HomeMy WebLinkAboutSupplemental Attachments - 9/24/2018City of Waterloo
Finance Committee Open Invoice Report
or September 24, 2018 Approval
Finance Committee Accounts Payable Open Invoice Report Total
As of Friday, September 21st, 2018
EFT Transactions:
GATSO
Bank Fees
Add:Wellmark Weekly Claims
'Subtotal - as of Monday, September 24, 2(318
Friday Total 1,735,686.78
1,703,224.76
27,252.00
5,210.02
216,554.98
Workers Compensation Issued by TPA
Housing Authority Housing Assistance EFT's
Housing Authority Housing Assistance EFT's
Payroll
1Bill Payment Total - Monday September 24, 2018
1,952,241.76 1
22,810.59
1,542.91
366,659.59
70, 884.55
Payment to Council embers or related entitles:
2,414,139.40 1
CITY OF WATERLOO, IOWA
CITY ATTORNEY'S OFFICE
715 Mulberry Street • Waterloo, IA 50703 • (319) 291-4327 Fax (319) 291-4286
September 20, 2018
Mayor Quentin Hart and
City Council Members
City Hall
Waterloo, IA 50703
Dear Mayor Hart and Council Members:
I have examined the bonds filed with the City Clerk/Auditor's Office up to the
close of business on September 20, 2018.
Of the 2 bonds submitted, 2 were approved and ( were rejected, as
shown on the attached list.
Very truly yours,
id R. Zellhoefer
Waterloo City Attorney
DRZ:sda
CITY WEBSITE: www.cityofwaterlooiowa.com
WE'RE WORKING FOR YOU!
An Equal Opportunity/Affirmative Action Employer
BONDS FOR COUNCIL APPROVAL
September 24, 2018
RIGHT OF WAY CONSTRUCTION BOND AMOUNT $15,000.00
3399608
41277167
DAVID AND MARIA SCHNEPF
CONCRETE SOLUTIONS, INC.
WATERLOO, IA
WEST SALEM, WI
RIGHT OF WAY CONSTRUCTION BOND
NO. 3399608
Applicant's Telephone Number: (319) 290-4767
KNOW ALL MEN BY THESE PRESENTS:
That (I).(Ne). David and Maria Schnepf
of 246 Cottage Grove Avenue . Waterloo IA
Street
as PrincpaI, and SureTec Insurance Company
City State
of
l330Post Oak Blvd, Ste 1100 HoustonTX 77056
as Surety, are held and firmly bound unto the City of Waterloo, Black Hawk County, Iowa, in the penal
sum of FIFTEEN THOUSAND DOLLARS ($15,000.00) lawful money of the United States of America.
to the payment of which sum, well and truly to be made, the Principal herein firmly binds (himself)
(herself) (themselves) their heirs, executors and 3dminiS1r8torS, and the said Surety binds
themselves, their successors, aSsiynS. executors and 3drnini3tr8tOrs, jointly and Sev8raUy, firmly by
these presents.
THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH thatby the provisions of the
Ordinances of the City of Waterloo, Iowa, a Surety Bond in the sum of Fifteen Thousand Dollars
($15`000.00) must be filed with the City Clerk/Auditor of the City of Waterloo, Iowa, before one may
engage in construction, reconstruction or excavation in the public right of way in said City.
NOW, THEREFORE, if the above bounden David and Maria Schnepf of
246 Cottage Grove Avenue Waterloo, IA 50703 will faithfully perform any and all duties
and abide by any and all regulations required by said Ordinances regulating the cOnEtruC\iOn,
reconstruction and excavation projects within said City; and if (he), (she), (they) will promptly pay to
said City any and all sums and amounts due or that may become due or owing by reason of or under
said Ordinances; and if (he), (she). (they) will pay alt fines imposed upon (him), (her), (them), Ora
violation of said Ordinances occurring during the life of this bond; and if (he), (she), (they) will
indemnify and keep the City harmless from all liability for any accident and/or damages arising from
(his), (her), (their) doing, protecting or completing the work, then this obligation to be null and void,
otherwise to remain in full force and effect.
