HomeMy WebLinkAbout05/14/20121.
2.
3.
FINANCE COMMITTEE
May 14, 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 7, 2012.
NEW BUSINESS
Travel Requests
Name & Title of Personnel
Class/Meeting
Destination
Date(s)
Amount not
to Exceed
Lieutenant Carrier
Glacken Background
Investigation for Public
Safety
Oak Creek,
Wisconsin
June 10-
12, 2012
$690.00
Tim Pillack, Captain; Todd
Wilson, Planner/Analyst
HALO Counter-
Terrorism Summit
San Diego,
California
October
28-
November
3,2012
$5,890.00
Matt Chesmore, Rehabilitation
and Relocation Specialist
Healthy Homes
Essentials
Hiawatha,
Iowa
June 4-6,
2012
$585.00
4. Approval of increase of petty cash for the City Clerk's office by $200.00 Submitted by
Suzy Schares, City Clerk
5.
Pre Authorizations to Expend over $1,000.00
Dept
AmountEst
Expenditure
Building/Maintenance
$5,121.00
Toilet partition replacement at Center for the Arts
Building/Maintenance
$8,000.00
Pool chemicals and pumps
Fire
$11,235.00
3 MSA M-7 SCBA for the new truck
Fire
$2.606.25
On site respirator physicals and audiograms
Leisure Services
$9,700.00
ADA Compliant portable stairs for Byrnes and Gates
swimming pools
Leisure Services
$2,298.00
Advertising in the Waterloo Cedar Falls Courier
Insider
Waste Management
$1,019.00 +
Plug valve replacement in the Digester building
Services
$200.00
Waste Management
$23,454.20 +
Pump parts for raw wastewater KSB pump
Services
$400.00
Waste Management
$1,352.00 +
Hydroranger replacement at Park Road lift station
Services
$50.00
BUDGET LINE ITEMS TO BE AMENDED
6. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$54,883.29—Submitted by Building Inspection/Maintenance Department.
7. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$$4,000.00—Submitted by Leisure Services Department.
8. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$6,700.00—Submitted by Public Access Studio.
9. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$765,000.00—Submitted by Street Department.
10. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$8,563.45—Submitted by Leisure Services Department.
11. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$198,319.00—Submitted by Housing Authority.
12. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$147,425.00—Submitted by Central Garage.
13. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$23,100.00—Submitted by Central Garage.
14. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$51,135.00—Submitted by Waterloo Regional Airport.
15. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$143,150.00—Submitted by Waterloo Regional Airport.
16. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$2,750.00 Submitted by WCA-Phelps Youth Pavillion.
17. Approve the project budget for the 2012 Dog Park Shelter Sidewalk Project in the total
amount of $33,607.00—Submitted by Paul Huting, Leisure Services Director.
BILLS PAYMENT
ADJOURNMENT
Suzy Schares
City Clerk
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY _2012_ BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
010-11-1100-1346
7 70(.7
7 6 /
( o`-
Copy - Department
NAME(S) AND POSITION(S):
Lt. Alan Carrier
DATE:
May 3,2012
NAME OF CLASS / MEETING:
Glacken Background Investigation for Public Safety
DESTINATION: Oak Creek, Wisconsin
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
June 10,2012
Return Date:
June 12, 2012
DATE(S) OF MEETING:
June 11-12,2012
PURPOSE OF TRAVEL:
Captain Mohlis is requesting authorization to send Lt. Alan Carrier to the Glacken Background Investigation course on
June 11-12, 2012, in Oak Crook, Wisconsin. Lt. Carrier is assigned to the Administrative Division and is responsible for
the conducting of Background Investigations of potential employees of the Police Department. This 2- day course will
instruct Investigators on how to complete thorough background investigations on potential candidates for the position of
Police Officer. It is imperative a thorough background be completed on these potential Police Officers to ensure that the
most creditable candidates are being hired as Police Officers. A city vehicle will be needed for travel to the training
facility.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
COST $
YES NO
METHOD OF TRAVEL:
XX CITY VEHICLE
AIRFARE DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
$ 250.00 LODGING
$90.00 MEALS
$275.00 REGISTRATION
$75.00 MILEAGE/FUEL
TOTAL FOR ALL: $ 690.00
TAXI
PARKING
AIRFARE
MISCITOLLS
BUDGET LINE ITEM:
YES
YES
x GRANT REIMBURSABLE
NO
x REQUIRED CERTIFICATION
NO
TOTAL: $ 690.00 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
DEPARTMENT HEAD MAYOR
DATE DATE
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT. STAFF ONLY
LINE ITEM USED Cl/D // //6Z) i 6,r17
FY=7Vi3 BUDGETED 4380D'
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE %/,%.<, tf.)-(% �* y
Original - Clerk/Finance Copy - Department
S ��ef
NAME(S) AND POSITION(S):
Tim Pillack, Captain
Todd Wilson, Planner/Analyst
DATE:
May 8, 2012
NAME OF CLASS / MEETING:
HALO Counter -Terrorism Summit
DESTINATION: San Diego, California
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
October 28, 2012
RETURN DATE:
November 3, 2012
DATE(S) OF MEETING:
October 29 — November 3,
2012
PURPOSE OF TRAVEL:
