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Home My WebLink About04/18/2016FINANCE COMMITTEE April 18, 2016 5:10 PM Harold E. Getty Council Chambers Members Chairperson Ron Welper Vice Chairperson David Jones Bruce Jacobs Roll Call: Approval of Agenda Approval of Minutes of April 11, 2016, as proposed. NEW BUSINESS TRAVEL REQUESTS 1. Sgt. McGeough & Sgt Richter Class/Meeting: BCA Stress Trauma and Burnout Destination: St. Paul, MN Dates: May 1-3, 2016 Amount not to exceed: $1,106.00 2. Jon Martin, Rehabilitation Specialist Class/Meeting: 16 hour Lead Inspector / Risk Assessor Refresher Destination: Dubuque, IA Dates: May 19-20, 2016 Amount not to exceed: $615.00 3. Several Police Officers Class/Meeting: Field Training Officer Certification Destination: Waterloo, IA Dates: June 6-10, 2016 Amount not to exceed: $2,450.00 4. Christopher Charley, Training Officer; Mike Schipper, Fire Engineer/Hazmat Team Leader Class/Meeting: Instructor II Destination: Ames, IA Dates: May 2-4, 2016 Amount not to exceed: $444.16 5. Eric Thorson, City Engineer Class/Meeting: Public Works Expo Destination: Minneapolis, MN Dates: August 27-31, 2016 Amount not to exceed: $1,949.00 6. Mayor Quentin Hart Class/Meeting: "The Urgency of Now" AAMA 2016 Conference Destination: Washington, D.C. Dates: April 2016 Amount not to exceed: $1,465.00 7. Pre -Authorizations to Expend over $1,000.00 Leisure Services Amount and Estimated S/H: $2,630.50 Expenditure: Lifeguard suits for the 2016 swim season. Leisure Services Amount and Estimated S/H: $5,783.75 Expenditure: (175) 8" x 8" x 7' .6 pressure treated bollards. Leisure Services Amount and Estimated S/H: $3,250.00 Expenditure: Software subscription and technical support for our membership, registration and facility rental software. Sewer Department Amount and Estimated S/H: $6,987.00 + $1,129.42 S/H Expenditure: Replacement Krohne flow meter for Lagoon effluent flow measurement. Sewer Department Amount and Estimated S/H: $11,237.00 + $400 S/H Expenditure: Impeller with wear ring, suction cover with wear ring and casing gasket for #4 Easton RAS pump. Sewer Department Amount and Estimated S/H: $26,743.45 + $357 S/H Expenditure: Teledyne ISCO five area velocity flow meters, USB communication cable, and mounting band and rings for sanitary sewer system flow monitoring. Traffic Operations Amount and Estimated S/H: $1,998.60 Expenditure: (60) LED lamps - 18.5 watt. Traffic Operations Amount and Estimated S/H: $8,420.00 Expenditure: (400) LED 12" Red Ball. BUDGET LINE ITEMS TO BE AMENDED 8. Approve the budget amendment for the Waterloo Police Department Forfeiture Funds project to use cash received in prior years for current year expenses, as submitted by the Police Department. 9. Approve the budget amendment in the amount of $450 to use contingency funds for additional copy maintenance required, as submitted by the Housing Authority. 10. Approve the project budget for the LED Traffic Signal Lamp Replacement program funded with rebates received from MidAmerican Energy to purchase LEI) traffic lamps in the estimated amount of $50,000, as submitted by Traffic Operations. 11. Approve the project budget for the Traffic Safety Awareness Children's Online Traffic Safety Quiz funded with a grant in the amount of $8,500 received from the State of Iowa to develop an online monthly safety quiz product for children in Waterloo, Evansdale and Cedar Falls, as submitted by Traffic Operations. 12. Approve the project budget for the Elementary School Traffic Safety Outreach project funded with a grant in the amount of $11,000 received from the State of Iowa to develop materials, coordinate with school districts and send police officers to elementary schools in Waterloo, Evansdale and Cedar Falls, as submitted by Traffic Operations. 13. Approve the project budget amendment for the Park Project Donations project, funded with $2,500 in donations to be used to purchase tools, as submitted by Leisure Services. BILLS PAYMENT 14. April 18, 2016 ADJOURNMENT Suzy Schares, CMC City Clerk/Human Resource Director FINANCE DEPT. STAFF ONLY LINE ITEM USED 010-11-1100-1346 TRAVEL REQUEST CITY OF WATERLOO NAME(S) AND POSITION(S): Sgt. McGeough & Sgt. Richter NAME OF CLASS / MEETING: BCA Stress Trauma and Burnout FY _2016_ BUDGETED j =07j i✓ EXPENDED YTD g % 7 V- THIS REQUEST 7 / 0 e LEFT AFTER THIS / REQUEST j f ��lD 6% DATE -.� c/-/3 // Original - Clerk/Finance Copy - Department DATE 4/12/16 DEPARTURE DATE: May 1s, 2016 PURPOSE OF TRAVEL: Captain Leibold is requesting to send Sergeants McGeough and Richter to BCA Stress, Trauma and Burnout class in St. Paul Minnesota. This class will cover the concept of how you deal with conflict and how stress impacts the ability to manage people and enjoy your work. Students will be able to recognize risk factors and symptoms of troubled employees, different types of conflict, describe means to manage troubled employees, define proactive strategies to assist employees to deal with effects of stress in their job, identify and develop resources to assist employees, develop strategies for dealing with differences and understand and respect employee confidentiality. Effective supervisors must be keen to the signs and stressors which can often lead to unexpected conflict and pressure within their employees or even themselves. A city vehicle will be needed for this training. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO DESTINATION St. Paul, Minnesota DEPARTURE POINT IF NOT WATERLOO: Return Date: May 3rdth, 2016 DATE(S) OF MEETING: May 2nd thru 3rd, 2016 METHOD OF TRAVEL: x CITY VEHICLE AIRFARE DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: $300.00 LODGING .00 Metro trans $226.00 MEALS .00 Parking $480.00 REGISTRATION .00 AIRFARE $/00.00 MILEAGE/FUEL .00 Baggage fee TOTAL FOR ALL: $ 1106.00 BUDGET LINE ITEM: x GRANT REIMBURSABLE YES NO x REQUIRED CERTIFICATION YES NO TOTAL: $ 553.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS CESSARY AND BENEFICIAL TO THE CITY ATERLOO I APPROVE THIS TRAVEL REQUEST DEPARTMENT HEAD MAYOR DATE DATE TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. LINE ITEM USED FY.<.,t BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original- Clerk/Finance STAFF ONLY 5b-7..) 1340 ODU`: G �l 3 h ».Z" •'4-13 -/(., Cop - be•artment NAME(S) AND POSITION(S): Jon Martin Rehabilitation Specialist DATE: 4/11/16 NAME OF CLASS / MEETING: 16 Hr. Lead Inspector/Risk Assessor Refresher Course DESTINATION: Dubuque, Iowa DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: May 19, 2016 RETURN DATE: May 20, 2016 DATE(S) OF MEETING: May 19 & 20 2016 8:00-5:00 PURPOSE OF TRAVEL/TRAINING Required recertification to Iowa Department of Public Health to retain certificate as a Lead Inspector/Risk Assessor WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: x CITY VEHICLE AIRFARE DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: $/10.00 LODGING TAXI x $70.00 MEALS PARKING YES NO $385.00 REGISTRATION AIRFARE x $50.00 MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ $615.00 TOTAL: $ BUDGET LINE ITEM: 224-32-5850-1346 GRANT REIMBURSABLE BG14H0001 REQUIRED CERTIFICATION PER PERSON I BELIEVE THIS TRIP SERV S A P{JBLIC PURPOSE AND IS NECESSARY AND ENEF TO THE CITY OF WATERLOO DEPARTMENT HEAD I APPROVE THIS TRAVEL REQUEST MAYOR DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 .ORIGINAL MSA PROFESSIONAL SERVICES REGISTRATION FOR TRAINING Name: First Organization: f MI Last / (0e.�,�ertcic) Cr�vto ,vtU.n+. �veic ,Vt€ Address: (D ZU f tkl s i 6 e r-,-ct S� City: w/AiE/aec)C.) State/Zip: 2 S-G 70 3 Telephone Number: 314- Z41l.-44Z 9 Email ,--i"• "''."."@ w° -rloc -/a. ar`, Social Security #: Date of Birth: a- S- 7 Signature: I� Date: 7 _ ( /6"" Course: 8 hour Lead Safe Renovator (10) 4 hour Lead Safe Renovator Refresher (10) 8 hour Abatement Contractor/Worker Refresher (5) 40 hour contractor Training, Initial (5) 24 hour worker Training, Initial (5) 16 hour worker to contractor training, initial (5) 8 hour Sampling TechNisual Risk Refresher (5) 16 hour Inspector/Risk Assessor Refresher (5) Sampling TechNisual Risk Assessor, Initial 20-hour (5) Inspector/risk Assessor Part II, Initial 20-hour (5) Sampling Tech & Inspector/ Risk Assessor, Initial 40-hour (3) $205.00 $100.00 $200.00 $835.00 $625.00 $335.00 $195.00 $385.00 $795.00 $795.00 $1,575.00 (#) minimum number of participants required to hold class Date of training attending: Payment in full required with registration prior to attending training 400 Ice Harbor Dr, Suite 110, Dubuque, IA 52001 (563)-582-3973 Currently all training is scheduled in Dubuque. Registration fee is due 2 weeks before training date. There is a $50.00 fee for canceling within 5 days of training date. TRAVEL REQUEST CITY OF WATERLOO NAME(S) AND POSITION(S): Officers: B. Herkelman / Frein / Jurgensen / V. Zubak Nereid / T. Brownell / Suljic DATE 4/13/16 FINANCE DEPT. STAFF ONLY LINE ITEM USED 010-11-1100-1346 FY _2016_ BUDGETED :lc:0-0 O EXPENDED YTD 7 El97 THIS REQUEST v V.SO LEFT AFTER THIS REQUEST / 3i 551 DATE 277 ) /3-,2 /(- Original - Clerk/Finance Copy Department NAME OF CLASS / MEETING: Field Training Officer Certification DEPARTURE DATE: June 6th, 2016 DESTINATION Waterloo, Iowa DEPARTURE POINT IF NOT WATERLOO: Return Date: June 10th, 2016 DATE(S) OF MEETING: June 6th thru 10th, 2016 PURPOSE OF TRAVEL: Captain Leibold is requesting to send Officers B. Herkelman, Frien, Jurgensen, V. Zubak,Hereid, T. Brownell and Suljic to Field Training Officer Certification in Waterloo, Iowa. This forty hour course is designed for experienced uniformed patrol personnel to serve as Field Training officers (FTOs) with probationary employees. The course emphasizes the FTOs role in assisting probationers certify for solo patrol operations by applying knowledge and skills acquired during the this course. This course highlights two essential Field training and evaluation skills: 1. The ability to examine and objectively document the probationer's job behaviors using the behaviorally anchored standardized assessment guidelines. 