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HomeMy WebLinkAbout10/26/2015FINANCE COMMITTEE October 26, 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 October 19, 2015, as proposed. NEW BUSINESS TRAVEL REQUESTS 1. Sgt. Hoelscher Class/Meeting: Firearms Instructor Re -certification. Destination: Johnston, IA Dates: October 22, 2015 Amount not to exceed: $190.00 2. Mark Boesen, Manager of Rehabilitation Services Class/Meeting: 16 hour Lead Inspector / Risk Assessor Refresher Course. Destination: Des Moines, IA Dates: November 23-24, Amount not to exceed: $860.00 2015 3. David Zellhoefer, City Attorney Class/Meeting: Employment Law Seminar Destination: Des Moines, IA Dates: November 5, 2015 Amount not to exceed: $329.00 4. Pre -Authorizations to Expend over $1,000.00 Building Maintenance Amount and Estimated S/H: $10,336.64 Expenditure: Purchase of 36 Retro Fit replacement lights for Amphitheater. Central Garage Amount and Estimated S/H: $1,390.48 Expenditure: Replacement ambulance tires. Human Resources Amount and Estimated S/H: $2,597.00 Expenditure: Audiogram / Hearing tests for 119 employees. The cost includes trip Page 1 of 39 charge, site respirator frt test, respiratory questionnaire & respirator physical fees. Human Rights Amount and Estimated S/H: $1,589.00 Expenditure: Advertising Leisure Services Amount and Estimated S/H: NTE $24,761.39 Expenditure: Factory reconditioning of Brush Bandit 250 chipper that was purchased new by the City of Waterloo in 1998. Leisure Services Amount and Estimated S/H: $3,210.00 Expenditure: Two overhead doors with door openers. Bid includes installation. City construction crew will finish the door opening. Police Amount and Estimated S/H: $2,274.00 Expenditure: 1 year renewal of Fortigate firewall hardware for the Police Department's computer system. Sewer Amount and Estimated S/H: $16,813.68 Expenditure: Field Service work with parts and twelve month PMA for Easton Lamson Aeration Blowers #1, 2 & 3. Sewer Amount and Estimated S/H: $4,650.00 Expenditure: Wanco 25 Light Trailer Mounted Arrowboard. Traffic Operations Amount and Estimated S/H: $3,003.25 + $250 S/H Expenditure: Sigel pole, signal heads, and accessories. BILLS PAYMENT 5. October 26, 2015 ADJOURNMENT Suzy Schares, CMC City Clerk/Human Resource Director Page 2 of 39 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 Bldg Maint Department to expend $ 10,336.64 plus est. shipping costs of $ to pay for or purchase City Clerk Use Only Finance Committee Approval Date (0/1/5� This purchase or expenditure is being made because: Purchase of 36 Retro Fit replacement lights for Amphitheater Vendor selected for this purchase: Van Meter Inc. ❑ Bids or written quotes were taken on this purchase, as follows: QX Bids or quotes were not taken on this purchase because: Due to replacement of retro fit plates which were previously purchased through Van Meter Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ❑ General Fund ❑ Road Use Tax n Sewer n Sanitation ❑X Bonds n Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 414-22-8800-2152 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is fully su (Project Code) „A $ /OO ([J $ /(0, IJ nq "1 s 14L,42-eu2,re De~ -ea. or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date I b/2. to%ii City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Central Garage $ 1,390.48 plus est. shipping costs of $ 0.00 Replacement ambulance tires Department to expend to pay for or purchase This purchase or expenditure is being made because: Tires worn Vendor selected for this purchase: Blacks Tire Co Bids or written quotes were taken on this purchase, as follows: ❑X Bids or quotes were not taken on this purchase because: State bid pricing - availabiity Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: nGeneral Fund ❑ Bonds Road Use Tax n Sewer n Sanitation Federal/other grants ❑ Other (specify) This expenditure is to be coded to the following budget line -item: 010-18-1411-15-7-1 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, (Project Code) $ 6,000.00 / $ 1-69-7- 3 8!s 5. 