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Home My WebLink About05/21/20121. FINANCE COMMITTEE May 21, 2012 5:00 p.m. Council Chambers Roll Call: Members: Chairperson Carolyn Cole Steve Schmitt Quentin Hart Approval of Agenda, as proposed. Approval of Minutes of May 14, 2012. NEW BUSINESS Travel Requests Name & Title of Personnel Class/Meeting Destination Date(s) Amount not to Exceed • Mayor Buck Clark Mayors' Volunteer Awards Luncheon; Mayors' Top Teen Awards Reception Waterloo, Iowa April 19, 2012 $550.00 2. Authorization to seek sealed bids for FY 12 Uniform and supply needs —Submitted by Dan Trelka, Director of Safety Services. 3. Authorization to seek sealed bids for FY 13 ammunition needs for Police Department — Submitted by Dan Trelka, Director of Safety Services. 4. Authorization to seek sealed bids for FY 13 Graphics purchase and installation on Police vehicles —Submitted by Dan Trelka, Director of Safety Services. 5. Approval of garbage refund in the amount of $189.00 for Patricia Sutton for property located at 2706 Lafayette Street —Submitted by Suzy Schares, City Clerk. 6. Pre Authorizations to Expend over $1,000.00 Dept. p Amount +Est S/S Expenditure Fire $5,972.25 Stryker ambulance cot Human Rights $1,575.00 Advertising for the Fair Housing Symposium Mayor $120.00 Main Street board lunches Leisure Services $10,000.00 Funding for operations at Fairview Cemetery Planning $2,750.00 Abstract preparation for Dolly James 6 multi -story condo buildings Waste Management Services $3,252.20 + $35.00 Alarm monitoring system Waste Management Services $24,159.60 + $725.00 Carts to replace damaged ones and new accounts BUDGET LINE ITEMS TO BE 7. Authorization to increase Line Items $270,300.00—Submitted by Community 8. Authorization to increase Line Items $370,000.00—Submitted by Community 9. Authorization to increase Line Items $136,897.00 Submitted by Finance. 10. Authorization to increase Line Items on file in the City Clerk's office in the amount of $1,382,391.00—Submitted by Planning. 11. Authorization to increase Line Items on file in the City Clerk's office in the amount of $130,000.00—Submitted by Finance. 12. Authorization to increase Line Items on file in the City Clerk's office in the amount of $1,486.16—Submitted by Street Department. 13. Authorization to increase Line Items on file in the City Clerk's office in the amount of $20,000.00 Submitted by Leisure Services. 14. Authorization to increase Line Items on file in the City Clerk's office in the amount of $52,500.00Submitted by Waste Management Services. AMENDED on file in the City Clerk's Development. on file in the City Clerk's Development. on file in the City Clerk's office in the amount of office in the amount of office in the amount of 15. Authorization to increase Line Items on file in $15,135.00 Submitted by Waste Management Se 16. Authorization to increase Line Items on file in $7,625,000.00 Submitted by Finance. 17. Authorization to increase Line Items on file in $55,207.00 Submitted by Finance. 18. Authorization to increase Line Items on file in $20,000.00 Submitted by Cultural and Arts. 19. Authorization to increase Line Items on file in $100,000.00 Submitted by City Clerk. 20. Authorization to increase Line Items on file in $718,000.00 Submitted by City Clerk. 21. Approve the project budget for the additiona received from HUD in the amount of $66,000. Human Rights Director. BILLS PAYMENT ADJOURNMENT the City Clerk' rvices. the City Clerk's the City Clerk's the City Clerk's the City Clerk's the City Clerk's 1 Fair Housing 00—Submitted by Suzy Schares City Clerk s office in the amount of office in the amount of office in the amount of office in the amount of office in the amount of office in the amount of Cooperative agreement Abraham Funchess, Jr., TRAVE4 REQUEST CITY OF WATERLOO FINANCE DEPT. STAFF ONLY LINE ITEM USED U/6' (.1 l.2 ! FY)/ASUD&ETED ✓C �6 EXPENDED YTD THIS REQUEST 5 ) �/ LEFT AFTER THIS REQUEST DATE 7276,J 7G ;h'/J-, Original- Clerk/Finance Copy - Department NAME(S) AND POSITION(S): Mayor Buck Clark DATE: May 16, 2012 NAME OF CLASS / MEETING: Mayors' Volunteer Awards Luncheon; Mayors' Top Teen Awards Reception DESTINATION Waterloo, IA DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: RETURN DATE: 04/19/2012 04/19/2012 PURPOSE OF TRAVEL: Annual Mayors' Volunteer/Top Teen Awards presentations. DATE(S) OF MEETING: 04/19/2012 WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: x CITY VEHICLE AIRFARE DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: LODGING TAXI 550.00 MEALS PARKING REGISTRATION AIRFARE MILEAGE/FUEL MISC/TOLLS TOTAL FOR ALL: $ 550.00 BUDGET LINE ITEM: 010-01-8200-1345 x GRANT REIMBURSABLE YES NO x REQUIRED CERTIFICATION YES NO TOTAL: $ PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO I APPROVE THIS TRAVEL REQUEST DEPAR ENT HEAD MAYOR \dared Uoodies\Forms\travel Request Norm January 2010 DATE CITY OF WATERLOO Committee Communication Finance Committee Meeting: May 21, 2012 Prepared: May 17, 2012 Dept. Head Signature: Suzy Schares # of Attachments: 2 SUBJECT: Garbage Refund Submitted by: Suzy Schares, City Clerk Recommended Committee Action: Approval of the following refunds: Patricia Sutton for property located at 2706 Lafayette Street is requesting a garbage reimbursement in the amount of $189.00 because the property was vacant and therefore did not utilize city garbage pick up services. Summary