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6. Pre-Authorizations to Expend over$1,000.00
Building Maintenance
Amount and Estimated S/H:$4,189.05+ $100 S/H
Expenditure:Emergency repair for the VFD(variable speed drives) for Air
Handler Units 1 & 2 at 5 Sullivan Brothers Convention Center.
Central Garage
Amount and Estimated S/H: $2,537.21
Expenditure: Transmission for Police Department Pick Up Truck.
Leisure Services
Amount and Estimated S/H: $5,200.00
Expenditure:Replacement plow for truck#418.
Leisure Services
Amount and Estimated S/H: $4,995.12
Expenditure:Removal of deteriorating limestone rock wall adjacent to the parking
lot at Iry Warren Pro Shop and replacement with modular block wall.
Safety Committee
Amount and Estimated S/H:NTE$3,000.00
Expenditure: Safety in the workplace/loss control training.
Sewer Department
Amount and Estimated S/H:$4,046.00
Expenditure:Renewal of three CarteFLEX Subscriptions for a one year term Aug
1, 2016 to July 31, 2017.
Sewer Department
Amount and Estimated S/H: $6,300.00
Expenditure: Canon IRC 5535i Printer/Scanner from Advanced Systems, Inc.
BILLS PAYMENT
7. September 26, 2016.
ADJOURNMENT
Suzy Schares, CMC
City Clerk/Human Resource Director
FINANCE DEPT. STAFF ONLY
LINE ITEM USED /40 -/A-/`'/%c)-73(. 6
TRAVEL REQUEST FY A/BUDGETED 0606 —
CITY OF WATERLOO EXPENDED YTD /AL1 v
THIS REQUEST i7v
LEFT AFTER THIS .�
REQUEST , 931)
DATE c=2/---/&
Original-Clerk/Finance Copy- Department
NAME(S) AND POSITION(S): DATE:
Pat Treloar, Chief of Fire Services September 20, 2016
1 EMS Personnel
NAME OF CLASS/MEETING: DESTINATION: Austin, Texas
WAVE-ESO-ePCR
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
November 16, 2016 November 19,2016 November 17-18, 2016
PURPOSE OF TRAVEL/TRAINING:
ESO is the company that WFR uses for our ePCR system. This conference will assist us in improving clinical
benchmarks as well as creating documentation improvements. We also have the opportunity to experiment with the Next
Generation of ESO's ePCR. ESO product sessions including Data Management Security/Healthcare Interoperability/Fire
Roadmap NEMSIS 3 will be discussed in a workshop setting. Conference Agenda is attached.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE PRIVATE VEHICLE
X AIRFARE DEPARTING FROM: Waterloo or Cedar Rapids
ESTIMATE OF COST: BUDGET LINE ITEM: 12-1410-1346
1200.00 LODGING 50.00 TAXI X GRANT REIMBURSABLE
120.00 MEALS PARKING YES NO
400.00 REGISTRATION 1200.00 AIRFARE X REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 2970.00 TOTAL: $ 1485.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
1-7,p017,...„..4
(_ja_-L-Q-z7-6-1V/C1-'7-(
DEPARTMENT HEAD MAYOR
9 - 9-1 — lb c\- 2_ ,.- t ‘,...
