HomeMy WebLinkAboutApproved Documents - 4/20/2020City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committee
Approval Date �! /Z-6
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Traffic Department to expend
$ 5,364.24 plus est. shipping costs of $ to pay for or purchase
56 - Delco Voyager Marine/RV Dual Purpose Batteries
This purchase or expenditure is being made because:
To replace rechargeable batteries in 14 of the early warning sirens.
Vendor selected for this purchase: IWI
❑ Bids or written quotes were taken on this purchase, as follows:
IWI Motor Parts
Battery Sales
Waterloo, IA $95.79 EA $5,364.24
N. Miami, FL $136.95 EA $7,669.20
❑ 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
Bonds
❑X
Road Use Tax ❑ Sewer ❑ Sanitation
Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
48-17-7161-2125 ($5,000) & 266-17-7120-1377 ($364.24)
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
(Signature Dept. Had or Designee)
(Project Code)
$ 5,000.00 & 4,600.00 7-
$ 5,000.00 & 1,557.47'�
/,,21:,-"Lezt. ¥i /5 av
ate (Signatu're Finance Dept. Review) Date
K:\shared goodies \forms\2020-April-Expenditure Pre-Authorization-Traffic-56-Delco Voyager Siren Batteries- IWI - $5,364.24-418-17-7161-
2125($5,000)266-17-7120-1377($364.24).xls (Mar 2010)
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committee Lt
Approval Date /
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Police Department to expend
$ 15,650.00 plus est. shipping costs of $ 917.54 to pay for or purchase
GOI - Decon Zone Sanitizing System
This purchase or expenditure is being made because:
this sanitizing system will be used to disinfect City equipment, uniforms, PPE
equipment as a result of contamination from the Covid 19 and other viruses.
Vendor selected for this purchase: Victor Forward LLC
n Bids or written quotes were taken on this purchase, as follows:
❑x Bids or quotes were not taken on this purchase because:
Victor Forward LLC has the government contract, GSA Contract-GS-07F-0120V
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
El
El
General Fund
Bonds
Road Use Tax ❑ Sewer n Sanitation
Federal/other grants n Other (specify)
This expenditure is to be coded to the following budget line -item:
00 -//- //S) - a/io /r/,r. rvv/d
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
0L-1—)L—Zo
$ /S. 57)`
$ /6-15o`� ✓
444,-2l1vr
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review)
4-/6 -
Date
K:\shared goodies\forms\Expenditure Pre-AuthorizationAsx (Mar 2010)
Victor Forward LLC
1206 Laskin Road Suite 115-C
Virginia Beach, VA 23451
Phone: 1-800-958-1601 Fax: 757-392-7117
www.victorforward.com
Duns Number: 015550790
Tax ID: 90-0746187
Cage Code: 6HG93
QUOTE
TOR
QUOTE DATE:
THIS QUOTE
FORWARD
# 06026
4/16/2020
IS VALID FOR 30 DAYS
c
Primary Contact:
Alternate Contact:
Deanna Power
757-374-2642
dpower@victorforward.com
Jessica Corona
757-995-6364
jcorona@victorforward.com
BILL TO:
SHIP TO:
Lt. Kye Richter
Waterloo Police Department
Waterloo, IA 50703
RICHTERK(an WATERLOOPOLICE.COM
Lt. Kye Richter
Waterloo Police Department
Waterloo, IA 50703
RICHTERK@WATERLOOPOLICE.COM
319-291-4340
319-291-4340
LINEN ITEM NO.
DESCRIPTION PRICE/EA.
CITY
EXTENDED PRICE
1 4201A
GOI-Decon Zone Model 4201A Sanitizing System -GSA
CONTRACT-G5-07F-0120V
*LEAD TIME 2-4 WEEKS ARO*
*COO -USA
$15,650.00
*Open Market Shipping*
1 $15,650.00
SUBTOTAL: $15,650.00
TAX: $0.00
5&H: $917.54
TOTAL: $16,567.54
City Clerk Use Only
Finance Committee , t / (-
Approval Date
72.4 2-0
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 Police Department to expend
$ 1,763.49 plus est. shipping costs of $ to pay for or purchase
Transcription dubbing for criminal investigations.
This purchase or expenditure is being made because:
transcribing completed for criminal investigation interviews done by video.
Vendor selected for this purchase: Net Transcripts
❑ Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Net Transcripts is a certified transcription company used by the police department
for criminal investigations.
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
Bonds
❑ Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
010-11-1100-1319 other professional services
(Fund - Department - Activity - Account Number)
(Project Code)
in which the budgeted amount is $ /.2,000
and the current available balance is
Respectfully subm
r8` ✓
0 N—I' -2 o
(SignaturTe Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xlsx (Mar 2010)
net U 3707 N 7th St, Ste 320
Phoenix, AZ 85014-5059
Transcripts (800) 942-4255
`.p
Bill To:
Waterloo Police Department
715 Mulberry Street
Waterloo, IA 50703
Invoice Number:
Invoice Date:
Customer Number:
Invoice
0031587-IN
3/31/2020
20-WATERLOOPD
Page
1
Description Case #
Interviewee Moderator
Terms
Net 30 Days
Conference Date/Time Units UOM Price Amount
Transcription, 120-Hr Turn W20-019658
Dubbing W20-019658
Justin Barnes
Justin Barnes
Inv. Dave McFarland
Inv. Dave McFarland
3/23/2020 8:00:00 AM
3/23/2020 8:00:00 AM
292 MIN 1.9900 581.08
1 EACH 20.0000 20.00
Transcription, 120-Hr Turn W20-019658 Matthew Hulin
Inv. Kyle Jurgensen
Transcription, 120-Hr Turn W20-019658 Angela Detra
Dubbing
W20-019658 Angela Detra
Inv. Ed Savage and Sgt.
Michael Rasmussen
Inv. Ed Savage and Sgt.
Michael Rasmussen
3/23/2020 8:00:00 AM 154 MIN 1.9900 306.46
3/26/2020 12:18:20 P
3/26/2020 12:18:20 P
177 MIN 1.9900 352.23
1 EACH 10.0000 10,00
Transcription, 120-Hr Tum W20-019658 Angela Detra
Dubbing W20-019658 Angela Detra
Sgt. Michael Rasmussen 3/26/2020 12:21:07 P 34 MIN 1.9900 67.66
Sgt. Michael Rasmussen 3/26/2020 12:21:07 P 1 EACH 10.0000 10.00
Transcription, 120-Hr Turn W20-019658 Kelby Edmonson
Dubbing
W20-019658 Kelby Edmonson
Inv. Brice Lippert and FBI SA
Scott Irwin
Inv. Brice Lippert and FBI SA
Scott Irwin
3/26/2020 12:49:04 P 151 MIN 1.9900 300.49
3/26/2020 12:49:04 P
1 EACH 10.0000 10.00
Transcription, 120-Hr Turn W20-019658 Justina Davis
Dubbing
W20-019658 Justina Davis
Inv. Chris Gergen and Inv.
Brice Lippert
Inv. Chris Gergen and Inv.
Brice Lippert
3/26/2020 12:54:48 P
3/26/2020 12:54:48 P
43 MIN 1.9900 85.57
1 EACH 20.0000 20.00
Thank you for your business!
INVOICE TOTAL: $1,763.49
City Clerk Use Only
Finance Committee
/
Approval Date
�/Z c
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 Police Department to expend
$ 4,876.76 plus est. shipping costs of $ 0.00 to pay for or purchase
professional liability insurance for Tri-County Drug Task Force
This purchase or expenditure is being made because:
this is an annual renewal of professional libility insurance for the Tri-County Drug
Task Force.
Vendor selected for this purchase: ICAP
❑ Bids or written quotes were taken on this purchase, as follows:
Qx Bids or quotes were not taken on this purchase because:
ICAP (Iowa Communities Assurance Pool) is the group insurance carrier
that provides coverage for Tri-County Drug Task force board, staff and
investigators. This insurance has been in place for several years.
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 ❑ Sanitation
Bonds n Federal/other grants E Other (specify) Tri-County Forf
This expenditure is to be coded to the following budget line -item:
010-11-1160-1512 11TRITRIF
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
vi
$ 2 oo�
$ /5: ?3 j0 ✓
Respectfully submitted,
��- 0 ')-! 3320 (.�z wt
(Signdture Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\ICAP TCDTF Ins.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 Bldg Maint Department to expend
$ 4,950.00 plus est. shipping costs of $ to pay for or purchase
This purchase or expenditure is being made because:
Asbestos inspection @ Five Sullivan Brothers Convention Center
Vendor selected for this purchase: Advanced Environmental
❑ Bids or written quotes were taken on this purchase, as follows:
❑ 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 ❑ Sanitation
Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
416-22-4900-2152
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
ignature Dept. Head or Designee)
Lt-13-ao
Date
(Project Code)
$ 111O.0D
$ 74 29S- 2}
. eitd,Z(.. it)/ L. ai
(Signature Finance Dept. Review)
Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (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
$ 28,589.10 plus est. shipping costs of $ 1,171.05 to pay for or purchase
Catering warming cabinets and various food and beverage service items.
