,495.85 0.00 0.00 2,000.00 2,000.00 VEHICLE MAINTENANCE939.00033.42 902.25 0.00 0.00 2,700.00 2,700.00 DUES/SUBSCRIP/RECERTIFICATION958.00030.00 150.00 0.00 150.00 500.00 500.00 SUNDRY962.000
37.55 109,412.99 (9.32)15,426.86 291,334.00 291,334.00 Total Expenditure:
37.55 109,412.99 (9.32)15,426.86 291,334.00 291,334.00 Total Dept 410.000 - Zoning
Dept 412.000 - Zoning Board of AppealsAccount Type: Expenditure
52.49 2,110.00 0.00 270.00 4,020.00 4,020.00 PER DIEM702.00075.00 900.00 0.00 0.00 1,200.00 1,200.00 PART-TIME EMPLOYEE SALARIES706.00060.59 241.75 0.00 20.65 399.00 399.00 TOWNSHIP FICA715.0000.00 0.00 0.00 0.00 1,000.00 1,000.00 WORKSHOPS/SEMINARS864.000
86.33 1,295.00 0.00 330.00 1,500.00 1,500.00 LEGAL NOTICES/ADVERTISING900.0000.00 0.00 0.00 0.00 50.00 50.00 SUNDRY962.000
55.66 4,546.75 0.00 620.65 8,169.00 8,169.00 Total Expenditure:
55.66 4,546.75 0.00 620.65 8,169.00 8,169.00 Total Dept 412.000 - Zoning Board of Appeals
Dept 415.000 - LAKES, RIVERS & STREAMSAccount Type: Expenditure
0.00 0.00 0.00 0.00 2,000.00 2,000.00 DUES/SUBSCRIP/RECERTIFICATION958.000200.67 31,613.58 2,500.00 5,750.00 17,000.00 17,000.00 SPECIAL PROJECTS975.000
179.55 31,613.58 2,500.00 5,750.00 19,000.00 19,000.00 Total Expenditure:
179.55 31,613.58 2,500.00 5,750.00 19,000.00 19,000.00 Total Dept 415.000 - LAKES, RIVERS & STREAMS
Dept 450.000 - Street LightingAccount Type: Expenditure
46.95 8,215.54 0.00 1,326.33 17,500.00 17,500.00 STREET LIGHTING926.000
46.95 8,215.54 0.00 1,326.33 17,500.00 17,500.00 Total Expenditure:
46.95 8,215.54 0.00 1,326.33 17,500.00 17,500.00 Total Dept 450.000 - Street Lighting
Dept 803.000 - HISTORICAL MUSEUMAccount Type: Expenditure
54.96 15,089.80 0.00 2,164.80 27,456.00 27,456.00 PART-TIME EMPLOYEE SALARIES706.00054.97 1,154.34 0.00 165.61 2,100.00 2,100.00 TOWNSHIP FICA715.0000.00 0.00 0.00 0.00 50.00 50.00 SUPPLIES & SMALL EQUIPMENT726.000
50.79 761.82 0.00 0.00 1,500.00 1,500.00 PHONE/COMM/INTERNET853.00031.04 434.59 0.00 79.00 1,400.00 1,400.00 ELECTRIC921.00075.00 466.50 0.00 311.00 622.00 622.00 SEWER USAGE922.00033.20 597.53 0.00 394.64 1,800.00 1,800.00 NATURAL GAS/HEAT923.000
52.98 18,504.58 0.00 3,115.05 34,928.00 34,928.00 Total Expenditure:11
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 9/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 101 - General FundExpenditures
52.98 18,504.58 0.00 3,115.05 34,928.00 34,928.00 Total Dept 803.000 - HISTORICAL MUSEUM
56.72 2,195,860.10 13,215.23 285,050.88 3,894,867.00 3,800,322.00 TOTAL EXPENDITURES
32.99 132,149.19 (15,101.09)(226,846.44)(354,782.00)(354,782.00)NET OF REVENUES & EXPENDITURES
56.72 2,195,860.10 13,215.23 285,050.88 3,894,867.00 3,800,322.00 TOTAL EXPENDITURES65.71 2,328,009.29 (1,885.86)58,204.44 3,540,085.00 3,445,540.00 TOTAL REVENUES
Fund 101 - General Fund:
12
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 10/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 204 - Road FundRevenuesDept 000.000Account Type: Revenue
100.65 1,097,386.50 0.00 0.00 1,090,283.00 1,090,283.00 CURRENT PROPERTY TAX402.0000.61 24.51 0.00 0.00 4,000.00 4,000.00 DELINQUENT PP TAX414.000
(6.20)(930.12)0.00 185.32 15,000.00 15,000.00 INTEREST REVENUE664.000
98.85 1,096,480.89 0.00 185.32 1,109,283.00 1,109,283.00 Total Revenue:Account Type: Transfers-In
0.00 0.00 0.00 0.00 190,717.00 190,717.00 APPROPRIATION FROM SURPLUS699.999
0.00 0.00 0.00 0.00 190,717.00 190,717.00 Total Transfers-In:
84.34 1,096,480.89 0.00 185.32 1,300,000.00 1,300,000.00 Total Dept 000.000
84.34 1,096,480.89 0.00 185.32 1,300,000.00 1,300,000.00 TOTAL REVENUES
ExpendituresDept 000.000Account Type: Expenditure
85.65 1,113,417.38 0.00 0.00 1,300,000.00 1,300,000.00 ROAD IMPROVEMENTS802.100
85.65 1,113,417.38 0.00 0.00 1,300,000.00 1,300,000.00 Total Expenditure:
85.65 1,113,417.38 0.00 0.00 1,300,000.00 1,300,000.00 Total Dept 000.000
85.65 1,113,417.38 0.00 0.00 1,300,000.00 1,300,000.00 TOTAL EXPENDITURES
100.00 (16,936.49)0.00 185.32 0.00 0.00 NET OF REVENUES & EXPENDITURES
85.65 1,113,417.38 0.00 0.00 1,300,000.00 1,300,000.00 TOTAL EXPENDITURES84.34 1,096,480.89 0.00 185.32 1,300,000.00 1,300,000.00 TOTAL REVENUES
Fund 204 - Road Fund:
13
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 11/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 206 - Fire FundRevenuesDept 000.000Account Type: Revenue
100.29 1,920,547.86 0.00 0.00 1,915,079.00 1,915,079.00 CURRENT PROPERTY TAX402.0000.00 0.00 0.00 0.00 5,000.00 5,000.00 PERS PROPERTY TAX REIMB - STATE OF MI402.100
42.97 42.97 0.00 0.00 100.00 100.00 DELINQUENT PP TAX414.0000.00 0.00 0.00 0.00 50.00 50.00 FIRE INSPECTION FEES 476.000
100.00 143,550.00 0.00 0.00 143,550.00 0.00 FEDERAL GRANT REVENUE501.000100.00 10,195.00 0.00 0.00 10,195.00 0.00 STATE GRANTS566.000100.00 5.00 0.00 0.00 0.00 0.00 COPIES/MAPS636.000(8.73)(1,309.49)0.00 174.85 15,000.00 15,000.00 INTEREST REVENUE664.000100.00 2,120.00 0.00 0.00 2,120.00 500.00 REIMBURSEMENTS & COST RECOVERY676.000100.00 290.00 0.00 290.00 0.00 0.00 FIRE TRAINING REVENUE678.500100.00 50.00 0.00 0.00 0.00 0.00 SUNDRY692.000
99.25 2,075,491.34 0.00 464.85 2,091,094.00 1,935,729.00 Total Revenue:Account Type: Transfers-In
(0.06)0.00 (505.30)0.00 858,967.00 1,002,365.00 APPROPRIATION FROM SURPLUS699.999
(0.06)0.00 (505.30)0.00 858,967.00 1,002,365.00 Total Transfers-In:
70.34 2,075,491.34 (505.30)464.85 2,950,061.00 2,938,094.00 Total Dept 000.000
70.34 2,075,491.34 (505.30)464.85 2,950,061.00 2,938,094.00 TOTAL REVENUES
ExpendituresDept 000.000Account Type: Expenditure
60.08 192,053.42 0.00 27,155.30 319,655.00 319,655.00 FULL-TIME EMPLOYEE SALARIES705.0000.00 0.00 0.00 0.00 3,055.00 3,055.00 LEAVE TIME PAYOUT705.500
91.25 16,227.66 0.00 2,271.58 17,784.00 17,784.00 PART-TIME EMPLOYEE SALARIES706.00055.99 293,936.36 0.00 40,219.27 525,000.00 525,000.00 PAID ON CALL FIRE707.50046.61 6,525.52 0.00 1,754.68 14,000.00 14,000.00 OVERTIME709.00058.33 2,450.00 0.00 350.00 4,200.00 4,200.00 PAY IN LIEU OF MEDICAL INS710.00058.95 39,369.30 0.00 5,632.22 66,780.00 66,780.00 TOWNSHIP FICA715.00058.71 29,972.13 0.00 0.00 51,047.00 51,047.00 WORKERS' COMPENSATION717.00086.75 5,620.26 0.00 160.18 6,479.00 6,479.00 LONG/SHORT TERM DISABILITY719.00067.94 21,599.81 0.00 3,213.89 31,792.00 31,792.00 RETIREMENT720.00056.70 226.80 0.00 32.40 400.00 400.00 LIFE INSURANCE721.00058.69 43,574.99 0.00 5,864.06 74,252.00 74,252.00 HEALTH/DENTAL/VISION INSURANCE722.000198.42 53,572.38 0.00 0.00 27,000.00 27,000.00 LIABILITY/CASUALTY INSURANCE725.00056.30 4,156.51 2,599.33 409.50 12,000.00 12,000.00 SUPPLIES & SMALL EQUIPMENT726.00090.09 10,319.05 491.43 1,063.50 12,000.00 12,000.00 MEDICAL AND SCENE SUPPLIES727.0004.00 119.88 0.00 0.00 3,000.00 3,000.00 SOFTWARE MAINTENANCE729.000
87.59 10,476.80 15,801.15 1,524.07 30,000.00 30,000.00 VEHICLE FUEL751.00052.01 5,452.84 1,828.10 576.01 14,000.00 14,000.00 UNIFORMS/ACCESSORIES758.00016.87 59.50 5,000.00 59.50 30,000.00 30,000.00 TURN OUT GEAR759.00076.01 8,358.58 307.03 91.35 11,400.00 8,000.00 CONTRACTUAL SERVICES801.00080.08 20,021.00 0.00 0.00 25,000.00 25,000.00 EMPLOYEE PHYSICALS/VACCINATION808.00049.35 987.00 0.00 153.00 2,000.00 2,000.00 TRASH DISPOSAL813.00092.24 922.40 0.00 0.00 1,000.00 1,000.00 LEGAL FEES826.00087.81 7,516.60 2,142.12 2,102.98 11,000.00 11,000.00 PHONE/COMM/INTERNET853.00075.00 3,000.00 0.00 0.00 4,000.00 4,000.00 HAZMAT YEARLY DUES870.000109.40 1,859.80 0.00 384.50 1,700.00 1,700.00 WATER USAGE899.000
0.00 0.00 0.00 0.00 3,000.00 3,000.00 LEGAL NOTICES/ADVERTISING900.00045.81 16,031.98 0.00 5,252.94 35,000.00 35,000.00 ELECTRIC921.000 14
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 12/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 206 - Fire FundExpenditures
38.98 779.64 0.00 134.20 2,000.00 2,000.00 SIREN ELECTRIC USAGE921.10049.76 1,244.00 0.00 622.00 2,500.00 2,500.00 SEWER USAGE922.00019.91 49.77 0.00 49.77 250.00 250.00 DIESEL FUEL923.50092.83 22,549.53 656.82 3,708.71 25,000.00 25,000.00 MAINTENANCE FIRE HALL932.00359.55 758.00 592.00 0.00 2,267.00 1,200.00 MAINTENANCE - FERTILIZER932.02061.76 6,470.46 2,792.81 1,436.13 15,000.00 15,000.00 EQUIPMENT MAINT/REPAIR933.000146.09 5,113.25 0.00 0.00 3,500.00 1,000.00 EMERGENCY SIREN MAINTENANCE/REPAIRS933.100106.54 23,082.68 24,861.94 1,541.99 45,000.00 40,000.00 VEHICLE MAINTENANCE939.00069.19 3,409.55 50.00 0.00 5,000.00 5,000.00 DUES/SUBSCRIP/RECERTIFICATION958.000(2.45)431.89 (505.30)0.00 3,000.00 3,000.00 SUNDRY962.00024.62 6,969.01 416.54 1,300.60 30,000.00 30,000.00 TRAINING965.00016.39 1,138.96 500.00 770.14 10,000.00 10,000.00 FIRE PREVENTION966.5000.00 0.00 0.00 0.00 20,000.00 20,000.00 RESERVE FOR FUTURE SCBA970.7602.33 349.50 0.00 0.00 15,000.00 15,000.00 SPECIAL PROJECTS975.000
49.19 116,994.89 10,909.94 48,442.58 260,000.00 260,000.00 CAPITAL EQUIPMENT/CAPITAL IMP980.00098.30 1,155,053.54 0.00 0.00 1,175,000.00 1,175,000.00 CAPITAL EXPENSE - VEHICLE981.000
74.82 2,138,805.24 68,443.91 156,277.05 2,950,061.00 2,938,094.00 Total Expenditure:
74.82 2,138,805.24 68,443.91 156,277.05 2,950,061.00 2,938,094.00 Total Dept 000.000
74.82 2,138,805.24 68,443.91 156,277.05 2,950,061.00 2,938,094.00 TOTAL EXPENDITURES
100.00 (63,313.90)(68,949.21)(155,812.20)0.00 0.00 NET OF REVENUES & EXPENDITURES
74.82 2,138,805.24 68,443.91 156,277.05 2,950,061.00 2,938,094.00 TOTAL EXPENDITURES70.34 2,075,491.34 (505.30)464.85 2,950,061.00 2,938,094.00 TOTAL REVENUES
Fund 206 - Fire Fund:
15
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 13/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 207 - Police FundRevenuesDept 000.000Account Type: Revenue
100.29 2,772,511.31 0.00 0.00 2,764,593.00 2,764,593.00 CURRENT PROPERTY TAX402.0000.00 0.00 0.00 0.00 4,500.00 4,500.00 PERS PROPERTY TAX REIMB - STATE OF MI402.100
