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HomeMy WebLinkAbout05/16/2016FINANCE COMMITTEE May 16, 2016 5:10 PM Harold E. Getty Council Chambers Members Chairperson Ron Welper Vice Chairperson Pat Morrissey Bruce Jacobs Roll Call: Approval of Agenda Approval of Minutes of May 9, 2016, as proposed. NEW BUSINESS TRAVEL REQUESTS 1. Scott Strader, Combination Inspector II Class/Meeting: Plumbing Plans Examiner Destination: Coralville, IA Dates: Available dates - Amount not to exceed: $199.00 May 23, 24, June 1, 2, 7 or 9, 2016 2. Jeff Siebel, Property Safety Inspector Class/Meeting: Series 8hr Plumbing Update Destination: Cedar Falls, IA Dates: August 12, 2016 Amount not to exceed: $239.00 3. Travis Ihnen, Fire Rescue Class/Meeting: PALS - Advanced Life Support Destination: Iowa City, IA Dates: August 25, 2016 Amount not to exceed: $252.00 4. Abraham Funchess, Jr., Executive Director; Rebecca Johnson, HR Specialist; Shelly Burch, Adm Secretary Class/Meeting: 2016 EEOC/FEPA National Training Conference Destination: New Orleans, LA Dates: July 11-15, 2016 Amount not to exceed: $5,240.00 5. Pre -Authorizations to Expend over $1,000.00 Clerk Amount and Estimated S/H: $7,500.00 Expenditure: Novus Solutions Agenda Management Software License Fee. Culture & Arts Amount and Estimated S/H: $2,323.36 Expenditure: Mounting, matting and framing of Grant Wood drawings for exhibition at WCA. Fire Department Amount and Estimated S/H: $1,580.00 Expenditure: Audiograms for 76 employees. Fire Department Amount and Estimated S/H: $3,500.00 Expenditure: Two (2) recruit hiring physicals. Leisure Services Amount and Estimated S/H: NTE $17,750.85 Expenditure: Asphalt overlay and patching at Byrnes Park parking lot and driveways. Leisure Services Amount and Estimated S/H: $2,397.38 Expenditure: Electrical service at chemical storage building. Leisure Services Amount and Estimated S/H: $4,870.88 Expenditure: Electric boiler and materials for radiant floor heat at chemical storage building. Leisure Services Amount and Estimated S/H: NTE $3,500.00 Expenditure: Oi1 and sand interceptor tank and overflow tank for chemical storage building. Leisure Services Amount and Estimated S/H: NTE $4,000.00 Expenditure: Approximately 150 sheets of 2" rigid foam for floor and wall insulation in chemical storage building. Mayor Hart Amount and Estimated S/H: $600.00 Expenditure: Mayor's Volunteer Awards Luncheon; Mayors' Top Teen Awards Reception (April 12, 2016). Traffic Operations Amount and Estimated S/H: $32.72 S/H Expenditure: Shipping cost for 3 Gun Action Assembly which was not known at the time of submission of cost. Traffic Operations Amount and Estimated S/H: $1,795.00 + $24 S/H Expenditure: TDC Ultra Hand-held Traffic Data Collector. BUDGET LINE ITEMS TO BE AMENDED 6. Approve the budget amendment to use $2,000 in state grant funds to purchase trees, as submitted by Leisure Services. 7. Approve the budget amendment to use $430,000 in stop -loss insurance refunds received to pay related health care claims, as submitted by the City Clerk. 8. Approve the budget amendment to use $450,000 in grant proceeds to pay for the amounts spent for the storm water lift stations, as submitted by Finance. (These grants were budgeted in prior years, but are not complete) 9. Approve the budget amendment to record the use of TIE revenue in the amount of $3,700,000 to fund project expenses, including land acquisition, sanitary sewer construction and economic development grants, as submitted by the Finance Department. 10. Approve the budget amendment to use sewer fund balance to fund unbudgeted expenses in the amount of $500,000, as submitted by the Sewer Department. 11. Approve the budget amendment to use additional bond funds for footing drain disconnections in the amount of $125,000, as submitted by Finance. 12. Approve the budget amendment to use additional donation revenue in the amount of $30,000 to purchase library materials and supplies, as submitted by the Library. 13. Approve the budget amendment to use $30,600 in general fund balance to meet additional expenses for Young Arena, as submitted by Leisure Services. 14. Approve the budget amendment to record an anticipated refunding bond issue in the amount of $2,415,000, as submitted by the Finance Department. 15. Approve the project budget for the SAFER grant, in the total amount of $165,944, with annual anticipated expense of $49,154 for FYE16, $84,489 for FYE17 and $32,301 for FYE18, as submitted by the Fire Department. BILLS PAYMENT 16. May 16, 2016 ADJOURNMENT Suzy Schares, CMC City Clerk/Human Resource Director TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. LINE ITEM USED FY•//:%BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance STAFF ONLY /v)iz 576e /3,-dw 45' N/Y cd 5- J/- 26i 6 Copy - Department NAME(S) AND POSITION(S): Jeff Siebel, Property Safety Inspector DATE: 5-5-2016 NAME OF CLASS / MEETING: Series 8hr Plumbing Update DEPARTURE DATE: 8/12/2016 PURPOSE OF TRAVEL/TRAINING Required certification DESTINATION Cedar Falls, Iowa DEPARTURE POINT IF NOT WATERLOO RETURN DATE: 8/12/2016 DATE(S) OF MEETING: 8/12/2016 WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: X CITY VEHICLE AIRFARE DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: LODGING MEALS 239.00 REGISTRATION MILEAGE/FUEL TOTAL FOR ALL: $ 239.00 TAXI PARKING AIRFARE MISC/TOLLS BUDGET LINE ITEM: 010-22-5100-1346 X GRANT REIMBURSABLE YES NO X YES NO REQUIRED CERTIFICATION TOTAL: $ 239.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO i ram--- — DEPARTMENT HEAD I APPROVE THIS TRAVEL REQUEST MAYOR DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 Sent over 020216 TRAVEL REQUEST CITY OF WATERLOO NAME(S) AND POSITION(S): Travis Ihnen DATE: FINANCE DEPT. STAFF ONLY LINE ITEM USED FYI 7 BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST la G £/v /,2-/'{/) /346 (' vo v `' 3'143 "ice//—/� February 2, 2016 NAME OF CLASS / MEETING: PALS- Advanced Life Support DEPARTURE DATE: August 25, 2016 PURPOSE OF TRAVEL: Class required allowing him to teach classes at Waterloo Fire Rescue. DESTINATION: Iowa City DEPARTURE POINT IF NOT WATERLOO: DATE(S) OF MEETING: RETURN DATE: August 25, 2016 August 25, 2016 WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: CITY VEHICLE AIRFARE x DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: LODGING TAXI MEALS PARKING $175.00 CERTIFICATION AIRFARE MILEAGE/FUEL $77.00 MISCITOLLS TOTAL FOR ALL: $ $252.00 BUDGET LINE ITEM: 010-12-1410-1346 x GRANT REIMBURSABLE YES NO x YES NO REQUIRED CERTIFICATION TOTAL: $ $252.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY A ENEF IAL TO THE CITY OF WAT LO DEPARTMENT HEAD I APPROVE THIS TRAVEL REQUEST MAYOR DATE DATE Pediatric Advanced Life Support (PALS) Instructor Course January 14, 2016 - Fees I Online Registration by Cvent Page 1 of 1 VANCED LIFE SUPPORT (PALS) COURSE11111111111111111M 2016 , record keeping expenses, program materials, faculty expenses and continuing education recording. prior to the start of class will be sent to the email address provided during registration. You will have to purchase the Instructor manual and Instructor essentials in addition to attending this course. PALS Instructor Manual 90-1054 Essentials 90-1430 ADMISSION ITEM EVENT REGISTRATION Non -University of Iowa Hospitals and Clinics Staff $175.00 View Refund Policy University of Iowa Hospitals and Clinics Staff $175.00 View Refund Policy PAYMENT MESSAGE http://www.cvent.com/events/pediatric-advanced-life-support-pals-instructor-course-january-14-2016/fees-0313523750354bf199c4c1079c832f9... 1/15/2016 EMSLRC Courses and Registrations Page 1 of 1 August • August 3 - Pediatric Advanced Life Support Renewal Course (PALS), EMS Learning Resources Center, Iowa City, IA • August 10 - Advanced Cardiac Life Support Renewal Course (ACLS), EMS Learning Resources Center, Iowa City, IA • August 11 & 12 - Advanced Trauma Life Support Provider Course (ATLS), EMS Learning Resources Center, Iowa City, IA I Click here for more information or to register (http://www.cvent.com/d/vfa9x5 • August 12 - Advanced Trauma Life Support Refresher Course (ATLS), EMS Learning Resources Center, Iowa City, IA ) • August 17 - Advanced Cardiac Life Support instructor Course (ACLS), EMS Learning Resources Center, Iowa City, IA • August 18 - American Heart Association Basic Life Support & Heartsaver Instructor Renewal Course, EMS Learning Resources Center, Iowa City, IA ) • August 22 - May 20, 2017 Paramedic Education Program, EMS Learning Resources Center, Iowa City, IA • August 25 - Pediatric Advanced Life Support Instructor Course (PALS), EMS Learning Resources Center, Iowa City, IA https://www.uihealthcare.org/otherservices.aspx?id=16175 1/15/2016 Page 1 of 2 Pediatric Advanced Life Support (PALS) Instructor Manual _ . n.ni g Bete cOMPANYb` Authorized Dlstribut f American Heart Ass American Heart Association* life is why- riducts ie step shepillc ttdrththi or a the training materials and Fast customer service in the bushier Home I Product Search/Order Now I ECC Course Matrix I Customer Service I About Us I Site Map 90-1054 Browse by field of interest: ACLS BLS PALS PEARS® Heartsaver® Courses Family & Friends® Courses Other AHA Courses Course Completion Cards eLearning Courses Instructor Courses ECC Handbook & AHA Guidelines Additional AHA Products American Academy of Pediatrics Products Brands We Carry Manikins and Simulators AED Trainers Barrier Devices <- Last Results List Product Details 0 Items in Cart IL' For instructors of the PALS course Pediatric Advanced Life Support (PALS) Instructor Manual Provides lesson maps and information for teaching the Pediatric Advanced Life Support (PALS) course and renewal course. 