HomeMy WebLinkAbout07/13/2015FINANCE COMMI I IEE
July 13, 2015
5:10 PM
Harold E. Getty Council Chambers
Members
Chairperson Carolyn Cole
Vice Chair Steve Schmitt
David Jones
Roll Ca11:
Approval of Agenda
Approval of Minutes
of June 29, 2015, as proposed.
NEW BUSINESS
TRAVEL REQUESTS
1. P.O. Bram and P.O. Rulapaugh
Class/Meeting: AR15 M16 Armorer Course
Destination: Ramsey, Minnesota
Dates: 8/4/15 - 8/6/15 Amount not to exceed: $1,496.00
2. Inv. McFarland and Officer Lippert
Class/Meeting: Robbery Investigation
Destination: Oklahoma City, Oklahoma
Dates: 6/23/15 - 6/24/15 Amount not to exceed: $506.75
3. Katie Knight, Exhibition Curator
Class/Meeting: Transforming Hate Gallery talk and special tour events - (Guest
Speaker from Helena, Montana)
Destination: Waterloo, IA
Dates: 6/22/15 - 6/23/15 Amount not to exceed: $1,702.61
4. Authorize award and execution of Contract to the lowest bidder, Cardno ATC, in the
amount of $4,985 for Asbestos Survey of nine (9) structures listed on the attached
document.
5. Pre -Authorizations to Expend over $1,000.00
Building Maintenance
Amount and Estimated S/H: $2,885.12
Expenditure: Watts 2" Electric Acuators for pools.
Building Maintenance
Amount and Estimated S/H: $4,640.00
Expenditure: Chimney demolition at Evidence Storage Building.
Page 1 of 232
Building Maintenance
Amount and Estimated S/H: $11,486.00
Expenditure: Install water softener at City Hall.
City Clerk's Office
Amount and Estimated S/H: $13,071.00
Expenditure: Iowa League of Cities Membership Dues (7/1/15 - 6/30/16)
Cultural & Arts
Amount and Estimated S/H: $10,500.00
Expenditure: Replacement of mural on side of parking ramp on Lafayette Street,
located between E. 4th Street and E. Park Avenue.
Engineering
Amount and Estimated S/H: $22,455.00
Expenditure: Spraying trees in the riprap in various reaches along the flood
control system.
Leisure Services
Amount and Estimated S/H: $3,088.02
Expenditure: Repair to water pump on Gates Golf course.
Police
Amount and Estimated S/H: $1,536.00
Expenditure: Entry door electronic door lock and intercom system for Property
Building.
Police
Amount and Estimated S/H: $13,835.00 + $1,200.00 S/H
Expenditure: Shelving for the new property evidence room.
Police
Amount and Estimated S/H: $16,002.50
Expenditure: Renewal of the annual support agreement for Shieldware, Tracs
software and NCIC sever for July 2015 to June 2016.
Police
Amount and Estimated S/H: $20,549.61
Expenditure: Nine (9) Panasonic Toughbook Laptop computers for the Police
patrol cars.
Sewer Department
Amount and Estimated S/H: $2,529.00 + $75.00 S/H
Expenditure: Nine (9) Trojan replacement UV lamps under warranty pro ration.
Sewer
Amount and Estimated S/H: $11,767.00 + $150.00 S/H
Expenditure: Moyno rebuild parts for #2 & #3 TAS transfer pumps.
Page 2 of 232
Street Department
Amount and Estimated S/H: $2,425.12 + $78.00 S/H
Expenditure: Replacement brake master cylinder - sweeper S 11.
Traffic Operations
Amount and Estimated S/H: $16,310.28
Expenditure: Three (3) decorative poles and 15 LED light fixtures.
BUDGET LINE ITEMS TO BE AMENDED
6. Approve the project budget for the Donor Recognition Wall at the Library funded by a
donation from the Friends of the Library in the amount of $16,000, as submitted by the
Library.
7. Approve the project budget for the Hotel/Motel tax grant award for advertising in the
amount of $38,928, as submitted by Cultural & Arts.
BILLS PAYMENT
8. July 13, 2015
ADJOURNMENT
Suzy Schares, CMC
City Clerk/Human Resource Director
Page 3 of 232
Mayor
BUCK
CLARK
COUNCIL
MEMBERS
CITY OF WATERLOO, IOWA
COMMUNITY DEVELOPMENT
620 Mulberry Street, Carnegie Annex • Waterloo, IA 50703 • (319) 291-4429 Fax (319) 291-4431
CITY OF WATERLOO
COMMITTEE COMMUNICATION
BUILDING AND GROUNDS & FINANCE COMMITTEES
Meeting Date: July 13, 2015
Prepared: June 30, 2015
Dept. Head Signature: C (t/ / ,2u !j—
DAVID Rudy D./Jones
JONES
Ward I
SUBJECT: 149-AS-06-29-15
CAROLYN
COLE Submitted by: Rudy D. Jones, Community Development Director
At -Large
Ward 2
PATRICK Recommended City Council Action: Authorize Award and Execution of Contract for
MORRISSEY Asbestos Survey for nine (9) structures:
Ward 3
QUENTIN M. 430 Bayard Street 3126 Franklin Street 330 Irving Street
HART 219 Newell Street 225 Newell Street 433 Rath Street
Ward 4 219 Sumner Street 223 Sumner Street 1808 East 4tb Street
RON
WELPER to Cardno ATC, lowest responsible bidder, in the amount of $4,985.00 on July 13, 2015.
Ward 5
Summary Statement: Staff solicited four bids and received only one bid for the Asbestos
TOM Survey project.
LIND
At -Large
Staff is recommending Award to Cardno ATC.