100.00 60.48 0.00 0.00 0.00 0.00 DELINQUENT PP TAX414.00099.34 8,741.70 0.00 0.00 8,800.00 8,800.00 LIQUOR LICENSE FEES452.00033.33 30.00 0.00 0.00 90.00 90.00 SOLICITATION FEES481.000100.00 143,550.00 0.00 0.00 143,550.00 0.00 FEDERAL GRANT REVENUE501.00041.00 205.00 0.00 5.00 500.00 500.00 BREATHALIZER TEST REQUIRED602.00046.80 234.02 0.00 0.00 500.00 500.00 SALVAGE VEHICLE INSPECTION603.00089.60 224.00 0.00 10.00 250.00 100.00 GUN PERM/FINGERPRINTS/VIN INSP629.000130.83 1,308.29 0.00 189.70 1,000.00 750.00 COPIES/MAPS636.00026.80 6,699.81 0.00 1,032.90 25,000.00 25,000.00 ORDINANCE FINES657.000(10.51)(788.09)0.00 137.56 7,500.00 7,500.00 INTEREST REVENUE664.00027.03 2,027.25 0.00 0.00 7,500.00 7,500.00 SALE OF FIXED ASSETS673.00022.21 1,443.74 0.00 0.00 6,500.00 6,500.00 REIMBURSEMENTS & COST RECOVERY676.000134.81 1,004.30 0.00 0.00 745.00 0.00 OVERTIME REIMB - OTHER 676.20060.80 152.00 0.00 0.00 250.00 250.00 SUNDRY692.000
98.86 2,937,403.81 0.00 1,375.16 2,971,278.00 2,826,583.00 Total Revenue:Account Type: Transfers-In
58.33 145,833.31 0.00 20,833.33 250,000.00 250,000.00 TRANSFER IN 101-OPERATIONS699.1010.00 0.00 0.00 0.00 (93,815.00)18,182.00 APPROPRIATION FROM SURPLUS699.999
93.37 145,833.31 0.00 20,833.33 156,185.00 268,182.00 Total Transfers-In:
98.59 3,083,237.12 0.00 22,208.49 3,127,463.00 3,094,765.00 Total Dept 000.000
98.59 3,083,237.12 0.00 22,208.49 3,127,463.00 3,094,765.00 TOTAL REVENUES
ExpendituresDept 000.000Account Type: Expenditure
59.59 848,989.25 0.00 117,292.42 1,424,680.00 1,424,680.00 FULL-TIME EMPLOYEE SALARIES705.0000.00 0.00 0.00 0.00 1,510.00 1,510.00 LEAVE TIME PAYOUT705.500
61.23 14,554.10 0.00 1,898.39 23,768.00 23,768.00 PART-TIME EMPLOYEE SALARIES706.00067.09 46,966.18 0.00 3,333.26 70,000.00 70,000.00 OVERTIME709.00091.94 69,877.45 0.00 30,810.76 76,000.00 76,000.00 HOLIDAY PAY709.50058.33 2,800.00 0.00 400.00 4,800.00 4,800.00 PAY IN LIEU OF MEDICAL INS710.00062.02 75,285.41 0.00 11,767.89 121,391.00 121,391.00 TOWNSHIP FICA715.00058.26 25,538.33 0.00 0.00 43,838.00 43,838.00 WORKERS' COMPENSATION717.00057.13 4,493.16 0.00 641.88 7,865.00 7,865.00 LONG/SHORT TERM DISABILITY719.00054.48 143,369.25 0.00 2,041.30 263,138.00 263,138.00 RETIREMENT720.0000.00 0.00 0.00 0.00 250,000.00 250,000.00 MERS FUNDING DEFICIENCY 720.500
56.63 812.70 0.00 116.10 1,435.00 1,435.00 LIFE INSURANCE721.00072.50 170,143.00 0.00 22,041.69 234,686.00 234,686.00 HEALTH/DENTAL/VISION INSURANCE722.000100.00 88,000.00 0.00 0.00 88,000.00 82,500.00 RETIREE HEALTH INSURANCE723.000174.20 125,425.70 0.00 0.00 72,000.00 72,000.00 LIABILITY/CASUALTY INSURANCE725.00088.96 4,800.42 4,095.64 2,111.79 10,000.00 10,000.00 SUPPLIES & SMALL EQUIPMENT726.00089.55 4,754.62 618.28 953.96 6,000.00 6,000.00 AMMUNITION726.1000.00 0.00 0.00 0.00 5,500.00 5,500.00 EQUIPMENT ALLOWANCE726.500
99.86 9,057.28 14,110.00 0.00 23,200.00 15,000.00 SOFTWARE MAINTENANCE729.0000.00 0.00 0.00 0.00 150.00 150.00 POSTAGE730.000
100.00 17,197.74 27,802.26 2,810.93 45,000.00 45,000.00 VEHICLE FUEL751.000100.00 4,999.99 0.00 0.00 5,000.00 0.00 ACCREDITATION EXPENSES756.000 16
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 14/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 207 - Police FundExpenditures
108.67 4,477.79 6,389.20 2,356.85 10,000.00 10,000.00 UNIFORMS/ACCESSORIES758.00089.73 2,060.35 1,529.00 443.50 4,000.00 4,000.00 UNIFORM CLEANING758.500100.00 4,615.61 582.39 112.06 5,198.00 1,200.00 CONTRACTUAL SERVICES801.000
0.00 0.00 0.00 0.00 5,000.00 5,000.00 SWAT TEAM EXPENSES807.00013.90 0.00 139.00 0.00 1,000.00 1,000.00 CODE ENFORCEMENT EXPENSES807.00179.06 4,743.84 0.00 633.36 6,000.00 6,000.00 JANITORIAL SERVICES809.00043.40 3,255.00 0.00 0.00 7,500.00 7,500.00 LEGAL FEES826.00080.48 6,762.16 2,895.59 730.07 12,000.00 12,000.00 PHONE/COMM/INTERNET853.00085.65 4,167.63 971.20 50.00 6,000.00 6,000.00 LAW ENFORCEMENT INFO NETWORK 871.00041.38 6,207.18 0.00 1,002.02 15,000.00 15,000.00 ELECTRIC921.00058.05 1,741.60 0.00 870.80 3,000.00 3,000.00 SEWER USAGE922.00047.82 956.42 0.00 464.44 2,000.00 2,000.00 NATURAL GAS/HEAT923.00029.56 73.89 0.00 73.89 250.00 250.00 DIESEL FUEL923.50072.11 8,322.89 (1,111.51)1,718.50 10,000.00 10,000.00 MAINTENANCE POLICE BUILDING932.00290.00 0.00 450.00 0.00 500.00 500.00 MAINTENANCE - FERTILIZER932.02066.00 1,102.60 877.40 147.00 3,000.00 3,000.00 EQUIPMENT MAINT/REPAIR933.000107.94 27,463.79 23,805.38 3,162.28 47,500.00 40,000.00 VEHICLE MAINTENANCE939.00079.33 773.00 417.00 280.00 1,500.00 1,500.00 DUES/SUBSCRIP/RECERTIFICATION958.00010.27 308.00 0.00 0.00 3,000.00 3,000.00 SUNDRY962.00039.71 3,221.77 749.00 50.00 10,000.00 10,000.00 TRAINING965.00021.04 1,824.27 700.00 504.05 12,000.00 12,000.00 SPECIAL PROJECTS975.00099.98 60,985.69 4,000.00 0.00 65,000.00 62,500.00 CAPITAL EQUIPMENT/CAPITAL IMP980.000107.58 62,278.00 66,820.00 0.00 120,000.00 120,000.00 CAPITAL EXPENSE - VEHICLE981.000
64.53 1,862,406.06 155,839.83 208,819.19 3,127,409.00 3,094,711.00 Total Expenditure:
64.53 1,862,406.06 155,839.83 208,819.19 3,127,409.00 3,094,711.00 Total Dept 000.000
64.53 1,862,406.06 155,839.83 208,819.19 3,127,409.00 3,094,711.00 TOTAL EXPENDITURES
1,972,205.98 1,220,831.06 (155,839.83)(186,610.70)54.00 54.00 NET OF REVENUES & EXPENDITURES
64.53 1,862,406.06 155,839.83 208,819.19 3,127,409.00 3,094,711.00 TOTAL EXPENDITURES98.59 3,083,237.12 0.00 22,208.49 3,127,463.00 3,094,765.00 TOTAL REVENUES
Fund 207 - Police Fund:
17
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 15/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 208 - SENIORS, PARKS, LL TRAILRevenuesDept 000.000Account Type: Revenue
100.00 0.76 0.00 0.00 0.00 0.00 DELINQUENT PP TAX414.00014.94 1,344.95 0.00 104.40 9,000.00 9,000.00 INTEREST REVENUE664.000
14.95 1,345.71 0.00 104.40 9,000.00 9,000.00 Total Revenue:Account Type: Transfers-In
58.33 246,820.00 0.00 35,260.00 423,120.00 423,120.00 TRANSFER IN 101-OPERATIONS699.1010.00 0.00 0.00 0.00 (920.00)0.00 APPROPRIATION FROM SURPLUS699.999
58.46 246,820.00 0.00 35,260.00 422,200.00 423,120.00 Total Transfers-In:
57.55 248,165.71 0.00 35,364.40 431,200.00 432,120.00 Total Dept 000.000
Dept 750.000 - Recreation BoardAccount Type: Revenue
109.54 6,433.17 0.00 0.00 5,873.00 5,000.00 PARKS & RECREATION FEES651.0000.00 0.00 0.00 0.00 472.00 0.00 CONTRIBUTIONS/DONATIONS/GRANTS675.000
101.39 6,433.17 0.00 0.00 6,345.00 5,000.00 Total Revenue:
101.39 6,433.17 0.00 0.00 6,345.00 5,000.00 Total Dept 750.000 - Recreation Board
Dept 800.000 - LAKELAND TRAIL Account Type: Revenue
100.00 472.43 0.00 0.00 0.00 0.00 CONTRIBUTIONS/DONATIONS/GRANTS675.000
100.00 472.43 0.00 0.00 0.00 0.00 Total Revenue:
100.00 472.43 0.00 0.00 0.00 0.00 Total Dept 800.000 - LAKELAND TRAIL
58.30 255,071.31 0.00 35,364.40 437,545.00 437,120.00 TOTAL REVENUES
ExpendituresDept 750.000 - Recreation BoardAccount Type: Expenditure
20.00 780.00 0.00 0.00 3,900.00 3,900.00 PER DIEM702.00055.19 17,453.85 0.00 2,493.12 31,624.00 31,624.00 FULL-TIME EMPLOYEE SALARIES705.00070.57 1,405.71 0.00 190.72 1,992.00 1,992.00 TOWNSHIP FICA715.000105.18 289.25 0.00 0.00 275.00 275.00 WORKERS' COMPENSATION717.00056.67 123.55 0.00 17.65 218.00 218.00 LONG/SHORT TERM DISABILITY719.00083.64 2,221.54 0.00 324.10 2,656.00 2,656.00 RETIREMENT720.00056.97 33.04 0.00 4.72 58.00 58.00 LIFE INSURANCE721.00061.72 9,298.49 0.00 1,238.83 15,066.00 15,066.00 HEALTH/DENTAL/VISION INSURANCE722.000128.84 966.30 0.00 0.00 750.00 750.00 LIABILITY/CASUALTY INSURANCE725.00022.21 777.32 0.00 19.53 3,500.00 3,500.00 SUPPLIES & SMALL EQUIPMENT726.0000.00 0.00 0.00 0.00 100.00 100.00 VEHICLE FUEL751.000
13.57 141.36 0.00 0.00 1,042.00 1,042.00 JANITORIAL SERVICES809.000189.00 756.00 0.00 126.00 400.00 200.00 TRASH DISPOSAL813.000133.33 4,500.00 3,500.00 0.00 6,000.00 6,000.00 ENG/CONSULTANT/PROFESS FEES821.000
0.00 0.00 0.00 0.00 1,000.00 1,000.00 WORKSHOPS/SEMINARS864.00025.00 25.00 0.00 0.00 100.00 100.00 LEGAL NOTICES/ADVERTISING900.0000.00 0.00 0.00 0.00 100.00 100.00 PRINTING902.100
46.55 1,862.14 0.00 153.59 4,000.00 4,000.00 ELECTRIC921.00049.76 311.00 0.00 155.50 625.00 625.00 SEWER USAGE922.000
18
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 16/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 208 - SENIORS, PARKS, LL TRAILExpenditures
47.57 713.61 0.00 0.00 1,500.00 1,500.00 DIESEL FUEL923.50083.82 4,043.47 1,824.00 0.00 7,000.00 7,000.00 MAINTENANCE PARK BUILDINGS932.00551.22 6,755.00 3,745.00 0.00 20,500.00 20,500.00 MAINTENANCE - FERTILIZER932.0200.00 0.00 0.00 0.00 700.00 700.00 EQUIPMENT MAINT/REPAIR933.0000.00 0.00 0.00 0.00 5,000.00 5,000.00 PLAYGROUND/FIELD REPAIR934.000
100.00 1,200.00 0.00 0.00 1,200.00 975.00 PLAYGROUND INSPECTION934.20062.11 4,940.00 960.00 220.00 9,500.00 9,500.00 PORTABLE TOILETS941.0000.00 0.00 0.00 0.00 2,000.00 2,000.00 EVENT COMMITTEE EXPENSE942.000
83.33 291.67 0.00 0.00 350.00 350.00 DUES/SUBSCRIP/RECERTIFICATION958.0001.20 11.99 0.00 0.00 1,000.00 1,000.00 SUNDRY962.0000.00 0.00 0.00 0.00 3,000.00 3,000.00 SPECIAL PROJECTS - BASEBALL FENCING975.7000.00 0.00 0.00 0.00 5,000.00 5,000.00 SPECIAL PROJECTS - TRUNCATED DOME 975.701
18.96 4,825.00 2,758.96 0.00 40,000.00 40,000.00 SPECIAL PROJECTS - MISC IMPROVEMENT975.96278.84 15,767.35 0.00 0.00 20,000.00 20,000.00 CAPITAL EQUIPMENT/CAPITAL IMP980.0000.00 0.00 0.00 0.00 20,000.00 20,000.00 RESERVE FOR EQUIPMENT PURCHASE980.500
43.91 79,492.64 12,787.96 4,943.76 210,156.00 209,731.00 Total Expenditure:
43.91 79,492.64 12,787.96 4,943.76 210,156.00 209,731.00 Total Dept 750.000 - Recreation Board
Dept 800.000 - LAKELAND TRAIL Account Type: Expenditure
98.87 228.38 0.00 0.00 231.00 231.00 LIABILITY/CASUALTY INSURANCE725.0000.00 0.00 0.00 0.00 500.00 500.00 ENG/CONSULTANT/PROFESS FEES821.0000.00 0.00 0.00 0.00 100.00 100.00 LEGAL FEES826.0000.00 0.00 0.00 0.00 20.00 20.00 PRINTING902.100
51.29 128.23 0.00 23.33 250.00 250.00 ELECTRIC921.0000.00 0.00 0.00 0.00 30,000.00 30,000.00 RESERVE FOR LL TRAIL MAINTENANCE932.018
