HomeMy WebLinkAbout05/07/20121.
FINANCE COMMITTEE
May 7, 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 April 23, 2012.
NEW BUSINESS
Travel Requests
Name & Title of Personnel
Class/Meeting
Destination
Date(s)
Amount not
to Exceed
Two Waterloo Police Officers
Lenco Bearcat Delivery
Pittsfield,
Massachusetts
End of
May
2012—
First part
of June
2012
$3,475.00
2. Approval of request for Howard R. Green to perform environmental work for acquisition
of property located at 1823 Black Hawk Street —Submitted by Noel Anderson, Community
Planning & Development Director.
3. Approval of request to seek bids to Purchase One (1) 2012 Cargo Van for the Center for
the Arts —Submitted by Mark Rice, Public Works Director.
4.
Pre Authorizations to Expend over $1,000.00
Dept.
AmountEst
Expenditure
City Clerk
$$4,880.20
THE Personnel/Payroll Yearly Software Maintenance
Engineering
$8,750.00
Asphalt approach and taper work at the West Donald
Street railroad crossing
Garage
$1,079.90
Replacement patrol car tires
Leisure Services
$1,278.00
Dram Shop insurance to sell liquor at VGM Gala
Leisure Services
$1,579.00
Supplying 38 trees
Leisure Services
$1,400.00
Transplanting 7 large Norway Spruce trees from
Grand Hotel property to Byrnes Park with 90 inch tree
spade
Leisure Services
$5,108.00
Young Arena ammonia ice system annual preventative
maintenance and safety improvements
Leisure Services
$1,524.00
Plaque for Mark's Park
Police
$997.50 + $16.00
Fifty taser training cartridges
Police
$27,700.00 +
$50.00
Thirty five Voice link plus 2 wireless microphone
system with transmitter and docking stations, and
forty seven voice link plus 2 transmitters with chargers
Police
$1,732.41
Repair and maintenance on two Segways used by the
patrol division
Police
$1,176.00
Annual renewal fee for AT&T GRPS broadband data
service for GPS tracking
Police
$1,188.00
EDACS access fee for Fusion Center, LEIN Region 2
center, radio access for portable radios
Street
$8,000.00 +
$250.00
Crack sealer sealant
Traffic Operations
$4,785.25
Telespar sign posts
Traffic Operations
$2,354.96
Conduit, adaptors, straps and misc. supplies
Traffic Operations
$3,540.24
Early warning siren batteries
Waste Management
Services
$3,898.15 +
$300.00
Pump rebuild
BUDGET LINE ITEMS TO BE AMENDED
5. Authorization to increase Line Items on file in the City Clerk's
$26,100.00 Submitted by Joyce Schroeder, Financial Anaylyst.
6. Authorization to increase Line Items on file in the City Clerk's
$18,967.68—Submitted by Eric Thorson, City Engineer.
7. Authorization to increase Line Items on file in the City Clerk's
$398,355.37—Submitted by Captain Mohlis.
8. Authorization to increase Line Items on file in the City Clerk's
$29,469.00 Submitted by Paul Huting, Leisure Services Director.
9. Authorization to increase Line Items on file in the City Clerk's
$6,410.45 Submitted by Paul Huting, Leisure Services Director.
office in the
office in the
office in the
office in the
office in the
amount of
amount of
amount of
amount of
amount of
10. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$1,500.00 Submitted by Paul Huting, Leisure Services Director.
11. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$1,693.79—Submitted by Paul Huting, Leisure Services Director.
12. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$20,060.21 Submitted by Paul Huting, Leisure Services Director.
13. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$1,639.21—Submitted by Paul Huting, Leisure Services Director.
14. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$2,524.00 Submitted by Paul Huting, Leisure Services Director.
15. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$7,500.00 Submitted by Paul Huting, Leisure Services Director.
16. Authorization to increase Line Items on file in the City Clerk's office in the amount of
$6,015.00 Submitted by Paul Huting, Leisure Services Director.
17. Approve the project budgets for Sportsplex marketing for the hotel -motel tax grant in the
amount of $16,250.00 and the hotel -motel discretionary grant in the amount of
$10,000.00 Submitted by Paul Huting, Leisure Services Director.
18. Approve the project budget for the Secure Our Schools grant in the amount of
$71,390.00 Submitted by Police Department.
19. Approve the project budget for the Ridgeway Towers FY2012 Capital Funds allocation in
the amount of $46,822.00—Submitted by Ethel Washington, Housing Director.
20. Approve the project budget for the Riverloop Public Market Marketing Program in the
total amount of $66,605.00—Submitted by Paul Huting, Leisure Services Director.
21. Approve the project budget for the Library IPTV Kids Lab grant in the amount of
$8,000.00 Submitted by Kim Chapman, Library Business Office Administrator.
BILLS PAYMENT
ADJOURNMENT
Suzy Schares
City Clerk
FINANCE COMMITTEE
April 23, 2012
5:00 p.m.
Council Chambers
Members present: Schmitt, Hart. Absent: Cole.
Moved by Hart, seconded by Schmitt that the Agenda, as amended removing items 3 and 4, be
approved. Ayes: Two. Motion carried.
Moved by Hart seconded by Schmitt that the Minutes of April 16, 2012, as proposed, be
approved. Ayes: Two. Motion carried.
Moved by Hart, seconded by Schmitt that the request for the following travel requests, be
approved.
Travel Requests
Name & Title of Personnel
Class/Meeting
Destination
Date(s)
Amount not
to Exceed
Investigator Morley
2012 Forensic
Savannah,
Georgia
June 3-9,
2012
$579.00
Officers Keller; Harrington;
Newell and Oliver
2012 School Safety
Conference
Johnston,
Iowa
June 11-
12, 2012
$620.00
Ayes: Two. Motion carried.
Moved by Hart, seconded by Schmitt that request for payment to Greater Cedar Valley Alliance
for work on the environmental site assessment for City -owned land in the San Marnan TIF
District, in the amount of $5,999.28—Submitted by Noel Anderson, Community Planning &
Development Director, be approved. Ayes: Two. Motion carried.
Noel Anderson, Community Planning and Development Director, reported the City is working
on a large project and it was necessary to do an environmental assessment quickly and
confidentially so Greater Cedar Valley Alliance paid the bill with the hope that the City would
reimburse them later.
Moved by Hart, seconded by Schmitt that the request for the following pre -authorizations to
expend over $1,000.00, be approved.
Pre -Authorizations to Expend over $1,000.00
Dept.
Amount + Est. S/H
Expenditure
Fire
$2,555.00
Respiratory physicals and TB testing
Information Services
$4,000.00
Quantum Superloader 3 Tape Library
Leisure Services
$2,100.00
Baseball/softball pants
Leisure Services
$6,000.00
Concrete overlay at Riverfront Stadium for new box seats,
to include labor and material
Leisure Services
$11,000.00
Retaining wall at Riverfront Sports Park near West
Exchange and concession stand
Leisure Services
$9,500.00
Erosion control matting for the new pond at South Hills
golf course
Leisure Services
$1,289.64 + $250
Water control structure for South Hills pond
Traffic Operations
$1,798.00
Various traffic signs
Ayes: Two. Motion carried.
Finance Committee
April 23, 2012
Page 2
Moved by Schmitt, seconded by Hart that Authorization to increase Line Item 3000 (Cash) and
Line Item 2103 (Engineering) in the amount of $12,345.00—Joyce Schroeder, Financial Analyst,
be approved. Ayes: Two. Motion carried.
Moved by Schmitt, seconded by Hart that Authorization to increase Line Item 3720 (donation)
and Line Item 3180 (adult print) and 2106 (computer equip) in the amount of $223,826.00—Kim
Chapman, Library Business Office Administrator, be approved. Ayes: Two. Motion carried.
Moved by Schmitt, seconded by Hart that Bills Payment, as contained in Schedule AP642, dated
April 23, 2012, pp. 1-51, in the amount of $5,360,767.00, be received, placed on file and
approved and forwarded to the full council for approval. Ayes: Two. Motion carried.
With no further business before the committee, it was moved by Hart, seconded by Schmitt that
the meeting be adjourned at 5:08 p.m. Ayes: Two. Motion carried.
Suzy Schares
City Clerk
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT. STAFF ONLY 11
LINE ITEM USED 010-11-1100-1346
FY _2012_ BUDGETED y/ 7 )t_)
EXPENDED YTD ;Z 75 /
THIS REQUEST 5,4"73
LEFT AFTER THIS 7
REQUEST /J; c 73
bATE :;z0/
Original - Clerk/Finance Copy - Department
NAME(S) AND POSITION(S):
2 Waterloo Police Officers
DATE:
April 27,2012
NAME OF CLASS / MEETING:
Lenco Bearcat Delivery
DESTINATION: Pittsfield, Massachusetts
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
Date to Be Determined
Return Date:
Date to Be Determined
DATE(S) OF MEETING:
End of May -First part of June,2012
PURPOSE OF TRAVEL:
Captain Leibold is requesting authorization to send two Waterloo Police Officers to Lenco Industries in Pittsfield,
Massachusetts on date to be determined at a later date sometime the end of Mayor early June of 2012. The Waterloo
Police Department has purchased a BearCat armored personnel carrier for the Tactical Unit. The vehicle was
manufactured in Pittsfield, Massachusetts at LenCo Industries. Officers need to travel to LenCo Industries to receive
training on the use of the vehicle and take possession of it. The Officers will then drive the vehicle back to Waterloo. The
cost associated with this travel includes, airfare, car rental, lodging, fuel, and meals for the Officers to transport the vehicle
back to Waterloo..