236 full -color pages (including lesson maps), plus 6 page -divider tabs, 8 1/2" x 11". Formatted as a loose-leaf, 3-hole- punched manual that fits into the AHA Instructor Portfolio (80-1017), plus an instructor CD, 26 scenario cue cards, and 8 ECG rhythm cards. Based on 2010 American Heart Association Guidelines for CPR and ECC. American Heart Association Item: 90-1054 Unit Price: $42.00 Related Products Key Features and Benefits This item is the required Instructor's manual for teaching the PALS course. The classroom- and video -based, Instructor -led PALS course uses a series of simulated pediatric emergencies to reinforce the important concepts of a systematic approach to pediatric assessment, basic life support, PALS treatment algorithms, effective resuscitation, and team dynamics. The goal of the PALS course is to improve the quality of care Printer' http://shop.aha.channing-bete.com/onlinestore/storeitem.html?iid=180283 &pcode=&item=Pediatric+Advanced+Life+Support+%28PALS%29+... 1/15/2016 Pediatric Advanced Life Support (PALS) Instructor Manual provided to seriously ill or injured children, resulting in improved outcomes. Manual is based on the 2010 American Heart Association Guidelines for CPR and ECC. Medical Simulation Skills Trainers Other Equipment Choosing a CPR Manikin ECC Instructor Product Checklist Teaching CPR in Schools Request Catalog/ E-mail Registration Search Tips The manual: • includes essential information and lesson maps Instructors need to teach the PALS course • includes an Instructor CD featuring supplemental information and tools • features six page -divider tabs that make finding key sections quick and simple. Dimensions and Specifications 8 1/2" x 11" 236 pages (including 112 lesson maps), plus 6 page -divider tabs Full -color, 3-hole-punched loose-leaf manual that fits into a binder Includes an Instructor CD, 26 scenario cue cards, and 8 ECG rhythm cards Additional Supplies Needed for Operation To teach the PALS course, you will also need: • Pediatric Advanced Life Support (PALS) Provider Manual (item no. EC90-1052) • Pediatric Advanced Life Support (PALS) DVD Set (item no. EC90-1057) Pediatric Advanced Life Support (PALS) Emergency Crash Cart Cards (item no. EC90-1056) Pediatric Advanced Life Support (PALS) Poster Set (item no. EC90-1055) Instructor Stopwatch (item no. EC90-1509) Page 2 of 2 All required instructor materials listed above are also available as part of the Pediatric Advanced Life Support (PALS) Instructor Package (item no. EC90-1058). To teach the PALS course, you will also need a DVD player or DVD-capable computer. Frequently Asked Questions Q: Is the instructor CD available separately? A: No, it is only sold with the instructor manual. Last Results List I Review Shopping Cart I Proceed to Checkout ®Site Map I Terms of Use i Privacy ©2016 Channing Bete Company, Inc. All rights reserved. No part of this site may be reproduced in any form without written permission of the publisher. http://shop. aha.channing-bete.com/onlinestore/storeitem.html?iid=180283 &pcode=&item=Pediatric+Advanced+Life+Support+%28PALS%29+... 1/15/2016 Pediatric Advanced Life Support (PALS) Instructor Essentials Page 1 of 3 Bete Q MPANYCy American Heart Association. fife is why - Authorized Distributor of American Heart Association Products hopping for all the training mate with the best customer service i Home I Product Search/Order Now ECC Course Matrix I Customer Service i About Us ( Site Map 90-1430 Browse by field of interest: ACLS BLS PALS PEARS® Heartsaver® Courses Family & Friends® Courses Other AHA Courses Course Completion Cards eLearning Courses Instructor Courses ECC Handbook & AHA Guidelines Additional AHA Products American Academy of Pediatrics Products Brands We Carry Manikins and Simulators AED Trainers Barrier Devices <- Last Results List 0 Ex rials and products n the businessl 0 Items in Cart Ii r Pediatric Advanced Life Support (PALS) Instructor Essentials This Web -based eLearning course includes essential information for PALS Instructor candidates. Candidates who successfully complete the course receive access to a printable certificate granting them entrance to the in -person, faculty -led PALS Instructor course, which they must pass (along with faculty monitoring of the first course they teach) to qualify for a PALS Instructor card. PC and Mac® OSX compatible (not compatible with iOS). Please include an e-mail address when ordering. The access key and instructions on how to log in and register for the course will be e-mailed to you, usually within 1 business day. NOTE: You must purchase one online access key for each candidate trained. This product is not eligible for the standard 30-day return policy. American Heart Association Item: 90-1430 Unit Price: $35.00 Product Details Related Products Adka tt9 tGvr£ http://shop.aha.channing-bete.com/onlinestore/storeitem.html?iid=181990&pcode=&item=Pediatric+Advanced+Life+Support+%28PALS%o29+... 1/15/2016 Pediatric Advanced Life Support (PALS) Instructor Essentials Page 2 of 3 Medical Simulation Skills Trainers Other Equipment Choosing a CPR Manikin ECC Instructor Product Checklist Teaching CPR in Schools ayK Request Catalog/ E-mail Registration Search Tips f Printer.F Key Features and Benefits A required part of the training process for new PALS Instructors, the online PALS Instructor Essentials course educates Instructors on how to effectively teach the classroom -based PALS course. Prior to taking this course, candidates must have a current course completion card in PALS. Candidates must also have aligned with an American Heart Association Pediatric Advanced Life Support (PALS) Training Center that is accepting new PALS Instructors. This course includes approximately 30 minutes of general information about teaching American Heart Association courses, followed by approximately 3 hours of course -specific information. It covers: • planning and preparation for courses • teaching courses • conducting written exams and skills testing • conducting skills sessions for PALS eLearning courses keeping one's PALS Instructor status current. Course features: Access to course content for 12 months following activation of course key Self -directed learning, available 24/7 Eligibility for continuing education credit physicians -- American Heart Association designates this enduring material for a maximum of 3.25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. physician assistants -- AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 CreditTM from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 3.25 hours of Category I Credit for completing this program. ▪ nurses -- American Heart Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. The maximum number of hours awarded for this CE activity is 3.00 contact hours. pharmacists -- American Heart Association is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. ACPE Credit: 3.25 Contact Hours or 0.325 CEUs. Universal Program Number: 0256-0000-13-678-H04-P • emergency medical services -- This continuing education activity is approved by American Heart Association, an organization accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS), for 3.25 Educator CEHs, activity number 13-AMHA-F3-0192. http://shop.aha.channing-bete.com/onlinestore/storeitem.html?iid=181990&pcode=&item=Pediatric+Advanced+Life+Support+%28PALS%29+... 1/15/2016 Pediatric Advanced Life Support (PALS) Instructor Essentials Page 3 of 3 Candidates who successfully complete this course receive access to a printable certificate, which they must present at the required in -person, skills -practice -driven, faculty -led PALS Instructor course. Candidates must also be monitored by faculty when teaching their first course. Upon successful completion of all steps, candidates receive a PALS Instructor card, valid for 2 years. Please include an e-mail address when ordering. The access key and instructions on how to log in and register for the course will be e-mailed to you, usually within 1 business day. NOTE: You must purchase one online access key for each candidate trained. This product is not eligible for the standard 30-day return policy. Dimensions and Specifications PC and Mac® OSX compatible (not compatible with iOS). Additional Supplies Needed for Operation Computer with Internet access Frequently Asked Questions Q: How long does this course take to complete? A: Approximately 3.5 hours. Last Results List I Review Shopping Cart I Proceed to Checkout Site Map 1 Terms of Use 1 Privacy ©2016 Channing Bete Company, Inc. All rights reserved. No part of this site may be reproduced in any form without written permission of the publisher. http://shop.aha.channing-bete.com/onlinestore/storeitem.html?iid=181990&pcode=&item=Pediatric+Advanced+Life+Support+%28PALS%29+... 1/15/2016 TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. STAFF ONLY LINE ITEM USED 6/0 A 6700 t 346 FY I& BUDGETED /5 v EXPENDED YTD 7A Igo THIS REQUEST LEFT AFTER THIS ® 5 REQUEST DATE 22/// /4, Original - Clerk/Finance Copy - Department NAME(S) AND POSITION(S): Scott Strader, Combination Inspector II DATE: May 11, 2016 NAME OF CLASS / MEETING: Plumbing Plans Examiner DEPARTURE DATE: May 23, 24, June 1, 2, 7 or 9th (available dates) PURPOSE OF TRAVELITRAINING Certification Exam DESTINATION Coralville, Iowa DEPARTURE POINT IF NOT WATERLOO RETURN DATE: May 23, 24, June 1, 2, 7 or 9th (available dates) DATE(S) OF MEETING: May 23, 24, June 1, 2, 7 or 9th (available dates) WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: X CITY VEHICLE AIRFARE DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: LODGING TAXI MEALS PARKING 199.00 (exam) REGISTRATION AIRFARE MILEAGE/FUEL MISCITOLLS TOTAL FOR ALL: $ 199.00 BUDGET LINE ITEM: 010-22-5100-1346 GRANT REIMBURSABLE YES NO REQUIRED CERTIFICATION YES NO TOTAL: $ 199.