The Docket · Government Meeting · DKT-2026-002448

On the agenda: Bismarck City Commission Meeting (First) — Automated License Plate (Nov 2)

Name: On the agenda: Bismarck City Commission Meeting (First) — Automated License Plate (Nov 2)
Start: 2026-11-02
End: 2026-11-02
Location: City Commission Meeting (First)

⚠ Agenda Watch Bismarck, North Dakota · Monday, November 2, 2026 — in 2 days

About this record

The published agenda for this November 2 meeting contains: "Automated License Plate", "ALPR", "facial recognition". This is the public record BEFORE the vote — read the document, then show up. Public comment is where cancellations start.

WhenMonday, November 2, 2026
Check the agenda document for the meeting time.

WhereBismarck, North Dakota

BodyCity Commission Meeting (First)

Money$4,710,000 on the table

On the record“Automated License Plate”“ALPR”“facial recognition”

The agenda, word for word

Government public record — the full text of the published document, archived October 31, 2026. Gold highlighting of key terms is ours, not the original’s. Read the original document ↗

200 pages · scroll to read

Page 1 of 200

West Fargo City Commission Meeting
West Fargo City Hall Commission Chambers
2515 6th St E, West Fargo 58078
Monday, November 2, 2026 5:30 PM

Meeting Items
A. Call to Order
B. Pledge of Allegiance
C. Roll Call
D. Approve Order of Agenda
E. Approval of Minutes -- October 19, 2026
F. Building Permits
Consent Agenda - Approve the Following:
a. Bills
b. Cass County Flood Risk Reduction Funding Assistance
• Authorize Staff to Apply for Cass County Flood Sales Tax Assistance
c. City Owned Right-of-Way within City Limits of West Fargo
• Authorize Staff to Initiate a Soft Season Shutdown for all Non-Emergent Hard Surface
Work.
d. Project No. 1357 – Southside Sanitary Sewer rehabilitation
(Priority Grouping No. 1 – SA 34, 38, and 42) -- Jerry Wallace, City Engineer
• Approve Task Order No. 111-1 and Direct Engineer to prepare Plans and Specifications
e. Financial Statement as of September 30, 2026
f.

Games of Chance for West Fargo Packer Wrestling Boosters

Regular Agenda
1. Members of the public will be allowed 2 minutes and 30 seconds to address the City
Commission. Commissioners will not take any official action during this comment period.
Members of the public who wish to speak during this public comment period must sign-up
in advance, and provide their name, residential address, and reference the item on the
current agenda or on the agenda of the most recent previous meeting.
Please sign up no later than 12 p.m. the day of the City Commission Meeting you wish
to attend.
City Commission Meeting Public Comment | West Fargo, ND (westfargond.gov)
2. Public Hearings (each item will adjourn out of regular meeting into a public hearing)
3. As the Board of Adjustments -- A26-19 Sandhills 6th Addition, request for variance to
wall sign size restrictions of the sign code -- Aaron Nelson, Director of Planning and Zoning
4. West Fargo Police Department Axon Proposal -- Police Chief, Pete Nielsen
5.

Project No. 9078 – Lagoon Property – Economic Development Readiness -- Dan Hanson,
Senior Director of Community & Development
• Approve Resolution for securing a Real Estate Broker

6. $4,710,000 Water Treatment Sales Tax Revenue Bond, Series 2026A -- Katie Schmidt,
City Attorney

Page 1 of 200

Page 2 of 200

7. $5,050,000 Wastewater Treatment Sales Tax Revenue Bond, Series 2026B -- Katie
Schmidt, City Attorney
8. Approve 2027 Health Insurance providers (Medica and MetLife) -- Beth Wiegman

9. Consideration of 2027 budget impacts relating to reduced health insurance costs
-- Dustin Scott, City Administrator
10. Executive session for purposes of discussing contract negotiation strategies and instructions
regarding property acquisition of Lots 1 and 2, Block 1, of North Pond at the Preserve 8th
Addition to the City of West Fargo, Cass County, North Dakota.
11. City Administrator's Report -- Dustin Scott, City Administrator
12. Correspondence
13. Non-Agenda Items
14. Adjourn

Page 2 of 200

Page 3 of 200

West Fargo City Commission Meeting
West Fargo City Hall Commission Chambers
2515 6th St E, West Fargo 58078
Monday, October 19, 2026 5:30 PM
Meeting Items
A. Call to Order
The City of West Fargo City Commission meeting was held on Monday, October 19,
2026 in the City of West Fargo City Commission Chambers.
B. Pledge of Allegiance
The Pledge of Allegiance was recited.
C. Roll Call
Commissioners Jorgensen, Stedman, Zundel and Erickson were present. Mayor
Gjerdevig was absent.
D. Approve Order of Agenda
Commissioner Zundel moved and Commissioner Jorgensen seconded to table
regular agenda item number 8. Commissioners Jorgensen, Stedman, Erickson, and
Zundel Erickson voted aye. The motion to approve tabling regular agenda item
number 8, was declared carried.
Commissioner Jorgensen moved and Commissioner Erickson seconded to approve
the agenda. Commissioners Jorgensen, Stedman, Erickson, and Zundel Erickson
voted aye. Commissioners Jorgensen, Stedman, Erickson, and Zundel Erickson voted
aye. The motion to approve the order of agenda was declared carried.
E. Approval of Minutes -- October 5, 2026
Commisssioner Erickson moved and Commissioner Stedman seconded to approve
the minutes of October 5, 2026. Commissioners Jorgensen, Stedman, Erickson, and
Zundel Erickson voted aye. The motion to approve the minutes of October 5, 2026
was declared carried.
F. Building Permits
Commissioner Jorgensen recused himself; Commissioner Erickson moved and
Commissioner Stedman seconded to approve the building permits. Commissioners
Jorgensen, Stedman, Erickson, and Zundel Erickson voted aye. The motion to
approve the building permits, was declared carried.

Page 3 of 200

Page 4 of 200

West Fargo City Commission Meeting
West Fargo City Hall Commission Chambers
2515 6th St E, West Fargo 58078
Monday, October 19, 2026 5:30 PM
Consent Agenda - Approve the Following:
a. Bills
b. Appointment of Mary Van Sickle to the Planning & Zoning Commission
c. Appointment of Dan Berglind to the Economic Development Advisory Committee of
Manufacturing Representation
d. Games of Chance for US Military Vets MC
e. Games of Chance for Freedom Elementary PTA
f. Games of Chance for Schwetty Inc
g. Games of Chance for Fargo All Stars Family
Commissioner Stedman moved and Commissioner Jorgensen seconded to approve
the consent agenda. Commissioners Jorgensen, Stedman, Erickson, and Zundel
Erickson voted aye. The motion to approve the consent agenda, was declared
carried.
Regular Agenda
1. Members of the public will be allowed 2 minutes and 30 seconds to address the City
Commission. Commissioners will not take any official action during this comment
period.
Members of the public who wish to speak during this public comment period must
sign-up in advance, and provide their name, residential address, and reference the
item on the current agenda or on the agenda of the most recent previous meeting.
Please sign up no later than 12 p.m. the day of the City Commission Meeting you
wish to attend.
City Commission Meeting Public Comment | West Fargo, ND (westfargond.gov)
2. Public Hearings (each item will adjourn out of regular meeting into a public hearing)
3. Economic Development fund request for Brew Bird West Fargo -- Casey Sanders
Berlgund, Director of Economic Development
Commissioner Zundel moved and Commissioner Erickson seconded to approve the
request that there are reports given for taxable dollars within 58078. Commissioner
Jorgensen voted nay, Commissioners
4. Lagoon Decommissioning Update -- Matt Andvik, Director of Public Works
This item was informational only, no action was taken.

Page 4 of 200

Page 5 of 200

West Fargo City Commission Meeting
West Fargo City Hall Commission Chambers
2515 6th St E, West Fargo 58078
Monday, October 19, 2026 5:30 PM
5. Project No. 9078 –Lagoon Property – Economic Development Readiness -- Dan
Hanson, Senior Director of Community and Development Services
• Direct Staff to Prepare a Resolution to Select a Real Estate Broker
Commissioner Erickson moved and Commissioner Jorgensen seconded to approve
Project No. 9078 –Lagoon Property – Economic Development Readiness; Direct Staff
to Prepare a Resolution to Select a Real Estate Broker. Commissioners Jorgensen,
Stedman, Erickson, and Zundel Erickson voted aye. The motion to approve Project
No. 9078 –Lagoon Property – Economic Development Readiness; Direct Staff to
Prepare a Resolution to Select a Real Estate Broker, was declared carried.
6. Permanent Site License - AT&T Cell Tower – Dan Hanson, Senior Director of
Community & Development
• Approve Agreement for Permanent Cell Tower
Commissioner Jorgensen moved and Commissioner Stedman seconded to approve
the Permanent Site License - AT&T Cell Tower; Approve Agreement for Permanent
Cell Tower. Commissioners Jorgensen, Stedman, Erickson, and Zundel Erickson voted
aye. The motion to approve Permanent Site License - AT&T Cell Tower; Approve
Agreement for Permanent Cell Tower, was declared carried.
7. Review 2027 Health, Dental, Vision and Ancillary Benefits (Informational Only)
-- Beth Wiegman, Director of Human Resources
This item was informational only, no action was taken.
8. Consideration of 2027 budget impacts relating to reduced health insurance costs
-- Dustin Scott, City Administrator This item was removed from the agenda.
9. City Administrator's Report -- Dustin Scott, City Administrator
10. Correspondence
11. Non-Agenda Items
12. Adjourn
Commissioner Jorgensen moved and Commissioner Erickson seconded to adjourn.
The meeting adjourned at 6:56 pm.

Page 5 of 200

Page 6 of 200

WEST FARGO CITY COMMISSION MEETING

BUILDING DEPARTMENT MONTHLY COMPARISON REPORT
11/02/2026
January 2025 THRU October 2025
# PERMITS

# UNITS

VALUATION

JANUARY 2026 THRU October 2026
# PERMITS

# UNITS

VALUATION

BUILDING NEW
COMMERCIAL

RESIDENTIAL DWELLING

7,707,000.00

35,989,443.00

65,138,278.00

12,339,741.00

14,250,000.00

162,326.00

15,875,806.00

RESIDENTIAL TWINHOME
RESIDENTIAL TOWNHOME
RESIDENTIAL MULTIPLE
PUBLIC

339,000.00

CHURCH
ACCESSORY

134

2,625,760.00

148

5,723,807.00

FOUNDATION ONLY

2,836,512.00

9,236,850.00

COMMERCIAL

12,936,982.00

11,488,944.00

RESIDENTIAL

147

6,593,303.00

149

10,644,323.00

PUBLIC

5,805,588.00

15,826,000.00

CHURCH

38,000.00

500,000.00

ACCESSORY

412,510.00

5,200.00

DEMOLITION

5,284.00

235,000.00

MOVE

82,000.00

1,000.00

PERMIT CANCELLATION

(5,250,000.00)

TOTALS

435

70,121,382.00

161,427,275.00

BUILDING REMODEL

BUILDING OTHER

Page 6 of 200

437

Page 7 of 200

WEST FARGO CITY COMMISSION MEETING

BUILDING DEPARTMENT ACTIVITY REPORT
11/02/2026
10/16/2026 Thru 10/30/2025
# PERMITS

# UNITS

VALUATION

YEAR TO DATE
# PERMITS

# UNITS

VALUATION

BUILDING NEW
18

COMMERCIAL
RESIDENTIAL DWELLING

1,948,860.00

65,138,278.00

12,339,741.00

14,250,000.00

RESIDENTIAL TWINHOME
RESIDENTIAL TOWNHOME
RESIDENTIAL MULTIPLE
PUBLIC

162,326.00

CHURCH

15,875,806.00

148

5,723,807.00

9,236,850.00

ACCESSORY

326,410.00

FOUNDATION ONLY

BUILDING REMODEL
COMMERCIAL

1,076,000.00

11,488,944.00

RESIDENTIAL

1,421,109.00

149

10,644,323.00

PUBLIC

15,826,000.00

CHURCH

500,000.00

ACCESSORY

5,200.00

DEMOLITION

235,000.00

MOVE

1,000.00

161,427,275.00

BUILDING OTHER

PERMIT CANCELLATION

TOTALS

4,772,379.00

Page 7 of 200

437

Page 8 of 200

WEST FARGO CITY COMMISION MEETING
Building Department Report - Summary
NO.

CONTRACTOR

VALUATION PERMIT FOR

ADDRESS

OWNER

261000 Premium Decks, Inc.

414 PERSIMMON PL W

THOMAS & YVONNE HALSTENSON $

13,000.00 Accessory - Deck

261001 Olson Pool Company

1101 ASPEN TER

KRUEGER CONSTRUCTION, INC

103,250.00 Accessory - Swimming Pool

261017 Deck Builders, Inc.

708 8 AVE W

BRADLEY C & AMBER M NICKLAY

34,400.00 Accessory - Deck with Ramp

260992 Premium Decks, Inc.

1017 46 AVE W

RICHARD FROVARP

20,000.00 Accessory - Deck

260950 Smook Enterprise LLC

165 23 AVE E

ANDREW & LAURA HOFER

72,560.00 Accessory - Deck

260947 Breland Enterprises, Inc.

713 7 AVE W

MARY BETH ODEGAARD

18,646.00 Remodel - Residential - Foundation Repair

261010 Groundworks Minnesota, LLC

1517 14 ST E

TIMOTHY & SALLY WILLENBRING

38,129.00 Remodel - Residential - Foundation Repair

261012 Thomsen Homes, LLC

1124 55 AVE W

THOMSEN HOMES, LLC

513,860.00 Residential Dwelling

260881 ROLLE'S HOME IMPROVEMENTS L 1137 9 AVE W

KEVIN & JENNIFER SCHULDHEISZ

75,000.00 Accessory - Covered Deck

260918 Briard Construction INC.

117 50 AVE E

CHRISTOPHER & CASSIE DAGENAI $ 1,200,000.00 Remodel - Residential - Addition

261024 Groundworks Minnesota, LLC

618 14 AVE E

MICHELE DILGER

6,029.00 Remodel - Residential - Foundation Repair

261026 Vanterra Foundation Solutions, LLC 679 42 AVE W

DARIN & JACQUELYN MILBRATH

70,000.00 Remodel - Residential - Foundation Repair

261016 Jordahl Custom Homes, Inc.

1137 RACHEL DR W

J & O REAL ESTATE, LLC

360,000.00 Residential Dwelling

261018 TARA M & TYLER J KELLER

655 20 1/2 AVE E

TARA M & TYLER J KELLER

20,000.00 Remodel - Residential - Lower Level Finish

261004 Jordahl Custom Homes, Inc.

1141 RACHEL DR W

J & O REAL ESTATE, LLC

225,000.00 Residential Dwelling

261005 Jordahl Custom Homes, Inc.

1145 RACHEL DR W

J & O REAL ESTATE, LLC

400,000.00 Residential Dwelling

261006 Jordahl Custom Homes, Inc.

1121 RACHEL DR W

J & O REAL ESTATE, LLC

450,000.00 Residential Dwelling

261002 Midland Door Solutions

1021 7 ST NE

NORDICK GROUP INC

$ 1,076,000.00 Remodel - Commercial - Paint Booth

261027 Elite Shedz LLC

1326 COMMANDER DR W

CHRISTIAN & EMMA KEATOR

8,200.00 Accessory - Structure

261042 Breland Enterprises, Inc.

1227 BARNES DR W

ROGENE ANDRE TOD

Remodel - Residential - Foundation
11,535.00 Repair, Vapor Barrier, Window Well

Page 8 of 200

Page 9 of 200

WEST FARGO CITY COMMISION MEETING
Building Department Report - Summary

CONTRACTOR

ADDRESS

OWNER

VALUATION PERMIT FOR

261044 Breland Enterprises, Inc.

927 5 AVE W

ZACHARY J JEMMING

Remodel - Residential - Foundation
16,179.00 Repair, Vapor Barrier

261048 Western Products, Inc.

506 4 AVE NW

DOUGLAS L & LUANN J BUEHRE

40,591.00 Remodel - Residential - Replace Siding

NO.

Page 9 of 200

Page 10 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 1 of 51
Report ID: AP100V

... Over spent expenditure

808 A & L LANDSCAPING
10/12/26 IRRIGATION WINTERIZING - PD

125.00
125.00

1000

455000

420

101000

Total for Vendor:

125.00

135415
C
3453 ABM EQUIPMENT LLC
1
10/13/26 #6100 TOOL/BOOM COVERS
INV13490
2
10/23/26 #6100 COVER
INV13639
Total for Vendor:

554.23
459.81

2210

428000

427

101000

94.42

2210

428000

427

101000

135215
C
289 ACME TOOLS
1
10/16/26 TOOLS
17221092

133.42
133.42

6025

450000

432

101000

135226
C
289 ACME TOOLS
1
10/23/26 SPOTLIGHT/RECIP SAW
17267940
2
10/21/26 SAW BLADES
17252943
3
10/23/26 SNOWBLOWER CUTTING EDGE
17270459

638.54
384.20

6020

450000

432

101000

17.40

6025

450000

432

101000

236.94

1000

430001

381

101000

135270
C
289 ACME TOOLS
1
10/22/26 FD E-76 Gas Pwr Fan
17260821

18.72
18.72

2060

415200

420

101000

135282
C
289 ACME TOOLS
1
10/09/26 #5445 GASKET
17182046

67.85
67.85

1000

430001

427

101000

135420
C
289 ACME TOOLS
1
10/26/26 TOOLS
17277737

23.13
23.13

6025

450000

432

101000

Total for Vendor:

554.23

881.66

Page 10 of 200

Page 11 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 2 of 51
Report ID: AP100V

... Over spent expenditure

5413 ALEX HEIZELMAN
10/22/26 PANTS REIMBURSEMENT
Total for Vendor:

195.00
195.00
195.00

135389
C
4467 ALL FINISH CONCRETE
1
Pay App 3 10/27/26 Project 2294
Pay App 3
Total for Vendor:

367,046.37
367,046.37

1000

430000

422

101000

4223

480000

670

101000

367,046.37

135202
E
3490 AMAZON CAPITAL SERVICES
1
10/21/26 cso gloves - animals
1TGV-FCQF-4MPT

64.95
64.95

1000

421000

641

101000

135214
E
3490 AMAZON CAPITAL SERVICES
1
10/16/26 S HANSON PANTS
119R9R6WWQLX
2
10/17/26 FIRST AID SUPPLIES
17NK1RGYCX6X
3
10/20/26 FO - EAR PLUGS
1YFYHPG466HW
4
10/15/26 WA - WINTER SWEATSHIRTS
1H3Q4QLLYM3N
5
10/19/26 ST - WINTER SWEATSHIRT
13VYKT9DX7WX
6
10/19/26 ST - WINTER SWEATSHIRT
1CCRRRTTX3CG
7
10/19/26 LABEL TAPE
1YKVYP7W94YW

1,315.25
179.97

1000

430001

422

101000

669.56

1000

430000

639

101000

37.18

2210

428000

639

101000

273.70

6020

450000

422

101000

66.86

1000

430000

422

101000

69.99

1000

430000

422

101000

17.99

6010

450200

410

101000

135231
E
3490 AMAZON CAPITAL SERVICES
1
10/13/26 HEADPHONES
1D9V3YDNXLKR
2
10/16/26 OFFICE FRAMES
17W3WGLTTY3C
3
10/24/26 HOTHANDS
1Y91MQ1KNJRX

649.08
25.98

2210

428000

410

101000

26.55

2210

428000

410

101000

115.30

1000

430000

639

101000

Page 11 of 200

Page 12 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 3 of 51
Report ID: AP100V

... Over spent expenditure

17.97
17.97

1000

421000

497

101000

135250
E
3490 AMAZON CAPITAL SERVICES
1
10/20/26 POWERPACK BATTERY
1KQ6XKV34NH7
2
10/20/26 EAR PLUGS
1KQ6XKV34NH7

151.45
132.66

1000

455000

432

101000

18.79

2210

428000

639

101000

135275
E
3490 AMAZON CAPITAL SERVICES
1
10/19/26 FD Eq Services Tools
1H3V-RQQV-4J6C
2
10/22/26 FD Eq Services Tools
1VJP-R66V-1TH9
3
10/22/26 FD Eq Services Tools Return
1JHL-7TCH-JFCG

472.32
472.32

2060

415200

432

101000

118.99

2060

415200

432

101000

-118.99

2060

415200

432

101000

499.05
86.48

1000

412000

410

101000

160.17

1000

415000

410

101000

125.94

1000

414100

410

101000

126.46

1000

414103

378

101000

76.61
76.61

1000

430000

410

101000

135304
E
3490 AMAZON CAPITAL SERVICES
1
10/16/26 Keyboard/riser/pad - Court
1JGX-RJTR-VPDL
2
10/09/26 Office supplies - CH
1TPD-PWN9-CWYJ
3
10/20/26 Ink for printers - UB
1MK1-DL1V-763W
4
10/26/26 Supplies for chili cookoff
1PL9-Y3W1-M97J
135326
E
3490 AMAZON CAPITAL SERVICES
1
10/21/26 ON CALL CALENDARS
1KWVLMRW1PGF

Page 12 of 200

Page 13 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 4 of 51
Report ID: AP100V

... Over spent expenditure

981.40
981.40

135396
C
2844 AMERICAN MAIL HOUSE INC
1
10/24/26 LEAD/COPPER MAILNGS
114673
Total for Vendor:

2,361.66
2,361.66

135256
1
25086

6,509.00
6,509.00

2375 APEX ENGINEERING GROUP, INC.
09/30/26 PRETREATMENT PROGRAM
Total for Vendor:

135221 -91350E
4672 ASURE PAYROLL TAX MANAGEMENT
10/16/2026 Payroll
1
10/16/26 Social Security
2
10/16/26 Medicare
3
10/16/26 Federal Income Tax
4
10/16/26 ND State Tax
5
10/16/26 MN State Tax
135224 -91349E
4672 ASURE PAYROLL TAX MANAGEMENT
10/16/2026 Payroll - Parks
1
10/16/26 Social Security - Parks
2
10/16/26 Medicare - Parks
3
10/16/26 Federal Income Tax - Parks
4
10/16/26 ND State Tax - Parks
5
10/16/26 MN State Tax - Parks
135428 -91326E
4672 ASURE PAYROLL TAX MANAGEMENT
10/30/2026 Payroll
1
10/30/26 Social Security
2
10/30/26 Medicare
3
10/30/26 Federal Income Tax

1000

430002

391

101000

6020

450000

360

101000

6025

450000

418

101000

1000
1000
1000
1000
1000

212501
212502
212503
212504
212505

8000
8000
8000
8000
8000

453000
453000
453000
453000
453000

1000
1000
1000

212501
212502
212503

4,228.08

2,361.66

6,509.00
265,831.26
125,835.56
29,429.48
101,085.22
4,743.00
4,738.00

101000
101000
101000
101000
101000

24,738.06
12,671.63
2,963.46
7,937.97
323.00
842.00

110
110
110
110
110

101000
101000
101000
101000
101000

293,290.70
133,359.24
31,188.78
117,265.68

Page 13 of 200

101000
101000
101000

Page 14 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 5 of 51
Report ID: AP100V

... Over spent expenditure

————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
Claim/ Check
Vendor #/Name/
Document $/
Disc $
Cash
Line #
Invoice #/Inv Date/Description
Line $
PO #
Fund Org Acct
Object Proj Account
————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
4
10/30/26 ND State Tax
6,084.00
1000
212504
101000
5
10/30/26 MN State Tax
5,393.00
1000
212505
101000
135432 -91325E
4672 ASURE PAYROLL TAX MANAGEMENT
10/30/2026 Payroll - Parks
1
10/30/26 Social Security - Parks
2
10/30/26 Medicare - Parks
3
10/30/26 Federal Income Tax - Parks
4
10/30/26 ND State Tax - Parks
5
10/30/26 MN State Tax - Parks
Total for Vendor:
135263
C
2931 AUTO VALUE PARTS STORES
1
10/20/26 FILTERS
99432381
2
10/20/26 FILTERS
99432383
3
10/20/26 FILTERS
99432387
4
10/20/26 FILTERS
99432380
5
10/20/26 FILTERS
99432386
6
10/20/26 FILTERS
99432384
7
10/13/26 FILTERS
99431097
8
10/13/26 FILTERS
99431058
9
10/13/26 FILTERS
99430993
10
10/09/26 3 1/2 GAL GALVANIZED/FILLTER
99430509
11
10/13/26 FILTERS
99430981
12
10/13/26 FILTERS
99431059

25,602.25
13,095.56
3,062.64
8,558.05
404.00
482.00
609,462.27

8000
8000
8000
8000
8000

453000
453000
453000
453000
453000

110
110
110
110
110

101000
101000
101000
101000
101000

665.62
6.88

6020

450000

427

101000

12.10

1000

430000

427

101000

59.09

6025

450000

427

101000

14.25

1000

421000

427

101000

2.78

1000

430001

427

101000

62.94

6010

450200

427

101000

30.75

1000

421000

427

101000

6.90

1000

430000

427

101000

3.45

1000

415000

427

101000

85.96

1000

430000

433

101000

8.63

6010

450200

427

101000

42.76

6020

450000

427

101000

Page 14 of 200

Page 15 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 6 of 51
Report ID: AP100V

... Over spent expenditure

————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
Claim/ Check
Vendor #/Name/
Document $/
Disc $
Cash
Line #
Invoice #/Inv Date/Description
Line $
PO #
Fund Org Acct
Object Proj Account
————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
13
10/13/26 FILTERS
3.45
1000
430001
427
101000
99430986
14
10/13/26 FILTERS
10.93
2210
428000
427
101000
99430983
15
10/13/26 FILTERS
13.87
6025
450000
427
101000
99430987
16
10/13/26 FILTERS
217.67
6025
450000
427
101000
99430990
17
10/13/26 FILTERS
41.86
6010
450200
427
101000
99431026
18
10/19/26 #7039 FILTER
41.35
4387
480000
427
101000
99432214
135330
C
2931 AUTO VALUE PARTS STORES
1
10/23/26 #3100 SPOOL CABLE
99433112
2
10/27/26 FILTERS
99433698
3
10/27/26 FILTERS
99433696
4
10/27/26 FILTERS
99433694
5
10/27/26 FILTERS
99433691
6
10/27/26 FILTERS
99433693
Total for Vendor:

360.87
149.00

1000

430000

427

101000

3.45

1000

415000

427

101000

113.71

6025

450000

427

101000

5.72

1000

430001

427

101000

19.75

1000

421000

427

101000

69.24

1000

430000

427

101000

1,571.95
1,571.95

1000

421000

422

101000

1,026.49

135197
1
77737

C
3149 BEE SEEN GEAR
08/17/26 new officer equip

135211
1
78975
2
79018

C
3149 BEE SEEN GEAR
10/06/26 uniforms for mickelson

1,488.54
460.87

1000

421000

422

101000

10/08/26 k. johnson - shirts

204.07

1000

421000

422

101000

Page 15 of 200

Page 16 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 7 of 51
Report ID: AP100V

... Over spent expenditure

————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
Claim/ Check
Vendor #/Name/
Document $/
Disc $
Cash
Line #
Invoice #/Inv Date/Description
Line $
PO #
Fund Org Acct
Object Proj Account
————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
3
10/06/26 equip - uniforms for nielsen
336.52
1000
421000
422
101000
78986
4
10/06/26 shirt for b. oldham
24.98
1000
421000
422
101000
78929
5
09/14/26 uniforms for evink
240.74
1000
421000
422
101000
78299
6
10/09/26 uniforms for hicks
43.97
1000
421000
422
101000
79078
7
10/12/26 equip for swiggum
40.99
1000
421000
422
101000
79095
8
10/12/26 uniforms for ostlund
13.40
1000
421000
422
101000
79098
9
10/09/26 k9 cap for heyerman
24.00
1000
421000
422
101000
79080
10
10/06/26 pants for sufficool
99.00
1000
421000
422
101000
78918
135220
1
79283
2
78888

C
3149 BEE SEEN GEAR
10/16/26 polo for cso sell

303.97
30.00

1000

421000

422

101000

10/02/26 cso safety vests/uniform

273.97

1000

421000

422

101000

135354
1
78028
2
79401
3
79494
4
79437
5
79235

C
3149 BEE SEEN GEAR
10/13/26 new officer equipment

379.96
39.96

1000

421000

422

101000

10/21/26 pants for haskell

99.00

1000

421000

422

101000

10/26/26 hasmark for posterick

6.00

1000

421000

422

101000

10/22/26 patch swap for crouse

32.00

1000

421000

422

101000

10/15/26 pants for richardson

203.00

1000

421000

422

101000

Total for Vendor:

3,744.42

Page 16 of 200

Page 17 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 8 of 51
Report ID: AP100V

... Over spent expenditure

131.32
131.32

135284
C
5655 BFIRST INDUSTRIAL
1
10/22/26 PLOW BOLT STOCK
95174467-00

2060

415200

420

101000

608.40
608.40

1000

430000

427

101000

135345
C
5655 BFIRST INDUSTRIAL
1
10/26/26 PLOW BOLTS
95174467-01
Total for Vendor:

208.35
208.35

1000

430000

427

101000

135366 -91328E
3552 BLUE CROSS BLUE SHIELD OF ND
October 2026 Premium - Med/Dental/Vision
1
09/18/26 October 2026 Premium
260918021733
Total for Vendor:

423,116.40
1000

212539

14,419.50
1,285.50

4133

480000

313

101000

13,134.00

4448

480000

313

101000

6010

450200

420

101000

4188

480000

670

101000

135374
C
3489 BOLTON & MENK, INC
1
0409333 10/16/26 Project 2284
0409333
2
0409450 10/19/26 Project 9077
0409450
Total for Vendor:
135435
C
26 BORDER STATES INDUSTRIES INC
1
10/14/26 EXTRADUTY COVER
933319137
Total for Vendor:
135233
C
28 BORDER STATES PAVING
1
10/15/26 PROJ 9061
3140-26

131.32

816.75

423,116.40

101000

423,116.40

14,419.50
39.84
39.84
39.84
41,915.50
41,915.50

Page 17 of 200

Page 18 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 9 of 51
Report ID: AP100V

... Over spent expenditure

20,947.60
18,921.10

4188

480000

670

101000

2,026.50

1000

430000

722

101000

135312
C
28 BORDER STATES PAVING
1
10/22/26 HOT ASPHALT MIX
3150-26
2
10/22/26 PROJ 9061
3150-26
Total for Vendor:

40,857.60
1,218.00

1000

430000

722

101000

39,639.60

4188

480000

670

101000

273.41
39.99

2060

415200

500

101000

233.42

2060

415200

500

101000

135280
C
3512 BOUND TREE MEDICAL, LLC
1
10/16/26 FD Medical Supplies
86396165
2
10/19/26 FD Medical Supplies
86398145
Total for Vendor:

103,720.70

273.41

135253
73 BRAUN INTERTEC
1
10/15/26 PROJ 9061
IN1032097
2
10/15/26 PROJ 9061
IN1032096

2,658.00
1,099.00

4188

480000

313

101000

1,559.00

4188

480000

313

101000

135376
73 BRAUN INTERTEC
1
IN1032675 10/21/26 Imp Dist 1360
IN1032675
2
IN1032683 10/21/26 Imp Dist 2265
IN1032683
3
IN1032681 10/21/26 Imp Dist 2293
IN1032681
4
IN1032672 10/21/26 Imp Dist 2294
IN1032672
5
IN1032677 10/21/26 Imp Dist 3006
IN1032677

55,367.00
2,872.50

4258

480000

418

101000

27,288.50

4793

480000

418

101000

4,790.50

4187

480000

418

101000

301.50

4223

480000

418

101000

1,197.50

4003

480000

418

101000

Page 18 of 200

Page 19 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 10 of 51
Report ID: AP100V

... Over spent expenditure

75.15
75.15

135309
C
5403 BRITE-WAY WINDOW CLEANING
1
615704 10/17/26 CH Window Cleaning
615704
Total for Vendor:

1,195.00
1,195.00

135399
1
5295

3892 BURGGRAF'S ACE FARGO WEST #17458
10/27/26 HARDWARE

6025

450000

427

101000

1001

415000

428

101000

1000

455000

420

101000

75.15

1,195.00
6.76
6.76

Total for Vendor:

6.76

135212
C
351 BUSINESS ESSENTIALS
1
10/21/26 storage boxes - files
WO-1411011-1, 2
2
10/21/26 evidence boxes
WO-1411011-1
Total for Vendor:

690.90
414.54

1000

421000

365

101000

276.36

1000

421000

410

101000

135343
C
39 BUTLER MACHINERY
1
10/22/26 SM72 HEATER
00PS0691191
2
10/23/26 #4005 ROLLER
00PS0691288
Total for Vendor:

1,518.57
579.67

6025

450000

826

101000

938.90

6010

450200

427

101000

690.90

1,518.57

Page 19 of 200

Page 20 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 11 of 51
Report ID: AP100V

... Over spent expenditure

C
1355 CASS COUNTY GOVERNMENT
10/30/26 Urban Renewal tax dep refund
Total for Vendor:

33,737.55
33,737.55
33,737.55

3983

310001

135314
1

5053 CASSANDRA KLOS
10/07/26 NDLA CONFERENCE IN MINOT
Total for Vendor:

81.00
81.00
81.00

7000

411600

340

101000

135261
62 CENTRAL DOOR & HARDWARE INC
1
08/28/26 MOUNTED CLOSERS
SI000990

230.00
230.00

6020

450000

420

101000

135397
62 CENTRAL DOOR & HARDWARE INC
1
09/28/26 SPRING HINGE
SI001313
Total for Vendor:

33.00
33.00

6020

450000

420

101000

135368
5133 CHANDA ERICKSON
CUSI Conference - Lake Tahoe - 10/13/26-10/16/26
1
10/19/26 Travel reimb - 10/13-10/16
Total for Vendor:

214.00
1000

414100

340

101000

263.00

214.00
214.00

135310
111 CITY OF FARGO
1
10/14/26 LANDFILL FEES
509608

30,076.98
30,076.98

6010

450200

355

101000

135382
111 CITY OF FARGO
1
509624 10/15/26 Paratransit Rides - Sept 2026
509624
Total for Vendor:

49,395.06
49,395.06

1000

415000

376

101000

135327
72 CLASSIC FLORAL
1
10/19/26 G GROSSMAN FUNERAL FLOWERS
150255
Total for Vendor:

75.00
75.00

1000

450000

340

101000

79,472.04

75.00

Page 20 of 200

Page 21 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 12 of 51
Report ID: AP100V

... Over spent expenditure

999999 COMBATBET
10/23/26 coins for recruitment

1,185.00
1,185.00

1000

421000

375

101000

1000

414104

497

101000

6025

450000

527

101000

Total for Vendor:

1,185.00

135438
C
3530 CONNECTWISE
1
10/27/26 ScreenConnect - Nov subscript
INV01719762
Total for Vendor:

351.90
351.90

135254
E
229 CONSOLIDATED COMMUNICATIONS
1
10/15/26 SCADA BACKUP @ PD
701-150-0691/0
Total for Vendor:

100.22
100.22

135434
4108 CONSOLIDATED ELECTRICAL
1
10/14/26 BKR BOLT-ON
2348-1130690
2
07/25/26 ACCT CHARGE
2348-9019681797
Total for Vendor:

56.72
35.15

6010

450200

420

101000

21.57

1000

430002

487

101000

135379
1

5662 COOPER HILL
10/29/26 meal reimb, training
Total for Vendor:

36.00
36.00
36.00

1000

421000

340

101000

135217
1
47646
2
47606
3
76664
4
48540

3245 CORE & MAIN
10/14/26 OVAL MTR FLG SET

1,901.28
471.20

6020

450000

438

101000

10/14/26 COVER GASKET/CPLG

251.79

6020

450000

438

101000

10/20/26 OVAL MTR FLG SET

942.40

6020

450000

438

101000

10/19/26 PROJ 9061

235.89

4188

480000

670

101000

351.90

100.22

56.72

Page 21 of 200

Page 22 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 13 of 51
Report ID: AP100V

... Over spent expenditure

3245 CORE & MAIN
10/27/26 SEALS KIT/FLOAT ASSY
10/21/26 PROJ 9061

135439
1
48312
2
49812
3
48733
4
47780

7,244.59
794.59

6025

450000

825

101000

6,450.00

4188

480000

670

101000

3245 CORE & MAIN
10/16/26 MANHOLE FRAMES/RINGS/LIDS

14,936.37
6,555.87

6025

450000

437

101000

10/22/26 RING ADHESIVE

1,008.00

6025

450000

437

101000

10/19/26 PRO RING

1,395.00

6025

450000

437

101000

10/14/26 MP CURB BOX

5,977.50

6020

450000

438

101000

Total for Vendor:

24,082.24

135268
47 CORWIN CHRYSLER DODGE JEEP RAM
1
10/01/26 #1196 RADIATOR/INSULATOR
187997
2
10/20/26 #8016 STARTER/GASKETS
188518
3
10/28/26 #8016 CREDIT
CM188518
Total for Vendor:

1,017.70
405.70

1000

421000

427

101000

687.00

1000

415000

427

101000

-75.00

1000

415000

427

101000

135219
5341 COUNTRY INN & SUITES BY RADISSON
1
10/19/26 LODGING - Z BELLMORE
1055323266
2
10/19/26 LODGING - R OLSON
1055323266
3
10/19/26 LODGING - J STECKLER-JOHNSON
1055323266
4
10/19/26 LODGING - B WOODROW
1055323266
5
10/19/26 LODGING - S WANOUS
1055323266

888.00
148.00

6025

450000

340

101000

148.00

6020

450000

340

101000

148.00

6020

450000

340

101000

148.00

1000

430001

340

101000

148.00

1000

430000

340

101000

1,017.70

Page 22 of 200

Page 23 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 14 of 51
Report ID: AP100V

... Over spent expenditure

C
2403 CRAIG DANIELSON
10/20/26 clothing reimb
Total for Vendor:

76.05
76.05
76.05

1000

421000

422

101000

135344
C
1675 DAKOTA FLUID POWER, INC
1
10/26/26 #4504 HARDWARE
7521447

29.34
29.34

6010

450200

427

101000

135422
C
1675 DAKOTA FLUID POWER, INC
1
10/02/26 COUPLINGS
7513924
Total for Vendor:

2.57
2.57

6020

450000

438

101000

135429
C
4428 DAKOTA REFRIGERATION, INC.
1
10/30/26 PD - COOLER REPAIR
F237329
Total for Vendor:

650.25
650.25

1000

455000

420

101000

135377
C
624 DAKOTA SUPPLY GROUP
1
10/26/26 Locator tools
S106147491.001
Total for Vendor:

607.10
607.10

6020

450000

412

101000

2060

415200

340

101000

2060

415200

420

101000

135262
C
3525 DELL SPRECHER
MN Fire Chiefs Conference/Duluth
1
10/26/26 Per Diem
2026 Training

31.91

650.25

607.10
152.00
152.00

Total for Vendor:

152.00

135273
C
2275 DIRT DYNAMICS
1
09/23/26 FD St 76 Water Outage/toilets
101986
Total for Vendor:

300.00
300.00
300.00

Page 23 of 200

Page 24 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 15 of 51
Report ID: AP100V

... Over spent expenditure

4,257.12
4,257.12
4,257.12

1000

212528

101000

135291 119354S
3547 EQUITABLE UNIT ANNUITY
1
10/16/26 Deferred Comp Oct 2026
Total for Vendor:

9,482.00
9,482.00
9,482.00

1000

212524

101000

1000

421000

387

101000

2,916.00

1000

421000

996

101000

135277
2862 ESSENTIA HEALTH - FARGO
1
10/21/26 FD Sept Annual Physicals
890002546-10.2026
Total for Vendor:

3,319.00
3,319.00

2060

415200

996

101000

135283
C
660 FARGO FREIGHTLINER
1
10/21/26 #3100 ROCKER SWITCH
X101227218:01
Total for Vendor:

32.39
32.39

1000

430000

427

101000

135201
151 FEDERAL EXPRESS
1
09/23/26 2 ND lab pkgs
9-475-14288

24.54
24.54

1000

421000

661

101000

135206
151 FEDERAL EXPRESS
1
10/21/26 ND lab pkg
9-512-16695

12.27
12.27

1000

421000

661

101000

135350
151 FEDERAL EXPRESS
1
10/28/26 ND lab pkg
9-520-65835
Total for Vendor:

12.27
12.27

1000

421000

661

101000

135200
2862 ESSENTIA HEALTH - FARGO
1
10/21/26 pre-placement - sorum
890002547.10.2026
2
10/21/26 annual physicals
890002547.10.2026

3,531.00
615.00

6,850.00

32.39

49.08

Page 24 of 200

Page 25 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 16 of 51
Report ID: AP100V

... Over spent expenditure

C
5815 FIREBALL TOOL WORKS LLC
10/27/26 PROJ 9061

198.33
198.33

15,715.20
15,715.20
15,715.20

135363
55 FLEETPRIDE
1
09/16/26 FD E-75 Signal Valve
137738156
Total for Vendor:

39.39
39.39

432

101000

4188

480000

670

101000

2060

415200

427

101000

1000

414100

340

101000

1000

414100

340

101000

2060

415200

420

101000

39.39

135378
3112 GOVERNMENT FINANCE OFFICERS
4,000.00
2027 GFOA Accounting Academy registrations - Alicia and Rose
1
10/19/26 2027 GFOA class reg - Alicia
2,000.00
3202248
2
10/20/26 2027 GFOA class reg - Rose
2,000.00
3202303
Total for Vendor:
4,000.00
C
3535 GREAT PLAINS FIRE
10/20/26 FD Annual Pump Testing

450000

198.33

Total for Vendor:

135279
1
9786

6020

2,060.00
2,060.00

Total for Vendor:

2,060.00

135243
2713 HAMPTON INN & SUITES
1
10/26/26 lodging - stewart
95816059
2
10/26/26 lodging - hill
96602555
Total for Vendor:

226.00
113.00

1000

421000

340

101000

113.00

1000

421000

340

101000

226.00

Page 25 of 200

Page 26 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 17 of 51
Report ID: AP100V

... Over spent expenditure

8,383.80
4,380.30

6025

450000

423

101000

4,003.50

6025

450000

423

101000

1000

414104

497

101000

1000

414104

497

101000

399.00

1000

421000

340

101000

444.00

1000

421000

340

101000

6010

450200

665

101000

3,366.86
24.37

7000

411600

662

101000

11.28

7000

411600

662

101000

16.78

7000

411600

662

101000

Total for Vendor:

8,383.80

135305
C
2820 HIGH POINT NETWORKS
1
2819160 09/02/26 Extreme - dual power supplies
2819160
Total for Vendor:

5,284.00
5,284.00

135307
C
3087 IBM CORPORATION
1
4960354 10/01/26 MaaS360 Premier Suite
4960354
Total for Vendor:

36.45
36.45

135203
999999 ILEETA, ATTN: INVOICE
2027 registration paid in 2026
1
10/15/26 reg for kane
300322
2
10/13/26 reg for k. johnson
300310
Total for Vendor:

843.00

135433
4901 IMPACT ENVIRONMENTAL GROUP
1
09/25/26 DUMPSTER PARTS
262046
Total for Vendor:
135411
C
4592 INGRAM LIBRARY SERVICES
1
10/14/26 BOOKS
30064103
2
10/14/26 BOOKS
30064104
3
10/14/26 BOOKS
30064105

5,284.00

36.45

843.00
8,586.48
8,586.48
8,586.48

Page 26 of 200

Page 27 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 18 of 51
Report ID: AP100V

... Over spent expenditure

————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
Claim/ Check
Vendor #/Name/
Document $/
Disc $
Cash
Line #
Invoice #/Inv Date/Description
Line $
PO #
Fund Org Acct
Object Proj Account
————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
4
10/14/26 BOOKS
22.90
7000
411600
662
101000
30064106
5
10/14/26 BOOKS
24.84
7000
411600
662
101000
30064107
6
10/14/26 BOOKS
21.13
7000
411600
662
101000
30064108
7
10/14/26 BOOKS
55.54
7000
411600
662
101000
30064109
8
10/14/26 BOOKS
23.52
7000
411600
662
101000
30064110
9
10/14/26 BOOKS
22.52
7000
411600
662
101000
30076488
10
10/14/26 BOOKS
19.54
7000
411600
662
101000
30076489
11
10/14/26 BOOKS
147.72
7000
411600
662
101000
30076490
12
10/14/26 BOOKS
55.99
7000
411600
662
101000
30076491
13
10/14/26 BOOKS
174.31
7000
411600
662
101000
30076492
14
10/14/26 BOOKS
27.62
7000
411600
662
101000
30076493
15
10/15/26 BOOKS
28.74
7000
411600
662
101000
30093246
16
10/15/26 BOOKS
17.10
7000
411600
662
101000
30093247
17
10/15/26 BOOKS
21.09
7000
411600
662
101000
30093248
18
10/15/26 BOOKS
42.52
7000
411600
662
101000
30093249
19
10/15/26 BOOKS
18.53
7000
411600
662
101000
30093250
20
10/15/26 BOOKS
23.48
7000
411600
662
101000
30093251
21
10/16/26 BOOKS
23.80
7000
411600
662
101000
30124513
22
10/16/26 BOOKS
30.34
7000
411600
662
101000
30124514

Page 27 of 200

Page 28 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 19 of 51
Report ID: AP100V

... Over spent expenditure

————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
Claim/ Check
Vendor #/Name/
Document $/
Disc $
Cash
Line #
Invoice #/Inv Date/Description
Line $
PO #
Fund Org Acct
Object Proj Account
————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
23
10/16/26 BOOKS
22.21
7000
411600
662
101000
30124515
24
10/16/26 BOOKS
19.37
7000
411600
662
101000
30124516
25
10/16/26 BOOKS
29.72
7000
411600
662
101000
30124517
26
10/16/26 BOOKS
20.58
7000
411600
662
101000
30124518
27
10/16/26 BOOKS
45.37
7000
411600
662
101000
30124519
28
10/16/26 BOOKS
531.71
7000
411600
662
101000
30124520
29
10/16/26 BOOKS
540.70
7000
411600
662
101000
30124521
30
10/16/26 BOOKS
38.06
7000
411600
662
101000
30144405
31
10/21/26 BOOKS
28.70
7000
411600
662
101000
30253811
32
10/21/26 BOOKS
120.91
7000
411600
662
101000
30253812
33
10/21/26 BOOKS
15.79
7000
411600
662
101000
30253813
34
10/21/26 BOOKS
13.72
7000
411600
662
101000
30253814
35
10/21/26 BOOKS
22.43
7000
411600
662
101000
30253815
36
10/21/26 BOOKS
22.59
7000
411600
662
101000
30253816
37
10/21/26 BOOKS
45.82
7000
411600
662
101000
30253817
38
10/21/26 BOOKS
23.50
7000
411600
662
101000
30253818
39
10/21/26 BOOKS
19.13
7000
411600
662
101000
30253819
40
10/21/26 BOOKS
26.14
7000
411600
662
101000
30253820
41
10/21/26 BOOKS
13.65
7000
411600
662
101000
30267658

Page 28 of 200

Page 29 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 20 of 51
Report ID: AP100V

... Over spent expenditure

————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
Claim/ Check
Vendor #/Name/
Document $/
Disc $
Cash
Line #
Invoice #/Inv Date/Description
Line $
PO #
Fund Org Acct
Object Proj Account
————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
42
10/21/26 BOOKS
16.97
7000
411600
662
101000
30267659
43
10/21/26 BOOKS
23.16
7000
411600
662
101000
30267660
44
10/21/26 BOOKS
27.62
7000
411600
662
101000
30267661
45
10/22/26 BOOKS
17.49
7000
411600
662
101000
30297110
46
10/22/26 BOOKS
43.12
7000
411600
662
101000
30282002
47
10/22/26 BOOKS
59.77
7000
411600
662
101000
30282003
48
10/22/26 BOOKS
25.10
7000
411600
662
101000
30282004
49
10/22/26 BOOKS
15.93
7000
411600
662
101000
30282005
50
10/22/26 BOOKS
179.24
7000
411600
662
101000
30282006
51
10/22/26 BOOKS
21.33
7000
411600
662
101000
30282007
52
10/22/26 BOOKS
15.30
7000
411600
662
101000
30282008
53
10/22/26 BOOKS
15.95
7000
411600
662
101000
30282009
54
10/22/26 BOOKS
7.07
7000
411600
662
101000
30282010
55
10/22/26 BOOKS
14.50
7000
411600
662
101000
30282011
56
10/22/26 BOOKS
41.11
7000
411600
662
101000
30282012
57
10/22/26 BOOKS
66.46
7000
411600
662
101000
30282013
58
10/22/26 BOOKS
40.30
7000
411600
662
101000
30282014
59
10/22/26 BOOKS
24.02
7000
411600
662
101000
30282015
60
10/22/26 BOOKS
36.97
7000
411600
662
101000
30282016

Page 29 of 200

Page 30 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 21 of 51
Report ID: AP100V

... Over spent expenditure

————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
Claim/ Check
Vendor #/Name/
Document $/
Disc $
Cash
Line #
Invoice #/Inv Date/Description
Line $
PO #
Fund Org Acct
Object Proj Account
————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
61
10/22/26 BOOKS
15.31
7000
411600
662
101000
30282017
62
10/22/26 BOOKS
18.73
7000
411600
662
101000
30282018
63
10/22/26 BOOKS
16.78
7000
411600
662
101000
30282019
64
10/23/26 BOOKS
25.53
7000
411600
662
101000
30309102
65
10/26/26 BOOKS
31.94
7000
411600
662
101000
30355669
66
10/27/26 BOOKS
41.15
7000
411600
662
101000
30403305
67
10/27/26 BOOKS
15.96
7000
411600
662
101000
30403306
68
10/27/26 BOOKS
29.03
7000
411600
662
101000
30403307
69
10/27/26 BOOKS
27.26
7000
411600
662
101000
30403308
Total for Vendor:
3,366.86
135324
1
36249
2
36249
3
36249
4
36249
5
36249

233 J & L SPORTS
10/27/26 Z PAINTNER CLOTHING

640.47
70.47

1000

450000

422

101000

10/27/26 BEANIES - SA

285.00

6010

450200

422

101000

10/27/26 BEANIES - ST

95.00

1000

430000

422

101000

10/27/26 BEANIES - WA

95.00

6020

450000

422

101000

10/27/26 BEANIES - SW

95.00

6025

450000

422

101000

135325
1
36176
2
36176

233 J & L SPORTS
10/15/26 WINTER GEAR - ST

2,315.35
308.93

1000

430000

422

101000

10/15/26 WINTER GEAR - WA

308.93

6020

450000

422

101000

Page 30 of 200

Page 31 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 22 of 51
Report ID: AP100V

... Over spent expenditure

————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
Claim/ Check
Vendor #/Name/
Document $/
Disc $
Cash
Line #
Invoice #/Inv Date/Description
Line $
PO #
Fund Org Acct
Object Proj Account
————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
3
10/15/26 WINTER GEAR - SW
308.93
6025
450000
422
101000
36176
4
10/15/26 WINTER GEAR - SA
308.93
6010
450200
422
101000
36176
5
10/15/26 WINTER GEAR - RW
308.92
1000
430001
422
101000
36176
6
10/15/26 CLOTHING - SA
201.63
6010
450200
422
101000
36176
7
10/15/26 CLOTHING - BG
123.62
1000
455000
422
101000
36176
8
10/15/26 CLOTHING - PW
174.69
1000
450000
422
101000
36176
9
10/15/26 CLOTHING - SW
154.47
6025
450000
422
101000
36176
10
10/15/26 CLOTHING - WA
116.30
6020
450000
422
101000
36176
Total for Vendor:
2,955.82
135352
1

5088 JACOB STEWART
10/28/26 training meal reimb
Total for Vendor:

36.00
36.00
36.00

135394
5665 JAKE NELSON
WATER TESTING - BISMARCK, ND
1
10/30/26 TRAVEL REIMBURSEMENT
Total for Vendor:

59.00
59.00
59.00

1000

421000

340

101000

1000

430000

340

101000

135205
1

3801 JAMES ELLEFSON
10/21/26 gun safe reimb
Total for Vendor:

22.88
22.88
22.88

1000

421000

641

101000

135349
1

811 JASON ANDERSON
10/28/26 IACP, meal reimb
Total for Vendor:

421.75
421.75
421.75

1000

421000

340

101000

Page 31 of 200

Page 32 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 23 of 51
Report ID: AP100V

... Over spent expenditure

5350 JEFFREY BOYER
10/26/26 clothing reimb
Total for Vendor:

135361
3515 JOE JOHNSON
Ladder training in Dickinson.
1
10/28/26 FD F Johnson Per Diem
2026 Training
Total for Vendor:
135265
3565 KENDEL FROST
MN Fire chiefs conference
1
10/26/26 Per Diem/Fuel
2026 Training

1,026.83
1,026.83

2060

415200

340

101000

1000

421000

422

101000

2060

415200

340

101000

2060

415200

340

101000

6025

450000

437

101000

1000

212549

101000

1000

212549

101000

1,026.83
216.01
216.01
216.01
225.00
225.00
225.00
191.64
191.64

Total for Vendor:

191.64

135444
2752 KOST MATERIALS, LLC
1
10/15/26 SIDEFORM PAVING
163765
Total for Vendor:

2,003.00
2,003.00

135225 -91348E
4482 KOTAPAY
10/16/2026 Payroll
1
10/16/26 Child Support 10/16/26
135437 -91324E
4482 KOTAPAY
10/30/2026 Payroll
1
10/30/26 Child Support 10/30/26
Total for Vendor:

2,003.00
4,219.07
4,219.07
4,004.03
4,004.03
8,223.10

Page 32 of 200

Page 33 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 24 of 51
Report ID: AP100V

... Over spent expenditure

100.00
100.00

135386
999999 LEE EBHERT
Tree Planting Permit - 1282 Rachel Dr W
1
10/27/26 Tree - 1282 Rachel Dr W
Total for Vendor:

300.00

7000

411600

649

101000

5000

422000

490

101000

100.00

300.00
300.00

135308
C
4767 LENOVO (UNITED STATES) INC.
1
N301311195 10/21/26 Laptop for ERP system proj
N301311195
2
N301327989 10/23/26 1 Monitor - Forestry
N301327989
3
N301327989 10/23/26 2 Monitors - Library
N301327989
Total for Vendor:

1,965.74
1,397.74

4058

480000

497

101000

132.00

2210

428000

497

101000

436.00

7000

411600

497

101000

135372
C
1741 LIBERTY BUSINESS SYSTEMS, INC
1
43348601 10/26/26 Oct 2026 CH 1st Floor
43348601
2
43348602 10/26/26 Oct 2026 CH 1st Floor
43348602
3
43348602 10/26/26 Oct 2026 City Hall
43348602
4
43348602 10/26/26 Oct 2026 Public Works
43348602
5
43348602 10/26/26 Oct 2026 Police
43348602
Total for Vendor:

1,009.74
156.05

1000

415000

428

101000

113.04

1000

415000

428

101000

161.84

1000

415000

428

101000

261.12

6020

450000

428

101000

317.69

1000

421000

428

101000

2060

415200

427

101000

135271
711 LUTHER FAMILY FORD
1
10/26/26 FD Unit #9020 AC & Steering
FOCS698341

1,965.74

1,009.74
5,981.75
5,981.75

Page 33 of 200

Page 34 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 25 of 51
Report ID: AP100V

... Over spent expenditure

C
3304 MAC'S HARDWARE
10/16/26 JCK BLCKS
Total for Vendor:

135336
1
33512

C
3536 MACQUEEN
10/28/26 FD (2) helmet fronts
Total for Vendor:

135257
1
7888

C
68 MANNING MECHANICAL
PROJ 9061

1,036.98
539.51

1000

421000

427

101000

662.55

1000

421000

427

101000

44.02

1000

421000

427

101000

-194.81
-30.00

1000
1000

421000
421000

427
427

101000
101000

15.71

1000

415000

427

101000

1000

430000

433

101000

2060

415200

641

101000

4188

480000

670

101000

1000

418000

410

101000

7,018.73
99.99
99.99
99.99
149.00
149.00
149.00
57,475.00
57,475.00

Total for Vendor:

57,475.00

135388
3488 MARK HOUSH
Donuts for Metro Area Building Officials Meeting
1
10/28/26 Exp reimb - Donuts
Total for Vendor:

49.49
49.49
49.49

Page 34 of 200

Page 35 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 26 of 51
Report ID: AP100V

... Over spent expenditure

174.00

212547
212548

101000
101000

2060

415200

340

101000

174.00

C
299 MENARDS (FIRE)
10/26/26 FD St 75 replace thermostate

204.94
24.97

2060

415200

494

101000

10/26/26 FD Mika 3 bags food

179.97

2060

415200

915

101000

Total for Vendor:
135216
1
91165
3
91163
4
91220
5
91159
6
91098
7
91212
8
91142

1000
1000

174.00

Total for Vendor:
135357
1
91861
2
91870

5,362.00
3,790.00
1,572.00
5,362.00

204.94

C
4622 MENARDS (PUBLIC WORKS)
10/15/26 DOWNSPOUTS

740.55
189.20

1000

450000

500

101000

10/15/26 CLAMPS/COUPLINGS/BUSHINGS

42.93

6025

450000

437

101000

10/16/26 TOOLBOX

215.76

6025

450000

433

101000

10/15/26 METAL SHELVING

129.99

6025

450000

420

101000

10/14/26 HARDWARE/COUPLINGS

33.11

6025

450000

437

101000

10/16/26 HARDWARE

14.57

1000

430001

358

101000

10/15/26 BLACK POLY SHEETING

114.99

1000

430000

722

101000

Page 35 of 200

Page 36 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 27 of 51
Report ID: AP100V

... Over spent expenditure

C
4622 MENARDS (PUBLIC WORKS)
10/23/26 COUPLINGS/ADAPTORS

302.50
17.61

6020

450000

433

101000

10/21/26 STROCTO CAST LEVEL

11.99

6025

450000

432

101000

10/13/26 CABLE TIES/NETS

242.96

2210

428000

358

101000

10/15/26 MARKING PAINT

29.94

2210

428000

358

101000

135323
1
91967

C
4622 MENARDS (PUBLIC WORKS)
10/27/26 COWF TRICK OR TREAT EVENT CAND

36.55
36.55

1000

450000

375

101000

135340
1
90990
2
90975
3
91154

C
4622 MENARDS (PUBLIC WORKS)
10/13/26 TIE DOWNS

619.86
39.96

6010

450200

433

101000

10/13/26 TIE DOWNS

19.98

6010

450200

433

101000

10/15/26 100' BLACK CORD

559.92

6010

450200

641

101000

135417
1
91860
2
91570

C
4622 MENARDS (PUBLIC WORKS)
10/26/26 TOOLBOX/WEDGE ANCHORS

238.56
209.57

1000

430000

487

101000

10/21/26 CHISEL

28.99

6020

450000

432

101000

4056

418000

372

101000

Total for Vendor:

1,938.02

135446
323 METRO COG
1
1084 10/27/26 UPWP Amendment #2 Local Match
1084
Total for Vendor:

427.68
427.68
427.68

Page 36 of 200

Page 37 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 28 of 51
Report ID: AP100V

... Over spent expenditure

109.17
109.17

1000

421000

497

101000

135360
E
2766 MIDCONTINENT COMMUNICATIONS
1
10/27/26 FD Nov Utilities
37257170115960

200.63
200.63

2060

415200

527

101000

135371
E
2766 MIDCONTINENT COMMUNICATIONS
1
15953 10/23/26 191305202 - 3050 Sheyenne
19130520215953
Total for Vendor:

308.93
308.93

2310

452120

497

101000

135412
1463 MIDLAND DIESEL SERVICE
1
10/23/26 #3028 HOSE ASSY/SEAL
FAR-106087
Total for Vendor:

464.95
464.95

1000

430000

427

101000

135380
C
102 MIDSTATES WIRELESS
1
10/28/26 #1238 CSO tk equipment/install
inv/2026/00289
Total for Vendor:

10,454.31
10,454.31

2531

421000

610

101000

661.46
152.08

7000

411600

664

101000

158.07

7000

411600

664

101000

16.47

7000

411600

664

101000

38.53

7000

411600

664

101000

49.28

7000

411600

664

101000

17.83

7000

411600

664

101000

135409
C
1854 MIDWEST TAPE
1
10/14/26 DVD
509554433
2
10/14/26 DVD
509554435
3
10/14/26 DVD
509554436
4
10/14/26 DVD
509554437
5
10/14/26 DVD
509554438
6
10/14/26 DVD
509554439

618.73

464.95

10,454.31

Page 37 of 200

Page 38 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 29 of 51
Report ID: AP100V

... Over spent expenditure

2744 MUNICIPAL SERVICE CO INC
10/19/26 less lethal

2,723.00
2,723.00

1000

421000

987

101000

Total for Vendor:

2,723.00

135300 -91336E
4663 MUTUAL OF OMAHA
1
10/16/26 Oct 2026 Contributions
Total for Vendor:

4,234.94
4,234.94
4,234.94

1000

212515

101000

135301 -91335E
3546 NATIONWIDE INVESTMENT ADVISORS
1
10/16/26 Oct 26 Post-Tax Contributions
2
10/16/26 Oct 26 Pre-Tax Contributions
Total for Vendor:

11,611.00
3,137.00
8,474.00
11,611.00

1000
1000

212551
212550

101000
101000

135051 119333S
3428 ND DEPARTMENT OF ENVIRONMENTAL
10/19/26- Rannas not testing, so removed from claim.
1
D BARGLOF WD01 TESTING
5722
2
D BARGLOF WW01 TESTING
5723
3
S MELBARZDIS WW01 TESTING
5725
4
S MELBARZDIS WD01 TESTING
5724
7
J NELSON WW01 TESTING
5729
8
J NELSON WD01 TESTING
5728

400.00
50.00

1000

430000

340

101000

50.00

1000

430000

340

101000

50.00

1000

430000

340

101000

50.00

1000

430000

340

101000

50.00

1000

430000

340

101000

50.00

1000

430000

340

101000

Page 38 of 200

Page 39 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 30 of 51
Report ID: AP100V

... Over spent expenditure

1,309.80
1,309.80

135373
335 ND DEPT OF TRANSPORTATION
1
0002683725 10/14/26 Project 2265
0002683725
2
0002683724 10/14/26 Project 2284
0002683724
3
0002683723 10/14/26 Project 6063
0002683723
Total for Vendor:
135293 -91331C
3541 ND FRATERNAL ORDER OF POLICE
1
10/16/26 FOP Legal for Oct 2026
Total for Vendor:

2,772.00
2,772.00
2,772.00

135228 -91346E
363 ND PERS
09/04/26 Payroll
1
09/04/26 457b Def Comp - Contributions

11,160.50

6020

450000

335

101000

201,325.98
88,319.12

4793

480000

670

101000

21,043.18

4133

480000

670

101000

91,963.68

4213

480000

670

101000

1000

212527

101000

1000

212532

101000

1,709.80

201,325.98

11,160.50

135229 -91345E
363 ND PERS
09/18/26 Payroll
1
09/18/26 457b Def Comp - Contributions

11,160.50
11,160.50

1000

212532

135230 -91344E
363 ND PERS
1
09/30/26 Sept Payroll - Contributions
2
09/30/26 Rounding

340,873.53
340,873.51
0.02

1000
1000

212532
414100

Page 39 of 200

230

101000
101000

Page 40 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 31 of 51
Report ID: AP100V

... Over spent expenditure

11,135.50
11,135.50

1000

212532

101000

1000

212532

101000

6020

450000

639

101000

6020

450000

497

101000

11,135.50
11,135.50
385,465.53

135403
C
756 NELCO FIRST AID
1
10/19/26 FIRST AID SUPPLIES - PW
260803
Total for Vendor:

156.12
156.12

135387
C
4765 NETWORK CABLING SERVICES, INC.
1
26101301 10/27/26 Cabling at PW
26101301
Total for Vendor:

400.00
400.00

156.12

400.00

135255
C
2261 NETWORK CENTER INCORPORATED
1
10/16/26 SEWER DATA BACKUP SETUP
INV258732

4,700.00
4,700.00

6025

450000

497

101000

135358
C
2261 NETWORK CENTER INCORPORATED
1
INV258864 10/20/26 IT Cloud Connect
INV258864

1,125.00
1,125.00

1000

414104

497

101000

135391
C
2261 NETWORK CENTER INCORPORATED
1
INV259105 10/28/26 Azure monthly usage - Sept
INV259105
Total for Vendor:

43.01
43.01

1000

414104

497

101000

135297 119356S
3543 NEW YORK LIFE INSURANCE &
1
10/16/26 Deferred Comp EE Oct 2026
Total for Vendor:

6,384.00
6,384.00
6,384.00

1000

212531

5,868.01

Page 40 of 200

101000

Page 41 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 32 of 51
Report ID: AP100V

... Over spent expenditure

59.61
59.61

6020

450000

433

101000

8.50

1000

322100

292.64

2210

428000

426

101000

100.00

7000

411600

649

101000

178.00

6010

214100

101000

89.00

6010

214100

101000

2,624.11

3987

490000

630

101000

185.22

1000

421000

340

101000

147.00

2060

415200

422

101000

665.10

7050

500000

427

101000

192.60

1000

421000

340

101000

109.00

1000

421000

915

101000

95.00

5000

422000

490

101000

95.00

5000

422000

490

101000

95.00

5000

422000

490

101000

59.61

135213 -91351E
5174 NORTH DAKOTA UNCLAIMED PROPERTY
7,715.31
2026 Unclaimed Property
**Court gave us a check for their portion, so we deposited and offset to revenue
1
10/31/26 104674
2025 Unclaimed Property Submittal
2
10/31/26 104781
2025 Unclaimed Property Submittal
3
10/31/26 104862
2026 Unclaimed Property Submittal
4
10/31/26 105083
2026 Unclaimed Property Submittal
5
10/31/26 105265
2026 Unclaimed Property Submittal
6
10/31/26 106026
2026 Unclaimed Property Submittal
7
10/31/26 107402
2026 Unclaimed Property Submittal
8
10/31/26 107774
2026 Unclaimed Property Submittal
9
10/31/26 108308
2026 Unclaimed Property Submittal
10
10/31/26 110587
2026 Unclaimed Property Submittal
11
10/31/26 111328
2026 Unclaimed Property Submittal
12
10/31/26 111497
2026 Unclaimed Property Submittal
13
10/31/26 111517
2026 Unclaimed Property Submittal
14
10/31/26 111537
2026 Unclaimed Property Submittal

Page 41 of 200

101000

Page 42 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 33 of 51
Report ID: AP100V