To attend the 2012 HALO Counter -Terrorism Summit from October 29 — November 2, 2012 in San Diego, California. The
conference participants will have the opportunity to attend sessions that include: The Reality of Crisis Response, Islamic
Literalist Ideology, Iran -Threats and Capabilities, Sex Trafficking, Terrorism and Terrorist Organization, Drug Cartels,
Cartel Threats to the U.S., Intelligence Fusion and Practical Applications. The conference has been approved through
Iowa Homeland Security and will be funded through the 2010 Grant.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
YES NO
COST $
METHOD OF TRAVEL:
CITY VEHICLE PRIVATE VEHICLE
$1200.00 AIRFARE DEPARTING FROM: Waterloo, Iowa
ESTIMATE OF COST:
$1800.00 LODGING
$890.00 MEALS
$2000.00 REGISTRATION
MILEAGE/FUEL
TOTAL FOR ALL: $ 5890.00
TAXI
PARKING
AIRFARE
MISC/TOLLS
010 11 1150 LEIN
BUDGET LINE ITEM: 11GRT LENT
X GRANT REIMBURSABLE
YES NO
YES NO
TOTAL: $
REQUIRED CERTIFICATION
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
DEPARTMENT HEAD MAYOR
DATE
DATE
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT. STAFF ONLY
LINE ITEM USED ,
FYI"/ BUDGETED
EXPENDED YTD '7&'
THIS REQUESTjy
LEFT AFTER THIS
REQUEST
/7.Cc'
DATE 7r2,„
Original - Clerk/Finance Copy - Department
NAME(S) AND POSITION(S):
Matt Chesmore, Rehabilitation and Relocation Specialist
DATE:
5-8-2012
NAME OF CLASS / MEETING:
Healthy Homes Essentials
DESTINATION:
DEPARTURE POINT
IF NOT WATERLOO:
Hiawatha, IA
DEPARTURE DATE:
June 4, 2012
RETURN DATE:
June 6, 2012
DATE(S) OF MEETING:
June 4-6, 2012
PURPOSE OF TRAVEL:
Healthy Homes Essentials classes for certification
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE
AIRFARE
DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
60
405
70
LODGING
MEALS
REGISTRATION
MILEAGE/FUEL
50
TOTAL FOR ALL: $ 585
TAXI
PARKING
AIRFARE
MISC/TOLLS
224-32-5853-1346
BUDGET LINE ITEM: BGLED TRVL
X GRANT REIMBURSABLE
YES NO
X
YES
REQUIRED CERTIFICATION
NO Mandatory for Lead Grant
TOTAL: $ 585
PER PERSON
1 BELIEVE THIS TRIP SER
AND IS NECESSARY A
CITY OF
DEP;cri(HEAD
IC PURPOSE
TO THE
DATE
J:INANCY-Gltravel\Travel Request Form Matt Hiawatha 5-8-2012.doc
I APPROVE THIS TRAVEL REQUEST
MAYOR
DATE
CITY OF WATERLOO
Committee Communication
Finance Committee Meeting: May 14, 2012
Prepared: May 9, 2012
Dept. Head Signature: Suzy Schares
# of Attachments: 8
sio-ol 2-
SUBJECT: Increase Petty Cash for the City Clerk's Office by $200
Submitted by: Suzy Schares, City Clerk
Recommended Committee Action: Approval to increase the petty cash for the Clerk's Office
front counter cash drawer II and the back office cash drawer each by $100
Summary Statement With the new software it will be more efficient to have three cash drawers.
Expenditure Required: $200
Source of Funds: 010-03-8400-1710
Policy Issue: None
Alternative:
Background Information:
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committee
Approval Date 0419112-
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Building Maint Department to expend
$ 5,121.00 plus est. shipping costs of $ to pay for or purchase
This purchase or expenditure is being made because:
Toilet Partition Replacement at Center for the Arts
Vendor selected for this purchase: Failor Hurley
n Bids or written quotes were taken on this purchase, as follows:
Three vendors invited and did walk through the building. Only one bid received
back.
Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund Road Use Tax n Sewer � Sanitation
Bonds Federal/other grants 0 Other (specify)
This expenditure is to be coded to the following budget line -item:
414422-4205-2152
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 7)-0000
and the current available balance is
Rectfully miffed,
• nature Dept. Head or Designee)
$ 1613L,er/
Date (Signature Finance Dept. Review) Date
K:\shared goodies \forms\Expenditure Pre-Authorization.xls (Mar 2010)
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committee
Approval Date 5/i1-4 Ore r?--
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Building Maint Department to expend
$ 8,000.00 plus est. shipping costs of $ to pay for or purchase
This purchase or expenditure is being made because:
Pool chemicals and pumps
Vendor selected for this purchase: ACCO
0 Bids or written quotes were taken on this purchase, as follows:
ACCO - low bidder
Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
n General Fund Road Use Tax 0 Sewer ❑ Sanitation
Bonds FederaVother grants [] Other (specify)
This expenditure is to be coded to the following budget line -item:
010-22-8800-1513
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
ully subm'
(Signature Dept. Head or Designee)
$ /gc-ca-
$ ,' &
Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
City of Waterloo
Expenditure Authorization Request Form
--BALLA/A Aytev-ei
SA itivvi
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Waterloo Fire Rescue Department to expend
$ 11,235.00 plus est. shipping costs of $ none to pay for or puchase
3 MSA M-7 SCBA for the new truck.
This purchase or expenditure is being made ,because:
These SCBA tanks are compulsory equipment on each fire truck. These tanks were
not included in the previous pre authroization for loose equipment for our new fire truck.