13.55 2,032.22 0.00 0.00 15,000.00 15,000.00 LAKELAND TRAIL MAINTENANCE 938.0000.00 0.00 0.00 0.00 1,600.00 1,600.00 LL TRAIL RAILROAD MAINT FEE938.500
68.72 3,150.00 870.00 330.00 5,850.00 5,850.00 PORTABLE TOILETS941.0000.00 0.00 0.00 0.00 500.00 500.00 SUNDRY962.000
100.00 1,699.60 0.00 0.00 0.00 0.00 GRANT MATCH975.300
15.00 7,238.43 870.00 353.33 54,051.00 54,051.00 Total Expenditure:
15.00 7,238.43 870.00 353.33 54,051.00 54,051.00 Total Dept 800.000 - LAKELAND TRAIL
Dept 805.000 - SENIOR CENTERAccount Type: Expenditure
55.19 24,716.72 0.00 3,531.20 44,782.00 44,782.00 FULL-TIME EMPLOYEE SALARIES705.00048.24 10,943.69 0.00 1,243.92 22,688.00 22,688.00 PART-TIME EMPLOYEE SALARIES706.0000.00 0.00 0.00 0.00 500.00 500.00 OVERTIME709.000
52.98 2,754.73 0.00 369.12 5,200.00 5,200.00 TOWNSHIP FICA715.00055.42 496.58 0.00 0.00 896.00 896.00 WORKERS' COMPENSATION717.00056.67 166.60 0.00 23.80 294.00 294.00 LONG/SHORT TERM DISABILITY719.00054.72 3,213.15 0.00 459.06 5,872.00 5,872.00 RETIREMENT720.00056.93 47.25 0.00 6.75 83.00 83.00 LIFE INSURANCE721.00059.43 12,791.91 0.00 1,769.76 21,523.00 21,523.00 HEALTH/DENTAL/VISION INSURANCE722.00094.63 2,554.92 0.00 0.00 2,700.00 2,700.00 LIABILITY/CASUALTY INSURANCE725.00029.81 579.21 16.99 23.98 2,000.00 2,000.00 SUPPLIES & SMALL EQUIPMENT726.00051.53 4,015.16 5,775.34 2,680.76 19,000.00 19,000.00 CONTRACTUAL SERVICES801.00072.43 1,898.43 274.56 500.00 3,000.00 3,000.00 SENIOR PROGRAMS804.00069.18 588.00 0.00 84.00 850.00 850.00 TRASH DISPOSAL813.000113.59 2,726.14 0.00 277.54 2,400.00 2,400.00 PHONE/COMM/INTERNET853.000
0.00 0.00 0.00 0.00 500.00 500.00 MILEAGE861.00019
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 17/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 208 - SENIORS, PARKS, LL TRAILExpenditures
0.00 0.00 0.00 0.00 800.00 800.00 WORKSHOPS/SEMINARS864.00070.67 1,517.57 3,782.43 0.00 7,500.00 7,500.00 NEWSLETTER/PUBLICATIONS902.00034.09 1,704.73 0.00 361.71 5,000.00 5,000.00 ELECTRIC921.00050.12 877.02 0.00 438.51 1,750.00 1,750.00 SEWER USAGE922.00050.53 1,010.52 0.00 708.55 2,000.00 2,000.00 NATURAL GAS/HEAT923.00077.87 3,100.71 5,076.02 889.92 10,500.00 10,500.00 MAINTENANCE COMM CENTER932.00190.00 0.00 450.00 0.00 500.00 500.00 MAINTENANCE - FERTILIZER932.02026.67 278.63 121.37 0.00 1,500.00 1,500.00 EQUIPMENT MAINT/REPAIR933.0000.00 0.00 0.00 0.00 2,000.00 2,000.00 IMPROVEMENTS937.000
85.62 428.09 0.00 0.00 500.00 500.00 DUES/SUBSCRIP/RECERTIFICATION958.0000.00 0.00 0.00 0.00 1,000.00 1,000.00 SUNDRY962.000
15.10 1,208.13 0.00 0.00 8,000.00 8,000.00 CAPITAL EQUIPMENT/CAPITAL IMP980.000
53.72 77,617.89 15,496.71 13,368.58 173,338.00 173,338.00 Total Expenditure:
53.72 77,617.89 15,496.71 13,368.58 173,338.00 173,338.00 Total Dept 805.000 - SENIOR CENTER
44.22 164,348.96 29,154.67 18,665.67 437,545.00 437,120.00 TOTAL EXPENDITURES
100.00 90,722.35 (29,154.67)16,698.73 0.00 0.00 NET OF REVENUES & EXPENDITURES
44.22 164,348.96 29,154.67 18,665.67 437,545.00 437,120.00 TOTAL EXPENDITURES58.30 255,071.31 0.00 35,364.40 437,545.00 437,120.00 TOTAL REVENUES
Fund 208 - SENIORS, PARKS, LL TRAIL:
20
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 18/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 590 - SEWER FUNDRevenuesDept 001.000Account Type: Revenue
54.42 802,662.62 0.00 156,388.23 1,475,000.00 1,475,000.00 O&M USAGE FEES623.00041.18 11,118.86 0.00 3,607.02 27,000.00 27,000.00 O&M LATE PENALTY623.001100.21 22,045.85 0.00 0.00 22,000.00 22,000.00 ADMIN FEE FOR DELINQ ON TAXES623.500(0.65)(64.64)0.00 71.93 10,000.00 10,000.00 INTEREST REVENUE - O&M ACCOUNTS664.00150.95 9,421.12 0.00 1,583.63 18,492.00 18,492.00 RENTAL INCOME 667.00024.45 6,111.29 0.00 0.00 25,000.00 25,000.00 REIMBURSEMENTS & COST RECOVERY676.0000.00 0.00 0.00 0.00 2,000.00 2,000.00 SUNDRY692.000
53.90 851,295.10 0.00 161,650.81 1,579,492.00 1,579,492.00 Total Revenue:Account Type: Transfers-In
0.00 0.00 0.00 0.00 1,123,017.94 1,140,494.00 APPROPRIATION FROM SURPLUS699.999
0.00 0.00 0.00 0.00 1,123,017.94 1,140,494.00 Total Transfers-In:
31.50 851,295.10 0.00 161,650.81 2,702,509.94 2,719,986.00 Total Dept 001.000
Dept 002.000Account Type: Revenue
48.82 34,416.00 0.00 0.00 70,500.00 70,500.00 OTHER REVENUE - CONTRACT SERVICE671.00035.56 5,333.28 0.00 0.00 15,000.00 15,000.00 OTHER REVENUE - PORTAGE ADD'L SERVICES671.100
46.49 39,749.28 0.00 0.00 85,500.00 85,500.00 Total Revenue:
46.49 39,749.28 0.00 0.00 85,500.00 85,500.00 Total Dept 002.000
Dept 003.000Account Type: Revenue
102.52 16,197.76 0.00 400.00 15,800.00 15,800.00 NON-TAX ADMIN FEE607.00038.57 13,500.00 0.00 4,500.00 35,000.00 35,000.00 DIRECT TAP FEE617.00046.00 11,500.00 0.00 0.00 25,000.00 25,000.00 INDIRECT TAP FEE618.00013.68 6,840.09 0.00 0.00 50,000.00 50,000.00 GRINDER PUMP INSTALLATION620.00076.23 38,116.74 0.00 3,456.00 50,000.00 50,000.00 GRINDER PUMP PURCHASE621.000130.56 9,400.00 0.00 400.00 7,200.00 5,000.00 APPLICATION FEES - SEWERS622.000100.00 34,171.06 0.00 0.00 34,171.06 0.00 CONTRIBUTED CAPITAL FROM OTHER650.000(0.17)(50.91)0.00 299.79 30,000.00 30,000.00 INTEREST REVENUE - CAPITAL ACCTS664.002
52.46 129,674.74 0.00 9,055.79 247,171.06 210,800.00 Total Revenue:
52.46 129,674.74 0.00 9,055.79 247,171.06 210,800.00 Total Dept 003.000
Dept 004.000Account Type: Revenue
51.13 332,372.07 0.00 64,768.32 650,000.00 650,000.00 WWTP DEBT FEE624.00038.72 4,646.74 0.00 1,513.98 12,000.00 12,000.00 WWTP DEBT LATE PENALTY624.001(1.58)(315.72)0.00 274.98 20,000.00 20,000.00 INTEREST REVENUE SAD'S & OTHER664.003261.40 156,837.59 0.00 0.00 60,000.00 60,000.00 SPECIAL ASSESSMENTS REVENUE672.000
66.51 493,540.68 0.00 66,557.28 742,000.00 742,000.00 Total Revenue:
66.51 493,540.68 0.00 66,557.28 742,000.00 742,000.00 Total Dept 004.000
Dept 005.000Account Type: Revenue
21
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 19/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 590 - SEWER FUNDRevenues
140.00 1,400.00 0.00 0.00 1,000.00 1,000.00 WATER CONNECTION ADM FEE607.100100.00 200.00 0.00 0.00 200.00 200.00 WATER METER INSTALLATION620.100111.50 33,450.72 0.00 0.00 30,000.00 30,000.00 WATER CHARGE O&M625.00075.00 374.98 0.00 111.10 500.00 500.00 WATER CHARGE PENALTY (10%)625.001100.00 (107.14)0.00 0.00 0.00 0.00 INTEREST REVENUE - O&M ACCOUNTS664.001
111.42 35,318.56 0.00 111.10 31,700.00 31,700.00 Total Revenue:
111.42 35,318.56 0.00 111.10 31,700.00 31,700.00 Total Dept 005.000
40.68 1,549,578.36 0.00 237,374.98 3,808,881.00 3,789,986.00 TOTAL REVENUES
ExpendituresDept 001.000Account Type: Expenditure
50.00 780.00 0.00 130.00 1,560.00 1,560.00 PER DIEM702.00062.57 280,867.36 0.00 38,603.73 448,918.00 448,918.00 FULL-TIME EMPLOYEE SALARIES705.0000.00 0.00 0.00 0.00 1,121.00 1,121.00 LEAVE TIME PAYOUT705.500
19.37 1,427.28 0.00 187.00 7,367.00 7,367.00 PART-TIME EMPLOYEE SALARIES706.00061.91 24,918.19 0.00 3,530.56 40,250.00 40,250.00 OVERTIME709.00025.00 750.00 0.00 0.00 3,000.00 3,000.00 PAY IN LIEU OF MEDICAL INS710.00061.46 23,691.02 0.00 3,258.46 38,544.00 38,544.00 TOWNSHIP FICA715.00032.77 3,227.29 0.00 0.00 9,849.00 9,849.00 WORKERS' COMPENSATION717.00061.80 1,850.80 0.00 264.40 2,995.00 2,995.00 LONG/SHORT TERM DISABILITY719.00067.41 36,205.78 0.00 5,040.04 53,706.00 53,706.00 RETIREMENT720.00063.88 415.87 0.00 59.41 651.00 651.00 LIFE INSURANCE721.00085.32 73,610.38 0.00 9,873.89 86,275.00 86,275.00 HEALTH/DENTAL/VISION INSURANCE722.000145.19 41,377.88 0.00 0.00 28,500.00 28,500.00 LIABILITY/CASUALTY INSURANCE725.00095.83 10,059.19 4,314.80 1,946.49 15,000.00 15,000.00 SUPPLIES & SMALL EQUIPMENT726.00054.69 1,093.75 0.00 0.00 2,000.00 2,000.00 SOFTWARE MAINTENANCE729.00036.35 2,726.29 0.00 397.78 7,500.00 7,500.00 VEHICLE FUEL751.00079.44 5,707.14 2,236.65 354.90 10,000.00 10,000.00 UNIFORMS/ACCESSORIES758.000100.00 9,995.00 0.00 0.00 9,995.00 0.00 CONTRACTUAL SERVICES801.00055.43 273.00 558.50 0.00 1,500.00 1,500.00 MISC MEDICAL EXPENSES 808.1000.00 0.00 0.00 0.00 10,000.00 10,000.00 ENG/CONSULTANT/PROFESS FEES821.0000.00 0.00 0.00 0.00 1,000.00 1,000.00 LEGAL FEES826.000
57.11 45,684.58 0.00 22,482.29 80,000.00 80,000.00 TREATMENT EXPENSE829.00058.38 43,787.30 0.00 0.00 75,000.00 75,000.00 PUMP & MAIN REPAIR/MAINTENANCE850.00058.54 138,116.30 22,870.00 27,325.00 275,000.00 275,000.00 GRINDER PUMP PARTS 850.10026.43 26,425.00 0.00 0.00 100,000.00 100,000.00 GRINDER PUMP CORES850.200105.50 63,298.85 0.00 16,702.95 60,000.00 60,000.00 GRINDER PUMP REPLACEMENT850.30046.45 4,980.77 3,380.00 1,161.68 18,000.00 18,000.00 PHONE/COMM/INTERNET853.000100.00 230.11 0.00 0.00 0.00 0.00 MILEAGE861.00097.64 2,831.49 0.00 0.00 2,900.00 300.00 WORKSHOPS/SEMINARS864.0000.00 0.00 0.00 0.00 500.00 500.00 LEGAL NOTICES/ADVERTISING900.000
49.93 13,981.67 0.00 2,238.41 28,000.00 28,000.00 ELECTRIC921.00027.81 1,251.58 0.00 704.88 4,500.00 2,500.00 NATURAL GAS/HEAT923.00010.51 157.63 0.00 157.63 1,500.00 1,500.00 DIESEL FUEL923.5000.00 0.00 0.00 0.00 7,000.00 7,000.00 BLDG MAINT-ENT @ LRG(RENTAL HOME)932.006
33.33 347.23 152.77 176.04 1,500.00 1,500.00 SEWER MAINTENANCE GARAGE932.0100.00 0.00 0.00 0.00 500.00 500.00 ENTERPRISE POLE BARN(ORIGINAL)932.011
52.49 466.19 583.67 0.00 2,000.00 2,000.00 EQUIPMENT MAINT/REPAIR933.00044.27 1,263.12 507.56 42.44 4,000.00 4,000.00 VEHICLE MAINTENANCE939.000119.56 2,989.03 0.00 0.00 2,500.00 2,500.00 DUES/SUBSCRIP/RECERTIFICATION958.000119.65 598.24 0.00 0.00 500.00 500.00 SUNDRY962.000
22
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 20/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 590 - SEWER FUNDExpenditures
0.00 0.00 0.00 0.00 750,000.00 750,000.00 DEPRECIATION969.000100.07 4,302.90 0.00 0.00 4,300.00 0.00 CAPITAL EQUIPMENT/CAPITAL IMP980.000
0.00 0.00 0.00 0.00 35,000.00 35,000.00 CONTRACT S.A.D. SEWER CONNECTIONS980.0010.00 0.00 0.00 0.00 40,000.00 40,000.00 RESERVE FOR GRINDER PUMP PURCHASE983.500