2. Analyzing the probationers training needs and use the best fit twelve specific instructional techniques for enhanced job performance. These officers will be used to train new Officers and Reserves who are hired by the Waterloo Police department. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: COST $ YES NO METHOD OF TRAVEL: CITY VEHICLE PRIVATE VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: $.00 LODGING .00 Metro trans $.00 MEALS .00 Parking $2450.00 REGISTRATION .00 AIRFARE $.00 MILEAGE/FUEL .00 Baggage fee TOTAL FOR ALL: $ 2450.00 BUDGET LINE ITEM: x GRANT REIMBURSABLE YES NO x REQUIRED CERTIFICATION YES NO TOTAL: $ 350.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO DEPARTMENT HEAD 1 APPROVE THIS TRAVEL REQUEST MAYOR DATE DATE Sent over 041316 TRAVEL REQUEST CITY OF WATERLOO NAME(S) AND POSITION(S): Christopher Charley, Training Officer Mike Schipper, Fire Engineer/Hazmat Team Leader DATE: 4/4/2016 FINANCE DEPT. STAFF ONLY LINE ITEM USED /e>D ! /L ''. I_`jQI FY.-::Cv/i/ BUDGETED -761 C^ EXPENDED YTD THIS REQUEST y-j 4 LEFT AFTER THIS REQUEST BAT 3i77 ° °7r7rt a7-lb-/. NAME OF CLASS / MEETING: Instructor 11 DEPARTURE DATE: May 2,2016 PURPOSE OF TRAVEL: To develop a better training program and curriculum. DESTINATION: Ames, Iowa DEPARTURE POINT IF NOT WATERLOO: DATE(S) OF MEETING: RETURN DATE: May 4, 2016 May 2-4 WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: X CITY VEHICLE AIRFARE PRIVATE VEHICLE DEPARTING FROM: WFR HQ ESTIMATE OF COST: 244.16 LODGING 100.00 MEALS 100.00 CERTIFICATION MILEAGE/FUEL TOTAL FOR ALL: $ 444.16 TAXI PARKING AIRFARE MISC/TOLLS BUDGET LINE ITEM: 010-12-1400-1346 x GRANT REIMBURSABLE YES NO X YES NO REQUIRED CERTIFICATION TOTAL: $ 222.08 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFIPFIL TO THE CITY OF WATERLOO — DEPARTMENT HEAD I APPROVE THIS TRAVEL REQUEST acam MAYOR 4/1 h DATE DATE INSTRUCTOR II °rstate F� This course prepares the participants for planning and developing all aspects of course curriculum, including a needs analysis, task analysis, course goals and objectives, a lesson plan, instructional support materials, and evaluation instruments. A final project will be due after the completion of the class. Registration Form Location: Date & Time: Fire Service Training Bureau 1015 Haber Rd Ames, IA 50011 Please print clearly: Name: May 2, 3, & 4, 2016 8:00 am - 4:30 pm Home Address: Street City Phone: Email: Fire Department: Last 4 digits of your SS# The Instructor II class is offered FREE of charge. However, there is a certification fee of $50.00. Out of state participants will also be charged for textbook and other printed materials. This course meets the objectives as stated in NFPA 1041, Standard for Fire Service Instructor Professional Qualifications, 2012 Edition. State Zip Based on class size, we reserve the right to limit enrollment per department. For departments with multiple enrollment, the Fire Service Training Bureau may contact your department to establish priority. Fax, Mail or E-mail your Registration to: Fax: 800-722-7350 E-mail: fstbreg@dps.state.ia.us Fire Service Training Bureau 1015 Haber Rd Ames, IA 50011-3104 Phone: 888-469-2374 515-294-6817 Closing date on pre -registration: April 4, 2016 Please contact the Fire Service Training Bureau for more information, or if you have any questions TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. LINE ITE USED FY (4 ''16U�D6ETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance r-�(617 STAFF ONLY 2(a6 0% '783r3 /34(,, 3,pp o Szivo' `199' 2-fl /J--/(o Copy - Department NAME(S) AND POSITION(S): Eric Thorson, City Engineer DATE: April 12, 2016 NAME OF CLASS 1 MEETING: Public Works Expo DEPARTURE DATE: August 27, 2016 DESTINATION: Minneapolis, MN DEPARTURE POINT IF NOT WATERLOO: DATE(S) OF MEETING: August 28 — 31, 2016 RETURN DATE: August 31, 2016 PURPOSE OF TRAVEL/TRAINING: To attend the American Public Works Association Public Works Expo for continued education workshops, exposition, and to interact with other public works officials from around the world. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST $ YES NO METHOD OF TRAVEL: CITY VEHICLE X PRIVATE VEHICLE AIRFARE DEPARTING FROM: ESTIMATE OF COST: $800.00 LODGING 250.00 MEALS 799.00 REGISTRATION TAXI $100.00 PARKING AIRFARE MILEAGE/FUEL MISC/TOLLS TOTAL FOR ALL: $ 1949.00 BUDGET LINE ITEM: 266-07-7830-1346 X GRANT REIMBURSABLE YES NO X YES NO REQUIRED CERTIFICATION TOTAL: $ 1949.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO �A(Q' F1,-4 mA.) DEPARTM T HEAD April 12, 2016 I APPROVE THIS TRAVEL REQUEST MAYOR DATE K:\Shared Goodies \Forms\Travel Request Form January 2010 DATE APWA - Calendar of Events Page 1 of 2 DISCOVER APWA DISCOVER PUBLIC WORKS Horne - Learn & Grow- Conferences - PWX - Attendees CALENDAR OF EVENTS ATTENDEES EXHIBITORS cetAn a 7p�,z W D of I� uc OF p m w rm m -JZ PWX J 0 I 1 1 BE INVOLVED MEDIA Search Sign In Jobs Help Cart GET CONNECTED I LEARN & GROW SPONSOR SATURDAY, AUGUST 27 Registration 7 a.m. —5 p.m. Fun Run 7 — 8 a.m. Self Assessment Workshop 8 a.m. — 4:30 p.m. Golf 9 a.m. —4 p.m. Fishing 9 a.m. —10 p.m. MicroBrew 2-8 p.m. SUNDAY, AUGUST 28 Registration 7 a.m. —5 p.m. First -Timers Meeting 7 — 8:20 a.m. Education Sessions 8:30 — 9:45 a.m. Opening General Session 10 a.m. — Noon Exposition Grand Opening Noon Non -compete Exhibit Time Noon — 3 p.m. Exhibits Open Noon —4 p.m. Exhibitor Solutions & There's an App for That Theaters 1 — 3:50 p.m. Education Sessions 3 —4:50 p.m. Get Acquainted Party 5 —7 p.m. MONDAY, AUGUST 29 Registration 7 a.m. —5 p.m. General Session 8:00 — 9:30 a.m. APWA Blood Drive 9 a.m. — 3 p.m. Education Sessions 9:45 — 11 a.m. Fleet Workshop 9:45 a.m. — 4:50 p.m. Exhibits Open 10 a.m. — 3 p.m. Exhibitor Solutions & There's an App for That Theaters 10 a.m. — 2:50 p.m. Non -compete Exhibit Time 11 a.m. —2 p.m. CPWA Luncheon Noon — 1:30 p.m. Education Sessions 2 — 4:50 p.m. Public Works Stormwater Summit 2 - 4:50 p.m. Awards & Recognition Ceremony & Reception 5 — 7 p.m. Young Professionals Networking Reception 8 — 9:30 p.m. TUESDAY, AUGUST 30 Registration 7 a.m. —4 p.m. General Session 8 — 9:30 a.m. APWA Blood Nye 9 a.m. —3 p.m. REGISTER NOWT 2016 Exhibitor List About PWX APWA Connect Live Attendee FAQS Calendar of Events Call for Presentations Education Hotel and Travel Justification Letter PWX Contacts PWX Fees Special Events Stormwater Summit Sustainabllity Workshop Wednesday http://www.apwa.net/PWX/2016/Attendees/Calendar-of-Events 4/5/2016 0 (SEC)SUNDAY PWX www.apwa.net/pwx I AUGUST 28-31, 2016 1 MINNEAPOLIS CONVENTION CENTER, MINNEAPOLIS, MN PRE -REGISTRATION FORM -PAGE 1 OF 2 Last Name first Name PART 1: FULL PWX WEEK REGISTRATION Register for afull week of PWX below. Otherwise, skip Part 1 and go to Part 2. FULL PWX WEEK All full -week registrations include:Ail APWA Education Sessions; all APWA exhibits; downloadable recordings of education sessions; CEUs; Get Acquainted Party, Awards Ceremony; and Wednesday's Workshops. E-mail Address (M) Full Member Registration: ❑ (N) Full Nonmember Registration Do you want a portion of your nonmember full registration fee applied toward your new Individual membership? A $184 USD value (Not valid for membership renewals. To renew your membership please contact Member Services at memberservices@apwa.net or call 1-800448-27921 Dyes ❑ No ❑ (R) Full Retired Member Registration (applies to those with Retired Member type only) ❑ (YP) Full Young Professional (Must be 35 years or younger. Birth year. 0 (GU) Full Spouse/Guest Guest Last Name: Before July 8 $799 USD After July 8 TOTALS $899 USD $1050 USD $465 USD $550 USD $1150 USD $565 USD $650 USD Guest First Name: PART 2: WEDNESDAY WORKSHOPS/TOURS Attendees with FULL PWX WEEK or Wednesday One Day registration types may participate in the Wednesday WarkshopsITours. WEDNESDAY WORKSHOPSTOURS Some tours may have a fee to cover facility access or rentals. All tours have limits on participation. Registration is on a first -come, first -served basis. Refer to wwwapwa.netlpwx for times and details. ❑ (W1) US Bank Stadium (Sit access fee) ❑ (We) Union Depot and Metro Green Line LRTTour ❑❑ (W2) St. Croix Crossing Project 0 (W7) Minneapolis Bicycle Facilities ($50 fee) (W3) 3M Innovation Center ❑ (W8) Metropolitan Wastewater Treatment Plant, 5t. Paul, MN ❑ (W4) Full Circle Organic Facility Compost Tour ❑ (W9) Pedestrian Safety Walking Tour 0 (W5) Multimodal Transportation Systems Serving the Mall of America PART 3: DAILY EDUCATION SESSIONS AND EXPOSITION (Full -week registrants skip this section.) If you would like to attend the education sessions and exposition by the day, please mark which day(s) you are registering for below. ❑ (SA) SATURDAY Workshop: Self -Assessment Using the Public Works Management Practices Manual 8 a.m.