City Clerk Use Only
Finance Committee Uf
Approval Date
This purchase or expenditure is being made because:
Purchase equipment necessary to service food service functions.
Vendor selected for this purchase: US Foods
El Bids or written quotes were taken on this purchase, as follows:
US Foods: $29,760.15
Webstaurantstore: $33,127.97
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 Sewer Sanitation
Bonds 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
and the current available balance is
Respectfully submitted,
(Signature Dept. Head or Designee)
Date (Sig tature Finance Dept. Review) Date
$ 350,000.00
$ 82,813.24 (03 08/ 3-.
Ushered goodies \forms115 Expenditure Pre -Authorization- Misc Service 2 (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
$ 7,769.00 plus est. shipping costs of $ 0.00 to pay for or purchase
Hobart Legacy HL300 30qt Commercial floor mixer
City Clerk Use Only
Finance Committee l /
Approval Date
This purchase or expenditure is being made because:
Equipment needed for food preparation in kitchen
Vendor selected for this purchase: Webstaurant
I x l Bids or written quotes were taken on this purchase, as follows:
Webstaurantstore: $7,769.00
US Foods: $10,270.05
El 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 U Sewer Sanitation
ElBonds ci Federal/other grants Q 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
Resiectfully submitted,
ilna
$ 342 44 3A,, SJ.Z/ .•/✓
Sig ure Dept. Head or Designee) Date (ig ture Finance be t. Review) ) Date
K:\shared goodies\forms116 Expenditure Pre -Authorization- Mixer (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
$ 5,267.06 plus est. shipping costs of $ 0.00 to pay for or purchase
Kitchen and storage shelving
City Clerk Use Only
Finance Committee
Approval Date 4 /Zell 2�
This purchase or expenditure is being made because:
Replace broken/damaged shelving and supplement in areas that need more
Vendor selected for this purchase: Webstaurant
Bids or written quotes were taken on this purchase, as follows:
Webstaurant: $5,267.06
US Foods: $8,228.80
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
QBonds
i
Road Use Tax n Sewer L 1 Sanitation
Federal/other grants X Other (specify)
This expenditure is to be coded to the following budget line -item:
Manager Contribution
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 350,000.00
and the current available balance is $ 26,461.14 ,?6";S—,5:2 "
Respe)Ctfully submitted,
(Signature Dept. Head or Designee)
Date
(sighature Finance Dept. Review)
/ ,zo
Date
K:\shared goodieslforms118 Expenditure Pre -Authorization- Shelving (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
$ 15,600.20 plus est. shipping costs of $ 1,194.17 to pay for or purchase
Additional pipe and drape, skirting, and expo tables
City Clerk Use Only
Finance Committee
Approval Date / / 24si
This purchase or expenditure is being made because:
Supplement prior pipe and drape order, and add additional equipment to allow us to
offer more exhibitor services
Vendor selected for this purchase: Georgia Expo
n Bids or written quotes were taken on this purchase, as follows:
n
Bids or quotes were not taken on this purchase because:
Pipe & Drape, skirting, and associated carts were previously quoted and vendor
was lowest quote. Items not previously quoted were compared to a comparable
vendor (Mity Lite) and that vendor was significantly higher.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund
Bonds
C
T
Road Use Tax ❑ Sewer n 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
and the current available balance is
Respectfully submitted,
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
K:lshared goodieslforms119 Expenditure Pre -Authorization- Additional Expo (Mar 2010)
$ 350,000.00
$ 24§47dl av .2-ffb
City Clerk Use Only
Finance Committee
Approval Date
l//
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
$ 2.461.30 plus ext. shipping cost of $ 0.00
10 CONFERENCE ROOM CHAIRS
Department to expend
to pay for or purchase
This purchase or expenditure is being made because:
REPLACEMENT OF BROKEN CONFERENCE CHAIRS
Vendor selected for this purchase:
STOREY KENWORTHY
[]Bids or written quotes were taken on this purchase, as follows
Bids or quotes were not taken on this purchase because:
SAME COMPANY FOR OTHER CONFERENCE ROOM REPLACMENTS WITH
PROJECT DISCOUNT
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
nGeneral Fund: []Road Use Tax: Sewer: []Sanitation:
[]Bonds:
ri Federal/other grants: nOther(specify):
This expenditure is to be coded to the following budget line -item:
5,0-14-5700-1555
(Fund - Department - Activity - Account Number) (Project Code)
in which budgeted amount is
and the current available balance is
Ily s ed,
ature Dept Or Designee) Date (Signatui.e Finance Dept. Review) Date
$ 1.5;ee67oo !q 760
$ 0.00 -Z.9/9
City Clerk Use Only
Finance Committee
Approval Date v,
1 /� /Ze)
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
$ 1.850.00 plus ext. shipping cost of $ 0.00 to pay for or purchase
ANNUAL INSPECTION OF ELEVATOR
This purchase or expenditure is being made because:
ANNUAL INSPECTION IS A MANDATORY REQUIREMENT OF THE STATE
OF IOWA
Vendor selected for this purchase:
SCHUMACHER ELEVATOR
[]Bids or written quotes were taken on this purchase, as follows
12(_Bids or quotes were not taken on this purchase because:
SCHUMACHER IS SOLE PROVIDER IN THIS AREA
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:
[]Bonds:
❑Federal/other grants:
[]Other(specify):
This expenditure is to be coded to the following budget line -item:
520-14-5200-1319
(Fund - Department - Activity - Account Number)
in which budgeted amount is
and the currentauailable balance is
(Project Code)
$,000.00 v
t
$ 194-1-6-6+
ignattQ[E DapYI'ead Or Designee) Date (Signature Finance Dept. Review)
Date
Elevator Company
v
To: Hawkeye Lift Station
3900 Texas Street
Waterloo, IA 50702
Bill To:
City of Waterloo
3505 Easton Avenue
Waterloo, IA 50702
Proposal #40009192
April 9, 2020
Phone: 319-291-4553
Established in 1936
Attn: Jessie Gahert, Maintenance - email: mint`«waterloo-ia,nrg Cell: 230-3889
Brian Bowman, Treatment Operations Supervisor - email: brian.bowman@waterloo-ia.org
Safety Inspections: _ Annual Safety Test -due in 2021 X Full Load Safety Test -due in 2020
1 1,000# Schumacher Manlift ID #6598
We hereby propose to supervise and conduct the required safety tests upon your elevator system as
required by code. Such tests impose upon the equipment much greater strains than those growing out of
normal operation. Therefore, it is agreed that in making inspection or tests of the governor or any safety
devices, Schumacher Elevator Company shall not be liable for injury (including death) to persons
(except employees of Schumacher Elevator Company) because of the action or the failure of any of
these devices. If repairs are necessary to obtain proper operation of the equipment to meet the
requirements of this test, such work shall be considered as an extra to this proposal. Schumacher
Elevator Company is not responsible for fees imposed by the inspection agency.
Note: If other work is required it will be done on a time and material basis.
PROCEDURE
All of the above work will be performed during regular working hours of regular working days of the
elevator trade, and our men are to have uninterrupted use of the elevator.
We propose the above safety test for the sum of:
One Thousand Eight Hundred Fifty and NO/100
Payment due upon receipt of invoice..
The above proposal is hereby signed and accepted this
Dollars ($1,850.00)
Respectfully submitted,
SCHUMACHER ELEVATOR COMPANY
Ted Dul
<T,
day of 2020.
One Schumacher Way ♦ P.O. Box 393 ♦ Denver, Iowa 50622 ♦ (319) 984-5676 • FAX (319) 406-1270
www.schumacherelevator.com • e-mail: accounting@schumacherelevator.com
City Clerk Use Only
Finance Committee
Approval Date
1/z1 /za,
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
$ 5,836.00 plus ext. shipping cost of $ 0.00
REPAIR KIT FOR LAGOON BLOWER
Department to expend
to pay for or purchase
This purchase or expenditure is being made because:
REBUILD OF NON -WORKING LAGOON BLOWER
Vendor selected for this purchase:
JL COMPONENTS
[]Bids or written quotes were taken on this purchase, as follows
X
Bids or quotes were not taken on this purchase because:
JL COMPONENTS IS SOLE SOURCE OF REPAIR FOR THIS BLOWER
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:
[]Bonds:
❑Federal/other grants:
0Other(specify):
This expenditure is to be coded to the following budget line -item:
570-14-5200-1571
(Fund - Department - Activity - Account Number)
in which budgeted amount is
and the current available balance is
Res• ctfull
nature Dep 'ead Or Designee)
Zo
Date
(Project Code)
$ 435, 000.00
$ 2 s�yam' ‘f33a 2-7
(Sighature Finance Dept. Review)
Date
i 5155E Front Street
Kansas City, MO
64120
816-207-0090
omponents
www.ilcomponents.com
April 1, 2020
City of Waterloo Waste Management Services
3505 Easton Ave
Waterloo, IA 50705
Phone: (319) 291-4323
Cell: (319) 230-3880
Email: Maint(a)WATERL00-IA.ORG
Attn: Jesse Gaherty
We are pleased to quote the following Blower Repair
Roots 412 RAM-1 Gas (Top Shaft — Left Discharge)
Serial number: 0808974413
• Unit will be rebuilt within Factory Specifications
• Unit will be Inspected, Tested, and Painted
• Unit will be covered by a 1-year warranty
Repair Price: $5,836 New Unit List Price: $ 13,115
Evaluation: Technician disassembled the unit and found that the unit had too much oil in both sumps causing the drive
seal to leak also causing both drive end bearings to fail. Unit also had product in the housing and on impellers. All non -
ware parts checked out and the unit can be rebuilt with a kit.