58.33 33,541.62 0.00 4,791.66 57,500.00 57,500.00 TRANSFER OUT G/F ADMIN FEE997.000
40.25 903,229.83 34,603.95 139,429.64 2,329,931.00 2,311,036.00 Total Expenditure:
40.25 903,229.83 34,603.95 139,429.64 2,329,931.00 2,311,036.00 Total Dept 001.000
Dept 002.000Account Type: Expenditure
103.23 10,876.24 4,608.59 66.15 15,000.00 15,000.00 SUPPLIES & SMALL EQUIPMENT726.00077.90 4,901.60 10,678.50 0.00 20,000.00 20,000.00 CHEMICALS728.00098.40 4,920.10 0.00 4,920.10 5,000.00 5,000.00 ANNUAL GRNDWATER DISCHARGE FEE735.00053.40 534.00 0.00 89.00 1,000.00 1,000.00 TRASH DISPOSAL813.000119.85 1,797.75 0.00 0.00 1,500.00 1,500.00 ENG/CONSULTANT/PROFESS FEES821.00042.11 4,211.00 0.00 772.00 10,000.00 10,000.00 LAB ANALYSIS - WWTP830.00049.55 5,451.00 0.00 420.00 11,000.00 11,000.00 LAB ANALYSIS FEES - PORTAGE830.1000.00 0.00 0.00 0.00 50,000.00 50,000.00 SLUDGE REMOVAL EXPENSE WWTP831.000
214.07 4,591.37 6,112.01 0.00 5,000.00 5,000.00 PUMP & MAIN REPAIR/MAINTENANCE850.00062.56 125.11 0.00 0.00 200.00 200.00 PHONE/COMM/INTERNET853.00041.10 411.00 0.00 0.00 1,000.00 1,000.00 WORKSHOPS/SEMINARS864.00047.01 32,908.34 0.00 4,177.25 70,000.00 70,000.00 ELECTRIC921.00025.43 4,577.21 0.00 4,437.37 18,000.00 18,000.00 NATURAL GAS/HEAT923.00066.87 167.18 0.00 167.18 250.00 250.00 DIESEL FUEL923.5009.64 289.06 0.00 0.00 3,000.00 3,000.00 BUILDING MAINTENANCE - WWTP932.007
84.49 4,224.57 0.00 562.04 5,000.00 5,000.00 EQUIPMENT MAINT/REPAIR933.0000.00 0.00 0.00 0.00 500.00 500.00 DUES/SUBSCRIP/RECERTIFICATION958.0000.00 0.00 0.00 0.00 250.00 250.00 SUNDRY962.000
109.24 10,924.04 0.00 0.00 10,000.00 10,000.00 CAPITAL EQUIPMENT/CAPITAL IMP980.000
49.54 90,909.57 21,399.10 15,611.09 226,700.00 226,700.00 Total Expenditure:
49.54 90,909.57 21,399.10 15,611.09 226,700.00 226,700.00 Total Dept 002.000
Dept 003.000Account Type: Expenditure
47.50 950.00 0.00 0.00 2,000.00 2,000.00 ENG/CONSULTANT/PROFESS FEES821.000102.00 1,530.00 0.00 120.00 1,500.00 1,500.00 SUNDRY962.00058.33 33,541.62 0.00 4,791.66 57,500.00 57,500.00 TRANSFER OUT G/F ADMIN FEE997.000
59.05 36,021.62 0.00 4,911.66 61,000.00 61,000.00 Total Expenditure:
59.05 36,021.62 0.00 4,911.66 61,000.00 61,000.00 Total Dept 003.000
Dept 004.000Account Type: Expenditure
6.94 65,000.00 0.00 0.00 936,000.00 936,000.00 DEBT SERVICE - PRINCIPAL991.00036.85 82,918.50 0.00 0.00 225,000.00 225,000.00 INTEREST EXPENSE995.0000.00 0.00 0.00 0.00 2,250.00 2,250.00 AGENT FEES996.000
12.72 147,918.50 0.00 0.00 1,163,250.00 1,163,250.00 Total Expenditure:
12.72 147,918.50 0.00 0.00 1,163,250.00 1,163,250.00 Total Dept 004.00023
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 21/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 590 - SEWER FUNDExpendituresDept 005.000Account Type: Expenditure
110.47 30,930.56 0.00 6,691.04 28,000.00 28,000.00 WATER PURCHASE CITY OF BRIGHTON828.000
110.47 30,930.56 0.00 6,691.04 28,000.00 28,000.00 Total Expenditure:
110.47 30,930.56 0.00 6,691.04 28,000.00 28,000.00 Total Dept 005.000
33.21 1,209,010.08 56,003.05 166,643.43 3,808,881.00 3,789,986.00 TOTAL EXPENDITURES
100.00 340,568.28 (56,003.05)70,731.55 0.00 0.00 NET OF REVENUES & EXPENDITURES
33.21 1,209,010.08 56,003.05 166,643.43 3,808,881.00 3,789,986.00 TOTAL EXPENDITURES40.68 1,549,578.36 0.00 237,374.98 3,808,881.00 3,789,986.00 TOTAL REVENUES
Fund 590 - SEWER FUND:
24
REVENUE AND EXPENDITURE REPORT FOR HAMBURG TWP 22/22Page:02/19/2021 11:43 AMUser: ThelmaKDB: Hamburg
PERIOD ENDING 01/31/2021% Fiscal Year Completed: 58.90
% BDGTUSED
YTD BALANCE01/31/2021
ENCUMBEREDYEAR-TO-DATE
ACTIVITY FORMONTH
01/31/212020-21
AMENDED BUDGET
2020-21ORIGINAL
BUDGETDESCRIPTIONACCOUNT
Fund 591 - WATER DEBT SERVICE FUNDRevenuesDept 000.000Account Type: Revenue
(3.65)(182.44)0.00 68.92 5,000.00 5,000.00 INTEREST REVENUE664.00085.88 83,386.69 0.00 0.00 97,100.00 97,100.00 SPECIAL ASSESSMENTS REVENUE672.00062.69 89,833.31 0.00 12,833.33 143,305.00 143,305.00 TRANSFER IN GENERAL CAPITAL698.101
70.51 173,037.56 0.00 12,902.25 245,405.00 245,405.00 Total Revenue:Account Type: Transfers-In
0.00 0.00 0.00 0.00 13,945.00 13,945.00 APPROPRIATION FROM SURPLUS699.999
0.00 0.00 0.00 0.00 13,945.00 13,945.00 Total Transfers-In:
66.72 173,037.56 0.00 12,902.25 259,350.00 259,350.00 Total Dept 000.000
66.72 173,037.56 0.00 12,902.25 259,350.00 259,350.00 TOTAL REVENUES
ExpendituresDept 000.000Account Type: Expenditure
44.44 80,000.00 0.00 0.00 180,000.00 180,000.00 DEBT SERVICE - PRINCIPAL991.00050.77 39,800.00 0.00 0.00 78,400.00 78,400.00 INTEREST EXPENSE995.00021.05 200.00 0.00 0.00 950.00 950.00 AGENT FEES996.000
46.27 120,000.00 0.00 0.00 259,350.00 259,350.00 Total Expenditure:
46.27 120,000.00 0.00 0.00 259,350.00 259,350.00 Total Dept 000.000
46.27 120,000.00 0.00 0.00 259,350.00 259,350.00 TOTAL EXPENDITURES
100.00 53,037.56 0.00 12,902.25 0.00 0.00 NET OF REVENUES & EXPENDITURES
46.27 120,000.00 0.00 0.00 259,350.00 259,350.00 TOTAL EXPENDITURES66.72 173,037.56 0.00 12,902.25 259,350.00 259,350.00 TOTAL REVENUES
Fund 591 - WATER DEBT SERVICE FUND:
403.69 1,757,058.05 (325,047.85)(468,751.49)(354,728.00)(354,728.00)NET OF REVENUES & EXPENDITURES
57.84 8,803,847.82 322,656.69 835,456.22 15,778,113.00 15,619,583.00 TOTAL EXPENDITURES - ALL FUNDS68.46 10,560,905.87 (2,391.16)366,704.73 15,423,385.00 15,264,855.00 TOTAL REVENUES - ALL FUNDS
25
FUND: ALL FUNDSCASH AND INVESTMENT ACCOUNTS
CASH SUMMARY BY ACCOUNT FOR HAMBURG TWP 1/3Page:02/19/2021 11:33 AMUser: ThelmaKDB: Hamburg
FROM 01/01/2021 TO 01/31/2021
EndingBalance
01/31/2021Total
CreditsTotal
Debits
BeginningBalance
01/01/2021DescriptionFundAccount
Fund 101 General Fund4,241,410.05279,288.27638,978.673,881,719.65CASH/SAVINGS002.000
8,065.869,013.6112,000.005,079.47TPA HEALTH CARE REIMB002.179
103,056.822,571.4812.08105,616.22ZONING REVIEW ESCROW003.001
200.000.000.00200.00PETTY CASH004.000
300.000.000.00300.00SENIOR CENTER PETTY CASH004.100
250.000.000.00250.00CHANGE ACCOUNT007.000
40,669.130.000.0040,669.13HAYCRK/CHAMBERSRDCONSTESCROW008.003
27,108.490.000.0027,108.49HAYCRK/CHAMBERSRDENGESCROW008.004
4,421,060.35290,873.36650,990.754,060,942.96General Fund
Fund 204 Road Fund1,581,099.130.00552,494.841,028,604.29CASH/SAVINGS002.000
Fund 206 Fire Fund1,491,754.05145,455.43969,066.86668,142.62CASH/SAVINGS002.000
300.000.000.00300.00PETTY CASH004.000
1,492,054.05145,455.43969,066.86668,442.62Fire Fund
Fund 207 Police Fund1,173,616.91233,256.411,417,598.91(10,725.59)CASH/SAVINGS002.000
200.000.000.00200.00PETTY CASH004.000
1,173,816.91233,256.411,417,598.91(10,525.59)Police Fund
Fund 208 SENIORS, PARKS, LL TRAIL890,695.6515,956.8535,739.40870,913.10CASH/SAVINGS002.000
Fund 211 Act 302 Training Fund5,341.340.000.635,340.71CASH/SAVINGS002.000
Fund 243 BROWNFIELD REDEVELOPMENT AUTHORITY FUND389.440.000.05389.39CASH/SAVINGS002.000
Fund 245 Public/Capital Improvements11,584.940.001.3611,583.58CASH/SAVINGS002.000
Fund 265 Drug Enforcement Fund2,552.520.000.002,552.52CASH/SAVINGS002.000
973.300.000.78972.52FEDERAL FORFEITURE FUNDS002.003
142.230.000.00142.23STATE FORFEITURE FUNDS002.005
3,668.050.000.783,667.27Drug Enforcement Fund
Fund 302 Twp FIRE STN Cap Imp Debt Ser59.490.000.0059.49CASH/SAVINGS002.000
115,154.140.0013.50115,140.64CASH003.000
115,213.630.0013.50115,200.13Twp FIRE STN Cap Imp Debt Ser
Fund 375 Mumford Dredging Debt Retiremt(159.70)0.000.00(159.70)CASH/SAVINGS002.000
7,541.230.001,543.745,997.492004 BOND DEBT003.908
7,381.530.001,543.745,837.79Mumford Dredging Debt Retiremt
Fund 376 Buhl Rd Improve. Debt Retiremt13,366.640.00208.4513,158.19CASH/SAVINGS002.000
Fund 466 TAMARACK ROAD IMP SAD(2.29)0.000.00(2.29)CASH/SAVINGS002.000
26
FUND: ALL FUNDSCASH AND INVESTMENT ACCOUNTS
CASH SUMMARY BY ACCOUNT FOR HAMBURG TWP 2/3Page: 02/19/2021 11:33 AMUser: ThelmaKDB: Hamburg
FROM 01/01/2021 TO 01/31/2021
EndingBalance
01/31/2021Total
Credits Total
Debits
BeginningBalance
01/01/2021DescriptionFundAccount
Fund 472 PETTYS ROAD REHAB DISTRICT176.40 0.00 0.00 176.40 CASH/SAVINGS002.000
Fund 479 Rustic/Lake Pointe Road SAD4,199.94 375.00 1,322.22 3,252.72 CASH/SAVINGS002.000
Fund 480 Scott Drive ROAD SAD1,263.17 0.00 1,179.64 83.53 CASH/SAVINGS002.000
Fund 482 Crystal Drive/Beach Rd Maint2,927.05 330.00 3,175.99 81.06 CASH/SAVINGS002.000
Fund 483 Norene Ct/Peary Dr SAD - Rd Mn3,631.73 375.00 1,574.75 2,431.98 CASH/SAVINGS002.000
Fund 484 Community Dr SAD - Road Maint2,764.34 0.00 1,448.22 1,316.12 CASH/SAVINGS002.000
Fund 485 Edgelake/Burton Drive SAD2,378.52 0.00 106.97 2,271.55 CASH/SAVINGS002.000
Fund 486 Downing Drive SAD3,362.19 0.00 2,165.95 1,196.24 CASH/SAVINGS002.000
Fund 487 Riverside/Century/Lagoon SAD16,822.75 1,200.00 10,697.58 7,325.17 CASH/SAVINGS002.000
Fund 489 Island Shore/Schlenker SAD2,396.76 525.00 2,584.94 336.82 CASH/SAVINGS002.000
Fund 491 Campbell Drive SAD2,656.08 250.00 1,217.95 1,688.13 CASH/SAVINGS002.000
Fund 492 Mumford Park Lighting SAD162.28 137.25 816.40 (516.87)CASH/SAVINGS002.000
Fund 493 KINGSTON DRIVE MAINTENANCE SAD10,470.77 0.00 3,752.11 6,718.66 CASH/SAVINGS002.000
Fund 494 Winans Drive SAD1,757.35 295.00 3,406.64 (1,354.29)CASH/SAVINGS002.000
Fund 497 STRAWBERRY INDIANOLA IMP SAD12,954.03 0.00 12,241.86 712.17 CASH/SAVINGS002.000
110,688.72 0.00 14.49 110,674.23 S'BERRY INDIANOLA DEBT CASH003.497
123,642.75 0.00 12,256.35 111,386.40 STRAWBERRY INDIANOLA IMP SAD
Fund 498 SHAN-GRI-LA AQUATIC WEED CONTROL2,307.20 0.00 1,637.34 669.86 CASH/SAVINGS002.000
Fund 499 DOWNING DR ROAD IMP SAD(710.29)0.00 0.00 (710.29)CASH/SAVINGS002.000
38,681.40 0.00 4.45 38,676.95 DOWNING DEBT CASH003.499
37,971.11 0.00 4.45 37,966.66 DOWNING DR ROAD IMP SAD
Fund 590 SEWER FUND0.00 0.00 0.00 0.00 WWTP IMPROVEMENTS-'03001.908
(0.20)190,962.46 190,962.26 0.00 CASH/SAVINGS002.000
118,076.96 0.00 10,197.10 107,879.86 WATER RECEIPTS FROM BILLS002.002
