Loading...
HomeMy WebLinkAbout02/15/2016FINANCE COMMITTEE February 15, 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 February S, 2016, as proposed. NEW BUSINESS TRAVEL REQUESTS 1. Four (4) Waterloo Police Officers Class/Meeting: Governor's Traffic Safety Bureau Training Conference Destination: Okoboji, IA Dates: Apri125-27, 2016 Amount not to exceed: $740.00 2. Sgt. Bose / Sgt. Farmer / P.O. Bovy / P.O. Brownell Class/Meeting: 2016 USPCA Certification for K-9 Teams Destination: Manchester, IA Dates: April 11-13, 2016 Amount not to exceed: $505.00 3. Lt. Campbell Class/Meeting: Impact and Influence Destination: St. Paul, MN Dates: March 6-8, 2016 Amount not to exceed: $340.00 4. Lt. Campbell Class/Meeting: Stress, Trauma and Burnout Destination: St. Paul, MN Dates: May 1-3, 2016 Amount not to exceed: $340.00 5. Greg Ahlhelm, Plans Examiner / Jeff Siebel, Property Safety Inspector Class/Meeting: Intro to 2015 International Building Code Destination: Madison, WI Dates: April 3 - 5, 2016 Amount not to exceed: $1,755.00 6. Justin Gaede, Ryan Anderson, John Holler HE, Dana Clement, Mike Bearbower - Sewer Maintenance Class/Meeting: 20th Annual IAWEA Collection System Specialty Conference Destination: Marshalltown, IA Page 1 of 74 Dates: March 4, 2016 Amount not to exceed: $250.00 7. Gary Luck, Dave Ross, Alan Delagardelle, Joe Jones, Jr. - Sewer Maintenance Class/Meeting: 20th Annual IAWEA Collection System Specialty Conference Destination: Marshalltown, IA Dates: March 3-4, 2016 Amount not to exceed: $480.00 8. Kent Quin, John Hyman, Kevin Kuenstling - ICT Class/Meeting: 2014 NEC Changes Seminar Destination: Waterloo, IA Dates: March 4, 2016 Amount not to exceed: $795.00 9. Pre -Authorizations to Expend over $1,000.00 Building Maintenance Amount and Estimated S/H: $13,920.00 Expenditure: Purchase of 160 light fixtures for Five Sullivan Brothers Convention Center. Building Maintenance Amount and Estimated S/H: $1,750.00 Expenditure: DR M1060 Canon Scanner for Building Inspection Department. Central Garage Amount and Estimated S/H: $4,625.00 Expenditure: Engine diagnostic adapters and software updates. Engineering Amount and Estimated S/H: $4,185.48 Expenditure: Autocad Infrastructure Design Suite Software support. Leisure Services Amount and Estimated S/H: $1,931.20 Expenditure: Trees to be planted downtown. Leisure Services Amount and Estimated S/H: $24,168.68 Expenditure: Trees to be planted in several parks - Sullivan Park, Highland Park, Highland Square and Gates Park. Planning Amount and Estimated S/H: $2,220.00 Expenditure: Asbestos removal - SE entry flooring for the Old Wonder Bread Facility - 325 Commercial Street. Police Amount and Estimated S/H: $2,430.70 + $15 S/H Expenditure: Fortinet Wireless Access Points and Maintenance Agreement. Police Page 2 of 74 Amount and Estimated S/H: $3,200.00 + $50 S/H Expenditure: Repair pole camera and replace new IP camera. Street Department Amount and Estimated S/H: $7,324.39 Expenditure: Differential leaking excessively. Street Department Amount and Estimated S/H: $7,495.73 Expenditure: Accident repair - 191420. Traffic Operations Amount and Estimated S/H: $18,852.21 Expenditure: Fifteen 31' street light poles and 8' arms. Traffic Operations Amount and Estimated S/H: $6,510.00 Expenditure: Two (2) EPAC traffic signal controllers. BUDGET LINE ITEMS TO BE AMENDED 10. Approve the project budget for the Riverfront Stadium Scoreboard funded with donations in the amount of $110,000, a hotel/motel tax grant in the amount of $10,000, a gaming grant in the amount of $150,000 and $30,000 in bond funds for a total project cost of $300,000, as submitted by Leisure Services. 11. Approve the project budget for the Home Park Blvd Tree Replacement project funded with a grant through the Community Foundation in the amount of $7,171 and the MidAmerican Energy funding for trees in the amount of $1,403, for a total project cost of $8,574, as submitted by Leisure Services. BILLS PAYMENT 12. February 15, 2016 ADJOURNMENT Suzy Schares, CMC City Clerk/Human Resource Director Page 3 of 74 TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. LINE ITEM USED FY 2.J(ji BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance STAFF ONLY 0/f �;?UD /340 7 s . 3d »»7 a-//-er2d/ Co± - De..rtment NAME(S) AND POSITION(S): Kent Quin-ICT John Hyman-ICT Kevin Kuenstling-ICT DATE: 2/9/16 NAME OF CLASS / MEETING: 2014 NEC Changes Seminar DESTINATION: Waterloo, IA DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: March 4, 2016 RETURN DATE: March 4, 2016 DATE(S) OF MEETING: March 4, 2016 PURPOSE OF TRAVEL/TRAINING: Education WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: YES xx COST $ NO METHOD OF TRAVEL: xx CITY VEHICLE AIRFARE DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: LODGING MEALS 265.00 REGISTRATION MILEAGE/FUEL TOTAL FOR ALL: $ 795.00 TAXI PARKING AIRFARE MISC/TOLLS BUDGET LINE ITEM: 520-14-5200-1346 GRANT REIMBURSABLE YES NO YES NO TOTAL: $ 265.00 REQUIRED CERTIFICATION PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO DEPARTMENT HEAD 2- ( ( 1 2. te DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 I APPROVE THIS TRAVEL REQUEST MAYOR DATE Course: 2014 NEC Changes Seminar Length: I Day Cost: 265.00 Instructor: Bill Noack, CSIT Waterl Purpose: The inevitable: death, taxes, and change. The 2014 National Electrical Code will soon be the standard for electrical installations and with it comes the changes in language due to all sorts of reasoning. This 8-hour seminar will explore a wide variety of those changes, especially as they pertain to the general industry. This seminar will explore the major changes in the 2014 NEC®. Not all changes will be covered due to time constraints. This seminar will utilize materials developed by the International Association of Electrical Inspectors ® (IAEI). Most practicing electricians want to know how the inspecting body will define the changes, thus the seminar will incorporate the International Electrical Inspectors Association's (IAEI) material into the presentation. A 2014 NEC codebook is recommended for this class, but is not provided with tuition. 8:00 - 8:15 I. Introductions & registration A. Welcome and registration B. Instructor and seminar info 8:15 — 9:30 11. NEC Changes — 2014 A. Code changes — how noted B. Article 90 thru Chapter 1 C. Chapter 2 — Art. 200 thru 225 9:30 — 9:45 BREAK continued on next page 9:45 — 10:30 10:30 — 10:35 10:35 — 11:45 II. NEC Changes — 2014 (cont.) D. Art. 230 & 240 E. Art.250 F. Finish off Chapter2 Quick Stretch II. NEC Changes -2014 (cont.) G. Art. 300 thru 310 H. Chapter 3 — Cables I. Chapter 3 — Raceways 11:45 — 12:30 LUNCH 12:30 — 1:30 II. NEC Changes — 2014 Complete Chap.3 1:30 — 2:30 II. NEC Changes — 2014 Chapter 4 2:30 — 2:45 BREAK 2:45 — 3:15 II. NEC Changes — 2014 Chapter 5 J.Art. 500 — 505 K. Art. 511 — 555 3:15 — 3:45 II. NEC Changes — 2014 Chapter 6 M. New Articles (?) N. Art. 680 3:45 —On II. NEC Changes — 2014 Chapters 7 & 8 O. Chapter 7 P. Chapter 8 — Need for study For class schedule and pricing information please contact Craig Stump at 319.368.2826 or email at stumpc@vmind.com TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. LINE ITEM USED FY 2c l 12 BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance STAFF ONLY 2G7 ju 5 f llr�j� gcv" .ir 0_ Copy - Department NAME(S) AND POSITION(S): Gary Luck — Sewer Maintenance Dave Ross — Sewer Maintenance Alan Delagardelle — Sewer Maintenance Joe Jones, Jr. — Sewer Maintenance DATE: 02/09/16 NAME OF CLASS / MEETING: 20th Annual IAWEA Collection System Specialty Conference DEPARTURE DATE: March 3, 2016 PURPOSE OF TRAVELITRAINING: Education CEU's DESTINATION: Marshalltown , IA DEPARTURE POINT IF NOT WATERLOO: RETURN DATE: March 4, 2016 DATE(S) OF MEETING: March 3-4, 2016 WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: x CITY VEHICLE AIRFARE DEPARTING FROM: Waterloo PRIVATE VEHICLE ESTIMATE OF COST: LODGING MEALS $120.00 REGISTRATION MILEAGE/FUEL TOTAL FOR ALL: $ 480.00 TAXI PARKING AIRFARE MISC/TOLLS 521-14-5310-1346 $240.00 BUDGET LINE ITEM: 520-14-5200-1346 $240.00 YES NO x YES NO GRANT REIMBURSABLE REQUIRED CERTIFICATION TOTAL: $ 120.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO DE ARTMENT HEAD 2--((o (mot. ared oodies\Forms Bursa \Travel Request Form January 2010 I APPROVE THIS TRAVEL REQUEST MAYOR DATE NAME: i-i,V/ Lal, t-a�C COMPANY: '% OA L4Jm 4a0 tU ?2. /h ya— ADDRESS: 3S&S CITY: /il/rLikpo L.10 ST:teLZIP: 5d E-MAIL: pl/'t?.LW • /Yys tel it/R711dti 0 u - m E ru a L F_ O PHONE: d Online Registration is quick and convenient at www.lawea.orq. You will receive a $10 discount for registering online prior to the conference! Please register me for the following (Circle One): Collection System Conference Fees: (Includes Thursday and Friday/ Member: $110 Non -Member. 