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RES 2011-0286 - Reappoint Michael McMeekin to urban design review board • c AHA,1�F� �° �3 RECEIVED 1p� Y ���� h .I I R I PH Office of the Mayor 1 �� 1819 Farnam Street Suite 300 • o or , ` Omaha,Nebraska 68183-0300 to 0 SS o A ip �rFO FEBR��� Hd is (402)444-5000 /�p�} ` �-' + FAY:(402)444-6059 City of pmaha Jim Suttle,Mayor Honorable President and Members of the City Council, Attached hereto is a proposed Resolution reappointing Michael McMeekin to serve a three-year term as a licensed engineer representative member of the Urban Design Review Board commencing March 15, 2011, and expiring March 14, 2014. Attached is a copy of Mr. McMeekin's Board/Commission Candidate Response Form. Your favorable consideration of this request will be appreciated. Sincerely, Jim Suttle, Mayor City of Omaha :\LAW-COUNCIL DOCUMENTS\2011\20014vI' p J o serve a three-year term commencing March 15, 2011, and expiring March 14, 2014, be and hereby is confirmed and approved. APPROVED AS TO FORM: 1 ( ( CI Y ATTORNEY Date p:\LAW-COUNCIL DOCUMENTS\2011\20013vIj By - " Councilmember Adopted MAR 1, 5 2011 _�f 406/ - - -,� . City Clerk Approved.... :j /'" a 7/f// ayor ate member of the Urban Design Review Board with the City of Omaha Member of the Kaneko Board of Directors—for procurement of the.arts in Omaha • Member of the Juvenile Diabetes Research Foundation Board of Directors for the Omaha/Council Bluffs Chapter • Creighton University Planning Commission • Member fit and arts cinemas the city offers and developed close personal relationships with filmmakers, critics, and other industry professionals. In June 2005, she moved back to Omaha to develop Film Streams,the culmination of a life-long dream. Since then,Ms. Jacobson has managed the organization's Capital Campaign, culminating in over $1.7 Million for build-out and start-up costs of the Ruth Sokolof Theater, cultivated relationships with other organizations, built Film Streams' board of advisers and board of directors, and overseen the design, build out, and launch of Film Streams' 2-screen cinema, which opened on July 27,2007. She currently manages the organization's strategic direction, finances, development program, and programming. She serves on the Board of Directors of Opera Omaha, the City of Omaha Planning Department Urban Design Review Board,on the Steering Committee of Voice Omaha,Friends of Planned Parenthood,and as a mentor for Girls,Inc. Rachel Jacobson 402.933.0259,ext. 12;.rachel@filmstreams.org ations within Network to Products Stand Alone the main location additional sites Remote Access* ® - ReferenceUSATm-US Businesses ❑ ® ❑ El ® ReferenceUSATM-US Residents ❑ ® ❑ El ® ReferenceUSATm-US Health Care Providers ❑ ® ❑ El ® ReferenceUSATM-Canadian Businesses ❑ ® ❑ IZI ® ReferenceUSATM-Canadian Residents ❑ ® ❑ El ❑ ReferenceUSA tm-TechUSATM ❑ ❑ ❑ ❑ ❑ ReferenceUSA tm-EmployersUSA ❑ ❑ ❑ ❑ ❑ ReferenceUSA tm-New Businesses ❑ ❑ ❑ ❑ ❑ ReferenceUSA tm—New Homeowners ❑ ❑ ❑ ❑ ❑ ReferenceUSA tm,-New Movers ❑ ❑ ❑ ❑ ❑ CorpTech ❑ ® ❑ El . ❑ Government PowerFinderTM ❑ ❑ ❑ ❑ ❑ American Manufacturers Disc ❑ ❑ ❑ ❑ ❑ American Big Businesses Disc ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1 Rev 8-27-07 ider pays for repairs under this Plan and the Customer is also repaid for the same repairs by someone else,the Customer's payment will become the Provider's property up to the amount that the Provider paid for the repairs. 31. To be eligible for reimbursement,the following procedures must be adhered to: PPP U.S.December 2009-RCF-20071114 This literature is descriptive only. The precise protection afforded Is subject to the terms,conditions and exclusions of the contract as issued. Program participation Is subject to customer credit qualification. Programs may be changed or cancelled without notice. Capitalized terms used in this literature,unless defined herein,have the meanings assigned to them in the contract as issued. Page 5 ustomer credit qualification. Programs may be changed or cancelled without notice. Capitalized terms used in this literature,unless defined herein,have the meanings assigned to them in the contract as issued. Page 2 charged for overtime labor costs. • • Economic loss,including lost profits,crop loss,equipment rental or other expense. • Cost associated with cleaning of machine in preparation for servicing. • Loss