2025-11-05 - AGE - City Council Regular Meeting November 5, 2025 — 6:30 PM
Golden Valley City Hall
Council Chambers
1.Call to Order
1A.Pledge of Allegiance and Land Acknowledgement
1B.Proclamation Honoring November 1 - 30, 2025 as Indigenous Peoples Heritage Month
1C.Proclamation Reaffirming the City of Golden Valley's Commitment to Beyond the Yellow
Ribbon
2.Additions and Corrections to Agenda
3.Consent Agenda
Approval of Consent Agenda - All items listed under this heading are considered to be routine by
the City Council and will be enacted by one motion. There will be no discussion of these items
unless a Council Member so requests in which event the item will be removed from the general
order of business and considered in its normal sequence on the agenda.
3A.Approval of City Council Meeting Minutes
3B.Approval of City Check Registers
3C.Licenses:
3C.1.Approve Gambling License Exemption and Waiver of Notice Requirement - A Breath of
Hope Lung Foundation
3C.2.Approve On-Sale Wine License with Strong Beer Authorization - JLD Group, LLP d/b/a
Trailhead Cafe - 1221 Theodore Wirth Parkway
3D.Bids, Quotes, and Contracts:
3D.1.Approve Purchase of 60 Electric Golf Carts from Club Car, LLC
3D.2.Approve Purchase of Laptops and Tablets for Fire Department from Guardian Fleet Safety
3D.3.Approve Amendment #1 to Joint Powers Agreement Between Hennepin County and the
City of Golden Valley Regarding the Police Embedded Social Worker
3D.4.Approve Private Plan with MetLife for Paid Family and Medical Leave (PFML) Program
Implementation and Services
CITY COUNCIL REGULAR MEETING AGENDA
Members of the public may attend this meeting in-person, by watching on cable channel 16, or by
streaming on CCXmedia.org. The public can make in-person statements during public comment
sections, including the public forum beginning at 6:20 pm.
Individuals may provide public hearing testimony remotely by emailing a request to the City Clerk's
office at cityclerk@goldenvalleymn.gov by 3 p.m. on the day of the meeting.
City of Golden Valley City Council Regular Meeting November 5, 2025 — 6:30 PM
1
3D.5.Adopt Resolution No. 25-103 to Authorize LOGIS to Enter Into a Contract with Brazos, a
Tyler Technologies Company
3E.Grants and Donations:
3E.1.Adopt Resolution No. 25-104 Approving Donation to PRISM for Food Insecurity Abatement
3F.Adopt Ordinance No. 806 Approving Amendments to Section 113-31 Temporary Uses and
Resolution No. 25-105 Approving Summary Publication
3G.Adopt Resolution No. 25-106 Approving Amended Public Purpose Expenditure Policy
4.Public Hearing - None.
5.Old Business - None.
6.New Business
6A.Review of Council Calendar
6B.Mayor and Council Communications
1. Other Committee/Meeting updates
7.Adjournment
City of Golden Valley City Council Regular Meeting November 5, 2025 — 6:30 PM
2
EXECUTIVE SUMMARY
Administrative Services
763-512-2345 / 763-512-2344 (fax)
Golden Valley City Council Meeting
November 5, 2025
Agenda Item
1B. Proclamation Honoring November 1 - 30, 2025 as Indigenous Peoples Heritage Month
Prepared By
Seth Kaempfer, Equity and Inclusion Manager
Summary
November is celebrated as Indigenous Peoples Heritage Month, also known as Native American
Heritage Month. This month celebrates the vibrant traditions, languages, cultures, and narratives of
Indigenous People. This month places into focus the many contributions, both past and present, that
Indigenous people make to science, politics, history, education, and more.
This proclamation calls upon the Golden Valley community to collectively work towards dispelling
ignorance, prejudice and fear through education about the historical and current impacts made by
Indigenous People, especially the Dakota People who have called the area known today as Golden
Valley home for centuries. This proclamation also calls on the Golden Valley community to continue
to recognize and celebrate the significance of place, specifically Haha Wakpadan, also known as Basset
Creek, and its relationship to the Dakota People and Indigenous Peoples.
Along with other sponsors, the City's DEI and Environmental Commissions sponsored the Third Annual
Haha Wakpadan Water Blessing on October 13th where community members across the watershed
gathered to celebrate Indigenous Peoples Day and further recognize the importance of water in the
life of everything and everyone. In addition to the water blessing, community heard from various
cultural advisors Bradley Blackhawk (Ho-Chunk), Darlene St. Clair (Dakota), Jim Rock (Dakota), and
Roxanne Gould (Anishinaabe) about how to directly care for the lands and waters of Mni Sóta Makoce
(Minnesota).
Legal Considerations
This item did not require legal review and is consistent with the City's proclamation practices.
Equity Considerations
This proclamation aligns with the City's commitment to diversity, equity, and inclusion and the City's
welcome statement. The City supports and honors individuals of all backgrounds and believes it is
critical to acknowledge celebrations such as Indigenous Peoples Heritage Month to both educate
community and staff as well as create space for belonging of this richly diverse community.
Recommended Action
3
Present proclamation honoring proclamation honoring the month of November as Indigenous Peoples
Heritage Month.
Supporting Documents
Proclamation for Indigenous Peoples Heritage Month
4
CITY OF GOLDEN VALLEY
PROCLAMATION HONORING INDIGENOUS PEOPLES
HERITAGE MONTH
NOVEMBER 1 – 30, 2025
WHEREAS, the area known today as the City of Golden Valley is located on the
ancestral and contemporary lands that have been called home by the Dakota People
since time immemorial; and
WHEREAS, the Dakota People who have resided on this land prior to the arrival
of European settlers experienced injustices taken to suppress and eradicate, over the
following many decades, the knowledge, practices, and observances of their own
cultural and spiritual heritage; and
WHEREAS , the Basset Creek watershed and Ȟaȟa Wakpadaŋ, currently known
as Basset Creek, has historically and currently plays a significant role and relationship
for the Dakota People within the City of Golden Valley; and
WHEREAS, on a Monday, October 13th, 2025, the third annual Ȟaȟa Wakpadaŋ
Water Blessing took place celebrating Indigenous Peoples Day and honoring the
importance of water to history, place, nature, people, and the future whether locally,
across Mni Sóta Makoce (Minnesota), and beyond; and
WHEREAS, Indigenous Peoples Heritage Month, also known as Native
American Heritage Month, was first proclaimed a month of celebration in 1990; and
WHEREAS, Indigenous people have and continue to make essential
contributions to science, history, law, knowledge, arts, environmental stewardship,
government, and other endeavors; and
WHEREAS, on September 2nd, 2025 the City of Golden Valley passed the Ȟaȟa
Wakpadaŋ/Bassett Creek Co-Naming Policy, which is intended for continued
Indigenous recognition of place and history as well as take direct action to Dakota
representation in the work of local government; and
WHEREAS, Indigenous Peoples Heritage Month is an opportunity to dispel
ignorance, prejudice and fear through education about the history, culture, and countless
contributions of Indigenous people.
NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of
Golden Valley does hereby proclaim the month of November as “Indigenous Peoples
Heritage Month” and call upon the people of Golden Valley to recognize the current and
past contributions made by the Dakota People as well as additional Indigenous Peoples
and to actively promote the principles of equality, equity, liberty, and justice.
5
I, Mayor Roslyn Harmon, proudly certify this proclamation with my signature and
the seal of the City of Golden Valley on November 5th, 2025.
_____________________________
Roslyn Harmon, Mayor
6
EXECUTIVE SUMMARY
City Manager's Office
763-512-2345 / 763-512-2344 (fax)
Golden Valley City Council Meeting
November 5, 2025
Agenda Item
1C. Proclamation Reaffirming the City of Golden Valley's Commitment to Beyond the Yellow Ribbon
Prepared By
Andrea Connolly-Dees, Executive Assistant
Summary
Beyond the Yellow Ribbon is an organization which aims to establish and sustain a comprehensive
community and corporate support network that connects and coordinates agencies, organizations,
and resources to meet the needs of Minnesota's military veterans, service members, and families in all
military branches. In 2014, the City of Golden Valley joined Crystal, New Hope, and Robbinsdale to
create the Quad Cities Beyond the Yellow Ribbon initiative, providing these resources locally.
The City of Golden Valley reaffirms our support for and active participation in the Quad Cities Beyond
the Yellow Ribbon initiative.
Legal Considerations
This item did not require legal review.
Equity Considerations
This item did not require equity review.
Recommended Action
Present a proclamation reaffirming the City of Golden Valley's commitment to Beyond the Yellow
Ribbon.
Supporting Documents
Proclamation to Beyond the Yellow Ribbon
7
CITY OF GOLDEN VALLEY
PROCLAMATION REAFFIRMING THE CITY OF GOLDEN VALLEY’S
COMMITMENT TO BEYOND THE YELLOW RIBBON
WHEREAS, in 2014, the cities of Crystal, Golden Valley, New Hope and
Robbinsdale united to form the Quad Cities Beyond the Yellow Ribbon initiative; and
WHEREAS, a Yellow Ribbon community unites key areas within a community to
create a network that connects organizations, resources, and employers to meet the
needs of local service members, veterans and military families in Minnesota; and
WHEREAS, the outward showing of support enables successful transitions for
those affected by military deployments and builds a stronger, more compassionate
community; and
WHEREAS, Veterans Day is a federal holiday observed annually on November
11th to honor and show support to military veterans of the United States Armed Forces;
and
WHEREAS, the Golden Valley City Council continues to support the Quad Cities
Beyond the Yellow Ribbon initiative and agrees to be an ongoing active participant to
help the Quad Cities maintain the Yellow Ribbon Community official designation.
NOW, THEREFORE, BE IT RESOLVED that the City Council for the City of
Golden Valley agrees to reaffirm our support for and continue to actively participate in
the Quad Cities Beyond the Yellow Ribbon initiative along with the cities of Crystal,
New Hope and Robbinsdale.
Adopted by the City Council of Golden Valley, Minnesota this 5th day of November,
2025.
Roslyn Harmon, Mayor
8
EXECUTIVE SUMMARY
Legal
763-512-2345 / 763-512-2344 (fax)
Golden Valley City Council Meeting
November 5, 2025
Agenda Item
3A. Approval of City Council Meeting Minutes
Prepared By
Theresa Schyma, City Clerk
Summary
The following minutes are available to view on the City's public Laserfiche site :
October 14, 2025 City Council Special Meeting with Closed Session
October 21, 2025 Regular City Council Meeting
A direct link to the folder with the documents referenced above is:
http://weblink.ci.golden-valley.mn.us/WebLink/Browse.aspx?
id=1056192&dbid=0&repo=GoldenValley
Legal Considerations
This item did not require legal review.
Equity Considerations
This item did not require equity review.
Recommended Action
Motion to approve City Council meeting minutes as submitted.
9
EXECUTIVE SUMMARY
Finance
763-512-2345 / 763-512-2344 (fax)
Golden Valley City Council Meeting
November 5, 2025
Agenda Item
3B. Approval of City Check Registers
Prepared By
Jennifer Hoffman, Assistant Finance Director
Summary
Approval of the check register for various vendor claims against the City of Golden Valley.
Document is located on city website at the following location: http://weblink.ci.golden-
valley.mn.us/WebLink/Browse.aspx?id=1060600&dbid=0&repo=GoldenValley
The check register(s) for approval:
10-22-2025 Check Register
10-29-2025 Check Register
Financial or Budget Considerations
The check register is attached with the financing sources at the front of the document. Each check has
a program code(s) where it was charged.
Legal Considerations
Not Applicable
Equity Considerations
Not Applicable
Recommended Action
Motion to authorize the payment of the bills as submitted.
10
EXECUTIVE SUMMARY
Legal
763-512-2345 / 763-512-2344 (fax)
Golden Valley City Council Meeting
November 5, 2025
Agenda Item
3C.1. Approve Gambling License Exemption and Waiver of Notice Requirement - A Breath of Hope
Lung Foundation
Prepared By
Theresa Schyma, City Clerk
Summary
A Breath of Hope Lung Foundation, a 501(c)(3) nonprofit organization, has applied for a Gambling
License Exemption to conduct gambling (raffle) at their 2025 A Breath of Hope Gala event at The Club
at Golden Valley, 7001 Golden Valley Road, on November 7, 2025. According to their website, this
event "brings together survivors, families, advocates, and supporters for a night of celebration,
connection, and purpose."
As per State Statute organizations that conduct gambling within the City limits have to submit an
application for a lawful gambling permit to the State after the permit has been approved or denied by
the City. Depending upon the timing of the permit the applicants may request the City to waive the
30-day waiting period.
Legal Considerations
This item does not require legal review.
Equity Considerations
Approving lawful gambling exemptions gives nonprofit organizations the opportunity to create
relationships within the community and make connections that can help provide unbiased programs
and services to those in need.
Recommended Action
Motion to receive and file the gambling license exemption and approve the waiver of notice
requirement for A Breath of Hope Lung Foundation to conduct gambling (raffle) at an event at The
Club at Golden Valley, 7001 Golden Valley Road, on November 7, 2025.
11
EXECUTIVE SUMMARY
Legal
763-512-2345 / 763-512-2344 (fax)
Golden Valley City Council Meeting
November 5, 2025
Agenda Item
3C.2. Approve On-Sale Wine License with Strong Beer Authorization - JLD Group, LLP d/b/a Trailhead
Cafe - 1221 Theodore Wirth Parkway
Prepared By
Theresa Schyma, City Clerk
Summary
JLD Group, LLP d/b/a Trailhead Cafe has applied for an On-Sale Wine License with Strong Beer
Authorization for the trailhead building located at 1221 Theodore Wirth Parkway. JLD Group is owned
by Dr. John Baker and Omar Tezel who also own and operate the Chalet at the Theodore Wirth Golf
Course, 1301 Theodore Wirth Parkway. The Trailhead Cafe will occupy the space that recently became
vacant when Mill Valley Market closed. Currently the Minneapolis Park and Recreation Board is
seeking a new tenant for the trailhead building and JLD Group has agreed to occupy and operate the
space during the search process and until a new tenant is selected. JLD Group plans to open the space
for food service at the beginning of November and will add alcohol service once they receive final
approval from the State. The City Clerk has spoken with Mr. Tezel and is working with JLD Group to
ensure all paperwork is in order so that they can begin serving alcohol as soon as practicable.
The City Clerk is in contact with staff at the State's Alcohol and Gambling Enforcement Division to
ensure all necessary documents are in order for this new license. The Golden Valley Police Department
completed the necessary background investigations for JLD Group during the recent renewal period in
June so new investigations are not required at this time.