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITYOf WATERLOO I APPROVE THIS TRAVEL REQUEST U-wArs,: 6g-r4e/ DEPARTMENT HEAD MAYOR DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 Sent over 020216 TRAVEL REQUEST CITY OF WATERLOO NAME(S) AND POSITION(S): Travis Ihnen DATE: FINANCE DEPT. STAFF ONLY LINE ITEM USED )Jo /1_ 74/L% 134 FY:12GI7 BUDGETED &Goo EXPENDED YID THIS REQUEST LEFT AFTER THIS REQUEST DATE February 2, 2016 NAME OF CLASS / MEETING: PALS- Advanced Life Support DEPARTURE DATE: August 25, 2016 PURPOSE OF TRAVEL: Class required allowing him to teach classes at Waterloo Fire Rescue. DESTINATION: lowa City DEPARTURE POINT IF NOT WATERLOO: DATE(S) OF MEETING: RETURN DATE: August 25, 2016 August 25, 2016 WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: YES NO COST $ METHOD OF TRAVEL: CITY VEHICLE AIRFARE x DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: LODGING TAXI MEALS PARKING $175.00 CERTIFICATION AIRFARE MILEAGE/FUEL $77.00 MISCITOLLS TOTAL FOR ALL: $ $252.00 BUDGET LINE ITEM: 010-12-1410-1346 x GRANT REIMBURSABLE YES NO x YES NO TOTAL: $ $252.00 REQUIRED CERTIFICATION PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY ANB.j3ENEF)E IAL TO THE CITY OF WAT DEPARTMENT HEAD DATE I APPROVE THIS TRAVEL REQUEST MAYOR /fk DATE Pediatric Advanced Life Support (PALS) Instructor Course January 14, 2016 - Fees Online Registration by Cvent Page 1 of 1 VANCED LIFE SUPPORT (PALS) COURSE2016 , record keeping expenses, program materials, faculty expenses and continuing education recording. prior to the start of class will be sent to the email address provided during registration. You will have to purchase the Instructor manual and Instructor essentials in addition to attending this course. PALS Instructor Manual 90-1054 Essentials 90-1430 ADMISSION ITEM EVENT REGISTRATION Non -University of Iowa Hospitals and Clinics Staff $175.00 View Refund Policy University of Iowa Hospitals and Clinics Staff $175.00 View Refund Policy PAYMENT MESSAGE http://www.cvent.com/events/pediatric-advanced-life-support-pals-instructor-course January-14-2016/fees-0313523750354bf199c4c1079c832f9... 1/15/2016 EMSLRC Courses and Registrations Page 1 o£ 1 August • August 3 - Pediatric Advanced Life Support Renewal Course (PALS), EMS Learning Resources Center, Iowa City, IA • August 10 - Advanced Cardiac Life Support Renewal Course (ACLS), EMS Learning Resources Center, Iowa City, IA • August 11 & 12 - Advanced Trauma Life Support Provider Course (ATLS), EMS Learning Resources Center, Iowa City, IA I Click here for more information or to register (http://www.cvent.com/d/vfq9x5 ) • August 12 -Advanced Trauma Life Support Refresher Course (ATLS), EMS Learning Resources Center, Iowa City, IA ( • August 17 - Advanced Cardiac Life Support instructor Course (ACLS), EMS Learning Resources Center, Iowa City, IA ) • August 18 - American Heart Association Basic Life Support & Heartsaver Instructor Renewal Course, EMS Learning Resources Center, Iowa City, IA • August 22 - May 20, 2017 Paramedic Education Program, EMS Learning Resources Center, Iowa City, IA • August 25 - Pediatric Advanced Life Support Instructor Course (PALS), EMS Learning Resources Center, Iowa City, IA https://www.uihealthcare.org/otherservices.aspx?id=16175 1/15/2016 Pediatric Advanced Life Support (PALS) Instructor Manual Page 1 of 2 Author ring M PA N YryL American Heart Association., life is why-. Cistributor of American Heart Association Products II th`e" tr lining t or I CLfsf me service 0 Items in Cart It Home I Product Search/Order Now 1 'ECC Course Matrix 1 Customer Service J About Us I Site Map 90-1054 Browse by field of interest: ACLS BLS PALS PEARS® Heartsaver® Courses Family & Friends® Courses Other AHA Courses Course Completion Cards eLearning Courses Instructor Courses ECC Handbook & AHA Guidelines Additional AHA Products American Academy of Pediatrics Products Brands We Carry Manikins and Simulators AED Trainers Barrier Devices <- Last Results List For instructors of the PALS course Pediatric Advanced Life Support (PALS) Instructor Manual Provides lesson maps and information for teaching the Pediatric Advanced Life Support (PALS) course and renewal course. 236 full -color pages (including lesson maps), plus 6 page -divider tabs, 8 1/2" x 11". Formatted as a loose-leaf, 3-hole- punched manual that fits into the AHA Instructor Portfolio (80-1017), plus an instructor CD, 26 scenario cue cards, and 8 ECG rhythm cards. Based on 2010 American Heart Association Guidelines for CPR and ECC. American Heart Association Item: 90-1054 Qty: 0 Unit Price: $42.00 Product Details Related Products Key Features and Benefits This item is the required Instructor's manual for teaching the PALS course. The classroom- and video -based, Instructor -led PALS course uses a series of simulated pediatric emergencies to reinforce the important concepts of a systematic approach to pediatric assessment, basic life support, PALS treatment algorithms, effective resuscitation, and team dynamics. The goal of the PALS course is to improve the quality of care Printer.: 1endly4 http://shop. aha. channing-bete. com/onlinestore/storeitem.html?iid=180283 &pcode=&item=Pediatric+Advanced+Life+Support+%28PALS%29+... 1/15/2016 Pediatric Advanced Life Support (PALS) Instructor Manual Page 2 of 2 Medical Simulation Skills Trainers Other Equipment Choosing a CPR Manikin ECC Instructor Product Checklist Teaching CPR in Schools Request Catalog/ E-mail Registration Search Tips provided to seriously ill or injured children, resulting in improved outcomes. Manual is based on the 2010 American Heart Association Guidelines for CPR and ECC. The manual: • includes essential information and lesson maps Instructors need to teach the PALS course • includes an Instructor CD featuring supplemental information and tools • features six page -divider tabs that make finding key sections quick and simple. Dimensions and Specifications 8 1/2" x 11" 236 pages (including 112 lesson maps), plus 6 page -divider tabs Full -color, 3-hole-punched loose-leaf manual that fits into a binder Includes an Instructor CD, 26 scenario cue cards, and 8 ECG rhythm cards Additional Supplies Needed for Operation To teach the PALS course, you will also need: Pediatric Advanced Life Support (PALS) Provider Manual (item no. EC90-1052) Pediatric Advanced Life Support (PALS) DVD Set (item no. EC90-1057) Pediatric Advanced Life Support (PALS) Emergency Crash Cart Cards (item no. EC90-1056) Pediatric Advanced Life Support (PALS) Poster Set (item no. EC90-1055) Instructor Stopwatch (item no. EC90-1509) All required instructor materials listed above are also available as part of the Pediatric Advanced Life Support (PALS) Instructor Package (item no. EC90-1058). To teach the PALS course, you will also need a DVD player or DVD-capable computer. Frequently Asked Questions Q: Is the instructor CD available separately? A: No, it is only sold with the instructor manual. Last Results List I Review Shopping Cart I Proceed to Checkout Site Map 1 Terms of Use I Privacy ©2016 Channing Bete Company, Inc. All rights reserved. No part of this site may be reproduced in any form without written permission of the publisher. http://shop.aha.channing-bete.com/onlinestore/storeitem.html?iid=180283 &pcode=&item=Pediatric+Advanced+Life+Support+%28PALS%29+... 1/15/2016 U U 0) 0 0 J "- 0 O0 3 8 7 Q (q C E 2 L O n L O C N a) L o en o 'o di w U Q E (0- •O) H C 0 1 (0 N o o.0 C 5 U= -o Z (0 a) a) () a (6 C E a) w 'O E 03 @ O O_ 0 ..0 co Cl.) C -0 C g 3 L 0) O N (6c cm0 0O C C= L al 0 7 7 N a) C (6 +(0 U p .t) (0 c O _C L (0 U as U) m C C O U y O_ J N N w -0 7 Q 0 7 0 0.) U) a a 0 .3 7 C L .0 E . U T (n 7 0) o co (Lv a o 0 yLi 7 7 Ag 4) _C ._C 00 -0 m 2 m 3 0 7 C O O) (U L 6 N 0) >• C N i 3 U a >, w0 U o CO U N t N Y "O N L O A °_ N O o OE N 0 (0 (0 U U U E a) a C L> N a) a) -O .0 O m O co C Q U r" O a) -0 U (0 +7L.. a) a) H .o o .5 .n ) 3 U 0) L O J O d a) N U V) E -0 7 I CI 00 U 0 0 a) 0 V) U 0 2 a) r H a 0) C a) (0 U 0 O U O_ 0 C L L O 2 L Y (0 (1) U O ch () C (0 0 -0 C C W O 0) a) 0 C L.. O L 0 0 (0 o •p O a a) American Heart Association Item: 90-1430 Unit Price: $35.00 fated Produc Product Details Barrier Devices N tp://shop. aha.channing-bete.com/onlinestore/storeitem.html?iid=181990&pcode=&item=Pediatric+Advanced+Life+Support+%28PALS%o29+.. Pediatric Advanced Life Support (PALS) Instructor Essentials Medical Simulation Skills Trainers Other Equipment Choosing a CPR Manikin ECC Instructor Product Checklist Teaching CPR in Schools Request Catalog/ E-mail Registration Search Tips Key Features and Benefits �tilrinterr3pnrt@fir:, A required part of the training process for new PALS Instructors, the online PALS Instructor Essentials course educates Instructors on how to effectively teach the classroom -based PALS course. Prior to taking this course, candidates must have a current course completion card in PALS. Candidates must also have aligned with an American Heart Association Pediatric Advanced Life Support (PALS) Training Center that is accepting new PALS Instructors. This course includes approximately 30 minutes of general information about teaching American Heart Association