Bids or written quotes were taken on this purchase, as follows:
l l Bids or quotes were not taken on this purchase because:
Single Source Provider
Prior Committee Actions (Dates):
This expenditure is to be coded to the following budget line -item:
410-12-1400-2117 Truck Replacement
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
rrent available balance is
Resp
(Sig ature Dept. ead or Designee)
$ 600,000.00 17
$ 111, 368.88
Date (Signature Finance Dept. Review) Date
users\shared goodies\forms\[File] (April 2003)
2010 GENERAL OBLIGATION BOND PROCEEDS
FUND 410
PURPOSE
FUND PAYING CODE
AMOUNT
AMENDMENTS
BALANCE
American Disabilities Act (Taxable)
410-22-8755-2152
25,000.00
25,000.00
Bikeway Maintenance
410-07-7355-2157
50,000.00
2,915.40
Boating Center Improvements
410-37-4207-2175
25,000.00
25,000.00
Bridge Inspections
410-07-7400-2103
25,000.00
���������������
�����������������������������
18,000.00
��
2,389.62
3,500.00
CAPITAL EQUIPMENT / VEHICLES:
��������������������\������
Building Inspection Truck
410-22-5100-2117
Center for the Arts Truck
410-26-4205-2117
35,000.00
35,000.00
Central Garage Truck
410-18-7950-2117
25,000.00
1,607.56
Code Enforcement Truck
410-22-5125-2117
25,000.00
(4,610.38)
Leisure Services Trucks
410-37-4100-2117
200,000.00
(9,396.40)
Motor Pool Vehicles
410-18-7950-2117
45,000.00
(3,206.44)
3,180.66
Police Investigation Vehicles
410-11-1100-2117
20,000.00
(1,746.00)
Police Patrol Cars
410-11-1100-2117
160,000.00
1,145.00
Police Vehicle Equipment
410-11-1100-2117
20,000.00
Street Department Vehicles
410-19-7100-2117
435,000.00
9,997.40
Traffic Department Truck
410-17-7120-2117
50,000.00
3,819.64
Central Garage Facility Improvements
410-18-7950-2152
35,000.00
35,388.14
60,578.15
Central Garage Impr-New Public Works Bldg
410-18-7950-2103,2152
700,000.00
661,999.96
Central Garage Fuel Software
410-18-7950-2106
45,000.00
(35,388.14)
City Facilities Improvements (Taxable)
410-22-8800-2152
122,000.00
3,425.22
Cultural Arts Building Impr
410-22-4205-2152
185,000.00
Cultural Arts/Youth Pavilion Impr
410-26.4205-2152
63,000.00
24,335.48
Downtown Dev Plan Consulting (Taxable)
410-08-6100-2103
60,000.00
(6,827.00)
Downtown Property Acquisitions (Taxable)
410-08-6100-2140
450,000.00
62,827.00
Downtown Off Road Mtce Equipment
410-37-4110-2113
73,000.00
Fire Aerial #311 Repair
410-12-1400-2117
69,000.00
69,000.00
Fire Ambulance Replacement
410-12-1410-2117
0.00
4,000.00
Fire Breathing App. Replacement
410-12-1400-2128
75,000.00
(54,000.00)
21,000.00
Fire Department Equip & Uniforms
410-12-1400-2112
25,000.00
50,000.00
63,454.23
Fire Engine #305 Replacement
410-12-1400-2117
600,000.00
111,368.88
Fire Station #5 Door Improvements
410-12-1400-2152
28,000.00
28,000.00
Fire Station Improvements
410-22-1400-2152
70,000.00
9,906.45
Five Sullivans Center (Taxable)
410-22-4900-2152
50,000.00
50,000.00
Flood Control Improvements
410-07-5600-2171
50,000.00
GIS/GPS Mapping
410-08-5700-2111
3,000.00
3,000.00
GO Bond Costs (Taxable)
410-03-8980-1750
32,250.00
629.39
GO Bond Costs (Tax -Exempt)
410-03-8980-1750
143,850.00
90,005.92
Golf Course Improvements
410-37-4120-2174
100,000.00
53,929.44
Golf Course Maintenance Equip (Taxable)
410-37-4120-2113
190,750.00
Kimball Avenue Traffic Improvements
410-07-7500-2103
10,000.00
Library Improvements
410-22-3100-2152
55,000.00
40,729.18
Library Radio Frequency ID Conversion
410-3-3100-2106
100,000.00
7,586.82
Logan TIF (Taxable)
410-08-6280-2103
100,000.00
137.40
MIS Department Computers
410-01-8225-2106
68,000.00
Northeast Industrial Park TIF (Taxable)
410-08-6220-2140
200,000.00
(200,000.00)
Nuisance Abatement/Demo (Taxable)
410-08-5150-1396
200,000.00
Parking Meter Replacement
410-17-7910-2126
50,000.00
Parking Ramp Repairs
410-22-7960-2180
100,000.00
Parks Department Improvements
410-37-4105-2168
80,000.00
5,655.12
Parks Dog Park Improvements
410-37-4105-2168
25,000.00
4,607.64
1 of 2
Sandry Fire Supply, L.L.C.
618 6th Street
DeWitt, IA 52742
Voice: 888-586-2938
Fax: 563-659-8147
Waterloo Fire Department
425 E 3rd Street
Waterloo, IA 50703
orner ID"
Waterloo
QUOTATION
Quote Number. m1730
Quote Date: Mar29, 2012
Page: 1
4/28/12
c?a
Net 30 Days
ron
uantrt
#eiR? w ..r
4 = x,,# sp to
nit ce-
uil,,`.,
3.00
msaA-M7
MSA M-7 SCBA Waterloo spec, 2216,
FireHawk,30 min carbon cyl, pass device,
no face piece, (B-M7LDO3A1A00AA00)
3,745.00
11,235.00
Subtotal
11,235.00
Sales Tax
Freight
ifetiAt "F� ,� rf
�? uA f
,�235-*
Ordering Selection Mot
Electronic Pressure Gauge/ Heads -Up
Communications Integrated PASS Display Case
;
� a\
,
q///
.._
} } .
!/;)!
7!>.
1111
)}re
i|
Z
i\
`\ \
1 Nosecup Head Harness
`!{\
..
\{
_
.
iI
!
!
\�\
=
Emergency
Breathing
Support
/)}}(}!I.()
!!!!!a!;!!!!
If choosing an Air Mask
Pressure M,M Is not
compatible with Quick -Fill.
_
�,.[. <0 , 0
MMR Type
CORN Flrehawk AC,
threaded
CBRN Flrehawk STC, QC,
CBRN Flrehawk PTC,
threaded
CBRN Flrehawk PTC, QC
If choosing an EttendAlre I
option, the MMR type must
be a oC (option O or 01.
<_� CI
2
!\
!$:!}
!}
J
{ }}j} ]
\\/}/)1.)
l.;3;2;/; _
\
_
`
. -V
0_0
Lumbar Pad/
Rescue Belt
-.Li/ #/
,_,��.:�
g.\
!]}!{f
Carrier/
Harness
Assembly
/ /
ag
T
Options A OOnn
only be chosen Ha
rescuebeI Is
selected.