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
WAVE Agenda l ESO Page 1 of 5
eSo (http://www.esosolutions.com/)
Healthcare Connected
WAVE 2016
\ ove -hoer 17 — 18, 2016
Austin, TX
DAY ONE HEALTHCARE INTEROPERABILITY I DATA MANAGEMENT +
SECURITY I PRODUCT: EHR I PRODUCT: FIRE +
PERSONNEL MANAGEMENT I PRODUCT: BILLING
8:00-8:45 Exhibit Hall Visit Er Registration
8:45-9:00 Opening Remarks
9:00-10:00 General Session: ESO Roadmap, Chris Dillie, ESO
10:00-10:30 Exhibit Hall Open Et Break
http://www.esosolutions.com/wave-agenda/ 9/19/2016
WAVE Agenda j ESO Page 2 of 5
Mobi le Integrated
Neal+VICare
10:30-11:15 The Reality of Care Coordination — How MIH Positively
Impacts the Bottom Line of System Savings, Clement Yeh,
MD, MS, FACEP, San Francisco Fire and EMS
Fighting Fire With (ESO) Fire, Michael Baker, Tulsa Fire
Department
Phrases of Rejection — Words That Lead to Denied Claims,
Steve Wirth, Page, Wolfberg Er Wirth, LLC
11:15-11:30 Session Change
11:30-12:00 Case Study: What Happens When Hospitals, ACOs and EMS
Collaborate, Charles Blankenship, Mission Health
EMS Benchmarks For the Future: More Than Just Response
Times, Tim McIntosh, Port Aransas EMS
12:00-1:30 Exhibit Hall Open £r Lunch (on your own)
1:30-2:15 Preparing for NEMSIS 3 Product Team, ESO
How to Access Your Fire Data Using AdHoc, Dustin Barton,
ESO
2:15-2:30 Session Change
2:30-3:15 Roundtable Discussion: The Full Picture of Healthcare
Interoperability, John Wilmas, MD, Mercy Hospital - St.
Louis £r Joe Scialdone, Escambia County EMS ESO £r Leslie
Lindsey, Cerner Corporation
Getting Started With ESO Analytics, Allen Johnson, ESO
Drilling Into ESO Fire with Analytics, Tim Irelan, ESO
3:15-3:30 Session Change
3:30-4:00 Mastering Your Data With Advanced Analytics, Allen
Johnson, ESO
Customer Spotlight: Case Study: ESO Personnel
Management
ESO Billing Roadmap, Shelley Koegler, ESO
4:00-4:30 Exhibit Hall Visit & Break
http://www.esosolutions.com/wave-agenda/ 9/19/2016
WAVE Agenda l ESO Page 3 of 5
4:30-5:00 ESO Fire Roadmap Tim Irelan, ESO
5:00-5:15 Session Change
5:15-6:00 Keynote Session
DAY TWO HEALTHCARE INTEROPERABILITY I DATA MANAGEMENT+
SECURITY I PRODUCT: EHR I PRODUCT: BILLING +
DISPATCH
8:00-8:45 Exhibit Hall Visit
8:45-9:00 Opening Remarks
9:00-9:45 General Session, Brent Myers, Evolution Health
9:45-10:15 Exhibit Hall Open Et Break
10:15-11:00 Evidence-Based Practice in EMS, Scott Dorsey, Snohomish
County Fire District 7
Ambulance Payment Reform: Looking to the Future, Asbel
Montes, Acadian Ambulance
11:00-11:15 Session Change
11:15-12:00 Preparing for NEMSIS 3 Product Team, ESO
Case Study: Benefits of ESO Dispatch
12:00-1:30 Exhibit Hall Open if Lunch (on your own)
http://www.esosolutions.com/wave-agenda/ 9/19/2016
WAVE Agenda ESO Page 4 of 5
1:30-2:15 Healthcare Data Sharing and Interoperability: Debunking
the Top 5 Myths of"Why We Can't Do That!" Steve Wirth,
Page, Wolfberg & Wirth, LLC
Cut the Costs: Reducing Expenditures Through Data
Analysis, Nathan Jung, Galveston Area Ambulance Authority
EHR Roadmap and Q&A, Product Team, ESO
2:15-2:30 Session Change
2:15-2:45 Performance Measures: Understanding EMS Compass, Dia
Gainor, NASEMSO
ESO Dispatch Roadmap, Shelley Koegler, ESO
3:00-3:15 Session Change
3:15-4:00 Closing Remarks
WAVE2016
(http://www.esosolutions.com/wave)
Registration (http://www.esosolutions.com/wave-registration/)
Agenda (http://www.esosolutions.com/wave-agenda/)
Guest Speakers (http://www.esosolutions.com/wave-guest-
speakers/)
Hotel Er Travel (http://www.esosolutions.com/wave-hotel/)
http://www.esosolutions.com/wave-agenda/ 9/19/2016
FINANCE DEPT. STAFF ONLY
LINE ITEM USED :,,/U �S iUQ /3etqo
TRAVEL REQUEST FYt,' BUDGETED /q000
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST /26)
LEFT AFTER THIS az-
REQUEST
;REQUEST X S Eos
DATE G.1 f-2(--/b
Original-Clerk/Finance Copy-Department