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
YES NO
COST $
METHOD OF TRAVEL:
CITY VEHICLE PRIVATE VEHICLE
xx AIRFARE
DEPARTING FROM: Waterloo, IA
ESTIMATE OF COST:
$ 375.00 LODGING $/00.00 Rental Car
$300.00 MEALS PARKING
$0. 00 REGISTRATION $1600.00 AIRFARE
$1000.00 MILEAGE/FUEL $/00.00 MISC/TOLLS
TOTAL FOR ALL: $ 3475.00
BUDGET LINE ITEM:
x GRANT REIMBURSABLE
YES NO
x REQUIRED CERTIFICATION
YES NO
TOTAL: $ 3475.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
DEPA TMENT HEAD
I APPROVE THIS TRAVEL REQUEST
MAYOR
DATE DATE
Mayor
BUCK
CLARK
COUNCIL
MEMBERS
DAVID
JONES
Ward 1
CAROLYN
COLE
Ward 2
HAROLD
GETTY
Ward 3
QUENTIN
HART
Ward 4
RON
WELPER
Ward 5
BOB
GREENWOOD
At -Large
STEVE
SCHMITT
At -Large
CITY OF WATERLOO, IOWA
COMMUNITY PLANNING AND DEVELOPMENT
715 Mulberry Street • Waterloo, Iowa 50703-5783 • (319) 291-4366 Fax (319) 291-4262
NOEL C. ANDERSON, Community Planning & Development Director
CITY OF WATERLOO
Committee Communication
Finance Committee Meeting: May 7, 2012
Prepared: May 2, 2012
Dept. Head Signature: Noel Anderson, Community Planning & Development Director
# of Attachments: 1
SUBJECT: Request for approval for environmental work for acquisition of
property — 1823 Black Hawk Street
Submitted by: Noel Anderson, Community Planning & Development Director
Recommended City Council Action: We ask that the Finance Committee
approve the contract for an environmental consultant to do necessary
environmental work.
Summary Statement: The City Council has approved the acquisition of 1823
Black Hawk Street, in the former Rath area. The acquisition contract and City
Council action approve the need for environmental due diligence. The City had
previously chosen Howard R Green for environmental work on parcels in this
area (Forge Industries donation), and has submitted the attached proposal for
this parcel abutting that previous parcel completed.
Expenditure Required: $2,650
Source of Funds: bonds and TIF cash
Policy Issue: Acquisition of Property
Alternative: NA
Background Information: The City has previously approved the acquisition of
this site. This cost would be taken out of the funds as previously dedicated for
"closing and other costs" in the original approval. This site will allow for the
continued redevelopment of lots near the 18th Street Bridge, in the Rath TIF
District.
CITY WEBSITE: www.ci.waterloo.ia.us
WE'RE WORKING FOR YOU!
An Equal Opportunity/Affirmative Action Employer
Page 1 of 1
NOEL ANDERSON
From: Husman, Robin [rhusman@hrgreen.com]
Sent: Friday, April 20, 2012 4:37 PM
To: NOEL ANDERSON
Cc: CHRIS WESTERN; PATTIE MAGEE; Temeyer, Don; Prideaux, Stephen
Subject: Phase I - 1823 Black Hawk Street
Attachments: HR GREEN contract - 1823 Black Hawk St.pdf
Hi Noel,
Attached is the proposal for a Phase I ESA for the 1823 Black Hawk Street. We will start the Phase I on
Monday based on your schedule. Steve Prideaux will be completing the work and will contact you or
Chris regarding owner information and site access. We should have the report completed next week.
Thank you for the opportunity. Have a good weekend.
Robin Husman
Project Director
HR GREEN, INC.
8710 Earhart Lane SW
Cedar Rapids, IA 52404
Direct: 319-841-4424
Fax: 319-841-4017
Learn more at HRGreen.com
The contents of this transmission and any attachments are confidential and intended for the use of the individual or entity to which it
is addressed. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution
or copying of this communication is prohibited.
4/27/2012
H RG reen
PROFESSIONAL SERVICES AGREEMENT
For
Phase I Environmental Site Assessments for
1823 Black Hawk Street, Waterloo, Iowa
Environmental Site Assessment
Mr. Noel Anderson
City of Waterloo
715 Mulberry Street
Waterloo IA 50703
Phone: 319-291-4366
Robin Husman, Project Director
HR Green
8710 Earhart Lane SW
Cedar Rapids, IA 52404
HR Green Project Number: 10110105.06
April 20, 2012
TABLE OF CONTENTS
1.0 PROJECT UNDERSTANDING
2.0 SCOPE OF SERVICES
3.0 DELIVERABLES AND SCHEDULES INCLUDED IN THIS AGREEMENT
4.0 ITEMS NOT INCLUDED IN AGREEMENT/SUPPLEMENTAL SERVICES
5.0 SERVICES BY OTHERS
6.0 CLIENT RESPONSIBILITIES
7.0 PROFESSIONAL SERVICES FEE
8.0 TERMS AND CONDITIONS
Professional Services Agreement
Phase 11823 Black Hawk Street
April 20, 2012
Page 1 of 8
THIS AGREEMENT is between the City of Waterloo (hereafter "CLIENT") and HR GREEN,
INC. (hereafter "COMPANY").
to Project Understanding
1.1 General Understanding
The City of Waterloo is working to redevelopment area along Black Hawk Street in
Waterloo, Iowa. The CLIENT has entered into a purchase agreement for the property at
1823 Black Hawk Street, Waterloo, Iowa.
1.2 Design Criteria/Assumptions
HR Green assumes that the CLIENT will have legal access to enter the property under the
real estate purchase agreement between the CLIENT and property owner at 1823 Black
Hawk Street.
2.0 Scope of Services
The CLIENT agrees to employ COMPANY to perform the following services:
• Complete a Phase I Environmental Site Assessment (ESA) in accordance with
ASTM Standard E1527-05 on the property located at 1823 Black Hawk Street.
• Complete required eligibility documentation for funding under the CLIENTS
Brownfield Revolving Loan Fund.
Once this AGREEMENT is authorized, the COMPANY can proceed with the Phase I ESA
upon notification by the CLIENT that site access is available. From notification, the Phase
I ESA report will be completed within 21 working days. Phase II ESA activities are
considered extra work if recommended.
This schedule was prepared to include reasonable allowances for review and approval
times required by the CLIENT and public authorities having jurisdiction over the project.
This schedule shall be equitably adjusted as the project progresses, allowing for changes
in the scope of the project requested by the CLIENT or for delays or other causes beyond
the control of COMPANY.
3.0 Items not included in Agreement/Supplemental Services
The following items are not included as part of this agreement:
This AGREEMENT does not include revisions of our Phase I ESA report following
CLIENT review, the preparation of a historical site inventory, or an asbestos survey.
Supplemental services not included in the agreement can be provided by COMPANY
under separate agreement, if desired.
Professional Services Agreement
Phase 11823 Black Hawk Street
April 20, 2012
Page 2 of 8
4.0 Services by Others
The COMPANY utilizes companies which specialize in regulator and historical data
searches. The COMPANY will use Iowa certified drilling and laboratory contractors for
Phase II activities.
5.0 Client Responsibilities
CLIENT will provide documentation of legal site access to the subject property which
allows the COMPANY to enter the property of the purpose of conductive project activities.
6.0 Professional Services Fee
6.1 Fees
The fee for services will be based on COMPANY standard hourly rates current at the time
the agreement is signed. These standard hourly rates are subject to change upon 30
days' written notice. Non salary expenses directly attributable to the project such as: (1)
living and traveling expenses of employees when away from the home office on business
connected with the project; (2) identifiable communication expenses; (3) identifiable
reproduction costs applicable to the work; and (4) outside services will be charged in
accordance with the rates current at the time the work is done.
6.2 Invoices
Invoices for COMPANY's services shall be submitted, on a monthly basis. Invoices shall
be due and payable upon receipt. If any invoice is not paid within 15 days, COMPANY
may, without waiving any claim or right against the CLIENT, and without liability
whatsoever to the CLIENT, suspend or terminate the performance of services. The
retainer shall be credited on the final invoice. Accounts unpaid 30 days after the invoice
date may be subject to a monthly service charge of 1.5% (or the maximum legal rate) on
the unpaid balance. In the event any portion of an account remains unpaid 60 days after
the billing, COMPANY may institute collection action and the CLIENT shall pay all costs of
collection, including reasonable attorney's fees.
6.3 Extra Work
Any work required but not included as part of this contract shall be considered extra work.
Extra work will be billed on a Time and Material basis with prior approval of the CLIENT.
6.4 Exclusion
This fee does not include attendance at any meetings or public hearings other than those
specifically listed in the Scope of Services. These work items are considered extra and
are billed separately on an hourly basis.
6.5 Payment
The CLIENT AGREES to pay COMPANY on the following basis:
Hourly rates with a maximum not -to -exceed sum in the amount of: $2,650
• Phase I ESA for 1823 Black Hawk Street $2,400
• Brownfield RLF eligibility documents $ 250
Professional Services Agreement
Phase 11823 Black Hawk Street
April 20, 2012
Page 3 of 8
Terms and Conditions
The following Terms and Conditions are incorporated into this AGREEMENT and made a part of it.
6.6 Standard of Care
Services provided by COMPANY under this AGREEMENT will be performed in a manner consistent with that
degree of care and skill ordinarily exercised by members of the same profession currently practicing at the
same time and in the same or similar locality.
6.7 Entire Agreement
This Agreement, and its attachments, constitutes the entire understanding between CLIENT and COMPANY
relating to professional engineering services. Any prior or contemporaneous agreements, promises,
negotiations, or representations not expressly set forth herein are of no effect. Subsequent modifications or
amendments to this Agreement shall be in writing and signed by the parties to this Agreement. If the CLIENT,
its officers, agents, or employees request COMPANY to perform extra work or services pursuant to this
Agreement, CLIENT will pay for the additional services even though an additional written Agreement is not
issued or signed.
6.8 Time Limit and Commencement of Work
This AGREEMENT must be executed within ninety (90) days to be accepted under the terms set forth herein.
The work will be commenced immediately upon receipt of this signed Agreement.
6.9 Suspension of Services
If the Project or the COMPANY'S services are suspended by the CLIENT for more than thirty (30) calendar
days, consecutive or in the aggregate, over the term of this Agreement, the COMPANY shall be compensated
for all services performed and reimbursable expenses incurred prior to the receipt of notice of suspension. In
addition, upon resumption of services, the CLIENT shall compensate the COMPANY for expenses incurred as
a result of the suspension and resumption of its services, and the COMPANY'S schedule and fees for the
remainder of the Project shall be equitably adjusted.
If the COMPANY'S services are suspended for more than ninety (90) days, consecutive or in the aggregate,
the COMPANY may terminate this Agreement upon giving not less than five (5) calendar days' written notice
to the CLIENT.
If the CLIENT is in breach of this Agreement, the COMPANY may suspend performance of services upon five
(5) calendar days' notice to the CLIENT. The COMPANY shall have no liability to the CLIENT, and the
CLIENT agrees to make no claim for any delay or damage as a result of such suspension caused by any
breach of this Agreement by the CLIENT. Upon receipt of payment in full of all outstanding sums due from the
CLIENT, or curing of such other breach which caused the COMPANY to suspend services, the COMPANY
shall resume services and there shall be an equitable adjustment to the remaining project schedule and fees
as a result of the suspension.