The effective date of this Bond is May 1, 2018 , through April 30, 2019
Witness our hands this 19th day of September
PLEASE MAIL TO:
City of Waterloo, Iowa
Engineering Department
715Mulberry Street
Waterloo. IA 50703
, 2018
David and Maria Schnepf
PRINCIPAL
Oc.—c4---
BY:
SureTec Insurance Company
SURETY
?l�°�
r.,;(,,, �
trtt"nn David Gonsalves - � -
upcalogMarch cnn _
PLEASE COMPLETE CHECKLIST ON REVERSE SIDE BEFORE SUBMITTING BOND.
POA #: 3399608
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make, constitute and appoint David Gonsalves
its true and lawful Attorney-in-fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for:
Principal: David and Maria Schnepf
Obligee: City of Waterloo
Amount: $15,000.00
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President, sealed with the corporate
seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney -in -Fact may do in the
premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec
Insurance Company:
Be it Resolved, that the President, any Vice -President, any Assistant Vice -President, any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys) -in -Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney -in -Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and
deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's Liability thereunder, and any such instruments so executed by any such
Attorney -in -Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20th of April,
1999.)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President, and its corporate seal
to be hereto affixed this 6th day of April, A.D. 2017.
State of Texas
County of Harris
ss:
RANe
''� By;
ta
Cr. CO 14
On this 6th day of April, A.D. 2017 before me personally came John Knox, Jr., to me known, who, being by me . ly sworn, did depose and say, that he
resides in Houston, Texas, that he is President of SURETEC INSURANCE COMPANY, the company descrised in and which executed the above
instrument; that he knows the seal of said Company; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the
Board of Directors of said Company; and that he signed his name thereto by like order.
ue yn Greenleaf, Notary Public
My commission expires May 18, 2021
I, M. Brent Beaty, Assistant Secretary of SURETEC INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney, executed by said Company, which is still in full force and effect: and furthermore, the resolutions of the Board of Directors, set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this 19th
day�gf Sete. ber
018
M. Brent : eaty, Assistant Secretary
Any instrument issued in excess of the penalty stated above is totally void and without any validity.
For verification of the authority of this power you may call (713) 812-0800 any business day between 8:00 am and 5:00 pm CST.
A.D.
(P61/e;4'416-rib
Platte River Insurance Company
Mailing Address: P.O. Box 5900, Madison, W [ 53705-0900
CONTINUATION CERTIFICATE
OBLIGEE:
City of Waterloo Eneineerine Department
715 Mulberry Street
Waterloo. IA 50703
RE: BOND NUMBER: 41277167 Customer #:
BOND AMOUNT: $15,000.00
BOND TYPE: MISC. PERMIT BOND - RIGHT OF WAY PERMIT
Platte River Insurance Company (hereinafter called the Company) in consideration of the
payment of the premium of S225.00 hereby continues in force its bond numbered 41277167 for
Conceal.: Solutions Inc. 115 Buol Rd., Wil Salem, WI 54669 for the extended
period, beginning on the 1st day of May, 2018 , and ending on the 1st day of May, 2019 ,
subject to the terms, conditions and limitations of said bond.
This continuation certificate is executed upon the express conditions that the Company's liability under
said bond, together with this and all previous continuation certificates shall not be cumulative and shall in no
event exceed the amount specifically set forth in said bond or any existing certificate changing the amount of
said bond.
Signed, sealed and dated: April 18, 2018
Platte River Insurance Company
(-/ -Orn -in-Fact
For inquiries please contact:
CAPSPECIALTY
P.O. Box 5900
Madison, WT 53705-0900
Phone 800-475-4450 Fax 608-829-7413
2986
Tricor, Inc.
Br.15 Terr. 56
CONTCNEW DOC Rev. 6/01
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PLATTE RIVER INSURANCE COMPANY 4 1 3 6 8 3 0 1
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS. That the PLATTE RIVER INSURANCE COMPANY, a corporation of the State of Nebraska. having ks
principal offices in the City of Middleton. Wisconsin, does make, constitute and appoint
TERRY A. CHRISTEN; JUSTINA GRANGER; ELYN CHARLYN 1-10EFS; TAMMY liARMS-MYERS; LYNN HENDRICKSON;
REGINA R. KELLER: PAMELA R. KOWAL; JODENE L. LARSON; TRACEY O'CONNELL; MELISSA M. PLOESSI;
BRANDI SAVOY; GARY VANDERHEI; HEATHER KORYN WENDLAND; PENELOPE L. ZABfNSKI
it$ true and lawful At torney(s)-in-fact, to make, execute, seal and deliver for and on its behalf, as surety, and as its act and deed, any and all bonds,
undertakings and contracts of suretyship, provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in
amount the SUIll of
- - -- - ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED$2Q000,000,00---------
rhb Power of Attorney is granted and is signed. and sealed by facsimile under and by the authority of the following Resolution adopted by the Board
of Directors of PLATTE RIVER INSURANCE COMPANY at a meeting duly called and held on the 8th day of Janunry, 2002.