130 Collection System Exam ONLY $50 Collection System Conference PLUS Exam (Includes Thursday, Friday and Exam) Member: $160 Non -Member: $180 PACP Recertification Only Fees (Includes Wednesday PACP Renewal: Includes Version 7.0 Manual) Member: $450 Non -Member: $470 PACP Training Fees (Includes Thursday and Friday PACP; Includes Version 7.0 Manual) Member: $750 Non -Member. $800 MACP/LACP Trainlna Fees (Intrudes Friday MACP/LACP; Includes Version 7.0 Manual) Member: $330 Non -Member: $350 PACP/MACP/LACP Training Fees (Includes Thursday & Friday PACP/MACP/LACP; Includes 7.0 Manual) Member: $900 Non -Member: $950 Please make checks payable to IAWEA and mail to: Cindy Calentine City of Ames WPC Plant 56797 280th Street Ames, Iowa 50010 Or Fax To:515.233.0454 EARLY REGISTRATION 15 APPRECIATED General Questions? Contact Curt Kampman at 515.964.1229 PACP Questions? Contact Roger McFarland at 515.965.6483 The IAWEA Collection System Committee is holding its 20th Annual Collection System Conference AND Pipeline Assessment and CertNication Program (PACP). The two conferences will run concurrently on March 2-4, 2016. PACP Program This year the PACP program will include multiple Training options. • PACP Recertification Only • PACP Only or MACP/LACP Only Training • PACP/MACP/LACP Training Each program will be limited to 15 with a minimum of 10 to hold the class, so do not wait to register] You MUST register before February 26, 2016. The PACP Training schedule is as follows: Wednesday Schedule 8:00 - 10:00 am PACP RecedNication Session 1 10:00- 10:15 am Break 10:15 - 12:00 pm PACP RecedBication Session 2 12:00 - 1:00 pm Lunch (On Your Own) 1:00 - 2:30 pm PACP Recertification Session 3 2:30 - 2:45 pm Break 2:45 - 4:30 pm PACP Recertification Session 4 & PACP Recertllicafion Testing Thursday Schedule 7:30 - 9:30 am PACP Training Session 1 9:30- 9:45 am Break 9:45 - 12:00 pm PACP Training Session 2 12:00- 1:00 pm Lunch (Provided) 1:00 - 2:30 pm PACP Training Session 3 2:30 - 2:45 pm Break 2:45 - 4:30 pm PACP Training Session 4 Friday Schedule 7:30 - 9:30 am PACP Training Session 5 9:30 - 9:45 am Break 9:45 - 11:30 am PACP Training Session 6 11:30-12:30 pm 12:30 - 2:00 pm 2:00 - 2:15 pm 2:15-4:30pm 4:30 - 5:30 pm PACP Testing (if no MACP/LACP) Or Lunch (On Your Own) (if MACP/LACP) MACP/LACP Training Session 1 Break MACP/LACP Training Session 2 PACP/MACP/LACP Testing Reglsiaion fees Include lunch and snack breaks on Thursday. Lunch Is on your own on Wednesday and Friday. Would you like to become a member of IAWEA to receive your discount? Register for your annual membership online at www.lawea.org. Annual membership is $30. Membership benefits include a subscription to the IAWEA Reporter and annual conference and workshop discounts! Become a member today! Collection System Conference The Collection System Conference schedule is as follows (you must register by February 17, 2016 to take the ABC Collection System exam). Thursday Schedule Moderator. James Lund, P.E., Stanley Consultants 7:15 - 8:00 am 8:00 - 8:10 am 8:10-9:00 am 9:00 - 9:50am Registration and Booth Setup Opening Remarks IDNR Update - Tom Atkinson, Iowa DNR Eliminating River intrusion Into Wastewater System - Brian Schadt, P.E., City of Davenport - Leo F. Foley, P.E., Veenstra & Kimm 9:50 - 10:20 am Break 10:20-11:10am 11:10-12:00 pm 12:00-1:00 pm 1:00 - 1:50 pm 1:50-2:40 pm 2:40 - 3:00 pm 3:00 - 3:50 pm 3:50 - 4:40 pm 4:40 - 5:40 pm Friday Schedule Moderator. 6:00-7:30am 7:50-8:00am 8:00-8:50am 8:50-9:40 am 9:40 - 10:00 am 10:00 - 10:50 am 10:50-11:40 am 12:00-3:00 pm Pump Station Odor Control: A Real World Example - Michael Washburn, P.E., McClure Engineering Company Manhole Assessment and Rehabilitation - Randy Langer, P.E., Strand Associates Lunch (Provided with Conference) A Contractor's Perspective on Bidding and Construction - Troy Turner, Story Construction City of Clinton 25111 Avenue Basin - David Haugen, P.E., HDR Engineering Break Pipe Cleaning Technology - Dana Hicks, ENZ USA Pump Station & Forcemain Design Considerations Chris Harrington, P.E., HR Green Networking & Social Hour James Lund, P.E., Stanley Consultants Golden Manhole Award Recipient Brealdasl - Private Party Room, O'Hungry's Opening Remarks/Announcements Storm Lake Sanitary Sewer MlNgation Improvements - Bob Veenstra Jr., P.E., Veenstra & Kimm GIS Mapping & Your UIBity - Kirk Larson, Midland GIS Break OSHA Updates Mike Whitmore, OSHA Cedar Rapids Interceptor Lining & Bypass Pumping - Matt Wildman, P.E., HR Green ABC Collection System Exam Why Should I Attend? This conference provides the perfect opportunity to obtain needed CEUs. The conference carries 1.0 CEU. One CEU is defined as 10 contact hours of participation in an organized continuing education experience under responsible sponsorship, capable direction, and qualified instruction. Partial credit will be awarded for Thursday only attendance (prior approval required). Marshalltown makeit your destination CONVENTION 8 VISITORS BUREAU Marshalltown Convention • Visitorsirebt !urea n, inai.l.u. o,.Imu • evitietunii. orti. Hotel Accommodations Reservations can be made at Best Western Regency Inn 3303 S Center Street Marshalltown, A 50158 641.752.6321 Super 8 Motel 3315 S Center Street Marshalltown, IA 50158 641.753.3333 el • 2 E a_ ✓ 0 • O Lc V EE _n • CO N ro E M C N 0 v-- U a • o w 3 U o u u u 2 a 20th Annual IAWEA Collection System Specialty Conference Pipeline Assessment and Certification Program Training March 2-4, 2016 Best Western Regency Inn 3303 S Center Street Marshalltown, IA 50158 (Hwy 30 - Exit 185N) REGISTER ONLINE TODAY! www.iawea.org • It's quick & convenient! • Flexible payment options • Immediate confirmation Registration can also be mailed or faxed. NAME: ;4-1/t- 1 cl COMPANY: Cite/ uF &4 (Z.'d Ithatt,m. ADDRESS: 3 Sor de,9370Ai .4 . CITY: Ll%%L000 ST:44L ZIP: S. d Zd 4— E-MAIL: £a'eJ ./ ge. /el/ (g blerei'lur< PHONE: 3/ 9-01-9/• 5' 5.5.3 Online Registration is quick and convenient at www.iawea.orq. You will receive a $10 discount for registering online prior to the m conference! E U) m N .c co co N a. c 0 a U 0 Q1 E 0 0 6) c c N 0 O 0 0 c U 0 0 0 0 a t c a ce Please register me for the following (Circle One): Collection System Conference Fees: (Includes Thursday and Friday) Member: Non -Member. 110 $130 Collection System Exam ONLY $50 Collection System Conference PLUS Exam (Includes Thursday, Friday and Exam) Member. $160 Non -Member. $180 PACP Recertification Only Fees (Includes Wednesday PACP Renewal; Includes Version 7.0 Manual) Member: $450 Non -Member. $470 PACP Training Fees (Includes Thursday and Friday PACP; Includes Version 7.0 Manual) Member: $750 Non -Member: $800 MACP/LACP Training Fees (Includes Friday MACP/IACP; Includes Version 7.0 Manual) Member. $330 Non -Member: $350 PACP/MACP/LACP Training Fees (Includes Thursday & Friday PACP/MACP/LACP; Includes 7.0 Manual) Member: $900 Non -Member: $950 Please make checks payable to IAWEA and mail to: Cindy Calentine City of Ames WPC Plant 56797 280th Street Ames, Iowa 50010 Or Fax To: 515.233.0454 EARLY REGISTRATION IS APPRECIATED General Questions? Contact Curt Kampman at 515.964.1229 PACP Questions? Contact Roger McFarland at 515.965.6483 The IAWEA Collection System Committee is holding its 201h Annual Collection System Conference AND Pipeline Assessment and Certification Program (PACP). The two conferences will run concurrently on March 2.4, 2016. PACP Program This year the PACP program will Include multiple training options. • PACP Recertification Only • PACP Only or MACP/LACP Only Training • PACP/MACP/LACP Training Each program will be limited to 15 with a minimum of 10 to hold the class, so do not wait to register) You MUST register before February 26, 2016. The PACP Training schedule is as follows: Wednesday Schedule 8:00-10:00am 10:00-10:15 am 10:15- 12:00 pm 12:00- 1:00 pm 1:00 - 2:30 pm 2:30 - 2:45 pm 2:45 - 4:30 pm PACP Recertification Session 1 Break PACP Recertification Session 2 Lunch (On Your Own) PACP Recertification Session 3 Break PACP Recertification Session 4 & PACP Recertification Testing Thursday Schedule 7:30 - 9:30 am PACP Training Session 1 9:30 - 9:45 am Break 9:45 - 12:00 pm PACP Training Session 2 12:00- 1:00 pm Lunch (Provided) 1:00 - 2:30 pm PACP Training Session 3 2:30 - 2:45 pm Break 2:45 - 4:30 pm PACP Training Session 4 Friday Schedule 7:30 - 9:30 am PACP Training Session 5 9:30 - 9:45 am Break 9:45 - 11:30 am 11:30 - 12:30 pm 12:30 - 2:00 pm 2:00-2:15 pm 2:15-4:30 pm 4:30 - 5:30 pm PACP Training Session 6 PACP Testing (If no MACP/LACP) or Lunch (On Your own) (if MACP/LACP) MACP/LACP Training Session 1 Break MACP/LACP Training Session 2 PACP/MACP/LACP Testing Registration fees Include lunch and snack breaks on Thursday. Lunch Is on your own on Wednesday and Friday. Would you like to become a member of IAWEA to receive your discount? Register for your annual membership online at www.lawea.org. Annual membership is $30. Membership benefits include a subscription to the IAWEA Reporter and annual conference and workshop discounts! Become a member today) Collection System Conference The Collection System Conference schedule is as follows (you must register by February 17, 2016 to take the ABC Collection System exam). Thursday Schedule Moderator. James Lund, P.E., Stanley Consultants 7:15 - 8:00 am Registration and Booth Setup 8:00 - 8:10 am Opening Remarks 8:10 - 9:00 am IDNR Update - Tom Atkinson, Iowa DNR 9:00- 9:50am Eliminating River Intrusion into Wastewater System - Brian Schadt, P.E., City of Davenport - Leo F. Foley, P.E., Veensira & Kimm 9:50 - 10:20 am Break 10:20 - 11:10 am 11:10-12:00pm 12:00-1:00pm 1:00- 1:50 pm 1:50 - 2:40 pm 2:40 - 3:00 pm 3:00 - 3:50 pm 3:50 - 4:40 pm 4:40 - 5:40 pm Friday Schedule Moderator. 6:00 - 7:30 am Pump Station Odor Control: A Real World Example -Michael Washburn, P.E., McClure Engineering Company Manhole Assessment and Rehabilitation - Randy Langer, P.E., Shand Associates Lunch (Provkled with Conference) )( A Contractor's Perspective on Bidding and Construction - Troy Turner, Story Construction City of Clinton 25,h Avenue Basin - David Haugen, P.E., HDR Engineering Break Pipe Cleaning Technology - Dana Hicks, ENZ USA Pump Station & Forcemain Design Considerations Chris Harrington, P.E., HR Green Networking & Social Hour James Lund, P.E., Stanley Consultants Golden Manhole Award Recipient Breakfast - Private Party Room, O'Hungry's 7:50 - 8:00 am Opening Remarks/Announcements 8:00 - 8:50 am Storm Lake Sanitary Sewer Mitigation Improvements - Bob Veensira Jr., P.E., Veensira & Kimm GIS Mapping & Your Utility - Kirk Larson, Midland GIS 9:40 - 10:00 am Break 10:00 - 10:50 am OSHA Updates Mike Whitmore, OSHA Cedar Rapids Interceptor Lining & Bypass Pumping - Matt Wildman, P.E., HR Green 12:00 - 3:00 pm ABC Collection System Exam 8:50-9:40 am 10:50-11:40 am Why Should I Attend? This conference provides the perfect opportunity to obtain needed CEUs. The conference carries 1.0 CEU. One CEU is defined as 10 contact hours of participation in an organized continuing education experience under responsible sponsorship, capable direction, and qualified instruction. Partial credit will be awarded for Thursday only attendance (prior approval required). Marshalltown make it your destination VISITCRS BUREAU Marshalltown Convention w Walter* Bureau w vwamn r,sL[..t • P.o.u sm mu nR. 1.eon.cv,nu>.w..: ,4, i,a.uu. Hotel Accommodations Reservations can be made at Best Western Regency Inn 3303 S Center Street Marshalltown, IA 50158 641.752.6321 Super 8 Motel 3315 S Center Street Marshalltown, IA 50158 641.753.3333 20th Annual IAWEA Collection System Specialty Conference Pipeline Assessment and Certification Program Training March 2-4, 2016 Best Western Regency Inn 3303 S Center Street Marshalltown, IA 50158 (Hwy 30 - Exit 185N) REGISTER ONLINE TODAY! www.iawea.org • It's quick & convenient! • Flexible payment options • Immediate confirmation Registration can also be mailed or faxed. Online Registration is quic and convenient at www.iawea,orq. - You will receive a 510 discount for registering online prior to the e conference! U1 m L O cocsi a 0 U 0 E O U c c a)a v -O c U 0 c O 't 0 0 -c c NAME: /¢L,461/0--de u COMPANY: (L6� 14}earo �vo GII21T Alps L. ADDRESS: ,3 s-0.