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9.d) Appointments to Forst Lake Cable Televison Commission Board r'' . Meeting Date: 12/15/2009 Agenda Item: � �� 1 1 City Council Agenda Report City of Scandia 14727 209�' St. North Scandia, MN 55073 (651)433-2274 Action Requested: Appoint two (2) Directors to represent Scandia on the Forest Lake Cable Commission. Deadline/Timeline: N/A Background: • Scandia, along with the cities of Forest Lake and Columbus, entered into a Joint Powers Agreement(JPA)to create the Forest Lake Cable Television Commission. • The JPA specifies that each city will be entitled to appoint by resolution two (2) Directors to 2-year terms, at least one of whom shall be a member of the City Council. The other must be a qualified voter residing in the city. • Scandia has been represented on the Commission by Councilmember polores Peterson and resident Mike White. • Applications have been received from the following residents interested in serving: o John LaNasa, 13859 Scandia Trail o Mike White, 13310 188th St. N • The city's Expense Reimbursement Policy provides that compensation for members of citizen advisory commissions or committees not specifically listed in the policy shall be set at the time an appointment is made. Compensation has been paid and budgeted at $20.00 per monthly meeting for the citizen member. Recommendation: I recommend that the Council adopt the attached resolution(draft Resolution No. 12-15-09-OS) appointing two directors for terms ending December 31, 2011. The names in the resolution have been left blank,but one must be a City Council member. The resolution also provides for$20.00 per meeting compensation to the citizen director. Attachments/ • Draft Resolution 12-15-09-OS Materials provided: . Application(s) Contact(s): Prepared by: Anne Hurlburt, Administrator (Cable commission directors) Page 1 of 1 12/10/09 CITY OF SCANDIA RESOLUTION NO. 12-15-09-OS APPOINTING DIRECTORS TO THE FOREST LAKE CABLE COMMISSION WHEREAS, the City of Scandia is party to a joint and cooperative agreement with the municipalities of Forest Lake and Columbus governing the establishment of the Forest Lake Cable Communications Commission; and WHEREAS, the purpose of the agreement is to establish an organization to monitor the operations and activities of cable communications and related communications matters, provide coordination of administration, enforcement and renewal of the franchises of the members, and to conduct such other activities as may be necessary to protect the interest of the members and its citizens with respect to the deliver of cable communications and related communications matters; and; WHEREAS, the City of Scandia is entitled to appoint two Directors to represent Scandia on the Commission, one of whom shall be a City Council member; NOW, THEREFORE, BE IT HEREBY RESOLVED BY THE CITY COUNCIL OF THE CITY OF SCANDIA, WASHINGTON COUNTY, MINNESOTA, that it should and hereby does appoint the following individuals to serve as Directors, for terms expiring on December 31, 2011: City Council Member FiJRTHER, BE IT RESOLVED, that compensation for Director shall be set at $20.00 for each monthly meeting of the Commission. Adopted by the Scandia City Council this 1 Sth day of December, 2009. Dennis D. Seefeldt, Mayor ATTEST: Administrator/Clerk � � � � \ �� � SC DIA Application for Appointment To Comrr�ission or Committee Comrnittee/Area of Interest : 1 � y . G�.1 � (r,�l ' �C.� -J 1'�CX� Narne: �r,rc/�� � L�� � "�f�1" Homie Phone: �-�j � - �� � " 1��� 0 Ho�eAddress: _ t��(j''l"� ��''',dl� ��a.. � �C�-. '. 1�/ �/�t� -�rZ� �j (>� E-Mail Address: �r1 � 4�c�-`�3�.nrl , ' ,,.y1 How long have you been a resident of Scandi�?_—� �,��-.�:"h'� —_� Property owned in Scandia(other tb�►residence): '� Emol�v�drnt Present Employer �1� Lt'�V�'� �,�'►yr1��a��;�S Wo���ere Since(u�o/yr) �I Work Phone �,�� � �, '�' �-� Position Title � S`��'� Commtssion/Committee Ezoerience Commission/Committee ���,���,�' ����1.�i 55��.�Dates Served Educ�tionAl BackQround Highest Level Achieved(degree/major)_l.�/���t'�- �\``-`�'`� " S� ► '"'^^�'S �j�" �i n�-nC� j f�,�,,,,.r— _ cv4.�5,�. Other Experience List any govemmental, service organizations,or professional activities which you have been or currently are involved in: _ i�t,t�t:�7 � �1�-�lY�-SA�-�'1 • �'►'1 l ;— n1 c� l�i ti-i+��'';.;� �Y''�..��►/1`� �'v1� �i:: � /,Lti•'l�-t �t-t�► C�'a M��C � tA�t`A � � In what volunteer activities have you participated? What w�s your role? t � �\ ,.,,y�^'�,,,,4-�, .