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Home My WebLink AboutWaiver Application - Mobilitie LLC - App for 12 Locations of Wireless Support Structures installed on behalf of Sprint1316 COUNTY -CITY Btjiinm 227 W. R`TFERSON BouLEVARD Sourii BEND. INI)JANA4660t-1830 CITY OF SOUTH BEND PETS BUTTIGIEG, MAYOR BOARD OF PUBLIC: WORKS June 12, 2018 Kenneth Dunn Mobilitie LLC 120 S, Riverside Place, Suite 1800 Chicago, IL 60606 RE: Waiver Application Dear Mr, Dunn: PHONE 574/235-9251 FAX 574/ 235-9171 The Board of Public Works, at its meeting held on June 12, 2018, approved the above referenced application for twelve (12) locations of wireless support structures installed by Mobilitie on behalf of Sprint, Enclosed please find a copy of the agreement for your records. If you have any further questions regarding this matter, please call this office at (574) 235- 9251. Sincerely, V, Linda M. Mat -tin, Clerk Enclosure c: Amy I' ryston, Engineering GARY A. Gitor SUZANNA M. FRITZBERG ELIZABM'i-i A. MARADIK JAMEs A. MUELL.ER THERESE J. DORAU WIRELESSCITY OF SOUTH BEND WAIVER APPLICATION FOR NEW UTILITY POLES & SUPPORT STRUCTURES FOR THE CONSTRUCTION, PLACEMENT, OR USE OF SMALL CELL UTILITIES WITHIN CITY •DESIGNATED STRICTLY FOR UNDERGROUND 1865 OR Date: 512k2 18 I. APPLICANT Company ob KennethContact Name: Dunn Address:1 S. Riverside Pl. Ste. 1800 Chicago, IL ./.1. II. CARRIER ON BEHALF OF WHOM APPLICANT IS FILED (IF APPLICABLE) Company Name: Sprint Contact Name: N Address: N/A Phone Number: ( ) Email: Ill. GENERAL INFORMATION Descriptionof Work: Installation of Electrical Meter Pedestal to support Cell Equipment on IMP Owned Pole-- t .. AddM . w•Elwood Ave,South Bend, 46628 b. CH90XSRKBD - 1236 W Colfax Ave, South Bend, IN 46619 c. CH90XSRKDC - 622-698 Napoleon Street, South Bend, IN 46617 e. CH90XSRKHC - 719 Portage Ave, South Bend, IN 46616 f. w' S r 499 w. Alonzo Watson Dr, South Bend,46601 SouthBend, IN 46613 j. CH90XSRKSC - 616 Crescent Ave, South Bend, IN 46617 1. "N3508 S St Josephr • 3) Describe how owner identity, address, phone number and email will be present on all equipment and structures, and provide photographic or tangible evidence thereof: See Pole Mounted Signs Examples on Sheet -2 of Construction Drawings 4) Identify Confidential or Proprietary information within submittal if applicable. 5) Describe existing and new pole details (material, height, color, etc.) within submittal if applicable. IV. PREFERENCE FOR COLLOCATION Applicants seeking a waiver to install a new wireless pole or support structure within the Underground Utility Area shall consider the City's preference for collocation on existing facilities and shall endeavor to demonstrate the following (select applicable items): YJA At a minimum, new wireless facilities shall be a monopole. constructed to support the initial user plus loading of at least one (1) potential additional user The site of the initial wireless facility at any location ,shall be of sufficient area to allow for the location of one (1) potential additional wireless facility Any proposed wireless support structure shall be designed and engineered structurally, electrically, and in all other respects, to accommodate both the initial wireless facility and one potential, additional wireless facility support structure shall be designed to allow for future rearrangement of cellular communication equipment and antennas upon the structure and to accept cellular communication equipment and antennas mounted at varying heights Typically, a waiver for a new wireless support structure will not be approved unless the person submits verification that the wireless equipment planned for the proposed wireless support structure cannot be accommodated on an existing or approved utility pole or electrical transmission tower or other structure sue to one (1) or more of the following reasons (select and explain applicable items): N/A The planned wireless equipment would exceed the structural capacity of the existing or approved utility pole or electrical transmission tower, buildings, or structures as documented by a qualified and licensed professional engineer, and the existing or approved utility pole or electrical transmission tower, buildings, or structures cannot be reinforced to accommodate the planned wireless equipment at a reasonable cost N/A The planned wireless equipment would cause interference impacting the usability of other existing telecommunication equipment at the site if placed on existing structures. Attached is supportive documentation by a qualified and licensed professional engineer indicating that the interference cannot be