< ` ° >�
-
..
k}
f
. _
111
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committee ' I
Approval Date ✓// �-r' i
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Waterloo Fire Department to expend
$ 2,606.25 plus est. shipping costs of $ 0.00 to pay for or purchase
On site respirator physicals and audiograms.
This purchase or expenditure is being made because:
This is a Contractual obligation.
Vendor selected for this purchase: Allen Occupational Health Services
❑ Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
The City of Waterloo has a bid with Occupational Health for these medical services.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
EGeneral Fund ❑ Road Use Tax ❑ Sewer ❑ Sanitation
❑ Bonds pi FederaVother grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
010-12-1400-1314
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and t
Respe
(Project Code)
$ 9,000.00
rent available balance is $ 6,445.00
S
6-1/ -Ado.
(Signature De t. Head or Designee) 'ate (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre -Authorization OnSite Physical (Mar 2010)
l ALLEN
HOSPITAL
IOWA HEALTH sYsTnt
Bill to:
Capt. Mike Junk
City of Waterloo Fire Dept
425 E 3rd Street
Waterloo, IA 50703-0000
Invoice
May 02, 2012
OCCUPATIONAL
HEALTH SERVICES
1825 LOGAN AVENUE
WATERLOO, IA 50703-1999
319-235-3885
FAX: 319-235-3113
For: City of Waterloo Fire Dept
Onsite Resp
Invoice # 174798
Proc Code
86580
Date Description Qt ( Charoe Receipt Adjust Balance
04/12/2012 Respirator Physical -On Site 8.00 160.00 160.00
Qty 8
04/12/2012 Audiogram on -site (76- employees) 75.00,�. 1500.00 1500.00
Qty 75
04/12/2012 Respiratory Clear Questionnaire 23.00 345.00 345.00
Onsite
Qty 23
04/12/2012 On Site TB Test 21.00 336.00 336.00
Qty 2/
Cut and return with payment
Please remit 2,341.00 to
Net Due 60 Days From Statement Date
Please place invoice number 174798 on check
Balance Due:
Invoice # 174798 Balance Due:
Allen Occupational Health Services
1825 Logan Ave.
Waterloo, IA 50703
Phone: 319-235-3885
2341.00
2341.00
ALLEN
HOSPITAL
IOWA HEALTH srsrn.+
Invoice
May 02, 2012
Bill to: Capt. Mike Junk
City of Waterloo Fire Dept
425 E 3rd Street
Waterloo, IA 50703-0000
OCCUPATIONAL
HEALTH SERVICES
1825 LOGAN AVENUE
WATERLOO, IA 50703-1999
319-235-3885
FAX: 319-235-3113
For: City of Waterloo Fire Dept
Ind Inv
Invoice # 175117
Proc Code Date Description Ot Charge Receipt Adjust Balance
71010-26 04/23/2012 Chest, single view-Interp 1.00 25.00 25.00
71010-TC 04/23/2012 Chest-1 View 1.00 76.47 76.47
93005 04/23/2012 EKG Electrocardiogram 1.00 143.78 143.78
93010 04/23/2012 EKG Interpretation 1.00 20.00 20.00
Christopher E Behrens XXX-XX-9437 Balance Due:
o _ Cut and return with payment
Cr-
--
Please remit 265.25 to
Net Due 60 Days From Statement Date
Please place invoice number 175117 on check
Invoice # 175117 Balance Due:
Allen Occupational Health Services
1825 Logan Ave.
Waterloo, IA 50703
Phone: 319-235-3885
265.25
265.25
05/09/2012 07:03 3192914297
WATERLOO LEISURE SER
PAGE 02/02
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only .
Finance Committee /
Approval Date %Li/90/�
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
$ 9,700.00 plus est. shipping costs of $ to pay for or purchase
ADA Compliant portable stairs for Byrnes and Gates Swimming Pools.
This purchase or expenditure is being made because:
This item is necessary to make our public swimming pools compliant with new ADA
regulations.
Vendor selected for this purchase: Pool Tech Cedar Rapids IA
E Bids or written quotes were taken on this purchase, as follows_
❑x Bids or quotes were not taken on this purchase because:
Pool Tech was the only vendor that could both ensure delivery in time for the season
as well as take all necessary measurements in person to ensure a proper fit.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
x
General Fund
Bonds
Road Use Tax
Federal/other grants
(I
I(
Sewer
Other (specify)
This expenditure is to be coded to the following budget line -item:
411-22-4200-2132
(Fund- Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully submitted
(Signature Dep . J'I€'pt
5:_
or Designee) Date
Sanitation
(Project Code)
$ 110,000.00 to
$ A-06,546.1$ /c) a �? /� 3 Y
(Signature Finance Dept. Review)
Date
K:\shared goodioslforms1Ezpendlture Pre -Authorization ada steps.xls (Mar 2010)
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committee
Approval Date SUL+r
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
$ 2,298.00 plus est. shipping costs of $ to pay for or purchase
Advertising in the Waterloo Cedar Fall Courier Insider.
This purchase or expenditure is being made because:
to market the Riverloop and Public Market.
Using the Hotel Motel funds
Vendor selected for this purchase: The Courier
❑ Bids or written quotes were taken on this purchase, as follows:
Pi( Bids or quotes were not taken on this purchase because:
this is the local newspaper.
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
Bonds n Federal/other grants I ^ I Other (specify)
This expenditure is to be coded to the following budget line -item:
010-01-6660-1351 01 HMT-DISC
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted
V g r�
ature Delft. ad r Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\ enditure Pre-Authorization.xls (Mar 2010)
$ 3,353.00
$ 3,353.00 V
City Clerk Use Only
Finance Committee I �/
Approval Date 1J'1 ' `-1" J v1—
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 Departmant to expend
$ 1,019.00 plus ext. shipping cost of $ 41e04.200, C cs to pay for or purchase
Plug valve
This purchase or expenditure is being made because:
To replace a Dezurk plug valve that is leaking sludge from #4 heat exchanger in the
Digester building.
nBids or written quotes were taken on this purchase, as follows
Bids or quotes were not taken on this purchase because:
Dezurk plug valve is a direct replacement and Mellen & Associates is the rep for this
equipment
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
[] General Fund: []Road Use Tax: ESewer: Sanitation:
[]Bonds:
❑Federal/other grants:
ElOther(specify):
This expenditure is to be coded to the following budget line -item:
590/14/5200/1571
(Fund - Department - Activity - Account Number) (Project Code)
in which budgeted amount is
and the current available balance is
Respec Ily submi - d,
(Signa ure Dept. Head Or Designee) Date
$ 301,422.00 V
$ 68,847.52 v
clue& -
Signature Finance Dept. Review)
-fit/ -
Date
ay. 8. 2012 11:02AM NMHS HUMAN RESOURCES
No. 4386 P. 1
MELLEN &
ASSOCIATES, INC.