courses, followed by approximately 3 hours of course -specific information. It covers: planning and preparation for courses teaching courses • conducting written exams and skills testing conducting skills sessions for PALS eLearning courses keeping one's PALS Instructor status current. Course features: Page 2 of 3 • Access to course content for 12 months following activation of course key • Self -directed learning, available 24/7 • Eligibility for continuing education credit • physicians -- American Heart Association designates this enduring material for a maximum of 3.25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. o physician assistants -- AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 CreditTM from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 3.25 hours of Category I Credit for completing this program. • nurses -- American Heart Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. The maximum number of hours awarded for this CE activity is 3.00 contact hours. pharmacists -- American Heart Association is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. ACPE Credit: 3.25 Contact Hours or 0.325 CEUs. Universal Program Number: 0256-0000-13-678-H04-P • emergency medical services -- This continuing education activity is approved by American Heart Association, an organization accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS), for 3.25 Educator CEHs, activity number 13-AMHA-F3-0192. http://shop. aha.channing-bete.com/onlinestore/storeitem.html?iid=181990&pcode=&item=Pediatric+Advanced+Life+Support+%28PALS%29+... 1/15/2016 Pediatric Advanced Life Support (PALS) Instructor Essentials Page 3of3. Candidates who successfully complete this course receive access to a printable certificate, which they must present at the required in -person, skills -practice -driven, faculty -led PALS Instructor course. Candidates must also be monitored by faculty when teaching their first course. Upon successful completion of all steps, candidates receive a PALS Instructor card, valid for 2 years. Please include an e-mail address when ordering. The access key and instructions on how to log in and register for the course will be e-mailed to you, usually within 1 business day. NOTE: You must purchase one online access key for each candidate trained. This product is not eligible for the standard 30-day return policy. Dimensions and Specifications PC and Mac® OSX compatible (not compatible with iOS). Additional Supplies Needed for Operation Computer with Internet access Frequently Asked Questions Q: How long does this course take to complete? A: Approximately 3.5 hours. Last Results List I Review Shopping Cart I Proceed to Checkout Site Map I Terms of Use I Privacy ©2016 Channing Bete Company, Inc. All rights reserved. No part of this site may be reproduced in any form without written permission of the publisher. http://shop.aha.channing-bete.com/onlinestore/storeitem.html?iid=181990&pcode=&item=Pediatric+Advanced+Life+Support+%28PALs%29+... 1/15/2016 TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. LINE ITEM USED FYM 17BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Ori.inal - Clerk/Finance STAFF ONLY (//e) ;15v5 /3'f62 5/0 0 i Co• - be•artment NAME(S) AND POSITION(S): Abraham L. Funchess, Jr., Executive Director,' Rebecca Johnson, HR Specialist; Shelly Burch, Adm. Secretary DATE: May 12, 2016 NAME OF CLASS / MEETING: 2016 EEOC/FEPA National Training Conference DEPARTURE DATE: Monday, July 11, 2016 DESTINATION: New Orleans, Louisiana DEPARTURE POINT IF NOT WATERLOO: C.R. RETURN DATE: Friday, July 15, 2016 Waterloo unless booked then DATE(S) OF MEETING: July 12— 14, 2016 PURPOSE OF TRAVEL: To attend the 2016 EEOC/FEPA National Training Conference required by our EEOC Contract. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST $ YES NO METHOD OF TRAVEL: X CITY VEHICLE AIRFARE PRIVATE VEHICLE DEPARTING FROM: Waterloo unless booked then Cedar Rapids ESTIMATE OF COST: $1920.00 LODGING $/00.00 $825.00 MEALS $75.00 $0 REGISTRATION 2320.00 $0 MILEAGE/FUEL TOTAL FOR ALL: $ $5240.00 TAXI PARKING AIRFARE MISC/TOLLS 0/0-27-2$957,46 BUDGET LINE ITEM:1L -_ X GRANT REIMBURSABLE YES NO X YES NO REQUIRED CERTIFICATION TOTAL: $ $1746.67 PER PERSON I BELIEVE T TRIP SERVES A PUBLIC PURPOSE AND IS NE' • SARY AND BENEFICIAL TO THE CIT OF • TERLO • TMENT HE D 65 l L 219 (‘ area; oos es orm -.ve ' eques orm anuary 2010 I APPROVE THIS TRAVEL REQUEST MAYOR tG �l DATE SHELLY BURCH From: Sent: To: Subject: Diana Gebel <diana@shortstravel.com> Thursday, May 12, 2016 11:18 AM SHELLY BURCH to New Orleans The flights are rather full- so this is what I'm seeing at this moment. — ALL subject to change until purchased. Our fee is $35.00 per ticket issued. PRICING OPTION 1 TOTAL AMOUNT $655.20 for 1 seat, 1 seat at $755.18 & 1 seat at 805.20 American Airlines (AA) 3349 G 11JUL Waterloo, IA (ALO) - Chicago, IL (ORD) 630A 741A MO OPERATED BY ENVOY AIR AS AMERICAN EAGLE American Airlines (AA) 3648 G 11JUL Chicago, IL (ORD) - New Orleans, LA (MSY) 1020A 1229P MO OPERATED BY ENVOY AIR AS AMERICAN EAGLE American Airlines (AA) 3418 W 14JUL New Orleans, LA (MSY) - Chicago, IL (ORD) 429P 659P TH OPERATED BY ENVOY AIR AS AMERICAN EAGLE American Airlines (AA) 3199 W 14JUL Chicago, IL (ORD) - Waterloo, IA (ALO) 830P 936P TH OPERATED BY ENVOY AIR AS AMERICAN EAGLE Or to return on 13JUL 1 seat at: PRICING OPTION 2 TOTAL AMOUNT $585.20 (can do earlier flight above on 11JUL too) American Airlines (AA) 3214 G 11JUL Waterloo, IA (ALO) - Chicago, IL (ORD) 112P 221P MO OPERATED BY ENVOY AIR AS AMERICAN EAGLE American Airlines (AA) 3667 G 11JUL Chicago, IL (ORD) - New Orleans, LA (MSY) 510P 727P MO OPERATED BY ENVOY AIR AS AMERICAN EAGLE American Airlines (AA) 3418 G 13JUL New Orleans, LA (MSY) - Chicago, IL (ORD) 429P 659P WE OPERATED BY ENVOY AIR AS AMERICAN EAGLE American Airlines (AA) 3199 G 13JUL Chicago, IL (ORD) - Waterloo, IA (ALO) 830P 936P WE OPERATED BY ENVOY AIR AS AMERICAN EAGLE Or return on 15JUL PRICING OPTION 3 TOTALAMOUNT$665 American Airlines (AA) 3349 W 11JUL OPERATED BY ENVOY AIR AS AMERICAN American Airlines (AA) 3648 W 11JUL OPERATED BY ENVOY AIR AS AMERICAN American Airlines (AA) 3666 G 15JUL OPERATED BY ENVOY AIR AS AMERICAN American Airlines (AA) 3214 G 15JUL OPERATED BY ENVOY AIR AS AMERICAN Diana Gebel, CTC Corporate Travel Consultant Direct: 319-433-0849 Email: dianaCcashortstravel.com L a SHOTRAVEL RTS Tube .20 (2 seats) Waterloo, IA (ALO) - Chicago, IL (ORD) 630A 741A MO EAGLE Chicago, IL (ORD) - New Orleans, LA (MSY) 1020A 1229P MO EAGLE New Orleans, LA (MSY) - Chicago, IL (ORD) 815A 1044A FR EAGLE Chicago, IL (ORD) - Waterloo, IA (ALO) 1145A 1247P FR EAGLE 1 Impressed with our service? Let us know! Write a quick review or connect with us to find out the latest on Short's Travel! Dissatisfied? Let my manager know. Email Angel Heefner: aheefner(ashortstravel.com . . • 1 AL EMPLOYMENT OPPORTUNITY COMMISSIO Washington, D.C. 20507 ay 11, 201 This letter is to formally announce the opening of registration and to provide you with specific instructions on how to register for the 2016 EEOC/FEPA National Annual Training. Consistent with our earlier "save the date" message, this year we will meet in New Orleans, Louisiana, at the Westin New Orleans Canal Place, and begin at 8:3o a.m. on Tuesday, July 12, 2016, and end at 12:30 p.m. on Thursday, July 14, 2016. The training allowance is included in your FY 2016 contract. In the event you have not yet received your contract, please check with the State and Local Coordinator or Program Manager within your District for the amount included in this year's contract for training, You are welcome to include other members of your organization to attend the training, but your agency will have to absorb the costs of their travel and attendance. We are providing two (2) attachments to this letter which provide details on how to make hotel reservations and register for the training. Enclosure 1 contains instructions and the web address link for booking the hotel room reservation, which will need to be made by June 17, 2016. Enclosure 2 is the registration form that all training attendees must complete and return via email to James.Yao i)eeoc.gov or via fax (202- 663-7190) immediately upon registering with the hotel, but no later than June 17, 2016. The information contained on the registration form will aid us in planning and preparing for the training and to make sure that the hotel addresses any special accommodations you have requested. If you have any questions or concerns, please feel free to contact James Yao at (202) 663-4896, or Michael Dougherty, Director, State and Local Programs, at (202) 663- 4801. Thank you for your cooperation. We look forward to seeing you in New Orleans. Nicholas M. Inzeo, Di to Office of Field Pro rams District Directors Administering FEPA Contracts, Washington Field Office State and Local Program Managers/Coordinators Enclosure 1 2016 EEOC/FEPA NATIONAL ANNUAL TRAINING LOCATION: Westin New Orleans Canal Place too Iberville Street (or ioo Rue Iberville) New Orleans, LA 70130 TRAINING DATES AND TIMES: Tuesday, July 12, 2016 Wednesday, July 13, 2016 Thursday, July 14, 2016 HOTEL RESERVATIONS: 8:3o a.m. — 5:3o p.m. 8:30 a.m. — 5:3o p.m. 8:3o a.m. — 12:30 p.m. We have reserved a block of rooms at the Westin New Orleans Canal Place for attendees. You must book your room directly with the hotel by June 17, 2016 to receive the group rate of $122.00. You should reserve your room as soon as possible. To ensure that you receive the group rate, please book online by using the