The City Clerk is recommending approval contingent upon the successful completion of all required
paperwork including payment of all license and permit fees. The new license will be effective through
June 30, 2026.
Financial or Budget Considerations
Fees received are budgeted and help to defray costs the City incurs to administer and process licenses.
No licenses are issued until payment is received in full.
Legal Considerations
The City Clerk reviews the applications and ensures that all required documentation, including
insurance, is properly delivered to the State's Alcohol and Gambling Enforcement Division for further
processing and approval.
12
Equity Considerations
Equity review was not needed as this item falls under the general course of business for the City
Clerk's office.
Recommended Action
Motion to approve an On-Sale Wine License with Strong Beer Authorization for JLD Group, LLP d/b/a
Trailhead Cafe, 1221 Theodore Wirth Parkway for the license period of November 5, 2025 through
June 30, 2026, contingent upon the successful completion of all required paperwork including
payment of all license and permit fees.
13
EXECUTIVE SUMMARY
Parks & Recreation
763-512-2345 / 763-512-2344 (fax)
Golden Valley City Council Meeting
November 5, 2025
Agenda Item
3D.1. Approve Purchase of 60 Electric Golf Carts from Club Car, LLC
Prepared By
Jasy Vorachit, Administrative Assistant
Ben Disch, Brookview Golf Operations Manager
Janelle Crossfield, Parks and Recreation Director
Summary
The existing fleet of 60 electric golf carts were purchased in 2018 and need to be replaced. Staff
propose purchasing 60 new Club Car Tempo 2 Passenger Next Gen Lithium golf carts.
Staff recommend purchasing the golf carts through Sourcewell. Sourcewell is a service cooperative
created by the Minnesota legislature as a local unit of government pursuant to Minn. Const. art. XII,
sec. 3 and enabling law Minn. Stat. § 123A.21. Sourcewell has awarded contract number #091024-CCR
for the purchase of electric powered golf carts.
Financial or Budget Considerations
The 2025-2035 Brookview Golf Course Enterprise Capital Improvement Program (CIP) includes
$500,000 for the purchase of golf carts (GC-009). The cost for the golf carts is $550,799.95. Brookview
Golf Course would receive $103,500.00 for trade in value for the existing Brookview Golf Course golf
cart fleet. The net cost would amount to a total of $447,299.95.
Legal Considerations
The proposed materials will be purchased following Minn. Stat. § 471.345 Subd. 15 Cooperative
purchasing.
(a) Municipalities may contract for the purchase of supplies, materials, or equipment by utilizing
contracts that are available through the state's cooperative purchasing venture authorized by section
16C.11. For a contract estimated to exceed $25,000, a municipality must consider the availability, price
and quality of supplies, materials, or equipment available through the state's cooperative purchasing
venture before purchasing through another source.
Equity Considerations
Golf carts at Brookview reduce the physical and logistical barriers by increasing accessibility,
inclusivity, and participation opportunities for all who are interested in experiencing the benefits of
golf.
14
Recommended Action
Motion to approve purchase of 60 electric golf carts from Club Car, LLC. In the amount of $550,799.95.
Supporting Documents
Electric Golf Cart Quote.pdf
15
16
17
18
19
Quote #Q-23585 for Brookview Golf Course - MN
Notes/Comments:
Vendor Name:
Vendor Number:
Contract Number:
Contract Expiration Date:
Mailing Address:
Respectfully,
October 21, 2025
Date
Andy Hochmuth
Territory Manager
Printed name\ title
Sourcewell (US)
091024-CCR
091024-CCR
November 13, 2028
Club Car LLC
4125 Washington Road,
Evans, GA 30809
952-913-7414
andrew.hochmuth@clubcar.com
Accepted by:
Print name:
Title:
Date:
PO Number:
Page 5 ofS
Noah Schuchman, City Manager
Roslyn Harmon, MayorATTEST:
20
EXECUTIVE SUMMARY
Fire
763-512-2345 / 763-512-2344 (fax)
Golden Valley City Council Meeting
November 5, 2025
Agenda Item
3D.2. Approve Purchase of Laptops and Tablets for Fire Department from Guardian Fleet Safety
Prepared By
Maria Jimenez, Administrative Assistant
Dominque Guzman, Assistant Fire Chief
Summary
Computers and tablets for apparatus to support and provide computer aided dispatch.
Financial or Budget Considerations
This purchase is included in the City's CIP.
Legal Considerations
This purchase and the submitted quote have been reviewed and approved by the City Attorney.
Equity Considerations
This purchase and submitted quote have been reviewed and approved by the Equity Division.
Recommended Action
Motion to approve the purchase of Laptops and Tablets for Fire Department from Guardian Fleet
Safety.
Supporting Documents
GVFD Quote - Sourcewell
21
103444
QUOTE Page:1 of 3
Guardian Fleet Safety
7020 State Highway 24
PO Box 70
Clear Lake MN 55319
Phone: (320) 245-4000
sales@guardianfleetsafety.com
www.guardianfleetsafety.com
Quote:
Date Quoted:10/15/2025
Payment Terms:
Service Writer:
PO #:
Net 30
Trace Kendig
Quote To:
Golden Valley Fire Department
7800 Golden Valley Road
Golden Valley MN 55427
Phone: (763) 593-8080
Date:10/15/2025
Expires:11/14/2025
Reference:
Sales Person:Trace Kendig
Updated quote for 8 Getac A140s, 3 Getac S510s, all necesssry docks and hardware. Also included is 11
Cradlepoint R980 routers, antennas and all install costs.
This is for 4 engines (one ladder truck), 5 Ford Utilities and 2 Ford F-150's.
This pricing reflects MN/Getac Sourcewell contract - 090122GET.
Line Part
Description Drawing
Expected Qty Unit Price Ext. PriceRev
1 103132
5262GB96C008: A140G2E - Intel® Ultra
5 125U, W/ Webcam, Microsoft
Windows 11 Pro x64 with 16GB RAM +
TAA, 512GB PCIe SSD, Sunlight
Readable (Full HD LCD + Touchscreen
+ Stylus), US Power Cord, 8M Rear
Camera, WIFI + BT + GPS / Glonass +
Passthrough, Hard Handle, LAN, Smart
Card reader, Thunderbolt 4 x 2, 3 Year
Warranty B2B Remark: TAA compliant
8.00 4,064.00 32,512.00EA
2 101884
GE-SVTBNFX5Y: GETAC:Bumper to
Bumper + Extended Warranty- Tablet
(Year 4 & 5) - Getac, Tablet&Notebook
(A/ B/ F/ K/ V/UX/X600 Series), Bumper-
to-Bumper+Extended Warranty, 5, Years
8.00 535.50 4,284.00EA
3 101544
PKG-DS-GTC-801-3: Havis Package –
Docking Station For Getac A140 Rugged
Tablet With Triple Pass-Thru Antenna
Connections & Power Supply Mounting
Bracket
8.00 1,154.70 9,237.60EA
QuotForm:001:00
22
103444
QUOTE Page:2 of 3
Guardian Fleet Safety
7020 State Highway 24
PO Box 70
Clear Lake MN 55319
Phone: (320) 245-4000
sales@guardianfleetsafety.com
www.guardianfleetsafety.com
Quote:
Date Quoted:10/15/2025
Payment Terms:
Service Writer:
PO #:
Net 30
Trace Kendig
4 103133
SU172AQASSXX: S510 - Intel Core
Ultra 5 125U Processor + Thunderbolt 4
x 1, 15.6" + Windows Hello Webcam,
Microsoft Windows 11 Pro x64 with
16GB RAM + TAA, 256GB PCIe SSD
(Main storage, user swappable),
Sunlight Readable (Full HD LCD +
Touchscreen + Stylus), US KBD + US
Power Cord, Membrane Backlit KBD,
WIFI + BT + 5G Sub-6 w/ dedicated
GPS + Passthrough, Battery x 1, Without
any extra option, 3 Year Limited
Warranty
3.00 3,337.95 10,013.85EA
5 103048
GET-GE-SVSRNFX5Y:(Bumper to
Bumper)+ Extended Warranty- Semi-
Rug Laptop (Year 1,2,3,4 & 5)
3.00 629.10 1,887.30EA
6 103147
5433GA890114: S510 - Havis, PKG-DS-
GTC-1402-3-BW, Vehicle Dock with port
replication, with Tri Pass-through, with
screen support (include 120w bare wire
vehicle ad
3.00 1,292.20 3,876.60EA
7 102686
MB05-R980-5GD-A: CradlePoint R980
Router with 5-yr NetCloud Essentials
Plan.
11.00 1,799.00 19,789.00
-389.65Discount
EA
8 101330
ANTENNA KIT DATA 7 WAY: DATA
ANTENNA 7 WAY 5G / 4G MIMO X 4
SMA MALE 17' WIFI X 2 SMA 17'
1GNSS 3M 17' M113.M1.7.333
11.00 323.41 3,557.51EA
9 100762
KT-CM-SLIDE-W-3SCLV: Troy Products
Premium Laptop Movement Arm
9.00 404.93 3,644.37EA
QuotForm:001:00
23
103444
QUOTE Page:3 of 3
Guardian Fleet Safety
7020 State Highway 24
PO Box 70
Clear Lake MN 55319
Phone: (320) 245-4000
sales@guardianfleetsafety.com
www.guardianfleetsafety.com
Quote:
Date Quoted:10/15/2025
Payment Terms:
Service Writer:
PO #:
Net 30
Trace Kendig
10 SERVICE LABOR ON SITE
5 FORD UTILITIES AND 2 F150'S
42.00 150.00 6,300.00HR
11 SERVICE LABOR ON SITE
4 ENGINES
40.00 150.00 6,000.00HR
12 TECHNICIAN TRAVEL TIME
TECHNICIAN TRAVEL TIME PER
HOUR
28.00 75.00 2,100.00EA
13 102925
MILEAGE FEE PER MILE
714.00 0.59 421.26EA
Lines Total 103,233.84
Quote Total 103,233.84
Total Taxes 0.00
QuotForm:001:00
Noah Schuchman, City ManagerRoslyn Harmon, Mayor
24
EXECUTIVE SUMMARY
Police
763-512-2345 / 763-512-2344 (fax)
Golden Valley City Council Meeting
November 5, 2025
Agenda Item
3D.3. Approve Amendment #1 to Joint Powers Agreement Between Hennepin County and the City of
Golden Valley Regarding the Police Embedded Social Worker
Prepared By
Brittany Froberg, Police Support Services Supervisor
Matt Clark, Interim Police Chief
Summary
In May 2021, Hennepin County and the Golden Valley Police Department partnered to establish a
program that provides a social worker employed by Hennepin County that will work with GVPD
through Hennepin County 911 dispatch. The joint powers agreement was an effort to coordinate
expertise and delivery of services to provide 911 dispatch services in a manner that most effectively
and efficiently supports and protects the physical, mental, and behavioral health of individuals in the
City of Golden Valley In Hennepin County. The term of this joint powers agreement between Hennepin
county and City of Golden Valley shall be from January 1, 2024, through December 31, 2027.
Financial or Budget Considerations
With the cost sharing formula the cost of this program has been incorporated into the Proposed 2026
Budget.
Legal Considerations
The Legal Department has reviewed this agreement.
Equity Considerations
Hiring an Embedded Social Worker will increase outcomes for all populations by providing a more
appropriate and effective response to crises like mental health emergencies, substance abuse, and
domestic violence. This will also help demonstrate that the Golden Valley Police Department is
working to address the broader needs of our community, which can improve police-community
relationships.
Recommended Action
Motion to approve Amendment #1 to the Joint Powers Agreement between Hennepin County and the
City of Golden Valley regarding the Police Embedded Social Worker.
Supporting Documents
Amendment #1 - GVPD ESW JPA - 2 year extension
25
JPA Between Hennepin County and City of Golden Valley - A2312128 (Approved 05-07-2024)
26
HC #A2312128
1
August 2025
AMENDMENT #1 TO JOINT POWERS AGREEMENT
BETWEEN HENNEPIN COUNTY
AND CITY OF GOLDEN VALLEY
This Joint Powers Agreement (“Agreement”) is made and entered into by and between the County
of Hennepin, State of Minnesota (“COUNTY”) on behalf of its Human Services and Public Health
Department (“HSPHD”) and City of Golden Valley (“CITY”), 7800 Golden Valley Road, Golden
Valley, Minnesota 55427, on behalf of its police department, (“POLICE DEPARTMENT”) and
pursuant to the authority conferred upon them by Minn. Stat. § 471.59. The parties to this
Agreement may also be referred to individually as “Party” and collectively as “Parties”.
IT IS HEREBY AGREED that Agreement No. A2312128 between the above-named parties,
including prior amendments or ministerial adjustments if any, is hereby amended in accordance
with the provisions set forth below.
Clause 3, TERM OF THE AGREEMENT, shall be amended to read:
3. TERM OF THE AGREEMENT
The term of this Agreement shall be from January 1, 2024, through December 31, 2027, unless
terminated earlier in accordance with the cancellation/termination provisions of this
Agreement.
Clause 4, PAYMENT, paragraph A., shall be amended to read:
4. PAYMENT
A. In accordance with the provisions herein, CITY shall pay COUNTY as follows for 1.0 full-
time Social Worker (“SW”), as that term is defined in Exhibit A, employed by COUNTY.
1. For the period January 1, 2024, through December 31, 2024, total payments by CITY
to COUNTY shall not to exceed eighty-two thousand seven hundred seventeen dollars
($82,717).
2. For the period of January 1, 2025, through December 31, 2025, total payments by CITY
to COUNTY shall not to exceed eighty-eight thousand four hundred thirty-one dollars
($88,431).
3. For the period of January 1, 2026, through December 31, 2026, total payments by CITY
to COUNTY shall not to exceed eighty-eight thousand four hundred thirty-one dollars
($88,431).
4. For the period of January 1, 2027, through December 31, 2027, total payments by CITY
to COUNTY are to be determined.
This amendment shall be effective December 31, 2025.
27
HC #A2312128
2
August 2025
Except as herein amended, the terms, conditions and provisions of said Agreement No. A2312128,
including prior amendments or ministerial adjustments if any, remain in full force and effect.
(The remainder of this page intentionally left blank.)
28
HC #A2312128
3
August 2025
The Parties hereto agree to be bound by the provisions set forth in this Agreement.