— 4:30 p.m. (Fee includes instruction, materials, and breaks. Lunch will be on your own; does not include manual) $95 USD MEMBER Full Week and One -Day Wednesday Registrants If Checking (Wt) Pay 410 or (W7) Pay 550 If Not Checking (WI) or (W7) Enter $0 $300 USD $95 USD NONMEMBER Full Week and One -Day Wednesday Registrants If Checking (W1) Pay$10 or (W7) Pay $50 If Not Checking (W1) or (W7) Enter 50 $350 USD 0 (SC) SUNDAY ❑ (MC) MONDAY ❑ (TC)TUESDAY ❑ (SW5) Public Works Stormwater Summit 2-5 p.m. each day (MONDAY &TUESDAY)—indudes exhibit hat. (Included in all Full Registrations and One -day Monday and Tuesday Registrations.) $335 USD $440 USD $335 USD $440 USD $335 USD $440 USD $385 USD $435 USD ❑ (WC) WEDNESDAY (includes Wednesday Workshops at no additional charge, based on availability) PART 4: DAILY EXPO ONLY (Full -week and Daily Education Sessions and Exposition registrants skip this section.) B you would like to attend the exposition only for one day, please mark which day you will attend. $335 USD $440 USD ❑ (MEO) MONDAY 0 (TEO)TUESDAY PART 5: PWX EVENTS Complete your PWX experience with these special events (Additional fees apply to all registration categories.) ❑ (SA) SATURDAY Workshop: Self -Assessment Using the Public Works Management Practices Manual 8 a.m. — 4:30 pm. (Fee includes instruction, materials, and breaks. Lunch will be on your own; does not indude manual) ❑(CPWAL) MONDAY CPWA Luncheon 0 (TDB) TUESDAY Diversity Brunch of tickets of tickets $300 USD $45 USD $350 USD X $37 USD ❑ (TSCRC) TUESDAY Small Clty Rural Communities Town Hall Brunch of tic $37 USD $37 USD TOTAL �IIIy�� — THE BEST SHOW IN PUBLIC WORKS www.arwa.net/rwx AUGUST 28-31, 2016 MINNEAPOLIS CONVENTION CENTER, MINNEAPOLIS, MN PRE -REGISTRATION FORM -PAGE 2 OF_2 THIS PRE -REGISTRATION FORM IS GOOD ONLY UNTIL AUGUST 12, 2016. No pre -registration forms will be accepted after August 12, 2016. After August 12, registrations will he accepted on -site only. On -site registration will begin Saturday, August 27, 2016. Please note: No govemment vouchers or purchase orders will be accepted on -site. This form must be completed and returned with full payment before your registration can be processed. Please complete a separate registration form for each PWX participant CANCELLATIONS: If ur plans change and you cannot attend the program, a colleague an attend in your place — just send us a fax or email. Cancellations and requests for refunds must be in writing. A full refund, less a $125 USD administration fee, be made if written notice is postmarked byJuly 25, 2016. Sorry, no rebinds on registration fees or tickets will be issued after July 25, 2016, or in cases where the registration fees total less than $125. All payments will be forfeited if registration is canceled after July 25, 2016. No refunds will be granted for "no-shows." Non-attendance does not excuse the participant's financial obligation to pay the registration fees due to APWA Accounts left unpaid for more than 90 days may be subject to further collection efforts. The participant will be responsible for any costs or expenses associated with collections including collection agency fees. Approved refunds will be processed within 30 days after MAX Please send your cancellation andlor refund request to cancellations@apwa.net or fax to 816.595.5342. PHOTO ASE: I rant AMA the ht to take or video of me in electronically. VIDEOae8 hLattAPWA may use orreproduce gsuch photoggraphswithsor without my name or biography and for an uith the ny lawful purpose, includiA PWX. I authorize ng APWA its educatio ns and al, news or promerees to otional material, whether in print, eleuse and publish the same in ctronic or other media, including the APWA website. SPECIAL NEEDS: If you need special servces or equipment, pursuant to the Americans with Disabilities Act (ADA) please contact the APWA Meetings Department at 816-472-6100 or dforbes@apwa.net ASSUMPTION OF RISK, UABILITY WAIVER AND RELEASE AND INDEMNITY: In consideration of being allowed to participate in the APWA PWX, including any related events, tours and activities (collectively the 'APWA PWX"), I acknowledge that I am voluntarily undertaking participation in the APWA PWX and by doing so I agree to observe and obey all posted rules, regulations and warnings; assume all risk and take full responsibility for my own well- being. I am fully aware that possible property damage, physical injury, illness or death may occur as a result of my participation in these events and activities. I forever release the APWA, its directors, officers, emplloyees, volunteers, agents, contractors, and representatives (collectively 'Releases') from any and all actions, claims, or demands that I, my family or heirs now have or may have in the future related to my participation in these activities Further, I agree to take full legal and financial responsibility for damage to personal property or the facilities utilized during the APWA PWX or injury to another (including death) caused by my own negligent reddens or willful actions. I understand any legal or equitable claim that may arise from my participation in the APWA PWX shall be resolved under Minnesota law. 8y registering for the APWA PWX, I acknowledge that I have read, understand and agree to these terms and I am entering into this agreement of my own free will. Signature Date SATISFACTION GUARANTEED! As a registered attendee, the Educational Program at PWX is designed to meet or exceed your educational and professional development expectations H H doesn't, write to the Executive Director of APWA, 1200 Main St., Suite 1400, Kansas City, MO 64105-2100, within one week of the program, help us understand where we went wrong, and well set things right with you. Guaranteed! vDEMOGRAPHICS Haw large is your budget for purchases of equipment How did you hear about PWX? and/or services? ❑ (1) PWX Preview ❑ Bridges El Buildings ❑Castings ❑Cleaning ❑ Coatings ID Computers & Software ❑ Construction ❑ Consulting Services ❑Demolition ❑ Disaster Recovery ❑ Education/Certification ❑Engineering ❑ Environmental Equipment ❑ Environmental Services ❑ Equipment Is this your first PWX? ❑(1)Yes 0(2) No Employer: ❑ (1) Public Agency ❑ (3) Other: 0(2) Private Industry What Is your level of authority/responsibility? (Choose best fit) Executive Level ❑Elected Official ❑ City Manager/ Public Administrator ❑ City Engineer ❑ Director/Assistant Director/Dept. Head ❑ President/VP/C00/ CFO/CEO Management Level ❑ Senior Level Manager ❑Mid -Level Manager ❑ Project Manager/ Engineer ❑Sales Manager Please mark all areas you or are involved with: ❑ (1) Construction 0(2) Emergency Management ❑ (3) Engineering & Technology 0(4) Environment/ Susainab)lity ❑(5) Facilities & Grounds 0(6) Fleet Services 0(7) Leadership & Management Supervisor Level ❑ Supervisor 0 Foreman 0 Crew Chief Operations and Administration ❑ Operations — Feld Staff 0 Maintenance ❑ Administation— Support Staff ❑ Retired have responsibility far ❑ (8) Solid Waste ❑ (9) Susainability 0(10) Transportation 0(11) Utility& Right of Way ❑ (12) Water & Sewers ❑(13) Winter Maintenance ❑(14) Sales/Marketing 0(15) Media Relations ❑(16) Human Resources What is your role in the purchase of public works equipment and/or services? (mark all that apply) ❑ (1) Buy ❑ (4) Recommend 1=1(2) Evaluate 0(5) Approve ❑ (3) Specify ❑ (6) None Which of the following products/services do you plan to buy, evaluate, specify, recommend or approve the purchase of in the next 12 months? (Select all that apply) ❑ Fleet 0 Fuel ❑Grounds Maintenance ❑ Lighting Systems ❑ Manufacturer ❑ Pavement ❑ Pipe ❑ Roads ❑ Safety ❑Sewer ❑ Snow & Ice Control ❑ Sweepers ❑Trench ❑Vehicles ❑ WaterMasanxater Which social media platforms do you use for business? ❑ (1) Under $50,000 ❑ (4) $500,001 — ❑ (2) APWA Reporter Magazine Ad ❑ (1) Twitter ❑ (2) S50,001 -100,000 1,000,000 ❑ (3) Industry Magazine Ad ❑ (2) Facebook 0(3) $100,001 —500,000 ❑(5) Over $1,000,000 ❑(4) APWAWebsite ❑(3) Linkedln ❑ (5) E-mail ❑ (4) Insagam ❑ (6) Referred by someone ❑ (5) Other ❑ (1) Less than 25,000 ❑ (4)101,001—250,000 ❑ (7) You are a previous attendee ❑ (6) None ❑ (2) 25,001 —50,000 ❑ (5) Over 250,000 ❑ (8) Invited by an exhibitor ❑ (3) 51,001— 100,000 ❑ (9) Other What is the population of your jurisdiction? Please let us know your gender ❑Male ❑Female Please let us know what year you were bons (Example:1967) ATTENDEE INFORMATION (Please be sure to add webregMeventconfirmation.comtoyour address book to insure you receive your confirmation.) APWA Membership 106 Badge Nickname (Call 1-800-848-APWA to obtain your membership number if you don't know it) (e.g., Dave, Jen, 'Doc', 'Smiley', etc.) Prefix Last Name First Name Title Billing Address Organization/Company StreetAddress/P.O. Box City Sate/Province Daytime Phone Cell Number Fax Number 2ip/Posal Code Country E-mail address linter Handle Emergency Contact Name Emergency Contact Phone Number(s) Emergency E-mail Address iJ PAYMENT* (Please complete Section A, parts 1-6 on page 1 before completing this step.) TOTAL FROM PAGE 1: $ (Feesare in U5 Funds) ❑ ' �= enclosed (Made payable to APWA). ❑ Government Voucher or Purchase Order # (PO MUST be included with registration form) ['Credit Card (check one): ❑Visa MasterCard❑['American Express *All registration fees, including those paid by credit card, will be billed and charged in U.S. Dollars only. Non-U.S. bank card holders please note when paying by credit card, fees are charged in US dollars and may he subject to an exchange rate and/or a foreign transaction fee at the time the payment is processed depending on the terms and conditions outlined in your bank card agreement. Card