STEVE
SCHMITT Expenditure Required: $4,985.00
Source of Funds: Community Development Block Grant.
Policy Issue: Slum and Blight, Public Safety, Housing, New Construction
Alternative: None. Abatement before demolition required by State and Federal law.
J:\DEMI\Asbestos Contracts\ASBESTOS SURVEY\149-AS-06-29-15\Council Communication award -execution 149-AS.docx
CITY WEBSITE: www.cityofwaterlooiowa.com
EQUAL HOUSING
OPPORTUNITY
WE'RE WORKING FOR YOU!
An Equal Opportunity/Affirmative Action Employer
June 24, 2015
Attn: Rudy Jones
City of Waterloo
Waterloo Community Development Board
620 Mulberry Street
Waterloo, IA 50703
CR, Canino'
ATC
Shaping the Future
RE: Proposal for Asbestos Services
Pre -Demolition Asbestos Survey, Spec, and Final Visual Inspection
Nine Residential Properties; Waterloo, Iowa
Cardno ATC Proposal No. 204BS-2015
Dear Mr. Western:
1.0 Introduction
Cardno ATC is pleased to present this proposal to provide a pre -demolition asbestos survey and related
services for the following nine residential properties in Waterloo, Iowa; 330 Irving Street, 3126 Franklin
Street, 225 Newell Street, 219 Newell Street, 433 Rath Street, 430 Bayard Street, 1808 E. 4th Street, 219
Sumner Street, and 223 Sumner Street. The pre -demolition inspection will inspect for potential asbestos
containing materials, which will subsequently be removed prior to demolition activities. These inspections
are required by the State of Iowa DNR prior to demolition. Cardno ATC's proposal includes a field survey
by an Iowa -licensed inspector, sampling, laboratory analysis, preparing a survey report with
recommendations, bid specifications, and a final visual clearance inspection following abatement if
necessary.
2.0 Qualifications and Experience
Cardno ATC's asbestos and hazardous material consulting services include site inspection, hazard
assessment, project design, monitoring of abatement contractor activity. Our asbestos group is highly
experienced in conducting building surveys, inspections, and assessments as well as designing technical
removal and demolition specifications and associated drawings. In addition, Cardno ATC's affiliated
laboratories are fully EPA and American Industrial Hygiene Association (AIHA) accredited to analyze
industrial hygiene and environmental samples collected from air, water, soils, and solids.
3.0 Scope of Services
Cardno ATC will perform the inspection and related services in accordance with standard Iowa
regulations at the site. The sampling will generally include collection and analysis of all identified
suspect material. The survey will be performed by an Iowa -licensed Asbestos Inspector and will
include the following specific activities:
Page 2
City of Waterloo
Nine Residential Properties
•
•
•
ATC
A visual inspection of all accessible interior areas to provide a general understanding
of the various types and conditions of accessible ACM that may be present in the
areas surveyed. Cardno ATC's report will include tables identifying the locations
and estimated quantity of accessible ACM in the areas surveyed.
The scope of work for a "Pre Demolition Survey" as described includes some minor
exploratory demolition activities in random areas to access potential hidden ACM.
In accordance with Iowa DNR requirements, samples will be collected of each
suspect material. All samples will be analyzed initially by PLM and then submitted
for point counts and transmission electron microscopy if requested. The samples
will be analyzed by an Al HA accredited laboratory. Cardno ATC currently has an in-
house AIHA accredited laboratory that will perform the analysis of the collected
samples.
A report of findings including, types of suspect ACM sampled, list of actual types of
ACM based on laboratory analysis and tables identifying the location, estimated
quantity and general condition of each type of accessible ACM found, representative
common areas, and exterior areas surveyed. The report will also include general
recommendations regarding removal and additional testing that should be
performed.
Upon completion of the asbestos survey report, Cardno ATC will write bidding
documents for the asbestos abatement project at the facility. The scope of work will
be determined by the client. The documents will include drawings (not to scale)
and/or photos identifying locations of the asbestos containing materials within the
building. The bidding documents will include the regulations and standards from
which the abatement procedures will be based upon, including but not limited to
contractor requirements, air monitoring requirements, and record keeping
requirements.
Upon completion of the asbestos abatement, Cardno ATC will inspect the property
to assure all asbestos containing materials have been removed. Once all noted
ACMs are properly removed, Cardno ATC will provide a final clearance letter for the
property.
4.0 Cost Proposal
Cardno ATC has established the following costs f
Property
Survey & Report
Bid Specs
Final Clearance
Property Total
$ 590
330 Irving Street
$ 525
$ 15
$ 50
3126 Franklin Street
$ 450
$ 15
$ 50
$ 515
225 Newell Street
$ 475
$ 15
$ 50
$ 540
219 Newell Street
$ 475
$ 15
$ 50
$ 540
433 Rath Street
$ 475
$ 15
$ 50
$ 540
430 Bayard Street
$ 475
$ 15
$ 50
$ 540
1808 E. 4th Street
$ 475
$ 15
$ 50
$ 540
219 Sumner Street
$ 525
$ 15
$ 50
$ 590
223 Sumner Street
$ 525
$ 15
$ 50
$ 590
Total
$ 4,400
$ 135
$ 450
$ 4,985
Page 3
City of Waterloo
Nine Residential Properties
�7 Camino'UP'Weft Wain
Additionally if point counting of the any of the samples is requested analysis can be performed for
an additional charge of $25 per sample.
5.0 Conclusion and Schedule
Cardno ATC can commence field work within 5 days after being given notice to proceed, with issue
all the initial survey report within 15 business days of given notice to proceed. Cardno ATC has
multiple Iowa licensed asbestos inspectors that could be utilized for this project.
