Appointments to Boards/Commissions Copyright 2014
City of Dubuque Boards/Commissions # 2.
ITEM TITLE: Appointments to the Following Commission to be Made at this Meeting
SUMMARY: Mediacom Charitable Foundation
One, 1 year term through December 31 , 2015 (Expired term of Twining)
Applicant:
Connie Twining, 421 N. Booth St.
SUGGESTED DISPOSITION:
ATTACHMENTS:
Description Type
❑ Boards Overview Supporting Documentation
❑ 2-2-15 Vacancies Supporting Documentation
❑ 2-2-15 Latest Listings Supporting Documentation
❑ Mediacom Charitable Foundation Application Supporting Documentation
VACANCIES AND APPLICATIONS FOR CITY OF DUBUQUE
BOARDS AND COMMISSIONS
For Council Meeting of
Monday February 2, 2016
6:30 p.m., Historic Federal Building, 360 W. 6 t Street
APPLICANTS ARE INVITED TO ADDRESS THE COUNCIL
REGARDING THEIR APPLICATION FOR APPOINTMENT
Community Development Advisory Commission
One, 3 year term through February 15, 2018 (Expired term of Wainwright)
Applicant:
Thomas Wainwright, 1788 Lori St.
Sister City Relationship Advisory Commission
Three, 3 Year terms through February 1 , 2018 (Expired terms of Jochum, Lee and
McNamata)
Applicants:
Jeffrey Jochum, 3750 Aerostar Dr.
Phyllis Lee, 520 South Grandview Ave.
Patrick McNamara, 381 Moore Heights
APPOINTMENTS TO THE FOLLOWING COMMISSIONS
TO BE MADE AT THIS MEETING.
Mediacom Charitable Foundation
One, 1 year term through December 31 , 2015 (Expired term of Twining)
Applicant:
Connie Twining, 421 N. Booth St.
City of Dubuque, Iowa
Boards and Commissions
Current and Upcoming Vacancies Through January 2015
Updated January 29, 2015
Airport Zoning Board of Adjustment
Airport Zoning Commission ***
Building Board Code of Appeals
• At-Large
• ADA Representative
• General Contractor
• Journeyman Carpenter
Cable TV Commission
Catfish Creek Watershed Management Authority
Community Development Advisory Commission
• Low/Mod Income Area
Electrical Code Board
Environmental Stewardship Advisory Commission
Historic Preservation Commission***
• Cathedral District
Housing Code Appeals Board
Investment Oversight Advisory Commission
Mechanical Code Board
Mississippi River Partnership Council
Plumbing Board
• At-Large
• Master Plumber
• Bachelor of Science Phvsical Science
• Journeyman
*** Indicates Subject to the State of Iowa Gender Balance Law
Applications can be printed or submitted on-line from wvvw.citvofdubuaue.ora or through the City Clerk's Office.
Applications can be submitted at anytime for all boards and commissions and are activated as positions
become available.
Applications remain on file for one year from the date they are submitted.
Some positions may require specific applicant qualifications or compliance with the State of Iowa Gender
Balance Law
For a complete list of boards and commissions, descriptions, terms and meeting information, please visit the
City Clerk's web page at wvvw.cityofdubuque.org.