NAME(S)AND POSITION(S): DATE:
Bob Osgood, Chief Plumbing Inspector 9/19/2016
NAME OF CLASS/MEETING: DESTINATION Waterloo, Iowa
IAPMO— Plumbing Continuing Education DEPARTURE POINT
IF NOT WATERLOO
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
9/24/2016 9/24/2016 9/24/2016
PURPOSE OF TRAVEL/TRAINING
Plumbing- CEU
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST: BUDGET LINE ITEM: 010-22-5100-1346
LODGING TAXI X GRANT REIMBURSABLE
MEALS PARKING YES NO
120.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 120.00 TOTAL: $ 120.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
DEPARTMENT HEAD MAYOR
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
FINANCE DEPT. STAFF ONLY
LINE ITEM USED &/a r(Ca .26`5 !3 y
TRAVEL REQUEST FY:4)/ "BUDGETED asc,=
CITY OF WATERLOO EXPENDED YTD ?s–O
THIS REQUEST / 0 k®
LEFT AFTER THIS
REQUEST 3 io°i
DATE 711UC'',2„,--/' ('
Original-Clerk/Finance Copy- bepartment
NAME(S) AND POSITION(S): DATE:
Vela Oma—Performance Artist September 19, 2016
NAME OF CLASS/ MEETING: DESTINATION: Waterloo Center for the Arts
Vertigo Performance Art Series
DEPARTURE POINT
IF NOT WATERLOO: Boston, Massachusetts
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
Wednesday, November 2, 2016 Saturday, November 5, 2016 Friday November 4, 2016
PURPOSE OF TRAVEL/TRAINING:
Vela Oma will be participating as guest artist in the Vertigo: Performance Art Series to be held at the Waterloo Center for
the Arts. Vertigo is a long-standing collaboration between the Waterloo Center for the Arts and the University of Northern
Iowa Department of Art. These program costs are supported by a Cultural Leadership Partner grant from the Iowa Arts
Council, other program costs will be paid by UNI.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST$
YES NO
METHOD OF TRAVEL:
CITY VEHICLE PRIVATE VEHICLE
X(paid by UNI) AIRFARE DEPARTING FROM:
ESTIMATE OF COST: 010 26 4265 1346
BUDGET LINE ITEM: 26 STG.OSG
$190.00 LODGING TAXI GRANT REIMBURSABLE
MEALS PARKING YES NO
REGISTRATION AIRFARE REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 190.00 TOTAL: $ PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND BENEFICIAL TO THE
(
CITY OF WATERLOO
0
--‘'. ...±.______
rr4.– c__;.---- k 4 Of-KW-C-16
EPART°ME EAD MAYOR
1 / 71 / i C 1 - _L r
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
r c
FINANCE DEPT. STAFF ONLY
LINE ITEM USED t) /1,2/ 4, 4446-'6- P)'49
TRAVEL REQUEST Q FY,;<01 7 BUDGETED 7 ) °'i
CITY OF WATERLOO EXPENDED YTD J,,g y�_
THIS REQUEST A 5-112
LEFT AFTER THIS _
REQUEST . c.v
DATE 7 .67-,7/-/6
Original-Clerk/Finance Copy- Department
NAME(S)AND POSITION(S): DATE:
Sarah Berkeley—Performance Artist September 19, 2016
NAME OF CLASS/ MEETING: DESTINATION: Waterloo Center for the Arts
Vertigo Performance Art Series
DEPARTURE POINT
IF NOT WATERLOO: Omaha, Nebraska
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
Thursday, October 20, 2016 Saturday, October 22, 2016 Friday October 21, 2016
PURPOSE OF TRAVEL/TRAINING:
Sarah Berkeley will be participating as guest artist in the Vertigo: Performance Art Series to be held at the Waterloo
Center for the Arts. Vertigo is a long-standing collaboration between the Waterloo Center for the Arts and the University of
Northern Iowa Department of Art. These program costs are supported by a Cultural Leadership Partner grant from the
Iowa Arts Council, other program costs will be paid by UNI.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST$
YES NO
METHOD OF TRAVEL:
CITY VEHICLE PRIVATE VEHICLE
X(paid by UNI) AIRFARE DEPARTING FROM:
ESTIMATE OF COST: 010 26 4265 1346
BUDGET LINE ITEM: 26 STG.OSG
$125.00 LODGING TAXI GRANT REIMBURSABLE
MEALS PARKING YES NO
REGISTRATION AIRFARE REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 125.00 TOTAL: $ PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AN,,D BENEFICIAL TO THE
CITY OF WATERLOO.