3404 8. 11t1 81-, Council Btufis, IA 51501
YNYFS'AC IOATOR'EQWPIFFM
NONICEPAI • POWER• PROCESS
N EBRASKA'ROW NANSRS-14M1Rf
QUBTIITIONtk 2012-05-08-EM-1
QSSIMIONIN1TE: May 8, 2012
REPAID) BY: Eric Musselman
Ph: (319) 390-5532
Fax: (319) 390-8034
E-Mail: ericemelleninc.com
MODEST NAME DeZURIK 4 Inch PEF Eccentric Plug Valve For Use with AUMA
QUOTED IS: City of Waterloo Water Polulion Control
3505 Easton Ave.
Waterloo, IA 50702
Attn: Dick Olson
Ph: (319) 291-4553 Pax (319)291-4523
E-Mail:
TERMS: 100% Net 30 Days
E.0.8.: Factory
FREISIff TERMS: Freight Allowed
DUMMY; 2-3 weeks ARO
BFUWJIT ISURettaald: 2-3 weeks
Item
Ne.
ran
goatlike
Size
DBSCHptIOA
Net
Each
Ext
Net
Alpha Laval Heat F.xchaager Slude Contra/Valve
1
1
4"
DEZURIK Flanged Eccentric Plug Valve, Model PEF (100% pipe area),
Cast Iron Body, NBR (180 degrees Max) coated ductile iron Plug, welded
nickel seat, externally adjustable, multiple V-ring NBR stern packing, with
adaptation hardware for use with existing AUMA GS63.3 gear box, (Ref
AUMA SO#A001476 - existing Pratt Ballcentric).
$ 1,019
$ 1,019
TOTAL NET FOR HIE ABM' I $
1,019
TERMS & CONDITIONS
1. Price does not Include mechanical joint accessories, vatva boxes, special coatings, tee operating wrenches, flange gaskets. bolts,
installation, test certifications, field start up services, special crating, or packaging for export • unless otherwise noted.
2- State and local use taxes are not Included. Tax exempt certificates must be provided If the project is determined to be tax exempt.
3. ThiS quotation reflects our policy of sourcing raw materials in the most cost effective manner, Any requirements for specific
U,S. content may require a revised quotation. Equipment may not be compliant with special ARRA "Buy American" funding conditions,
unless quoted as such.
4. A maximum of 8 printed Submittal & O&M will be provided on double -sided prints in a loose, unbound, and untabbed format. Electronic copies will
be available via a -mall as an Adobe Acrobat PDF file. Any requirements for special formatting, including but not limited to, binders, separation tabs,
Color Prints, Single -Skied Prints, Compact Disc or USB Flash Drive will be subject to additional charges-
5. This quotation was prepared with limited specifications, and/or application data. Any subsequent changes to materials, coatings,
features, actuation, accessories, or otherwise shall require a re -quotation.
6. This quotation Is limited to the scope, supply & descriptions above- Please review all necessary valve/tag schedules, and installation drawings to
ensure all items are Included.
7. This quotation/order is subject to the manufacturers' acceptance, werrenty and terns and conditions (available upon request)-
8. Pricing will be held firm for 30 days.
Aftr5Afi eft,
42rg.o-v
IADRITIONALCOM ITS
1. Please reference quotation number 2012-05-08-EM-1 on all purchase orders & correspondence.
2. Purchase Orders resulting from this quotation shall be Issued to 'Mellen & Associates Inc",
#Y lJ'GL"s%fee /f£4g-1 '£}oGI/.2 f-t /ef-'4Llut
WO EMO60812-1 4 PEF FUW AUMA - replace Pratt Balloentrlc.xls Page 1 n1 1
City Clerk Use Only
Finance Committe
Approval Date )' [rv,s of �--
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 Departmant to expend
$ 23,454.20 plus ext. shipping cost of $ 400.00 to pay for or purchase
Pump parts for Raw wastewater KSB pump
This purchase or expenditure is being made because:
To repair the Easton raw wastewater influent pump, impeller and wear ring are worn
out need to order these parts ahead of time they are made in Sweden and it takes 3 to
/1 months to get to us.
Bids or written quotes were taken on this purchase, as follows
Bids or quotes were not taken on this purchase because:
Quality Control is the vendor to repair KSB pumps
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund: I 'Road Use Tax: X Sewer: 'Sanitation:
Bonds:
nFederaVother grants:
Other(specify):
This expenditure is to be coded to the following budget line -item:
520/14/5200/1571
(Fund - Department - Activity - Account Number)
in which budgeted amount is
and the current available balance is
Respectfully submitted,
(Project Code)
$ 301,422.00
$6184752 6'70S,
aturle kept. ead Or Designee) Date (Signature Finance Dept. Review) Date
Fax Quotation
Quality Pump & Control
840 — 15th ST. S.W.