We thank you for taking the time to and effort to consider our proposal. If you have any questions
regarding this proposal or require further information or clarification, please do not hesitate to
contact me at (319) 233-0441. Thank you again for your consideration.
Sincerely,
CARDNO ATC
Scott Hanson
Project Manager
for Cardno ATC
Direct Line +1 319 233 0441
Email: scott.hansonacardno.com
Gaylen Hiesterman, CGP
Operations Manager
for Cardno ATC
Direct Line +1 319 233 0441
Email: gaylen.hiestermanCcacardno.com
By signing below the City of Waterloo indicates acceptance of this proposal, prepared by Cardno ATC,
as the lowest and most responsible bid for this project. Once a signed copy of this proposal is received
by Cardno ATC it will serve as notice to proceed for this project, unless otherwise directed.
Name (signature):
Name (print): ERNEST G. CLARK
Title:
MAYOR, CITY OF WATERLOO, IOWA
Date:
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committee
Approval Date 7rl (3//5
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Bldg Maint
$ 2,885.12 plus est. shipping costs of $
Department to expend
to pay for or purchase
Watts 2" Electric Acuators for pools
This purchase or expenditure is being made because:
Vendor selected for this purchase: McDonald Supply
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund n Road Use Tax n Sewer ❑ Sanitation
Bonds n Federal/other grants n Other (specify)
This expenditure is to be coded to the following budget line -item:
412-22-4200-2132
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Resp % ally st'tted,
(Project Code)
q9- (-/ i?��e/
(Signature Dept. Head or Designee) Date (Signs re 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 �%
r
Approval Date ) 3//5
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
$ 4,640.00 plus est. shipping costs of $ to pay for or purchase
This purchase or expenditure is being made because:
Chimney demolition at Evidence Storage Building
Vendor selected for this purchase: Failor Hurley Construction
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Two other contractors contacted - no bids received
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund n Road Use Tax ❑ Sewer n Sanitation
QX Bonds ❑ Federal/other grants ElOther (specify)
This expenditure is to be coded to the following budget line -item:
414-22-8800-2152
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ /00,000
and the current available balance is
Re tfully milled,<<
$ 36.64z3
7-6 -if 1 -�4I't /) 47-� /s'
(Signature apt. Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Pre- Auth City Hall Wtr Softener.xls (Mar 2010)
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committee
Approval Date 17// 3/%>
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
$ 11,486.00 plus est. shipping costs of $ to pay for or purchase
to install water softener at City Hall
This purchase or expenditure is being made because:
Vendor selected for this purchase: Ecowater Systems
I ^ I Bids or written quotes were taken on this purchase, as follows:
Ecowater Systems - $ 11,486.00
Culligan - $ 13,423.00
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:
X
General Fund
Bonds
Road Use Tax Sewer n Sanitation
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)
(Project Code)
in which the budgeted amount is $ 106, 0---U
and the current available balance is
Resgee fully sybmitted,
F� ✓
$ <{6, t:2
(Signature Dept. Head or Designee)
Date (Signature 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 7/( 31/ 5
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Clerk's Office Department to expend
$ 13,071.00 plus est. shipping costs of $ to pay for or purchase
Iowa League of Cities Membership Dues 7/1/15 - 6/30/16
This purchase or expenditure is being made because:
Vendor selected for this purchase:
x
Bids or written quotes were taken on this purchase, as follows:
Bids or quotes were not taken on this purchase because:
Annual dues set by organization
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 I I Other (specify)
This expenditure is to be coded to the following budget line -item:
010-103-8400-1391
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respect ubmitted,
(Project Code)
$ l AcO��
$ %i‘2 iY ✓
e Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\ orms\Pre-Authorization.lowa League of Cities (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 743/f
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 Cultural & Arts Department to expend
$ 10,500.00 plus est. shipping costs of $ to pay for or purchase
replacement of mural on side of parking ramp on Lafayette Street; located between
East 4th Street and East Park Avenue
This purchase or expenditure is being made because:
current mural has deteriorated and is significantly faded, is beginning to tear, and is
coming loose from the mounting
Vendor selected for this purchase: Signs & Designs
❑x
Bids or written quotes were taken on this purchase, as follows:
Signs & Designs: $10,500.00
Nagle Sign: $20,644.85
Nesper Sign: $22,789.00
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 ❑ Road Use Tax n Sewer ❑ Sanitation
• Bonds n Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
412-26-4205-2152 Capital Improvements
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Resp ctfully submitted,
$ 70, 000.00
$ 57,100.00
( ignature Dept. Head or Designee) Date Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
SIGNS &DESIGNS,.
Visit us in the Industrial Park
5600 Nordic Drive Cedar Falls, Iowa 50613
319-277-8829 Fax: 319-268-2298
SEEEEE BUR WEBSITE:
www.t eSignPeop e.net
Waterloo Center for the Arts
225 Commercial St.
Waterloo, IA 50701
Phone: Fax:
For quotes over $500, a 50% deposit is required to place order, remainder is
due 30 days after completion. In the event of delinquent payments, the client
will be charged 1.5% interest for every month after the first 30 days. Client
agrees to pay all collection costs in the event of default of payment
Quantity
RICHARD THOMAS MURAL
Good Thru
Quotation
515-42
Page: 1
Payment Terms Sales Rep
Description
6/6/15 Net 30 Days Mason
• OPTION 1 - $15,920
Replace existing frame with 29'x 72' Ackland Media frame and new 5-year
raphic on 23.5 oz. block -out face
Replace graphic only estimate: $10,500
OPTION 2 • $8,690
Replace existing frame and remove most of backer panels, install new 16'x 40'
ckland Media frame and new 5-year graphic on 23.5 oz. block -out face
- Replace graphic only estimate: $4,200
I accept above prices and terms, and give authorization to proceed:
Signature:
Printed name:
Date:
Subtotal
Sales Tax
Total
NAGGCE.