Statement: The above individual has requested a reimbursement. The letter and account information is attached. Expenditure Required: As indicated above Source of Funds: Policy Issue: None GARBAGE REFUND YARD WASTE REFUND SEWER REFUND STORM WATER FEE REFUND Alternative: Not give the reimbursements 525-15-5400-1785 525-15-5400-1785 520-14-5200-1785 521-07-7830-1785 Background Information: Recommendation for reimbursements are only made after Waterloo Water Works and Waste Management Services have been contacted to verify the information given by the individual. To whom it may concern: I have talked with the Waterworks and they told me we could get a refund on the garbage bill for 2706 Lafayette # 01 60 1160 767, for the months when there was little or no garbage pickup. They gave me a printout that showed from April 11, 2011 till Jan 2012 we should be able to get a refund for garbage pickup. They also informed me that I should call before paying any more bills so that I can get the amount deducted. The dates and amounts are as follows: 4/11/11 - $33.08 7/11/11 - $31.50 10/11/11 - $31.50 1/10/12 - $31.50 Total being $127.58 Please let me know what the amount will be for sure and if it will be refunded . My husband, Perry Sutton is the executor of the estate for Florence Sutton, so any correspondence can be sent to us at 725 Fairview Ave, the address the bill is already sent. Thank you, �JC Patricia Sutton UUG6DFR DISPLAY Display Account History Account No 01 60 1160 767 Billing Date Customer SUTTON FLORENCE A Ph Address 2706 LAFAYETTE ST WATERLOO 5=Payments ? Billing Consu Dat e 4/10/12 0 1/10/12 0 10/11/11 0 7/11/11 1 4/11/11 1 1/10/11 7 UUG6DFR DISPLAY Water Payment 19.26- 19.26- 17.87- 17.87- 18.71- 17.87- 5/17/12 13:18:24 Activity Sewer Garbage STORM Total St Cnd Payment Payment Payment Payment 37.50- 8.25- 65.01- P 37.50- 31.50-. 8.25- 96.51- P 37.50- 31.50-' 8.25- 95.12- P 37.50- 31.50-' 8.25- 95.12- P 39.38- 33.08- , 8.66- 99.83- P L 37.50- 31.50- + 8.25- 95.12- P Display Account History Account No 01 60 1160 767 Billing Date Customer SUlTON FLORENCE A Ph Address 2706 LAFAYETTE ST WATERLOO 5=Payments ? Billing Consu Water Sewer Garbage STORM Date Payment Payment Payment Payment 10/08/10 35 50.57- 72.64- 33.08 8.66- 7/08/10 22 34.07- 66.40- 33.08- 4/08/10 25 36.18- 58.53- 31.50- 1/08/10 24 36.63- 59.69- 36.25- 10/08/09 37 46.13- 78.69- 25.18- 7/09/09 43 52.74- 88.77- 27.00- 5/17/12 13:18:24 Activity Total St Cnd Payment 164.95- P RT 9.07- 142.62- P RT 8.25- 134.46- P RT* 132.57- P RT 150.00- P * 168.51- P F3=Exit F14=Mthly Bill F16=Acct Info F17=Bill F18=Bill/Pmt F19=Cust F20=Meter F21=Cust His F22=Bill His Last option was: DAILY OPERATIONS �j 1.s(40 6 1.160 atiLf ' `�trnrefti City of Waterloo Expenditure Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Waterloo Fire Rescue $ 5,972.25 Stryker ambulance cot. Department to expend plus est. shipping costs of $ to pay for or puchase This purchase or expenditure is being made because: Many of the replacement parts for the older cots we currently have are discontinued. The new cot is rated for 650 Ibs compared to the 500 lb rating for the older cot. Bids or written quotes were taken on this purchase, as follows: See attachements Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): This expenditure is to be coded to the following budget line -item: 410-12-1400-2112 (Fund - Department - Activity - Account Number) in which the budgeted amount is and u - current available balance is (Project Code) $ 25,000 + $50,000 $ 63745423 (4,17'/ a, (C-114 O ) `7-66 uZ6 li j ZC2 574 (Si'nature De % . Head Iesignee) Date (Signature Finance Dept. Review) Date users\shared goo • ies\forms\tFile] (April 2003) To: Michelle Weidner From: Pat Treloar Re: Stryker Cot Date: May 14, 2012 Michelle, A number of months ago we purchased two (2) Femo ambulance cots as they were low bid. We are pleased with the cots in general, however they are just longer in length than our older Stryker cots that they will not fit in some elevators in town. The Stryker cots are designed with angled edges to allow better access in and out of elevators. We are in need of another new cot as we are unable to get parts for our oldest Stryker. We have a new Stryker cot at station one right now that we tried out to see if it will help us with a number of buildings with "tight" elevators. The new Stryker cot will allow us access into Ridgeway Court Apartments (215 W. Ridgeway), Camelot Court Apartments (1650 Camelot Dr.), and Crossroads Apartments (1820 E. Ridgeway). WFR does run a considerable amount of calls to these apartments and I would like to put the new cot (Stryker) out at 332 (station two) that services these apartments. I am going into such detail because the Stryker cot is $1324.45 more than the Femo Cot... I am requesting permission to purchase the Stryker cot, which is currently sitting in a box at station one, at a cost of $5,972.25. Stryker 3800 East Centre Avenue Portage, MI 49002 T: 800-669-4968 PLEASE REMIT PAYMENT TO: Stryker Saks Corporation PO Box 93308 CNcago. 