Number Print name as it appears on the card Expiration Date Date Signature (required) ADJUSTMENT: IN THE EVENT THAT THE TOTAL AMOUNT DUE 15 MISCALCULATED ON THIS FORM DUE TO ERROR, MEMBERSHIP STATUS, OR OTHER, APWA RESERVES THE RIGHT TO AUDIT OR ADJUST ANY TOTAL CHARGES DUE. MAIL completed registration form with payment to: OR FAX credit card payments to: American Public Works Association 817-277-7616 PO Box 843742 Kansas City, MO 64184-3742 QUESTIONS? Call APWA's registration company at 817-277-7187, Monday - Friday, 8:00 a.m. - 5:00 p.m. CST., ore -mail webreg©signup-confirmation.com. APWA's Federal ID#is 35-220-2880 Important: If you FAX your registration form please DO NOT mail a form and risk duplicate billing. TRAVEL REQUEST CITY OF WATERLOO NAME(S) AND POSITION(S): Quentin Hart, Mayor FINANCE DEPT. STAFF ONLY ti-I LINE ITEM USED FY,2et ( BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST crtc o; J/D e/ PyYi rt�ic� XAo3 c, 336o I/7 % (µ& a372 Ysq -1— (pl7 a,/v ,d DATE Ilia> 44- /3-/4 Original - Clerk/Finance Copy - Department NAME OF CLASS / MEETING: DATE: March 23, 2016 'The Urgency of Now' AAMA 2016 Conference DEPARTURE DATE: 4/20/16 PURPOSE OF TRAVEL: DESTINATION Washington, DC DEPARTURE POINT IF NOT WATERLOO: RETURN DATE: 4/23/16 "The Urgency of Now" AAMA 2016 Conference WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: METHOD OF TRAVEL: DATE(S) OF MEETING: 4/21 - 4/22/16 COST $ YES NO x CITY VEHICLE AIRFARE PRIVATE VEHICLE DEPARTING FROM: Waterloo ESTIMATE OF COST: 1110.00 LODGING 75.00 280.00 MEALS -0- REGISTRATION MILEAGE/FUEL Paid by Mayor personally TOTAL FOR ALL: $ $1465 TAXI PARKING AIRFARE MISC/TOLLS BUDGET LINE ITEM: 010-01-8200-1345 YES NO YES NO TOTAL: $ GRANT REIMBURSABLE REQUIRED CERTIFICATION PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO 01, DEPARTMENT HEAD TE A K:\ h -gri a• � GQQ,\F� , F r ary 2010 D I APPROVE THIS TRAVEL REQUEST MAYOR 4/13/16 DATE MICHELLE WESTPHAL From: Stephanie Mash <stephanie@ourmayors.org> Sent: Friday, March 18, 2016 5:36 PM To: MICHELLE WESTPHAL Subject: Re: AAMA Invitation Letter We will register for him. Many thanks. Stephanie Mash Sykes, Esq. Executive Director African American Mayors Association StephanieA OurMayors. org www.OurMayors.org On Mar 18, 2016, at 5:34 PM, MICHELLE WESTPHAL <MICHELLE.WESTPHALna,,WATERLOO-IA.ORG> wrote: Good afternoon, Stephanie. Mayor Quentin Hart kindly accepts the complimentary invitation to attend AAMA's two- day conference April 215t and 22nd. Does he need to officially register on-line? Please let me know at your earliest convenience. Thank you! Michelle 'Westphal Executive Secretary to the Mayor City of -Waterloo, Iowa 715 Mulberry Street Waterloo, 151. 50703 (319) 291-4301 mayor@waterloo-ia.org Begin forwarded message: From: Stephanie Mash Sykes <stephanie@,ourmayors.org> Date: March 18, 2016 at 3:56:45 PM CDT To: QUENTIN HART <QUENTIN.HARTwaterloo-ia.org> Subject: AAMA Invitation Letter Mayor, Please see attached for a complimentary invitation to attend this year's conference on April 21 and April 22 in Crystal City, VA. 1 Looking forward to you joining us. Many Thanks, Stephanie Stephanie Mash Sykes, Esq. Executive Director African American Mayors Association, Inc. 1100 17th St., NW, Suite 1000 Washington, D.C. 20036 Desk: (202) 750-9784 Main: (202) 670-2018 Fax: (202) 644-8789 Steohanie[aZourrnavors.orq www.OurMavors.orq Register now for the AAMA Annual Conference, April 21 & 22. <2016_MayorHart_Invite.pdf> <AAMA 2016 Internal Conference Agenda (TENTATIVE).docx> 2 BOARD OF TRUSTEES Mayor Steve Benjamin, President (Columbia, SC) Mayor Sly James; 1st Vice President (Kansas City, MO) Mayor Toni Harp, 2nd Vice President (New Haven, CT) Mayor Patrick Green, Treasurer (Normandy, MO) Mayor William Johnson, Secretory (Holly Hill, .SC) Mayor William Bell, Immediate Past President (Birmingham, AL) Mayor Kevin Johnson, Founding President (Sacramento, CA) Mayor Johnny Ford, Trustee Erne! us (Tuskegee, AL) Mayor MarioAver_v (Fairburn, GA) Mayor William V Re11 (Durham, NC) Mayor Ed Brown (St. Joseph, LA) Mayor Michael Coleman (Columbus, OH) Mayor Vivian Covington (University Park, 1L) Mayor Hardie Davis (Augusta, GA) Mayor Oliver Gilbert (Miami Gardens, FL) Mayor Jacqueline Goodall (Forest Heights, MD) Mayor Tony Yarber (Jackson, MS) EXECUTIVE DIRECTOR Stephanie Mash Sykes, Esq. March 17, 2016 The Honorable Quentin Hart Mayor of Waterloo, Iowa City Hall 715 Mulberry Street Waterloo, Iowa 50703 Dear Mayor Hart: On behalf of the African American Mayors Association (AAMA) and its Board of Trustees, I would like to extend an invitation to attend the AAMA 2016 Annual Conference from April 21-22, 2016 at the Doubletree Crystal City Hotel in Crystal City, VA. We would be honored for your attendance at our conference, which features over 150 attendees, including African American mayors from America's largest and fastest -growing communities. The 2016 theme for the AAMA Annual Conference is "The Urgency of Now", As America's cities and towns continue to innovate, AAMA mayors are focused on building relationships to improve the quality of life for their constituents. The AAMA 2016 Annual Conference connects Mayors, federal government officials, Business Council partners, and other thought leaders to share best practices and discuss strategies to influence policy -making. Thank you for considering our invitation. If you have any questions, please do not hesitate to contact me at (202) 670-2018 or via e-mail at Stephanie@ourmayors.org. Sincerely, Stephanie Mash Sykes Executive Director African American Mayors Association African American Mayors Association * 1100 17th Street NW * Suite 1000 * Washington, DC 20036 (p) 202.670.2018 * (f) 202.644.8789 * www.OurMayors.org 2016 ANNUAL CONFERENCE AGENDA (TENTATIVE) April 21-22, 2016 Doubletree Crystal City Hotel Theme: The Urgency of Now Time 10:30am— 12:OOpm Thursday, April 21st Session Conference Registration Format/ Details/Location 12:OOpm— 1:30pm Welcome Lunch Sponsored by AT&T Luncheon 1:30pm- 2:15pm Plenary Session 1: Education Panel Location: Salon AB 2:15pm — 3:OOpm Plenary Session 2: Job Creation and Public -Private Partnerships Location: Salon AB 3:OOpm — 6:30pm White House Briefing Invited Mayors Only 6:30pm- 7:30pm Women Mayor's Committee Reception - Aetna Reception Location: Potomac View / Windows, 14111 Floor 7:30pm — 9:OOpm AAMA Keynote Dinner and Awards Reception by Waste Management Dinner Friday, April 22th Session 7:OOam — 9:OOam Breakfast for Conference Attendees -i .. Location: Salon CDE 7:OOam-8:OOam Business Council Breakfast Invited Guests Only Location: Skydome 8:OOam — 9:OOam Board of Trustees Meeting Board of Trustees Members Only Location: Skydome 9:OOam-9:50am Workshop 1: City Resource Corner Workshop 2 by Ballard Spahr LLP: Municipal Recovery Under the Antitrust Laws 9:50am-10:40am Workshop 3: Senior Mayors Forum Workshop 4: NLC Education Panel Location: Salon AB 10:40am-11:30am Workshop 5: Cities United Workshop 6: Staff Training Panel Location: Salon AB 11:40am— 12:OOpm Nominating Committee Meeting 12:OOpm- 12:30pm AAMA Annual Meeting and Elections Mayor Kevin Johnson Presiding All Members May Participate and Vote Location: Salon AB 12:30pm-2:OOpm Lunch and Closing Gavel Ceremony by Casey Family Programs Master of Ceremonies: AAMA Secretary William Johnson (Holly Hill, SC) Speakers: • AAMA President Steve Benjamin (Columbia, SC) • Incoming AAMA President Luncheon, Gavel Ceremony Location: Salon CDE City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date �J/b 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 $ 2,630.50 plus est. shipping costs of $ na to pay for or purchase lifeguard suits for the 2016 swim season. This purchase or expenditure is being made because: to outfit all of our lifeguards and swim instructors in identifiable lifeguarding swim suits. Vendor selected for this purchase: Scheels (Cedar Falls, IA) x Bids or written quotes were taken on this purchase, as follows: Scheels (Cedar Falls, IA) $2,630.50 Adolph Kiefer (Zion, IL) $2,878.39 The Lifeguard Store (Rockledge, FL) did not meet specifications Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: x General Fund Bonds Road Use Tax Sewer Federal/other grants ri Other (specify) This expenditure is to be coded to the following budget line -item: 010-37-4200-1579 Uniforms Sanitation (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 3,500.00 and the current available balance is Respectfully submitte nature De $ 2,889.35 ✓ /6 }��a. / / lCfi.l.2C4/3 46 . Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\2016 swim suit pre auth.xls (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date `1///- 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 $ 5,783.75 plus est. shipping costs of $ na to pay for or purchase 175-8"x8"x7' .6 pressure treated bollards. This purchase or expenditure is being made because: to replace stone perimeter at Greenbelt Lake parking lot. Vendor selected for this purchase: Arbor Forest Products Inc. x Bids or written quotes were taken on this purchase, as follows: Arbor Forest Products Inc. Waterloo, Iowa $5783.75 Lowes Home Center Waterloo, Iowa $7920.00 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: x General Fund Road Use Tax Bonds Federal/other grants Sewer Other (specify) This expenditure is to be coded to the following budget line -item: 413-37-4105-2157 and 414-37-4105-2157 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, (Signature Dep ad or Designee) Date (SinatureFinance Dept. Review) Date K:\shared goodies\forms\Pre-Authorization Bollards Greenbelt Lake.xls (Mar 2010) Sanitation (Project Code) $ 5000/$61_)00 $ 2270.74/$5000'/ City Clerk Use Only Finance Committee Approval Date 4/ S�/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 Leisure Services Department to expend $ 3,250.00 plus est. shipping costs of $ N/A to pay for or purchase Software subscription and technical support for our membership, registration and facility rental software. This purchase or expenditure is being made because: the technical support is crucial to ensure the program continues to operate correctly and allows us to make troubleshooting calls. Vendor selected for this purchase: Maximum Solutions (Minneapolis, MN) ❑ Bids or written quotes were taken on this purchase, as follows: I I Bids or quotes were not taken on this purchase because: Maximum Solutions is the only vendor that can offer tech support on their product. 