ice-"`/
C,'„,' ir: ,Th /J
_47
,l_'fir/) / r A*_
DEPARTMENT HEAD MAYOR
C12- 1 / 1( 0 9 -- -2-U -- l1„
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
z 9-a/-/
FINANCE DEPT. STAFF ONLY
LINE ITEM USED )/i),;?(, �' (3'{y
TRAVEL REQUEST FY:20/BUDGETED -p_4 `%
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST /a2 5
LEFT AFTER THIS ,41
REQUEST .Z S
DATE _ 777 �J /-/(p
Original-Clerk/Finance Copy-Department
NAME(S) AND POSITION(S): DATE:
Heather Sincavage—Performance Artist September 19, 2016
NAME OF CLASS/MEETING: DESTINATION: Waterloo Center for the Arts
Vertigo Performance Art Series
DEPARTURE POINT
IF NOT WATERLOO: Wilkes, Pennsylvania
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
Thursday, October 13, 2016 Saturday, October 15, 2016 Friday October 14, 2016
PURPOSE OF TRAVEL/TRAINING:
Heather Sincavage will be participating as guest artist in the Vertigo: Performance Art Series to be held at the Waterloo
Center for the Arts. Vertigo is a long-standing collaboration between the Waterloo Center for the Arts and the University of
Northern Iowa Department of Art. These program costs are supported by a Cultural Leadership Partner grant from the
Iowa Arts Council, other program costs will be paid by UNI.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST$
YES NO
METHOD OF TRAVEL:
CITY VEHICLE PRIVATE VEHICLE
X(paid by UNI) AIRFARE DEPARTING FROM:
ESTIMATE OF COST: 010 26 4265 1346
BUDGET LINE ITEM: 26 STG.OSG
$125.00 LODGING TAXI GRANT REIMBURSABLE
MEALS PARKING YES NO
REGISTRATION AIRFARE REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 125.00 TOTAL: $ PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
. 2 ' __ \---- . D
DEPARTM NT HEAD MAYOR
°I /it MP ( 2._L., \,,,
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
City Clerk Use Only
Finance Committee
Approval Date CA \<:)—( ,
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Bldg Maint Department to expend
$ 4,189.05 plus est. shipping costs of $ 100.00 to pay for or purchase
This purchase or expenditure is being made because:
Emergency repair for the VFD (variable speed drives) for Air Handler Units 1 & 2 at
5 Sullivan Brothers Convention Center
Vendor selected for this purchase: HUPP Engineered Products
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Emergency repair
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
n General Fund n Road Use Tax n Sewer n Sanitation
nBonds n Federal/other grants n Other(specify)
This expenditure is to be coded to the following budget line-item:
010-22-6860-1571 22FAC
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 7
and the current available balance is $
Respectfully submitted,
a'c 'c•.-� V/zsz , )11,642 GJ . ,�Z 4 r-23-16
(Si atur Dept. ead or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Pre-Auth-5 Sull Bros-VFD Repair Air Handlers 1 &2.xis(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Central Garage Department to expend
$ 2,537.21 plus est. shipping costs of $ to pay for or purchase
Transmission
This purchase or expenditure is being made because:
Police Department Pick Up Truck
Vendor selected for this purchase: Witham Auto Center
X Bids or written quotes were taken on this purchase, as follows:
Witham Auto Center Waterloo, IA (-$250.00 rebate $2,287.21) $2,537.21
Rydell Chevrolet, Inc. Waterloo, IA $2,494.59
n Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
X General Fund Road Use Tax Sewer Sanitation
Bonds Federal/other grants Other(specify)
This expenditure is to be coded to the following budget line-item:
010-18-7950-1571
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ (po, ood
and the current available balance is $ ' (ems`'
Respectfully submitted,
el/ L t/ iris 9141/6 �.,�a,/4( . h _amu--
e �� z,
Signature Dept. ad or Designee) Date (Sigriature Finance Dept. Review) Date
K:\shared goodies\forms\2016-September-Expenditure Pre-Authorization-Transmission for PD PU Truck-Witham,-010-18-7950-1571.xlsx
(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date (ri1 tv
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Leisure Services Department to expend
$ 5,200.00 plus est. shipping costs of $ to pay for or purchase
Replacement plow for truck#418.