"RESOLVED, that the President, and Vice -President, the Secretary or Treasurer, acting individually or otherwise, be and they hereby are granted the
power and authorization to appoint by a Power of Attorney for the purposes only of executing and attesting bonds and undertakings and other writings
obligatory in the nature thereof. one or more vice-presidents, assistant secretaries and anorney(s)-in-fact, each appointee to have the powers and duties
usual to such offices w the business of the company; the signature of such officers and the seal of the Corporation may be affixed to such power of
attorney or to any certificate relating, thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile
seal shall be valid and binding upon the Corporation in the future with respect to any bond or undertaking or other writing obligatory in the nature
thereof to which it is attached:Any sueh appointment may be revoked, for cause, or without cause, by any of said officers, at any time
. -
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and authority hereby given to the
Attorney -in -Fact includes any and all consents for the release cif retained pereentage:s and/or final estimates on engineering and construction contruts
required by the Stale of Florida Department of Transportation. It is fully understood that consenting to the. State of Florida Department of Transponation
making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the
Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of
Highways of the Commmovealth of Kentucky at least thirty (30) days prior to the modification or revocation.
IN WITNESS WHEREOF, the PLATTE RIVER INSURANCE COMPANY has caused thee presents to he signed by its officer undersigned and
its corporate tiCai to be hereto affixed duly attested, this 27th day of July, 2015.
Attest:
PLATTE RIVER INSURANCE COMPANY
s — • —.
,,,,,casPoriare
Gary W. Stutnper
President SEAL
Stephen J. Sills
Surety & Fidelity Operations -'r& President
SIAM OF WISCONSIN
COUNTY OF DANE
On the 27th day of July, 20)5 before me personally carne Stephen J. Sills, to me known, who being by me duly sworn, did depose and say: that he
resides in the County of New York, State of New York: that he is President of PLATTE RIVER INSURANCE COMPANY, the corporation described
herein and which executed the -above instrument; that he knows the seal of the said corporation: that the seal affixed to Said instillment is such corporate
seal: that it was so affixed by order of the Board of Directors of said corporation and that he signed his name thereto by like order.
1
41? -4
40ft. • ,
susni OE WISCONSIN
COUNTY OF DANE
"-S.:
CERTIFIcATE
David J. Regele
Notary Public. Dane Co.. WI
My Commission Is Permanent
1, the undersigned, duly elected to the office stated below, now the incumbent in PLATTE RIVER INSURANCE COMPANY, a Nebraska
Corporation, authorized to make this certificate. DO HEREBY CERTIFY that the foregoing attached Power of Attorney remains in full force and has
not been revoked; and furthermore, that the Resolution of the Board of Direetors. set forth in the Power of Attorney is now in force.
Signed and scaled at the City of Middleton. State of Wisconsin this 7"" Jay of L7) y , 2 CI g
SEAL
64<cisto3 (d)1);
Antonio Celli
Secretary
THIS DOCUMENT IS NOT VALID UNLESS PRINTED ON GREEN SHADED SACKGROUND WITH A REP SERIAL NUMBER IN THE CPPLR RIGHT HAND
CORNER, II= YOU HAVE ANY QUE!..STIONS CONCERNING THE AUTHENTICITY OF THIS DOCIJNIENT CALL, R00-475-4450. PR"POA tio: 12,2016i
4s -
Tr zip 1.41:7:1„?.
•.„
oian
Platte River Insurance Company
1600 Aspen Commons, Middleton, WI 53562
CHANGE RIDER
Bond No. 41277167
Date of Bond 5/1/2017
Principal Concrete Solutions Inc.
Obligee City of Waterloo - Engineering Department
Nothing herein contained shall be held to vary, waive, alter or extend any of the terms, conditions, agreements or
warranties of the above captioned bond, other than as stated below.
This Rider is effective 3/5/2018 and is to be attached to and form a part of the above captioned bond. This Rider
is issued on behalf of Concrete Solutions Inc. as Principal, in favor of the Obligee stated above.