�r ,E, ;vnJ /¢Lde- /7// CITY: Waj .i-oct ST:a ZIP: Sd70Z-- E-MAIL: eile4J ' • [LL4J@I/ [° LldCt./`EielAJ-/4 .-f1�9 PHONE:' 9-- Please register me for the following (Circle One): Collection System Conference Fees: (Includes Thursday and Friday) Member: Non -Member: Collection System Exam ONLY 11110 c $130 $50 Collection System Conference PLUS Exam (Includes Thursday, Friday and Exam) Member: $160 Non -Member: $180 PACP Recertification Only Fees (Includes Wednesday PACP Renewal; Includes Version 7.0 Manual) Member. $450 Non -Member: $470 PACP Training Fees (Includes Thursday and Friday PACP; Includes Version 7.0 Manual) Member: $750 Non -Member: $800 MACP/LACP Trainina Fees (Includes Friday MACP/LACP; Includes Version 7.0 Manual) Member. $330 Non -Member: $350 PACP/MACP/LACP Training Fees (Includes Thursday & Friday PACP/MACP/LACP; Includes 7.0 Manual) Member: $900 Non -Member: $950 Please make checks payable to IAWEA and mail to: Cindy Calentine City of Ames WPC Plant 56797 280th Street Ames, Iowa 50010 Or Fax To: 515.233.0454 EARLY REGISTRATION IS APPRECIATED General Questons? Contact Curf Kampman at 515.964.1229 PACP Questions? Contact Roger McFarland at 515.965.6483 0 The IAWEA Collection System Committee is holding its 20th Annual Collection System Conference AND Pipeline Assessment and Certification Program (PACP). The two conferences will run concurrently on March 2-4, 2016. PACP Program This year the PACP program will include multiple training options. • PACP Recertification Only • PACP Only or MACP/LACP Only Training • PACP/MACP/LACP Training Each program will be limited to 15 with a minimum of 10 to hold the class, so do not wait to registers You MUST register before February 26, 2016. The PACP Training schedule is as follows: Wednesday Schedule 8:00 - 10:00 am PACP Recertification Session 1 10:00- 10:15 am Break 10:15 - 12:00 pm PACP Recertification Session 2 12:00 - 1:00 pm Lunch (On Your Own) 1:00 - 2:30 pm PACP Recertification Session 3 2:30 - 2:45 pm Break 2:45 - 4:30 pm PACP Recertification Session 4 & PACP Recertification Testing Thursday Schedule 7:30 - 9:30 am PACP Training Session 1 9:30-9:45am Break 9:45 - 12:00 pm PACP Training Session 2 12:00- 1:00 pm Lunch (Provided) 1:00 - 2:30 pm PACP Training Session 3 2:30 - 2:45 pm Break 2:45 - 4:30 pm PACP Training Session 4 Friday Schedule 7:30 - 9:30 am PACP Training Session 5 9:30 - 9:45 am Break 9:45 - 11:30 cm 11:30-12:30 pm 12:30 - 2:00 pm 2:00 - 2:15 pm 2:15 - 4:30 pm 4:30 - 5:30 pm PACP Training Session 6 PACP Testing (if no MACP/LACP) or Lunch (On Your Own) (if MACP/LACP) MACP/LACP Training Session 1 Break MACP/LACP Training Session 2 PACP/MACP/LACP Testing Reglstratlon lees Include lunch and snack breaks on Thursday. Lunch Is on your own on Wednesday and Friday. Would you like tobecomea member of IAWEA to receive your discount? Register for your annual membership online at www.lawea.org. Annual membership is $30. Membershipbenefits include a subscription to the IAWEA Reporter.and annual conference and workshop discounts! Become a member today! Collection System Conference The Collection System Conference schedule is as follows (you must register by February 17, 2016 to take the ABC Collection System exam). Thursday Schedule Moderator. James Lund, P.E., Stanley Consultants 7:15 - 8:00 am Registration and Booth Setup 8:00 - 8:10 am Opening Remarks 8:10 - 9:00 am IDNR Update - Tom Atkinson, Iowa DNR 9:00 - 9:50am Eliminating River Intrusion into Wastewater System - Brian Schadt, P.E., City of Davenport - Leo F. Foley, P.E., Veenstra & Kimm 9:50 - 10:20 am Break 10:20-11:10 am 11:10-12:00 pm 12:00-1:00 pm 1:00 - 1:50 pm 1:50 - 2:40 pm 2:40 - 3:00 pm 3:00 - 3:50 pm 3:50 - 4:40 pm 4:40 - 5:40 pm Friday Schedule Moderator. 6:00 - 7:30 am Pump Station Odor Control: A Real World Example -Michael Washburn, P.E., McClure Engineering Company Manhole Assessment and Rehablllation - Randy Longer, P.E., Strand Associates Lunch (Provided with Conference) A Contractor's Perspective on Bidding and Construction - Troy Turner, Story Construction City of Clinton 25,1 Avenue Basin - David Haugen, P.E., HDR Engineering Break Pipe Cleaning Technology - Dana Hicks, ENZ USA Pump Station & Forcemain Design Considerations Chris Harrington, P.E., HR Green Networking & Social Hour James Lund, P.E., Stanley Consultants Golden Manhole Award Recipient Breakfast - Private Party Room, O'Hungry's 7:50 - 8:00 am Opening Remarks/Announcements 8:00 - 8:50 am Storm Lake Sanitary Sewer Mitigation Improvements - Bob Veenstra Jr., P.E., Veenstra & Kimm GIS Mapping & Your Utility - Kirk Larson, Midland GIS 9:40 - 10:00 am Break 10:00-10:50 am OSHA Updates Mike Whitmore, OSHA Cedar Rapids Interceptor Lining & Bypass Pumping - Matt Wildman, P.E., HR Green 12:00- 3:00 pm ABC Collection System Exam 8:50 - 9:40 am 10:50 -11:40 am Why Should I Attend? This conference provides the perfect opportunity to obtain needed CEUs. The conference carries 1.0 CEU. One CEU is defined as 10 contact hours of participation in an organized continuing education experience under responsible sponsorship, capable direction, and qualified instruction. Partial credit will be awarded for Thursday only attendance (prior approval required). Marshalltown make it your destination CONVENTION G VISITORS 80REAN wnnanmwn un9.n.mn •mason I, ,'n Hotel Accommodations Reservations can be made at Best Western Regency Inn 3303 S Center Street Marshalltown, IA 50158 641.752.6321 Super 8 Motel 3315 S Center Street Marshalltown, IA 50158 641.753.3333 0 • w E o m E 0-_ z uo =o., Oz E N >o �_a❑�M >� E5„2 za �❑ = w U c wo ❑ .V o rn- i h 3‹ ao'3u 3 0 20 0 W u 20th Annual IAWEA Collection System Specialty Conference Pipeline Assessment and Certification Program Training March 2-4, 2016 Best Western Regency Inn 3303 S Center Street Marshalltown, IA 50158 (Hwy 30 - Exit 185N) REGISTER ONLINE TODAY! www.iawea.org • It's quick & convenient! • Flexible payment options • Immediate confirmation Registration can also be mailed or faxed. h Online Registration is quick and convenient at www,fawea.orq. You will receive a $10 discount for registering online prior to the conference) Please register me for the following (Circle One): Collection System Conference Fees: (Includes Thursday and Friday) Member. $1 10 Non -Member: L $130'23 Collection System Exam ONLY $50 Collection System Conference PLUS Exam (Includes Thursday, Friday and Exam) Member: NAME: joF— gdAf.ES COMPANY: (7,41_,` oP-!JI/ane.Rco. %it/e?j5- /litc�,sfi ADDRESS:.,5'5 k.4--sre ,, t/e CITY: A/el.7 , hQo ST:a ZIP: .S.-0`Z4 2- E-MAIL: Qve.G/N •1 ttSSI% e wear/RAID - 40• 1lr PHONE: 3/ g-02-$f-YST-3' $160 Non -Member: $180 PACP Recertification Only Fees (Includes Wednesday PACP Renewal; Includes Version 7.0 Manual) Member: $450 Non -Member: $470 PACP Training Fees (Includes Thursday and Friday PACP; Includes Version 7.0 Manual) Member: $750 Non -Member. $800 MACP/LACP Trainina Fees (Includes Friday MACP/LACP; Includes Version 7.0 Manual) Member: $330 Non -Member: $350 PACP/MACP/LACP Training Fees (Includes Thursday & Friday PACP/MRCP/LACP; Includes7.0 Manual) Member: $900 Non -Member: $950 Please make checks payable to IAWEA and mail to: Cindy Calentine City of Ames WPC Plant 56797 280th Street Ames, Iowa 50010 Or Fax To: 515.233.0454 EARLY REGISTRATION IS APPRECIATED General Questions? Contact Curt Kampman at 515.964.1229 PACP Questions? Contact Roger McFarland at 515.965.6483 E Le) s uu N a 0 0 U 0 E O 0 01 c 0 0 0 o 0 c 0 c 0 0 a. -c c 0) ce The IAWEA Collection System Committee is holding its 20th Annual Collection System Conference AND Pipeline Assessment and Certification Program (PACP). The two conferences will run concurrently on March 2-4, 2016. PACP Program This year the PACP program will include multiple training options. • PACP Recertification Only • PACP Only or MACP/LACP Only Training • PACP/MACP/LACP Training Each program will be limited to 15 with a minimum of 10 to hold the class, so do not wait to register! You MUST register before February 26, 2016. The PACP Training schedule is as follows: Wednesday Schedule 8:00 - 10:00 am PACP Recertification Session 1 10:00 - 10:15 am Break 10:15 - 1200 pm PACP Recertification Session 2 12:00 - 1:00 pm Lunch (On Your own) 1:00 - 2:30 pm PACP Recertification Session 3 2:30 - 2:45 pm Break 2:45 - 4:30 pm PACP Recertification Session 4 & PACP Recertification Testing Thursday Schedule 7:30 - 9:30 am PACP Training Session 1 9:30 - 9:45 am Break 9:45 - 12:00 pm PACP Training Session 2 12:00 - 1:00 pm Lunch (Provided) 1:00 - 2:30 pm PACP Training Session 3 2:30 - 2:45 pm Break 2:45 - 4:30 pm PACP Training Session 4 Friday Schedule 7:30 - 9:30 am PACP Training Session 5 9:30 - 9:45 am Break 9:45-11:30am 11:30 - 12:30 pm 12:30 - 2:00 pm 2:00 - 2:15 pm 2:15 - 4:30 pm 4:30 - 5:30 pm PACP homing Session 6 PACP Testing (if no MACP/LACP) or Lunch (On Your Own) (If MACP/LACP) MACP/LACP Training Session 1 Break MACP/LACP Training Session 2 PACP/MACP/LACP Testing Registration fees include lunch and snack breaks on Thursday. Lunch is on your own on Wednesday and Friday. Would you like to become a member of IAWEA to receive your discount? Register for your annual membership online at www.lawea.org. Annual membership is $30. Membership benefits include a subscription to the IAWEA Reporter and annual conference and workshop discounts! Become a member today) Collection System Conference The Collection System Conference schedule is as follows (you must register by February 17, 2016 to take the ABC Collection System exam). Thursday Schedule Moderator. James Lund, P.E., Stanley Consultants 7:15-8:00am Registration and Booth Setup 8:00 - 8:10 am Opening Remarks 8:10 - 9:00 am IDNR Update - Tom Atkinson, Iowa DNR 9:00 - 9:50am Eliminating River Intrusion into Wastewater System - Brian Schadt, P.E., Cify of Davenport - Leo F. Foley, P.E., Veenstra & Kimm 9:50 - 10:20 am Break 10:20-11:10 am 11:10-12:00 pm 12:00-1:00pm 1:00-1:50pm 1:50 - 2:40 pm 2:40-3:00pm 3:00 - 3:50 pm 3:50 - 4:40 pm 4:40 - 5:40 pm Friday Schedule Moderator. 