following link: https://www.starwoodmeeting.com/ Book/ EEOC When you reach the link provided above, please locate and click on the "BOOK A ROOM" button to proceed with the hotel room reservation process. Please note that in addition to reserving your hotel room via the link provided above, you will also need to complete, and return to us, the 2016 EEOC/FEPA National Annual Training Registration Form (attached herewith as "Enclosure 2"). Please complete one Registration Form for each FEPA attendee and do not list multiple attendees on one form. Submit the completed registration form(s) to James Yao by June 17, 2016. If you have received the registration form electronically, you may type your information directly into the finable PDF document, save your completed registration form as a new file, and email the file as an attachment to James.Yao@eeoc.gov. Alternatively, you may also complete the form by hand, scan the completed form and email it as an attachment as well. It is preferred that you email your completed registration form; however, you may also fax your completed registration form to (202) 663-7190. We will use the information contained in your registration form to finalize training plans, prepare materials, and ensure that you receive the best possible support during the training. Check -in time at the hotel is 3:0o p.m. on the day of arrival and checkout is by 12:00 p.m. on the day of departure. The rate is $122 per night, plus tax (15.75%) and $2.00 occupancy fee. All reservations must be accompanied by a first night room deposit or guaranteed with a major credit card. If you need to cancel your reservation please do so as soon as possible. There will be no forfeiture amount if you cancel before 6:oo pm (Central Time) on the third day prior to your check -in date. If you cancel a reservation after 6 pm (CT) on the third day prior to your check -in date, the hotel may charge the credit card one night's room fee plus any applicable taxes. For example, if your check -in date is July nth, and you cancel your reservation after 6 pm (CT) on July 8th, the hotel may charge you a forfeiture amount of one night's room fee plus any applicable taxes. SPECIAL ACCOMMODATIONS: Please make all requests for special lodging accommodations at the time that you reserve your room through the hotel reservation process. However, you should also advise us regarding your request for special accommodation by indicating what type of accommodation is required on your registration form that you are completing. We will use this information to ensure that we address your requirements when preparing materials and presentations for the training. It will also enable us to follow-up with the hotel to ensure that special accommodations are addressed. TRANSPORTATION: The Westin New Orleans Canal Place is located about 15 miles west of Louis Armstrong New Orleans International Airport (MSY). The Westin does not provide shuttle service to/from the airport to the hotel. A one-way taxi fare from the airport to the hotel is estimated to be about $36. Other forms of public or shared ground transportation from the airport to the Westin New Orleans Canal Place area are also available. All attendees are responsible for arranging their own ground transportation to and from the airport. For more information on the types of ground transportation available from the Louis Armstrong New Orleans International Airport please visit their official website at: http://www.flymsy. com/PageDisplay.asp?p 1=6016 Enclosure 2 2016 EEOC/FEPA NATIONAL ANNUAL TRAINING REGISTRATION FORM NAME: TITLE: PLEASE COMPLETE ONE FORM PER ATTENDEE (Please complete exactly as you would like your name to appear in materials.) (Please complete exactly as you would like your title to appear in materials.) NAME OF FEPA OR EEOC OFFICE: OFFICE STREET ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE NO: ( ) FAX NO: ( E-MAIL: ARRIVAL DATE: DEPARTURE DATE: YOUR HOTEL RESERVATION CONFIRMATION NO: Please provide a list of all special accommodations you have requested from the hotel or will require. Remember, you must let the hotel know about any special accommodations at the time of registration. RSVP BY June 17, 2016 Please return this completed registration form via email to James.Yao0eeoc.gov. It is preferred that you return your completed form via email; however, you may also fax the completed registration form to (202) 663-719o. For questions or additional information, you may contact James Yao, Supervisory Program Analyst, at (202) 663-4896. City Clerk Use Only Finance Committee Approval Date 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 $ 7,500.00 plus est. shipping costs of $ N/A Novus Solutions Agenda Management Software License Fee. Department to expend to pay for or purchase This purchase or expenditure is being made because: Novus is used to manage paperless agendas. Vendor selected for this purchase: Novus Solutions n Bids or written quotes were taken on this purchase, as follows: x Bids or quotes were not taken on this purchase because: Contract for services renews annually. Prior Committee Actions (Dates): 7/28/2014 Please check the following box(es) as appropriate to describe the funding for this expense: nGeneral Fund n Road Use Tax n Sewer Sanitation nBonds n Federal/other grants Other (specify) This expenditure is to be coded to the following budget line -item: 010-03-8400-1321 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is (Project Code) $ 10,000.00 $ 9,147.88 Respectfully submitted, \4 ,�i,& -- 5—A(-1,(() Aitaf.L. Cd w>`. <ti, (Signature pt. Head or signee) Date (Signature Finance Dept. Review) Date K:\shared goodies\formslCopy of Expenditure Pre -Authorization (Mar 2010) City Clerk Use Only Finance Committee Approval Date tVi 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 Cutlture & Arts Department to expend $ 2,323.36 plus est. shipping costs of $ to pay for or purchase mounting, matting and framing of Grant Wood drawings for exhibtion at WCA. Works will be on loan from the Figge Art Museum in Davenport. This purchase or expenditure is being made because: WCA is mounting an exhibition in honor of 125th annivarsary of Grant Wood's birth. Costs are supported by Iowa Arts Council CLP and Silos & Smokestacks grant funds. Vendor selected for this purchase: Figge Art Museum ❑ Bids or written quotes were taken on this purchase, as follows: I I Bids or quotes were not taken on this purchase because: Costs are for reimbursement to lending institution for expenses incurred Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund ❑ Bonds ❑x Road Use Tax ❑ Sewer ❑ Sanitation Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: pro 4414-26-4265-1337 Collection Conservation 26STG-OSG (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully sub lit ed, $ 2,999.00 5/Cf/1( 22vv (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Copy of Expenditure Pre-Authorization_(FAM) (Mar 2010) T ART MUSEU!' Figge Art Museum 225 West Second Street Davenport, Iowa 52801 563.326.7804 AGREEMENT FOR OUTGOING LOAN The Figge Art Museum (hereafter FAM) agrees to lend to the borrowing institution identified below (hereafter "borrower") the work(s) described herein for the purposes of temporary exhibition and subject to the terms and conditions set forth. Borrowing Waterloo Center for the Arts Date: May 6, 2016 Institution: 225 Commercial Street Waterloo, IA 50701 Iowa City, IA 52242 Contact: Chawne Paige Title: Curator Telephone: 319.291.4490 x 3439 ( chawne.paiee@waterloo-ia.org Exhibition: The Grant Wood Lithographs - History of Penmanship Dates of Loan: June 1— October 10, 2016 Dates of Exhibition: June 15 - September 30, 2016 Description Total Insurance Value See attached `list of works" $ 200,000.00 *Insurance: ( X ) carried by borrower ( ) carried by FAM (See conditions on reverse) Exhibit credit line: for exhibition label and printed materials: See attached 'list of works" SIGNATURES I have read and agreed to the above conditions and conditions on the following pages of this document and certify that I am authorized to agree thereto. Signature of borrower or authorized agent Approved for the Figge Art Museum by - title date Manager of Collections and Exhibitions ACCREDITED BY THE AMERICAN ALLIANCE OF MUSEUMS Figge Art Museum Outgoing Loan Requirements for Borrowers The signatory on behalf of the Borrower must be of appropriate institutional authority to sign the Loan Agreement. Regardless of which institution provides the Loan Agreement document, the following terms apply to loans of art from the Figge Art Museum collection to the Borrower. The responsibilities of the Borrower with regard to the loan are as follows: Loan Fees: (Where applicable): ➢ Matting, framing or object mounts Framing, mounting and matting: $2323.36 ➢ Transportation to Borrower and for return to FAM ➢ Photography and *publication use *Contact the FAM's Registrar for more information: ➢ Insurance coverage during transportation and while with the Borrower(s) ➢ The FAM reserves the right to cancel the loan at any time and at the Borrower's expense if any of the requirements are not met or the provisions made are unsatisfactory. � Total Fees Due: $2323.36 payable in advance upon receipt of agreement Reporting damage or loss / Preservation standard FAM is to be notified immediately, followed by a full written report, including photographic documentation, if damage or loss is discovered. No work may be altered, cleaned, or repaired without the written permission of Registrar, FAM. The work must be maintained in