City Clerk's Office • 50 W. 13`' Street, Dubuque, IA 52001 • 563.589.4100
CITY OF DUBUQUE, IOWA - BOARDS AND COMMISSIONS
As prepared for the Council Meeting 2-2-15
AIRPORT COMMISSION-4 Yr. Term CIVIC CENTER ADVISORY COMMISSION
Meets 4th Monday 4 p.m. -Airport 3 Yr.Term-Meets 3:30 p.m. Meets Quarterly at Five Flags
Douglas ro a on 09114117 lyler aug e y
— 06129115
Chris Even 09/14/17 McKenzie Hill 06/29/16
Steven Accinelli 09/14/18 Adrienne Scott 06/29/16
Robert Blocker 09/14/18 Bryce Parks 06/29/15
Amy Wagner 09/14/16 Rod Bakke 06/29/16
AIRPORT ZONING BOARD OF ADJUSTMENTSCOMMUNITY DEVELOPMENT ADVISORY COMMISSION
5 Yr.Term,Meets on Call 3 Yr. Term, Meets 3rd Wed.,5:30 p.m. at Federal Bldg./Housing
Darlene Burds(At Will) County Representative 02/15/16 Ricardo Woods Housing Commission Rep 08/15/16
Jeff Cremer City ZBARep. 03/25/18 Janice Craddieth Low/Motllncome Area 02/15/17
Ron Koppes(At Will) County Representative 02/15/16 Ann Michalski At-Large 02/15/17
Vacant Vacant City ZBARep. 02/15/19 Robert Block II Low/Motllncome Area 02/15/17
Vacant Vacant Appointed by4 memb.(chair)unknown Vacant Vacant Low/Mod Income Area 02/15/15
Thomas Wainwright At-Large 02/15/15
AIRPORT ZONING COMMISSION Theresa Caldwell Low/Mod Income Area 02/15/16
WW 6 Yr. Term-Apptd. 1996, Meets on Call Michelle HinkleAt-Large 02/15/16
a
cant vacantAppointed by4 members 17131114 Paula Maloy, SVM At-Large02115116
Linda Lucy(At Will) County Representative 12/31/14
Marianne Krause(At Will) County Representative 12/31/14 ELECTRICAL CODE BOARD
Michael Belmont City ZAC Representative 12/31/16 3 Yr. Term, Meets Bi-Monthly
Thomas Henschel City ZAC Rep res entative 12/31/16 James Dixon Electrical Contractor 05/21/17
Dan Hammel JoumeymanMaintenance 05/21/17
ARTS AND CULTURAL AFFAIRS ADVISORY COMMISSION Kevin Pfohl JoumeymanMaintenance 05/21/17
3 Yr. Term, Meets 4th Tues., Library Board Room Elaine Reiss Electrical Engineer 05/21/17
tilen HenKels BusinessProfessional4n 06130115 David Wilson At-Large 05/21/17
Gina Siegert Business Professional-Out 06/30/15 Bob Schmidt Electrical Background 05/21/15
Julie Steffen At-Large 06/30/15 Paul Uhlrich Electrical Background 05/21/15
Katherine Kluseman Arts Rep 06/30/16
Marina O'Rourke-Rosenow Arts Rep 06/30/16 ENVIRONMENTAL STEWARDSHIP ADVISORY COMMISSION
Susan Riedel Arts Rep 06/30/16 3 Yr. Term, Meets 1st Tuesday 5 p.m. City Hall Annex
Jessica Teckemeyer Arts Rep 06/30/16 Kyle Leytem Youth Rep.30 yrs/under 06101116
Michael Buelow 10/01/16
BOARD OF APPEALS-BUILDING CODE Chad Oberdoerster 10/01/16
3 Yr.Term,Meets on Call Aditi Sinha 10/01/16
Chuck Carr I General Contractor 08101115 Lalith Jayawickrama 10/01/17
F.James Kolf Architect/Engineer 08/01/16 Vacant Vacant 10/01/14
Vacant Vacant Journeyman Carpenter 08/01/16 David Koch 10/01/15
Vacant Vacant ADA Representative 08/01/14
Vacant Vacant At-Large 08/01/14 HISTORIC PRESERVATION COMMISSION
Marla Cruise ADA Representative 08/01/15 3 Yr. Term, Meets 3rd Thur., 5:30 p.m., Federal Bldg.