Mason City, IA. 50401
Phone (641) 422-0441
Fax (641) 422-0442
Date: 05-04-2012
To: Waterloo, IA
Attention: John,Kent,Steve
Fax # By E-Mail
From: Kit Alcorn
Job Descraotian: Impeller & Wear Rings for a KSB 500-500
QUANTITY
1
1
UNIT
Ea
Ea
Ea
DESCRIPTION
Impeller with Rotating Wear Ring
Stationary Wear Ring
Freight Estimate
PRICE
$17,91020
$5,544.00
$400.00
TOTAL
$17,910.20
$5,544.00
$400.00
Materials Total .3 qs- U
Fr ', 'iO
TcltL �� 8-5 `] • a
City Clerk Use Only
Finance Committee
Approval Date 5j1gin0—
$ 1,352.00
Hydroranger
City of Waterloo
Expenditure Authorization Request Form
The Finance Committee of the City Council is here by requested to authorize the following
WM
purchase or expenditure submitted by the Departmant to expend
plus ext. shipping cost of $ 115-o•0
to pay for or purchase
This purchase or expenditure is being made because:
To replace one at Parkroad lift station Hydrorangers are used to determine at what
level the wetwell is at to call for pumps to come on or off.
nBids or written quotes were taken on this purchase, as follows
Bids or quotes were not taken on this purchase because:
Gurney is the rep. For are area for Hydrorangers
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:
❑FederaVothergrants:
nOther(specify):
This expenditure is to be coded to the following budget line -item:
520/14/5400/1571
(Fund - Department - Activity - Account Number)
in which budgeted amount is
and the current available balance is
Respe•�� Ily submitted
(S
natur ept'Head Or
(Project Code)
$ 301,422.00
$ e8,8477,62 7L37i`f'%l
S ' Z 7/ I L�f Ci �" )).L Lf 't
Date (Signature Finance Dept. Review) Date
05-07-'12 11:25 FROM -Gurney 3: Associates 4025535879 T-462 P0001/0004 F-331
GURNEY
Bert Gurney & Associates Inc.
Quote #: 12-155-0 Date: 5/7/2012
Contact: Kent -Waterloo Iowa Re: HydroRanger quote
No. of pages:
4
From: Shari Hentschke
QTY.
UNIT
DESCRIPTION/PART NO.
LEAD
TIME
PRICE
TOTAL
1
each
HydroRanger 200, wall mount,
single point, 6 relays
5-7 days
$1,352.00
$1,352.00
ITEMS NOT INCLUDED:
• Sales or use taxes of any kind or type.
• Freight, installation labor, service or startup supervision. Start-up can be provided at the
rate of $750 per trip per day
• Anchor bolts, brackets, fasteners, lubricants, controls, gauges, valve box, valve tags
wiring, or any other item unless specifically mentioned in the above Scope of Supply
NOTE:
• Please see attached Siemens Terms and Conditions, and Additional Quotation
Notes and Information.
WHEN ORDERING:
• Please make PO out to Siemen Industry Inc.
Is this order tax exempt? - Please circle the answer and fax a copy of your certificate
if not already.on file, Yes No
Accepted
$1,352.00
by
/5:e1Af So.a0
Date
Signature
Print or Type Name Above Title
BGA Short osAmog.sgAWgTH 108th STREET OMAHA, NE 68137 FAX (402) 553-5879
1
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance 90mmittee approval required?
YES V NO 1 ',I1rxn �1
If so, date approved /I41 // U(,7
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 Building Insp/Maintenance 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
010-22-5100-3000
Cash
10,000.00
010-22-5100-1390
Other Cont Sery
10,000.00
010-22-5100-1520 Software
1,000.00
010-22-5100-1533
Fuel
1,000.00
010-22-6860-3000
Cash
1,200.00
010-22-6860-1114
Time & Half Pay
1,200.00
010-22-6860-3000
Cash
2,000.00
010-22-6860-1117
Double Time
2,000.00
010-22-6860-3000
Cash
15,000.00
010-22-6860-1373
Fixed Plant
15,000.00
010-22-68603 6
iII j-6eefri4
I7)(
20,000.00
010-22-6860-1382
Bldg Improv
20,000.00
010-22-6860-3000
Cash
5,000.00
010-22-6860-1390
Other Cont Sery
5,000.00
010-22-8800-1390
Other Cont Sery
683.29
010-22-8800-1371
Bldg Ground Maint
683.29
TOTAL
This amendment is being requested because:
$54,883.29
TOTAL
$54,883.29
Prior Committee Actions (Dates):
(Signature Dept. Head or Designee)
7
Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodieslforms\Budget Amendment Request Form 4-24-12.xls (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance teCgnmittee approval required?
YES NO
If so, date appovved: I1 l ( "7—
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
' REASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES $ CREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 37 4105 1555
Tools
37GFT-PARK
4,000.00
010 37 4105 3720
Restricted Donation
37GFT-PARK
4,000.00
TOTAL
This amendment is being requested because:
$4,000.00
TOTAL
$4,000.00
to budget for a grant with the Cedar Trails Partnership to purchase a cep country ski grooming device. Grant approved at Council Meeting
January 9th, 2012.
Prior Committee Actions (Dates):
'%JgfL
at re e
6 »)-
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
Fina C mittee approval required?
YES NO
�/(4 /�(�
If so, date approved 1111 Ir
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 Public Access Studio 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
010-03-8150-3354 Shared Prog -School
6,700.00
010-03-8150-1111
Salaries
5,700.00
010-03-8150-1121
FICA -City
325.00
010-03-8150-1122
IPERS - City
325.00
010-03-8150-1123
Disability
30.00
010-03-8150-1130
Benefit Reimb
250.00
010-03-8150-1343
Postage
70.00
TOTAL
$6,700.00
TOTAL
This amendment is being requested because:
Salaries for both CAN employees were increased due to the increased responsibility and time needed to run Waterloo
Community School Districts Public Access Channel. The postage line is over due to the need to mail a large camera in for repair.
$6,700.00
Prior Committee Actions (Dates):
(Signature D pt. Head or Designee)
5 l 5 id '/
Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
Kiusers\shared goodies\forms\Budget Amendment Request Form FY2012 Public Access (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance, CDfimittee approval required?