17 is 1).r,024u0 , /ri7 /sue K:\shared goodies\forms\Central Garage - Fire Ambulance - Replacement Tires - October 2015.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date t 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 HR Department to expend $ 2,597.00 plus est. shipping costs of $ 0.00 to pay for or purchase Audiogram / Hearing tests for 119 employees. The cost includes trip charge, site respirator fit test, respiratory questionnaire, & respirator physical fees. This purchase or expenditure is being made because: Vendor selected for this purchase: Allen Occupational Health Services ri Bids or written quotes were taken on this purchase, as follows: Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: General Fund ❑ Road Use Tax n Sewer ❑ Sanitation Bonds n Federal/other grants ❑ Other (specify)` Caw �o eo.c\ Acpci-r ,s - .3 f c-c,�cGNmn,AS This expen Iture is to be coded to the following budget line -item: (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ lfi2t�u� O6ArS and the current available balance is $ Respectfully submitted, (Signature)Dept. Head or Designee) Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) Bill to: Cheryl Huddl ston City Of Wate loo 715 Mulberry Street Waterloo, IA 50703-0000 Proc Code Allen Occupational Health Services 1825 Logan Ave. Waterloo, IA 50703 Phone: 319-235-3885 FEIN: 420698265 Invoice October 02, 2015 Invoice # 222852 RECEIVED OCT 0 7 2015 For: City of Waterloo Onsite Resp/Audios Description Qh! Charge Receipt Adjust Balance 9/30/2015 Trip Charge -Local -Up to 15 miles 3.00 90.00 90.00 Qty 2 52.00 9/30/2015 On Site Respirator Fit Test 2.00 52.00 Qty 1 48.00 09/30/2015 Respiratory Clear Questionnaire 3.00 48.00 Onsite CV 3 27.00 9/30/2015 Respirator Physical -On Site 1.00 27.00 Qiy 1 23 80.00 09/30/2015 Audiogram on -site (76- employees) 119.00 2380.00 Qty 119 ate Cut and return with ayment Net Please p HEALTH ONSITE XXX-XX-0000 Balance Due: Please remit 2,597.00 to ue 30 days from original bill date ace invoice number 222852 on check Invoice # 222852 Balance Due: Allen Occupational Health Services 1825 Logan Ave. Waterloo, lA 50703 Phone: 319-235-3885 2597.00 2597.00 City Clerk Use Only Finance Committee Approval Date l '1/447( 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 Human Rights Department to expend $ 1,589.00 plus est. shipping costs of $ N/A to pay for or purchase advertising This purchase or expenditure is being made because: we would like to place a full page ad in Inclusion magazine. Vendor selected for this purchase: Inclusion magazine ❑ Bids or written quotes were taken on this purchase, as follows: n Bids or quotes were not taken on this purchase because: Inclusion magazine covers the Cedar Valley and surrounding areas. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ▪ General Fund 0 Road Use Tax ❑ Sewer n Sanitation ❑ Bonds ❑X Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 010-27-2510-1351 27FHAP-FY13PART (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is and the current available balance is Respectf )l submi d, (Sig : ure Dept. Head or Des $ 18,888.00 / $ 18,888.00 to - Date Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre -Authorization Inclusion.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date ?�7 City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Leisure Services Department to expend $ NTE 24,761.39 plus est. shipping costs of $ to pay for or purchase Factory reconditioning of Brush Bandit 250 chipper that was purchased new by the City of Waterloo in 1998. This purchase or expenditure is being made because: The factory reconditioning prgram will provide a like new machine for roughly half the cost of a new unit. Vendor selected for this purchase: Bandit Industries Inc. Remus, MI O Bids or written quotes were taken on this purchase, as follows: ❑X Bids or quotes were not taken on this purchase because: Bandit Industries is the original manufacturer of the machine and they are the only company qualified to restore this chipper back to original operating condition and specifications. