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HomeMy WebLinkAbout11/09/2015FINANCE COMMITTEE November 9, 2015 5:10 PM Harold E. Getty Council Chambers Members Chairperson Carolyn Cole Vice Chair Steve Schmitt David Jones Roll Call: Approval of Agenda Approval of Minutes of November 2, 2015, as proposed. NEW BUSINESS TRAVEL REQUESTS 1. Jason Hernandez, Medical Officer Class/Meeting: IEMSA Conference Destination: Des Moines, IA Dates: 11/12/2015 Amount not to exceed: $220.00 2. Noel Anderson, Community Planning & Development Director Class/Meeting: 2016 Cedar Valley Coalition Destination: Washington, D.C. Dates: February 22-24, Amount not to exceed: $1,785.00 2016 3. Pre -Authorizations to Expend over $1,000.00 Central Garage Amount and Estimated S/H: $5,546.57 Expenditure: Directional bore conduit to fuel distribution kiosk. Central Garage Amount and Estimated S/H: NTE $7,500.00 Expenditure: Fiber Optic cable to fuel distribution site. Leisure Services Amount and Estimated S/H: $4,200.00 Expenditure: Youth hockey equipment to be used in WYHA recreational hockey program and paid for with funds from the Fred G. Merold Fund. Leisure Services Amount and Estimated S/H: $16,645.00 Expenditure: Electrical service being run for lighting at Straub Ball Diamonds. Page 1 of 27 Public Works Amount and Estimated S/H: $4,335.59 Expenditure: Base modem and control station - GPS. Sanitation Amount and Estimated S/H: $13,516.16 Expenditure: GPS/AVL vehicle modem (16). Sewer Amount and Estimated S/H: $9,212.00 + $300.00 S/H Expenditure: Replacement Auma Electric Actuator for FEQ Basin. Traffic Amount and Estimated S/H: NTE $33,500.00 Expenditure: Yellow and white water base traffic paint and reflectorize beads. BUDGET LINE ITEMS TO BE AMENDED 4. Approve the budget amendment to use MidAmerican Energy rebates in the amount of $5,393.11 received by Young Arena for additional improvements at the arena. MIN PAYMENT 5. November 9, 2015 ADJOURNMENT Suzy Schares, CMC City Clerk/Human Resource Director Page 2 of 27 FINANCE DEPT. STAFF ONLY LINE ITEM USED 7)/D /i)' S1oc /3 % S TRAVEL REQUEST CITY OF WATERLOO FY2-6,4; BUDGETED EXPENDED YTD THIS REQUEST LEFT AFTER THIS REQUEST DATE Original - Clerk/Finance 371 77` Co. - De.artment NAME(S) AND POSITION(S): Noel Anderson, CP&D DATE: October 28, 2015 NAME OF CLASS / MEETING: 2016 Cedar Valley Coalition DEPARTURE DATE: Feb 22, 2016 DESTINATION: Washington DC DEPARTURE POINT IF NOT WATERLOO: DATE(S) OF MEETING: Feb 22-24, 2016 RETURN DATE: Feb. 24, 2016 PURPOSE OF TRAVEL/TRAINING: Travel with the Cedar Valley Coalition Group to meet with Congressional Delegation Members 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: 770.00 165.00 LODGING 100.00 MEALS REGISTRATION 650.00 MILEAGE/FUEL 100.00 TOTAL FOR ALL: $ 1,785.00 TAXI PARKING AIRFARE MISC/TOLLS BUDGET LINE ITEM: 010 08 5700 1345 X GRANT REIMBURSABLE YES NO YES NO TOTAL: $ 1,785.00 X REQUIRED CERTIFICATION PER PERSON ; I BELIEVE THIS TRIP SES A ' = IC RPOSE AND IS NECES D BE FICI L TO THE CITY 0 DEPARTMENT HEAD • I APPROVE THIS TRAVEL REQUEST MAYOR /c (2C9, )5-- DATE DATE K:\Shared Goodies\Forms\Travel Request Form January 2010 • 1ia-WY) (Huh <)/c LF February 21 Wednesday, February 24 February 23 Total PATTIE MAGEE From: NOEL ANDERSON Sent: Wednesday, October 07, 2015 4:08 PM To: PATTIE MAGEE; MICHELLE WESTPHAL Subject: Fwd: 2016 CVC to DC trip date set; need hotel commitments Fyi on wash DC dates. Sent from my iPhone Begin forwarded message: From: Steve Firman <steve@pmgrx.com> Date: October 4, 2015 at 1:10:09 PM CDT To: CVC Members <pmg@pmgrx.com> Subject: 2016 CVC to DC trip date set; need hotel commitments Friends, We have finally secured tentative rooms at the Washington Court Hotel for close to the preferred dates of the majority of our members — Monday and Tuesday, February 22-24, 2016. We were unable to find lodging for the nights of February 23-25 as originally planned, but the February 22-24 plan worked....go figure. So all of our meetings will be on February 23, as will our reception. If you wish, you could arrange individual