YES NO If so, date approved: l4 11(/�',r
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 Street Department 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
266
19 7200 1111
Salaries
630,000.00466
19
7100
1111
Salaries
630,000.00
266
19 7200 1121
FICA
54,000.00
266
19
7100
1121
FICA
54,000.00
266
19 7200 1122
IPERS
60,000.00"/266
19
7100
1122
IPERS
60,000.00
266
19 7100 1301
Temp Svc
7,500.00
266
19
7100
1555
Minor Equipment
7,500.00
266
19 7200 1513
Chemicals
2,500.00466
19
7200
1549
Lumber
2,500.00
266
19 7200 1513
Chemicals
2,000.001/-266
19
7200
1555
Minor Equipment
2,000.00
266
19 71003 1569
Vehicle Parts
6,000.0
966
19
7200
1569
Vehicle Parts
6,000.00
266
jD
19 7100 2t51f"
Sale - Junk
1,500.00
2,66
19
7100
1577
Traffic Supplies
1,500.00
266
19 7100015
Sale - Junk
1,500.00
266
19
7100
1555
Minor Equipment
1,500.00
TOTAL
This amendment is being requested because:
Re -distribution of funds to cover operational expenses.
$765,000.00
TOTAL
$765,000.00
Prior Committee Actions (Dates):
4-2.4{
(Signature Dept. Head or Designee) Date
'] ,I %C /l�hlYCAI
( I (Signature Finance Dept. Review)
5A
Date
Date Posted (Finance Dept.)
K:lusers\shared goodies\forms\Budget Amendment - April 2012.xls (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finan e mmittee approval required?
YES NO
If so, date approved: ,1j4{(7at
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
FFuund Dept Activity Acct #
Acct Name
Proj Code
Amount
-
cash
371MP-SARR
V
3,563.45
010
37 4105 2178
Sports Improvement
371MP-SARR
3,563.45''
010 37 4105 3720
Restricted Donate
371MP-SARR
5,000.0U
010
37 4105 2178
Sports Improvement
371MP-SARR
5,000.00'
TOTAL
This amendment is being requested because:
$8,563.45
TOTAL
$8,563.45
to budget cash on hand for the Softball Association Restroom project, and budget for expected donation for the project. ( Y$- $
AcS/)L G4lbt��
Prior Committee Actions (Dates):
/ Yl ��<(L� //�c�n sip -ti
gnature Dept. or Designee) Dat (Signature Finance Dept. Review) 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 9emmittee approval required?
YES V NO
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 Waterloo Housing Authority 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
283
13
5452
1710
Claim & Co
319.00y283
13
5452
1571
Mach/Equip
319.00
283
13
5452
3352
Fed HUD Grant
198,000.00
283
13
5452
1706
HAP Payments
71,500.00
283
13
5452
1710
Claim & co
126,500.00
TOTAL
This amendment is being requested because:
To adjust expenses
$198,319.00
TOTAL
$198,319.00
Addl HUD Grant being received.
Prior CommActions (Dates):
(Signatu a Dept. Head or Designee)
Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Budget Amendment 04-26-12 (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
/vo
. FINANCE DEPT. ONLY
Finance jJommittee approval required?'`
YES NO
l
If so, date approved: '5 ! 14 it l 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 Central Garage 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 18 7955 1571
Equip Parts
5,000.00
010 18 7955 • ! 1547
Oil & Grease
5,000.00
010 18 7955 3922
Charges -Tires
72,425.00
010 18 7955 11569
Vehicle Parts
72,425.00
010 18 7955 3477
Sale Gas
70,000.00
010 18 7955 i 1533
Fuel
70,000.00
I
I
TOTAL
This amendment is being requested because:
Transfer to cover anticipated operational shortfalls
$147,425.00
TOTAL
$147,425.00
Sale of fuel has not yet metrevenue budget. Expected revenue budget to be exceeded by efficient amount to justify transfer.
" C/B Tires account has not yet met revenue budget. Expect revenue budget to be exceeded) by sufficient amount to justify transfer.
Monthly revenue average $22k.
Prior Committee Actions (Dates):
(Signature De .Head or Designee)
-ly"
—/L
Date
4-teiiA.P.Y( (1i4trc.- ttl
(Signature Finance Dept. Review)
5-/c' "'/
Date
Date Posted 91 inance Dept.)
K:\users\shared goodies\forms\Line Item Amendment - 7955 - Apr 2012.xls (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance C.Ammittee approval required?
YES NO
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 Central Garage Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Dept Activity Acct #
Acct Name
Proj Code
Amount
010
18
7950
1111
Salaries
5,400.00",
/ytind
910 18 7950 1301
Temp Service
5,400.00
010
18
7950
3502
Sale - Junk
1,500.00%0
18
7950
1533
Fuel
1,500.00
010
18
7950
3502
Sale - Junk
650.00
p10
18
7950
1541
Cleaning Supplies
650.00
010
18
7950
3498
Sale Equipment
1,500.000'0)0
18
7950
1561
Office Supplies
1,500.00
010
18
7950
3873
Reimburse Svcs
1,050.00
010
18
7950
1571
Equipment Parts
1,050.00
010
18
7950
3723
St Fuel Tax
5,000.00
(y10
18
7950
1571
Equipment Parts
5,000.00
010
18
7950
3498
Sale Equipment
8,000.06
010
18
7950
1555
Minor Equipment
8,000.00
TOTAL
This amendment is being requested because:
Transfer of funds to cover operational expenses.
$23,100.00
TOTAL
$23,100.00
Prior Committee Actions (Dates):
(Signature Dept. Head or Designee)
47- 2
Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Line Item Amendment - 7950 - April 2012.x1s (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Financte Cry mittee approval required?
YES at N� I (rye 1
If so, dale approve 114
I JG' (r7
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 WATERLOO REGIONAL AIRPORT 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
29
7700 3620
Rent & Lease
31,135.00,
29
7700 1351
Advertising
985.00
010
29
7700 3800
Misc Rev
20,000.016
%010
010
29
7700 1371
Bldg Maint
30,000.00
010
29
7700
010
29
7700 1538
Fuel -Resale
16,000.00
010
29
7700
010
29
7700 1571
Equip/Parts
4,000.00
010
29
7700
010
29
7700 1315
Training
150.00
010
29
7700
010
29
7700
010
29
7700
010
29
7700
010
29
7700
010
29
7700
010
29
7700
010
29
7700
010
29
7700
010
29
7700
010
29
7700
010
29
7700
010
29
7700
010
29
7700
TOTAL
$51,135.00
TOTAL
This amendment is being requested because:
line items must be reconciled prior to year-end. Funds requested will be used for runway safety maintenance , as well as normal
business expenses through year-end.