Note: The quoted prices are good for 30 days. Quote price does not include outbound freight or taxes. JL Components standard
Terms and Conditions apply. If the purchase order is over $10,000, then progress payments will apply as specified in the attached
Terms and Conditions. F.O.B. Factory
Please advise if we have permission to scrap the blower within 90 days. After 90 days, JL Components will claim as property.
Thank you for your time and consideration. If you have any further questions please do not hesitate to call.
Sincerely,
Jaye* Oyer
JL Components
5155 E. Front St.
Kansas City, MO 64120
Office: (816) 207-0090
omponents
www.)tcaepenenb.cem
*Contains Confidential, Proprietary, or Privileged Information Exempt from Public Disclosure. Information Provided is
only for Intended Recipient and/or their Organization or Company. *
Terms and Conditions
The description and specifications contained in this Quotation were in effect on the date of this Quotation. lL Components, LLC. (hereinafter referred to as Seller) reserves the right to change
specifications or design, including related items/equipment on the product or related engineered packaged systems without notice and without incurring any obligation. •
General - Sellers prices are based on these sales terms and (i) this document, together with any additional writings signed by Seller, may not be modified, supplemented, explained or
waived by parol evidence. Buyer's Purchase Order, a course of dealing or in any other way except in writing signed by an authorized representative of Seller, and (ii) these terms are
intended to cover all activity of Seller and Buyer hereunder, including sales and use of products and all related matters, including technical advice and services. Any references by Seller
to Buyer specifications and similar requirements are only to describe the products covered hereby and no warranties or other terms therein shall have any force or effect. Catalogs,
circulars and similar pamphlets of the Seller are issued for general information purposes only and shall not be deemed to modify the provisions hereof. (iii) This document is valid for
thirty (30) days, subject to cancellation or change at any time prior to acceptance and acknowledgment by Seller.
Cancellation Policy - Purchase orders accepted by R. Components, LLC. may be canceled only with 1L Components, LLC. written consent. Any cancellation at customer's request may result
in a cancellation charge equal to: (a) if standard equipment, 30% of; and (b) if non-standard or special -order equipment, one hundred per cent (100%) of the full contract price for
equipment before any discount billable to customer,
Shipping Point is F.O.B. our plant unless stated in writing prior to acceptance of order.
Governing Law - The language herein shall be construed and enforced under the Uniform Commercial Code as in effect in the State of Missouri on the date hereof.
Payment - Invoices submitted by Seller under this order are payable only in funds which are accepted at par in Kansas City, Missouri. For contracts/orders totaling $10,000 U.S. dollars and
greater, a 50% down payment is due upon receipt of Buyer's purchase order. In cases where special terms are not proposed, final payment shall become due thirty (30) days after
shipment. In the event that the equipment is ready for shipment prior to the scheduled date, any payment not due in accordance with the above terms shall immediately become due
and payable upon notification by Seller to buyer that the equipment is ready for shipment. Whenever reasonable grounds for insecurity arise with respect to due performance by
Buyer, Seller may demand different terms of payment from those specified on the face of this Order and/or may demand assurance of Buyers due performance. Any such demand may
be oral or in writing, and Seller may, upon the making of such demand, stop production and suspend shipments hereunder. If within the period stated in such demand Buyer fails or
refuses to comply with the demand or demands of Seller, Seller may at its option, treat such failure or refusal as a repudiation of the portion of this Order which has not been fully
performed, or may resume production and make shipment under reservation of possession or of a security interest and/or may demand payment against tender of documents of title.
Taxes - Any sales, use or other similar type taxes imposed on this sale or on this transaction are not included in the price. Such taxes shall be billed separately to the Buyer. Seller will accept
a valid exemption certificate from the Buyer if applicable; however, if an exemption certificate previously accepted is not recognized by the governmental taxing authority involved,
and the Seller is required to pay the tax covered by such exemption certificate, Buyer agrees to promptly reimburse Seller for the Taxes paid.
A. All products shall be finally inspected and accepted within ten (10) days after receipt at point of delivery. All claims whatsoever by Buyer (including claims for shortages) excepting
only those provided for under the Warranty and Limitation of Liability and Patent Clauses hereof, must be asserted in writing by Buyer within said 10-day period or they are waived. If
this contract involves partial performances, all such claims must be asserted within said 10-day period for each partial performance. There shall be no revocation of acceptance.
Rejection may be only for defects substantially impairing the value of the products and the Buyer's remedy for lesser defects shall be those provided for under the Warranty and
Limitation of Liability clause.
B. Seller shall not be responsible for non-performance or delays in performance occasioned by any causes beyond Sellers reasonable control, including but not limited to, labor
difficulties, delays of vendors or carriers, acts of God or the public enemy, governmental actions and material shortages. Any delays so occasioned shall affect a corresponding
extension of Sellers performance dates which are, in any event, understood to be approximate. In no event shall Buyer be entitled to damages, incidental, consequential or otherwise,
for late performance or a failure to perform under the terms of this paragraph.
C. If Buyer wrongfully rejects or revokes acceptance of items tendered under this Agreement or repudiates this Agreement, Seller shall have the right to recover as damages the price
stated herein. Upon recovery of the price, the items involved shall become the property of the Buyer.
D. Buyers representatives may inspect ordered goods at the plant during business hours prior to shipment, and inspection shall be in such manner as not to interfere with Sellers
business operations.
Warranty and Limitation of Liability - Seller warrants that the goods to be supplied hereunder will conform to the description on the face hereof, that the Seller will convey good title
thereto; that such goods will be delivered free of any lawful security interest or other lien or encumbrance unknown to the Buyer; and that such goods will be free from defects in
material and workmanship for a period of one year from date of shipment, unless otherwise specified, except wear parts. No warranty is made, either express or implied, for any
defects, failures or malfunctions resulting from corrosion, misapplication or other misuse. Determination by Seller as to the cause of damage or defects shall be conclusive. Alt
components not manufactured by Seller are subject to warranty from original manufacturer.
SELLER MAKES NO_WARRANTY EXPRESSED, IMPLIED OR STATUTORY, EXCEPT AS IS EXPRESSLY SET FORTH HEREIN. THE IMPLIED WARRANTY OF FITNESS FOR
PARTICULAR PURPOSE IS EXPRESSLY EXCLUDED AND DISCLAIMED.
During the warranty period specified herein Seller will, as its option either repair or replace free of charge, F.O.B. Seller, such warranted equipment or parts as appear to Seller, upon
inspection, to have been defective in materials or workmanship, providing Buyer promptly notifies Seller in writing of the defect and promptly delivers defective equipment or parts to
Seller, freight prepaid. Seller does not warrant any equipment or accessories, manufactured by others to be free of defects in materials and workmanship. If Seller determines such
equipment or accessories to be defective in materials or workmanship, repair or replacement thereof is limited to allowance made to Seller by the original manufacturer, if any.
SELLER SHALL NOT BE LIABLE FOR DAMAGES, CONSEQUENTIAL, INCIDENTAL, OR OTHERWISE CAUSED BY DEFECTIVE EQUIPMENT OR ACCESSORIES. SELLER'S
LIABILITY UNDER THIS WARRANTY SHALL BE LIMITED TO REPAIR OR REPLACEMENT OF DEFECTIVE EQUIPMENT OR PARTS AS SET FORTH HEREIN ABOVE. SELLER
WILL GRANT NO ALLOWANCE FOR ANY REPAIRS OR ALTERATIONS MADE BY BUYER WITHOUT WRITTEN CONSENT OF SELLER.
Orders - All orders are subject to acceptance and approval by Sellers Credit Department and are not binding until and unless so approved and accepted. Written acknowledgment of an
order shall constitute acceptance and will thereby be a binding contract which cannot be modified or cancelled by Buyer without written consent of Seller.
Partial Shipments - Partial shipment of an order will not be made without Buyers knowledge or consent. In the event complete shipment cannot be made by the required date, Buyer will
be notified and asked whether entire shipment should be held or partial shipment made. If partial shipment with Buyer's approval is made, excess freight charges, if any, will be billed
to the Buyer.