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 Sewer ❑ Sanitation Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-37-4180-1520$1,625.00 010-37-4200-152051,625.00 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respe .tftlll submitted, (Project Code) Ia00 $ 1625.001625.00 $ 1625.00 4625700 riecto 64thlt6t r Off/ ure Dept. d esignee) Date (Si nature Finance Dept. Review) 5/-/_3-/� Date K:\shared goodies\forms\Copy of software pre auth (Mar 2010) City Clerk Use Only Finance Committee Approval Date Lt/h City of Waterloo Expenditure Authorization Request Form The Finance Committee of the City Council is here by requested to authorize the following purchase or expenditure submitted by the Sewer Department to expend $ 6,987.00 plus ext. shipping cost of $ 1,129.42 to pay for or purchase Replacement Krohne flow meter for Lagoon effluent flow measurement. This purchase or expenditure is being made because: Current flow meter not giving an accurate flow volume and includes IP68 conversion (Ssjbox, PCB board, NPTs, Potting and new labels) for encapsulating/water proffing. Vendor selected for this purchase: Krohne []Bids or written quotes were taken on this purchase, as follows Bids or quotes were not taken on this purchase because: Krohne is rep. for this flow meter. Total cost including freight is $8,116.42. Asking council for reapproval for added IP68 conversion (not included with original quote), 30ft extra cable, and added freight. Prior Committee Actions (Dates): 10/12/2015 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: DOther(specify): This expenditure is to be coded to the following budget line -item: 520-14-5700-1571 (Fund - Department - Activity - Account Number) ( in which budgeted amount is and the current available balance is Respectfully submitted, Lf(5 I(P ignature Dept. Head Or Designee) Date (Project Code) a $ 37-7,t100.00 7��xk� r SU,vCO = �1.WD $ fe.764-e5 3�}, fo7�o Signature Finance Dept. Review) Date I I City Clerk Uso Only Finance Committee Approval Date_.._._ _.._._'...'_. City of Waterloo Expenditure Authorization Request Form The Finance Committee of the City Council is here by requested to authorize the following purchase or expenditure submitted by the Sewer Department to expend $ 5,930.00 plus ext. shipping cost of $ 400.00 Replacement Krohne flow meter for Lagoon effluent. to pay for or purchase This purchase or expenditure is being made because: Current flow meter not giving an accurate flow volume. Vendor selected for this purchase: Krohne X Bids or written quotes were taken on this purchase, as follows pi Bids or quotes were not taken on this purchase because: Krohne is rep. for a flow meter. Total cost including freight is $6,330.00 Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund: I 'Road Use Tax: I X'Sewer: Sanitation: Bonds: Federal/other grants: Other(specify): This expenditure is to be coded to the following budget line -item: 520-14-5200-1571 (Fund - Department - Activity - Account Number) (Project Code) in which budgeted amount is $ 250,000.00 V and the current available balance is $ =f33377-54 / / 3C Respectfully submitted, (Signature Dept. Head Or Designee) Date (Signture Finance Dept. Review) Date r • f-1 -o I Invoice KROHNE Inc., 7 Dearborn Road, Peabody MA 01960 CITY OF WATERLOO, IA WATER POLLUTION CONTROL 3505 EASTON AVENUE WATERLOO, IA 50702 United States of America Original Invoice number : S01 / 57579 Your order : WP16068 Sales order : 270045008 Ov 270045008 [KROHNE Our VAT No.: Your VAT No.: Vendor Code: Business Partner: Delivery to CITY OF WATERLOO, IA VNATER POLLUTION CONTROL 3505 EASTON AVENUE WA,T'ERLOO, IA 50702 Un fed States of America I °j s i" " Invoice date Order date Pos. Description Quantity QU MARK SHIPMENT ATTN - KENT QUINN Packing Slip: 51-0236447 001275457 : 02/12/2016 : 10/20/2015 Price per unit PU Discount Amount in USD 270057518 Carrier/LSP: 10 1.00 pcs Article No.: 270045008P001003050942 p 5,397.00 USD pcs SNO49KA04421110080P00000000 KROHNE-Magnetic inductive flowmeter Type 20 Connection Cable (signal) Country of Origin: Commodity Code: Packing Slip: k**** : OPTIFLUX 4100 W : Primary head OPTIFLUX 4000 : 16" ASME B 16.5 150 lb RF : 75M 1230 feet DS ***** The Netherlands 90261021 270057519 Carrter/LSP: 1 Article No.: 270045008P002003050944 VN314NA0460010100003 KROHNE flow converter Type Power supply Country of Origin: Commodity Code: 00 pcs 693.00 USD pcs : IFC 100 W : 100-230 V AC, 50/60 Hz The Netherlands 90261021 Best Way Best Way 5,397.00 USD 693.00 USD Quantity Unit (QU): pcs = pieces ro= coil set = set km = kilometer mm = millimeter PCarry rice Unit (PU): 2 = 10 4 = 1000090.00 090.00 USD cla KROHNE, Fnc7rotEMearkio niitRrad rPeab{39yrmA tiamo 4PM80oFLOWING (978-535-6060 in MAI • F: 978-535-1'f0=A,QWiv.nb.RRIIIC(.tQlp.com/northamerica u pus KROHNE Inc., 7 Dearborn Road, Peabody MA 01960, Tel: 800-FLOWING (978-535-6060 in MA), Fax 978-535-1720, www.krohne.com/northamerica Invoice Invoice number Pos. Description : SO1 / 57579 KROHNE Invoice date : 02/12/2016 Quantity QU 30 Article No.: FREIGHT 1.00 pcs Price per unit PU Discount Amount in USD 329.42 USD pcs 329.42 USD These commodities, technologies, or software have been exported from the United States in accordance with the Export Administration Regulations. Diversion contrary to U.S. law is prohibited. Goods Costs Net Value V.A.T. Sales Tax 6,090.00 USD 329.42 USD 6,419.42 USD 0.00 % Tot 0.00 USD 6,419.42 USDD Terms of Delivery: Prepaid / Bill -Peabody Boston Delivery Date: Invoice Date = Delivery Date, except if a divergent Date is shown in the top of the Invoice. Terms of Payment NET 30 DAYS Please state with your payment: SO1 / 57579 Our terms and conditions are an integral part of this contract. KROHNE Inc. Quantity Unit (QU): pcs = pieces ro= coil set = set km = kilometer mm = millimeter Price Unit (PU): 2 = 10 4 = 1000 t KR0H E, In •eletSearboTnl ad •11,0eaAirMA 1A9601' 1`%W-FLOWING 1978-535-6060 in MA) • F: 978-535-1740'.1,4/99vw‘kiMPIM.com/northamerica KROHNE ne., 7 Dearborn Road, Peabody MA 01960, Tel: 800-FLOWING (978-535-6060 in MA), Fax 978-535-1720, www.krohne.com/northamerica ICT SHOP From: Shawn LeFleur <shawn@willcoinc.com> Sent: Thursday, March 31, 2016 12:08 PM To: ICT SHOP Cc: 'Jim Paprocki' Subject: RE: 16" flow meter Here is the pricing below to convert you unit over.. On the cable, you probably only have 30' or so of the DS cable. If that is all you need, send it back and they can reuse it. However if you need more, they cant splice it, it will require new cable.. Please look over and if you have questions I will be out until later today. let me know through email is best.. IP67 to IP68 conversion (includes SS jbox, IP68 PCB board, NPTs, Potting and new labels) P/N: Order By description Price: $537 USD plus shipping DS 300 P/N: 5316299800 Price: $4.20 USD per foot plus shipping Licyc 3 cable P/N: 5062100800 Price: $4.50 USD per foot plus shipping 2 hours of labor @ $135 USD: $270 USD Thanks Shawn LeFleur Willco Inc 8420 West Dodge Road Suite 330 E Omaha, Ne 68114 Ph:402-573-7000 Ce11:515-249-2002 From: ICT SHOP[mailto:ICT.SHOP@WATERLOO-IA.ORG] Sent: Wednesday, March 30, 2016 1:54 PM To: shawn@willcoinc.com Subject: 16" flow meter ski -petal '30*1 Hello Shawn, I need a price to encapsulate the 16" flow tube that we received so that the j- box can be submerged. Thank you Kent Quin City of Waterloo, Waste Management Services 1 City Clerk Use Only Finance Committee Approval Date 44e//L. City of Waterloo Expenditure Authorization Request Form The Finance Committee of the City Council is here by requested to authorize the following purchase or expenditure submitted by the Sewer Department to expend $ 11,237.00 plus ext. shipping cost of $ 400.00 to pay for or purchase Impeller with wear ring, Suction cover with wear ring, and casing gasket for #4 Easton RAS pump. This purchase or expenditure is being made because: Impeller and suction cover wornout and needs replacement. Vendor selected for this purchase: Hutcheson Engineering Products Inc. nBids or written quotes were taken on this purchase, as follows X Bids or quotes were not taken on this purchase because: Hutcheson Engineering Products Inc. is rep. for these replacement parts. Total cost including freight is $11,637.00. 