495,637.90 196,566.57 449,580.32 242,624.15 SAVINGS - O&M002.590 27
FUND: ALL FUNDSCASH AND INVESTMENT ACCOUNTS
CASH SUMMARY BY ACCOUNT FOR HAMBURG TWP 3/3Page: 02/19/2021 11:33 AMUser: ThelmaKDB: Hamburg
FROM 01/01/2021 TO 01/31/2021
EndingBalance
01/31/2021Total
Credits Total
Debits
BeginningBalance
01/01/2021DescriptionFundAccount
721,643.85 0.00 0.00 721,643.85 2004 BOND SERIES CONSTRUCTION002.908
1,017,483.16 13,865.24 8,875.26 1,022,473.14 SAVINGS - CAP ACTIVITY-ENTERPRS003.590
0.31 0.00 0.00 0.31 STRWBERRY RESTRICTED DEBT003.903
101,173.21 0.00 11.86 101,161.35 98 CONTRACT SAD'S RESTRICTED003.905
935,365.59 0.00 84,317.64 851,047.95 01 CSAD'S/MA/TOW/GALL-WHT/BCK003.906
215,405.14 0.00 77,369.03 138,036.11 2004 BOND DEBT003.908
5,942.77 0.00 0.70 5,942.07 MIDLAND SEWER CONTRACT SAD DEBT003.912
37,855.88 0.00 3,673.30 34,182.58 NIMS CONTRACT SAD SEWER CONNECTION003.918
466,145.67 0.00 54.64 466,091.03 WWTP BOND RESERVE005.465
583,947.17 36,969.37 81,291.16 539,625.38 WWTP PRINCIPAL/INTER REDEMPTN006.465
1,486,559.11 0.00 174.24 1,486,384.87 EQUIPMENT RESERVE - ENTERPRISE006.590
53,660.14 0.00 6.29 53,653.85 CASH - INFRASTRUCTURE DEPOSIT008.000
6,238,896.66 438,363.64 906,513.80 5,770,746.50 SEWER FUND
Fund 591 WATER DEBT SERVICE FUND97,902.68 0.00 12,890.64 85,012.04 CASH/SAVINGS002.000
1,224.14 0.00 0.14 1,224.00 WATER SYSTEM DEBT (Well)003.907
488,887.91 0.00 28,774.75 460,113.16 M36 CORRIDOR WATER DISTRICT DEBT003.910
588,014.73 0.00 41,665.53 546,349.20 WATER DEBT SERVICE FUND
Fund 701 Trust & Agency Fund4,820.25 195,511.13 193,384.12 6,947.26 CASH/SAVINGS002.000
178,925.00 30,000.00 18,625.00 190,300.00 Escrow Bank Accounts003.100
183,745.25 225,511.13 212,009.12 197,247.26 Trust & Agency Fund
Fund 703 Winter Tax Collection Fund1,999,797.07 11,690,241.54 3,490,829.66 10,199,208.95 CASH/SAVINGS002.000
Fund 711 Cemetery Trust Fund7,660.28 0.00 0.90 7,659.38 RESTRICTED CEMETERY TRUST003.005
Fund 750 Imprest Payroll Fund(0.10)298,707.87 298,707.77 0.00 CASH/CHECKING001.000
Fund 853 HILLSIDE LAKES DRIVE ROAD IMPROVEMENT SA(4,711.52)0.00 0.00 (4,711.52)CASH/SAVINGS002.000
Fund 854 2020-ROAD SAD FUND789,183.80 1,002,809.34 185,753.33 1,606,239.81 CASH/SAVINGS002.000
674,698.19 0.00 3,361.17 671,337.02 2020 SAD ROAD IMPROVE003.854
1,463,881.99 1,002,809.34 189,114.50 2,277,576.83 2020-ROAD SAD FUND
20,411,844.12 14,344,662.82 8,813,848.05 25,942,658.89 TOTAL - ALL FUNDS
28
TAB 2
CASH FLOW ANALYSIS/DEBT PAYMENT SCHEDULES
The cash flow analysis is included in tab 2. The cash flow analysis has actual cash flows for January 2021.
The funds included in the pooled cash flow are general, fire, police, parks, public capital improvements and sewer operations and maintenance, WWTP debt accounts, cemetery, sewer equipment reserve, road maintenance SADs, performance bonds, SAD debt and escrows.
Tab 2 also includes a debt payment schedules for fiscal year 2020-21.
The cash flow analysis and the debt payment schedules assist the Treasurer’s staff in determining maturity dates on future investments by determining cash needs for each month.
10405 Merrill Road ♦ P.O. Box 157 Hamburg, MI 48139 Phone: 810.231.1000 ♦ Fax: 810.231.4295 www.hamburg.mi.us
29
Name:POOLED CASH
Total for CASH INFLOWS JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER JANUARY FEBRUARY MARCH APRIL MAY JUNE All PeriodsPROPERTY TAXES $245,000 $1,123,651 $2,475,300 $895,893 $1,259,254 $349,312 $6,348,409STATE REVENUE SHARING 323,961 384,559 368,143 0 327,094 0 318,073 294,656 $2,016,486CABLE FRANCHISE FEES 79,609 287,100 80,144 $84,154 0 84,970 0 $615,976INTEREST EARNINGS 12,589 6,659 4,080 1,859 2,438 $1,692 $2,300 $29,694 18,426 8,876 37,727 9,783 $136,124PROPERTY TAX ADMIN FEES 30,524 12,266 85,322 2,803 2,803 85,450 73,145 45,150 $337,463OTHER CASH RECEIPTS 2,627,643 430,457 1,372,627 0 122,476 1,145,119 211,063 85,188 249,009 29,654 33,577 $6,306,813UTILITY BILL RECEIPTS 185,331 208,036 18,540 209,276 $189,972 17,179 202,103 123,174 19,475 389,064 136,044 41,042 $1,739,236NEW SEWER HOOKUPS 0 4,300 73,544 3,602 9,312 6,656 8,756 0 3,856 0 5,656 82,975 $198,657
$0MMRMA LIAB INS EXCESS DIST 250,000 0 102,331 $352,331(ONE TIME PER YEAR) 0 $0
$0$0
FROM FORFEITURE - BUDGETED $0SAD PAYOFFS 5,614 2,821 0 0 0 0 0 471,492 0 $479,927ANNUAL SAD ON TAX BILLS 533,140 0 155,589 $688,729 Total Cash Inflows $3,351,087 $1,070,903 $1,844,034 $602,098 $404,342 $1,520,124 $4,452,167 $1,744,217 $1,586,937 $965,022 $765,543 $913,676 $19,220,151
Total for CASH OUTFLOWS JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER JANUARY FEBRUARY MARCH APRIL MAY JUNE All PeriodsMONTHLY PAYROLL $413,319 $422,613 $465,546 $588,791 $428,834 $420,924 $419,465 $406,060 $398,732 $595,350 $368,570 $403,985 $5,332,190BENEFITS 237,130 85,661 90,944 142,324 56,270 173,814 108,876 111,958 98,650 108,811 114,765 358,938 $1,688,141AUDIT 39,980 39,980 $79,960LIABILITY/CASUALTY INSURANCE 119,928 0 122,551 $242,479UTILITIES 17,390 16,881 9,899 14,258 22,938 12,430 17,884 39,297 15,046 27,671 27,673 17,599 $238,966DUST CONTROL 5,139 4,418 5,139 9,984 0 3,350 3,963 4,472 3,150 0 5,898 $45,514TREATMENT/SLUDGE HAUL EXP 0 0 37,500 0 0 0 17,617 $55,117OTHER EXPENDITURES 207,839 219,295 15,396 866,421 125,357 120,004 156,659 161,734 114,458 142,716 117,569 228,415 $2,475,862FUEL 3,135 3,065 5,922 8,289 4,698 4,445 2,756 6,115 7,334 660 7,788 4,258 $58,465VEHICLE PURCHASE 0 0 62,278 0 38,737 0 $101,015GRINDER PARTS/PUMP MAINT 14,162 27,701 25,340 46,995 76,319 34,088 21,574 16,397 12,065 23,082 46,775 104,267 $448,764CAPITAL EQUIPMENT 19,347 146,957 261,393 19,499 1,173,279 22,923 50,805 13,268 11,809 45,636 6,860 19,648 $1,791,423ROAD IMPROVEMENTS 1,474,437 898,611 143,656 751,525 1,002,810MAUSOLEUM DEBT 21,906 0 $21,9061997 TAMARACK SEWER DEBT $02010 STRAWBERRY/DOWNING DEBT 5,073 31,550 $36,6231998 CONTRACT SEWER SAD DEBT 710 $7102011 SAD REFUNDING DEBT 0 260,450 $260,4502012 WATER WELL REFUNDING DEBT 0 19,175 $19,1752012 SAD (2004) REFUNDING DEBT 0 20,081 248,175 $268,2562008 WATER SAD DEBT 0 98,250 $98,250HURON RIVER HIGHLANDS SAD DEBT $02007 SEWER PLANT DEBT 35,253 0 $35,253WWTP IMP EXP/DEBT 193,490 99,175 0 0 0 $292,665ORE LAKE DEBT 65,000 0 33,490 $98,490 Total Cash Outflows $1,037,389 $1,185,080 $2,498,954 $2,672,652 $2,031,351 $1,802,224 $1,784,179 $797,529 $1,353,657 $947,077 $689,999 $1,160,625 $17,960,715
Individual Time Periods Total for SUMMARY JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER JANUARY FEBRUARY MARCH APRIL MAY JUNE All Periods Net Cash Flow $2,313,698 ($114,177) ($654,920) ($2,070,554) ($1,627,009) ($282,100) $2,667,989 $946,688 $233,280 $17,945 $75,544 ($246,948) $1,259,436 Beginning cash balance $17,382,481 19,696,179 19,582,002 18,927,082 16,856,528 15,229,519 14,947,419 17,615,408 18,562,096 18,795,376 18,813,321 18,888,865 $17,382,481 Cumulative Net Cash Flow $19,696,179 $19,582,002 $18,927,082 $16,856,528 $15,229,519 $14,947,419 $17,615,408 $18,562,096 $18,795,376 $18,813,321 $18,888,865 $18,641,917 $18,641,917
19,696,179.28 19,582,002 18,927,082 16,856,528 15,229,519 14,947,419 17,615,408 17,302,659.56 17,535,939.56 17,553,884.88 17,629,429.18 17,382,480.83 (0.69) - - - (0.20) - (0.00) 1,259,436.12 1,259,436.12 1,259,436.12 1,259,436.12 1,259,436.12
POOLED CASH:GENERAL(101), FIRE(206), POLICE(207), REC(208), ACT 302(211), PUBLIC CAP IMP(245), SEWER O&M, ROAD MAINT SAD, CEMETERY, EQUIPMENT RESERVE, ESCROW, DEBT ACCOUNTS
HAMBURG TOWNSHIP
FY 20/21 Total Time Period:
30
HAMBURG TOWNSHIP
DEBT PAYMENT SCHEDULE
FISCAL YEAR 2020-21
ANTICIPATED
PRIN & TRANSFER/ PRINCIPAL
DEBT INTEREST INTEREST ADMIN FEE INVESTMENT AMOUNT OUTSTANDING
ISSUE DUE DATE DUE DATE DUE DATE LIQUIDATION DATE DUE FY 2020-21 principal interest Terms
SAD Bond Sale $2,722,23311 SAD 10/1/2020 9/7/2020 4,700 239,700 4,700 4/1/2021
11 SAD 4/1/2021 3/15/2021 244,400 239,700 4,700
11 SAD 4/1/2021 3/15/2021 750
$2,595,000 Bond Sale 12 REFUNDING (04 SAD) 10/1/2020 9/7/2020 9,450 415,000 9,450 10/1/2022
12 REFUNDING (04 SAD) 4/1/2021 3/15/2021 219,450 210,000 6,225
12 REFUNDING (04 SAD) 4/1/2021 3/15/2021 750
$1,1730,000 Bond Sale 12 REFUNDING (2002 WATER) 4/1/2021 3/15/2021 750 1,205,000 10/1/2031
12 REFUNDING (2002 WATER) 4/1/2021 3/15/2021 17,975 17,975
12 REFUNDING (2002 WATER) 10/1/2020 9/7/2020 99,175 80,000 19,175
$1,455,000 Bond Sale 2008 WATER SYS PROJ 10/1/2020 9/7/2020 20,625 825,000 20,625 4/1/2028
2008 WATER SYS PROJ 4/1/2021 3/15/2021 750
2008 WATER SYS PROJ 4/1/2021 3/15/2021 120,625 100,000 20,625
5308-01 Project MFA 2009 ORE LAKE SRF 4/1/2021 3/15/2021 7,740 624,202 7,740 10/1/2029
2009 ORE LAKE SRF 10/1/2020 9/7/2020 73,553 65,000 8,553
$445,000 SAD Bond Sale 2010 IND/DOWNING 10/1/2020 9/7/2020 5,969 220,000 5,969
2010 IND/DOWNING 4/1/2021 3/15/2021 30,969 25,000 5,969 4/1/2020
5301-01 Project MFA 2010 WWTP IMP 10/1/2020 9/7/2020 184,938 1,840,000 155,000 24,938 10/1/2030
2010 WWTP IMP 4/1/2021 3/15/2021 22,938 22,938
MAUSOLEUM 12/19/2020 11/19/2020 21,906 40,952 20,012 1,894 12/19/2021
$4,590,000 Bond Sale 2007 WWTP REFUNDING 1/1/2021 12/21/2021 29,684 1,945,000 - 29,684 7/1/2026
2007 WWTP REFUNDING 5/1/2021 4/20/2021 750 -
2007 WWTP REFUNDING 7/1/2020 6/21/2020 310,721 270,000 40,721
1,428,567 7,354,854 1,164,712 251,879
1,412,842 Including yearly
fees
SAD Bonds 1998, loan #B850 ,590.004.995 last payment is April 2018
7/30/2020V:\ThelmaK\Budgets\Budget 2020-21\Budget Information\DEBT PMT SCHEDULE FY 20-21 Page 431
TAB 3
PROPERTY TAXES:
Fiscal Year 2020 21:
The 2020 21 tax collection cycle began July 1, 2020 and will end March 1, 2021.All unpaid tax bills will be turned over delinquent on March 2, 2021 to the Livingston County Treasurer for further collection efforts. Hamburg Township is no longer able to collect payments on tax bills. Any unpaid tax bills must be paid directly to the Livingston County Treasurer.