COUNTY OF HENNEPIN
Reviewed for COUNTY by the County STATE OF MINNESOTA
Attorney’s Office
By:
Chair of Its County Board
Date:
ATTEST:
Deputy/Clerk of County Board
Date:
By:
County Administrator
Date:
CITY OF GOLDEN VALLEY
By: ___________________________________
Title: _________________________________
Date: __________________________________
By: ___________________________________
Title: _________________________________
Date: __________________________________
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EXECUTIVE SUMMARY
Administrative Services
763-512-2345 / 763-512-2344 (fax)
Golden Valley City Council Meeting
November 5, 2025
Agenda Item
3D.4. Approve Private Plan with MetLife for Paid Family and Medical Leave (PFML) Program
Implementation and Services
Prepared By
John Miller, HR Manager
Summary
Staff seeks Council approval to leverage the benefits of a Private Plan with MetLife for MN Paid Family
and Medical Leave (PFML) program implementation and services. The attached PFML memo outlines
the legal requirements and City processes.
Financial or Budget Considerations
Finance included funds needed for PFML in the proposed 2026 budget.
Legal Considerations
The City Attorney has reviewed and approved the MetLife Policy.
Equity Considerations
The City complies with all State and Federal laws and regulations associated with statewide Paid
Family and Medical Leave (PFML) to support employee family and medical needs by ensuring at least
partial payment of wages and job protection.
Recommended Action
Motion to approve Private Plan with MetLife for Paid Family and Medical Leave (PFML) Program
Implementation and Services.
Supporting Documents
PFML Memo
MN-PFML Policy - City of Golden Valley
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Recommendation Memorandum
Subject: Paid Family and Medical Leave (PFML) Program Implementation
Problem Statement. The City must determine whether state or private implementation
of the new statewide Paid Family and Medical Leave (PFML) program is most effective
and efficient before November 10, 2025.
Background. Minnesota will be the 13th state to launch a statewide paid leave program.
Minnesota’s new PFMLA law is enacted to provide employees leave for family and
medical reasons and ensure that Minnesotan’s receive the support needed to be there
for some of life’s most important moments such as caring for a new child, recovering
from a serious health condition, or supporting and caring for a family member. Short
Term Disability (STD) typically covers an employee's own health condition, while PFML
covers a broader set of qualifying reasons, including bonding leave, caregiver leave,
leave for a qualified military exigency, and safe leave. Employers should consider STD
when planning for employee PFML to ensure requirements for both programs provide
comprehensive support for employees.
The PFML program will provide job protection and partial wage replacement per benefit
year up to a maximum 20 weeks of coverage for family and medical leave funded
through a payroll tax applied to all employers. The program has two leave types, which
are broadly categorized as family/caregiving leave and medical leave. Employees can
take 12 weeks of leave, up to a combined maximum of 20 weeks. Although similar to
FMLA, employees may qualify for PFML even if they are not qualified for FMLA. PFML’s
coverage, premiums, and first payroll deductions will begin on January 1, 2026, and
employers will contribute a minimum of 50% of the total premium but may choose to pay
up to 100% of the premium. Premiums will be due to Department of Employment and
Economic Development (DEED) NLT April 20, 2026.
Details. For PFML benefits to begin Employees must meet a consecutive seven-day
qualifying period for a leave reason to receive benefits. Once this period is met, benefits
become payable for the seven days and absences taken for that leave reason moving
forward (Note: The seven-day qualifying period doesn’t apply to bonding leaves and if
leave is intermittent the seven-day qualifying period does not have to be consecutive).
Employer PFML categories of responsibilities include (1) Notification requirements
(including educating and informing employees annually, new hire, or during a
qualifying event), (2) Reporting wages and in 2026, submitting paid leave
premiums, and (3) Coordinating benefits and leaves during absences. Indeed, both
the initial implementation and execution of the PFML claims process are complex and
can be both taxing and costly to any organization. More information on Minnesota Paid
Leave can be found on Minnesota’s State Portal via the following link Minnesota Paid
Leave and the following League of Minnesota Cities (LMC) link Minnesota Paid Leave
Law - LMC.
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Impact. The state’s new PFML program is a complex process that is new to the state
and it’s Cities. Exasperating the complexity of the process is the fact that program
implementation is a new process in the state of Minnesota. Challenges associated with
PFML implementation can be costly and include but are not limited to policy and
process development, billing, payment, and reporting requirements, and ensuring
regulatory compliance.
Proposed Solution. A private plan, which may be fully insured or self-insured, must
meet or exceed the state plan and be approved by the state. Recommend using a
private plan (i.e., MetLife) that aligns both PFML and STD for the following reasons:
MetLife is more cost efficient for the City compared to the State of Minnesota
Plan (Appendix A), as well as a more cost-efficient plan for Short-Term Disability
(STD) (Appendix B).
MetLife has implemented and currently runs PFML for other organizations in
other states which would provide a knowledgebase that can be leveraged.
MetLife provides a technological PFML system that helps guide employers and
employees through the claim request process which includes:
o Applying for benefits
o Employer verification
o Employer response
o Employer determination
o Benefit payments
MetLife helps establish Policy and ensure compliance.
Ensure quality service for City of Golden Valley employees
Note: The deadline to file for a private plan is November 10, 2025.
Supporting Data.
Minnesota State Portal (Paid Leave)
League of Minnesota Cities (LMC)
Appendix A: City of Golden Valley PFML Program Analysis
Appendix B: City of Golden Valley STD Program Analysis
Appendix A: City of Golden Valley PFML Program Analysis
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Appendix B: City of Golden Valley STD Program Analysis
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Metropolitan Life Insurance Company
200 Park Avenue New York, New York 10166
Metropolitan Life Insurance Company (“MetLife”), a stock company, will pay the benefits specified in the Exhibits to this policy
subject to the terms and provisions of this policy.
MINNESOTA PAID FAMILY AND MEDICAL LEAVE INSURANCE
This policy is intended to comply with the Minnesota Paid Leave Law, Minn. Stat. §§ 268.B.001, et seq., and implementing
regulations (collectively, “the Law”), and will be interpreted and applied to be consistent with the requirements of the Law. If
any provision of the policy conflicts with or violates the Law, the provisions of the Law will control, and the policy will be
interpreted and applied to comply with the Law, unless the policy provisions are more advantageous to the Employee in
which case the policy terms will prevail.
Policyholder: City of Golden Valley
Group Policy No.: 5780289-G-MN
EFFECTIVE DATE
This policy will take effect on January 1, 2026.
POLICY ANNIVERSARIES
The first Policy Anniversary will be January 1, 2027. Subsequent Policy Anniversaries will be January 1, 2028 and each
January 1 thereafter. The policy shall automatically renew on each Policy Anniversary with continued payment of premium.
Refer to the section “END OF INSURANCE PROVIDED BY THIS POLICY” for additional information.
PREMIUM PAYMENTS
This policy, and the insurance provided under it, is issued in return for the payment of required Premiums.
Premiums are payable at the home office of MetLife or to its authorized agent. The first Premium is due on and must be paid
by this policy’s Effective Date. Any later Premiums are due monthly on the first day of each Policy Month. These dates are
the Premium Due Dates.
MetLife and the Policyholder may agree upon a different frequency for the payment of Premiums. In that case, Premium Due
Dates will be adjusted to reflect the agreed upon frequency.
POLICY SITUS
This policy is issued for delivery in and governed by the laws of Minnesota.
Signed as of this policy’s effective date at MetLife’s home office in New York, New York.
Timothy J. Ring
Secretary
Michel Khalaf
President
GROUP PAID LEAVE INSURANCE POLICY NON-DIVIDEND PAYING
GPNP25-MN-PFML PAGE 1
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POLICYHOLDER OBLIGATIONS
Private Plan Approval
The Policyholder is responsible for obtaining and maintaining approval of its Minnesota Paid Family and Medical
Leave Insurance private plan from the Department in accordance with the requirements of the Law.
Employee Notice and Poster Requirements
In accordance with Minn. Stat. § 268B.26, the Policyholder must post a workplace notice poster and issue to each
Employee not more than 30 days from the beginning date of the Employee's employment, or 30 days before
contribution collection begins, whichever is later, a notice outlining rights and benefits under the Law.
Reporting
The Policyholder must comply with all applicable equivalent plan reporting requirements under
Minn. Stat. § 268B.25 and elsewhere in the Law.
Job Protection, Employee Retaliation, and Continued Insurance
The Policyholder shall comply with the job protection requirements, retaliation prohibitions, and continued
insurance requirements under Minn. Stat. § 268B.09, along with any other requirements under the Law that apply
to employers.
GPNP25-MN-PFML PAGE 2 46
TABLE OF CONTENTS
Section Page
POLICY FACE PAGE
Effective Date ........................................................................................................................................ 1
Policy Anniversaries ............................................................................................................................. 1
Premium Payments .............................................................................................................................. 1
Policy Situs ........................................................................................................................................... 1
NOTICES AND POLICYHOLDER OBLIGATIONS ........................................................................................... 2
Private Plan Approval ........................................................................................................................... 2
Employee Notice and Poster Requirements ........................................................................................ 2
Reporting................................................................................................................................................ 2
Job Protection, Employee Retaliation, and Continued Insurance ....................................................... 2
TABLE OF CONTENTS ..................................................................................................................................... 3
DEFINITIONS ..................................................................................................................................................... 5
EFFECTIVE DATE OF INSURANCE ON COVERED INDIVIDUALS .......................................................... 10
Date Insurance on Covered Individual Takes Effect ......................................................................... 10
Date Insurance on a Covered Individual Ends .................................................................................. 10
PAID LEAVE BENEFITS ................................................................................................................................. 10
Eligible Paid Leave ............................................................................................................................. 10
Benefit Accrual………………………………………………………………………………….………..…10
Benefit Payment .................................................................................................................................. 11
Intermittent Leave Schedule .............................................................................................................. 11
Policyholder Reimbursement .............................................................................................................. 12
Date Benefit Payments End ................................................................................................................ 12
LIMITATIONS UNDER THE POLICY .............................................................................................................. 12
Reduction of Paid Leave Benefits ....................................................................................................... 12
Offsets .................................................................................................................................................. 13
Disability Insurance…………………………………………………………………..………………..13
Paid Leave Benefits from Other States…………………………………………....………….……..13
Exclusions ........................................................................................................................................... 13
FILING A CLAIM .............................................................................................................................................. 13
Notice to the Policyholder ................................................................................................................... 13
Proof of Loss ....................................................................................................................................... 14
Certification Requirements ................................................................................................................... 14
For Medical Leave due to a Serious Health Condition ................................................................. 15
For Medical Care Related to Pregnancy ....................................................................................... 15
For Family Care Leave to care for Family Member with a Serious Health Condition ................. 15
For Bonding Leave for the birth of a Child .................................................................................... 15
For Bonding Leave for Placement of a Child for Adoption or Foster Care .................................. 16
For a Qualifying Exigency .............................................................................................................. 16
For Safety Leave ............................................................................................................................ 16
Change in Schedule or Duration of an Approved Leave..................................................................... 16
Claim Determination ............................................................................................................................. 16
Notification of Claim Determination ...................................................................................................... 16
Administrative Review and Appeals..................................................................................................... 16
Overpayments ..................................................................................................................................... 16
GPNP25-MN-PFML PAGE 3
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TABLE OF CONTENTS (continued)
Section Page
PREMIUM RATE(S) .......................................................................................................................................... 19
Initial Rates ......................................................................................................................................... 19
Computation of Premium .................................................................................................................... 19
Computation of Premiums for Changes in Insurance ....................................................................... 19
Right to Change Premium Rates ....................................................................................................... 19
GRACE PERIOD .............................................................................................................................................. 20
END OF INSURANCE PROVIDED BY THIS POLICY ................................................................................... 21
Reinstatement ..................................................................................................................................... 21
GENERAL PROVISIONS ................................................................................................................................ 21
Entire Contract .................................................................................................................................... 21
Incontestability: Statements Made by the Policyholder ..................................................................... 21
Incontestability: Statements Made by Covered Individuals ............................................................... 22
Assignment ......................................................................................................................................... 22
Misstatement of Age ........................................................................................................................... 22
Non-Dividend Paying .......................................................................................................................... 22
Conformity with Law ........................................................................................................................... 22
Policy Changes or Waivers ................................................................................................................ 22
Information Needed and Policy Administration ................................................................................. 23
SCHEDULE OF EXHIBITS ............................................................................................................................... 24
EXHIBIT 1: SCHEDULE OF INITIAL PREMIUM RATES ................................................................. 25
EXHIBIT 2: SCHEDULE OF BENEFITS .......................................................................................... 26
EXHIBIT 3: LIST OF POLICYHOLDER SUBSIDIARIES, AFFILIATES,
DIVISIONS, BRANCHES AND OTHER SIMILAR ENTITIES ........................................................... 28
GPNP25-MN-PFML PAGE 4
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DEFINITIONS
As used in this policy, the terms listed below will have the meanings defined below. When defined terms are used in
this policy, they will appear with initial capitalization. The plural use of a term defined in the singular will share the
same meaning.
Active Duty means the description given in United States Code, title 29, section 2611(14), and includes domestic
deployment.
Average Weekly Wage means an amount equal to the quarter in a Covered Individual’s Base Period with the
highest amount of wage credits divided by 13.
Base Period means the most recent four Calendar Quarters in which wage credits were earned by a Covered
Individual with the Policyholder. The Base Period is calculated once during the Benefit Year. If the Policyholder does
not have four quarters of wage detail information, the Policyholder must accept a Covered Individual’s certification of
wage credits, based on the Covered Individual’s records. If the Covered Individual does not provide certification of
additional wage credits, the Policyholder may use a Base Period that consists of all available quarters.
Benefit Year means a rolling 12-month period measured backward from a Covered Individual’s first day of leave
taken.
Bonding Leave means a leave from work taken by a Covered Individual who is a biological, adoptive, or foster
parent in conjunction with the child’s birth, adoption, or placement. Bonding Leave may be taken before the actual
adoption or placement of a child in accordance with Minn. Stat. § 268B.085 Subd. 2.
Calendar Day means a fixed 24-hour period corresponding to a single calendar date.
Calendar Quarter means the period of three consecutive calendar months ending on March 31, June 30,
September 30, or December 31.
Child means:
a biological child, adopted child, stepchild or foster child of a Covered Individual or their Spouse;
a child to whom the Covered Individual or their Spouse stands in loco parentis; or
a person for whom a Covered Individual or their Spouse is a legal guardian or de facto custodian.
Covered Employment means performing services of whatever nature, performed for Wages. For purposes of the
definition, Covered Employment means an Employee’s entire employment during a calendar year if:
50% or more of the employment during the calendar year is performed in Minnesota; or
50% or more of the employment during the calendar year is not performed in Minnesota or any other single state
within the United States, or United States territory or foreign nation, but some of the employment is performed in
Minnesota and the employee's residence is in Minnesota during 50 percent or more of the calendar year.