meetings with agencies or consultants in DC for the afternoon of the 22th or on the 24th and still be home Wednesday evening. In addition, we were able to maintain the same room rate that we had this year - $319.00 per night plus tax. Tuesdays and Wednesdays in February through May are prime times for the hotels on the Hill, so they are less flexible with their rates. ice -As before, we will need to have commitments from all our members on how many rooms you will need for what nights. ACTION REQUESTED: How many room nights will your organization, city, school, whatever, be able to commit to now? Number of people: How many nights for each date: Monday, February 22 Tuesday, Do you want us to try to include other nights (although the rate may vary) yes no If yes, how many people would stay on: Saturday, February 20 Sunday, 1 Sent over 110315 TRAVEL REQUEST CITY OF WATERLOO NAME(S) AND POSITION(S): Jason Hernandez, Medical Officer NAME OF CLASS / MEETING: IEMSA Conference DEPARTURE DATE: November 12, 2015 DATE: 11-03-15 FINANCE DEPT. STAFF ONLY LINE ITEM USED ad /r2 / 1 a'16' FY2.4ll1/.; BUDGETED dOUx EXPENDED YTD 35 55' 1,, •% THIS REQUEST LEFT AFTER THIS REQUEST DATG J'2 /c"t—/ RETURN DATE: November 12, 2015 DESTINATION: Des Moines, IA DEPARTURE POINT IF NOT WATERLOO: DATE(S) OF MEETING: November 12, 2015 PURPOSE OF TRAVEL: Attend Continuing Education Classes required for Critical Care Paramedic recertification. WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: COST$ YES NO METHOD OF TRAVEL: CITY VEHICLE AIRFARE x DEPARTING FROM: PRIVATE VEHICLE ESTIMATE OF COST: BUDGET LINE ITEM: 010-121346 /v LODGING TAXI x GRANT REIMBURSABLE $25.00 MEALS PARKING YES NO $170.00 REGISTRATION AIRFARE x REQUIRED CERTIFICATION $25.00 MILEAGE/FUEL MISC/TOLLS YES NO TOTAL FOR ALL: $ $220.00 I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE AND IS__NECE SARY AND BENEFICIAL TO THE CITY ar WATE DEPARTMENT HEAD 11 I 1 DATE TOTAL: $ 220.00 PER PERSON 1 APPROVE THIS TRAVEL REQUEST MAYOR \) .t DATE 2015 : 26T" ANNUAL IEMSA CONFERENCE REGISTRATION REGISTER BEFORE OCTOBER 26TH TO AVOID A S50 LATE REGISTRATION FEE! FIRST NAME LAST NAME: ADDRESS CITY/STATE/ZIP LAST 4-DIGITS OF SSa DATE OF BIRTH: PHONE CERTIFICATION LEVEL EMAIL CERT/LICENSE IEMSA INDIVIDUAL MEMBERSHIP: SAVE UP TO $90 [SIGN-UP OR RENEW NOW & PAY MEMBER PRICES TODAY!J S o NEW o RENEW: $30/YR THURSDAY : PRE -CONFERENCE WORKSHOP REGISTRATION: S $CP oEFMHESH R / $150 NON-MEMBER S LEADERSHIP/MANAGEMENT WORKSHOP $120 MEMBER' / $150 NON-MEMBER I'1-SEAT 15 FREE TO EACH CURRENT AFFILIATE MEMBER) S PHTLS HYBRID COURSE '1/2 ONLINE & 1/2 ON -SITE DOES NOT INCLUDE ONLINE COURSE FEE OR BOOK $100 MEMBER/ $130 NON-MEMBER S NAEMSE EDUCATOR 1 COURSE - 3-DAY COURSE S --INCLUDING MANDATORY EMS STATE INSTRUCTOR WORKSHOP $400 MEMBER/ $450 NON-MEMBER 'MINIMUM OF 20 ATTENDEES NEEDED TO HOLD THIS CLASS MEDICAL DIRECTOR WORKSHOP *1/2 DAY WORKSHOP $60 MEMBER / $90 NON-MEMBER 2-DAY : FRIDAY & SATURDAY CONFERENCE REGISTRATION: $ $ $220 MEMBER / $290 NON-MEMBER 2-DAY LUNCH - PASS : $30 1-DAY : FRIDAY REGISTRATION S $165 MEMBER / $240 NON-MEMBER 1-DAY LUNCH - PASS : $15 1-DAY SATURDAY REGISTRATION: S $ LATE FEES: $165 MEMBER / $240 NON-MEMBER 1-DAYLUNCH -PASS : $15 + $5�0 `` REGISTRATION FEE - Kei,ISIRATIDNS REC'D AFTER 12 AM/OCTOBER 26TH s /-10TOTAL REGISTRATION FEES ® REGISTER BEFORE OCTOBER26TH 5AVOID A S50 LATE FEE ALL REGISTRANTS WILL RECEIVE AN IEMSA MESSENGERBAGI 3-WAYS TO REGISTER: ® ONLINE BY CREDIT CARD: Go to www.iemsa.net/ conference —click on "Register Now",complete the online form, make payment securely by credit card. © COMPLETE THIS REGISTRATION FORM MAIL WITH PAYMENT to confirm your registration. Make checks payable to IEMSA and mail to: 5550 Wild Rose Lane, Ste. 400, West Des Moines, IA 50266. ® COMPLETE THIS FORM AND FAX This method is only for credit card payment registrations. Fax to 877-478-0926. REFUND POLICY: Refunds, less a $50 processing fee, will be made for cancellations made prior to October 26th. No refunds made after Oct 15th. REGISTRATION DEADLINE: Register prior to