Special Tooling - Notwithstanding any tool, die or pattern charges or amortization in connection herewith, all special tooling and related items shall be and remain the property of the
Seller.
Affidavits - Orders requiring affidavits or certificates of compliance must so state when orders are entered. Revisions to an order after it has been put into the production schedule may
result in additional charges and/or delays in shipment date.
Credit Terms - If the terms of payment hereunder call for any extension of credit by Seller to Buyer, Buyer hereby agrees that prior to payment in full, (i) the equipment sold hereunder is
subject to a vendors lien and security interest in favor of Seller and (ii) Buyer will promptly execute and deliver to Seller such security agreements, Uniform Commercial Code financing
statements and other documents as are requested by Seller to reflect this retention of a security interest.
Past Due Accounts - Unless specifically provided for in the contract or in other written evidence of the agreement of Buyer and Seller, all amounts due hereunder that remain unpaid for
more than 30 days after the payment date shall bear interest at the highest contract rate allowed by the state law governing this transaction.
*Contains Confidential, Proprietary, or Privileged Information Exempt from Public Disclosure. Information Provided is
only for Intended Recipient and/or their Organization or Company. *
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
$ 4,597.16 plus est. shipping costs of $ 99.00 to pay for or purchase
various food and beverage service items.
City Clerk Use Only
Finance Committee
Approval Date Ze51 2.6
This purchase or expenditure is being made because:
Purchase equipment necessary to service food service functions.
Vendor selected for this purchase: Webstaurantstore.com
Bids or written quotes were taken on this purchase, as follows:
Webstaurant Store: $4,696.16
US Foods: $6,528.20
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 0 Road Use Tax 0 Sewer Sanitation
Bonds 0 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 $ 67,515.40 t71l1 'sue
Respectfully submitted,
(Signature Dept. Head or Designee)
41wff.iz
Date
"4," L. 1. %Q l.�/✓�U Lf/ 4 -/a -26
(Signature Finance Dept. Review) Date
K:\shared goodieslforms115 Expenditure Pre -Authorization- Misc Service 1 (Mar 2010)
WebstaurantStai'e
Ca rt
Lancaster Table & Seating 19" x 161/2" x 31" Folding Chrome Metal Double Bar Tray Stand
57 Save for Later
plus
Qty: 60
TOTAL:
$899.40
ZBrendon's
Account
•
Carlisle 3100GR2004 Black 31" x 23" Griptite 2 Oval Non Skid Fiberglass Serving Tray
A Save for Later
plus
Qty: 96
TOTAL:
$3,269.76
Regency 24" x 36" Two Shelf Chrome Heavy Duty Utility Cart
<' Save for Later
plus
Qty: 4
TOTAL:
$305.96
lit
Choice 20" x 15" x 7" Black Polyethylene Bus Tub, Bus Box
2 Save for Later
plus
Qty: 36
TOTAL:
$122.04
Recommended Products
0/Oval 27" Black
Non -Skid Serving
Toy.
$12.49,
27" Brown Oval
Fiberglass Non -
Skid Serving Tray
0pluRound 16" Black
JJon-Skid Serving
Lay
$3.79re,m
$18.99/Ee
,"
plus
Subtotal $4,597.16
Plus discounted shipping $377.1-1 $0.00 -rfjq rv- 5,,,6
To:
Five Sullivan Brothers Convention
Center
Brendon Wagner
Item Qty
CULINARY
EQUIPMENT
& SUPPLIE
Project:
Five Sullivan Brothers Convention
Misc Service Items
Waterloo, IA 50701
Job Reference Number: 1158068
Quote
04/09/2020
From:
US Foods Culinary Equipment &
Supplies
Michelle Fischer
5353 Nathan Ln.
Plymouth, MN 55442-1952
763-268-1200
(763)268-1200 8824 (Contact)
PRICE REFLECTS VIZIENT CONTRACT PRICING
SPECIAL NOTE: The product in this quote qualifies for the applicable Vizient
contract operational incentives for which you niay qualify.
Description Sell Sell Total
1A
1A S/H
4 ea
4 ea
HEATED BANQUET CART
Metro Model No. MBQ-180DA
etr." eated Banqu: Cabinet, (2) door, insulated (3) remo :.le
0) 11-3/4" plates, stainless steel constructio
whiteboard, bumper, bottom -mounted heat
id/2 swivel with brakes), 120v/60/1-ph, 1650w,
5P, cULusS, NSF (options & accessories available on this
shelves ho
timer, thermom
module, 6" cast
13.8a, NEMA 5
model)
15 amp NEM 5-15P, standard
Priced to meet Webstaurant
Weight: 2380 Ibs total
HIPPING
Me
once the
up to
r,
s(
DLING
the Shipping & Handling charges for standard gate delive
minimum order requirement is met.
$5,579.00 $22,316.00
ITEM TOTAL:
$22,316.00
2
5 ea QUEEN MARY
Prairi View Industrie odel No. A206048-4-CHL2
Queen " . Ty Mobile : elving Unit, 48"W x 20"D x 66"H, (4) solid
adjustable s •Ive , 900 lb overall capacity, (2) swivel & (2) locking
heavy duty 5" c= ers, aluminum construction, NSF, Made in USA
5 ea Three -Year G arant• - against material defects & workmanship
5 ea Lifetime Gu.rantee agai rust & corrosion
W. ght: 750 Ibs total
3 15 ea BUN / SHEET PAN RACK
Five Sullivan Brothers Convention Misc
Service Items Five Sullivan Brothers Convention Center
$279.26
$1,396.30
ITEM TOTAL: $1,396.30
$144.43 $2,166.45
Initial:
Page 1 of 6
US Foods Culinary Equipment & Supplies
Item Qty Description
04/09/2020
Sell Sell Total
4
300 ea
1-7
Advance Tabco Model No. PR20-3K-X (3344702)
Special Value R. , mobile pan, full height, open s = -s, with 1-1/2"
bed angle. apacity 20 - 18" x 26" sheet pans, bolte
alu um ame, front loading, 69-1/4" high, shipped knoc
Weight: 405 Ibs total
ITEM TOTAL:
BUN / SHEET PAN
Thu •er Group Model o. ALSP1826 (2875235)
Sheet P. • full-size, 8" x 26", 19-gauge, aluminum (12 each minimum
order)
Weig :9451bstotal
20 ea BU SHEET PAN
Thund Group Mo el No. ALSP1813 (1653070)
Sheet Pan, 2 si , 18" x 13", aluminum (12 each minimum order)
Wei ht: 32.4 Ibs total
ITEM TOTAL:
$3.83
ITEM TOTAL:
$2,166.45
$1,575.00
$76.60
$76.60
6 1 ea STOCK POT $1'.10 $,1'28.10
Vollrath M • . el No. 68624 (9501958)
ssic S- ect'" Stock Pot, 25 quart, 3004 Heavy Duty Aluminum, 2 ga.,
natur.. finish, welded aluminum handles, double -thick top & bottom,
12" i side 13-1/8" inside depth, NSF, Made in USA, Jacob's Pride®
Co ection, Limite. ifetime Warranty
Weight: 10 Ibs total
ITEM TOTAL:
$128.10
7
2 ea SAUCE PAN
Vollrath Model No. 67307 (3105467)
r-Ev- Tapered Sauce Pan, 7 quart, 5-5/8" deep, 10-5/8" top dia.,
8-5/8 ottom dia., 11 gauge aluminum alloy, natural finish, plated
TriV t®' : die with EverTite® riveting, helper handle, NSF, Made in
USA/
Weight: 5.6 Ibs total
ITEM TOTAL:
$50
8 1 ea
UCE PAN
Vo ath M del No. 67310 (7096027)
Wea v ® Tapered Sauce Pan, 10 quart, 6-1/4" deep, 12-1/16" top
dia., 1r 2" bottom dia., 11 gauge aluminum alloy, natural finish,
plat= • TriV- • ® handle with EverTite® riveting, helper handle, NSF,
M. .e in USA
Weight: 5 Ibs total
Five Sullivan Brothers Convention Misc Initial:
Service Items Five Sullivan Brothers Convention Center Page 2 of 6
Item Qty
US Foods Culinary Equipment & Supplies
Description
Sell
ITEM TOTAL:
04/09/2020
5e11 Total
$33 9
9 1 ea COVER / LID, CO o ARE
Vollrath Mo. - No. 67320 (1301209)
Eve ` Flat Cover, 11-13/16" inside dia., 14 gauge aluminum with
Torogar. :'. red handle (handle is heat resistant to 180°F/82°C & are
NOT en proof), t ade in USA
Weight: 1.5 Ibs total
ITEM TOTAL:
$15.99
10 1 e• COVER / LID, COO E
Ilrath Model ' .. 67317 (/9105479)
Wea ver® at Cover, 10-11/16" inside dia., 14 gauge aluminum with
Torogar • . ped handle (handle is heat resistant to 180°F/82°C & are
NO .ven proo , F, Made in USA
Weight: 1.04 lbs total Cube: 0.191
$10.