GPNP25-MN-PFML PAGE 5 49
DEFINITIONS (Continued)
Covered Individual(s) means the Employees who are members of an eligible class stated in the EXHIBIT 2 –
SCHEDULE OF BENEFITS and are insured under the policy.
Department means the Minnesota Department of Employment and Economic Development.
Domestic Partner(s) means each of two people, one of whom is a Covered Individual of the Policyholder who:
have registered as each other’s domestic partner, civil union partner or reciprocal beneficiary with a state,
local, or other government agency where such registration is available; or
are of the same or opposite sex and are jointly responsible to each other for the necessities of life and
committed to one another to the same extent as married persons are to each other. Each person must be:
1. 18 years of age or older;
2. unmarried;
3. the sole domestic partner of the other; and
4. not related to the other in a manner that would bar their marriage in the jurisdiction in which they reside.
A Domestic Partner declaration attesting to the existence of an insurable interest in one another’s lives must be
completed and Signed by the Covered Individual.
Effective Date of Leave means the date of the first absence associated with a Family Care Leave or Medical
Leave.
Employee means an individual performing services for the Policyholder for Wages.
Employer means the Policyholder shown on the face page of this policy and any subsidiaries, affiliates, divisions,
branches, or similar entities of the Policyholder as set forth in the Exhibits to this policy.
Exhibit means any attachment to this policy referred to in the Schedule of Exhibits. Exhibits to this policy include; a
Schedule of Initial Premium Rates; a Schedule of Benefits; and a list of Policyholder Subsidiaries, Affiliates and
Divisions.
Family Care Leave means leave from work taken by a Covered Individual:
to care for a Family Member with a Serious Health Condition;
for a Bonding Leave; or
for a Qualifying Exigency.
Family Member means a Spouse, Child, Parent, Sibling, Grandchild, Grandparent, and any individual who has a
personal relationship with the Covered Individual that creates an expectation and reliance that the Covered
Individual will care for, regardless if they reside together.
Financially Eligible means that the eligible Employee has wage credits of at least 5.3% of the state’s average
annual wage rounded down to the next lower $100.
Grandchild means a Child of a Covered Individual or Spouse’s Child.
Grandparent means a Parent of a Covered Individual or Spouse’s Parent.
GPNP25-MN-PFML PAGE 6 50
DEFINITIONS (Continued)
Health Care Provider means an individual who is licensed, certified or otherwise authorized to practice in
accordance within their scope of practice as a physician, physician assistant, podiatrist, osteopath, surgeon,
advanced practice registered nurse, licensed midwives and includes, other individuals capable of providing health
care services in accordance with the Law and the federal Family and Medical Leave Act.
Incapacity means the inability to perform regular work, to attend school or perform regular daily activities due to a
Serious Health Condition, including treatment and recovery from such Serious Health Condition.
Initial Paid Week means the first seven days of a leave for a Qualifying Reason, which must be paid and is a
payable period for leave types including:
Serious Health Condition;
Medical Care Related to Pregnancy;
Family Care Leave;
Qualifying Exigency; or
Safety Leave.
For Intermittent Leave, the Initial Paid Week is 7 consecutive or nonconsecutive Leave Occurrences from the first
day of leave, of which only days when leave is taken are payable.
Inpatient Care means an overnight stay in a hospital, hospice, or residential medical care facility, including any
period of Incapacity, or any subsequent treatment in connection with such care.
Intermittent Leave means leave in separate consecutive or non-consecutive Leave Occurrences for a single
Qualifying Reason.
Leave Occurrence means leave taken in any increment of time in accordance with the Policyholder’s
requirements not to exceed one Calendar Day.
Medical Care Related to Pregnancy means a Covered Individual’s own prenatal care, Incapacity due to
pregnancy, or recovery from childbirth, stillbirth, miscarriage, or related health conditions.
Medical Leave means leave from work taken by a Covered Individual due to their own Serious Health Condition
or Medical Care Related to Pregnancy.
Parent means the biological, adoptive, de facto, or foster parent, stepparent, or legal guardian of the Covered
Individual or their Spouse or an individual who stood in loco parentis to the Covered Individual when the Covered
Individual was a child.
Policy Anniversary means each of the Policy Anniversary dates as set forth in the Policy Anniversaries provision
on the policy face page. The Policy Anniversary is also the renewal date of the policy.
Policy Month means the one month period beginning on the Effective Date shown on the face page of this policy.
Subsequent Policy Months will begin on the same day of each subsequent month.
Policyholder means the entity listed as the Policyholder on the face page of this policy.
Premium means the amount that must be paid to MetLife for the insurance provided under this policy.
Premium Due Date is defined on the face page of this policy.
GPNP25-MN-PFML PAGE 7
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DEFINITIONS (Continued)
Proof means Written evidence satisfactory to Us that a person has satisfied the conditions and requirements for any
benefit described in this policy. When a claim is made for any benefit described in this policy, Proof must establish:
the nature and extent of the loss or condition;
Our obligation to pay the claim; and
the Covered Individual’s right to receive payment.
Proof must be provided at the Covered Individual's expense.
Qualifying Exigency means, in accordance with Minn. Stat. § 268B.01 Subd. 33, a need for leave arising out of
a military member’s Active Duty service, notice of an impending call or order to Active Duty in the United States
armed forces. This also includes leave for the Covered Individual for following reasons:
provide for the care or other needs of the military member’s child or other dependent;
make financial or legal arrangements for the military member;
attend counseling;
attend military events or ceremonies;
spend time with the military member during a rest and recuperation leave or following return from deployment;
or
make arrangements following the death of the military member.
Qualifying Reason means any leave meeting the 7 Leave Occurrences qualifying event for Family Care Leave,
Medical Leave, or Safety Leave in accordance with Minn. Stat. § 268B.06 Subd. 2(a). Bonding Leave need not
meet the 7 Leave Occurrences qualifying event.
Safety Leave means a leave taken from work because of domestic violence, sexual assault, or stalking of the
Covered Individual or the Covered Individual’s Family Member, provided the leave is to:
seek medical attention related to the physical or psychological injury or disability caused by domestic violence,
sexual assault, or stalking;
obtain services from a victim services organization;
obtain psychological or other counseling;
seek relocation due to domestic violence, sexual assault, or stalking; or
seek legal advice or take part in legal action, including preparing for or participating in any civil or criminal legal
proceeding related to, or resulting from, the domestic violence, sexual assault, or stalking.
Seasonal Employee means an individual in accordance with Minn. Stat. § 268B.01 Subd. 35.
Serious Health Condition means a physical or mental illness, injury, impairment, condition or substance abuse
disorder of a Covered Individual or the Family Member of a Covered Individual that involves:
Inpatient Care in a hospital, hospice, or residential medical care facility, including any period of Incapacity; or
continuing Treatment or supervision by a Health Care Provider which includes any one, or more, of the
following:
a period of Incapacity of seven or more days, and any subsequent treatment or period of Incapacity,
relating to the same Serious Health Condition, that also involves:
treatment two or more times, within 30 days of the first day of Incapacity, unless extenuating
circumstances beyond the Covered Individual’s or the Family Member’s control prevent a follow-up
visit from occurring as planned, by a Health Care Provider or by a provider of health care services
under the orders of, or on referral by, a Health Care Provider; or
treatment by a Health Care Provider on at least one occasion that results in a regimen of continuing
Treatment under the supervision of the Health Care Provider;
GPNP25-MN-PFML PAGE 8
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DEFINITIONS (Continued)
Serious Health Condition (Continued)
a period of Incapacity due to Medical Care Related to Pregnancy;
a period of Incapacity or treatment for a chronic health condition that:
requires periodic visits, defined as at least twice a year, for treatment by a Health Care Provider or
under orders of, or on referral by, a Health care Provider;
continues over an extended period for time, including recurring episodes of a single underlying
condition; and
may cause episodic rather than continuing period of incapacity;
a period of Incapacity which is permanent or long term due to a condition for which treatment may not be
effective, provided, if not receiving active treatment, the Covered Individual or the Family Member is
under the continuing supervision of a Health Care Provider; or
a period of absence to receive multiple treatments for the Covered Individual or the Family Member,
including any period of recovery from the treatments by a Health Care Provider or by a provider of health
care services under orders of, or on referral by a Health Care Provider for:
restorative surgery after an accident or injury; or
a condition that would likely result in a period of Incapacity of more than seven full Calendar Days in
the absence of medical intervention or treatment.
Treatment, as used within the definition of Serious Health Condition, means an in-person visit or telemedicine visit
with a Health Care Provider and includes, but is not limited to, examinations to determine if a Serious Health
Condition exists and evaluations of the Serious Health Condition.
Absence for Medical Care Related to Pregnancy or treatment for a chronic health condition will qualify as a Serious
Health Condition for a Covered Individual even if no treatment is received during the absence and the absence does
not exceed Leave Occurrences.
Sibling means the Covered Individual’s or their Spouse’s legal sibling(s), biological sibling(s), adoptive sibling(s),
stepsibling(s), foster sibling(s) or de facto sibling(s).
Signed means any symbol or method executed or adopted by a person with the present intention to authenticate a
record, and which is on or transmitted by paper, electronic media, or other durable media and which is consistent
with applicable law.
Spouse means the Covered Individual’s lawful spouse. Wherever the term “Spouse” appears in this policy it shall
be read to include a Domestic Partner.
State Average Weekly Wage means the average weekly wage as published by the Department of Employment
and Economic Development for Minnesota as a whole in accordance with Minn. Stat. § 268B.035 Subd. 23.
Supplemental Benefits means a payment made by a Policyholder to a Covered Individual as salary continuation
or as paid time off as defined by Minn. Stat. § 268B.01, Subd. 41.
Typical Work Week means the average number of hours worked per week by a Covered Individual within the
last two quarters prior to the effective date of a claim for leave.
Wages means the payments made to an employee in accordance with Minn. Stat. § 268B.01, Subd. 47. For purposes
of this policy, Wages are limited to compensation from the Policyholder.
We, Us and Our mean MetLife.
Week means a calendar week ending at midnight Saturday.
Weekly Benefit Amount means the amount of Family Care Leave and Medical Leave benefits calculated by Us in
accordance with Minn. Stat. § 268B.04.
Written or Writing means a record which is on or transmitted by paper, electronic media, or other durable media
and which is consistent with applicable law.
GPNP25-MN-PFML PAGE 9 53
EFFECTIVE DATE OF INSURANCE ON COVERED INDIVIDUALS
Date Insurance on a Covered Individual Takes Effect
Insurance on a member of the eligible class(es) stated in EXHIBIT 2 – SCHEDULE OF BENEFITS will take effect
on the later of:
the policy Effective Date; and
date such person becomes eligible.
Date Insurance on a Covered Individual Ends
Insurance on a Covered Individual will end on the earliest of:
the date this policy ends; or
the date insurance ends for the Covered Individual’s eligible class; or
the end of the period for which the last premium has been paid for the Covered Individual; or
the date such person ceases to qualify as a Covered Individual.
PAID LEAVE BENEFITS
Eligible Class(es), durations of Paid Leave, and Benefit Amounts provided under this policy are described in EXHIBIT
2 – SCHEDULE OF BENEFITS.
Eligible Paid Leave
If the Covered Individual has a Qualifying Reason while insured, Proof of such Qualifying Reason must be sent to
Us, when requested by Us. When We receive such Proof, We will review the claim as described in the FILING A
CLAIM section. If We approve the claim, We will pay Paid Leave Benefits up to the Maximum Period of Paid Leave
shown in the EXHIBIT 2 – SCHEDULE OF BENEFITS, subject to the section “Date Benefit Payments End”.
If the Covered Individual claims a period of Paid Leave on account of more than one Qualifying Reason, the
Covered Individual’s Paid Leave Benefits as shown in the EXHIBIT 2 – SCHEDULE OF BENEFITS will not
increase.
In any Benefit Year, the Covered Individual may take up to the Total Aggregate Maximum Period of Paid Leave
stated in the EXHIBIT 2 – SCHEDULE OF BENEFITS.
Benefit Accrual
If We approve the claim, benefits will begin to accrue on the first day of the approved leave. Benefits are available
for a single event of at least 7 Calendar Days related to Medical Care Related to Pregnancy, Family Care Leave,
Qualifying Exigency, Safety Leave, or a Serious Health Condition. Benefits related to Bonding Leave need not
meet the 7-day qualifying event requirement.
The leave allotment shall be based on the Covered Individual’s Typical Workweek with the Policyholder and will
not be reduced unless benefits are actually paid.
GPNP25-MN-PFML PAGE 10
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PAID LEAVE BENEFITS (Continued)
Benefit Payment
We will make benefit payments weekly so long as the Covered Individual remains on an approved leave. Refer to
the section FILING A CLAIM for more information.
Paid Leave Benefits are not payable in increments of less than 1 minute. Retroactive payments for the Initial Paid
Week are included in the first benefit payment, as described under Minn. Stat § 268B.06, Subd. 2.
Paid Leave Benefits will be based on the Covered Individual’s Average Weekly Wage in effect at the beginning of
an approved leave.
The Weekly Benefit Amount payable to a Covered Individual will be prorated when:
the Covered Individual works hours for Wages;
uses paid vacation time, sick pay, or other paid time off that is not considered a Supplemental Benefit payment;
or
the leave is an Intermittent Leave.
Paid Leave Benefits may be reduced or withheld if Child support obligations are owed by the Covered Individual in
accordance with Minn. Stat. § 268B.155.
Additionally, Paid Leave Benefits may be reduced or denied as stated in the section LIMITATIONS UNDER THE
POLICY.
Upon the Covered Individual’s death, We will pay any amount that is or becomes due to the Covered Individual’s
estate. Any periodic payments owed to the Covered Individual’s estate may be paid in a single sum.
Any payment made in good faith will discharge Us from liability to the extent of such payment.
Intermittent Leave Schedule
Intermittent Leave may be taken for a Serious Health Condition if such leave is reasonable and appropriate to the
needs of the individual with the Serious Health Condition. Otherwise, Intermittent Leave is available for all other
Qualifying Reasons. Intermittent Leave should be consistent with the established policy of the Policyholder to
account for use of other forms of leave so long as the Policyholder’s policy permits a minimum increment
consistent with the Law.
GPNP25-MN-PFML PAGE 11 55
PAID LEAVE BENEFITS (Continued)
Policyholder Reimbursement
Paid Leave Benefits are payable to the Covered Individual. However, if the Policyholder makes payments to the
Covered Individual during a period of leave for a Qualifying Reason:
for which benefits are otherwise payable under this policy; and
such payments are equal to or greater than the amount provided under this policy,
the Policyholder may be reimbursed out of any benefits due or to become due under the policy. The Policyholder must
request reimbursement for Paid Leave Benefits prior to the date such benefit payments begin. We will not pay benefits
to the Covered Individual for any period of leave for which reimbursement benefits are paid to the Policyholder. Any
payment made in good faith will discharge Us from liability to the extent of such payment.