Richard Luschsinger At-Large 08/01/15 Dr.John L. Whalen Wllth District 07101116
David Klavitter Langworthy District 07/01/17
BOARD OF REVIEW(City and County) Christina Monk ArchitectAtlarge 07/01/17
6 Yr. Term, Meets May 1-30 D.Joseph Rapp Old Main District-Interim 07/01/15
Laure Lewis 01/01/19 Vacant Vacant Cathedral District-Interim 07/01/17
Jean Hoeger 01/01/19 Mary Loney Bichell At-Large 07/01/15
Donald Lochner 01/01/16 Christine Happ-Olson At-Large 07/01/15
Greg Hutchinson 01/01/17 Otto Krueger At-Large 07/01/15
Robert Schaub 01/01/17 Robert MCDonell Jackson Park District 07/01/16
CABLE TV COMMISSION HOUSING TRUST FUND ADVISORY COMMISSION
3 Yr. Term, Meets TBD 3 Yr.Term,Meets 6 times per Year
Pauline Maloney 07101117 Dorothy C Wen Inger Housing Commission Rep 0811
Kevin Stevens 07/01/14 John Walsh At-Large 08/17/16
Ronald Tigges 07/01/17 Amy Eudaley Housing Commission Rep 08/17/17
Sr. Carol Hoverman 07/01/15 Jim Holz Housing Commission Rep 08/17/15
Kathleen McMullen 07/01/15 Doris Hingtgen At-Large 08/17/15
Jennifer Tigges 07/01/15
Alan Vincent 07/01/15HOUSING CODE APPEALS BOARD
3 Yr. Term, 3rd Tues.4:00 p.m. Fed Bldg.
CATFISH CREEK WATERSHED MANAGEMENT AUTHORITY Vacant vacantTenant/Landlortl Issues
2 Yr.term, Meets Quarterly Vacant Vacant Tenant/Landlortl Issues 01/11/16
Theothoros Giannakouros Vacant Vacant Tenant/Landlortllssue. 01/11/17
Will Hoyer David Young Tenant/Landlortllssue. 01/11/17
Mary Gotz Tenant/Landlortl Issues 01/11/18
CIVIL SERVICE COMMISSION Frederick K. Miller Tenant/Landlortl Issues 01/11/18
4 Yr.Term Meets on Call Robert Schaub Tenant/Landlortl Issues 01/11/16
Mary Lynn Neumaus 04106118
Elizabeth Takes 04/06/16
Daniel White 04/06/17
HOUSING COMMISSION PARK AND RECREATION ADVISORY COMMISSION
3 Yr.Term,4th Tues.4:00 p.m., Fed. Bldg. 3 Yr.Term Meets 2nd Tues. 4:30 p.m. Bunker Hill
Lisa Eubanks 08/17/15 Robin Kennicker 06/30/17
David Wall 08/17/16 Kenneth Klinge 06/30/17
Dorothy Schwendinger Trust Fund Rep 08/17/16 Paul Hoffmann 06/30/17
Ricardo Woods 08/17/16 Robert Blocker 06/30/15
Rick Baumhover 08/17/17 Katherine Lydon 06/30/16
Amy Eudaley Trust Fund Rep 08/17/17 Karen Lyness 06/30/16
Anna Fernandes 08/17/15 David Schlueter 06/30/16
Patricia Foster 08/17/15
Jim Holz Trust Fund Rep 08/17/15 PLUMBING CODE BOARD
Robert McDonell 08/17/15 3 Yr. Term Meets Quarterly,City Hall
Vacant vacant Master Plumber 1 11U2114
HUMAN RIGHTS COMMISSION Vacant Vacant Atlame 11/02/15
3 Yr.Term,Meets 2nd Mon. City Hall Annex Vacant Vacant Master Plumber 11/02/14
om o ui Ice Ul lul 11 b Paul Papin (At Will) Journeyman 11/02/15
Ashley Melchert 01/01/17 Vacant Vacant Bachelor science Phys. 11/02/15
Nikkole Nutter 01/01/17
Miquel Jackson 01/01/17 SISTER CITY RELATIONSHIP ADVISORY COMMISSION
Anthony Allen 01/01/18 3 Yr.Term Meets Quarterly
Frederick Davis Jr. 01/01/18 Sheila Castaneda 02/01/17
Jeff Lenhart 01/01/16 Robert Felderman 02/01/17
Shirley Templeton Vaughn 01/01/18 Richard Van Iten 02/01/17
Dr. Susan Stone 01/01/16 Dick Landis 02/01/17
Annalee Ward 02/01/17
INVESTMENT OVERSIGHT ADVISORY COMMISSION Jeffrey Jochum 02/01/15
3 Yr. Term Meets Qrtl ;4th Wed. 3 p.m. Cit Hall "A" Phyllis Lee 02/01/15
Haul Lassance 07101117 Patrick McNamara 02/01/15
Brad Chalmers 07/01/15 Betty Phillips 02/01/16
Vacant Vacant 07/01/15 Bryan Zygmont 02/01/16
Stephen Reisdorf 07/01/16 Louise Thurn 02/01/16
Gary Ruden 07/01/16
TRANSIT ADVISORY COMMISSION
LIBRARY BOARD OF TRUSTEES 3 Yr. Term Meets monthly, 2nd Thur. Fed. Bldg..