5/GNS=
INC
1020 WILBUR AVENUE
P.O. BOX 2098
WATERLOO, IOWA 50704
319-233-4604. 1-800-728-4604
FAX: 319-233-7514
605 IOWA AVENUE WEST
MARSHALLTOWN, IOWA 50158
641-752-6608.1.888-656-SIGN
FAX: 641-752-6968
REMIT TO: PO.BOX 2098 WATERLOO, IA 50704
DEPOSIT
Invoice #:
Inv Date:
Customer #:
Page:
INVOICE
DP24586
05/15/15
72720
5 of 5
SOLD TO:
JOB LOCATION:
WATERLOO CENTER FOR THE ARTS
225 COMMERCIAL ST
WATERLOO IA 50701
WATERLOO CENTER FOR THE ARTS
225 COMMERCIAL ST
WATERLOO IA 50701
REQUESTED BY: Kent Shankle
ORDERED BY
PO NUMBER
SALESPERSON
ORDER DATE
PAYMENT TERMS
DUE DATE
Kent Shankle
Tom Nagle
05/13/15
50.0% Due Upon Receipt
06/30/15
QTY
DESCRIPTION
UNIT PRICE
TOTAL PRICE
1
QUOTE #19383
$20,644.85
$20,644.85
Remove and junk existing 29' x 72' flex face wall mural (Thomas Mural) and
associated retro frame and retainers. Furnish (1) new 16' x 40' mural. Frame
work will be aluminum extrusion. Face panels will be 4' x 8' x 6 mm ACM.
Panel seams will be visible. Graphics will be digitally printed with a 6-color
latex process on 3M media with a 3M overlaminate. Mural should be expected to
last 5 to 7 year without significant fading. Taxes are an extra charge if
applicable. ACM backer panels on the ramp will be removed / modified to fill
the air space between floors as appropriate.
SUB TOTAL
$20,644.85
ESTIMATED SALES TAXES
$1,445.14
TOTAL PROPOSAL AMOUNT
$22,089.99
*** FINAL INVOICE AMOUNT MAY VARY UPON COMPLETION ***
PLEASE PAY THIS DEPOSIT AMOUNT:
$11,045.00
•
NESPER SIGN ADVERTISING, INC.
CEDAR R A P I D S, I O W A • N A T I O N A L
Proposal
WATERLOO CENTER FOR THE ARTS
225 COMMERCIAL STREET
WATERLOO IA 50701
INSTALLED AT:
Number: 30045
Date: 06/30/15
WATERLOO CENTER FOR THE ARTS
LAFAYETTE & 4TH STREET
WATERLOO IA 50701
MR. KENT SHANKLE
Nesper Sign hereby proposes:
FURNSIH AND INSTALL DIGITALLY PRINTED 23.50Z FLEX GRAPHICS TO MATCH NESPER
DESIGN# PM-206. REMOVE OLD FACES AND DISCARD: CLEAN CABINET AS GOOD AS
POSSIBLE. INSTALL NEW FACES.
QUOTE...$22,789.00 +TAX
All material is guaranteed to be as specified, and the above to be in accordance with the specifications submitted for the
above work and completed in a workmanlike manner for the sum of:
DOLLARS: $22,789.00 +TAX
TERMS: 1/2 DOWN NET 30 DAYS
Maximum Payment by Credit Card is $5000.00
(INTEREST OF 1.5% WILL BE ADDED TO PAST DUE ACCOUNTS)
PATRICK McALLISTER
ACCEPTANCE OF PROPOSAL,
The above prices, specifications and conditions are satisfactory and are hereby accepted You are authorized to do
the work as specified Payment will be made as outlined above_ I agree to the additional terms and conditions on
reverse side.
BUYER
By
Title
Guaranteed by
Contract Date
By
Title
NESPER SIGN A➢VERTISING,INC.
SEE REVERSE SIDE FOR ADDITIONAL TE RAI S AND CONDITIONS
4620 J. St. SW • Cedar Rapids. IA 52404-4928
(319) 366 - 5312 • Fax (319) 366- 6493 • 800 332-8403
7/i3/1S
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 Engineering Department to expend
$ 22,455.00 plus est. shipping costs of $ 0.00 to pay for or puchase
Spraying trees in the riprap in various reaches along the flood control system.
This purchase or expenditure is being made because:
The Corps of Engineers requires the City to maintain our levee system.
❑x
Bids or written quotes were taken on this purchase, as follows:
Keeling Tree Service, Mason City: No Bid, B&B Lawn Care, Waterloo: No Bid
Landmark Turf Services, Dunkerton: $22,455
Tiedt Nursery, Waverly: No Bid
n Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
N/A
This expenditure is to be coded to the following budget line -item:
414-07-5600-2171
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
$ 450,000.00 ✓
$ 237,480.24 ✓
LIP in.QA-I, / 61/I /i5 2/qb za/11.6 `t-%/P--
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
users\shared goodies\forms\[File] (April 2003)
City Clerk Use Only
Finance Committee/
Approval Date 1` i3/1
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 Leisure Services Department to expend
$ 3,088.02 plus est. shipping costs of $ to pay for or purchase
repair to water pump on Gates Golf course.
This purchase or expenditure is being made because:
the pump on the pond at Gates Golf course stopped working. The pump is necessary to
keep the water level acceptable in the pond.