ITEM TOTAL: $10.91
11 1 ea COVER / LID, CO• ARE
Vollrath Mod• No. 67521(8301269)
ear -Ever Flat Cover, 12-1/8" inside dia., 14 gauge aluminum with
Toro: : " dipped handle (handle is heat resistant to 180°F/82°C & are
NOT . e oof), NSF, Made in USA
Weight: 1.3 lbs total Cube: 0.189
$1
ITEM TOTAL: $12.49
12 60 ea
Valu Plus Model No. (9329988)
ValuPlus Steel Tray Stand Deluxe Tray Stand
Weight: 357 Ibs total
$27.65 $1,659.00
ITEM TOTAL: $1,659.00
13 96 ea NON-SKID SERVING TRAY $38.41 $3,687.36
Carlisle Model No. 3100GR2004 (8305766)
dirTRAYSRVG 31.5X23.5 FBRGL BLK
14'a
Weight: 528 Ibs total
ITEM TOTAL: $3,687.36
Five Sullivan Brothers Convention Misc
Service Items Five Sullivan Brothers Convention Center
66 $3j 2
Initial:
Page 3 of 6
US Foods Culinary Equipment & Supplies
Item Qty Description
04/09/2020
Sell Sell Total
Superior • .ducts Mod: No. (8285744)
Superior Wir Mesh S immer 6" Square
Weig : 0.1 Ibs total
ITEM TOTAL:
$3.12
15 1 ea FRYER PARTS & ACCESSORIES
co, Inc M
Frye
el No. (9632217)
Rod
Weight: 2 Ibs total
$13.13 `_ $13.13
ITEM TOTAL:
$13.13
16 18 ea
Superior Prod cts Model No. (3329091)
Superior St. nless Steel Steam Hotel Pan Half Size 4"D
Stoc ed in US Foo• s CES warehouses
Weight: 32.4 Ibs total
ITEM TOTAL:
$195.66
17
12 ea
Superior Product odel No. (5329214)
rior Stain ss Steel Steam Hotel Pan Third Size - 4"D
Weight: 16.2 tal
$8.85
$106.20
ITEM TOTAL: $106.20
18 12 ea AM TABLE PA TAINLESS STEEL
Super. Produ Model No. (2329100)
Superior St.'• ess Steel Steam Hotel Pan Sixth Size - 4"D
19
18 ea
Weight: 10.2 Ibs total
Superio Produ
Superior it ess Steel Steam Hotel Pan Sixth Size - 6"D
Model No. (5329099)
Five Sullivan Brothers Convention Misc
Service Items Five Sullivan Brothers Convention Center
.94 $7k28
ITEM TOTAL: $71.28
$8.12 I46.16
Initial:
Page 4 of 6
Item Qty
US Foods Culinary Equipment & Supplies
Description
04/09/2020
Sell Sell Total
Weight: 18 Ibs total
20 2 ea BUSSING U 1 TRANSPORT CA
0 Carlisle " odel No. CC203603 (9492042)
s rt, 36"Lx 18"W, 300 Ib. capacity, (3) textut:. shelves, raised
ed: open sides/enclosed ends, (1) bus box • ill fi =. each shelf,
ual side.. ush handles, 4" heavy-duty non- arking swive casters,
polypropylene, • ack, NSF (Assembly Requ ed)
Weight: 87.64 Ibs total Cube: 15.16
ITEM TOTAL:
$1;
ITEM TOTAL: $271.26
21A
4 ea
CART, BUSSING UTILITY TRANSPORT, METAL WIRE
NEXEL Model No. 2436P2C
Utility Cart, 2-tier, open base, 36"W x 24"D, wire shelves, (2) U-shaped
handles, (4) 5" polyurethane wheel swivel stem casters, donut
bumpers, 1200 Ib. capacity, chrome, NSF
Weight: 200 Ibs total
$132.30 $529.20
ITEM TOTAL: $529.20
22 36 ea BUS BOX / TUB $4.24 $152.64
Carlisle Model No. 44011SKD03 (1214410)
Carlisle Black Bus Box
Weight: 52.2 Ibs total
ITEM TOTAL:
$152.64
Merchandise
Shipping &
Handling
Total
Prices Good Until: 04/30/2020
***IMPORTANT NOTES***
1. Quote valid through date shown above.
2. Any changes will negate this quote (including freight). Changes include but are not
limited to quantities and omission/addition of an item.
3. Prices quoted are per manufacturer's standard spec and do not include any optional
accessories unless specified.
4. Order/Quote May be subject to credit approval and may require deposit
5. Shipping & handling, lift gate, installation, delivery, "set in place" or applicable sales
taxes are not included unless noted.
6. If you are not ordering lift gate/white glove delivery, please have a plan in place to
remove the equipment from the truck.
7. Please have a plan for storage if items need to be held for installation.
8. Any changes to delivery time and location may impact additional shipping and storage
fees.
9. All returns are subject to restock fee plus freight.
Five Sullivan Brothers Convention Misc Initial:
Service Items Five Sullivan Brothers Convention Center Page 5 of 6
US Foods Culinary Equipment & Supplies 04/09/2020
10. Images may not accurately represent items being quoted.
THANK YOU FOR YOUR ORDER!
*Receiving Your Equipment and Supplies Delivery
Congratulations on the purchase of your new equipment!
Thank you for choosing US Foods Culinary Equipment and Supplies as your E&S source.
To promote a smooth delivery process, please ensure that these easy steps are shared
with the appropriate personnel who will be receiving your delivery.
BEFORE signing the Freight Bill:
• Confirm the pieces received match the Freight Bill and note any discrepancies on the freight bill
such as shortages/overages.
• Check for any visible product, packaging, or pallet damage and notate on the freight bill. Look for:
o Crushed corners
o Puncture holes
O Broken pallets
• If possible, open the carton(s) to check that the product is in good condition.
• If you find even slight damage to the packaging and/or pallet, note "DAMAGED SHIPMENT" on the
freight bill and have the driver acknowledge the damage by signing all copies.
• Call US Foods CES Customer Support immediately- 1-888-909-2080.
AFTER signing the Freight Bill:
• Un-crate as soon as possible to check for concealed damage.
• Packaging must be free of any visible damage and must be saved for inspection purposes.
• Product should not be moved to a different location.
• Report the concealed damage immediately but no later than 5 days from delivery by calling US
Foods CES Customer Support — 1-888-909-2080.
*Note — It Is good practice to take clear pictures of any damage, including packaging/pallet, as the carrier
and manufacturer will request them.
Thank you again for your business,
US Foods Culinary Equipment and Supplies
Acceptance:
Printed Name:
Project Grand Total: $35,788.35
Date:
Five Sullivan Brothers Convention Misc
Service Items Five Sullivan Brothers Convention Center
Initial:
Page 6 of 6
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Financeyommittee approval required? /
YES NO t.f J 26( 2
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 20 submitted by the POLICE Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct # Acct Name Proj Code Amount
Fund Dept Activity Acct # Acct Name Proj Code Amount
D10 11 1150 3873
Reimb for Services
11 GRT.ODEF
7,500.00
)10 11 1150 1114
Overtime
7,500.00
TOTAL
$7,500.00
TOTAL
$7,500.00
This amendment is being requested because:
This is to conform with the City's budget line item control policy. See attached paperwork, additional funding for Kid Kilo WC-IAN-0132.
Prior Committee Actions (Dates):
14/1t4(
(Signature Dept. Head or Designee)
/rJ-U4624/1- 1-' -.26
Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies \forms \cs budget amend req form (Apr 2003)
LAW ENFORCEMENT SENSITIVE
U.S. Department of Justice
United States Attorney
Organized Crime Drug Enforcement Task Forces
West Central Region
Thomas F. Eagleton Courthouselll S. l0th Street, Suite 20.333 Tel: 314-539-2200
St. Louis MO 63102 Fax: 314-539-2312
Memorandum
04/08/2020
To: Major Joe Leibold
Waterloo PD
715 Mulberry Street
Waterloo IA 50703
From: James Delwor
OCDETF Regional Director
West Central Region
Re: Organized Crime Drug Enforcement Task Force (OCDETF) Overtime and Authorized Expense Program
for FY-20
OCDETF Investigation: WC-IAN-0132
DCN#: W329035
Sponsoring Federal Agency: FBI
Waterloo PD
At this time the Coordination Group has agreed to obligate additional funding in the above
captioned agreement in the amount of $7,500.00. This obligation gives your agency a total
amount funded of $15,000.00 for this fiscal year which ends September 30, 2020.
Funding History:
Funding Date Change Amount ($)
10/01/2019 Beginning Agreement Amount $7,500.00
04/08/2020 Funding Change $7,500.00
Balance:
$15,000.00
Please do not hesitate to contact Comeau, Walt at 314-220-1953 if you have any questions.