The first section of Tab 3 contains a 10-year comparison table of the following information: 1) taxable values for all properties in Hamburg Township; 2) taxes billed on all properties; and, 3) the percentage of delinquent tax bills sent to Livingston County.
Section 2 of Tab 3 is a chart of the past 10 years of annual budgeted millage rate.
Section 3 of Tab 3 is a table that shows the millage rates for each taxing entity for which the township collects taxes. These entities are Hamburg Township, Hamburg Township Library, Livingston County, Pinckney, Brighton, and Dexter Schools, Livingston and Washtenaw County Intermediate School Districts, and Dexter Library.
10405 Merrill Road ♦ P.O. Box 157Hamburg, MI 48139Phone: 810.231.1000 ♦ Fax: 810.231.4295www.hamburg.mi.us
32
Property Taxes:
Property taxes are expressed in terms of millage with one mill being equal to $1.00 per thousand dollars of taxable value. Assessing records
maintain two values for each property in the Township. Prior to Proposal A, all property was taxed based on the State Equalized Value (S.E.V.),
which represents 50% of true cash value. Proposal A limits the increase in value attributed to market changes to the lower of 5% or the
Inflation Rate Multiplier (previously referred to as Consumer Price Index). The one exception refers to properties that change ownership,
which brings the taxable value back up to the S.E.V.
The following shows recent history of taxable values and percentage change from prior year.
Tax Year Taxable Value
2011 886,177,495$
2012 882,458,490$
2013 897,809,412$
2014 917,520,530$
2015 948,085,112$
2016 967,818,734$
2017 997,810,022$
2018 1,055,544,188$
2019 1,061,210,928$
2020 1,123,880,169$
Hamburg Township
Fiscal Year 2018-19 Annual Budget
History of Taxable Values
$-
$200,000,000
$400,000,000
$600,000,000
$800,000,000
$1,000,000,000
$1,200,000,000
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TAXABLE VALUES
Page 133
Hamburg Township
Fiscal Year 2019-2020 Annual Budget
Millage Rate History
Acutal from Fiscal Year 2010 - 2019
Fire Library Parks &
Fiscal Year General Fund Police Fire Library Debt Debt Recreation Roads
2010 0.8422 1.5000 1.0000 0.3932 0.5159 0.2500
2011 0.8422 1.5000 1.0000 0.3932 0.2500
2012 0.8442 1.5000 1.0000 0.3932 0.2500
2013 0.8442 1.5000 1.0000 0.4418 0.3932 0.2500
2014 0.8442 1.5000 1.0000 0.4418 0.6904 0.2500
2015 0.8442 1.5000 1.0000 0.8000 0.6100 0.2500
2016 0.8405 1.4935 0.9957 0.7965 0.6000 0.2489
2017 0.8349 1.4836 1.7500 0.7912 0.2472 1.000
2018 0.8262 2.5000 1.7318 0.7859 0.2445 0.9896
2019 0.8217 2.4867 1.7226 0.7787 0.9843
** Fire Millage voted in August of 2016
** Road Millage voted in August of 2016
** Police millage voted in August 2018
0
0.5
1
1.5
2
2.5
3
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Millage Rate History
General Fund Police Fire Library Fire Debt Library Debt Parks & Recreation Roads
Page 234
Hamburg Township
Fiscal Year 2019-20 Annual Budget
History of Fund Balance
Year End
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
Restricted/Reserved: Prepaid, Long term receiveables, Roads, Police, Fire, Debt service, Parks & Recreation,
Cemetery, SAD Maint.
Unreserved/Unassigned: General Fund
Assigned: library, Building Maintenance, Equipment, Vehicles, Flood Prevention
TotalRestrictedDesignatedUnreserved
3,741,357
710,732 2,500,460
46,200 3,216,648
109,700 3,188,111
2,743,028
2,626,759
1,952,013
2,298,792
2,822,180
3,256,455 1,430,998
1,459,918 7,828,034
8,307,862
8,318,614
9,991,589
9,300,055
7,430,481
Unassigned Assigned Reserved Fund Balance
5,163,205
5,561,640
6,119,991
2,712,022
11,505,891
4,187,873
3,957,943
3,889,089
2,054,559
1,909,150
1,706,751
4,173,323 3,158,128 1,968,604
3,837,996 2,117,364 5,550,531
3,749,157
2,451,521
-
5,000,000
10,000,000
15,000,000
20,000,000
25,000,000
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
History of Fund Balance
Unassigned Assigned Reserved Fund Balance
Page 335
TAB 4
MONTHLY BANK AND INVESTMENT REPORT:
Fiscal Year 2020 21:
The information in this tab includes:
1) Name of financial institution in which Hamburg Township has moneydeposited/invested
2) Type of account3) Amount in account4) Interest rate5) Maturity rate of investment, if applicable.
The Township is in the process of phasing out its main checking account at Chase Bank (the “pooled account”) and has created a new main checking account at Flagstar Bank. The majority of daily cash receipts are being deposited into this main Flagstar account. The Chase Pooled account has been closed and the only Chase account that remains open is to facilitate ACH payments from PBLSA. There was a delay in finalizing this, and we expect it to be closed within 1-2 months as well.
The Township invests cash not needed for immediate purchases into various investments such as certificates of deposit. The maturity dates on CDs are “laddered” so that one or more matures in order to meet projected cash flow needs. The laddering strategy ensures that funds are invested for optimal earnings while keeping funds available for day-to-day expenses and for debt service payments.
Property tax collection season is from July 1 through February 28 of the following year. The Township is the collection point for township, school and county millages. During tax collection season, much of the cash in the pooled account is waiting for distribution to taxing entities outside of the township.
Other cash balances in the pooled account and in investments are restricted for future debt service payments for bonds used to finance special assessment districts.
10405 Merrill Road ♦ P.O. Box 157Hamburg, MI 48139Phone: 810.231.1000 ♦ Fax: 810.231.4295www.hamburg.mi.us
36
Monthly Report1/31/2021
BANK TOTAL BALBALANCE
VERIFICATION DATE
MICHIGAN CLASS 1,504,252.18$ 1/31/2021
SUNTRUST BANK $396,278.75 1/31/2021
FLAGSTAR $10,756,977.47 1/31/2021
LEVEL ONE BANK $52,986.73 1/31/2021
CIBC BANK $268,660.96 1/31/2021
OLD NATIONAL $49.00 1/31/2021
TCF BANK /CHEMICAL BANK $259,046.07 1/31/2021
STATE BANK $6,647,122.53 1/31/2021
MICHIGAN STATE CREDIT UNION $500,005.00
Total $20,385,378.69
Michigan Class 1/31/2021
ACCOUNT NAME INV TYPE INV/RENEW MATURITY INT RATE INT EARNED CURRENT BAL
POOLED CASH MONEY MKT 0.08% 114.98 1,504,252.18$
BANK TOTAL 1,504,252.18$
SunTrust Bank 1/31/2021
ACCOUNT NAME INV TYPE INV/RENEW MATURITY INT RATE PRIOR BAL INT EARNED CURRENT BAL
POOLED GOODRICH AREA SCHOOL 4/30/2019 5/1/2021 2.50% 151,278.75$ 151,278.75$
pooled FREDDIE MAC 8/18/2020 11/18/2022 0.25% 245,000.00$ 245,000.00$
396,278.75$ 396,278.75$
not affect the montly current balance, funds hit the pooled account
Flagstar CDARS CD's1/31/2021
INV NAME INV/RENEW MATURITY INT RATE CURRENT BAL
1998 SEWER SAD CITIZENS BUSINESS BANK 10/1/2020 4/1/2021 0.10% $58,087.60
2004 SAD CONSTRUCTION MIDFIRST BANK 10/15/2020 4/15/2021 0.10% $186,959.78
37
2004 SAD CONSTRUCTION CITIZENS BUSINESS BANK 10/1/2020 4/1/2021 0.10% $74,203.49
2004 SAD CONSTRUCTION TBK BANK SSB 10/1/2020 4/1/2021 0.10% $244,500.00
HEY CREEK CONSTRUCTION FIRST BANK 8/20/2020 2/18/2021 0.10% $40,298.82
HEY CREEK ENGINEERING CD TERMS 95 DAYS 12/7/2020 3/12/2021 0.18% $27,478.80
2004 SAD CONSTRUCTION CD TERMS 120 DAYS 12/17/2020 4/16/2021 0.18% $57,102.81
POOLED CD TERMS 31 DAYS 1/19/2021 2/19/2021 0.15% $11.93 $23,870.10
POOLED CD TERMS 91 DAYS 12/30/2020 3/31/2021 0.18% $54,055.14
POOLED CD TERMS 182 DAYS 12/30/2020 6/30/2021 0.20% $54,149.50
POOLED CD TERMS 29 DAYS 1/14/2021 2/12/2021 0.15% $37.55 $54,104.72
POOLED CD TERMS 45 DAYS 1/29/2021 3/15/2021 0.15% $173.62 $260,607.71
POOLED checking account 0.25% $2,093.15 $9,607,952.60
PAYROLL checking account $0.00
DISBURSEMENT checking account $0.00
HEALTH REIMBURSEMENT reimbursement account 0.15% $1.16 $9,938.35
FEDERAL DRUG savings account 0.25% $0.78 $3,668.05
$2,318.19 $10,756,977.47
Level One1/31/2021
ACCOUNT NAME INV TYPE INV/RENEW MATURITY INT RATE PRIOR BAL INT EARNED CURRENT BAL
POOLED CD 11/30/2020 2/4/2021 0.15% $52,986.73 $52,986.73
$52,986.73 $52,986.73
CIBC1/31/2021
ACCOUNT NAME INV TYPE INV/RENEW MATURITY INT RATE PRIOR BAL INT EARNED CURRENT BAL
pooled CD 12/18/2020 3/18/2021 0.17% $268,660.96 $268,660.96
$268,660.96 $268,660.96
Old National Bank1/31/2021
38
ACCOUNT NAME INV TYPE INV/RENEW MATURITY INT RATE PRIOR BAL INT EARNED CURRENT BAL
POOLED CHECKING $49.00
$0.00 $49.00
The State Bank 1/31/2021
ACCOUNT NAME INV TYPE INV/RENEW MATURITY INT RATE PRIOR BAL INT EARNED CURRENT BAL
HAMBURG TOWNSHIP CD 1/5/2021 5/5/2021 0.35% $500,000.00 431.51$ $500,431.51
HAMBURG TOWNSHIP CD 12/4/2020 4/2/2021 0.35% $500,000.00 $500,000.00
MONEY MARKET MONEY MARKET 1/14/2019 0.20% $1,832,588.86 291.21$ $1,832,880.07
POOLED ICS sweep 10/18/2019 0.10% $3,654,308.43 323.79$ $3,654,632.22
sweep account 0.10% $178.72 0.01$ $178.73
2004 sad constuction ICS seep pooled 11/29/2019 0.10% $158,877.77 $158,877.77
$122.23 $122.23
BANK TOTAL $6,646,076.01 1,046.52$ $6,647,122.53
TCF Bank 1/31/2021
ACCOUNT NAME INV TYPE INV/RENEW MATURITY INT RATE PRIOR BAL INT EARNED CURRENT BAL
POOLED CD 7/13/2020 2/15/2021 0.35% 259,046.07$ $259,046.07
POOLED CD 10/20/2020 1/18/2021 0.15% $265,650.99 $99.98
Chemical bank bought by TCF bank
BANK TOTAL 524,697.06$ $259,046.07
Michigan State Credit Union1/31/2021
ACCOUNT NAME INV TYPE INV/RENEW MATURITY INT RATE PRIOR BAL INT EARNED CURRENT BAL
39
POOLED CD 1/21/2021 7/21/2021 0.55% $500,000.00
General Account Savings account $5.00
$500,005.00
40
Hamburg Township Approved Financial Institutions
Revised 01/05/2021
Ann Arbor State Bank 125 W. William St. Ann Arbor, MI 48104
Brighton Commerce Bank 8700 No. Second Street Brighton, MI 48116
Chemical Financial Corp (Chemical Bank) 5420 Gratiot Rd. Saginaw, MI 48638
Comerica Bank Municipalities Group PO Box 75000 Detroit, MI 48226
Fifth Third Bank Public Funds Banking 1000 Town Center, Suite 1400 Southfield, MI 48075
First National Bank 101 East Grand River Howell, MI 48843
Flagstar Bank Public Funds Group 5151 Corporate Drive Troy, MI 48098
Huntington Bank Merged with First Merit Bank 801 W. Big Beaver Rd. Troy, MI 48084
JP Morgan Chase Municipal Banking Group 620 S. Capitol Ave Lansing, MI 48933
Level One 32991 Hamilton Ct Farmington Hills, MI 48334
Michigan Class 3135 S. State Street, Suite 108 Ann Arbor, MI 48108
Old National Bank 205 W. Grand River Ave Suite 102 Brighton, MI 48116
TCF Bank 330 S. Main St. Ann Arbor, MI 48104
The State Bank 175 N Leroy St. P.O. Box 725 Fenton, MI 48430-0725
PNC 5290 W. Pierson Rd Flushing, MI 48433
The Private Bank 38505 Woodward Ave Bloomfield Hills, MI 48304
Independent Bank 201 W. Big Beaver Rd. Suite 125 Troy, MI 48084
MSU Federal Credit Union 3777 West Rd East Lansing MI 48823
41
TAB 5
FIVE-YEAR FORECAST
Tab 5 is the five-year forecast for the Township, which was updated in June 2020. Also, included is the capital reserve schedule.
