err¥ op - ci.dearborn-heights.mi.us 11-13-12-ocr.pdf101-202-000 274-202-000 and comptroller mckenna...

err¥ op 7 .. /{ William Zimmer Public Service Administrator

Daniel S. Paletko Department of Public Works Mayor "'A"'P""PR"'o:::-v-==E""D-:::FO"'A:-t

To: Honorable City Council

From: Bill Zimmer, Public Service Administrator

Date: November 5, 2012

Re: Campbell Avenue Water Main Replacement Program Design Engineering Authorization

The Department of Public Works has reviewed and concurs with Wade Trim's letter dated October 31, 2012 to proceed with the preparation of plan and specifications, acquire the necessary permits for construction and advertise for bids for the Campbell Avenue Water Main Replacement Program. The cost for the Design Engineering services shall not exceed $50,000 and is budgeted in the current water budget.

If you have any questions regarding this approval, please contact my office.

s;nce~~), '

ft-14A' ~ Wilfiam · mer

/

AGENDA OF

City of Dearborn Heights • 24600 Van Born Rd. • Dearborn Heights, Ml 48125 • (313) 791-6000 • Fax (313) 791-6001

.. ,_

October 3 ·1, 20'1 2

City of Dearborn Heights 24600 Van Born Road Dearborn Heights, Ml 48125

Attention: Mr. Bill Zimmer Public Service Administrator

Re: Campbell Avenue Water Main Replacement Program Design Engineering Authorization

Dear 1\/lr. Zimmer:

Our office is requesting authorization to prepare water main replacement plans for Campbell Avenue, from Van Born Road to Annapolis Avenue. This project was approved with joint funding from Community Development Block Grant (CDBG) funds and Water Department funds. Community Development Block Grant will contribute $250,000 toward the construction of the water main. Water Department funds will pick up the remaining construction cost and design and construction engineering costs.

The breakdown of the budget for the Project is itemized below:

I Cost CDBG Funds Water Funds I p::onstruction Cost $410,000 $250,000 $160,000 L_[)e"ig_rl_ Engi11eering · $50,000 $50,000 I Construction Engineering $45,000 -_l $45,000

li olaf Project Cost $505,000 $250,0001 $255,000 J The total project cost of $505,000 is budgeted in the FY 2012 CDBG and 2012 water budgets. To proceed with trre Project, we hereby request authorization from the City to prepare design plans and specifications, acquire the necessary permits for construction, and advertise for bids in the amount not to exceed $50,000. After bids are received, a recommendation for award will be submitted to the City for consideration.

WJade ~1"1·!m Assoda~es, ln1.:" 25251 f\Jorthline Road P.O. Box lO Taylor, Ml 48180

734.947.9700 800.482.2864 734.947.9726 fax wwvv.wadetf'irn.com

City of Dearborn Heights October 34, 2012

2

If you have any questions or require further assistance, please do not hesitate to contact our office.

Very truly yours,

Wade Trim Associates, Inc.

~~JS2 ~J:~o-~ Daniel R. Brooks, PE

DRB:ka D HT 1000-12T Campbell Water Main Design Au!hori:<.ation.doc

8-A crrr op Daniel S. Paletk:o

Mayor

Mayor's Office

November 6, 2012

Honorable City Council City of Dearborn Heights

Dear Council Members:

I would like to reappoint Mr. and Mrs. Rick and Connie Coogan, 4475 McKinley, to the Conunission on Disability Concerns, terms to expire in July, 2015.

Furthermore, I am appointing Ms. Margy Bishop, 5652 Croissant, to the Conunission on Disability Concerns, term to expire in July, 2014.

Please update your records to reflect these changes.

Daniel S. Paletko Mayor

DSP/rjh

APPROVED FOR AGENDA OF

1/-13~2.

City of Dearborn Heights' 6045 Fenton' Dearborn Heights, Ml48127' (313) 791-3490 • Fax (313) 791-3491

Agenda: 07/24/12

Current Claims City of Dearborn Heights

Voucher Approval

Number: l, -I bJ

Fund: General Fund and NSP Fund

Payee:

Description:

Account 101-202-000 274-202-000

and

Comptroller

McKenna Associates, Inc.

Pofessional Services November 17, 2011 Through February 10, 2012

Invoice Dated April 11, 2011, Project #20885

Account Title Accounts Payable Accounts Payable

Amount Budget Amount Before Payment

$ 9,471.90 $19,128.10

Requested By: Planning Commission

NSP

Authonzed Official

Concurrence

8-B APPROVED FOR

AGENDA OF

11\LCORPORATiO Dear Dan

We have updated the !ist below to date. At~ached are the outstanding balances for invoices Hsted below totaling $36,106.10.

McKA Services for Payment

Pro.iect # Month Ending Invoice Date Invoice Arnt. Received Ba!ance Due

A 20885 Dearborn Heights NSP Services

f\/:arch-:!.1 4/11/2011 $27,473.96 $4,352.76 $23,121.20

Apri!-11 5/6/203._1 4.686.00 51,173.00 3 .. 513.0(:

NSP Amt.- Past Due: $32.,159.95 $5,525.76 $26,634.20

B. 20624 Dearborn Heights CS · Nanning Commission Services

Dec:ember-10 :./ll./2'C11 51,740.2-3 SD.OO $2-.740.13

Januarv-·:: 2/4/20J..: 2.,972..38 0 1 ... 9.7:.:'38 ;::ebruarv-11 3/3/201J 2.,38138 0 2,3'81.3.8

Aori!-11 5/6/2011 .:J.,31C.l3 0 1,810.:3

October-2..1 ll/8/201: 112.50 0 ::..12.50

December -1: 1/9/20:.2 1,45S.38 0 1,456.38

CS Planning Commis'Sion Amt. F'ast Due: $9,471.90 $0.00 $9_,471.90

c. TOTAL (A+ B) AMOUNT OUTSTANDING:~ i very much appreciate your help in getting these pal d.

Sincerely,

McKENNA ASSOCIATES

Phillip C. McKenna, PCP 1

President

Attachments

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Cli:v o-" Dearborn Heigms 60"-lS ::enton Oearoorn Heights. M: 48127

Atrr: tV!s ~(rvsuna Kramar::. 11/iayo;'s Offlcf.·

Subje~;:: invoice ior Professior.a: Servi~es RendereC.: O.::tober. 201 'I.

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A. Professional Piannino Adv!sory Servlces -;. Meetings

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A:i. Subtm:a::

Sen1o;· Uman :Jesipne'· 1.5C S75.CJO

E. Reimbursabies MiH:;aas·

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THANK YOU. IVicf:~::NNf:-_ !\SS~81t..i::2-. INCORPOK;S,:;::c' ?:..;::p_s:;: R::Mii TO PBOV:: 1\D:J?.:::SS 11\.!DICAT::: PR0Ji::CT NC. 2062,;;. 01\l VOUCH::R.

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$CJ.OD $Q.(l0

January 9. 2012

City of Dearborn Heights 6045 Fenton Dearborn Heights. Mi 48127

Atrr:: Ms. Krystina Kramar=. fViayor's Office

SubJect: invoice for Professional Services Rendered: December. 201~.

A. Profess tonal P~annino Advisory Services ~. Meetings

~ Prepare for and attend PC meeting on ~12/8/1 ~~.

2. Hourly Services Revise tne zoning map.

• SenC zoning shapefiies to Krissy Kramarz.

tJ

Project i\Jo. 20624

3.00 £75.00

A. i. Subtotal:

Amount.

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Sen tor Urban Designei: 3.2E:· $75.00 A.2. Su btotat:

.$242,_75

$243.75 ;;;. Technical Reviews

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($650.00 D-'- $76.00/a::::re )( ~ acre) x 50% Special Use Review

(8;60[ .DO -:-- $1 0/acre x 1 acre)

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A..'2. Subtotal:

E. SubtotaL

S:362.5D

;;ew.oc $972.50

Tot:a[ Due and Payabie: $i .45€.3[:

THANK YOU. McKci\INA ASSOCIAES. INCORPORATeD PLE.ASc REMiT TO ABOVE ADDF;ESS. II~DICAE

PROJ::Ci NO. 20624 Of\J VOUCHER.

JohnJ.~e;~ Treasurer

Treasurer's Office

October 29,2012

Honorable City Council City of Dearborn Heights

Dear Council Members:


IH!J-12.

Due to the low amount of cash in the City's General Fund, I am asking the City Council to authorize Mayor Daniel Paletko to request the $1,100,000 from the City's retention fund at the Michigan Municipal Risk Management Authority (MMRMA).

Attached is a letter from Michael Maldegen of Comerica Insurance Services, Inc .. Mike also mentioned to me that the funds could be returned to MMRMA when the financial condition of the City improves.

If you have any questions, please feel free to contact me at 313-791-3417.

Your truly, (/

. l;:'J~-. /&~~~ ~~-, (oJ J. ( iley II, Tr · su~er ' i of earbony eights

/

City of Dearborn Heights • 6045 Fenton • Dearborn Heights, Ml48127 • (313) 791-3410 • Fax (313) 791-3411

.~,., y RECYCLED PAPER

COMERICA INSURANCE SERVICES, INC. MC 7969 10i WEST FORT STREET, DETROIT, M148216

Office • 800.713.0336

October 25,2012

City of Dearborn Heights Attn. Mr. John Riley, Treasurer 6045 Fenton Dearborn Heights, Ml 48127

Re: Michigan Municipal!Zlsk Mgt Authority Commercial Package Policy# MMRMA # l 0

Dear Mr. Riley;

Confirming our conversation the other day there is a significant balance in your retention fund. These are the fnnds held by the MMRMA to pay your portion of claims under your partially selt~ funded insurance program.

At this time you can access up to $1,100,000. All that needs to be done is to have a letter sent to the MMRMA, requesting the funds, signed hy the member representative, Dan Paletko, Mayor.

If you have any questions or we can be of service, please let me know.

Sincerely,

Michael J. Maldegen, CPCU, CIC Vice President Comerica Insurance Services, Inc.

mjm/pb

cc: Dan Paletko, Mayor Vince Macari, Controller

lnsuraf\ce and annuity prodltcts are offered through subsidiaries of Comerica Bank, including Comerica Insurance Services, Inc. and its affiliated _insurance agencies. Insurance products are not insured by the FDIC or a' government agency; are not deposits or other obligations of, or guaranteed by Comerica Bank or any of its affiliates: and are subject to 1nvestmeni risks, Including poss1ble ioss of the pnnCipalmvested. Insurance products are so!t the obligation of the issuing insurance company; are not guaranteed by any person soliciting th~ purchase of or se!li~g the policies; an_d Co~_e_rica is not obligat?ct.to pr?vide ?_~nefits unde.r the insu,rance contr~.ct Not all produc

ciTY Ql>'

Lee Gavin Chief of Police Police

Department Daniel S. Paletko Mayor

October 24,2012

To: Council Chair Kenneth Baron Council Members

From: Lee Gavin- Police Chief

RE: Request for Approval

Honorable Council Chair Baron and Council Members;

I am requesting to purchase the following with the Department of Justice Bulletproof vest grant that was awarded to the department this year.

The grant award will reimburse the City 50% of the cost of newly purchased vests. All current issued vests where purchased in the 2007-2008 budget year and are at the end of their wananty life span. The National Institute of Justice Standard recommends replacement of vests every five (5) years.

The grant will cover 50% of the purchase price for 55 vests. The department is in need of63 total vests to replace all five year old models. Fund availability for this purchase exists in the Federal Forfeiture account.

The Police Department recommends the purchase of the Point Blanc Hi-Lite BII, Level II, to include two caniers and trauma plate. This is the same model purchased and issued by the department in 2007-2008.

Three vendors submitted separate bids for this purchase. CMP Distributors Inc. is the low bid at unit pricing. The total cost for the vests is $32,886.00 ($522.00 per vest). I recommend that the bid for this purchase be awarded to CMP Distributors who will include measure and delivery of all vests.

Respectfully,

City of Dearborn Heights 25637 Michigan Ave. Dearborn Heights, Michigan 48125 (313) 277·6770 www.dearbornheightspd.corn


16753 Industrial Parkway Lansing, Ml 48906 Phone# 517-721-0970

Fax# 517-721-0974

Bill To

Dearborn Heights Police Department 25637 Michigan Avenue Dearborn Heigh!$, M148125

Sates Rep Account#

CH 975

Description

Point Blank HI-LITE level II with 2 Caniers and Soft Trauma Plate (Model No. 811)

• Shipping charges are additional. Please note that due to unstable fuel surcharges, all verbal and written freight estimates are subject to change.