5.60673 Michael Gonzales E: mlclael . m P: 800-669-4968 F: 918-512-4671 strykere EMS EQupnbnl Date : 02/29/2012 Customer Number: 1066924 Spec Number: 29300 BHIYrgAddress: Name: WATERLOO FIRE AND Address: 425 E. 3RD STREET WATERLOO, IA 50703 Contact Bill Beck Phone #: 319-291-4460 Email: will.beck@waterloo-ia.org Fax: 319-291-4279 Shipping Address Name: WATERLOO FIRE AND RESCUE Address: 425 E. 3RD STREET WATERLOO, IA 50703 Contact Bill Beck Phone #: 319-291-4460 Email: will.beck@waterloo-ia.org Fax: 319-291-4279 EndUsarAddress: (If Different) Name: Address: Contact Phone #: Email: Fax: City Item Not Name Price Extended Price 1 6085000000(M) PERFORMANCE PRO AMBULANCE COT $4,660.50 $4,660.50 1 6082501010 SINGLE WHEEL LOCK OPTION $0.00 $0.00 1 6085032000 KNEE-GATCH OPTION $566.25 $566.25 1 6550001084 GATCH BOLSTER MATTRESS $0.00 $0.00 1 6060036017 SAFETY HOOK, SHORT $0.00 $0.00 1 6085033000 PR COT RETAINING POST $0.00 $0.00 1 6085044000 DVD, IN-SERVICE $0.00 $0.00 1 7777881660 1 YR PARTS, LABOR, & TRAVEL $0.00 $0.00 1 6085042000 DOMESTIC MANUAL OPTION $0.00 $0.00 1 6085029000 LEFT HAND RELEASE HANDLE $0.00 $0.00 1 6085026000 STANDARD COMPONENTS $0.00 $0.00 1 6085027000 RETRACTABLE HEAD SECTION $0.00 $0.00 1 6500215000 3 STAGE IV POLE PR OPTION - $243.75 $243.75 1 6500147000 EQUIPMENT HOOK OPTION $36.75 $36.75 1 6500141000 FOWLER OXYGEN BOTTLE HLDR $184.50 $184.50 1 6500130000 BACKREST STORAGE POUCH $183.00 $183.00 1 6085035000 HEAD END STORAGE FLAT $97.50 $97.50 Subtotal $5,972.25 $5,972.25 Shipping cost $0.00 All applicable Sales Tax will be calculated at time of invoicing Total $5,972.25 Page 1 of 2 Stryker 3800 East Centre Avenue Portage, MI 49002 T: 800-669-4968 PLEASE RUNT PAYMENT TO: Stryker Saks Corporation PO Box 93308 Chicano, L 60873 Michael Gonzales Emhavaelgonzatemastryter-com P: 800-669-4968 F: 918-512-4671 stryker® EMS Equipment Date : 02/29/2012 Customer Number: 1066924 Spec Number: 29300 Bill Beck Special Shtppkng instructions: Credit Card Type: CC Number. Expiration: Security Code: Name On Card: CC Name: P.O.Number. Signature: Title: Terms: Net 30 days. Terms & Conditions: Cot, all accessories on original order and aftermarket accessories FOB origin. Order subject to Stryker Corporation's approval. Credit cannot be allowed on retums of special or modified items. All approved retums will be accepted only in Kalamazoo, Michigan. Proposals valid for 30 days from submittal. Thank You For Your Business Page 2 of 2 OFERNO Quotation Billing Address: Waterloo Fire Department 425 East 3rd St Waterloo, IA 50703 US Ref # Shipping Address: Waterloo Fire Department 425 East 3rd St Waterloo, IA 50703 US Attn: Bill Beck Representative: Nathan Lindell Email: Terms Valid FOB Deposit Required Net 30 30 Days Origin 0.00 Quote # TEMP Date Quoted: 3/7/2012 Ferno Customer Service: 70 Weil Way Wilmington, OH 45177 Phone: 877-733-0911 Fax: 888-388-1349 VVVVVV.Femo.com info@Femo.com Phone: Ship Via Please Select AccountlD 66115800 Qty SKU 1 0015747 1 0087172 1 0821996 1 0821946 Item 93-H PROFIe env 'Rescue Red". Articulating Operator Frame, Universal Side Arms, Mattress and Restraints. 513-13 Mounted IV Pole: PROFIemem 35-P Cot, 93-P Cot PROFIe40" SofNet Drop Frame Storage — Black PROFIexx^" 93-H Safety Bail/Bar Assembly Preferred Gust Price 4,196.00 225.60 66.40 159.80 Extended Price 4,196.00 225.60 66.40 159.80 Approval: Printed Name Signature Credit Card: Secure Code: Exp: Comments: Shipping is not included in the quote. Subtotal Sales Tax Est. Shipping Total Order subject to approval by Ferno. Taxes sal be invoiced as a separate Rem when appiioable. Credlt cannot be allowed on returns of special or ramified Items. Prices and specfiratioca are subject to change v"thout notice. City Clerk Use Only Finance Committee f Approval Date J l L l i 2- 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 Human Rights Department to expend $ 1,575.00 plus est. shipping costs of $ 0.00 advertising for the Fair Housing Symposium. to pay for or purchase This purchase or expenditure is being made because: we had advertising in the Waterloo/Cedar Falls Courier for the Fair Housing Symposium Vendor selected for this purchase: Waterloo/Cedar Falls Courier n Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: the Waterloo/Cedar Falls Courier is our only local newspaper. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: nGeneral Fund n Road Use Tax n Sewer ❑ Sanitation nBonds n Federal/other grants Other (specify) Housing This expenditure is to be coded to the following budget line -item: 010-27-2510-1351 (Fund - Department - Activity - Account Number) in which the budgeted amount is (Project Code) 9,590.00''' and the urrent available balance is $ 9,590.00 v ully suitted, gnature Dept. Head or i127./ / i & `/ l i i- Date (Signature Finance Dept. Review) 6 14-361)- Date K:\shared goodies\forms\Expenditure Pre -A • ization Courier Advertising.xis (Mar 2010) CITY OF WATERLOO Council/Committee Communication Committee Meeting: May 14, 2012 Prepared: , May 10, 2012 Dept. Head Signature: # of Attachments: 1 SUBJECT: Submitted by: Mayor Clark Recommended City Council Action: Summary Statement Expenditure Required Source of Funds Policy Issue Alternative Background Information: it(9119 Approval of Main Street board lunches for Mayor Clark RECEIVED MAY 03 2312 it TES MAIN WATERLOO DOWNTOWN CULTURAL & ENTERTAINMENT DISTRICT Bill To: Waterloo City Hall Attn: Mayor Buck Clark 715 Mulberry St. Waterloo, IA 50703 Main Street Waterloo 212 E. 4th St. Waterloo, IA 50703 Invoice #1048 Date: 1/4/12 Description Unit Price Amount Due Fee for 2012 Board of Director Lunches Please make check payable to Main Street Waterloo Thank You! $10.00 $120.00 Total: $120.00 City Clerk Use Only Finance Committee/ Approval Date 17-1 I%U 1'2' City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Leisure Services Department to expend $ 10,000.00 plus est. shipping costs of $ to pay for or purchase funding for operations at Fairview Cemetery. This purchase or expenditure is being made because: The cemetery is not able to pay their expenses. The number of burials has decreased, causing their revenue to decrease. Vendor selected for this purchase: Fairview Cemetery n Bids or written quotes were taken on this purchase, as follows: QBids or quotes were not taken on this purchase because: The City subsidizes the current cemetery operations as an alternative to operating the cemetery directly. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: X General Fund nBonds n Road Use Tax ❑ Sewer ❑ Sanitation Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 010-01-4405-1393 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, (Project Code) $ #Z SzcTO (Signature D�tztead or Designee) Date K:\shared goodies \forms\\Fairview Pre Auth.xls (Mar 2010) (Signature Finance Dept. Review) Date City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date 7' /7t i The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Planning Department to expend $ 2,750.00 plus est. shipping costs of $ 0.00 to pay for or purchase Continue & Bring In; Dolly James 6 multi -story condo buildings This purchase or expenditure is being made because: To prepare property for conveyance for construction of units. Vendor selected for this purchase: BHC Abstract & Title n Bids or written quotes were taken on this purchase, as follows: QX Bids or quotes were not taken on this purchase because: BHC Abstract is the sole provider for this service 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 n Sanitation Qx Bonds FederaVother grants n Other (specify) This expenditure is to be coded to the following budget line -item: 411 08 6100 2104 (Fund - Department - Activity - Account Number) in which the budgeted a .. • is and the current ava (Project Code) $ 8OO;880-.430- $ 278,647.50 7b6) (Signa r Pept. Head or Designee) Date (Signature Finance Dept. Review) Date K:Cshared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) 614 Sycamore Street Waterloo, IA 50703-4726 ABSTRACT & TITLE Phone 319-291-4000/Fax 319-291-3929 Your trusted partner since 1871 www.blackhawkabstract.com Billed To City of Waterloo Planning & Zoning Department 715 Mulberry Street Waterloo, IA 50702 Attn: Noel Anderson Order Description: COPY Invoice # 627309 Account # 02091 Date 4/17/2012 Order# 627309 Order Type Continue & Bring In Customer File # Number of Parts 10 Property Address Owner City of Waterloo, Iowa Legal Description Parcel R of Pt Lots 1,4,5,8 & 9 Bik 1 & all Blk 22 Original Plat East Side Wloo Notes Please keep the above portion for your records Abstract Fee $2,750.00 Recording Fee $0.00 Misc. Fee $0.00 Other Fee $0.00 Total $2,750.00 Please submit this portion with payment Abstract Delivered To Same Attn: PLEASE INCLUDE INVOICE NUMBER ON CHECK WHEN SUBMITTING PAYMENT 60£LZ9 'oN eoionui Thank You for your business! City Clerk Use Only Finance Committee/ ma, Approval Date 5(/%-11y y6 1 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 WMS $ 3,252.20 plus ext. shipping cost of $ 35.00 Alarm monitoring system Departmant to expend to pay for or purchase This purchase or expenditure is being made because: To have an alarm system in place so we have a quick response time at Cattle Congress lift station since this storm station is activated because the dam is raised. [] Bids or written quotes were taken on this purchase, as follows Bids or quotes were not taken on this purchase because: This company Radio Communications is the company that installed the 23 sanitary lift stations alarms 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: ❑Federallother grants: []Qther(specify): This expenditure is to be coded to the following budget line -item: 520/14/5200/1373 (Fund - Department - Activity - Account Number) in which budgeted amount is and the current available balance is Respftctfully submitted, (Project Code) $ 5,000.00 $ 5,000.00 /414 ic /r!C% -t'_t:`L 6'16 1;1 (Signature Dept. Head Or Designee) Date (Signature Finance Dept. Review) Date RCS YSTEMS Radio Communications commmy 1657 Falls Ave Phone: 319-234-3511 Waterloo, IA. 50701 Fax: 319-233-8292 Order Line: 800-728-2929 Name Waterloo Waste Management Attn: Kent Quint County Address: 3505 Easton Ave. Address:2 Account #: City: Waterloo Sr. Iowa ZIP: 50702 Phone: 319-291-4553 Fax: 319-291-4523 Lift Station Alarm Monitoring System Addition Tracking # 120514-11 Tracking Date: 5/14/2012 Sales Order: S.O. Date: Rev: none Invoice # Invoice Date: L# QTY MODEL DESCRIPTION UNIT PRICE TOTAL PRICE 1 2 1 901-9287 Zetron Model 18+ 1,395.00 1,395.00 3 1 TK980K Kenwood Radio 385.70 385.70 4 1 BaseKen5 Kenwood Cabinet 35.00 35.00 5 1 ICT12012-12AX Power Supply 185.00 185.00 6 1 PRO1500LCD UPS 350.00 350.00 7 1 800MHZAntenna 75.00 75.00 8 1 KCT-19 Accessary cable 16.50 16.50 9 1 Al Program, setup, and test 75.00 75.00 10 8 A2 Install and test 75.00 600.00 11 1 NPN Remainder of 2012 and 2013 Network Billing (2013 Only) 60.00 60.00 12 1 NPN Service Fee until January 2014 (Included) 13 14 15 16 17 1 Misc shop supplies 75.00 75.00 Li Notes or Special Instructions: Page Total $3,252.20 L2 - L3 Page Total $3,252.20 L4 INSTALLATION L5 SUB TOTAL $3,252.20 L6 SALES TAX EXEMPT L7 SHIPPING 35.00 LB TOTAL $3,287.20 Delivery: 2-3 Week(s), ARO. Terms: Net-30 P.O Number: Delivery is based on manufacturers estimates and is subject to change. Project: Security -CCTV Down Papal P.O. Disclaimer: RCSystems - Radio Communications Co. Inc. & MWSN, will assume NO Liability as a result of Equipment failure and/or loss of services. BY: Dave Burger Emai : Accepted by: E-Mail: Dave @rcsystems.com Name Date Visit our website: www.rcsystems.com Valid for: The FUTURE is with RCSystems - Serving Iowa for over 40 vears - Engineering. Sales. Service 8 Consulting 60 Days City Clerk Use Only Finance Committee. Approval Date 5'Q-i (�UI— 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 WMS $ 2r1.22O.70 plus ext. shipping cost of $ 725.00 Cart02%/5 jam, L D Departmant to expend to pay for or purchase This purchase or expenditure is being made because: To replace damaged carts and new accounts ❑ Bids or written quotes were taken on this purchase, as follows n Bids or quotes were not taken on this purchase because: Mid -Iowa is the company we are currently purchasing carts from. 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: [}Federal/other grants: [Other(specify): This expenditure is to be coded to the following budget line -item: 525/15/5400/1596 (Fund - Department - Activity - Account Number) (Project Code) in which budgeted amount is and the current available balance is $ 80,000.00 $ 27,520.15r Respe tfully submitt y „ (= r L 5-15 ( ignature Dept. Head Or Designee) Date (Si nature Finance Dept. Review) Date SOLID W WA ENT CO, INC. Mid -Iowa Solid Waste 5105 NW Beaver Dr Johnston, IA 50131 515-276-3352 Toll Free 800-733-8731 Helping you clean the Planet since 1975 Quote To: City of Waterloo Keith Kearns 3505 Easton Ave Qty Bill To: Keith Kearns City of Waterloo 3505 Easton Ave Waterloo IA 50702 Description 180 64 Gallon Olympia Green Hot Stamp Logo with Serial Number - Start numbering with 11610714 144 144 96 Gallon Olympia Green Hot Stamp Logo with Serial Number - Start numbering with 1961425 96 Gallon Med Blue w/black lid Pierced Hot Stamp Logo with Serial Number - Start numbering with 0111789 1 Freight Terms Net 30 Customer must verify Serial Number Sequence FOB Waterloo Applicable Taxes not included SALES ORDER Quote # Date Sales Rep. Unit Price $46.50 $53.65 $56.00 $725.00 SubTotal Shipping SLGQ1051 05/10/12 Administrator Ext. Price $8,370.00 $7,725.60 $8,064.00 $725.00 $24,884.60 $0.00 Total $24,884.60 jc2//S% ‘0 Unless specified, the above prices do not include any taxes. Taxes will be calculated and included on the Invoice. ORDERS..AII orders are subject to acceptance by an officer or general manager ofM id -Iowa Solid Waste Equipment Co., Inc. PERFORMANCE..Mid-Iowa Solid Waste Equipment Co., Inc. shall not be liable for failure to complete the centrad in accordance with its terns B failure is due to wars,s trikes, fires, floods, accidents, delays in transportation or other causes beyond its reasonable control. CANCELLATION..Orders regularly entered cannot be cancelled except upon terms thatw ill compensate Mid -Iowa Solid Waste Equipment Co., Inc. for any loss or damages sustained. PRICES...AII orders are subject to current prices in effect att he time of shipment. F.O.B. POINT..Unless otherwise stated,all prices listed are F.O.B. point of manufacture. TAXES..Unless otherwise stated,p rites do not include Federal, State, City or other Excise, Occupation Sales use or similar taxes which are extra and are to be added at rates in effect att ime ofs hipment. If Federal Excise Taxes are included or listed above, they are stated at the rates and regulations in effect at the time this order is written, and are subjedt o revision in accordance with rates and regulations in effect at time of shipment. MOUNTING PRICES... Mounting prices assume normal factory installation on a truck chassis suitable for the unit purchased. Relocation of batteries,g as tanks, mufflers, air tanks, etc. will be an additional charge, billed our standard labor rate. Signature will constitute a binding order. By: Mid -Iowa Solid Waste Equipment Co., Inc. Ordered by: Accepted by: Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance C mittee approval required? YES 1 NO /dry If so, date approved: '/rT ` i a 19- 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 6/30/2012 submitted by the Community Development Department: EXPENSES/REVENUE DECREASE EXPENDITURES (INCREASE REVENUE) INCREASE EXPENDITURES (DECREASE REVENUE) Fund Dept Activity Acct # Acct Name Proj Code Amount / ynd Dept Activity Acct # Acct Name Proj Code Amount 224 32 5853 1346 travel 3GLED ADMt• 100.00 224 32 5853 1343 postage 3GLED ADMI• 100.00 224 32 5854 3350 federal grants 32NC3 DPA3 200,000.00 224 32 5854 1111 salaries 32NC3 ADMN 4,000.00 1121 FICA 32NC3 ADMIT 2,000.00 1122 IPERS 32NC3 ADMIT 2,000.00 1706 Housing Asst 32NC3 DPA3 192,000.00 I 224 32 5850 1327 Res rehab BG21AADMI` 40,200.00 224 32 5850 1379 interim asst BG21AADMN 40,000.00 224 32 5850 1516 computer equip BG21A AWN 200.00 290 32 5856 1327 Res rehab 32NS1 ADMP 30,000.0 290 32 5856 1390 cont.services 32NS1 ADMI. 30,000.00 TOTAL This amendment is being requested because: balance line items $270,300.00 TOTAL $270,300.00 Prior Committee Actions (Dates): (Signature t. Head or-Osignee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:Wserslshared goodieslformslBudget Amendment Request fund 224and 290 4-10-2012.xis (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finammittee approval required? YES NO If so, date approved: "J /2-{ I,1 I9— 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 6/30/2012 submitted by the Community Development 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 224 32 5870 3350 Federal grants HM21A 0001 150,000.00 124 32 5870 1313 legal HM21A 0001 500.00 224 32 5870 1706 housing Asst HM21A 0001 120,000.0Y324 32 5870 1327 res rehab HM21A 0001 369,500.00 224 32 5870 1393 Contributions HM21A0001 100,000.0 TOTAL This amendment is being requested because: balance line items $370,000.00 TOTAL $370,000.00 Prior Committee Actions (Dates): 4/13/2012 (Signature ept. Head or Designee) Date (Signature Finnce Dept. Review) a/, - Date Date Posted (Finance Dept.) K:\users\shared goodies forms\Budget Amendment Request fund 5870 4-13-2012.xls (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance Committee approval required? YES NO If so, date approved: �(I (� 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 2012 submitted by the Finance 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 01 6920 3111 Hotel -motel tax D1HMT WCVE 51,057.00 010 01 6920 1393 subsidies D1HMT WCVE 51,057.00 010 01 6660 3111 Hotel -motel tax 01HMT DISC 10,000.00 010 01 6660 1393 subsidies 01HMT DISC 10,000.00 010 01 6650 3000 Cash 01HMTRSRV 30,000.00 010 01 6650 1393 subsidies 01HMTRSRV 30,000.00 010 01 6650 3000 Cash 01HMTTXxx 25,840.00 010 01 6650 1393 subsidies 01HMtTXxx 45,840.00 010 01 6650 3111 Hotel -motel tax 01 HMT TXxx 20,000.00 TOTAL $136,897.00 TOTAL $136, 897.00 This amendment is being requested because: 1.) hotel -motel tax revenues are expected to be higher than originally budgeted and therefore, the 50% we pay to the CVB needs to be increased. 2.) several hotel -motel tax grants awarded in prior years were not paid out until the current year. 3.) $30,000 awarded to Grout Museum from the hotel -motel tax grant reserve that had not been budgeted to be paid. Prior Committee Actions (Dates): (Si �nature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies\forms\Budget Amendment_Hotel Motel.xls (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finan Co ittee approval required? NO YES_ Imo, If so, date approved: ,r City of Waterloo Line -Item Budget Amendment Request Form The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget amendment for FYE 12 submitted by the Planning Department: EXPENSES/REVENUE DECREASE EXPENDITURES (INCREASE REVENUE) INCREASE EXPENDITURES (DECREASE REVENUE) Fund Dept Activity Acct # Acct Name Proj Code Amount und Dept Activity Acct # Acct Name Proj Code Amount 010 08 5885 1371 utilities 18PROMTCE( 3,800.00 010 08 5885 1371 bldg mtce 08PROMTCE 3,800.00 290 08 6100 331.1361 F aa'' a08GRTJMP2 1144490810 290 08 6100 1393 subsidies 08GRTJMP2 lighaketiO 426 08 6205 3000 cash on hand 416,600.2aVy6 08 6205 2140 land acq 416,6001$ 426 08 6220 3000 cash on hand 7,000.00(/4 6 08 6220 2140 land acq 7,000.00 t 426 08 6501 cash�onGhand�t 08BCR 610 5 500.00✓426 08 6501 1390 )ther contractural se 08BCR ice;, 5,500.001 �1s30000 290 08 6110 3"3990 eastr rth rttl 08HMGFLDB i 290 08 6110 2140 land acq O8HMGFLDB aiiiiikg 290 08 6110 32,4 eee tatstek-P94511 O8HMGFLDB 112-, 3„ 290 08 6110 9-Y`1309& demo 08HMGFLDB 113,891.00 'zqo Di (ADD (16 2ilivuriy D trit 14kE I1$1vo 290 D( OW 3M aft LtO.tvr NUA k1 ?? h1,L2rb ilk, b (PADDolWO It, d ie)• y13,00 iL tls (olio 31 C4Sh on had- 1423 TOTAL This amendment is being requested because: to correct overbudged items 59/ TOTAL $912,439.00 3'/ Prior Committee Actions (Dates): y' X-d e ` S-1 (Signature Dept. Head or Designee) Date �� (�{gnature Finance Dept. Review) Date Date Posted (Finance Dept.) K:Wsers\shared goodies\formst4.27.12.xls (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance Crimittee approval required? YES V NO If so, date approved: 'I 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 2012 submitted by the Finance 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 525 3000 Cash 130,000.00 525 15 5400 2117 Motor Vehicles 130,000.00 TOTAL $130,000.00 TOTAL $130,000.00 This amendment is being requested because: We budgeted to purchase a garbage truck in FYE2011 that wasn't finished and ready to purchase until FYE2012. Therefore, we need to use fund balance in FYE2012 for the truck. Prior Committee Actions (Dates): ��'d cie (Signature Dept. Head or Designee) Date (Sig ature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies \forms\Bdgt Amd Sanitation Truck FYE2012.xls (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance 6mmittee approval required? YESNO 7/fACil 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 2012 submitted by the Street Department Department: EXPENSES/REVENUE DECREASE EXPENDITURES (INCREASE REVENUE) INCREASt EXPENDITURES (DECREASE REVENUE) Fund Dept Activity Acct # Acct Name Proj Code Amount Fund Dept Activity Acct # Acct Name Proj Code Amount 266 19 7100 3871 Damage Claim 1,486.16 266 19 7100 1577 Traffic Supp 1,486.16 I TOTAL This amendment is being requested because: Transfer to cover expense of replacement barricades. $1,486.16 TOTAL $1,486.16 Prior Committee Actions (Dates): p � (Signature Dept. ead or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies\formslLine Item Amendment - 2012 - Street Dept - Damage Claim Revenue to Traffic Supplies - May 12.xls (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance Committee approval