No further reimbursements will be authorized without a written request, and authorization
from, the OCDETF Core City Coordinators. You should ensure that you do not exceed
your allocation.
Page: 3 of 4 Bill to Adjustment Letter Date: 4/8/202012:49:12 PM
Completed forms should be routed directly to the Finance Dept.
11 FINANCE DEPT. ONLY
FinanceA.ommittee approval requir d?
YES !J NO ` (24 to
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 20 submitted by the POLICE Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct # Acct Name Proj Code Amount
Fund Dept Activity Acct # Acct Name Proj Code Amount
D10 11 1160 3603
Tri. Co Forfeiture
TRI.TRIF
65,000.00
)10 11 1160 1512
Tri. Co Forfeiture
TRI.TRIF
65,000.00
TOTAL
$65,000.00
TOTAL
$65,000.00
This amendment is being requested because:
This is to conform with the City's budget line item control policy. Using current revenue to increase the expense line for ongoing expenses
and distribution to other agencies.
Prior Committee Actions (Dates):
')21"\OH IALI/j-- 09 - -7-0 pi • ; 1/1 /,d,e_Lef,te4
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\cs budget amend req form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance C mittee approval require 7
YES NO (24 20
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 20 submitted by the POLICE Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct # Acct Name Proj Code Amount
Fund Dept Activity Acct # Acct Name Proj Code Amount
010 11 1160 3603
Tri Co Forf Revenue
11TRI.TRIF
25,000.00
]10 11 1160 1512
TRI Co Forfeiture
11 TRI.TRI F
25,000.00
TOTAL
$25,000.00
TOTAL
This amendment is being requested because:
This is to conform with the City's budget line item control policy. Using current revenue to increase the FY 20 expense line.
$25,000.00
Prior Committee Actions (Dates):
(Sig ture Dept. Head or Designee) Date (signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:lusers\shared goodieslfarms\cs budget amend req form (Apr 2003)
CITY OF WATERLOO
Committee Communication
Finance Committee Meeting: 4/20/2020
Prepared: Nancy Higby
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 $136.40 for garbage collection fees billed in error on a property
located at 3827 Trent Lane.
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:
file:-IK:vCLERKD)11\Council&fivanceCommunications\CouncilCommuniealionstoCouutcil&Ofintmcz 2015\fittanceCommuni
cationv030915.earbage,refund.doc
WATERLOO WATER WORKS
325 Sycamore Street
P.O. Box 27
Waterloo, IA 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterioowater.org
Statement 1 of 1
ACCOUNT SUMMARY
Customer Name:
Account Number:
Service Address:
•
Gary Van Dello
129468-543198
3827 TRENT LN
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
2/21/2020
3/13/2020
1
Waterloo Water Works Services
43.34
N W A (T O
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m
198
i.18
!.45
320
Please detacri and retum bottom portion with your payment. See reverse side tor additional intormaiton.
MAKE CHECKS` PAYABLE TO:
WATERLOO WA [ WORKS
P.O. Box 27
Waterloo, IA 50704
ADDRESSEE:
ADDRESS SERVICE REQUESTED 0 0
Ir"I1111111rrlrlll'llrllll'111"PI111111111111"111d1111d111'
Gary Van Dello
''186g 3827 Trent Ln
Er' —131 Waterloo, IA 50701
w w
Ql
❑ Please check box if your contact information requires
updating and indicate the change(s) on reverse side.
WATERLOO WAT_Ty.__ WORKS
325 Sycamore Street
P.O. Box 27
Waterloo, IA 50704
Account Number:
Total Amount Due:
Amount Due After 03/14/2019:
Billing Due Date;.
Amount Enclosed:
129468-543198
$103.04',-
$107.74
3j14/2019. '
WATERLOO WATER WORKS
PO BOX 27
WATERLOO IA 50704-0027
Ill'iili11111119111111111111'l'lluililill11111'lllll'lllllllllll
STATEMENT OF SERVICES
Phone: (319) 232-628
www.waterloowater.or
Statement 1 of'.
ACCOUNT SUMMARY
Customer Name:
Account Number:
Service Address:
Gary Van Dello
129468-543198
3827 TRENT LN
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
2/21/2019
3/14/2019
`Watert
0 Water'Works. Servttce
Water 38.43
Water Service Excise Tax 2 31
Water Works Subtotal $40.74
Sanitary Sewer 47.40
8 25
6 65
Storm Water Fee
Garbage
City of Waterloo Subtotal $62.30
CHARGE SUMMARY
Previous Balance 126.85
Credits/Payments 126.85 CR
Deposit Payment 0 00
Balance Forward $0.00
Water Works Subtotal 40.74
City of Waterloo Subtotal 62.30
Total Current Service Charges 103.04
Total Amount Due $103.04
Amount Due After 03/14/2019 $107.74
Meter Type
Previous Read Date Current Read Date Previous Read Previous Read Type Current Read Current Read Type Usage (CCF)
Master
Master
Net
11/13/2018
2/4/2019
N/A
2/4/2019
2/11/2019
N/A
94
103
N/A
70
60
50
40
30
20
10
0
103
104
N/A
Actual
Actual
N/A
9
1
SPECIAL MESSAGES
WATERLOO W • i 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: Gary Van Dello
Account Number: 129468-543198
Service Address: 3827 TRENT LN
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
05/21/2019
06/12/2019
Waterloo Water Works Services
Water
Water Service Excise Tax
Water Works Subtotal
$36.40
$2.31
$38.71
City of Waterloo Services
Sanitary Sewer $47.40
Storm Water Fee $8.25
Garbage $31.50
City of Waterloo Subtotal $87.15
CHARGE SUMMARY
Previous Balance
Credits/Payments
Water Works Subtotal
City of Waterloo Subtotal
$103.04
-$103.04
$38.71
$87.15
Total Current Service Charges $125.86
Total Amount Due $125.86
Amount Due After 06/12/2019 $132.14
Previous Read Date Current Read Date Previous Read
Previous Read Type
Current Read
Cur rent Read Type Usage (CCf)
02/11/2019
05/08/2019
104
Actual
70
80
V 50
i
■
04 0 N^ 01, da 00 01'
.0 .NO $ �0 9
O 15' 19
114
Actual
10
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
ORKS
ADDRESSEE:.
Gary Van Dello
3827 Trent Ln
Waterloo, IA 50701
ElPlease check box if contact information requires
updating and indicate the change(s) on reverse side
Account Number:
129468-543198
Total' Amount Due:
125.86'
Amount Due After :
132.14
Billing Due Date:
06/12/2019
Amount Enclosed:
REMIT TO:
WATERLOO WATER WORKS
P.O. BOX 27
WATERLOO, IOWA 50704
WATERLOO WA E WORKS
325 Sycamore Street
P.O. Bbx 27
Waterloo, IA 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Statement 1 of 1
ACCOUNT SUMMARY
Customer Name:
Account Number:
Service Address:
Gary Van Dello
129468-543198
3827 TRENT LN
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
8/21/2019
9/12/2019
l
Waterloo Water Works Services
Water 95.27
Water Service Excise Tax
5 72
Water Works Subtotal $100.99
:y'a
Sanitary Sewer 49.77
Storm Water Fee 12.00
Garbage 31.50
City of Waterloo Subtotal $93.27
CHARGE SUMMARY
Previous Balance 127.89
Credits/Payments 127.89 CR
Deposit Payment 0 00
Balance Forward $0.00
Water Works Subtotal 100.99
City of Waterloo Subtotal 93.27
Total Current Service Charges 194.26
Total Amount Due $194.26
Amount Due After 09/12/2019 $203.69
Previous Read Date Current Read Date
Previous Read
Previous Read Type
Current Read
Current Read Type Usage (CCF)
5/8/2019
8/12/2019
114
152
Actual
38
70-
60
504
40=
30
20=
10:
0`.
n
a
SPECIAL MESSAGES
Please detach and return bottom portion with your payment. See reverse side for additional information.
MAKE CHECKS PAYABLE TO:
WATERLOO WA�FR_�WORKS
P.O. Box 27
Waterloo, IA 50704
ADDRESSEE:
ADDRESS SERVICE REQUESTED 0 0
I'III'1lllll111'11111111'11111I'1I1'1'III"III'I"'l1l1111I111111
(Ji -
O A
(0o
V
Gary Van Dello
3827 Trent Ln
Waterloo, IA 50701
Billing ue Da
Amount Enclosed:
REMIT TO:
WATERLOO WATER WORKS
PO BOX 27
WATERLOO IA 50704-0027
11191111111111'1111111111111J'Il1l1hl111111I1IIIl"11111111111
❑ Please check box if your contact information requires
updating and indicate the change(s) on reverse side.