Ship To

Terms

Net30

Qty

63

This is a quotation on the goods named, subject to the conditions noted below: 1. Pricing is good for 30 days unless otherwise noted.

Date

1011712012

Expiration Date

ll/16/2012

Cost

522.00

Sales Tax (0.0%)

Total

2. Please include the quote number on all correspondence to insure proper pricing when ordered/purchased. 3. To accept this quotation, please sign and return.

Customer Signature

QUOTE Quote#

440

Shipping Terms

Total

32,886.00T

$0.00

$32,886.00

P®int BlankaoDv ARMo-., Date: 23-0ct-12 Amended:

~NSWERING TODArS THREATS WITH TOMORROW'S TECHNOLOGY Bid# I Dearborn Heights

Special Quote Pricing Form

lnitated By: Wendy Martin Agency Name: Phone: 313-610-8705 Fax:

Contact Name: Captain Jeff Seioenko Dearborn Heights Police Department Distributor: [email protected] ;Address: ! Phone: 'City: Dearborn Heights Fax: :state: Ml

Country Sales Rep: I Wendv Martin

Valid Date 10/23/12-12/31/12

Quantin· Description Unit Price Extended Price 63 +/- Hi-Lite Bll with Levell! Ballistics $575.00 $36,225.00

Includes: 2 carriers and a soft trauma plate

Shippinq chart~es are not included in price.

MANUFACTURED IN THE UNITED STATES OF AMERICA I I I I TOTAL $36,225.00

!Payment Terms: Net30 I Please attach a copy of this quote with your order to ensure proper billing.

Authorized Signature Wendy Martin Wendy Martin Manuafacturer's Representative

2102 SW 2nd Street. Pompano Beach F<i. 33.69 ' 954.630.0900 Fax: 954-630.9225

Nationwide: 1.800.413.5155 . Website: www.pointblankarmor.com

YOUR BUSINESS IS SINCERELY APPRECIATED

----- ·--"-'!"

Cud a Uniform Inc.

OA1E .fu/ d .5 /_: 2 JSHIPVIA

OUAJ'{TITY ' ~

fJ· I

PURCHASE ORDER

N~ 56975 THIS NUMBER MUST APPEAR

ON ALL PACKAGES AND INVOICES

24559Van Born Road • Taylor, Michigan 48180 (313) 292· 7422 • Fax (313) 292·5839

DESCRIPTION

s H I p

T 0

CUDA UNifORM INC. 24559 VAN BORN ROAD

TAYLOR, MICHIGAN 48190

DUNS NUMBER 1101.£90-3629

I DELIVERY REQUIRED BY:

STYLE SIZE

// /)

<-(' ( /C/'/l/-9''' .v ., '--'

A /TJJ

.

I!AME ___________ PHONE ·----SALESMAN _________ _

IDDRESS _________ ClTY ______ ZIP CODE ____ DEPT. ______ _

ctTY 01;-

October 16, 2012

Police Department





Lee Gavin Chief of Police



/I .. ..J3 .. JJ.. l

coNCUR/ 4

Q~i~

I respectfully request your approval to pay Systemp Corporation in the amount of$4,409.00. This amount will be split with the Court; 35% will be paid by the Court and the remaining balance will be paid from the Police contractual services account.

Systemp Corporation is the vendor that does maintenance at the Justice Center. This invoice represents work performed on the boilers, inspections on the boilers and general maintenance.

The Courts portion equals to $1,543.15 and the Police portion is $3,365.85.

I am requesting approval for payment to Systemp Corporation from this invoice. Once approved by Council it may be paid.

Respectfully,

Cc. Michelle Adkins- Court Administrator

City of Dearborn Heights 25637 Michigan Ave. Dearborn Heights, Michigan 48125 (313) 277-6770 www.dearbornheightspd.com

TO: DEARBORN HEIGHTS POLICE 25637 MICHIGAN AVE.

DEARBORN HEIGHTSVII 48125

ATTN: MS. JANET LUCAS

Systemp Corporation

3909 Industrial Drive

Rochester Hills Ml 48309-3118

(248) 852-2100 (248) 852-7076

DATE: 10/10/2012

INV. NO.: 15077

JOB: 5002589

DEARBORN HEIGHTS POLICE

JOB LOCATION:25637 MICHIGAN AVE.

DEARBORN HEIGHT: Ml 48125

CUST. NO: 730

CUST. JOB NO:

DESCRIPTION EXTENDED PRICE 3,901.00 41.5 Labor hours @ 94.00/hr.

Material charge

Truck charge

Service, Maintenance & CDS-1's were completed 10/02/12. Work orders #S-2589, Inspection check lists & CSD-1 reports are attached.

tel ifsoa. y;)

,3 ,(;&5.~-

Net 30 days

{}crzu'r I:S '13. JS

Invoice Amount:

Retainage:

Please pay this amount:

458.00

50.00

4,409.00

0.00

4,409.00

MATERIAl USED - <.«/<JVl

WORK ORDER NO. QUAN. LOG. PART NO. DESCRIPTION AMOUNT

C.O.D.D

SYSIEIVIP INVOICE NO. 0 HEATING

0 AIR CONDITIONING llS--o 12 l;o /;() ~~ • I 0 REFRIGERA110N c.::: tC» ifR: JP>" CliP fiRI:. ~ -r li c:;g Jfi4fl 0 WARRANTY

. 0 BURNER 3909 Industrial Drive Rochester Hills, Ml 48309 )'1:;r & M JOB

(248) 852-2100 (248) 852-7076 Fax 0 CONST.JOB

0 BOILER Preventive service maintains efficiency, extends life of 0 MAINT JOB equipment and helps prevent costly breakdowns. Contact our 0 Quoted

D office for a Service Maintenance Contract.

I CUSTOMER (BUYER NAME) &..P D v DATE q /;-/ l!z..t WORK PERFORMED AT PHONE GUST. ORDER NO.

I i ! I BILUNG ADDRESS REPORT TO u__ · _

liJ{._).t:

CITY & S:Qj _ J _daA TECHNICIAtr1 ./ fixuzt'5 . IK:¥3/'.i()~ - . -- 01::/ "' .

M~ l&rtJ

{ lT TYPE OR MODEL

:fti:t'-4-t<cJBo, b:r I SERIAL NO. I COMP. OR NAME PLATE NO.

-~TIONS

/ _,_',~1JP•Wti:<>~ .,-I I . • h11J lfi'L.../ /--lot- WMvrZ c.:s tJ- (_

I ,..,....,

I WORK ACCOMPLISHED

-1 ~'J.r;:l!&rr<..- t!S {) -1 ct.Qe/L, tPJN. .~/l>:n-J' .. <~. .tfi «;>/ / 62"

Jj)f fl..!?! I Ji;ot /;;~ J /lJ</l>/n. c:iJoJM. 1/Z, -<: /J4rl/ ~ _ ~£--"'" -!i"d -sW?~£ r h;yv

I 1;_/fz:J Lr'XJ La . / .&!e.£~ ~,z /51nr'-¥- ~);;j fU~rtiar -· _01/47', 7 I

4JiY!t;rc- ~'5u-I t:YN, Cz 1 ,A'~,<;d/lrJ'L- cffb,/67-S tP.db2l £oJ@6 ~fl., . ..- I cd?Mr/&:16- / ...#;,_¢ir£Ji.d't41 ~ . )

ndzT· if;rt, (_ G2 ) Llu-rfl rv--r:5 ;t)t@? -/ro fu ./kptr.&u • !Pvl), n o/ltfvt• jt)O, j,

DATE TECHNICIAN , REGULAR OVERTIME WORK NOT COMPLETED WORK COMPLET~~ " I HOURS HOURS WORK INCOMPLET

' q);or !2.-; ,.,-yVI·:f Jim.fZ('J / !6kes,' TOTAL LABOR /

TOTAL PARTS

dthdtz ~ ~;::; ~iZf~· 1 h,tz;;: SUB CONTRACT . ' EQUIP. RENTAL

• REFRIGERANT •

MISC.

SERVICE CONTRACT

1 BUYER - ,....---, * The material, services, and hours listed hereon are authorized and acknowledged by buyer

subject to the terms and conditions on reverse side. Labor hours listed include travel

BY;;{ A J-i.L rl

time. Buyer agrees to pay all charges at Systemp standard rates for services performed. . TOTAL AMOUNT

SERVICE D!V. COPY

I /._.--~6

I --~ATE RIAL USED WORK ORDER NO. QUAN. LOG. PART NO. DESCRIPTION AMOUNT

C.O.D.D 0 HEATING INVOICE NO.

i---c:--+---+---+-g-3-<--~--· -t""-~-1i-v-·/-ol1-!1+t---. -~---+I o AIR coNDITIONING l/50 7 7 j /0 I ;0 ,J J) 0 REFRIGERATION C::: CJP iRC p rc:; IIR:. .A T /!! 1!0 ffiV D WARRANTY

. 0 BURNER 3909 Industrial Drive Rochester Hills, Ml 48309 ~& M JOB---------(;ro,. t:r · (248) 852-2100 (248) 852-7076 Fax 0 CONSl:JOB ________ _

f---+---1-- D BOILER Preventive service maintains efficiency, extends life of ~AINT. JOB ________ _ equipment and helps prevent costly breakdowns. Contact our 0 Quoted __________ _

1 l;o~~~~~;;~~off~ic~e~f~o,~a~S~e~N~ic~e~M~ai~m~en~a~nc~e~C;ognt~m~ct~.=============T========================~ I I I CUSTOMER (BUYER NAME) :DB::.:f>_ j:) . DATE

'---+---+-- j WORK PERFORMED AT A 1 PHONE GUST. ORDER NO. ' ·-- fh I ck.. n:vGJ ' c---+-- t----j-==-···-· -·---- ll-ccBI"LL71N"G-,A"o"oR=E=ss=-----..!:.-'"-""-"'--'-=-'---'-----------+R"E"Pa=RT=TO=---·--------(

r---+--·-+---r-----·-------f-----~---j(CITY &SlAT 'is' TECHNI

f---+---+---1- -----------j--- ·- MAKE SERIAL NO. COMP. OR NAME PlATE NO.

INSTRUCTIONS /J .. --1/c P/ ~ f'r\cw.J

WORK ACCOMPLISHED D I 7 · !'h. / p 5-f't:rCl/ c:;AJ - ,pJ-.} :fi If os;+'- f-<>fi LUH 't:<-, l ..:5· J e )(l;ui!-<-C 'I'"' fC144J 4, ,

1 11)->!JleL 4. -PrclC>Il. *'+P<L {-'-/I ..BI'I-t4-<l/2.\l< . .;::;;~ C::,t<irof, -::5•1 \.1.

..bAe-<L-..vp. Oh,. Ef>-· l?oo·?·+.e-!1' ~'i- rzic.qM-r. ht2_ (_zj Ravfh"f4!'t<w'f<

cA-tlm (.4"12t?i'"' / fir·--hr) ;JJ?f<x!L 11-f ilm£/2,~1fl: ... 5 .h:,']l:!AI/4 ( G>/C IJ5' /I.A-- I 3tJi/t;IO 3>dnlo/7- . ."

c-•/,uJL!M ~~tilrvc/Jn1.. bOr/o-1 .. / notfs;- /}111':1. /6-nrl•-' #'~,-,.';'. ,ce,.,,...t LJ.,~. l.rl"t.•~&¥47. /4rn''~ ;.,.ad Ale<~e(, ,!..,a, t:.>/c.i'lff;e_/z.\ ~v. /<J;.A;·.L-_1; .Y3oo 6A<JB4T'5_.~----1

A6o /?ea W'l"U•·""- , ,?)'71?+ , dJwr4J<Y"?.-5 o /1/ Sr'f8- , f;,/L- iJ?efVM·t3E 0-<-"'-;y--= , nk<H-<~t>'?) . fhf/.(E < !(.HA.c} m~roJ.f..v-c.w rn*fv ~ h~ +o c-1-JkV<?.r QJ- T ' H/'"1-pt:.<::,

lO fA) }! /1 A-c.- Lin/ IS ;tm&C ..{ ex:.kff """'-S t? ..(!. £/'1-, DATE TECHNICIAN REGULAR OVERTIME WORK NOT COMPLETED WORK COMPLETED 0 .

