Loading...
HomeMy WebLinkAboutApproved Documents - 4/13/2020City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Convention Cente Department to expend $ 18,167.09 plus est. shipping costs of $ 538.35 to pay for or purchase glassware and storage racks This purchase or expenditure is being made because: Replace existing worn out and damaged glassware and increase inventory quantities to sufficent levels Vendor selected for this purchase: US Foods n Bids or written quotes were taken on this purchase, as follows: US Foods: $18,705.44 Webstaurant Store:$22,941.72 ❑ 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 Bonds Road Use Tax n Sewer C Sanitation Federal/other grants n Other (specify) Manager Contribution This expenditure is to be coded to the following budget line -item: (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 350,000.00 and the current available balance is Respectfully submitted, � V l24/ 2JzZZ .J4_, t—rc ram, 3 3/ -zo (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date $ -Yl3 76272 /6 ,2?D ?;--14 K:\shared goodies\forms\Expenditure Pre -Authorization- Glassware (Mar 2010) 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 Convention Cente Department to expend $ 44,752,68 plus est. shipping costs of $ 1,331.67 to pay for or purchase buffet service ware, City Clerk Use Only Finance Committee Approval Date 4 ( 3 OA) This purchase or expenditure is being made because: Purchase buffet service items to present a high quality food service presentation. Vendor selected for this purchase: US Foods Bids or written quotes were taken on this purchase, as follows: US Foods: $46,084.35 Webstaurant Store:$50,410.14 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: n General Fund Bonds n T Road Use Tax I I Sewer Sanitation Federal/other grants X Other (specify) Manager Contribution This expenditure is to be coded to the following budget line -item: (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 350,000.00 and the current available balance is Resleitctfully submitted, 6:4 11-"! (SigtreDept. Head or Designee) Date $ 1279-4-81- (Sigrrature Finance Dept. Review) Date K:\shared goodieslforms\Expenditure Pre -Authorization- Buffet Service (Mar 2010) 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 Convention Cente Department to expend $ 12,313.80 plus est. shipping costs of $ 317.00 to pay for or purchase various banquet table service items City Clerk Use Only Finance Committee Approval Date This purchase or expenditure is being made because: Purchase table service items to create a quality banquet service experience Vendor selected for this purchase: US Foods Bids or written quotes were taken on this purchase, as follows: US Foods: $12,630.80 Webstaurant Store:$17,124.72 ElBids 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: nGeneral Fund rj Road Use Tax El Sewer n Sanitation nBonds n Federal/other grants n Other (specify) Manager Contribution This expenditure is to be coded to the following budget line -item: (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 350,000.00 and the current available balance is Respectfully submitted, $ 1.96;83-346- /OS?- i'/3 ✓ (Signaure Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:lshared goodieslforms\Expenditure Pre -Authorization- Table Service (Mar 2010) 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 Convention Cente Department to expend $ 23,248.00 plus est. shipping costs of $ 1,350.00 to pay for or purchase Metal swirl rolling buffet tables and cocktail tables City Clerk Use Only Finance Committee 4" Approval Date (3) This purchase or expenditure is being made because: Reduces linen and setup costs, allows for easier food service, and presents a higher level of food presentation. Also need more cocktail tables to meet event needs. Vendor selected for this purchase: Southern Aluminum I I Bids or written quotes were taken on this purchase, as follows: Bids or quotes were not taken on this purchase because: Southern Aluminum is the manufacturer of this product who sells direct. They do work with retail partners and dealers, but none of them have pricing that is as low as they do when they deal direct. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ElGeneral Fund El Road Use Tax Sewer EiBonds Federal/other grants C Sanitation Other (specify) Manager Contribution This expenditure is to be coded to the following budget line -item: (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 350,000.00 and the current available balance is $ "4327111740 9 373 '�— Respectfully submitted, 1Qy � 3/7,dzi) (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodieslforms\ xpenditure Pre -Authorization- Swirl Tables (Mar 2010) AIMV ANN Southern Aluminum City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date ti(/ ti 3 /? The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the 150 Department to expend $ 3,332.25 plus est. shipping costs of $ to pay for or purchase Film, Sheeting and Transfer Tape This purchase or expenditure is being made because: Materials needed to fabricate signs. Vendor selected for this purchase: 3M ❑X Bids or written quotes were taken on this purchase, as follows: 3M St. Paul MN $3,332.25 Newman Signs Jamestown, ND $4,972.41 Iowa Prison Industries Anamosa, IA $7,655.00 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: nGeneral Fund Bonds X Road Use Tax Sewer Federal/other grants Other (specify) This expenditure is to be coded to the following budget line -item: 419-17-7120-2125 Sanitation (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, Signature Dept. H: ad or Designee) $ 15,000.00 $ 11,000.00 ✓ !%8 Date (Signature Finance Dept. Review) Date K:\share: goodies\forms\2020-March-Expenditure Pre -Authorization -Traffic -Sheeting, Film, Transfer Tape - 3M - $3,332.25-419-17-7120- 2125.xls (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date °%i3 / 2b The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the MIS Department to expend $ 1,844.84 plus est. shipping costs of $ to pay for or purchase Adobe Creative Cloud Licensing Renewal This purchase or expenditure is being made because: This is the annual renewal of 2 licenses of Adobe Creative Cloud used in Public Access Studio and Communications Department Vendor selected for this purchase: CDWG 0 Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: Purchases and renewal annually through CDWG Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund n Road Use Tax n Sewer ❑ Sanitation QX Bonds n Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: Split between 010-03-8150 1520 and 010-01-8220 1520 (Fund - Department - Activity - Account Number) in which the budgeted amount is , S SLv $ q.c 3 t Soo and the current available balance is e'�vi- P" $ Respectfully submitted, (Signature ept. ead or Designee) Date (Signature Finance Dept. Review) (Project Code) $l S y 8:7;4' i& 33 0?D /3 6" k/kS". suF�vv, UeJL. Date K:\shared goodies\forms\Pre-Auth Adobe Creative Cloud Renewal.xls (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee ; `�3 /?� Approval Date The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Airport Department to expend $ 25,000.00 plus est. shipping costs of $ N/A to pay for or purchase Staff is requesting to expend $25,000 for a variety of misc. marketing programs, to include: Radio, Newsprint, and other programs to promote the airport & airline at ALO for CY-2020. This purchase or expenditure is being made because: This request is being made to allow us to continue the promotion of both American Airlines and Waterloo Regional Airport. Vendor selected for this purchase: Various, see above El ❑X Bids or written quotes were taken on this purchase, as follows: NOTE: The total below does not include the $48,000 in state grant funds received from the Iowa DOT's Aviation Bureau, whereby we match w/ a 80/20 percent funding allocation for a total of $60,000 & with the additional budget resources totals $85,000. Bids or quotes were not taken on this purchase because: Staff will be using similar venues for the expenditure of Local and Iowa DOT Aviation Bureau Grant Funds under Iowa DOT's Air Service Sustainment program. December's request was Phase 1, this request is Phase 2, and Phase 3 to follow. Prior Committee Actions (Dates): N/A Please check the following box(es) as appropriate to describe the funding for this expense: General Fund Bonds Road Use Tax ❑ Sewer El Sanitation Federal/other grants ❑X Other (specify) Advertising Expenses This expenditure is to be coded to the following budget line -item: 010 - 29 - 7700 - 1351 (Fund - Department - Activity - Account Number) in whic the budgeted amount is current available balance is d, (Signature D'4!