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: nBonds: rFederal/other grants: EOther(specify): This expenditure is to be coded to the following budget line -item: 570-14-5700-1571 (Fund - Department - Activity - Account Number) (Project Code) in which budgeted amount is $ 37-7 ;00-00 37Quo r-SUdoo , ,1a_i0 and the current available balance is $ 0ee (og y Respectfully submitted, 146 312-ON ei-/3 (Signature Dept. Head Or Designee) Date (Signature Finance Dept. Review) Date From:Hut ch es on Engineering 04/ 11/2016 16:06 4/066 P.001/001 QUOTATION # JH411401 Company Name City of Waterloo Name Rich Olson Phone 319-230-3889 Fax 319-291-4523 Email ITEM 1 QTY DESCRIPTION I NET EACH I NET TOTAL 1 2 AC ABBA parts 14x14x17.5 NSY 150 1 ACA-14001-01652 AC impeller with wear ring 6,521.00 6,521.0C **with CCW rotation and 15.75" impeller trim. (same as PO # WP16-118) 1 ACA-14033-01681 AC suction cover with wear ring 4,665.00 4,665.00 (same as PO # WP16-221) 3 1 52-431-816-085 AC casing gasket 51.00 51.00 (same as PO # WP16-221) Estimated lead time: 6-8 weeks out of the factory. ** Please verify the impeller trim and rotation are the same as your last PO # WP16-118. ** Thank you, Jessica Hutcheson Shipping charges are not included in quote. DATE: 04/11 /16 Please contact us if you have any questions. www.hutchesonengineering.com iessica(a�hutchesonenoineerinq.com TOTAL J$11,237.00 I I,(,3z,o0 6405 Pershing Drive Omaha, NE 68112 Phone (402) 455-2000 Fax (402) 455-1848 City Clerk Use Only Finance Committee Approval Date/6i/C- City of Waterloo Expenditure Authorization Request Form The Finance Committee of the City Council is here by requested to authorize the following purchase or expenditure submitted by the Sewer $ 26,743.45 plus ext. shipping cost of $ 357.00 Department to expend to pay for or purchase Teledyne ISCO five area velocity flow meters, USB communication cable, and mounting band and rings for sanitary sewer system flow monitoring. This purchase or expenditure is being made because: Long term flow monitoring of sanitary sewer system required by USEPA and Iowa DNR. Vendor selected for this purchase: Teledyne Instruments, Inc. Bids or written quotes were taken on this purchase, as follows Bids or quotes were not taken on this purchase because: Teledyne Instruments, Inc. is rep. for this equipment. Total cost including shipping is $27,100.45. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: [] General Fund: Road Use Tax: []Sewer: Sanitation: Bonds: []Federal/other grants: []Other(specify): This expenditure is to be coded to the following budget line -item: 61 1-14-5320-21 1 1 (Fund - Department - Activity - Account Number) in which budgeted amount is (Project Code) (a f $ G-ee 67( `a 3 and the current available balance is $ 0-80- 7(e, q,Z 3 Respectfully submitted, ��- q( ► 3120« .-e•Ut (Signature Dept. Head Or Designee) Date (Signature Finance Dept. Review) Date A=COM Memorandum Date: April 12, 2016 To: Subject: From: Brian Rath John Lapointe Area Velocity Flow Meters AECOM #60438627 Darrell Hause Ross Hillsman ASCOM 501 Sycamore Street Suite 222 Waterloo, Iowa 50703 WV/W./MOM com 319.232-6531 Ie' 319-232-0271 fax The City of Waterloo is required by USEPA and Iowa DNR to move forward with a long term flow and rainfall monitoring program for its sanitary sewer collection system. Rain gauges and lift station monitors are now being purchased for this program. Also, the City currently owns five (5) area velocity flow meters that were acquired last summer that can be used for gathering flow data within the collection system. For this program, there is still a need to supplement this equipment with additional area velocity flow meters (5 more meters needed). The area velocity flow meters that the City owns are the ISCO 2150's. These are compatible with the rain gauges purchased and the existing software. Other meters (Flow AV) were looked at were of a similar type, but were not considered further since the City's current equipment and software platforms were not compatible with this brand's equipment. ISCO area velocity flow meters and rain gauges were successfully used during the City's sanitary sewer flow monitoring study completed in the summer of 2015. For the initial placement of the area velocity meters within the collection system, AECOM recommends the following locations: 1. Hackett Road north of Rainbow Drive (MH # 15-4-1) — 10" 2. Blackhawk Road west of Paul Street (MH # 16-20-3) — 21" 3. Bike Path north of Blackhawk Rd/south of Hwy 218 (MH # 16-21-2) — 36" 4. Highway 63 south of Martin Street (MH # 1 B-7-13) — 21" 5. Highway 63 north of Highway 20 (MH # 18-7-29) — 21" 6. Highway 63 and University Avenue (MH # 18-13-3) — 48" 7. Byron Avenue and 9"' Street (MH # 19-5-1-1) — 21" 8. Locke Avenue and 8th Street (MH # 19-5-17) — 18" 9. Johnson Street and 7'h Street (MH # 19-20-2) — 36" 10. 91h Street south of Easton Avenue (MH # 19-25-16) — 12" As the flow monitoring activities progress, meter placements may need to be changed, added, or adjusted as data is received and more information is known about the flow issues within the collection system. The attached quote from Teledyne ISCO for five (5) area velocity flow meters (Model No. 2150 W/2191 Battery Module), USB communication cable, and mounting bands and rings (for pipe sizes listed above) is $27,100.45. (The attached quote shows sales tax which is not required for this purchase.). TELEDYNE INSTRUMENTS, INC. 1 r NI LY GI yYYI IOI OyIJUIU JA Federal ID No 95-4888283 Sales Quotation I - u-- - -- - Quote No: 00015307 Rev: 1 Print Date: 3/25/201 Sold To: City of Waterloo 715 Mulberry Street Waterloo, IA 50703 Bill To: City of Waterloo 715 Mulberry Street Waterloo, IA 50703 Ship To: City of Waterloo 3505 Easton Avenue Waterloo, IA 50702 Customer Reference Customer Contact (Email Delivery Terms Brian Rath 1 Origin - S&H Added Quotation Valid Until Teledyne Contact Teledyne Phone reymennt Terms Payment Mode CHECK 4/24/2016 , Buss, Jeffrey E. 402-465-3037 30 ,Net SUBMIT ORDERS TO: Named Destination Creation Date Teledyne Instruments, Inc., dba: Teledyne Isco. IscoOrders@teledyne.com or 800-228-43731111 03-25-2016 Liner Item Number )Description lJ/M Quantity Unit Price Amount 0 682050002 ea 5.00 4,370.00 $21,850.00 2150 W/2191 BATTERY MODULE 2150 Flow Module with 2191 Battery Module. Includes Area Velocity Sensor with 10 ft. (3 m) level measurement range and 33 ft. (10 m) cable, 2 battery holders, and carrying handle with suspension strap. Also includes instruction manual and coupon for free Isco Open Channel Flow Measurement Handbook. Requires Flowlink software and computer connect cable (sold separately). Lead time: 14 Days ARO 0 602004507 ea 1.00 232.75 $232.75 COMM CA USB-RS232 KB USB Communication Cable, 10 ft. (3 m). Connects 2100 Series Module top connector to PC with USB connector. Lead time: 7 Days ARO 0 683200010 ea 1.00 86.45 $86.45 MTG RING SNSR P12" Spring Ring for 12 inch diameter pipe Lead time: 14 Days ARO 0 683000043 ea 7.00 565.25 $3,956.75 SCISSORS RING KIT 16-36" PIPE Scissors Ring for 16 inch to 36 inch diameter pipes. includes base section, scissors mechanism, one pair of 7.5 inch extensions, and one pair of 20 inch extensions. Lead time: 14 Days ARO These commodities, technology or software were exported from the United States Export Administration Regulations. Diversion contrary to U.S. law prohibited. United disposition of these commodities to any end user for any end use related to the design, production, stockpiling or use of chemical. biological or nuclear weapons or missies, approval of the United States Government. in accordance with the States law prohibits development, Continued'" without the prior [Seller's Offer, and any order issued which can be found at the applicable TeeledyneeCCettacc are registered business by Buyer to Seiler for the goods and/or services Teledyne company Internet website listed below. names of Teledyne Instruments, Inc , a subsidiary specified herein. Is strictly fimited to Seller's Terms and Conditions of Sale, Teledyne ISCO, Teledyne Tekmar, Teledyne Leeman Labs. and of Teledyne Technologies Incorporated. Teledyne Ethics Line DYNE ISCO Evmww_cm �Y0000lf w 1-Bell-22e-4373 Alnes.,TEDYNE www t�y a ekmar corn 1-aoo-674-2004 /pr.TELEDYNE LF-EMAN LABS www. teledyneleemanlabs 1-SO 0-534-9942 Apr,.TELEDYNE IvTAC� IES lcolt corn www.teledynecetac corn 1-100-369-2822 ...swum.. no. mu • nt/IVICI' IQ, I1111.. Everywhereyoulook Federal ID No 95-4888283 Sates Quotation I Page 2 of 2 1 Quote No: 00015307 Rev: 1 Print Date: 3/25/2016 Sold To: City of Waterloo 715 Mulberry Street Waterloo, IA50703 Bill To: I City of Waterloo 715 Mulberry Street Waterloo, IA 50703 Ship To: City of Waterloo 3505 Easton Avenue Waterloo. IA 50702 Customer Reference Customer Contact Email Delivery Terms Brian Rath . Origin - S&H Added Quotation Valid Until Teledyne Contact Teledyne Phone Payment Terris Payment Mode 4/24/2016 .Buss. Jeffreys. 