6:00 - 7:30 am 7:50- 8:00 am 8:00 - 8:50 am 8:50-9:40am 9:40- 10:00 am 10:00- 10:50 am 10:50- 11:40 am 12:00 - 3:00 pm Pump Station Odor Control: A Real World Example - Michael Washburn, P.E., McClure Engineering Company Manhole Assessment and RehabllRation - Randy Langer, P.E., Strand Associates Lunch (Provided wflh Conference) A Contractor's Perspective on Bidding and Construction -Troy Turner, Story Construction City of Clinton 251h Avenue Basin - David Haugen, P.E., HDR Engineering Break Pipe Cleaning Technology - Dana Hicks, ENZ USA Pump Station & Forcemain Design Considerations Chris Hanington, P.E., HR Green Networking & Social Hour James Lund, P.E., Stanley Consultants Golden Manhole Award Recipient Breakfast - Private Party Room, O'Hungry's Opening Remarks/Announcements Storm Lake Sanitary Sewer Mitigation Improvements - Bob Veenstra Jr., P.E., Veenstra & Kimm GIS Mapping & Your Utility - Kirk Larson, Midland GIS Break OSHA Updates Mike Whitmore, OSHA Cedar Rapids Interceptor Lining & Bypass Pumping - Matt Wildman, P.E., HR Green ABC Collection System Exam Why Should I Attend? This conference provides the perfect opportunity to obtain needed CEUs. The conference carries 1.0 CEU. One CEU is defined as 10 contact hours of participation in an organized continuing education experience under responsible sponsorship, capable direction, and qualified instruction. Partial credit will be awarded for Thursday only attendance (prior approval required). Marshalltown make it your destination CONVENTION & VISITORS BUREAU ManM1alOnwn Convention • Vi6 Bureau ur SVY� (coin Lrtc� • v u. W. ton.1,040..t I. IMi lift: l.PY9.6,13V.v.Nticn. Vf, l+t ry tl//1 Hotel Accommodations Reservations can be made at Best Western Regency Inn 3303 S Center Street Marshalltown, IA 50158 641.752.6321 Super 8 Motel 3315 S Center Street Marshalltown, IA 50158 641.753.3333 western ern 20th Annual IAWEA Collection System Specialty Conference Pipeline Assessment and Certification Program Training March 2-4, 2016 Best Western Regency Inn 3303 S Center Street Marshalltown, IA 50158 (Hwy 30 - Exit 185N) REGISTER ONLINE TODAY! www.iawea.org • It's quick & convenient! • Flexible payment options • Immediate confirmation Registration can also be mailed or faxed. FINANCE DEPT. STAFF ONLY sf LINE ITEM USED S,zCSU 5.-R2 TRAVEL REQUEST CITY OF WATERLOO F0t'I' BUDGETED EXPENDED YTD 4366' THIS REQUEST y0 LEFT AFTER THIS _ REQUEST i655'®-- DATE 7)7, ,, fl ,2.)/&i Original - Clerk/Finance Co j Dertment NAME(S) AND POSITION(S): Justin Gaede— Sewer Maintenance Ryan Anderson — Sewer Maintenance John Holler III — Sewer Maintenance Dana Clement — Sewer Maintenance Mike Bearbower-Sewer Maintenance DATE: 02/09/16 NAME OF CLASS I MEETING: 201" Annual IAWEA Collection System Specialty Conference DESTINATION: Marshalltown , IA DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: March 4, 2016 RETURN DATE: March 4, 2016 DATE(S) OF MEETING: March 4, 2016 PURPOSE OF TRAVEL/TRAINING Collection System Certification WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: x CITY VEHICLE AIRFARE DEPARTING FROM: Waterloo PRIVATE VEHICLE ESTIMATE OF COST: LODGING MEALS $50.00 REGISTRATION MILEAGE/FUEL TOTAL FOR ALL: $ 250.00 TAXI PARKING AIRFARE MISCITOLLS 520-14-5200-1346 $ 150.00 521-14-5310-1346 $ 100.00 BUDGET LINE ITEM: atrm YES x YES GRANT REIMBURSABLE NO REQUIRED CERTIFICATION NO TOTAL: $ 50.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO DEPA MENT HEAD I APPROVE THIS TRAVEL REQUEST MAYOR K•\Shared Gcnrliec\Fnrmc\Tra3zp1 RPgytnctFarm Tanllary2010 DATE DATE IOWA WATER ENVIRONMENT ASSOCIATION VOLUNTARY COLLECTION SYSTEMS OPERATOR CERTIFICATION EXAM APPLICATION CLASS OF EXAM: CHECK ONE ONLY 1I\,CLASS I (HIGH SCHOOL DIPLOMA OR GED + 1 YEAR OF EXPERIENCE IN COLLECTION SYSTEM OPERATION) _ CLASS II (HIGH SCHOOL DIPLOMA OR GED + 3 YEARS OF EXPERIENCE IN COLLECTION SYSTEM OPERATION) _ CLASS III (2 YEARS OF POST HIGH SCHOOL EDUCATION + 4 YEARS OF EXPERIENCE IN COLLECTION SYSTEM OPERATION) CLASS IV (4 YEARS OF POST HIGH SCHOOL EDUCATION + 4 YEARS OF EXPERIENCE IN COLLECTION SYSTEM OPERATION INCLUDING 2 YEARS IN DIRECT RESPONSIBLE CHARGE' OF A COLLECTION SYSTEM) THE EDUCATION AND EXPERIENCE REQUIREMENTS TO QUALIFY FOR THE EXAM CLASS INDICATED ABOVE MAY BE VERIFIED BY CONTACTING THE FOLLOWING INDIVIDUAL:] (� NAME: 7/7' e VQ U ( 113� {� PHONE: 3 1 9- '2;e:3 -7q f�fq 'DIRECT RESPONSIBLE CHARGE IS ACTIVE DAILY ON -SITE TECHNICAL DIRECTION AND SUPERVISION OF, OR ACTIVE DAILY ON -SITE ACCOUNTABILITY FOR A COLLECTION SYSTEM OR MAJOR SEGMENT OF A COLLECTION SYSTEM. APPLICANT INFORMATION (PLEASE PRINT) NAME: J/<1.. Z l G 1— 1029 w El. re"' MAILING ADDRESS L DAY TIME PHONE: 3(9 � S3 - / ''7 41 9 9 ./ STREET: 7 0. jjl4 k) EMAIL ADDRESS: CITY: KJ 4R-tl % / Uv Are you also certified by IDNR as a Water . Or Wastewater Operator? Yes No STATE: _ ®� C\ If so, what is your IDNR Operator ID No.? IDNR Operator ID Number ZIP CODE: ✓ V7 ® / it******************************************************•***it***** APPLICANT CERTIFICATION I HEREBY CERTIFY that this application contains no willful misrepresentation or falsification and that the information given by me is true and complete to the best of my knowledge and belief. I am aware that should inves igation at any time disclose any such misrepresentation or falsification, my app :c ion will be rejected, my certificate will be revoked, and I will be disqual le. from applying in the future for any certification under the jurisd'ctiof t IO 'A WATER ENVIRONMENT ASSOCIATION. SIGNATURE OF APPLICANT: DATE: ___<I7 IOWA WATER ENVIRONMENT ASSOCIATION VOLUNTARY COLLECTION SYSTEMS OPERATOR CERTIFICATION EXAM APPLICATION CLASS OF EXAM: CHECK ONE ONLY CLASS I (HIGH SCHOOL DIPLOMA OR GED + 1 YEAR OF EXPERIENCE IN COLLECTION SYSTEM OPERATION) XCLASS II (HIGH SCHOOL DIPLOMA OR GED + 3 YEARS OF EXPERIENCE IN COLLECTION SYSTEM OPERATION) CLASS III (2 YEARS OF POST HIGH SCHOOL EDUCATION + 4 YEARS OF EXPERIENCE IN COLLECTION SYSTEM OPERATION) _ CLASS IV (4 YEARS OF POST HIGH SCHOOL EDUCATION + 4 YEARS OF EXPERIENCE IN COLLECTION SYSTEM OPERATION INCLUDING 2 YEARS IN DIRECT RESPONSIBLE CHARGE1 OF A COLLECTION SYSTEM) THE EDUCATION AND EXPERIENCE REQUIREMENTS TO QUALIFY FOR THE EXAM CLASS INDICATED ABOVE MAY BE VERIFIED BY CONTACTING THE FOLLOWING INDIVIDUUAL: NAME: oQya.. Atdrso PHONE: 1cr 39 - ! 760 1DIRECT RESPONSIBLE CHARGE IS ACTIVE DAILY ON -SITE TECHNICAL DIRECTION AND SUPERVISION OF, OR ACTIVE DAILY ON -SITE ACCOUNTABILITY FOR A COLLECTION SYSTEM OR MAJOR SEGMENT OF A COLLECTION SYSTEM. APPLICANT INFORMATION (PLEASE PRINT) 6— A 40.APLICrS6 A--\_ MAILING ADDRESS NAME: STREET: 60#'6,! -L CITY: Wce/06) STATE: _Tr, ZIP CODE: 'cD DAY TIME PHONE: 319 -A:59 - /760 - < 0 EMAIL ADDRESS: r 64..A.. C�►•-CCerSO ✓ I " MA61 /110rl.C®" Are you also certified by IDNR as a Water Or Wastewater Operator? Yes X No If so, what is your IDNR Operator ID No.? IDNR Operator ID Number **************************************************************** APPLICANT CERTIFICATION I HEREBY CERTIFY that this application contains no willful misrepresentation or falsification and that the information given by me is true and complete to the best of my knowledge and belief. I am aware that should investigation at any time disclose any such misrepresentation or falsification, my application will be rejected, my certificate will be revoked, and I will be disqualified from applying in the future for any certification under the jurisdiction of the IOWA WATER ENVIRONMENT ASSOCIATION. SIGNATURE OF APPLICANT: ;47 DATE: tc IOWA WATER ENVIRONMENT ASSOCIATION VOLUNTARY COLLECTION SYSTEMS OPERATOR CERTIFICATION EXAM APPLICATION CLASS OF EXAM: CHECK ONE ONLY CLASS I (HIGH SCHOOL DIPLOMA OR GED + 1 YEAR OF EXPERIENCE IN COLLECTION SYSTEM OPERATION) CLASS II (HIGH SCHOOL DIPLOMA OR GED + 3 YEARS OF EXPERIENCE IN COLLECTION SYSTEM OPERATION) CLASS III (2 YEARS OF POST HIGH SCHOOL EDUCATION + 4 YEARS OF EXPERIENCE IN COLLECTION SYSTEM OPERATION) CLASS IV (4 YEARS OF POST HIGH SCHOOL EDUCATION + 4 YEARS OF EXPERIENCE IN COLLECTION SYSTEM OPERATION INCLUDING 2 YEARS IN DIRECT RESPONSIBLE CHARGE1 OF A COLLECTION SYSTEM) THE EDUCATION AND EXPERIENCE REQUIREMENTS TO QUALIFY FOR THE EXAM CLASS INDICATED ABOVE MAY BE VERIFIED BY CONTACTING THE FOLLOWING INDIVIDUAL: NAME: PHONE: 1DIRECT RESPONSIBLE CHARGE IS ACTIVE DAILY ON -SITE TECHNICAL DIRECTION AND SUPERVISION OF, OR ACTIVE DAILY ON -SITE ACCOUNTABILITY FOR A COLLECTION SYSTEM OR MAJOR SEGMENT OF A COLLECTION SYSTEM. ***************************************************************************** APPLICANT INFORMATION (PLEASE PRINT) NAME : lit )J Ja / d . L 2 Jl / pp MAILING ADDRESS DAY TIME PHONE:(!%l; .