/R'_d or Designee) (Project Code) $ 85,000.00 3Z000 $ A476501-00— .27,266, sa n�r rdl /zJA-44.1.vt. 8'1v Date Signature Finance Dept. Review) Date K:\shared goodies\forms\04 08 2020 PreAuth for CY-2020 Marketing Campaign - Phase 2 (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee �/ Approval Date ()/Les The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Police $ 1,816.96 plus est. shipping costs of $ 250.00 panel base conference table for the Police Department. Department to expend to pay for or purchase This purchase or expenditure is being made because: additional conference table needed for the police department. Vendor selected for this purchase: Storey Kenworthy n Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: This is NCPA contract pricing through vendor Storey Kenworthy. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund ❑ Road Use Tax n Sewer Bonds nFederal/other grants ❑ Other (specify) This � expenditure is to be coded to the following budget line -item: 4 11-1100-2152 g (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Sanitation (Project Code) $ .5UOo0 $ 5'U,QUd Respectfully submitted, - 3.30-Zo (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Conference Table.xlsx (Mar 2010) City Clerk Use Only City of Waterloo Expenditure Pre -Authorization Request Form Finance Committee Approval Date The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Traffic Department to expend $ NTE 7,500.00 plus estshipping costs of $ to pay for or purchase 400 bags of reflectorizing spheres (glass beads) to be used in annual painting/ striping project. This purchase or expenditure is being made because: Used for reflectorizing paint in the annual painting/striping of streets, parking lots, crosswalks, RR crossings, etc. (IDOT bid) Vendor selected for this purchase: Potters Industries LLC (Awarded state bid) ❑X Bids or written quotes were taken on this purchase, as follows: Potters Industries LLC Muscatine, IA $0.3680 per Ib. 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: General Fund n Road Use Tax I ^ I Sewer n Sanitation Bonds n Federal/other grants Other (specify) This expenditure is to be coded to the following budget line -item: 266-17-1720-1581 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, Aa4fie:6-4;) Y/61/-21')A) *14, /q.(j- (Signature Dept. He d or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\2020-April-Expenditure Pre -Authorization -Potters Industries LLC - State Bid -Traffic - Glass Beads - 266-17-7210- 1581-NTE $7,500.00.xls (Mar 2010) (Project Code) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Ly i� Approval Date The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Sewer Department to expend $ 18,921.00 plus estshipping costs of $ to pay for or purchase Strikeforce TPC2K Tamper Plate and a Strikeforce SFB1500 Breaker for the 2020 Backhoe This purchase or expenditure is being made because: Attachments for the 2020 Backhoe for the Sewer Department Vendor selected for this purchase: Titan Machinery Bids or written quotes were taken on this purchase, as follows: Titan Machinery Center Point, IA Murphy Tractor Zeigler Cat $18,921.00 Waterloo, IA Did not meet specs Postville, IA $20,811.00 ❑ 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: General Fund Bonds Road Use Tax 1 ^ I Sewer ❑ Sanitation ❑ Federal/other grants Other (specify) This expenditure is to be coded to the following budget line -item: 520-14-5200-2117 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, (Project Code) $ i3v DO /3v,e d`� (Signature Dep Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies \forms\2020-April-Expenditure Pre -Authorization -Titan Machniery -Sewer - Tamper Plate & Breaker - 520-14-5200-2117- $18,921.00+FRT.xls (Mar 2010) City Clerk Use Only City of Waterloo Expenditure Pre -Authorization Request