In consideration of the premium charged, it is understood and agreed, on or after the effective date as set forth
herein, the Surety consents to:
Change Principal's Address:
From: 228 Kevin Ct, Onalaska, WI 54650
To: 115 Buol Rd, West Salem, WI 54669
Said change is applicable only to acts or omissions on or after the effective date as set forth herein.
Provided, however, that the liability of the Surety under the attached bond as changed by this Rider shall in no
event be cumulative.
Signed, sealed and dated on 3/5/2018.
Accepted:
By:
Date:
SEN 001 (07-08)
Platte River Insurance Company
By:�i�)0199% 0 'tgiL._+
Pamela R. Kowal, Attorney -in -Fact
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PLATTE RIVER INSURANCE COMPANY
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, That the PLATTE RIVER INSURANCE COMPANY, a corporation of the State of Nebraska, having its
principal offices in the City of Middleton, Wisconsin, does make, constitute and appoint
TERRY A. CHRISTEN; JUSTINA GRANGER; ELYN CHARLYN HOEFS; TAMMY HARMS—MYERS; LYNN HENDRICKSON;
REGINA R. KELLER: PAMELA R. KOWAL; JODENE L. LARSON; TRACEY O'CONNELL; MELISSA M. PLOESSI;
BRA.NDI SAVOY; GARY VANDERHEI; HEATHER KORYN WENDLAND; PENELOPE L. ZABINSKI
its true and lawful Attorney(s)-in-fact, to make, execute, seal and deliver for and on its behalf, as surety, and as its act and deed, any and all bonds,
undertakings and contracts of suretyship, provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in
amount the sum of
41368296
ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED $20,000,000.00
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board
of Directors of PLATTE RIVER INSURANCE COMPANY at a meeting duly called and held on the 8th day of January, 2002.
"RESOLVED, that the President, and Vice -President, the Secretary or Treasurer, acting individually or otherwise, be and they hereby are granted the
power and authorization to appoint by a Power of Attorney for the purposes only of executing and attesting bonds and undertakings and other writings
obligatory in the nature thereof, one or more vice-presidents, assistant secretaries and attomey(s)-in-fact, each appointee to have the powers and duties
usual to such offices to the business of the company; the signature of such officers and the seal of the Corporation may be affixed to such power of
attorney or to any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile
seal shall be valid and binding upon the Corporation in the future with respect to any bond or undertaking or other writing obligatory in the nature
thereof to which it is attached. Any such appointment may be revoked, for cause, or without cause, by any of said officers, at any time."
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and authority hereby given to the
Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts
required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation
making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the
Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner Department of
Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
IN WITNESS WHEREOF, the PLATTE RIVER INSURANCE COMPANY has caused these presents to be signed by its officer undersigned and
its corporate seal to be hereto affixed duly attested, this 27th day of July, 2015.
Attest:
L \,�PINSURgy��
J . �,�(ti� GOP'° e Co4.Q
v
Gary W. Stumper / =a — . <_
President = SEAL
Surety & Fidelity Operations
STATE OF WISCONSIN 1 oii NEBRASKA ; `°\\
COUNTY OF DANE S'S`: �iiii/611uiiumm�����4�,
PLATTE RIVER INSURANCE COMPANY
Stephen J. Sills
CEO & President
On the 27th day of July, 2015 before me personally came Stephen J. Sills, to me known, who being by me duly sworn, did depose and say: that he
resides in the County of New York, State of New York; that he is President of PLATTE RIVER INSURANCE COMPANY, the corporation described
herein and which executed the above instrument; that he knows the seal of the said corporation; that the seal affixed to said instrument is such corporate
seal; that it was so affixed by order of the Board of Directors of said corporation and that he signed his name thereto by like order.
STATE OF WISCONSIN
COUNTY OF DANE
1 S.S.:
'\r`tin nnoE bey G..
vy` cF�.
• TAR,..F
CERTIFICATE
David J. Regele
Notary Public, Dane Co., WI
My Commission Is Permanent
I, the undersigned, duly elected to the office stated below, now the incumbent in PLATTE RIVER INSURANCE COMPANY, a Nebraska
Corporation, authorized to make this certificate, DO HEREBY CERTIFY that the foregoing attached Power of Attorney remains in full force and has
not been revoked; and furthermore, that the Resolution of the Board of Directors,ect�set forth in the Power of �Atttorrney is now in force.