or damage during shipment. • Cost of initial setup or installation of any optional equipment or attachments to a unit. • .Items used for repairs including,but not limited to are:solvents,cleaners,anti-seize lubricants,oil-dry,shop towels,special tools,etc.' • included,but not limited to are:checks,adjustments,and shimming,engine tune-ups,fuses. • Unauthorized modification or field fixes,(i.e.,updating machines based on Service Bulletin information), • Any and all cost of special tools or shop supplies incurred with repairs. • • Claims for stolen equipment. • Claims for replacing a complete assembly when the repair Is less than the replacement. • • Claims involving the inspection or reconditioning of units. • • Shop comebacks:any duplicate,repeat,or comeback repair resulting from improper diagnosis,testing,or poor service work. • Cost of removing or installing Non-Case Brand optional equipment or attachments including but not limited to loaders,duals,tanks,etc. Additional Purchased Protection • 'Many units qualify for the Case Flexible.Purchased Protection Plan.This plan gives the owner additional coverage on select engine and. drive train components.Discuss the details with your Case dealer today. Operator's Manual/Warranty Receipt Verification The correct operator's manual has been reviewed with me by the selling dealer and will be given to me upon delivery of the product. • YES/NO The correct operator's manual has been given to me.YES/NO • The selling dealer explained safety precautions to me.YES/NO The selling dealer explained safety features of the product to me.YES/NO The selling dealer explained the warranty terms and coverage to me.YES/NO . The answers circled above are correct.I acknowledge that I have read and I accept thls.warranty policy statement Model- Product identification number Operator's manual form number- Customer name(Please Print)- Purchaser Address Dealer Name City,Slate,Zip City,State,Zip • Purchaser . . Signature Date Dealer' . Signature • Date• • Mail original signed cony to 360 Services Inc.12623 Newburgh Road.Livonia.MI 48150.USA r • o'StAFiA.;�.• . l4f Clf> 9J :r r,Ret)rr BOARD/COMMISSION CANDIDATE RESPONSE FORM In consideration for appointment to the Urban Design Review Board I submit the following information: Name of Board or Commission: Urban Design Review Board Last name: McMeekin First name: Michael Middle Initial: P Home address: 3618 South 106 Street City: Omaha State: NE Zip: 68124 Home Phone: 402-393-4711 Work Phone: 402-496-2498 Fax: 402-496-2730 • E-mail: mike.mcmeekinlra-inc.com City Council District: Sex: M Race: Caucasian Business name: Lamp, Rynearson &Associates, Inc. Job title: President Business address: 14710 West Dodge Road, Suite 100 City: Omaha State: NE Zip 68154 Where would you like us to direct your correspondence? (check box) Home ( ) or ( X ) Business ( X ) My appointment to the above named Board or Commission and term of service to the City would not conflict with my professional or personal interests. Name— Print or Type Michael P. McMeekin Date: 1/23/2011 Please return this completed form along with a copy of your resume to: Barb Velinsky Community Director Bvelinsky©ci.omaha.ne.us or 1819 Farnam Street, Suite 300 Omaha, Nebraska 68183 Fax: 402-444-6059 ayor ate member of the Urban Design Review Board with the City of Omaha Member of the Kaneko Board of Directors—for procurement of the.arts in Omaha • Member of the Juvenile Diabetes Research Foundation Board of Directors for the Omaha/Council Bluffs Chapter • Creighton University Planning Commission • Member fit and arts cinemas the city offers and developed close personal relationships with filmmakers, critics, and other industry professionals. In June 2005, she moved back to Omaha to develop Film Streams,the culmination of a life-long dream. Since then,Ms. Jacobson has managed the organization's Capital Campaign, culminating in over $1.7 Million for build-out and start-up costs of the Ruth Sokolof Theater, cultivated relationships with other organizations, built Film Streams' board of advisers and board of directors, and overseen the design, build out, and launch of Film Streams' 2-screen cinema, which opened on July 27,2007. She currently manages the organization's strategic direction, finances, development program, and programming. She serves on the Board of Directors of Opera Omaha, the City of Omaha