Form Finance Committee Approval Date The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Street Department to expend $ 24,070.00 plus est. shipping costs of $ to pay for or purchase 10 - Complete pre -wet systems (tanks and pumps) for Snow Trucks This purchase or expenditure is being made because: To update Street Dept. snow trucks with new equipment. Vendor selected for this purchase: Sourcewell X Bids or written quotes were taken on this purchase, as follows: Henderson Products, Inc. Manchester, IA $24,070.00 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: General Fund Bonds X Road Use Tax n Sewer Federal/other grants Other (specify) Sanitation This expenditure is to be coded to the following budget line -item: 266-19-7200-1571 6/2 3or"ins 4i, /9-7/a& 2117 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, (Signature Deead or Designee) $ 85,000.00 .69U,000 $ 139, 538.00 414 009 70 ///1 e./. .- Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\2020-April-Expenditure Pre -Authorization -Street -10 pre -wet systems- Sourcewell-Henderson - $24070.00-266-19- 72000-1571.xls (Mar 2010) City Clerk Use Only City of Waterloo Expenditure Pre -Authorization Request Form Finance Committee Approval Date The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Street Department to expend $ 11,457.00 plus est. shipping costs of $ to pay for or purchase 1 - 10 ft. Dump Box for snow truck 193B09 This purchase or expenditure is being made because: To replace unsafe dump box on snow truck 193B09. Vendor selected for this purchase: Sourcewell X Bids or written quotes were taken on this purchase, as follows: Henderson Products, Inc. Manchester, IA $11,457.00 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: General Fund Bonds Road Use Tax Sewer ri Sanitation Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 266-19-7200-1571 6/e 2.00k J 'f/5 F! -7100 L<r 1 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is $ 85,000.00 $ 139,538.00 Res ectfully submitted, �/ I/ Signature Dept. d or Designee) Date (Si ature Finance Dept. Review) Date S w OUJ r 9�g K:\shared goodies\forms12020-April-Expenditure Pre -Authorization -Street -1 -10 ft dump box #193B09- Sourcewell-Henderson - $11,457.00- 266-19-72000-1571.xls (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date r-f/t3 ii ZV The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Street Department to expend $ 11,457.00 plus est. shipping costs of $ to pay for or purchase 1 - 10 ft. Dump Box for snow truck 193B03 This purchase or expenditure is being made because: To replace unsafe dump box on snow truck 193B03. Vendor selected for this purchase: Sourcewell X Bids or written quotes were taken on this purchase, as follows: Henderson Products, Inc. Manchester, IA $11,457.00 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: General Fund nBonds ❑X n Road Use Tax Sewer Federal/other grants Other (specify) This expenditure is to be coded to the following budget line -item: 266-19-7200-1571 oil. 1049-7/qp a/!? (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, /�j � � /i !/f. .k7 -6 ; A (Signature Dept. ead or Designee) ((! Date (Signature Finance Dept. Review) Date K:\shared goodies \forms\2020-April-Expenditure Pre -Authorization -Street -1 -10 ft. dump box - #193B03- Sourcewell-Henderson - $11,457.00- 266-19-72000-1571.xls (Mar 2010) Sanitation (Project Code) $ 85,000.00 $ 139,538.00 57v oao xi/O (F12 City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committees/ i Approval Date 1()'1-6 The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Street Department to expend $ 11,457.00 plus est. shipping costs of $ to pay for or purchase 1 - 10 ft. Dump Box for snow truck 193804 This purchase or expenditure is being made because: To replace unsafe dump box on snow truck 193B04. Vendor selected for this purchase: Sourcewell n Bids or written quotes were taken on this purchase, as follows: Henderson Products, Inc. Manchester, IA $11,457.00 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: 1 General Fund Bonds n Road Use Tax Federal/other grants Sewer n Sanitation Other (specify) This expenditure is to be coded to the following budget line -item: 266-19-7200-1571 1,4 f- <y - 7/ao 2// 7 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, 4 Lif ' ZN>O .