4 Yr. Term Meets 4th Thur.4 p.m. Libir ry Rhonda Knight
Patricia Poggemiller 07/01/18 George Enderson 07/30/17
Jon D. Trotter 07/01/18 Don Stedman 07/30/17
Daniel Boice 07/01/15 R.R.S. Stewart 07/30/17
Jenny Harris-Weiss 07/01/15 Mathew Esser 07/30/15
John Anderson-Bricker 07/01/16
Paula Connors 07/01/16 ZONING ADVISORY COMMISSION
Mike Willis 07/01/17 3 Yr.Term Meets 1st Wed. 6:30 Fed. Bldg..
Michael a mon
LONG RANGE PLANNING ADVISORY COMM. Martha Christ 07/01/17
3 Yr. Term Meets Drily, Cit Hall Thomas Henschel 07/01/17
Craig a ien07101117 Steve Baumhover 07/01/17
Joshua Clements 07/01/17 Stephen Hardie 07/01/15
Alan Vincent 07/01/17 Laura Roussell 07/01/15
Chad Darter 07/01/15 Patrick Norton 07/01/16
John Pregler 07/01/15
James Prochaska 07/01/16 ZONING BOARD OF ADJUSTMENTS
Dr. Charles Winterwood 07/01/16 5 Yr. Term Meets 4th Thur.4 p.m. Fed. Bldg..
Joyce Hope otroaoo
MECHANICAL CODE BOARD Eugene Bird 03/25/15
3 Yr. Term Meets Drily, City Hall Jonathan McCoy 03/25/16
vacant vacant Bethany Golombeski 03/25/17
Tom Giese 03/16/17 Jeff Cremer Airport ZBA Rep 03/25/18
Gary Hillard 03/16/17
David Grothe 03/16/15
Corey Valaskey 03/16/15
Ronald Billmeyer 03/16/16
Paul Papin 03/16/16
MEDIACOM CHARITABLE FOUNDATION
1 Yr. Term On Call CCA t'd Reps.
Gail Chavenelle 12/31/15
Connie Twining 12/31/14
OIndicates State-mandated board/commission
MISSISSIPPI RIVER PARTNERSHIP subject to the 2012 Gender Balance Law.
3 Yr. Term, Council Appt'd Rep
Vacant Vacant 12/31/15
SUMMARY OF
MEDIACOM CABLE SERVICES FRANCHISE
PROPOSED RENEWAL AGREEMENT
April 13, 2005
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1. Franchise Term
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The proposed franchise term is fifteen (15) years. The franchise would be
for the delivery of cable services and would be nonexclusive.
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2. Broadcast Basic Tier
While the size, contents, and pricing of a basic cable service package
cannot be a formal term of the agreement, Mediacom has represented to
the City that it will begin to offer a limited "broadcast basic" package with
21 channels. By federal law, these must include the broadcast TV
stations and the local PEG (Public, Educational and Government) access
channels.
3. Senior Citizen Discount
Mediacom will maintain the current ten percent (10%) Senior Citizen
discount on the 72-channel Family Cable tier, which is currently priced at
$45.50 for most subscribers, $40.95 for seniors. There will be no discount I'
on the price of the limited "broadcast basic" package. A subscriber(head
of household) who reaches the age of 65 and submits an application to
Mediacom with proof of age and proof of at least one other utility in their
name at that address will qualify for the Senior Citizen discount.
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4. Technology Updating Fund
To keep the cable system as technologically current as possible,
Mediacom will contribute $300,000 per year in years one through twelve of
the franchise, (totaling $3.6 million), to an Updating Fund. This money
can only be spent by joint agreement of the City and Mediacom.
5. System Upgrade
Within twenty-four (24) months of the signing of the agreement, Mediacom
will upgrade the electronics in their Dubuque cable system to increase the
total bandwidth (capacity)from the current 750 MHz to 860 MHz. i
Mediacom would expend all or part of the first four years of contributions
to the Updating Fund (above) on this upgrade. i
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6. Annexation
Consistent with the City's obligation to extend utilities, Mediacom would
have up to three years to provide cable television services throughout an
annexed area.