a building equipped to protect the work from fire, smoke, or flood damage; under 24-hour physical and/or electronic security; and protected from extreme humidity and temperature, excessive light, and from insects, vermin, dirt, or other environmental hazards. General care The Borrower will exercise the same care with respect to the work as they do in the safekeeping of their own works. FAM certifies that the works lent are in a condition to withstand the ordinary strains of handling, packing, and transportation. Environment FAM will provide condition notes for each work lent. Upon receipt and prior to return of the works, the Borrower is obligated to confirm and make a written record of condition. Light levels are restricted to a maximum condition of 5 foot candles for paper, prints, textiles, and objects comprised of organic elements; 10 foot candles for photographs; and 25 foot candles for paintings and sculpture. All lighting must be filtered to remove a minimum of 99% of ultra -violet radiation. Relative humidity must be maintained between 45 and 50% and at an average temperature of 68 degrees Fahrenheit plus or minus 5%. Objects may only be handled by experienced personnel and must be secured from damage and theft by appropriate brackets, railings, display cases, or other responsible methods. Works borrowed shall be given special care at all times to insure against loss, damage, or deterioration. The Borrower agrees to meet the special requirements for installation and handling as stipulated by FAM. Furthermore, FAM may require inspection and approval during installation by a member of its staff as a condition of the loan and at the expense of the Borrower. The Borrower will not allow the storage, serving, or consumption of food and/or beverages in the spaces where the works will be stored or displayed. 2 City Clerk Use Only Finance Committee Approval Date VAS (� 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 WFR Department to expend $ 1,580.00 plus est. shipping costs of $ n/a to pay for or purchase Audiograms for 76 Employees This purchase or expenditure is being made because: Hearing Tests are contractual for all fireman. Vendor selected for this purchase: Allen Occupational Health ❑ Bids or written quotes were taken on this purchase, as follows: ❑ Bids or quotes were not taken on this purchase because: We have a contract with Unity Point for our audiograms. 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 E Sewer D Sanitation Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 010-12-1400-1314 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respect (Project Code) $ / /oc $ fi 91 P. 2 74,s(4 7ign-.J� l,J ,c (Signature Dept.CHead or Designee) Date (Signature Finance Dept. Review) Date Sent over 050416. Page 1W:\USERS\CHIEFSEC\Agenda 2016-17\Audiograms City Clerk Use Only Finance Committee / Approval Date 6!/d/% 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 WFR Department to expend $ 3,500.00 plus est. shipping costs of $ n/a to pay for or purchase (2) Two recruit hiring physicals. This purchase or expenditure is being made because: Physicals are required for new hires. Vendor selected for this purchase: Allen Occupational Health r7 Bids or written quotes were taken on this purchase, as follows: Ox Bids or quotes were not taken on this purchase because: We have a contract with Unity Point for our health physicals. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: I h l General Fund ❑ Road Use Tax ❑ Sewer 0 Sanitation Bonds Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 010-12-1400-1314 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is (Project Code) $ 12758676 - d, 100 ✓ $ 6T9-1-8.92 6 26f1 / 5- q -g��/f (Signature DeOt. Head or Designee) Date (Signature Finance Dept. Review) Date Sent over 050416. Page 1 City Clerk Use Only Finance Committee Approval Date 5741/ 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 $ 2,397.38 plus est. shipping costs of $ n/a to pay for or purchase electrical service at chemical storage building This purchase or expenditure is being made because: electrical service at chemical storage building. Vendor selected for this purchase: 3E Electrical Engineering Equipment n Bids or written quotes were taken on this purchase, as follows: 3E Electrical Engineering Equipment Waterloo, Iowa $2397.38 Crescent Electric Supply Co. Waterloo, Iowa $2486.29 n Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund ❑ Road Use Tax ❑ Sewer ❑ Sanitation nx Bonds n Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 414-37 4/I00�?-1 6-1 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, $ 100,000.00 ✓ $ j,)O CrtQ Y' (ic,r.:4#wz esignee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Pre-Authorization Electrical Service Chemical Building.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 5// 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 $ 4,870.88 plus est. shipping costs of $ n/a to pay for or purchase Electric boiler and materials for radiant floor heat at chemical storage building This purchase or expenditure is being made because: Electric boiler and materials for radiant floor heat at chemical storage building Vendor selected for this purchase: Air Management Bids or written quotes were taken on this purchase, as follows: Air Management Waterloo, Iowa $4870.88 Plumb Supply Company Waterloo, Iowa $6166.62 Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑x General Fund ❑ Road Use Tax ❑ Sewer ❑ Sanitation Bonds Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 414-37- 410O 5-I (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, or Designee) Date (Project Code) $ 100,000.00 $ _ gl, (QUO; 6 /o-IL Sig ature Finance Dept. Review) Date K:\shared goodies\forms\Pre-Authorization Electric Boiler Chemical Building.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date //t./r,. 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 $ NTE $3500 plus est. shipping costs of $ n/a to pay for or purchase oil and sand interceptor tank and overflow tank for chemical storage building This purchase or expenditure is being made because: oil and sand interceptor tank and overflow tank for chemical storage building Vendor selected for this purchase: Swales Precast, Strawberry Point, Iowa ❑x Bids or written quotes were taken on this purchase, as follows: Bids or quotes were not taken on this purchase because: these tanks are made to order and Swales had shortest build time. The tanks need to be installed prior to contractor pouring concrete floor. In order not to hold up contractor we need to go with quickest turn around on tanks Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: a General Fund ❑ Road Use Tax ❑ Sewer ❑ Sanitation Bonds n Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 414-37- effoo -,?! S l (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is (Project Code) $ 100,000.00 $ 9`,; 7 311 (Signature Dept. Heador Designee) Date Signature Finance Dept. Review) Date K:\shared goodies\forms\Pre-Authorization oil and sand interceptor Chemical Building.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date 61/ //6 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 $ NTE $4000 plus est. shipping costs of $ n/a to pay for or purchase approximately 150 sheets of 2" rigid foam for floor and wall insulation in chemical storage bui building. This purchase or expenditure is being made because: to insulation below grade walls and floor in non heated section of chemical storage building for possible heating at later date. Cost would double if installed after backfilled Vendor selected for this purchase: Menards Inc. n Bids or written quotes were taken on this purchase, as follows: Menards Inc. Waterloo, Iowa $25.98 per sheet Stetson Products Inc. Waterloo, Iowa 29.88 per sheet • 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: U General Fund 0 Road Use Tax n Sewer ❑ Sanitation n Bonds n Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 413-374(/00 2/5-( (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, (Project Code) $_8�23Iz (gignature Dept. or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Pre-Authorization foam for chemical storage building.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date Sl/LA. 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 r1"7Spp.&S $ NTE $17666.00 plus est. shipping costs of $ n/a to pay for or purchase asphalt overlay and patching at Byrnes Park parking lot and driveways This purchase or expenditure is being made because: to overlay approximately 513 sq. yards with 2" and to remove and replace asphalt in areas needing repair with 4". Vendor selected for this purchase: Lucas Asphalt Paving n Bids or written quotes were taken on this purchase, as follows: Lucas Asphalt Paving Evansdale, Iowa $22.40 per square yard Aspro, Inc. Waterloo, Iowa $35.00 per square yard n Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund ❑ Bonds Road Use Tax n Sewer n Sanitation Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 409-37-4105-2168 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is ReepectfuU submitted, (Project Code) $ . 7 { .