$51,135.00
The increase to Rent & Lease comes from the new farm lease which was bid & signed after the current budget was approved. The March
payment was $66,000+ more than the prior lease payments. Misc Revenue is also long due to a payment to cover lost farm ground from
the Air Show.
Prior Committee Actions (Dates):
NONE
(Signaturle..'P ead or Designee)
2_ �,C(/ii
Date / (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Amendment 041912.xls (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance grhmittee approval�required?
YES NO
If so, date appovved: 5 I Li/WO—
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 WATERLOO REGIONAL AIRPORT 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
291
29
7750
Fed Grants
.f
135,000.00
291 29 7750 2103
Eng Proj
various
20,000.00
291
29
W3350
7755 PS45Ur
—12F6-8frarg€LitSh
8,150.001/291
29
7750
2117
Motor Vehicles
29AIP0039
85,000.00
010
29
7700
291 29
7750
2169
Air Improv
various
30,000.00
010
29
7700
291 29
7755
2103
PFC - Eng Proj
various
4,250.00
010
29
7700
291 29
7755
2117
PFC - Motor Veh
29AIP0039
1,500.00
010
29
7700
291 29
7755
2169
PFC - Air Improv
various
2,400.00
010
29
7700
010 29
7700
010
29
7700
010 29
7700
010
29
7700
010 29
7700
010
29
7700
010 29
7700
010
29
7700
010 29
7700
010
29
7700
010 29
7700
TOTAL
$143,150.00
This amendment is being requested because:
line items must balance for year-end and work on new projects may begin in June.
TOTAL
$143,150.00
Prior Committee Actions (Dates):
NONE
(Signatup epY ,I- ad or Designee)
/"2-
Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms Amendment FY12 Projects.xls (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance C mittee approval required?
YES_ NO
�I( �.,t
If so, date approved: 11 1 � !/U(•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 FY2012 submitted by the WCA-Phelps Youth Pavilion 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 4208 1391
Dues/membership
550.00
010 26 4208 1350
Exhibitexps
1,900.00
1563
Photo Exps
200.00
1504
Credit card fees
850.00
3832
Admissions...
2,000.00
TOTAL
This amendment is being requested because:
$2,750.00
TOTAL
$2,750.00
Prior Committee Actions (Dates):
( ignature Dept. Head or Designee
Da (Signature Finance Dept. Review Date
Date Posted (Finance Dept.)
K:\users\shared goodies \forms\FY2012-Amend-YTHPav 4-23-12 (Apr 2003)
PROJECT BUDGET WORKSHEET - ALL PROJECTS
PAGE ONE
Project Name 2012 Dog Park Shelter, Sidewalk Project
City Contract No.
Project Manager
Project Budget Total
Rick Curran
$ 33,607.00
1. How will this project be funded?
A. Federal Grant Yes No
Grant Name
CFDA #
B. State Grant Yes
Grant Name
C. City Match
No
Source of Funding CIP Funds
D. Other Entities Yes X No
Name
donations from Community Foundation
2. Attach copies of any grant agreements that will fund the project (REQUIRED)
To be assigned by the Finance Dept.
Project No. / 1 1
Subproject No.
p
% 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.
6. Include a brief description of the project in the space below: (REQUIRED)
60.00%
40.00%
Done None
Yes No
❑ 0
❑ ❑
❑ ❑
❑
❑ 0
❑
❑ Li
24 foot hexagon shelter and sidewalks at the dog park. Shelter to be constructed by Leisure Services
construction crew.
Page 2 must be attached and signed.
K:\shared goodies\forms\Project Budget Worksheet.xls\Page 1 All Projects (Mar 2010)
CONSTRUCTION PROJECT BUDGET WORKSHEET
PAGE TWO
Project Name (from page one) 2012 Dog Park Shelter, Sidewalk Project
Department No. project will be budgeted under 4105
Activity No. project will be budgeted under 37 Leisure Service
REVENUES:
3000 Cash on Hand
3112 Local Option Sales Tax
3350 Federal Grant
3357 Shared Program - County
3358 Shared Program - City
3360 Shared Program - State
3361 State Grant
3365 State RISE Grant
3368 EPA Grant
3377 EDA Grant
3720 Donations - Restricted
3750 Sale of Bonds
EXPENDITURES:
City Clerk Use Only
Finance Committee
Approval Date 5/ 14 In( 9--
To be assigned by the Finance Dept.
No. 5 t
Project
Subproject No. bT
(Each column should only include amounts by fund)
Fund: 010 Fund: 410 Fund: 412 Fund: 010
010-37-4105- 410-37-4105- 412-37-4105- 010-37-4105
$ 5,000.00
Total
$ 5,000.00
14,000.00 14,000.00
4,607.00 10,000.00 14,607.00
TOTALS $ 14,000.00 $ 4,607.00 $ 10,000.00 $ 5,000.00 $ 33,607.00
2103 Engineering & Consulting
2125 Traffic Control Equipment
2140 Land Acquisition
2144 Land Improvements
2146 Demolitions
2151 Building Construction
2156 Bikeway Construction
2162 Storm Sewers
2163 Sanitary Sewers
2164 Sidewalks
2165 Streets & Roadways
2199 Non -participating Misc
2168 Park Improvement
14,000.00
4,607.00 10,000.00
5,000.00 33,607.00
TOTALS $ 14,000.00 $ 4,607.00 $ 10,000.00 $ 5,000.00 $ 33,607.00
(Signature D r1—lead) Date
/41.1,/g/At t? (4/.l 2c /
(Signature Finance Dept. Review)
Date
K:\shared goodies\forms\Project Budget Worksheet.xls\Page 2 (Constr Proj) (Mar 2010)