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7. Digital vs. Analog
While this issue will be subject to significant FCC regulation, Mediacom
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will be permitted to convert digital signals to analog to avoid making old
analog television.sets obsolete. They will also strive to pass digital and
high-definition (HDTV) signals to the greatest extent possible to j
accommodate new television receivers designed for these signals.
Eventually, the entire television signal spectrum will evolve to digital
technology.
8. Institutional Fiber Network (I-Net) 4I
Within the first 18 months of the agreement, Mediacom will construct a
new "dark fiber" Institutional Network. The term, "dark fiber" means that
users, not Mediacom, provide and operate the end devices to light the
fiber. Separate from the subscriber network, this I-Net will interconnect 77
government, educational and not-for-profit facilities in Dubuque. The City
will be able to use the I-Net for any non-commercial purpose. Hospitals
and medical facility use of the I-Net will be restricted to community
emergency situations, and all other not-for-profit facilities, including �I
educational institutions, will be subject to restrictions on their use of the I-
Net for communications outside the network.
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The City will possess an indefeasible right to use the fiber optic plant j
dedicated to the I-Net, and will also have the option to purchase the I-Net
from Mediacom on terms stipulated in the franchise agreement.
9. ICN Links
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Mediacom will continue to maintain and operate all existing links to the
Iowa Communications Network (ICN) at no charge, and the new fiber I-Net
may be interconnected with the ICN, consistent with I-Net use
requirements.
10. Business Fiber Optic Infrastructure and Services
In addition to existing Mediacom fiber optic facilities, as the I-Net is
constructed, at least 6 additional new optical fibers will be installed along
its route for Mediacom to use in delivering commercial networking services
to business and industry. Mediacom will extend fiber in the right-of-way to
the curb within six months of a signed agreement by any business for a
large bandwidth service requiring fiber, at no additional cost to the
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business. The monthly charge for the particular communication service
u will be negotiated between that business and Mediacom.
11. Industrial Parks
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In addition to any existing Mediacom fiber and the new business fibers to
be installed along with the I-Net, Mediacom will extend designated fiber
links to Dubuque Technology Park and Dubuque Industrial Center West N
within two years of the agreement.
12. Free Service To Certain Facilities
Upon request of the City, Mediacom will provide one activated cable
service drop and Basic Cable Service to each school and each facility
owned or leased by the City at no charge. Each institution may further
distribute the service within the facility at its own expense for uses
consistent with the institution's mission.
Also, Mediacom will provide one 200-ft. (maximum) drop and maintain one
connection for Internet access to one computer terminal in each school or
library within the franchise area at no charge. Any additional costs will be
borne by the school or library for a time and materials charge.
13. Trenching
When either the City or Mediacom is trenching in the public right-of-way,
the other party would have the right to install its own conduit at the same
time. However, if the City ever establishes a municipal communications
utility that competes with Mediacom, the City would have to reimburse
Mediacom on a pro-rata basis for its portion of the trenching costs for any
cable the City previously installed in Mediacom trenches.
14. Importing Broadcast Television Signals
All broadcast television station signals will be imported into the Dubuque
system by optical fiber, resolving a 50-year-old reception problem. !!.
15. Universal Service
Mediacom is required to extend residential-type cable service to all
businesses and residences within the City.
16. TDD/TTY
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Mediacom will direct hearing-impaired callers to Answer Iowa, a state-
wide service, for assistance. The company will clearly advertise the
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availability of the Answer-Iowa service.
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17. Emergency Alert
Unless preempted by the Federal Emergency Alert System, the City would a
continue to have the ability to issue local alerts, subject to regulation by
the FCC.
18. Franchise Fee P�
Mediacom will pay a franchise fee of five percent (5%) of gross revenues
on cable services. If any action of law expands the base upon which
franchise fees may be collected, Mediacom will automatically expand its
computation and payment of franchise fees in Dubuque accordingly.
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Mediacom will continue to treat the franchise fee on subscriber monthly
bills as a cost recovered from within the rates for services, and will not list
the franchise fee as an additional charge in the manner they list sales
taxes.