6.10 Book of Account
COMPANY will maintain books and accounts of payroll costs, travel, subsistence, field, and incidental
expenses for a period of five (5) years. Said books and accounts will be available at all reasonable times for
examination by CLIENT at the corporate office of COMPANY during that time.
6.11 Insurance
COMPANY will maintain insurance for claims under the Worker's Compensation Laws, and from General
Liability and Automobile claims for bodily injury, death, or property damage arising from the negligent
performance by COMPANY's employees of the functions and services required under this Agreement.
6.12 Termination or Abandonment
Either party has the option to terminate this Agreement. In the event of failure by the other party to perform in
accordance with the terms hereof through no fault of the terminating party, then the obligation to provide
further services under this Agreement may be terminated upon seven days written notice. If any portion of the
work is terminated or abandoned by CLIENT, the provisions of this Schedule of Fees and Conditions in regard
to compensation and payment shall apply insofar as possible to that portion of the work not terminated or
abandoned. If said termination occurs prior to completion of any phase of the project, the fee for services
performed during such phase shall be based on COMPANY's reasonable estimate of the portion of such
Professional Services Agreement
Phase 11823 Black Hawk Street
April 20, 2012
Page 4 of 8
phase completed prior to said termination, plus a reasonable amount to reimburse COMPANY for termination
costs.
6.13 Waiver
COMPANY'S waiver of any term, condition, or covenant or breach of any term, condition, or covenant, shall
not constitute a waiver of any other term, condition, or covenant, or the breach thereof.
6.14 Severability
If any provision of this Agreement is declared invalid, illegal, or incapable of being enforced by any Court of
competent jurisdiction, all of the remaining provisions of this Agreement shall nevertheless continue in full
force and effect, and no provision shall be deemed dependent upon any other provision unless so expressed
herein.
6.15 Successors and Assigns
All of the terms, conditions, and provisions hereof shall inure to the benefit of and be binding upon the parties
hereto, and their respective successors and assigns, provided, however, that no assignment of this
Agreement shall be made without written consent of the parties to this Agreement.
6.16 Third -Party Beneficiaries
Nothing contained in this Agreement shall create a contractual relationship with or a cause of action in favor of
a third party against either the CLIENT or the COMPANY. The COMPANY's services under this Agreement
are being performed solely for the CLIENT's benefit, and no other party or entity shall have any claim against
the COMPANY because of this Agreement or the performance or nonperformance of services hereunder.
The CLIENT and COMPANY agree to require a similar provision in all contracts with contractors,
subcontractors, subconsultants, vendors and other entities involved in this project to carry out the intent of this
provision.
6.17 Governing Law and Jurisdiction
The CLIENT and the COMPANY agree that this Agreement and any legal actions concerning its validity,
interpretation and performance shall be governed by the laws of the State of Iowa without regard to any
conflict of laws provisions, which may apply the laws of other jurisdictions.
It is further agreed that any legal action between the CLIENT and the COMPANY arising out of this
Agreement or the performance of the services shall be brought in a court of competent jurisdiction in the State
of Iowa.
6.18 Dispute Resolution
Mediation. In an effort to resolve any conflicts that arise during the design or construction of the project or
following the completion of the project, the CLIENT and COMPANY agree that all disputes between them
arising out of or relating to this Agreement shall be submitted to non -binding mediation unless the parties
mutually agree otherwise. The CLIENT and COMPANY further agree to include a similar mediation provision
in all agreements with independent contractors and consultants retained for the project and to require all
independent contractors and consultants also to include a similar mediation provision in all agreements with
subcontractors, sub -consultants, suppliers or fabricators so retained, thereby providing for mediation as the
primary method for dispute resolution between the parties to those agreements.
Arbitration. In the event the parties to this Agreement are unable to reach a settlement of any dispute arising
out of the services under this Agreement, involving an amount of less than $50,000, in Mediation, then such
disputes shall be settled by binding arbitration by an arbitrator to be mutually agreed upon by the parties, and
shall proceed in accordance with the Construction Industry Arbitration Rules of the American Arbitration
Association currently in effect. If the parties cannot agree on a single arbitrator, then the arbitrator(s) shall be
selected in accordance with the above -referenced rules.
6.19 Attorney's Fees
If litigation arises for purposes of collecting fees or expenses due under this Agreement, the Court in such
litigation shall award reasonable costs and expenses, including attorney fees, to the party justly entitled
thereto. In awarding attorney fees, the Court shall not be bound by any Court fee schedule, but shall, in the
interest of justice, award the full amount of costs, expenses, and attorney fees paid or incurred in good faith.
Professional Services Agreement
Phase 11823 Black Hawk Street
April 20, 2012
Page 5 of 8
6.20 Ownership of Instruments of Service
All reports, plans, specifications, field data, field notes, laboratory test data, calculations, estimates and other
documents including all documents on electronic media prepared by COMPANY as instruments of service
shall remain the property of COMPANY. COMPANY shall retain these records for a period of five (5) years
following completion/submission of the records, during which period they will be made available to the CLIENT
at all reasonable times.
6.21 Reuse of Documents
All project documents including, but not limited to, plans and specifications fumished by COMPANY under this
project are intended for use on this project only. Any reuse, without specific written verification or adoption by
COMPANY, shall be at the CLIENT's sole risk, and CLIENT shall defend, indemnify and hold harmless
COMPANY from all claims, damages and expenses including attomey's fees arising out of or resulting
therefrom.
Under no circumstances shall delivery of electronic files for use by the CLIENT be deemed a sale by the
COMPANY, and the COMPANY makes no warranties, either express or implied, of merchantability and fitness
for any particular purpose. In no event shall the COMPANY be liable for indirect or consequential damages as
a result of the CLIENT's use or reuse of the electronic files.
6.22 Failure to Abide by Design Documents or To Obtain Guidance
The CLIENT agrees that it would be unfair to hold COMPANY liable for problems that might occur should
COMPANY'S plans, specifications or design intents not be followed, or for problems resulting from others'
failure to obtain and/or follow COMPANY'S guidance with respect to any errors, omissions, inconsistencies,
ambiguities or conflicts which are detected or alleged to exist in or as a consequence of implementing
COMPANY'S plans, specifications or other instruments of service. Accordingly, the CLIENT waives any claim
against COMPANY, and agrees to defend, indemnify and hold COMPANY harmless from any claim for injury
or losses that results from failure to follow COMPANY'S plans, specifications or design intent, or for failure to
obtain and/or follow COMPANY'S guidance with respect to any alleged errors, omissions, inconsistencies,
ambiguities or conflicts contained within or arising as a result of implementing COMPANY'S plans,
specifications or other instruments of services The CLIENT also agrees to compensate COMPANY for any
time spent and expenses incurred remedying CLIENT's failures according to COMPANY'S prevailing fee
schedule and expense reimbursement policy.
6.23 Opinion of Probable Construction Cost
COMPANY shall submit to the CLIENT an opinion of probable cost required to construct work recommended,
designed, or specified by COMPANY, if required by CLIENT. COMPANY is not a construction cost estimator
or construction contractor, nor should COMPANY'S rendering an opinion of probable construction costs be
considered equivalent to the nature and extent of service a construction cost estimator or construction
contractor would provide. This requires COMPANY to make a number of assumptions as to actual conditions
that will be encountered on site; the specific decisions of other design professionals engaged; the means and
methods of construction the contractor will employ; the cost and extent of labor, equipment and materials the
contractor will employ; contractor's techniques in determining prices and market conditions at the time, and
other factors over which COMPANY has no control. Given the assumptions which must be made, COMPANY
cannot guarantee the accuracy of his or her opinions of cost, and in recognition of that fact, the CLIENT
waives any claim against COMPANY relative to the accuracy of COMPANY'S opinion of probable construction
cost.
6.24 Design Information in Electronic Form
Because electronic file information can be easily altered, corrupted, or modified by other parties, either
intentionally or inadvertently, without notice or indication, COMPANY reserves the right to remove itself from of
its ownership and/or involvement in the material from each electronic medium not held in its possession.
CLIENT shall retain copies of the work performed by COMPANY in electronic form only for information and
use by CLIENT for the specific purpose for which COMPANY was engaged. Said material shall not be used
by CLIENT or transferred to any other party, for use in other projects, additions to this project, or any other
purpose for which the material was not strictly intended by COMPANY without COMPANY's expressed written
permission. Any unauthorized use or reuse or modifications of this material shall be at CLIENT'S sole risk.
Furthermore, the CLIENT agrees to defend, indemnify, and hold COMPANY harmless from all claims, injuries,
damages, losses, expenses, and attomey's fees arising out of the modification or reuse of these materials.
Professional Services Agreement
Phase 11823 Black Hawk Street
April 20, 2012
Page 6 of 8
The CLIENT recognizes that designs, plans, and data stored on electronic media including, but not limited to
computer disk, magnetic tape, or files transferred via email, may be subject to undetectable alteration and/or
uncontrollable deterioration. The CLIENT, therefore, agrees that COMPANY shall not be liable for the
completeness or accuracy of any materials provided on electronic media after a 30 day inspection period,
during which time COMPANY shall correct any errors detected by the CLIENT to complete the design in
accordance with the intent of the contract and specifications. After 40 days, at the request of the CLIENT,
COMPANY shall submit a final set of sealed drawings, and any additional services to be performed by
COMPANY relative to the submitted electronic materials shall be subject to separate AGREEMENT. The
CLIENT is aware that differences may exist between the electronic files delivered and the printed hard -copy
construction documents. In the event of a conflict between the signed construction documents prepared by
the COMPANY and electronic files, the signed or sealed hard -copy construction documents shall govem.
6.25 Information Provided by Others
The CLIENT shall furnish, at the CLIENT's expense, all information, requirements, reports, data, surveys and
instructions required by this AGREEMENT. The COMPANY may use such information, requirements, reports,
data, surveys and instructions in performing its services and is entitled to rely upon the accuracy and
completeness thereof. The COMPANY shall not be held responsible for any errors or omissions that may
arise as a result of erroneous or incomplete information provided by the CLIENT and/or the CLIENT'S
consultants and contractors.