(10,1.� 7)Li2, /LI'� iSignature Dept. H d or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\2020-April-Expenditure Pre -Authorization -Street -1 -10 ft dump box #193B04- Sourcewell-Henderson - $11,457.00- 266-19-72000-1571.xls (Mar 2010) (Project Code) $ 85,000.00 .Seivoo y $ 139,538.00 ,3 p�S� City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee 2 Approval Date 4/131 Zd The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Street Department to expend $ 24,145.00 plus est. shipping costs of $ to pay for or purchase 1 - Stainless steel V-body spreader with dual auger for Tandem Truck #191001 This purchase or expenditure is being made because: Additional equipment for tandem truck to be more snow efficient. Vendor selected for this purchase: Sourcewell n Bids or written quotes were taken on this purchase, as follows: Henderson Products, Inc. Manchester, IA $24,145.00 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: riGeneral Fund n Road Use Tax Bonds Sewer nFederal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 266-19-7200-1571 o 9-if 1fJU ,2/l7 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, g/Y r v c) 114,E hi/ L /. Ih , (» P:Geg/iw, r a� Sighature Dept. H ad or Designee) Date (Sign ture Finance Dept. Review) Date Sanitation (Project Code) $ 85,000.00 5'?o400v $ 139,538.00 387 S S K:\sharedgoodies\forms\2020-April-Expenditure Pre -Authorization -Street -1-Stainless steel V-body spreader with dual auger for tandem #191001- Sourcewell-Henderson - $24,145.00-266-19-7200-1571.xls (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee 4/ Approval Date ((3 / 20 The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Street Department to expend $ 24,145.00 plus est. shipping costs of $ to pay for or purchase 1 - Stainless steel V-body spreader with dual auger for Tandem Truck #191104 This purchase or expenditure is being made because: Additional equipment for tandem truck to be more snow efficient. Vendor selected for this purchase: Sourcewell Bids or written quotes were taken on this purchase, as follows: Henderson Products, Inc. Manchester, IA $24,145.00 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: General Fund Bonds X Road Use Tax ❑ Sewer Federal/other grants Other (specify) This expenditure is to be coded to the following budget line -item: 266-19-7200-1571 0k 4/ 9- f f 7/OU ..// Sanitation (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, $ 85,000.00 510,00 $ 139,538.00 16.3.123 gnature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shar-d goodies\forms\2020-April-Expenditure Pre -Authorization -Street -1-Stainless steel V-body spreader with dual auger for tandem #191104- Sourcewell-Henderson - $24,145.00-266-19-7200-1571.xls (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee 9/ Approval Date 7 (, to The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Street Department to expend $ 1,080.00 plus est. shipping costs of $ to pay for or purchase 1 - 5100EX with cables to update dated 5100 This purchase or expenditure is being made because: To update to plug and play the computer controlled salt/sand device Vendor selected for this purchase: Sourcewell Bids or written quotes were taken on this purchase, as follows: Henderson Products, Inc. Manchester, IA $1, 080.00 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: General Fund X Road Use Tax Sewer n Sanitation Bonds n Federal/other grants Other (specify) This expenditure is to be coded to the following budget line -item: 266-19-7200-1571 z,,,.1 13,.,40s '//9-/q-?/uo 2//9 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is (Project Code) $ 85,000.00 S?v,UUJ $ 139,538.00 3R,2 �- Respectfully`submitted, �►(i i 1 � Pr�k-' //;630 4.�,G.� ls✓.ec t&fru -- 5e-y -AA ) (S gnature D t. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\2020-April-Expenditure Pre-Authorization-Street-1-5100EX with cables to update 5100- Sourcewell-Henderson - $1,080.00-266-19-7200-1571.xis (Mar 2010) CITY OF WATERLOO Committee Communication Finance Committee Meeting: 4/13/2020 Prepared: Nancy Higbv Dept. Head Signature: Kelley Felchle SUBJECT: Refunds Submitted by: Kelley Felchle, City Clerk Recommended Committee Action: Approval of the following refunds: Refund request in the amount of $413 for garbage collection fees billed in error on a property located at 1723 Robin Road. Summary Statement: This property uses a private hauler and was billed erroneously for garbage services during the billing periods submitted. Waterloo Water Works and Public Works have confirmed private hauler and the amount of refund due. Expenditure Required: As indicated above Source of Funds: GARBAGE REFUND 525-15-5400-1785 Policy Issue: None Alternative: Not give the reimbursement. Background Information: lily 1iili:dCLERKDAT Council&1 inanceConuntin ication CoanciICoimnunicationstoCounciI&OFinance;20I5TinanceConununi cationi030915.garbase.refund.doe 3/20/20 To: City of Waterloo Please consider this letter in regards to a refund for the payment of garbage services from the Waterloo Water Works for the year 2019. The address of 1723 Robin Road used a private hauler— Rite Environmental. Please reference the enclosed documents including the private hauler form and invoices with total garbage amounts paid. Thank you! Ryan Wilson ilson Assets LLC 600 Alpine Dr. Waterloo, IA 50702 319-231-4554 Exemption year: 4) 1� PRIVATE HAULER GARBAGE EXEMPTION APPLICATION RESIDENTIAL CUSTOMERS ONLY CITY OF WATERLOO, IOWA Date 3 / 1 S Applicant's Name: w'l-cialJ AssCT5 uLc - (=Vh*1 w«i..'N �1�-Z�il PP Telephone No. Billing Address: Cvvv ,4Li' i.v� 71t _ WATER-L0,., 7070Z Address of Exemption: 1'-7 2-3 I2-0fm1Ni g0. Water Works Account No.: 1 (-I 3 4 Z - 7 7, S 4- (oe- I request an exemption from Garbage Fees during the current Calendar Year. I employ the services of a licensed trash hauler. Only the location where the trash hauler picks up garbage and trash will qualify for the exemption. Appli is Signature TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER: (We) g{t2 C':11`J rovLWLC�IT�� ,TAC-. hereby declare that we are Company Name a licensed trash hauler in the City of Waterloo, Iowa, and that we pick up garbage and refuse at the following location: Customer's Name JJ isor1 As1-+-s LLC Beginning Ending Address Location of Date of Date of Garbage/Trash Pick -Up Contract Contract f 7 :3 4dbth 5I2' I/ 3 CONTRACT PERIOD MUST COVER AT LEAST CURRENT CALENDAR YEAR We understand that the above information is used by the Clerk's Office in Waterloo, City Hall, 715 Mulberry Street, to determine eligibility for exemption from garbage fees for the current calendar year. I, the undersigned, declare under penalty of perjury that I have examined this claim, including all statements and above schedule, and to the best of my knowledge and belief, it is a TRUE, CORRECT AND COMPLETE claim, and that I agree to comply with all ordinances and policies of the City of Waterloo and the Black Hawk County Solid Waste Commission. In the event that the above person discontinues service with said company during the current calendar year, we hereby agree to notify the Clerk's Office of this event by calling 291-4323. Date Signaatur Authorized Company Representative Company'o s Adiw-i1\ (-1CJI4 4 `.)a-k,- ( �60/ TA 5o )o 3 Vfn Garbage & Trash Hauler's Permit License (issued by Black Hawk County) PLEASE RETURN TO: CITY CLERK & FINANCE OFFICE 715 MULBERRY STREET WATERLOO, IOWA 50703 City Clerk's Copy - white Customer's Copy - yellow 's WATERLOO WA. . WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Wilson Assets LLC 114342-538465 1723 ROBIN RD Waterloo Water Works Services Water $41.95 Water Service Excise Tax $6.05 Water Works Subtotal $48.00 City of Waterloo Services Sanitary Sewer $184.80 Storm Water Fee $33.00 Garbage $35.00 City of Waterloo Subtotal $252.80 Billing Frequency: Billing Date: Billing Due Date: Quarterly 03/04/2019 03/25/2019 CHAR( SUI AR Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $252.80 $293.41 -$293.41 $48.00 Total Current Service Charges $300.80 Total Amount Due $300.80 Amount Due After 03/25/2019 $318.48 Previous Read Date Cu Read Date Previous Read Previous Read Type rent Read Cut Read TYp Usag CCF) 11/21/2018 02/22/2019 3,122 Actual 3,160 Actual 38 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: WATERLOO WA P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 R K5 ADDRESSEE: Wilson Assets LLC 600 Alpine Dr Waterloo, IA 50702 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 114342-538465 Amount Due After : 318.48 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704 325 Sycamore Street P.O. Box 27 Waterloo. Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUtVIMARY Customer Name: Account Number: Service Address: Wilson Assets LLC 114342-538465 1723 ROBIN RD Billing Frequency: Billing Date: Billing Due Date: Quarterly 05/31/2019 06/21/2019 Waterloo Water Works Services Water $41.95 Water Service Excise Tax $5.81 Water Works Subtotal $47.76 City of Waterloo Services Sanitary Sewer $180.00 Storm Water Fee $33.00 Garbage $126.00 City of Waterloo Subtotal $339.00 CHARGE SUMMAR Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 06/21/2019 $359.67 -$359.67 $47.76 $339.00 $386.76 $386.76 $408.55 Previous Read Date Current Read Date Previous Read ous Read Type nt Read, Current Read Type Usage (CCF) 02/22/2019 05/20/2019 3,160 Actual 3,196 Actual 36 SPECIAL MESSAGES Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Wilson Assets LLC 600 Alpine Dr Waterloo, IA 50702 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 114342-538465 Amount Due After : 408.55 Amount Enclosed: REMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 WATERLOO WA WORKS 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Page 1 of 1 ACCOUNT SUMMA Customer Name: Account Number: Service Address: Wilson Assets LLC 114342-538465 1723 ROBIN RD Waterloo Water Works Services Water $41.95 Water Service Excise Tax $6.66 Water Works Subtotal $48.61 City of Waterloo Services Sanitary Sewer $194.04 Storm Water Fee $48.00 Garbage $126.00 City of Waterloo Subtotal $368.04 Billing Frequency: Billing Date: Billing Due Date: Quarterly 08/29/2019 09/20/2019 CHARGE SUMMARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal $368.04 $441.57 -$441.57 $48.61 Total Current Service Charges $416.65 Total Amount Due $416.65 Amount Due After 09/20/2019 $440.60 Previous Read Date :Current Read Date' Read Previous Read Type Read Current Re d Type e (CCF) 05/20/2019 08/22/2019 3,196 Actual 3,239 Actual 43 SPECIAL ESSAGES, Please detach and return the bottom portion with your payment. See reverse side for additional information MAKE CHECKS PAYABLE TO: P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 ADDRESSEE: Wilson Assets LLC 600 Alpine Dr Waterloo, IA 50702 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 114342-538465 Amount Due After : 440.60 Amount Enclosed: IT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO. IOWA 50704 325 Sycamore Street P.O. Box 27 Waterloo, Iowa 50704 STATEMENT OF SERVICES Phone: (319) 232-6280 www.waterloowater.org Paee 1 of 1 ACCOUNT SUMMARY Customer Name: Account Number: Service Address: Wilson Assets LLC 114342-538465 1723 ROBIN RD Waterloo Water Works Services Water Water Service Excise Tax Late Penalty Water Works Subtotal City of Waterloo Services Sanitary Sewer Storm Water Fee Garbage City of Waterloo Subtotal $41.95 $2.52 $23.95 $68.42 $189.00 $48.00 $126.00 $363.00 Billing Frequency: Billing Date: Billing Due Date: Quarterly 11/27/2019 12/20/2019 CHARGE SOMA+tARY Previous Balance Credits/Payments Water Works Subtotal City of Waterloo Subtotal Total Current Service Charges Total Amount Due Amount Due After 12/20/2019 $485.67 -$485.67 $68.42 $363.00 $431.42 $431.42 $451.67 Previous Read Date Curren ad Date' P evio Read Previous R ad Type Read Current Read Type Usage (CCF) 11/22/2019 11/25/2019 3,279 Actual 3,281 Actual 2 SPECIAL AGES. Please detach and return the bottom portion with your payment. See reverse side for additional information AKE CHECKS PAYABLE TO: WATERLOO WA P.O. Box 27 Waterloo, Iowa 50704 Phone: (319) 232-6280 CORKS ADDRESSEE: Wilson Assets LLC 600 Alpine Dr Waterloo, IA 50702 ❑ Please check box if contact information requires updating and indicate the change(s) on reverse side Account Number: 114342-538465 Amount Enclosed: EMIT TO: WATERLOO WATER WORKS P.O. BOX 27 WATERLOO, IOWA 50704