required? YES V NO If so, date approved: 5 I 9uii9- 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 2012 submitted by the Leisure Services 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 37 4500 3473 Beer Sales 15,000.00 010 37 4500 1390 Contract Service 10,000.00 010 37 4500 3431 Concessions 5,000.00 010 37 4500 1553 Resale Merch 5,000.00 010 37 4500 1546 Beer 5,000.00 TOTAL This amendment is being requested because: $20,000.00 TOTAL $20,000.00 to budget for anticipated expenses related to hockey payoff games. Prior Committee Actions (Dates): (Signature Dept.Designee) Date (Signature Finance Dept. Review) ) y Date Date Posted (Finance Dept.) K:\users\shared goodies \forms\Budget Amendment Request Form.xls (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance C mmittee approval required? YES NO If so, date approved: -,�-c ( 901 O 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 12 submitted by the Waste Management Services Department: Jtl: Y6 S z' EXPENSES/REVENUE INCREASE EXPENDITURES DECREASE a REVENUE) Fund Dept Activity Acct # Acct Name Proj Code Amount Fund Dept Activity Acct # Acct Name Proj Code Amount 525 15 5400 34T8 -Weed fees- 52,500.00 525 15 5400 1370 Rep/Maint 10,000.00 37,2I lr. :� ,a,7 i 5 525 15 5400 1387 Radio Equip 10,500.00 525 15 5400 1547 Oil/Grease 12,000.00 525 15 5400 1569 Veh/Parts 20,000.00 TOTAL This amendment is being requested because: to balance our line items $52,500.00 TOTAL $52,500.00 Prior Committee Actions (Dates): /% l/PCuLGC�' (J�L2dC�i 1 ��"CU/ (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) • aiiiimmitiew.:mtivtftwrote.%et Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance mittee approval required? YES NO t� If so, date approved: ( o 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 12 submitted by the Waste Management Services Department: (l'e,Ve a o , aryl EXPENSES/REVENUE DECREASE r 411611 --"^�" "^" ilij REVENUE) INCREASE EXPENDITURES ( ) Fund Dept Activity Acct # Acct Name Proj Code Amount Fund Dept Activity Acct # Acct Name Proj Code Amount 525 15 5400 8618 Weed -Fees 15,135.00 525 15 5125 1344 Phone/Fax 750.01P _3;'c/ r'.";' 525 15 5125 1391 Dues/Members 235.00' 525 15 5125 1533 Fuel 6,000.00' 525 15 5125 1547 Oil/Grease 100.00 525 15 5125 1555 Minor/Equip 500.00. 525 15 5125 1561 Office Equip 1,800.00 525 15 5125 1563 Photo Supplies 500.00' 525 15 5125 1569 Vehicle Parts 200.00' 525 15 5125 1571 Equip Parts 50.00 525 15 5125 1343 Postage 5,000.00 TOTAL This amendment is being requested because: to balance our line items $15,135.00 TOTAL $15,135.00 Prior Committee Actions (Dates): 91K1/4 (Signature Dept. Head or Designee) Date / < T (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) ^ t.‘,A. 418-7bott .61A- Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance mmittee approval required? YES NOS OW — City The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget amendment for FYE 2012 submitted by the Finance 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 100 03 8980 2240 Escrow Agent 6,900,000.00 100 03 8980 3755 funding Bond Proceeds 6,175,000.00 100 03 9050 6050 Trsfr In from Sewer 725,000.00 520 14 9050 2700 Trsfr Out to D/S 725,000.00 520 14 8980 3755 funding Bond Proceeds 725,000.00 TOTAL $7,625,000.00 This amendment is being requested because: To record effect of refunding bond issue to be sold June 2012. TOTAL $7,625,000.00 Prior Committee Actions (Dates): (5/4,e-1/:,), (Signature Dept. Head or Designee) Date 711.E di 575�� (S nature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies \forms\Budget Amd FY12 Ref Bonds.xls (Apr 2003) Completed forms should be routed directly to the Finance Dept. ANCE DEPT. ONLY Finan.= Co tee approval required? YES NO off If so, date approved: /1 I "J" I2 G 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 2012 submitted by the Finance 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 101 08 6270 3000 Cash 13,423.00 101 08 6270 1795 Rebates 13,423.00 101 08 6250 3000 Cash 41,784.00 101 08 6250 1795 Rebates 41,784.00 TOTAL $55,207.00 TOTAL This amendment is being requested because: need to budget for rebates budgeted in prior years but not paid until FY12 and also for rebates to be made to Watessa in FY12 that were not previously budgeted. $55,207.00 Prior Committee Actions (Dates): ( -J2 Szivirelei (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies\forms\Budget Amendment_TIF.xls (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance4ommittee approval required? YES NO G, I n� I .,m If so, date approved: ✓ ('0 1 l v" I 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 FY2012 submitted by the Grants -Project Budget-RAI 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 26 44e5 3875 SalaryReimbm.,-;") a4�d9 5;000,00 010 26 1112 PT.Salaries �` '' ---57090:60- W5 3875 Salary Reimbm. 61000766- �b 1112 PT.Salaries sTeee7eo 3873 Reimbursments 6,966150 Alcohol Expenses .606ee.00 3873 Reimbursments 4leeC'oo Misc. Expenses 4, 0=40-. TOTAL $20,000.00 TOTAL $20000.00 This amendment is being requested because: Budget amendment to cover Riverloop Association Inc(. (RAI) contract payment for management services. (Melissa McKean) Estm.$5000. The RAI will reimburse the City in July 2012 for all expenses paid by the City. Also included is startup costs incurred (alcohol expenses, and misc start up costs paid) Estim.