... Over spent expenditure

1,000.00
1,000.00

135414
C
5240 NORTHERN ENGINE & SUPPLY
1
10/15/26 #2200 HOSE/FITTINGS
281360
Total for Vendor:

76.14
76.14

135251
C
1028 NORTHERN TRUCK EQUIPMENT CORP.
1
10/26/26 DUMPSTER COVER SYSTEMS
SFI042582
Total for Vendor:

24,350.00
24,350.00

6020

450000

667

101000

6020

450000

427

101000

6010

450200

665

101000

1,000.00

76.14

24,350.00

135276
C
1715 NORTHWEST TIRE INC
1
09/30/26 #5351 SENSOR
26066506

61.00
61.00

1000

430001

427

101000

135333
C
1715 NORTHWEST TIRE INC
1
10/26/26 #8104 FLAT REPAIR
26067085
2
10/09/26 #7100 FLAT REPAIR
26066736
3
10/12/26 #7001 FLAT REPAIR
24059317
4
09/11/26 #5009 FLAT REPAIR
26066094
Total for Vendor:

127.05
19.71

1000

415000

427

101000

19.71

6025

450000

427

101000

67.92

6025

450000

427

101000

19.71

1000

455000

427

101000

188.05

Page 42 of 200

Page 43 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 34 of 51
Report ID: AP100V

... Over spent expenditure

743.95
743.95

1000

421000

427

101000

135208
C
5440 NORTHWEST TIRE INC. (PD)
1
10/22/26 #1224 tire repair
26067007

43.51
43.51

1000

421000

427

101000

135210
C
5440 NORTHWEST TIRE INC. (PD)
1
10/22/26 #1212 tire repair
26067010

43.51
43.51

1000

421000

427

101000

135351
C
5440 NORTHWEST TIRE INC. (PD)
1
10/28/26 #1234 tire repair
26067105
Total for Vendor:

43.51
43.51

1000

421000

427

101000

135406
1
56697

117.38
117.38

6010

450200

427

101000

1000

212529

2060

415200

427

101000

C
330 NORTHWESTERN EQUIPMENT INC.
10/23/26 #4201 1/2 X 55'

874.48

Total for Vendor:

117.38

135296 119357S
3542 NYLI FUNDS
1
10/16/26 NYLI (Mainstay) Oct 2026
Total for Vendor:

766.00
766.00
766.00

135339
1774 O'REILLY AUTOMOTIVE STORES, INC
1
10/27/26 FD #9028 (Brush 25) skid pump
1932-236246
Total for Vendor:

40.17
40.17

135286
4744 O'REILLY AUTOMOTIVE STORES, INC
1
10/16/26 #1195 BATTERY
1932232808
2
10/14/26 #3500 VBELT
1932231954

933.50
254.37

1000

421000

427

101000

20.39

1000

430000

427

101000

40.17

Page 43 of 200

Page 44 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 35 of 51
Report ID: AP100V

... Over spent expenditure

————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
Claim/ Check
Vendor #/Name/
Document $/
Disc $
Cash
Line #
Invoice #/Inv Date/Description
Line $
PO #
Fund Org Acct
Object Proj Account
————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
3
10/20/26 #1205 BATTERY
254.37
1000
421000
427
101000
1932233893
4
10/20/26 #5601 BATTERY
215.29
1000
430001
427
101000
1932233893
5
10/13/26 #1212 BATTERY
254.34
1000
421000
427
101000
1932231482
6
10/16/26 THREADLOC
115.64
6025
450000
427
101000
1932232662
7
10/28/26 #8016 CORE CREDIT
-180.90
1000
415000
427
101000
1932236724
135334
4744 O'REILLY AUTOMOTIVE STORES, INC
1
10/27/26 #1174 HUB ASSY
1932236215
2
10/26/26 #8010 HUB ASSY
1932235750
3
10/26/26 #8102 WIPER BLADES
1932235915
4
10/22/26 #8010 ROTORS/PADS
1932234845
5
10/26/26 #1174 WIPERS/ROTORS/PADS
1932235978
6
10/27/26 #1174 ABS SENSOR
1932236265
Total for Vendor:

746.41
106.68

1000

421000

427

101000

116.87

1000

415000

427

101000

10.21

1000

415000

427

101000

280.00

1000

415000

427

101000

207.79

1000

421000

427

101000

24.86

1000

421000

427

101000

135375
C
631 ONE CALL CONCEPTS, INC
1
6084276 08/31/26 Aug 2026 Locates
6084276
Total for Vendor:

992.10
992.10

6020

450000

412

101000

135242
276 OSTROMS ACE HARDWARE
1
10/09/26 K9 - comfort dog food
231446
2
10/23/26 K9 food
231555

453.69
363.70

1000

421000

915

101000

89.99

1000

421000

915

101000

1,679.91

992.10

Page 44 of 200

Page 45 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 36 of 51
Report ID: AP100V

... Over spent expenditure

37.17
17.98

2060

415200

375

101000

19.19

2060

415200

500

101000

135249
5119 OSTROMS ACE HARDWARE (PW)
1
10/20/26 PIPE/CAPS
231523
2
10/16/26 DIAB RECIP
231489
Total for Vendor:

53.37
35.38

6020

450000

433

101000

17.99

6020

450000

432

101000

30,012.52
30,012.52

1000

140000

135413
C
1648 PARKLAND USA CORPORATION DBA
1
10/09/26 RIDGELINE DEF
IN-400271-26
Total for Vendor:

282.49
282.49

6010

450200

135290 119358S
3548 PERSHING
1
10/16/26 Alerus - Oct 2026

1000

212525

Total for Vendor:

400.00
400.00
400.00

1000

421000

340

101000

Total for Vendor:

309.00
309.00
309.00

6025

450000

424

101000

135222
C
1648 PARKLAND USA CORPORATION DBA
1
10/13/26 ETHANOL - PW
IN-411879-26

135347
1

135260
1
9863

903 PETE NIELSEN
10/28/26 IACP, meal reimb

C
563 PETRO SERVE USA
10/15/26 LP LBS

490.86

53.37

101000

424

101000

30,295.01

10.20
10.20

Page 45 of 200

101000

Page 46 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 37 of 51
Report ID: AP100V

... Over spent expenditure

C
563 PETRO SERVE USA
10/20/26 FUEL

5.02
5.02

2210

428000

424

101000

135364
1
6572

C
563 PETRO SERVE USA
10/16/26 FD Ladder Training in Dickinso

92.51
92.51

2060

415200

424

101000

2,754.98
1,377.49

6020

450000

424

101000

1,377.49

6010

450200

424

101000

2060

415200

915

101000

7000

411600

360

101000

1000

421000

661

101000

135410
C
563 PETRO SERVE USA
1
09/30/26 BULK OIL - WA
010198
2
09/30/26 BULK OIL - SA
010198
Total for Vendor:
135288
1987 PETSMART
1
10/19/26 FD Mika Food
1292013222

2,862.71
74.99
74.99

Total for Vendor:

74.99

135317
C
1483 PITNEY BOWES BANK INC - RESERVE
1
10/28/26 POSTAGE REFILL #43560960
RESERVE ACCT43560960

1,500.00
1,500.00

135353
1

C
1483 PITNEY BOWES BANK INC - RESERVE
10/28/26 reserve acct 53241956 (PD)
Total for Vendor:

2,500.00
2,500.00
4,000.00

135285
C
4064 POMP'S TIRE SERVICE (ROYAL TIRE)
1
10/12/26 #4301 FLAT REPAIR
2450019280
2
10/12/26 #415 FLAT REPAIR
2450019281
3
10/20/26 #4302 FLAT REPAIR
2450019412
4
10/20/26 #4103 TIRES
2450019405

2,260.44
47.00

6010

450200

427

101000

47.00

6010

450200

427

101000

47.00

6010

450200

427

101000

830.34

6010

450200

427

101000

Page 46 of 200

Page 47 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 38 of 51
Report ID: AP100V

... Over spent expenditure

525.90
525.90

135332
2982 RDO EQUIPMENT CO
1
10/16/26 #2200 HORN/FILTERS/HYDRAUXR
P8109354
Total for Vendor:

929.54
929.54

135331
3893 RDO TRUCK CENTERS
1
10/27/26 #2100 FILTER CARTRIDGE
860387F
Total for Vendor:

690.42
690.42

135292 -91332C
1464 RED RIVER VALLEY FOP LODGE #1
1
10/16/26 FOP Dues Oct 2026
Total for Vendor:

880.00
880.00
880.00

135272
C
1016 RED WING BUSINESS ADVANTAGE
1
10/19/26 Z STEFFENS INSOLES
4802897785
2
10/19/26 Z STEFFENS BOOTS
4802874681
Total for Vendor:
135269
C
3655 RIGELS
1
10/21/26 FD St 75 Washing Machine
10216032
Total for Vendor:

6010

450200

427

101000

6020

450000

427

101000

6020

450000

427

101000

1000

212526

276.73
59.99

1000

455000

422

101000

216.74

1000

455000

422

101000

2060

415200

641

101000

2,786.34

929.54

690.42

101000

276.73
1,399.00
1,399.00
1,399.00

Page 47 of 200

Page 48 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 39 of 51
Report ID: AP100V

... Over spent expenditure

632.00
632.00

6025

450000

437

101000

135441
C
5579 RINKER MATERIALS
1
09/10/26 30X8.0 CL3 RCP P4B
34719330
Total for Vendor:

2,185.92
2,185.92

6025

450000

437

101000

135365
C
4348 RL ENGEBRETSON ARCHITECTS FARGO
1
26142 09/18/26 City Hall & PD Space Study
26142
2
26168 10/20/26 City Hall & PD Space Study
26168
Total for Vendor:

16,923.75
8,551.25

4429

480000

418

101000

8,372.50

4429

480000

418

101000

135289
4542 RSC REFINISH SUPPLY CO
1
10/26/26 FD Touch up paint
847040172
Total for Vendor:

13.26
13.26

2060

415200

420

101000

135207
1
2

E
3353 SAM'S CLUB MC/SYNCB
10/22/26 COPS halloween candy
10/22/26 PD patrol halloween candy

532.80
386.28
146.52

1000
1000

421000
421000

375
375

12 101000
101000

135385
1

E
3353 SAM'S CLUB MC/SYNCB
10/26/26 Cookie trays - open enrollment

99.65
99.65

1000

414103

378

101000

135398
1
2
3
4

E
3353 SAM'S CLUB MC/SYNCB
10/21/26 SAFETY LUNCHEON - SA
10/16/26 KITCHEN SUPPLIES - PW
10/27/26 EEC CHILI LUNCHEON SUPPLIES
10/27/26 PW SUPPLIES
Total for Vendor:

327.20
111.90
88.87
113.37
13.06
959.65

6010
1000
1000
1000

450200
450000
414103
450000

340
500
378
500

101000
101000
101000
101000

2,817.92

16,923.75

13.26

Page 48 of 200

Page 49 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 40 of 51
Report ID: AP100V

... Over spent expenditure

435.32
19.98

2060

415200

500

101000

119.80

2060

415200

375

101000

403.36

2060

415200

375

101000

-107.82

2060

415200

375

101000

7000

411600

649

101000

435.32

135316
5814 SANDRA BERLIN
1
10/20/26 PROGRAMMING
HONORARIUM FOR DREAMCATCHER WORKSHOP
Total for Vendor:

100.00
100.00

135218
C
454 SANITATION PRODUCTS
1
09/28/26 HANDLE
98460
2
10/12/26 #3208 MIRROR
98599
3
10/15/26 #7034 EXPANSION PLUG
98660
4
10/14/26 #3061 CYLINDER RETURN
CN-01750
5
10/19/26 #7000 DEBRIS HOSE ASSY
98690
6
10/20/26 #7000 RODDER LINE
98717
7
10/14/26 #3061 CYLINDER
98631
8
10/12/26 #3061 GUTTER BROOM ASSY
98602
Total for Vendor:

9,929.28
78.55

6025

450000

432

101000

624.63

1000

430000

427

101000

21.82

6025

450000

427

101000

-714.16

1000

430000

427

101000

4,927.72

6025

450000

427

101000

2,211.93

6025

450000

427

101000

1,126.50

1000

430000

427

101000

1,652.29

1000

430000

427

101000

100.00

9,929.28

Page 49 of 200

Page 50 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 41 of 51
Report ID: AP100V

... Over spent expenditure

450 SCHEELS
10/19/26 shoes for jorgensen

155.00
155.00

135199
450 SCHEELS
PO - 200357
1
10/21/26 bike tire pump
41657
2
10/21/26 tire (bike) repair
41656

235.98

1000

421000

422

101000

99.99

1000

421000

641

101000

135.99

1000

421000

641

101000

1000

430000

340

101000

4188

480000

670

101000

1000

421000

360

101000

37.55
37.55

7000

411600

410

101000

168.54
168.54

1000

414104

410

101000

Total for Vendor:

390.98

135445
5818 SCOTT MELBARZDIS
WATER TESTING - BISMARCK, ND
1
10/28/26 TRAVEL REIMBURSEMENT
Total for Vendor:

59.00

135404
1

C
5713 SCOTT'S ELECTRIC
PROJ 9061
Total for Vendor:

135248
C
2885 SHORTPRINTER
1
10/19/26 citation envelopes
179410

68,312.28
68,312.28
68,312.28
539.50
539.50

Total for Vendor:
135318
1
38286

59.00
59.00

C
5199 SIGN BADGERS
10/25/26 NAME PLATE - KIM CARTER

135392
C
5199 SIGN BADGERS
1
38296 10/28/26 Business cards/name badge - IT
38296
Total for Vendor:

539.50

206.09

Page 50 of 200

Page 51 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 42 of 51
Report ID: AP100V

... Over spent expenditure

249.28
249.28

135400
C
3528 SNACKS PLUS VENDING
1
10/27/26 COFFEE - SA
5940:1320539
Total for Vendor:

100.00
100.00

135390
5600 SOUTHDATA INC
1
994943641 09/25/26 UB Statements/Postage - Sep
994943641
Total for Vendor:

10,938.24
10,938.24

135209
2881 SOUTHERN POLICE INSTITUTE
1
10/22/26 reg fee j johnson
SPI-927G17-15
2
10/21/26 reg fee r feltman
SPI-927G17-14
Total for Vendor:
135369
1
2
3

1000

430000

487

101000

6010

450200

500

101000

6020

450000

360

101000

3,250.00
1,625.00

1000

421000

340

101000

1,625.00

1000

421000

340

101000

3396
3396
3396

490000
490000
490000

720
740
710

101000
101000
101000

249.28

100.00

10,938.24

3,250.00

C
389 STARION BOND SERVICES
10/07/26 Fire HD Bonds 2022 - Interest
10/07/26 Fire HD Bonds 2022 - Fees
10/07/26 Fire HD Bonds 2022 - Principal
Total for Vendor:

545,188.75
169,563.75
625.00
375,000.00
545,188.75

135395
C
733 SWANSTON EQUIPMENT CORP
1
10/21/26 CIMLINE MELTER RENTAL
R22406
2
10/27/26 ACCT CREDIT
P29087
Total for Vendor:

4,820.60
5,100.00

1000

430000

657

101000

-279.40

1000

430000

427

101000

4,820.60

Page 51 of 200

Page 52 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 43 of 51
Report ID: AP100V

... Over spent expenditure

304.00
304.00
Total for Vendor:

304.00

135337
C
3411 THE UPS STORE #6740
1
10/23/26 FD Postage Rad 57
67400c028646
Total for Vendor:

30.10
30.10

135362
5816 THOMAS EBELING
Ladder Training in Dickinson
1
10/28/26 FD T Ebeling Per Diem
2026 Training
Total for Vendor:

225.00

135348
1

812 TIM RUNCORN
10/28/26 IACP, meal reimb
Total for Vendor:

135436
C
3352 TITAN MACHINERY - FARGO
1
10/07/26 GRADER EDGES+5/8X7 W/3/4 HOLES
PS1351864-1
Total for Vendor:
135252
5393 TRANE US INC
1
10/22/26 FILTERS
22965370

135195
1
153

C
5718 TRAUMA MATTERS, PLLC
10/19/26 sept 2026 wellness

450000

394

101000

2060

415200

661

101000

2060

415200

340

101000

1000

421000

340

101000

1000

430000

381

101000

1000

455000

420

101000

1000

421000

387

101000

30.10

225.00
225.00
309.00
309.00
309.00
19,146.60
19,146.60
19,146.60
140.88
140.88

Total for Vendor:

6020

140.88
1,810.81
1,810.81

Page 52 of 200

Page 53 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 44 of 51
Report ID: AP100V

... Over spent expenditure

C
5718 TRAUMA MATTERS, PLLC
10/19/26 FD Sept WEllness visits

2,029.01
2,029.01

Total for Vendor:

3,839.82

135401
C
665 TWIN CITY GARAGE DOOR
1
10/27/26 GARAGE DOOR EYES
498284553
Total for Vendor:

195.00
195.00

135322
C
2136 ULINE INC
1
10/14/26 PROJ 9061
214672334

341.57
341.57

2060

415200

996

101000

6020

450000

420

101000

4188

480000

670

101000

195.00

Total for Vendor:

341.57

135298 -91330C
1562 UNITED WAY OF CASS-CLAY
1
10/16/26 Oct 2026 Contributions
Total for Vendor:

47.00
47.00
47.00

1000

212536

101000

135303 -91329E
4665 UNUM
1
10/16/26 Oct 26 Employee Contributions
2
10/16/26 Oct 26 Employer Contributions
Total for Vendor:

12,755.90
6,859.44
5,896.46
12,755.90

1000
1000

212514
212514

101000
101000

135384 -91327E
5817 US DEPT OF THE TREASURY
1
10/30/26 Wage Garnishment
WG2141891
Total for Vendor:

803.84
803.84

1000

212545

101000

135442
C
5812 USDA, MRP, APHIS WILDLIFE
1
10/21/26 PLANT/ANIMAL SPECIALIST
3367513
Total for Vendor:

1,818.75
1,818.75

6025

450000

803.84

1,818.75

Page 53 of 200

827

101000

Page 54 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 45 of 51
Report ID: AP100V

... Over spent expenditure

————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
Claim/ Check
Vendor #/Name/
Document $/
Disc $
Cash
Line #
Invoice #/Inv Date/Description
Line $
PO #
Fund Org Acct
Object Proj Account
————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
135196
C
3668 VERIZON WIRELESS
1
08/08/26 Aug 2026 - city admin
6155246427
2
08/08/26 Aug 2026 - finance
6155246427
3
08/08/26 Aug 2026-ch assessing hot spot
6155246427
4
08/08/26 Aug 2026 - econ development
6155246427
5
08/08/26 Aug 2026 - HR
6155246427
6
08/08/26 Aug 2026 - IT
6155246427
7
08/08/26 Aug 2026 - engineering
6155246427
8
08/08/26 Aug 2026 - commission
6155246427
9
08/08/26 Aug 2026 - communication
6155246427
10
08/08/26 Aug 2026 - planning
6155246427
11
08/08/26 Aug 2026 - pd cell (.1)
6155246427
12
08/08/26 Aug 2026 - pd bait (.10)
6155246427
13
08/08/26 Aug 2026 - pd passport (.11)
6155246427
14
08/08/26 Aug 2026 - pd 4sight (.12)
6155246427
15
08/08/26 Aug 2026 - pd mdc (.2)
6155246427
16
08/08/26 Aug 2026-pd cradle point (.3)
6155246427
17
08/08/26 Aug 2026 - pd pole cams (.7)
6155246427
18
08/08/26 Aug 2026-pd invest trailer(.8)
6155246427

11,918.65
233.16

1000

414000

356

101000

39.53

1000

414100

356

101000

40.01

1000

414101

356

101000

79.09

1000

414102

356

101000

197.71

1000

414103

356

101000

338.30

1000

414104

356

101000

432.18

1000

414200

356

101000

197.65

1000

415000

356

101000

79.12

1000

416200

356

101000

197.74

1000

418000

356

101000

4,096.62

1000

421000

356

101000

39.56

1000

421000

356

101000

316.24

1000

421000

356

101000

79.06

1000

421000

356

101000

120.03

1000

421000

356

101000

980.56

1000

421000

356

101000

40.01

1000

421000

356

101000

80.02

1000

421000

356

101000

Page 54 of 200

Page 55 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 46 of 51
Report ID: AP100V

... Over spent expenditure

————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
Claim/ Check
Vendor #/Name/
Document $/
Disc $
Cash
Line #
Invoice #/Inv Date/Description
Line $
PO #
Fund Org Acct
Object Proj Account
————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————
19
08/08/26 Aug 2026-pw street/electrical
238.74
1000
430000
356
101000
6155246427
20
08/08/26 Aug 2026 - pw row
39.56
1000
430001
356
101000
6155246427
21
08/08/26 Aug 2026 - pw
555.10
1000
450000
356
101000
6155246427
22
08/08/26 Aug 2026 - pw B & G
237.81
1000
455000
356
101000
6155246427
23
08/08/26 Aug 2026 - fire
1,093.09
2060
415200
356
101000
6155246427
24
08/08/26 Aug 2026 - fire drone
20.02
2060
415200
356
101000
6155246427
25
08/08/26 Aug 2026 - pw forestry
158.15
2210
428000
356
101000
6155246427
26
08/08/26 Aug 2026 - pw sanitation
664.98
6010
450200
356
101000
6155246427
27
08/08/26 Aug 2026 - pw water
496.12
6020
450000
356
101000
6155246427
28
08/08/26 Aug 2026 - pw sewer
440.27
6025
450000
356
101000
6155246427
29
08/08/26 Aug 2026 - library
188.65
7000
411600
356
101000
6155246427
30
08/08/26 Aug 2026-municipal court judge
39.53
1000
412000
356
101000
6155246427
31
08/08/26 Aug 2026 - SIU hotspots (.4)
160.04
1000
421000
356
101000
6155246427
Total for Vendor:
11,918.65
135194
2709 VIGEN'S LAWN SERVICE INC
1
10/15/26 abatement - 102 morrison st
481321
2
10/15/26 abatement-2464 rivers bend dr
481323

291.00
145.50

1000

415000

555

101000

145.50

1000

415000

555

101000

Page 55 of 200

Page 56 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 47 of 51
Report ID: AP100V

... Over spent expenditure

97.00
97.00

135320
525 VILLAGE FAMILY SERVICE CENTER
1
10/19/26 CLIFTON STRENGTHS
192315-TEAM ENGAGEMENT
2
10/27/26 CLIFTON STRENGTHS
192811-COACHING & MGR CONF
Total for Vendor:

1,450.00
400.00

1000

415000

555

101000

7000

411600

340

101000

7000

411600

340

101000

1000

212511

388.00

1,050.00
1,450.00

135302 -91334E
4662 VOYA
1
10/16/26 Oct 2026 Contributions
Total for Vendor:

664.00
664.00
664.00

135274
C
544 WALLWORK TRUCK CENTER
3
10/13/26 #4201 SENSOR
01P763209
4
10/12/26 #609 BATTERY STUD
01P762459

524.50
199.63

6010

450200

427

101000

324.87

2210

428000

427

101000

135341
C
544 WALLWORK TRUCK CENTER
1
10/27/26 #2100 SEPERATOR FILTER
01P767699
2
10/09/26 RADIATOR CAP
01P761960
3
10/28/26 RADIATOR CAP RETURN
01P768130

168.41
168.41

6020

450000

427

101000

13.57

6025

450000

825

101000

-13.57

6025

450000

825

101000

926.54
1,043.29

6025

450000

427

101000

-116.75

6025

450000

427

101000

135405
C
544 WALLWORK TRUCK CENTER
1
10/21/26 #7000 AIR COOLER/RADIATOR KIT
01P765811
2
10/28/26 CREDIT
01P768131
Total for Vendor:

1,619.45

Page 56 of 200

101000

Page 57 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 48 of 51
Report ID: AP100V

... Over spent expenditure

648 WEST FARGO AUTO BODY/GLASS
10/09/26 #8010 BODY WORK
Total for Vendor:

135287
1
1345

1040 WEST FARGO EXCHANGE CLUB
08/28/26 FD Chief Dan Fuller 2026 Membe

1,971.00
1,971.00

1000

415000

427

101000

2060

415200

667

101000

2050

451000

992

101000

1,971.00
200.00
200.00

Total for Vendor:

200.00

135367
1

C
566 WEST FARGO PARK DISTRICT
10/22/26 October 2026 State Aid
Total for Vendor:

106,649.31
106,649.31
106,649.31

135338
1
16439

C
2184 WEST SIDE STEEL
10/19/26 DUMPSTER REPAIR

36.16
36.16

6010

450200

914

101000

135383
1
16524

C
2184 WEST SIDE STEEL
10/29/26 equipment - channel bar

922.68
922.68

1000

421000

641

101000

1000

140000

101000

1000
1000
8000

212530
212523
453000

101000
101000
101000

Total for Vendor:

958.84

135393
5632 WESTMOR INDUSTRIES LLC
1
10/21/26 FUEL STATION SUPPLIES
2527036RI
Total for Vendor:

473.50
473.50

135227 -91347E
3549 WEX FSA
1
10/16/26 Med FSA - 10/16/26 payroll
2
10/16/26 Dep FSA - 10/16/26 payroll
3
10/16/26 Dep FSA - 10/16/26 payroll
Parks
Total for Vendor:

6,522.67
900.80
5,309.37
312.50

473.50

6,522.67

Page 57 of 200

110

Page 58 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 49 of 51
Report ID: AP100V

... Over spent expenditure

437.24
406.82

1000

414103

428

101000

30.42

8000

453000

110

101000

135236 -91343E
4676 WEX HSA
09.04.26 Payroll
1
09/04/26 HSA Contributions - ER & EE
2
09/04/26 HSA Contributions - ER & EE
Parks

44,362.93
1000
8000

212530
453000

110

101000
101000

1000
8000

212530
453000

110

101000
101000

1000
8000

212530
453000

110

101000
101000

1000
8000

212530
453000

110

101000
101000

1000

212552

135237 -91342E
4676 WEX HSA
09.18.26 Payroll
1
09/18/26 HSA Contributions - ER & EE
2
09/18/26 HSA Contributions - ER & EE
Parks
135238 -91341E
4676 WEX HSA
10.02.26 Payroll
1
10/02/26 HSA Contributions - ER & EE
2
10/02/26 HSA Contributions - ER & EE
Parks

437.24

39,826.26
4,536.67

45,285.43
40,748.76
4,536.67

44,761.68
40,225.01
4,536.67

135239 -91340E
4676 WEX HSA
10.16.26 Payroll
1
10/16/26 HSA Contributions - ER & EE
2
10/16/26 HSA Contributions - ER & EE
Parks
Total for Vendor:

45,982.70
41,446.03
4,536.67

135294 119359S
3827 WF Firefighters Association
1
10/16/26 Fire Union Dues Oct 2026
Total for Vendor:

1,320.00
1,320.00
1,320.00

180,392.74

Page 58 of 200

101000

Page 59 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 50 of 51
Report ID: AP100V

... Over spent expenditure

10,962.86
10,962.86

7000

411600

389

101000

10,962.86

135244
E
338 XCEL ENERGY
1
09/22/26 sept 2026 603/605 shey st
1000586367

26.73
26.73

1000

421000

527

101000

135311
E
338 XCEL ENERGY
1
10/23/26 1410 13TH AVE E
1000753455
2
10/22/26 1100 12TH AVE NW
1000585102
3
10/23/26 1680 13TH AVE E
1000829026
4
10/23/26 1690 13TH AVE S
1000790947
5
10/22/26 SM33
1000540029
6
10/22/26 901 10TH AVE E
1000606901
7
10/22/26 312 5TH AVE W
1000571733
8
10/22/26 309 2ND AVE W
1000575575
9
10/22/26 1100 12TH AVE NW
1000574322
10
10/22/26 60L
1000560524
11
10/21/26 300 SHEYENNE - PIONEER PLAZA
1000376857
12
10/21/26 344 SHEYENNE - SHEYENNE PLAZA
1000352314
13
10/20/26 SM75
1000186599

1,165.45
51.85

1000

430002

527

101000

95.46

6020

450000

527

101000

134.62

1000

430002

527

101000

54.65

1000

430002

527

101000

93.69

6020

450000

527

101000

54.81

1000

430002

527

101000

305.99

1000

430002

527

101000

24.87

1000

430002

527

101000

158.01

6020

450000

527

101000

64.85

6020

450000

527

101000

51.09

2310

452120

527

101000

22.88

2310

452120

527

101000

52.68

6020

450000

527

101000

Page 59 of 200

Page 60 of 200

10/30/26
15:59:50

CITY OF WEST FARGO, ND
Claim Details by Posted Date
For Claims from 10/19/26 to 10/30/26

Page: 51 of 51
Report ID: AP100V

... Over spent expenditure

C
1484 YHR PARTNERS
10/21/26 PROJ 9061

57.86
57.86

1001

415000

527

101000

4188

480000

670

101000

1,250.04
46,273.40
46,273.40

Total for Vendor:

46,273.40

135235
C
582 ZEP SALES AND SERVICE
1
10/21/26 CLEANING SUPPLIES
9013511757
2
10/21/26 CLEANING SUPPLIES
9013511757
Total for Vendor:

860.35
442.06

1000

455000

500

101000

418.29

1000

430000

427

101000

860.35

# of Claims
250
Total:
3,702,266.98
# of Vendors
74
Total Electronic Claims
3,239,536.95
Total Non-Electronic Claims
462730.03
** This report runs by Claim Posted Date, which is a system generated field that always shows the date on which the Claim was
actually posted in the system. If a Claim was cancelled and re-posted, the posted date will show as of the date it was re-posted. **

Page 60 of 200

Page 61 of 200

City Commission Agenda Item Memo
Meeting Date: November 2, 2026

☒Consent Agenda
☐Regular Agenda

Item Title: Cass County Flood Risk Reduction Funding Assistance
Requested Action/Staff Recommendation: Authorize Staff to Apply for Cass County Flood Sales Tax
Assistance
Presented By: Jerry Wallace, City Engineer

New Information:
Staff is looking for authorization to apply for Cass County Flood Sales Tax assistance to help pay for a new
storm sewer lift station (described in the Background & Project Summary below). Staff would utilize a
consultant to assist in the funding application.
The unreserved fund balance in the county’s Flood Sales Tax Fund is currently $10.2 million. The policy
states that funding is available for entities within the Diversion protected area that do not receive
significant benefit from the FM Diversion project. The benefits map from the 2017 property tax vote shows
the area of West Fargo north of I-94 receives a 10% benefit from the FM Diversion Project. Based on the
policy and the location of the proposed lift station, it appears that this project would potentially qualify for
the funding.
Additionally, the types of projects listed as eligible for funding in the Cass County Commission Policy
Manual Section 13.72 adopted December 4, 2017 includes lift stations for removing storm water from
within a levee protected area.
Background & Project Summary:
In the current CIP, the city has planned a project to install a stormwater pumping station on 7th Avenue
adjacent to the Sheyenne River. This lift station is intended to pump the majority of the stormwater
produced by the core area and will replace two aging lift stations that are needed to be
decommissioned.
There is currently a Core Area Stormwater study being conducted to model the anticipated flows as the
city continues to reconstruct the core area and install new storm sewer piping designed to today’s
standards.
Financial Analysis:
Originally the purpose of the stormwater study was to complete it and utilize it to help position the project
to hopefully secure a BRIC grant from the federal government. Since that time, the BRIC grant was
dissolved, then re-instated. Staff has had discussions with their agency and received feedback that this
project would not be eligible under current guidelines.
Recently staff has been working with the US Army Corps of Engineers through the Houston-Moore Group
to potentially secure funding through the diversion project. Recently we were informed that there are no
funds available from that source as well.

Page 61 of 200

Page 62 of 200

If successful in getting funding through this source, there would still be costs associated with the
construction of the project as the amount likely to be received would not be enough to cover the cost of
the project. Additionally, the city will responsible for the planning and engineering costs associated with
the project so any funding received would only be able to be applied towards construction costs. The
preferred funding split by the county is a 50% local match towards the project.
Policy Analysis:
The goal of staff is to seek out any and all possible funding sources to apply towards Capital Improvement
Projects to reduce the costs to the city’s Capital Improvement Sales Tax fund and it’s residents.
Supporting Documents:
•

FM Flood Risk Management District No. 1 Benefit Region Map

Previously Presented Information & Commission Actions:
None

West Fargo City Commission

Eric Gjerdevig, Mayor
Amy Zundel, Deputy Mayor
Tyler Erickson, Rory Jorgensen, Patti Stedman, Commissioners
Dustin Scott, City Administrator

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City Commission Agenda Item Memo
Meeting Date: November 2, 2026

☒Consent Agenda
☐Regular Agenda

Item Title: City Owned Right-of-Way within City Limits of West Fargo
Requested Action/Staff Recommendation: Authorize staff to initiate a soft season shutdown for
all non-emergent hard surface work
Presented By: Jerry Wallace, City Engineer

New Information: Due to asphalt plants shutting down for the season, repairs to City streets are
going to be harder to guarantee proper restorations too.
City staff is requesting that on Friday, November 6, 2026, all hard surface Right-of-Way work
outside of an emergency come to a close for the 2026 season. Contractors will still be able to do
work within grassy areas of City Right-of-Way with approved permits obtained from the
Engineering Department.
City staff will also request a “Complete Season Shutdown” in the coming weeks for all nonemergent right-of-way activities for established residential areas within the City owned Right-ofWay. Both “Soft Season Shutdowns” and “Complete Season Shutdowns” provide safety and
integrity to City Infrastructure.