COMPANY is not responsible for accuracy of any plans, surveys or information of any type including
electronic media prepared by any other consultants, etc. provided to COMPANY for use in preparation of
plans. The CLIENT agrees, to the fullest extent permitted by law, to indemnify and hold harmless the
COMPANY from any damages, liabilities, or costs, including reasonable attorneys' fees and defense costs,
arising out of or connected in any way with the services performed by other consultants engaged by the
CLIENT.
COMPANY is not responsible for accuracy of topographic surveys provided by others. A field check of a
topographic survey provided by others will not be done under this contract unless indicated in the Scope of
Work.
6.26 Force Majeure
The CLIENT agrees that the COMPANY is not responsible for damages arising directly or indirectly from any
delays for causes beyond the COMPANY's control. CLIENT agrees to defend, indemnify, and hold
COMPANY, its consultants, agents, and employees harmless from any and all liability, other than that caused
by the negligent acts, errors, or omissions of COMPANY, arising out of or resulting from the same. For
purposes of this Agreement, such causes include, but are not limited to, strikes or other labor disputes; severe
weather disruptions or other natural disasters or acts of God; fires, riots, war or other emergencies; failure of
any government agency to act in timely manner; failure of performance by the CLIENT or the CLIENT'S
contractors or consultants; or discovery of any hazardous substances or differing site conditions. Severe
weather disruptions include but are not limited to extensive rain, high winds, snow greater than two (2) inches
and ice. In addition, if the delays resulting from any such causes increase the cost or time required by the
COMPANY to perform its services in an orderly and efficient manner, the COMPANY shall be entitled to a
reasonable adjustment in schedule and compensation.
6.27 Job Site Visits and Safety
Neither the professional activities of COMPANY, nor the presence of COMPANY'S employees and
subconsultants at a construction site, shall relieve the General Contractor and any other entity of their
obligations, duties and responsibilities including, but not limited to, construction means, methods, sequence,
techniques or procedures necessary for performing, superintending or coordinating all portions of the work of
construction in accordance with the contract documents and any health or safety precautions required by any
regulatory agencies. COMPANY and its personnel have no authority to exercise any control over any
construction contractor or other entity or their employees in connection with their work or any health or safety
precautions. The CLIENT agrees that the General Contractor is solely responsible for job site safety, and
warrants that this intent shall be made evident in the CLIENT's AGREEMENT with the General Contractor.
The CLIENT also agrees that the CLIENT, COMPANY and COMPANY'S consultants shall be indemnified and
shall be made additional insureds on the General Contractor's and all subcontractor's general liability policies
on a primary and non-contributory basis.
Professional Services Agreement
Phase 11823 Black Hawk Street
April 20, 2012
Page 7 of 8
6.28 Hazardous Materials
CLIENT hereby understands and agrees that COMPANY has not created nor contributed to the creation or
existence of any or all types of hazardous or toxic wastes, materials, chemical compounds, or substances, or
any other type of environmental hazard or pollution, whether latent or patent, at CLIENT's premises, or in
connection with or related to this project with respect to which COMPANY has been retained to provide
professional engineering services. The compensation to be paid COMPANY for said professional engineering
services is in no way commensurate with, and has not been calculated with reference to, the potential risk of
injury or loss which may be caused by the exposure of persons or property to such substances or conditions.
Therefore, to the fullest extent permitted by law, CLIENT agrees to defend, indemnify, and hold COMPANY,
its officers, directors, employees, and consultants, harmless from and against any and all claims, damages,
and expenses, whether direct, indirect, or consequential, including, but not limited to, attomey fees and Court
costs, arising out of, or resulting from the discharge, escape, release, or saturation of smoke, vapors, soot,
fumes, acid, alkalies, toxic chemicals, liquids gases, or any other materials, irritants, contaminants, or
pollutants in or into the atmosphere, or on, onto, upon, in, or into the surface or subsurface of soil, water, or
watercourses, objects, or any tangible or intangible matter, whether sudden or not.
It is acknowledged by both parties that COMPANY'S scope of services does not include any services related
to asbestos or hazardous or toxic materials. In the event COMPANY or any other party encounters asbestos
or hazardous or toxic materials at the job site, or should it become known in any way that such materials may
be present at the job site or any adjacent areas that may affect the performance of COMPANY'S services,
COMPANY may, at its option and without liability for consequential or any other damages, suspend
performance of services on the project until the CLIENT retains appropriate specialist consultant(s) or
contractor(s) to identify, abate and/or remove the asbestds or hazardous or toxic materials, and warrants that
the job site is in full compliance with applicable laws and regulations.
Nothing contained within this Agreement shall be construed or interpreted as requiring COMPANY to assume
the status of a generator, storer, transporter, treater, or disposal facility as those terms appear within the
Resource Conservation and Recovery Act, 42 U.S.C.A., §6901 et seq., as amended, or within any State
statute governing the generation, treatment, storage, and disposal of waste.
6.29 Certificate of Merit
The CLIENT shall make no claim for professional negligence, either directly or in a third party claim, against
COMPANY unless the CLIENT has first provided COMPANY with a written certification executed by an
independent design professional currently practicing in the same discipline as COMPANY and licensed in the
State in which the claim arises. This certification shall: a) contain the name and license number of the
certifier; b) specify each and every act or omission that the certifier contends is a violation of the standard of
care expected of a Design Professional performing professional services under similar circumstances; and c)
state in complete detail the basis for the certifiers opinion that each such act or omission constitutes such a
violation. This certificate shall be provided to COMPANY not less than thirty (30) calendar days prior to the
presentation of any claim or the institution of any judicial proceeding.
6.30 Limitation of Liability
The CLIENT agrees, to the fullest extent permitted by law, to limit the liability of COMPANY and COMPANY's
officers, directors, partners, employees, shareholders, owners and subconsultants to the CLIENT for any and
all claims, losses, costs, damages of any nature whatsoever or claims expenses from any cause or causes,
including attorneys' fees and costs and expert witness fees and costs, so that the total aggregate liability of
COMPANY and its officers, directors, partners, employees, shareholders, owners and subconsultants to all
those named shall not exceed COMPANY'S total fee received for services rendered on this project or
$50,000.00, whichever is less. It is intended that this limitation apply to any and all liability or cause of action
however alleged or arising, unless otherwise prohibited by law.
6.31 Environmental Audits/Site Assessments
Environmental Audit/Site Assessment report(s) are prepared for CLIENT's sole use. CLIENT agrees to
defend, indemnify, and hold COMPANY, its consultants, agents, and employees harmless against all
damages, claims, expenses, and losses arising out of or resulting from any reuse of the Environmental
Audit/Site Assessment report(s) without the written authorization of COMPANY.
Professional Services Agreement
Phase 11823 Black Hawk Street
April 20, 2012
Page 8 of 8
This AGREEMENT is approved and accepted by the CLIENT and COMPANY upon both parties
signing and dating the AGREEMENT. Work cannot begin until COMPANY receives a signed
agreement. The effective date of the AGREEMENT shall be the last date entered below.
Sincerely,
HR GREEN, INC.
Authorized by: %G✓ilu v
Printed/Typed Name: Robin Husman
Title: Project Director Date: 04/20/12
City of Waterloo
Accepted by:
Printed/Typed Name: Ernest G. Clark
Title: Mayor Date:
CITY OF WATERLOO
Committee Communication
Finance Committee Meeting: May 7, 2012
Prepared: May 1, 2012
Dept. Head Signature:
# of Attachments:
SUBJECT:
Submitted by:
Authorization to seek bids to Purchase One (1) 2012 Cargo Van for the
Center for the Arts
Mark Rice, Public Works Director
Recommended City Council Action: NA
Summary Statement: Cargo van to support day to day operations at Center for the Arts.
Expenditure Required: Based on bid. Estimate $25,000
Source of Funds: 410 CIP Program
Policy Issue
Alternative
Background Information: Cargo van to support day to day operations at Center for the Arts.
City Clerk Use Only
Finance Committee
Approval Date 5h ((b1'-
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 City Clerk Department to expend
$ 4,880.20 plus est. shipping costs of $ to pay for or purchase
HTE Personnel/Payroll Yearly Software Maintenance
This purchase or expenditure is being made because:
this fee is a yearly maintenance fee payed to Black Hawk County for the AS400 financial
system that the city utilizes
Vendor selected for this purchase:
❑ Bids or written quotes were taken on this purchase, as follows:
Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund
Bonds
Road Use Tax ❑ Sewer
Federal/other grants
Other (specify)
This expenditure is to be coded to the following budget line -item:
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
(Signature ept. Head or Designee) Date (Signature Finance Dept. Review) Date
Sanitation
(Project Code)
$ 1?sO loco. 00
$ Lj } LI I R , 31 ./
K:\shared goodies\forms\2012 BHC software maintenance fees.Expenditure Pre-Authorization.xls (Mar 2010)
Billing date. -
April 2, 2012
Billing name and address:
Suzy Schares
City of Waterloo
715 Mulberry Street
Waterloo, IA 50703
Please remit payment to:
BLACK HAWK COUNTY
MIS DEPARTMENT
316 EAST 5th STREET
WA 1'tRLOO IA 50703
50% of HTE PersonneUPayroll Yearly Software Maintenance
Maintenance Period
5-1-2012 thru 4-30-2013
Total Amount Due
Annual Cost
$9,760.40
50/50
$4880.20
$4880.20
Make check payable to BLACK HAWK COUNTY TREASURER
A $15.00 Fee Will Be Charged For Each Dishonored Check Received
PUBLIC SECTOR
1000 Business Center Drive
Lake Mary, FL 32746
800-727-8088
www.sungardps.com
Bill To: Black Hawk County
316 East Fifth Avenue
WATERLOO, !A 50703
United States
Attn: Robert J. Canney 319-291-2467
Invoice
Company
LG
Document No Date
48623 30/Mar/2012
Page
1 of 1
Ship To: Black Hawk County
316 East Fifth Avenue
WATERLOO, IA 50703
United States
Attn: Robert J. Canney 319-291-2467
Customer Grp/No. Customer Name
1 112OLG Black Hawk County
Customer PO Number Currency
USD
Terms
NET30
Due Date
29/Apr/2012
No { SKUDode/Description/Comments
Contract No.:9612009
1 Payroll/Personnel
Maintenance Start 01/May/2012,
Retrofit_ Modification Option
Maintenance Start 01/May/2012,
End: 30/Apr/2013
End: 30/Apr/2013
Remit Payment To: SunGard Public Sector Inc.
Bank of America
12709 Collection Center Drive
Chicago, IL 60693
PSA Reference Number.