$ 6000 + $4000 Also includes estimated PT salaries for bartenders and security staffing needs. Estm $6000. Prior Committee Actions (Dates): (Signature D1C Head or Designee) ,/t Date /n : %i:`'.4GCd !' (Signature inance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies\forms\FY2012-RAI amendm-5-14-12-2 (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance Cyfimittee approval required? YES , NO l y If so, date approved: .% / 2— ) 96i a/y 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 2012 submitted by the City Clerk 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 010-03-8900-3000 Cash 100,000.00 010-03-8900-1359 Claims 50,000.00 010-03-8950-1361 Liability Ins 50,000.00 TOTAL $100,000.00 TOTAL This amendment is being requested because: The amount budgeted for the insurance coverage and claims was not sufficent to cover the amount budgeted. The premiums are not set until after the budget is adopted. $100,000.00 Prior Committee Actions (Dates): (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies\forms\Budget Amendment Request Form FY2012 Liability Ins Rev.xls (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance ommittee approval required? YES NO I ry�� If so, date approve�d: J I21! �20 2' 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 2012 submitted by the City Clerk 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 010-03-8950-3625 Ins Refund 535,000.00 010-03-8950-1360 Stop Loss Prem 250,000.00 010-03-8950-3828 Retiree Cont 9,000.00 010-03-8950-1366 Prescriptions 100,000.00 010-03-8950-3829 Emp Contr. 56,000.00 010-03-8950-1367 Dental Claims 6,000.00 010-03-8950-1368 Medical Claims 362,000.00 010-03-8950-1319 Other Prof 118,000.00 TOTAL $718,000.00 TOTAL This amendment is being requested because: The amount budgeted for the stop loss coverage and claims was not sufficent to cover the amount budgeted. The premiums are not set until after the budget is adopted. $718,000.00 Prior Committee Actions (Dates): (Signature Dept. Head or Designee) f::1(' 1 5=/--.-<o/:Z Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies\forms\Budget Amendment Request Form FY2012 Self Funded Health Ins Rev.xls (Apr 2003) PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name HUD Fair Housing Grant FY12 & FY13 City Contract No. Project Manager Project Budget Total Abraham L. Funchess, Jr. $ 66,000.00 1 How will this project be funded? A. Federal Grant Yes No CFDA # Grant Name HUD Fair Housing Grant B. State Grant Yes No Grant Name C. City Match D. Other Entities Yes No Name Source of Funding N/A 2. Attach copies of any grant agreements that will fund the project (REQUIRED) e a$srg• e Fine Dept.;, Pro)ct4 O. Subp, fv % Paid by federal grant Grant Agreement Number % Paid by state grant Grant Agreement Number % Paid by City % Paid by other entity 3. Does the project include the purchase of right of way or other real property? If yes, will real property purchases be reimbursable under the grant? If yes, have you attached authorization to purchase real property to this document? 4. Will this project include any non -participating expenses, such as: A. Stormwater permit fees B. Publication, or printing costs C. Others, list 5. Does this project cover any regular full-time salaries or benefits? If yes, employee/position to be covered. 100.00% Done None O ❑ Yes No ❑ ❑X El El ❑ ❑X ❑ ❑X El ❑X ❑ ❑X ❑ El 6. Include a brief description of the project in the space below: (REQUIRED) The FY2011 Cooperative Agreement was amended to increase funding from $23,554.00 to $89,554.00. This amount represents partnership funding to the Waterloo Commission on Human Rights to utilize the services of individuals and/or public, private, for -profit organizations that have expertise needed to effectively carry out the provisions of the FHAP agency's substantially equivalent fair housing law. This project budget worksheet lays out the budget for FY12 and FY13 for the amount of the grant only. Page 2 must be attached and signed. K:\shared goodies\forms\Project Budget Worksheet HUD Fair Housing Grant monies.xls\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION PAGE TWO Project Name (from page one) HUD Fair Housing Grant Department No. project will be budgeted under 27 Activity No. project will be budgeted under 2510 REVENUES: 3000 Cash on Hand 3350 Federal Grant 3352 Federal HUD Grant 3354 Shared Program - Local 3357 Shared Program - County 3358 Shared Program - City 3360 Shared Program - State 3361 State Grant 3720 Donations - Restricted 3750 Sale of Bonds EXPENDITURES: City Clerk Use Only Finance Committee' rxr Approval Date s j'I I vU To be assfgnetlls eFinance,Dept. Project No. Subproject No. (Each column should only include amounts by fund) Fund: Fund: FY12 FY13 Fund: Fund: 33,503.20 Total 32,496.80 66,000.00 TOTALS $ 33,503.20 $ 32,496.80 $ $ $ 66,000.00 1111 Salaries - Regular 1112 Salaries - Part Time 1315 Education & Training 1345 Travel - Official City 1346 Travel - Prof Training 1390 Contractual Services 1301 Temp Agency 1351 Advertising 1303 Meetings/Workshops 1344 Phone/Fax 2106 Computer Equipment 1,500.00 13,313.20 9,590.00 8,000.00 400.00 4,500.00 6,000.00 11,836.80 25,150.00 8,260.00 17,850.00 6,000.00 14,000.00 1,900.00 2,300.00 700.00 700.00 TOTALS $ 33,503.20 $ 32,496.80 $ Sin•ture Dept. Head) $ $ 66,000.00 17 '2,0i � �l tA211;c/2 5 74- Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Project Budget Worksheet HUD Fair Housing Grant monies.xls\Page 2 (Donat or NON-constr) (Mar 2010)