Regular Council

AGENDA Regular Council Meeting 6:00 PM - Monday, June 3, 2024 Village Council Room Page CALL TO ORDER PLEDGE OF ALLEGIANCE ROLL CALL I. APPROVAL OF THE AGENDA a. II. CONSENT AGENDA All items listed with an asterisk (*) are considered to be routine by the Village Council and shall be enacted by one motion. There will be no separate discussion of these items unless a trustee or citizen requests to do so, in which event the item shall be removed from the General Order of Business and considered in its normal sequence on the agenda. a. III. ADOPTION OF MINUTES 4-7 a. Monday, May 20, 2024 Regular Council Meeting Minutes 05.20.2024 Regular Council Meeting Minutes - UA Page 1 of 21  IV. APPROVAL OF PAYMENT OF BILLS AND PAYROLL FOR MAY 2024 IN THE AMOUNT OF $86,180.14 8-9 a. 05.2024 AP&Payroll V. PUBLIC COMMENT VI. UNFINISHED BUSINESS a. Park Electrical b. Grant Updates *USDA Sewer *Mill Pond *Water Source *MSHDA VII. NEW BUSINESS 10 a. First on the Scene Community Course for Clare County - Summer 2024 11 - 18 b. Pay Request - USDA Estimate of Funds Needed - May 2024 c. Resolution 2024-12 - "MDOT Category B Resolution" 19 - 21 d. CivicPlus - Archive Social Civic Plus Quote Q-77346-1 VIII. ADMINISTRATIVE REPORT IX. ZONING REPORT X. COMMITTEE REPORT a. Finance b. Parks & Rec c. DPW Page 2 of 21 d. Personnel XI. PRESIDENT DISCUSSION XII. ADDITIONAL REMARKS XIII. EXTENDED PUBLIC COMMENT XIV. EMPLOYEE DISCUSSION XV. ADJOURNMENT NEXT REGULAR COUNCIL MEETING ON MONDAY, JUNE 17, 2024 AT 6:00PM Page 3 of 21  MINUTES Regular Council Meeting 6:00 PM - Monday, May 20, 2024 Village Council Room The Regular Council of the Village of Farwell was called to order on Monday, May 20, 2024, at 6:00 PM in the Village Council Room, with the following members present: PRESENT: President Tracey Jackson, Trustee Gina Hamilton, Trustee Jeff Linton, Trustee Victoria Williams, Trustee Shawn Burger, and Trustee Tonya Roe EXCUSED: Trustee Amanda Pfruender I. APPROVAL OF THE AGENDA a. Trustee Victoria Williams made a motion to approve the agenda with the following addition: under New Business item g. "Resolution 2024-11" Trustee Gina Hamilton seconded the motion. Motion Carried. II. CONSENT AGENDA All items listed with an asterisk (*) are considered to be routine by the Village Council and shall be enacted by one motion. There will be no separate discussion of these items unless a trustee or citizen requests to do so, in which event the item shall be removed from the General Order of Business and considered in its normal sequence on the agenda. a. Trustee Gina Hamilton made a motion to approve the consent agenda Trustee Tonya Roe seconded the motion. Motion Carried. III. *ADOPTION OF MINUTES a. *Monday, May 6, 2024 Regular Council Meeting Minutes IV. PUBLIC COMMENT a. No public comment was received at this time. V. UNFINISHED BUSINESS a. A draft of the Council Pay Ordinance was reviewed. Adrian will start the ordinance process. b. Building/Architect Quotes were discussed. Adrian is waiting for more quotes to come in. Page Page41ofof21 4  c. A letter of support was reviewed for the MSHDA Mi Neighborhood Grant. Adrian informed the Council that she will be submitting the grant application this week. d. Quotes were reviewed to repave/repair Bertha Drive, Siegle Street, and the alleyway. Trustee Gina Hamilton made a motion to approve the following estimates and quotes for the Bertha Drive, Siegel Street, and Alleyway project: i. Estimate No. 2217 from Bouchey & Sons Inc., in the amount of $871.25, for the purchase of road gravel; ii. Quote No. QM00686 from Michigan Pipe & Valve, in the amount of $2,344.00, for the purchase of riser rings; iii. Quote 750041-24 from Rieth-Riley Construction Co., Inc., in the amount of $46,470.00, for