402-465-3037 Net 30 CHECK SUBMIT ORDERS TO: Named Destination Creation Date Teled ne Instruments, Inc., dba: Teledyne Isco. IscoOrders@teledyne.com or 800-228-4373 Line l item Number Description ] u/M ] Quantfty Unit Price E -24-7016 Amount 0 683000045 ea 1.00 617.50 $617.50 SCISSORS RING KIT 45-49" PIPE Scissors Ring for 45 inch to 49 inch diameter pipes Includes base section, scissors mechanism, one pair of 7.5 inch extensions, and one pair of 40 inch extensions. Lead time: 14 Days ARO Shipping & Handling $357.00 These commodities, technology or software were exported from the United States Export Administration Regulations. Diversion contrary to U.S. law proNbited United disposition of these commodities to any end user for any end use related to the design, production, stockpiling or use of chemical, biological or nuclear weapons or missiles approval of the United States Government. Selfe 5 Offer, In accordance with the States law prohibits development, Sales Tax . $1,872.04 without the prior Total Amount USD $28,972.49 and any order issued by Buyer to Seller tor the goods armor services speci le• rem, 's s n y •mi e• o e e s emu an • • . r cons o a e. which can be found at the applicable Teledyne company Internet webslle listed below. Teledyne ISCO, Teledyne Tekmar, Teledyne Leeman Labs, and Teledyne Cetac are registered business names of Teledyne Instruments. Inc.. a subsidiary of Teledyne Technologies Incorporated. Teledyne Ethics Line 1-877-668-6968 gyre. TFLCnYNr ..,s rn mow ""`-- ISCO Ev Www. isCo. corn 1-100-228-4373 TEKMAR Evirmttersyoulcole www teledynetekmar.com r-coo-6-4-2004 LEEEDYNE �E LEEMAN LABS TELEDYN CEIAC TECHNOLOGIES EveywM. eyorloo$C EveyNiervie 1poli www.teledyreteemar abs.com www.teledynecetac.can 1-80C-834-e942 1-800-369-2122 City Clerk Use Only Finance Committee Approval Date f // Sa 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 $ 1,998.60 plus est. shipping costs of $ to pay for or purchase 60 - LED lamps - 18.5 watt This purchase or expenditure is being made because: To replace HPS lamps in decorative fixtures on the 18th Street Bridge with efficient LED lamps. (Crescent is the only vendor with the enclosed rating on this lamp) Vendor selected for this purchase: Crescent Electric ❑X Bids or written quotes were taken on this purchase, as follows: Crescent Electric Supply Co. Waterloo, IA $33.31 each Van Meter Waterloo, IA No Bid Echo Cedar Falls, IA No Bid 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 n Road Use Tax ❑ Sewer ❑ Sanitation n Bonds Federal/other grants I I Other (specify) This expenditure is to be coded to the following budget line -item: 266-17-7120-1522 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is ectfully submitted, Aik ead or Designee) Date (Signature Finance Dept. Review) (Project Code) $ 41,7439.77 FW„L Z) ram $ 14,700.77 ��_ uoi-tom 13-« Date K:\shared goodies \forms\2016-April-Pre-auth-60 LED lamps - Crescent Electric - 18th St. Bridge - 1,998.60.xls (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date 4/18//� 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 $ 8,420.00 plus est. shipping costs of $ to pay for or purchase 400 - LED 12" Red Ball This purchase or expenditure is being made because: MidAmerican Energy Rebate Project to replace remaining red LED traffic signal lamps. Rebate for each lamp is $25.00 Cost per lamp from GTC is $21.05. Vendor selected for this purchase: General Traffic Controls, Inc. ❑X Bids or written quotes were taken on this purchase, as follows: General Traffic Controls, Inc. Spencer, Iowa $8,420.00 Traffic Control Corporation Ankeny, Iowa $9,500.00 Mobotrex Davenport, Iowa $15,800.00 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: General Fund n Road Use Tax ❑ Sewer n Sanitation Bonds n Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submit ed, gnature Dep Head or Designee $ 5-4.24 $ Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\2016-April-Pre-auth-400 Red LEDs - General Traffic Control - 8,420.00.xls (Mar 2010) Budget Amendment Descriptions for 4/18/2016 Finance Committee Meeting Agenda: 1. Approve the budget amendment for the Waterloo Police Department Forfeiture Funds project to use cash received in prior years for current year expenses, as submitted by the Police department. 2. Approve the budget amendment in the amount of $450 to use contingency funds for additional copier maintenance required, as submitted by the Housing Authority. 3. Approve the project budget for the LED Traffic Signal Lamp Replacement program funded with rebates received from MidAmerican Energy to purchase LED traffic lamps in the estimated amount of $50,000, as submitted by Traffic Operations. 4. Approve the project budget for the Traffic Safety Awareness Children's Online Traffic Safety Quiz funded with a grant in the amount of $8,500 received from the State of Iowa to develop an online monthly safety quiz product for children in Waterloo, Evansdale and Cedar Falls, as submitted by Traffic Operations. 5. Approve the project budget for the Elementary School Traffic Safety Outreach project ufnded with a grant in the amount of $11,000 received from the State of Iowa to develop materials, coordinate with school districts and send police officers to elementary schools in Waterloo, Evansdale and Cedar Falls, as submitted by Traffic Operations. 6. Approve the project budget amendment for the Park Project Donations project, funded with $2,500 in donations to be used to purchase tools, as submitted by Leisure Services. 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 Finan e mmittee aI required? YES NO If so. date approved: `I /1 Elf 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 16 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 t/ 010 111150 3000 Carryover Cash 11TRI.WPDF 10,000.00 010 11 1150 1512 WPD Forfeiture 11TRI.WPDF 10,000.00 TOTAL $10,000.00 TOTAL $10,000.00 This amendment is being requested because: To conform with the City's budget line item control policy. The 10,000 is carryover monies from FY15. h oma_ 630-4 = 7,,c1,511 96. 1/Q Svc SAY- 4.1r b� 7i iv'cj U? ,f/t , / Vi A rem rt '17 % o 4 ei /1;3— Prior Committee Actions (Dates): (\ (Signature 'ept. Head or D (Signature Finance Dept. Review) -/36 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 Finance�Cymmittee approval required? YES V NO rr If so, date approved: (V1 `ri/i b 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 Waterloo Housing Authority Department: EXPENSES/REVENUE DECREASE EXPENDITURES (INCREASE REVENUE) INCREASE EXPENDITURES (DECREASE REVENUE) Fund Dept Activity Acct # Acct Name Proj Code Amount 5und Dept Activity Acct # Acct Name Proj Code Amount 283 13 5452 1710 Claim & Co 450.001'283 13 5450 1376 OFF. EQUIP MAINT 450.00 TOTAL This amendment is being requested because: TO COVER COPER MAINT AGREEMENT COSTS $450.00 TOTAL $450.00 Prior Committee Actions (Dates): ta (Signature Dep> . ead or Designee) 414 W �L/�/ - ),r)-a uo 4a3.1,6 Date (Signature Finance Dept. Review) Date Date Posted (Finance Dept.) K:\users\shared goodies\forms\f3udget Amendment 02-29-16.xls (Apr 2003) Project Name City Contract No. Project Manager Project Budget Total PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE LED Traffic Signal Lamp Replacement Program (Mid American 2016) 4/IV) 6 TOF-269 $ 50,000.00 1. How will this project be funded? A. Federal Grant Yes No Grant Name x CFDA # B. State Grant Yes No Grant Name C. City Match x Source of Funding D. Other Entities Yes x No Name MidAmerican Energy To be assigned by the Finance Dept. Project No Subproject No. Paid by federal grant Grant Agreement Number % Paid by state grant Grant Agreement Number % Paid by City % Paid by other entity 100.00% 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) Replacing Certain 12" LED Traffic Signal Heads utilizing a MidAmerican Energy rebate program. Done None ❑ 0 Yes No ❑ 0 ❑ ❑ ❑ ❑ ❑ 0 ❑ ❑ ❑ ❑ ❑ 0 ESfi'maitn9 rcv/r .me#4 1 'pn,�_ yo;; (,�. (Ds : e•25 rebate, x A 20©su rec r/Ps re bk.& wS 4 tin 14t,It.CKS. Aso. posS/blk.i Solve Page 2 must be attached and signed. K:\shared goodies\forms\LED Rebate Project Budget Worksheet.xls\Page 1 All Projects (Mar 2010) CONSTRUCTION PROJECT BUDGET WORKSHEET PAGE TWO City Clerk Use Only Finance Committee Approval Date Project Name (from page one) LED Traffic Signal Lamp Replacement Program (Mid American 2016) Department No. project will be budgeted under Activity No. project will be budgeted under REVENUES: 3000 Cash on Hand 3112 Local Option Sales Tax 3350 Federal Grant 3357 Shared Program - County 3358 Shared Program - City 3360 Shared Program - State 3361 State Grant 3365 State RISE Grant 3368 EPA Grant 3377 EDA Grant 3720 Donations - Restricted 3750 Sale of Bonds Rebate EXPENDITURES: Fund: %/d 5 (Each column should only include amounts by fund) 50,000.00 Fund: Fund: Fund: Total 50,000.00 TOTALS $ 50,000.00 $ - $ $ $ 50,000.00 2103 Engineering & Consulting '61(Q?�.25-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 (Signature Dept. ea 50,000.00 50, 000.00 TOTALS $ 50,000.00 $ $ - $ $ 50,000.00 Date (Signature Finance Dept. Review) Date K:\shared goodies Worms \LED Rebate"Project Budget Worksheet (3).xls\Page 2 (Constr Proj) (Mar 2010) LED Fixtures — Interior and Exterior EQUIPMENT REBATE (amount per unit installed) Fixture sized as < 100 watts HID equivalent $50 Fixture sized as 100 - 249 watts HID equivalent $75 Fixture sized as 250 - 400 watts HID equivalent $100 Must be Designfights Consortium qualified Must replace high -intensity discharge fixtures in existing buildings. New construction is eligible. Summary of accepted LED lighting fixtures: ■ Outdoor fixtures: outdoor pole/arm-mounted, bollards, Dorking garage, fuel pump canopy, landscape/accent, wall pace, architectural flood and spot luminaires ■ Indoor fixtures: wall -wash, track or monopointdirectional, high -bay, low -bay, high -bay aisle surface mounted and troffer luminaires All categories mentioned above with retrofit kits are eligible. Exit Sign < 2 watts, existing building only; replacing $50 incandescent or fluorescent sign Municipal -Owned LED Roadway Fixtures EQUIPMENT REBATE (amount per unit installed) Fixture sized as < 100 watts HID equivalent $50 Fixture sized as 100 - 249 watts HID equivalent $75 Fixture sized as 250 - 400 watts HID equivalent $100 Must be Designfights Consortium qualified Must replace