��1sr� ��-�� In accordance with M.S. 13.04 Subd.2 we must inform you of your rights as a subject of govemrneet data. The information you give vs about yowrself is needed co identify you and assist in determining your suitabi}ity for the positions(s)for which you are spplying. 'i't►e information tlaat we collect about you is clasaified as eit�er Publac or Private. Public means that it is av�ilab�e to anyc�ne who asks to aec it. Private rneuns that the infonnation is avatlsbk only to the person the information is about�nd to the staff w1�o must usc it ir►tt�e norn�ai course of conductin6 City business and as otherwise provided for by law. As the person executing this application,I acknowledge that an investigation may be conducted for�se in deternun.ing my qualifieations. I hereby expressly authoriu release of any and allanforcriation which any organization,cornpa�y or person may have,including inforn�ation of a confidantial or privileged natura I hereby rekase the City and any or�anization, company or person furnishing inforniation to the City,as expressly authoriud above,from any liability for da�ege which may reswit from fumishing the info ion requested. �. � � ._� Sign�hue: j Date: You may attach a resurne if you desire. The selection process will vary according to the number of applicants and vacancies and rnay include interviews. Your application will be kept on file for one year. Thank you for your interest in serving on a Co�mission or Committee. Return completed application to: City of Scandia 14727 209�' St.N. Scandia, MN 55073 Phone: 651 433-2274 Fax: 651 433-5112 E-mail: mail@ci.scandia.mn.us � ��r������ � �•` � - , � ` � / � U't�, - t� i'��QQ � � . � � 5������D� CITY OF SCANDIA � Application for Appointment To Commission or Committee Committee/Area of Interest : ��'J� D,�J �U , . � 1 Name: �L��ii�,v�. 1��. L�� Home Phone: .3 �S 7�' Home Address:l����1� l���! `t � �� ZIP 7� !� E-Mail Address: YJ���L(�,�c�� �� 1�10�f�J7G¢CL _ ���? How long have you been a resident of Scandia?�� Property owned in Scandia(other than residence): /U�� Emnlovment ) Present Employer �� y , ��PJ1.�P Worked There Since(mo/yr) ��� � Work Phone ���-_�S �g' Position Title�l � � Commission/Committee Experience n t Commission/Committee (� c�� � Dates Served �%�'��`'� �'` U `�` I ��-�� l`��`f���- � � � �'U �; ��a-t� ��� j r �� _ G��'l � ���c��Z ' ,�L� �� � . . Educational Background g � g J ) �'y�� ���" ��� L-1 Hi hest Leve1 Achieved de ree/ma'or l- �' ,,�,�i�,�� �y � Other Exuerience List any governmental, service organizations, or professional activities which you have been or currently are involved in: , � ��LL r l � �� � �1, — � l_ ' /�A LNU.�� In what volunteer activities have you participated? What was your role? l P-h% S In accordance with M.S. 13.04 Subd.2 we must inform you of your rights as a subject of govemment data. The information you give us about yourself is needed to identify you and assist in determining your suitability for the positions(s)for which you are applying. The information that we collect about you is classified as either Public or Private. Public means that it is available to anyone who asks to see it. Private means that the information is available only to the person the information is about and to the staff who must use it in the normal course of conducting City business and as otherwise provided for by law. As the person executing this application,I acknowledge that an investigation may be conducted for use in determining my qualifications. I hereby expressly authorize release of any and all information which any organization,company or person may have,including information of a confidential or privileged nature. I hereby release the City and any organization, company or person furnishing information to the City,as expressly authorized above,from any liability for damage which may result from furnishing�he inform�tionreques r`'���,i//A �// f / i � � Signature: i � ..;' Date: / � � � G' You may attach a resume if you desire. The selection process will vary according to the number of applicants and vacancies and may include interviews. Your application will be kept on file for one year. Thank you for your interest in serving on a Commission or Committee. Return completed application to: City of Scandia 14727 209�' St.N. Scandia, MN 55073 Phone: 651 433-2274 Fax: 651 433-5112 E-mail: mail@ci.scandia.mn.us