October 30th to ensure entrance to the conference. Registrations received after this date & on-slte registrations may be limited. IEMSA will not invoice services for payment. PO's not accented form of payment. CANCELLATION POLICY: The Conference committee reserves the right to cancel any session or special event that does not meet minimum requirements, or to change a speaker as necessary. El CHOOSE YOUR BREAK-OUT SESSIONS ON THE BACK OF THIS FORM. REGISTRATION FORM > CONTINUED ON PAGE 26 ] City Clerk Use Only Finance Committee Approval Date /) /1 5i City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Central Garage Department to expend $ 5,546.57 plus est. shipping costs of $ 0.00 to pay for or purchase Directional bore conduit to fuel distribution kiosk This purchase or expenditure is being made because: Conduit required to connect fiber to computerized fuel inventory program and tank leak detection Vendor selected for this purchase: Hoffman Trenching n Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: Could not get additional bids. Limited service providers available Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: EGeneral Fund 0 Road Use Tax n Sewer n Sanitation ❑x Bonds ❑ Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 410-18-7950-2152 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, (Project Code) $ 35,000.00 ✓ $ .18,767.44 //,;&-.7 � ✓ r //-3-/s" K:\shared goodies\forms\Central Garage - Fiber Conduit to Fuel Kiosk - Nov 2015.xls (Mar 2010) City Clerk Use Only Finance Committee I Approval Date l/I r City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Central Garage $ NTE 7500.00 plus est. shipping costs of $ 0.00 Fiber Optic Cable to Fuel Distribution Site Department to expend to pay for or purchase This purchase or expenditure is being made because: Fiber connection to allow data collection for fuel management software and underground storage tank leak detection Vendor selected for this purchase: Metro Wire & Cable Co nBids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: Matches existing fiber being connected to Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑x x General Fund n Road Use Tax ❑ Sewer Bonds n Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 410-18-7950-2152 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, Sanitation (Project Code) $ 35,000.00 ✓ $ 18,767.44 >/ it --S/-/s K:\shared goodies\forms\Central Garage - Fiber Cable to Fuel Kiosk - Nov 2015.xls (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date j /mot 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 $ 4,200.00 plus est. shipping costs of $ Included to pay for or purchase Youth hockey equipment to be used in WYHA recreational hockey program and paid for with funds from the Fred G. Merold Fund. This purchase or expenditure is being made because: The generous donation from the Fred G. Merold Fund allows beginning youth hockey players the opportunity to try hockey by providing the necessary equipment. Vendor selected for this purchase: ARROW HOCKEY- Stoughton, MA n Bids or written quotes were taken on this purchase, as follows: ARROW HOCKEY & SPORT- Stoughton, MA $ 4,200 SHOOT-N-SAVE SPORTS- Rochester, MN $ 4,440 SLAPSHOT HOCKEY SHOP- Des Moines, IA $ 4,652 n Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund Bonds Road Use Tax n Sewer n Sanitation Federal/other grants n Other (specify) Fred G Merold Fund This expenditure is to be coded to the following budget line -item: 010-37-4105-1558 37GFT 0007 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respr3stfutty submitted, $ 6,197.29 7 $ 6,197.29 ✓ Z.e1 e- a.