HOURS HOURS WORK INCOMPLETE r&-- -;

I t>/'!-f/-, ~ 1~-P,, 2Ar~ y TOTALLABOR i '1-(.£-,) / j c...-. ~ r-c;.t."?w..-v ), ] ' TOTAL PARTS :

, Cf/2t,e. -Joy iMi£1-•'5 lf/1r5 / SUBCONTRACT '

• J-,, j - • wA _ .-, /'- V EOUIR RENTAL ' 'JI?M'· ~ .:5,-,tt Y<- L '/ "l_ REFRIGERANT '

qh'7. ::J_,t.f' ;:;;..?!4(') tdtt'$ MISC 1

-~ ·- SERVICE CONTI1ACT

* The material, services, and hours listed hereon are authorized and acknowledged by buyer -· • BUYER subject to the terms and conditions on reverse side. labor hours listed include travel

time. Buyer agrees to pay an charges at Systemp standard rates for services performed.

BY TOTAL AMOUNT j

SE~V!CE DiV. COPV

<;_,) <P~f'

MATERIAl USED WORK QUAN. LOC. PART NO. DESCRIPTION AMOUNT

~

SYSIEIVIP INV 0 HEATING

. iSE#;AiiY &/'071-5£' I 0 AIR CONDITIONING IZso77 l;o /!O t'ljl

' I D REFRIGERATION I1C: c::;. oAf iP' c:JI> IIRlt ..A. -r I§ fiOl;> /8'<l:ll 0 WARRANTY

3909 Industrial Drive Rochester Hills, Ml 48309 0 T&MJOB 0 BURNER

(248) 852-2100 (248) 852-7076 Fax D CONST. JOB

0 BOILER Preventive service maintains efficiency, extends life of 0 MAINT. JOB equipment and helps prevent costly breakdowns. Contact our 0 Quoted

D office for a Service Maintenance Contract.

CUSTOMER (BUYER NAME) \i\tlO f) DATE /< 1, I

/OZ. zotc:_, WORK PERFORMED AT PHONE GUST. ORDER NO.

I

! BILLING ADDRESS REPORT TO

ciTY & sTATE .\l )sJ!frbo li.~ 1 ck:t<:., TECHNICI:.:r;:;;; ~ oc:::-- ~s

MAKE TYPE OR MODEL I SERIAL NO. I COMP. OR NAME PLATE NO.

INS1RUCT10NS (/. fh-_ /l15f/B"t: .. 1?vtJ.

I

I I WORK ACCOMPLISHED

cJJ.Jl.L-i!En £I e.:Ar·l c.;q..t . t?n. .4/c,.. #A(_ A"vt>?d4?L ,r·kc:~:o I

I ~v-D't--- ~""" 5p fi:J,- ~::: A/c> {3.-) _ £~ JA+o~~t- /;;1';-:_je~T' , I !:2m .J-{C, tN1f7;;, f" ;~ e-,_..,_ f?~.& /7fuA- Ubtc I ,

, duAL£h b~ ~Hif .,G-,k,j.*',:s! ~"1J ~, . ~};) tu.Hs

~- ar€2~ !1-:<. "':o ,t;;-N ~.t'i??-&.<:_A./6-c~ 1'114dF J!.:,Q'' -?.>- :BwAI#'L- /f?/t,r '

a"""'-- If~;/ /J!U.fr- '

-

DATE TECHNICIAN REGULAR OVERTIME WORK NOT COMPLETED WORK COMPLETED [ZJ.-' • HOURS HOURS WORK INCOMPLETE 0

iiJ /t/'tAIIV ~ /ha,< llrr" TOTAL LABOR

TOTAL PARTS

SUB CONTRACT

EQUIP. RENTAL

REFRIGERANT •

MISC. • SERVICE CONTRACT

BUYER * The material, services, and hours listed hereon are authorized and acknowledged by buyer

• subject to the terms and conditions on reverse side. Labor hours listed include travel time. Buyer agrees to pay all charges at Systemp standard rates for services performed.

BY TOTAL AMOUNT •

SERViCE DIV. COPY

3909 Industrial Drive • Rochester Hills, Ml 48309

www.systemp.com Annual CSD-1 Checklist

Ph: 248-852-2100 • Fax: 248-852-7076

HEATING. AIR CONDITIONING. PLUMBING & INDUSTRIAL PIPING

Mechanical Ucense #71-10839

WO # Date --'~..L/'-"';o'--'{_,z..g~('-"7-__ Technician Name ~::J;=-',tf"--'fing""-"~v,_~5,.,·~-______ _ Location Iwl'lr'.kole,tJ t~ f") Address Z§(p.S 7 {I] tD&katd lhl"!s '-Boiler Manufacturer Fu!</v?t/- Type /?vees 5. State Num:er /1? "/' 03 .?~<O. BTU Input ( 7.. 0 "{ 0''"8-1~ 5 MAWP 1.5.,$21 • Min. Safety Capacity ----'""!)CfLl.!4---------

Burner Manufacturer --"-~-'~"'/.'-'-/--'--.,-"'-'/1/-"'--~-------- Model #_-=:::;:-=-·-'c=· "':5"-_·....:-3=-a....:: __________ _

UL #/CSA # fl f.- zl353 1 ~ Serial # ---"9'-"0:..__i..::.¥-t-fr:"-·----------

BOILER SAFETY CHECKLIST

CONTROUDEVICE MANUFACTURER MODEL OPERTESTPT GOOD/BAD SETPOINT

SAFETY VALVE Safety Valve CW-510 CW-520 \ .lmtbrM .tl 1>:;" Z{? • JJ.C-r. )(

-Safety Valve Cap

OPERATING CONTROLS Low Water Fuel Cutout CW-120(a) CW-140 fl\< l>,_,rc<\"~ l I"W~\.N' ... J.SO. X Forced Circulation CW-210(a\

. Steam Pressure CW-31 O(b) f-ul h"/1..( J-J-/IP'{ 19-- , I :Z'ilk- X' ;z.·=-Water Temperature CW-41 O(b)

.

SAFETY CONTROLS Low Water Fuel Cutout-120(a)(b) CW-130 CW-140 ~ ll"/1 tnli!!Nl- ' !)0 "/., Forced Circulation CW-210(b) High Steam Pressure Limit CW-310(c) ;::ulfi?V j_ 1-f 0 'f ('_ 13,;: - j( 13 t:L -

HiQh Water Temp Limit CW-41 O(b) Main Fuel Safety Shutoff Valve CF-180(b2)(b3) ~Ni.A.! C\~A I v !{()S.S\:> X

Pilot Safety Shutoff Valve CF-180(c) 1\::>t,o -~r :S 11; ib 'i'Y7 J( Atomizing Medium Switch CF-450(b) IJA--Combustion Air Switch CF-220 ~U-ttwW Nf.P,- X HiQh Gas Pressure CF-162 ~nJ-iu.hG"'> 1.1 J. G-f--11-"ill/ /:,' y., ({, "· Low Gas Pressure CF-162 J,(.u_.,a~ L.\L 61'-A !!li Z}l· f.. z i/ Low Oil Pressure CF-450(a\ fll !tl-. High Oil Temperature CF-450(c) rJ l f\-Low Oil Temperature CF-450(d) f\)\ !I· . Purge Air Flow CF-21 0 .J..u.l-ill"' f.lfu<.vu211 'ltYJ .. '-/.. Flame Safeguard (Primary) CF-31 0 CF-320 h, 1 j.v!V I /111U</vJYII • '1 'fji) .

% Flame Detector CF-31 0 CF-320 U Ll .:Silk'>IO 12...- e...rr IJ'L'I tt. "X

LOW FIRE START ' Low Fire Start Switch CF-61 0 ,.., 1\J ~~-

Comments: ------------------------------------------------------------------------------------

' Technician Signature -}~~t!::.~::':w:;;;,--~:::::... ______ _ Owners Rep. Signature

White Copy - Systemp Corporation Yellow Copy - Leave On Site


www.systemp.com Annual CSD-1 Checklist

SYSlEMP Ph: 248-852-21 00 • Fax: 248-852-7076 HEATING, AIR CONDITIONING, PLUMBING & INDUSTRIAL PIPING Mechanical License #71-10839

WO #--=------Date qjt(/Zot? Technician Name -""'-·"'-'k""?'L~>--__,!6;-"e:s"'-'·'Jz""'./!""t'-5L·------Location VGt'cbri'~J /·bziO .P.,t lrA3'" Address _ ____c"Z::::_dl..c:o=.c'::..?_l'f'-· --'-fnJ..J..LC1 c"-'h"'"-. _,.W..:.::,.,B"'--·---.--:--c--:--:---

i .I a ~ i-{O .3'(<03 Boiler Manufacturer , ;..,!JU;l/i'/V)(l,_. Type _f,:j),Qi:':::'i.~:OC-~ State Number --'-'-'-:::::..""'-_J_-'-""'---

2. ""'70 .. Jf Ao ""> Di~o B.?. I tf-n BTU Input -! v ( Oijb MAWP_.L.::Vio.=:__· __ Min. Safety Capacity .<f '' & fYL ..

Burner Manufacturer _/.~O/t-.)c:.'1L!I£P'-U""'v\-12c;B.~'""'~-______ Model # ---'(~· r;/JN'-"'-·-:'2:::.. ·.::_0_7LO.""':.._-~------UL #/CSA #---------------Serial# __ .l_0_0_._€i_:_O_· _,)_/,_:.:''---------


CONTROUDEVICE MANUFACTURER MODEL OPERTESTPT GOOD/BAD SETPOINT

SAFETV VALVE Safety Valve CW-510 CW-520

Safety Valve Cap f;)(f''f+"? f('f/MIA I- 'f.5 .L //::'- /r"' 10,1(

OPERATING CONTROLS Low Water Fuel Cutout CW·120(a) CW-140 Forced Circulation CW-210(a) J. t:>d1 ""' Ji lfhl' /f-5Vb,t·51 /Vt'tAi><J. IY'· 0((_

Steam Pressure CW-31 O(b) Water Temoerature CW-41 O(b)

SAFETY CONTROLS Low Water Fuel Cutout-120(a)(b) CW-130 kx;£,,r,; I) NL-. f~e·rJ If'/ OZ.. {)/(_ CW-140 Te57-, ,_.-.. Forced Circulation CW-2101b) L . .J, J t/A'w .. i F:5&Jf5L:J )>0 ,-(CAd ' or(_ !..-..... .. Hioh Steam Pressure Limit CW-310(c) Hioh Water Temp Limit CW-410(b) /f-,n-ev cd!.l .. ;;:: ., .. oo 1- .. oi( LO&'~t:

Main Fuel Safetv Shutoff Valve CF-180(b2)(b3) L- .... '.I . d .e!ST o5m ivO. fD,, .. IDfJ(i7~'? OIL, Rt.<hf1t?Tc <((3'{9;.

-Pilot Safety Shutoff Valve CF-180(c) f'JII+--Atomizing Medium Switch CF-450(b) fJitt- -Combustion Air Switch CF-220 /h:

. ""' J\JtJIA II'/ 0( I \9'/)

High Gas Pressure CF-162 l\l ,;. Low Gas Pressure CF-162 11; ~~~

Low Oil Pressure CF-450(a) i\1/v+- .. High Oil Temperature CF-450(c) !Jilt Low Oil Temperature CF-450(d) Nil'< Purqe Air Flow CF-21 0 L o,;, 1JiliM#' 11 e:s fC'flt:/J. at<(_ Cflco ,&,. 1b Flame Safeguard (Primary) CF-31 0 CF-320

.. {)1</ . "''>'V -

Flame Detector CF-31 0 CF-320 II) /JI'Ihl!J . 1 'LT3'1W ji/C'bf<5 . 1){/lt.._ ... no~.