Payments by the Policyholder to the Covered Individual must be consistent with the Law. The Policyholder may not,
under any circumstance, seek to recoup from the Covered Individual the difference between the reimbursement
amount and Wages paid during a period of leave for a Qualifying Reason. Any reimbursement arrangement cannot
diminish or affect any rights of or benefits owed to the Covered Individual.
Date Benefit Payments End
A Covered Individual’s benefit payments will end on the earliest of:
the end of the Maximum Period of Paid Leave;
the end of the period of leave for which the Covered Individual is approved for Paid Leave Benefits;
the date the Covered Individual no longer has a Qualifying Reason;
the date the Covered Individual dies; or
the date the Covered Individual fails to provide required Proof of the continuing Qualifying Reason for which the
Paid Leave Benefits were approved.
Subject to EXHIBIT 2 – SCHEDULE OF BENEFITS Family Care Benefits for a Bonding Leave will end within 12
months of the birth, adoption or placement of a foster child, except that, in the case where following birth, the child
remains hospitalized longer than the mother, the maximum duration for the leave is 12 months after the child’s
discharge from the hospital.
LIMITATIONS UNDER THE POLICY
Reduction of Paid Leave Benefits
Paid Leave Benefits for the Covered Individual may be reduced by the following while on Family Care Leave or
Medical Leave:
Supplemental Benefit payments to the extent when combined with Paid Leave Benefits exceeds the Covered
Individual’s Average Weekly Wage. Supplemental Benefits include:
payment made by the Policyholder to the Covered Individual as salary continuation, sick leave, vacation
leave, or as paid time off;
payment offered by a Policyholder to the Covered Individual taking leave to supplement Paid Leave
Benefits the Covered Individual is receiving; or
payments the Covered Individual is eligible to receive, or has received under Minnesota Workers’
Compensation, another state’s workers’ compensation or similar federal law, which when combined with Paid
Leave Benefits exceeds the Covered Individual’s Weekly Benefit Amount.
GPNP25-MN-PFML PAGE 12
56
LIMITATIONS UNDER THE POLICY (Continued)
Offsets
Disability Insurance
A Covered Individual may receive disability insurance payments in addition to Paid Leave Benefits provided the
Covered Individual is concurrently eligible for both benefits. Disability insurance benefits may be offset by Paid
Leave Benefits paid to the Covered Individual pursuant to the terms of the disability insurance policy.
Paid Leave Benefits from Other States
If a Covered Individual is eligible for paid leave benefits under a similar state law from a public program for the
same Qualifying Reason, Paid Leave Benefits under this policy will be offset by any benefits received from the
other state.
Exclusions
No Paid Leave Benefits are payable under this policy for:
a period of leave:
for which the Covered Individual worked for pay;
for which the Covered Individual was incarcerated;
commencing after the Covered Individual’s insurance ends;
more than one Qualifying Reason for any one segment of time;
any period of time for which the Covered Individual is receiving or has received unemployment insurance
benefits;
any period of time for which the Covered Individual is receiving, has received, or has filed for Social Security
disability benefits; however Paid Leave Benefit may be paid concurrently with Social Security disability payment
benefits as provided for under Minn. Stat. § 268B.06 Subd. 8; or
is classified as a Seasonal Employee except as permitted under Minn. Stat. §268B.06 Subd 9.
FILING A CLAIM
Notice to the Policyholder
For a foreseeable Qualifying Reason, the Covered Individual must provide notice at least 30 days’ in advance to the
Policyholder.
If the Qualifying Reason is not foreseeable due to lack of knowledge of when a leave will begin, a change in
circumstances or, a medical emergency, notice must be provided by the Covered Individual as soon as practicable.
For purposes of providing notice, “as soon as practicable” means as soon as possible and practical, taking into
account all of the facts and circumstances applicable to the individual case.
Notice of leave must at least be done orally, by telephone, or text message by the Covered Individual to make the
Policyholder aware of the need for leave, start date and anticipated duration. The Policyholder may require a
Covered Individual to comply with the Policyholder’s established procedures for requesting leave. If the Policyholder
has failed to provide notice as stated in section POLICYHOLDER OBLIGATIONS, the Covered Individual is not
required to provide notice to the Policyholder.
We will notify the Policyholder in Writing within 5 business days after a claim for Paid Leave Benefits has been filed
by a Covered Individual.
GPNP25-MN-PFML PAGE 13 57
FILING A CLAIM (Continued)
Proof of Loss
To request Paid Leave Benefits, a Covered Individual must submit a claim to Us which includes any required
Proof. A claim may submitted up to 60 days before the start of the leave or up to 30 days after the leave has
begun.
As provided below, required Proof must be supported by a certification evidencing that the leave is for a Qualifying
Reason.
The completed claim may include, but is not limited to, the following from the Covered Individual:
the Covered Individual’s first and last name, date of birth, mailing address, social security number, and telephone
number;
information about the Covered Individual’s employment with the Policyholder for which they are requesting leave
from work, including but not limited to:
average number of hours and days in a Typical Work Week
usual work week schedule; and
certification of Wages;
information about the notice given to the Policyholder and the date(s) such notice was given;
information about the Covered Individual’s leave schedule, including but not limited to:
anticipated leave dates; and
whether the leave is to be taken in consecutive periods or on an intermittent basis;
type of leave taken and verification of the Qualifying Reason as described in the applicable certification of leave
subsection below; and
confirmation if child support obligations are owed and, if so, in what state and county; and
for Family Care Leave:
information that proves to the satisfaction of MetLife the identity of the Family Member.
We may require from the Policyholder:
information regarding the Covered Individual’s claim including, but not limited to, verification of Wages earned
with the Policyholder.
Such verification should be provided by the Policyholder no more than 10 Calendar Days from the date of the
request. If the Policyholder fails to provide such information within 10 Calendar Days, the Covered Individual’s
claim for benefits shall be processed using the information available in Our records. If the Policyholder later
provides additional information, We may reprocess the claim, in Our discretion, taking into account the additional
information.
Certification Requirements
Required Proof must be supported by a certification evidencing that the leave is for a Qualifying Reason. We will
collect and retain information from the Covered Individual verifying a Qualifying Reason when a claim is submitted.
Upon written request, the Policyholder may require the Covered Individual provide a copy of the certification as soon
as practicable and possible given all of the facts and circumstances in the individual case. Providing certification at or
around the time the Covered Individual provides certification to Us will be considered practicable.
GPNP25-MN-PFML PAGE 14
58
FILING A CLAIM (Continued)
For Medical Leave due to a Serious Health Condition:
A request for leave based on a Serious Health Condition for the Covered Individual must be supported by a certification
issued by a Health Care Provider.
In addition, We may require:
the date on which the Serious Health Condition began;
the date on which the Serious Health Condition created the need for leave;
a reasonable estimate of the frequency and duration; and
the appropriate medical facts within the knowledge of the Health Care Provider to support the Serious Health
Condition.
If the request is for an Intermittent Leave the Health Care Provider must also provide an explanation of how such
leave would be medically beneficial to the Covered Individual.
For Medical Leave Related to Pregnancy:
We may require a certification from a Health Care Provider that includes a statement that the Covered Individual is
experiencing Medical Care Related to Pregnancy and recovery based on the appropriate medical facts within the
knowledge of the Health Care Provider.
For Family Care Leave to Care for a Family Member with a Serious Health Condition:
We may require a certification from a Health Care provider which includes:
the date on which the Family Member’s Serious Health Condition commenced;
a reasonable estimated duration of the Family Member’s Serious Health Condition;
the appropriate medical facts within the knowledge of the Health Care Provider;
a statement that the Family Member has a Serious Health Condition and requires care; and
an estimate of the amount of time the Family Member will require care by the Covered Individual.
If the request is for an Intermittent Leave the Health Care Provider must also provide an explanation of how such leave
would be medically beneficial to the Family Member.
For a Bonding Leave for the birth of a Child:
We may require:
the Child's birth certificate;
a statement from the Child's Health Care Provider stating the child's birth date; or
a statement from the Health Care Provider of the person who gave birth stating the Child's birth date or
estimated due date.
GPNP25-MN-PFML PAGE 15
59
FILING A CLAIM (Continued)
For a Bonding Leave for Placement of a Child for Adoption or Foster Care:
We may require:
a certification from the Child's Health Care Provider or from an adoption or foster care agency involved in the
placement that confirms the placement and the date of placement; or
Written notice from the Covered Individual of any change of status as an adoptive or foster parent while an
application for benefits is pending or while the Covered Individual is receiving benefits.
For a Qualifying Exigency:
We may require:
a copy of the Family Member’s Active-Duty orders;
other documentation issued by the United States armed forces; or
other documentation that may be reasonably necessary.
For a Safety Leave
We may require a copy of a court record or documentation signed by a qualified person acting in the qualified
person’s professional capacity to declare a need for Safety Leave.
Change in Schedule or Duration of an Approved Leave
The Covered Individual must notify Us not less than 14 calendar days, or as soon as practicable, of any changes to
the scope of the approved leave after a claim for Paid Leave Benefits has been submitted. We may require an
updated certification applicable to the type of leave being requested and an attestation from the Covered Individual to
verify notice of their change for leave was provided to the Policyholder in accordance with the Law.
Claim Determination
We will examine each claim from a Covered Individual to determine:
the Weekly Benefit amount; and
maximum amount of benefits available, if any
within 2 weeks of receipt of all Proof unless the claim is incomplete due to outstanding requests for information
including clerical or other errors.
We may deny a claim for incomplete information only if such information is reasonably necessary to determine
whether the Covered Individual is eligible for benefits under the Law.
We will make benefit payments weekly so long as the Covered Individual remains on an approved leave. In
addition, We may verify the leave taken prior to issuing a payment for each request for payment associated with
Intermittent Leave.
GPNP25-MN-PFML PAGE 16
60
FILING A CLAIM (Continued)
Notification of Claim Determination
We will notify the Policyholder and the Covered Individual in Writing of an approval or denial of a claim for benefits.
Notification to the Policyholder will include:
the name of the Covered Individual;
notice that the Covered Individual has applied for and received benefits;
the week the benefits commence;
the weekly benefit amount payable; and
the maximum duration of benefits.
Administrative Review and Appeals
If We deny a claim for benefits under this policy, in whole or in part, the Covered Individual may submit to Us a request
for an administrative review. Requests for administrative review must be submitted in Writing within 30 Calendar Days
of Our decision and identify the reason the administrative review is being requested.
If Our administrative review results in a denial of benefits, We will state the reason for the denial in Writing. The
Covered Individual may appeal to the Department in accordance with Minn. Stat. § 268B.081 within 30 Calendar Days
from the date We issue Our decision.
Overpayments
We have the right to recover any amount that We determine to be an overpayment.
An overpayment occurs if We determine that:
the total amount paid by Us on a Covered Individual’s claim is more than the total of the benefits due to the
Covered Individual under this policy; or
payment We made should have been made by another group plan or the Minnesota state plan established under
the Law.
If such overpayment occurs, the Covered Individual has an obligation to reimburse Us. Our rights and the Covered
Individual’s obligations in this regard are described in the reimbursement agreement that the Covered Individual is
required to sign when the Covered Individual submits a claim for benefits under this policy. This agreement:
confirms that the Covered Individual will reimburse Us for all overpayments; and
authorizes Us to obtain any information relating to sources of other income.
Any determinations of overpayments are a reviewable “benefit decision”, and all Covered Individual disputes
relating to overpayments (whether the Covered Individual is disputing the overpayment determination itself, or just
the amount of the overpayment), must follow the Administrative Review and Appeals process as outlined in this
policy.
GPNP25-MN-PFML PAGE 17
61
FILING A CLAIM (Continued)
How We Recover Overpayments (Continued)
We may recover the overpayment from the Covered Individual by:
reducing any future paid leave benefits payable to the Covered Individual or any other payee under the policy by
an offset amount which will not exceed 20% of the payment from which the recovery is being made;
demanding an immediate refund of the overpayment from the Covered Individual; and
taking legal action.
If the overpayment results from Our having made a payment to the Covered Individual that should have been made
under another group plan, We may recover such overpayment from one or more of the following:
any other insurance company;
any other organization; or
any person to or for whom payment was made.
Our right to recover an overpayment of benefits under this provision is limited to 3 years from the date of the
overpayment determination, unless the overpayment was made due to misrepresentation.
GPNP25-MN-PFML PAGE 18
62
PREMIUM RATE(S)
Initial Rate(s)
The initial Premium rate(s) are shown in the Exhibits to this policy.
Computation of Premiums
The Premium due on any Premium Due Date is determined by the total amount of insurance provided under this
policy, multiplied by the appropriate Premium rate(s) which are then in effect subject to any Premium adjustments, if
applicable.
Computation of Premiums for Changes in Insurance
For insurance that takes effect on the first day of a Policy Month, Premium will be charged from the first day of that
Policy Month. For insurance that takes effect after the first day of a Policy Month, Premium will be charged from the
first day of the next Policy Month. However, if a policy amendment is required for such insurance, Premium will be
charged as of the date such insurance takes effect.
If insurance ends because this policy ends or because insurance for a class of persons ends, Premium for such
insurance will be charged to the date it ends. If insurance ends for any other reason, Premium will be charged to the
end of the Policy Month in which such insurance ends.
Right to Change Premium Rates
Except as may be required by any Rate Guarantee Period, MetLife may change Premium rates on any date on or
after the first Policy Anniversary Date; this will be done no more frequently than every 12 months and only if MetLife
notifies the Policyholder, in Writing, at least 30 days before such change.
In addition to the above and notwithstanding any rate guarantee period, MetLife may change Premium rates at any
time for changes which materially affect the risk or cost assumed for the insurance provided by this policy, as follows:
1. when this policy is amended or endorsed;
2. when a class of Covered Individuals is added to or deleted from this policy for any reason including organizational
restructuring, acquisition, spin-off or similar situations;
3. when a Policyholder’s subsidiary, affiliate, division, branch or other similar entity is added to or deleted from this
policy for any reason including organizational restructuring, acquisition, spin-off or similar situations;
4. when there is a significant change in the geographic distribution of either Covered Individuals;
5. when applicable law or regulatory requirements or the administration of such law or regulatory requirements:
a. requires a change in:
i. the insurance provided by this policy;
ii. a class or classes of persons eligible for insurance under this policy; and/or
iii. the rate of employee or employer contributions;
b. results in a change in the amount of benefits paid under this policy; or
c. requires additional contributions or tax(es) to be paid;
GPNP25-MN-PFML PAGE 19 63
PREMIUM RATE(S) (Continued)
Right to Change Premium Rates (continued)
6. when a Premium Due Date coincides with or next follows:
a. a change greater than 5% in the number of Covered Individuals since the later of the policy Effective Date
and the last date Premium rates were changed; or
b. a change greater than 5% in the amount of insurance provided by this policy since the later of the policy
Effective Date and the last date Premium rates were changed.