the paving of Bertha Dr., Siegle St., and alleyway Trustee Jeff Linton seconded the motion. Roll Call. Yeas: Trustee Gina Hamilton, Trustee Jeff Linton, Trustee Shawn Burger, Trustee Tonya Roe, Trustee Victoria Williams, and President Tracey Jackson. Nays: None. Absent: Trustee Amanda Pfruender. Motion Carried. VI. NEW BUSINESS a. There was Council discussion about approvals for purchases and/or emergency purchases. There were also concerns in regard to an electrical permit. Adrian will reach out in regard to the permit. b. Transferring funds from the Major Street fund to the Local Street fund was discussed. c. There was discussion about to allow the seasonal DPW employee to start work on Tuesday, May 28th. Council was in favor of this. d. Proposal 24-17967 from Jett Pump & Valve LLC was reviewed by Council. Trustee Shawn Burger made a motion to approve Proposal No. 24-17967 from Jett Pump & Valve LLC, in the amount of $74,712.12, for the replacement of pumps in Lift Stations Two and Four with Keen chopper pumps, and to utilize the Village's USDA Repair, Replacement, and Improvement Reserve funds to complete these repairs Trustee Gina Hamilton seconded the motion. Roll Call. Yeas: Trustee Shawn Burger, Trustee Gina Hamilton, Trustee Victoria Williams, Trustee Jeff Linton, Trustee Tonya Roe, and President Tracey Jackson. Nays: None. Absent: Trustee Amanda Pfruender. Motion Carried. e. Proposal 24-17968 from Jett Pump & Valve LLC was reviewed by Council. Trustee Victoria Williams made a motion to approve Proposal No. 24-17968 from Jett Pump & Valve LLC, in the amount of $36,392.80, for the installation of five Sensaphone units, and to utilize the Village's USDA Repair, Replacement, and Improvement Reserve funds to complete this installation; and to agree to the annual subscription cost of $2,303.10 for the five units which will not be paid with the Village's USDA RRI reserve funds Trustee Shawn Burger seconded the motion. Roll Call. Yeas: Trustee Victoria Williams, Trustee Shawn Burger, Trustee Gina Hamilton, Trustee Jeff Linton, Trustee Page Page52ofof21 4  Tonya Roe, and President Tracey Jackson. Nays: None. Absent: Trustee Amanda Pfruender. Motion Carried. f. Adrian discussed record retention in regard to social media. Further discussion on this topic will take place at upcoming meetings. g. Resolution 2024-11 was reviewed by Council. Trustee Shawn Burger made a motion to adopt Resolution 2024-11, "A Resolution in Support of a Wellhead Protection Program" Trustee Gina Hamilton seconded the motion. Roll Call. Yeas: Trustee Shawn Burger, Trustee Gina Hamilton, Trustee Victoria Williams, Trustee Jeff Linton, Trustee Tonya Roe, and President Tracey Jackson. Nays: None. Absent: Trustee Amanda Pfruender. Motion Carried. VII. ADMINISTRATIVE REPORT a. Adrian provided an administrative report to Council. Some items discussed were an update with the audit, the traffic study, and recent vandalism. There was also an audience member that talked about community service opportunities. VIII. TREASURER REPORT a. The Bank and Fund Report was presented to Council. IX. ZONING REPORT a. Zoning Administrator, Julie Albright gave an updated report to Council. X. COMMITTEE REPORT a. Finance b. Parks & Rec c. DPW Jason informed the Council that the Sewer Project is moving along. There was also a request to allow the DPW to help with the driveway at the Fairgrounds before the holiday weekend and Council gave their approval. d. Personnel XI. EXTENDED PUBLIC COMMENT a. The building permit for the new headworks building was approved. XII. PRESIDENT DISCUSSION XIII. EMPLOYEE DISCUSSION Page Page63ofof21 4  a. Trustee Gina Hamilton made a motion to close the open session of the meeting and enter into closed session at 7:19pm, to