�irc) $ /7,75D V: 1 cel dIA, /,.)tali.. 5-10- IG (Signature Dept. Head of e nee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Pre-Authorization Asphalt Repair Byrnes Park.xls (Mar 2010) TRAVEL REQUEST CITY OF WATERLOO im &WD G-D NAME(S) AND POSITION(S): Quentin Hart, Mayor flu tom^ - Tµ- i - a-44,11') May10,2016 FINANCE DEPT. STAFF ONLY LINE ITEM USED ,J/C) e/ g,gUD FY . ,Y. BUDGETED ta) "✓ EXPENDED YTD THIS REQUEST �GO LEFT AFTER THIS REQUEST DATE -77,d Original - Clerk/Finance Copy - Department NAME OF CLASS / MEETING: Mayor's Volunteer Awards Luncheon; Mayors' Top Teen Awards Reception DESTINATION Waterloo, IA DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: 4/12/16 RETURN DATE: 4/12/16 DATE(S) OF MEETING 4/12/16 PURPOSE OF TRAVEL: Annual Mayors' Volunteer/Top Teen Awards presentations (City's share of expenses). WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: YES NO COST $ METHOD OF TRAVEL: CITY VEHICLE AIRFARE DEPARTING FROM: Waterloo PRIVATE VEHICLE ESTIMATE OF COST: LODGING TAXI $600 MEALS PARKING REGISTRATION AIRFARE MILEAGE/FUEL MISC/TOLLS TOTAL FOR ALL: $ 600 BUDGET LINE ITEM: 010-01-8200-134.5 (, x GRANT REIMBURSABLE YES NO REQUIRED CERTIFICATION YES NO TOTAL: $ PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO DEPARTMENT HEAD I APPROVE THIS TRAVEL REQUEST c)//g )44 w-J A7(AYOR 5/10/16 DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. STAFF ONLY LINE ITEM USED C1to 0, 3-:Zoo /.3633 FY O I (( BUDGETED 637) EXPENDED YTD THIS REQUEST a 5 U LEFT AFTER THIS REQUEST - 0 --- DATE Ori•inal - Clerk/Finance Co. - De•artment NAME(S) AND POSITION(S): Quentin Hart, Mayor DATE: March 29, 2016 NAME OF CLASS / MEETING: Mayor's Volunteer Awards Luncheon; Mayors' Top Teen Awards Reception DEPARTURE DATE: DESTINATION Waterloo, IA DEPARTURE POINT IF NOT WATERLOO: DATE(S) OF MEETING: RETURN DATE: 4/12/16 4/12/16 4/12/16 PURPOSE OF TRAVEL: Annual Mayors' Volunteer/Fop Teen Awards presentations (City's share of expenses). WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: CITY VEHICLE AIRFARE DEPARTING FROM: Waterloo PRIVATE VEHICLE ESTIMATE OF COST: LODGING MEALS REGISTRATION MILEAGE/FUEL TOTAL FOR ALL: $ Ate TAXI PARKING AIRFARE MISC/TOLLS g' 3sti� BUDGET LINE ITEM: 010:02-8�00=1340 12°3 x GRANT REIMBURSABLE YES NO x REQUIRED CERTIFICATION YES NO TOTAL: $ PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO o o - or - K2ern- /y-c" I APPROVE THIS TRAVEL REQUEST DEPARTMENT HEAD MAYOR 3/29/16 DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 City Clerk Use Only Finance Committee Approval Date /1` l/ 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 Traffic Operations Department to expend $ 1,337.00 plus estshipping costs of $ 32.72 to pay for or purchase Shipping cost for'3 Gun Action Assembly which was not known at the time of submission of cost. This purchase or expenditure is being made because: This is a lift to adjust paint guns while driving paint machine. Vendor selected for this purchase: EZ-Liner n Bids or written quotes were taken on this purchase, as follows: EZ-LINER Orange City, IA $1,337.00 Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Approved 5/2/16 - $1,337.00 Please check the following box(es) as appropriate to describe the funding for this expense: nGeneral Fund n Road Use Tax n Sewer n Bonds n Federat/othergrants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 266-17-7120-1571 (Fund - Department -Activity - Account Number) in which the budgeted . amount is and the current available balance is Respectfully submitted, $ Sanitation (Project Code) a' /(1DCU . (Signature Dept. ead or Designee) ate Signature Finance Dept. Review) Date K:\shared goodies \forms\2Q16=May- EZ-LINER -Additional shipping cost of $32.72 - Lift to adjust paint guns - RUT - $1,337.00.xlsx (Mar 2010) City of Waterloo Expenditure Pre - Authorization Request Form City Clerk Use Only Finance Committee Approval Date Cl/C /� L 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 $ 1,795.00 plus est. shipping costs of $ 24.00 to pay for or purchase TDC Ultra Hand-held Traffic Data Collector This purchase or expenditure .is being made because: Collecting intersection data for quick analysis - for example - turning movements, stop sign delay, Multi -direction Gap - then download and produce reports. Vendor selected for •purchase: JAMAR n Bids or written quotes were taken on this purchase, as follows: JAMAR Technologies, Inc. Hatfield, PA $1,795.00 n Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund n Road Use Tax n Sewer n Sanitation ❑ Bonds n Federal/other grants Other (specify) This expenditure is to be coded to the followingbudget line -item: 266-17-7120- r5y1� (Fund —Department -Activity —Account Number) in which the 'budgeted amount is and the current available• balance, is Respectfully submitted, (Project Code) $ 01,34 4t r 300d Y 3 3q{ %6 ✓ nature Dept. Head or Designee) Date (Sig?ature Finance Dept. Review) Date K:)&haredgobtlies\forms\20.16-May- Pre-Auth -JAMAR-TrafficData Collector - RUT - $1,819.00.xlsx (Mar 2010) Budget Amendment Descriptions for 5/16/2016 Finance Committee Meeting Agenda: 1. Approve the budget amendment to use $2,000 in state grant funds to purchase trees, as submitted by Leisure Services. 2. Approve the budget amendment to use $430,000 in stop -loss insurance refunds received to pay related health care claims, as submitted by the City Clerk. 3. Approve the budget amendment to use $450,000 in grant proceeds to pay for amounts spent for the storm water lift stations, as submitted by Finance. (These grants were budgeted in prior years, but are not complete.) 4. Approve the budget amendment to record the use of TIF revenue in the amount of $3,700,000 to fund project expenses, including land acquisition, sanitary sewer construction and economic development grants, as submitted by the Finance Department. 5. Approve the budget amendment to use sewer fund balance to fund unbudgeted expenses in the amount of $500,000, as submitted by the Sewer Department. 6. Approve the budget amendment to use additional bond funds for footing drain disconnections in the amount of $125,000, as submitted by Finance. 7. Approve the budget amendment to use additional donation revenue in the amount of $30,000 to purchase library materials and supplies, ash���s�u,�I�bJmitted by the Library. 8. Approve the budget amendment to use $30;�68 in general fund balance to meet additional expenses for Young Arena, as submitted by Leisure Services. 9. Approve the budget amendment to record an anticipated refunding bond issue in the amount of $2,415,000, as submitted by the Finance Department. 10. Approve the project budget for the SAFER grant, in the total amount of $165,944, with annual anticipated expense of $49,154 for FYE16, $84,489 for FYE17 and $32,301 for FYE18, as submitted by the Fire Department. Please use this for project budget descriptions on Finance agenda. Do not need to include this cover sheet in the Finance Committee packet. Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance Co, nittee approval required? YES V NO If so, date approved: � ' 1°1/ k 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 2016 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 4100 3361 State Grant 2,000.00 010 37 4100 1536 Trees 2,000.00 TOTAL This amendment is being requested because: $2,000.00 TOTAL $2,000.00 to budget some of the funds received from FEMA. Trees will be purchased. Prior Committee Actions (Dates): (Signature Dept. H-:d • Iesignee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K users\shared goodies\forms\Budget Amendment Request Form (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Financeiommittee approval required? YES NO If so, date approved: City of Waterloo Line -Item Budget Amendment Request Form The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget amendment for FYE 2016 submitted by the City Clerk's Department Department: EXPENSES/REVENUE DECREASE EXPENDITURES (INCREASE REVENUE) INCREASE EXPENDITURES (DECREASE REVENUE) Fund Dept Activity Acct # Acct Name Proj Code Amount fund Dept Activity Acct # Acct Name Proj Code Amount 010-03-8950-3625 Ins. Refunds 430,000.00 010-03-8950-1368 Medical Claims 430,000.00 TOTAL This amendment is being requested because: $430,000.00 TOTAL $430,000.00 We have received stop -loss payments to cover claims. The payments were not budgeted. Prior Committee Actions (Dates): (Signature Dept. Head or Designee) Date / ! L,2w1, (Signature Finance Dept. Review) 35 &-/e0 Date Date Posted (Finance Dept.) K:Wsers\shared goodieslforms\Budget Amendment Request Form.bs (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: I s'/I V 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 2016 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 290 07 5300 3373 Federal pass-thru 07LFT D277 450,000.00 290 07 5300 2162 Storm Sewers 07LFT D277 450,000.00 TOTAL $450,000.00 TOTAL $450,000.00 This amendment is being requested because: IDED grant for construction of the residential pump stations is being amended to add additional grant funds of $450,000 Prior Committee Actions (Dates): ignature ept. Head or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\userslshared goodies\forms\Budget Amendments_FY16 (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Financg ybmmittee approval required? YES NO If so, date approved: 5-//L /.to 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 2016 submitted by the Finance Department: EXPENSES/REVENUE DECREASE EXPENDITURES (INCREASE REVENUE) INCREASE EXPENDITURES (DECREASE REVENUE) Fund Dept Activity Acct # Acct Name Proj Code Amount Fund Dept Activity Acct # Acct Name Proj Code Amount 101 08 8400 3000 Cash 3,700,000.00 101 08 9050 2700 Transfer Out 3,700,000.00 426 08 9050 6050 Transfer In 3,700,000.00 426 08 6205 2140 Land Acq 725,000.00 426 08 6220 2140 Land Acq 1,300,000.00 426 08 6220 2163 Sanitary Sewer 800,000.00 426 08 6250 1358 Econ Dev Grant 475,000.00 426 08 6260 1358 Econ Dev Grant 400,000.00 TOTAL $7,400,000.00 TOTAL $7,400,000.00 This amendment is being requested because: projects being completed using TIF cash are higher than originally anticipated with the FY16 certified budget. Several economic development projects were approved during FY16 including Con -Agra, VGM, Hawkeye Stages, Endeavors as well as L&H property acquisitions, Midport Blvd street extension and NE Industrial Site sanitary sewer extension. This amendment involves a transfer from the TIF fund to the capital projects fund (fund 426) since these expenses are recorded there rather than directly in the TIF fund due to current TIF law. Prior Committee Actions (Dates): r &km -der g-r;?