West Fargo City Commission

Eric Gjerdevig, Mayor
Amy Zundel, Deputy Mayor
Tyler Erickson, Rory Jorgensen, Patti Stedman, Commissioners
Dustin Scott, City Administrator

Page 64 of 200

Page 65 of 200

City Commission Agenda Item Memo
Meeting Date: November 2, 2026

☒Consent Agenda
☐Regular Agenda

Item Title: Project No. 1357 – Southside Sanitary Sewer Rehabilitation (Priority Grouping No. 1 Sanitary
Stations)
Requested Action/Staff Recommendation: Approve Task Order No. 111-1 and Direct Engineer to prepare
Plans and Specifications
Presented By: Jerry Wallace, City Engineer

New Information:
Over the past several years, the city has bene upgrading aging sanitary sewer lift stations. Having
completed the lift station rehabilitation projects on the north side of I-94, the next phase is to continue this
effort with a focus on sanitary lift stations south of I-94. This year’s focus was on a major rehabilitation of SA27 and now moving forward efforts will continue on with lift stations contributing to SA-27’s flows.
Background & Project Summary: In 2025, the City completed a capacity and condition analysis of the
sanitary sewer system south of the interstate. The analysis included the southside regional lift station, SA 27,
and all tributary lift stations and was initiated following a May 24, 2024, rainfall event that identified
capacity constraints within the system. The analysis resulted in several recommended system
improvements, including the ongoing project to rehabilitate SA 27.
The recommendations have subsequently been organized into priority groups to establish a phased
approach for system upgrades and rehabilitation over the next several years. Project No. 1357 represents
the City's effort to address the lift stations and associated components identified as Priority Group 1 – SA
34, 38 and 42.
Financial Analysis: City staff proposes using Capital Improvement Sales Tax revenue to fund the project as
well as the funds remaining in the SA-27 Hook Up fee fund as the proposed lift stations are tributaries to SA27. Although the project is in the early stages of design, the current preliminary construction estimate is
approximately $2.16 million, including a contingency appropriate for the current level of project
development.
Long-term, City staff would prefer to fund sanitary sewer infrastructure improvements through sewer utility
revenues. However, current sewer utility revenues are not sufficient to fund the capital improvements
identified through the City’s recent sanitary sewer system analysis. Additionally, the utility’s financial
position does not currently provide sufficient capacity to pursue municipal sewer bonding as a funding
mechanism for this work.
Policy Analysis: The proposed project is consistent with the City's approach of prioritizing critical utility
infrastructure based on system capacity, condition, operational needs, and identified risk.
Supporting Documents:
•
•

Task Order No. 111-1
Associated Resolutions

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Previously Presented Information & Commission Actions:
October 5, 2026 –
•
•

Staff Recommendation: Create Project No. 1357and Direct and Approve Engineer’s Report
Commission Action: Commissioner Zundel moved and Commissioner Erickson seconded to approve. No
opposition, motion carried.

West Fargo City Commission

Eric Gjerdevig, Mayor
Amy Zundel, Deputy Mayor
Tyler Erickson, Rory Jorgensen, Patti Stedman, Commissioners
Dustin Scott, City Administrator

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CITY PROJECT PROCESS FLOW CHART
Will funding for
this project
include
special
assessments?

Y
PROJECT
START

Project is added to
the CIP or brought
forward based
on other
determined need

Resolution of Necessity
and Public Hearing
Create
Improvement
District

Engineer’s Report
with Estimate of
Probable Cost

Preliminary Design
and Studies

We are here in the process
(Direct)

Plans &
Specifications

Create Project

Engineer’s Report
with Estimate of
Probable Cost

Engineer’s
Statement of
Estimated Cost
Final Costs
Determined

Construction
Administration

Resolution
Approving
Contracts

Award
Bids

SPECIAL ASSESSMENTS CERTIFIED
General Process:
1.Special Assessment Committee Public Meeting
2.Special Assessment Committee Public Hearing
3.City Commission Public Hearing
4.Certified for Payment

Records
Filed

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Quotes or Bids

PROJECT
CLOSED
*Project Steps in YELLOW boxes are only
necessary when a project is funded
through the use of special assessments.

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EXHIBIT A to MSA

Task Order for Basic Design & Construction Contract Administration Services
and Additional Services
This is Task Order No. 111-1
consisting of 19 pages.
Task Order 111-1
In accordance with Paragraph 9 of the Master Agreement for Professional Services, dated January 1, 2024, and
approved by the West Fargo City Commission (“Commission) on December 18, 2023 ("Agreement"), the City of West
Fargo (“City”) and Moore Engineering, Inc. (“Engineer” or “MEI”) agree as follows:

1. Background Data
a.

Effective Date of Task Order:

October 16, 2026

Owner:

City of West Fargo

Engineer:

Moore Engineering, Inc.

Specific Project Title:

Project No. 1357

Specific Project Description:

Sanitary Sewer System Rehabilitation and Incidentals

Summary of Services:

With the creation of Project No. 1357 and approval of the
Engineer’s Report at the October 5, 2026 city commission
meeting, the City, at this time, has requested the design and
construction related services Task Order necessary to complete
the proposed project. The proposed improvements will include
the rehabilitation of three sanitary sewer lift stations and related
infrastructure including electrical and site restoration work.
Furthermore, right-of-way administration, public outreach,
funding administration, special assessment administration, and
record drawing administration tasks are required to complete this
project.

2. Services of Engineer
The specific services to be provided or furnished by Engineer under this Task Order are as follows:
A.

Preliminary Design Phase – Prior to Preliminary Design, the City will complete any studies, reports, and/or
any other work necessary to evaluate project alternatives and estimated costs. Services under this phase
will begin once a preferred alternative is determined and the corresponding “Engineer’s Report” has been
approved by the Board of City Commissioners.
1. Engineer shall:
a. Coordinate a meeting with the Owner to review the project and task order to ensure mutual
understanding of the objectives, requirements, schedule, etc. prior to starting work.

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b. Prepare Preliminary Design Phase documents consisting of final design criteria, preliminary
drawings, outline specifications, and written descriptions of the Specific Project. This shall include
coordination as necessary with Engineer’s Subcontractor(s) and/or other consultants employed
by the Owner, such as a geotechnical consultant. Any deliverables executed by other Owner
consultants, such as technical data, reports, drawings and specifications, etc. shall be provided to
Engineer.
c. In preparing the Preliminary Design Phase documents, use any specific applicable Specific Project
Strategies, Technologies, and Techniques authorized by Owner during or following the Study and
Report Phase, and include sustainable features, as appropriate, pursuant to Owner’s instructions.
This shall include coordination as necessary with Engineer’s Subcontractor(s) and/or other
consultants employed by the Owner, such as a geotechnical consultant. Any deliverables
executed by other Owner consultants, such as technical data, reports, drawings and
specifications, etc. shall be provided to Engineer.
d. Provide necessary field surveys, topographic and utility mapping for Engineer’s design purposes.
Comply with the scope of work and procedure for the identification and mapping of existing
utilities selected and authorized by Owner pursuant to advice from Engineer based on ASCE 38,
“Standard Guideline for the Collection and Depiction of Existing Subsurface Utility Data.” If no
such scope of work and procedure for utility mapping has been selected and authorized, then at
a minimum the utility mapping will include Engineer contacting utility owners and obtaining
available information.
e. Visit the Site as needed to prepare the Preliminary Design Phase documents.
f.

Advise Owner if additional reports, data, information, or services are necessary and assist Owner
in obtaining such reports, data, information, or services.

g. Continue to assist Owner with Specific Project Strategies, Technologies, and Techniques that
Owner has chosen to implement.
h. Based on the information contained in the Preliminary Design Phase documents, prepare a
revised opinion of probable Construction Cost, and assist Owner in tabulating the various cost
categories which comprise Total Project Costs.
i.

Obtain and review Owner’s instructions regarding Owner’s procurement of construction services
(including instructions regarding advertisements for bids, instructions to bidders, and requests
for proposals, as applicable), Owner’s construction contract practices and requirements,
insurance and bonding requirements, electronic transmittals during construction, and other
information necessary for the finalization of Owner’s bidding-related documents (or requests for
proposals or other construction procurement documents), and Construction Contract
Documents.

Obtain and review copies of Owner’s design and construction standards, Owner’s standard forms,
general conditions (if other than EJCDC® C-700, Standard General Conditions of the Construction
Contract, 2018 Edition), supplementary conditions, text, and related documents or content for
Engineer to include in the draft bidding-related documents (or requests for proposals or other
construction procurement documents), and in the draft Construction Contract Documents, when
applicable.

k. Pursuant to the Task Order schedule, furnish the required number of review copies of the
Preliminary Design Phase documents, opinion of probable Construction Cost, and any other
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Preliminary Design Phase deliverables to Owner, and review them with Owner. Within the time
established in the Task Order schedule, Owner shall submit to Engineer any comments regarding
the furnished items.
l.

Pursuant to the Task Order schedule, revise the Preliminary Design Phase documents, opinion of
probable Construction Cost, and any other Preliminary Design Phase deliverables in response to
Owner’s comments, as appropriate, and furnish to Owner the required number of copies of the
revised Preliminary Design Phase documents, revised opinion of probable Construction Cost, and
any other Preliminary Design Phase deliverables.

2. Engineer’s services under the Preliminary Design Phase will be considered complete on the date when
Engineer has delivered to Owner the revised Preliminary Design Phase documents, revised opinion of
probable Construction Cost, and any other Preliminary Design Phase deliverables.
B.

Final Design Phase
1. Engineer shall:
a. Prepare final Drawings and Specifications indicating the scope, extent, and character of the Work
to be performed and furnished by Contractor. This shall include coordination as necessary with
Engineer’s Subcontractor(s) and/or other consultants employed by the Owner, such as a
geotechnical consultant. Any deliverables executed by other Owner consultants, such as
technical data, reports, drawings, and specifications, etc. shall be provided to Engineer.
b. Visit the Site as needed to assist in preparing the final Drawings and Specifications.
c. Advise Owner of any recommended adjustments to the opinion of probable Construction Cost.
d. After consultation with Owner, include in the Construction Contract Documents any specific
protocols for the transmittal of Project-related correspondence, documents, text, data, drawings,
information, and graphics, in electronic media or digital format, either directly, or through access
to a secure Project website. Any such protocols shall be applicable to transmittals between and
among Owner, Engineer, and Contractor during the Construction Phase and Post-Construction
Phase, and unless agreed otherwise shall supersede any conflicting protocols previously
established for transmittals between Owner and Engineer.
e. After consultation with Owner, identify extent of final rights of way, both temporary and
permanent, needed for construction of the project.
f.

Assist Owner in assembling known reports and drawings of Site conditions, and in identifying the
technical data contained in such reports and drawings upon which bidders or other prospective
contractors may rely.

g. In addition to preparing the final Drawings and Specifications, assemble drafts of other
Construction Contract Documents based on specific instructions and contract forms, text, or
content received from Owner.
h. Prepare or assemble draft bidding-related documents (or requests for proposals or other
construction procurement documents), based on the specific bidding or procurement-related
instructions and forms, text, or content received from Owner.

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Pursuant to the Task Order schedule, furnish for review by Owner, its legal counsel, and other
advisors, the required number of copies of the final Drawings and Specifications, assembled drafts
of other Construction Contract Documents, the draft bidding-related documents (or requests for
proposals or other construction procurement documents), and any other Final Design Phase
deliverables, and review them with Owner. Within the time required by the Task Order schedule,
Owner shall submit to Engineer any comments regarding the furnished items, and any
instructions for revisions.

Pursuant to the Task Order schedule, revise the final Drawings and Specifications, assembled
drafts of other Construction Contract Documents, the draft bidding-related documents (or
requests for proposals or other construction procurement documents), and any other Final
Design Phase deliverables in accordance with comments and instructions from the Owner, as
appropriate, and submit the required number of final copies of such documents to Owner after
receipt of Owner’s comments and instructions.

2. Engineer’s services under the Final Design Phase will be considered complete on the date when
Engineer has delivered to Owner the final Drawings and Specifications, other assembled Construction
Contract Documents, bidding-related documents (or requests for proposals or other construction
procurement documents), and any other Final Design Phase deliverables.
3. The number of prime contracts for Work designed or specified by Engineer upon which the Engineer’s
compensation has been established under this Task Order is one.
C.

Bidding or Negotiating Phase
1. Engineer shall:
a. Assist Owner in advertising for and obtaining bids or proposals for the Work, assist Owner in
issuing assembled design, contract, and bidding-related documents (or requests for proposals or
other construction procurement documents) to prospective contractors, and, where applicable,
maintain a record of prospective contractors to which documents have been issued, attend prebid conferences, if any, and receive and process contractor deposits or charges for the issued
documents.
b. Prepare and issue Addenda as appropriate to clarify, correct, or change the issued documents.
This shall include coordination as necessary with Engineer’s Subcontractor(s) and/or other
consultants employed by the Owner, such as a geotechnical consultant. Any addenda from other
Owner consultants shall be provided to Engineer.
c. Provide information or assistance needed by Owner in the course of any review of proposals or
negotiations with prospective contractors.
d. Consult with Owner as to the qualifications of prospective contractors.
e. Consult with Owner as to the qualifications of Subcontractors, suppliers, and other individuals
and entities proposed by prospective contractors, for those portions of the Work as to which
review of qualifications is required by the issued documents.
f.

If the issued documents require, the Engineer shall evaluate and determine the acceptability of
"or equals" and substitute materials and equipment proposed by prospective contractors,
provided that such proposals are allowed by the bidding-related documents (or requests for

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proposals or other construction procurement documents) prior to award of contracts for the
Work.
g. Attend the bid opening as needed, prepare bid tabulation sheets to meet Owner’s schedule, and
assist Owner in evaluating bids or proposals, assembling final contracts for the Work for execution
by Owner and Contractor, and in issuing notices of award of such contracts. Bid tabulations will
be provided in pdf and spreadsheet format.
h. If Owner engages in negotiations with bidders or proposers, assist Owner with respect to
technical and engineering issues that arise during the negotiations.
i.

Coordinate execution of Contract by assembling contract documents for review by Owner,
Owner’s Attorney, and Contractor and assist in routing contracts between entities to obtain
necessary signatures.

2. The Bidding or Negotiating Phase will be considered complete upon commencement of the
Construction Phase or upon cessation of negotiations with prospective contractors.
D.

Construction Phase
1. Engineer shall:
a. General Administration of Construction Contract: Consult with Owner and act as Owner’s
representative as provided in the Construction Contract. The extent and limitations of the duties,
responsibilities, and authority of Engineer shall be as assigned in EJCDC® C-700, Standard General
Conditions of the Construction Contract (2018 Edition), prepared by the Engineers Joint Contract
Documents Committee, or other construction general conditions specified in the Agreement. If
Owner, or Owner and Contractor, modify the duties, responsibilities, and authority of Engineer in
the Construction Contract, or modify other terms of the Construction Contract having a direct
bearing on Engineer, then Owner shall compensate Engineer for any related increases in the cost
to provide Construction Phase services. Engineer shall not be required to furnish or perform
services contrary to Engineer’s responsibilities as a licensed professional. All of Owner’s
instructions to Contractor will be issued through Engineer, which shall have authority to act on
behalf of Owner in dealings with Contractor to the extent provided in this Agreement and the
Construction Contract except as otherwise provided in writing.
b. Pre-Construction Conference: Participate in a pre-construction conference prior to
commencement of Work at the Site.
c. Electronic Transmittal Protocols: If the Construction Contract Documents do not specify protocols
for the transmittal of Project-related correspondence, documents, text, data, drawings,
information, and graphics, in electronic media or digital format, either directly, or through access
to a secure Project website, then together with Owner and Contractor jointly develop such
protocols for transmittals between and among Owner, Contractor, and Engineer during the
Construction Phase and Post-Construction Phase.
d. Original Documents: If requested by Owner to do so, maintain and safeguard during the
Construction Phase at least one original printed record version of the Construction Contract
Documents, including Drawings and Specifications signed and sealed by Engineer and other
design professionals in accordance with applicable Laws and Regulations. Throughout the
Construction Phase, make such original printed record version of the Construction Contract
Documents available to Contractor and Owner for review.
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e. Schedules: Receive, review, and determine the acceptability of any and all schedules that
Contractor is required to submit to Engineer, including the Progress Schedule, Schedule of
Submittals, and Schedule of Values.
f.

Baselines and Benchmarks: As appropriate, establish baselines and benchmarks for locating the
Work which in Engineer’s judgment are necessary to enable Contractor to proceed.

g. Visits to Site and Observation of Construction: In connection with observations of Contractor’s
Work while it is in progress:
1) Make visits to the Site at intervals appropriate to the various stages of construction, as
Engineer deems necessary, to observe as an experienced and qualified design
professional the progress of Contractor’s executed Work. Such visits and observations by
Engineer, and the Resident Project Representative, if any, are not intended to be
exhaustive or to extend to every aspect of the Work or to involve detailed inspections of
the Work beyond the responsibilities specifically assigned to Engineer in the Agreement,
this Task Order, and the Construction Contract Documents, but rather are to be limited
to spot checking, selective sampling, and similar methods of general observation of the
Work based on Engineer’s exercise of professional judgment, as assisted by the Resident
Project Representative, if any. Based on information obtained during such visits and
observations, Engineer will determine in general if the Work is proceeding in accordance
with the Construction Contract Documents, and Engineer shall keep Owner informed of
the progress of the Work. This shall include coordination as necessary with Engineer’s
Subcontractor(s) and/or other consultants employed by the Owner for observations
requiring their expertise.
2) The purpose of Engineer’s visits to the Site, and representation by the Resident Project
Representative, if any, at the Site, will be to enable Engineer to better carry out the duties
and responsibilities assigned to and undertaken by Engineer during the Construction
Phase, and, in addition, by the exercise of Engineer’s efforts as an experienced and
qualified design professional, to provide for Owner a greater degree of confidence that
the completed Work will conform in general to the Construction Contract Documents
and that Contractor has implemented and maintained the integrity of the design concept
of the completed Project as a functioning whole as indicated in the Construction Contract
Documents. Engineer shall not, during such visits or as a result of such observations of
the Work, supervise, direct, or have control over the Work, nor shall Engineer have
authority over or responsibility for the means, methods, techniques, sequences, or
procedures of construction selected or used by any Constructor, for security or safety at
the Site, for safety precautions and programs incident to any Constructor’s work in
progress, for the coordination of the Constructors’ work or schedules, nor for any failure
of any Constructor to comply with Laws and Regulations applicable to furnishing and
performing of its work. Accordingly, Engineer neither guarantees the performance of any
Constructor nor assumes responsibility for any Constructor’s failure to furnish or perform
the Work, or any portion of the Work, in accordance with the Construction Contract
Documents.
h. Defective Work: Reject Work if, on the basis of Engineer’s observations, Engineer believes that
such Work is defective under the terms and standards set forth in the Construction Contract
Documents. Provide recommendations to Owner regarding whether Contractor should correct
such Work or remove and replace such Work, or whether Owner should consider accepting such
Work as provided in the Construction Contract Documents.

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Compatibility with Design Concept: If Engineer has express knowledge that a specific part of the
Work that is not defective under the terms and standards set forth in the Construction Contract
Documents is nonetheless not compatible with the design concept of the completed Project as a
functioning whole, then inform Owner of such incompatibility, and provide recommendations for
addressing such Work.

Clarifications and Interpretations: Accept from Contractor and Owner submittal of all matters in
question concerning the requirements of the Construction Contract Documents (sometimes
referred to as requests for information or interpretation—RFIs), or relating to the acceptability of
the Work under the Construction Contract Documents. With reasonable promptness, render a
written clarification, interpretation, or decision on the issue submitted, or initiate an amendment
or supplement to the Construction Contract Documents. This shall include coordination as
necessary with Engineer’s Subcontractor(s) and/or other consultants employed by the Owner.
Any clarifications, interpretation, or decision shall be provided by the Owner’s applicable
consultant.

k. Field Orders: Subject to any limitations in the Construction Contract Documents, Engineer may
prepare and issue Field Orders requiring minor changes in the Work.
l.

Change Orders and Work Change Directives: Recommend Change Orders and Work Change
Directives to Owner, as appropriate, and prepare Change Orders and Work Change Directives as
required.

m. Differing Site Conditions: Respond to any notice from Contractor of differing site conditions,
including conditions relating to underground facilities such as utilities, and hazardous
environmental conditions. Promptly conduct reviews, obtain information, and prepare findings,
conclusions, and recommendations for Owner’s use, subject to the limitations and responsibilities
under the Agreement and the Construction Contract. This shall include coordination as necessary
with Engineer’s Subcontractor(s) and/or other consultants employed by the Owner. Any reviews,
obtaining of information, and preparation of findings, conclusions, and recommendations shall
be provided by the Owner’s applicable consultant.
n. Non-reviewable matters: If a submitted matter in question concerns the Engineer’s performance
of its duties and obligations, or terms and conditions of the Construction Contract Documents
that do not involve (1) the performance or acceptability of the Work under the Construction
Contract Documents, (2) the design (as set forth in the Drawings, Specifications, or otherwise), or
(3) other engineering or technical matters, then Engineer will promptly give written notice to
Owner and Contractor that Engineer will not provide a decision or interpretation.
o. Shop Drawings, Samples, and Other Submittals: Review and approve or take other appropriate
action with respect to Shop Drawings, Samples, and other required Contractor submittals, but
only for conformance with the information given in the Construction Contract Documents and
compatibility with the design concept of the completed Project as a functioning whole as
indicated by the Construction Contract Documents. Such reviews and approvals or other action
will not extend to means, methods, techniques, sequences, or procedures of construction or to
safety precautions and programs incident thereto. Engineer shall meet any Contractor’s submittal
schedule that Engineer has accepted.
p. Substitutes and “or-equal”: Evaluate and determine the acceptability of substitute or “or-equal”
materials and equipment proposed by Contractor.
q. Inspections and Tests:
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1) Receive and review all certificates of inspections, tests, and approvals required by Laws
and Regulations or the Construction Contract Documents. Engineer’s review of such
certificates will be for the purpose of determining that the results certified indicate
compliance with the Construction Contract Documents and will not constitute an
independent evaluation that the content or procedures of such inspections, tests, or
approvals comply with the requirements of the Construction Contract Documents.
Engineer shall be entitled to rely on the results of such inspections and tests.
2) As deemed reasonably necessary, request that Contractor uncover Work that is to be
inspected, tested, or approved.
3) Pursuant to the terms of the Construction Contract, require additional inspections or
testing of the Work, whether or not the Work is fabricated, installed, or completed.
r.

Change Proposals and Claims:
1) Review and respond to Change Proposals. Review each duly submitted Change
Proposal from Contractor and, within 30 days after receipt of the Contractor’s
supporting data, either deny the Change Proposal in whole, approve it in whole,
or deny it in part and approve it in part. Such actions shall be in writing, with a
copy provided to Owner and Contractor. If the Change Proposal does not involve
the design (as set forth in the Drawings, Specifications, or otherwise), the
acceptability of the Work, or other engineering or technical matters, then
Engineer will notify the parties that the Engineer will not resolve the Change
Proposal.
2) Provide information or data to Owner regarding engineering or technical matters
pertaining to Claims. This shall include coordination as necessary with Engineer’s
Subcontractor(s) and/or other consultants employed by the Owner, such as a
geotechnical consultant. Any pertinent information shall be provided to
Engineer.

s. Applications for Payment: Based on Engineer’s observations as an experienced and qualified
design professional and on review of Applications for Payment and accompanying supporting
documentation:
1) Determine the amounts that Engineer recommends Contractor be paid. Recommend
reductions in payment (set-offs) based on the provisions for set-offs stated in the
Construction Contract.
2) Provide justification on pay items that end up over/under the contract quantity.
3) Provide final payment spreadsheet as requested by Owner.
t.

Contractor’s Completion Documents: Receive from Contractor, review, and transmit to Owner
maintenance and operating instructions, schedules, guarantees, bonds, certificates or other
evidence of insurance required by the Construction Contract Documents, certificates of
inspection, tests and approvals, and Shop Drawings, Samples, and other data approved as
provided under Paragraph 2.D.1.p. Receive from Contractor, review, and transmit to Owner the
annotated record documents which are to be assembled by Contractor in accordance with the
Construction Contract Documents to obtain final payment. The extent of Engineer’s review of
record documents shall be to check that Contractor has submitted all pages.

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u. Substantial Completion: Promptly after notice from Contractor that Contractor considers the
entire Work ready for its intended use, in company with Owner and Contractor, visit the Site to
review the Work and determine the status of completion. Follow the procedures in the
Construction Contract regarding the preliminary certificate of Substantial Completion, punch list
of items to be completed, Owner’s objections, notice to Contractor, and issuance of a final
certificate of Substantial Completion.
v. Final Notice of Acceptability of the Work: Conduct a final visit to the specific Project to determine
if the Work is complete and acceptable so that Engineer may recommend, in writing, final
payment to Contractor. Accompanying the recommendation for final payment, Engineer shall
also provide a notice to Owner and Contractor in the form attached hereto as Exhibit A.1 (“Notice
of Acceptability of Work”) to the best of Engineer’s knowledge, information, and belief, and based
on the extent of the services provided by Engineer under the Agreement and this Task Order.
w. Standards for Certain Construction-Phase Decisions: Engineer will render decisions regarding the
requirements of the Construction Contract Documents, and judge the acceptability of the Work,
pursuant to the specific procedures set forth in the Construction Contract for initial
interpretations, Change Proposals, and acceptance of the Work. In rendering such decisions and
judgments, Engineer will not show partiality to Owner or Contractor, and will not be liable to
Owner, Contractor, or others in connection with any proceedings, interpretations, decisions, or
judgments conducted or rendered in good faith.
2. Duration of Construction Phase: The Construction Phase will commence with the execution of the first
Construction Contract for the specific Project or any part thereof and will terminate upon written
recommendation by Engineer for final payment to Contractors. If the specific Project involves more
than one prime contract as indicated in Paragraph 2.B.3, then Construction Phase services may be
rendered at different times in respect to the separate contracts.
E.

Commissioning Phase
1. Engineer shall:
a. Assist Owner in connection with the adjusting of Specific Project equipment and systems.
b. Assist Owner in training Owner's staff to operate and maintain Specific Project equipment and
systems.
c. Prepare operation and maintenance manuals.
d. Assist Owner in developing procedures for (a) control of the operation and maintenance of
Specific Project equipment and systems, and (b) related record-keeping.
e. Prepare and furnish to Owner Record Drawings showing appropriate record information based
on Project annotated record documents received from Contractor. Record Drawings will be
supplied in PDF format.
a. Coordinate relocation, if necessary, of existing private utilities, determine existing easements and
utility permits to identify the party responsible for utility relocation costs. Coordinate relocation
agreements with each utility company and the City.

F. Additional Construction Services
1. Resident Project Representative

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a. Resident Project Representative (RPR): Provide the services of an RPR at the Site to assist the
Engineer and to provide more extensive observation of Contractor’s work. Duties,
responsibilities, and authority of the RPR are as set forth below. The furnishing of such RPR’s
services will not limit, extend, or modify Engineer’s responsibilities or authority except as
expressly set forth below.
1) The fee scoped within this Task Order is an assumed construction schedule of 14 weeks
with part-time RPR inspection.
2) Engineer shall furnish a Resident Project Representative (“RPR”) to assist Engineer in
observing progress and quality of the Work. The RPR may provide full time
representation or may provide representation to a lesser degree. RPR is Engineer’s
representative at the Site, will act as directed by and under the supervision of Engineer,
and will confer with Engineer regarding RPR’s actions.
3) Through RPR's observations of the Work, including field checks of materials and
installed equipment, Engineer shall endeavor to provide further protection for Owner
against defects and deficiencies in the Work. However, Engineer shall not, as a result
of such RPR observations of the Work, supervise, direct, or have control over the Work,
nor shall Engineer (including the RPR) have authority over or responsibility for the
means, methods, techniques, sequences, or procedures of construction selected or
used by any Constructor, for security or safety at the Site, for safety precautions and
programs incident to the Work or any Constructor’s work in progress, for the
coordination of the Constructors’ work or schedules, or for any failure of any
Constructor to comply with Laws and Regulations applicable to the performing and
furnishing of its work. The Engineer (including RPR) neither guarantees the
performances of any Constructor nor assumes responsibility for any Constructor’s
failure to furnish and perform the Work, or any portion of the Work, in accordance with
the Construction Contract Documents. In addition, the specific terms set forth in in this
Task Order, are applicable.
4) The duties and responsibilities of the RPR are as follows:
a) General: RPR’s dealings in matters pertaining to the Work in general shall be
with Engineer and Contractor. RPR’s dealings with Subcontractors shall only
be through or with the full knowledge and approval of Contractor. RPR shall
generally communicate with Owner only with the knowledge of and under
the direction of Engineer.
b) Schedules: Review the progress schedule, schedule of Shop Drawing and
Sample submittals, schedule of values, and other schedules prepared by
Contractor and consult with Engineer concerning acceptability of such
schedules.
c) Conferences and Meetings: Attend meetings with Contractor, such as
preconstruction conferences, progress meetings, job conferences, and other
Project-related meetings (but not including Contractor’s safety meetings),
and as appropriate prepare and circulate copies of minutes thereof.
d) Safety Compliance: Comply with Site safety programs, as they apply to RPR,
and if required to do so by such safety programs, receive safety training
specifically related to RPR’s own personal safety while at the Site.
e) Liaison
i.
Serve as Engineer’s liaison with Contractor. Working principally
through Contractor’s authorized representative or designee, assist in
providing information regarding the provisions and intent of the
Construction Contract Documents.

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ii.

Assist Engineer in serving as Owner’s liaison with Contractor when
Contractor’s operations affect Owner’s on-Site operations.
iii.
Assist in obtaining from Owner additional details or information, when
required for proper execution of the Work.
f) Clarifications and Interpretations: Receive from Contractor submittal of any
matters in question concerning the requirements of the Construction
Contract Documents (sometimes referred to as requests for information or
interpretation—RFIs), or relating to the acceptability of the Work under the
Construction Contract Documents. Report to Engineer regarding such RFIs.
Report to Engineer when clarifications and interpretations of the
Construction Contract Documents are needed, whether as the result of a
Contractor RFI or otherwise. Transmit Engineer’s clarifications,
interpretations, and decisions to Contractor.
g) Shop Drawings and Samples
i.
Record date of receipt of Samples and Contractor-approved Shop
Drawings.
ii.
Receive Samples that are furnished at the Site by Contractor, and
notify Engineer of availability of Samples for examination.
iii.
Advise Engineer and Contractor of the commencement of any portion
of the Work requiring a Shop Drawing or Sample submittal, if RPR
believes that the submittal has not been received from Contractor, or
has not been approved by Contractor or Engineer.
h) Proposed Modifications: Consider and evaluate Contractor’s suggestions for
modifications to the Drawings or Specifications, and report such suggestions,
together with RPR’s recommendations, if any, to Engineer. Transmit
Engineer’s response (if any) to such suggestions to Contractor.
i) Review of Work; Defective Work
i.
Report to Engineer whenever RPR believes that any part of the Work
is defective under the terms and standards set forth in the
Construction Contract Documents, and provide recommendations as
to whether such Work should be corrected, removed and replaced, or
accepted as provided in the Construction Contract Documents.
ii.
Inform Engineer of any Work that RPR believes is not defective under
the terms and standards set forth in the Construction Contract
Documents, but is nonetheless not compatible with the design
concept of the completed Project as a functioning whole, and provide
recommendations to Engineer for addressing such Work; and
iii.
Advise Engineer of that part of the Work that RPR believes should be
uncovered for observation, or requires special testing, inspection, or
approval.
j) Inspections, Tests, and System Start-ups
i.
Consult with Engineer in advance of scheduled inspections, tests, and
systems start-ups.
ii.
Verify that tests, equipment, and systems start-ups and operating and
maintenance training are conducted in the presence of appropriate
Owner’s personnel, and that Contractor maintains adequate records
thereof.
iii.
Observe, record, and report to Engineer appropriate details relative to
the test procedures and systems start-ups.
iv.
Observe whether Contractor has arranged for inspections required by
Laws and Regulations, including but not limited to those to be
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performed by public or other agencies having jurisdiction over the
Work.
v.
Accompany visiting inspectors representing public or other agencies
having jurisdiction over the Work, record the results of these
inspections, and report to Engineer.
k) Records
i.
Maintain at the Site orderly files for correspondence, reports of job
conferences, copies of Construction Contract Documents including all
Change Orders, Field Orders, Work Change Directives, Addenda,
additional Drawings issued subsequent to the execution of the
Construction Contract, RFIs, Engineer’s clarifications and
interpretations of the Construction Contract Documents, progress
reports, Shop Drawing and Sample submittals received from and
delivered to Contractor, and other Project-related documents.
ii.
Prepare a daily report or keep a diary or log book, recording
Contractor’s hours on the Site, Subcontractors present at the Site,
weather conditions, data relative to questions of Change Orders, Field
Orders, Work Change Directives, or changed conditions, Site visitors,
deliveries of equipment or materials, daily activities, decisions,
observations in general, and specific observations in more detail as in
the case of observing test procedures; and send copies to Engineer.
iii.
Upon request from Owner to Engineer, photograph or video work in
progress or Site conditions.
iv.
Record and maintain accurate, up-to-date lists of the names,
addresses, fax numbers, e-mail addresses, websites, and telephone
numbers (including mobile numbers) of all Contractors,
Subcontractors, and major Suppliers of materials and equipment.
v.
Maintain records for use in preparing Specific Project documentation.
vi.
Upon completion of the Work, furnish original set of all RPR Project
documentation to Engineer.
l) Reports
i.
Furnish to Engineer periodic reports as required of progress of the
Work and of Contractor’s compliance with the progress schedule and
schedule of Shop Drawing and Sample submittals.
ii.
Draft and recommend to Engineer proposed Change Orders, Work
Change Directives, and Field Orders. Obtain backup material from
Contractor.
iii.
Furnish to Engineer and Owner copies of all inspection, test, and
system start-up reports.
iv.
Immediately inform Engineer of the occurrence of any Site accidents,
emergencies, acts of God endangering the Work, possible force
majeure or delay events, damage to property by fire or other causes,
or the discovery of any potential differing site condition or Constituent
of Concern.
m) Payment Requests: Review applications for payment with Contractor for
compliance with the established procedure for their submission and forward
with recommendations to Engineer, noting particularly the relationship of
the payment requested to the schedule of values, Work completed, and
materials and equipment delivered at the Site but not incorporated in the
Work.