7. on any other date agreed to by MetLife and the Policyholder.
New Premium rates will apply only to Premiums that become due on or after the date the rate change takes effect.
GRACE PERIOD
Each premium due may be paid up to 31 days after its Premium Due Date. This period is known as the grace period.
The insurance provided by this policy for which premium has not been paid will stay in effect during the grace period.
MetLife will notify the Policyholder in Writing that, if the Premium is not paid by the end of the grace period, such
insurance will end at the end of the last day of the grace period. If MetLife fails to give Written notice to the
Policyholder by the end of the grace period, such insurance will continue in effect until the date notice is given.
Policyholder’s intent to end insurance during a grace period
The Policyholder may notify MetLife in Writing prior to the end of a grace period of its intent to end this policy or
insurance coverage provided under it before the end of such grace period. In this case, this policy or such insurance
will end on the later of:
1. the date stated in the notice; or
2. the date MetLife receives the notice.
The Written notice to be given by MetLife and required by the first paragraph of this provision will not be necessary if
the Policyholder replaces the insurance provided by this policy for which premium has not been paid with other group
insurance or the Policyholder notifies MetLife of its intent to end this policy or such insurance.
Grace period extensions
MetLife may extend a grace period by giving Written notice to the Policyholder. Such notice will state the date
insurance will end if the Premium remains unpaid.
Premiums must be paid for a grace period, any extension of such period and any period insurance was in effect for
which Premium was not paid.
GPNP25-MN-PFML PAGE 20 64
END OF INSURANCE PROVIDED BY THIS POLICY
The Policyholder may end this policy by giving 30 days advance Written notice to MetLife. The policy will end on the
later of:
1. the date stated in the notice; or
2. the date MetLife receives the notice.
The Policyholder’s private plan termination is subject to Minn. R. § 3317.5000 Subp. 2 or elsewhere in the Law.
The Policyholder may elect to terminate its approved private plan by notifying the Department in Writing at least 30
days before the voluntary termination's effective date. The Policyholder must notify Covered Individuals of the
voluntary termination no later than 30 days before the termination's effective date.
The Policyholder may end this policy prior to the expiration of the approved substitution period with approval from the
Department in accordance with Minn. Stat. § 268B.10 Subd. 9.
The Policyholder is obligated for Paid Leave Benefit payments to Covered Individuals approved under this policy in
accordance with Minn. Stat. § 268B.10 Subd. 9a.
MetLife may end this policy as follows:
1. for non-payment of Premium, as set forth in the Grace Period provisions;
2. on any Premium Due Date, by giving the Policyholder 31 days advance Written notice, if the Policyholder fails
to provide information on a timely basis or perform any obligations required by this policy or any applicable law;
or
3. on any Policy Anniversary, by giving the Policyholder 60 days advance Written notice.
If this policy ends, all Premiums due must be paid. If MetLife accepts Premium after the date this policy ends, such
acceptance will not act to reinstate the policy. MetLife will refund any unearned Premium.
Reinstatement
The Policyholder may request to reinstate this policy. The request must be in Writing and it must provide MetLife
with information that MetLife requires to consider such request. If MetLife approves the request, the policy will be
reinstated on the date stated in Writing by MetLife.
GENERAL PROVISIONS
Entire Contract
The entire contract is made up of the following:
this policy and its Exhibits;
the Policyholder’s application; and
all amendments and endorsements to this policy, if any.
Incontestability: Statements Made by the Policyholder
Any statement made by the Policyholder will be considered a representation and not a warranty. MetLife will not use
such a statement to contest insurance after such insurance has been in force for two years from its effective date,
unless such statement is fraudulent. MetLife will not use such statement to avoid insurance, reduce benefits or
defend a claim unless it is contained in a Written application.
GPNP25-MN-PFML PAGE 21 65
GENERAL PROVISIONS (continued)
Entire Contract (Continued)
Incontestability: Statements Made by Covered Individuals
Any statement made by a Covered Individual will be considered a representation and not a warranty.
Medical evidence of insurability will not be required. Any statement made by a Covered Individual which relates to
such insurability will not be used:
to contest the validity of the insurance benefits; or
to reduce the insurance benefits.
Assignment
This policy is not assignable except and to the extent such assignment may be agreed to by MetLife.
Misstatement of Age
If a Covered Individual’s age is misstated, the correct age will be used to determine if insurance is in effect and, as
appropriate, adjust Premiums and/or benefits.
Non-Dividend Paying
This policy does not pay dividends.
Conformity with Law
If the terms and provisions of this policy do not conform to any applicable law, this policy shall be interpreted to so
conform.
Policy Changes or Waivers
The terms and provisions of this policy may be changed, either by amendment or endorsement.
1. The policy may be changed by amendment upon the mutual agreement of MetLife and the Policyholder. Such
amendment must be in Writing and Signed by an officer of MetLife and by an authorized representative of the
Policyholder.
2. The policy may be changed by an endorsement issued by MetLife without the consent of the Policyholder. Such
endorsement must be in Writing and Signed by an officer of MetLife. The use of endorsements is limited to:
a. changes made in response to:
applicable local, state or federal law or regulation; or
the administration of applicable local, state or federal law or regulation;
b. reflect changes in MetLife’s administrative practices;
c. reflect policy liberalizations to the extent that they do not increase Premiums;
d. incorporate provisions agreed upon prior to issuance of this policy; and
e. reflect the exercise of a right or rights set forth under the terms of the policy.
GPNP24-MN-PFML PAGE 22
66
GENERAL PROVISIONS (continued)
Policy Changes or Waivers (Continued)
Changes to the policy may be made without the consent of Covered Individuals or anyone else with a beneficial
interest in it. MetLife will only make changes that are consistent with applicable law. An amendment or endorsement
may be effective retroactively if such retroactivity is not prohibited by applicable law.
An officer of MetLife must approve in Writing any waiver of the terms and provisions of this policy.
A sales representative or other MetLife employee, who is not an officer of MetLife does not have MetLife’s authority to
approve changes or waivers. A copy of the amendment or endorsement will be provided to the Policyholder for
attachment to this policy.
Information Needed and Policy Administration
All information necessary to compute Premiums and carry out the terms of this policy will be provided by the
Policyholder to MetLife. Such information:
must be provided in a timely manner and in a format as agreed to by MetLife and the Policyholder or as required
by applicable law and/or regulations;
will be provided, maintained and administered as agreed to in Writing by an officer of MetLife and the
Policyholder; and
if maintained by the Policyholder, may be examined by MetLife at any reasonable time.
If MetLife or the Policyholder makes a clerical error in keeping or providing the information, the Premium and/or
benefits will be adjusted as warranted, according to the correct information. An error will not end insurance validly in
effect, nor will it continue insurance validly ended or create insurance coverage where no coverage existed.
Any act undertaken by the Policyholder that relates to the insurance provided under this policy must be consistent with
the terms of such insurance and with MetLife’s requirements.
GPNP25-MN-PFML PAGE 23
67
SCHEDULE OF EXHIBITS
Exhibit
Number
Exhibit Type
Applies To
Effective
Date
1 Schedule of Initial Premium Rates All Covered Individuals 01/01/2026
2 Schedule of Benefits All Covered Individuals 01/01/2026
3 List Of Policyholder Subsidiaries,
Affiliates, Divisions, Branches and
Other Similar Entities
All Covered Individuals 01/01/2026
GPNP25-MN-PFML Date: 01/01/2026 PAGE 24
68
EXHIBIT 1
SCHEDULE OF INITIAL PREMIUM RATES
The initial monthly Premium rates for the insurance provided by this policy are as follows:
0.79% of each Covered Individual’s Wages
Rate Guarantee Period
Subject to the Right to Change Premium Rates provision, these Premium rates will be in effect from
01/01/2026 to 12/31/2027.
GPNP25-MN-PFML Date: 01/01/2026 PAGE 25
69
EXHIBIT 2
SCHEDULE OF BENEFITS
Eligible Class 1:
All current Financially Eligible Employees of the Policyholder in Covered Employment , including all former
Employees who were:
Financially Eligible Employees in Covered Employment on the date employment ends; and
who remain unemployed less than 26 weeks after employment ends.
Duration of Paid Leave
Refer to the section entitled PAID LEAVE BENEFITS and LIMITATIONS UNDER THIS POLICY for
additional information.
Maximum Period of Paid Leave Benefits .............
For Medical Leave
Up to 12 weeks of Paid Leave benefits in any
Benefit Year.
For Family Care Leave or Safety Leave
Up to 12 weeks of Paid Leave benefits in any
Benefit Year for any one or more reasons within
the definition of Family Care Leave or Safety
Leave.
Family Care Benefits for a Bonding Leave will end
within 12 months of the birth, adoption or
placement of a foster child, except that, in the case
where following birth, the child remains
hospitalized longer than the mother, the maximum
duration for the leave is 12 months after the child’s
discharge from the hospital.
Total Aggregate Maximum Period of
Paid Leave Benefits .............................................
For each Benefit Year, no more than 20 weeks for
Medical Leave combined with Family Care Leave
or Safety Leave.
GPNP25-MN-PFML PAGE 26 70
EXHIBIT 2 (Continued)
SCHEDULE OF BENEFITS (Continued)
Weekly Benefit Amount
An amount equal to:
90% of the Covered Individual’s Average Weekly Wage that is equal to or less than 50% of the State Average
Weekly Wage; plus
66% of the Covered Individual’s Average Weekly Wage that is greater than 50% of the State Average Weekly
Wage but less than 100% of the State Average Weekly Wage; plus
55% of the Covered Individual’s Average Weekly Wage that is more than 100% of the State Average Weekly Wage.
Maximum Weekly Benefit .................................... An amount equal to the State Average Weekly Wage or
as otherwise directed by the Department.
Contributions
The Policyholder may require Covered Individuals to make a contribution toward premiums for the insurance provided
under this policy, not to exceed the employee contribution limit as specified in Minn. Stat. § 268B.14, and as
otherwise specified in the Law.
GPNP25-MN-PFML Date: 01/01/2026 PAGE 27
71
EXHIBIT 3
LIST OF POLICYHOLDER SUBSIDIARIES, AFFILIATES, DIVISIONS, BRANCHES AND OTHER
SIMILAR ENTITIES
The subsidiaries, affiliates, divisions, branches and other similar entities listed below are included for
insurance under this policy as of the effective dates shown below. The Policyholder acts for all listed
subsidiaries, affiliates, divisions, branches and other similar entities in all matters of this policy. Such actions
bind all listed subsidiaries, affiliates, divisions, branches and other similar entities.
MetLife and the Policyholder may, from time to time, agree to change this list. If change is needed, a policy
amendment will be issued and attached to this policy to reflect the change to this Exhibit.
Name/Address of Subsidiary, Affiliate, Division,
Branch and Other Similar Entity
Effective Date
None.
GPNP25-MN-PFML Date: 01/01/2026 PAGE 28
72
EXECUTIVE SUMMARY
Police
763-512-2345 / 763-512-2344 (fax)
Golden Valley City Council Meeting
November 5, 2025
Agenda Item
3D.5. Adopt Resolution No. 25-103 to Authorize LOGIS to Enter Into a Contract with Brazos, a Tyler
Technologies Company
Prepared By
Brittany Froberg, Police Support Services Supervisor
Matt Clark, Interim Police Chief
Summary
Members were informed that the Brazos solution is being provided to the membership through an
annual site-license subscription between Brazos and LOGIS. With the cost of this subscription being
proportionally allocated to the members as part of the annual budget process.
LOGIS is looking for approval from agencies to move from Ticketwriter to Brazos as the vendor for
citation software. Brazos will create a data warehouse in which LOGIS can access the data and
generate reports for agencies.
Financial or Budget Considerations
Estimated annual support cost change will go from $1,836 to $5,970. Costs were shared
proportionately among the participating agencies based on those specific integrations and
dependencies.
Legal Considerations
The Legal Department has reviewed the resolution and Letter of Understanding. LOGIS will enter into
the contract with the software provider. The City will not be party to the contract.
Equity Considerations
LOGIS systems help the Golden Valley Police Department align with equity practices by ensuring
employees have the resources needed to provide services to the community.
Recommended Action
Motion to adopt Resolution No. 25-103 accepting and authorizing LOGIS to enter into a contract with
Brazos, a Tyler Technologies company, to acquire access to a new electronic citation software solution
on behalf of its members.
Supporting Documents
Letter of Understanding - Brazos
73
Resolution No. 25-103 - Authorizing LOGIS to Enter Into a Citation Product Contract with Brazos
74
Page 1 of 2
Brazos Citation Software Solution
Letter of Understanding
September 19, 2025
Dear LOGIS Member,
This Letter of Understanding is intended to memorialize the members’ decision to authorize
LOGIS to enter into a contract with Brazos, a Tyler Technologies company, to acquire access to a
new electronic citation software solution on behalf of its members.
In prior communications, members were informed that the Brazos solution is being provided to
the membership through an annual site-license subscription between Brazos and LOGIS. With the
cost of this subscription being proportionally allocated to the members as part of the annual budget
process.
The site license must be procured prior to beginning the process to migrate members from the
legacy system to Brazos. As such, if a member chooses to terminate their participation in the
Brazos service offering, they remain responsible for their share of the software licensing that has
been secured by LOGIS on their behalf. The following table depicts each member’s share of the
2026 site license as presented at the September 16, 2025, Police Executive Steering Committee
meeting:
75
Page 2 of 2
Please note that members should expect annual inflationary-type increases in subsequent calendar
years. This Letter of Understanding has been reviewed and approved as indicated below.
Christopher K. Miller
LOGIS Executive Director
Date: Date:
Roslyn Harmon, Mayor
Noah Schuchman, City Manager
Date:
76
CITY OF GOLDEN VALLEY
RESOLUTION NO. 25-103
RESOLUTION APPROVING THE SELECTION OF THE BRAZOS
CITATION SOFTWARE SOLUTION IN COOPEREATION WITH THE
LOCAL GOVERNMENT INFORMATION SYSTEM (LOGIS) ASSOCIATION
WHEREAS, the City of Golden Valley, has identified specific technology needs necessary
to carry out various public safety functions and services; and
WHEREAS, it has determined that it can best meet those needs by partnering with
LOGIS to secure the Brazos citation software solution and support services (the “Software”);
and
WHEREAS, it has received a formal price quote for the costs associated with this
initiative as outlined in the attached Letter of Understanding; and
WHEREAS, the license cost for 2026 is $5,970 and the cost thereafter shall be
determined on an annual basis by LOGIS as part of the annual budget process; and
WHEREAS, LOGIS will enter into a contract with Brazos to acquire access to the
Software.