discuss material exempt from discussion or disclosure by State of Federal statute, per the request of Adrian Krawczynski Trustee Jeff Linton seconded the motion. Motion Carried. b. Trustee Gina Hamilton made a motion to call the meeting back into open session at 7:53pm Trustee Victoria Williams seconded the motion. Motion Carried. c. Adrian will reach out to the Village's lawyer to assist with creating the best option for a work from home policy. XIV. ADDITIONAL REMARKS XV. ADJOURNMENT a. Trustee Victoria Williams made a motion to adjourn the meeting at 7:55pm Trustee Tonya Roe seconded the motion. Motion Carried. NEXT REGULAR COUNCIL MEETING ON MONDAY, JUNE 3, 2024 Clerk/Treasurer President Page Page74ofof21 4  VILLAGE OF FARWELL CHECK REGISTER & PAYROLL 05/01/2024 - 05/31/2024 Check Date Check Vendor Name Amount 05/01/2024 95(E) PITNEY BOWES $ 800.00 05/01/2024 96(E) WEX BANK $ 994.13 05/01/2024 105671 ADRIAN KRAWCZYNSKI $ 196.98 05/01/2024 105672 AT&T MOBILITY $ 117.62 05/01/2024 105673 BLUTECH DATA LLC $ 250.00 05/01/2024 105674 BS & A SOFTWARE $ 483.00 05/01/2024 105675 CONSUMERS ENERGY $ 2,939.64 05/01/2024 105676 ELHORN ENGINEERING COMPANY $ 305.00 05/01/2024 105677 ETNA SUPPLY COMPANY $ 410.00 05/01/2024 105678 FAMILY FARM AND HOME $ 159.97 05/01/2024 105679 INA STORE INC $ 2,505.70 05/01/2024 105680 ISABELLA BANK $ 2,835.69 05/01/2024 105681 MOORE AUTOMOTIVE $ 53.54 05/01/2024 105682 RACHAEL HUMPHREY $ 21.44 05/01/2024 105683 SEITER BROTHERS LUMBER & $ 24.50 05/01/2024 105684 SEITER ELECTRIC, INC. $ 398.98 05/01/2024 105685 STANDARD INSURANCE COMPANY $ 181.23 05/01/2024 105686 STAPLES $ 167.94 05/01/2024 105687 THIELEN TURF IRRIGATION, INC $ 114.50 05/01/2024 105688 TRACE ANALYTICAL LABORATORIES, INC. $ 222.50 05/01/2024 105689 WADE TRIM $ 184.24 05/09/2024 97(E) GFL ENVIRONMENTAL $ 3,511.05 05/09/2024 98(E) WEX BANK $ 1,274.64 05/09/2024 105694 BELL EQUIPMENT COMPANY $ 434.80 05/09/2024 105695 BOUCHEY & SONS $ 955.92 05/09/2024 105696 CITY OF CLARE $ 150.00 05/09/2024 105697 CONSUMERS ENERGY $ 2,092.99 05/09/2024 105698 DTE ENERGY $ 750.34 05/09/2024 105699 DUBOIS-COOPER ASSOCIATES $ 855.00 05/09/2024 105700 FAMILY FARM AND HOME $ 43.97 05/09/2024 105701 HERSHBERGERS HARDWARE $ 1,267.11 05/09/2024 105702 MOORE AUTOMOTIVE $ 50.55 05/09/2024 105703 PRINTING SYSTEMS, INC. $ 235.31 05/09/2024 105704 REHMANN TECHNOLOGY SOLUTIONS $ 335.00 05/09/2024 105705 SCHAEFFERS MFG. COMPANY $ 395.15 05/09/2024 105706 SEITER BROTHERS LUMBER & $ 23.00 05/09/2024 105707 VERIZON WIRELESS $ 238.12 05/14/2024 105708 RAINBOWS END GREENHOUSE $ 1,064.50 05/16/2024 99(E) GO DADDY OPERATING CO. $ 289.39 05/16/2024 105709 MISS DIG SYSTEM, INC $ 1,094.63 05/16/2024 105710 PRINTING SYSTEMS, INC. $ 195.28 05/16/2024 105711 AT&T $ 1,323.98 05/16/2024 105712 CONSUMERS ENERGY $ 1,804.98 05/16/2024 105713 ELM CREEK, LTD. $ 1,929.90 05/16/2024 105714 SEITER ELECTRIC, INC. $ 1,014.80 Page 8 of 21 05/16/2024 105715 SHERWIN-WILLIAMS $ 124.75 05/23/2024 105720 ACCU-AIR $ 265.00 05/23/2024 105721 ADRIAN KRAWCZYNSKI $ 29.48 05/23/2024 105722 CONSUMERS ENERGY $ 124.07 05/23/2024 105723 FAMILY FARM AND HOME $ 12.99 05/23/2024 105724 FLEIS & VANDENBRINK $ 12,000.00 05/23/2024 105725 PALMER'S HARDWARE $ 437.31 05/23/2024 105726 STANDARD INSURANCE COMPANY $ 181.23 05/23/2024 105727 STAPLES $ 261.69 05/23/2024 105728 TRACEY JACKSON $ 105.00 05/23/2024 105729 VISUAL EDGE IT $ 38.70 05/23/2024 105730 WADE TRIM $ 2,985.08 05/30/2024 100(E) ISABELLA BANK $ 2,157.09 05/30/2024 105731 AMERICAN WATER WORKS ASSOCIATION $ 412.00 05/30/2024 105732 AT&T MOBILITY $ 68.50 05/30/2024 105733 BLUTECH DATA LLC $ 250.00 05/30/2024 105734 CONSUMERS ENERGY $ 2,741.73 05/30/2024 105735 HAMILTON ELECTRIC COMPANY $ 1,230.00 05/30/2024 105736 JOHNSTON ELEVATOR $ 120.00 