13 Signed and sealed at the City of Middleton, State of Wisconsin this i �' ! day of / / t a-efi�'t , 2`Ol
Cxricu4k. Gam.
Antonio Celii
Secretary
THIS DOCUMENT IS NOT VALID UNLESS PRINTED ON GREEN SHADED BACKGROUND WITH A RED SERIAL NUMBER IN THE UPPER RIGHT HAND
CORNER. IF YOU HAVE ANY QUESTIONS CONCERNING THE AUTHENTICITY OF THIS DOCUMENT CALL, 800-475-4450. PR -POA (Rev. 12-2016)
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o,
To: City Council Members
Re: Notice of Severance
r VAS
CITY HALL
Department POLICE
715 MULBERRY STREET 50703
aAWIA
Today's Date: 9/18/2018
Effective Date: 9/1112-vm-- `
Employment Date: 7/19/1990
Job Title/Classification Clerk 2
This is to report that the employment of
Cheryel Stevenson
with the City of Waterloo has been severed by reason of:
Retired
Disability Related
❑ Resigned
❑ Termination
❑ Other
0
No ❑Yes
In accordance with City Policy, it is requested to allow payment which consists of the following:
Comments:
Approved by
Human Resources
a.Zer....,
Date
Date
9 )'
rr1
Routing:
Original to Human Resources by Department
Human Resources will forward original to City Clerk (Copy in Personnel File)
Clerk's Office will forward approved form to Department
Council Agenda Date: / 111 AS/400 Status/Accruals E. 1-9
I ! b 5
Benefits
Total Hours
(x) Hourly Rate
Total Payout
Vacation -Accrued
133.15 $22.58
1 $ 3,006.53
Vacation -Current
200.00 $22.58
$ 4,596.00
Usable Sick Leave
15.00 1 $22.58
(x) 25°A
$ 64.68
Frozen Sick Leave
0.00 $22.58
(x) _%
$ -
Personal Hours
0.00 $22.58
$ -
Sick Time Pay
0.00 $22.58
$ -
Unscheduled Leave
0.00
$22.58
$ -
Other Pay
0.00
$22.58
$ -
Total Payment
$ 7,607.20
Approved by
Human Resources
a.Zer....,
Date
Date
9 )'
rr1
Routing:
Original to Human Resources by Department
Human Resources will forward original to City Clerk (Copy in Personnel File)
Clerk's Office will forward approved form to Department
Council Agenda Date: / 111 AS/400 Status/Accruals E. 1-9
I ! b 5
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY ,2l)/ 9 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
U't au /34(0
75-K 1$
v5
X310s-
//63 >7c1'«
Copy - be.artment
NAME(S) AND POSITION(S):
Kelley Felchle, City Clerk
DATE:
09/17/2018
NAME OF CLASS / MEETING:
2018 IMFOA Fall Conference
D EPARTURE DATE:
10/18/2018
D ESTINATION:
Des Moines, IA
D EPARTURE POINT
IF NOT WATERLOO:
RETURN DATE:
10/19/2018
DATE(S) OF MEETING:
10/18/2018-10/19/2018
P URPOSE OF TRAVEL/TRAINING: Attendance at this conference is required for maintaining the Certified Municipal
Clerk Certification.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE
AIRFARE
X
DEPARTING FROM: Waterloo
PRIVATE VEHICLE
ESTIMATE OF COST:
0.00 LODGING 0.00
40.00
125.00
40.00
MEALS 0.00
REGISTRATION 0.00
MILEAGE/FUEL 0.00
TOTAL FOR ALL: $ 205.00
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 010-03-8400-1346
X GRANT REIMBURSABLE
YES NO
x
YES NO
TOTAL:
REQUIRED CERTIFICATION
205.00
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
DEPARTMENT HEAD
9-r
DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
I APPROVE THIS TRAVEL REQUEST
t y49 --
MAYOR
DATE
KELLEY FELCHLE
From:
Sent:
To:
Subject:
Dear Kelley,
registration@iowaleague.org
Monday, September 17, 2018 12:11 PM
KELLEY FELCHLE
Order Confirmation
Thank you for your recent order. The order details are below.