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19. PEG (Public, Educational, Government)Access Channels
Mediacom will continue to provide on its subscriber network two public
access television channels, one shared educational access channel, and
one government access channel, as is currently offered. In addition,
Mediacom will provide a second educational access channel dedicated to
24-hour, 7-day programming by the Dubuque Community Schools. On or
before December 31, 2006, Mediacom will also make PEG Access
programming available to digital subscribers through its Video On Demand
service. At such future time as Mediacom carries local broadcast stations r
in high definition (HDTV), any PEG Access channel will also be
transmitted in HDTV format upon request of the entity managing the
channel
Throughout the term of the franchise, Mediacom will continue to provide
studio production facilities, production assistance, editing, scheduling and
playback, equipment maintenance, training, outreach, management and
administrative support for users of the public access channels at the same
level as was provided as of January 1, 2005.
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20. Capital Grants for PEG Access Equipment and Facilities w
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Separate from the franchise fee, Mediacom will deposit 1.75% of gross C
revenues in an interest-bearing account from which the City may draw for
capital support for PEG and I-Net use, in its sole discretion, provided that
the City will not use more than 50% for I-Net support.
21. Charitable.Foundation
While not included in the franchise agreement, Mediacom will form a
charitable foundation to which the company will contribute .25% of cable
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service gross revenues (estimated at $25,000 per year)to distribute in the j
community. Initially, the fund will focus upon arts and cultural affairs. The
board of the foundation will include Mediacom employees and members of
the City's Cultural Affairs Advisory Commission.
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22. Remedies
Instead of moving directly to termination of the franchise as the only
penalty for a violation of the franchise agreement, the new franchise
provides incremental steps and monetary penalties for different types of
violations.
23. Right-of-Way Ordinance
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Mediacom's use of the rights of way will be the subject of a separate
ordinance based upon one devised by the Iowa Municipal Attorneys
Association, with Corporation Counsel Barry Lindahl participating.
Although this ordinance will initially apply only to Mediacom, the goal will
be to eventually apply the right of way ordinance to all utilities.
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PROCEDURES FOR REMEDYING FRANCHISE VIOLATIONS
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1)FRANCHISE 2)NOTICE OF 3)MEDIACOM 4)COUNCIL 5)APPROPRIATE 6)REMEDY 7)DRAW DOWN S)FUND
VIOLATION VIOLATION CURE PERIOD REVIEW REMEDY SELECTED APPLIED NOTICE RESTORED
Apparent or City Gives Immediate Threat City Council Warning only,If First 5 days following Within 3 days of Within 30 days of
Alleged Mediacom of serious Review @ public Violation of line public meeting, withdrawal,City the mailing of the
Violation of Written notice of personal injury or meeting,w/at extension,facilities, City may draw gives certified City's certified
Agreement or exact nature of property damage, least 10 days franchise fee from the Security notice to notice,Mediacom
Ordinance Noted failure to comply no cure period notice,opportunity payment,bond,letter Fund. Mediacom must restore the
with Agreement or for Mediacom to of credit,construction, Security Fund.
Ordinance. be heard. audits/reports/records,
insurance,consumer
protection,tests.
Failure to make If not first violation in Quarterly penalties
Franchise Fee the above categories, to be paid within
Payments,2 select from available 30 days of
business days to remedies. assessment
cure
Any other breach, Other remedies
15 calendar days invoked j
to cure
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Enforcement Tools: Liquidated Damages are assessed from the date of City notice to Mediacom.
• Police Powers
. $250,000 Performance Bond • Failure to complete construction: $500 per day
. $25,000 Letter of Credit • Failure to comply with PEG requirements:$200 per day
Penalties specified in the Agreement or • Failure to supply reports,information,filings:$200 per day
Ordinance . Violation of customer service standards: $200 per day
• Liquidated Damages specified in the Agreement . Failure to perform in an emergency: $250 per occurrence
or Ordinance . Failure to render payment: $100 per day
Shorten the Remaining Term of the Agreement . Failure to file or maintain Security Fund:$50 per day
Franchise Revocation . Failure to restore damaged property:$50 per day I'
. Legal/equitable relief from the court system . Violation of technical standards:$100 per day
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Trish Gleason - Online Form Submittal: Board/Commission Application Form
From: <noreply(,civicplus.com>
To: <kfirnsta@cityofdubuque.org>, <tgleason@cityofdubuque.org>, <kfirnsta@ci...