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n) Certificates, Operation and Maintenance Manuals: During the course of the
Work, verify that materials and equipment certificates, operation and
maintenance manuals and other data required by the Contract Documents
to be assembled and furnished by Contractor are applicable to the items
actually installed and in accordance with the Contract Documents, and have
these documents delivered to Engineer for review and forwarding to Owner
prior to payment for that part of the Work.
o) Completion:
i.
Participate in Engineer’s visits to the Site regarding Substantial
Completion, assist in the determination of Substantial Completion,
and prior to the issuance of a Certificate of Substantial Completion,
submit a punch list of observed items requiring completion or
correction.
ii.
Participate in Engineer’s visit to the Site in the company of, Owner, and
Contractor, to determine completion of the Work, and prepare a final
punch list of items to be completed or corrected by Contractor.
iii.
Observe whether all items on the final punch list have been completed
or corrected, and make recommendations to Engineer concerning
acceptance and issuance of the Notice of Acceptability of the Work
(Exhibit A.1).
5) Resident Project Representative shall not:
a) Authorize any deviation from the Construction Contract Documents or
substitution of materials or equipment (including “or-equal” items).
b) Exceed limitations of Engineer’s authority as set forth in this Agreement.
c) Undertake any of the responsibilities of Contractor, Subcontractors, or
Suppliers, or any Constructor.
d) Advise on, issue directions relative to, or assume control over any aspect of
the means, methods, techniques, sequences or procedures of the Work, by
Contractor or any other Constructor.
e) Advise on, issue directions regarding, or assume control over security or
safety practices, precautions, and programs in connection with the activities
or operations of Owner or Contractor.
f) Participate in specialized field or laboratory tests or inspections conducted
off-site by others except as specifically authorized by Engineer.
g) Accept Shop Drawing or Sample submittals from anyone other than
Contractor.
h) Authorize Owner to occupy the Specific Project in whole or in part
2. Construction Staking
a. The below list of infrastructure categories define the standard frequency of which the Engineer
will provide construction staking for one time during the project.
b. Water Mains/ Force Mains

1) Centerline with offsets at 50’ intervals

2) Cut stakes to top of pipe with hubs, if plan calls for specified grades
3) Curb Stop Locations
c. Storm-Sanitary Sewers
1) Centerline stakes with offsets and cuts to inverts at 50’ intervals
2) Manholes with offsets
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3) Inlets with offsets
4) Wye locations
5) Service ends with grades
d. Streets
1) Initial dirt grade stakes with lath every 100’ and at high and low
2) Subgrade blue tops for centerline and curb and gutter areas if so specified in
construction contract
3) Centerline gravel blue tops if so specified in construction contact
4) Curb & gutter flow line stakes with offsets every 25’
5) Concrete Paving grade stakes with offset at 25’ intervals plus high and low points
e. Lift Stations (without buildings)

1) Location & elevation of rim and invert centerline of wet well, dry well, and/or check
valve manhole.
Buildings
1) Location & elevation of corners of first floor with offsets.
2) Location & elevation of corners of footing with offsets.

g. Sidewalks/Multi-Use Paths
1) Elevation & location of “Outside” finished edge (one edge) of Sidewalk or Multi-Use
Path @ 25’ stationing.
h. Channels/Embankments
1) Centerline cut/fill, daylights, and temporary construction easement limits (every
200’).
2) Culvert alignment, lengths, and invert elevations with offsets.
3) Structure locations and invert elevations with offsets.
i.

Ponds/Lakes
1) Location and elevation of bottom of lake/pond every 200’.
2) Location and elevation of changes in slopes (i.e. hinges) every 200’.
3) Location and elevation of contour defining bottom of planting area used to protect
slopes every 200’.
4) Topsoil stripping location every 200’.
5) Three elevation control points.

3. Construction Re-staking
a. All construction staking services beyond the defined list above.
4. Defective and Corrective Period/Post-Construction Work
a. Together with Owner, visit the Project to observe any apparent defects in the Work, make
recommendations as to replacement or correction of defective Work, if any, or the need to repair
of any damage to the Site or adjacent areas.
b. All correspondence and coordination with Owner and Contractor regarding identified defective
work as set forth in the Construction Contract Documents including construction staking, field
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inspection, reviewing contractor submitted corrective action, and contract administration
necessary to ensure completion of identified defective work.
c. Together with Owner, visit the Project within one month before the end of the Construction
Contract’s correction period to ascertain whether any portion of the Work or the repair of any
damage to the Site or adjacent areas is defective and therefore subject to correction by
Contractor.
d. The Post-Construction Phase services may commence during the Construction Phase and, if not
otherwise modified, will terminate twelve months after the commencement of the Construction
Contract’s correction period.
5. Construction Schedule Overruns
a. Providing Construction Phase services beyond the original bid date for completion and readiness
for final payment of Contractor, but only if such services increase the total quantity of services to
be performed in the Construction Phase, rather than merely shifting performance of such services
to a later date.
6. Record Drawing Administration
a. Collect survey (“gps”) points of surface infrastructure features, which may include manholes,
catch basins, curb stops, valves, hydrants, street lights and other similar items.
b. Collect survey (“gps”) points of subsurface/3D infrastructure features, which may include
approximate center of structure, invert elevations within manholes, air release valve & boxes, or
water main gate valve & boxes, and other similar items.
c. Prepare and furnish to Owner Record Drawings and Record GIS Data showing appropriate record
information based on survey (“gps”) points illustrating significant changes made to surface
infrastructure features in addition to Project annotated record documents received from
Contractor.
d. GIS data will be supplied in shapefile format to be supplied to the City for use within City webmap.
The infrastructure records will be modified based on the survey data and reflected accordingly
within the GIS files.
e. Record Drawings will be supplied in DWG and PDF format and survey (“gps”) points will be
supplied in CSV format.
f.

Additional Record Drawing deliverables to be prepared in GIS for the following project stages
include the following:
1) After Award of Construction Contract
2) After installation of underground utilities
3) After winter shut-down of the construction efforts
4) After the project is ready for final payment completion date
5) Other Owner requested intermediate project stages

g. Compilation of all record and closeout documentation related to the project.

3. City's Responsibilities
City shall have those responsibilities as follows:

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A. City shall make decisions and carry out its other responsibilities in a timely manner and shall bear all costs
incident thereto so as not to unreasonably delay or interfere with the services of MEI
B. City shall be responsible for, and MEI may rely upon, the accuracy and completeness of all requirements,
programs, instructions, reports, data, and other information furnished by City to MEI pursuant to this
Agreement. MEI may use such requirements, reports, data, and information in performing or furnishing
services under this Agreement. Nothing in this paragraph shall be construed to require MEI to
affirmatively determine the accuracy of information that is prepared for City by other licensed
professionals (including, but not limited to, land surveyors, geotechnical engineers, accountants,
insurance and surety professionals, and attorneys) who are not engaged directly by MEI.
C. City shall provide for MEI’s right to enter the property owned by City and/or others in order for MEI to
fulfill its services.

4. Task Order Schedule
In addition to any schedule provisions provided in the Services of Engineer or elsewhere, the parties shall
meet the following schedule:
A. The anticipated start date for these services is upon execution of the Task Order or as specified below.
B. The services covered by the Basic Design and Construction Contract Administration Services will
terminate twelve months after the commencement of the Construction Contract’s correction period.

5. Payments to Engineer
A.

City shall pay Engineer for services rendered under this Task Order as follows:
a. Compensation for services outlined in the Preliminary Design, Final Design, Bidding or
Negotiation, Construction, and Commissioning Phases shall be made according to the
following table:

Project Type
All other projects

Preliminary Design, Final Design,
Bidding or Negotiation Phases (%
of Final Construction Contract
Value plus value of any alternates
designed but not constructed)
5.5%

Estimated Value of Final Construction Contract

Estimated Compensation based on 8.5% of Construction
TOTAL TASK ORDER (TO 111-1)

Construction, and
Commissioning Phases
(% of Final Construction
Contract Value)
3.0%
$1,785,000

$151,725
$236,725

b. Compensation for services defined in the Scope of Work as Additional Services shall be on a
Time and Material basis in accordance with the Standard Hourly Rates provided to the
Owner on an annual basis.
c. Compensation for services referenced in Exhibit A are summarized in the following table(s).

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Page 84 of 200

TASK
ORDER
NO.

TASK CATEGORY & TASK

TASK ORDER
FEE
($)

MAXIMUM FEE
($)

Study & Report Services
Technical Memorandum

111

$17,000

Additional Construction Phase Services
Resident Project Representative

111-1

$65,000

Construction Staking

111-1

$5,000

Additional Record Drawings Administration

111-1

$10,000

$85,000

ADDITIONAL {AMENDED} SERVICES
SUBTOTAL (TO 111-1)
ADDITIONAL {AMENDED} SERVICES
SUBTOTAL (TO 111 | TO 111-1)
B.

$102,000

Engineer may alter the distribution of compensation between individual phases of the work noted
in this Task Order and Task Order Amendments, to be consistent with services actually rendered,
but shall not exceed the appropriate percentage of Final Construction plus the total Maximum
Fee as defined herein.

Services to be Provided

Estimated Compensation

Additional Services Subtotal
Estimated Compensation based on 8.5% of Construction

$102,000
$151,725

TOTAL ESTIMATED COMPENSATION UNDER ALL TASK ORDERS
(111 | 111-1)

$253,725

The terms of payment are set forth in Paragraphs 15 and 16 of the Agreement.

6. Consultants retained as of the Effective Date of the Task Order:
a. None

7. Other Modifications to Agreement and Exhibits:
a. None

8. Attachments:
a. None

9. Other Documents Incorporated by Reference:
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Page 85 of 200

a. None

10. Terms and Conditions
Execution of this Task Order by Owner and Engineer shall make it subject to the terms and conditions of the
Agreement (as modified above), which Agreement is incorporated by this reference. Engineer is authorized
to begin performance upon its receipt of a copy of this Task Order signed by City.

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Page 86 of 200

The Effective Date of this Task Order No. 111-1 is October 16, 2026.
CITY: City of West Fargo

ENGINEER: Moore Engineering, Inc.

By:

Print Name:
Title:

Dan Hanson, PE

Print Name:

Senior Director of Community and
Development Services

Title:

Lee T. Beauvais, PE

Chief Production Officer

Engineer License or Firm’s
Certificate No. (if required):
State of:
North Dakota

011C

DESIGNATED REPRESENTATIVE FOR TASK ORDER:

Name:

Jerrold Wallace, PE

Name:

Matt Prochniak, PE

Title:

City Engineer

Title:

Project Manager

Address:

925 10th Avenue East,
West Fargo, ND 58078

Address:

E-Mail
Address:
Phone:

2515 6th Street E.
West Fargo, ND 58078

[email protected]

E-Mail
Address:

[email protected]

(701) 515-5050

Phone:

(701) 282-4692

Page 19

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Page 87 of 200

Commissioner ___________ introduced the following resolution and moved its adoption:
RESOLUTION DIRECTING ENGINEER
TO PREPARE PLANS AND SPECIFICATIONS
BE IT RESOLVED by the Board of City Commissioners of the City of West Fargo, deeming it necessary
to make certain improvements consisting of rehabilitating sanitary sewer lift stations (SA-34, 38, and
42) along with modifying and/or replacing associated forcemains and other system components,
related incidentals, and all other appurtenances, contrivances and stuctures used or useful in
connection with the above specified improvements, be constructed and made in Project No. 1357 –
Southside Sanitary Sewer Rehabilitation (SA 34, 38, and 42) of the City of West Fargo, the City hereby
directs Jerry Wallace, the Engineer for the City of West Fargo and being a competent engineer, to
prepare plans and specifications for such work.
Dated: November 2, 2026
APPROVED:
____________________________________
Mayor
ATTEST:
_____________________________
City Auditor

The motion for the adoption of the foregoing resolution was duly seconded by
Commissioner ________.

Upon roll call vote being taken thereon, the following commissioners

voted in favor thereof: ______________________________________________.
commissioners were absent and not voting:
nay:

__________.

_____________.

The following

The following commissioners voted

The majority having voted aye, the motion was carried and the resolution was

duly adopted.

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Page 88 of 200

Prepared by: Alicia Skalsky
Reviewed by: Willy Galindo
Commission Meeting: 11/02/26

MONTHLY FINANCIAL STATEMENT
Year to Date As of: September 30, 2026
BUDGETED FUNDS

REVENUE / TRANSFERS

Fund Description
Actual
TOTAL GOVERNMENT
1000 General Fund
$28,471,885
2030 Share of Specials
$221,432
7000 Library
$2,590,280
7050 Airport
$619,141
Total Government
1 $31,902,738
TOTAL SPECIAL FUNDS
2960 Economic Development Sales Tax
$2,918,013
2970 Capital Improvements Sales Tax
$8,531,133
2971 Prairie Dog Funds
$2,500,000
2973 Flexible Transportation Fund
$134,450
2975 Public Safety Sales Tax
$2,830,637
2110 Gaming
$22,168
2XXX Event Funds
2200 Vector Control
$169,835
2210 Forestry
$585,126
2230 City Utility
$52,866
2
25XX Police Special Funds
$35,180
2950 Assets Forfeitures
$18,046
2980 South Facility Hookup
Total Special Funds
$17,797,453
TOTAL DEBT SERVICE
3000 Total Debt Service
$22,533,093
Total Debt Service
$22,533,093
TOTAL ENTERPRISE
6010 Sanitation
$6,178,641
6020 Water
$9,101,250
6025 Sewer
$7,070,507
Total Enterprise
$22,350,398
TOTAL AGENCY
5000 Tree Fund
$5,876
2050 Park Funds/State Aid
$889,792
8600 Park District Special Assessment
$724,313
2141 FM CVB
$418,444
Total Agency
$2,038,425
NON-BUDGETED FUNDS
3 $8,417,371
4000 Construction
2170 Clerk of Court Bond Fund
2600 Future Building
2XXX Misc. Special Funds
$538,766
7XXX Agency Funds
8000 West Fargo Parks Payroll
Non-Budgeted Funds
$8,956,136
TOTAL ALL FUNDS COMBINED
$105,578,244

EXPENDITURES / TRANSFERS

NET ACTUAL / CASH

Annual Budget

Actual

Annual Budget

Net Actual

Cash Balance

$41,436,574
$224,944
$2,662,068
$754,908
$45,078,494

68.7%
98.4%
97.3%
82.0%
70.8%

$29,584,658
$233,939
$1,722,619
$564,265
$32,105,480

$42,090,761
$224,944
$2,652,068
$789,236
$45,757,009

70.3%
104.0%
65.0%
71.5%
70.2%

($1,112,773)
($12,507)
$867,661
$54,876
($202,742)

$12,698,859
$106,832
$2,564,329
$961,304
$16,331,325

$4,481,368
$13,214,414
$1,586,000
$4,347,600
$15,000
$220,000
$802,410
$10,150
$30,000
$24,706,942

65.1%
64.6%
157.6%
0.0%
65.1%
147.8%
0.0%
77.2%
72.9%
0.0%
346.6%
60.2%
0.0%
72.0%

$158,616
$321,017
$85,872
$422,258
$65,675
$1,889
$1,055,327

$4,437,343
$23,760,350
$1,586,000
$5,335,742
$150,000
$100,000
$665,702
$9,850
$30,000
$36,074,987

3.6%
1.4%
0.0%
0.0%
0.0%
0.0%
0.0%
85.9%
63.4%
0.0%
666.7%
6.3%
0.0%
2.9%

$2,759,396
$8,210,116
$2,500,000
$134,450
$2,830,637
$22,168
$83,963
$162,868
$52,866
($30,495)
$16,157
$16,742,126

$19,020,889
$40,952,739
$3,176,916
$842,837
$4,780,482
$177,636
$16,668
$732,292
$152,563
$383,240
$268,007
$133,913
$3,523,826
$74,162,008

$23,544,373
$23,544,373

95.7%
95.7%

$20,138,280
$20,138,280

$24,592,139
$24,592,139

81.9%
81.9%

$2,394,813
$2,394,813

$54,944,968
$54,944,968

$8,049,571
$11,155,465
$8,903,389
$28,108,425

76.8%
81.6%
79.4%
79.5%

$5,833,719
$7,241,701
$5,626,627
$18,702,046

$8,079,213
$10,414,489
$7,840,986
$26,334,688

72.2%
69.5%
71.8%
71.0%

$344,922
$1,859,549
$1,443,880
$3,648,352

$2,572,263
$10,779,162
$871,064
$14,222,489

$35,000
$1,180,000
$710,338
$450,000
$2,375,338

16.8%
75.4%
102.0%
93.0%
85.8%

$21,033
$889,792
$709,535
$375,012
$1,995,372

$35,000
$1,180,000
$710,338
$450,000
$2,375,338

60.1%
75.4%
99.9%
83.3%
84.0%

($15,156)
$14,778
$43,432
$43,053

$539,617
$105,694
$14,778
$54,117
$714,206

$536,200
$536,200
$124,349,772

0.0%
0.0%
0.0%
100.5%
0.0%
0.0%
1670.3%
84.9%

$33,105,065
$519,944
($122,432)
$33,502,577
$107,499,082

$862,815
$536,200
$1,399,015
$136,533,176

3836.9% ($24,687,694)
0.0%
0.0%
97.0%
$18,821
0.0%
0.0%
$122,432
2394.7% ($24,546,440)
78.7%
($1,920,838)

Notes:
1. Majority of property tax revenues received in early part of the year. Transfers and Administrative fees occur at year-end.
2. Police equipment fund's cash balance was used to purchase a Ford Explorer vehicle.
3. Construction funding transfer occurs at year-end from various sources including Capital Improvement Sales Tax fund.

Page 88 of 200

($47,458,684)
$81,417
$875,740
$218,391
$9,010
($46,274,126)
$114,100,873

Page 89 of 200

Page 90 of 200

Page 91 of 200

Page 92 of 200

AGENDA ITEM DESCRIPTION
CITY COMMISSION
WEST FARGO, NORTH DAKOTA
1. CONTACT PERSON:

Lisa Sankey

2. PHONE NUMBER:

515-5376

DATE: November 2, 2026

3. AGENDA TITLE:
Board of Adjustment – Sandhills 6th Addition, Request for Variance.
4. PLEASE BRIEFLY DESCRIBE YOUR REQUEST:
Variance to sign regulations section 4-460.9.2.b(2) to allow a proposed 504 squarefoot wall sign to exceed the 200 square-foot maximum. The Planning & Zoning
Commission recommended approval of the variance at their October 13, 2026
meeting.
5. SITE ADDRESS OR LEGAL DESCRIPTION (if applicable):
Located at 2765 3rd Ave NW (Lot 4, Block 3 of Sandhills 6th Addition), City of West
Fargo, North Dakota.
6. ACTION BEING REQUESTED FROM CITY COMMISSION:
Convene as the Board of Adjustment to consider requested variance on the basis of
the variance criteria.

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CITY OF WEST FARGO PLANNING & COMMUNITY DEVELOPMENT
STAFF REPORT
A26-19
2765 3rd Ave NW
Lot 4, Block 3 of Sandhills 6th Addition
Applicant: Joshua Baneck, Valor Contracting
Owner: Coca-Cola Bottling Company
Planning & Zoning Commission Public Hearing:
Board of Adjustment (City Commission):

Variance

Staff Contact: Lisa Sankey
10/13/2026 – Approval
11/02/2026

PURPOSE:
Variance to sign regulations section 4-460.9.2.b(2) to allow a proposed 504 square-foot wall sign to
exceed the 200 square-foot maximum.
STATEMENTS OF FACT:
Land Use Classification:
Existing Land Use:
Current Zoning District(s):
Zoning Overlay District(s):
Total area size:
Adjacent Zoning Districts:
Adjacent street(s):
Adjacent Bike/Pedestrian Facilities:
Available Parks/Trail Facilities:

G-2 Sub-Urban – Growth Sector
Warehouse Facility (under construction)
LI: Light Industrial
CO-I: Interstate Corridor Overlay District
388,387 Square Feet
North & West – LI: Light Industrial
South – Interstate 94 Right-of-Way
East – A: Agricultural & Public Facilities
3rd Avenue NW (Local)
Multi-Use Path located along Main Avenue West within .65
miles
n/a

DISCUSSION AND OBSERVATIONS:
• The subject property is the site of a new Coca-Cola distribution facility that is currently under
construction along the north side of I-94 within the Sandhills industrial park.
• The applicant/owner would like to construct a 504 square-foot wall sign on the south side of the
building, facing the interstate. The wall that the sign would be affixed to is located 123 feet from
the south lot line, which abuts the interstate right-of-way.
• Section 4-460.9.2.b(2) of the City’s sign regulations restricts the area of individual wall signs to a
maximum of 200 square-feet, when located at least 100 feet from the right-of-way.
• This 200-foot maximum is specific to individual signs. Multiple wall signs are permissible, so long as
the total sign area is no greater than 15% of the wall area and there is no more than one sign per
10 feet of lot frontage.
• As defined by City ordinance, sign area is calculated by the area within the marginal lines of the
surface of a sign, which bear the advertisement, or in the case of message (such as is the case here),
figures or symbols attached directly to a building or sign structure, that area which is included in
the smallest rectangle or series of geometric figures used to circumscribe the message, figure or
symbol displayed thereon.
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CITY OF WEST FARGO PLANNING & COMMUNITY DEVELOPMENT
STAFF REPORT
•

Based on the sign area calculation, the applicant has specified the sign in question would measure
13 feet x 38.75 feet (504 square feet).

CRITERIA FOR GRANTING A VARIANCE
With regard to the applicant’s request for a variance from sign regulations section 4-460.9.2.b(2) to
allow a proposed 504 square-foot wall sign to exceed the 200 square-foot maximum, the Planning
Commission is required to hold a public hearing and forward their findings and recommendations to
the Board of Adjustment (City Commission). A concurring vote of four (4) members of the Board of
Adjustment is required to grant any variance to City ordinance.
The following criteria are required to be met in order to grant a variance:
1. That special conditions and circumstances exist which are peculiar to the land, structure, or building
involved and which are not applicable to other lands, structures or buildings in the same district.
2. That literal interpretation of the provisions of this Ordinance would deprive the applicant of rights
commonly enjoyed by other properties in the same district under the terms of this Ordinance;
3. That the special conditions and circumstances do not result from the actions of the applicant;
4. That granting the variance requested will not confer on the applicant any special privilege that is
denied by this Ordinance to other lands, structures, or buildings in the same district.
Response regarding criteria from applicant:
1.

“The difference between this building and other buildings in the West Fargo area is that this
building is in the interstate corridor and is actually approximately 330 feet from any public roadway.
This building is approximately 1.1 miles from any residence to the south that would be in direct line
of sight of the sign. The sign itself only has 185 square feet of illumination and there are no nonilluminated portions of this sign. This business moved from a different town in the Fargo/Moorhead
metro to build in West Fargo and is a marquee business as residence and visitors enter the City
from the West.”

2. “Because this building is in the interstate corridor and so far off a public roadway, a 200 square foot
sign would not be easily visible as cars are driving along Interstate 94. A 200 square foot sign would
not be proportional to the building size. City ordinance allows up to 15% of signage as the facade.
The building has over 10,505 square feet of facade on the wall that the sign would be placed which
is less than 2% of the building facade, this would result in a sign that is washed out by the rest of
the building and not visible from public roadways.”
3.

“The special conditions listed in section 1 are not a result of the applicant but a result of the
location of the building and size of the property and building. The business owner chose this parcel
of land for the visibility on a main travel corridor. The size of the parcel allowed for a large building
but with only a 200 square foot sign the sign would be lost in the building facade. Section 4-431.5
paragraph 2.a talks about differing facade materials in a different overlay district. We can use that

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CITY OF WEST FARGO PLANNING & COMMUNITY DEVELOPMENT
STAFF REPORT
same principle here, although it is architectural precast concrete, this sign would help break up
such a large wall and give the building depth and interest.”
4.

“This will not grant the building owner any special privileges that other applicants have been
denied. In fact, it appears other applicants along this same corridor have been granted this variance
for the same reasons as listed above. This will not be an obtrusive sign as the actual illumination is
less than 200 square feet and there are no non-illuminated portions of the sign. The location of the
building in regard to public roadways/pathways, the size of this building, and actual total
illumination that no special privileges are given and that this sign should be granted a variance.”

Staff Analysis:
Staff has reviewed the applicant's request and the applicable criteria for granting a variance. Based on
the information provided, staff does not find that the request meets the required criteria for a variance.
1. The location of the building relative to Interstate 94, the size of the property, and the size of the
building do not appear to constitute special conditions or circumstances that are peculiar to this
property. Other properties within the CO-I: Interstate Corridor Overlay District are subject to the
same sign regulations, including the 200-square-foot maximum for an individual wall sign when
located at least 100 feet from the right-of-way. The proposed sign location is approximately 123
feet from the interstate right-of-way, and the applicable setback has not been altered by the
proposed development.
2. Staff does not find that application of the 200-square-foot maximum would deprive the property
of rights commonly enjoyed by other properties in the same district. The property is permitted to
have wall signage and may utilize multiple wall signs, provided that each individual sign does not
exceed 200 square feet and the other applicable sign regulations are satisfied. Therefore, the
ordinance provides reasonable opportunities for signage on the property without requiring a
variance.
3. Although the size and location of the lot are existing characteristics of the proposed development
site, staff does not find that these characteristics create a unique hardship or special condition that
warrants relief from the sign regulations. The property owner selected the site and developed the
building with knowledge of the applicable sign regulations. The distance of the building from the
interstate and the size of the building do not, in themselves, establish a basis for exceeding the
maximum individual sign area.
4. Granting the requested variance would allow an individual wall sign of 504 square feet where the
ordinance establishes a maximum of 200 square feet for an individual wall sign under the applicable
circumstances. Staff finds that other properties within the same district are subject to the same
limitation. Granting the requested variance would therefore provide the applicant with a greater
individual sign area than is permitted to similarly situated properties without a variance.
Based on the above, staff finds that the requested variance does not satisfy the criteria established for
granting a variance. The applicant can accommodate signage on the property through signage
permitted under the existing ordinance, including multiple wall signs subject to the applicable
limitations.
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CITY OF WEST FARGO PLANNING & COMMUNITY DEVELOPMENT
STAFF REPORT

NOTICES:
Sent to:

Legal notices published in the Forum and notices sent to applicable agencies and
departments. Notification letters mailed to owners of property within 150 feet.

Comments Received:
• An email from a property owner to the west was received in support of the variance.
UPDATE – October 13, 2026
• At the October 13, 2026 Planning & Zoning Commission meeting, the applicant stated that because
this building is so far off a roadway, a 200 square foot sign would not be easily visible as cars are
driving along Interstate 94 and would not be proportional to the building size. The sign regulations
allow up to 15% of signage as the facade. The building has over 10,505 square feet of facade on
the wall, so the sign would be less than 2% of the building facade and would result in a sign that is
washed out by the rest of the building and not visible from public roadways.
• After discussion regarding the building façade, sign location, and sign size, a motion was made
recommending approval of the application; however, no additional findings were included relating
to the variance criteria.
PLANNING & ZONING COMMISSION ACTION:
At their October 13, 2026 meeting, the West Fargo Planning and Zoning Commission voted by a 3-2
vote to recommend approval of the proposed variance.
STAFF RECOMMENDATIONS AND PROPOSED FINDINGS :
It is recommended that City deny the variance on the basis that the application does not meet the
criteria for granting a variance.
Attachments:
•
•
•
•

Aerial map
Zoning map
Site Plan/Sign Information
Comments received

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28T H CT NW

29 TH CT NW

4TH AV

E NW

30 TH ST NW

GR ES S AV E
26 TH ST NW

3R D AV E NW

1S T AV E NW

MA IN AV E W

A26-19
Subject
Property
I94

Features
Agenda Zone

City Limits

Lots

175

350

US Feet

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28TH CT NW

29TH CT NW

4 TH AVE NW

GRESS AVE NW

30TH ST N W

3RD AVE NW

26TH ST N W

A26-19
Subject
Property

MAIN AVE W

I-94

West Fargo Zoning
A: Agricultural
C: Light Commercial
C-OP: Commercial Office Park
DMU: Downtown Mixed Use
EMU: Entertainment Mixed Use
HC: Heavy Commercial
LI: Light Industrial
M: Heavy Industrial

P: Public
R-5: Manufactured Home Subdivision
PUD: Planned Unit Development
R-1E: Rural Estate
R-L1A: Large Lot Single Family Dwelling
R-R: Rural Residential
ET Zone Parcels
R-1A: Single Family Dwelling
A: Agricultural
R-1: One and Two Family Dwelling
C: Light Commercial
R-1SM: Mixed One and Two Family Dwelling
C-OP: Commercial Office Park
R-2: Limited Multiple Dwelling
HC: Heavy Commercial
R-3: Multiple Dwelling
LI: Light Industrial
R-4: Mobile Home

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M: Heavy Industrial
P: Public
PUD: Planned Unit Development
R-1: One and Two Family Dwelling
R-1A: Single Family Dwelling
R-1B: Special Single Family Dwelling
R-1E: Rural Estate
R-1S: Special One and Two Family Dwelling
0
R-1SM: Mixed One and Two Family Dwelling
R-2: Limited Multiple Dwelling

175

350

US Feet

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PROPOSED SIGN LOCATION

123'-4 1/4"

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####

Signature:
Date:

13
1

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REG. NO. :

1811

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Customer: Valor Contracting
Description: Coca-Cola Wall Sign

Proof Date:
9/02/2026

Total Sign Size=503sq ft
2501 3rd Avenue North

Fargo, ND-58102

Phone: (800) 959-0914
Page 101 of(701)
200 237-5685

customgraphicsinc.com

FORM REV DATE: 7/15/2025

Page 102 of 200

From:
To:
Subject:
Date:

Lisa Sankey
Public Hearing for Coca-Cola:
Monday, October 12, 2026 7:57:15 AM

Good morning Lisa! We had every intention to be at the meeting tomorrow night to show support
for our neighbors. With our crazy schedules neither George or I can re-arrange or change our plans.
Our opinion is that we are okay with the variance in the square footage of the Coca-Cola sign if it is
being attached to the building and would in no way be blocking visibility of our building. If I am
reading everything correctly that is what is being done and what they are asking for. Thank you for
the notice!
Sincerely,

Pat Strouth
General Manager/C.O.O.
Long Creek Steel
28778 Superior Place
Beresford, SD 57004
cell
office
fax

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City Commission Agenda Item Memo
Meeting Date: Nov. 2, 2026

☐Consent Agenda
☒Regular Agenda

Item Title: West Fargo Police Department Axon Proposal

Presented By: Chief Pete Nielsen
Requested Action/Staff Recommendation: Approval of the requested proposal to switch to
Axon Enterprise services for the next ten years.

Background & Project Summary:
The West Fargo Police Department seeks the City Commission’s approval to transition to Axon
Enterprise services. As our city continues to expand, the department evolves to safeguard both
our community and our officers. The increasing demand for law enforcement services highlights
our community’s commitment to maintaining a safe and secure city.
Transitioning to Axon Enterprise services would enhance the overall security of the city while
providing additional safety and training measures for officers. The change in technology would
include:
•
•
•
•
•
•

Updated Body-Worn Cameras (BWC)
Taser 10
Outpost Cameras
Lightpost Cameras
Squad Car Dash Cameras
Updated Interview Room Cameras and Recording Devices

This switch also gives the department more data retention and control. Agencies own the data
outright, including how it is accessed and exported. Axon Enterprise is built for CJIS compliance
from the ground up and meets the FBI’s CJIS Security Policy across all 13 policy areas, with
tamper-proof audit trails and controls independently validated each year.
The Axon Enterprise system includes an Axon Trust Center, featuring a public transparency
dashboard that allows agencies to publish aggregate Automated License Plate Reader (ALPR)
information, including hit-alert counts and current data partnerships. Axon ALPR captures license
plates, not identities – no facial recognition, no profiles of people or owners.
Every officer will receive an updated BWC capable of uploading footage directly from the field.
These BWCs include a voice assistant that can translate conversations in real-time across more
than 60 languages and allows officers to inquire about department policy hands-free, without
losing focus on the incident.

West Fargo City Commission

Eric Gjerdevig, Mayor
Amy Zundel, Deputy Mayor
Tyler Erickson, Rory Jorgensen, Patti Stedman, Commissioners
Dustin Scott,
Administrator
Page City
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The updated Axon Enterprise infrastructure will allow the department to assist with traffic collision
requests, provide real-time road condition updates and more. Equipment replacement is
scheduled throughout the program to ensure the department remains current without incurring
additional costs.
The Axon Enterprise system's seamless integration will keep the West Fargo Police Department
aligned with technological trends, ensuring the safety of our community and officers. By moving
to a nationally recognized and secure organization while keeping data at the local level, the
West Fargo Police Department will continue to uphold the safety, security, and service our
community expects.
Attached Supporting Documents:
•

Axon Enterprise Proposal Presentation

Financial Impact:
The requested proposal will be approximately $6.5 million over the course of the next ten years.
Process/Timeline:
Upon approval, the new Axon Enterprise system would be implemented in Spring 2027, weather
permitting.