Units
Rate
Extended
8,460.40
1,300.00
Subtotal
Sales Tax
Invoice Total
Payment Received
Balance Due
9,760.40
o.Oo
9,760.4D. k
0.00;!
9, 760.40--.I
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 Engineering Department to expend
$ 8,750.00 plus est. shipping costs of $ 0.00 to pay for or purchase
Asphalt approach and taper work at the West Donald Street railroad crossing. The City
will be reimbursed for 80% of these costs.
City Clerk Use Only
Finance Committeeete
Approval Date �1 .7I.3L (.2-•
This purchase or expenditure is being made because:
This work is part of a cooperative agreement with the CC&P Railroad to reconstruct
the surface crossing (that is failing) under one track at the W. Donald St. crossing.
Vendor selected for this purchase: Aspro, Inc.
Bids or written quotes were taken on this purchase, as follows:
$8750 -Aspro, Inc.
Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
nGeneral Fund n Road Use Tax n Sewer n Sanitation
n Bonds I I Federal/other grants ri Other (specify) Local Option Sales Tax
This expenditure is to be coded to the following budget line -item:
205-07-7500-2165
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respecjfully su
(Signature Deyit. Head or -Designate) '
(Project Code)
$ l �' C. �Ca
>2-�t4/7.6..c._ 3-24'r3—
(Signature Finance Dept. Review) Date
K:\shared goodies1forms1WDonaIdRRCrossingAsphaltPre-Authorization (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 61/ ( (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 Central Garage
$ 1,079.90 plus est. shipping costs of $ 0.00
Replacement patrol car tires
Department to expend
to pay for or purchase
This purchase or expenditure is being made because:
Necessary for serviceability
Vendor selected for this purchase: Wingfoot Commercial Tire
l l Bids or written quotes were taken on this purchase, as follows:
I I Bids or quotes were not taken on this purchase because:
State Bid Pricing
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
UGeneral Fund
Bonds
Road Use Tax ❑ Sewer ❑ Sanitation
Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
010-18-7950-1569
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
4-3o •iz
(Signature Dept. Head or Designee) Date
(Project Code)
$ 15,000.00
$ 4,221.01 '/
(Sigriature Finance Dept. Review)
4i 2cy 2
Date
K:\shared goodies\forms\Central Garage -Patrol Car Tire Replacements - Apr 12.xls (Mar 2010)
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committee
Approval Date 71/-7/2D1d
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
$ 1,278.00 plus est. shipping costs of $ NA to pay for or purchase
Dram Shop insurance to sell liquor at VGM Gala.
This purchase or expenditure is being made because:
Young Arena will be selling Liquor at the June 6th VGM event.
Vendor selected for this purchase: PDCM Insurance
n Bids or written quotes were taken on this purchase, as follows:
Q Bids or quotes were not taken on this purchase because:
PDCM is our current insurance carrier for our Dram Shop
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 0 Sanitation
nBonds n FederaVother grants n Other (specify)
This expenditure is to be coded to the following budget line -item:
010-37-4500-1364
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Ry_spectfult submitted
(Project Code)
$ t?s cTD;
$ 33.2,
-'-(Sitlnature Dep d or Designee) Date (Sigriature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre -Authorization (Mar 2010)
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committee
Approval Date ✓h I9t��
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
$ 1,579.00 plus est. shipping costs of $ to pay for or purchase
Supplying 38 trees. Green Scene will be paying $2,500 directly to the vendor for
this project. Total invoice will be $4,078.58 City portion is $1,578.58
This purchase or expenditure is being made because:
Trees will be replaced in several publicly owned areas.
Vendor selected for this purchase: Matthias Landscaping Co.
❑X
Bids or written quotes were taken on this purchase, as follows:
Matthias Landscaping Co. $4,078.58
Jordans Nursery $4,260.00
Meyers Nursery $5,618.00
Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
n
General Fund
Bonds
Road Use Tax
Sewer ❑ Sanitation
Federal/other grants Other (specify)
This expenditure is to be coded to the following budget line -item:
010-37-4100-1536
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
ly submitted,
,,.- -> -7 )4f.f7,r/,6, j4!.l.l�.44 iit 4a14.,L'%rij;1
ignatur- • - Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Pre authorization - trees 2012 (2).xls (Mar 2010)
(Project Code)
$ 4,887.47 /
$ 2,924.00 /
City Clerk Use Only
Finance Committee I
Approval Date 5h (2 it
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
$ 1,400.00
plus est. shipping costs of $ to pay for or purchase
Transplanting 7 large Norway Spruce trees from Grand Hotel property to Byrnes Park
with 90" tree spade.
This purchase or expenditure is being made because:
This planting is being done to fill a void in the line of Norway Spruce trees along Hwy 63
in Byrnes Park.
Vendor selected for this purchase: Dierks Tree Transplant
Bids or written quotes were taken on this purchase, as follows:
I ^ I Bids or quotes were not taken on this purchase because:
Only 90" tree spade in the area and this size is required for trees of this size.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
❑ General Fund ❑ Road Use Tax ❑ Sewer ❑ Sanitation
Bonds
Federal/other grants X Other (specify)
This expenditure is to be coded to the following budget line -item:
010-37-4105-1536 37RST-MIDA
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
RespeotfuJlysubmitted,
$ Y0,060.00
$ zv,VVe.ro l'% -J %7r; v
yes i� Yi u /tL/ L r'J ),r_L
(Signature Dept.,: .d or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Dierks planting 2012.xls (Mar 2010)
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committee/
Approval Date Jl� l O�y0t
i%
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Leisure Services Department to expend
$ 5,108.00 plus est. shipping costs of $ to pay for or purchase
Young Arena ammonia ice system annual preventative maintenance and safety
improvements. NOTE - additional expenses may be incurred for any worn or broken parts.
This purchase or expenditure is being made because:
The ice system preventative maintenance program is completed each summer in
preparation for the upcoming ice season.
Vendor selected for this purchase: All Temp Refrigeration Cedar Rapids IA
n Bids or written quotes were taken on this purchase, as follows:
X
Bids or quotes were not taken on this purchase because:
All Temp Refrigeration is a certified vilter ammonia compressor specialist. This
vendor has performed all maintenance work on the Young Arean ice system
since 1994.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
❑X General Fund Road Use Tax
Bonds n Federal/other grants
n
Sewer n Sanitation
Other (specify)
This expenditure is to be coded to the following budget line -item:
010-37-4500-1388
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
(Signature
(Project Code)
$ 10,000.00 r/
$ 5,108.00 /
ead or Designee) Date (Signature Finance Dept. Review)
-2o4 2
Date
K:\shared goodies Worms \Expenditure Pre-Authorization.xls (Mar 2010)
City Clerk Use Only
Finance Committee Approval Date 71 t�t
`00I9--
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
$ 1,524.00 plus est. shipping costs of $ to pay for or purchase
Plaque for Mark's Park. The cost is being paid with a donation from the Community
Foundation.
This purchase or expenditure is being made because:
To add names to the recognition plaque for Mark's Park.
Vendor selected for this purchase: Signs & Designs
n Bids or written quotes were taken on this purchase, as follows:
I ^ 1 Bids or quotes were not taken on this purchase because:
Signs & Designs made original plaque. They will remake to plaque to add names.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund
Bonds
n
Road Use Tax n Sewer
Federal/other grants n Other (specify)
This expenditure is to be coded to the following budget line -item:
010-37-4105-1371
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
Sanitation
37GFT-PARK
(Project Code)
1,524.00
and the current available balance is $ 1,524 after amendment
Respectfully submitted,
7
(Signature Dept ad or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xis (Mar 2010)
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committe l�
Approval Date S 111 �y012L
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Police Department to expend
$ 997.50 plus est. shipping costs of $ 16.00 to pay for or purchase
fifty Taser training cartridges
This purchase or expenditure is being made because:
used for annual training and certification for the use of the Taser that is carried by
officers of the police department.
Vendor selected for this purchase: Ed Roehr Safety Products Co.
❑ Bids or written quotes were taken on this purchase, as follows:
❑ Bids or quotes were not taken on this purchase because:
Taser cartridges are vendor specific to Ed Roehr Safety Products Co for the State
of Iowa.
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 ri Sewer n Sanitation
Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
010-11-1100-1542
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
(Project Code)
$ I'? r 1,2
Respectfully submitted,
C'Ac\f„.,?,-y
(Signature Dept. Head or Designee) Date (Sighature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre -Authorization (Mar 2010)
City Clerk Use Only
Finance Committee
��nn
Approval Date I✓u
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Police Department to expend
$ 27,700.00 plus est. shipping costs of $ 50.00 to pay for or purchase
thirty five Voice link plus 2 wireless microphone system with transmitter and docking
stations, and forty seven voice. link plus 2 transmitters with chargers.
This purchase or expenditure is being made because:
to replace aging transmitters and add additional transmitters to be assigned to the patrol uni+
officers for video and audio recording by the in car digital video recorders.
Vendor selected for this purchase: L3 Mobile -Vision, Inc.
❑ Bids or written quotes were taken on this purchase, as follows:
❑x Bids or quotes were not taken on this purchase because:
This purchase is vendor proprietary to the recording equipment that we have
installed in the patrol car fleet.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund
Bonds
Road Use Tax ❑ Sewer ❑ Sanitation
Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
410-11-1100-2127 / 411-11-1100-2127
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
(Sig
ctfully sub
ture Dept. Head or Designee) Date
(Project Code)
$ `/z'cct ` 35 6uv
$ S l7j'7
7J L+.c Uc <_, tzt
(Signature Finance Dept. Review)
Date
K:\shared goodieslforms\Expenditure Pre -Authorization (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date Sh i '10-
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Police Department to expend
$ 1,732.41 plus est. shipping costs of $ 0.00 to pay for or purchase
repair and maintenance on two Segways used by the patrol division. This is an
amendment to a prior request approved by council on 2/6/12 for $1475.00.
This purchase or expenditure is being made because:
both segways were repaired and additional items were in need of repair that were not
listed on the original estimate adding $257.41 to the invoice.
Vendor selected for this purchase: B2B Segway
I I Bids or written quotes were taken on this purchase, as follows:
❑x Bids or quotes were not taken on this purchase because:
this maintenance and repair is proprietary to the Segway company.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
0
General Fund
Bonds
❑ Road Use Tax ❑ Sewer ❑ Sanitation
Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
010-11-1100-1375
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
(Project Code)
$ %^COt2' a �Si
$ .3
Respectfully submitted,
46-- OffZ7(2- )j &,-t;4,61 1/4v -)--
(Signakie Dept. Head or Designee) Date (Signa ure Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre -Authorization (Mar 2010)
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Police Department to expend
$ 1,176.00 plus est. shipping costs of $ 0.00 to pay for or purchase
Annual renewal fee for AT&T GRPS broadband data service for GPS tracking
devices.