REMITTANCE ORTION$
.By
When mailing your payment please allow sufficient time for the payment to reach our office by the due date to avoid late charges.
lapersop/siciyaw/strop
At our business office, 325 Sycamore Street, located at the East 3rd Street entrance.
ea_y_Vo flop:
Hy-Vee Crossroads
Pre-authorizecipaymort.;
Pay directly from your bank account. Fill out the form below. (No fee charged)
DebiVCredittarth
Pay in person or online at wwww- terloowater.org (fee applies)
BILLING .INFORMATION
Water rates are set by the Waterloo Water Works Board of Trustees.
Sewer, garbage and storm water management rates are set by the Waterloo City Council,
A minimum bill will be charged to all active accounts even if no consumption is registered.
Bills are due upon receipt. A penalty is added to all accounts not paid on or before the due date.
AretLrrndcflecltewiii be -charged o-n-any-returried check.
New accounts require a service contract signature and tenants must pay a deposit.
You will be held responsible for all charges until notice is received and a final reading obtained.
USE_FULPHONE_N_UMBER$
Service turned on or off
Billing questions Residential
Billing questions Commercial
Payment -credit -collections questions
Garbage, sewer, storm water mgmt fee reduction application
Private hauler garbage exemption application
Questions regarding garbage, yard waste, recycling collections/cans
232-6280
232-6280
232-6280
232-6280
291-4323
291-4323
29 'I -4455
exts 3907, 3906
ext 3906
ext 3925
exts 3913, 3911, 3912
City Clerk's Office
715 Mulberry Si
City Clerk's Office
715 Mulberry St
Public Works Facility
625 Glenwood St
WATERLOO WATER WORKS AUTOMATIC PAYMENT PLAN/D1RECT PAY
Sign up today to begin enjoying the benefits and convenience of DIRECT PAY
I authorize WATERLOO WATER WORKS and the financial institution named below to initiate variable entries to my checkingisavings account.
This authority will remain in effect until I notify the WATERLOO WATER WORKS or the financial institution in writing to cancel it in such a tirne as
to afford the financial institution a reasonable opportunity to act. Also, I agree that I remain obligated to pay for utility services in the event that a
charge to my account is dishonored, tor whatever reason, and that the WATERLOO WATER WORKS retains its normal collection rights.
Natne Phime 1/VVVVv Account Number
Address
Name 01 Financial institulion
Nepal :a Oil Accident Number
(ailermine ismehel Asteura °Please enclose a voided heck'
Comact information Update - Please compleie this section if your information c- -
Phone Nember
Address: Nev
ErMaii Address'
Zp
PCS Reorder, 1509578
WATERLOO WA WORKS
325 Sycamore Street
P.O. Box 27
Waterloo, IA 50704
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Statement 1 of 1
Customer Name:
Account Number:
Service Address:
•
Gary Van Dello
129468-543198
3827 TRENT LN
ACCOUNT SUMMARY
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
11/20/2019
12/13/2019
Waterloo Water Works Services
Water 54,67
Water Service Excise Tax 3 29
Water Works Subtotal $57.96
City of Waterloo Services
Sanitary Sewer 49.77
Storm Water Fee 12.00
Garbage 31.50
City of Waterloo Subtotal $93.27
CHARGE SUMMARY
Previous Balance 194.26
Credits/Payments194.26 CR
Deposit Payment 0 00
Balance Forward $0.00
Water Works Subtotal 57.96
City of Waterloo Subtotal 93.27
Total Current Service Charges 151.23
Total Amount Due $151.23
Amount Due After 12/13/2019 $158.63
Previous Read Date Current Read Date
8/12/2019
11/12/2019
Previous Read
152
Previous Read Type
Current Read Current Read Type
170
Actual
Usage (CCF)
18
6
5
4
30
20
10
e
a
SPECIAL MESSAGES
Please detach and return bottom portion with your payment. See reverse side for additional information.
MAKE CHECKS PAYABLE TO:
WATERLOO WATER WORKS
P.O. Box 27
Waterloo, IA 50704
ADDRESSEE:
ADDRESS SERVICE REQUESTED 0 0
'llll'llhIIIIIIhlhl'hlllllll'IllllrllnJl'll'IIIIII'II'III"III'
Gary Van Dello
3827 Trent Ln
Waterloo, IA 50701
Account Number:
Total Amount Due:
Amount Due After 12/13/2019:
Billing Due Date:
129468-543198
$151.23
$158.63
12/13/2019
Amount Enclosed:
REMIT TO:
WATERLOO WATER WORKS
PO BOX 27
WATERLOO IA 50704-0027
III111111il1111IIIIIIIIIIIII'1I1'IId1II IIII'IIII" li111111111
LI Please check box if your contact information requires
updating and indicate the change(s) on reverse side.
REMITTANCE OPTIONS
Bymaii:
When mailing your payment please allow sufficient t le for the payment to reach our office by the due date to avoid late charges.
In_aersooLdrive:upistopp. .. WIG
At our business office, 325 Sycamore Street, located at the East 3rd Street entrance.
Parslarjon;
Hy-Vee Crossroads
Prenaultoorized payment;
Pay directly from your bank account. Fill out the form below. (No fee charged)
DebiCCraditcard:
Pay in person or online at www.waterloowaterorg (fee applies)
BILLING_INfORMATION
Water rates are set by the Waterloo Water Works Board of Trustees.
Sewer, garbage and storm water management rates are set by the Waterloo City Council.
A minimum bill will be charged to all active accounts even if no consumption is registered.
Bills are due upon receipt. A penalty is added to all accounts not paid on or before the due date.
A returned check fee will be charged on any returned cneck.
New accounts require a service contract signature and tenants must pay a deposit.
You will be held responsible tor all charges until notice is received and a final reading obtained.
USEFUL PHONE NUMBERS
Service turned on or off
Billing questions Residential
Billing questions Commercial
Payment -credit -collections questions
Garbage, sewer_storm water mgmt fee reduction application
Private hauler garbage exemption application
232-6280
232-6280
232-6280
232-6280
291-4323
291-4323
Questions regarding garbage. yard waste, recycling collections/cans 291-4455
exts 3907, 3906
ext 3906
ext 3925
exts 3913, 3911, 3912
City Clerk's Office
715 Mulberry St.
City Clerk's Office
715 Mulberry St
Public Works Facility
625 Glenwood SI
WATERLOO WATER WORKS AUTOMATIC PAYMENT PLAN/DIRECT PAY
Sign up today to begin enjoying the benefits and convenience of DIRECT PAY
I authorize WATERLOO WATER WORKS and the financial institution named below to initiate variable entries to my checking/savings account.
This authority will rernain in effect until I notify the WATERLOO WATER WORKS or the financial institution in writing to cancel it in such a time as
to afford the financial institution a reasonable opportunity to act. Also, I agree that I remain obligated to pay for utility services in the event that a
charge to my account is dishonored, for whatever reasonand that the WATERLOO WATER WORKS retains its normal collection rights.
talanic,
Address
Nine ot Financiai Institution
Bank /Tram3it Route # 9 pits)
Select One, r_ Checking Ageogrg ! Savings AbcourO *Please enclose a voided check'
..„ VANW Account Nunber
Contact Information Update.- Please complete this 30610" if your information on re v.arse
Name:
Address
F-Mail Address:
City,
Phone Number:
ros nexato s 1509578
WATERLOO WA
325 Sycamore Street
P.O. Box 27
Waterloo, IA 50704
WORKS
STATEMENT OF SERVICES
Phone: (319) 232-6280
www.waterloowater.org
Statement 1 of 1
Customer Name:
Account Number:
Service Address:
Gary Van Dello
129468-543198
3827 TRENT LN
ACCOUNT SUMMARY
Billing Frequency:
Billing Date:
Billing Due Date:
Quarterly
2/21/2020
3/13/2020
Waterloo Water Works Services
Water 43.34
2 61
Water Works Subtotal $45.95
Water Service Excise Tax
City of Waterloo Services
Sanitary Sewer 54.81
Storm Water Fee 12.00
Garbage 35.25
Yard Waste / Recycle Site Maintenance Fee...._!
City of Waterloo Subtotal $109.23
CHARGE SUMMARY
Previous Balance 151.23
Credits/Payments 151.23 CR
Deposit Payment 0 00
Balance Forward $0.00
Water Works Subtotal 45.95
City of Waterloo Subtotal 109.23
Total Current Service Charges 155.18
Total Amount Due $155.18
Amount Due After 03/13/2020 $152.45
Previous Read Date Current Read Date
11/12/2019
2/7/2020
Previous Read
170
Previous Read Type
Current Read
182
Current Read Type Usage (CCF)
Actual
12
70
60
50
40
30
20
10
0
11
nn
s A a
a u
Please detach and return bottom portion with your payment. See reverse side for additional information.