-/ ($ignature Dept. Head or Designee) Date .1fi aJ . (Signature Finance Dept. Review) Date 5 Date Posted (Finance Dept.) K:\users\shared goodies \forms\Budget Amendments_FY16 (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Financ/C/ammittee approval required? YES NO If so, date approved bS-hb//L. 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 2016 submitted by the Waste Management 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 520 14 5200 3000 mash/SewerFund Bal 250,000.00 520 14 5200 1571 Machinery & Equip 91,000.00 520 14 5200 1341 Contract Carriers 40,000.00 520 14 5200 1400 Utility Service 75,000.00 520 14 5200 1313 Legal Services 10,000.00 520 14 5200 1312 Engineering 15,000.00 520 14 5200 1319 Other Professional 7,500.00 520 14 5200 1569 Vehicle Rep Parts 7,500.00 520 14 5200 1521 Elec Supplies 4,000.00 5av ) 3oed a.5400o� 6 14 5�06 i30 3 8011 : Sao if 5AOD lit.. 55;ova,ix. ;24,woo),, Sao /4 scot) I.3/:3 sav l sarrd 143 4'0 k f TOTAL 6-X0 1 `F 5J-00 1 Z 0 $250,000.99-- 5kJwoo. a This amendment is being requested because: Sewer operating expenses are running higher than originally expected. TOTAL 4260 00G.G3 - 6-00, od)• dD Prior Committee Actions (Dates): None (Signature Dept. Head or Designee) -( �f (� yi/ r�l lL� /.Gc iLA_ 6-7/6 f Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K.\users\shared goodies\forms\2016 FY Budget Amendment.xls (Apr 2003) CITY OF WATERLOO, IOWA WASTE MANAGEMENT SERVICES 3505 Easton Ave. • Waterloo, IA 50702 • (319) 291-4553 Fax (319) 291-4523 MEMORANDUM To: Michelle Weidner From: Brian Rath, Treatment Operations Supervisor Date: April 25, 2016 Re: 2016 FY Budget Amendment In this current fiscal year 2016 Budget we are experiencing a funding short fall because of pump and equipment repairs, biosolids hauling, utility power, legal costs, and future/anticipated costs needs for replacement parts of these last two and one half months in FY 2016. The current breakdown for Sanitary Sewer Fund 520-14-5200 is as follows: $ 131,000.00 Pump & Equipment parts — 1571 $ 40,000.00 Biosolids Hauling — 1341 $ 75,000.00 Utility Services - 1400 $ 27,000.00 Group of line items (6) $ 10,000.00 Legal Service — 1313 $ 15,000.00 Engineering/Planning/Consulting Services - 1312 $ 25,000.00 Anticipated costs for replacement parts ranging from $500-$2,000/part through FY 2016 $323,000.00 Total Estimate Funding needs ($ 40,000.00) Current YTD line item 1571, Currently available funds ($ 33,000.00) Three line item that currently have available funds $250,000.00 Total Requested Budget Amendment for FY 2016 CITY WEBSITE: www.cityofwaterlooiowa.com WE'RE WORKING FOR YOU! An Equal Opportunity/Affirmative Action Employer $140,000.00 (Biosolids , Utility, Legal & Engineering) of $250,000.00 (Total Requested) = 56% Must Have $91,000.00 (Pump & Equipment parts) of $250,000.00 (Total Requested) = 36% Must Have 56% + 36% = 92% Total Must Have Thank you Mayor and City Council Members for your consideration of approving this FY2016 Budget Amendment Request. CITY WEBSITE: www.cityofwaterlooiowa.com WE'RE WORKING FOR YOU! An Equal Opportunity/Affirmative Action Employer Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance CJmmittee approval required? YES NO If so, date approved: 5 P6%l 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 2016 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 615 3000 Bond Cash 125,000.00 615 22 5335 1705 ing Drain Disconnections 125,000.00 TOTAL $125,000.00 TOTAL This amendment is being requested because: Add additional bond funds for footing drain disconnections that are expected to be paid before June 30, 2016. $125, 000.00 Prior Committee Actions (Dates): (Signature Dept. Head or Designee) Date Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\userslshared goodies\forms\Budget Amd 415 Bonds to Footing Drain Disconnections.xls (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finan Co Ittee approval required? YES NO �� If so, date approved: W / A" 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 2016 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 33 3180 3720 Restricted donations 30,000.00 010 33 3180 1555 Minor Equip/Suppl 30,000.00 TOTAL $30,000.00 TOTAL This amendment is being requested because: donations received from Friends of Library and Community Foundation to purchase class supplies, materials and equipment are exceeding original budget expectations. $30,000.00 Prior Committee Actions (Dates): gna u/e Dept. Head or Designee) Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies \forms\Budget Amendments_FY16 (Apr 2003) Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance ommittee approval required? YES it NO If so, date approved: City of Waterloo Line -Item Budget Amendment Request Form The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget amendment for FYE 2016 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 30000 30,600.00 010 37 4500 1390 Other professional 27,600.00 010 37 4500 1112 PT salary 3,000.00 TOTAL $30,600.00 TOTAL This amendment is being requested because: to meet the PROJECTED expenses relating to hockey playoff games— (,! 6[ /}f fteda %p(,.( /',II. $30,600.00 Prior Committee Actions (Dates): S 9—/C y/1 ;Act& elu,atwt (Signature Dept. Head . i -signee) Date !� (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies\forms\YA budget amendment..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: S /) V// 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 2016 submitted by the Finance Department: EXPENSES/REVENUE DECREASE EXPENDITURES (INCREASE REVENUE) INCREASE EXPENDITURES (DECREASE REVENUE) Fund Dept Activity Acct # Acct Name Proj Code Amount Fund Dept Activity Acct # Acct Name Proj Code Amount 100 03 8980 3755 Refunding Bonds 1,883,400.00 100 03 8980 2250 Prin 2,385,000.00 100 03 9050 6050 Transfer In 525,000.00 100 03 8980 1750 Debt Svc Exp 23,400.00 520 14 8980 3755 Refunding Bonds 531,600.00 520 14 9050 2700 Transfer Out 525,000.00 520 14 8980 1750 Debt Svc 6,600.00 TOTAL This amendment is being requested because: To record anticipated refunding debt transactions. $2,940,000.00 TOTAL $2,940,000.00 Prior Committee Actions (Dates): 14i 1. ,/, 5 <(., /L G- r 54-4, (Signature Dept. Head or Designee) Date (ignature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\shared goodies\forms\Bdgt Amd Refunding Bonds FYE2018.xls (Apr 2003) PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION PAGE TWO Project Name (from page one) WFR Safer Grant Department No. project will be budgeted under 12 Activity No. project will be budgeted under 1425 REVENUES: 3000 Cash on Hand 3350 Federal Grant 3352 Federal HUD Grant 3354 Shared Program - Local 3357 Shared Program - County 3358 Shared Program - City 3360 Shared Program - State 3361 State Grant 3720 Donations - Restricted 3750 Sale of Bonds EXPENDITURES: City Clerk Use Only Finance Committee Approval Date " /l(./l(� To be assigned by the Finance Dept. Project No. 12GRT Subproject No. (Each column should only include amounts by fund) Fund:010 Fund:010 Fund:010 Fund: Oct 15-Jun 16 Jul 16-Jun 17 Jul 17-Oct 17 Total 49,154.00 84,489.00 32,301.00 165,944.00 TOTALS $ 49,154.00 $ 84,489.00 $ 32,301.00 $ - $ 165,944.00 1111 Salaries - Regular 1112 Salaries - Part Time 1121 Medicare 1123 Life Insurance 1131 Health Insurance 1347 Pension 1130 Clothing Allowance 1130 Sick/Casual Payouts 31,976.00 50,997.00 464.00 739.00 41.00 7,480.00 8,880.00 263.00 50.00 20,000.00 $ 102,973.00 290.00 1,493.00 58.00 17.00 17,952.00 5,236.00 13,218.00 5,200.00 525.00 525.00 1,000.00 1,033.00 116.00 30,668.00 27,298.00 1,313.00 2,083.00 TOTALS $ 49,154.00 $ 84,489.00 $ 32,301.00 $ $ 165,944.00 9eA'q(Signature Dept. He Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Fire Safer Grant Project Budget\Page 2 (Donat or NON-constr) (Mar 2010) PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Proj::ct Name WFR Safer Grant City Contract No. Project Manager Project Budget Total Pat Treloar $ 165,944.00 1. How will this project be funded? A. Federal Grant Yes X No Grant Name B. State Grant Yes Grant Name C. City Match D. Other Entities Yes Name To be assigned by the Finance Dept. Project No. 12GRT Subproject No. SAFER16 CFDA # 97.083 % Paid by federal grant 100.00% Staffing for Adequate Fire & Emergency Response No Source of Funding No 2. Attach copies of any grant agreements that will fund the project (REQUIRED) 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. Andrew J. Elliott, 1st Yr FF Done None El Yes No ❑ El ❑ ❑X ❑X ❑ ❑X ❑ ❑X ❑ ❑X El ❑ 6: Include a brief description of the project in the space below: (REQUIRED) This grant will cover Andrews salary and all employer paid benefits, including clothing allowance and contractual payouts as well as pension expense. The grant does not cover overtime costs, training, equipment or adminstrative expenses. Page 2 must be attached and signed. K:\shared goodies\forms\Fire Safer Grant Project Budget\Page 1 All Projects (Mar 2010)