LOW FIRE START Low Fire Start Switch CF-61 0

Commems: ___________________________________________________________________________________ __

ument becomes

Technician Signature ~~:,_; ~ Owners Rep. Signature

/White Copy- Systemp Corporation Yellow Copy- Leave On Site


www.systemp.com Ph: 248-852-2100 • Fax: 248-852-7076

HEATING, AIR CONDITIONING, PLUMBING & INDUSTRIAL PIPING

Mechanical Ucense #71-10839

Annual CSD-1 Checklist

WO # ________ Date __ 0-'!r/,_,1.'"-1-'-/::2"'-•. ""o'"t'-''2~. __ Technician Name --=~=-=o::.=~_-_,/az,'-'·"'""'"'-=-fR""-'c,j=,__ ____ _

Location ~Jb""' '-'t'-'-4·'-P-"'P-'-. ________ Address ~-.... ~""-d""-"'"·=---·-=2=-. -"'.£14z"-""'"-3"-1'---')J;"-'7,Llt'.(..L'3"-f -~-',.4'-'-"-d,'I:?_·--=--Boiler Manufacturer ___________ _ Type _uf-f.c,""'T'-'-. _;u.a!A:f=...·<~z~.- State Number __ _,_;<-"-'..y; __ o"-'2.."""--'?lZ"-.'0"-·· J>J:."-BTU Input ---'2=7.'--o-'·(_DJ_"-_'"-"'-· c.· __ MAWP_4(_,U,,_.:::.Oif'~-"'5-'-i- Min. Safety Capacity ---~'T-t::c':::.<"--'0'---0-?_·""'-='-'-tf_·.e_=·---Burner Manufacturer _ __.J.,". "'v"'cA"""I'll!eJ~JL!-"U'-'H-'-"'-..,------- Model # _ _,L"": /."''J1,}:.=.~-·-='2-:.oi!Jo:_'f.t_:::O:_· _________ _

UL #/GSA# ---------------- Serial# __ g'-'·'-0_ 0__:1.,1!_,&"'--'ffl"""'-'-'-· ----------


CONTRO!JDEVICE MANUFACTURER MODEL OPERTESTPT GOOD/BAD SETPOINT

SAFETY VALVE Safety Valve CW-510 CW-520 (;4:--,~ flv· },•J· , f<> ' ·+6ft';- ' .Ai+-r- 0(/. ... , j,[(J,- I'D:? I' Safetv Valve Cap

OPERATING CONTROLS Low Water Fuel Cutout CW-120(a) CW-140 Forced Circulation CW-210(a) /.. "M '""II k7t I P;S W f5l5 flit! p;,w . i/ (f)!L :f51./t'fi#,C:Iut:!J Steam Pressure CW-31 O(b) Water Temperature CW-41 O(b)

SAFETY CONTROLS Low Water Fuel Cutout-120(a)(b) CW-130 153'·

"'I/

CW-140 /...cUc1 rJuxvL --~~ '(f0'( ~k"'*·~- -~·-fOil R.. •z.#/J #J!,

Forced Circulation CW-21 O(b) I. J!, .J }.k/} ;F.5tu/3~~ Na j:-j ca-<U : v 0/L.- 1<. 'fi} tJf • .,.,-r a. High Steam Pressure Limit CW-31 O(c) High Water Temp Limit CW-41 O(b) t,h,/ "I ~~u 7-&-&1 t;r: t./_ !()II ;?ocJI'JitC Main Fuel Safetv Shutoff Valve CF-180ib2llb3) {-~-"' ' oJJ u R.i'! .. '!>o?. i• M fi"Ct/J6/tr,Z J0/1 ·• (;) d.# ,-tzry r-

' i'jffif./A. -Pilot Safety Shutoff Valve CF-180(c) All if~- ;.//A-. Atomizing Medium Switch CF-450(b) /1\J!A llii!T- ' Combustion Air Switch CF-220 1\-wtk,•IW<.. h:MJ jJ., tl i/ [{) /[ f4'f,l4wt-tJ- ,. High Gas Pressure CF-162 'iLL JJ!IA· • Low Gas Pressure CF-162 It lA-' All 1-1--Low Oil Pressure CF-450(a) tJ I til ... J'J(JI.. High Oil Temperature CF-450(cl I<. r r•- • h II r£J. • Low Oil Temperature CF-450(d) If tl.- .. {'V il. //,4--Purge Air Flow CF-21 0 N:rhl'.,)d!!/Ji·. ·,/ f){L

' 111M1Mt. Flame Safeouard (Primarvl CF-31 0 CF-320 / V> ;.t '""""J1'Me. . Flame Detector CF-31 0 CF-320 tJ0·1'""'1'0 " f--'L t;')¥~0 ;J6'1'6' (/ V(/ NO/,.,!'i""'

'

LOW FIRE START Low Fire Start Switch CF-610

'·

Comments: __________________________________________________________________________________ __

" Owners Rep. Signature Technician Signature -.-<-·/··c:.:.:o::=-7==""'=~----

;/ White Copy- Systemp Corporation Yellow Copy - Leave On Site

CORPORATION 3909 Industrial Drive

Rochester Hills, Ml 48309 (248) 852-2100

Manufacturer

1. C th?AQU'r:,w ~+u,-B: Heating

Type Burner

General Condition

Flue

PilotF!ame

Pilot Ignition

Pilot Safety/Sec.

Main Flame

Gas Valve

Power Vent

Boiler Condition

System Pressure

Boiler Feed ---· Lower Water Cut Off

Relief Valve

Pump Condition

Strainers

Fan/Limits

Operating/Limits

Comp. Tank 0/o Full

Flame Signal

Heat Exchanger

Burner Assembly

Blower Section

Air Filter Condition

Air Filter Size

Belt Condition

Belt Size

Fan/Motor Brgs.

Measure & Verify Power Supply

HEATIING

Customer_-"'J)"'-""-'-p-'/)~--------------Address __________________________________________ _

Unit Location_---;-;----------------------Dale ;w(z(z£OtZ-. Amb. Temp. ____________ _

Model# Serial#

"/ !J 2 L& 6J7 0 .<II-K. (#J-0 G4'! 110 z,C -'/zo z7-1 Blower Section Contd. 1

Coi!/Cond. Drain Trap

rolL< Airln "F -i[j(L, Air Out .F

FLARating

AMP Draw

Freeze Stat S.P.

aiL Economizer

l[t/L Damper Travel !!W--OIL. Damper Leakage COIL

Controls oiL Comp Lock Out i£iiL Controls

Pnuem. Compressor

Compressor Oil Level

Drain Tank

Air Drier!Filter

Temp. Controls

Electrical

Check Starters Oil Check Contact Surfaces (f)IL

((! l(. ' Check Connections oiL iO/L, Equipment Condition

Pane! Loose

oL Screws Etc.

Mechanical Rm. Cond.

(Q iL__' Roof Conditfon

'~ 5U)L ~ 0' All Switches On

G--v-~1)<) Main Phase 1 Phase2 Phase 3

VSIEM CORPORATION

3909 Industrial Drive Rochester Hills, Ml 48309

(248) 852-2100 .

Manufacturer

1. 0J,()A2.ftl /)(/_ t:\-1-u_ Heating

Type Burner

General Condition

Flue

Pilot F!ame

Pl!ot Ignition

Pilot Safely/Sec.

Main Flame !-· Gas Valve

Power Vent

Boller Condition

System Pressure

Boiler Feed

Lower Water Cut Off

Relief Valve

Pump Condition

Strainers

Fan/Limits

Operating/Limits

Camp. Tank% Full

Flame Signal

Heat Exchanger

Burner Assembly

Blower Section


Air Filter Size

Belt Condition

Belt Size

Fan/Motor Brgs.


Remarks/Recommendations:

HEATING Inspection Check List Invoice# ____________ _

Cus!omer __ _,D'="~'l-t"'-"'b'-'----------------Add~ss ________________________________ ___

Unil Location __ -,--,--------------------Date J v(z(2w 1"7 Amb. Temp. _______________ _

Model# Serial# '"'

"±- z If 'ft£1<. IV n i ,_j.l f_e_iOt' f'J) 110 z;.:: -'51 fi3z& 1 Blower Section Contd. 1

Coii/Cond. Drain Trap --(OiL, Air in "F -f!iL Air Out 'F

FLA Rating

AMP Draw

Freeze Stat S.P.

(().L Economizer

D~. Damper Travel 19tZ o((_ Damper Leakage ((J.i(

Controls (Jf/_. Comp Lock Out of( Controls

Pnuem. Compressor


Drain Tank

Air Drier/Filter

Temp. Controls

Electrical

Check Starters (i({, Check Contact Surfaces ,oft:

l()iL < Check Connections ({}{/

Q it... Equipment Condition

Panel loose

If) tL Screws Etc.


10{(' Roof Condition

?. SU x (dQ, Ali Switches On

Main Phase 1 Phase 2 Phase 3


Rochester Hills, Ml 48309 {248) 852-2100

Manufacturer

1· CMfnlfL-. ~-t-<-,·1!3 Heating

Type Burner

General Condition

Flue

Pilot Flame

Pilot Ignition

Pilot Safety/Sec.

Main Flame

Gas Valve

Power Vent

Boiler Condition

System Pressure

Boiler Feed

Lower Water Cut Off

Relief Valve

Pump Condition

Strainers

Fan/Limits

Operating/Limits

Comp. Tank% Full

Flame Signal

Heat Exchanger

Burner Assembly

Blower Section


Ak Filter Size

Belt Condition

Belt Size

Fan/Motor Brgs.

! Measure & Verify Power Supply

::<,

HEATING Inspection Check List invoice # ____________ _

roc co If_,

wt<.. 0 I(__

!(] {(___

o(L_,

([){{__'

rQ (/.__,

!, t) )(

Main

1

Customer ___ ,>LDLt/a'··_,_·P_.J1)c;_ _____________ _ Addmss _______________________ _

Unit Location __ -;-,---------------------Date / 0(2(2" I "'lAmb. Temp. ----------------

Model# Serial# ·,,_,

<-f 'fi;;z_._., c 0 7 0 L J-l.i( &1961&1 I /0 2F .lf2D z<.c Blower ·section Contd. 1

Coii/Cond. Drain Trap

Alrln"F -

Air Out 'F

FLARating

AMP Draw

Freeze Stat S.P.

Economizer

Damper Travel O(L Damper Leakage I[)({_

Controls ([)iL Comp Lock Out roiL. Controls

Pnuem. Compressor


Drain Tank

Air Drier/Filter

Temp. Controls

Electrical

Check Starters OIL" Check Contact Surfaces !{)(L. Check Conn~ctions 0/t. -Equipment Condition

Panel loose --

Screws Etc. .


Roof Condition

13 20 ' All Switches On

Phase 1 Phase 2 Phase 3

Remarks/Recommendalions: __ _,&.z.' '-rc..,M;;·="'-';YJ'---'fJ;~)~6fiJL-="""'-1Aa!.c;O>j"+----'IJ)y==c"'t""'L"'o"'J)c_-"t\~flec,LILf'S+-------' rdLQJ) F!l f+~.m;s <t2 fL C v cj•'>D ht>NT Pf

(



Manufacturer

1. Wc.,~~w, Q.ITI:r-· Heating

Type Burner

Genera! Condition

Flue

Pilot Flame

Pilot Ignition

Pilot Safety/Sec.

Main Flame

Gas Valve

Power Vent

Boiler Condition

System Pressure

Boiler Feed

Lower Water Cut Off

Relief Valve

Pump Condition

Strainers

Fan/Limits

Operating/Limits

Comp. Tank% Full

Flame Signal

Heat Exchanger

Bumer Assembly

Blower Section


Air Filter Size

Belt Condition

Belt Size

Fan/Motor Brgs.


HEATING Inspection Check List Invoice #

R. -iiA -e. 4. 1

') & !V'Jifto/1

(!) (J,..,

!{) fL-

rD/L

CJ /(_.

OIL. i!lL

I

i) il.. a:>IC

rot

rf)/{.,

3 8_ 51

Main

Cus!omer __ -"-""-"L..l..-"'D"'.----------------Address _____________________ _

Unit Location __ -,------------------------Date I o/z/?(9/2 ,P.mb. Temp.

Model# Serial# ''•-~' ...

;] J?j I 1#9 75 t.f./5 1.._ S£! ft&.-'7 ;;._ Blower Section Contd. 1


,o IC. Alrln "F -

Air Out 'F -·-

FLARating -AMP Draw

Freeze Stat S.P.

Economizer

Damper Travel c\C Damper Leakage ol( Controls G\L-. Camp Lock Out ov.. Controls

Pnuem. Compressor


Drain Tank

Air Drier/Filter

Temp. Controls

Electrical

Check Starters nil.. Check Contact Surfaces oK. Check Connections 1(2((.,' Equipment Condition

Panel loose

Screws Etc. .