--3'/ p 1 STREET: gal 011101 �%,0y[,K &EMAIL ADDRESS: CITY: 1,3/}jL1� C0 Are you also certified by IDNR as a W ter /� Or Wastewater Operator? Yes No STATE: TY"F If so, what is your IDNR Operator I No.? IDNR Operator ID Number ZIP CODE: 5-Q75:5 APPLICANT CERTIFICATION I HEREBY CERTIFY that this application contains no willful misrepresentation or falsification and that the information given by me is true and complete to the best of my knowledge and belief. I am aware that should investigation at any time disclose any such misrepresentation or falsification, my application will be rejected, my certificate will be revoked, and I will be disqualified from applying in the future for any certification under the jurisdiction of the IOWA WATER ENVIRONMENT ASSOCIATION. SIGNATURE OF APPLICANT DATE: IOWA WATER ENVIRONMENT ASSOCIATION VOLUNTARY COLLECTION SYSTEMS OPERATOR CERTIFICATION EXAM APPLICATION CLASS OF EXAM: CHECK ONE ONLY CLASS I (HIGH SCHOOL DIPLOMA OR GED + 1 YEAR OF EXPERIENCE IN COLLECTION SYSTEM OPERATION) JT CLASS II (HIGH SCHOOL DIPLOMA OR GED + 3 YEARS OF EXPERIENCE IN COLLECTION SYSTEM OPERATION) CLASS III (2 YEARS OF POST HIGH SCHOOL EDUCATION + 4 YEARS OF EXPERIENCE IN COLLECTION SYSTEM OPERATION) CLASS IV (4 YEARS OF POST HIGH SCHOOL EDUCATION + 4 YEARS OF EXPERIENCE IN COLLECTION SYSTEM OPERATION INCLUDING 2 YEARS IN DIRECT RESPONSIBLE CHARGE' OF A COLLECTION SYSTEM) THE EDUCATION AND EXPERIENCE REQUIREMENTS TO QUALIFY FOR THE EXAM CLASS INDICATED ABOVE MAY BE VERIFIED BY CONTACTING THE FOLLOWING INDIVIDUAL:--softer- NAME: PHONE: PHONE: q,_qc1 1 DIRECT RESPONSIBLE CHARGE IS ACTIVE DAILY ON -SITE TECHNICAL DIRECTION AND SUPERVISION OF, OR ACTIVE DAILY ON -SITE ACCOUNTABILITY FOR A COLLECTION SYSTEM OR MAJOR SEGMENT OF A COLLECTION SYSTEM. APPLICANT INFORMATION NAME: MAILING ADDRESS STREET: 3 6 04 CITY: STATE: ZIP CODE: 5 d 2® 1 (PLEASE PRINT) DAY TIME PHONE: EMAIL ADDRESS: 1q'-g3a-g54V Are you also certified by IDNR as Or Wastewater Operator? Yes If so, what is your IDNR Operator IDNR Operator ID Number a Water No ID No.? **************************************************************** APPLICANT CERTIFICATION I HEREBY CERTIFY that this application contains no willful misrepresentation or falsification and that the information given by me is true and complete to the best of my knowledge and belief. I am aware that should investigation at any time disclose any such misrepresentation or falsification, my application will be rejected, my certificate will be revoked, and I will be disqualified from applying in the future for any certification under the jurisdiction of the IOWA WATER ENVIRONMENT ASSOCIATION. SIGNATURE OF APPLICANT: DATE : 9/ 606 NAME: COMPANY: ADDRESS: CITY: ST: ZIP: E-MAIL: o 0 PHONE: Online Registration is quick and convenient at www,iawea.orq. You will receive a $10 discount for registering online prior to the conference) Please register me for the following (Circle One): Collection System Conference Fees: (Includes Thursday and Friday) Member. $1 10 Non -Member: $130 Collection System Exam ONLY $50 Collection System Conference PLUS Exam (Includes Thursday, Friday and Exam) Member: $160 Non -Member, $180 PACP Recertification Only Fees (Includes Wednesday PACP Renewal; Includes Version 7.0 Manual) Member: $450 Non -Member: $470 PACP Tralninq Fees (Includes Thursday and Friday PACP; Includes Version 7.0 Manual) Member: $750 Non -Member: $800 MACP/LACP Training Fees (Includes Friday MACP/LACP; Includes Version 7.0 Manual) Member: $330 Non -Member: $350 PACP/MACP/LACP Training Fees (Includes Thursday& Friday PACP/MACP/LACP; Includes 7.0 Manual) Member: $900 Non -Member: $950 Please make checks payable to IAWEA and mail to: Cindy Calentine City of Ames WPC Plant 56797 280th Street Ames, Iowa 50010 Or Fax To:515.233.0454 EARLY REGISTRATION IS APPRECIATED General Questions? Contact Curl Kampman at 515.964.1229 PACP Questions? Contact Roger McFarland at 515.965.6483 5) Vl t `o co N n o. n c a O U 0 N E O U ai c c N 0 U a a c U O c 0 0 0 a L_ N The IAWEA Collection System Committee is holding its 201h Annual Collection System Conference AND Pipeline Assessment and Certification Program (PACP). The two conferences will run concurrently on March 2-4, 2016. PACP Program This year the PACP program will include multiple training options. • PACP Recertification Only • PACP Only or MACP/LACP Only Training • PACP/MACP/LACP Training Each program will be limited to 15 with a minimum of 10 to hold the class, so do not wait to regisieri You MUST register before February 26, 20T6. The PACP Training schedule is as follows: Wednesday Schedule 8:00 - 10:00 am PACP Recertification Session 1 10:00- 10:15 am Break 10:15 - 12:00 pm PACP Recertification Session 2 12:00 - 1:00 pm Lunch (On Your Own) 1:00 - 2:30 pm PACP Recertification Session 3 2:30 - 2:45 pm Break 2:45 - 4:30 pm PACP Recertification Session 4 & PACP Recertification Testing Thursday Schedule 7:30 - 9:30 am PACP Training Session 1 9:30-9:45am Break 9:45 - 12:00 pm PACP Training Session 2 12:00- 1:00 pm Lunch (Provided) 1:00 - 2:30 pm PACP Training Session 3 2:30 - 2:45 pm Break 2:45 - 4:30 pm PACP Training Session 4 Friday Schedule 7:30 - 9:30 am PACP Training Session 5 9:30 - 9:45 am Break 9:45 - 11:30 am PACP Training Session 6 11:30-12:30 pm 12:30 - 2:00 pm 2V0-2:15 pm 2:15 - 4:30 pm 4:30-5:30 pm PACP Testing (If no MACP/LACP) or Lunch (On Your Own) (if MACP/LACP) MACP/LACP Training Session 1 Break MACP/LACP Training Session 2 PACP/MACP/LACP Testing Registration tees include lunch and snack breaks on Thursday. Lunch Is on your own on Wednesday and Friday. Would you like to become a member of IAWEA to receive your discount? Register for your annual membership online at www.lawea.org. Annual membership is $30. Membership benefits include a subscription to the IAWEA Reporter and annual conference and workshop discounts! Become a member today! Collection System Conference The Collection System Conference schedule is as follows (you must register by February 17, 2016 to take the ABC Collection System exam). Thursday Schedule Moderator. James Lund, P.E., Stanley Consultants 7:15 - 8:00 am Registration and Booth Setup 8:00 - 8:10 am Opening Remarks 8:10 - 9:00 am IDNR Update - Tom Atkinson, Iowa DNR 9:00-9:50am Eliminating River intrusion info Wastewater System - Brian Schadt, P.E., Cify of Davenport - Leo F. Foley, P.E., Veenstra & Kimm 9:50- 10:20 am Break 10:20- 11:10 am 11:10- 12:00 pm 12b0 - 1:00 pm 1:00-150pm 1:50-2:40pm 2:40-3:00pm 3:00 - 3:50 pm 3:50 - 4:40 pm 4:40 - 5:40 pm Friday Schedule Moderator. 6:00 - 7:30 am Pump Station Odor Control: A Real World Example - Michael Washburn, P.E., McClure Engineering Company Manhole Assessment and Rehabilitation - Randy Langer, P.E., Strand Associates Lunch (Provided with Conference) A Contractor's Perspective on Bidding and Construction - Troy Turner, Story Construction City of Clinton 25" Avenue Basin - David Haugen, P.E., HDR Engineering Break Pipe Cleaning Technology - Dana Hicks, ENZ USA Pump Station & Forcemain Design Considerations Chris Harrington, P.E., HR Green Networking & Social Hour James Lund, P.E., Stanley Consultants Golden Manhole Award Recipient Breakfast - Private Party Room, O'Hungry's 7:50 - 8:00 am Opening Remarks/Announcements 8:00 - 8:50 am Storm Lake Sanitary Sewer Mitigation Improvements - Bob Veenstra Jr., P.E., Veenstra & Kimm GIS Mapping & Your Utility - Kirk Larson, Midland GIS 9:40 - 10:00 am Break 10:00- 10:50 am OSHA Updates Mike Whitmore, OSHA Cedar Rapids Interceptor Lining & Bypass Pumping - Matt Wildman, P.E., HR Green 12:00 - 3:00 pm ABC Collection System Exam 8:50-9:40 am 10:50 - 11:40 am Why Should I Attend? This conference provides the perfect opportunity to obtain needed CEUs. The conference carries 1.0 CEU. One CEU is defined as 10 contact hours of participation in an organized continuing education experience under responsible sponsorship, capable direction, and qualified instruction. Partial credit will be awarded for Thursday only attendance (prior approval required). Marshalltown make it your destination CONVENTION A VISITORS BUREAU Marshalltown CenvNran • Visitors Bureau Hotel Accommodations Reservations can be made at Best Western Regency Inn 3303 S Center Street Marshalltown, IA 50158 641.752.6321 Super 8 Motel 3315 S Center Street Marshalltown, IA 50158 641.753.3333 z z z Oz 25o > wV wo Lf) 3¢ 3 0 20th Annual IAWEA Collection System Specialty Conference Pipeline Assessment and Certification Program Training March 2-4, 2016 Best Western Regency Inn 3303 S Center Street Marshalltown, A 50158 (Hwy 30 - Exit 185N) REGISTER ONLINE TODAY! www.iawea.org • It's quick & convenient! • Flexible payment options • Immediate confirmation Registration can also be mailed or faxed. NAME: IOWA WATER ENVIRONMENT ASSOCIATION VOLUNTARY COLLECTION SYSTEMS OPERATOR CERTIFICATION EXAM APPLICATION CLASS OF EXAM: CHECK ONE ONLY CLASS I (HIGH SCHOOL DIPLOMA OR GED + 1 YEAR OF EXPERIENCE IN COLLECTION SYSTEM OPERATION) X. CLASS II (HIGH SCHOOL DIPLOMA OR GED + 3 YEARS OF EXPERIENCE IN COLLECTION SYSTEM OPERATION) CLASS III (2 YEARS OF POST HIGH SCHOOL EDUCATION + 4 YEARS OF EXPERIENCE IN COLLECTION SYSTEM OPERATION) CLASS IV (4 YEARS OF POST HIGH SCHOOL EDUCATION + 4 YEARS OF EXPERIENCE IN COLLECTION SYSTEM OPERATION INCLUDING 2 YEARS IN DIRECT RESPONSIBLE CHARGE1 OF A COLLECTION SYSTEM) THE EDUCATION AND EXPERIENCE REQUIREMENTS TO QUALIFY FOR THE EXAM CLASS INDICATED ABOVE MAY BE VERIFIED BY CONTACTING THE FOLLOWING INDIVIDUAL: { NAME: VQ 0.0, C e,v -v'. l PHONE: I °I - 1- ) D - 73�� 'DIRECT RESPONSIBLE CHARGE IS ACTIVE DAILY ON -SITE TECHNICAL DIRECTION AND SUPERVISION OF, OR ACTIVE DAILY ON -SITE ACCOUNTABILITY FOR A COLLECTION SYSTEM OR MAJOR SEGMENT OF A COLLECTION SYSTEM. APPLICANT INFORMATION (PLEASE PRINT) D 0.k. C ` e ievkl- MAILING ADDRESS DAY TIME PHONE: STREET: 131 4C U �vst_ CITY: STATE: A ZIP CODE: S D L O 2-- EMAIL ADDRESS: Are you also certified by IDNR as a Water Or Wastewater Operator? Yes No If so, what is your IDNR Operator I No.? IDNR Operator ID Number APPLICANT CERTIFICATION I HEREBY CERTIFY that this application contains no willful misrepresentation or falsification and that the information given by me is true and complete to the best of my knowledge and belief. I am aware that should investigation at any time disclose any such misrepresentation or falsification, my application will be rejected, my certificate will be revoked, and I will be disqualified from applying in the future for any certification under the jurisdiction of the IOWA WATER ENVIRONMENT ASSOCIATION. - SIGNATURE OF APPLICANT: DATE: a - 10 - (‘ TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. LINE ITEM USED FY _2016_ BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST STAFF ONLY 010-11-1150-1346 11GRTIDCTK48 /536 740 4:- DATE )2 J ;-/0- Original - Clerk/Finance Copy - Department NAME(S) AND POSITION(S): (4) four Waterloo Police Officers DATE: February 9th, 2016 NAME OF CLASS / MEETING: Governor's Traffic Safety Bureau d ri-Jt.16 Leti� is e �c L DESTINATION: Okoboji, Iowa DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: April 25th, 201 *2 Return Date: April27th, 201 DATE(S) OF MEETING: April 26th-27th 201 1p PURPOSE OF TRAVEL: Captain Leibold is requesting authorization to send (4) four Waterloo Police Officers to the Governor's Traffic Safety Bureau Training Conference in Okoboji, Iowa. This conference, which is put on by the State of Iowa's Governors Traffic Safety Bureau, brings officers from across the state together to develop plans on how to combat traffic related problems that includes traffic and alcohol enforcement. The registration fee and meals are paid out of the GTSB Grant. The Hotel and Lunch are paid directly by the state of Iowa Governor's Traffic Safety Bureau. A city vehicle will be needed for travel to this training. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: CITY VEHICLE AIRFARE DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: $00.00 LODGING $240.00 MEALS $400.00 REGISTRATION $/00.00 MILEAGE/FUEL TOTAL FOR ALL: $ 740.00 Rental car PARKING AIRFARE MISC/TOLLS BUDGET LINE ITEM: x GRANT REIMBURSABLE YES YES NO x REQUIRED CERTIFICATION NO TOTAL: $ 185.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO I APPROVE THIS TRAVEL REQUEST DEPARTMENT HEAD MAYOR rt DATE DATE TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. STAFF ONLY LINE ITEM USED 010-11-1160-1528 FY _2016_ BUDGETED 11PRO-PbK9 /YeMogi EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST /y'j =/S DATE Original - Clerk/Finance Copy - Department NAME(S) AND POSITION(S): Sgt. Bose / Sgt. Farmer / P.O. A. Bovy / P.O. T. Brownell DATE 2/2/16 NAME OF CLASS / MEETING: 2016 USPCA Certification for K-9 Teams DESTINATION Manchester, Iowa DEPARTURE POINT IF NOT WATERLOO: DEPARTURE DATE: April 11 th, 2016 Return Date: April 13`h, 2016 DATE(S) OF MEETING: April 11-13th, 2016 PURPOSE OF TRAVEL: Captain Leibold is requesting authorization to send Sgt. Bose, Sgt. Farmer, P.O. Al Bovy and P.O. Tyler Brownell to USPCA Certification for K-9 teams in Manchester, Iowa. This is an annual mandatory USPCA Narcotics Recertification Detection class that must be attended by all Waterloo Police Department K-9 teams. City vehicles will be needed for travel to this training. This training will be paid for out of the K-9 fund. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: x CITY VEHICLE AIRFARE DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: $.00 LODGING .00 Metro trans $180.00 MEALS .00 Parking $225.00 REGISTRATION .00 AIRFARE $/00.00 MILEAGE/FUEL .00 Baggage fee TOTAL FOR ALL: $ 505.00 BUDGET LINE ITEM: x GRANT REIMBURSABLE YES NO x REQUIRED CERTIFICATION YES NO TOTAL: $ 126.25 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO I APPROVE THIS TRAVEL REQUEST DEPARTMEN HEAD MAYOR 2 3 t DATE DATE TRAVEL REQUEST CITY OF WATERLOO FINANCE DEPT. LINE ITEM USED FY _2016_ BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance STAFF ONLY 010-11-1100-1346 3' v`2.- i/e ?. 3 o7/. tv `7(0 5)1 /(v Copy - Department NAME(S) AND POSITION(S): Lt. Lisa Campbell DATE: February 3' 1, 2016 NAME OF CLASS / MEETING: Impact and Influence DEPARTURE DATE: March 6t h, 2016 DESTINATION: St. Paul, Minnesota DEPARTURE POINT IF NOT WATERLOO: DATE(S) OF MEETING: March 7th thru 8th, 2016 Return Date: March 8th, 2016 PURPOSE OF TRAVEL: Captain Leibold is requesting authorization to send Lt. Lisa Campbell to Impact and Influence, which is one section of eight classes in Supervision and Management Training, being held in St. Paul, Minnesota, and is being put on by BCA Criminal Justice Training on March 7`h thru the 81h, 2016. This class will assist supervisors on working to influence people in a positive way to achieve goals and objectives. Influence employed correctly, efficiently moves people in positive directions. A city vehicle will be needed for the travel to this training. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$ YES NO METHOD OF TRAVEL: X CITY VEHICLE AIRFARE DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: $.00 LODGING $.00 MEALS $290.00 REGISTRATION $50.00 MILEAGE/FUEL TOTAL FOR ALL: $ 340.00 Rental car PARKING AIRFARE MISCITOLLS BUDGET LINE ITEM: YES YES NO TOTAL: $ 340.00 PER PERSON x GRANT REIMBURSABLE NO x REQUIRED CERTIFICATION I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO DEPARTMENT HEAD DATE I APPROVE THIS TRAVEL REQUEST MAYOR / 31/ DATE TRAVEL REQUEST CITY OF WATERLOO NAME(S) AND POSITION(S): Lt. Lisa Campbell FINANCE DEPT. LINE ITEM USED FY _2016_ BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance STAFF ONLY 010-11-1100-1346 /7 33 3�v 3 3 ( Copy - Department NAME OF CLASS / MEETING: Stress, Trauma and Burnout DEPARTURE DATE: May 1st, 2016 DATE: February 3rd, 2016 DESTINATION: St. Paul, Minnesota DEPARTURE POINT IF NOT WATERLOO: DATE(S) OF MEETING: May 2, d thru 3rd, 2016 Return Date: May 3rd, 2016 PURPOSE OF TRAVEL: Captain Leibold is requesting authorization to send Lt. Lisa Campbell to Stress, Trauma and Burnout, which is one section of eight classes in Supervision and Management Training, being held in St. Paul, Minnesota, and is being put on by BCA Criminal Justice Training on May 21 d thru 3rd 2016. This class will cover how stress impacts your ability to manage people, how effective managers must be aware of signs and stressors which can lead to unexpected conflict and pressure within their employees, managers or themselves. A city vehicle will be needed for the travel to this training. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$ YES NO METHOD OF TRAVEL: X CITY VEHICLE AIRFARE DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: $.00 LODGING $.00 MEALS $290.00 REGISTRATION $50.00 MILEAGE/FUEL TOTAL FOR ALL: $ 340.00 Rental car PARKING AIRFARE MISCITOLLS BUDGET LINE ITEM: YES YES x GRANT REIMBURSABLE NO x REQUIRED CERTIFICATION NO TOTAL: $ 340.00 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY OF WATERLOO I APPROVE THIS TRAVEL REQUEST DEPARTMENT HEAD MAYOR L( Wad- i DATE DATE TRAVEL REQUEST CITY OF WATERLOO NAME(S) AND POSITION(S): Greg Ahlhelm, Plans Examiner Jeff Siebel, Property Safety Inspector FINANCE DEPT. STAFF ONLY LINE ITEM USED 4)/p er 5/00 /3 cite FY 11 )IG BUDGETED y<? 5 (J c}� EXPENDED YTD 6 fo 3, N� THIS REQUEST / 7 5 - LEFT AFTER THIS 5 REQUEST /.3 Cj/ DATE Original - Clerk/Finance 7%761 -/o 2 , / , Copy - Department NAME OF CLASS / MEETING: Intro to 2015 International Building Code DEPARTURE DATE: 4/3/2016 PURPOSE OF TRAVEL/TRAINING CEU & Training DATE: 2/5/2016 DESTINATION Madison, WI DEPARTURE POINT IF NOT WATERLOO RETURN DATE: 4/5/2016 DATE(S) OF MEETING: 4/4/2016-4/5/2016 WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $ YES NO METHOD OF TRAVEL: X CITY VEHICLE AIRFARE PRIVATE VEHICLE DEPARTING FROM: Waterloo, Iowa ESTIMATE OF COST: 600.00 LODGING 210.00 MEALS 895.00 REGISTRATION 50.00 MILEAGE/FUEL TOTAL FOR ALL: $ 1755.00 TAXI PARKING AIRFARE MISCITOLLS BUDGET LINE ITEM: 010-22-5100-1346 X GRANT REIMBURSABLE YES NO X REQUIRED CERTIFICATION YES NO TOTAL: $ 877.50 PER PERSON I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS NECESSARY AND BENEFICIAL TO THE CITY 9F. WATERLOO I APPROVE THIS TRAVEL REQUEST DEPARTMENT HEAD MAYOR DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date //S77 (o The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Bldg Maint Department to expend $ 13,920.00 plus est. shipping costs of $ to pay for or purchase This purchase or expenditure is being made because: Purchase of 160 light fixtures for Five Sullivan Brothers Convention Center - upper floor- rooms 21-24. (MidAmerican will rebate $11,200.00) Vendor selected for this purchase: VO-n 0'lei-e�'�- ❑X Bids or written quotes were taken on this purchase, as follows: Van Meter - fixtures @ $87.00 ea Crescent Electric - fixtures @ 97.83 ea 3E fixtures @ $104.35 ea 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 n Sewer ❑ Sanitation Bonds nFederal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 010-22-6860-1521 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respee filly submitted (Project Code) $ v f /& yav $ Sio s3 -1e-I(0 77 / /4).ti-11-s -1 (Signature Dept. Head or Designee) Date (Sighature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date /'57/ The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Bldg Insp Department to expend $ 1,750.00 plus est. shipping costs of $ to pay for or purchase This purchase or expenditure is being made because: DR M1060 Canon Scanner for Building Inspection Department Vendor selected for this purchase: Advanced Systems Inc. ❑X Bids or written quotes were taken on this purchase, as follows: Advanced Systems Inc. - $1,750.00 (bids taken by MIS) 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 n Other (specify) This expenditure is to be coded to the following budget line -item: 415-22-8800-2152 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfullys> fitted, Sanitation (Project Code) bC $ ( ynature We —ad or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City of Waterloo Expenditure Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Central Garage $ 4,625.00 plus est. shipping costs of $ 0.00 Engine diagnostic adapters and software updates Department to expend to pay for or puchase This purchase or expenditure is being made because: Necessary for troubleshooting diesel engines: Cat - Cummins - Mack - Detroit n Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: OEM's Only. 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: 010-18-7950-1375 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is (Project Code) $ 5,625.00 P Respectf submitted, (Signature Dept. H d or Designee) Date (Signature Finance Dept. Review) Date users\shared goodies\forms\Central Garage - Engine Diagnostic Software and Adapter Updates - Feb 2016.xls(Oct 2004) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date a-/ The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Engineering Department to expend $ 4,185.48 plus est. shipping costs of $ 0.00 to pay for or purchase Autocad Infrastructure Design Suite Software support. This purchase or expenditure is being made because: Or current support contract expieres on March 5, 2016. The support contract provides tech support and upgrade in software. This is our main road design software. Vendor selected for this purchase: DLT Solutions n Bids or written quotes were taken on this purchase, as follows: ❑x Bids or quotes were not taken on this purchase because: DLT Solutions is the only government supplier of AutoCad software. All vendors must go through DLT Solutions for pricing when supplying software to government agencies. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund Bonds ❑ Road Use Tax Sewer ❑ Sanitation Federal/other grants n Other (specify) Local Option Sales Tax This expenditure is to be coded to the following budget line -item: 205-07-7830-1520 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, ,/(,te � r,�tiv 2%�r 72 �Zc &Lee..> wl a7O-ao1( (Signature Dept. Head or Designee) ate (Signature Finance Dept. Review) Date (Project Code) $ 6,500.00 $ 6,500.00 K:\shared goodies\form&Autocad 2017 Pre-Authorization.xlsx (Mar 2010) OLT Price Quotation Quote: 4480966 Reference: 1141488 Date: 02/03/2016 Expires: 03/05/2016 To: Mr. Jamie Knutson Waterloo City of (IA) 715 Mulberry Street Waterloo, IA 50703 Phone: (319) 291-4312 Fax: (319) 291-4262 Email: jamie.knutson@waterloo-ia.org From: Ervin So DLT Solutions, LLC 2411 Dulles Comer Park Suite 800 Herndon, VA 20171 Phone: (703) 708-9688 Fax: (866) 708-6705 Email: ervin.so@dlt.com # DLT Part No. Contract Qtv Unit Price 1 9701-8803-16-N R 1 OM Autodesk Infrastructure Design Suite Premium 2016 Government Subscription Renewal - 1 year PoP: 3/6/2016 through 3/5/2017 This quote is being sent on behalf of IMAGINiT Technologies, your Autodesk Solutions Provider. Ext. Price $4,185.48 Total: $4,185.48 Contract Number: OPEN MARKET DUNS #: 78-646-8199 Federal ID #: 54-1599882 CAGE Code: OSOH9 FOB: Destination Terms: Net 30 (On Approved Credit) DLT accepts VISA/MC/AMEX DLT's standard Terms & Conditions apply PLEASE REMIT PAYMENT TO: ACH: DLT Solutions, LLC Bank of America ABA# 111000012 Acct # 4451063799 -OR- Mail: DLT Solutions, LLC P.O. Box 743359 Atlanta, GA 30374-3359 Customer orders subject to applicable sales tax in: CA, CO, CT, DC, FL, GA, HI, IL, IN, KS, KY, LA, MA, MD, MI, MO, MS, NC, NM, NJ, NV, NY, OH, OK, PA, RI, SC, TN, TX, VA, WA, WI The terms and conditions of the Manufacturer's standard commercial license and subscription agreement are made a part of this quotation and shall govern purchaser's use of any Manufacturer product. Contact the DLT Sales Rep if further information is required. Documentation to be submitted to validate Invoice for payment: a. Authorized Services shall be invoiced with a corresponding time report for the period of performance identifying names, days, and hours worked. b. Authorized reimbursable expenses shall be invoiced with a detailed expense report, documented by copies of supporting receipts. c. Authorized Education or Training shall be invoiced with a Report identifying date and name of class completed, and where applicable the name of attendees. DLT CONFIDENTIAL Page 1 of 1 City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date-}11514- The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Leisure Services Department to expend $ 1,931.20 plus est. shipping costs of $ to pay for or purchase trees to be planted downtown This purchase or expenditure is being made because: Several trees died in downtown landscape. Vendor selected for this purchase: Matthias Landscaping Bids or written quotes were taken on this purchase, as follows: Matthias Landscaping ($1,931.20) was only bidder to submit sealed bid. n Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: 0 General Fund Bonds Road Use Tax ❑ Sewer n Sanitation Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-37-4100-1536 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 5,000.00 and the current available balance is $ /72 37 4-- Respectfully submitted, 2/1 o 'i (p ZJLL-e0-e ,cat -/U-76 (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date Ushered goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Leisure Services Department to expend $ 24,168.68 plus est. shipping costs of $ to pay for or purchase Trees to be planted in several parks - Sullivan Park, Highland Park, Highland Square, and Gates Park. City Clerk Use Only Finance Committee Approval Date "V; Sh L This purchase or expenditure is being made because: Ash trees were removed from these parks due to emerald ash borer infestation and this project will replace many of those trees. Vendor selected for this purchase: Matthias Landscaping n Bids or written quotes were taken on this purchase, as follows: Matthias Landscaping ($24,168.68) was only bidder to submit sealed 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: General Fund n Road Use Tax n Sewer n Sanitation Bonds n Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 010-37-4105-1536 3 a°i 1.55 (Fund - Department - Activity - Account Number) otc-3't-4lcU-1536 s 8-17013 in which the budgeted amount is and the current available balance is 37RST.MIDA (Project Code) 4105 ryaw'O 4106 $ /i0,000.00 S, o00 $ 4,694.55 .✓ 3,o00 - V Respectfully submitted, ?/I O I Co ,v'b_ l>,e-e-d1uu_2 ia-1G (Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) \ I I D A M R I C A N ENERGY'STREE-PLANTING PROGRANI STRATEGICALLY PLANTING TREES WITH AN ENERGY EFFICIENCY FOCUS December 15, 2015 Todd Deerfield City of Waterloo 1101 Campbell Ave Waterloo, IA 50701 Congratulations! Your community has been selected to receive a grant for $20,000 through MidAmerican Energy's Tree Please! program. The check will be delivered by April 2016, and will help you fulfill your commitment to making your community a better place to live. MidAmerican Energy is proud to partner with your community, and we look forward to seeing the results of your tree -planting project. Below are reminders of the Trees Please! program requirements. • Grant money must be used for purchase of trees only. • This program is not a residential customer tree -planting program. • The trees must be planted in common areas such as parks, trails and city -owned rights of way. • Matching funds from other sources that equal MidAmerican Energy's grant amount must be secured. This requirement can be met by in -kind services, donated labor and/or materials. We look forward to working with you and your community. Please call 800-434-4017 with questions. Sincerely, Tina M Yoder Director, Energy Efficiency City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date /S-1/ (' The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Planning Department to expend $ 2,220.00 plus est. shipping costs of $ 0.00 to pay for or purchase Asbestos removal -SE entry flooring for the Old Wonder Bread Facility; 325 Commercial This purchase or expenditure is being made because: During the construction, add'I asbestos was discovered during removal of interior walls. Vendor selected for this purchase: Advanced Environmental Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: time is of the essence Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund n Road Use Tax n Sewer Sanitation n Bonds n Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 415 08 5150 1396 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available ialartce is (Project Code) $ 310,900.00 $ 07,380.00 0.71w•s 5j 2-o 1. I (o (Signature (Signature Dept. Head or Designee) Date Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) Proposal Proposal Submitted To: Community Planning and Development Attn: Chris Western 715 Mulberry Street Waterloo, IA 50703 Project & Address: Asbestos Removal -SE entry Flooring Old Wonder Bread Facility 325 Commercial Street Waterloo, IA 50701 Phone: 319-291-4366 Date: 01 /29/2016 Fax: 319-291-4262 ENVIRONMENTAL` *mow t ESTINO AND AOATeMENT. INC, =,' 803 Ricker St. Waterloo, IA 50703 Phone: 319-287-4447 Fax: 319-287-4449 WE HEREBY PROPOSE to furnish all the materials, equipment and perform all labor for the completion of: Change Order for Asbestos project at above referenced location: Approximately 550 sq. ft. of transite cement board on the floor and 550 sq. ft. of floor tile at the above referenced project PROPOSAL INCLUDES: (1) All Disposal Fees; (2) Daily OSHA required personal & excursion air monitoring; (3) work performed in accordance with state & federal regulations. State of Iowa requires a ten (10) working day notification by the contractor prior to commencement of work. OWNER'S RESPONSIBILITIES (Initials required on all Nnes):(1) Provide all required utility services (water/electric) WE PROPOSE to furnish material and labor, complete in accordance with the above specifications for the sum of: Two Thousand Two Hundred Twenty Dollars ($2,220.00) TERMS: Net 30 days All work is guaranteed to be as specified All work to be completed in a workmanlike manner according to specified practices My alteration or deviation from the above specifications involving extra costs will be executed only upon written orders and wi4 become en extra charge above the estimate A/I agreements contingent upon strikes, accidents or delays beyond our control Owner to carry fire, tornado. and other necessary insurance. We carry genera Nobility insurance and our workers are fully covered by workers compensation insurance. NOTE: This proposal may be withdrawn by us if not accepted within 30 days. Respectfully Submitted, ADVANCED ENVIRONMENTAL TE - ING AND ABATEMENT, INC. we lyn ACCEPTANCE OF PROPOSAL The prices, specifications and condit ens - - satisfal and are hereby accepted. You are authorized to do the work as specified. Payment(s) will be made as outll -d above, Signature: Date: Name & Title (PRINT)' City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date 3I I. The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Police Department to expend $ 2,430.70 plus est. shipping costs of $ 15.00 to pay for or purchase Fortinet Wireless Access Points and Maintanence agreement This purchase or expenditure is being made because: to replace older wireless access points and provide better connectivity coverage for the internet and boost the wireless signals within the Police Department Vendor selected for this purchase: Aces Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: Aces is the support provider and hardware of the Computer network used by the Police