City Clerk Use Only
Finance Committee
Approval Date 5I111 0--
This purchase or expenditure is being made because:
the current maintenance agreement will expire in the near future and this is a renewal
to those GPS devices.
Vendor selected for this purchase: Team Intel, LLC
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
This purchase is vendor proprietary.
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/othergrants n Other (specify)
This expenditure is to be coded to the following budget line -item:
010-11-1150-1387 11GRT LENS
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Re pectfully submitted,
6-
:2, (c6S
(SignqtUtept. Head or Designee) Date `(Si6nature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre -Authorization (Mar 2010)
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committe
Approval Date �(�es-
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Police Department to expend
$ 1,188.00 plus est. shipping costs of $ 0.00 to pay for or purchase
EDACS access fee for Fusion Center, LEIN Region 2 center, radio access for
portable radios.
This purchase or expenditure is being made because:
this is a system user fee for EDACS access to the RACOM system utilized by officers
to communicate by radio.
Vendor selected for this purchase: RACOM Corporation
• Bids or written quotes were taken on this purchase, as follows:
Qx Bids or quotes were not taken on this purchase because:
This purchase is vendor proprietary.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
• General Fund n Road Use Tax n Sewer ❑ Sanitation
Bonds E Federal/other grants n Other (specify)
This expenditure is to be coded to the following budget line -item:
010-11-1150-1387 11GRT LEN6
(Fund - Department - Activity- Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted
(St nature Dbpt. Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre -Authorization (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date Ci (i LQt
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 Street Department to expend
$ 8,000.00 plus est. shipping costs of $ 250.00 to pay for or purchase
Crack Sealer Sealant
This purchase or expenditure is being made because:
Sealant for Crack Seal Program
Vendor selected for this purchase: Logan Contractors
n Bids or written quotes were taken on this purchase, as follows:
Q Bids or quotes were not taken on this purchase because:.
Mfg recommended sealant for use with new Crack Seal Unit
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund
Bonds
Road Use Tax ❑ Sewer
Sanitation
Federal/other grants ❑ Other (specify) Local Option
This expenditure is to be coded to the following budget line -item:
205-19-7110-1513
(Fund - Department - Activity - Account Number)
(Project Code)
in which the budgeted amount is $ 155,000.00
and the current available balance is
11,453.54
Respectfully submitted,
-l2- -7? z_; o,
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies \forms\Street Dept - Crack Sealer Sealant (5 Pallets) - Apr 2012.xls (Mar 2010)
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committee(( r'
Approval Date I1 (Syr/mot/2
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Traffic Operations Department to expend
$ 4,785.25 plus est. shipping costs of $ to pay for or purchase
Telespar sign posts
This purchase or expenditure is being made because:
Replace wood 4 x 4 posts
Vendor selected for this purchase: Iowa DOT
❑X Bids or written quotes were taken on this purchase, as follows:
Iowa DOT $4,785.25
❑ Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates): $24,336.70 approved on January 23, 2012
Please check the following box(es) as appropriate to describe the funding for this expense:
❑ General Fund 0 Road Use Tax n Sewer Sanitation
Bonds
❑ Federal/other grants n Other (specify)
This expenditure is to be coded to the following budget line -item:
410-17-7120-2125
(Fund - Department - Activity - Account Number)
(Project Code)
in which the budgeted amount is $ 23,000.00
and the current available balance is
Res•ectfully submitted
(Signature Dept. ea. or Designee) / D-te
$ 19,995.00 'V
2.-
ignature Finance Dept. Review)
5-3
Date
K:\shared goodies\forms\2012-April-Expenditure Pre-Authorization-telespar posts-IDOT.xls (Mar 2010)
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committeei
Approval Date 5 tl I
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Traffic Operations Department to expend
$ 2,354.96 plus est. shipping costs of $ to pay for or purchase
Conduit, adaptors, straps and misc. supplies
This purchase or expenditure is being made because:
Electrical needs for the viewing area of the airport for the My Waterloo Days, airshow and
other planned events.
Vendor selected for this purchase: 3E
E Bids or written quotes were taken on this purchase, as follows:
3E (electrical, engineering & equipment) Waterloo, IA $2,354.96
n Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
0 General Fund E Road Use Tax n Sewer 0 Sanitation
0 Bonds n Federal/other grants Other (specify)
This expenditure is to be coded to the following budget line -item:
266-17-7120-1521
(Fund - Department - Activity - Account Number)
(Project Code)
in which the budgeted amount is $ 28,800.00
and the current available balance is
Respectfully submitted,
$ 21,731.33 V-
(Signature Dept. 'Head or Designee) / Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\2012-May-Expenditure Pre -Authorization -electrical needs for airport viewing area events.xls (Mar 2010)
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Commit?�
Approval Date914`-'
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Traffic Operations Department to expend
$ 3,540.24 plus est. shipping costs of $ to pay for or purchase
Early Warning Siren batteries
This purchase or expenditure is being made because:
Replacement of batteries is required every 5 years
Vendor selected for this purchase: IWI Motor Parts
El Bids or written quotes were taken on this purchase, as follows:
IWI Motor Parts Waterloo, IA
$3,540.24
❑ 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:
O General Fund n Road Use Tax Sewer Sanitation
• Bonds ri Federal/other grants Other (specify)
This expenditure is to be coded to the following budget line -item:
266-17-7120-1377
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
(./i/Gr� C - !l //,7 2),(, %.T//-_- )i )-
(Signature Dept. Head or Designee) r Date (Signature Finance Dept. Review) Date
(Project Code)
$ 7,575.00 V
$ 3,999.18
K:lshared goodies\forms12012-May-Expenditure Pre-Authorization-IWI-Batteries-Siren Maint.xls (Mar 2010)
City Clerk Use Only
Finance Committee/�1 n
Approval Date �I L O ' 1 2-
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
$ 3,898.15 plus ext. shipping cost of $ 300.00
pump rebuild
Departmant to expend
to pay for or purchase
This purchase or expenditure is being made because:
Pump for Con -Agri mechanical seal failure, upper bearing failed and shorted out
motor.
Bids or written quotes were taken on this purchase, as follows
Bids or quotes were not taken on this purchase because:
Quality Pump & Control are the repair rep for Flygt pumps
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
nGeneral Fund: Road Use Tax: nSewer: nSanitation:
Bonds:
oFederauothergrants: nOther(specify):
This expenditure is to be coded to the following budget line -item:
590/14/5200/1555 13/t'
(Fund - Department - Activity - Account Number)
in which budgeted amount is
and the current available balance is
Respectfully subm. ted,
(Project Code)
$ 97 58796,
-:,fit% L u
$ 7,55834-
(Signature Dept. Head Or Designee) Date (ignature Finance Dept. Review) Date
Y
Q�q
s
ag
I
ti
1
N
� Uw
z•
g
1
Rebuild of pump
1
O
LIST PRICE
O
QE
O
O
h
ti
0
En
04
0
d
4
i � J
Completed fors should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance mmittee approval required?
YES NO ("AO -
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 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 07 7650 3443
SW Repr Fee
18,000.00
010 07 7650 2164
Sidewalks
18,000.00
010 07 7650 3885
Assessment -SW
8,100.00
010 07 7650 2164
Sidewalks
8,100.00
TOTAL
$26,100.00
TOTAL
$26,100.00
This amendment is being requested because:
Sidewalk repair assessment contract for FY12 was higher than originally budgeted. We have collected revenue from the property owners
that covers these expenses.
Prior Committee Actions (Dates):
ure Dept. Head or Designee)
Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies forms \Budget Amendment_Sidewalks.xls (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance ommittee approval required?
YES _ NO rr
If so, date approved: " Jh (9n t-
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 Engineering 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
521-07-7830-3000
Cash
18,967.68
521-07-7830-2117
Motor vehicle
18,967.68
TOTAL
$18,967.68
TOTAL
This amendment is being requested because:
The vehicle for the Storm Water Specialist was budgeted in FYE 11, but was not able to be paid for until FYE 12.
$18,967.68
Prior Committee Actions (Dates):
None
(Signature Dept. Head or Designee)
Y/23 l .�6Cc(2ui1
Date (
(Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
Kttuserslshared goodieslforms\Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Financ mittee approval required?
YES NO
It so, date approved: 1 (gCl
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 POLICE Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010
11 1160.ase9-
Tri County Forf..
11TRI TRIF
105,000.00
010
11
1160 1512
Tri Co. Forf.
11TRI TRIF
105,000.00)
Li rJccy►`
/
010
11 1160 3873 •
Events
11PRO EVNT
53,355.37✓/010
11
1160 1114
Events
11PRO EVNT
53,355.371
010
11 1150 3350
Stimulus Recovery
11GRT STIM
.4000.00
010
11
1150 2117
Stimulus Recovery
11GRT STIM
,000.00‘
I!00 3350
''
t'
20000
✓
0610 iJo,3
outside Ayeh,
t f
lay OD.
TOTAL
$398,355.37
TOTAL
$398,355.37
This amendment is being requested because:
This is to conform with the City's budget line item control policy using FY12 revenue received and grant monies.
egec.htc ilutiet disW4i4c.h'artl -fb 1rt -Co Gq-ei, ieS be ye tfv.30.
EIVA/7- Yudlte fir rei er h 1,e related it rerMl i'r wPA 07" Ca e
5rl M bLAtig.o rbir s -t cjo .e c/ d to 6e rite d T/ arcI e��e...
eg ipine.rt 0 pa vu i G 1cr eS �G ) jCre (a .30.
Prior Committee Actions (Dates):
6
(Signature Dept. Head or Designee)
Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies \ forms \csbudgetamendregform (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finances76mmittee approval required?
