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9.a) DONATION FORM FOR PUBLIC IMPROVEMENTS1h SCANDIA DONATION FORM FOR PUBLIC IMPROVEMENT PROJECTS, MEMORIALS, TRIBUTES, WORKS OF ART (Including funding proposals for the above purposes) DONOR INFORMATION Name: Zachary Boesel Address: 21335 Parrish Rd N Phone: 651-433-2918 Email: dboesel(a frontiernet.net Hereby makes a proposal to fund and/or construct a Public Improvement Project, memorial, tribute, or work of art consisting of LED scoreboard at the Wayne Erickson Memorial Park and the landscaping around the sign at the enterance. The intended purpose of this donation is For my Eagle Scout Project and to help improve the ballpark. Proposed location Outfield at the park Donation subject to the following restriction (if any): Condition, Conservation and Maintenance Requirements: What type of materials will be used in the proposed Project? LED sign, steel poles, cement, electrical wire, black dirt, grass seed, plants, mulch. What is the intended life span of the Project? 100,000 hours of continuous light use. What short and long-term maintenance may be required and what is the anticipated cost of such maintenance? Steel poles may need to be painted to prevent rusting in a few years; however I have approximately 300 dollars for future on the protect. The City of Scandia will make reasonable efforts to accommodate the intended purpose of the donation but reserves the right to utilize, relocate and/or dispose of any item through donated funds as the City of Scandia may deem fit. This agreement shall not take effect until the City Council for the City of Scandia has specifically accepted this donation by a resolution receiving and affirmative vote of two-thirds of the Council. Zachary Boesel Donor Recommended: Department Head Accepted: City Administrator Date Date Date