05/30/2024 105737 MICHIGAN PIPE & VALVE $ 114.00 05/30/2024 105738 PROPERTY CLEANOUT MICHIGAN LLC $ 2,400.00 05/30/2024 105739 REHMANN TECHNOLOGY SOLUTIONS $ 75.00 05/30/2024 105740 SEITER BROTHERS LUMBER & $ 89.25 05/30/2024 105741 SHARPCO WELDING & FABRICATION LLC $ 665.52 05/30/2024 105742 TRACE ANALYTICAL LABORATORIES, INC. $ 1,122.00 05/30/2024 105743 VICKI HAMILTON $ 471.25 Total of 71 Checks: $ 63,178.65 MAY 2024 PAYROLL 05/07/2024 Correction $ 188.57 05/09/2024 Regular Pay w/opt-out $ 10,357.35 05/23/2024 Regular Pay $ 8,983.80 05/23/2024 Council Pay $ 3,471.77 Total Payroll $ 23,001.49 TOTAL AP & PAYROLL - MAY 2024 $ 86,180.14 Page 9 of 21  FREE COMMUNITY COURSE Have you wondered what you would need to do in an emergency? The First on the Scene course will teach the general public basic emergency response to a variety of life-threatening emergencies until EMS arrives on the scene. At the completion of this four-hour course, you will receive a First On The Scene certification. CLARE COUNTY BUILDING MEETING ROOM B (BASEMENT) 225 W MAIN ST., HARRISON, MI 48625 WEDNESDAY, JUNE 12, 2024 2PM-6PM MONDAY, JULY 15TH, 2024 2PM-6PM WEDNESDAY, AUGUST 21, 2024 2PM-6PM This course will teach you how to activate 911, Hands-Only CPR and AED use, bleeding control, administering Narcan and Epi- Pen, and more! To register for the course, please email Melissa at mdukarski@mobilemedical.org or call her at 989.877.1319. Page 10 of 21  USDA—RD ESTIMATE OF FUNDS NEEDED FORM APPROVED Form RD 440-1 1 FOR OMB NO. 0575—0015 (Rev. 10-00) 30—DayPeriod Commencing 5 / 2 O2 4 Name of Borrower VILLAGE OF FARWELL Items Amount of Funds $ Development .................................................................................................................................... Contract or Job No. Contract or Job No. Contract or Job No. Land and Rights-of—Way ............................................................................................................. ' 3 2 I 68 6 4 7 Legal Services ................................................................................................................................. ' 6 6 6 6 65 ’ Engineering Fees ........................................................................................................................... Interest ............................................................................................................................................... Equipment ........................................................................................................................................ Contingencies ................................................................................................................................. Refinancing 39,353.12 TOTAL FARWELL Page 11 of 21 Name ofBorrower 5/23/2024  Hoerauf and Nevill, P.C. 60l Beech Street PO Box 67 Clare, Ml 48617 Ph: (989) 386-3434 / Fax: (989) 386-3636 Invoice submitted to: Village of Farwell 109 1/2 South Hall Farwell, MI48622 March 29. 2024 (W l“ Hl Invoice # 53437 Professional Services Hours Amount 3/4/2024 Review and copy incoming order to abate for Williams re: Misc 0.25 46.25 3/5/2024 incoming email from Clerk Krawczynskiwithattachment re: Sex/Egg 0.25 46.25 3/6/2024 review incoming emails and closing instructions re?ewgr 0.25 46.25 review file; email to Brian Rowley; incoming from same; incoming email from 0.50 92.50 Clerk Krawczynski with attachments; review re: 8% 3/11/2024 emails regarding MillStreet re: Sewer 0.25 46.25 3/19/2024 Prepared final title opinion; prepared attachments A-D; email to all parties with 1.25 231.25 draft attached re; Sewer For professional services rendered 2.75 $508.75 Previous balance C QLQ‘CK'A ($186.00) Page 12 of 21 recruit/gr .669} SE’DLi $327— :75 Balance due $322.75  p m*5?) Transaction details CHECKCHGS MAINSTREETCHKSPPD WEE/“2024 $112.42 {6:} Add tag& Notes Checks for Sewar Praject Ace-am? ?] Add images + Page 13 of 21  3892, Page 6 016 Filing Fee Voucher Municipal Finance Filing Fees Community Engagement and Finance Division Instructions: NOTE: This is only applicable if you are ?ling under Revised Municipal Finance Act.PA 34 of 2001.MCL 141.2319 (1). Print this voucher and remit through the United States Postal Service with check payable to “State of Michigan"to: Community Engagement and Finance Division Michigan Department of Treasury PO Box 30728 Lansing MI 48909 Submitter: Village of Fan/veil — Report Amount and Name Security Report: of Security: $794,000 Sewage Disposal System Revenue Bond, Series 2024 (Taxable) Municipality: Village of Farwell FilingFee: ' $ 153 30 Late Fee (if applicable): $ 0 00 r... Amount Enclosed: $ 158.80 RENE: The ?ling fee is equal to 0.02% (0.0002) of the principal amount of the municipal security to be issued, but not less than $100 and not greater than $1,000. If the qualifying statement was ?led late (more than six months after the municipality's ?scal year-end), a late fee of $100 must be submitted with the ?rst ?ling thereafter. Page 14 of 21  Baker Tilly Municipal Advisors, LLC ' 8365 Keystone Crossing Suite 300 Indianapolis, IN 46240 - (317)465—1500 (G b a kertl lly Village of Farwell, MI Invoice Date: May 6, 2024 109 South Hall Street - lnvonce Number. . BTMA24751 Farwell, MI 48622 Client Number: 201453 INVOICE AMOUNT Fees For services related to the 2024 USDA Sewer Revenue Bonds. $18,500.00 Fees Total: $18,500.00 Expenses Total: $0.00 Invoice Total: $18,500.00 Page 15 of 21  MILLER, CANFIELD, PADDOCK AND STONE, P.L.C. A Professional Limited Liability Company 150 West Jefferson, Suite 2500 Detroit, Michigan 48226 (313) 963-6420 Taxpayer ID. No. 38-0836500 Attorney—Clz'ent/Attorney Work Product Privileged Adrian Krawczynski Please reference Invoice #1646686 Clerk/Treasurer when remitting payment. Village of Farwell 109 S. Hall Street April 17, 2024 PO. Box 374 Farwell, MI 48622 Re: $794,000 Village of Farwell Sewage Disposal System Revenue Bond, Series 2024 (Taxable) Client/Matter #121628/00005 Billing Attorney: Jeffrey S Aronoff Closing Date: April 17, 2024 INVOICE FOR PROFESSIONAL SERVICES RENDERED as Bond Counsel to the Village of Farwell in connection with the above-captioned Bonds, including analysis of ?nancing options; preparation of proceedings with respect to issuance of Bonds including Notice of Intent Resolutions, Authorizing Ordinance; review letter of conditions; discussions regarding legal terms and USDA documentation; telephone conferences and calls; coordination with Village attorney and engineer; preparation of bond form and closing documents, coordination of closing and preparation and delivery of approving oplnlon. TOTAL DUE FOR INVOICE #1646686 $13,500.00 ............................................................... Page 16 of 21 PAYMENT OPTIONS:  Q) Hoerauf and Nevill, PC. 039:9; 60l Beech Street PO Box 67 QR Clare, Ml 48617 Ph: (989) 386-3434 / Fax: (989) 386-3636 invoice submitted to: Village of Farwell 109 1/2 South Hall Farwell, Ml 48622 May 2, 2024 invoice # 53479 Professional Services Hours Amount 4/16/2024 incoming Telephone conference Clerk Krawczynski; incoming email from same; 0.50 92.50 review documents; sign; scan and return to client via email; Telephone conference to same re: Sewer For professional services rendered 0.50 $92.50 Previous balance $322.75 Accounts receivable transactions 4/15/2024 Payment - thank you ($322.75) Total payments and adjustments ($322.75) Balance due $92.50 Page 17 of 21 INTEREST WILL BE CHARGED ON ALLPAST DUE BILLS  FLEISSNANDENBRINK Fleis & VandenBrink 603 BAY STREET, FIRST FLOOR, TRAVERSE CITY, MI 49684 2960 Lucerne Dr SE OFFICE: 231.932.8600 I FAX: 231.932.8700 Grand Rapids, MI 49546 Invoice Village of Farwell 109 South Hall Street May 21, 2024 PO BOX374 Project No: 846541 Fame”! 