Planning Department Urban Design Review Board,on the Steering Committee of Voice Omaha,Friends of Planned Parenthood,and as a mentor for Girls,Inc. Rachel Jacobson 402.933.0259,ext. 12;.rachel@filmstreams.org ations within Network to Products Stand Alone the main location additional sites Remote Access* ® - ReferenceUSATm-US Businesses ❑ ® ❑ El ® ReferenceUSATM-US Residents ❑ ® ❑ El ® ReferenceUSATm-US Health Care Providers ❑ ® ❑ El ® ReferenceUSATM-Canadian Businesses ❑ ® ❑ IZI ® ReferenceUSATM-Canadian Residents ❑ ® ❑ El ❑ ReferenceUSA tm-TechUSATM ❑ ❑ ❑ ❑ ❑ ReferenceUSA tm-EmployersUSA ❑ ❑ ❑ ❑ ❑ ReferenceUSA tm-New Businesses ❑ ❑ ❑ ❑ ❑ ReferenceUSA tm—New Homeowners ❑ ❑ ❑ ❑ ❑ ReferenceUSA tm,-New Movers ❑ ❑ ❑ ❑ ❑ CorpTech ❑ ® ❑ El . ❑ Government PowerFinderTM ❑ ❑ ❑ ❑ ❑ American Manufacturers Disc ❑ ❑ ❑ ❑ ❑ American Big Businesses Disc ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1 Rev 8-27-07 ider pays for repairs under this Plan and the Customer is also repaid for the same repairs by someone else,the Customer's payment will become the Provider's property up to the amount that the Provider paid for the repairs. 31. To be eligible for reimbursement,the following procedures must be adhered to: PPP U.S.December 2009-RCF-20071114 This literature is descriptive only. The precise protection afforded Is subject to the terms,conditions and exclusions of the contract as issued. Program participation Is subject to customer credit qualification. Programs may be changed or cancelled without notice. Capitalized terms used in this literature,unless defined herein,have the meanings assigned to them in the contract as issued. Page 5 ustomer credit qualification. Programs may be changed or cancelled without notice. Capitalized terms used in this literature,unless defined herein,have the meanings assigned to them in the contract as issued. Page 2 charged for overtime labor costs. • • Economic loss,including lost profits,crop loss,equipment rental or other expense. • Cost associated with cleaning of machine in preparation for servicing. • Loss or damage during shipment. • Cost of initial setup or installation of any optional equipment or attachments to a unit. • .Items used for repairs including,but not limited to are:solvents,cleaners,anti-seize lubricants,oil-dry,shop towels,special tools,etc.' • included,but not limited to are:checks,adjustments,and shimming,engine tune-ups,fuses. • Unauthorized modification or field fixes,(i.e.,updating machines based on Service Bulletin information), • Any and all cost of special tools or shop supplies incurred with repairs. • • Claims for stolen equipment. • Claims for replacing a complete assembly when the repair Is less than the replacement. • • Claims involving the inspection or reconditioning of units. • • Shop comebacks:any duplicate,repeat,or comeback repair resulting from improper diagnosis,testing,or poor service work. • Cost of removing or installing Non-Case Brand optional equipment or attachments including but not limited to loaders,duals,tanks,etc. Additional Purchased Protection • 'Many units qualify for the Case Flexible.Purchased Protection Plan.This plan gives the owner additional coverage on select engine and. drive train components.Discuss the details with your Case dealer today. Operator's Manual/Warranty Receipt Verification The correct operator's manual has been reviewed with me by the selling dealer and will be given to me upon delivery of the product. • YES/NO The correct operator's manual has been given to me.YES/NO • The selling dealer explained safety precautions to me.YES/NO The selling dealer explained safety features of the product to me.YES/NO The selling dealer explained the warranty terms and coverage to me.YES/NO . The answers circled above are correct.I acknowledge that I have read and I accept thls.warranty policy statement Model- Product identification number Operator's manual form number- Customer name(Please Print)- Purchaser Address Dealer Name City,Slate,Zip City,State,Zip • Purchaser . . Signature Date Dealer' . Signature • Date• • Mail original signed cony to 360 Services Inc.12623 Newburgh Road.Livonia.MI 48150.USA • RECEIVED REQUESTTO LAW LAW DEPARTMENT 2011 FEB 23 ikM 10: 50 FOR LAW DEPARTMENT USE ONLY LOG BOOK # 52-11 = MAYOR TO: PAUL D. KRATZ, City Attorney DATE ASSIGNED l /02/23/,/11 DATE 2/22/2011 ASSIGNED TO !?orVc4t . ANSWERED/SENT OUT 3 - \- `\ WITHDRAWN REQUEST BEING MADE BY: Mayor's Office 5006 Barb Velinsky Community Director 444-6274 TIME LINE: City Council Agenda - March 15, 2011 (ALLOW 12 WORKING DAYS FROM DATE RECEIVED BY LAW DEPARTMENT) REQUEST FOR: Reappoint Michael McMeekin to the Urban Design Review Board (STATE SPECIFICALLY WHAT YOU ARE REQUESTING) DETAILS: ep Mayor Jim Suttle requests a Resolution be placed on the City Council agenda of March 15, 2011 to reappoint cbaszyndebekulto the Urban Design Review Board as the Licensed Engineer representative. His new term begins on March 15, 2011 and ends on March 14, 2014. Resume Enclosed Revised 03/99 ission and term of service to the City would not conflict with my professional or personal interests. Name— Print or Type Michael P. McMeekin Date: 1/23/2011 Please return this completed form along with a copy of your resume to: Barb Velinsky Community Director Bvelinsky©ci.omaha.ne.us or 1819 Farnam Street, Suite 300 Omaha, Nebraska 68183 Fax: 402-444-6059 ayor ate member of the Urban Design Review Board with the City of Omaha Member of the Kaneko Board of Directors—for procurement of the.arts in Omaha • Member of the Juvenile Diabetes Research Foundation Board of Directors for the Omaha/Council Bluffs Chapter • Creighton University Planning Commission • Member fit and arts cinemas the city offers and developed close personal relationships with filmmakers, critics, and other industry professionals. In June 2005, she moved back to Omaha to develop Film Streams,the culmination of a life-long dream. Since then,Ms. Jacobson has managed the organization's Capital Campaign, culminating in over $1.7 Million for build-out and start-up costs of the Ruth Sokolof Theater, cultivated relationships with other organizations, built Film Streams' board of advisers and board of directors, and overseen the design, build out, and launch of Film Streams' 2-screen cinema, which opened on July 27,2007. She currently manages the organization's strategic direction, finances, development program, and programming. She serves on the Board of Directors of Opera Omaha, the City of Omaha Planning Department Urban Design Review Board,on the Steering Committee of Voice Omaha,Friends of Planned Parenthood,and as a mentor for Girls,Inc. Rachel Jacobson 402.933.0259,ext. 12;.rachel@filmstreams.org ations within Network to Products Stand Alone the main location additional sites Remote Access* ® - ReferenceUSATm-US Businesses ❑ ® ❑ El ® ReferenceUSATM-US Residents ❑ ® ❑ El ® ReferenceUSATm-US Health Care Providers ❑ ® ❑ El ® ReferenceUSATM-Canadian Businesses ❑ ® ❑ IZI ® ReferenceUSATM-Canadian Residents ❑ ® ❑ El ❑ ReferenceUSA tm-TechUSATM ❑ ❑ ❑ ❑ ❑ ReferenceUSA tm-EmployersUSA ❑ ❑ ❑ ❑ ❑ ReferenceUSA tm-New Businesses ❑ ❑ ❑ ❑ ❑ ReferenceUSA tm—New Homeowners ❑ ❑ ❑ ❑ ❑ ReferenceUSA tm,-New Movers ❑ ❑ ❑ ❑ ❑ CorpTech ❑ ® ❑ El . ❑ Government PowerFinderTM ❑ ❑ ❑ ❑ ❑ American Manufacturers Disc ❑ ❑ ❑ ❑ ❑ American Big Businesses Disc ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1 Rev 8-27-07 ider pays for repairs under this Plan and the Customer is also repaid for the same repairs by someone else,the Customer's payment will become the Provider's property up to the amount that the Provider paid for the repairs. 31. To be eligible for reimbursement,the following procedures must be adhered to: PPP U.S.December 2009-RCF-20071114 This literature is descriptive only. The precise protection afforded Is subject to the terms,conditions and exclusions of the contract as issued. Program participation Is subject to customer credit qualification. Programs may be changed or cancelled without notice. Capitalized terms used in this literature,unless defined herein,have the meanings assigned to them in the contract as issued. Page 5 ustomer credit qualification. Programs may be changed or cancelled without notice. Capitalized terms used in this literature,unless defined herein,have the meanings assigned to them in the contract as issued. Page 2 charged for overtime labor costs. • • Economic loss,including lost profits,crop loss,equipment rental or other expense. • Cost associated with cleaning of machine in preparation for servicing. • Loss or damage during shipment. • Cost of initial setup or installation of any optional equipment or attachments to a unit. • .Items used for repairs including,but not limited to are:solvents,cleaners,anti-seize