Roof Condition

l BY' 'j) All Switches On

Phase1 Phase2 Phase 3

Remarks/Recommendations: Grbfk?t.?'O /6 '~'AI &:5 C. )lcft;y htil'([ a(( ,

HEATING Inspection Check Us! Invoice# ___________ _



Manufacturer

1. C Att~L.11.::-.JL l'l.Jvt.+lS . Heating

Type Burner

General Condition !ML. Flue i9 if!._. Pilot Flame (9 ((__ '

Pilot Ignition If) II Pilot Safety/Sec.

Main Flame If) I/._, Gas Valve o(L . Power Vent <!) {(.

Boiler Condition

System Pressure

Boiler Feed -

Lower Water Cut Off

Relief Valve

Pump Condition

Strainers

Fan/Limits

Operating/Limits

Comp. Tank% Full

Flame Signal

Heat Exchanger C(L

Burner Assembly rDI/ Blower Section

Air Filter Condition !Oil Air Filter Size

-· Belt Condition @[<._,

Belt Size 2-\ ,!;() '/. (a/0· Fan/Motor Brgs.

Main

I Measure & Verify Power Supply

1

Customer _ _,SJ"'-· -'-'1-fc_:.P'-""D.:._· --------------Address _________________________ _

Unit Location __ -:----------------------Date tO(z/zotz_ Amb. Temp. ____________ _

Model# Serial# ,,,_,

.Iff} £i I< 11D /,.JIJ latt>/P'D II o Zf- 1/1 1<3 2";( Blower Section Contd. 1


Air In 'F .. Air Out 'F

FLARating

AMP Draw

Freeze Stat S.P.

Economizer

Damper Travel /)fl Damper Leakage rf)iL. Controls rf)/t_ Camp Lock Out rtltt..... Controls

Pnuem. Compressor


Drain Tank

Air Drier/Filter

Temp. Controls

Electrical

Check Starters oif Check Contact Surfaces 19((_ Check Connections 1/J{{_, Equipment Condition

Panel Loose

Screws Etc.


Roof Condition

AU Switches On


Remarks/Recommendations: __ .J:(..c<>-z' .£l':teo>£J:it>ui.2!!Ql-_,1Jo.M-J2.=-~"'''"'V"'""~':>.' ____ C'-"·"':1..-..""'o"'c"'f !,r'"n"--"jy~"'"LI 1..f.J5'--------------


Rochester Hills, Ml 48309 (248) 852~2100

Manu.facturer AI+£~ G-u.t ~If Vl]cU,_. · 1· I ,J bfvti..tu .. IJ..,,'fu- . .d: (Q ' Heating

Type Burner g"'l}/.¥ .

General Condition G~w, Flue <0/1-. Pilot Flame rJJlL Pilot Ignition ffl [L_

Pilot Safety/Sec. rt) (/. '

Main Flame OIL· Gas Valve . IJI( Power Vent

Boiler Condition

System Pressure

Boiler Feed

Lower Water Cut Off

Relief Valve

Pump Condition

Strainers

Fan/Limits

Operating/Limits

Camp. Tank% Full

Flame Signa!

Heat Exchanger Oit-. Burner Assembly <{)~

Blower Section

Air Filter Condition Qll, Air Filter Size

.

Belt Condition elL Belt Size

Fan/Motor Brgs. o\J-., Main

f Measure & Verify Power Supply


cyu'1D

Inspection Check Us! Invoice# ___________ _

Customer __ ,c.,;· :0"-k.Li+-"fJ-"'D."-' ---------------Address _________________________________________ _

Unit Location----:-;----,--------------------------------------Date /0 /:t{?-&i'z...Amb. Temp. _____________ _

Model# Serial# ·,,_,

(111-1£_ I !li o hAL !:>'{ 4 Ce 1 !}, 1 Blower Section Contd. 1

Coi!/Cond. Drain Trap

Airln 'F :.

Air Out .F

FLARating

AMP Draw

Freeze Stat S.P.

Economizer

Damper Travel oiL Damper Leakage 0/L Controls (j) t(_

Comp Lock Out ({I[{_

Controls

Pnuem. Compressor


Drain Tank

Air Drier/Filter

Temp. Controls

Electrical

Check Starters 10/L. Check Contact Surfaces <DIL Check Conne;ctions roil_, Equipment Condition

Pane/loose

Screws Etc. .


Roof Condition

All Switches On


cl\Q ull'p) ~L-1-:;;,.._. __________________ _

HEATING



Manufacturer J8htslvJe,:;\ £7.et{r,;Yt>(__ IZr-c 1· U~tkw CiPvel ..f:!.-J Heating

Type Burner

General Condition

Flue

Pilot Flame

Pilot Ignition

Pilot Safety/Sec.

Main Flame

Gas Valve

Power Vent

Boiler Condition

System Pressure

Boiler Feed

Lower Water Cut Off

Relief Valve

Pump Condition

Strainers

Fan/Limits

Operating/Limits

Comp. Tank % Full

Flame Signal

Heat Exchanger

Burner Assembly

Blower Section


Air Filter Size

Belt Condition

Belt Size

Fan/Motor Brgs.

Main


1

Customer __ _:±;:_;_]_. ·_,_/J_,D""---------------Address ______________________________________________ _

Unit Location----:-,-----------------------------------------Dale /O(z/wt'?- Amb. Temp. ___________ _

Model# Serial# ,,_,

3;;3 IJ-r< .50 2'/ uozF56'lq Blower Section Contd. 1


Airln 'F c

Air Out "F

FLARating

AMP Draw

Freeze Stat S.P.

Economizer

Damper Travel

Damper Leakage

Controls

Camp Lock Out

Controls

Pnuem. Compressor .

Compressor Oil level

Drain Tank

Air Drier/Filter

Temp. Controls

Electrical

Check Starters

Check Contact Surfaces

Check Connections

Equipment Condition

Panel Loose

Screws Etc.


Roof Condition --AH Switches On


Remarks1Recom0endalions:_--~.C4'k=o'"'C"".JbiL""o"-Y2-'--_-L/l--ql.:..<r ____ -<;'"4'/"-(JL·.Lfec"'··'-'-=--"""~----------------------~-~rt~~~keto:L~··~·~L~'~6~·--~~~------~~~?lli:t~~~--~~~~.L(~ecLfc~i~e~~·~--~@~{L_=---·-----------------

~~

HEATING

CORPORATIO 3909 Industrial Drive

Rochester Hills, Mf 48309 (248) 852-2100

Manufacturer

1· {:;"~1 kud/. Heating

Type Burner

General Condition

Flue

Pilot Flame

Pilot Ignition

Pilot Safety/Sec.

Main Flame

Gas ValVe

Power Vent

Boiler Condition

System Pressure

Boiler Feed

Lower Water Cut Off

Relief Valve

Pump Condition

Strainers

Fan/Limits

Operating/Limits

Comp. Tank% Full

Flame Signal

Heat Exchanger

Burner Assembly

Blower Section


Air Filter Size

Belt Condition

Belt Size

Fan/Motor Brgs.

F~( 1

iV 1[...'

i A-/3l

Main


-, ...

Customer ___ ,::=l)o:..f_:_/_-P_'.D._c'-------------Addmss ________________________________________ ___

Unit Location --;-;;t;;r::::-::-:::-----------------------------------Date /q'!}iZ-i!JCZ.Amb. Temp. ___________ _

Model# Serial# "-'

.:5 t<u B ~ -z ~~ . ~r!) - c &t) 13A-< ic<.-'-}C i9 z.. l::J o a '719. Blower Section Contd. 1


Air In 'F c

Air Out 'F

FLARating

AMP Draw

Freeze Stat S.P. .

Economizer

Damper Travel

Damper Leakage --

Controls

Comp Lock Out

Controls

Pnuem. Compressor


Drain Tank

Air DrierfFiiter

Temp. Controls

Electrical

Check Starters


Check Connections

Equipment Condition

Panel Loose

Screws Etc.


Roof Condition

All Switches On


HEATING



Manufacturer

1. G,,e,j k< v . EF-L_. Heating

Type Burner

General Condition

Flue

Pilot Flame

Pilot Ignition

Pilot Safety/Sec.

Main Flame

Gas Valve

Power Vent

Boiler Condition

System Pressure

Boiler Feed

Lower Water Cut Off

Relief Valve

Pump Condition

Strainers

Fan/Umits

Operating/Limits

Camp. Tank% Fulf

Flame Signal

Heat Exchanger

Burner Assembly

Blower Section


Air Filter Size

Belt Condition roiZ, Belt Size z A-i.-Fan/Motor Brgs.

Main

J Measure&. Verify Power Supply

Customer_--"J)""-'-f/"'.PC-bD<c, _____________ _

Address ____ ~----~--------------------------Unit Location o ) ....

Date !IP/il z;,;; t'"L Amb. Temp. ____________ _

Model# Serial#

_$,,) h -Zl~- .z-o- e.c..wf);:u t\.( 0 7 -ttiJD "17 ."'-, 1 Blower Section Contd. 1

Co!I/Cond. Drain Trap

Alr!n'F .

Air Out 'F

FLARating

AMP Draw

Freeze Stat S.P.

Economizer

Damper Travel

Damper Leakage

Controls

Comp Lock Out

Controls

Pnuem. Compressor -


Drain Tank

Air Drier/Filter

Temp. Controls

Electrical

Check Starters


Check Connections

Equipment Condition

Panel Loose

Screws Etc. -


Roof Condition

':f), AU Switches On


Remarks/Recommendations: _____ GL2-~'='rc,r-:;,""<~''"'r->I,O.J_ ___ But:;;;mH:O-tk!j;diLJ.ALi (,'-''~"'-· .25 _____ .£.(.c:i"'':aa<:("-'' l!.~c,CQED.>)• __ .-"Be~.LI.L+~5;;;>o.-__ ___£O!..J/(~~-



Manufacturer

1. c;..,., ,«h. •. /L . .1:-Y/; rJA..df Heating

Type Burner

General Condition

Flue I

Pilot Flame

Pilot Ignition

Pilot Safety/Sec.

Main Flame

Gas Valve

Power Vent

Boiler Condition

System Pressure

Boiler Feed

Lower Water Cut Off

Relief Valve

Pump Condition

Strainers

Fan/limits

Operating/Limits

Comp. Tank% Full

Flame Signal

Heat Exchanger

Burner Assembly

Blower Section


Air Filter Size

Bett Condition

Belt Size

Fan/Motor Brgs.


HEATING Customer _ _,Ji)~· _:_1-f.L:.P-'-· _.:::b:...,. _ ___,-------------

Address _______________________________ _

Unit location __ :---:---------------------Dete lt:J/z/;J&t({Amb. Temp. ___________ _

Model# Serial# ''"'

liwv 3 :Swb z;& .. 50 c.e-0 iJA-u-)( {} z.oo 0 '7 z.:z.. . 1 Blower Section Contd. 1


Airln 'F -Air Out 'F

FLARating

AMP Draw

Freeze Stat S.P.

Economizer

Damper Travel

Damper Leakage

Controls

Camp Lock Out

Controls

Pnuem. Compressor


Drain Tank

Air Drier/Filter

Temp. Controls

Electrical

Check Starters


Check Connections

Equipment Condition

Panel loose

Screws Etc.


Roof Condition

2.. A:fJ"-(-, All Switches On

Main Phase 1 Phase2 Phase- 3

CORPORATION

3909 Industrial Drive Rochester Hills, Mf 48309

(248) 852-2100

Manufacturer

1. GN .. .. ' i,tAl ef-:6 Heating

Type Burner

General Condition

Flue

Pilot Flame

Pilot Ignition

Pilot Safety/Sec.

Main Flame

Gas Valve

Power Vent

Boiler Condition

System Pressure

Boiler Feed

Lower Water Cut Off

Relief Valve

Pump Condition

Strainers

Fan/Limits

Operating/Limits

Comp. Tank % Full

Flame Signal

Heat Exchanger

Burner Assembly

Blower Section


Air Filter Size

Belt Condition

Belt Size

Fan!Motor Brgs.



'

I

HEATING OOH:>p,..._,UVIO VIIC .... f'< 11-olil>!i. JIIVV'H.•~ 1?"-------------

1

PK A.-X ::3 i,

Main

Cuslomer ___ ~LW~~--------------------Address ___________________________ __

Unit Location~--;--;---------------------------------!late lo{2.( Zvn_-Amb. Temp.--------------

Model# Serial# ..