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: nGeneral Fund Road Use Tax Sewer 0 Sanitation ❑X Bonds IJ Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 41f-37-4100-2113 (Fund - Department - Activity - Account Number) (Project Code) in which the budgeted amount is $ 150,000.00 --- and the current available balance is $ -8Z= /4000 Respectfully submitted, 1 ' /.2,1 / 155 Y/� u , /u / / s (Signature Dept. Head or Designee) 'Date (Signature Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date t°(/ 267/ City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Leisure Services Department to expend $ 3,210.00 plus est. shipping costs of $ to pay for or purchase Two overhead doors with door openers. Bid includes installation. City construction crew will fishish the door opening. This purchase or expenditure is being made because: to replace existing doors on metal maintenance shed at Gates Golf course. Doors are old, and no longer close securely. Vendor selected for this purchase: Christie Door Company Cedar Falls IA n Bids or written quotes were taken on this purchase, as follows: Christie Door Company, Cedar Falls $3,210.00 Overhead Door, Waterloo $3,960.00 nBids 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 n Road Use Tax n Sewer Federal/other grants Other (specify) This expenditure is to be coded to the following budget line -item: 414-37-4120 2174 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectf submitted, / - /%' l5 !�iLr elu�.(,� /)_/ raDtir vt- id s-/s (Signature Dept. He esignee) Date (Signature Finance Dept. Review) Date Sanitation (Project Code) $ 50,000.00 V $ 5e 0070-0 K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010) City Clerk Use Only Finance Committee Approval Date b/Z47(� City of Waterloo Expenditure Pre -Authorization Request Form The Finance Committee of the City Council is hereby requested to authorize the following purchase or expenditure submitted by the Police Department to expend $ 2,274.00 plus est. shipping costs of $ 0.00 to pay for or purchase 1 year renewal of Fortigate firewall hardware for the Police Departments computer system This purchase or expenditure is being made because: Renewal of Computer hardware Vendor selected for this purchase: Aces I I Bids or written quotes were taken on this purchase, as follows: I I Bids or quotes were not taken on this purchase because: Aces is the proprietary contractor for maintenance for the Police Department computer system. 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: 010-11-1105-1520 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully fitted, (Project Code) $ art) $ 1(4 of A-Pl /7-/s- ignature D pt. HkerTor D-signee) �ate (Sign ture Finance Dept. Review) Date K:\shared goodies\forms\Expenditure Pre -Authorization (Mar 2010) City Clerk Use Only Finance Committee Approval Date t o/z /t 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 $ 4.650.00 plus ext. shipping cost of $ 0.00 Wanco 25 Light Trailer Mounted Arrowboard Department to expend to pay for or purchase This purchase or expenditure is being made because: To replace a Trailer Mounted Arrowboard that was damaged by motorist. Vendor selected for this purchase: Iowa Plains Signing, Inc. Bids or written quotes were taken on this purchase, as follows Iowa Plains Signing, Inc. total cost of $4,650.00. K & K Systems total cost of $5,225.61. Recommend purchase from Iowa Plains Signing, Inc. Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: ElGeneral Fund: []Road Use Tax: []Sewer: Sanitation: Bonds: []Federal/other grants: DOther(specify): This expenditure is to be coded to the following budget line -item: 520-14-5200-1571 (Fund - Department - Activity - Account Number) (Project Code) in which budgeted amount is $ 250,000.00 `� 3 ✓ and the current available balance is $ 1. 