Vendor selected for this purchase: Hudson Hardware Plumbing Hudson IA
❑X
Bids or written quotes were taken on this purchase, as follows:
Bids or quotes were not taken on this purchase because:
Shawver Well was contacted about the repair. They suggested Hudson Hardware,
saying Hudson would be less expensive than Shawver. The pump had to be pulled
to determine what was needed to repair it.
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 ri Sewer n Sanitation
Federal/other grants pi Other (specify)
This expenditure is to be coded to the following budget line -item:
i (-HA() 2f7(4
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
(Signature Dept. Head or D
$ Z`')
$ 23, (v(? 3 43 ✓
721,6eiLt- 61,l„' LLG2
gnee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre -Authorization (Mar 2010)
City Clerk Use Only
Finance Committee ?
Approval Date / /13/) 5
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Police Department to expend
$ 1,536.00 plus est. shipping costs of $ 0.00 to pay for or purchase
Entry Door electronic door lock and intercom system for Property Building
This purchase or expenditure is being made because:
The building needs a secure door lock and intercom system to speak to the
public prior to allowing them access into the vestibule area for security reasons
Vendor selected for this purchase: Hawkeye Alarms
QBids or written quotes were taken on this purchase, as follows:
Hawkeye Alarms $ 1536.00
R.C. Systems $1980.70
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 ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
415-11-1100-2152
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully,
bmitted,
(Project Code)
J
$ 7(10Dd
vim- 6).
(Signature Dept. Head D ignee) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre -Authorization (Mar 2010)
City Clerk Use Only
Finance Committee
�7
Approval Date //i3//'
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
$ 13,835.00 plus est. shipping costs of $ 1,200.00
shelving for the new property evidence room
Department to expend
to pay for or purchase
This purchase or expenditure is being made because:
purchase all the shelving and platform stairs needed to store evidence
in the property /evidence storage facility
Vendor selected for this purchase: Welter Storage Equipment Co. Inc
❑x
Bids or written quotes were taken on this purchase, as follows:
Welter Storage Equipment Co. Inc. $13,835.00
U Line $23,120.00
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:
El
0
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:
415-11-1100-2152
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfullfsugmitted,
(Project Code)
$ 7o,v oo-
15 ?i7�� i.e1 a "'_t'.� _ / ),U.AC Icw2. T (�
(Signatyre Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre -Authorization (Mar 2010)
City Clerk Use Only
Finance Committee /
Approval Date (_3// 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 Police Department to expend
$ 16,002.50 plus est. shipping costs of $ 0.00 to pay for or purchase
renewal of the annual support agreemnent for Sheildware, Tracs software and NCIC
server for July 2015 to June 2016
This purchase or expenditure is being made because:
this is an annual renewal that supports the Sheildwaresystem that is used by the
Police Department for data collection and State of Iowa mandated reports
Vendor selected for this purchase: Sheild Technology Corporation
❑ Bids or written quotes were taken on this purchase, as follows:
❑X Bids or quotes were not taken on this purchase because:
This system is what is used county wide and is proprietary to the Sheild
Technology Corporation
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 ❑ 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
pectfully sitted,
Sanitation
(Project Code)
$ 6,2306z
t. Hea
7/ / f �1 r Olt . /, )JiLfao 4-/S
t. or D signe• e) Date (Signature Finance Dept. Review) Date
K:\shared goodies\forms\Expenditure Pre -Authorization (Mar 2010)
City Clerk Use Only
Finance Committee_
City of Waterloo
Expenditure Pre -Authorization Request Form
Approval Date
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Police Department to expend
$ 20,549.61 plus est. shipping costs of $ 0.00 to pay for or purchase
(9) Nine Panasonic Toughbook Laptops computers for the Police Patrol cars
This purchase or expenditure is being made because:
these computers will replace aginig and outdated laptops in the Police patrol cars.
These are essential to the daily operations of the officers working from their vehicles.
Vendor selected for this purchase: CDW-G
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
CDW-G has the state bid for in car computers from Panasonic. The price listed is
the state of Iowa bid price.
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 ❑ Sanitation
Federal/other grants n Other (specify)
This expenditure is to be coded to the following budget line -item:
414-11-1100-2106
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully ub fitted,
/AP� �• 0,1111r
'/2- I5 WV/Lilt- 7J Buz— 1 /
(Signature Dept. He-• • sesignee) Date (Signature Finance Dept. Review) Date
(Project Code)
$ LeC?,1L7
$ 377-
K:\shared goodies\forms\Expenditure Pre -Authorization (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 7/13 // S
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
$ 2.529.00 plus ext. shipping cost of $ 75.00 to pay for or purchase
Nine (9) Troian replacement UV lamps under warranty proration.
This purchase or expenditure is being made because:
Lamps burnt out before life expectancy.
Vendor selected for this purchase:
MC2, Inc.
X
Bids or written quotes were taken on this purchase, as follows
Bids or quotes were not taken on this purchase because:
MC2, Inc. is rep. for theses UV disinfection lamps.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
LiGeneral Fund: nRoad Use Tax: X Sewer: Sanitation:
nBonds:
C
Federal/other grants:
(lOther(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 /
and the current available balance is $ 250.000.00
Respectfully submitted,
-- - fit, 24. 415"
(Signature Dept. Head Or Designee) (Sate (Signature Finance Dept. Review) Date
Mc2, Inc.
2320 S. 156th Circle • Omaha, Nebraska 681.30-2511 • Phone (402) 333-9660 • FAX (402) 333-9663
PROPOSAL
15-5460
TO: City of Waterloo, Iowa
Attention: Brian Bowman DATE: June 25, 2015
REFERENCE: Trojan Lamps FOB: Factory
Lamps by Trojan Technologies
Nine (9) Trojan replacement lamps @ $281.00 each = $2,529.00
Estimated freight - $75.00
NOTES:
1. This proposal represents our best interpretation of plans, specifications, and design conditions. It remains the
Purchaser's responsibility to verify quantities and compliance.