West Fargo Police Department Axon Proposal

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Page 2 of 2

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PRESENTATION
WEST FARGO POLICE DEPARTMENT
NOVEMBER 2026

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TECHNOLOGY INVOLVED
WEST FARGO POLICE DEPARTMENT

BODY-WORN CAMERAS

Modern hardware that reduces paperwork and
captures more of what happens in the field.

TASER 10

A less-lethal tool designed to give officers more
options before force escalates.

OUTPOST CAMERAS

A fixed ALPR camera with integrated livestreaming
and flexible mounting options.

LIGHTPOST CAMERAS

A fixed ALPR camera and livestreaming on
existing streetlights.

SQUAD CAR DASH CAMERAS

Modern hardware that reduces paperwork and
captures more of what happens in the field.

INTERVIEW ROOM CAMERAS AND RECORDING

Updated interview rooms equipped with cameras,
microphones and remote viewing.

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DATA RETENTION
WEST FARGO POLICE DEPARTMENT
AGENCIES OWN AND CONTROL THEIR DATA
Agencies own their data outright, including how it is accessed and exported. The originating
agency retains full control over who can access its data.
NO AUTOMATIC ACCESS
Axon does not access agency data, other than for support requests which are time-boxed, logged
and revoked once resolved.
There is no automatic, standing or built-in federal access to agency data. If Axon receives a lawful
request, it directs the request to the agency as the data owner.
CJIS COMPLIANT AND DATA SECURITY
Axon is built for CJIS from the ground up. Axon Cloud Services meet the FBI’s CJIS Security Policy
across all 13 policy areas, with tamper-proof audit trails and controls independently validated each
year via SOC 2 Type 2 with CJIS validation.

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SAFEGUARDS
WEST FARGO POLICE DEPARTMENT
AXON TRUST CENTER
Public transparency that allows agencies to publish aggregate ALPR information, including hit-alert
counts and current data partnerships.
AUDIT LOGS AND REPORTING
Agencies can generate and export audit reports covering ALPR activity, data use, accesscontrolled relationships and hotlist changes.
ACCESS PERMISSIONS AND FLAGGING
Every search requires a stated reason and an offense category the agency has authorized. The
system features automated anomaly flagging and reporting, including unusual search patterns
such as the same plate search repeatedly, for example.
PLATES, NOT PEOPLE
Axon ALPR captures licence plates, not identities - no facial recognition, no profiles of people or
owners.

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AXON FUSUS
WEST FARGO POLICE DEPARTMENT
Axon Fusus is the real-time operations platform that unifies video, alerts, sensors and
dispatch data into one operational view.
SEE MORE, KNOW SOONER
Video from body-worn cameras, drones and
community cameras on one shared map.
Live intelligence in the field through the Fusus
Ops mobile app.

START FAST, SCALE SMART
Connects existing cameras to the cloud with no
infrastructure replacement.
Works with 80+ certified tools.

SHARE CONFIDENTLY
Opt-in Community Connect camera registry.
Every access, action and share is logged.

CAPTURE EVIDENCE
Auto-tags video and links it to Axon Evidence.
AI search for people, vehicles and visual traits.

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COMPONENTS
WEST FARGO POLICE DEPARTMENT

SQUAD CAR DASH CAMERAS

BODY-WORN CAMERAS

CAMERAS THROUGHOUT THE COMMUNITY

OUTPOST CAMERAS

LIGHTPOST CAMERAS

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TASER 10

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OFFICER SAFETY BENEFITS
WEST FARGO POLICE DEPARTMENT
TASER 10

Deploys up to nine separate shots per cartridge instead of one.
Every use is logged and reviewable, supporting accountability and public transparency.

VR
TRAINING

A virtual reality simulator that lets officers rehearse high-pressure situations safely.
New scenarios are regularly added to keep training current with real situations officers face.

BODYWORN
CAMERAS

Officers can upload body camera footage directly from the field - no trip back to the
station required.
Cameras can be accessed remotely to locate an injured officer or allow supervisors to see
an incident in real time, for example.

INTERVIEW
ROOMS

Supervisors and investigators can watch interviews live from another room.
Video can be streamed remotely, so authorized staff can monitor or review as needed.

VOICE
ASSISTANT

Built into the body camera, it can translate conversations in real time across 60+ languages.
Lets officers ask about department policy hands-free, without breaking focus on the
incident in front of them.

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DECIDING FACTORS
WEST FARGO POLICE DEPARTMENT
UPDATED INFRASTRUCTURE
Through the addition of lightpost cameras, the department will be able to assist with traffic collision
requests, provide real-time road condition updates, and more.
TECHNOLOGY UPDATES
Equipment is replaced on a set schedule throughout the program, ensuring the department does
not have to pay extra to stay current.
ONE CONNECTED PLATFORM
Unifed through the Axon Fusus program, this program gives West Fargo officers better tools and
gives residents enhanced transparency measures.
DATA CONTROL
The agency owns its ALPR data, sets retention periods, controls user access, and decides whether
and how sharing is enabled. The agency is responsible for policy, training and oversight.

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AXON PROPOSAL

QUESTIONS?

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City Commission Agenda Item Memo
Meeting Date: November 2, 2026

☐Consent Agenda
☒Regular Agenda

Item Title: Project No. 9078 – Lagoon Property – Economic Development Readiness
Requested Action/Staff Recommendation: Approve Resolution for Securing a Real Estate Broker
Presented By: Dan Hanson, Senior Director of Community & Development Services

New Information: At the October 19th Commission meeting, the Commission directed staff to prepare a
resolution to select a Real Estate Broker (Broker) that the city can use to negotiate transactions of lagoon
property deemed favorable in the future by the City Commission. Included in this packet is a resolution
authorizing engagement of a Real Estate Broker for sale of real property owned by the city.
This resolution includes a description of the lagoon property as well as an additional property owned by
the city on the west side of 26th Street that is currently a stockpile site. While the city may not eventually sell
this property, by including it in the description of the property is allows the city the option to include it in a
future sale.
The resolution needs to set a maximum rate of fee, compensation, or commission on the future sale.
Typically these fees are 5 – 6% which is split between the seller’s and the buyer’s Brokers. The maximum
commission shown in the resolution proposed is 5.5%.
If approved, staff will engage Brokers in a competitive Request For Proposal (RFP) process based off of the
following criteria:
1.
2.
3.
4.

Experience of the Broker
Experience of the Broker in selling similar property
The marketing strategy the Broker intends to use
Rate of commission the Broker intends to accept

Lastly, the resolution reserves the right for the city to reject any and all offers determined to be insufficient.
Financial Analysis:
There are no costs associated with the selection of the Broker. The Broker’s compensation will be at the
approved percentage in the resolution, split between buyer and seller’s Broker’s.
Supporting Documents:
•
•

Property Exhibit
Associated Resolution

Previously Presented Information & Commission Actions:
October 19, 2026 –
•

Staff Recommendation: Direct Staff to prepare a Resolution to select a Real Estate Broker

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•

Commission Action: Commissioner Erickson moved, and Commissioner Jorgensen seconded to approve.
Commissioner Gjerdevig was absent and not voting. No Opposition, Motion carried.

September 8, 2026 –
•
•

Staff Recommendation: Create Project No. 9078 and Approve Task Order
Commission Action: Commissioner Stedman moved, and Commissioner Jorgensen seconded to approve. No
Opposition, Motion carried.

August 17, 2026 –
•
•

Staff Recommendation: Approve working with Moore Engineering in a Task Order to make the Lagoons a
Document Ready Site
Commission Action: Commissioner Stedman moved, and Commissioner seconded Erickson to approve. No
Opposition, Motion carried.

West Fargo City Commission

Eric Gjerdevig, Mayor
Amy Zundel, Deputy Mayor
Tyler Erickson, Rory Jorgensen, Patti Stedman, Commissioners
Dustin Scott, City Administrator

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City Commission Agenda Item Memo
Meeting Date: November 2, 2026

Property Exhibit:

The red line is reflective of the property description included in the resolution.

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Commissioner __________ introduced the following resolution and moved its adoption:
RESOLUTION AUTHORIZING ENGAGEMENT OF REAL ESTATE BROKER
FOR SALE OF REAL PROPERTY OWNED BY THE CITY
WHEREAS, the West Fargo Board of City Commissioners (the “City Commission”) is
authorized by N.D.C.C. § 40-05-01(56) and Article III, Section 1, of the Home Rule Charter of the
City of West Fargo (the “City”) to acquire, hold, operate, convey, sell, dispose of, or lease real
property; and
WHEREAS, the City owns real property within City limits which previously functioned as
the site for the City’s wastewater lagoons; and
WHEREAS, the City has been in the process of decommissioning the wastewater lagoons
and is looking to sell the real property for future development; and
WHEREAS, pursuant to City Ordinance Section 1-0702 and N.D.C.C. §§ 40-11-04 and
40-11-04.2, when real property is valued in excess of $2,500, the City Commission may engage a
real estate broker through an exclusive listing agreement to assist in the sale of real property; and
WHEREAS, as a precondition to engaging a real estate broker, the City must adopt a
resolution in accordance with N.D.C.C. § 40-11-04.2, setting forth the information described
therein.
NOW, THEREFORE, BE IT RESOLVED by the Board of City Commissioners of the City
of West Fargo as follows:
1.
The City is looking to engage a licensed real estate broker, through an exclusive
listing agreement, to sell the following real property:
a. All of the Southeast Quarter of Section 36, Township 140 North, Range 50 West of
the Fifth Principal Meridian, City of West Fargo, Cass County, North Dakota.
b. Auditor's Lot 1 of the Southwest Quarter of Section 36, Township 140 North, Range
50 West of the Fifth Principal Meridian, City of West Fargo, Cass County, North
Dakota.
c. The South 150.00 feet of the Northeast Quarter of Section 36, Township 140 North,
Range 50 West of the Fifth Principal Meridian, City of West Fargo, North Dakota.
d. All of Government Lots 1, 2, 3 and 4 of Section 31, Township 140 North, Range
49 West of the Fifth Principal Meridian, City of West Fargo, Cass County, North
Dakota, EXCEPT that portion of WEST FARGO SIXTH ADDITION, according to
the recorded plat thereof, on file and of record in the office of the Recorder, Cass
County.

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e. Lot 14, Block 2, WEST FARGO THIRD ADDITION to the City of West Fargo,
according to the record plat thereof, on file and of record in the office of the
Recorder, Cass County, North Dakota.
f. All that part of Section 1, Township 139 North, Range 50 West of the Fifth Principal
Meridian, Cass County, North Dakota, lying north of the Northern Pacific Railway
right-of-way, EXCEPT that part of Section 1, Township 139 North, Range 50 West,
Cass County, North Dakota, described as follows: Commencing at the Northwest
corner of said Section 1; thence South 02 degrees 26 minutes 39 seconds East along
the West line of said Section 1 for a distance of 1305.45 feet to the point of
beginning; thence North 87 degrees 22 minutes 16 seconds East for a distance of
5287.32 feet to a point on the East line of said Section 1 lying 1305.44 feet south
of the Northeast corner of said Section 1; thence South 02 degrees 44 minutes 21
seconds East along the East line of said Section 1 for a distance of 1672.80 feet to
a point on the north right-of-way of the Burlington Northern Railroad; thence North
87 degrees 34 minutes 55 seconds West along the north right-of-way of the
Burlington Northern Railroad for a distance of 5315.08 feet to a point on the west
line of said Section 1; thence North 02 degrees 26 minutes 39 seconds West along
the west line of said Section 1 for a distance of 1204.71 feet to the point of
beginning, AND ALSO EXCEPTING THEREFROM the south 32.00 of the north
65.00 feet of Section 1, Township 139 North, Range 50 West of the Fifth Principal
Meridian, Cass County, North Dakota.
g. The East Half of the Northeast Quarter of Section 2, Township 139 North, Range
50 West of the Fifth Principal Meridian, Cass County, North Dakota, EXCEPT all
of Auditor's Lot 4 of said Northeast Quarter, AND ALSO EXCEPTING
THEREFROM all of Auditor's Lot 7 of said Northeast Quarter, AND ALSO
EXCEPTING THEREFROM all of CITY OF WEST FARGO FIRST
SUBDIVISION, according to the record plat thereof, on file and of record in the
office of the Recorder, Cass County, AND ALSO EXCEPTING THEREFROM that
portion of the Burlington Northern Railroad right of way lying within the East Half
of said Northeast Quarter, AND ALSO EXCEPTING THEREFROM the south
32.00 feet of the north 65.00 feet of said Northeast Quarter Less the west 60.00 feet.
(the “Property”).
2.
The maximum rate of commission that the City Commission will pay to sell the
Property is five and one-half percent (5.5%), which may be allocated between the City’s and the
buyer’s real estate brokers as determined during the negotiation of the listing agreement.
3.
The City Administrator is directed to publish this Resolution on the City’s website
for at least fourteen (14) calendar days.
4.
Following the publication of the Resolution on the City’s website, City staff may
engage in a competitive process to select a licensed real estate broker to sell the Property.
Proposals from a licensed real estate broker must be based on the following:
2

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(i)
(ii)
Property;

Experience of the licensed real estate broker;
Experience of the licensed real estate broker selling property similar to the

(iii)

Marketing strategy the licensed real estate broker intends to use; and

(iv)

Rate of commission the licensed real estate broker intends to accept.

The City reserves the right to reject any and all offers determined to be insufficient.

Dated: ________________, 2026.
APPROVED:
____________________________________
Eric Gjerdevig, Mayor
ATTEST:
______________________________
Dustin T. Scott, City Administrator

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The motion for the adoption of the foregoing Resolution was duly seconded by
Commissioner _________, and upon roll call vote, the following Commissioners voted in favor of
the Resolution: __________________________________________________. The following
Commissioners were absent and not voting: __________, and the following Commissioners voted
against the Resolution: __________. The majority having voted aye, the Resolution was declared
duly passed and adopted.

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City Commission Agenda Item Memo
Meeting Date: 11/2/2026

☐Consent Agenda
☒Regular Agenda

Item Title: Series 2026A and 2026B Sales Tax Revenue Bonds
Requested Action/Staff Recommendation: Approve Associated Resolutions for 2026A and 2026B North
Dakota Public Finance Authority Sales Tax Revenue Bonds
Presented By: Katie Schmidt, City Attorney

New Information: The City’s consultant engineer, Moore Engineering, and City staff worked with the North
Dakota Department of Environmental Quality for approval of low-interest financing for several recent City
projects. With this approval, the City will proceed with the sale and issuance of bonds.

Background & Project Summary: Earlier this year, the City applied for and received approval for financing
from the North Dakota Department of Environmental Quality and the North Dakota Public Finance
Authority for Improvement Districts No. 3008 and 3009 (Meadow Ridge and 1 st Avenue Reconstructs)
through the state revolving fund (SRF) loan program. If approved, the City will use these bonds to pay for
these projects and will pledge Capital Improvement Sales Tax revenues for repayment, as shown in the
attached amortization schedules.

Financial Analysis: These SRF loans, as they are commonly referenced, are a sought-after funding source
that essentially allows the City to utilize the North Dakota Public Finance Authority’s bond rating to issue
bonds for project work at a much lower rate than the City would be able to obtain on the open market.
Through discussions with the above-described State agencies, it was determined that the projects are
eligible for financing up to the following amounts:

Clean Water State Revolving Funds

Drinking Water State Revolving Funds

$2,250,000.00

$2,310,000.00

$2,800,000.00
$5,050,000.00

$2,400,000.00
$4,710,000.00

District No.
3008
District No.
3009
Total:

Policy Analysis: Consistent with City policy, the funding sources obtained through this process offer the
lowest interest rate available for financing the public improvements.

Supporting Documents:
•

Associated resolutions and exhibits.

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Previously Presented Information & Commission Actions:
•

The City Commission has previously approved pursuing alternate funding sources for these projects; however,
this is the first time this bond issuance and sale is being presented.

West Fargo City Commission
Eric Gjerdevig, Mayor
Amy Zundel, Deputy Mayor
Tyler Erickson, Rory Jorgensen, Patti Stedman, Commissioners
Dustin Scott, City Administrator

2
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City Commission Agenda Item Memo
Meeting Date: 10/19/2026

☐Consent Agenda
☒Regular Agenda

Item Title: Approve 2027 Health, Dental, Vision and Ancillary Benefit Rates

Presented By: Beth Wiegman, Director of Human Resources
Requested Action/Staff Recommendation: Approval of 2027 Employee Benefit Rates

Click or tap here to enter text.
Background & Project Summary:

As part of the City's 2027 budget development process, the City Commission approved a 10%
projected increase in the City's share of employee benefit insurance premiums. Following a
comprehensive review of available insurance options and the transition to Medica for medical
coverage and MetLife for dental, vision, life, and disability benefits, the City has received final
2027 insurance rates.
The attached rate documentation from Medica and MetLife provides support for the 2027
premiums being presented for approval. The rates established for 2027 provide a reliable basis
for the City's budget projections, although actual expenditures will depend on final employee
enrollment and coverage elections.
Employee open enrollment began October 27 and will continue through November 15, 2026.
The initial open enrollment meetings were well attended and provided employees with
opportunities to learn about their benefit options, ask questions, and receive assistance with the
transition to the new carriers. Employee education and enrollment support will continue
throughout the open enrollment period.
While the final agreement with Medica cannot be completed until after open enrollment
concludes, both Medica and MetLife have confirmed that the rates presented are guaranteed for
the 2027 plan year. Accordingly, the outstanding agreement process does not change the rates
being presented for Commission consideration.
Financial Impact:

The City's 2027 benefit budget was developed using a projected 10% increase in employer-paid
insurance premiums. Based on the final carrier rates and current enrollment assumptions, the
projected increase is approximately 6%, or four percentage points below the original budget
assumption.
Policy Alignment:

Click or tap here to enter text.
West Fargo City Commission

Eric Gjerdevig, Commission President
Amy Zundel, Commission Vice President
Tyler Erickson, Rory Jorgensen, Patti Stedman, Commissioners
Dustin Scott,
Administrator
Page City
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200

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Process/Timeline:
•
•
•
•
•
•
•

September–October 2026: Completed competitive review of benefit carriers, evaluated
proposals, and selected Medica and MetLife for 2027 coverage.
October 2026: Received final 2027 insurance rates and initiated employee
communications and transition planning.
October 27–29, 2026: Conducted employee open enrollment meetings with
representatives from HR, Marsh McLennan Agency, and Medica.
November 2, 2026: Request City Commission approval of final 2027 benefit insurance
rates.
November 15, 2026: Employee open enrollment concludes.
November–December 2026: Finalize enrollment data, execute carrier agreements, and
complete implementation and payroll preparations.
January 1, 2027: New benefit plans and approved premium rates become effective.

Approve 2027 Health, Dental, Vision and Ancillary Benefit Rates

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City Of West Fargo
Basic Life, Basic AD&D, Supplemental Term Life, Supplemental Term AD&D,
Supplemental Dependent Life, Supplemental Dependent AD&D, Employer Sponsored
Dental, Vision, Long Term Disability

Proposal produced on October 6, 2026
This quote is valid for 90 days from date of proposal

MetLife Cost & Benefits Summary
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City Of West Fargo
Rate Summary
As requested, the quote outlined below is for City Of West Fargo’s term life insurance program. Because the
current rates for the Employee-Paid coverage(s) appear to subsidize the rates on the Employer-Paid
coverage(s) or, because it was requested, we are providing a Cost Reallocated Quote (CRQ). The CRQ
includes a lower Employer-Paid coverage rate and subsidization between the Employee and Employer-Paid
rates. Unless a CRQ was solely requested, we are also providing a non-subsidized quote. City Of West
Fargo should consult its legal and tax counsel regarding any potential legal or tax implications of this
arrangement and is responsible for appropriate disclosure of this arrangement to impacted employees if it
selects the CRQ.
Please note that MetLife’s group insurance policy, certificate and enrollment form (if applicable) will specify
the rate structure described below if the CRQ is selected.

Cost Reallocated Quote (CRQ)
Coverage
Life Option 1 RQ 4 8162034

Basic Life

(per $1,000 of Covered Volume)

Participating
Lives

Covered
Volume

Rates

Annual
Premium

351

$8,748,750

$0.070

$7,349

$0.020

$2,100

Rates are guaranteed from January 1, 2027 - December 31, 2029

Basic AD&D
351
$8,748,750
(per $1,000 of Covered Volume)
Rates are guaranteed from January 1, 2027 - December 31, 2029
Supplemental Life
155
$23,600,000
(per $1,000 of Covered Volume)
All Active Full Time Employees
Less than 30
$3,250,000
30-34
$3,060,000
35-39
$4,940,000
40-44
$4,110,000
45-49
$4,600,000
50-54
$1,550,000
55-59
$1,850,000
60-64
$210,000
65-69
$30,000
70+
$0
Rates are guaranteed from January 1, 2027 - December 31, 2029

$0.109
$0.109
$0.139
$0.209
$0.309
$0.519
$0.919
$1.229
$2.879
$5.029

Important Information concerning Supplemental Life enrollments:
For take-over supplemental life plans: This quote includes a one-time special enrollment. Please see the Plan
Features and Limitations section for details.
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Coverage

Participating
Lives

Supplemental AD&D
(per $1,000 of Covered Volume)
Rates are guaranteed from January 1, 2027 - December 31, 2029
Supplemental Dependent Life
(per $1,000 of Covered Volume)
All Active Full Time Employees
Spouse*:
Less than 30
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70+
Child
Rates are guaranteed from January 1, 2027 - December 31, 2029

Covered
Volume

Rates

Annual
Premium

$0.021

$0.109
$0.109
$0.139
$0.209
$0.309
$0.519
$0.919
$1.229
$2.879
$5.029
$0.421

* Spouse rates are based on the employee's age.

Important Information concerning Dependent Supplemental Life enrollments:
For take-over dependent supplemental life plans: This quote includes a one-time special enrollment. Please
see the Plan Features and Limitations section for details.
Supplemental Dependent AD&D
(per $1,000 of Covered Volume)
All Active Full Time Employees
 Spouse
 Child(ren)
Rates are guaranteed from January 1, 2027 - December 31, 2029

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$0.021
$0.051

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Dental Option 2 8135523

Employer Sponsored Dental
317
(per Employee Per Month)
All Active Full Time Employees Electing
$150,841
High Plan
57
$55.72
 Employee Only
14
$144.90
 Employee + Spouse
16
$98.09
 Employee + Child(ren)
40
$144.90
 Employee + Family
All Active Full Time Employees Electing
$197,529
Low Plan
85
$48.60
 Employee Only
21
$126.37
 Employee + Spouse
23
$85.54
 Employee + Child(ren)
61
$126.37
 Employee + Family
Rates are guaranteed from January 1, 2027 - December 31, 2027
2nd year Rate Cap: The first year’s renewal rates will not be increased by more than 7.0% above the current
rates.
3rd year Rate Cap: The second year’s renewal rates will not be increased by more than 7.0% above the prior
plan year’s rates.

Vision Option 1 RQ 2 8125542

Vision
312
(Per Employee Per Month)
145
 Employee Only
167
 Employee + Family
Rates are guaranteed from January 1, 2027 - December 31, 2028

$59,780
$9.41
$21.66

LTD Option 1 RQ 11 8051487

Long Term Disability
(per $100 Covered Monthly Payroll)
Rate per $100 of covered monthly payroll if
LTD is sold with:

351

One Product (Dental, or Basic Life)
Two Products (Dental and Basic Life)
Rates are guaranteed from January 1, 2027 - December 31, 2029

$2,269,870

$0.190*

$51,753

$0.184
$0.179

$50,119
$48,757

* Please note that the fee for EAP services is included with your Disability or Life Insurance premium for billing convenience. The
Employee Assistance Program is a non-insurance service separate from MetLife insurance, offering up to 5 counseling sessions per
issue, and sold at an additional charge of $0.40 PEPM.
Employee Assistance Program services are provided by TELUS Health under an agreement with MetLife. TELUS Health is not a
subsidiary or affiliate of MetLife.
1Notice to Residents of New Mexico Employers

MetLife’s premium is based on census, experience, and anticipated insurance contract terms at time of
quote. MetLife’s insurance contract terms and premiums may change depending on any changes required by
the New Mexico Office of Superintendent of Insurance in connection with the filing process.

MetLife Cost & Benefits Summary
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Summary of Benefits
Life / AD&D Insurance - Life Option 1 RQ 4
Basic Life
All Active Full Time
Employees (30 Hours)

●
●
●
●
●
●

Flat $25,000
Medical Evidence Level: $25,000
Reduces by: 35% at Age 65, 50% at Age 70
Waiver of Premium (disabled prior to 60, waiting period 9 months,
coverage continues to 65)
Conversion and Portability are included in this quote
Accelerated Benefit Option: 12 months or less to live, up to 80.0% of
coverage, to a maximum of $500,000

Age Reduction*: The Employer is responsible for making sure that the offer of insurance to its Employees under the program
described complies, if applicable, with the Age Discrimination in Employment Act of 1967, as amended, ("ADEA"), and the
regulations thereunder. The Employer should seek the advice of counsel as to whether ADEA applies to the program and, if so,
whether it is in compliance with ADEA and other applicable laws. MetLife is required to comply with insurance age discrimination
laws where applicable.
*All reductions are applied to the original benefit amount

Basic AD&D
All Active Full Time
Employees (30 Hours)

●
●
●

100% of the Basic Life benefit.
Waiver of Premium (disabled prior to 60, waiting period 9 months,
coverage continues to 65)
Portability is included in this quote

Rate per $1,000

Est Volume

Est Monthly
Premium
Basic Life
$0.070
$8,748,750
$612
Rates are guaranteed from January 1, 2027 - December 31, 2029 (36 months)
of Covered Volume

Basic AD&D
$0.020
$8,748,750
$175
Rates are guaranteed from January 1, 2027 - December 31, 2029 (36 months)

MetLife Cost & Benefits Summary
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Est Annual
Premium
$7,349

$2,100

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Supplemental Term Life
All Active Full Time
Employees (30 Hours)

●
●
●
●
●
●
●

Supplemental Term AD&D
All Active Full Time
Employees (30 Hours)

●
●
●

Supplemental Life

$10,000 increments to a maximum of the lesser of 7.00 times pay or
$1,000,000
A minimum benefit of $10,000
Medical Evidence Level: $200,000
No Age Reduction
Waiver of Premium (disabled prior to 60, waiting period 9 months,
coverage continues to 65)
Conversion and Portability are included in this quote
Accelerated Benefit Option: 12 months or less to live, up to 80.0% of
coverage, to a maximum of $500,000

100% of the Supplemental Term Life benefit.
Waiver of Premium (disabled prior to 60, waiting period 9 months,
coverage continues to 65)
Portability is included in this quote

Rate per $1,000

Est Volume

of Covered Volume

Est Monthly
Premium
$6,504

Less than 30
$0.109
$3,250,000
30-34
$0.109
$3,060,000
35-39
$0.139
$4,940,000
40-44
$0.209
$4,110,000
45-49
$0.309
$4,600,000
50-54
$0.519
$1,550,000
55-59
$0.919
$1,850,000
60-64
$1.229
$210,000
65-69
$2.879
$30,000
70+
$5.029
$0
Rates are guaranteed from January 1, 2027 - December 31, 2029 (36 months)

Est Annual
Premium
$78,047

Supplemental AD&D
All Active Full Time
$0.021
Employees 1
Rates are guaranteed from January 1, 2027 - December 31, 2029 (36 months)

Please note that the MetLife AD&D insurance premium includes a fee for the Travel Assistance [and Identity Theft Solutions]
services, provided by AXA Assistance USA, Inc.
1 Travel Assistance services are offered and administered by AXA Assistance USA, Inc. Certain benefits provided under the Travel
Assistance program are underwritten by Certain Underwriters at Lloyd’s London (not incorporated) through Lloyd’s Illinois, Inc.
Neither AXA Assistance USA Inc. nor the Lloyd’s entities are affiliated with MetLife, and the services and benefits they provide are
separate and apart from the insurance provided by MetLife.

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Supplemental Dependent Life
All Active Full Time
Spouse Benefit:
Employees (30 Hours)
• $5,000 increments to a maximum of $500,000, not to exceed 50% of
employee’s Optional Life Benefit
● A minimum benefit of $5,000
● Spouse Medical Evidence Level: $50,000
● Spouse Accelerated Benefit Option: 12 months or less to live, up to
80.0% of coverage, to a maximum of $500,000
Child Benefit:
• Child Under 15 days:
$1,000
• Child 15 days but less than 6 months old: $1,000
• Child 6 months and older: Options of $1,000, $2,000, $4,000, $5,000 or
$10,000.
• Child limiting age: 26, 26 if a full time student
• Child Medical Evidence Level: $10,000
•
•
•

No Age Reduction
Waiver of Premium (disabled prior to 60, waiting period 9 months,
coverage continues to 65)
Conversion and Portability are included in this quote

Supplemental Dependent AD&D
All Active Full Time
Spouse Benefit:
Employees (30 Hours)
• 100% of the Dependent Supplemental Life benefit.
Child Benefit:
• Child Under 15 days:
$1,000
• Child 15 days but less than 6 months old: $1,000
• Child 6 months and older: Options of $1,000, $2,000, $4,000, $5,000 or
$10,000.
•
•

MetLife Cost & Benefits Summary
10/30/2026 10:17 AM

Waiver of Premium (disabled prior to 60, waiting period 9 months,
coverage continues to 65)
Portability is included in this quote

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Supplemental
Rate per $1,000
Est Volume
Est Monthly
Dependent Life
Premium
of Covered Volume
Spouse*:
Less than 30
$0.109
30-34
$0.109
35-39
$0.139
40-44
$0.209
45-49
$0.309
50-54
$0.519
55-59
$0.919
60-64
$1.229
65-69
$2.879
70+
$5.029
Child**:
$0.421
Rates are guaranteed from January 1, 2027 - December 31, 2029 (36 months)

Est Annual
Premium

* Spouse rates are based on the employee's age.
** Child(ren) rates are per $1,000 of coverage, per child unit. A child unit may consist of more than one child.

Supplemental Dependent AD&D
All Active Full Time Employees
 Spouse
$0.021
 Child*
$0.051
Rates are guaranteed from January 1, 2027 - December 31, 2029 (36 months)
* Child(ren) rates are per $1,000 of coverage, per child unit. A child unit may consist of more than one child.

MetLife Cost & Benefits Summary
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Plan Features and Limitations
Portability: Option to continue term insurance under a different policy when coverage terminates.
Minimums, maximums, and other conditions apply.
Empathy*: Automatically included with Basic Life, Supplemental Life and Dependent Supplemental
Life at no additional cost to the employer or employee.
Empathy provides beneficiaries with support and guidance beyond the life claim. Empathy can
provide tools and resources to help a beneficiary manage grief due to their loss, provide guidance on
probating and settling an estate, assist with closing accounts (e.g., financial, and social media),
provide home clearing resources, and more. Beneficiaries can choose to get the support they need
online through the Empathy app or web portal, by speaking with a dedicated Empathy Care
Manager, or by using a combination of both options. Empathy can also provide support and
guidance to eligible insureds facing the emotional and practical challenges associated with being
diagnosed with a terminal illness.
*Empathy’s bereavement services and platform are provided through an agreement with The Empathy Project, Inc., (doing
business as Empathy). Empathy is not an affiliate of MetLife, and the services Empathy provides are separate and apart from
the insurance provided by MetLife. This program is available to the beneficiaries of deceased insureds covered under MetLife
Group Life insurance programs and to insureds who are terminally ill and eligible to accelerate life proceeds under MetLife's
Accelerated Benefit Option. Empathy’s terminal illness services are not available on NY policy forms or policy forms operating
under NY jurisdiction. Empathy is only available to insureds and beneficiaries who are US residents. Information disclosed
directly to Empathy is not disclosed to MetLife, and therefore is not subject to MetLife’s privacy policy.

Grief Counseling and Funeral Assistance services are available to insured, their dependents and
beneficiaries who have received a serious medical diagnosis or suffered a loss and provided through an
agreement with TELUS Health. TELUS Health is not an affiliate of MetLife, and the services TELUS
Health provides are separate and apart from the insurance provided by MetLife. Information disclosed
directly to TELUS Health is not disclosed to MetLife and, therefore, is not subject to MetLife's privacy
policy. Events that may result in a loss are not covered under this program unless and until such loss has
occurred. Only available for groups NOT Principally Located / sitused in NY.
Will Preparation: Automatically included with Supplemental Life. Face to Face meeting with a
MetLife Legal Plans attorney.
Will Preparation is offered by MetLife Legal Plans, Inc., Cleveland, Ohio. In certain states, legal
services benefits are provided through insurance coverage underwritten by Metropolitan General
Insurance Company, Warwick, Rhode Island. For New York sitused or principally located cases, the
Will Preparation service is an expanded offering that includes office consultations and telephone
advice for certain other legal matters beyond Will Preparation. Tax Planning and preparation of
Living Trusts are not covered by the Will Preparation Service.
MetLife Estate Resolution ServicesSM- Automatically included with Supplemental Life. Face to Face
meeting with a MetLife Legal Plans attorney
Estate Resolution Services are offered by MetLife Legal Plans, Inc., Cleveland, Ohio. In certain
states, legal services benefits are provided through insurance coverage underwritten by Metropolitan
General Insurance Company Warwick, Rhode Island. Certain services are not covered by Estate
Resolution Services, including matters in which there is a conflict of interest between the executor
and any beneficiary or heir and the estate; any disputes with the group policyholder, MetLife and/or
any of its affiliates; any disputes involving statutory benefits; will contests or litigation outside probate
court; appeals; court costs, filing fees, recording fees, transcripts, witness fees, expenses to a third
party, judgments or fines; and frivolous or unethical matters.
Funeral Discounts and Planning Services#:
As a MetLife group life policyholder, you and your family may have access to funeral discounts,
planning and support to help honor a loved one’s life - at no additional cost to you. Dignity Memorial
provides you and your loved ones access to discounts of up to 10% off of funeral, cremation and
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cemetery services through the largest network of funeral homes and cemeteries in the United
States.
When using a Dignity Memorial Network you have access to convenient planning services - either
online at www.finalwishesplanning.com, by phone (1-866-853-0954), or by paper - to help make final
wishes easier to manage. You also have access to assistance from compassionate funeral planning
experts to help guide you and your family in making confident decisions when planning ahead as
well as bereavement travel services - available 24 hours, 7 days a week, 365 days a year - to assist
with time-sensitive travel arrangements to be with loved ones.
# Services and discounts are separate and apart from the insurance provided by MetLife and are provided through a member of the
Dignity Memorial® Network, a brand names used to identify a network of licensed funeral, cremation and cemetery providers that are
affiliates of Service Corporation International (together with its affiliates, ‘SCI’), 1929 Allen Parkway, Houston, Texas. Planning
services, expert assistance, and bereavement travel services are available to anyone regardless of affiliation with MetLife . The
online planning site is provided by SCI Shared Resources, LLC. SCI, and is not affiliated with MetLife. Not approved for NonEmployer group policies sitused in WA and Employer and non-Employer group policies in AK, FL, KY, MT, ND and, NY. If the group
policy is issued in an approved state, the discount is available for services offered in any state except KY and NY or where there is
no Dignity Memorial presence (AK, MT, ND, SD, and WY). For MI and TN, the discount is available for ‘At Need’ services .