'r //‘;V g5 Respectfully submitted, O c " 2° 2 T 5`Z�A�a�� (Signature Dept. Head Or Designee) Date (Signature Finance Dept. Review) Date IOWA PLAINS SIGNING, INC. 1110 W. 67" AVENUE (HWY. 210W) P.O. BOX 654 SLATER, IOWA 50244-0654 TELEPHONE: (515) 685-3536 FAX: (515) 685-3530 Quote For: City of Waterloo Waste Mgmnt Serv. Att. Type of Sale: Wanco Arrowboard Phone Quote Date: October 14, 2015 Fax # Laura Wolff 319 291 4553 319 291 4523 Bid Item # Description Quantity Units Per Unit Total 1 WTSP55-LSAC 25 Light Trailer Mounted Arrowboard No wireless controller option See the attached literature 1 EA $ 4,650.00 Total $ 4,650.00 $ 4,650.00 Conditions or Notes: This is a delivered price to Waterloo, la. Please allow 3 to 4 weeks for delivery after reciept of an order. S-wW er 0 14:4\ er'aMe4 li42-0,0-c .nM1eh% crYr O1J14e4r[t N9 F h - 14-Oct-15 Charfey Cole CeII (515) 210-1535 Date Signature TRAFFIC CONTROL * FLOODLIGHTING' TEMPORARY TRAFFIC SIGNALS PAINT STRIPING * TAPE STRIPING Date Acceptance Signature K&K Systems 687 Palmetto Road Tupelo, MS 38801 www.k-ksystems.com Systems Quotation #: Q151015AB-IA-CITYOFWATERLOO-A Quotation Date: Customer Type: 10/15/2015 Retail Bill To: Name: Company Name: Street Address: Address 2: City, ST ZIP Cod Tel: Cell: Fax: email: Laura Wolff City of Waterloo Waste Mgmt Services 3505 Easton Ave. Waterloo, IA 50702 319-291-4553 319-291-4523 laura.wolff@watedoo-ia.org QUOTATION email: ali©k-ksystems.com Phone: 662-566-2025 Fax: 662-566-7123 TollFree 888-414-3003 Customer Contact: Quote Valid: Prepared by: Ship To: Name: Company Name: Street Address: Address 2: City, ST ZIP Code Tel Cell: Fax: email: LAURA WOLFF 45 days Ali Bingham (Update if different than Bill To address) Laura Wolff City of Waterloo Waste Mgmt Services 3505 Easton Ave, Waterloo, IA 50702 319-291-4553 319-291-4523 Iaura.wolff(S.iwaterloo-ia. o Product Model # AT254896 Description Solar Powered, 25 Lamp (LED) Arrow Board. Sign dimensions are 48" x 96" all aluminum fabrication with flat black powder coat finish to give smooth look, 40 watt solar panel, solar regulator with LVD to protect batteries from over discharge. 100 amps of battery backup, (4)-four swivel type jacks, one on each corner of trailer. Base Price $4,475.61 Packa a in • K&K Delivers Options and Accessories - PER UNIT QTY per Unit Special Notes Terms of Purchase FOB: Delivery (weeks): Warranty: Item # Sales Person Signature: Sales Manager Signature; Description Tupelo, MS 38801 4-6 Weeks 1 year limited warranty, Factory Depot Price Each Per System Total: Total QTY of Systems: 1 Total Shipping Costs: Taxes: 7.00 GRANO TOTAL: Work Order# Client PO# Price per Unit $4,475.61 $4,475.61 $750.00 $5,225.61 Please note: The above specifications and quotation does not include shipping, permits, or taxes unless otherwise stated. The freight charge is an approximate estimate for your reference; the actual charge may vary. "Lead-time committed is based on the date Purchase Order is received by IOW Systems and deposit made and/or credit approved. Lead time is not based on the date quoted. City Clerk Use Only Finance Committee / Approval Date 42-6 t� City of Waterloo Expenditure Authorization Request Form The Finance Committee of the City Council is here by requested to authorize the following purchase or expenditure submitted by the Sewer Department to expend $ 16,813.68 plus ext. shipping cost of $ 0.00 to pay for or purchase Field Service work with parts and Twelve Month PMA for Easton Lamson Aeration Blowers # 1, 2 & 3. This purchase or expenditure is being made because: For the Technical complexity of the blowers to be serviced. Vendor selected for this purchase: Gardener Denver Nash []Bids or written quotes were taken on this purchase, as follows X Bids or quotes were not taken on this purchase because: Gardener Denver Nash is the rep. that service this equipment. Prior Committee Actions (Dates): Please check the following box(es) as appropriate to describe the funding for this expense: [] General Fund: []Road Use Tax: []Sewer: []Sanitation: []Bonds: []Federal/other grants: DOther(specify): This expenditure is to be coded to the following budget line -item: 57 0-14-5200-1 3 78 (Fund - Department - Activity - Account Number) (Project Code) in which budgeted amount is $ 48,000.00 v.