Date: 01/07/2015 9:13 AM
Subject: Online Form Submittal: Board/Commission Application Form
If you are having problems viewing this HTML email, click to view a Text version.
Board/Commission Application Form
Please complete the online form below.
Personal Information j
Select the Board, Commission, or Committee applying for:*
Mediacom Charitable Foundation
Name:*
Constance L. Twining
Homme Address*
421 North Booth Street j
Home Phone Number:*
5635836870
ii
Business Name and Address: _
I Outside the Lines Art Gallery, 409 Bluff St. DBQ, IA 52001 and 101 S. Main St.
GalenajL 61036
Business Phone Number:*
563-583-9343, 815-776-9166
Occupation:* Position with Company
art retail co-owner N
Email Address:
conkybirdI(cr�,aol.com
Experience or education which qualifies you for this board or commission:*
3 11 years as co-owner of an art and craft gallery that focuses on local and near-
regional artists and artisans. Broad knowledge of area artists and their processes.
Previous experience as board member with Dubuque County Fine Arts Society as
chair of the Rocco Buda Galler�r and Arts Resource Center and volunteer with
What contributions can you make or state reason for applying?*
I bring a perspective unique to the body of board members that has proven valuable
to the process of discerning viability of grants submitted.
i
List two reference with names and addresses:
01/07/2015
Geri Shafer, 1207 Adeline St. Dubuque, IA 52003
Mark Wahlert, Director DSO, 2728 Asbury Rd, Dubuque, IA 52002
Are you currently serving on other Boards, Commissions, or Committees?*
O Yes
*No
Have you served on a Board, If yes,which?
Commission, or Committee before?* Media Com Arts& Culture
�+ Yes _ !
O No
Have you participated in the City Life
i
program?
Q Yes
*No
Have you participated in the
Intercultural Competency Program?
O Yes
*No
Signature (type your name here as electronic verfication):*
Constance L. Twining
Date:*
1/7/2015
The following form was submitted via your website: Board/Commission Application Form
d
Please complete the online form below.:
Personal Information:
Select the Board, Commission, or Committee applying for: Mediacom Charitable Foundation
Name: Constance L. Twining
Home Address: 421 North Booth Street
Home Phone Number: 5635836870
Business Name and Address: Outside the Lines Art Gallery, 409 Bluff St. DBQ, IA 52001 and 101 S.
Main St. Galena, IL 61036
01/07/2015
3
Business Phone Number: 563-583-9343, 815-776-9166
Occupation: art retail
Position with Company: co-owner
Email Address: conkybirdI@aol.com
Experience or education which qualifies you for this board or commission: 11 years as co-owner of an
art and craft gallery that focuses on local and near-regional artists and artisans. Broad knowledge of area
artists and their processes. Previous experience as board member with Dubuque County Fine Arts
Society as chair of the Rocco Buda Art Gallery and Arts Resource Center and volunteer with
DubuqueFest.
What contributions can you make or state reason for applying?: I bring a perspective unique to the body
of board members that has proven valuable to the process of discerning viability of grants submitted.
it
List two reference with names and addresses: Geri Shafer, 1207 Adeline St. Dubuque, IA 52003
Mark Wahlert, Director DSO, 2728 Asbury Rd, Dubuque, IA 52002
Are you currently serving on other Boards, Commissions, or Committees?: No
Have you served on a Board, Commission, or Committee before?: Yes
If yes, which?: Media Com Arts & Culture
Have you participated in the City Life program?: No
Have you participated in the Intercultural Competency Program?: No
Signature (type your name here as electronic verfication): Constance L. Twining
I
Date: 1/7/2015
Additional Information:
Form Submitted on: 1/7/2015 9:12:55 AM
Submitted from IP Address: 173.24.251.14
Referrer Page: https://ia-dubuque2.civicplus.com/FormCenter/City-Clerk-9/BoardCommission-
Application-Form-50
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01/07/2015
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