MetLife Total Control Account® (TCA)
•

TCA Settlement Option - Payment under the policy may be accomplished by establishing a
Total Control Account (TCA) in the name of the beneficiary for the full amount of death
benefits payable.

•

Beneficiary receives a Customer Agreement and TCA welcome package which describes the
TCA account features and how to access funds.

•

A TCA account provides competitive interest immediately upon approval of the life insurance
claim, and the funds are usually available to use right away.

•

You can use a single draft to access the entire amount, including interest, in the TCA at any
time or several drafts for smaller amounts. There are no limits on the number of drafts you
can write. Processing time is similar to check processing.

•

There are several ways to access funds:
o An available fee-free TCA Visa® debit card that can also be linked to mobile wallets
like Apple Pay® and Google Pay™. Use the card at ATMs or merchants.

•

Any ATM fees that are assessed are reimbursed to the TCA account by MetLife.

The TCA account can be linked to popular payment apps/services such as PayPal®,
Venmo® or Cash App®.

Write drafts, which are similar to checks, or transfer funds any time by bank-to-bank
wires or automated clearinghouse (ACH) transfers with no fees.

Subject to state law, the Total Control Account is provided for all Life and Annuity benefits of
$5,000 or more. The assets backing TCAs are maintained in MetLife’s general account and
are subject to MetLife’s creditors. MetLife bears the investment risk of the assets backing the
TCAs and expects to receive a profit. Regardless of the investment experience of such

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assets, the interest credited to the Total Control Account may never fall below the guaranteed
minimum rate as stated in your welcome letter.
•

While your TCA is similar to a checking account, it is a draft account not a bank account.
Your Total Control Account is backed by the financial strength of MetLife. While the funds in
your account are not insured by the Federal Deposit Insurance Corporation, they are
guaranteed by your state insurance guaranty association. The coverage limits vary by state.
Please contact the National Organization of Life and Health Insurance Guaranty Associations
(www.NOLHGA.com or 703-481-5206) to learn more. FOR FURTHER INFORMATION,
PLEASE CONTACT YOUR STATE DEPARTMENT OF INSURANCE.

•

We may receive investment earnings from operating the Total Control Account. The
performance results of any investments we make do not affect the interest rate we pay you.

•

The interest rate on your account is set weekly and generally, is the greater of the
guaranteed rate stated in your TCA package, or the rate established by one of two indices
monitored by MetLife. We calculate interest daily and compound it, so you earn interest on
your interest. The interest is added to your account monthly.

•

There are no monthly maintenance or service fees on your TCA, no charges for making
withdrawals or writing drafts, and no charges for ordering additional drafts.

•

If there is no activity on your account for a period of time, state regulations may require that
we contact you at the address we have on file. If we aren’t able to reach you, we may be
required to close your account and transfer the funds to the state.

•

You may designate one or more beneficiaries to receive the balance of your TCA, if any,
upon your death.

•

We may limit or suspend your access to the funds in your account if we suspect fraud or if
there was an error in opening your account.

•

We use the services of The Bank of New York (BNY), 500 Ross Street, Pittsburgh, PA 15215
for Total Control Account draft clearing, electronic transfer, debit card processing, and record
keeping.

•

You may move all or a portion of your Account balance into any other settlement option for
which you then qualify, provided your Account balance is above the minimum balance
requirement.

•

If your account has no activity, we’ll send you a statement once every three months. Each
statement, whether monthly or quarterly, includes the current account balance, the interest
credited, any drafts written, and any other account activity.

•

A TCA generally is not available if the payment amount is less than $5,000, the beneficiary
resides in a foreign country, or if the beneficiary is a corporation or similar entity.

•

If you do not want a TCA, you may request a check by writing “check” beneath your signature
on the enclosed claim form.

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•

The interest earned may be taxable. We recommend you consult a tax, investment, or other
financial advisor regarding tax liability and investment options.

To learn more about TCA, please call us at 1-800-638-7283 or write us at Metropolitan Life
Insurance Company, Total Control Account, PO Box 6300, Scranton, PA 18505-6300
Accelerated Benefits Option: If included, the minimum that can be accelerated is $20,000.
The definition of earnings used to define benefits will be Basic Monthly Earnings.
Waiver of Premium: Group life coverage is continued for an employee meeting the contractual
definition of total disability. No further premium payment for that employee is required. The onset of
the disability must occur prior to the age as defined in the Summary of Benefits. The disability must
last continuously through the defined waiting period, and the employee must submit a request for the
extension within 12 months of the onset of the total disability.
Enrolling in the Plan:
 A statement of health will need to be submitted by employees who:
• Request coverage amounts during their initial 31-day enrollment that exceed the stated MEOI
level.
• Apply for coverage after the period which begins on the first day on which they are eligible for
the coverage (or the first day following a qualifying event, if applicable) and ends at the
earlier of the next following annual enrollment period or the day before the next following
Policy Anniversary. In no event will this period be more than a year, or less than 31 days.
• Have indicated a medical condition on their enrollment form.
 Employees who are Actively-at-Work but who are not currently enrolled in the plan and
experience a Qualifying Event must submit a statement of health in order to enroll for any amount
of coverage.
Benefit Increases:
 Employees who experience a pay increase that generates a benefit, for the first time, which
exceeds the stated MEOI level, will have to submit a statement of health.
 Employees, Actively at Work, who are participating in the plan and want to increase their
coverage by any amount will have to submit a statement of health.
Special Enrollment Rules for Transferred Business during the First Enrollment Period, subject to Plan
Maximums:
Supplemental Term Life:
•
Employees, Actively at Work, who are not currently enrolled in the plan, or those who are
currently enrolled in the plan for less than $200,000, may request up to $200,000 without
providing evidence of insurability. A statement of health will need to be submitted for any request
for an amount that exceeds $200,000.
•
Employees who are currently enrolled in the plan for $200,000 or greater will need to submit a
statement of health for any request to increase coverage.
This special enrollment only applies to the employee life election. Dependents are not eligible for this
enrollment opportunity.
•

[

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Special Enrollment Rules for Transferred Business during the First Enrollment Period, subject to Plan
Maximums and Dependent Eligibility Deferment:
Supplemental Dependent Term Life for Spouse:
• Employees, Actively at Work, who are not currently enrolled in the plan, or those who are currently
enrolled in the plan for less than $50,000, may request up to $50,000 without providing evidence
of insurability. A statement of health will need to be submitted for any request for an amount that
exceeds $50,000.
• Employees who are currently enrolled in the plan for $50,000 or greater will need to submit a
statement of health for any request to increase coverage.
Supplemental Dependent Term Life for Child:
• Employees, Actively at Work, who are not currently enrolled in the plan, or those who are currently
enrolled in the plan for less than $10,000, may request up to $10,000 without providing evidence
of insurability. A statement of health will need to be submitted for any request for an amount that
exceeds $10,000.
• Employees who are currently enrolled in the plan for $10,000 or greater will need to submit a
statement of health for any request to increase coverage.
The coverage will be subject to a contestability clause in accordance with the law.
Except in Washington: Supplemental and Dependent Life Insurance will not be paid to the
Beneficiary if an insured commits suicide within 2 years (1 year in Missouri if the insured intended to
commit suicide when enrolling for such insurance, 1 year in Minnesota, North Dakota and Colorado)
of the effective date of this certificate. Instead, we will pay the Beneficiary an amount equal to any
contributions paid, without interest.
Except in Washington: if an insured commits suicide within 2 years (1 year in Missouri if the insured
intended to commit suicide when enrolling for an increase in insurance, 1 year in Minnesota, North
Dakota and Colorado) from the effective date of any increase in the amount of Supplemental and
Dependent Life Insurance, such increased amount will not be paid to the Beneficiary. Instead we will
pay the Beneficiary:
an amount equal to all contributions paid for the increased amount, without interest; plus the amount
of Supplemental Life Benefits that was in effect on the day before the effective date of such
increased amount.
The employee must be covered for benefits in order for dependents to be covered.
Dependent benefits terminate at the earlier of: the employee’s retirement or when the employee’s
coverage terminates.
Dependent Eligibility Deferment – Dependent is not confined to hospital, confined to home or
receiving disability income from any source.
No eligible individual may be covered more than once under this plan. If a person is covered as an
employee, he/she cannot be covered as a spouse or dependent. If an employee and spouse are
employed by the same employer, their eligible dependents may be insured as dependents of only
one employee.
Dependent benefit cannot exceed the lesser of the amount for which the employee is insured or any
applicable state law limit.

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Covered Loss
Life
Hand
Foot
Arm
Leg
Sight of One Eye
Combination of a Hand, Foot,
and/or Eye
Thumb & Index Finger on the
Same Hand
Speech and Hearing
Speech
Hearing
Paralysis of Both Arms and Both
Legs
Paralysis of Both Legs
Paralysis of the Arm & Leg on
Either Side of the Body
Paralysis of One Arm or Leg
Brain Damage
Coma

Table of Covered Losses for AD&D
Basic AD&D
Supplemental AD&D
100%
50%
50%
75%
75%
50%
100%

100%
50%
50%
75%
75%
50%
100%

Supplemental
Dependent AD&D
100%
50%
50%
75%
75%
50%
100%

25%

100%
50%
50%
100%

50%
50%

25%
25%
25%
100%
100%
100%
1% monthly up to 60
1% monthly up to 60
1% monthly up to 60
months
months
months
* Maximum Amount payable for all Covered Losses sustained in one accident is capped at 100% of the Full Amount

Additional Benefits
Benefit
Air Bag Use
Seat Belt Use
Common Carrier
Child Care Center

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Basic AD&D

Supplemental AD&D

5% up to $10,000
10% up to $25,000
100% of Full Amount
$5,000 per year for 4 Yrs
up to 12% of Full
Amount

5% up to $10,000
10% up to $25,000
100% of Full Amount

Supplemental
Dependent AD&D
5% up to $10,000
10% up to $25,000
100% of Full Amount

Not Applicable

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Limitations

Exclusions

•

Limitations and Exclusions
The Accidental Death & Dismemberment loss must occur within 365 days
after the date of the accident and be a direct result of bodily injury sustained
from that accident, independent of other causes.

Accidental Death & Dismemberment insurance does not include payment for any
loss which in any way results from or is caused by or contributed to by:
• physical or mental illness or infirmity, or the diagnosis or treatment of such
illness or infirmity;
•
•

•
•

•

infection, other than infection occurring in an external accidental wound;
suicide or attempted suicide; (In Missouri, such exclusion only applies while
the person is sane);
intentionally self-inflicted injury;
service in the armed forces of any country or international authority.
However, service in reserve forces does not constitute service in the armed
forces, unless in connection with such reserve service an individual is on
active military duty as determined by the applicable military authority other
than weekend or summer training. For purposes of this provision reserve
forces are defined as reserve forces of any branch of the military of the
United States or of any other country or international authority, including but
not limited to the National Guard of the United States or the national guard of
any other country;
any incident related to: 1) travel in an aircraft as a pilot, crew member, flight
student or while acting in any capacity other than as a passenger (applies to:
BasicPersonalADD, SupplementalADD); 2) travel in an aircraft for the
purpose of parachuting or otherwise exiting from such aircraft while it is in
flight; 3) parachuting or otherwise exiting from an aircraft while such aircraft
is in flight except for self preservation; 4) travel in an aircraft or device used
for testing or experimental purposes; by or for any military authority; or for
travel or designed for travel beyond the earth’s atmosphere;

•
•

committing or attempting to commit a felony;
the voluntary intake or use by any means of: 1) any drug, medication or
sedative, unless it is: taken or used as prescribed by a Physician, or an
“"over the counter”" drug, medication or sedative, taken as directed; 2)
alcohol in combination with any drug, medication, or sedative; or 3) poison,
gas, or fumes;

•

war, whether declared or undeclared; or act of war, insurrection, rebellion,
riot;

•

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driving a vehicle or operating another device while intoxicated as defined by
the laws of the jurisdiction in which the vehicle or other device was being
operated.

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Highlights
Broker Commissions included in the rate: Flat 15.00%
Expected Participation
Basic Life: 100%
Basic AD&D: 100%
Supplemental Term Life: 44% and at least 10 covered lives.
Supplemental Term AD&D: 25%
Supplemental Dependent Life: 25%
Supplemental Dependent AD&D: 25%
Employee Contributions
Basic Life: 0%
Basic AD&D: 0%
Supplemental Term Life: 100%
Supplemental Term AD&D: 100%
Supplemental Dependent Life: 100%
Supplemental Dependent AD&D: 100%
Situs is NORTH DAKOTA
Financial Arrangement: Non-retrospectively Experience Rated
Final rates will be based on actual enrollment and contribution levels.
Submit complete enrollment materials by the 15th of the month preceding the effective date to ensure
prompt Underwriting review.
Benefits terminate at retirement for:
Basic Life
Basic AD&D
Supplemental Term Life
Supplemental Term AD&D
Supplemental Dependent Life
Supplemental Dependent AD&D
AD&D Benefits terminate when the corresponding Life Benefits terminate.
Actively at Work
On the Group Policy Effective Date, MetLife will cover those not Actively at Work in accordance with the
following guidelines:

•

All Employees will be covered under the transition rules for the MetLife Group Policy, regardless
of their Actively At Work status, provided:
o

Their coverage was in force under the prior plan on the day before the MetLife Group
Policy effective date, and

A Waiver of Premium disability claim was not previously approved by the prior carrier.
Individuals who have previously been approved for Waiver of Premium will retain life
insurance protection under the prior carrier’s policy.

The Group Life insurance provided under the transition rules for the MetLife Group Policy is
equal to the lesser of:
o

The coverage amount under the prior plan, and

The coverage amount under the MetLife plan for the applicable employee class and
coverage type

For each participant not Actively At Work on the MetLife Group Policy effective date, transition
coverage would continue under these rules until the earliest of the following to occur:

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The date the employee returns to work as an active Full-Time Employee, at which time
active employee coverage will supersede the transition coverage

The last day of the 12 month period following the MetLife coverage effective date

The last day the employee would have been covered under the prior policy had it not
terminated (in other words, the date an individual’s coverage under the prior policy would
have ceased for some reason unrelated to the policy ending)

The date coverage would end pursuant to the termination provisions of the MetLife
certificate

The date extension protection is provided under the Waiver of Premium provision of the
prior carrier’s policy (i.e. approval of a premium waiver claim on account of a disability
that occurred while the employee’s coverage under the prior policy was in force)

If not already provided, please provide a listing of Non-Actively at Work employees that includes age,
gender, amount of insurance, date of, and reason for disability of all such disabled individuals, for risk
evaluation.

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Summary of Benefits
Dental Insurance - Dental Option 2

Employer Sponsored Dental

All Active Full Time Employees
Electing High Plan (30 Hours)
In-Network
Out-of-Network*
Negotiated Fee
R&C
Schedule
90th Percentile
100%
100%
85%
85%
55%
55%
B&C
B&C

All Active Full Time Employees
Electing Low Plan (30 Hours)
In-Network
Out-of-Network*
Negotiated Fee
R&C
Schedule
90th Percentile
100%
100%
80%
80%
50%
50%
B&C
B&C

$25
$50
Aggregate
$1,500
(applies to A,B,C
services)
50%

$50
$100
Aggregate
$1,500
(applies to A,B,C
services)
Not Covered

$1,500

Not Covered

$500

Class Description
Reimbursement
Type A – Preventive
Type B – Basic
Type C – Major
Calendar Year
Deductible applies to:
 Individual
 Family
Calendar Year
Maximum
Orthodontia
Orthodontia Lifetime
Maximum
TMJ Lifetime Maximum

* Out of Network benefits are payable for services rendered by a dentist who is not a participating provider. The Reasonable and
Customary charge is based on the lowest of (1) the dentist’s actual charge (the ‘Actual Charge’), (2) the dentist’s usual charge for the
same or similar services (the ‘Usual Charge’) or (3) the charge of most dentists in the same geographic area for the same or similar
services as determined by MetLife (the ‘Customary Charge’). Services must be necessary in terms of generally accepted dental
standards.

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Rate per
Employee
All Active Full Time Employees Electing High Plan
$55.72
 Employee Only
$144.90
 Employee + Spouse
$98.09
 Employee + Child(ren)
$144.90
 Employee + Family
Employer Sponsored Dental



Total

All Active Full Time Employees Electing Low Plan
$48.60
 Employee Only
$126.37
 Employee + Spouse
$85.54
 Employee + Child(ren)
$126.37
 Employee + Family



Total

Est Monthly
Premium

Est Annual
Premium

57
14
16
40
127

$12,570

$150,841

85
21
23
61
190

$16,461

$197,529

Lives

Rates are guaranteed from January 1, 2027 - December 31, 2027 (12 months)
2nd year Rate Cap: The first year’s renewal rates will not be increased by more than 7.0% above the current
rates.
3rd year Rate Cap: The second year’s renewal rates will not be increased by more than 7.0% above the prior
plan year’s rates.

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Frequency & Allocations / Exclusions
(Custom Primary (Flex) - Custom Lower Cost (Flex))

Class Description: All Active Full Time Employees Electing High Plan
TYPE A
Benefits are payable immediately from the start date of an individual’s benefits
 Examinations
 2 times in 1 calendar year
 Examinations – Problem Focused
 1 time in 12 months
 Prophylaxis: Cleanings
 2 times in 1 calendar year
 Fluoride
 2 times in 1 calendar year for a dependent
child under age 14
 Full Mouth X-Rays
 Once in 5 calendar years
 Bitewing X-Rays
 For a child under 14: 1 time in 1 calendar
year
 Adult: 1 time in 1 calendar year
 Emergency Palliative Treatment
 Periapical X-Rays
 Other X-Rays
TYPE B
Benefits are payable immediately from the start date of an individual’s benefits
 Sealants
 1 per molar in 60 months for a child under
age 19
 Space Maintainers
 No Limit for a child under age 14
 Consultations
 1 in 12 months
 Amalgam Fillings
 1 replacement per surface in 24 Months
 Root Canal
 1 per tooth per lifetime
 Periodontal Maintenance
 4 perio. Treatments in 1 calendar yr, includes
2 cleanings (total comb: 4)
 Periodontal Surgery
 1 per quadrant in any 36 month period
 Scaling & Root Planing
 1 per quadrant in any 36 month period
 Occlusal Adjustments
 1 in 12 months
 Labs & Other Tests
 General Anesthesia
 Resin Composite Fillings(includes coverage
for composite fillings on molars)
 Pulpotomy
 Pulp Capping
 Pulp Therapy
 Apexification & Recalcification
 Periodontal Surgery – Soft & Connective
Tissue Grafts
 Periodontics – Non-Surgical
 Oral Surgery: Simple Extractions
 Oral Surgery: Surgical Extractions
 General Services
 Occlusal Guards / Bruxism Appliances
TYPE C
Benefits are payable immediately from the start date of an individual’s benefits
 Prefabricated Crowns
 1 per tooth in 10 calendar years
 Crown Buildups / Post Core
 1 per tooth in 5 calendar years
 Repairs
 1 in 12 months
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















Recementations
 1 in 12 months
Dentures
 1 in 5 calendar years
Immediate Temporary Dentures – Complete
 1 replacement in 12 months
/ Partial
Dentures – Rebases / Relines
 1 in 36 months
Denture Adjustments
 1 in 6 months
Fixed Bridges
 1 in 5 calendar years
Inlays / Onlays /Crowns
 1 replacement per tooth in 5 calendar years
Implant Services
 1 per tooth position in 5 calendar years
Implant Repairs
 1 per tooth in 5 calendar years
Implant Supported Prosthetic
 1 per tooth in 5 calendar years
Tissue Conditioning
 1 in 36 months
Other Oral Surgery
TMJ
Orthodontics
Benefits are payable immediately from the start date of an individual’s benefits
Orthodontic Diagnostics
Orthodontic Treatment

Exclusions
All Active Full Time Employees Electing High Plan
 Services which are not dentally necessary, those which do not meet generally accepted standards of
care for treating the particular dental condition, or which we deem experimental in nature.
 Services for which a covered person would not be required to pay in the absence of dental insurance.
 Services or supplies received by a covered person before the insurance starts for that person.
 Services which are neither performed nor prescribed by a dentist except for those services of a licensed
dental hygienist which are supervised and billed by a dentist and which are for scaling or polishing of
teeth or fluoride treatment.
 Services which are primarily cosmetic unless required for the treatment or correction of a congenital
defect of a newborn child.
 Services or appliances which restore or alter occlusion or vertical dimension.
 Restoration of tooth structure damaged by attrition, abrasion or erosion unless caused by disease.
 Restorations or appliances used for the purpose of periodontal splinting.
 Counseling or instruction about oral hygiene, plaque control, nutrition and tobacco.
 Personal supplies or devices including, but not limited to: water piks, toothbrushes, or dental floss.
 Initial installation of a Denture to replace one or more teeth which were missing before such person was
insured for Dental Insurance, except for congenitally missing natural teeth.
 Decoration or inscription of any tooth, device, appliance, crown or other dental work.
 Missed appointments.
 Services covered under any workers’ compensation or occupational disease law.
 Services covered under any employer liability law.
 Services for which the employer of the person receiving such services is not required to pay.
 Services received at a facility maintained by the Policyholder, labor union, mutual benefit association, or
VA hospital.
 Services covered under other coverage provided by the Policyholder.
 Temporary or provisional restorations.
 Temporary or provisional appliances.
 Prescription drugs.
 Services for which the submitted documentation indicates a poor prognosis.
 Services, to the extent such services, or benefits for such services, are available under a government
plan. This exclusion will apply whether or not the person receiving the services is enrolled for the
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










government plan. We will not exclude payment of benefits for such services if the government plan
requires that Dental Insurance under the group policy be paid first.
The following when charged by the dentist on a separate basis - Claim form completion; infection control
such as gloves, masks, and sterilization of supplies; or local anesthesia, non-intravenous conscious
sedation or analgesia such as nitrous oxide.
Dental services arising out of accidental injury to the teeth and supporting structures, except for injuries to
the teeth due to chewing and biting of food.
Caries susceptibility tests.
Precision attachments associated with fixed and removable prostheses.
Adjustment of a denture made within 6 months after installation by the same dentist who installed it.
Duplicate prosthetic devices or appliances.
Replacement of a lost or stolen appliance, cast restoration or denture.
Intra and extraoral photographic images.
Fixed and removable appliances for correction of harmful habits.
Implants supported prosthetics to replace one or more teeth which were missing before such person was
insured for Dental Insurance, except for congenitally missing natural teeth.

Frequency & Allocations / Exclusions
(Custom Primary (Flex) - Custom Lower Cost (Flex))

Class Description: All Active Full Time Employees Electing Low Plan
TYPE A
Benefits are payable immediately from the start date of an individual’s benefits
 Examinations
 2 times in 1 calendar year
 Examinations – Problem Focused
 1 time in 12 months
 Prophylaxis: Cleanings
 2 times in 1 calendar year
 Fluoride
 2 times in 1 calendar year for a dependent
child under age 14
 Full Mouth X-Rays
 Once in 5 calendar years
 Bitewing X-Rays
 For a child under 14: 1 time in 1 calendar
year
 Adult: 1 time in 1 calendar year
 Emergency Palliative Treatment
 Periapical X-Rays
 Other X-Rays
TYPE B
Benefits are payable immediately from the start date of an individual’s benefits
 Sealants
 1 per molar in 60 months for a child under
age 19
 Space Maintainers
 No Limit for a child under age 14
 Consultations
 1 in 12 months
 Amalgam Fillings
 1 replacement per surface in 24 Months
 Root Canal
 1 per tooth per lifetime
 Periodontal Maintenance
 4 perio. Treatments in 1 calendar yr, includes
2 cleanings (total comb: 4)
 Periodontal Surgery
 1 per quadrant in any 36 month period
 Scaling & Root Planing
 1 per quadrant in any 36 month period
 Occlusal Adjustments
 1 in 12 months
 Labs & Other Tests
 General Anesthesia
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



























Resin Composite Fillings(includes coverage
for composite fillings on molars)
Pulpotomy
Pulp Capping
Pulp Therapy
Apexification & Recalcification
Periodontal Surgery – Soft & Connective
Tissue Grafts
Periodontics – Non-Surgical
Oral Surgery: Simple Extractions
Oral Surgery: Surgical Extractions
General Services
Occlusal Guards / Bruxism Appliances
TYPE C
Benefits are payable immediately from the start date of an individual’s benefits
Prefabricated Crowns
 1 per tooth in 10 calendar years
Crown Buildups / Post Core
 1 per tooth in 5 calendar years
Repairs
 1 in 12 months
Recementations
 1 in 12 months
Dentures
 1 in 5 calendar years
Immediate Temporary Dentures – Complete
 1 replacement in 12 months
/ Partial
Dentures – Rebases / Relines
 1 in 36 months
Denture Adjustments
 1 in 6 months
Fixed Bridges
 1 in 5 calendar years
Inlays / Onlays /Crowns
 1 replacement per tooth in 5 calendar years
Implant Services
 1 per tooth position in 5 calendar years
Implant Repairs
 1 per tooth in 5 calendar years
Implant Supported Prosthetic
 1 per tooth in 5 calendar years
Tissue Conditioning
 1 in 36 months
Other Oral Surgery
TMJ

Exclusions
All Active Full Time Employees Electing Low Plan
 Services which are not dentally necessary, those which do not meet generally accepted standards of
care for treating the particular dental condition, or which we deem experimental in nature.
 Services for which a covered person would not be required to pay in the absence of dental insurance.
 Services or supplies received by a covered person before the insurance starts for that person.
 Services which are neither performed nor prescribed by a dentist except for those services of a licensed
dental hygienist which are supervised and billed by a dentist and which are for scaling or polishing of
teeth or fluoride treatment.
 Services which are primarily cosmetic unless required for the treatment or correction of a congenital
defect of a newborn child.
 Services or appliances which restore or alter occlusion or vertical dimension.
 Restoration of tooth structure damaged by attrition, abrasion or erosion unless caused by disease.
 Restorations or appliances used for the purpose of periodontal splinting.
 Counseling or instruction about oral hygiene, plaque control, nutrition and tobacco.
 Personal supplies or devices including, but not limited to: water piks, toothbrushes, or dental floss.
 Initial installation of a Denture to replace one or more teeth which were missing before such person was
insured for Dental Insurance, except for congenitally missing natural teeth.
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












Decoration or inscription of any tooth, device, appliance, crown or other dental work.
Missed appointments.
Services covered under any workers’ compensation or occupational disease law.
Services covered under any employer liability law.
Services for which the employer of the person receiving such services is not required to pay.
Services received at a facility maintained by the Policyholder, labor union, mutual benefit association, or
VA hospital.
Services covered under other coverage provided by the Policyholder.
Temporary or provisional restorations.
Temporary or provisional appliances.
Prescription drugs.
Services for which the submitted documentation indicates a poor prognosis.
Services, to the extent such services, or benefits for such services, are available under a government
plan. This exclusion will apply whether or not the person receiving the services is enrolled for the
government plan. We will not exclude payment of benefits for such services if the government plan
requires that Dental Insurance under the group policy be paid first.
The following when charged by the dentist on a separate basis - Claim form completion; infection control
such as gloves, masks, and sterilization of supplies; or local anesthesia, non-intravenous conscious
sedation or analgesia such as nitrous oxide.
Dental services arising out of accidental injury to the teeth and supporting structures, except for injuries to
the teeth due to chewing and biting of food.
Caries susceptibility tests.
Precision attachments associated with fixed and removable prostheses.
Adjustment of a denture made within 6 months after installation by the same dentist who installed it.
Duplicate prosthetic devices or appliances.
Replacement of a lost or stolen appliance, cast restoration or denture.
Intra and extraoral photographic images.
Fixed and removable appliances for correction of harmful habits.
Orthodontia services or appliances.
Repair or a replacement of an orthodontic appliance.
Implants supported prosthetics to replace one or more teeth which were missing before such person was
insured for Dental Insurance, except for congenitally missing natural teeth.

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Highlights
Broker Commissions included in the rate: Flat 10.00%
Expected Participation: 90% and at least 10 covered lives.
Employee Contributions: 12%
Financial Arrangement: Non-retrospectively Experience Rated
Situs is NORTH DAKOTA
Only those residing in the United States are eligible for benefits
Dependent Child Definition: A Child is covered up to age 26, A student is covered up to age 26.
Ortho coverage applies to:
Employer Sponsored Dental
All Active Full Time Employees Electing High Plan: Adult (employee / spouse) & Child. Children are
covered to the dependent age limit.
All Active Full Time Employees Electing Low Plan: No Coverage.
This quote assumes the plan is a Section 125 plan.
An Open Enrollment period occurring annually is included.
TakeAlong Dental:
Whether they’re just starting out or ready to retire, employees value dental benefits throughout their life
stages. MetLife TakeAlong Dental can be there through all of them. Now, your employees can access an
individual, lifelong dental plan, with no additional cost or work for you.
Individuals and their dependents who are ineligible for your group dental plan can enroll directly through the
MetLife TakeAlong Dental website or dedicated call center – and there’s no cost to you. Enrollment is easy —
and offers the same high-quality network and service experience that your employees deserve.
Contact your Account Representative to learn more about the TakeAlong Dental individual program.

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Summary of Benefits
VISION - Vision Option 1 RQ 2
VSP Choice
Class Description
Plan Name
Reimbursement

All Active Full Time Employees (30 Hours)
M175A
In-Network Coverage
(Using a Network Provider)

Out-of-Network Reimbursement
(Using a Non-Network Provider)

Comprehensive exam of visual
functions and prescription of corrective
eyewear.

$0 copay

$45 allowance

Retinal Imaging
This screening is used to take pictures of
the inside of the eye particularly the retina
to look for possible changes.

Up to $39 copay

Applied to the exam allowance

Standard Corrective Lenses
• Single vision

$0 copay

$30 allowance

•

Lined bifocal

$0 copay

$50 allowance

•

Lined trifocal

$0 copay

$65 allowance

•

Lenticular

$0 copay

$100 allowance

Eye Examination

Materials / Eyewear
(Either Glasses or Contacts)

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Standard Lens Enhancement
•

Ultraviolet coating

Covered in Full

Applied to the allowance for the
applicable corrective lens

•

Standard Polycarbonate (child
up to age 18)

Covered in Full

Applied to the allowance for the
applicable corrective lens

$55

$50 allowance

Additional Lens Enhancements1
(In addition to Materials Copay)
These Lens options are available with a
“not to exceed” pricing/maximum member
out of pocket amount.
•

Progressive Standard

•

Progressive Premium/Custom

Premium: $95-$105
Custom: $150-$175

$50 allowance

•

Standard Polycarbonate (adult)

$35

Applied to the allowance for the
applicable corrective lens

•

Scratch-resistant coating
(variable by type)

$17 - $33

Applied to the allowance for the
applicable corrective lens

•

Tints (plastic lenses)

Pink I & II: $0
Solid Plastic: $15
Plastic Gradient Dye: $17

Applied to the allowance for the
applicable corrective lens

•

Anti-reflective coating (variable
by type)

$41 - $85

Applied to the allowance for the
applicable corrective lens

•

Photochromic (variable by type)

$47 - $82

Applied to the allowance for the
applicable corrective lens

•

Blue Light Filtering

$15

Applied to the allowance for the
applicable corrective lens

Frame Allowance
(You will receive an additional 20% off any
amount that you pay over your allowance.
This offer is available from all participating
locations except Costco, Walmart and
Sam’s Club.)

•

Costco, Walmart and Sam’s
Club

$175 allowance
$195 allowance on featured
frames

$70 allowance

$95 allowance

Contact Lenses
•

Elective

$175 allowance

$105 allowance

•

Necessary

Covered in full after eyewear
copay

$210 allowance

•

Contact Fitting and Evaluation

Standard or Premium fit:
Copay not to exceed $60”

Applied to the contact lens
allowance

Value Added Features
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Additional Savings on Glasses and
Sunglasses1

Get 20% off the cost for additional pairs of prescription glasses and
non-prescription sunglasses, including lens enhancements. At times,
other promotional offers may also be available.