This purchase or expenditure is being made because:
Old plow is worn and needs to be replaced. Old plow will be traded in with $1,500 trade
value applied to the cost of the new plow.
Vendor selected for this purchase: Don's Truck Sales
X Bids or written quotes were taken on this purchase, as follows:
Don's Truck Sales $5,200.00
C and C Welding $5,462.76
Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund Road Use Tax Sewer Sanitation
X Bonds Federal/other grants Other(specify)
This expenditure is to be coded to the following budget line-item:
415-37-4100-2113
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 126,-000.00'
and the current available balance is " L.,
$ -3�,23rJ.33 - SUU�
Res.- submitted,
411111 _ 11°
/. / 7/17' ?/IMAL4 , /,14
_- nature Dept. '--;'or Designee) Date (Sig'nature Finance Dept. Review) Date
K:\shared goodies\forms\- penditure Pre-Authorization.xls(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date t (
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Leisure Services Department to expend
$ 4,995.12 plus est. shipping costs of $ to pay for or purchase
Removal of deteriorating limestone rock wall adjacent to the parking lot at Iry Warren
Pro Shop and replacement with modular block wall.
This purchase or expenditure is being made because:
Old wall has deteriorated and is failing.
Vendor selected for this purchase: Matthias Landscaping Co.
Bids or written quotes were taken on this purchase, as follows:
X Bids or quotes were not taken on this purchase because:
Matthias was able to engineer and design the wall for free, provided they are
awarded the bid for construction. Wapsie Pines Declined to bid due to having a
full schedule the rest of the construction season.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund [1 Road Use Tax n Sewer Sanitation
X Bonds n Federal/other grants ri Other(specify)
This expenditure is to be coded to the following budget line-item:
415-37-4120-2174
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 125,000.00✓
and the current available balance is $ 129,6.0n 00 .7/4/2./ --
Re •- tfully submitted,
(Signature rent. -ad or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Pre-Auth Iry Warren Pro Shop Block Wall.xls(Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date cs -L 16 -t°-
City of Waterloo
Expenditure Pre-Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Safety Committee Department to expend
$ 3000 NTE plus est. shipping costs of $ to pay for or purchase
Safety in the workplace / loss control training
This purchase or expenditure is being made because:
Training of City Employees at Wellness / Safety Fair-work site safety - How it affects
employee / employer
Vendor selected for this purchase: Darren Smiley- Gallagher Benefit Services
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
x General Fund n Road Use Tax n Sewer n Sanitation
n Bonds n Federal/other grants ❑ Other(specify)
This expenditure is to be coded to the following budget line-item:
010-09-8255-1315
(Fund - Department-Activity-Account Number) (Project Code)
in which the budgeted amount is $ 15,000.00 "/
and the current available balance is $ 15,000.00 "c _____,\,, , ,
Respectfully---
espectffuul'ly submitt d,
f ‘,l L c `
C
gnature t.dead or Designee) Da e (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls(Mar 2010)
City Clerk Use Only
,Finance Committee
Approval Date 11
City of Waterloo
Expenditure Authorization Request Form
The Finance Committee of the City Council is here by requested to authorize the following
purchase or expenditure submitted by the Sewer Department to expend
$ 4.046.00 plus ext. shipping cost of $ 0.00 to pay for or purchase
Renewal of three CarteFLEX Subscriptions for a one year term Aug. 1. 2016 to July 31, 2017.