NOW THEREFORE BE IT RESOLVED that the City of Golden Valley, hereby approves this
commitment to the Brazos citation software solution.
Adopted by the City Council of the City of Golden Valley, Minnesota on November 5, 2025.
______________________________
Roslyn Harmon, Mayor
ATTEST:
______________________________
Theresa Schyma, City Clerk
77
EXECUTIVE SUMMARY
Finance
763-512-2345 / 763-512-2344 (fax)
Golden Valley City Council Meeting
November 5, 2025
Agenda Item
3E.1. Adopt Resolution No. 25-104 Approving Donation to PRISM for Food Insecurity Abatement
Prepared By
Lyle Hodges, Finance Director
Summary
While the federal government is engaged in a prolonged shutdown, local food shelves are
experiencing a heightened need for emergency funding to continue providing food to those who may
typically rely on federal nutritional benefits. People Responding in Social Ministry (PRISM) is a local
non-profit organization with a long history of filling that need for those in our community most at risk
of food insecurity. Under Minnesota statute 465.039, cities may provide grants to nonprofit
organizations that run community food shelves from the General Fund or any other unrestricted
source of funds.
Financial or Budget Considerations
The City has reserves available for needs that arise during the year outside of the normal budget
process. This donation for $25,000 is available from unrestricted funds within the City and will not
result in undue financial stress to other parts of the City's operations.
Legal Considerations
Minnesota statutes expressly allow cities to make donations to food shelves under section 465.039.
Equity Considerations
Easing food insecurity is a goal that benefits the community as a whole. PRISM has a long standing
record of effectively delivering food shelf services to the community.
Recommended Action
Motion to adopt Resolution No. 25-104 granting a donation from the City of Golden Valley to People
Responding in Social Ministry (PRISM) to ease the burden of nutritional assistance funding losses
resulting from the Federal government shutdown.
Supporting Documents
Resolution No. 25-104 - Donating Funds to PRISM for Food Insecurity Abatement
78
RESOLUTION NO. 25-104
RESOLUTION DONATING $25,000 TO PRISM FOR FOOD INSECURITY ABATEMENT
WHEREAS, the City of Golden Valley is committed to ensuring fair and equitable
access to food for all residents, especially those most in need; and
WHEREAS, the federal government is currently shut down, limiting access to federal
nutritional support funding for both individuals and not-for-profit service providers; and
WHEREAS, People Responding in Social Ministry (PRISM) is a local nonprofit
organization with a long history of serving our community and specifically supporting
community members in need of nutritional support services through a food shelf; and
WHEREAS, Minnesota statutes 465.039 allows cities to appropriate unrestricted
funds to nonprofit organizations operating a community food shelf program and the City
has sufficient unrestricted funds available for this purpose.
NOW THEREFORE BE IT RESOLVED, that the City Council for the City of
Golden Valley agrees to donate $25,000 to PRISM for the abatement of food insecurity and
support of food shelf operations.
Adopted by the City Council this 5th day of November, 2025.
Roslyn Harmon, Mayor
ATTEST:
Theresa J. Schyma, City Clerk
79
EXECUTIVE SUMMARY
Community Development
763-512-2345 / 763-512-2344 (fax)
Golden Valley City Council Meeting
November 5, 2025
Agenda Item
3F. Adopt Ordinance No. 806 Approving Amendments to Section 113-31 Temporary Uses and
Resolution No. 25-105 Approving Summary Publication
Prepared By
Jacquelyn Kramer, Senior Planner
Summary
Periodically, Planning Division staff update sections of the zoning code to reflect current
administrative processes and industry best practices. Staff propose replacing the language in Section
113-31 to update the administrative process staff uses to process and approve temporary use permits.
These updates are intended to make the code easier for applicants to understand and for staff to
enforce. The update removes mobile food vending from the list of uses needing a temporary use
permit because these uses are governed by another section of the code (and the Planning Division no
longer issues permits for these uses). Seasonal farm produce sales are now included in the temporary
retail and produce sales land use category. The application and procedure subsections have been
consolidated for all temporary uses. The procedures subsection now includes the criteria staff use
when evaluating temporary use permit applications. Requirements for each type of temporary use
have been updated and simplified.
Planning Commission held a public hearing on October 13, 2025. No one testified and the Commission
unanimously recommended approval of the amendment to Section 113-31 as drafted by staff.
Next Steps
If Council approves the amendment, staff will update the temporary use permit application form to
reflect the new code language. The language would go into effect January 1, 2026, to align with fee
schedule changes.
Financial or Budget Considerations
There are no financial or budget impacts associated with this update.
Legal Considerations
Section 113-29 governs the procedure for amending the zoning code. A public hearing notice was
published in the official City newspaper 10 days before Planning Commission held the public hearing.
Zoning text amendments require a majority affirmative vote from Council for approval. The City
Attorney's office reviewed the draft ordinance before the public hearing.
80
Equity Considerations
Planning Commission held a public hearing on this item on October 13, 2025, which gave residents an
opportunity to participate in the process consistent with Equity Pillar 2 for Inclusive and Effective
Community Engagement.
Recommended Action
Motion to adopt Ordinance No. 806 approving amendments to Section 113-31 Temporary Uses and
Resolution No. 25-105 approving summary publication of Ordinance No. 806. (Note: The summary
publication resolution requires a four-fifths vote of all members of the Council for approval. The
approval of amendments requires a simple majority.)
Supporting Documents
Ordinance No. 806 Amending Section 113-31 Temporary Permits
Resolution No. 25-105 - Authorizing Summary Publication of Ordinance No. 806
81
ORDINANCE NO. 806
AN ORDINANCE AMENDING THE CITY CODE
AMENDING CHAPTER 113 OF THE CITY CODE RELATED TO
TEMPORARY USES
The City Council of the City of Golden Valley hereby ordains as follows:
Section 1. City Code Chapter 113-31. - Temporary Uses is hereby replaced in its entirety
to read as follows:
Sec. 113-31. Temporary Uses.
(a) Purpose and Intent. The purpose and intent of this section is to provide conditions under
which certain temporary uses may be allowed while ensuring a minimum negative impact
on neighboring land uses.
(b) Permitted Temporary Uses.
(1) Temporary retail and produce sales.
(2) Temporary outdoor dining areas.
(c) Application.
(1) Application Requirements. Applicants must submit all requests for Temporary Use
Permits to the Planning Division on an official application form at least 15 working days
before starting the temporary use. The applicant must submit, with the permit
application, written proof from the property owner at the permitted location
authorizing the applicant to conduct temporary retail sales on the site. The applicant
must also provide written certification from the property owner that all other tenants
of the building or site in which the sales will occur have received notification of the
temporary use.
(2) Procedure. Upon receipt of a complete application, the Planning Division shall review
the application and related materials to determine whether the use complies with all
applicable evaluation criteria, codes, ordinances, and applicable performance
standards set forth in this section.
a. The Planning Division shall consider possible adverse effects of the proposed
events or activity and shall approve or deny the application based upon the
following evaluation criteria:
i. Whether the proposal complies with and affects the Comprehensive Plan
and complies with applicable Zoning District regulations.
ii. Whether establishing, maintaining, or operating the use, event, or
activity will promote and enhance the general public welfare and will not
be detrimental to or endanger the public health, safety, or welfare.
82
Ordinance No. 806 -2- November 5, 2025
iii. Whether the use, event, or activity will be injurious to the use and
enjoyment of other property in the immediate vicinity for the purposes
already permitted.
iv. Whether adequate public facilities and services exist or the applicant can
reasonably provide facilities and services to accommodate the use,
event, or activity which is proposed.
v. Whether the use, event or activity conforms in all other respects to the
applicable regulations of the district where it will occur.
vi. Whether the proposal meets any and all other specific conditions in any
other applicable sections of City Code or state law.
b. If the Planning Division determines that the proposal complies with all
applicable evaluation criteria, codes, ordinances, and standards of this section,
they shall issue a written Temporary Use Permit to the applicant. The written
permit shall indicate the permitted days and location of operation and shall list
any conditions applicable to the use. If Planning Division determines that the
proposal does not comply with all applicable evaluation criteria, codes,
ordinances, and standards of this section, they shall issue a written denial
indicating the specific reasons for the denial.
(d) Requirements.
(1) Temporary Retail and Produce Sales. The Planning Division may grant a Temporary
Use Permit for temporary retail and produce sales in non-residential and mixed-use
districts subject to the following:
1. Sales shall not exceed 6 months in any one calendar year contingent upon
Planning Division’s approval. Not more than one such event or sale shall be
allowed per property at any given time.
2. Sales shall be incidental to the principal use.
3. Sales shall include only the retail sales contemplated by the permitted and
restricted uses in the Commercial Zoning District, conditional uses do not qualify.
4. Vendors may conduct sales activities within a yard provided the area is paved
and the activity does not interfere with parking, traffic circulation, or emergency
vehicle access.
5. Vendors may use tents, stands, and other similar temporary structures, provided
they are clearly identified on the submitted plan and provided that the Planning
Division determines that they will not impair the parking capacity, emergency
access, or the safe and efficient movement of pedestrian and vehicular traffic on
or off the site. All temporary structures must also meet the requirements of the
Fire Code, as determined by the Fire Chief or their designee and applicants shall
obtain any additional permits for any such structures under City Code or state
law.
83
Ordinance No. 806 -3- November 5, 2025
6. The Planning Division may impose reasonable conditions based on findings from
the criteria of Section 113-31(c)(2)a.
(2) Temporary Outdoor Dining Areas. The Planning Division may grant a temporary use
permit for a temporary outdoor dining area subject to the following:
1. Outdoor dining areas are allowed only in zoning districts where they qualify as a
permitted use.
2. The initial term of a temporary use permit for an outdoor dining area shall not
exceed one year. Upon application for an extension of the same use on the same
site, succeeding outdoor service area permits may be approved for up to two
years if all requirements of this section are met and all previous conditions of
approval have been satisfied regardless of whether the use was continuous or
interrupted.
3. Physical improvements associated with the outdoor dining area shall be
temporary in nature. At the conclusion of the approved permit period, and if no
further extensions are approved, the applicant shall remove all improvements
and return the site restored to its former condition.
4. The Planning Division may impose reasonable conditions based on findings from
the criteria of Section 113-31(c)(2)a.
(e) Conditions. The Planning Division may impose conditions in the granting of a Temporary
Use Permit. Conditions must relate to the requirements in paragraph (e) below or the
performance standards set forth in paragraph (2)(a) and be directly related and bear a
rough proportionality to the impact created by the temporary use. The following standard
conditions shall apply to all temporary uses:
(1) The applicant shall provide and remove trash, recycling, and compost receptacles for
customer use. The applicant shall keep the permitted location free from litter, refuse,
debris, junk or other waste which results in offensive odors or unsightly conditions.
The applicant bears responsibility for all litter and garbage left by customers.
(2) The Planning Division may determine hours of operation; standard hours of operation
shall be 8:00 am to 10:00 pm for any temporary use. The Planning Division may reduce
these hours to lessen any negative impacts of the temporary use.
(3) If the proposed sales hours extend after dark, the approval must include a lighting
plan that demonstrates the use will operate with sufficient light to minimize any
potential hazards or distractions to patrons and surrounding uses.
(4) The permit shall set forth the location where the vendor may operate and it shall be a
violation of this section for any vendor to engage in vending operations in any location
in the City other than the location set forth in the permit.
(5) The vendor shall keep a copy of the permit with the vending unit and demonstrate
compliance with the permit and its conditions upon inspection.
84
Ordinance No. 806 -4- November 5, 2025
Section 2. This ordinance shall take effect on January 1, 2026, and from and after its
passage and publication as required by law.
Adopted by the City Council this 5th day of November, 2025.
Roslyn Harmon, Mayor
ATTEST:
Theresa J. Schyma, City Clerk
85
RESOLUTION NO. 25-105
RESOLUTION AUTHORIZING SUMMARY PUBLICATION OF ORDINANCE NO. 806
WHEREAS, the City has adopted the above referenced amendment of the Golden
Valley City Code; and
WHEREAS, the verbatim text of the amendment is cumbersome, and the expense
of the publication of the complete text is not justified.
NOW THEREFORE, BE IT RESOLVED, BY THE CITY COUNCIL OF THE CITY
OF GOLDEN VALLEY, MINNESOTA that the following summary is hereby approved for
official publication:
SUMMARY PUBLICATION
ORDINANCE NO. 806
AN ORDINANCE AMENDING THE CITY CODE
AMENDING CHAPTER 113 OF THE CITY CODE RELATED TO
TEMPORARY USE PERMITS
This is a summary of the provisions of Ordinance No. 806 which has been approved for
publication by the City Council.
At the November 5, 2025, City Council meeting, the Golden Valley City Council enacted
Ordinance No. 806 amending Section 113-31 Temporary Use Permits. The full ordinance
is available to the public at the City Clerk’s Office, 7800 Golden Valley Road during normal
business hours and online at https://www.goldenvalleymn.gov/179/City-Code-and-
Proposed-Ordinances.
Passed by the City Council of the City of Golden Valley, Minnesota on November 5, 2025.
____________________________
Roslyn Harmon, Mayor
Attested:
____________________
Theresa Schyma, City Clerk
86
EXECUTIVE SUMMARY
Finance
763-512-2345 / 763-512-2344 (fax)
Golden Valley City Council Meeting
November 5, 2025
Agenda Item
3G. Adopt Resolution No. 25-106 Approving Amended Public Purpose Expenditure Policy
Prepared By
Lyle Hodges, Finance Director
Summary
This is an update to the existing Public Purpose Expenditure Policy, last approved in May 2023.
Updates to this policy include changes to discontinue the use of gift cards and clarification of certain
other categories of expenditures. City staff received training on these updates and are expected to
refer to this updated policy while making purchasing decisions. Guidance in this policy is derived from
authoritative language in State Statute, League of Minnesota Cities best practices, Office of the State
Auditor opinions and other relevant sources.
Financial or Budget Considerations
This policy impacts spending decisions for all public funds. It has been reviewed by City leadership and
staff have received training to ensure understanding and compliance.
Legal Considerations
This policy was developed with direct input from the City Attorney.