- and the current available balance is Respectfully submitted, $ 48.000.00 0 el- 6S -Lois J ��c/%��v (j�Gt L //� l Z /y (Signature Dept. Head Or Designee) Date (Sig ature Finance Dept. Review) Date HOFFMAN LAMSON Sold To: CITY OF WATERLOO IOWA WP/FC DIV. 3505 EASTON AVENUE WATERLOO IA 50702 CUSTOMER QUOTATION (Page 2 1 5) Ship To: City of Waterloo Waste Management 3505 Easton Ave Waterloo IA 50702 Sold To No. Customer Reference #/Our Refr # Date Entered Customer Reqd Date Dist. Channel Valid To GO Quote No. 1004686 PMA (new) 2015 / 10/12/2015 10/19/2015 CF 02/12/2016 20600610 Item Qty Material Number Description No Point ShiptNet Wgt List USD Disc TotaUSD 001 1 PMA-12M0NTH 430 10/19/2015 0.0 16,813.68 0.0 16,813.68 Preventative Maintenance Agreement 12 Month PMA Model 2006-ADOI Sales Order 63594 Serial Number P001743,P001744,P001745 To Include: Bear Kit (3) Seal Kits (1) Vibration Pads (24) Total Net Price Ex -works Shipping Point Charleroi PA in Currency USD 16,813.68 Estimated Total ADD BEST WAY in Currency USD 16,813.68 'Preventive Maintenance Agreement & Warranty Renewal Program. Gardner Denver offers a service program to help our customers enjoy enhanced reliability from their Gardner Denver blowers and prevent costly down time. This program reflects the desire of Gardner Denver Service Personnel to prevent equipment failure and to solve root cause blower problems. Blower problems are often the result of operational, system, installation, or other peripheral causes that are Customer Quotation N� HOFFMAN LAMSON Sold To: CITY OF WATERLOO IOWA WP/FC DIV. 3505 EASTON AVENUE WATERLOO IA 50702 CUSTOMER QUOTATION A'I'ION (Page 3 / 5) Sold To No. Customer Reference #/Our Refr # Dale Entered Customer Reqd Date Dist. Channel Valid To GD Quote No. 1004686 PMA (new) 2015 / 10/12/2015 10/19/2015 CF 02/12/2016 20600610 Item Qty Material Number Description Ship Ship Net Wgt List Price Disc Total Net No Point Date Lbs USD USD Ship To: City of Waterloo Waste Management 3505 Easton Ave Waterloo IA 50702 easily determined by_ t ombins personnel trained and certified by Gardner Denver. Participants in this program benefit from the combined knowledge and experience within the Gardner Denver Engineered Products Division. Participants in this program will receive the attention of Gardner Denver Factory Service Personnel who will make an annual or semi-annual service call (usually dictated by the severity of the blower service), at which time the following will be performed: 1. Bearing replacement as needed for PMA 2. Inspection and evaluation of shaft seals # replaced as needed 3. Inspection and evaluation of bearing housing, reservoir, retainers, bearing hardware, gaskets, shims, spacers and associated hardware 4. Lubrication change and oiler inspection, if applicable 5. Coupling inspection and evaluation 6. Laser shaft alignment to hot condition 7. Motor evaluation, amp check 8 Blower operational check; vibration readings bearing temperature readings surge check and recommendation for 8. readings, readings, correction, if needed 9. Installation inspection for pipe misalignment, foundation deficiencies with recommendations 10. Valve inspection for proper operation 11. Controls inspection and operational adjustments 12. Filter inspection and recommendations (Customer to clean filter but must keep a record) At the conclusion of the service detailed above, the customer will be provided with a comprehensive report complete with a vibration report and recommendations. The cost of this service includes bearing replacement for each blower as necessary and