This purchase or expenditure is being made because:
This is the Asset Data Base for the Collection System.
Vendor selected for this purchase:
Cartegraph
nBids or written quotes were taken on this purchase, as follows
Bids or quotes were not taken on this purchase because:
Cartegraph is the rep. for this software.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund: Road Use Tax: Sewer: nSanitation:
nBonds: nFederal/other grants: nOther(specify):
This expenditure is to be coded to the following budget line-item:
570-14-570-1520
(Fund - Department-Activity-Account Number) (Project Code)
in which budgeted amount is $ 32,000.00 ✓
and the current available balance is $ 29,386.27 ✓
Respectfully submitted,
(Signature Dept. Head Or Designee) Date (Signature Finance Dept. Review) Date
•
Cart egraph- INVOICE
3600 Digital Dr, Dubuque, Iowa, 52003, United States Invoice Number SIN001571
Phone: 563-556-8120 Fax: 563-556-8149
www.Cartegraph.com Invoice Date 04/26/2016
achremit@cartegraph.com
End User
Billing Address Shipping Address
Mark Brandes City of Waterloo
Utilities
City of Waterloo
Waste Management 3505 Easton Avenue
Waterloo, IA 50702
PO/Contract Payment Terms Due Date
Net 30 Days 5/26/2016
Product Name Term Start Term End Milestone Quantity Unit Price Tax Net Value
Date Date Value
1 CarteFLEX Subscription 08/01/2016 07/31/2017 1.00 $1,596.00 $0.00 $1,596.00
Renew
2 CarteFLEX Subscription 08/01/2016 07/31/2017 2.00 $1,225.00 $0.00 $2,450.00
Renew
Net Total $4,046.00
Tax Total $0.00
Invoice Total $4,046.00
GO GREEN:
For your convenience,we do accept ACH/EFT payments. If you have any questions or
comments about your software licensing agreement, please contact Tanya at 800.688.2656,
ext. 5298 or tanyalove@cartegraph.com. For service invoicing questions and setting up
electronic payments,please contact Mary Jo at 800.688.2656,ext. 3312 or
maryjosmock@cartegraph.com.
Credit card payments: http://www.Cartegraph.com/Payments
Please note the invoice#from above with payment.Accounts that are past due will be
assessed a monthly 1.5%finance charge retroactive from the invoice date.
Page 1 of 1
City Clerk Use Only
Finance Committee
Approval Date
City of Waterloo
Expenditure Authorization Request Form
The Finance Committee of the City Council is here by requested to authorize the following
purchase or expenditure submitted by the Sewer Department to expend
$ 6,300.00 plus ext. shipping cost of $ 0.00 to pay for or purchase
Canon IRC 5535i Printer/Scanner from Advanced Systems, Inc.
This purchase or expenditure is being made because:
To replace current printer/scanner that is nine years old.
Vendor selected for this purchase:
Advanced System Inc.
X❑Bids or written quotes were taken on this purchase, as follows
Advanced System Inc. Canon IRC 5535i printer/scanner with a scan and convert document
program for a purchase cost of$6,300.00, Advance Systems Inc.Xerox 7835 printer/scanner for a
purchase cost of$5,000.00, and Koch Brothers Samsung X7400LX printer/scanner with app to edit
Microsoft Office Documents for a purchase cost of$4,995.00.
Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
F-7 General Fund: Road Use Tax: nSewer: nSanitation:
Bonds: Federal/other grants: ❑Other(specify):
This expenditure is to be coded to the following budget line-item:
570-14-5700-7119
(Fund - Department-Activity-Account Number) (Project Code)
in which budgeted amount is $ 100,000.00 V
and the current available balance is $ 100,000.00 V
Respectfully submitted,
2( 20 1 Co 7 e ci ayx Zd..r 2/iteA
(Signature Dept. Head Or Designee Date (SI nature Finance Dept. Review) Date
e/'I/ '` Quote
at
VANCED DATE: SEPTEMBER 14, 2016
N EXPIRATION DATE: OCTOBER 15, 2016
SYSTEMS, INC
Business Solutions and the Personal Touch
2945 Airport Blvd
Waterloo, IA 50703
Phone 800-274-2047 Fax 319-232-6624
tbelmer@asiowa.com
TO
City of Waterloo Waste Management
Waterloo, Iowa
SALES ASSOCIATE:TROY BELMER
ITEM DESCRIPTION LINE TOTAL
35 PPM B/W Digital Multi-functioning Imaging System
Acceptance of this proposal fulfills all obligations on current ASI Service $6300.00
Canon IRC 55351 Plan on Canon IRC 2880
Features:
• Copying (Duplex copier with many additional features)
• Printing (Network Et Mobile Printing, UFR II, PCL Et PS Supported)
Machine • Scanning (Scan to email / file. PDF, JPEG, TIFF, Word, Powerpoint)
• Faxing (Fax from desktop or machine)
• 150 Sheet Document Feeder (Scans each side simultaneously)
• Security (hard drive security)
Paper Supply
• 2 - 550 sheet paper cassette (holds up to 12 x 18 paper)
• By - Pass Tray (holds up to 50 sheets)
• Can Add 2 additional 550 sheet cassettes for$615
Printing
• Comes standard with UFR II, PCL ft PS
Configuration Scanning
• Comes standard with Universal Send
Faxing
• Fax Board Added
Also Included
• 250 GB Hard Drive
• 4.0 GB RAM
A.S.I. Service Plan Includes:
✓ No Base Required
✓ All B/W pages are billed @ .005
A.S.I. SERVICE PLAN ✓ All color pages billed ®.05 Only Pay For
✓ All toner, parts, drums, service calls What You Use
✓ Initial and ongoing training (per customer request)
✓ The only expense you have is paper
//al Quote
ADVANCED EXPIRATION
AUGUST 17, 2016
EXPIRATION DATE: SEPTEMBER 15, 2016
SYSi£ MS IP,';;
Business Solutions and the Personal Touch
2945 Airport Blvd
Waterloo, IA 50703
Phone 800-274-2047 Fax 319-232-6624
tbelmer@asiowa.com
TO
City of Waterloo Waste Management
Waterloo, Iowa
SALES ASSOCIATE:TROY BELMER
ITEM DESCRIPTION LINE TOTAL
35 PPM B/W Digital Multi-functioning Imaging System
Acceptance of this proposal fulfills all obligations on current ASI Service $5000.00
Xerox 7835 Plan on Canon IRC 2880
Features:
• Copying (Duplex copier with many additional features)
• Printing (Network Printing, PCL l3 PS Supported)
Machine • Scanning (Scan to email / scan to file. PDF, JPEG, TIFF)
• Faxing (Fax from desktop or machine)
• 110 Sheet Duplex Document Feeder (Scans each side individually)
• Security (hard drive security)
Paper Supply
• 4 - 520 sheet paper cassette (holds up to 11 x 17 paper)
• By- Pass Tray (holds up to 50 sheets)
Printing
• Comes standard with PCL ft PS
Configuration
Scanning
• Comes standard with Universal Send
Faxing
• Fax Board Added
Also Included
• 160 GB Hard Drive
• 2.O GB RAM
A.S.I. Service Plan Includes:
✓ No Base Required
✓ All B/W pages are billed @ .005
A.S.I. SERVICE PLAN ✓ All color pages billed @.05 Only Pay For
•.( All toner, parts, drums, service calls What You Use
✓ Initial and ongoing training (per customer request)
✓ The only expense you have is paper