(4 /<-41-15 (Signature Dept. ea' or r signee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\2015 Merold Fund Hockey Equipment 11_3_2015 (Mar 2010) City of Waterloo Expenditure Pre -Authorization Request Form City Clerk Use Only Finance Committee Approval Date 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 $ 16,645.00 plus est. shipping costs of $ 0.00 to pay for or purchase electrical service being run for lighting at Straub Ball Diamonds. This purchase or expenditure is being made because: electrical needs to be run to make the lights operational. Vendor selected for this purchase: n Bids or written quotes were taken on this purchase, as follows: Sieben Electric (Cedar Falls) $16,645.00 K & W Electric (Cedar Falls) $24,418.00 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: EiGeneral Fund n Road Use Tax n Sewer n Sanitation Bonds n Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 415-37-4202-2178 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectful submitted, (Signature Dept. (Project Code) $ 90,000.00 $ 83,300-.66 z5(,o, 800 Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Straub Electrical Pre Auth (Mar 2010) City Clerk Use Only Finance Committee Approval Date hit 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 Public Works Department to expend $ 4,335.59 plus est. shipping costs of $ 0.00 to pay for or purchase Base modem and control station - GPS This purchase or expenditure is being made because: Centralized vehicle locator system Vendor selected for this purchase: RC Systems ❑ Bids or written quotes were taken on this purchase, as follows: ❑X Bids or quotes were not taken on this purchase because: This equipment operates with the existing Public Works 800 mhz radio system, resulting in no monthly cellular fees per device. System was budgeted for in Capital Improvement Program 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: 413-18-7950-2122 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, (Project Code) $ 25,000.00 /. $ 25,000.00 / /, 4(,PZ., ' /» 4 K:\shared goodies\forms\Central Garage - AVL Control Station - November 2015.xls (Mar 2010) City Clerk Use Only Finance Committee v1fr / Approval Date 1 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 Sanitation Department to expend $ 13,516.16 plus est. shipping costs of $ 0.00 to pay for or purchase GPS/AVL vehicle modem (16) This purchase or expenditure is being made because: Centralized vehicle locator system to improve routing, customer service and increased utilization of manpower resources Vendor selected for this purchase: RC Systems n Bids or written quotes were taken on this purchase, as follows: Bids or quotes were not taken on this purchase because: This equipment operates with the existing Public Works 800 mhz radio system, resulting in no monthly cellular fees per device. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund nBonds n Road Use Tax n Sewer n Sanitation Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 525-15-5400-2110 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectfull submitted, $ 60,000.00 $ 60,000.00 / K:\shared goodies\forms\Sanitation - AVL Systems for 16 vehicles - November 2015.xls (Mar 2010) City Clerk Use Only Finance Committee l Approval Date \ 5 /t 1 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 $ 9.212.00 plus ext. shipping cost of $ 300.00 Replacement Auma Electric Actuator for EEO Basin Department to expend to pay for or purchase This purchase or expenditure is being made because: Was damage from power surge. Vendor selected for this purchase: Q tech Automation, Inc. Bids or written quotes were taken on this purchase, as follows [X1Bids or quotes were not taken on this purchase because: Q tech Automation, Inc. is rep. for this replacement actuator. Total cost including freight is $9,512.00. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund: Road Use Tax: X Sewer: Sanitation: Bonds: []Federal/other grants: Other(specify): This expenditure is to be coded to the following budget line -item: 570-14-5700-1571 (Fund - Department - Activity - Account Number) in which budgeted amount is and the current available balance is Respectfully submitted, (Signature Dept. Head Or Designee) (Project Code) $ 250,000.00 / $104.662.10� 3 24r bate (Signature Finance Dept. Review) Date c r /ileN':iLliila' J 4<ei1r�.`11:i fin ;lllrrririad Sr //Rh/5Uid/ Q!cChA(drollla!loll. colt} PAAlfCf ME Waterloo, IA - WWI} ,'rl!'ff3 Ti3; City of Wessel;.. Attn: Steve isennowe: E-Mail: ICT.: HOF'@WATE'r2LOO-IA,OW:t I"�ff1i�111.I1t1 +�3rtUild'v0i ITERMS & COMMONS Qie /r Aulrarrr:sddirrr, lUf . ;-so.s .Somth 1 d r'h fTeel 4.