2. Backcharges will NOT be accepted unless Mc', Inc. has been notified in writing and approved the charges prior to work
being done.
3. The above price is firm for Thirty (30) days.
4. Terms of payment are NET 30 DAYS. Any unpaid balance will be assessed 1/5% per month.
5. The above price does NOT include any taxes.
6. This proposal does NOT include installation, wiring, painting, or any other item except as specifically described above.
7. Please direct your Purchase Order to:
Mc2, Inc
2320 S. 1.56th Circle
Omaha, NE 68130-2511
Page 1 of 5
City Clerk Use Only
Finance Committee
Approval Date
City of Waterloo
Expenditure Authorization Request Form
The Finance Committee of the City Council is here by requested to authorize the following
purchase or expenditure submitted by the Sewer
$ 11.767.00 plus ext. shipping cost of $ 150.00
Movno rebuild parts for #2 & #3 TAS transfer pumps.
Department to expend
to pay for or purchase
This purchase or expenditure is being made because:
Moyno rebuild_pump stock parts for pump break downs.
Vendor selected for this purchase:
MC2, Inc.
[]Bids or written quotes were taken on this purchase, as follows
X
Bids or quotes were not taken on this purchase because:
MC2, Inc. is rep. for these pump parts. Total cost including freight is $11,917.00
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
nGeneral Fund: []Road Use Tax: []Sewer: []Sanitation:
[]Bonds:
[]Federal/other grants: []Other(specify):
This expenditure is to be coded to the following budget line -item:
520-14-5700-1571
(Fund - Department - Activity - Account Number)
(Project Code)
in which budgeted amount is $ 250,000.00
and the current available balance is $ f10 2`7 396'061
v
Respectfully submitted,
(Signature Dept. Head Or Designee) date (Signature Finance Dept. Review) Date
0f ?Q/2,115 20:28 4023339663
MC2 INC PAGE 01/01
Mc2, Inc.
2320 S. 156th Circle • Omaha, Nebraska 68130-251 1 • Phone (402) 333-9660 • FAX (402) 333-9663
PAX MEMO
DATE:-2a- Is
ATI"N' -kf(44I"CL.D
COMPANY.- �'>-41 ar
FAX#: - 1- 291- 4S2
SU,BJECT:
y1_;c0 4/ZTu -
1
FROM. Roger D. Gellhaus
Total Number of Pages: I
MESSAG :
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e-mail Address: info9mc2h2o,com
Approval Date
City Clerk Use Only
Finance Committee
7/t 3/i
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 Street
$ 2,425.12 plus est. shipping costs of $ 78.00
Replacement brake master cylinder - sweeper S11
Department to expend
to pay for or purchase
This purchase or expenditure is being made because:
Cracked housing - non repairable
Vendor selected for this purchase: Trans -IA Equipment Co
❑ Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not 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:
x
General Fund
Bonds
Road Use Tax ❑ Sewer n Sanitation
Federal/other grants n Other (specify) Storm Water
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
$ q'cilioUU
7- S -/ s-271Lelt,/ //ti
K:\shared goodies\forms\Street Department - Master Cylinder - Sweeper S11 - July 2015.xls (Mar 2010)
City of Waterloo
Expenditure Pre -Authorization Request Form
City Clerk Use Only
Finance Committee
Approval Date 7/13
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
$ 16,310.28 plus estshipping costs of $ to pay for or purchase
3 - Decorative Poles and 15 LED light fixtures
Additional $3,310.28 from original pre-auth
This purchase or expenditure is being made because:
To be installed on W. 4th St. in front of the 5 Sullivan Bros. Convention Center
Vendor selected for this purchase: Crescent Electric Supply co
�X Bids or written quotes were taken on this purchase, as follows:
Crescent Electric Supply Company Waterloo, IA
Van Meter Waterloo, IA
$16,310.28
$18,702.76
n Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates): Finance Approved NTE $13,000.00 - 3/30/2015
Please check the following box(es) as appropriate to describe the funding for this expense:
• General Fund n Road Use Tax n Sewer ri Sanitation
• Bonds ❑ Federal/other grants n Other (specify)
This expenditure is to be coded to the following budget line -item:
414-17-7105-2129
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
(Project Code)
$ / 3-�o�->i� r%� "Cr 4416(.01
dAG �, , ��7 � ' %2 -rat /�� /�.r. tt fA 7 / '
(Signature Dept. H:.d or Designee) D to (Signature Finance Dept. Review) Date
K:\shared goodies\forms\2015-July-Expenditure Pre -Authorization -Crescent Electric -Additional $3,310.28(16,310.28) 3 polesl5 LEDs on W.
4th.xls (Mar 2010)
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT. STAFF ONLY
LINE ITEM USED C/G ,i� 'ja(+'S(376
!??Q"
/7t?-Gi
FYa 614 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT Ar : ER THIS
REQUEST
DATE
Original- Clerk/Finance
Copy - Department
NAMES) AND POSITION(S):
Katie Knight, Exhibition Curator/Guest Speaker
DATE:
June 22, 2015
NAME OF CLASS / MEETING:
Speaking Volume: Transforming Hate Gallery talk
and special tour events.