HID lighting e Must be municipal -owned fixtures on a metered or unmetered circuit. • Municipal -owned fixhrres > 400 watts HID equivalent, see Nonresidential Equipment Custom Systems. • Municipalities wishing to replace MidAmerican Energy Company roadway fixtures con find more information at www.midamericanenergy.com/citytED email cilylEDQmidamericon.com or call 800-445-1291. LED Interior Lamps Must be ENERGY STAR. certified EQUIPMENT REBATE (amount per lamp installed/ LED Lamps < 5 watts LED Lamps 5-9.9 watts LED Lamps 10-20 watts LED Lamps > 20 watts $5 $7 $10 $15 All socket types. tamps must be ENERGY STAR certified, replace existing incandescent or halogen lamps and may not be purchased through MidAmerican Energy's point -of -purchase program. Replacing CFfs does not qualify. LED Troffer Hanging or Pendant Style and Surface Mounted Fixtures — Interior Only Must be Designfights Consortium qualified REBATE REMOVED (amount per unit EQUIPMENT SIZE WATTAGE EQUIPMENT installed) LED Troffer Fixtures 1' x 4' 18-98W replacing 2' x 2' 173-42W T-8 & T-12 $70/fixture fluorescent 2' x 4' 23.9-90W LED Troffer Retrofit Kit 1x 4' 19-59W replacing 2' x 2' 15.5-40W T-8 & T-12 $50/kit fluorescent 2'x4' 21.1-67W Ren�tomlNew minima* are eig8de. LED Wrap and Strip Fixtures — Interior Only Must be Designfights Consortium qualified REBATE FIXTURE REMOVED (amount per EQUIPMENT SIZE WATTAGE EQUIPMENT unit installed) LED Fixture 4' length 12-82W Wrap Style LED Fixture Strip Style 4' length 25-101W replacing T 8 & T-12 $70/fudure fluorescent and new cremuecn are Ogg*. LED Linear Lamps Must be Designfights Consortium qualified EQUIPMENT REBATE (amount per lamp installed) LED Linear Lamps replacing T-12 fluorescent, $15/lamp utilizing existing pin sockets, 4 ft. lamps only LED Linear Lamps replacing T-8 fluorescent, utilizing existing pin sockets, 4 ft. lamps only 8.12 a8' F8lanps roil bereplaced tsng hro 4' &ea LiD lamps. hawkand aew cons LED Traffic Lights EQUIPMENT $12.50/ lamp me eBgible. REBATE (amount per lamp installed) 12" Red Ball $25 12" Green Ball $125 12" Green Arrow $75 12" Don't Walk $25 LED Lighting for Freezer/Cooler EQUIPMENT (amount per unit instal ed) LED Lighting for Case Doors $75 LED Lighting for Open Cases $75 LED retrofit fixtures for recessed can lighting are available from some retailers and electrical distributors participating in MidAmerican Energy's instant rebate point -of -purchase program and are ineligible for additional rebates. Projects using LED retrofit fixtures for recessed can lighting purchased from nonparticipating electrical distributors may be reviewed through Nonresidential Equipment Custom Systems. Custom Equipment If specific equipment you intend to purchase and install is not listed, it may qualify under Nonresidential Equipment Custom Systems. However, custom projects must be preapproved by MidAmerican Energy prior to purchase and installation of equipment or systems. See page 10 for qualifications and how to apply. ,..:,r1K; EE Project Name City Project No. Project Manager Project Budget Total PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Traffic Safety Awareness: Children Online Traffic Safety Quiz. TOF-268 Mohammad Elahi $ 8,500.00 1. How will this project be funded? A. Federal Grant Yes No Grant Name CFDA # B. State Grant Yes Grant Name C. City Match D. Other Entities Yes Name No Traffic Safety Improvement Program Source of Funding No x % Paid by federal grant Grant Agreement Number % Paid by state grant 100.00% Grant Agreement Number 2017-TS-023 0/0 Paid by City 0.00% % 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) Online Monthly Quiz Traffic Safety Quiz for children. It Will Be Open to Waterloo, Cedar Falls, and E\{gnsdale. Done None ❑ ❑V./ Yes No ❑ 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑X Page 2 must be attached and signed. K:\shared goodies\forms\Online Quiz 2016.xls\Page 1 All Projects (Mar 2010) CONSTRUCTION PROJECT BUDGET WORKSHEET PAGE TWO City Clerk Use Only Finance Committee Approval Date Project Name (from page one) Traffic Safety Awareness: Children Online Traffic Safety Quiz. Department No. project will be budgeted under Activity No. project will be budgeted under / MMP / REVENUES: 3000 Cash on Hand 3112 Local Option Sales Tax 3350 Federal Grant 3357 Shared Program - County 3358 Shared Program - City 3360 Shared Program - State 3361 State Grant 3365 State RISE Grant 3368 EPA Grant 3377 EDA Grant 3720 Donations - Restricted 3750 Sale of Bonds EXPENDITURES: (Each column should only include amounts by fund) Fund:290 Fund: 8,500.00 Fund: Fund: Total 8,500.00 TOTALS $ 8,500.00 $ - $ $ - $ 8,500.00 2103 Engineering & Consulting 2125 Traffic Control Equipment 2140 Land Acquisition 2144 Land Improvements 2146 Demolitions 2151 Building Construction 2156 Bikeway Construction 2162 Storm Sewers 2163 Sanitary Sewers 2164 Sidewalks 2165 Streets & Roadways 2199 Non -participating Misc 130- Public Relations - 8,500.00 8,500.00 TOTALS $ 8,500.00 $ $ - $ - $ 8,500.00 (Signature Dept. Head) Date i� (Signature Finance Dept. Review) Date K:\shared goodies\forms\Online Quiz 2016.xls\Page 2 (Constr Proj) (Mar 2010) - ALA. PRO„ , PROJECT BUDGET WORKSHEET - ALL PROJECTS Project Name Elementary School Outreach City Project No. Project Manager Project Budget Total TOF-268 Mohammad Elahi $ 11,000.00 1. How will this project be funded? A. Federal Grant Yes No CFDA # Grant Name B. State Grant Yes Grant Name No Traffic Safety Improvement Program C. City Match Source of Funding D. Other Entities Yes Name 'PAGE ONE Afe 4// 4, % Paid by federal grant Grant Agreement Number % Paid by state grant 100.00% Grant Agreement Number 2017-TS-023 Pru1 CS-Th ` /J53r!!9<� l % Paid by City 0.00% No x % 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 reimbursabte under the grant? If yes, have you attached authorization to purchasereal 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) Preparing material, coordinating with school distria, and sending police officers to elementary schools to conduct traffic safety awareness education. The grant would cover waterloo, Evqnsdale, and Cedar Falls. Done None n n ,f;) Yes No ❑ 0 ❑ ❑ ❑ ❑ ❑ El ❑ ❑ ❑ ❑ Page 2 must be attached and signed. K:\shared goodies\forms\School Outreach 2016 (3).xls\Page 1 All Projects (Mar 2010) CONSTRUCTION PROJECT BUDGET WORKSHEET PAGE TWO Project Name (from page one) Elementary School Outreach Department No. project will be budgeted under 1 Activity No. project will be budgeted under '7/(1 REVENUES: 3000 Cash on Hand 3112 Local Option Sales Tax 3350 Federal Grant 3357 Shared Program - County 3358 Shared Program - City 3360 Shared Program - State _ 3361 State Grant 3365 State RISE Grant 3368 EPA Grant 3377 EDA Grant 3720 Donations - Restricted 3750 Sale of Bonds EXPENDITURES: City Clerk Use Only Finance Committee Approval Date (Each column should only include amounts by fund) Fund: 290 Fund: 11, 000.00 Fund: Fund: Total 11, 000.00 TOTALS $ 11,000.00 $ - $ $ - $ 11,000.00 2103 Engineering & Consulting 2125 Traffic Control Equipment 2140 Land Acquisition 2144 Land Improvements 2146 Demolitions 2151 Building Construction 2156 Bikeway Construction 2162 Storm Sewers 2163 Sanitary Sewers 2164 Sidewalks 2165 Streets & Roadways 2199 Non -participating Misc \l)1d-Public Relations 11,000.00 11, 000.00 TOTALS $ 11,000.00 $ - $ $ - $ 11,000.00 (Si nature Dept. e.d) Date /4, (0., p J . (Sicnature Finance Dept. Review) Date K:\shared goodies\forms\School Outreach 2016.xis\Page 2 (Constr Proj) (Mar 2010) PROJECT BUDGET VV PAGE EET NON -CONSTRUCTION Project Name (from page one) Donations for miscellaneous park projects Department No. project will be budgeted under 37 Activity No. project will be budgeted under 4105 REVENUES: City Clerk Use Only Finance Committee Approval Date 4 la To be assigned by the Finance Dept. Project No. 37GFT Subproject No. PARK (Each column should only include amounts by fund) Fund: _010_ Fund: Fund: Fund: 010-37-4105 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 2,500.00 3750 Sale of Bonds 3111 Hotel Motel Discretionary EXPENDITURES: Total 2,500.00 TOTALS $ 2,500.00 $ $ - $ $ 2,500.00 1111 Salaries - Regular 1112 Salaries - Part Time 1315 Education & Training 1345 Travel - Official City 1346 Travel - Prof Training 1390 Contractual Services 1555 Tools (Signature Dept. 2,500.00 TOTALS $ 2,500.00 $ Date 2,500.00 $ $ 2,500.00 Jiff; (Signature Finance Dept. Review) Date K:\shared goodies \forms\Project Budget Worksheet.xls\Page 2 (Donat or NON-constr) (Mar 2010) PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name Donations for miscellaneour park projects City Contract No. Project Manager Project Budget Total Paul Huting $ 2,500.00 1. How will this project be funded? A. Federal Grant Yes No Grant Name x CFDA # B. State Grant Yes Grant Name C. City Match D. Other Entities Yes x No Name No x Source of Funding Cedar Trails Partnership 2. Attach copies of any grant agreements that will fund the project (REQUIRED) Project No. Subproject No. To be assigned by the Finance Dept. 31 (ip-r- % 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 ❑x ❑ Yes No ❑ ❑X ❑ ❑ ❑ ❑ X The Cedar Trails Partnership has awarded a grant in the amount of $2,500 for the purchase of a granular surface trail conditioner. The equipment will be used on soft recreational trails. The balance of $1,320.00 will be paid from park improvement off road bond money. Page 2 must be attached and signed. K:\shared goodies\forms\Project Budget Worksheet.xls)Page 1 All Projects (Mar 2010)