•7 JPII -s b --;a oz.. :no 3!9-7 Blower ·section Contd. 1


Airln "F -Air Out 'F

FLARating

AMP Draw

Freeze Stat S.P.

Economizer

Damper Travel

Damper Leakage

Controls

Comp Lock Out

Contmls

Pnuem. Compressor


Drain Tank

Air Drier/Filter

Temp. Controls

Electrical

Check Starters


Check Connections

Equipment Condition

Panel loose

Screws Etc.


Roof Condition

All Switches On

Phase 1 Phase2 Phase 3

CORPORATION

3909 fndustriaf Drive Rochester Hills, Ml 48309

(248) 852-2100

Manufacturer

1. (3_ V'!-;-tsrJ ~\Qe./1 FF- (3. Heating

Type Burner

General Condition

Flue I

Pilot Flame

Pilot Ignition

Pilot Safety/Sec.

Main Flame

Gas Valve

Power Vent

Boiler Condition

System Pressure

Boiler Feed

Lower Water Cut Off

Relief Valve

Pump Condition

Strainers

Fan/Limits

Operating/Limits

Camp. Tank% Full

Flame Signal

Heat Exchanger

Burner Assembly

Blower Section


Air Filter Size

Belt Condition

Belt Size '2 Fan/Motor Brgs.

HEATING

Customer ____ ~~~~2L~-------------------------------Address __________________________________________ ___

Unit Location ____ --;-------------------------------------------Date /Piz/z&/7Amb. Temp. ____________ _

Model# Serial# -,., ..

'7 IPA- ~::Sb ;0. ()z_ j) f) .:;319 8-1 Blower Section Contd. 1


Alrln'F -Air Out 'F

FLARating

AMP Draw

Freeze Stat S.P.

Economizer

Damper Travel

Damper Leakage

Controls

Comp Lock Out

Controls

Pnuem. Compressor


Drain Tank

Air Drier/Filter

Temp. Controls -Electrical

Check Starters


Check Connections

Equipment Condition

Panel Loose

Screws Etc.


() iJ( ' Roof Condition --~y; . - ·:::, (. AU Switches On

Main Phase 1 Phase 2 Phase 3

f Measure & Verify Power Supply

ciTY Oli'

October 16, 2012

Police Department





Lee Gavin Chief of Police



I respectfully request your approval to pay Westshore Services Inc. in the amount of $4,400.00. This amount will be paid from the Police Department Contractual Services account.

These invoices are for the Dearborn Heights License Modification through the FCC and the second invoice is for the annual inspection of the sirens.

I am requesting approval for payment to Westshore Services Inc. from this invoice. Once approved by Council it may be paid.

Respectful! y,

City of Dearborn Heights 25637 Michigan Ave. Dearborn Heights, Michigan 48125 (313) 277-6770 www.dearbornheightspd.corn

--

¥1: West Shore Services, Inc.

6620 Lake Michigan Dr. P.O. Box 188 Allendale, MI 4940 I

Bill To

DEARBORN HEIGHTS, CITY OF 25637 MICHIGAN AVE. DEARBORN HEIGHTS, MI 48125

Quantity ,

JOB#612I266

. Description

DEARBORN HEIGHTS LICENSE MODIFICATION

I P.O.No.

FCC APPLICATION FOR NEW FACIL!TIES(DHPD STATION), SIRENS AND DIGITAL EMISSIONS AND NARROW BAND APPLICATION.

--Phone#

6I6-895-•1347

Invoice Date lnvoic_EJB· .

3/2012 j 7868 --·-'--

Terms Project --

Net 30 6121266-DEARBORN HE!...

Rate Amount --

L400.00 I ,400.00

----------

Total $I,400.00

--

,.

~--

~- West Shore Services, IrK

6620 Lake Michigan DL P_O_ Box 188 Allendale, Ml4940 I

Bill To

DEARBORN HEIGHTS, CITY OF 25637 MICHIGAN AVE DEARBORN HEIGHTS, Ml 48125

Quantity

JOB#6121260

Description

ANNUAL INSPECTION AND MAINTENANCE (8) DEARBORN HEIGHTS OUTDOOR WARNING SIRENS

DATES OP SERVICE: 7/26 AND 7/27/2012

P_Q_ No_ 1--

8 ANNUAL INSPECTION & PREVENTATIVE MAINTENANCE_ (8) FEDERAL 2001 OUTDOOR WARNING SIRENS

Phone#

Terms

Net30

Invoice Dale ------- _Invoice# I

17869 '-------"---

8/23/2012

Project

6121260-DEARBORN HEL

Rate Amount

375_00 3,000_00

--

Total $3,000.00

--

Date:

To:

Department of Public Works

11!1/2012

Honorable City Council

William Zimmer Public Service Administrator


i?o~5u~ 'td~-~A-PP_R_ov""E,-;:D~FO:::;R:;

AGENDA OF

From: William Zimmer Public Service Administrator 11-13,/t.. Subject: Cherry Hill Road Repairs

Road conditions at several locations on Cherry Hill had deteriorated to the point that hazardous driving conditions existed. These conditions also created the potential for damage to our snow plow trucks.

In September, we received bids for the asphalt portion of our 2012/13 roads project The low bidder for this project was Ajax Paving Industries, Inc. I received a quote from Ajax to do the repairs on Cherry Hill for $1.62 per square foot Best Asphalt offered to do the work for $1.40 per square foot.

I am requesting the City Council approve for payment, the attached invoice in the amount of $34,776.00 to Best Asphalt 6334 N. Beverly Plaza Romulus, Mi. 48174. Funds for this work are available in Major Streets budget 202-202-880-500. Repair work on Cherry Hill was completed on October 25, 2012.

Please call my office if you have any questions.

u~· WilliamZi

City of Dearborn Heights· 24600 Van Born Rd. • Dearborn Heights. Ml48125 • (313) 791-6000 • Fax (313) 791-6001

6334 N. Beverly Plaza Romulus, Michigan 48174

(734) 729-9440 FAX (734) 729-6414

City of Dearborn Heights Dept of Public Works Attn: Bill Zimmer 24600 Van Born Rd Dearboro Hts, MI 48125

I 0/25/2012

Misc. Asphalt Work Per Proposal

Total

Invoice

lr ,4.L4.<JO

12,600.00 10,752.00

II 12,600.00 10.752.00

$34,776.00

Cl'IT OF'


Daniel S. Paletko Department of Public Works Mayor "A-::P::::PR::::O:::-V:::E::::D ~FO::::R::-1

To: Honorable City Council

From: William Zimmer, Public Service Administrator

Date: October31,2012

Re: Pardee Road Paving Program Change Order No. 1

I am requesting approval of the enclosed reconciling Change Order No. 1 for the Pardee Road Paving Program. The Contractor, Tiseo Brothers, has completed the project and the Change Order is a reduction of $1,409.95 of the approved contract.

If you have any questions regarding this approval, please contact my office.

f.k!M-' ~ ~in~re;sy, ,

William Zi mer

AGENDA OF

City of Dearborn Heights • 24600 Van Born Rd. • Dearborn Heights, Ml48125 • (313) 791-6000 ·Fax (313) 791-6001

~--~----~------------------

WADE TRIM DO NOT PAY FROM THIS DOCUMENT

fnJJlnJCI Ch<nrg,, Ort!er l Haw; OJCt, 19. :U\12 Extention of Time

Qwner: City of Dearborn Heights 6045 Fenton Avenue Dearborn Heights, MI 48!27

Substantial Completion Date: Oct. 15, 2012

Contractor: Tiseo Brothers, Inc. 68660 Hillside Washington, Ml 48095

Job No. DHT-2554-03T

Project: Pardee Road Paving

THIS CHANGE ORDER CONSTITUTES FULL Ml!fUAL P,CCORD AND SATISFACTION FOR ALL TIME AND COSTS RELATED TO THIS CHANGE. BY ACCEPTANCE OF THIS CHANGE ORDER, THE CONTRACTOR HEREBY AGREES THAT THIS CHANGE REPRESENTS AN EQUITABLE ADJlJSTM!lNT TO THE CONTRACT AND FURTHER AGREES TO WAIVE ANY FURTHER CLAIMS OR CHANGES ARISING OUT OF, OR AS A RESULT OF, TillS CHANGE, OR THE ACCUMULA T!ON OF CHANGES AS RELATED TO THIS SUBJECT.

"APPROVALS REQUIRED"

Number of Days Added: Extended To:

Final Completion Date: Oct. 31.2012 Number of Days Added:

Extended To:

THIS CONTRACT CHANGE ORDER, WHEN APPROVED, WILL CONSTITUTE AUTHOR!ZA TJON FOR THE FOLLOWING CHANGE IN PLAN TO BE CONSTRUCTED IN ACCORDANCE WlTII ALL PRQ,VISIONS OF THIS CONTRACT, INCLUDING THE FURNISHING OF THE NECESSARY BONDS AND INSURANCE.

Prepared By: = . tJ Y {j Construction DepartmeJ;lt:;; "fJde Trim Associates :

);_~

Recommended By: 9--:~\C.... ~~ Engineer: Wade Trim Associates

?

Accepted By: ~ -~ Contractoy

Approved :B;: /1.1_g~ 9-z

~ Brothers. Inc.

Owner.

~/1.--Date

1 o/z ~/;2. Date

!fh7jufb Date

!0--'3r-I:!L Date

K.e] WADETRIM: Cmrtr>tcl Ch;~ugc Oni'cr l

PROJECT NAME~ Pardct: Rotd Pavlag

JOB NO. DHT-25S4-03T CUENT: City of~rOOrn Helghu

DATE: O<:toher29,10J2 Co~ Date: July 30, ZOll

Construction Start Date: August 8, 2012

1·-· DESCRJPTION """'""' Unit UaitPri~ CON<).J

(+f~)Qty

2

' • -'-

6

~ II Repiaee S e andC~r

1, withi

7 ls~UJ:Ide~.llllAflJAA&eldilJ 8 )~'84fiOCourso,11M8-ii!cb

17

[""'~ ~

'~FatlR:

I"'-'

...!!.. ,. c.. ...

Extra's

435,00

- 13.00

8.00 -~ ~

1705.00

!0!100

~ ~ ~

2970.00 -~ ~ ~ ~ ~

.00

....!.:22. 20.00

s d •

£a $

Vft $

~ ~ ~ ..!!!!.. ..!!!!.. ..a ~ ..ll;;.

Ea

~.s.

~1!.o;;;;-[$

5.00 81!.00 175.00 ..()_(}!)

!80.00 ·5.10

1.20 462.00

1,50 -.S!!J)t)

~-~~

6.00 -8.0

2850 ·3S.OO

3,50MO 1.00 3.2!'1 ~9.00

3.00 380.00

6.00 ~245.00

5,50 --813.00

7$.00 -1:50.00 ~

2,2Sq.QQ._

1,100.00

560.00

r~··!. c.oo- ··1 o:oo·--rs :un 1 s2a.oo I El02 ,,,.,..... o.oo I o.oo Is i;i<l<l oo I 1.00

CONo.l (+!-) Qty

Subttantbl CO>mpldioo Date~ Oc! 1:5, 2!111

Exteuded Tu:

FhuiColllph:liMIDilfe: Ort.31 1011

E'l:twded To:

~ Qty. 1 Original Contnet Priu

CW'l"t:otCootnct Priu

/Total nff'revious I Total AIIIOWit Th.b Clutnge Ordltl"$ Cluwge Order-

523.00 s 7.00 $

2.80 s 1,980.00 $

J 73&..00 $

1,731.00 s ~00 ~·->,m.oo s 1,965.00 s

2.00 • ,..,_.. s 1,030.(10 $

340.00 •

1,657.00 s

~ ...?.! .... .... ltum Is

:U$.00

1.00 S

2.175.QQ- $

2,275,00 s 1,440.00 s 1,821.60 $

13,161.$0 s 25,515.00

2,800.0()

20,34D.OO

8$,500.00 3,500,00

~ ~

3.510.00

(3,915.00

525.00

I,OS(tOO $

~coo $_

1,100.00

11.200.00

Is . rs

2,615.00 .$

1.225.00 s 504.00 s

2,.376.00 $

U,350.00

-20,292.00

84,501.50

7,000.00 s 9,623.2:5 s 3,240.00 s

'·"''·"?J' ~ ~ ~ ?~0.00

1 100.00

11.200.00

l,z.t6A'O

3,864.00

~ s s $

-

$

J.. s

"'1T H-

...:..1.!.. [:i

44l!,ll~

(9~.00)

554.40

'412.50

390.00 ..1_U1lO.OO

(48.00)

l.SOO.OO (29.25)

1.240.(JO i

-

1.246.40 3,864.00

l·:xplrt·na,tin:n·. or·c·b~ltlgC· hi: Q,tiH'•Itti:ti't\"·-'Ollld E\l't)tltems:

Printed On 1012912012 3:18PM Page-1 of 2

Date:

To:

From:

Subject:

Department of Public Works

111512012

Honorable City Council

William Zimmer, Public Service Administrator

Fund Transfer



Please approve a fund transfer in the amount of $15,000.00 from Highway DPW account 101-440-932-000 to 101-440-880-000. These funds are needed to cover the cost of an overage in concrete repairs.