#1efe it /rf5/f(a 11 t� ! rr% r A®i 11IIIMif' 2015-1009-cm 011g e51t3fl 3dik t)eiot++n .i, 201 u•..j itisl.: a.: ca,..:. l Ph: (712) 3b6 1'157 F3rx (712) 322-6557 ntmfxan( jgtechautonfa@rxra ni ►Hkfiis; 10J'7= Mr;i u l i,rr, sT HAMS Propary A, Add MI STAY: f:sflrna* d f3 We ks AR() Auma Model SAREX16.2/AMEXC01.1 Electric Actuator Assembly !Replacement for obsolete actuator - SO 9612046 The proposed actuator is iunctionaty equivalent to the previously supplied unit, however due to age, obsolete parts, and changes in manufacturing practices, some wiring and dimensions may vary. Sill -TOTAL 9,212.00 Fue-6 304.00 P1 Jr/ 5-(? 00 I. Pi ice uu::o not inciurie a>e+ ier.r i :pit n a c,e st.- s, veive boxes, specie! cuaili fs, special its.jging, ixte upereiing wranc�ifes irony-e gaskets, urns. installatlo;i services, test certifications, field start ur services special cretins,. or packaaing for export - unless otherwise noted 2. State and local use taxes are not included. Tax exempt certificates must be provided if the project is determined to be tax exempt. 3. This quotation/order is subject to the manufacturers' acceptance, warranty and terms and conditions (available upon request). 4. Deanery guyies 1ec esei an esiiinai, a tiy, wish all ilV r3s (Iuoi&1 w_ subject io of fo s ems. 5. Pricing will be held for 30 days. IATIOMON91i COMMENTS 1 Pleacr: refernn(p quotation number 2015-1f fa_r.m nn ati of i chcsna rtieiarc R nxrarn.^.flar+ra 2. Pu+ hale Order resuit:ng from this quotation shalt be issued to " QTech Automation inc". -- tZtleiTAyt<kt W0IIit5iEfET (^;TEt;tt).Yis Page 1of1 City Clerk Use Only Finance Committee Approval Date (l/`tA S— 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 $ NTE 33,500.00 plus est. shipping costs of $ to pay for or purchase Yellow and White Water Base Traffic Paint and Reflectorize Beads This purchase or expenditure is being made because: Annual painting and marking of streets and parking lots. Vendor selected for this purchase: IDOT n Bids or written quotes were taken on this purchase, as follows: IDOT Ames, Iowa NTE $33,500.00 n Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund Bonds ❑X Road Use Tax I I Sewer ❑ Sanitation Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 266-17-1720-1581 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, (Project Code) $ 40,500.00/ $ 40,299.95 r h -�J Jet-' l / /1- Signature Dept. He or Designee) ate (Signat re Finance Dept. Review) Date K:\shared goodies \forms\2015-November-Expenditure Pre -Authorization - IDOT - Water Based Traffic Paint - NTE 33,500.00.xls (Mar 2010) Budget Amendment Descriptions for 11/9/2015 Finance Committee Meeting Agenda: 1. Approve the budget amendment to use MidAmerican Energy rebates in the amount of $5,393.11 received by Young Arena for additional improvements at the arena. Please use this for project budget descriptions on Finance agenda. Do not need to include this cover sheet in the Finance Committee packet. Completed forms should be routed directly to the Finance Dept. FINANCE DEPT. ONLY Finance (mmittee approval required? YES v NO _ 1 ��� f If so, date approved: City of Waterloo Line -Item Budget Amendment Request Form The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget amendment for FYE 2016 submitted by the Leisure Services Department: EXPENSES/REVENUE DECREASE EXPENDITURES (INCREASE REVENUE) INCREASE EXPENDITURES (DECREASE REVENUE) Fund Dept Activity Acct # Acct Name Proj Code Amount Dept Activity Acct # Acct Name Proj Code Amount ' /Fund 010 37 4105 3722 refunds 37RST.YAMI V 5,393.11 010 37 4105 1382 Bldg Impr 37RST.YAMI 5,393.11 TOTAL This amendment is being requested because: $5,393.11 TOTAL $5,393.11 to budget refunds received from MidAmerican Energy for electrical improvements made at Young Arena. Prior Committee Actions (Dates): l / gnature ep or signee Date n (Signature Finance Dept. Review) io-Ai <s` Date Date Posted (Finance Dept.) K:\users\shared goodies\forms\Budget Amendment Request Form.xls (Apr 2003)