prevented at a reasonable cost N/A The existing or approved utility pole or electrical transmission tower, buildings, or structures within the search radius cannot accommodate the planned wireless equipment at a height necessary to function reasonably as documented be a qualified and licensed professional engineer NLA other unforeseen reasons that male it unfeasible or impossible to locate the planned wireless equipment upon an existing or approved utility pole or electrical transmission tower, building, or structure NLA Inability to enter a commonly reasonable lease term with the owners of existing utility pole or electrical transmission tower, building, or structure V. NEW STRUCTURE/POLE INSTALLATION A complete application must include the following items. Indicate that the required information is present by checking and/or completing the following: x A construction plan that describes the proposed wireless support structure and all equipment and network components, including antennas, transmitters, receivers, base stations, power supplies, cabling, and related equipment N/A A sworn statement from the individual responsible for the choice of location explaining why collocation of wireless facilities on an existing wireless support structure, modifications, or replacement of existing structure/pole Is not viable, technically feasible, or an economic burden x Evidence supporting the choice of location, including without limitation, maps or plats showing the proposed location(s) of Applicant's proposed wireless support structure N/A Evidence of compliance with applicable land use ordinances x Evidence of compliance with applicable building code requirements NLA An engineer's statement certifying the structure/poles fall zone N/A Evidence of compliance with FCC regulations, and EMF/RF exposure levels l+VA Certify the proposed location(s) of the new structure/pole is greater than 1,000- foot radius from other structures/pole. if not, Applicant must provide explanation why such is not viable, technically feasible, or an economic burden NLA If the proposed structure/pole does not match the City's street light poles, luminaries and specifications, provide an explanation why such is not viable, technically feasible, or an economic burden NLA If the proposed structure/pole Is not aesthetically and architecturally compatible with thesurrounding environment, and screening as not been provided, the Applicant must explain any efforts to make the structure comparable and why such is not viable, technically feasible, or an economic burden x An explanation of Applicant's efforts to design its structure/pole and any attachments thereto to blend Into the surrounding environment through the use of color, camouflage, and architecture treatment and the degree it uses material compatible with the surrounding environment We chose a metal electrical pedestal, thatwasthe smallest shortest possible to hold our equipment to limit ROW impact. N/A A statement explaining the Applicant's communication with property owners and neighborhood, homeowner, and business associations and organizations adjacent to its placement of its proposed structure/pole No notification is Planned as equipment isonly, installation of electrical meter pedestal VED .5 A tt As Signature board of P(thlick--wark . s Print Name BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 0.6/04/18 Department Public Works Name Amy Kryston Division/Bureau Engineering BPW Date 06/12/18 -..-Phone Extension 9246 . . .. . . . .... Required Prior to Submittal to Board Legal Z Attorney Name: Clara McDaniels Controller ❑ Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing El ❑ Professional Services ] Resolution Bid Opening El Bid Award Quote Opening n Quote Award F-1 Change Order No. E] C/O & PCA No. F-1 Ease/Encroach. F-1 Traffic Control: M Other: Approval of Waiver Application for New Utility Poles & Wireless Support Structures um F] Title Sheet Company or Vendor Name Mobilitie LLC El Yes M No ❑ If Yes, Approved by New Vendor Purchasing MBENVBE Contractor [:] MBE [:] WBE MBENVBE Contractor Requested [:] No n Yes Name of Company Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Recommend approval of the waiver application for twelve locations of wireless support structures, installed by Mobilitie on behalf of Sprint " Required Contractor's Certification Forms Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) L Re 0ired For Change ,Orders ' pjy_ Amount of F-1 Increase $ El Decrease $, Previous Amount Current Percent of Change New Amount Total Percent of Change: 01 Copy Original E E] Kara Boyles F-1 Matt Longfellow F-1 Amy Kryston