~i~cerely~· • j/(_JII..A. . ~ William Zim er

City of Dearborn Heights • 24600 Van Born Rd. • Dearborn Heights, Ml 48125 • (313) 791-6000 • Fax (313) 791-6001

Community and Economic Development Departmen.,!..t """"""'=;:-;...

APPROVED aniel S. Paletko

Ronald J. Amen Director

DATE: 11/5/12

TO: Mayor and City Council Members

1-:=~-;v•ayor ,______ I MOTION# I APPROVED FOR

ONCUR~ ttl ;:~/rxs

RE: Neighborhood Stabilization Program (NSP) CHANGE ORDER REQUESTS

Dear Mayor and City Council members:

Please accept this letter as a request to approve the attached change orders for Neighborhood Stabilization Program (NSP) project addresses 21128 Brooklawn and 5687 Drexel.

Sin~~'~ Ronald J. Amen Director CEDD

cc: Attachments

The City of Dearborn Heights • Community and Economic Development Department • 26155 Richardson • Dearborn Heights, Ml 48127

Generated on:12/06/201 0 ChangeorderBrooklawnrev3 (3).xls

1

JOMAA LAND DEVELOPMENT

To: Ron Amen Job Location: 21128 Brooklawn, Dearborn Hts, Mi 48127 Ph#: (313)485-1959

We hereby agree to make the change(s) Specified Below

2 Raise the Grade Around the house Specifically on the sides of the house A)Remove Sod on the side/ Clean it up B) Seal Between the brick ledge and the Brick C)Add Dirt, Pitch away from the house D) Add Plastic 6 Mil then cover it with stone

3 Remove All Ceramic Tile Flooring In Basement A)Ceramic Tile was installed on top of VCT (-450 sf)Double Layer In kitchen/under stairs/laundry/Bath B)Scrape Floor after Tile removal for smooth finish C) Remove Debris to dumpster

4 Remove Loose VCT Tile Under Carpel(Basernent!Summer Room) A)Carpet was installed on top of VCT (-650 sf) Basement I Summer Room B) Scrape Floor after VCT removal for smooth finish C)Remove Debris to dumpster

5 Remove & Terminate all Existing Plumbing In Basement A) Four underground openings needs to be terminated to code in basement B) All the water lines for the kitchen and bathroom in the basement needs to be terminated to code C)AII the water lines for the laundry in the basement shall be terminated D) Install new shut-offs/ new water lines/New laundry Tub in basement E) Install new shut-off for washer machine F) Remove and Install new water shut-off for humidifier

Printed on:11/5/2012 Page 1

CHANGE ORDER Number: 1

Original New Contract Amount Amount Amount

$800.00 0.00 $800.00

$900.00 0.00 $900.00

$650.00 0.00 $650.00

$2,200.00 0.00 $2,200.00

Generated on:12/06/2010 ChangeorderBrooklawnrev3 (3) .xis

6IRework Gas line in basement A)Remove & Terminate gasoline to kitchen in basement B)Remove & re-install gasoline to dryer (currently miss routed) C) Install new gasoline to stove in kitchen (Currently it is an electric stove) D)Pressurize gasoline for pressure test for city inspection

?!Install New Steel Column Under Basement Steel Beam A) Fabricate a new column with a 1 Ox1 0 bottom plate, Drill 4 holes on the bottom plate B) Anchor the four plates with 4 concrete bolts C) Attach the top of the column to the bottom of the beam by batting or welding it

81Repair floor joist where a big notch was made in double floor joist A) Square the notch an double fill it, nail it in place B) Install 6 linear feat of Plywood on both sides of the floor joist and sandwich the floor joists C) Glue it and nail it in according to the repair standards

91Additional Concrete Work Was Required A) The approach and the side walk -184 sf of 6" concrete were replaced Due to cracks B) Side walk from driveway to the side of the summer room was replaced & added -40sf of 4"

iOIRepair stairs Going Down to Basement (all the risers were removed and properly installed)

111Repair Garage Soffit North Side (Labor & Material)

121Replace 20 sf of tile front foyer (entry door) (Labor &Material)

13llnstall New Duct for dryer (hard pipe (Labor & Material)

141Net Credit for not Reframing/Dry walling/Carpeting basement anymore Note: the credit is the net effect for example: painting is a wash due to the fact all the basement walls will still be painted, electrical considered to be a wash also; all the electrical was terminated and restored to code, The side walls of the stairs were framed and will be dry walled.

Note: This Change Order becomes part and in conformance with the existing contract We agree hereby to make the change(s) specified above at this prtce Date: Authorized Signature (contractor):


$400.00 0.00 $400.00

$450.00 0.00 $450.00

$200.00 0.00 $200.00

$1,000.00 0.00 $1,000.00

$350.00 0.00 $350.00

$200.00 0.00 $200.00

$200.00 0.00 $200.00

$150.00 0.00 $150.00

$0.00

$3,500.00

Generated on:12/06/2010 ChangeorderBrooklawnrev3 (3).xls

Jim Jornaa

Date of Acceptance: Signature (Owner):


Generated on:12/06/201 a

JOMAA LAND DEVELOPMENT

To: Ron Amen Job Location : 5687 Drexel, Dearborn Hts, Mi 48127 Ph#: (313)791-351 0

ChangeorderDrexel.xls

We hereby agree to make the change(s) Specified Below

1 Deck Removal/New Gable Roof Demo Deck/Remove Debris to Dumpster Remove Torch Down Roofing/ Ploywood Remove Semi Door/Window Frame New Gable Trusses same pitch as existing Frame New Soffit Install New Shingles!Ridge Vent Install New Siding /Aluminum Trim Attic space will be finished Same as existing Attic

2 Drainage Issues Rework The grade Install Catch Basin Install New Drain Tile to resolve water issues against the rear of the house

3 Fr!!ming Reeair Thrgug!:l Out the Hoy!!e

4 R!!jtomm!!nd adding a l!YWR eumef!2rain Til!! to the craltl:! seaee !Fioog!!!l ltl:itll Water!

5 Drive wall and !!ide ltl:!!lls need to be reQiaced

6 Front porcb need!! to ~~ re111aced {at a minimum)

·-~·~--~,·--~--------·----~-----·-----~------·-·------ -- --------------------- ------------- ------·---·- -- ----·---------------·----------- ~~---

Note: This Change Order becomes part and in conformance with the existing contract We agree hereby to make the change(s) specified above at this price Date: Authorized Signature {contractor): Jim Jomaa JimJomaa

Date of Acceptance: Signature (Owner):


CHANGE ORDER Number: 1

Original New contract Amount Amount Amount

$15,000.00 0.00 $15,000.00

$2,900.00 0.00 $2,900.00

$2,500.00 0.00 $2,500.00

$3,800.00 0.00 $3,800.00

$7,500.00 0.00 $7,500.00

$1,500.00 0.00 $1,500.00

~~ ---------

$33,200.00

crrYop

Department of Building and Engineering

To: Hon. DanielS. Paletko, Mayor Hon. City Council Members

From: Mohamed Sobh, Director Building & Engineering Department

Date: November 6, 2012

Re: Budget Amendments

I am requesting the following budget amendments:

Mohamed Sobh Building Director



!. 101-000.458.000- Building inspections- increases from 400,000 to 415,000. 2. 101-371.932.000- Repair and Maintenance Equipment- increases from $2,500 to

$4,500. 3. 101-371.816.000- Lease Pay/Cars- increases from 0.00 to $13,000.

Respectfully submitted,

Mohamed Sobh Building & Engineering, Director

City of Dearborn Heights • 6045 Fenton • Dearborn Heights, Ml48127 • (313) 791-3470 • Fax (313) 791-3471

Dear City Council Members:

Please find attached the revised version of the proposed Policy Regarding Public Comment at City Council Meetings ("Revised Poiicy"). The Revised Policy is different from the version of the proposed Policy Regarding Public Comment at City Council Meetings that was submitted on August 20, 2012 ("Original Policy") in several ways.

First, the paragraph pertaining to members of the public complying with Council rules has been moved from under "Public Comment at Regular or Special Council Meetings". Since what is stated in this paragraph is generally applicable to public comment at all Council meetings, this paragraph is now located under the heading "Generally". More specifically, this paragraph is now located on page 1 of the Revised Policy as the second paragraph under "Generally". It had been located starting on page 1 and continuing onto page 2 of the Original Policy under the heading "Public Comment at Regular or Special Council Meetings".

Other than a few minor, non-substantive corrections or improvements, the rest of the changes in the Revised Policy vis-a-vis the Original Policy pertain to having to incorporate "Announcements" into the Revised Policy. With respect to the text under "Public Comment at Regular or Special Council Meetings", these changes start on page 1 of the Revised Policy at the fourth paragraph and continue through the first sentence of the last paragraph on page 2 of the Revised Policy.

The fourth paragraph under "Public Comment at Regular and Special Council Meetings" which is on page 1 of the Revised Policy notes that public comment at regular or special Council meetings is divided into two sections. One is "Announcements". The other is "Comments".

The fifth paragraph under "Public Comment at Regular and Special Council Meetings" which starts on page 1 of and continues onto page 2 of the Revised Policy explains and describes the "Announcements" section of public comment. It states its general purpose and its relationship to legally required public comment. It also gives examples of appropriate "Announcements" consistent with the Council's current practices.

The sixth paragraph under "Public Comment at Regular and Special Council Meetings" which is on page 2 of the Revised Policy sets froth the procedure for members of the public to make comments under "Announcements". This reflects the Council's current practices.

The seventh paragraph under "Public Comment at Regular and Special Council Meetings" which is on page 2 of the Revised Policy explains and describes the "Comments" section of the public comment. It states its general purpose and its relationship to legally required public comment. It notes that the scope of "Comments" is extremely broad, but it also gives some illustrations.

The eighth paragraph under "Public Comment at Regular and Special Council Meetings" which is on page 2 of the Revised Policy sets forth some very general and reasonable limitations on the speech and actions of persons participating under the "Comments" section of public comment.

The ninth and final paragraph under "Public Comment at Regular and Special Council Meetings" which is at the bottom of page 2 of the Revised Policy sets forth the procedure for addressing the Council during the "Comments" section of public comment. The only change from the Original Policy is that a sentence has been added at the beginning of this paragraph. This was necessary because of the newly added text concerning public comment under "Announcements" and public comment under "Comments".

Under "Public Comment at Council Study Sessions", there are only changes in the third paragraph on page 3 of the Revised Policy. Because of the distinction added in the Revised Policy between "Announcements" and "Comments", text was added to this third paragraph to the effect that: 1. Public comment at study sessions does not include "Announcements". 2. To the extent public comment is required at study sessions, it only includes "Comments". 3. The rules


applicable to "Comments" at regular or special meetings also apply to "Comments" at study sessions except in three (3) respects. The three (3) ways in which they differ are the same as stated in the Original Policy.

If I may be of further assistance regarding this or any other matter, please feel free to contact me at your convenience.

Very truly yours,

GARY T. MIOTKE Dearborn Heights Corporation Counsel 6828 Park Avenue Allen Park, Ml48101 Phone: (313) 388-4809 Fax: (313) 388-8428 Email: [email protected]

POLICY REGARDING PUBLIC COMMENT AT CITY COUNCIL MEETINGS

Generally

This Policy Regarding Public Comment at City Council Meetings ("Policy") is being adopted to ensure compliance with the Open Meeting Act and with City Charter Section 6.7. This Policy shall be considered to be part of the City Council's rules of order pursuant to City Charter Section 6.9 and is to be incorporated into the City's Policies and Procedures Manual upon adoption. This Policy shall take precedence to any policy, procedure, rule of order, or other requirement adopted by the City to the extent that there is any conflict between this Policy and the conflicting policy, procedure, rule of order, or other requirement.