seal inspection for each blower. In the event a bearing change is not recommended the bearing kit will remain with the customer for renewed PMA's or for future use as consumable parts. If any additional parts are identified as problematic, their replacement will be offered al a 20 percent subscriber discount. If the blower is in or is restored to a warrantable condition and routine maintenance is performed, a one-year Gardner Denver Factory Warranty will be applied to the blower. This partnership program between Gardner Denver and the owner requires periodic maintenance by the operator in accordance with the O&M manual. This service is offered in accordance with our standard Terms & Conditions attached. If the blower cannot be placed in warrantable condition on -site, we will recommend that it be sent to the factory or to a local authorized service center for a complete disassembly and inspection, after which a complete repair proposal will be made. Any required motor work should be completed prior to the arrival of the Gardner Denver Service Technician to preclude return trips. Customer Quotation HOFFMAN LAMSON Sold To: CITY OF WATERLOO IOWA WP/FC DIV. 3505 EASTON AVENUE WATERLOO IA 50702 CUSTOMER QUOTATION (Page 4 / 6) Sold To No. Customer Reference #/Our Refr # 1004686 PMA (new) 2015 / Item Qty Material Number Description No Ship To: City of Waterloo Waste Management 3505 Easton Ave Waterloo IA 50702 Date Entered Customer Reqd Date Dist. Channel Valid To GD Quote No. 10/12/2015 10/19/2015 CF 02/12/2016 20600810 Ship Ship Point Date Lbs Net Wgt List Price a Disc TotaUSl Net Factory warranty will cover defects in material and workmanship of the blower or failure resulting from services provided We will make every effort to give warranty repairs priority status If necessary. Failures beyond Gardner Denver's control are not covered. These include such circumstances as motor failures, blower failures resulting from surge conditions, unusual damage to the blower or accessories, product misuse, pre-existing conditions, improper maintenance or operation, acts of God, or other incidental situations. Gardner Denver will utilize every effort to assist the customer should any type of problem arise. It is the responsibility of the customer to provide a safe working environment for the service technician. Cost of service includes labor, expenses and warranty. Additional parts or work required beyond the described scope will be billed at prevailing prices. EQUIPMENT DESCRIPTION By signing below, customer agrees to the Terms and Conditions of printed documentation, Customer: Accepted By: Signature: Title: Date: Customer Quotation 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 $ 3,003.25 plus est. shipping costs of $ 250.00 to pay for or purchase Signal Pole, Signal heads, and accessories City Clerk Use Only Finance Committee Approval Date This purchase or expenditure is being made because: To replace damaged equipment due to an accident. Vendor selected for this purchase: Brown Traffic Products, Inc. n Bids or written quotes were taken on this purchase, as follows: Brown Traffic Products, Inc. $3,003.25 �] Bids or quotes were not taken on this purchase because: Prior Committee Actions (Dates): Finance approved requesting bids - 2/17/14 Please check the following box(es) as appropriate to describe the funding for this expense: General Fund n Road Use Tax I I Sewer n Sanitation Bonds n Federal/other grants n Other (specify) This expenditure is to be coded to the following budget line -item: 266-17-1720-1576 (Fund - Department - Activity - Account Number) in which the budgeted amount is and the current available balance is Respectfully submitted, c LAIL' p (Signature Dept. -ad or Designee) (Project Code) $ 31,400.00 $ 28,489.93 J )21A.-l2UL ate (Signature Finance Dept. Review) Date K:\shared goodies \forms\2015-October-Expenditure Pre -Authorization - Pole, Heads, etc. -Brown -Nevada & Franklin-$3003.25.xls (Mar 2010)