Department. This purchase is a contivation of an existing system used by the Police Department Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: El 0 General Fund Bonds Road Use Tax n Sewer n Sanitation Federal/other grants ri Other (specify) This expenditure is to be coded to the following budget line -item: 415-11-1100-2106 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully su 'tted (Project Code) $ ice3,,zood� 4160' (Signature Dept. Hear ._ignee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre -Authorization aces (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date 9-it The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Police Department to expend $ 3,200.00 plus est. shipping costs of $ 50.00 to pay for or purchase Repair pole camera and replace new IP Camera This purchase or expenditure is being made because: an upgrade in a older camera system which no longer can be repaired Vendor selected for this purchase: Frontier Technology n Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: Frontier Technology is the sole provider for the equiptment currently used by the Police Department and the Task Force 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 n Other (specify) Tri-County Forfeture Func This expenditure is to be coded to the following budget line -item: 010-11-1160-1512 11TRITRIF (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully s bmitted, (Signature D t. Head nee) (Project Code) pew— 6et - $ 7%ea, 82641Q- $ 1/lp, 4 Igo Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre -Authorization (Mar 2010) City Clerk Use Only Finance Committee Approval Date 5// (c 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 ubmitted by the Street $ 2,79-8407�"�� -3 t: s�'i ping costs of $ 0.00 A05 Loader - Rear.. differential recondition Department to expend to pay for or purchase This purchase or expenditure is being made because: Differential leaking excessively Vendor selected for this purchase: Murphy Tractor n Bids or written quotes were taken on this purchase, as follows: n Bids or quotes werenot taken on this purchase because: OEM Only Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: nGeneral Fund nBonds Road Use Tax n Sewer n Sanitation Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-18-7955-1571 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, (Project Code) $ 220,000.00 1/ $ (05, ala' •� 2 - ro r 6 7,.o i� K:\shared goodies\forms\Street Department - A05 Loader Rear Differential Reconditioning - Feb 2016.xls (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date " 1/5-h is 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 $ 18,852.21 plus est. shipping costs of $ to pay for or purchase 15 - 31 ft. street light poles and 8' arms This purchase or expenditure is being made because: Replace deteriorated city owned street light poles. Vendor selected for this purchase: Van Meter ❑X Bids or written quotes were taken on this purchase, as follows: Van Meter Waterloo, Iowa $18,852.21 Echo Group, Inc. Cedar Falls, Iowa $18,985.00 3E Waterloo, Iowa $19,983.35 Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: nGeneral Fund ❑ Road Use Tax n Sewer n Sanitation nBonds Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 414-17-7105-2125 415-17-7105-2125 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfully submitted, $ 20,000.00 30,000.00 / $ 13,428.15 /30,000.00 / (SiDept. H:ad or Designee) Pate (Signature Finance Dept. Review) Date K:\shared goodies\forms\2016-February-Pre-auth-15 poles & arms - Van Meter-18,852.21-GO Bond (415 & 415).xls (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date 2Qto 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 $ 6,510.00 plus est. shipping costs of $ to pay for or purchase 2 - EPAC traffic signal controllers This purchase or expenditure is being made because: Replace controller at W. 6th & Washington and a spare to be used for replacing failed controllers to keep intersection operating. Vendor selected ,for this purchase: Mobotrex (formerly Brown Traffic) ❑ Bids or written quotes were taken on this purchase, as follows: Mobotrex (formerly Brown Traffic) Davenport, IA $3,255.00 each ❑ 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 n Sewer El Federal/other grants n Other (specify) This expenditure is to-be.coded to the following budget line -item: 415-17-7161-2125 (Fund,- Department -Activity -,Account Number) in which the budgeted . amount is and the current available balance is Sanitation (Project Code) $ 65,000.00 / $ 65,000.00'" Respectfully submitted, Sig ature Dept. H ad or Designee) ate (Signature Finance Dept. Review) Date K:\shared goodies \forms\2016-February-Pre-auth-2 EPAC controllers - Mobotrex-$6,510-GO Bond (415).xls (Mar 2010) Budget Amendment Descriptions for 2/15/2016 Finance Committee Meeting Agenda: 1. Approve the project budget for the Riverfront Stadium Scoreboard funded with donations if the amount of $110,000, a hotel/motel tax grant in the amount of $10,000, a gaming grant in the amount of $150,000 and $30,000 in bond funds for a total project cost of $300,000, as submitted by Leisure Services. 2. Approve the project budget for the Home Park Blvd Tree Replacement project funded with a grant through the Community Foundation in the amount of $7,171 and the MidAmerican Energy funding for trees in the amount of $1,403, for a total project cost of $8,574, 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. CONSTRUCTION PROJECT BUDGET WORKSHEET PAGE TWO City Clerk Use Only Finance Committee Approval Date -7/.0 w Project Name (from page one) Riverfront Stadium Scoreboard Department No. project will be budgeted under 37 Activity No. project will be budgeted under 4105'61110o REVENUES: 3000 Cash on Hand 3111 Hotel Motel Discretionary 3720 BHCGA GRANT 3357 Shared Program - County '3358 Shared Program - City 3360 Shared Program - State 3361 State Grant 3720 Donations - Wloo Ball Club 3720 Donations - Cedar Valley sport: 3720 Donations - Restricted 3750 Sale of Bonds EXPENDITURES: To be assigned bytthe �5 (1Finance Deepptt.. Project No. 3'1 L "i , ?y t ' Subproject No6I-PD1 SCU (Eachjcolumn should only include amounts by fund) �� Fund: ''I �P Fund: 414 Fund: DO Fund: 426 115rr 31 Sria 3'114 Kr t /37Tr +- 1r-37-4}Qf©° 414-37-4400 010-37-4105 +-31'4 / O 105,000.00 5,000.00 10,000.00 150,000.00 Total b0,000.00 150, 000.00 105,000.00 5,000.00 30.000.00 30,000.00 TOTALS $ 110,000.00 $ 30,000.00 $ 40,000.00 $ 150,000.00 $ 300,000.00 2103 Engineering & Consulting 2125 Traffic Control Equipment 2140 Land Acquisition 2144 Land Improvements 2146 Demolitions 2151 Building Construction 2156 Bikeway Construction 2162 Storm Sewers 2170 Stadium Improvements 110,000.00 (Signature Dept. He TOTALS $ 110,000.00 30,000.00 $0,000.00 $ 30,000.00 150,000.00 363,000.00 $ 40,000.00 $ 150,000.00 $ 363,000.00 /S �/ ��t (121d�%t fr AOI6, Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Project Budget Worksheet.xls\Page 2 (Constr Proj) (Mar 2010) PROJECT BUDGET WORKSHEET - ALL PROJECTS PAGE ONE Project Name Riverfront Stadium Scoreborad City Contract No. Project Manager Project Budget Total $ Travis Nichols 1. How will this project be funded? A. Federal Grant Yes No Grant Name CFDA # B. State Grant Yes Grant Name C. City Match No Source of Funding bond funds D. Other Entities Yes Name No Gaming, Hotel Motel, Waterloo Ball Club, SV Sports 2. Attach copies of any grant agreements that will fund the project (REQUIRED) To be assigned by the Finance Dept. Project No. 3iUr i'( 3 Subproject No. 51 i j f % 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 ❑ ❑ ❑ ❑ El E ❑ ❑X ❑ ❑X ❑ ❑X The project will include a new scoreboard/video board at the Riverfront Stadium. Funded by Waterloo Gaming, Waterloo Ball Club, Hotel Motel discretionary funds, and Cedar Valley Sports. Page 2 must be attached and signed. K.\shared goodies\forms\Project Budget Worksheet.xls\Page 1 All Projects (Mar 2010) PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION PAGE TWO Project Name (from page one) Home Park Boulevard Tree Replacement ¢yv261/(0 Department No. project will be budgeted under 37 Activity No. project will be budgeted under 4105 City Clerk Use Only Finance Committee Approval Date //S/ to To be assigned by the Finance Dept. Project No. Subproject No. f fTrz/ �p (Each column should only include amounts by fund) Fund: 010 Fund: 010 Fund: Fund: REVENUES: 010-37-4105 37RST-MIDA 3000 Cash on Hand 3350 Federal Grant 3352 Federal HUD Grant 3354 Shared Program - Local 3357 Shared Program - County 3358 Shared Program - City 3360 Shared Program - State 3361 State Grant 3720 Donations - Restricted 3750 Sale of Bonds 3111 Hotel Motel Discretionary EXPENDITURES: 1,403.00 010-37-4105 3'l(Zsle. Total 7,171.00 8,574.00 TOTALS $ 1,403.00 $ 7,171.00 $ $ - $ 8,574.00 1111 Salaries - Regular 1112 Salaries - Part Time 1315 Education & Training 1345 Travel - Official City 1346 Travel - Prof Training 1390 Contractual Services 1536 Trees TOTALS 1,403.00 7,171.00 8,574.00 $ 1,403.00 $ 7,171.00 $ $ $ 8,574.00 7—r2L���a .2.0 /6 Signature Dept. a-d) Date (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 Home Park Blvd Tree Replacement City Contract No. Project Manager Project Budget Total Todd Derifield $ 8,574.00 1. How will this project be funded? A. Federal Grant Yes Grant Name No CFDA # B. State Grant Yes Grant Name No C. City Match Source of Funding D. Other Entities Yes Name No MidAmerican Grant and Comm Foundation Grant To be assigned by the Finance Dept. Project No. Subproject No. 37 /4r 2'. Attach copies of any grant agreements that will fund the project (REQUIRED) % 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) 100.00% Done None ❑X ❑ Yes No ❑ ❑X ❑ ❑ ❑ ❑X ❑ 0 ❑ ❑X ❑X This project is to replace trees in the Home Park Boulevard. Many trees were removed on Home Park Boulevard This project is planting a disease resistant species. FUNDING - we will be using $7,171,00 a grant from the Community Foundation of Northeast Iowa and $1,403.00 will be paid by funds received in the Please Trees grant from MidAmerican Energy. 37RST-MIDA Page 2 must be attached and signed. K:\shared goodies\forms\Project Budget Worksheet.xls\Page 1 All Projects (Mar 2010)