A member of the public who violates these rules or any other applicable rules established by the Council may be directed by the Council Chair to comply with the rules. If the member of the public continues to violate the rules, the Council Chair may direct him or her to end his or her comments. A member of the public shall comply with the Council Chair's orders. A member of the public shall not be excluded from a meeting otherwise open to the public except for a breach of peace actually committed at the meeting.

Public Comment at Regular or Special Council Meetings

Members of the public shall have a reasonable opportunity to be heard at any regular meeting of the Council or at any special meeting of the Council on matters within the Council's jurisdiction. Members of the public may address the Council under the rules established by the Council including this Policy.

The time of a Council meeting where members of the public may address the Council shall be known as public comment. Public comment shall take place during Council meetings at the time specified in the agenda for the meeting. Members of the public shall not comment in general during a meeting or participate in a meeting unless specifically permitted to do so by the Council.

The Council may temporarily suspend the requirement of this Policy that public comment may only take place as specified in the meeting's agenda at a particular meeting for a special purpose or with respect to a particular issue. To temporarily modify or suspend this requirement, two-thirds of the Council's members present at the meeting must vote to temporarily modify or suspend the requirement. The modification or suspension of the requirement shall only be effective for the meeting at which the requirement has been modified or suspended.

Public comment at regular or special Council meetings shall be divided into two sections, one for "Am1ouncements" and the other for "Comments".

"Announcements" is the part of public comment intended to let persons make others aware of things of general interest to the City. This section of public comment is not intended to ensure compliance with the Open Meetings Act or with City Charter Section 6.7. Rather, it is intended to let persons publicize events, activities, happenings, or things that may be of interest to the City or to those who live or work in the City. Some examples of items that may be

appropriately raised during "Announcements" are updates from public officials concerning information relating to their duties and to the City; announcements from City civic, charitable, educational, or community organizations about their activities or events; and other such statements notifying others of something of general interest to the City.

The procedure for addressing the Council during the "Announcements" section of public comment shall be as follows. One or more members of the public may address the Council in making an announcement. Each member of the public who wants to address the Council shall state his or her name. Plus, if applicable to the particular announcement to be made, each such member of the public shall also state his or her title and the organization he or she represents. Thereafter, the member or members of the public will make the announcement about the thing or things of general interest to the City. There shall be no prescribed allotment of time for any members of the public to make any announcement. However, only the amount of time needed to make the particular announcement shall be made available to and used by the person or persons making the announcement. The Council Chair in his or her discretion shall determine and limit the time available to and used by the person or persons making the announcement to ensure that the requirements in the preceding sentence are upheld.

"Comments" is the part of public comment intended to let persons speak about things they want to speak about whether or not those things are of general interest to the City. While the things spoken about may be of general interest to the City, and may even be of the type that they may have been appropriately addressed as part of the "Announcements" section of public comment, the "Comments" section of public comment is intended to ensure compliance with the Open Meetings Act and with City Charter Section 6.7. Accordingly, the scope of things that may be spoken about under "Comments" is extremely broad. For purposes of illustration only, and not for purposes of limitation, some examples of items typically raised during "Comments" are a person's agreement or disagreement with a particular City policy, a person's praise or criticism of how the City addressed a particular problem, a person's observations and opinions about what happened at a Council meeting, and a person's questions and concerns about how his or her problem may have been or should be addressed by the City.

Although the scope of things that may be spoken about under "Comments" is extremely broad, a person's speech and actions while addressing the Council during the "Comments" section of public comment are not without limits. In addition to any other applicable legal requirements, a person shall not engage in profane, obscene, or criminal speech or actions while addressing the Council during the "Comments" section of public comment. Moreover, a person shall not commit a breach of peace while addressing the Council during the "Comments" section of public comment.

The procedure for addressing the Council during the "Comments" section of public comment shall be as follows. Any member of the public who wants to address the Council shall begin doing so by stating his or her name, the street he or she lives on, and the municipality in which he or she resides. He or she shall have up to three (3) minutes to address the Council, unless the Council, any member of the Council, a City elected or appointed ofticial, or a City employee or contractor uses part of his or her allotted time by asking a question or questions or making a comment or comments. To the extent that a member of the public's allotted time is used by someone else affiliated with the City as noted in the preceding sentence, then the member of the public's time shall be extended to provide him or her the full three (3) minutes to address the Council.

2

Public Comment at Council Study Sessions

Council study sessions differ significantly from regular or special Council meetings in various ways. Most significantly, the Council does not convene such meetings for the purpose of rendering a decision on public policy. Also, study sessions are not specifically noted in the Charter. Further, study sessions are much more informal than regular or special Council meetings. Moreover, the purpose for convening a study session can vary from being purely an opportunity for the Council to gather information to being an opportunity for the Council to deliberate toward rendering a decision on public policy even though the Council will not actually render a decision on public policy at the meeting.

Depending on the purpose and conduct of a study session, members of the public may or may not be allowed to comment at the study session. If the study session is convened for the purpose of only gathering information, and the study session is conducted such that no deliberations take place toward a decision on public policy, then members of the public will not have an opportw1ity to be heard unless the Council otherwise decides to entertain public comment.

If the study session is convened for the purpose of deliberating toward a decision on public policy, or if deliberations toward a decision on public policy take place regardless of the study session's purpose, then the public shall have a reasonable opportunity to be heard at the study session. Notably, public comment at Council study sessions shall not include an "Announcements" section. Instead, public comment at Council study sessions shall only include a "Comments" section as described above m1der the heading "Public Comment at Regular or Special Council Meetings". Further, the rules noted above under the heading "Public Comment at Regular or Special Council Meetings" and applicable to the "Comments" section of public comment shall apply to public comment at study sessions except in three (3) respects.

First, a member of the public addressing the Council shall have up to two (2) minutes to address the Council.

Second, the timing and sequence of public comment will be determined to maximize its utility to the Council in the discretion of the Chair. Public comment may take place at various points throughout the study session or may take place at a prescribed point during the study session. In the absence of a prescribed part of the study session at which public comment may take place, public comment will be allowed just before the study session is ended.

Third, if a member of the public's comments will count against his or her allotted time, then the member of the public must be informed of this fact prior to the time that he or she addresses the Council.

3

/3-11 City of Dearborn Heights Police Department

Request for Traffic Control Devices

Received by:

Office of the CHIEF OF POLICE

Date: September 22, 2011

Temporary

Removal

Permanent

Petitioner: Dearborn Heights Police Department

Type of Device: 25 MPH Speed Limit Signs

No:

No:

No: T-218

COUNCIL ACTION


JJ-13-I:J.-

Location of Posting: Ann Arbor Trail Between Garling and Parkland

Reason: The Principal at River Oaks School requested that the speed Limit Sign Be Lowered to 25 MPH in accordance with the Michigan Motor Vehicle Code 257.627a.

STAFF RECOMMENDATION

All signs and posting must conform to MMUTC's 1994 Edition as amended.

Map Area Code No.: 14 & 15

Department of Public· Works report verifying installation of devices.

Date: _______ _

Signed: ------------------

D/Capt. J. Seipenko Administrative Services Division

Officer in Charge

Dearborn Heights Police endorsement of above recommendation.

MICHIGAN VEHICLE CODE (EXCERPT) Act 300 of 1949

257.627a "Regularly scheduled school session," "school," and "school zone" defined; prima facie speed limit in school zone; signs; applicability of section to walkway; location of school; school in session year-round. Sec. 627a. (1) As used in this section and section 629: (a) "Regularly scheduled school session" means that part of a day of student instruction that is followed by

a break for lunch or by a final dismissal of the student body for that day. (b) "School" means an educational institution operated by a local school district or by a private,

denominational, or parochial organization. School does not include an educational institution that the department of education detennines has its entire student population in residence at the institution.

(c) "School zone" means school property on which a school building is located and the area adjacent to the school property that is designated by the signs required under subsection (2). Except as otherwise provided in subsection (5), the school zone extends not more fhan 1,000 feet from the property line of the school in each direction.

(2) Except as provided in subsection (4), the prima facie speed limit in a school zone, which shall be in force not less than 30 minutes but not more than I hour before the first regularly scheduled school session until school commences and from dismissal until not less than 30 minutes but not more than I hour after the last regularly scheduled school session, and during a lunch period when students are permitted to leave the school, shall be 25 miles an hour, if permanent signs designating the school zone and the speed limit in the school zone are posted at the request of the school superintendent. The signs shall conform to the Michigan manual of uniform traffic control devices.

(3) This section does not apply to a limited access highway or to that portion of a street or highway over which a pedestrian overhead walkway is erected, if the walkway is adjacent to school property and is designed and located so as to be used, and is being used, as the principal means by which students of a school that bas property adjacent to the walkway travel to and from the school.

(4) Local authorities may increase or decrease the prima facie speed limit within a school zone under their jurisdiction pursuant to section 629.

(5) Notwifhstanding the requirements for a school zone as defined in subsection (!)(c), if a school is located in an area that requires school children to cross a state trunk line highway or county highway fhat has a speed limit of 35 miles per hour or more to attend that school, the school superintendent may submit a request to the state transportation commission, county road commission, or local authority having jurisdiction over the roadway, as applicable, for a school crossing as permitted under section 613a. If, based on the traffic engineering studies, the road authority determines the need for a lower speed limit, the road authority may designate the crossing as a school zone. Before submitting a request, the school superintendent shall have completed a school route plan as prescribed by section 7 A- I of the Michigan manual of uniform traffic control devices.

(6) Notwithstanding the 25-mile-per-hour prima facie speed limit established by subsection (2), the prima facie speed limit for any street in a school zone that has sidewalks along at least I side of the street, which shall be in force during the same periods that a 25-mile-per-hour speed limit provided by subsection (2) would otherwise be effective, shall be set at the limit requested by the superintendent of schools with jurisdiction over the school within the school zone, but this limit shall neither be more than 15 miles per hour below the regularly posted speed limit for that street nor less than 25 miles per hour. Permanent signs designating the school zone and the speed limit in the school zone shall be posted. These signs shall conform to the Michigan manual of uniform traffic control devices.

(7) If appropriate, the school superintendent may request that a sign be erected in the school zone indicating that a school is in session year-round. A sign erected under this subsection shall be posted on the same signpost as the school zone sign and immediately below fhe school zone sign. The sign shall read "Year-Round School" and shall conform to the Michigan manual of uniform traffic control devices.

History: Add. 1978, Act 42, Imd. Eff. Mar. 7, 1978;~Am. 1979, Act 21, Eff. Mar. 27, 1980;-Am. 1980, Act 222, Imd. Eff. July 18, 1980;-Am. 1996, Act 574, Imd. Eft: Jan. 16, 1997;-Am. 2000, Act 110, Imd. Eff. May 22, 2000;-Am. 2005, Act 88, Imd. Eff. July 20, 2005.

Rendered Wednesday, September 12, 2012

© Legislative Council, State of Michigan

Page 1 Michigan Compiled Laws Complete Through PA 300 of 2012

Courtesy of www.legislature.mi.gov

City of Dearborn Heights Police Department 13- f3

Request for Traffic Control Devices

Received by:

Office of the CHIEF OF POLICE

Date: November 2, 2012 Resolution#:

No:

t!2GE~~~ 19 ~AJ ·~--~


COUNCIL ACTION

Approved Denied

Petitioner: Dearborn Heights Police Department

Type of Device: 2 No Stopping Standing Parking (Between Signs) 20 Feet each side of the crosswalk on the East side of street.

Location of Posting: Fenton (Crosswalk South of Hass)

Reason: The School crosswalk needs the safety for children crossing the street.

STAFF RECOMMENDATION

All signs and posting must conform to MMUTCs 1994 Edition as amended.

Map Area Code No.: 18

Department of Public Works report verifying installation of devices.

Date: ________ _

Signed: --------------------

D/Capt. J. Seipenko Administrative Services Division

Officer in Charge

Dearborn Heights Police endorsement of above recommendation.

Received by; .• Offi .;;.~<.,,,/

Date: -/-'<;. "'.:s..;;;i"""""J-!!_L"---i'----!Lf...f>4---

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