Equity Considerations
Finance completed an equity scan which was reviewed by the Equity and Inclusion Manager.
Recommended Action
Motion to adopt Resolution No. 25-106 amending the public purpose expenditure policy.
Supporting Documents
Resolution No. 25-106 - Approving Updated Public Purpose Expenditure Policy
Exhibit A - Public Purpose Expenditure Policy
87
RESOLUTION NO. 25-106
RESOLUTION ADOPTING AN UPDATED PUBLIC PURPOSE EXPENDITURE POLICY
WHEREAS, the City of Golden Valley is committed to ensuring that expenditures
adhere to the Minnesota Public Purpose Doctrine under Minnesota State Constitution,
Article X, Section 1, which allows cities to spend funds to further a public purpose and as
authorized by the City Council through the adoption of the City of Golden Valley's annual
budget; and
WHEREAS, the City Manager, as the chief purchasing agent for the City of Golden
Valley, regularly reviews the City's Public Purpose Expenditure Policy; and
WHEREAS, the City Manager recommends an update to the Public Purpose
Expenditure Policy to align with Minnesota State laws, provide clarity for employees and
supervisors, and ensure transparency of permitted and prohibited City expenditures;
and
WHEREAS, the City Council believes the benefits of attracting, retaining and
motivating employees through programs that supports employee job satisfaction result
in excellence in customer service and thereby serves the interests of the community
members; and
WHEREAS, the City Council recognizes the commitment and contributions to the
community by its elected and appointed officials; and
WHEREAS, the City Council adopted the original policy with Resolution No. 04-
87 on December 21, 2004 and approved further amendments with Resolution No. 16-
65 on October 18, 2016, Resolution No. 17-20 on June 20, 2017, and Resolution No.
18-19 on March 6, 2018, and Resolution No. 23-033 on May 16, 2023.
NOW THEREFORE BE IT RESOLVED, that the City Council for the City of
Golden Valley adopts the updated Public Purpose Expenditure Policy attached hereto
as Exhibit A.
Adopted by the City Council this 5th day of November 2025.
Roslyn Harmon, Mayor
ATTEST:
Theresa J. Schyma, City Clerk
88
Exhibit A Page 1
O FFICIAL C ITY P OLICY
C ITY OF G OLDEN V ALLEY
General Information
Policy Title: Public Purpose Expenditure Policy Department: Finance
Policy Owner (job title): Finance Director Policy ID: 25-XXX
Council Approval Date: November 5, 2025 Resolution Number: 25-106
Effective Date: November 5, 2025 ☐ New ☒ Updated
Policy Overview
Policy Description:
This policy describes the types of expenditures that are considered legitimate and permissible uses of public
funds.
Purpose & Scope:
The City of Golden Valley is committed to ensuring that expenditures adhere to the Minnesota Public Purpose
Doctrine under Minnesota State Constitution, Article X, Section 1, which allows cities to spend funds to
further a public purpose. The City recognizes that public funds may be spent only if the expenditure meets a
public purpose and the expenditure relates to the governmental purpose for which the City was created. This
policy is intended to provide guidelines regarding which expenditures are for public purposes and authorized
in accordance with the City’s annual budget process, and which expenditures are not considered to fall within
the public purpose definition and are therefore not allowed.
Definitions:
A “public purpose” is an activity that meets all of the following standards:
The activity will primarily benefit the community as a body.
The activity is directly related to functions of government.
The activity does not have its primary objective the benefit of a private interest.
The definition of “public purpose” is regularly interpreted by the courts. Employees with questions about
whether a purchase qualifies as a public purpose should consult their supervisor or the finance department.
Related Documents, Materials & Resources:
None at this time.
I. Policy
Expenditures of public funds must comply with the public purpose standards defined above and all employees
and elected officials whose responsibilities include making authorized purchases for the City must comply with
this policy and the corresponding procedures. Failure to comply with this policy may result in denial of
reimbursement and disciplinary action.
Policy
89
Exhibit A Page 2
A. Responsibility
The City Manager is responsible for overseeing City expenditures and is the chief purchasing agent for the City.
The City Manager may delegate responsibility for administering this public purpose expenditure policy.
B. Reasonable Cost
When reviewing an expenditure to verify the cost is reasonable , the City Manager, or their designee, must
consider:
whether the activity or purchase will benefit the community as a whole;
whether the activity is related to the functions of the City;
whether the cost is proportionate to the benefit received;
whether the primary objective of the activity is public or private; and
the reasonableness of the cost including comparison to similar expenditures and consideration of
alternatives as well as whether the expenditure reflects prudent use of public funds.
For example, for events, the City Manager should consider the time of day the event is held, the business
purpose of the event, whether the event was intended to attract non-City employees, the frequency of the
event, and the reasonableness of the cost. The following guidelines address specific examples of public
expenditures, but examples are not meant to be all-inclusive.
All permitted expenses listed within this policy are allowed only so long as they fall within the City’s approved
budget. No provisions of this policy, or its administration, shall be subject to review under the grievance or
arbitration sections of any collective bargaining agreement or the City of Golden Valley employee handbook.
C. Documentation
All expenses allowed under this policy must be fully documented. The required documentation includes: dates,
business reason, and the receipt for the purchase. Any expenditures for meals or refreshments which exceed
$300 for one event must have prior, written authorization by the Department Head, before the purchase is
made. Failure to obtain and furnish the necessary authorization and documentation may result in the denial of
the expense. Prohibited expenses listed in Section VII will not be approved.
II. Examples of Permitted Expenditures for Meals and Refreshments
Use of City funds in reasonable amounts for meals and refreshments is permitted for situations in which City
business needs to be discussed during or adjacent to meal hours. Additionally, City funds are permitted for
public and City meetings and events in which reasonable refreshments may be necessary to create a more
productive environment or to be responsive to participant schedules. Finally, public expenditures for
appropriate volunteer recognition programs serve a public purpose because formally recognizing volunteers
who make significant contributions and demonstrate their commitment during the performance of their duties
results in higher morale and productivity and helps the City fulfill its responsibilities to the community more
efficiently and cost effectively.
The following items meet the definition of approved meals or refreshments as a public purpose expenditure
when approved by the Department Head:
90
Exhibit A Page 3
Employee Meetings
o City Council, Board, Commission, Task Force, or other official committee meetings adjacent to or
held during a meal hour when it is the only practical time to meet. This does not include
regularly scheduled Board, Commission, Task Force, or City Council meetings.
o Annual Board/Commission/Task Force Recognition dinner, where each Board/Commission
member and one guest are invited to attend.
o Newly appointed City Council members swearing in ceremony and City Council members leaving
office when held adjacent to or during a meal hour.
o Employee meetings, trainings, or events, held adjacent to or during meal hours that meet at
least one of the following criteria:
Have the purpose of discussing City business or are part of employee training with a pre-
planned agenda. This does not include routine staff meetings, social events, or regular
training activities held at the worksite where employees are given sufficient time for
breaks.
Scheduled during or adjacent to a meal hour and no other time is available.
Employees are required to be available and participate during meal or break periods.
o Professional association meetings, conferences, or external trainings where meals are included
as part of the registration or program fee, or in accordance with the City’s travel policy.
Special Events and Community Engagement
o Food and refreshments associated with City-sponsored community engagement activities and
events of community-interest when the provision of food and refreshments is deemed
necessary to ensure meaningful participation by the participants. Examples of such events
include but are not limited to, National Night Out, Music in the Parks, Public Safety in the Parks,
and City Commission-led events and activities, etc.
o Events, meetings, programming, and non-monetary incentives that support the strategic
priorities of diversity, equity, and inclusion, including events intended to increase, broaden, and
engage the participation of ethnically or racially diverse communities in City matters.
Emergency Response and Extended Hours
o Work activities requiring continuous service where breaks are not possible and the work day is
extended, such as election days, water main breaks, emergency snow removal, and time
sensitive public safety responses.
III. Wellness and Recognition
A. Employee Wellness and Recognition
Public expenditures for appropriate City employee wellness and recognition programs serve a public purpose
because formally recognizing employees who make significant contributions and demonstrate their
commitment during the performance of their duties results in higher morale, longer employee retention, and
higher productivity. These outcomes help the City fulfill its responsibilities to the community more efficiently
and cost effectively. In addition, appropriate safety, health, and wellness programs for City employees serve a
public purpose because they result in healthier, more productive employees that may reduce certain employee
related costs to the City and taxpayers.
91
Exhibit A Page 4
The City’s wellness program activities are consistent with statute and are continually reviewed and managed by
the City’s Human Resources division, with approval by the City Manager.
B. Volunteer & Elected Official Wellness and Recognition
Public expenditures for appropriate volunteer recognition programs serve a public purpose because formally
recognizing volunteers who make significant contributions and demonstrate their commitment during the
performance of their duties results in higher morale and productivity and helps the City fulfill its responsibilities
to the community more efficiently and cost effectively.
The following items are deemed to meet the definition of public purpose expenditure for volunteer/elected
official recognition:
City Council Members
o Newly appointed City Council Members will receive a City of Golden Valley welcome gift of de
minimus value.
o Exiting Council Members will receive an engraved award and a personalized City of Golden
Valley street sign.
o Exiting Mayor and Council Members who served as the Housing and Redevelopment Authority
Chair may request to receive an inscribed gavel plaque.
Board and Commission Members
o Newly appointed members shall receive a welcome gift of de minimus value.
o All current and outgoing board and commission members plus one guest are invited to the
annual recognition dinner.
o Members who serve at least one full term shall receive a certificate of thanks.
IV. Examples of other Permitted Expenditures
Public expenditures for appropriate community and customer outreach and similar activities serve a public
purpose when those expenditures are necessary for the City to ensure the efficient operation of its programs
and services and to promote coordinated, cooperative planning activities among and between the public and
the private sectors.
The following items are deemed to meet the definition of public purpose expenditure under this section, with
City Manager approval:
Uniforms, clothing, or apparel that is considered necessary for safety or for visible staff recognition by
the public, including uniforms as required by labor agreements (e.g. safety footwear and eyewear for
maintenance personnel, shirts purchased to identify staff leadership status at events).
Apparel consistent with Department directives for community identification and recognition that is
determined to be important to the successful involvement of employees in special City-sponsored or
City-supported events.
Staff time and equipment use for City-sponsored employee events as approved by City Council and/or
City Manager as allowed by state statute, or city charter or code (e.g. set- up for annual employee
picnic).
Items of de minimis value when these items are made available free of charge to the general public
(e.g. t-shirts, water bottles, mugs, pens).
92
Exhibit A Page 5
Tips and gratuities no greater than 20% of the pretax bill.
Other expenses permitted by statute, including but not limited to public safety events, national night
out, public art, and musical entertainment.
Employee and elected official memberships and dues to professional associations and social and
community organizations that are not otherwise prohibited by law, and where the purpose is to
promote, advertise, improve, or develop the City’s resources, and not for personal interest or gain.
V. Examples of Expenditures Authorized by Other City Policies
Expenses authorized by other City policies are deemed to meet the definition of public purpose expenditure.
Examples include but are not limited to:
Expenses allowed under the Travel Policy and Employee Wellness Program
Employee Service Awards (Employee Handbook)
VI. Prohibited Expenditures
Use of City funds for the following expenses are prohibited:
Food and refreshments for routine work meetings.
Food and refreshments during routine training if not included with the registration fee (see also Travel
Policy).
Food and refreshments outside of City-sponsored community engagement events or events of
community-wide interest (e.g., coffee meeting between staff and community members)
Alcoholic beverages (exception only for Police Department for purposes of Standard Field Sobriety
Training).
Fundraisers or donations.
Food, beverages, or other items strictly for personal use or gain.
Taking vendors or community members out for meals or refreshments.
Taking employees out for meals or refreshments, unless specifically permitted under Section IV and
approved by the City Manager
Employee bonuses.
Employee functions or celebrations that are solely social in nature (e.g., birthdays, holiday luncheon, ice
cream social, barbeque).
Participation in optional activities at conferences/seminars, unless included in conference registration
fee (ie. golf rounds, concerts, sporting events, meals, etc.)
Funeral flower arrangements upon death of an employee, elected official, or one of their immediate
family members.
Expenditures that do not directly relate to functions of government or that have, as their primary
objective, the benefit of a private interest.
Expenditures that do not have a public purpose or that are not specifically authorized by state law.
This does not constitute an exhaustive list of prohibited expenditures. Employees should consult their
Department Head regarding expenditures not specifically authorized under this policy.
93
EXECUTIVE SUMMARY
Legal
763-512-2345 / 763-512-2344 (fax)
Golden Valley City Council Meeting
November 5, 2025
Agenda Item
6A. Review of Council Calendar
Prepared By
Theresa Schyma, City Clerk
Summary
The Council will review upcoming city meetings, events, and holiday closures.
Legal Considerations
This item does not require legal review.
Equity Considerations
This item does not require equity review.
Recommended Action
No action is required on this item.
Supporting Documents
Review of Council Calendar
94
Review of Council Calendar
Event Event Time Location
NOVEMBER
Sunday, November 9
Winter Market in the Valley (Indoors)10:00 AM - 1:00 PM Brookview
Bassett Creek Room
Tuesday, November 11
City Offices Closed for Observance of Veterans' Day
Wednesday, November 12
Special City Council Meeting (Canvass Election)6:15 PM Council Conference Room
HRA Work Session (if necessary)6:30 PM Council Conference Room
Council Work Session 6:30 PM Council Conference Room
Thursday, November 13
Climate Equity Plan Arts Event 5:30 PM - 7:30 PM Brookview - Bassett Creek Room
Tuesday, November 18
City Council Meeting 6:30 PM Council Chambers
Thursday, November 27
City Offices Closed for Observance of Thanksgiving
Friday, November 28
City Offices Closed for Observance of Thanksgiving
DECEMBER
Tuesday, December 2
HRA Meeting 6:30 PM Council Chambers
City Council Meeting
(Includes the Annual Truth-in-Taxation Hearing)6:30 PM Council Chambers
Friday, December 5
Blizzard Bash 5:30 PM - 8:00 PM Brookview
Tuesday, December 9
HRA Work Session (if necessary)6:30 PM Council Conference Room
Council Work Session 6:30 PM Council Conference Room
Friday, December 12
Annual Toys for Tots Motorcade 4:45 PM - 6:00 PM From GVPD to KARE 11
Sunday, December 14
Winter Market in the Valley (Indoors)10:00 AM - 1:00 PM Brookview
Bassett Creek Room
CPKC Holiday Train 5:00 PM - 5:30 PM Golden Hills Drive Railway Crossing
Tuesday, December 16
City Council Meeting 6:30 PM Council Chambers
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