lubricants,oil-dry,shop towels,special tools,etc.' • included,but not limited to are:checks,adjustments,and shimming,engine tune-ups,fuses. • Unauthorized modification or field fixes,(i.e.,updating machines based on Service Bulletin information), • Any and all cost of special tools or shop supplies incurred with repairs. • • Claims for stolen equipment. • Claims for replacing a complete assembly when the repair Is less than the replacement. • • Claims involving the inspection or reconditioning of units. • • Shop comebacks:any duplicate,repeat,or comeback repair resulting from improper diagnosis,testing,or poor service work. • Cost of removing or installing Non-Case Brand optional equipment or attachments including but not limited to loaders,duals,tanks,etc. Additional Purchased Protection • 'Many units qualify for the Case Flexible.Purchased Protection Plan.This plan gives the owner additional coverage on select engine and. drive train components.Discuss the details with your Case dealer today. Operator's Manual/Warranty Receipt Verification The correct operator's manual has been reviewed with me by the selling dealer and will be given to me upon delivery of the product. • YES/NO The correct operator's manual has been given to me.YES/NO • The selling dealer explained safety precautions to me.YES/NO The selling dealer explained safety features of the product to me.YES/NO The selling dealer explained the warranty terms and coverage to me.YES/NO . The answers circled above are correct.I acknowledge that I have read and I accept thls.warranty policy statement Model- Product identification number Operator's manual form number- Customer name(Please Print)- Purchaser Address Dealer Name City,Slate,Zip City,State,Zip • Purchaser . . Signature Date Dealer' . Signature • Date• • Mail original signed cony to 360 Services Inc.12623 Newburgh Road.Livonia.MI 48150.USA C-25A CITY OF OMAHA LEGISLATIVE CHAMBER Omaha,Nebraska RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: WHEREAS, Sections 24-87 through 24-105 of the Omaha Municipal Code provide for an Urban Design Review Board to review and provide recommendations to improve the quality of building design in the planning design, development and construction,of structures in the City; and, WHEREAS, Section 24-91(a)(3) provides that one licensed engineer is to be appointed by the Mayor; and, WHEREAS, Mayor Jim Suttle has reappointed Michael McMeekin as the licensed engineer member of the Urban Design Review Board, to serve a term commencing March 15, 2011, and expiring March 14, 2014. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: THAT, the reappointment by Mayor Jim Suttle of Michael McMeekin as the licensed engineer member of the Urban Design Review Board, to serve a three-year term commencing March 15, 2011, and expiring March 14, 2014, be and hereby is confirmed and approved. APPROVED AS TO FORM: 9 CITY ATTORNEY Date p:\LAW-COUNCIL DOCUMENTS\2011\20015vIj By Councilmember Adopted MAR 1 :5 =2011 j 11 d a City Clerk Approved /0.,' s►s�0 `/1// ayor or 1819 Farnam Street, Suite 300 Omaha, Nebraska 68183 Fax: 402-444-6059 ayor ate member of the Urban Design Review Board with the City of Omaha Member of the Kaneko Board of Directors—for procurement of the.arts in Omaha • Member of the Juvenile Diabetes Research Foundation Board of Directors for the Omaha/Council Bluffs Chapter • Creighton University Planning Commission • Member fit and arts cinemas the city offers and developed close personal relationships with filmmakers, critics, and other industry professionals. In June 2005, she moved back to Omaha to develop Film Streams,the culmination of a life-long dream. Since then,Ms. Jacobson has managed the organization's Capital Campaign, culminating in over $1.7 Million for build-out and start-up costs of the Ruth Sokolof Theater, cultivated relationships with other organizations, built Film Streams' board of advisers and board of directors, and overseen the design, build out, and launch of Film Streams' 2-screen cinema, which opened on July 27,2007. She currently manages the organization's strategic direction, finances, development program, and programming. She serves on the Board of Directors of Opera Omaha, the City of Omaha Planning Department Urban Design Review Board,on the Steering Committee of Voice Omaha,Friends of Planned Parenthood,and as a mentor for Girls,Inc. Rachel