Kelley Felchle
Waterloo
Order Number: 14907
Order Date: Sep 17, 2018 12:07 PM
Bill To: Kelley Felchle
Order Total: 125.00
Payment Method: Visa ************8552
Name on Card: Kelley Felchle
Item
IMFOA 2018 Fall Conference - Kelley Felchle
When: Oct 17, 2018 4:00 PM - Oct 19, 2018 12:00 PM
Registration option: Oct 17, 2018 - Full Registration
Program Items:
• Oct 18, 2018 7:00 PM: Banquet - Included in Registration
• Oct 18, 2018 12:00 PM: Lunch - Included In Registration
Price Qty Total
125.00 1 125.00
Item Total
Shipping
Handling
Item Grand Total
Transaction Grand Total
125.00
0.00
0.00
125.00
125.00
You may receive additional emails about your order as the order is further processed.
TRAV R IEQUEST
CITY OF WATERLOO
NAME(S) AND POSITION(S):
John Hyman
Kevin Kuenstling
NAME OF CLASS / MEETING:
3E NEC Code Update Class
DEPARTURE DATE:
10/04/18
PURPOSE OF TRAVEL/TRAINING:
Education
FINANCE DEPT. STAFF ONLY
LINE ITEM USED
FY;0/4 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
09/18/18
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Copy - Department
DESTINATION: 3E 183 West Ninth Street,
Waterloo, IA
DEPARTURE POINT
IF NOT WATERLOO:
DATE(S) OF MEETING:
10/04/18
RETURN DATE:
10/04/18
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
YES
X COST $
NO
METHOD OF TRAVEL:
X CITY VEHICLE
AIRFARE
DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
LODGING
MEALS
300.00 REGISTRATION
MILEAGE/FUEL
TOTAL FOR ALL: $ 300.00
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 520-14-5200-1315
GRANT REIMBURSABLE
YES NO
x REQUIRED CERTIFICATION
YES NO
TOTAL: $ 150.00 PER PERSON
1 BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERL
DEPAR EN HEAD
I APPROVE THIS TRAVEL REQUEST
MAYO R
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DATE f DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
a� NEC CODE IJPDATE CLASS
DATE/TIME: October 4th 9am-3pm
LOCATION: 3E Waterloo
183 West Ninth Street
Waterloo, IA 50702
COST: $150 (fee includes a catered lunch)
INSTRUCTOR: Dave Sullivan - Sullivan Training and Consulting LLC
Using the International Association of Electrical Inspectors presentation, we go
through the changes made to the 2017 NEC. They are presented in a common-
sense approach to know why' the change was done with field examples to fully
understand the intent. Teach how to wire, bid, and understand the 2017 NEC and
its implications in your work.
Please bring your code book to class.
Company Name City of Waterloo WMS
Attendees Full Name John Hyman -
Kevin Kuenstling
Iowa Electrical License No. EL -13906 -JA
EL -10155 -JA
E-mail ictshop@waterloo-ia.org/julianna.henrich@waterloo-la.org
Note: If more than one attendee, please include a list of names rind Iowa Electrical License number
Number of
Attendees
Mass Date and Time
Price
Extended
Total
2
October 4th 9:OOam-3:00pm
$150
300.00
Check, PO or Credit Card #
WP19049
Exp. Date
Signature
Date
Space is limited. Please Register Early.