'V” 48522 Invoice No: 69700 ~ - Project 846541 Farwell Sewer Improvements Civil adrian@villageoffarwell.org For professional services rendered for the period March 31, 2024 to April 27, 2024 Amount Previous Current Billing Phase Fee Billing Billing Billing Basic Services 274,000.00 236,500.00 230,000.00 6,500.00 Construction RPR 87,000.00 0.00 0.00 0.00 Additional Services 55,000.00 25,201.20 25,034.55 166.65 Total Fee 416,000.00 261,701.20 255,034.55 6,666.65 Total Fee 6,666.65 I Total this Invoice $6,666.65 Thank you for your business, it is sincerely appreciated. If there are any questions regarding this invoice or the services provided, please contact us at AR@fveng.com. Terms: Net 15 days Page 18 of 21 CivicPlus Order Form 302 South 4th St. Suite 500 Quote #: Q-77346-1 Manhattan, KS 66502 Date: 5/29/2024 10:27 AM US Expires On: 6/5/2024 Client: Bill To: Village of Farwell, MI FARWELL VILLAGE, MICHIGAN SALESPERSON Phone EMAIL DELIVERY METHOD PAYMENT METHOD Adam Deschenes (858) adam.deschenes@civicplus.com Net 30 328-2886 Discount(s) QTY PRODUCT NAME DESCRIPTION DISCOUNT % TOTAL 1.00 ArchiveSocial Year 1 Annual Fee Year 1 Annual Fee Discount 0 USD -299.00 Discount One-time(s) QTY PRODUCT NAME DESCRIPTION DISCOUNT % TOTAL 1.00 ArchiveSocial Provisioning Fee - ArchiveSocial Account Activation and 0 USD 500.00 Economy Setup Recurring Service(s) QTY PRODUCT NAME DESCRIPTION DISCOUNT % TOTAL 1.00 ArchiveSocial - Economy Social Media Archiving Subscription 14.3266 USD 6,279.00 - Up to 12 Accounts & Up To 1.6k Records Per Month List Price - Initial Term Total USD 7,829.00 Total Investment - Initial Term USD 6,480.00 Annual Recurring Services (Subject to Uplift) USD 3,588.00 Initial Term 6/4/2024 - 3/3/2026, Renewal Term 3/4 each calendar year V. PD 06.01.2015-0048 Page 1 of 3 Page 19 of 21  Initial Term Invoice Schedule Invoice $2892 on 6/4/2004 Invoice Remainder on 3/4/2025 Annual Uplift 5% to be applied in year 2 This Order Form sets forth the commercially binding terms of the Client’s (as defined above) usage of the ArchiveSocial services (the “Services”). By accepting this Order Form, which may be evidenced by your return of this completed Order Form, written acceptance (e-mail is sufficient), or Client’s access and use of the Services, you, on behalf of the Client, are representing that you are authorized to bind the Client listed herein to the pricing and term stated in this Order Form V. PD 06.01.2015-0048 Page 2 of 3 Page 20 of 21 Please note that if you plan to issue a purchase order, we request you include the following language on the front of the PO: ArchiveSocial’s maximum liability under this purchase order is limited to the total amount of fees received during the 12-month period preceding the event giving rise to the liability, except that such limitation of liability will not apply to ArchiveSocial’s indemnification for intellectual property infringement or personal injury. Organization Legal Name: ___________________________________ Billing Contact: Title: ___________________________________ Billing Phone Number: ___________________________________ Billing Email: ___________________________________ Billing Address: ___________________________________ ___________________________________ Mailing Address: (If different from above) ___________________________________ ___________________________________ PO Number: (Info needed on Invoice (PO or Job#) if required) ___________________________________ V. PD 06.01.2015-0048 Page 3 of 3 Page 21 of 21