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Minnesota Year 2000 Project Request for Local Units of Government <br /> Exemption from Municipal"Contracting Law <br /> � <br /> mplete all information on this form (please print or type) and return with the required attachments. <br /> omplete requests will not be processed and will be returned. <br /> Name of Local Government Unit: Date: <br /> City of St. Anthony July 14, 1999 <br /> Contact Person: Title: <br /> Kim Moore-Sykes Administrative Assistant <br /> Address: Phone Number: <br /> 3301 Silver Lake Road 612-789-8881 <br /> St. Anthony, MN 55418 Fax Number: <br /> 612-781-9323 <br /> E-Mail Address: <br /> kmoore-sykes@ci .saint-anthony.mn.us <br /> Unit Legal Status: (Charter or Statutory City, School District, Economic District, etc.) <br /> Statutory city <br /> Chief Administrator Name: Title: <br /> Michael J. Mornson City Manager <br /> Y2K Coordinator Name: Title: <br /> Kim Moore-Sykes Administrative Assistant <br /> Total Dollars Estimate for Exemption: <br /> $65,000.00 <br /> 1. Describe the system and potential malfunction or failure due to the Year 2000 problem: (Attach separate <br /> • sheet if additional space is required.) The City of St. Anthony is in need of a back up generator <br /> which will be capable of- backing up power at the City Hall facility as well as lift <br /> stations or pump houses. The possibility of power outages at Year 2000 is real and the <br /> services relative to these possible outages are in most cases critical to the City's <br /> residents. <br /> 2. Attach the following to this Request Form: <br /> ■ A model resolution is on the back of this form and a resolution must be included with the request.CA) <br /> ■ A list of items with Year 2000 problems must be included in an attached inventory as requested in the <br /> model resolution. (B) <br /> ■ Attach two or more quotations for purchase, rental or contract relating to the remediation or correction <br /> of your Year 2000 problem. (CI 4- CZ� <br /> ■ Attach a copy of the purchase or rental agreement, or the contract relating to the remediation or <br /> correction of your Year 2000 problem. C b) <br /> 3. Your Local Govemment Authority's Signature is required. <br /> Authori vI <br /> gnre: Date: <br /> PleasLwPrint Lo al Government Authority's Name: Title: <br /> City of St. AnthonyCity Manager <br /> 4. Send completed (Original) request to: <br /> Local Government Project To review the Year 2000 legislation or for electronic versions of the <br /> Minnesota Year 2000 Project Office forms, access the Minnesota Year 2000 Referral Web Site at <br /> • 658 Cedar Street hn://www.v2k.state.mn.us, click on the State and Local Government <br /> 320 Centennial Building Section and access the Minnesota Year 2000 Local Government <br /> St. Paul, MN 55155 Section Link. <br /> 5. And, fax a copy to 651.296.5800 to start immediate processing. <br /> "Year 2000 Readiness Disclosure under the Year 2000 Information and Readiness Disclosure Act,Public Law 105 271." <br />