YES i/ NO mot/�
If so, date approved( t 701T-
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 1112
Part time
5,000.00
010 37 4500 3481
concessions
29,469.00
010 37 4500 1114
Time & Half
409.00
010 37 4500 1373
Fixed Equip
1,000.00
010 37 4500 1375
Auto Equipment
2,000.00
010 37 4500 1390
Contractual
3,000.00
010 37 4500 1391
Dues Membership
180.00
010 37 4500 1533
Fuel
500.00
010 37 4500 1546
Beer
5,702.00
010 37 4500 1553
Resale Merch
10,000.00
010 37 4500 1555
Minor Equip
500.00
010 37 4500 1558
Skate Equip
779.00
010 37 4500 1561
office supplies
399.00
TOTAL
This amendment is being requested because:
$29,469.00
TOTAL
$29,469.00
to budget for anticipated revenue and expenses related to the upcoming hockey playoff games, and correct budget lines
that are currently overdrawn.
Prior Committee Actions (Dates):
(Signature Dept. eadesignee)
r� & /iJ , 61,-6(2u11--
Date (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 p mittee approval required?
YES NO
If so, date approve�1 d: 1 t ifir,
(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 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
LZ'''
cash
37RST-YAMI
796.45
010
37 4105 1382
37RST-YAMI
6,410.451.
010 37 4105 3724
r
Restricted.Denatien
37RST-YAMI
5,614.00✓
e
ICz{-u,nd.5
TOTAL
This amendment is being requested because:
$6,410.45
TOTAL
$6,410.45
to carry forward a portion of the balance from FYE 2011, and to budget current year expenses and revenues
We do not plan on any more expenses for fiscal year 2012.
Prior Committee Actions (Dates):
(Signature D,
ead or Designee)
j/ �.rlu L /�%l tLr✓2 J 3 -9.1;11
Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\userslshared goodies \forms\Budget Amendment Request Form.xls (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finan e C mittee approval required?
YES
If so, date approved: 3h l / 01 0
!],
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 4105 3720
Restricted Donation
37GFT-0008
1,500.00
010 37 4105 1567
Rec Equip
37GFT-0008
1,500.00
TOTAL
This amendment is being requested because:
$1,500.00
TOTAL
$1,500.00
to budget for projected requests for memorial trees and benches. We have had conversations with folks that are interested in a memorial
tree or bench. The donations MAY happen yet this fiscal year.
Prior Committee Actions (Dates):
(Signature
. Head or Designee)
•
Date (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 mmittee approval required?
YES NO /
If so, date approved: ' h 1"O�y]� �0i-
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
951)
CASH
37RST-MVLC
1,693.73
010 37 4105 1567
Rec Equip
37RST-MVLC
1,237.63t,
010 37 4105 1112
Part Time Salary
37RST-MVLC
423.751'
010 37 4105 1121
FICA
37RST-MVLC
32.41 i
TOTAL
This amendment is being requested because:
$1,693.79
TOTAL
$1,693.79
to carry over the Fiscal,Year End 2011 balance for expenses incurred in fiscal year 2012.
ettb vr��y1,>v1 ti fv
4d�
Prior Committee Actions (Dates):
✓�� � / %'�r [ l i �' Z ( l <%L,c.-d 2t., . 5-3 - ..v1
(Signature Uept. H r Designee) Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
Kiuserslshared goodies\forms\Budget Amendment Request Form.xls (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance C mittee approval required?
YES NO �/,
If so, date approved: [ J j ^ / I Ag--
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
J"
CASH
37RST-MIDA
1/1
20,060.24
010
37 4105 1536
Trees Shrubs
37RST-MIDA
20,060.24
TOTAL
This amendment is being requested because:
$20,060.24
TOTAL
$20,060.24
to carry over the Fiscal Year End 2011 balance for expenses incurred in fiscal year 2012. t!,1 � '1'N.id - l.'iu tce ce v
,.- r
h- ; r'cr t
Prior Committee Actions (Dates):
(Signature
or Designee) Date
(Signature Finance Dept. Review)
-.2dr 3
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
Financynmittee approval required?
YES NO ,^,
If so, date approved: IIl1-1 I w �yf"�t✓,/]_
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
tit) 31 r/Q> 37x
POIL44.5
37RST-SPOT
1,639.21
010 37 4105 1567
Rec Equp
37RST-SPOT
213.33V
010 37 4105 1535
Hardware
37RST-SPOT
1,425.88t/
TOTAL
This amendment is being requested because:
$1,639.21
TOTAL
$1,639.21
to budget current year expenses. ` (iy14h � ?5 r-ad.:l°d 41r-
Prior Committee Actions (Dates):
t Yes
72-.0 lc,ce 2
G� e La�17 t L "-3 k7
(SignatureHead or Designee) Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies \forms\Budget Amendment Request Form.zls (Apr 2003)
04/27/2012 14:34 3192914297
WATERLOO LEISURE SER
PAGE 02/02
1. L)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance CgrRmlttee approval required?
YE8 NO'�'7' ^ n�
If so, dale approvetl� J' 1 U -tr
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#
Met Name
. Proj Code
Amount
Fund Dept Activity A�ctct#
Acct Name,
Pro) Code
Amount
o 37 4105 3720
Restricted Donate
aror._CT P "K
4524.00
37 4105 ` 113r1
aldq Maim57E3F•41PARK
1,524.00
Amp AO-
a�
nirmFMRPJL
TOTAL
,524.00
TOTAL
,..524.00
This amendment is being requested because: `
to budget for donation to be received from the Community Foundation, for the reprinting of the plaque for Marks Park. C%7/1 /ed 1tu/(�? 1
Fyfior Committee Actions (Dates):
(-slgnature`Dept. Head esignee)
7J
Date/
//' -_i L LGC� Ct1
(Signature Finance Dept. Review)
-r/y
Date
Date Posted (Finance Dept.)
K:luscrslsharod goodieslforms\Budget Amndm rd Request Form•xls (Apr2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance C mittee approval required?
YES NO
/
If so, date approved: JI' l O(L
p
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 4105 3873
Reimburse Sery
3,16Kfe-
7,500.00
010 37 4105 1390
Cont Sery
316(1 PPS
7,500.00
TOTAL
This amendment is being requested because:
$7,500.00
TOTAL
$7,500.00
to budget for fence repairs to be made at Riverview Recreation Area, expense to be reimbursed by Iowa DNR.
Prior Committee Actions (Dates):
(Signature Dept. Head or Designee)
I21.CCAZr`,f<1�1� �i.%✓,L ZG2 5 _3- 42-
Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies \forms\Budget Amendment Request Form.xls (Apr 2003)
Page 1 of 1
MADONNA WELSH
From: Downing, David [DNR] [David.Downing@dnr.iowa.gov]
Sent: Monday, March 19, 2012 1:50 PM
To: MADONNA WELSH; Wayne Swarts
Cc: PAUL HUTING; RICK CURRAN
Subject: RE: pre-auth for fencing at Riverview
Madonna:
Just pay for the repair and invoice the IDNR. We will then cover the repair costs.
Thanks David
From: MADONNA WELSH [mailto:MADONNA.WELSH@WATERLOO-IA.ORG]
Sent: Monday, March 19, 2012 7:24 AM
To: Wayne Swarts; Downing, David [DNR]
Cc: PAUL HUTING; RICK CURRAN
Subject: RE: pre-auth for fencing at Riverview
The preapproval sent to and approved by council shows the following bids:
Miller Fence, Waterloo $7,190.47
D&N Fence, Cedar Rapids $9,000.00
Iowa Fence Master did not return the bid request.
Madonna
From: PAUL HUTING
Sent: Friday, March 16, 2012 9:45 AM
To: MADONNA WELSH; RICK CURRAN
Cc: Wayne Swarts; David Downing
Subject: pre-auth for fencing at Riverview
Madonna,
Can you find the amount of the pre -authorization for fencing repairs at Riverview and get that info. to Wayne
Swartz of the Trailblazers? I believe Miller Fence had the low bid. I think Wayne will be working with David
Downing at IDNR for funding for these repairs.
Thanks,
Paul
3/19/2012
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Co ittee approval required?
YES NO If so, date approved: 5 I-1 ( j�
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
'
010 37 4100 3474
Reservation Fee
V
6,015.00
010 37 4100 1785
Refunds
6,015.00
TOTAL
This amendment is being requested because:
$6,015.00
TOTAL
$6,015.00
to budget for revenue actually received for Boat House rental fees. A portion of the rental fee is for the damage deposit. The damage
deposit is then refunded to the renter after their event. This amendment is estimated through FY2012 year end.
Prior Committee Actions (Dates):
ignature Dep . ead or ignee) Date (Signature Finance Dept. Review) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Budget Amendment Request Form.xls (Apr 2003)
PROJECT BUDGET WORKSHEET - ALL PROJECTS
PAGE ONE
Project Name SportsPlex Marketing
City Contract No.
Project Manager
Project Budget Total
Mark Gallagher
$ 26,250.00
1 How will this project be funded?
A. Federal Grant Yes No
Grant Name
x
CFDA #
B. State Grant Yes No
Grant Name
x
C. City Match Source of Funding
D. Other Entities Yes X No
Name
Hotel Motel Tax Grant Program and Discretionary
2. Attach copies of any grant agreements that will fund the project (REQUIRED)
To be assigned by the Finance Dept.
Project No. 37HMT
Subproject No. SPLX
% 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)
This project will allow for a comprehensive marketing and public relations plan for the Cedar Valley SportsPlex. The focus will
be on membership sales (both corporate and household) as well as drawing tournament organizers of the venue.
Done None
❑x ❑
Yes No
❑ 0
❑ ❑
❑ ❑
❑ 0
❑ 0
❑ 0
❑ 0
Page 2 must be attached and signed.
K:\shared goodies\forms\37HMT SPLX.xls\Page 1 All Projects (Mar 2010)
PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION
PAGE TWO
Project Name (from page one) SportsPlex Marketing
Department No. project will be budgeted under 37 Leisure Service
Activity No. project will be budgeted under 4105
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
City Clerk Use Only
Finance Committee fI
Approval Date "`_1 I7bt'
To be assigned by the Finance Dept.
Project No. 37HMT
Subproject No. SPLX
(Each column should only include amounts by fund)
Fund: _010 Fund: 010 Fund: Fund:
010-37-4105 -113
ISC(L. 1r4)4- rit'
Total
3111 Hotel Motel /01060.2.6,2+A49— /(o 9,50, D 26,250.00
TOTALS $ . .•• :L) $ /(p ?SB, 00 $ $ $ 26,250.00
EXPENDITURES:
1111 Salaries - Regular
1112 Salaries - Part Time
1315 Education & Training
1345 Travel - Official City
1346 Travel - Prof Training
1390 Contractual Services
1351 Advertising
gnature Dep
10.01)02C,25e.00
1419-50,60
26,250.00
TOTALS $ f4 00 $AO, 0-S4 OD
$ $ $ 26,250.00
Date (Signature Finance Dept. Review) Date
K:lshared goodies\forms\37HMT SPLX.xls\Page 2 (Donat or NON-constr) (Mar 2010)
PROJECT BUDGET WORKSHEET - ALL PROJECTS
PAGE ONE
Project Name Police Grant - Secure Our Schools
City Contract No.