10405 Merrill Road ♦ P.O. Box 157 Hamburg, MI 48139 Phone: 810.231.1000 ♦ Fax: 810.231.4295 www.hamburg.mi.us
42
HAMBURG TOWNSHIPGENERAL FUND FINANCIAL PROJECTION
Fiscal Year 2020-21
Current ProjectionsFY 2019-20 FY 2020-21 FY 2021-22 FY 2022-23 FY 2023-24 FY 2024-25 FY 2025-26
PROPERTY TAXES - TAXABLE VALUE 1,126,052,301$ 1,126,052,301$ 2.0% 2.0% 2.0% 2.0% 2.0%(AND ADMIN FEE)STATE SHARED REVENUE 1,889,284$ 2,015,000$ 1.0% 1.0% 1.0% 1.0% 1.0%
OTHER REVENUES 153,037$ 153,037$ 1.0% 1.0% 1.0% 1.0% 1.0%
SALARY INCREASES 1,406,983$ 1,435,123$ 2.0% 2.0% 2.0% 2.0% 2.0% HEALTH INSURANCE 266,973$ 280,322$ 7.0% 7.0% 7.0% 7.0% 7.0%
OTHER OPERATING COSTS 303,332$ 2.0% 2.0% 2.0% 2.0% 2.0% 2.0%
BUILDING/MAUSOLEUM DEBT 21,905$ 21,906$ 22,000$ 22,000$ 22,000$ 22,000$ 22,000$
2002 WATER WELL DEBT/Transfer to 148,147$ 154,000$ 154,000$ 154,000$ 154,000$ 154,000$ 154,000$
TRANSFER TO POLICE OPERATING 1,223,696$ -$ -$ -$ -$ -$ -$
TRANSFER TO FIRE OPERATING 50,000$ -$ -$ -$ -$ -$ -$
TRANSFER TO REC OPERATING 120,000$ 429,000$ 438,719$ 448,930$ 459,403$ 470,146$ 481,168$
43
HAMBURG TOWNSHIPGENERAL FUND FINANCIAL PROJECTION
Actual Actual APPROVED PROJECTED PROJECTED PROJECTED PROJECTEDFY FY FY BUDGET FY FY FY FY
FY 2018/19 2019/20 2020/21 2021/22 2022/23 2023/24 2024/25
REVENUES:
PROPERTY TAXES 862,349 885,813 925,165 943,668 962,541 981,792 1,001,428 PROP TAX ADMIN FEE 315,000 338,157 350,000 357,000 364,140 371,423 378,851 STATE SHARED REVENUE 1,916,752 1,889,284 1,511,000 1,526,866 1,557,403 1,588,551 1,620,322 CABLE FRANCHISE FEE 340,000 345,266 350,000 350,000 350,000 350,000 350,000 ADMIN FEE FROM SEWER FUND 115,000 115,000 115,000 115,000 115,000 115,000 115,000 INTEREST REVENUE 50,000 88,591 75,000 40,000 40,000 40,000 40,000 ALL OTHER 190,428 278,791 119,375 120,569 121,775 122,993 124,223
TOTAL REVENUES & TRANSFERS 3,789,529 3,940,902 3,445,540 3,453,103 3,510,859 3,569,758 3,629,824
EXPENDITURES:
SALARIES AND WAGES 1,467,392 1,564,477 1,473,634 1,488,370 1,503,254 1,518,287 1,533,469 HEALTH INSURANCE 221,875 286,945 314,920 324,368 334,099 350,804 368,344 RETIREMENT 123,335 141,274 120,402 124,014 127,734 129,012 130,302 FICA 108,017 121,920 112,733 116,115 119,598 123,186 126,882 OTHER PERSONNEL COSTS 102,092 7,829 7,986 8,145 8,308 8,474 8,644 BLDG & MAUSOLEUM DEBT 22,000 22,000 22,000 22,000 - - - OTHER OPERATING COSTS 658,800 852,536 1,075,528 1,097,039 1,118,980 1,141,359 1,164,186 TRANSFER TO POLICE OPERATING 1,198,700 250,000 250,000 250,000 250,000 - - TRANSFER TO FIRE 50,000 - - - - - - TRANSFER TO PARKS - OPERATING 120,000 450,363 423,120 420,000 420,000 420,000 420,000
TOTAL EXPENDITURES 4,072,211$ 3,697,345$ 3,800,323$ 3,850,051$ 3,881,974$ 3,691,122$ 3,751,828$
OPERATING SURPLUS (SHORTFALL) (282,682)$ 243,558$ (354,783)$ (396,949)$ (371,115)$ (121,364)$ (122,004)$
FUND BALANCE - BEGINNING OF YEAR 5,029,419$ 4,746,737$ 4,990,295$ 4,635,512$ 4,238,563$ 3,867,448$ 3,746,085$
FUND BALANCE - END OF YEAR 4,746,737$ 4,990,295$ 4,635,512$ 4,238,563$ 3,867,448$ 3,746,085$ 3,624,081$
FUND BALANCE RESERVED FOR WATER RECEIVABLE*** 459,648 459,648 459,648 459,648 459,648 459,648 459,648
OTHER DESIGNATED FUND BALANCE ** 449,093 502,661 502,701 502,741 502,781 502,821 502,861
UNDESIGNATED FUND BALANCE 3,837,996$ 4,027,986$ 3,673,163$ 3,276,174$ 2,905,019$ 2,783,616$ 2,661,572$
** Committed Fund Balances, Assets held for resale, prepaids*** Long-term receivable
44
HAMBURG TOWNSHIPPOLICE FUND FINANCIAL PROJECTION
Fiscal Year 2020-21
Current ProjectionsFY 2019-20 FY 2020-21 FY 2021-22 FY 2022-23 FY 2023-24 FY 2024-25 FY 2025-26
PROPERTY TAXES - TAXABLE VALUE 1,126,052,301$ 1,126,052,301$ 2.0% 2.0% 2.0% 2.0% 2.0%
TRANSFER FROM GENERAL FUND 250,000$ -$ -$ -$ -$ -$ -$
TRANSFER FROM FORFEITURE -$ -$ - - - -
OTHER REVENUES 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
SALARY INCREASES 1,394,304$ 3.0% 3.0% 3.0% 2.0% 2.0% 2.0% HEALTH INSURANCE 212,855$ 5.0% 5.0% 5.0% 5.0% 5.0% 5.0%
OTHER OPERATING COSTS 2.0% 2.0% 2.0% 2.0% 2.0% 2.0%
*** VOTED POLICE MILLAGE - voted 11/09 - 1.4751*** VOTED POLICE MILLAGE - voted 08/18 - 2.5000
45
HAMBURG TOWNSHIPPOLICE FUND FINANCIAL PROJECTION
Actual Actual APPROVED PROJECTED PROJECTED PROJECTED PROJECTED FY FY BUDGET FY FY FY FY FY
2018/19 2019/20 2020/21 2021/22 2022/23 2023/24 2024/25
REVENUES:PROPERTY TAXES 2,588,969 2,691,489$ 2,775,156 2,830,659 2,887,272 2,945,018 3,003,918 TRANSFER FROM GENERAL FUND - OPERATING 1,198,700 250,000 250,000 250,000 250,000 - TRANSFER FROM FORFEITURE - - - - - - - TRANS FROM G/F - BLDG DEBT - - - - - - - ALL OTHER 72,137 96,201 51,427 52,456 54,029 55,650 57,320 TOTAL REVENUES & TRANSFERS 3,859,806$ 3,037,690$ 3,076,583$ 3,133,115$ 3,191,302$ 3,000,668$ 3,061,238$
EXPENDITURES:
SALARIES AND WAGES 1,311,228 1,612,755 1,661,138 1,694,361 1,728,248 1,762,813 1,798,069 HEALTH INSURANCE 232,900 256,979 269,828 283,320 297,486 312,360 327,978 RETIREMENT 206,041 268,370 276,421 34,714 35,755 36,828 37,932 RETIREE HEALTH CARE 82,500 82,500 82,500 50,000 50,000 50,000 50,000 FICA 112,556 124,227 127,077 129,619 132,211 134,855 137,552 OTHER PERSONNEL COSTS 453,198 48,998 49,977 50,977 51,997 53,037 54,097 BLDG DEBT - - - - - - - OTHER OPERATING COSTS 537,679 669,106 627,769 634,047 640,387 646,791 653,259 TOTAL EXPENDITURES 2,936,102$ 3,062,935$ 3,094,711$ 2,877,037$ 2,936,084$ 2,996,683$ 3,058,888$
OPERATING SURPLUS (SHORTFALL) 923,704$ (25,244)$ (18,128)$ 256,078$ 255,218$ 3,984$ 2,349$
FUND BALANCE - BEGINNING OF YEAR 99,734$ 1,023,438$ 998,193$ 980,065$ 1,236,143$ 1,491,361$ 1,495,346$
FUND BALANCE - END OF YEAR 1,023,438$ 998,193$ 980,065$ 1,236,143$ 1,491,361$ 1,495,346$ 1,497,695$
FB DESIGNATED FOR VEHICLES 20,000 20,000 20,000 20,000 - - -
FB DESIGNATED FOR LEAVE TIME P/O 20,742 20,000 20,000 20,000 20,000 20,000 20,000
FB DESIGNATED FOR BLDG MAINT 25,000 25,000 25,000 25,000 - - -
OTHER DESIGNATED FUND BALANCE ** 20,000$ 20,000$ 20,000$ 20,000$ 20,000$ 20,000$ 20,000$
UNDESIGNATED FUND BALANCE 937,696$ 913,193$ 895,065$ 1,151,143$ 1,451,361$ 1,455,346$ 1,457,695$
** Committed Fund Balances, Assets held for resale, prepaid
46
HAMBURG TOWNSHIPFIRE FUND FINANCIAL PROJECTION
Fiscal Year 2020-21
Current ProjectionsFY 2018-19 FY 2019-20 FY 2021-22 FY 2022-23 FY 2023-24 FY 2024-25 FY 2025-26 FY 2026-27 FY 2027-28
PROPERTY TAXES - TAXABLE VALUE 1,126,052,301$ 1,126,052,301$ 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 0.0%
OTHER REVENUES 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
SALARY INCREASES 761,045$ 2.5% 2.0% 2.0% 3.0% 3.0% 3.0% 3.0% 3.0% HEALTH INSURANCE 52,500$ 7.0% 7.0% 7.0% 7.0% 7.0% 7.0% 7.0% 7.0%
OTHER OPERATING COSTS 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% 2.0%
TRANSFER IN FROM GENERAL FUND 50,000$ -$ -$ -$ -$ -$ -$ -$ -$
RETIREMENT & FICA EXPENSES ARE DIRECTLY TIED TO SALARIES AND WILL ALSO BE ASSUMED TO INCREASE 3% VOTED FIRE MILLAGE - 8/16 - 1.7400 - expires in 2020
47
HAMBURG TOWNSHIPFIRE FUND FINANCIAL PROJECTION
Actual Actual APPROVED PROJECTED PROJECTED PROJECTED PROJECTEDFY FY BUDGET FY FY FY FY FY
FY 2018/19 2019/20 2020/21 2021/22 2022/23 2023/24 2024/25
REVENUES:PROPERTY TAXES 1,792,305 1,862,464 1,915,079 1,953,381 1,992,449 2,032,298 2,072,944 TRANSFER IN FROM GENERAL FUND - - - - - - - ALL OTHER 38,655 42,346 20,650 21,063 21,484 21,914 22,352
TOTAL REVENUES & TRANSFERS 1,830,960$ 1,904,810$ 1,935,729$ 1,974,444$ 2,013,933$ 2,054,212$ 2,095,296$
EXPENDITURES:SALARIES AND WAGES 772,096 900,975 879,494 897,084 915,026 933,326 951,993 HEALTH INSURANCE 49,812 74,565 74,252 79,450 85,011 90,962 97,329 RETIREMENT 27,605 36,950 31,792 32,428 33,076 33,738 34,413 FICA 58,324 69,521 66,780 68,783 70,847 72,972 75,161 OTHER PERSONNEL COSTS 43,904 63,003 64,263 65,548 66,859 68,196 69,560 OTHER OPERATING COSTS 236,979 259,180 366,511 373,841 381,318 388,944 396,723 OTHER CAPITAL EQUIPMENT PURCHSES 70,000 108,396 260,000 92,000 17,000 17,000 17,000 CAPITAL PURCHASES FOR APPARATUS - 51,434 1,175,000 15,000 50,000 700,000 70,000 RESERVE FOR SCBA EQUIPMENT 20,000 20,000 20,000 20,000 20,000 20,000 20,000 RESERVE FOR EQUIPMENT PURCHASES - - - 100,000 100,000 100,000 100,000 RESERVE FOR APPARATUS REPLACEMENT 135,000 - - 100,000 100,000 100,000 100,000
TOTAL EXPENDITURES 1,413,720$ 1,584,025$ 2,938,092$ 1,844,134$ 1,839,137$ 2,525,139$ 1,932,180$
OPERATING SURPLUS (SHORTFALL) 417,239$ 320,784$ (1,002,364)$ 130,309$ 174,795$ (470,928)$ 163,115$