SPECIAL MESSAGES
Yard Waste/Recycling rate increased $3/mo to $4/mo
**Mandatory Yard Waste/Recycling Site Maint Fee
$5/ mo prorated effective 1/1/20 on this bill**
Questions -call Garbage- Sanitation @291-4455
MAKE CHECKS PAYABLE TO:
WATERLOO WATE WORKS
P.O. Box 27
Waterloo, IA 50704
ADDRESSEE:
ADDRESS SERVICE REQUESTED 3 1
111111 11111 rllluhIIPh'11111"iPP111111ilhhrnrmdll
GARY VAN DELLO
3827 TRENT LN
WATERLOO, IA 50701-4548
Account Number:
Total Amount Due:
Amount Due After 03/13/2020:
Billing Due Date:
Amount Enclosed:
129468-543198
$155.18
$162.45
3/13/2020
REMIT TO:
WATERLOO WATER WORKS
PO BOX 27
WATERLOO IA 50704-0027
IIIIIIIIIIIIIIIIIIIIII111II11'LIIuIIIIIIIIIIII'111I" IIIIIIIIIII
Ei Please check box if your contact information requires
updating and indicate the change(s) on reverse side.
REMITTANCE OPTION$
By.majt;
When mailing your payment please allow sufficient time for the payment to reach our office by the due date to avoid late charges.
to_p_e_r_sran/driveeupAtt.902.qc
At our business office, 325 Sycamore Street, located at the East 3rd Street entrance.
Pay...stgtion;
Hy-Vee Crossroads
Pre7authorized.payment;
Pay directly from your bank account. Fill out the form below. (No fee charged)
gebittCreditra rth
Pay in person or online at wwvv.waterloowater.org (fee applies)
_INFORMATION
Water rates are set by the Waterloo Water Works Board of Trustees.
Sewer, garbage and storm water management rates are set by the Waterloo City Council.
A minimum bill will be charged to all active accounts even if no consumption is registered.
Bills are due upon receipt. A penalty is added to all accounts not paid on or before the due date.
A returiied check fee w;f1 be cnarged oi Fan y iiedzfreck. New accounts require a service contract signature and tenants must pay a deposit.
You will be held responsible for all charges until notice is received and a final reading obtained.
USE_FUL.PH_ONE NUIVIBER_S
Service turned on or off
Billing questions Residential
Billing questions Commercial
Payrnent-credit-collections questions
Garbage, sewer. storm water mgmt fee reduction application
Private hauler garbage exemption application
232-6280
232-6280
232-6280
232-6280
291-4323
291-4323
Questions regarding garbage, yard waste. recycling collections/cans 291-4455
exts 3907, 3906
ext 3906
ext 3925
exts 3913, 3911, 3912
City Clerk's Office
715 Mulberry St
City Clerk's Office
715 Mulberry St
Public Works Facility
625 Glenwood St
WATERLOO WATER WORKS AUTOMATIC PAYMENT PLAN/DIRECT PAY
Sign up today to begin enjoying the benefits and convenience of DIRECT PAY
I authorize WATERLOO WATER WORKS and the financial institution named below to initiate variable entries to my checking/savings account.
This authority will remain in effect until I notify the WATERLOO WATER WORKS or the financial institution in writing to cancel it in such a time as
to afford the financial institution a reasonable opportunity to act. Also, I agree that I remain obligated to pay for utility services in the event that a
charge to my account is dishonored, for whatever reason, and that. the WATE.RLOO WATER WORKS retains its normal collection rights.
Name Phone
Address
Name of Financial Institution
Bank ;Transit Routo (9 dig0s)
Soiect One: Chexkirg P.,.:xount El Savings Accouni 'Pease enclose a voided check'
WWW Account Number
3taM
. . rkirrttri.•_r
Contact Information Update - Please complete this section if your information or
Name: „... Phone Number
Address: City: State & e
E-Mail Address:
PCS ReO,deS 1509578
Exemption year: 7.01aj
PRIVATE HAULER GARBAGE EXEMPTION APPLICATION
RESIDENTIAL CUSTOMERS ONLY
CITY OF WATERLOO, IOWA
Date
Applicant's Name: 6a7 VUYY e((C Telephone No. 563-27S-o643
Billing Address: 3$z 7 Trcnf Lame, lit!a f Ioo .A 50701
Address of Exemption: 302.7 Tre.w- La-vtai Muke(loo 1744 50701
Water Works Account No.: 12.6°i-6,S - 5'i'31 °8
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.
A.IJ
Applica t�ictnature
TO BE COMPLETED BY LICENSED GARBAGE AND TRASH HAULER:
(We) R.tte G-rw.trChAvv..Cvd-u, 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:
Beginning Ending
Address Location of Date of Date of
Customer's Name Garbage/Trash Pick -Up Contract Contract
Cc t-L A 3S7.7Trev LIA ,W ✓(ou _
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 SignaturAuthorized Company Representative
FINANCE
DEPT.
STAFF
ONLY
LINEITEM
USED
010-11-1100-1346
TRAVEL REQUEST
CITY OF WATERLOO
FY _2020_ BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
NAMES) AND POSITION(S): DATE:
Officers Luke Lamere, Kyle Law, Enes Mrzljak, Jeremy April 13th, 2020
Nicholls, CJ Nichols, Chris Roberts, and Andrew Sears
NAME OF CLASS /MEETING:
Field Training Solutions FTO Basic School
DEPARTURE DATE:
4120120
Return Date:
4/22120
DESTINATION: Waterloo, la.
DEPARTURE POINT
IF NOT WATERLOO:
DATES) OF MEETING:
April 20-22, 2020
6a0av
n2CZc1�Ca ?�
�(11i.s i
2y�$g
PURPOSE OF TRAVEL:
Lt. McClelland is requesting to send Officers Lamere, Law, Mrzljak, Nicholls, Nichols, Roberts, and Sears to the
Field Training Basic 3 day course April 20-22, 2020 in Waterloo Iowa. The course is sponsored by the BHC
Sheriff's Office in conjunction with Field Training Solutions. This 3-day course will certify each Officer as an FTO
for the department. The course will focus on all aspects of training including communication, adult learning,
learning preferences, performance documentation, evaluation exercises, and scenario based training. Field
Training Officers take on a huge role training new hires and need this certification. As we look forward, the
Waterloo Police Department will have many new hires in the future and need new FTO's to help mold and certify
new Officers as they come into the department. This course will not exceed $2065.00.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ N/A
METHOD OF TRAVEL:
ESTIMATE OF COST:
CITY VEHICLE
YES NO
X PRIVATE VEHICLE
AIRFARE DEPARTING FROM: Waterloo, Iowa
$0.00 LODGING
$0.00 MEALS
$2065.00 REGISTRATION
MILEAGE/FUEL
TOTAL FOR ALL: $ 2065.00
BUDGET LINE ITEM:
TAXI X GRANT REIMBURSABLE
PARKING YES NO
I�T7YT:7-0
X REQUIRED CERTIFICATION
MISC/TOLLS I YES NO
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
DEPARTMENT HEAD
( 4A 1 i
TOTAL: $ 295.00 PER PERSON
I APPROVE THIS TRAVEL REQUEST
MAYOR
DATE
DATE
FINANCE
DEPT.
STAFF
ONLY
LINE ITEM
USED
010-114100-1346
TRAVEL REQUEST
CITY OF WATERLOO
FY _2020_ BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
NAMES) AND POSITION(S): DATE:
Officers Jesse Aitchison, Ben Bonwell, and Gavin April 13th, 2020
Kramer
NAME OF CLASS I MEETING: DESTINATION: Johnston, la.
Iowa Law Enforcement Academy Basic Officer Certification
DEPARTURE DATE:
4127120
Return Date:
8/14120
DEPARTURE POINT
IF NOT WATERLOO:
DATES) OF MEETING:
April 27-Aug 14, 2020
4.at) /)
fir; ! �'
I{(AU3 2�
PURPOSE OF TRAVEL:
Major Leibold is requesting to send Officers Aitchison, Bonwell and Kramer to the Iowa Law Enforcement
Academy in Johnston, Iowa April 27- August 14th, 2020. These newly hired Officers require a certification from
the Iowa Law Enforcement Academy to be a certified Police Officer in the state of Iowa. They will use a city
vehicle for the travel and training. AS ?02004f 6,m� tu 12d,}-r04141:
WILL TRAVEL REQUIRE ADDITIONAL PERSONNELNEENEEMEN
: x COST $ N/A
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE
AIRFARE
ESTIMATE OF COST:
$0.00 LODGING
$51550.00 MEALS
$201400.00 REGISTRATION
$1,500.00 MILEAGE/FUEL
TOTAL FOR ALL: $ 27,450.00
PRIVATE VEHICLE
DEPARTING FROM: Waterloo, Iowa
BUDGET LINE ITEM:
X
TAXI I
GRANT REIMBURSABLE
PARKING
AIRFARE
SC/TOLL
M I
S
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
DEPARTMENT HEAD
oo-
thy - IS
DATE
YES NO
)OOC
ONE
YES NO
REQUIRED CERTIFICATION
TOTAL: $ 9,150.00 PER PERSON
I APPROVE THIS TRAVEL REQUEST
`ALE'_
MAYOR
DATE