Laser Vision correction

Savings averaging 15% off the regular price or 5% off a promotional
offer for laser surgery including PRK, LASIK and Custom LASIK. Offer
is only available at MetLife participating locations.

1Member costs for listed lens enhancements will be limited to copays that MetLife has negotiated with

participating providers. These copays can be viewed by members after enrollment at
www.metlife.com/mybenefits. All lens enhancements are available at participating private practices. Maximum
copays and pricing are subject to change without notice. Please check with your provider for details and copays
applicable to your lens choice. Please contact your local Costco, Walmart and Sam’s Club to confirm the
availability of lens enhancements and pricing prior to receiving services. Additional discounts may not be
available in certain states.
2 Custom LASIK coverage only available using wavefront technology with the microkeratome surgical device.

Other LASIK procedures may be performed at an additional cost to the member. Laser vision care discounts are
only available from participating locations.

Vision

Rate per Employee

Lives

Employee
$9.41
145
Only
 Employee +
$21.66
167
Family
312
 Total
Rates are guaranteed from January 1, 2027 - December 31, 2028 (24)



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Est Monthly
Premium

Est Annual Premium

$4,982

$59,780

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Frequency / Exclusions
Class Description: All Active Full Time Employees
 Examinations
 Standard Corrective Lenses
 Frames
 Contact Lenses
Either glasses or contacts allowed per
frequency























Frequencies






1 per 12 Months
1 per 12 Months
1 per 12 Months
1 per 12 Months

Exclusions
Services and/or materials not specifically included in the Summary of Benefits as covered Plan Benefits.
Any portion of a charge in excess of the Maximum Benefit Allowance or reimbursement indicated in the
Summary of Benefits.
Plano lenses (lenses with refractive correction of less than ± .50 diopter)
Two pairs of glasses instead of bifocals.
Replacement of lenses, frames and/or contact lenses furnished under this Plan which are lost, stolen or
damaged, except at the normal intervals when Plan Benefits are otherwise available.
Orthoptics or vision training and any associated supplemental testing.
Medical or surgical treatment of the eyes.
Prescription and non-prescription medications.
Contact lens insurance policies or service agreements.
Refitting of contact lenses after the initial (90-day) fitting period.
Contact lens modification, polishing or cleaning.
Local, state and/or federal taxes, except where MetLife is required by law to pay.
Any eye examination or any corrective eyewear required as a condition of employment.
Services and supplies received by You or Your Dependent before the Vision Insurance starts for that
person.
Missed appointments.
Services or materials resulting from or in the course of a Covered Person’s regular occupation for pay or
profit for which the Covered Person is entitled to benefits under any Workers’ Compensation Law,
Employer’s Liability Law or similar law. You must promptly claim and notify the Company of all such
benefits.
Services: (a) for which the employer of the person receiving such services is not required to pay; or (b)
received at a facility maintained by the Employer, labor union, mutual benefit association, or VA hospital.
Services or materials received as a result of disease, defect, or injury due to war or an act of war (declared
or undeclared), taking part in a riot or insurrection, or committing or attempting to commit a felony.
Services and materials obtained while outside the United States, except for emergency vision care.
Services, procedures, or materials for which a charge would not have been made in the absence of
insurance.

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Highlights

Broker Commissions included in the rate: Flat 10.00%
Expected Participation: 89%
Employee Contributions: 12%
Financial Arrangement: Non-retrospectively Experience Rated
Situs is NORTH DAKOTA
SIC Code: 9111
Dependent Child Definition: A Child is covered up to age 26; A student is covered up to age 26.
This quote assumes the plan is a Section 125 plan.
An Open Enrollment period occurring annually is included

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Summary of Benefits
Long Term Disability - LTD Option 1 RQ 1
Long Term Disability
Class Description

AAFT Excluding Police/Firefighters (30
Hours)

AAFT Including Police/Firefighters (30
Hours)

Monthly Benefit

60% of Predisability Earnings

Maximum Monthly
Benefit

$6,000.00

Minimum Monthly
Benefit*

$100.00

180 Days or until the end of the STD
Maximum Benefit Period.

24 months

Any Occ

Family Social Security

RBD w/ SSNRA
The later of Your Normal Retirement
Age as defined by Social Security or
the period shown below:

Age on Date of
Your Disability
less than 60
60
61
62
63
64
65
66
67
68
69 and over
Work Incentive

Elimination Period
Own Occupation
Period
Social Security
Integration
Benefit Duration

Benefit Duration
to age 65
60 months
48 months
42 months
36 months
30 months
24 months
21 months
18 months
15 months
12 months

Rehabilitation
Incentives
Rehabilitation Program Incentive
Rehabilitation Program Incentive
included in quote
Family Care Incentive
Family Care Incentive
(details in limitations and
Moving Expense Incentive
Moving Expense Incentive
definitions)
Employee Assistance
Standard Option 1 – 5 sessions
Standard Option 1 – 5 sessions
Program
Survivor Benefit
Included in this quote
Included in this quote
Cost of Living
Cost of Living Adjustment does not
Cost of Living Adjustment does not
Adjustment
apply.
apply.
*The minimum monthly benefit is subject to overpayment situations and any applicable rehabilitation
incentives.
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Long Term Disability
Standalone

Rate per $100

Covered Monthly
Payroll

Est Monthly
Premium

Est Annual
Premium

$0.190

$2,269,870

$4,313

$51,753

Of Covered Monthly
Payroll

If sold with:
One Product (Dental, or Basic Life)

$0.184

Two Products (Dental and Basic Life)

$0.179

Rates are guaranteed from January 1, 2027 - December 31, 2029 (36 months)

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AAFT Excluding Police/Firefighters
Limitations and Definitions
Definition of Disability

Definition of Predisability Earnings

Due to a Sickness, or as a direct result of accidental injury:
• The employee is receiving Appropriate Care and Treatment and
complying with the requirements of such treatment, and
• During the elimination period and the next 24 months is unable
to earn more than 80% of their predisability earnings at their
Own Occupation for any employer in their National economy,
and
• Is unable to perform each of the material duties of their Own
Occupation, and
• After such period, is unable to earn more than 80% of their
predisability earnings at any gainful occupation for any employer
in their National economy; and is
• Unable to perform the duties of any gainful occupation for which
they are reasonably qualified taking into account their training,
education and experience.
The amount of the employee’s gross salary or wages from his/her
employer as of the day before his/her disability began. Predisability
earnings includes: Basic earnings only.
The term does not include:
• The grant, award, sale, conversion, and/or exercise of shares of
stock or stock options;
• The Employer’s contributions on Your behalf to any deferred
compensation arrangement or pension plan; or
• Any other compensation from the Employer.

Pre Existing Conditions

3/3/12

Pre-Existing Condition Limitation

Pre-existing Condition means a Sickness or accidental injury for
which the employee:
• Received medical treatment, consultation, care, or services; or
• Took prescription medication or had medications prescribed
in the 3 months before insurance or any increase in the amount of
insurance under the certificate takes effect.
We will pay benefits for a Disability that results from a Pre-existing
Condition, if Elimination Period starts after the earlier of the date the
employee:
• has not received medical treatment, consultation or services for
the Pre-existing Condition for 3 months; or
• has been Actively at Work for 12 consecutive months.
We will not pay benefits, or any increase in benefit amount due to an
elected increase in the amount of insurance for a Disability that
results for a Pre-existing Condition, if the employee has been
Actively at Work for less than 12 consecutive months after the date
their Disability insurance, or the elected increase in the amount of
such insurance, takes effect under the certificate.

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Work Incentive

While disabled and receiving a Monthly Benefit, employees may
receive up to 100% of Predisability Monthly Earnings, return-to-work
earnings, and other income benefits. After the first 24 months
following the employees return to work, MetLife will reduce the
employees Monthly Benefit by 50% of the amount the employee
earns from working while Disabled.

Rehabilitation Incentive

10% increase in the Monthly Benefit if participating in an approved
Rehabilitation Program.

Family Care Incentive

If the employee works or participates in a Rehabilitation Program
while they are Disabled, reimbursement may be provided for up to
$400 per month for eligible Family Care expenses incurred by an
employee for each eligible family member during the first 24 months
of benefit payments.

Moving Expense Incentive

Moving Expense Incentive: If the employee participates in a
Rehabilitation Program while they are Disabled, reimbursement may
be provided for expenses incurred in order to move to a new
residence if recommended as part of the Rehabilitation Program.

Temporary Recovery

If the employee returns to Active Work before completing the
Elimination Period and then becomes Disabled again due to the
same or related condition, a new Elimination Period is not required
provided the return to full time work is within a period of 60 work
days or less. MetLife will count the days worked while Disabled
toward the satisfaction of the Elimination Period. If the return to
Active Work is greater than 60 work days, a new Elimination Period
is required.

Zero Day Residual

If the employee returns to Active Work, after they begin to receive
Monthly Benefits, for a period of 180 continuous days or less and
becomes Disabled again due to the same or related condition, they
will not have to complete a new Elimination Period.
If the employee continues to meet the Definition of Disability, the
elimination period may be satisfied during part-time employment.

Survivor Benefit

If the employee dies while they are Disabled, a single sum payment
equal to 3 times the employee's last net Monthly Benefit is made to
the employee’s survivor.

Continuity of Coverage

Provided for groups where this plan will replace an inforce insured
plan in force on the day immediately preceding the effective date of
this plan.

Cost of Living Freeze

Cost of Living Freeze is included in this quote.

Waiver of Premium

Premium payments for Disabled employees are waived while
benefits are payable.

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Indexing

For the purposes of determining whether an employee continues to
be Disabled and for calculating the Work Incentive, we will add to
the employee's Predisability Earnings an amount equal to the lesser
CPI or 7%

Specific Disabilities
Mental or Nervous Disorders or
Diseases unless due to
Neurocognitive Disorders

AAFT Excluding Police/Firefighters
If the employee is Disabled, Disability benefits are limited to one
occurrence per lifetime maximum of 24 months.
BiPolar I Disorder will also be limited.
Schizophrenia will also be limited.
Combined monthly maximum limitation from date benefits begin with
other limited conditions: No

Chronic Fatigue Syndrome and
Related Disorders

AAFT Excluding Police/Firefighters
No Limitation

Neuromuscular, Musculoskeletal
or Soft Tissue Disorder

AAFT Excluding Police/Firefighters
No Limitation

Alcohol, Drug or Substance Abuse
or Addiction

AAFT Excluding Police/Firefighters
No Limitation

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AAFT Including Police/Firefighters
Limitations and Definitions
Definition of Disability

Definition of Predisability Earnings

Due to a Sickness, or as a direct result of accidental injury:
• The employee is receiving Appropriate Care and Treatment and
complying with the requirements of such treatment, and
• Is unable to earn more than 80% of their predisability earnings at
any gainful occupation for any employer in their National
economy, and
• Is unable to perform the duties of any gainful occupation for
which they are reasonably qualified taking into account their
training, education and experience.
The amount of the employee’s gross salary or wages from his/her
employer as of the day before his/her disability began. Predisability
earnings includes: Basic earnings only.
The term does not include:
• The grant, award, sale, conversion, and/or exercise of shares of
stock or stock options;
• The Employer’s contributions on Your behalf to any deferred
compensation arrangement or pension plan; or
• Any other compensation from the Employer.

Pre Existing Conditions

3/3/12

Pre-Existing Condition Limitation

Work Incentive

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Rehabilitation Incentive

10% increase in the Monthly Benefit if participating in an approved
Rehabilitation Program.

Family Care Incentive

Moving Expense Incentive

Temporary Recovery

Zero Day Residual

Survivor Benefit

If the employee dies while they are Disabled, a single sum payment
equal to 3 times the employee's last net Monthly Benefit is made to
the employee’s survivor.

Continuity of Coverage

Provided for groups where this plan will replace an inforce insured
plan in force on the day immediately preceding the effective date of
this plan.

Cost of Living Freeze

Cost of Living Freeze is included in this quote.

Waiver of Premium

Premium payments for Disabled employees are waived while
benefits are payable.

Indexing

Specific Disabilities

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Mental or Nervous Disorders or
Diseases unless due to
Neurocognitive Disorders

AAFT Including Police/Firefighters
If the employee is Disabled, Disability benefits are limited to one
occurrence per lifetime maximum of 24 months.
BiPolar I Disorder will also be limited.
Schizophrenia will also be limited.
Combined monthly maximum limitation from date benefits begin with
other limited conditions: No

Chronic Fatigue Syndrome and
Related Disorders

AAFT Including Police/Firefighters
No Limitation

Neuromuscular, Musculoskeletal
or Soft Tissue Disorder

AAFT Including Police/Firefighters
No Limitation

Alcohol, Drug or Substance Abuse
or Addiction

AAFT Including Police/Firefighters
No Limitation

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Exclusions
We will not pay for any Disability caused or contributed to by:
• War, whether declared or undeclared, or act of war, insurrection, rebellion, or terrorist act;
• Your active participation in a riot;
• Intentionally self-inflicted injury;
• Attempted suicide; or
• Commission of or attempt to commit a felony.

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Long Term Disability Coverage Highlights
Broker Commissions included in the rate: Flat 15.00%
Expected Participation: 100%
Employee Contributions: 0%
Financial Arrangement(s): Non-retrospectively Experience Rated
Situs is NORTH DAKOTA
Foreign National(s): Does Not Apply
Actively at Work provision applies
Employer FICA Match: MetLife is not the agent for purposes of remitting the Employer share of FICA.
MetLife is not the agent for tax remitting, therefore the Employer is responsible for issuing W-2s, remitting
and reporting the Employer share of FICA, reporting wages and taxes on their Form 941 and state or federal
unemployment tax remitting and reporting. If requested, MetLife will automatically withhold and remit federal
and state taxes and the employee share of FICA from taxable benefit payments. MetLife will issue the W-2s
for taxable benefits using the Employer's name and EIN at no charge if requested by the Employer, but we
are not the agent, therefore the Employer still retains all the responsibilities noted above minus the W-2
responsibility. If the Employer uses the services of a payroll vendor, they should discuss this with the vendor
to determine if it will cause any reporting issues.
Rehabilitation Program Participation: Disability benefit payments will end on the date the employee ceases or
refuses to participate in a Rehabilitation Program that MetLife requires.
TELUS Health Cognitive Behavioral Therapy (CBT)*: Automatically included with Long Term Disability at no
additional cost to the employer or employee. Available for employees enrolled in Long Term Disability.
Subject to state approval.
Cognitive Behavioral Therapy is offered by TELUS Health (US) Ltd and provides a virtual cognitive behavioral
therapy (CBT) program that can be accessed on any computer, smartphone or tablet – wherever and
whenever one needs it.
*TELUS Health is not affiliated with MetLife, and the services and benefits they provide are separate and
apart from any MetLife product. TELUS Heath CBT is currently not available to customers
sitused or principally located in New York or to customers sitused in Washington.
Reductions: Benefits will be reduced by income and recoveries from certain other sources including but not
limited to: Social Security disability or retirement benefits received or eligible to receive because of Disability;
any state, public or federal employee retirement or disability plan benefits received or eligible to receive
because of Disability, including State Teachers Retirement System (STRS), Public Employee Retirement
System (PERS) or Federal Employee Retirement System (FERS); group insurance policies; certain early
retirement plans; no-fault auto laws; governmental compulsory benefit plan or program; other disability
programs or plans, sick pay, vacation pay, or other salary continuation; Workers’ Compensation benefits;
occupational disease laws; maritime maintenance and cure; third party recoveries; and unemployment
insurance laws or programs.
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If there is a reasonable basis for You to apply for benefits under the Federal Social Security Act, a
government compulsory plan or program, or STRS, PERS or FERS Benefit Plans or Programs, We expect
You to apply for them. To apply for Social Security benefits means to pursue such benefits until You receive
approval from the Social Security Administration, or a notice of denial of benefits from an administrative law
judge. With respect to benefits under a government compulsory plan or program or STRS, PERS or FERS
Benefit Plans or Programs, to apply means to pursue such benefits through all applicable levels of appeal
provided for under such benefit plans or programs.
We will reduce the amount of Your Disability benefit by the amount of Social Security benefits, We estimate
that You, Your Spouse or child(ren) are eligible to receive because of Your Disability or retirement. We will
reduce Your Disability benefits by such estimated Social Security benefits starting with the first Disability
benefit payment coincident with the date You were eligible to receive Social Security benefits
We will reduce Your Disability benefit by the amount of such government compulsory benefit plan or program
benefit, or STRS, PERS or FERS benefit that We estimate You are eligible to receive, provided that We have
the reasonable means to make such an estimate. We will start to do this with the first Disability benefit
payment under this certificate coincident with the date You were eligible to receive such government
compulsory benefit plan or program benefit, or STRS, PERS or FERS benefits under any such plans or
programs.
MetLife has made every effort to quote a plan that matches the substance of the requested plan design to the
best of our ability, based on the plan documentation made available at the time of quote. The actual language
used in the contracts will reflect what is filed in the applicable jurisdictions. Our rates are based on the plan
design illustrated in this Cost & Benefit Summary.

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Employee Assistance Program – Standard
Employee Assistance
•
•

Toll-free telephone assessments, referrals and counseling
Work and Life Services – Childcare, Eldercare, Financial, Pre-Retirement
Clinical Counseling

•

Up to 5 distance (telephonic or video conferencing) counseling sessions per incident with licensed counselor
Web-Based Services

•
•
•
•
•
•

Articles, Checklists, and Worksheets – cover substance abuse, anger management, depression, grief and
loss, stress, coping with disaster, childcare, adult care, health/fitness, working/living,
communication/relationships, retirement, finance
Online assessments for depression, stress, anxiety, and insomnia
Work/life resources, research and referrals, including online interactive tools
Life-events navigation – allows members to access services via common life events
Health/Fitness, Personal Growth, Employee Development Content and Tools
World-class technology platform, including the consumer-grade TELUS Health’s Mobile App with unlimited
24/7 access to hundreds of award-winning downloadable educational materials including articles, e-booklets,
audio recordings, toolkits and assessments.
Employer Consultation Services

•
•
•
•
•
•

Management Consultation – Coaching discussions with managers on ways to approach difficult situations
and assist employees in need.
Job Performance Referrals (JPRs) – A program that includes customized action plan to help an employee
resolve problems and improve job performance.
Onsite Critical Incident Stress Debriefing (CISD) – Work site meetings that provide education and support to
ease return to work and help employees cope with a traumatic event. Fee for Service
Department of Transportation Referrals (DOT) – A fully compliant rehabilitation process with the National
Substance Abuse Professional Network for employees who fall under the Federal Department of
Transportation regulations for workplace drug and alcohol testing programs.
Training and Development Seminars and Workshops – Offering a wide variety of workshops as well as
training services that will help your business succeed. Fee for Service
Orientations for Employees / Supervisors – Session to learn and review the kinds of counseling and other
assistance available through the EAP. Fee for Service

TELUS Health will be solely responsible for all services provided under the Employee Assistance Program (EAP).

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Underwriting Assumptions
Digital Estate Planning: Available to anyone regardless of affiliation with MetLife at no additional cost. This
service allows individuals to create key estate planning documents by answering a few simple questions in as
little as 15 minutes. The estate planning documents available include wills, living wills and power of attorney.
Individuals enrolled for Supplemental Life also have access to online notary, where applicable.
Digital Estate Planning with online notary is not available for customers sitused in GU, PR and VI. Domestic
partnerships are not currently supported; however, if individuals in a domestic partnership have supplemental
term life, they may use a MetLife Legal Plans attorney for their planning needs. Online Notary is not included
with basic or dependent term life insurance and is not available to individuals residing in GU, PR or VI. Group
legal plans are provided by MetLife Legal Plans, Inc., Cleveland, OH. In certain states, group legal plans are
provided through insurance coverage underwritten by Metropolitan General Insurance Company, Warwick,
RI. Digital Estate Planning without online notary is available to all individuals regardless of any MetLife
relationship or product, except those residing in GU, PR and VI.
If insurance coverage is provided, it will be governed by the terms and conditions of the insurance policy and
applicable law. If administrative services are provided, they are governed by the terms and condition of the
administrative services agreement and by applicable law.
If MetLife is requested to duplicate contractual provisions from the prior carrier, such provisions must be
compatible with all MetLife's standards.
The quoted rates and or fees are based upon the request received. If new or additional information in connection
with this request is provided, MetLife reserves the right to change its quote at any time before the effective date.
After the effective date, rate and or fees are subject to the terms and conditions of the policy and or administrative
services agreement.
The attached MetLife pricing is based on realized synergies if the full package of benefits quoted is awarded to
MetLife and remains with MetLife through the rate guarantee period. Should any coverage leave during the rate
guarantee period, MetLife reserves the right to re-rate the coverage(s) that remain with MetLife.
Only those eligible persons residing in the United States may be covered. Any others must be approved by
MetLife.
NOTICE REGARDING NON-US COVERAGE
When providing you with information concerning a group insurance policy issued or proposed to your affiliate or
subsidiary outside the United States by a Metropolitan Life Insurance Company (MLIC) affiliate or by other locally
licensed insurers that are members of the MAXIS Global Benefits Network (MAXIS GBN), New York insurance
law requires the person providing the information to be licensed as an insurance broker. In this capacity, the
information provided to you will only be on behalf of such insurers and not on behalf of MLIC or any other insurer
that is not a member of MAXIS GBN. Please note that while MLIC is a member of MAXIS GBN and is licensed
to transact insurance business in New York, the other MAXIS GBN member insurers are not licensed or
authorized to do business in New York. The group insurance policies they issue are for coverage outside the
United States and are governed by the laws of the country they were issued in. These policies have not been
approved by the New York Superintendent of Financial Services, are not subject to all of the laws of New York,
and are not protected by the New York State Guaranty Fund.
Some services in connection with the coverage may be performed by our affiliate, MetLife Services and
Solutions, LLC. These service arrangements in no way alter Metropolitan Life Insurance Company’s obligations.
Coverage will continue to be administered in accordance with Metropolitan Life Insurance Company’s policies
and procedures.
SIC Code: 9111

MetLife Cost & Benefits Summary
10/30/2026 10:17 AM

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U.S. Business Intermediary and Producer Compensation Notice
Metropolitan Life Insurance Company, Metropolitan Tower Life Insurance Company, MetLife Consumer
Services, Inc. and Metropolitan General Insurance Company (collectively herein called “MetLife”), enters into
arrangements concerning the sale, servicing and/or renewal of MetLife group insurance and certain other grouprelated insurance and non-insurance products (“Products”) with brokers, agents, consultants, third party
administrators, general agents, associations, and other parties that may participate in the sale, servicing and/or
renewal of such products (each an “Intermediary”). MetLife may pay your Intermediary compensation, which
may include, among other things, base compensation, supplemental compensation and/or a service fee. MetLife
may pay compensation for the sale, servicing and/or renewal of products, or remit compensation to an
Intermediary on your behalf. Your Intermediary may also be owned by, controlled by or affiliated with another
person or party, which may also be an Intermediary and who may also perform marketing and/or administration
services in connection with your products and be paid compensation by MetLife.
Base compensation, which may vary from case to case and may change if you renew your products with
MetLife, may be payable to your Intermediary as a percentage of premium or a fixed dollar amount. MetLife may
also pay your Intermediary compensation that is based upon your Intermediary placing and/or retaining a certain
volume of business (number of products sold or dollar value of premium) with MetLife. In addition, supplemental
compensation may be payable to your Intermediary for eligible Products. Under MetLife’s current supplemental
compensation plan (SCP), the amount payable as supplemental compensation may range from 0% to 9% of
premium or fees. The supplemental compensation percentage may be based on one or more of: (1) the number
of products sold through your Intermediary during a one-year period, or other defined period; (2) the amount of
eligible new or renewal premium or fees with respect to products sold through your Intermediary during a oneyear period; (3) the persistency percentage of products inforce through your Intermediary during a one-year
period; (4) the block growth of the products inforce through your Intermediary during a one-year period; (5)
eligible new or renewal premium or fees growth during a one-year period; or (6) a flat amount, fixed percentage
or sliding scale of the premium or fees for products as set by MetLife. The supplemental compensation
percentage will be set by MetLife based on the achievement of the outlined qualification criteria and it may not
be changed until the following SCP plan year. As such, the supplemental compensation percentage may vary
from year to year, but will not exceed 9% under the current supplemental compensation plan.
The cost of supplemental compensation is not directly charged to the price of our products except as an
allocation of overhead expense, which is applied to all eligible group insurance products, whether or not
supplemental compensation is paid in relation to a particular sale or renewal. As a result, your rates will not
differ by whether or not your Intermediary receives supplemental compensation. If your Intermediary collects the
premium or fees from you in relation to your products, your Intermediary may earn a return on such amounts.
Additionally, MetLife may have a variety of other relationships with your Intermediary or its affiliates, or with
other parties, that involve the payment of compensation and benefits that may or may not be related to your
relationship with MetLife (e.g., insurance and employee benefits exchanges, enrollment firms and platforms,
sales contests, consulting agreements, participation in an insurer panel, or reinsurance arrangements).
More information about the eligibility criteria, limitations, payment calculations and other terms and conditions
under MetLife’s base compensation and supplemental compensation plans can be found on MetLife’s Website
at www.metlife.com/business-and-brokers/broker-resources/broker-compensation. Questions regarding
Intermediary compensation can be directed to [email protected], or if you would like to speak to
someone about Intermediary compensation, please call (800) ASK 4MET. In addition to the compensation paid
to an Intermediary, MetLife may also pay compensation to your representative. Compensation paid to your
representative is for participating in the sale, servicing, and/or renewal of products, and the compensation paid
may vary based on a number of factors including the type of product(s) and volume of business sold. If you are
the person or entity to be charged under an insurance policy or annuity contract, you may request additional
information about the compensation your representative expects to receive as a result of the sale or concerning
compensation for any alternative quotes presented, by contacting your representative or calling (866) 796-1800.

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Non-U.S. Coverage
When providing you with information concerning an eligible group insurance policy issued or proposed to your
affiliate or subsidiary outside the United States by a MetLife affiliate or by other locally licensed insurers that are
members of the MAXIS Global Benefits Network (MAXIS GBN), New York insurance law requires the person
providing the information to be licensed as an insurance broker. In this capacity, the information provided to you
will only be on behalf of such insurers and not on behalf of MetLife or any other insurer that is not a member of
MAXIS GBN. Please note that while MetLife is a member of MAXISGBN and is licensed to transact insurance
business in New York, the other MAXIS GBN member insurers are not licensed or authorized to do business in
New York. The group insurance policies they issue are for coverage outside the United States and are governed
by the laws of the country they were issued in. These policies have not been approved by the New York
Superintendent of Financial Services, are not subject to all of the laws of New York, and are not protected by the
New York State Guaranty Fund.
L4736257[exp1026][All States and][All Territories]

Metropolitan Life Insurance Company, New York, NY 10166
© 2022 MetLife Services and Solutions, LLC
L5846411[exp1126][All States and][All Territories]

MetLife Cost & Benefits Summary
10/30/2026 10:17 AM

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Broker Sale Confirmation
10/19/2026 11:33 AM
Employer: City of West Fargo
Proposal Type: New Business
Effective Date: 01/01/2027
Expiration Date: 12/31/2027
Funding Type: Fully Insured

Broker: Benjamin D Zietz
Agency: Marsh & McLennan Agency LLC
Broker Commission: 15.00 PSPM
Sales Executive: Elizabeth Fahning
Account Manager: Vicki Christianson

Plans and Rates
Group
Plan
#

Network

Contract
Type

Medicare
Part D

Prev
CDH
RX

52926 MIC PP ND
500-30-10%

Passport / Choice Plus

Calendar

Creditable

11/30/55

None

S:$912.09;EE+SP:$2034.25;
EE+CH:$1720.27;F:$3021.39

52927 MIC PP ND
3500-0% HSA

Passport / Choice Plus

Calendar

Creditable

DED/COIN Yes

HSA
Shell

S:$838.62;EE+SP:$1870.40;
EE+CH:$1581.70;F:$2778.02

52928 MIC PP ND
5000-0% HSA

Passport / Choice Plus

Calendar

Creditable

DED/COIN Yes

HSA
Shell

S:$777.65;EE+SP:$1734.41;
EE+CH:$1466.71;F:$2576.05

52929 MIC ECC ND
500-30-10%

Essentia ChoiceCare
with Medica

Calendar

Creditable

11/30/55

None

S:$729.67;EE+SP:$1627.40;
EE+CH:$1376.21;F:$2417.11

52930 MIC ECC ND
3500-0% HSA

Essentia ChoiceCare
with Medica

Calendar

Creditable

DED/COIN Yes

HSA
Shell

S:$670.90;EE+SP:$1496.32;
EE+CH:$1265.36;F:$2222.42

52931 MIC ECC ND
5000-0% HSA

Essentia ChoiceCare
with Medica

Calendar

Creditable

DED/COIN Yes

HSA
Shell

S:$622.12;EE+SP:$1387.53;
EE+CH:$1173.37;F:$2060.84

Rates

Optional Service Fees

Proprietary and confidential. Not to be copied
or197
redistributed
without written consent from Medica®.
Page
of 200

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Other Sale Detail
OMADA Prevention
MyHealthRewards: Standard
Medica® Optum® Emotional Wellbeing Solutions (EAP) Included
Calm Health Included
CallLink Nurse Line Included
Ovia Included
Wellness Credit Amount: $60,000
Wellness Credit Details: Medica is offering a health & well-being credit of $60,000 to City of West Fargo. These dollars are solely intended for use on
initiatives/programs related to health & well-being of City of West Fargo, and Medica reserves the right to audit these expenses upon request.
Rate Cap: Yes
Rate Cap Details: The renewal cap of 15.0% is void if enrollment changes by more than 15% from 307 subscribers, if the average contract size or
average family size changes by more than 5% from 2.18 or 3.37 respectively, if the group makes any benefit changes, or if there are any regulatory
benefit or tax changes that would impact costs. The renewal cap is also void if the group seeks bids for their health plan for an effective date within the
duration of the initial contract and rate guarantee period. The rate cap assumes all annual Commercial Benefit Assessment (CBA) changes will be
implemented at next renewal. These criteria will be reviewed at time of renewal to determine if any apply. In applying the renewal cap, the actual rate
increase for each of the plan designs may vary, but the weighted average of the rate changes for all plan designs will not exceed the rate cap provided.
This is prior to any plan design changes that may increase or decrease the cost of the benefit plan further.

Broker Notes:
Sold Plans:

MIC PP ND 5000-0% HSA

$5000/10000 Ded, 100/0% Coins, $5000/10000 OOP, Ded/Coins with Prev Rx, (OON: 10000/20000, 20%,
15000/30000

MIC PP ND 3500-0% HSA

$3500/7000 Ded, 100/0% Coins, $3500/7000 OOP, Ded/Coins with Prev Rx, (OON: 7000/14000, 20%, 12000/24000)

MIC PP ND 500-30-10%

$500/1000 Ded, $30, 90/10% Coins, $3250/6500 OOP, $11/30/55 No Prev Rx, (OON: 3000/6000, 30%, 9750/19500)

Proprietary and confidential. Not to be copied
or198
redistributed
without written consent from Medica®.
Page
of 200

Page 199 of 200

MIC ECC ND 5000-0% HSA

$5000/10000 Ded, 100/0% Coins, $5000/10000 OOP, Ded/Coins with Prev Rx, (OON: 10000/20000, 20%,
15000/30000)

MIC ECC ND 3500-0% HSA

$3500/7000 Ded, 100/0% Coins, $3500/7000 OOP, Ded/Coins with Prev Rx, (OON: 7000/14000, 20%, 12000/24000)

MIC ECC ND 500-30-10%

$500/1000 Ded, $30, 90/10% Coins, $3250/6500 OOP, $11/30/55 No Prev Rx, (OON: 3000/6000, 30%, 9750/19500)

Disclaimer
Thank you for choosing Medica to serve your client’s health benefit needs. This sale confirmation provides a summary of the product(s), plan(s) and
rates purchased.
If you are in agreement with the information summarized in the sale confirmation, no action is required. If you would like to make changes to this
information, please contact your Medica Sales Representative within 48 hours of receiving this document.

Proprietary and confidential. Not to be copied
or199
redistributed
without written consent from Medica®.
Page
of 200

Page 200 of 200

Health Insurance Budget Update
An Overview for the City Commission

$337,246
Estimated reduction to health
insurance items in 2027 Budget
_________________________

$175,624
Cost to increase COLA from 2.5
to 3.0 percent across all funds

During the final budget approval, commissioners discussed a
potential increase to COLA pending an evaluation of
updated health insurance costs. Staff worked with our
broker to secure rates for 2027 through a competitive
process. Their efforts resulted in selecting new providers
(Medica and MetLife) with rates/premiums less than what’s
reflected in the 2027 budget. These rates were incorporated
into the budget model along with updated employee data
to demonstrate budget impacts.

BUDGET IMPACT

2027 Budget (approved Oct. 5)

$5,532,427.61

Updated Budget Projection

$5,195,182.00

Budget Impact

$337,245.61

KEY FACTORS
• The 2027 budget assumed healthcare

rates would increase 10% over 2026 rates.
• Actual rates will increase about 3.8% to
6.1% from 2026 BCBS rates, depending on
plan and coverage level.

• The current estimate reflects staffing changes,

and current employee benefit elections.

• The budget assumes all authorized positions are

filled for the entire year. Actual costs are
typically lower due to normal vacancies and
employee turnover.

HISTORICAL REFERENCE
Year

Budget

Actual/Projected

Under Budget

2025

$4.69M

$4.21M Actual

$472K

2026

$4.86M

$4.54M (projected)

$325K

2027

$5.53M

$5.20M (projected)

$337K

Page 200 of 200

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