E-MAIL COMPLETED FORM TO jim.budensiek@3E-CO.COM
'RAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT
LINE ITEM USED
FY 2()/9 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
O/d /4/4.) / 3'/6'
3.366
%l IS
Copy - Department
NAME(S) AND POSITION(S):
Pat Treloar, Fire Chief
Jason Hernandez, Medical Supervisor
DATE:
September 18, 2018
NAME OF CLASS / MEETING:
EMS World Expo and Conference
DEPARTURE DATE:
October 30, 2018
DESTINATION: Nashville, TN
DEPARTURE POINT
IF NOT WATERLOO:
RETURN DATE:
November 2, 2018
DATE(S) OF MEETING:
October 31 -November 2nd
PURPOSE OF TRAVEL/TRAINING:
National Conference focusing on EMS training and Data and Technology Summit. We will focus on revenue and
reimbursement workshop as relating to ambulance billing. Safety Officer training for building stress resilience among
paramedics. Mental wellness for EMS providers and their families.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
YES NO
COST $
METHOD OF TRAVEL:
CITY VEHICLE
X AIRFARE
PRIVATE VEHICLE
DEPARTING FROM: Waterloo or Area Airport
ESTIMATE OF COST:
750.00
(3nights)
150.00
950.00
LODGING 90.00
MEALS
REGISTRATION 700.00
MILEAGE/FUEL
TOTAL FOR ALL: $ Z640.00
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 010-12-1410-1346
X GRANT REIMBURSABLE
YES NO
X REQUIRED CERTIFICATION
YES NO
TOTAL: $ 1,320.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLO
DEPARTMENT HEAD
tit CkJ
C
DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
I APPROVE THIS TRAVEL REQUEST
MAYOR
klZ-9
DATE
TRAVEL RIKK;QU, EST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY ZU/ (BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
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Copy - Department
NAME(S) AND POSITION(S):
Greg Ahlhelm, Building Official
DATE:
9/14/2018
NAME OF CLASS / MEETING:
2018 Fire Prevention & Building Safety Education
Conference
DEPARTURE DATE:
10/23/2018
PURPOSE OF TRAVEL/TRAINING
CEU Training
DESTINATION West Des Moines, Iowa
DEPARTURE POINT
IF NOT WATERLOO
RETURN DATE:
10/26/2018
DATE(S) OF MEETING:
10/23/2018 thru 10/26/2018
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
x COST $
YES NO
METHOD OF TRAVEL:
x CITY VEHICLE
AIRFARE
DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
325.00
100.00
260.00
25.00
LODGING
MEALS
REGISTRATION
MILEAGE/FUEL
TOTAL FOR ALL: $ 710.00
TAXI
PARKING
AIRFARE
MSC/TOLLS
BUDGET LINE ITEM: 010-22-5100-1346
X GRANT REIMBURSABLE
YES NO
x
YES NO
REQUIRED CERTIFICATION
TOTAL: $ 710.00
BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
DEPARTMENT HEAD
DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
PER PERSON
I APPROVE THIS TRAVEL REQUEST
A /7(cerlik
MAYOR
11 -bet I(
DATE
TRAVIH14 , RII+:QUEST
CITY OF WATERLOO
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 0/0 •2?- 5700 /34(0
FY>2U/'l BUDGETED 70002'
EXPENDED YTD /SU ''
THIS REQUEST 4 e r
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance Co. - Department
NAME(S) AND POSITION(S):
Jeff Siebel, Commercial Property Safety Inspector
DATE:
9/14/2018
NAME OF CLASS / MEETING:
2018 Fire Prevention & Building Safety Education
Conference
DEPARTURE DATE:
10/23/2018
PURPOSE OF TRAVEL/TRAINING
CEU Training
RETURN DATE:
10/26/2018
DESTINATION West Des Moines, Iowa
DEPARTURE POINT
IF NOT WATERLOO
DATE(S) OF MEETING:
10/23/2018 thru 10/26/2018
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
METHOD OF TRAVEL:
x CITY VEHICLE
AIRFARE
YES
x COST$
NO
DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
325.00
LODGING
100.00 MEALS
260.00 REGISTRATION
MILEAGE/FUEL
TOTAL FOR ALL: $ 685.00
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 010-225100-1346
X GRANT REIMBURSABLE
YES NO
x
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
DEPARTMENT HEAD
DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
YES NO
REQUIRED CERTIFICATION
TOTAL: $ 685.00
PER PERSON
I APPROVE THIS TRAVEL REQUEST
1/z-4 ha
DATE
TRAV 1(K', , REQUEST
CITY OF WATERLOO
FINANCE DEPT. STAFF ONLY