FUND BALANCE - BEGINNING OF YEAR 1,471,003$ 1,888,242$ 2,209,026$ 1,206,663$ 1,336,972$ 1,511,766$ 1,040,838$
FUND BALANCE - END OF YEAR 1,888,242 2,209,026 1,206,663 1,336,972 1,511,766 1,040,838 1,203,953
FUND BALANCE DESIGNATED FOR VEHICLE 365,892 365,892 120,000 100,000 100,000 100,000 70,000
FUND BALANCE DESIGNATED FOR SCBA 20,000 20,000 20,000 20,000 20,000 20,000 20,000
FB DESIGNATED FOR EQUIPMENT - - 100,000 100,000 100,000 100,000 100,000
OTHER DESIGNATED FUND BALANCE ** 26,779 26,779 26,779 26,779 26,779 26,779 26,779
UNDESIGNATED FUND BALANCE 1,475,571$ 1,796,355$ 939,884$ 1,090,193$ 1,264,987$ 794,059$ 987,174$
** Committed Fund Balances, Assets held for resale, prepaid
48
HAMBURG TOWNSHIPREC FUND FINANCIAL PROJECTION
Fiscal Year 2020-21
Current ProjectionsFY 2018-19 FY 2019-20 FY 2020-21 FY 2021-22 FY 2022-23 FY 2023-24 FY 2024-25
PROPERTY TAXES - TAXABLE VALUE 1,126,052,301$ 1,126,052,301$ 0.0% 0.0% 0.0% 0.0% 0.0%
OTHER REVENUES 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
SALARY INCREASES 109,477$ 2.0% 2.0% 2.0% 2.0% 2.0% 2.0% HEALTH INSURANCE 31,620$ 7.0% 7.0% 7.0% 7.0% 7.0% 7.0%
OTHER OPERATING COSTS 2.0% 2.0% 2.0% 2.0% 2.0% 2.0%
TRANSFER FROM GENERAL FUND 120,000$ 450,363$ 302,706$ 448,930$ 459,403$ 470,146$ 481,168$
49
HAMBURG TOWNSHIPREC FUND FINANCIAL PROJECTION
Actual Actual Approved PROJECTED PROJECTED PROJECTED PROJECTEDFY FY BUDGET FY FY FY FY FY
2018/19 2019/20 2020/21 2021/22 2022/23 2023/24 2024/25
REVENUES:
PROPERTY TAXES 253,008 - - - - - - ALL OTHER 48,442 22,180 14,000 14,000 14,000 14,000 14,000 TRANSFER IN FROM GENERAL FUND 120,000 450,363 423,120 448,930 459,403 470,146 481,168
TOTAL REVENUES & TRANSFERS 421,450$ 472,543$ 437,120$ 462,930$ 473,403$ 484,146$ 495,168$
EXPENDITURES:
SALARIES AND WAGES 103,561 106,602 108,734 110,909 113,127 115,389 117,697 HEALTH INSURANCE 31,620 35,636 37,417 39,288 41,253 43,315 45,481 RETIREMENT 9,497 10,046 10,347 10,657 10,977 11,306 11,645 FICA 8,375 8,210 8,457 8,710 8,972 9,241 9,518 OTHER PERSONNEL COSTS 5,255 1,789 1,825 1,861 1,898 1,936 1,975 DNR LAND PURCHASE - - - - - - - OTHER OPERATING COSTS 129,323 153,178 270,340 275,747 281,262 286,887 292,625
TOTAL EXPENDITURES 287,631$ 315,460$ 437,120$ 447,173$ 457,489$ 468,076$ 478,942$
OPERATING SURPLUS (SHORTFALL) 133,819$ 157,083$ -$ 15,757$ 15,914$ 16,070$ 16,226$
FUND BALANCE - BEGINNING OF YEAR 471,599$ 605,418$ 762,501$ 762,501$ 778,258$ 794,172$ 810,243$
FUND BALANCE - END OF YEAR 605,418$ 762,501$ 762,501$ 778,258$ 794,172$ 810,243$ 826,469$
FB DESIGNATED FOR PARKS MAINTENANCE 61,775 54,283 54,283 54,283 54,283 54,283 54,283
FB DESIGNATED FOR LL TRAIL MAINT 187,250 187,250 217,250 237,250 237,250 237,250 237,250
FB DESIGNATED FOR SR CTR MAINT 70,000 70,000 70,000 50,000 50,000 50,000 50,000
FB DESIGNATED FOR EQUIPMENT 140,000 140,000 160,000 160,000 160,000 160,000 160,000
OTHER DESIGNATED FUND BALANCE ** - - - - - - -
UNDESIGNATED FUND BALANCE 146,393$ 310,968$ 260,968$ 276,725$ 292,639$ 308,710$ 324,936$ 451,533
** Committed Fund Balances, Assets held for resale, prepaids
***Voted Parks Millage 11/09 - .2457Expires 2018
50
GL Code
Approved
o@
FEB 1 7 7OL1 INVOICE,Ann Arbor Township
3792Ponttac TrailAnn Arbor, MI. 48105(734) [email protected]
INV NO. 20-0005DATE February 2,2A21.
GRANT NUMBER EMW-2019-FG-09739
SALES
TO Hamburg Fire DepartmentFire Chief3666M.36Pinckney, MI. 48169
Make all checks payable to Ann Arbor Township Fire Department.If you have aoyquestions conceming this invoice, contact Chief Mark Nicholai, 73+741-5900, [email protected]
Please Retum This Copy With Your Payment - Thank You!
FIREDEPARTMENT Extrication Grant Due upon receipt
1.00 Grant Matching Funds: See Attached Breakdown $ 7,337.75
lNvot clffi["ruffiH:Iii*ry,.,,AR€i&*M.rymenrco*pry F€x (231) 882-9690
Date lnvoice #
2110t2021 2713
BillTo
Hamburg Township DPWAttn: Accounts PayableP.O. Box 157Hamburg, M|48139
Due Date Customer PO # Terms
3t1212021 Net 30
Quantity Description Rate Amount
552,500 Load, transport and land application of biosolids from Hamburg WWTP forJanuary 'l l - February 3,2021
GL Code c- &7,
FEB 2 3 20i1
Entered)b't (
Due Date*
0.0496 27,404.OO
Thank you for your business.TOTAL 527,4O4.OO
rT,.i{:ill
@BRIGHTON AREA FIRE AUTHORITY
Liv. County FF Troining Acodemy615 W. Grond River Brighton, Ml 481 l6810-229-6640
Dote lnvoice #
214l2wt 933
Hamburg TownshipFire DeparEnentP-O- Box 157
Hamburg MI 48139
Livingston CountyFFTraining Acadcmyturct2020-03n3t2021
Net 30
Make check payable to Brighton Area Fire Authority
Emergency Medical Technician Class (l I I 10/202043 I 13/2021)
GL
Collecn CainSarah EvansDylan MooreJeremy NordstrandJoanne Sacco
FEB I 8 202r
5
Date
4a*
1,000.00
q .ood
5,000.00
810-229-6640 810-229-16r9 cmonroe@brightonareafi re.com
C & E CONSTRI.ICTION CO INCPO BOX 1359
HIGHLAND, MI48357248-889-l 7r 6
BILL TO
Hamburg TownshipATTN: Accounts PayablePO Box 157
Hamburg MI48139
lnvoiceDATE TNVO|CE #
2/9t2021 255t
PROJECT
GP Hamburg Twp
DESCRIPTION QTY RATE AMOUNT
Install Grinder Pumpservice Lateral connection 3' IIDPE DR-l I Ips Tap with 1.5" and curb stop/ checkValveService Lateral Directionally Bored 1.5, CTE IIDPE DR_9Abandon Septic TankResidential Instal Of4 ,' pVC over l0 feetlnstall Residential Electric Service
g,aYAVorovccj
3.N) " -
K
boo"A \^fo
Hamburg Township Grinder purnp Install @ 8548 LcGrord Ave/ Hamburg Twp.
Work Complleted On Zil\t2t
tni\\er C.on\*c+ S .ft .b-
GL Codc .qq3
Enterreci -- --- -
Due Date
'opsoil, Seed, & Straw
r30I
0
I
I
2,425.s0
1,2t2.75
r 6.54r.37t.13
22.05
t,267.EE
5J r.25
2,425.50
1,212.75
2,t50.20r,3 7E. I 3
0.00
1,267.E8
55 r.25
)k Ni9 ud&t\q,-at see:i d.re . Total $8,985.7 t
w,r.y-
uBois-Coo er 9Q5_Penniman I P.O. Box 6161 I Plymouth, Ml 481 70treO T:734-455-6700 I F:734-455-6711E: [email protected]
www.duboiscooper.com
-Di]r.-t
., ji;i ,i'1 I, !, it{. li!(;i", > li'i/lii
MWWffifi&,f Number:
Date:
Page:
244487
Feb 12,2021
1
Hamburg TownshipAttn: Accounts PayableP.O. BOX 157Hamburg, Ml 48139
HAMBURG TWP10405 MenillRoadHamburg, Ml 48139
Net 30 SHAMBURG 20210091
E-One UPS Ground 2t1t21 3t14t21
100.00
150.00
30.00
40.00
1 5.00
1 5.00
15.00
15.00
300.00
100.00
3123
6043
8007
1 008
1265
1 300
501 5
5035
6039
604 1
SEAL PACKAGE ASM
MOTOR CONTROL BOARD
MCB SVC ASM 2K SERIES (shipped
separately)
coRD GRIP, 3/4" NPT, (2000, EXTREME
EQD, IH)
BEAR|NG, PUMP END (200,2000)
BEAR|NG, TOP (2000)
o-RtNG, 6.734 X 7.012, BUNA
o-RING FOR CABLE CONNECTOR (2000,
AMGP, 1000)
GASKET MOLDED TOP HOUSING TO
MOTOR HOUSTNG (2000 rDU)
INLET SHROUD, MOLDED, HDPE
7.00
17.00
9.00
61.00
207.00
14.00
31.00
69.00
2.00
1.00
700.00
2,550.00
270.00
2,440.00
3,105.00
210.00
465.00
1,035.00
600.00
100.00
Subtotal 11,475.00
Sales Tax
Total lnvoice Amount 11,475.00
Payment/Credit Applied
l'l n,'ii'\ !',,,,\iili ,\\L) \\'..\,il[\.\',\lt]li Ilii,\lt,.1L\l I(ll-tti,\1i\l
Check/Credit Memo No:
(U
.EoY
INVOICE
Customer's Reference20201555
9017697983 Page t/l12t29/2020Kemira Order no. / date1003230058 I 12t22t2020Our contactkslie Osburnleslie.osbum @ kemira.com
ekc?
Invoicing address (1257 84)Hamburg TownshipAttn: Accounts PayablePO Box 157
HAMBURG MI48139USA
Delivery addressHamburg Township WWTP6400 M-36WHITMORE LAKE MI48189USA
GL CodeApprovcd
Entercd
Due Date
Country of OriginUSTERMS OFDELIVERYPPD FOB ORIGININCOTERMS 2OIO
Total Amount DueWAffif$ $lo"r"-
geD
Country of DestinationUSAShipping Datet2/29t2020Due Date0r/28t2021
o8
Carriage I by
Carriage 2 by
Place of discharge
Port ofloadingBaltimore,MDVia
Final destinationWHITMORE LAKE,MI
Terms of Payment30 days net from invoice date
Material Description Quantity Unit Price Sales Tax Total price
KEMIRA PAX-14 BLILK 2I,760.000 LB 791.OOOO USDITON USD 8,606.08CMPDS, IND PROC WTR TRTG, # 50227 - SUB 1 CLASS 60CN code: 3824993900Net weight: 9,870.162 KG Z|,76O.0OOLBGross weight: 9,870.162 KG 21,760.000 LB
Delivery no / Date:Ss133780 / 12t29/2020UN3264, CORROSIVE LIQUID, ACIDIC, INORGANIC, N.O.S. (Aluminium chloride, basic / Polyaluminium chloride), 8,PGMCountry of Origin:us 21,760.000 LB
Total price before taxState Sales Tax 6.000 Vo
Total price after tax8,606.09
Remit toREMIT PAYMENT TO:Kemira water Solutions, [nc., Mail code 5581, po Box7l2o9, charlone, NC 2g272-l2ogFor ACH or Fed Wire Transfers:CITIbank, New York, NY, Kemira ABA #021000089, Kemira Acct#3063-1903 Swift:CITIUS33
USD
USD
8,606.09_{+1636_eJ22#
S srLgDb.ot*4
Water1000 Parkwood Circle, Suite 500Atlanta. GA 30339 USA
Tel.770 436 1542Fax770 436 3432
Leslie Osburn
Registered offi ce Atlanta