Project Manager
Project Budget Total
2011 CKWX0008
Director Trelka
$ 71,390.00
1. How will this project be funded?
A. Federal Grant Yes x No
Grant Name
CFDA # % Paid by federal grant
B. State Grant Yes No
Grant Name
C. City Match
x
Source of Funding
D. Other Entities Yes X No
Name
Waterloo School District
Grant Agreement Number 2011CKWX0008
% Paid by state grant
Grant Agreement Number
% Paid by City
% Paid by other entity
2. Attach copies of any grant agreements that will fund the project (REQUIRED)
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)
This grant allows the Waterloo School District to encourage the continuation and enhancement of school safety
equipment and/or programs to encourage the continuation and enhancement of school safety efforts.
50.00%
Done None
❑x ❑
Yes No
❑ ❑X
❑ ❑X
❑ ❑X
El El
❑ ❑X
❑ El
Page 2 must be attached and signed.
K:\shared goodies \forms\XI0000000\Page 1 All Projects (Mar 2010)
PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION
PAGE TWO
City Clerk Use Only
Finance Committee, e
Approval Date ✓I7 1915i9'
Project Name (from page one) Police Grant - Secure Our Schools
Department No. project will be budgeted under 11GRT SOS5
Activity No. project will be budgeted under 290-11-1150
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
3370 School Share Liaison
Funded with property tax
3873 Reimburse for services
EXPENDITURES:
(Each column should only include amounts by fund)
Fund: Fund:
1150 1100 1160
290
71,390.00
Total
71,390.00
TOTALS $ $ - $ - $ 71,390.00 $ 71,390.00
1111 Salaries - Regular
1112 Salaries - Part Time
1121 FICA
1122 IPERS
1123 Disability
1131 Health
1347 Pension
1130 Empl. Benefits
1114 Overtime
1561 Office supplies
1377 Radio Maintenance
1346 Travel/training
1393 Subsidies
TOTALS
71,390.00 71,390.00
$ $ 71,390.00 $ 71,390.00
(Signature Dedt. Head)
Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\XI0000000\Page 2 (Donat or NON-constr) (Mar 2010)
Project Name
City Contract No.
Project Manager
Project Budget Total
PROJECT BUDGET WORKSHEET - ALL PROJECTS
PAGEONE
�j
13CAP FY12 !� /, 0/Q . ei f� r% t li tiw S /1 LLo CA- /6 (\/
Ethel Washington
$ 46,822.00
1. How will this project be funded?
A. Federal Grant Yes X No
Grant Name
CFDA #
B. State Grant Yes I 1 No
Grant Name
C. City Match Source of Funding
D. Other Entities Yes 0 No
Name
% Paid by federal grant 100.00%
Grant Agreement Number IA05P05050112
% Paid by state grant 0.00%
Grant Agreement Number
% Paid by City
% Paid by other entity
2. Attach copies of any grant agreements that will fund the project (REQUIRED)
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)
These funds are to be used for projects at Ridgeway Towers .......Detention Pond
Done None
a❑
Yes No
❑ ❑x
❑ a
❑ ❑x
❑ ❑x
❑ ❑x
❑a
Page 2 must be attached and signed.
K:\shared goodies\forms\Project Budget Worksheet - CAP12\Page 1 All Projects (Mar 2010)
CONSTRUCTION PROJECT BUDGET WORKSHEET
PAGE TWO
Project Name (from page one) 13CAP FY12
Department No. project will be budgeted under J3
Activity No. project will be budgeted under
REVENUES:
3000 Cash on Hand
3112 Local Option Sales Tax
33519 Federal Grant -/f lj1)
33 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
Fund:
City Clerk Use Only
Finance Committee
/�
Approval Date l �� I O" 9-
tat l 'l)S A)CA-7/o vJ
(Each column should only include amounts by fund)
46,822.00
Fund:
Fund: Fund:
Total
46, 822.00
TOTALS $ 46,822.00 $ $ $ $ 46,822.00
EXPENDITURES:
fill Orr, ohs I Oda„v
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
Ridgeway Towers
91,151.(00
.46, 822.00
TOTALS $ 46,822.00 $
(Signature ept. Head)
h2-
Date
$
46, 822.00
$ $ 46,822.00
(Si
nature Finance Dept. Review)
Date
K:\shared goodies\forms\Project Budget Worksheet - CAP12\Page 2 (Constr Proj) (Mar 2010)
PROJECT BUDGET WORKSHEET - ALL PROJECTS
PAGE ONE
Project Name
City Contract No.
Project Manager
Project Budget Total
Riverloop Public Market Marketing Program
$ 66,605.00
1. How will this project be funded?
A. Federal Grant Yes
Grant Name
B. State Grant
Grant Name
C. City Match
No
CFDA #
Yes No
BH Gaming Grant 1258
Source of Funding H/M Discretionary
D. Other Entitie Yes No
Name Public Market Co-op
2. Attach copies of any grant agreements that will fund the project (REQUIRED)
X
To be assigned by the Finance Dept.
Project No. 31 SST
Subproject No.
% 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)
Done None
0 ❑
Yes No
❑ 0
❑ ❑
❑ ❑
❑ 0
❑ 0
❑ 0
❑ Q
To develop, and implement a plan to market the Riverloop Public Market Co-op.
The plan will include direct marketing, mass market advertising, development of promotional items,
and marketing/public relations staff support.
Page 2 must be attached and signed.
K:\shared goodies\forms\Public Market Marketing.xls\Page 1 All Projects (Mar 2010)
PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION
PAGE TWO
Project Name (from page one) Riverloop Public Market Marketing Program
Department No. project will be budgeted under 37 Leisure Service
Activity No. project will be budgeted under 1-1f 05
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
3111 Hotel Motel Discretionary
EXPENDITURES:
Project No.
Subproject No.
City Clerk Use Only
Finance Committees
Approval Date ✓'7 I7619—
To be assigned by the Finance Dept.
.r7 r i
APi4 itot
(Each column should only include amounts by fund)
Fund: (�(0 Fund: olo Fund: 60e Fund:
BH Gaming
55,000.00
t:Y Ufr1r D 1SC
H/M Dscretionary
Matching Funds Public Mrk Co-op
Total
5,000.00 60,000.00
3,000.00 3,000.00
3,605.00 3,605.00
TOTALS $ 55,000.00 $ 3,605.00 $ 3,000.00 $ 5,000.00 $ 66,605.00
1111 Salaries - Regular
1112 Salaries - Part Time
1315 Education & Training
1345 Travel - Official City
1346 Travel - Prof Training
1390 Contractual Services
1351 Advertising
)
(Signature Dept.
252.00
5,000.00 5,252.00
55,000.00 3,353.00 3,000.00 61,353.00
TOTALS $ 55,000.00 $ 3,605.00 $ 3,000.00 $ 5,000.00 $ 66,605.00
7 71 22�„,�' �' � C J c , �� '� /)-
Date (Signature Finance Dept. Review) Date
K:\shared goodies \forms\Public Market Marketing.xls\Page 2 (Donat or NON-constr) (Mar 2010)
PROJECT BUDGET WORKSHEET - ALL PROJECTS
PAGE ONE
Project Name
City Contract No.
Project Manager
Project Budget Total
IPTV Kids Lab
Kelly Stern, Youth Librarian
$ 8,000.00
1. How will this project be funded?
A. Federal Grant
Grant Name
Yes No x CFDA #
B. State Grant Yes
Grant Name
No
x
C. City Match Source of Funding
D. Other Entities Yes
Name
x
No
Iowa Public Television
2. Attach copies of any grant agreements that will fund the project (REQUIRED)
To be assigned by the Finance Dept.
Project No.
Subproject No.
33GRT Ieti2P
I PTV
% 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.
0.00%
0.00%
0.00%
100.00%
Done None
❑x ❑
Yes No
❑ ❑x
❑ 0
❑ ❑x
❑ ❑x
❑ ❑x
❑ ❑x
❑ 0
6. Include a brief description of the project in the space below: (REQUIRED)
This is an after -school program with IPTV's Kids Lab. It begins Monday, May 14, 2012, and runs through October 2012. It
will be held on Mondays and Thursdays from 4:00-5:00 p.m. during the school year, and from 3:00-4:00 p.m. during the
summer. There will be thirteen netbooks provided by PBS for children to play games that are specially developed to target
math and literacy skills for ages 2-8. We will also assist parents in downloading the games to their mobile devices,
free of charge, regardless of income. The netbooks cannot be used for anything other than the Kids Lab during the grant
period. At the end of the period, the Director, the Technical Systems Administrator and the Youth Librarian will decide the
future use of the notebooks.
Page 2 must be attached and signed.
users\michelle-wlforms\project-worksheets-ipty-grant.xls\Page 1 All Projects (Mar 2010)
PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION
PAGE TWO
Project Name (from page one) IPTV Kids Lab
Department No. project will be budgeted under 33
Activity No. project will be budgeted under 3160
REVENUES:
000 ash on Hand 'n
3,351 Federal Grant -f (SS 011.ti-
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
3800 Miscellaneous Revenue
EXPENDITURES:
City Clerk Use Only
Finance Committee
Approval Date
To be assigned by the Finance Dept.
Project No.
Subproject No.
33GRT
IP N
(Each column should only include amounts by fund)
Fund: 010
8,000.0
Fund:
Fund: Fund:
Total
8,000.00
TOTALS $ 8,000.00 $ $ - $ $ 8,000.00
1111 Salaries - Regular
1112 Salaries - Part Time
1315 Education & Training
1345 Travel - Official City
1346 Travel - Prof Training
1390 Contractual Services
-2-1e@ Computer Equipment
15I (a
TOTALS
8,000.00 8,000.00
$ 8,000.00 $
�a41ao��
(Signature Dept. Head) ' Date
$
$ $ 8,000.00
>,Le./LLI/t.. (4-16� � '
(Signature Finance Dept. Review)
Date
users \michelle-w\forms\project-worksheets-iptv-grant.xlsPage 2 (Donat-non constr) (Mar 2010)