DEPARTURE DATE:
July 22, 2015
RETURN DATE:
July 24, 2015
DESTINATION: Waterloo, IA
DEPARTURE POINT
IF NOT WATERLOO: Helena, Montana
DATE(S) OF MEETING:
July 22-23, 2015
PURPOSE OF TRAVELITRAINING:
Katie Knight, will be a guest speaker for a public gallery talk and will be conducted guided tours for multigenerational
audiences. Expenses will be supported by the Cultural Leadership Partnership grant program through the lowa Arts
Council.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE
X AIRFARE
X RENTAL VEHICLE
DEPARTING FROM: Helena, Montana
ESTIMATE OF COST:
$140 LODGING $271.41
$70 MEALS
BUDGET LINE ITEM: 26STG.OSG 010 26 42651346
CAR RENTAL x GRANT REIMBURSABLE
PARKING ) YES NO
REGISTRATION $871.20 AIRFARE
$50 MILEAGE/FUEL $300.00
TOTAL FOR ALL. $ 1702.61
M!SC!TOLLS ! YES NO
TOTAL: $
REQUIRED CERTIFICATION
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
DEPARTMENT HEAD
Co/2Z/I
DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
APPROVE THIS TRAVEL REQUEST
MAYOR
DATE
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-11-1100-1346
FY _2016_ BUDGETED j,> j r
EXPENDED YTD
THIS REQUEST / i 6
LEFT AFTER THIS
REQUEST 33 Cif
DATE ; ,-.
Original - Clerk/Finance Copy - Department
NAME(S) AND POSITION(S):
P. O. Bram P.O. Rulapaugh
DATE
June 16th, 2015
NAME OF CLASS / MEETING:
AR15 M16 Armorer Course
DESTINATION Ramsey, Minnesota
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
August 4th, 2015
Return Date:
August 6th, 2015
DATE(S) OF MEETING:
August 5th-6th 2015
PURPOSE OF TRAVEL:
Lt. Cirksena is requesting authorization to send Officers Bram and Rulapaugh to AR15 / M16 Armorers Course in
Ramsey, Minnesota. Officers Bram and Rulapaugh are firearms instructors for the police department and also
armorers' and maintain our firearms to include AR15/M16 that belong to the police department and are used by
Waterloo Police Officers. A city vehicle will be needed for 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:
$300.00 LODGING Rental car
$256.00 MEALS .00 PARKING
$790.00 REGISTRATION .00 AIRFARE
$150.00 MILEAGE/FUEL MSC/TOLLS
TOTAL FOR ALL: $ 1496.00
BUDGET LINE ITEM:
x GRANT REIMBURSABLE
YES NO
x
YES NO
REQUIRED CERTIFICATION
TOTAL: $ 748.00 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
DATE DATE
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-11-1100-1345
FY 201 BUDGETED /. .
EXPENDED YTD -
THIS REQUEST �f
LEFT AFTER THIS5e
REQUEST j'
DATE (
Original - Clerk/Finance Copy - Department
NAME(S) AND POSITION(S):
Inv. David McFarland & Officer Melissa Lippert
DATE:
June 29,2014
NAME OF CLASS / MEETING:
Robbery Investigation
DESTINATION: Oklahoma City, Oklahoma
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
June 23,2015
Return Date:
June 24,2015
DATE(S) OF MEETING:
June 23-24,2015
PURPOSE OF TRAVEL:
Inv. McFarland and Officer Melissa Lippert traveled to Oklahoma City, Oklahoma to interview several suspects in a
robbery investigation. The suspect and others left Waterloo shortly after the reported robbery and were located in
Oklahoma City by local authorities. The Officer traveled to Oklahoma to interview the suspect, witnesses and others
involved and gathered evidence involved in our case. A city vehicle was used for travel to Oklahoma.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
x COST$
YES NO
METHOD OF TRAVEL:
XX CITY VEHICLE
AIRFARE DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
$286.32 LODGING
$64.41 MEALS
$00.00 REGISTRATION
$132.02 MILEAGE/FUEL
$24.00
TOTAL FOR ALL: $ 506.75
TAXI
PARKING
AIRFARE
MISCITOLLS
BUDGET LINE ITEM:
x GRANT REIMBURSABLE
YES NO
x REQUIRED CERTIFICATION
YES NO
TOTAL: $ 253.38 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
vll
DATE DATE
Budget Amendment Descriptions for 7/13/2015 Finance Committee Meeting Agenda:
1. Approve the project budget for the Donor Recognition Wall at the Library funded with by a
donation from the Friends of the Library in the amount of $16,000 as submitted by the Library.
2. Approve the project budget for the hotel/motel tax grant award for advertising in the amount of
$38,928 as submitted by Cultural & Arts.
Please use this for project budget descriptions on Finance agenda. Do not need to include this cover
sheet in the Finance Committee packet.
Project Name
City Contract No.
Project Manager
Project Budget Total
PROJECT BUDGET WORKSHEET - ALL PROJECTSQv4
PAGE ONE 4/i3Ai�
Friends of the Library ,60/101O f — L) f2 % �Qc (,Y/j/ L/ l i ..k//
Sheryl McGovern, Director
$ 16,000.00
1. How will this project be funded?
A. Federal Grant Yes
Grant Name
No
x
CFDA #
B. State Grant Yes
Grant Name
C. City Match
D. Other Entities Yes x No
Name
No
x
Source of Funding
Friends of the Waterloo Public Library
To be assigned by the Finance Dept.
Project No.
Subproject No.
330111 FOL
A'/\ij".t
% Paid by federal grant
Grant Agreement Number
% Paid by state grant
Grant Agreement Number
% Paid by City
% Paid by other entity
2. Attach copies of any grant agreements that will fund the project (REQUIRED)
3. Does the project include the purchase of right of way or other real property?
If yes, will real property purchases be reimbursable under the grant?
If yes, have you attached authorization to purchase real property to this document?