LINE ITEM USED OM 6 /UO /8 �G
FY,ZO1 t'1 BUDGETED 7 00t
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
/Co
6sia
2/764/ 4' -/‘ E
Com- Department
NAME(S) AND POSITION(S):
Tim Moyer, Chief Electrical Inspector
DATE:
9/19/2018
NAME OF CLASS / MEETING:
IAEI Iowa Chapter Fall Meeting (International Association of
Electrical Inspectors)
DEPARTURE DATE:
October 11th & 12th, 2018
RETURN DATE:
October 12, 2018
DESTINATION Riverside, Iowa
DEPARTURE POINT
IF NOT WATERLOO
DATE(S) OF MEETING:
October 11th & 12th, 2018
PURPOSE OF TRAVEL/TRAINING
CEU Training
WILL. TRAVEL REQUIRE ADDITIONAL PERSONNEL:
x COST
YES NO
METHOD OF TRAVEL:
CITY VEHICLE
AIRFARE DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
LODGING
150.00 MEALS
REGISTRATION
MILEAGE/FUEL
TOTAL FOR ALL:
150.00
TAXI
PARKING
AIRFARE
MISS;/TOLLS
BUDGET LINE ITEM: 010-22-5100-1346
X GRANT REIMBURSABLE
YES NO
x
YES NO
REQUIRED CERTIFICATION
TOTAL: $ 150.00
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
EP RIME T HEAD
DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
PER PERSON
APPROVE THIS TRAVEL REQUEST
�t � .amu ittleasa
MAYOR
9134 /I
DATE
TRAVEL ]REQUEST
CITY O E WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY /20/9 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
S YAFF ONLY
625 /r5 U /346
d576-4) /t -rot`
Co y - De.artment
NAME(S) AND POSITION(S):
Sam Barrett
NAME OF CLASS / MEETING:
Iowa Recycling & Solid Waste Management Conference
DEPARTURE DATE:
October X, 2018
DATE:
September 13, 2018
DESTINATION: Council Bluffs, Iowa
DEPARTURE POINT
IF NOT WATERLOO:
RETURN DATE:
October 10, 2018
DATE(S) OF MEETING:
October 8 - 10, 2018
PURPOSE OF TRAVEL/TRAINING:
Tradeshow, networking opportunities and diverse education along with training options on solid waste,
recycling, sustainability, HR, communication, planning, safety and best practice topics.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
YES
X COST $
NO
METHOD OF TRAVEL:
XX
CITY VEHICLE
AIRFARE
ESTIMATE OF COST:
$420.00 LODGING
$90.00 MEALS
$300.00 REGISTRATION
$40.00 MILEAGE/FUEL
DEPARTING FROM:
TAXI
PRIVATE VEHICLE
BUDGET LINE ITEM: 525-15-5400-1346
X GRANT REIMBURSABLE
PARKING YES NO
AIRFARE
X REQUIRED CERTIFICATION
MISC/`DOLLS YES NO
TOTAL FOR ALL: $ 850.00
BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
DEPARTMENT HEA
K:\Shared Goodies\Forms\Travel Request Form January 2010
TOTAL: $ 850.00
PER PERSON
I APPROVE THIS TRAVEL REQUEST
MAYOR
DATE
To: City Council Members
Re: Notice of Severance
r VAS
CITY HALL
Department POLICE
715 MULBERRY STREET 50703
aAWIA
Today's Date: 9/18/2018
Effective Date: 9/1112-vm-- `
Employment Date: 7/19/1990
Job Title/Classification Clerk 2
This is to report that the employment of
Cheryel Stevenson
with the City of Waterloo has been severed by reason of:
Retired
Disability Related
❑ Resigned
❑ Termination
❑ Other
0
No ❑Yes
In accordance with City Policy, it is requested to allow payment which consists of the following:
Comments:
Approved by
Human Resources
a.Zer....,
Date
Date
9 )'
rr1
Routing:
Original to Human Resources by Department
Human Resources will forward original to City Clerk (Copy in Personnel File)
Clerk's Office will forward approved form to Department
Council Agenda Date: / 111 AS/400 Status/Accruals E. 1-9
I ! b 5
Benefits
Total Hours
(x) Hourly Rate
Total Payout
Vacation -Accrued
133.15 $22.58
1 $ 3,006.53
Vacation -Current
200.00 $22.58
$ 4,596.00
Usable Sick Leave
15.00 1 $22.58
(x) 25°A
$ 64.68
Frozen Sick Leave
0.00 $22.58
(x) _%
$ -
Personal Hours
0.00 $22.58
$ -
Sick Time Pay
0.00 $22.58
$ -
Unscheduled Leave
0.00
$22.58
$ -
Other Pay
0.00
$22.58
$ -
Total Payment
$ 7,607.20
Approved by
Human Resources
a.Zer....,
Date
Date
9 )'
rr1
Routing:
Original to Human Resources by Department
Human Resources will forward original to City Clerk (Copy in Personnel File)
Clerk's Office will forward approved form to Department
Council Agenda Date: / 111 AS/400 Status/Accruals E. 1-9
I ! b 5