Jacobson 402.933.0259,ext. 12;.rachel@filmstreams.org ations within Network to Products Stand Alone the main location additional sites Remote Access* ® - ReferenceUSATm-US Businesses ❑ ® ❑ El ® ReferenceUSATM-US Residents ❑ ® ❑ El ® ReferenceUSATm-US Health Care Providers ❑ ® ❑ El ® ReferenceUSATM-Canadian Businesses ❑ ® ❑ IZI ® ReferenceUSATM-Canadian Residents ❑ ® ❑ El ❑ ReferenceUSA tm-TechUSATM ❑ ❑ ❑ ❑ ❑ ReferenceUSA tm-EmployersUSA ❑ ❑ ❑ ❑ ❑ ReferenceUSA tm-New Businesses ❑ ❑ ❑ ❑ ❑ ReferenceUSA tm—New Homeowners ❑ ❑ ❑ ❑ ❑ ReferenceUSA tm,-New Movers ❑ ❑ ❑ ❑ ❑ CorpTech ❑ ® ❑ El . ❑ Government PowerFinderTM ❑ ❑ ❑ ❑ ❑ American Manufacturers Disc ❑ ❑ ❑ ❑ ❑ American Big Businesses Disc ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 1 Rev 8-27-07 ider pays for repairs under this Plan and the Customer is also repaid for the same repairs by someone else,the Customer's payment will become the Provider's property up to the amount that the Provider paid for the repairs. 31. To be eligible for reimbursement,the following procedures must be adhered to: PPP U.S.December 2009-RCF-20071114 This literature is descriptive only. The precise protection afforded Is subject to the terms,conditions and exclusions of the contract as issued. Program participation Is subject to customer credit qualification. Programs may be changed or cancelled without notice. Capitalized terms used in this literature,unless defined herein,have the meanings assigned to them in the contract as issued. Page 5 ustomer credit qualification. Programs may be changed or cancelled without notice. Capitalized terms used in this literature,unless defined herein,have the meanings assigned to them in the contract as issued. Page 2 charged for overtime labor costs. • • Economic loss,including lost profits,crop loss,equipment rental or other expense. • Cost associated with cleaning of machine in preparation for servicing. • Loss or damage during shipment. • Cost of initial setup or installation of any optional equipment or attachments to a unit. • .Items used for repairs including,but not limited to are:solvents,cleaners,anti-seize lubricants,oil-dry,shop towels,special tools,etc.' • included,but not limited to are:checks,adjustments,and shimming,engine tune-ups,fuses. • Unauthorized modification or field fixes,(i.e.,updating machines based on Service Bulletin information), • Any and all cost of special tools or shop supplies incurred with repairs. • • Claims for stolen equipment. • Claims for replacing a complete assembly when the repair Is less than the replacement. • • Claims involving the inspection or reconditioning of units. • • Shop comebacks:any duplicate,repeat,or comeback repair resulting from improper diagnosis,testing,or poor service work. • Cost of removing or installing Non-Case Brand optional equipment or attachments including but not limited to loaders,duals,tanks,etc. Additional Purchased Protection • 'Many units qualify for the Case Flexible.Purchased Protection Plan.This plan gives the owner additional coverage on select engine and. drive train components.Discuss the details with your Case dealer today. Operator's Manual/Warranty Receipt Verification The correct operator's manual has been reviewed with me by the selling dealer and will be given to me upon delivery of the product. • YES/NO The correct operator's manual has been given to me.YES/NO • The selling dealer explained safety precautions to me.YES/NO The selling dealer explained safety features of the product to me.YES/NO The selling dealer explained the warranty terms and coverage to me.YES/NO . The answers circled above are correct.I acknowledge that I have read and I accept thls.warranty policy statement Model- Product identification number Operator's manual form number- Customer name(Please Print)- Purchaser Address Dealer Name City,Slate,Zip City,State,Zip • Purchaser . . Signature Date Dealer' . Signature • Date• • Mail original signed cony to 360 Services Inc.12623 Newburgh Road.Livonia.MI 48150.USA CA pZ:1 . . : . � r. \ « / P 0 CD k.0 0 q §. 4. § I 7 \ . K p. § n % k 9 © m 7 # . � a ' . E 7 4 J k - 0 ° i I & § , n nKJ § No p 0 7 § r o c 7'/ / ® n § i\ ° J 4. ! - k 0 R §` & �. / / aR� § 7 a § � /3 � // , _ , 2 ? \ \ . �� : , ^ , » - » © & ation of this request will be appreciated. etreK Sincerely, Jim Suttle, Mayor 000001 City of Omaha p:\LAW-COUNCIL DOCUMENTS\2011\20012v1j •