4. Will this project include any non -participating expenses, such as:
A. Stormwater permit fees
B. Publication, or printing costs
C. Others, list
5. Does this project cover any regular full-time salaries or benefits?
If yes, employee/position to be covered.
6. Include a brief description of the project in the space below: (REQUIRED)
Annual gift from the Friends of the Library to be used as determined by the Board of Trustees
0.00%
0.00%
0.00%
100.00%
Done None
Yes No
❑
❑ ❑
❑ ❑
❑ ❑
❑
x
x
Page 2 must be attached and signed.
users\michelle-w\forms\project-worksheets-fol\Page 1 All Projects (Mar 2010)
PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION
PAGE TWO
Project Name (from page one) Friends of the Library
Department No. project will be budgeted under 33
Activity No. project will be budgeted under 3160
REVENUES:
3000 Cash on Hand
3350 Federal 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
3800 Miscellaneous Revenue
City Clerk Use Only
Finance Committee
Approval Date 1/1,3/(
To be assigned by the Finance Dept.
Project No.
Subproject No.
33901F FOL
frNR
(Each column should only include amounts by fund)
Fund: 010
Fund:
Fund: Fund:
Total
16,000.00 16,000.00
TOTALS $ 16,000.00 $ $ $ $ 16,000.00
EXPENDITURES:
13BId pf11 r,e 16,000.00
9 $ 16,000.00
(Signature Dept. Head
TOTALS $ 16,000.00 $ - $ - $ - $ 16,000.00
Date
%/ .tfi .. (Jii ks�-1 1-2-1
( ign ture Finance Dept. Review) Date
users \michelle-w\forms\project-worksheets-fol\Page 2 (Donat-non constr) (Mar 2010)
2310
FRIENDS-0 THE WPL
415 COMMERCIAL ST.
WATERLOO, IA 50701
Pay to theeltevertr,i0az
Order of
//--20 -/4
u heeett4J 04tal CVO-0
()IMMUNITY
BANK &
.omea.a ., a. TRUST
For
I:0739225'01:2064040 23L0
72-2259/739
01
Date
I $ /6(006, 00
p, 6uamlry
IIallars u D. tlb on
PROJECT BUDGET WORKSHEET - ALL PROJECTS
PAGE ONE
P9d`'1511
'1/t3�rsi
Project Name HOTEL MOTEL FY2016
City Contract No.
Project Manager
Project Budget Total
LAURA STAMMLER
$ 38,928.00
1. How will this project be funded?
A. Federal Grant Yes No
Grant Name
B. State Grant Yes No
Grant Name
C. City Match
To be assigned by the Finance Dept.
Project No. ' 26HMT ADVFY16
Subproject No.
CFDA # % Paid by federal grant
Grant Agreement Number
% Paid by state grant
Grant Agreement Number
Source of Funding CONTRIBUTE A MATCH % Paid by City
D. Other Entities Yes No
Name
% Paid by other entity
2. Attach copies of any grant agreements that will fund the project (REQUIRED)
3. Does the project include the purchase of right of way or other real property?
If yes, will real property purchases be reimbursable under the grant?
If yes, have you attached authorization to purchase real property to this document?
4. Will this project include any non -participating expenses, such as:
A. Stormwater permit fees
B. Publication, or printing costs
C. Others, list
5. Does this project cover any regular full-time salaries or benefits?
If yes, employee/position to be covered.
6. Include a brief description of the project in the space below: (REQUIRED)
Done None
111
Yes No
❑ E
❑ ❑X
❑ Q
❑ ❑X
El E
❑ 0
❑ ❑X
ADVERTISING HOTEL -MOTEL AWARD FOR FY2016 FROM CVB
Page 2 must be attached and signed.
K:\shared goodies\forms\Project Budget-FY2016-HMT.ADVFY16\Page 1 All Projects (Mar 2010)
PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION
PAGE TWO
City Clerk Use Only
Finance Committee
Approval Date
Project Name (from page one) HOTEL MOTEL FY2016
Department No. project will be budgeted under 26
Activity No. project will be budgeted under 4265
REVENUES:
3000 Cash on Hand
3350 Federal Grant
3352 Federal HUD Grant
3354 Shared Program - Local
3357 Shared Program - County
3358 Shared Program - City
3360 Shared Program - State
3361 State Grant
3720 Donations - Restricted
3750 Sale of Bonds
3111 HOTEL MOTEL TAX
EXPENDITURES:
To be assigned by the Finance Dept.
Project No. 26HMT.ADVFY16
Subproject No.
(Each column should only include amounts by fund)
Fund: O v Fund: Fund: Fund:
Total
38,928.00 38,928.00
TOTALS $ 38,928.00 $ - $ $ $ 38,928.00
1111 Salaries - Regular
1112 Salaries - Part Time
1315 Education & Training
1345 Travel - Official City
1346 Travel - Prof Training
1390 Contractual Services
1351 ADVERTISING
38, 928.00 38, 928.00
TOTAL $ 38,928.00 $ $ - $ $ 38,928.00
(Signature Dept. Head)
7
Date
74,w/.1,z//,
(Signature Finance Dept. Review)
Date
K:\shared goodies\forms\Project Budget-FY2016-HMT.ADVFY16\Page 2 (Donat or NON-constr) (Mar 2010)
Laura,
At last night's City Council Meeting, the CVB Board's recommendations for funding the Partner Grants
were approved. For FY16, we had $96,000 to allocate through this process. The WCA's award is
$38,928. Thanks for all of the information you provided and for all you and your team do for tourism in
Waterloo!
Aaron
Aaron Buzza, CDME
Executive Director
Waterloo Convention & Visitors Bureau
500 Jefferson St.
Waterloo, IA 50701
www.travelwaterloo.com
319.233.8350 — Office